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Essentials of Tuina Therapy (II)
Addtime:2016-12-17 16:14:00 Hit:664

Rotatory kneading manipulation: This is similar to the rubbing manipulation, done with the pads of the fingers and thenar to the affected area in a movement or an up-and-down movement. This technique is used to eliminate swelling, muscular contracture, thecal cyst, strains of the hand or foot, indigestion, headache and constipation.

Pinching manipulation: the doctor presses appropriate acupoints, such as Shuigou (GV 26), Sifeng (EX-UE 10), Bafeng (EX-LE 10) and Chengjiang (CV 24), with his finger nails. It is used to treat shock and loss of consciousness, dispel pathogenic factors, and harmonize meridians to relieve pain.

Rubbing manipulation: This technique is done by pressing hard on the patient’s limbs or lower back with the palms in a rotatory movement, or by rubbing the arm with the two palms alternatively. It is used to improve the temperature of the skin, promote qi and blood circulation, remove stagnancy to relieve pain and reinforce the function of kidney, bladder and small and large intestines.

Rolling manipulation: This technique is done with the doctor’s ulnar side of the hand dorsum and the middle, ring and little fingers to press the patient’s body surface continuously from the right to the left with wrist force. It is used to dredge the meridians and activate qi and blood circulation, remove blood stasis and alleviate pain.

Shaking manipulation: This technique is done by holding the middle finger of the patient and shaking upwards and pulling it downwards. When all the muscles are relaxed, the doctor pulls the finger suddenly. It is used to promote qi and blood circulation because the pericardium meridian runs to the middle finger.

Rotating manipulation: The doctor moves a joint of the patient in a circulatory fashion. This technique is used to relieve motor impairment of a joint and improve qi and blood circulation. When the muscles and ligaments around the joint are pulled, their functions can be restored.

Percussing manipulation: This technique is done by using a finger-bent palm, a loose fist, a lateral palm, the dorsum of hand or the two palms put together. It is usually performed before the end of massage because it enhances the function of other manipulations.

Separating manipulation: The doctor pushes in a contrary direction with the pad of the thumbs or middle fingers over the umbilicus region, lower back and forehead. This technique is used to eliminate stagnancy and stasis, stimulate blood circulation, relax muscles and tendons, regulate qi and blood as well as relieve spasms and pains.

Pulling manipulation: The doctor presses a part of the patient’s body with one hand and pulls another part with the other hand to rotate or stretch a dislocated or transpositive joint. It is used to stimulate blood circulation, relax the muscle, remove adhesion and reduce dislocation.

Kneading manipulation: The doctor uses his thumb to poke the inferior or medial contracture or the adhesive muscle tendons with the help of the other hand. It is used to alleviate spasms and pains, and soften adhesive tissues.

Stepping manipulation: The doctor steps on the affected part of the patient with one foot or both feet and moves his heel up and down. Kneading and pushing are performed by the foot at the same time. It is usually applied to the lower back and sacrum to treat prolapse of lumbar intervertebral disc with strong pressure. This technique is used to activate the smooth flow of qi and blood, and help relax the muscles and tendons.

Back-carrying manipulation: Standing back to back, the doctor lifts the patient onto his back. The doctor must hold the patient tightly when he tries to carry the patient on his back. His feet must be separated in line with his shoulder. This technique is usually used to treat prolapse of the lumbar intervertebral disc and other lumbar injuries.

The manipulations for tuina therapy are various, those mentioned above are the basic ones. If a doctor is skillful in performing them, there will be no difficulty for him to learn others.


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