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One is a heavy blow below the base of the skull, as with fists or a foot, another is a blow with the heel of the hand, or the foot, forcing the head to the side, particularly with the body fixed in a position where it cannot move with the blow, as, say, when it is being held immobile. - (Vagabonds of Gor, Chapter 18, Sentence #77)

"Do not cry out," I whispered to him. "If you do," I said, "I will break your neck". There are various ways in which this may be done, given the strength. One is a heavy blow below the base of the skull, as with fists or a foot, another is a blow with the heel of the hand, or the foot, forcing the head to the side, particularly with the body fixed in a position where it cannot move with the blow, as, say, when it is being held immobile. I pulled his head up a little, not so much that his mouth could fully clear the sand, but so that he could take a little air through the nose, perhaps a bit through the mouth. His face was covered with sand, and his eyes. There was sand, I suppose, in his mouth. - (Vagabonds of Gor)