With scarcely an exception there was a large increase in the number of corpuscles in a cubic millimetre, and an increase, though of less extent, in the haemoglobin-content.

Studies made at various intervals after treatment showed that the increase was greatest at the end of about an hour, after which it slowly decreased again; but this decrease was postponed longer and longer when the manipulation was continued regularly as a daily measure.[22] The author's conclusions from these examinations were interesting, and I quote them somewhat fully.

The fact that the haemoglobin is less decidedly increased than the corpuscular elements makes it seem at least probable that what happens is, that in all the conditions in which anaemia is a feature there are globules which are not doing their duty, but which are called out by the necessities of increased circulatory activity brought about by massage.

If this is the first effect, yet as it is observed that the increase of corpuscles, at first passing, soon becomes permanent, we must conclude that massage has the ultimate effect of stimulating the production of red corpuscles.
One sometimes hears doubts expressed whether a patient with a high-grade anaemia is not "too feeble for such strong treatment" as massage.

This study of one of the ways in which massage affects such cases may fairly be taken as proof of the certainty and safety of its effect on them, provided always it be done properly and with intelligence.