Principles of Osteopathy
4th Edition
Dain L. Tasker, D. O.
1916
FIGURES
FIGURE 1
Radiograph of a lesion of the second dorsal vertebra.
Note the approximation of the left transverse processes of the first and
second dorsal vertebrae. Case of exophthalmic goitre following traumatic
strain in this spinal area. Recovery.
FIGURE 2
Scheme to illustrate the disposition of the myotones
in the embryo in relation to the head, trunk and limbs. Drawn by
John Comstock (after Cunningham).
FIGURE 3
Diagram of a segment of the body and limb.
Drawn by John Comstock (after Kollmann).
FIGURE 4
Paralysis of right serratus magnus. Shows
the prominence of the scapula, when it is the foundation for a movement
such as extension of the arm to the side.
FIGURE 5
Paralysis of right serratus magnus. Shows
loss of power to rotate the scapula on the thorax.
FIGURE 6
Paralysis of right serratus magnus. Show the
"winged" condition of right scapula when arm is extended forward.
FIGURE 7
Paralysis of right serratus magnus. Shows
outline of the vertebral borders of the scapulae when arms are extended
forward.
FIGURE 8
Shows digitations of the serratus magnus and normal
position of the scapula.
FIGURE 9
Paralysis of the right serratus magnus. No
digitations are apparent. The scapula takes an extreme "wing" position.
FIGURE 10
Paralysis of the trapezius and clavicular division
of the sterno-cleido-mastoid due to death of some of the central cells
of the spinal accessory.
FIGURE 11
Atrophy of right trapezius.
FIGURE 12
Shows atrophy of right trapezius.
FIGURE 13
Paralysis of right trapezius and portion of the
sterno-cleido-mastoid.
FIGURE 14
Showing overlapping of segmental sensory nerves.
Drawn by John Comstock (after Sherrington).
FIGURE 15
Diagram of spinal segmentation, showing relation
between the points of origin of the spinal nerves and their points of emergence
from the spinal column; also their distribution to the muscles. Drawn
by John Comstock (after Dejerine et Thomas, modified by Starr).
FIGURE 16
Diagram showing two segments of the spinal cord.
FIGURE 17
Diagrammatic representation of a single spinal segment
and a simple reflex arc. Drawn by John Comstock.
FIGURE 18
Diagram of sensory and motor fields co-ordinated
in a spinal segment; and the inhibitory influence of the brain.
FIGURE 19
Diagram and table showing the approximate relation
to the spinal nerves of the various motor, sensory and reflex functions
of the spinal cord. (Gowers.)
FIGURE 20
Case illustrating atrophy of the muscles of the
right leg due to faulty trophic influence of the nerve cells in the spinal
cord. The scar, just above the right patella, is superficial to a
hypertrophic condition of the bone.
FIGURE 21
General view of case illustrated in the preceding
figure. The spinal curvature is clearly indicated. Patellar
tendon reflex absent on right side but present on the left.
FIGURE 22
Schematic representation of the connection between
the sympathetic and cerebro-spinal nervous systems.
FIGURE 23
Diagram showing cilio-spinal center and the
course of the nerves governing accommodation of the eye to light and distance.
Drawn by John Comstock (after Schultz).
FIGURE 24
Stimulation of the pneumogastric by pinching the
nerve trunk in the neck.
FIGURE 25
Sphygograms illustrating the effect of inhibition,
first, second and third dorsal.
FIGURE 26
Vaso-constrictor area, second dorsal to second lumbar.
FIGURE 27
Arterial tension is manifested in a sphygmogram
by the relative height of the aortic notch. The upper tracing shows
the aortic notch on a straight line drawn from the top of one percussion
wave to the bottom of the next. The middle tracing shows this notch
very low.
FIGURE 28
The signification of a sphygmogram. The space
S is the period of ventricular systole when the aortic valves are open;
the space D the period of ventricular diastole; t, the tidal wave due to
the ventricular systole; p, the percussion wave due to instrumental defect;
a is the aortic notch which marks the closure of the aortic valves; d,
the dicrotic wave.
FIGURE 29
Sphygmograms illustrating Tachycardia and Brachycardia.
Upper tracing - radial pulse of a woman exhibiting great nervousness, a
small goitre but no exophthalmos. Lower tracing - radial pulse of
a young man whose power of recalling past events of his life ws suddenly
lost. Result of mental shock.
FIGURE 30
Sectional diagram of the human body showing the
wide range and intimate relations of nerve distribution and connections.
