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.