TCM Acupuncture and Massage

Chapter 29 Health massage techniques for middle-aged and elderly people (4)
14. Rubbing method Hold a certain part with the palms of both hands, and rub the palms back and forth quickly, which is called "rubbing method".

(1) Operation essentials: exert force with both forearms, straighten and extend the wrist, apply force with both palms facing each other, the force should be even and deep, rub quickly, and slowly move the force point of both palms.For ribs and limbs.

(2) Clinical application: rubbing method is two milder methods, which have the effect of harmonizing qi and blood, relaxing tendons and dredging collaterals. It can be used on the back and limbs, and is most commonly used on the upper limbs as the end of massage therapy.

15. Paida method Putting the five fingers together, with the palm slightly bent, patting the treated part with the empty palm is called "paida method".

(1) Operation essentials: When operating, the shoulders, elbows, and wrists should be relaxed, and the wrists should be used to exert force. The movements are coordinated and flexible, elastic, rhythmic, and forceful and flexible, without brute force.

(2) Clinical application: The patting method has the effects of relaxing tendons and dredging collaterals, promoting blood circulation and removing blood stasis, and smoothing and sharpening joints.It can be used on the back, limbs and other parts.Treatment of acute and chronic lumbar sprains, frozen shoulder, muscle atrophy, skin numbness and other diseases.

16. Hitting method The method of hitting the body surface with fists, palms, fingers and mulberry sticks is called "strike method".The method of hitting with boxing is called "boxing method"; the method of hitting with palm is called "palm hitting method";

(1) Operation essentials: Hit the treatment site with fingertips, the side of the palm ruler, the heel of the palm, and the back of the fist.

① Hit the body surface with the back of the fist, which is called the fist back strike method.When operating, hold an empty fist and straighten the wrist joint.

② Tap the body surface with the heel of the palm, which is called palm strike method.During the operation, the fingers are naturally released, and the wrist joint is slightly dorsiflexed.

③ Hit the body surface with one hand or the ulnar side of the palm of both hands, which is called side attack method.When operating, the fingers are naturally straightened, and the wrist is slightly extended.

④ Gently tapping the body surface with fingertips is called the fingering method.

(2) Clinical application: The hitting method has the effects of relaxing tendons and collaterals, smoothing joints, relieving spasms, and refreshing the mind. It is used on the head, shoulders, waist, hips, and limbs.The fingering method mainly treats headache, shoulder and back pain, muscle atrophy, stroke and hemiplegia, etc.The palm strike method and the fist back strike method are mainly used to treat back pain, kidney deficiency and low back pain.The side attack method treats pain in the shoulders and back, limbs, muscle atrophy, and unkind skin.

17. Pulling out Pulling out is the meaning of traction and pulling.The operator fixes one end of the patient's limb or joint and pulls the other end, or pulls and pulls the joint or limb with opposing force to make it stretch, which is called "pulling method", also known as "pulling method". Or "traction method".

(1) Operation essentials: the operator holds the distal end of the patient’s joint, and pulls and stretches it along the longitudinal axis of the affected limb, or the operator holds both ends of the joint of the affected limb with both hands, and stretches and pull.

①Head and neck pulling and stretching method: The patient takes a sitting position, and the operator stands behind the patient, supports the mandibles on both sides of the patient with both palms, and pulls and stretches upwards vigorously.Gradually exert force during operation, last for a certain period of time, and slowly relax the pulling force.

②Shoulder joint pulling and stretching method: the patient sits, the surgeon holds the wrist with both hands, and gradually pulls it hard, making the patient's body tilt to the other side (or ask an assistant to fix his body), and resist the pulling force.

18. Shaking method Hold the distal end of the affected limb with one hand or both hands, and make small, continuous, fast-frequency up and down shaking with a little force, which is called "shaking method".

(1) Operation essentials: When operating, the force should be soft, the vibration range should be small, and the frequency should be fast.