Drawn by Dr. J. E. Stuart.
FIGURE 31
Sensory dermatones on anterior surface of the body.
Drawn by John Comstock (after Head).
FIGURE 32
Sensory dermatones on posterior surface of the body.
Drawn by John Comstock (after Head).
FIGURE 33
Surface markings of the brachial plexus.
FIGURE 34
Front view of partial paralysis of the brachial
plexus.
FIGURE 35
Side view of same case as Figure 34.
FIGURE 36
Rear view of same case as Figure 34.
FIGURE 37
Topographical outline of the lungs.
FIGURE 38
Posterior surface of the lungs.
FIGURE 39
The lung center.
FIGURE 40
Cilio-spinal and heart centers.
FIGURE 41
Surface outline of the heart.
FIGURE 42
Surface outline of the stomach.
FIGURE 43
The stomach center.
FIGURE 44
The splanchnic area.
FIGURE 45
Posterior surface outline of the liver and spleen
with their centers indicated.
FIGURE 46
Anterior surface outline of the liver and large
intestine.
FIGURE 47
Center for the large intestine. The arrow
marks point of close connection of cerebro-spinal nerves with the hypogastric
plexus.
FIGURE 48
Center for chills.
FIGURE 49
Center for gall bladder.
FIGURE 50
Center for the ovaries. Reflexes from the
ovaries may follow the ovarian plexus to the aortic and reach the cerebrospinal
system at this point. This is true for the testes also.
FIGURE 51
Posterior surface outline of the kidneys.
FIGURE 52
End of the spinal cord. Physiological center
for parturition, defecation and micturition.
FIGURE 53
Areas of the lumbar and sacral plexuses.
FIGURE 54
Center for the bladder.
FIGURE 55
Sphygmograms illustrating the effect of uterine
reflexes on the heart.
FIGURE 56
Surface marking of the pudic nerve.
FIGURE 57
Drawn by John Comstock.
FIGURE 58
Mesial section through a portion of the lumbar part
of the spine. Drawn by John Comstock (after Cunningham).
FIGURE 59
The posterior common ligament of the vertebral column.
Drawn by John Comstock (after Cunningham).
FIGURE 60
Curves of the vertebral column (Flick). A,
with inter-vertebral discs; B, without inter-vertebral discs.
FIGURE 61
Radiograph of the cervical region in position for
balancing the head erect.
FIGURE 62
Radiograph of the cervical region in extension.
FIGURE 63
Radiograph illustrating normal flexion in the cervical
region.
FIGURE 64
Radiograph of the cervical region in rotation.
FIGURE 65
Fourth cervical, left later view. Drawn by
John Comstock.
FIGURE 66
Fourth cervical, superior surface. Drawn by
John Comstock.
FIGURE 67
Seventh dorsal, lateral view. Drawn by John
Comstock.
FIGURE 68
Seventh dorsal, superior view. Drawn by John
Comstock.
FIGURE 69
Drawn by John Comstock (after Toldt).
FIGURE 70
Third lumbar, lateral view.
FIGURE 71
Third lumbar, superior surface.
FIGURE 72
Left dorsal - right lumbar curvature, progressive
in type and therefore painful. Bodies of the dorsal vertebrae rotated
to the left. Bodies of the lumbar vertebrae rotated to the right.
FIGURE 73
Bodies of the lumbar vertebrae are rotated into
proper alignment by elevating right buttock.
FIGURE 74
Shows greatest right lateral flexion in concavity
of the dorsal curve.
FIGURE 75
Shows greatest left lateral flexion in concavity
of the lumbar curve.
FIGURE 76
Illustrates the degree of rotation of the bodies
of the lumbar vertebrae in this case of left dorsal-right lumbar lateral
curvature.
FIGURE 77
Illustrates the degree of rotation of the bodies
of the dorsal vertebrae in this case of left dorsal - right lateral curvature.
FIGURE 78
Structural lateral curvature in the upper dorsal
region, due to partial paralysis of the left rhomboideus major and minor.
Compensatory rotation has taken place in the lumbar region, as shown by
the relative outline of the body.
FIGURE 79
Flexion to the left, in case shown in preceding
illustration. The point of greatest flexion is located in the concavity
of the right lumbar curve.
FIGURE 80
Flexion to the right, in case shown in the preceding
illustration. The point of greatest flexion to the right is about
the ninth dorsal, i.e., about the center of the concavity of the left lateral
part of the curvature.
