TCM Acupuncture and Massage

Chapter 28 Health massage techniques for middle-aged and elderly people (3)
2. Pain refers to the phenomenon of local skin pain after massage treatment.

(1) Clinical manifestations: After massage therapy, especially for those who receive massage therapy for the first time, the local skin may feel pain, swelling, numbness and other discomfort, especially at night, and the pain will aggravate when pressed by hand.

(2) Causes: The operator is unskilled in the manual operation; the local operation time is too long, and the manual stimulation is too heavy.

(3) Treatment: Generally, no special treatment is required, and the symptoms will disappear within 1 to 2 days.If the pain is more severe, gentle pressing, kneading, rubbing, rubbing, etc. can be performed on the local area, combined with hot and humid compresses.

(4) Prevention: For patients who receive massage therapy for the first time, gentle manipulation should be used for treatment. At the same time, the stimulation of manipulation should not be too strong, and the time of local operation should not be too long.

[-]. Matters needing attention in manual training
Manipulation is a highly skilled movement that must be practiced seriously and assiduously.Therefore, in order to train the technique well, the following issues must be paid attention to during the training process:

1. Concentrating on the mind when practicing the techniques, you must concentrate on it, carefully follow the essentials and requirements of the techniques and movements, and practice meticulously, so that you can learn the techniques well, otherwise you will not only fail to learn the techniques, but will Occurs tendon injury, broken skin and so on.

2. Tenacious and hardworking "There is nothing difficult in the world, as long as there is a heart."Only if you are not afraid of hardship and tiredness, can you overcome phenomena such as soreness, swelling, and pain, and practice good skills.

3. Persevere "A drop of water wears away a stone, not a day's work".The success of the technique and the depth of the skills are not something that happens overnight, but can only be obtained after a long period of practice.

4. For the practice of step-by-step techniques, the time, increase in the types of techniques, and the size of the force must be gradually improved, and you should not rush for success. "Success comes naturally."

15. Combination of work and rest "Frozen three feet, not a day's cold."Accumulation of kung fu is not about hard work and hard work. It is necessary to pay attention to the combination of practice and cultivation, proper work and rest, and grasp the relationship between the two.Excessive exercise will be harmful to the body, and insufficient exercise will not improve the skill of the technique.

[-]. Commonly used health care methods

1. The one-finger Zen push method uses the ribbed surface of the thumb to exert force, sinks the shoulders, hangs the elbow, and hangs the wrist, and uses the swing of the wrist to drive the thumb joint to perform stretching and flexion movements, which is called "One-finger Zen push method" , also known as "one-finger Zen skill".

(1) Operation essentials: sinking shoulders, hanging elbows, hanging wrists, empty palms, and firm fingers.With the elbow as the fulcrum, the forearm swings actively, driving the wrist to swing and the thumb joint to flex and stretch.The frequency is 120-160 times per minute. The fingertips should be sucked firmly, and pushed tightly and moved slowly.The contact area of ​​this method is small, but the depth and penetration are large, and it can be applied to acupuncture points of all parts of the body.

(2) Clinical application: It is often used clinically on the head, face, chest, back and limbs. It has the functions of relaxing tendons and collaterals, promoting qi and blood circulation, dispelling blood stasis and eliminating accumulation, strengthening the spleen and stomach, etc. It can treat headache, stomach pain, abdominal pain and limb joints Pain etc.

2. Pushing method Use your thumb or palm to focus on a certain part and move in a single direction in a straight line, which is called "pushing method".

(1) Operation essentials: sink the shoulders and drop the elbows, straighten or dorsiflex the wrists, apply deep force, uniform speed, appropriate weight, push straight, and do not bend obliquely.

①Thumb push method: dorsiflex the thumbs of one hand or both hands, exert force on the pulp or radial side of the fingers, and stretch the remaining fingers to support a stable gesture.For head and face, neck, chest and abdomen.

② Palm pushing method: use the palm surface or only the heel of the palm (thenar and thenar are close to the wrist) to exert force.For the back and limbs.

