i8o SYSTEMS OF TREATING STAMMERING "We can breathe with the ribs or with the diaphragm; with the former on the principle of the bellows; with the latter on the principle of the piston. In the former case in Aspiration, the ribs, by their appropriate muscles, are rolled upward and outward, enlarging the circumference of the chest; in expira- tion they return to their former position, partly by their own elasticity and in part drawn down by the abdominal muscles. In the latter case, we may breathe with the diaphragm alone; the muscle which separates the cavity of the chest from that of the abdomen is attached to the cartilaginous extremity of the ribs, and, when relaxed, is forced, by the action of the abdom- inal muscles high up into the cavity of the chest. When it contracts, it draws straight across the bottom of the chest, forming a vacuum in the lower part of the chest, into which the air rushes; again relaxing, the abdominal muscles force it up into the chest, driving the air before it. In ordinary breathing we combine these methods. "In making sound, we expel the air from the lungs upon a different principle; the diaphragm, instead of relaxing as in breathing, contracts, and, by diminishing the circumference of the chest, expels the air as completely from the lungs as in the other method; in the one, the diaphragm in expiration is pas- sive, in the other it is active. Both in breathing and in mak- ing sound, we inspire by contracting the diaphragm, thus caus- ing a vacuum in the ''bottom of the chest; but we expire upon a different principle. In ordinary breathing the diaphragm relaxes, and the abdominal muscles force it up into the chest, driving the air before it. In making sounds, it continues to contract, and expels the air by diminishing the circumference of the chest. This action of the diaphragm is the normal mode of making sound; it is not necessary to the production of sound, but is necessary to full, clear, far-reaching sound. Many persons talk habitually with the diaphragm relaxed, but the