FIGURE 81
Slight lateral curvature of the structural type,
as is evidenced by rotation of the bodies of the lower dorsal vertebrae
to the left, the bodies of the lumbar to the right.
FIGURE 82
Lateral flexion to the right, is greatest in concavity
of the dorsal curvature.
FIGURE 83
Lateral flexion to the left, in this case, is greatest
in concavity of the lumbar curve.
FIGURE 84
Illustrating the presence of rotation in the lumbar
region, coexistent with lateral curvature.
FIGURE 85
Illustrating the presence of rotation in the dorsal
region, coexistent with lateral curvature.
FIGURE 86
Drawing of pelvis, showing sacro-vertebral angle.
Drawn by John Comstock (after Holden).
FIGURE 87
Showing sacro-vertebral angle of the average female
pelvic. Drawn by John Comstock (after Crossen).
FIGURE 88
Normal poise of the body. Drawn by John Comstock
(after Holden).
FIGURE 89
Plantar impression of a case that sought relief
for a sacro-iliac subluxation. The use of an arch support corrected
the supposed lesion. The effort at adaptation in the lumbo-sacral
articulation caused a fatigue pain.
FIGURE 90
Section through sacro-iliac joint. Drawn by
John Comstock.
FIGURE 91
Drawing of posterior aspect of pelvis, showing relation
of second sacral to the posterior superior iliac spines. Drawn by
John Comstock.
FIGURE 92
Normal relations of the sacrum and ilium.
FIGURE 93
Ilium forced upward and forward.
FIGURE 94
Ilium forced upward and backward.
FIGURE 95
Posterior superior spine of the ilium is too prominent.
FIGURE 96
Normal surface markings of the relations of the
sacrum and ilia.
FIGURE 97
Rotation of the ilium, forward.
FIGURE 98
Posterior superior spine of the ilium is prominent,
and slightly below the second sacral spine.
FIGURE 99
A case of posterior right iliac which was characterized
by persistent pain in the right sacro-iliac and the sacro-vertebral articulations.
FIGURE 100
Elevation of the foot in a case of posterior rotation
of the right ilium. This is not sufficient, in such cases, to correct
the compensatory changes in the lumbar articulations.
FIGURE 101
Showing the average amount of inequality in the
length of the legs in a case of posterior rotation of the right ilium.
FIGURE 102
Normal surface marking of the transverse process
of the Atlas.
FIGURE 103
Abnormal surface markings of the transverse process
of the Atlas.
FIGURE 104
Normal relations between the atlas and occipital
bone.
FIGURE 105
Normal relations between the atlas and occipital
bone.
FIGURE 106
Right transverse process of the atlas too far posterior.
FIGURE 107
Right transverse process of the atlas too far posterior.
FIGURE 108
Twisted atlas rotation.
FIGURE 109
Twisted atlas rotation.
FIGURE 110
Normal relations of the cervical vertebrae.
FIGURE 111
Third cervical vertebra subluxated to the right.
The superior articular process of the fourth cervical is visible.
FIGURE 112
Abnormal development of the spinous process of the
third dorsal vertebra. A false lesion.
FIGURE 113
Lateral subluxation of a dorsal vertebra.
FIGURE 114
Flexion in the dorsal region showing spinous processes
separated and superior articular processes partially uncovered.
FIGURE 115
Lateral view of same condition as Figure 114.
FIGURE 116
Extension in the dorsal region showing approximation
of the spinous processes.
FIGURE 117
Posterior view of five lower dorsal vertebrae, normal
relations.
FIGURE 118
Side view of five lower dorsal vertebrae, normal
relations.
FIGURE 119
Lumbar region. Side view - normal.
FIGURE 120
Lumbar region, rear view - normal.
FIGURE 121
Normal relations of the fifth and sixth ribs.
FIGURE 122
Approximation of the fifth and sixth ribs.
FIGURE 123
Separation of the fifth and sixth ribs.
FIGURE 124
Traumatic lesion of right sterno-clavicular articulation,
followed by enlargement of right lobe of the thyroid gland.
FIGURE 125
Right dorsal-left lumbar lateral curvature.
Note the outline of the body.
FIGURE 126
Position which shows, by outlines of the vertebral
borders of the scapulae, that rotation of the vertebral bodies exists as
high as the sixth dorsal.
FIGURE 127
Correction of the lumbar curve by raising the left
buttock.
