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NEBVE VIBRATIONS. 71
The special treatment applied was nerve frictions at the upper
and lower parts of the lumbar regions and over the sacrum, and
vibrations on the lower parts of the abdomen. In addition,
some general movements were given.
The treatment extended over three menstrual periods, begin-
ing shortly before one, and finishing a few days after the third.
Her condition had already during the first improved to such
an extent that she could come to see me every day. During
the second period she had only one attack of pain, and at the
third she suffered no pain whatever. The general condition had
greatly improved.
If we look at the anatomical arrangement of the "nerves, it
gives a possible reason for these conditions. The sympathetic
ganglia in the neck have communicating branches with all the
cervical spinal nerves, and each ganglion gives a nerve to the
cardiac plexus. In the dorsal region the sympathetic ganglia all
communicate with the corresponding spinal nerves, and the upper
five ganglia send branches to the thoracic viscera, through the
medium of the cardiac and pulmonary plexuses ; while from the
sixth to the tenth dorsal ganglia, branches unite to form the
great splanchnic, which passes to the semi-lunar ganglia of the
solar plexus. The tenth and eleventh ganglia give origin to the
small splanchnic, which joins the solar and renal plexuses
;
and from the twelfth ganglia arises the smallest splanchnic,
which enters the renal plexus.
The same intimate connections also exist between the sym-
pathetic and the lumbar and sacral spinal nerves.
Eeflexly, we ought then to be able to react on the organs
supplied from the different sympathetic plexuses, as well as to
relieve pain in the corresponding sensory nerves.
Over the sacrum the same position of the hand is used as
between the shoulders ;
or the hand is lightly closed, and we
work with the knuckles. The nerves here should always be
stimulated after the shaking and vibration movements in derange-
ments of the pelvic organs.
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