_This exercise done five times will take about fifteen seconds. If counting every time when commencing to stroke from each side of hip, it will be ten counts._ _Analysis and Effects of the Combined Massage Exercise No. 4_ This exercise is combined in such a manner that there is obtained the movements of the arms and the bending of the body sideways, together with massage of the outer side of the thighs, the hips, the sides of the body and the lower chest. The movements of the body and arms and hands in applying the massage movements, exercise the muscles and nerves of the arms, the shoulders, the back, the sides, the lower chest and breasts and the abdomen. They also slightly influence the liver, the stomach, the intestines and kidneys. The massage influences the muscles, nerves and vessels of the outer side of the thighs, the hips, the lower sides of the trunk and the lower chest, as well as the liver and the heart. THE COMBINED MASSAGE EXERCISE No. 5 Massaging the right leg with the right hand and the left leg with the left hand simultaneously from behind the ankles upward over the backs and sides of the lower legs, backs and sides of the thighs, continuing a short distance upward over the hips and from there, still with both hands at the same time, across the abdomen and lower chest to the opposite sides, the right hand passing from the right side underneath the ribs over to the left side, and the left hand passing from the left side underneath the nipples or breasts over to the right side. From there, continue stroking with both hands simultaneously inward and upward over the opposite nipples or breasts and the upper chest where the hands pass each other and stroke outward to their respective sides under the armpits; the right hand thus stroking from the left side inward and upward over the left nipple or breast and the left hand from the right side inward and upward over the right nipple or breast. Release the hands at the armpits and stroke down each side of the lower back and buttocks with the backs of the hands. At the same time, bending the upper body forward and backward. _Detailed Description_ _Position._—Standing erect with heels about eight inches apart and feet nearly parallel. [Illustration: EXERCISE NO. 5. Fig. 5 A. Fig. 5 B. Fig. 5 C. Fig. 5 D. Fig. 5 E. Fig. 5 F. Fig. 5 G. Fig. 5 H. Fig. 5 I. Fig. 5 J. Fig. 5 K. Fig. 5 L.] Without bending the legs, bend the upper body forward as far as possible, and clutch the lower right leg with the right hand and the lower left leg with the left hand from behind and just above the ankles in such a way that the palm of each hand is on the back of each leg, the four fingers placed around the inner sides and thumbs around the outer sides, thus making an equal pressure with fingers and palms of hands around each leg (Fig. 5 A).