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158

(1890) [MARC] Author: Arvid Kellgren
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158 GASES ILLUSTRATING THE TREATMENT.
Progress.—Sept 10 th. The patient has been treated twice a day
from the 3rd. The very first treatment on that day gave him
relief for some hours. He felt no discomfort on walking home.
He passed a much better night, more rest and sleep being
enjoyed. There has been a constant improvement from day to
day. The urine is now passed two to three times a day, and he
does not need to rise during the night. For the last two or
three days he has had no feeling of irritation after emptying the
bladder, but only a kind of weakness. The deposition of phos-
phates, mucus, and pus greatly diminished. The appetite is
improving.
Sept. 24:th. The patient has been treated once a day since the
last report. He caught cold on the 14th, and had a slight relapse,
which, however, soon passed over. For some days he has felt
completely well. No abnormal deposits in the urine. Appetite
good. Treatment stopped to-day. He decided to let time and
light injections cure the gleet.
The patient has had no trouble from his bladder since the
above date.
Treatment.—The special treatment consisted of tapotement over
the lower lumbar, sacral, and perinasal regions ;
light shakings of
the bladder, both from above the pubic arch and the perineum
vibrations above the pubic arch; nerve frictions for several
minutes over the lower lumbar and the sacral nerves ;
and, lastly,
petrissage of the abdomen. The nerve frictions were the most
effective in reducing the irritation and inflammation. The
patient drank a considerable amount of water, acidulated with
the fresh juice of lemons.
XXVI. MIGEAINE.
Mr. C. A., aged 27, had since August 1888 suffered greatly
from sudden onsets of violent headache. At first some time
elapsed between each attack, but the intervals grew shorter

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