This manipulation consists of centripetal (toward the body or heart) Strokings.
It is performed in four different ways:
STROKING WITH THE ONE HAND (see Fig. 1) is used upon the extremities, the back of the head, and in single massage of the neck (Gerst's method).
STROKING WITH BOTH HANDS is used upon the lower extremities of adults, upon the chest (see Fig. 2) and back, also in double massage of the neck.

STROKING WITH THE THUMB (see Fig. 3) is used between two muscles, or between a muscle and a tendon; also frequently to reach the interossei in the hands and the feet.
STROKING WITH THE TIPS OF THE FINGERS (see Fig. 4), or the last two phalanges, is principally


The strength of the manipulation, stroking, varies from the slightest touch to the strongest


The aim of all STROKINGS is to increase the circulation in the venous blood-vessels and the lymphatics, thereby causing absorption.
