If sleeplessness is caused by cold feet, as is often the case, massage of feet and legs to knees, fifteen minutes each, after the patient has retired for the night. If there be a sense of heat and fulness in the head, throat effleurage is added for five minutes, soothing movements over head and forehead. Circumduction of arms

If caused by nervous restlessness, inability to lie still general effleurage of limbs, circular effleurage on spine, and soothing movement on head.

General massage for forty minutes after the patient has retired, by regulating the circulation, induces sleep without special movements. A warm, not hot, drink after treatment helps. The following division of time may be made : Fifteen minutes to lower limbs, five to upper ; ten minutes to back ; five minutes to front of trunk ; five minutes to head. Massage of abdomen does not tend to produce sleep, so little should be done.

When general massage has been completed and the bed and patient made comfortable, all necessary arrangement about the room should be made, such as opening a window, mending the fire, and lowering the light ; this is also the time to give the warm drink if such is desired or necessary. Then, without disturbing the bedclothes, the operator's hand is slipped under and soothing movements are given over the nightdress on the spine, followed by circular movements on the head, or rather hair, done with the utmost evenness and lightness.