FIGURE 128
The effect of rotation of the bodies of the vertebrae,
in spinal curvature, on the location and extent of side bending.
FIGURE 129
Same case bending to the left.
FIGURE 130
This picture shows that the lumbar curve is primarily
and due to faulty development of the left lower extremity.
FIGURE 131
Correction of the lateral lumbar curve by lengthening
the left leg.
FIGURE 132
Great irregularity of the spinal column, in a case
of tedious convalescence, after typhoid fever. Shows the effect of
remaining almost constantly on the right side.
FIGURE 133
Corrective effect of extension of left arm so as
to influence the irregularity of the spinal column due to weakness.
FIGURE 134
Structural lateral curvature and kyphosis, great
rigidity, no pain or discomfort.
FIGURE 135
An angular kyphosis produced in a case of paresis
by severe flexion and compression, by an ignorant pretender.
FIGURE 136
A swelling under the sheath of the left erector
spinae muscle, which was coincident with an attack of "lumbago," following
heavy strain.
FIGURE 137
An occupation curve with flattening in the upper
dorsal. Telegrapher. Patient complained of pain and tenderness,
second to fourth dorsal on the left side. Died sixty days after the
photo was made, angina pectoris.
FIGURE 138
Adaptation of the body to the state of its contents.
Enlargement of the spleen which causes a bulging of the ribs and a coincident
spinal lesion.
FIGURE 139
Posterior view of a case of leukemia, showing spinal
area involved in adaptation of the body wall to its contents.
FIGURE 140
Anterior view of a case of leukemia, showing outline
of the enlarged spleen.
FIGURE 141
Side view of case of leukemia, showing result of
adaptation of the spinal column and ribs to the contents of the body.
FIGURE 142
Plantar impression of almost complete letting down
of the longitudinal arch.
FIGURE 143
Plantar impression of case of absolute flat foot.
The longitudinal arch is completely broken down.
FIGURE 144
Plantar impression of loss of transverse arch, and
consequent increase of pressure on the head of the second, third and fourth
metatarsal bones, as evidenced by the callous.
FIGURE 145
Anterior view of old fracture of the scaphoid.
FIGURE 146
Side view of old fracture of the scaphoid.
FIGURE 147
Radiograph of an old fracture of the scaphoid and
consequent displacement of the astragalus.
FIGURE 148
Radiograph of an old fracture of the scaphoid, showing
compensatory rotation of the foot on to its outer margin, to avoid transmitting
the body weight through the longitudinal arch.
FIGURE 149
Radiograph of an old fracture of the scaphoid, showing
relation of the head of the astragalus to the fractured scaphoid.
FIGURE 150
Plantar impression showing effect of old fracture
of scaphoid and consequent downward movement of the head of the astragalus.
FIGURE 151
Illustration from "On Bone Setting" by Warton P.
Hood, 1871.
FIGURE 152
Flexion of the spine in the vertical position to
make the spinous processes prominent.
FIGURE 153
Position to accentuate the prominence of the ribs.
FIGURE 154
Palpation of the spine in the vertical position.
FIGURE 155
Palpation of the dorsal muscles, horizontal position.
FIGURE 156
Diagram of dorsal muscles, first, second, third
and fifth layers.
FIGURE 157
Diagram of dorsal muscles - fourth layer.
Adapted from a diagram in Cunningham's Anatomy.
FIGURE 158
Testing the pliability of the interscapular portion
of the spinal column.
FIGURE 159
Palpatio of the abdomen.
FIGURE 160
Position for examination of the prostate gland.
FIGURE 161
Simm's position.
FIGURE 162
Relaxation of the latissimus dorsi.
FIGURE 163
Relaxation of the trapezius.
FIGURE 164
Relaxation of the rhomboideus major and minor.
FIGURE 165
Relaxation of the pectoralis major and serratus
magnus.
FIGURE 166
Relaxation of the serratus magnus and some fibres
of the fourth layer of dorsal muscles.
FIGURE 167
Relaxation of the quadratus lumborum.
FIGURE 168
Relaxation of the lower fibres of the trapezius.
FIGURE 169
Springing a dorso-lumbar kyphosis.
FIGURE 170
A method of springing a lumbar kyphosis.
FIGURE 171
Springing an upper dorsal lordosis.
FIGURE 172
Springing an upper dorsal lordosis. The leverage
is so great in this movement that the operator must exercise great discretion
in its use. As applied by a skillful operator it is exceedingly satisfactory.
FIGURE 173
Voluntary treatment of an upper dorsal lordosis.