(2) Clinical application: finger pushing method is suitable for all parts of the body, often used on the shoulders, back, chest and abdomen, and limbs. For thighs, it has the effects of promoting qi and blood circulation, relieving muscle spasms, etc.

3. The holding method uses the thumb and index finger or the thumb and the other four finger pulps as the focus, and relatively forcefully lifts certain parts, meridians, and acupoints, which is called "holding method".

(1) Operation essentials: sink the shoulders and bend the elbows, apply strength to the forearm and wrist, with moderate strength, from light to heavy, with gentle movements, focus on the pulp of the fingers, do not use nails.

①Two-finger holding method: Use the thumb and index finger to hold firmly.Mostly used for neck and extremities.

②Four-finger holding method: Use the thumb and index, middle, and ring finger pulps to pinch with force.Use on shoulders, lower back and abdomen.

(2) Clinical application: The holding method is often used in conjunction with other manipulations on the neck, shoulders, limbs and other parts.

It can treat headache, neck strength, periarthritis of shoulder, joint and muscle pain of limbs, stomach pain, rheumatic arthralgia, etc.

4. According to the method Use fingers or different parts of the palm to focus on certain parts and acupuncture points, and gradually press down with force, which is called "pressing the method".

(1) Operation essentials: The direction of pressing pressure should be vertical, deep and firm, and the strength should continue from light to heavy. Do not use rapid force, and press according to the rhythm of breathing.

①Thumb pressing method: put force on the belly of the thumb, stretch the rest of the fingers to support and stabilize the gesture, or use the same gesture with both hands, and stack the thumbs to increase strength.It is mostly used on the head and face, neck, back, abdomen and limbs.

③ Palm pressing method: dorsiflexion of wrist and palm, apply force on the heel of the palm or the whole palm.For abdomen, chest and abdomen.

(2) Clinical application: according to the method, it has the functions of relaxing tendons and dredging collaterals, relieving spasm and relieving pain, smoothing joints, relieving muscle spasm, and correcting spinal deformity.The finger pressing method is mainly used to treat headache, epigastric pain, limb joint pain, etc.; the palm pressing method is mainly used to treat stomach pain, abdominal pain, indigestion, acute and chronic low back pain, spinal deformity, thoracic facet joint disorder, etc.

5. Massage method Use the pulp of the finger or the surface of the palm to focus on a certain part, and slide continuously along the skin surface flexibly, lightly and rhythmically in a circular manner, which is called rubbing method.

(4) Operation essentials: Bend the elbow and hang the wrist, move the fingers, palm and wrist in a moderate and coordinated manner, with even force, circular rotation and sliding, light and coherent, at a moderate speed, and no deep tissue should be rubbed.

①Finger rubbing method uses the surface of the index, middle, and ring fingers to attach to a certain part, with the wrist joint as the center, together with the palm and fingers, make rhythmic circular movements.Suitable for neck, chest and abdomen, limbs.

②The palm rubbing method is to attach the palm surface to a certain part, and move rhythmically around the center of the wrist joint together with the forearm.For chest, waist and abdomen.

(2) The clinical application of rubbing method is gentle and gentle. It is often used in the chest cavity and flanks. It is operated on the abdomen with pressing and kneading methods. It is called abdominal massage. It has a good therapeutic effect on regulating the spleen and stomach and other internal organs. Invigorate the spleen, neutralize stagnation, eliminate stagnation, regulate gastrointestinal motility and visceral function.It is used to treat diseases such as epigastric pain, food accumulation and fullness, and chest and hypochondrium pain.

6. Kneading method Use fingers or palms to press firmly on certain parts and acupuncture points, and do continuous circular and orderly kneading movements, which is called "kneading method".

(1) Operation essentials: sink the shoulders and drop the elbows, apply force to the wrists and elbows, circularly rotate, the force is soft and deep, drive the muscles to rotate and knead, and do not rub the skin.

①Finger kneading method: Thumb abduction and dorsiflexion, force on finger pulp, rest fingers slightly flexed and supported on the body surface to stabilize hand posture, rotate thumb to knead.Apply to all parts of the body.

② Palm kneading method: Dorsiflexion of the wrist and palm, apply force with the heel of the palm or the whole palm, and knead in a circular motion with the force of the forearm.It is also possible to superimpose the power of both palms.It is used on the chest, abdomen, back and rich muscles.

