known to the manipulator as
"general massage" follows.

After three or four days in bed have somewhat accustomed the patient to
the general routine of treatment, a masseur or masseuse is set to work.
If any special care is needed,--the avoidance of manipulating one part
or added attention to another, tender handling of a sensitive or timid
patient,--these matters have been ordered in advance by the physician.
An hour midway between meals is chosen, and, the patient lying in bed
between blankets, the manipulator begins, usually with the feet. A few
rapid rubs of the whole foot and leg are given to start with; then the
leg, except the foot and ankle, is covered up, and the operation
commences upon the foot, of which the skin is picked up and rolled
between the fingers, the whole foot receiving careful attention,--the
toes are pulled, bent, and moved in every direction, the inter-osseous
groups worked over with the thumbs and fingers or finger-tips, the
larger muscles and subcutaneous tissues squeezed and kneaded, and last
the whole mass of the foot rolled and pressed against the bones with
both hands. A few rapid upward strokings with some force complete the
treatment of the part, and the ankle is next dealt with. The joint is
moved in every possible direction, slowly but firmly, the crevices
between the articulating bones sought out and kneaded with the
finger-tips, and the foot and ankle are then carefully covered. After
the same rapid stroking upward of the leg with which it began has been
repeated for the sake of the slight stimulation of the skin-vessels and
nerves, the muscles of the leg are treated, first by friction of the
more superficially placed masses, then by careful deep kneading
(_petrissage_) of the large muscles of the calf, twisting, pressing, and
rolling them about the bone with one hand while the other supports the
limb. In fat or heavily-muscled subjects it may be necessary to use both
hands to get sufficient grasp of the muscles. The tibialis anticus and
muscles of the outer side of the leg are operated upon by rolling them
under the finger-tips and by pressing with the thumb while firmly
pushing upward from the ankle to the knee. At brief intervals the
manipulator seizes the limb in both hands and lightly runs the grasp
upward, so as to favor the flow of the venous blood-currents, and then
returns to the kneading of the muscles,--and each part is finished by
light yet firm upward stroking, the hand