(2) Clinical application: The shaking method is suitable for the limbs, most commonly used for the upper limbs, and has the functions of dredging the meridians, activating qi and blood, and sharpening the joints.It can treat shoulder, elbow and wrist pain and dysfunction.Do not pull the patient's body when shaking, let alone pull the shoulder joint downward to prevent shoulder joint dislocation.

Reinforcing and purging of health massage technique

"Replenish it if it is deficient, and purify it if it is real" is one of the basic methods of TCM syndrome differentiation and treatment.The same is true in health care practices. "Tonic" means to make up for the deficiency of righteous energy. Any treatment method that can supplement the deficiency of human body substances or enhance a certain function of human tissue is called "replenishment". The role of the treatment, or the treatment of inhibiting the hyperfunction of tissues and organs, is called "purge".

"Replenishing" and "reducing" are two opposite functions, but they are related to each other. Their common purpose is to reconcile yin and yang, dredge meridians, make qi and blood flow, and restore human health.Therefore, the relationship between tonifying and reducing is a relationship of unity of opposites.

When massage techniques are operated on the surface of the human body, although no tonic or purging substances enter the human body directly, practice has proved that massage techniques can indeed promote body functions and inhibit hyperfunction of the body.For example, when the manipulation is applied to Zusanli, it has the effect of increasing gastrointestinal peristalsis; when the manipulation is applied to Qihai and Guanyuan, it has the effect of strengthening the body; Shu and Weishu can relieve gastrointestinal spasm and enhance gastrointestinal function.These effects belong to the category of "tonifying" and "reducing".

In the long-term practice, the ancients have accumulated rich experience in the reinforcing and reducing effects of massage techniques, and have made continuous summaries, especially in the massage treatment of children, they have emphasized the reinforcing and reducing techniques of the techniques.

The "tonifying" and "reducing" functions of massage techniques are mainly to use various techniques to dredge the meridians, and produce the effects of tonifying deficiency, purging excess, clearing heat, dispelling cold, dispelling stasis, eliminating accumulation, warming, and sweating.When performing massage operations, it is necessary to combine the acupoints and locations selected for manipulation with the severity, direction, frequency of the manipulation, and the nature of the stimulation according to the specific situation.

Generally speaking, the tonifying and reducing manipulations can be roughly divided into the following aspects: 1. In terms of the direction of meridian circulation, manipulations that follow the direction of meridian circulation are tonic; manipulations that operate against the direction of meridian circulation are purging .That is the so-called "following the meridian is tonic, and going against the meridian is to relieve". 2. In terms of the intensity of manipulation stimulation, light stimulation manipulation is tonic, while heavy stimulation manipulation is purging.That is, "gentle kneading is for nourishment, heavy kneading is for purging".

3. From the direction of Qi and blood circulation, the centripetal method is tonic, and the centrifugal method is to relieve.

4. In terms of the rotation direction of the technique, the technique operated in the clockwise direction is supplementary, and the technique operated in the counterclockwise direction is purging.That is the so-called "smooth turn for tonic, reverse for diarrhea".

5. From the perspective of the speed of manipulation frequency, the manipulation with fast manipulation frequency is purging, and the manipulation with slow manipulation frequency is tonifying.That is the so-called "quick rubbing is for diarrhea, slow rubbing is for tonic".

The Principles of Acupoint Selection and the Rules of Acupoint Matching for Health Massage
[-]. Prescription Composition Rules

([-]) Proximal acupoint selection

Refers to the selection of acupoints at the local and adjacent parts of the disease. "Where the acupoints are located, the indications reach." Each acupoint can treat the disease at the location. This method is mostly used for obvious and limited symptoms on the body surface, and can be used for acute and chronic diseases.For example: for nose disease, take Suliao, Shangxing, Yingxiang; for eye disease, take Jingming, Fengchi; for hemorrhoids, take Changqiang, Ciliao; Yuan, Qihai.

