Includes the following three points

1. Correlation of symptoms and causes: "There must be a cause for every symptom" and "the causes must be related" are the basic principles of clinical thinking in massage. Symptoms and signs are the external manifestations of the disease, but they do not necessarily reflect its essence. Some are even illusions, and they must be carefully observed clinically. Generally speaking, "cause" is individual, and one cause can only produce one type of disease or a group of symptoms; "disease" is global, and the same disease can be caused by multiple causes. Because there are priorities, symptoms have an order. Under normal circumstances, the main cause is closely related to the preceding symptoms. When symptoms persist or recur, the primary and secondary causes may be intertwined with each other and serve as cause and effect for each other. The preceding and subsequent symptoms may alternate and recur. Clinical identification must be careful, and the key is to examine the symptoms. Seek cause. The "three careful things" must be done during clinical diagnosis: first, listen carefully, listen carefully to the patient's description of the condition, fully understand the occurrence and development process of the disease, and grasp effective information from "listening"; second, ask carefully, asking in detail the time of onset and details of the disease. Before and after symptoms and their relationship, diagnosis and treatment process, symptom changes, etc., sort out the cause of the disease and syndrome from the "question"; the third is to conduct a detailed examination and carefully conduct a physical examination based on the symptoms. For spinal diseases, even if there are clear images It is also necessary to check physical signs to identify the cause and effect relationship, and to be good at applying diagnostic and therapeutic techniques to identify them during the physical examination, and to clarify the correlation between symptoms and causes through "checking", and to establish that "there must be a cause for every symptom. The clinical thinking is that "there is no disease without a cause" and "the cause of the disease must be relevant, but irrelevant and non-diagnostic".

2. Differentiation of Meridians and Tendons Syndrome differentiation and treatment are based on observing the human body as a large system to observe the causes of disease and the human body's disease resistance. It is the essence of the theoretical system of traditional Chinese medicine. As a branch of traditional Chinese medicine, it is self-evident that massage should adopt the principle of syndrome differentiation and treatment. However, as an external treatment method, massage therapy is different from drug therapy. It mainly relies on manual manipulation to directly act on the body surface, stimulating the skin, acupoints, meridians, and tendons to produce meridian induction, thereby stimulating the body's inherent ability to adjust and self-heal. to treat disease. The effect of treatment is not only related to the type of technique and the amount of pressure, but also closely related to the choice of the stimulation site. Therefore, in addition to the principle of syndrome differentiation and treatment, massage should also pay attention to the differentiation of meridians and tendons according to its own rules, carefully inquire where the disease is and which meridians (tendons) the injury is, and then follow the principle of selecting acupoints along the meridians to select the best Only by treating the meridians, acupoints and tendons reasonably and effectively can the ideal therapeutic effect be achieved. For example, although the famous saying "low back pain must be sought after" comes from hundreds of years of clinical practice, it is not effective for all low back pain, but only has a good therapeutic effect on low back pain originating from the spine and near the spine. , there is no definite effect on low back pain originating from both sides of the waist; when treating lumbar three transverse process syndrome, the acupoint stimulation of the gallbladder meridian of Foot Shaoyang is more effective, which illustrates the importance of massage diagnosis of meridian differentiation and tendon differentiation.

3. TCM diagnosis focuses on touch, which relies on the four diagnostic methods of "looking, smelling, asking, and cutting". The diagnosis includes pulse taking and palpation (also known as touch and massage), with special emphasis on massage. Diagnosis. Among the eight bone-setting methods of "touching, connecting, lifting, lifting, pressing, massaging, pushing, and holding" in the "Essentials of the Bone-setting Heart Methods" in "Yizong Jinjian", touching is the first method, which is enough to prove the importance of touching. The touch method is a technique with the main purpose of diagnosis. The doctor touches the skin, flesh, tendons, bones, pulses, internal organs, etc. with the hands of the doctor. Dynamic and static touch are combined to learn all the abnormalities of the skin, flesh, tendons, bones, pulses, and internal organs. , combined with other diagnostic methods, to provide detailed basis for a clear diagnosis. As for the technique of touching, you must master the key points of "touching the bones lightly, touching the bones lightly, and touching the muscles neither lightly nor lightly". Touching method has a dual role, not only providing reliable basis for diagnosis, but also clarifying the focus of treatment.