FIGURE 174
Use of the head and neck as a flexible lever to
affect the upper dorsal region.
FIGURE 175
A method of affecting kyphosis in the upper dorsal
region.
FIGURE 176
A method of affecting kyphosis in the dorso-lumbar
region.
FIGURE 177
A method of affecting kyphosis in the lower dorsal
region.
FIGURE 178
A method of affecting kyphosis in the lumbar region.
FIGURE 179
A method of affecting either kyphosis or lordosis
in the lumbar region.
FIGURE 180
A method of securing general dorsal rotation.
FIGURE 181
To correct rotation in lower dorsal and lumbar region
and secure free movement of the lower ribs.
FIGURE 182
Simplest form of movement to overcome a functional
kyphosis in the dorsal region.
FIGURE 183
To overcome a functional kyphosis in the upper dorsal
we may use a towel as a sort of fulcrum while making sudden downward pressure
over the transverse processes of the vertebrae with the thumbs. This
movement usually causes a snapping sound in the articulations most affected
by the thumb pressure.
FIGURE 184
To correct a functional kyphosis in the dorsal region.
Operator using his right forearm as a fulcrum. Sudden downward pressure
is made with the opposite hand, reinforced by the pressure of the operator's
chest.
FIGURE 185
To correct a functional kyphosis in the dorsal region.
Patient must be relaxed. Operator makes a sudden but very moderate
pull against his knees.
FIGURE 186
To correct a functional kyphosis in the dorsal region.
Practically the same movement as in the preceding illustration. By
transmitting the pull through the patient's arms, the patient's pectoral
and serratus magnus muscles lift the anterior extremities of the ribs.
This is an exceedingly efficient movement when executed by a skillful operator.
FIGURE 187
An excellent movement by which to exert leverage
and counter pressure in the dorsal and lumbar regions.
FIGURE 188
An application of leverage and counter pressure
to secure corrective rotation in the dorsal region. By concentrating
the counter pressure, the rotation can be accentuated in a single articulation.
FIGURE 189
Using the head and neck as a lever while the hypothenar
eminence of the right hand is used as a fulcrum in the upper dorsal region
or by using the thumb and forefinger as the fulcrum the force of the movement
may be exerted to correct a cervical lesion.
FIGURE 190
A variation of the movement pictured in the preceding
illustration.
FIGURE 191
Using the head and neck as a lever, reinforced by
the operator's right hand and arm, while the operator's left thumb is used
as a fulcrum to accentuate the force of an effort to correct a rotated
upper dorsal vertebra, or a group lesion.
FIGURE 192
A case of uncompensated lateral curvature, due to
debility.
FIGURE 193
Surface indication of a lateral subluxation.
FIGURE 194
"Exaggeration" of a lateral subluxation.
FIGURE 195
"Flexion" of a lateral subluxation.
FIGURE 196
Extension and counter pressure to reduce a lateral
subluxation.
FIGURE 197
Leverage applied to a lateral subluxation in the
mid-dorsal region.
FIGURE 198
Leverage applied to a lateral subluxation in the
lower dorsal region.
FIGURE 199
Spreading the lower ribs and stretching the diaphragm.
FIGURE 200
Spreading the lower ribs by using the latissimus
dorsi.
FIGURE 201
First position to reduce a subluxated fifth rib.
FIGURE 202
Second position to reduce a subluxated fifth rib.
FIGURE 203
The position of the fingers below the angle of a
depressed rib.
FIGURE 204
First position in lifting a series of depressed
lower ribs.
FIGURE 205
Second position in lifting a series of depressed
lower ribs.
FIGURE 206
The third position in lifting a series of depressed
lower ribs.
FIGURE 207
Position for treatment of an upward and forward
dislocation of the ilium.
FIGURE 208
A dangerous method of applying force to the sacro-iliac
articulation.
FIGURE 209
To correct anterior rotation of the ilium.
Hard padding under the anterior superior spine of the ilium. Sudden,
heavy, downward pressure on the sacrum between its first spinous process
and the iliac spine, on the lesion side.
FIGURE 210
To correct anterior rotation of the ilium.
Flex thigh on the lesion side onto the abdomen. Use padded edge of
operating table to support the sacrum at point between first sacral spine
and spine of the ilium, while a sudden, heavy downward rotating pressure
is made on the thigh and lesioned ilium.
FIGURE 211
To correct posterior rotation of the ilium.