([-]) Distal acupoint selection

Refers to the selection of acupoints that are far away from the pain. "Where the meridians are connected, where the indications reach", "Lingshu·End and Beginning" says: "If the disease is above, take it from the bottom; if the disease is below, take it from the high; "For example, "Song of the Four General Points":
Gather the face and mouth together, and keep the belly for three miles; look for the lack of the head item, and ask for the waist and back.For hypertension and headache, use Yongquan, for prolapse of the anus and uterine prolapse, use Baihui point, for lumbosacral pain and gingival pain, for acute lumbar muscle sprain, use low back pain point, for frozen shoulder, use Tiaokou Toucheng mountain.

([-]) Select acupoints according to symptoms, symptoms, and syndrome differentiation

This method is a method of selecting acupoints for certain systemic diseases combined with the special therapeutic effect of acupoints.

[-]. Commonly used acupuncture points
([-]) Acupuncture method of this classic
When a disease occurs in a certain viscera or meridian, the acupoints of a certain viscera and meridian are selected to make a prescription.Such as: take Zhongfu, Chize, and Lieque for lung disease and cough, take Yifeng, Ermen, Zhongzhu, and Waiguan for tinnitus and deafness.

([-]) The method of acupoint matching on the outside and inside
Diseases of viscera and meridians. Take this meridian and cooperate with the acupoints of the exterior and interior meridians.For lesions of the yin meridian, acupoints can be selected from the yang meridian, which is the exterior and interior of each other, such as the Zusanli point of the stomach meridian for spleen disease.For lesions of the yang meridian, acupoints can be selected from the yin meridian on the exterior and interior, such as Gongsun acupoint on the spleen meridian for stomach disease.It is also possible to select acupoints on the yin and yang meridians of the exterior and interior at the same time for treatment, such as taking the lung meridian Chize and Taiyuan for lung disease, together with Hegu acupoint on the large intestine meridian.

([-]) Acupoint matching method before and after (including Shumu acupoint matching method)

Front, chest and abdomen; back, lower back.The method of acupoint matching on the front and back refers to the method of selecting acupoints on the front and back for combined application, also known as the method of acupoint matching on the abdomen and back.This method is mostly used for chest and abdomen or low back pain and visceral diseases.For example: take Mingmen and Shenshu after low back pain, take Tianshu and Guanyuan before; take Tiantu before asthma, take Feishu after. Dingchuan; take Zhongwan and Liangmen before stomach pain, take Weishu and Weishu after warehouse.

([-]) Upper and lower acupoints
The method of combining the acupoints above the waist and the acupoints below the waist.The most widely used clinically is the combined application of upper and lower extremity acupoints.Such as: take Neiguan and Zusanli for stomach problems, take Hegu and Neiting for sore throat and toothache, take Baihui and Changqiang for prolapse and uterine prolapse.

In addition, the combined application of the converging points of the eight meridians also belongs to the specific application of this method.

([-]) left and right point matching method
Use the left and right acupuncture points of the body together.Both the left and right points can be taken at the same time, or the right side can be used if the left side is diseased, and the left side can be used if the right side is diseased.Clinically, left and right cross point selection method is mostly used for head and face diseases, such as: right Hegu for left facial paralysis, and Zuo Hegu for right facial paralysis.For visceral diseases, systemic diseases, and diseases involving both sides of the head and body, acupoints on the left and right sides should be selected at the same time to strengthen the synergistic effect.For stomach disease, take both Weishu and Zusanli, and for heart disease, take both Xinshu and Neiguan.

Self-Care Massage Requirements

The requirements of self-care massage can be summarized as three hearts, two avoidances, and four coordinations.

[-]. Three hearts and three hearts are determination, confidence and care.

1. Determined health massage is not only the direct effect of physical strength, but more importantly, the exercise of mental and physical functions.To engage in self-health massage exercises, one must have a good mental state and be in a happy mood, in order to achieve peace of mind, health and health, and quick results.