(2) Clinical application: This method is gentle and gentle, with a small amount of stimulation. It is suitable for all parts of the body. It has the functions of widening the chest and regulating qi, eliminating accumulation and stagnation, reducing swelling and relieving pain. It is often used to treat epigastric pain, chest tightness and hypochondriac pain, constipation, and diarrhea Redness, swelling and pain caused by gastrointestinal disorders and trauma.

7. Pointing method Use the thumb and index finger to pinch the middle joint of the middle finger, straighten the middle finger, use the fingertips to exert force, and tap certain parts and acupuncture points, which is called pointing method.

(1) Operation essentials: sink the shoulders and bend the elbows, lower the wrists and straighten the fingers, hold your breath and focus on the fingers, stretch and stretch the elbows to make the fingertips click.Acupuncture must be accurate, do not puncture the skin.Used in the joints and acupoints of all parts of the body.

(2) Clinical application: point method has the effects of relaxing tendons and dredging collaterals, relieving spasm and relieving pain, harmonizing viscera and opening occlusions, etc.It can treat headache, dizziness, insomnia, arthralgia syndrome, convulsion syndrome, stomach disease, abdominal pain, acute and chronic low back pain, etc.

8. Rubbing method Use the big thenar, heel of the palm or hypothenar to attach a certain part of the palm, close to the body surface, and rub back and forth in a straight line, which is called "rubbing method".

(1) Operation essentials: slightly bend the elbow, straighten the wrist and fingers, hold your breath, hold your breath, hold your breath in the palm, move briskly, with even and moderate pressure, rub back and forth along the axis of the palm without skewing, keep the movement continuous, without interruption or pause, Drive the deep tissue to the extent that the skin is scorched to the inside without damaging the skin.At the same time, the treatment site should be exposed, and smeared with medicated oil or ointment (one is to protect the skin, the other is the drug effect).

①Side palm rubbing method: straighten the palm, keep the fingers together, apply force on the side of the hypothenar palm.For the back, spine, lumbosacral and extremities.

②Whole palm rubbing method: slightly bend the wrist, keep the fingers together, exert force with the whole palm, and apply the technique along the axial or horizontal direction of the body.For the back, lumbosacral and chest abdomen.

(2) Clinical application: rubbing method is a kind of gentle and warm stimulation, which has the functions of warming meridian and dredging collaterals, promoting qi and blood circulation, reducing swelling and relieving pain, strengthening spleen and stomach, etc.It is often used for visceral deficiency and qi and blood dysfunction, and has a strong effect of promoting blood circulation and dredging collaterals.

9. Lifa Use one or both hands to focus on a certain part, quickly massage along the crevices of muscles and bones, or hold fingers (toes) to stroke, which is called "Lifa".

(1) Operation essentials: shoulders down, elbows down, forearm exerting force, flexible movements, even force, both hands performing surgery, symmetrical force, fast speed.

① Limb adjustment method: Stretch the thumbs of both hands and press down, flex the remaining fingers to hold the limbs, stroke from the armpit or behind the buttocks to the hands and heels.

②Finger (toe) regulation method: Hold the wrist (ankle) with one hand, and hold the fingers with the other hand flexed. Use the middle segment of the index and middle finger to hold the top and bottom or both sides of the root of the finger (toe) to the outer end and slide it out.Stroke each finger (toe) in sequence.You can also pinch, squeeze, and stroke the belly of the thumb and the radial side of the flexed index finger.

③ Rib management method: The thumbs of both hands are placed on the side of the spine or the side of the sternum, and the remaining fingers are stretched to support, and stroke along the intercostal space to the midaxillary line according to the order of the ribs.

(2) Clinical application: This method has the functions of dredging the meridians and activating collaterals, relaxing tendons and activating blood circulation, widening the chest and regulating qi, soothing the liver and releasing stagnation.Commonly used for limb numbness, back pain, hypochondriac pain, etc.

