It should be remembered that in this and all the other exercises where the abdominal organs are massaged, it is important not to let the hands go over the ribs and the upper abdominal cavity at the same time. The digestive organs cannot be properly reached and influenced in this way. Especially is this the case if the hand strokes in a perpendicular position, that is, with fingers pointing downward and not transversely. Even if the hands were stroking over the abdomen, underneath the ribs in a perpendicular position, this would not be sufficient for the reason that as much pressure can not be exerted in this way as with the hands in a transverse position. It would also cover too many organs at one time to make a sufficient impression upon them. THE COMBINED MASSAGE EXERCISE No. 4 Massaging each side alternately from the side of the knee upward over the thigh, hip and side, then across the lower chest or underneath the breasts, to the opposite side; and at the same time bending the upper body from side to side. _Detailed Description_ _Position._—Standing erect with shoulders thrown backward and chest forward, but without strain, heels together and feet and legs stationary. [Illustration: EXERCISE NO. 4. Fig. 4 A. Fig. 4 B. Fig. 4 C. Fig. 4 D. Fig. 4 E.] Without altering the position of the legs, bend the upper body to the right as far as possible, so that the right hand is level with or just above the outer side of the right knee. Place this hand, with fingers and thumb close, transversely over the side of the thigh just above the knee so that the fingers are pointing inward, toward the left (Fig. 4 A). Stroke thus with the right hand from there upward over the side of the right thigh, hip and trunk until the thumb is horizontal with the nipple of the right breast, the fingers of the hand should thus be pointing straight toward the left side. In thus stroking upward on the right side the trunk should be bent directly to the left (Fig. 4 B and C). Then without altering the position of the body or the hand, continue stroking with the latter, fingers first, across the lower chest over the region of the liver under the right nipple of the breast, toward the left side (Fig. 4 D), where the hand moves underneath the nipple of the breast, over the lower region of the heart and is released on that side (Fig. 4 E). Now alternate to the left side. The upper body is still bent to the left, and the left hand is placed on the side of the left thigh, just above the knee (Fig. 4 E). Now massage the left thigh, hip and side and from there across the chest with the left hand, in the same way as the right side was massaged with the right hand. When the hand is moving upward over the left thigh, hip and side, the body is of course bent to the right. After the left side has been massaged, repeat the movements on the right and so forth, alternately.