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(一)One-finger Zen Pushing(一指禅推法): Push the tip pad of the thumb(拇指)on the therapeutic(治疗)area, flex and extend(屈伸)the thumb following the swinging of the forearm(前臂的旋转).
Main points: Relax shoulder(沉肩), drop the tip of elbow downward(垂肘), flex wrist(悬腕,腕部柔和), hold a hollow fist(掌虚), stretch straightly the thumb to cover the fist center(拇指伸直并盖住拳眼). Stick the tip of thumb or the whorled surface to the therapeutic[ˌθerəˈpju:tɪk] area(手背近小指部分接触治疗部位. Make elbow as a supporting point(以肘部为支点)and swing forearm to bring the thumb to flex and extend(前臂旋转带动腕关节屈伸).
(二)Rolling(滚法): Stick the dorsal part of the hand, which is near little finger, to the therapeutic area). Roll on the therapeutic are a to and fro continuously by the minor thenar [ˈθiˌnɑr] eminence [ˈemənəns] and the dorsal part of the hand(用小鱼际来回滚动于治疗部位), with the combination of the flexion and extension of wrist(结合腕部的屈伸), and rotation of forearm(前臂旋转).
Main points: Relax shoulder, arm, and wrist, flex the elbow for 120~140 degree(肘部弯曲120〜140度). During the rolling, the dorsoulnar(手背尺侧) should stick to the body closely. Don’t skip or rub(跳跃或摩擦). Inward arm rotating for about 40 degree when wrist is extended, outward arm-rotating for about 80 degree when wrist is flexed(腕部内翻40度,外翻80度). The strength is distributed [disˈtribju:tid] evenly and the manipulation should be rhythmic(强度分布均匀,手法有节奏感). Sudden change of speed and strength are forbidden(不要突然改变速度和力度). The frequency(频率)is about 140 times/minute.
(三)Pressing(按法) : Pressing the therapeutic region with the finger , palm or the tip of the elbow . Main points : pressing perpendicularly(垂直按压), fixing unmoved(固定不移), from light to heavy force , with stable and continuous pressure within the patient’s tolerance level(力量大小和持续时间以患者可以忍受为限), but avoiding injury.
1()Finger Pressing : Pressing the therapeutic region perpendicularly by a thumb or the fingers. The pad(指腹)of the thumb is often used to do the pressing. If we use the tip of a finger to press, we call it “Tip Pressing(指端按法)”. “Bending-finger Pressing”(屈指按法) mean to use the knuckle(指关节) to press while the index finger is bent(弯曲). “Superposed Pressing”(重叠按压) means to superpose the right thumb on the left thumb when finger pressing is too weak. When we press on acupoints(穴位) , don’t move he fingers but change the strength . When we press on meridians(经络) , we press on the meridian in a slow , spiral movement(回旋移动). (2)Palm Pressing(掌按法) (3)Elbow Pressing(肘按法)
(五)Pushing (推法): Move thumb , palm , fist or elbow in certain direction on the therapeutic area. Commonly used pushing: Flat-pushing, Straight-pushing, Parting-pushing, and Meeting-pushing . Main points: always push in straight line ; don’t deviate or skip . Put some medium material(like massage lotion) to keep skin smooth before massage to avoid skin injury and at same ,he herbal medicine in the lotion will work together with massage.
Flat-pushing(平推法): It is a strong manipulation in Pushing Series. There are many different ways to do it according to the different diseases and treating areas. Main points :strongly, evenly and stably use the strength ; pushing speed should be slow.
(1)Thumb Flat-pushing(拇指平推法) : Push he pad of thumb in one direction following a meridian or a muscle fibre .We can combine pressing or kneading on acupoints. Pay attention to the direction and strength of the movement to avoid thumb injury. (2)Palm Flat-pushing(掌平推法) (3)Fist Flat-pushing(拳平推法) (4)Elbow Flat-pushing(肘平推法)
(四)Needling Methods(针法) : The needle should be inserted with the use of both hands. The needle is held like a brush pen with the right hand, known as “the puncturing hand”(刺手), the left hand, known as “the pressing hand(押手)”, presses the acupoint area support the needle body. Insertion Methods (进针法) Finger press insertion(单手进针法): Press on the acupoint with the left thumb , hold the needle with the right hand and keep the needle tip closely against the border of the nail of the pressing thumb . This method is suitable for puncturing with short needles.
Angle: The angle of insertion refers to one formed by the needle and the skin surface when the needle is inserted into the skin . There are three kinds of angels : perpendicular [ˌpə:pənˈdɪkjəlɚ],(直刺) oblique [oˈblik ](斜刺) and horizontal [ˌhɔrɪˈzɑntl](平刺).
Commonly-used Manipulations techniques(行针法): Lifting and thrusting, twirling are basic manipulations, others are secondary manipulations.
Lifting and thrusting(提插): Hold the needle handle with the thumb and index fingers of the right hand , use the right middle finger t support the needle and fix the skin to regulate the depth of the insertion. Then lift and thrust the needle continuously. We should keep the force in balance and not move the needle too quickly to avoid fainting, injury of blood vessels and any important organ. Twirling(捻转): After the needle has reached its desired depth , twirl or rotate forward and backward continuously. According to the patient’s condition , we decide the angel and the speed of the rotation. Don’t rotate the needle in one direction; it may cause the muscle to encircle the needle and cause pain .
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