2. The health-prolonging effect of confidence health massage will take a certain amount of time to be effective.Doing work must be persistent.Health and longevity cannot be achieved by a few health massages, and chronic diseases cannot be cured in a short time.As long as you persevere, you can achieve the goal of curing diseases and prolonging life.

3. While carefully mastering the basic rules and methods of self-massage, it is necessary to operate it carefully, strive to be accurate and natural in movement, and use it freely without departing from the rules, so as to better mobilize one's own potential and exert the efficacy of disease prevention and anti-aging.

The exercise time should be arranged scientifically. It is not advisable to practice after eating, when you are hungry and before you feel like going to the toilet.Women should choose appropriate exercises during menstruation and pregnancy, and enough is enough.The amount of effort and the length of time should be appropriate.

Two, two avoidance

The second is to avoid wind and labor.

1. The operation should be performed in a place where the environment and temperature are suitable for shelter from the wind, especially for the elderly and weak. "Wind is the root of all diseases", many diseases are caused by the feeling of wind evil, because the skin and interstitium are stolen during practice, so one should be careful to avoid the attack of wind evil.

2. Avoid labor, refers to fatigue.Fatigue is a collection of conditions caused by overwork.Traditional Chinese medicine has the theory of five labors, which is believed to be: long-term vision damages the blood, long-term lying damages the energy, long-term sitting damages the flesh, long-term standing damages the bones, and long-term walking damages the tendons.Avoiding labor not only refers to not practicing kung fu to avoid overwork when sick and overworked, but also emphasizes that in daily life, middle-aged and elderly people should also avoid overwork that may cause illness.Here it not only refers to physical fatigue, but more importantly, it includes emotional aspects, such as excessive labor of mind, mind and mind.

In life and daily life, we must pay attention to the combination of work and rest, so as to meet the purpose of health preservation.

Three, four coordination The four coordination refers to the coordination of sleep, diet, exercise and medical treatment.

1. Rest and sleep well, you will be energetic, energetic and willing to engage in work.

Therefore, during the exercise, you must ensure sufficient sleep time.

2. Pay attention to the reasonable nutrition of the food and maintain an appropriate amount of food, and avoid overeating.

3. Self-care massage can be combined with other physical exercises such as walking and jogging, which is more conducive to achieving curative effect.

4. When you are sick, you should diagnose and treat it in time, and cooperate with other treatments under the guidance of a doctor to prevent delaying the pathogenesis and aggravating the condition.Pay attention to the combination of practicing and nourishing exercises, so that you can better play the role of self-health massage in curing diseases and keeping fit.

Fourth, the operating requirements of self-care massage
1. Set a good posture and relax your body.According to one's own situation and the requirements of the operation, the selected body position, such as lying on the back, sitting upright, or standing, must be completely relaxed.

2. Breathe evenly and focus your mind.After confirming the body position, it is necessary to adjust the breathing. It is desirable to breathe naturally and evenly for the initial practice. After a long period of time, you can practice abdominal breathing to eliminate distracting thoughts, keep the mind at the pubic region, and achieve the coordination of breathing and mind. Think of the word "quiet".

3. The techniques are required to be sequential, round, soft and soft, even and long-lasting, light but not buoyant, heavy but not stagnant.The strength should go from light to heavy, and then from heavy to light; the speed should go from slow to fast, and then from fast to slow.

For invigorating deficiency and strengthening, the manipulation should be gentle, follow the meridians and timelines, and the time should be extended; for the smooth flow of excess, the manipulation should be heavy, reverse the meridian and time, and the centrifugal outward direction, the time can be shortened.

Self-massage is used for fitness and longevity, focusing on whole body massage; for curing diseases, it focuses on local operations.The acupoints and parts are coordinated, and it is used "with pain as the acupoint".

(End of this chapter)