10. Make a fist, use the dorsal side of the fifth metacarpophalangeal joint to focus on the treatment area, and actively swing the forearm to drive the flexion, extension and rotation of the wrist joint, so that the generated force acts on the treatment area. .

(1) Operation essentials: sink the shoulders and bend the elbows, apply firm force on the hypothenar palm side, stretch and stretch the fingers naturally with the palm and wrist turned outward, and flex and hold the fingers to exert force when turning inward, the rhythm of the movement is coherent, and the strength is deep. , Do not slide friction or flip beat.For neck, shoulders, back and limbs.

(2) Clinical application: the method has a large pressure and a large contact surface. It has the functions of relaxing tendons and activating blood circulation, smoothing joints, relieving muscle spasms, promoting blood circulation and eliminating muscle fatigue. It can be used to treat rheumatic pain, limb paralysis, and joint stiffness. , skin insensitivity and soft tissue damage and other diseases.

11. Vibration method Use the fingertips or the surface of the palm to focus on certain parts and acupoints, and vibrate rapidly and uninterruptedly to exert force, which is called "vibration method".

(1) Operation essentials: hold your breath and concentrate, stretch your arms and wrists to accumulate strength, touch and press moderately, apply force statically to produce involuntary vibrations, and do not intentionally tremble or slip the focus point.

①Finger vibration method: Stretch the middle finger, put force on the acupoints and parts with the tip of the finger, press the back of the middle finger with the index finger to stabilize and strengthen, stretch the forearm, wrist and palm to exert force at rest.Suitable for head, face, chest and back.

② Palm vibration method: sink the shoulders and extend the elbows, dorsiflex the wrists to accumulate force, focus on the palms, and exert force at rest.For chest, abdomen, lower back.

(2) Clinical application: Vibration method is applicable to all parts and acupoints of the whole body. This method has the functions of calming and calming the nerves, regulating qi and neutralizing, eliminating food stagnation, regulating gastrointestinal function, etc., and can treat headache, dizziness, insomnia, stomach pain, abdominal pain, indigestion, etc. disease.

12. Pressing method Use the ulnar side of the forearm or the elbow to focus on certain parts and acupoints, and press down to perform the operation, which is called "pressing method".

(1) Operation essentials: sink the shoulders and bend the elbows, gradually increase the force from light to heavy, and do not hurt the joints.

①Arm press method: The ulnar side of the forearm focuses on pressing down on the operation site, doing continuous shaking and kneading.For the lower back and thighs.

②Elbow Pressing Method: Focus on the olecranon end of the elbow, and press down continuously or intermittently from light to heavy.For waist and buttocks.

(2) Clinical application: The pressing method is strong in stimulation, suitable for the waist and buttocks, and has the effects of warming the middle and dispelling cold, dredging the meridians and dredging the collaterals.Arm press method is often used on the rich waist and hip muscles to treat muscle stiffness, soreness, stagnation, and movement disorders in the waist and hips; elbow press method is often used on the lower back and back of the thigh to treat intractable low back and leg pain , muscle stiffness, spinal stiffness embolism.

13. Knocking method Use fingertips or empty fists to focus on a certain part, and do rhythmic tapping, which is called "knocking method".

(1) Operation essentials: sink the shoulders and bend the elbows, use the forearm to exert force, the wrist is dexterous, the tapping is rhythmic, the movement is brisk and elastic, and the strength is even.

①Fingertip tapping: The five fingers of one hand or both hands are slightly flexed, and the fingertips (peaks) are on the same plane as the force on a certain part, and tap with the elastic extension and flexion of the wrist.For head, chest, abdomen.

②Xuquan Knocking: The palms of one or both hands face down, and the five fingers are naturally brought together in a virtual grip, the palm is empty, and the wrist is flexed and stretched with force, driving the Xuquan to continuously accumulate energy and knock rhythmically.For the back, limbs.

(2) Clinical application: This method is applicable to all parts of the body. It has the effects of dredging meridians and activating collaterals, expelling wind and cold, dredging interstitial muscles, nourishing the skin, reducing swelling and relieving pain.It is often combined with this method for treatment of cold-damp arthralgia, muscle aches, numbness, fatigue, and neurasthenia.

(End of this chapter)