In line with exercise of this kind, massage and percussion treatment of
the abdominal region is likewise effective. The massage should be deep
and may be administered by the closed fist. A wide circular movement is
advantageous for this purpose, the hand being moved in the direction of
the hands of a clock, that is to say, up the right side, across, down
the left side and continuing around in that manner. Rolling a
baseball around in the same manner, pressing deeply though without
strain, will afford an excellent form of massage for this particular
purpose. The percussion treatment that I have suggested consists in
alternate tapping or striking this region of the body with both
hands. A chopping movement, using the outside edge of the hands, is
very effective, and if you are very vigorous, the closed fist may be
used. Striking repeatedly and alternately with the two fists, go over
the entire region of the stomach and abdomen. This can be done gently or
vigorously, according to your condition, and it is an invaluable and
effective means of stimulating peristalsis and functional vigor.
Mechanical vibration may also be suggested.
Cathartics are always to be condemned. The ordinary cathartic or
laxative acts by reason of its irritating qualities. As a rule it
abstracts the water from the intestinal walls, and the adjacent tissues,
and the ultimate effect is to leave one in worse condition than
before. Those who have been accustomed to the drug treatment of
constipation, usually find the condition growing continuously more
stubborn. Larger and larger doses of the cathartic must be taken to
secure results until the function is practically paralyzed. There could
be no greater mistake. If some laxative is required and sand cannot be
used, the best remedy is ordinary table salt. Stir up a level
teaspoonful in a glass of water and drink it. This has a mild laxative
action. Or take daily two to four tablespoonfuls of ordinary bran in a
glass of water. This bran may also be stirred into soups and
cereals or mixed with whole-wheat flour when making bread. Olive oil
also should be used freely.
As an emergency treatment, however, the enema is most satisfactory, and
when employed it is best to do it thoroughly. I do not advocate the
regular and continuous use of this measure. One should not come to
depend upon it. A natural action is desirable, and this can
invariably be brought about by a proper diet, as above suggested, by
exercise and by a sufficient amount of water. The enema or colon-
flushing should be used only when absolutely necessary, though in case
of acute disease, where rapid purification is essential, the enema is
imperatively demanded, and no household should be without an outfit for
giving this treatment.
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