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112 C^.S’^.S’ ILLUSTRATING TEE TREATMENT.
Both tonsils began to swell the day before. They were now
covered with pus. On the right side, the pus coverings extended
over wide areas, while on the left side they formed several smaller
points. The tonsils themselves were very swollen, and difficulty
and pain were experienced in swallowing.
Progress.—After the treatment the patient felt better. The
difficulty of swallowing was greatly lessened.
Dec. 12th. Tonsils much smaller. The pus coverings have
disappeared on both sides.
Dec. 13th. The tonsils are very nearly normal. No difficulty
or pain in deglutition. Treated for the last time.
Treatment.—The patient was subjected to treatment for fifteen
minutes each day. It consisted in the two movements for the
throat shown in figs. 20 and 23, the former for five, the latter
for about ten minutes, and frictions over the facial nerve
separately ; but it is clear that the manipulation behind the
ascending ramus of the lower jaw stimulates the nerve, the whole
time, since the fingers pass over it continually.
III. TOI^SILLITIS.
Kezie, 28 years old, maid- servant, residing at Trieste, had taken
cold on the first day of her menstrual period, the 22nd of January
1889. On that day and during the night, fever, with shivering,
difficulty of and pain in swallowing, set in. She also suffered from
a severe headache.
She was under the care of Dr. Michele Brown, the distinguished
specialist for diseases of the nose, throat, and larynx. I myself
was under his treatment at Trieste. He mentioned the case to
me on the morning of the 23rd, and asked if I would treat her,
and thus illustrate to him the way in which I gave the manipu-
lations for the throat.
The patient’s temperature was 39° C. She sliivered and felt
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