timating the waste of tissues as
shown in the secretions before and after the use of massage. This study,
although it was never completed in a satisfactory manner, would seem to
show that massage does not much alter the total elimination of the
entire day, but causes a large and abrupt increase within three hours,
followed by a compensatory decline.[20]

I add a number of tables, which very well illustrate the facts above
stated as to rise of temperature.

Mrs. J., at rest, on the usual diet. Manipulation at 11, daily:

Before Massage. After Massage.

100 100

100 100-1/5

99-2/5 99-4/5

99-4/5 100

99-2/5 100

100 100

99-4/5 100

99-4/5 100

Miss P., aet. 24, hysteria:

Before Massage. After Massage.

99-1/4 99-1/4

98-1/4 99

98-1/2 99

98-1/4 99

98-1/4 98-1/4

99 99-3/4

100-1/5 100-2/5

100-2/5 101-2/5

100-2/5 100-3/5

100-3/5 100

Mrs. L., a very thin, feeble, and bloodless woman, aet. 29 years:

Before Massage. After Massage.

99 100

98-1/2 99-1/5

98 98-2/5

99 100

98-2/5 98-4/5

99 99-4/5

100 100-1/5

99 99-4/5

Mrs. P., aet. 31, feeble and anaemic, nervous, slight albuminuria and
chronic bronchitis. Liable to fever. 3 P.M.:

Before Massage. After Massage.

101-3/5 102

100 100-4/5

99 99-4/5

100 101

99-2/5 100-1/5

99-4/5 100-3/5

100-3/5 101-3/5

100-2/5 99-4/5

100-3/5 100-2/5

100-3/10 100-9/10

99-1/5 99-4/5

These temperatures were taken always before 4 P.M., and at intervals of
three days. Her morning temperature was usually 99 deg. to 99-4/5 deg., and in
the evening, 9 to 10 o'clock, it always rose to 100 deg., 101 deg., and at times
to 102 deg..

As I have said already, there are persons who, under circumstances
seemingly alike, have from massage a large rise of temperature, and
others who experience none. I give a single case of what is rare but not
exceptional,--an almost constant fall of temperature.

Miss N., aet. 21, hysteria, good condition:

Before