Balance patient's body in the lateral recumbent position so that, by pushing
the patient's shoulder backward the operator can make efficient pressure
against the prominent iliac spine with his opposite forearm and thus secure
a combination extension and torsion movement, concentrated in the sacro-iliac
joint.
FIGURE 212
Leverage and counter pressure to reduce a posterior
iliac subluxation. Operator's left forearm makes pressure against
posterior superior iliac spine. Same leverage as in Figure 218, therefore
dangerous.
FIGURE 213
Three strips of two and one-half-inch adhesive applied
to reinforce the pelvic ligaments so as to retain a subluxated ilium in
position after correction.
FIGURE 214
First position to raise the clavicles.
FIGURE 215
Second position to raise the clavicles.
FIGURE 216
Relaxation of the cervical fibres of the trapezius.
FIGURE 217
Relaxation of the sterno-cleido-mastoid.
FIGURE 218
Relaxation of the scaleni by depressing the first
rib.
FIGURE 219
Relaxation of the splenius capitis et colli.
FIGURE 220
Extension of the neck.
FIGURE 221
Circumduction of the neck to relax the muscles of
the fifth layer.
FIGURE 222
Relaxation of the stylo-hyoid and posterior belly
of the digastric.
FIGURE 223
Relaxation of the mylo-hyoid and hyo-glossus.
FIGURE 224
Relaxation of the crico-thyroid.
FIGURE 225
Reduction of subluxation of the atlas, right transverse
process to far posterior - exaggeration movement.
FIGURE 226
Reduction of subluxation of the atlas, lateral flexion.
FIGURE 227
Reduction of subluxation of the atlas, extension
and counter pressure.
FIGURE 228
Manner of holding the head and neck in order to
reduce a subluxated sixth cervical vertebra.
FIGURE 229
Position for loosening structures around the atlas
and forcing it forward.
FIGURE 230
Movement to secure correction of a cervico-dorsal
kyphosis. Many variations of this leverage may be used. The
effectiveness of the movement depends on the fulcrum being properly applied.
FIGURE 231
The use of rotation to secure correction of cervical
lesions.
FIGURE 232
Leverage and counter pressure applied to a reclining
patient. Rotation is secured in the upper dorsal or any point in
the cervical according to the location of the fulcrum.
FIGURE 233
Manner of applying leverage to stretch the structures
forming the scapulo-humeral articulations.
FIGURE 234
A position for easy manipulation of the scapulo-humeral
articulation.
FIGURE 235
Relaxation of the quadriceps extensor.
FIGURE 236
Relaxation of the quadriceps extensor, sacro-vertebral
articulation allowed to remain movable.
FIGURE 237
Relaxation of the adductor muscles of the thigh.
FIGURE 238
Method of stretching the sciatic nerve.
FIGURE 239
Method of stretching the pyriformis muscle.
FIGURE 240
Stretching the deep and superficial muscles on the
back of the leg.
FIGURE 241
Position for easy manipulation of the saphenous
opening.
FIGURE 242
Position for easy manipulation of the popliteal
space.
FIGURE 243
Position for reduction of subluxation of external
semilunar cartilage of the knees.
FIGURE 244
Showing position for producing free movement in
the arthrodial articulation between upper ends of the fibula and tibia.
External popliteal nerve lies behind the head of the fibula.
FIGURE 245
Radiograph of fractured olecranon process and exudate
after removal of splints. Movement recovered after many weeks of
gentle manipulation to promote absorption and break adhesions.
FIGURE 246
Position for reducing tarsal subluxations.
FIGURE 247
Distension of veins due to tricuspid insufficiency.
Varicose ulcers on both shins and under malieoli of both ankles were healed
by strapping over the ulcers with strips of adhesive plaster.
FIGURE 248
Same case as the preceding illustration. No caput
medusae present, thus showing that portal circulation is not seriously
obstructed.
FIGURE 249
Illustration of typical varicose veins.
FIGURE 250
Method of strapping with adhesive plaster to support
varicose ulcer on the shin.
FIGURE 251
Stimulation between the zygoma and the sigmoid notch
of the inferior maxilla.
FIGURE 252
Stimulation by forcible closure of the mouth against
resistance.
FIGURE 253
Points of exit of divisions of the fifth cranial
nerve.
FIGURE 254
Inhibition in the suboccipital fossa.
FIGURE 255
Inhibition of the phrenic nerves. Center for
hiccough.
FIGURE 256
Stimulation of the pneumogastric nerves.
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