1. Pressing method

The pressing method is a method of pressing down hard. Use your fingers, palms, elbows, and heels to press up and down on a certain part or acupuncture point on the patient's body. You can go from light to heavy, you can press and release, or you can press one place tightly for about a minute and then relax suddenly. If you need to press again, you can press with both hands. The force of the pressure can reach the skin and subcutaneous tissue superficially, and the muscles deeply, and the joints, bones, and internal organs can be deeply pressed. The practice of pressing the method is easier, but requires stability, accuracy, and endurance. This method can choose finger press, palm press, elbow press or heel press according to different parts. The details are as follows:

1. Finger press

Finger press is generally used on acupoints. You can press it with one hand, or you can press it with both hands opposite each other, and press it on the acupuncture point to make it suitable for soreness and swelling reaction. The acupuncture points on the back are pressed with the palms, and the temples on the head are often pressed with both hands. You can also use your thumb to hold a large blood vessel, such as the femoral artery, for a while, then relax, and repeat several times.

2. Palm massage

Palm massage is used for larger areas. Use one hand to press the abdomen like a palm, rising and falling with your breathing. Press the back with your palms and use your hands to overlap, press the muscles on both sides of the spine, gradually move from top to bottom, and repeat several times. You can also use the palms of both hands to press the head, with the palms of the two palms facing each other with force, from light to heavy, from heavy to light to the end.

3. Elbow massage

Elbow massage is used on parts or acupuncture points with plump or deep soft tissues. Press with the tip of the olecranon when the elbow joint is flexed, such as pressing the Huantiao point. The pressing force is also measured according to the degree of acid swelling reaction.

3. Elbow massage Elbow massage is used on parts or acupuncture points with plump or deep soft tissues. Press with the tip of the olecranon when the elbow joint is flexed, such as pressing the Huantiao point. The pressing force is also measured according to the degree of acid swelling reaction.

2. Massage

Massage is a technique in which fingers or palms are used to rub a certain part of the body with the wrist and forearm in a circular motion.

When applying, use your fingers or palms to make circular motions on the skin surface. The force is gentle and shallow, only reaching the skin. The frequency of massage depends on the needs of the disease. Generally, it is as slow as 30 to 60 times/min and as fast as 100 to 200 times/min. It can be operated with one hand or both hands. It is often used at the beginning of massage therapy, or in areas with severe pain, or after intense manipulation. According to different treatment areas, it can be divided into three types: finger massage, palm massage and palm root massage.

1. Finger massage

Put the fingertips of your thumbs flat on a certain part of the body or acupuncture points to perform circular motions, either with one hand or both hands. When rubbing with both hands, the movements of the two fingers should be coordinated and the force should be consistent. When operating on the back, the thumb lies flat and touches the skin, the other four fingers are relaxed, and the thumb rubs back flexibly and coordinately, slowly expanding from the center to the surroundings, over and over again, with a frequency of 60 to 100 times/min. When massaging acupuncture points with two fingers, the thumb lies flat and touches the acupuncture point tightly, and the other four fingers do not touch the skin. They naturally unfold and slightly bend, and use wrist force to drive the thumb to do circular motions. The frequency is 100 to 200 times/min, but the movement range is very small. Another four fingers rub the Tanzhong acupoint, the thumb naturally flexes, and the other four fingers are brought together, and the fingertips focus on the Tanzhong acupoint, making circular motions with a frequency of about 120 times/min.

2. Palm massage

Use your whole palm to massage the skin of a certain part of the body. The force should be even, usually operated with one hand, and the frequency is 30 to 60 times/min. It is often used on larger areas, such as the abdomen, back, waist, and buttocks. For example, palm massage on the abdomen should be done in a clockwise direction, and gradually expand from the center to the surrounding areas, over and over again.

3. Palm heel massage

Use the thenar area of ??the heel of the palm to rub it on a certain part of the body. Operate with one hand or both hands alternately. The heel of the palm touches the skin during operation. , each finger is slightly bent and raised, use the wrist force to swing the heel of the palm, and move forward while rubbing. Since this method uses a slightly larger force and a faster frequency of 100 to 200 times/min, the heat generated on the skin is more obvious and the patient will feel comfortable and relaxed. This method is often used on the head, back, waist, and buttocks.

3. Pushing method

The pushing method is to use your fingers or palms to push forward, backward, up and down, and left and right on a certain part of the body or meridians. You can also use your fingers on acupuncture points or certain meridians. The fixed point sucks and pushes. The depth of pushing varies with the amount of force. It can float on the skin or go deep into the muscles, bones, and internal organs. The force used in pushing should be from light to heavy, depending on the patient. The frequency of pushing method is generally 50 to 150 times/min, from slow to fast. During operation, five methods can be used according to different parts: thumb flat push, thumb tip push, thumb side push, four-finger push, and palm push.

1. Push flat with the thumb

Use the pad of the thumb to contact the skin for directional push. When moving forward and downward, the thumb exerts force. When retracting, the interphalangeal joint of the thumb is slightly flexed and the back of the finger is in contact. Skin and brought back. The other fingers do not use any force and only help to fix the direction. The frequency is 60 to 120 times/min, from slow to fast. The thumb flat push has a wide range of applications, including the head, back, and limbs. It is generally used on the head, back, and shoulders.

The method of pushing the acupoints to the left and right with the thumbs of both hands at the same time is called split pushing, such as split pushing Yintang acupoint and Dazhui acupoint. The force of the split push reaches deep into the muscles and bones, which is called the muscle-splitting method. It is mostly used on the lower back muscles. The direction of the muscle-splitting is perpendicular to the direction of the muscles.

2. Thumb tip push

Use the thumb tip to push on the acupuncture point or a fixed point. When pushing, the range of movement of the fingertips is very small. If it is adsorbed on a fixed point, the wrist flexes and droops, and the interphalangeal joint of the thumb flexes and swings flexibly. Use wrist and finger strength to gradually push deeper. The intensity of pushing is generally high, and there is a feeling of soreness, swelling, and slight pain, which is called the "Deqi" feeling.

The frequency is 100 to 150 times/min, from slow to fast. When the frequency is fast, the fingertips will rotate slightly. Can be operated with one or two hands. This method is mostly used on acupuncture points and pain points.

3. Thumb side push

Use the outer part of the thumb to contact the skin for long push or point push. For operation essentials, please refer to the thumb flat push method and the thumb tip push method.

4. Four-finger push method

This method is operated with one hand. Use the pads of the remaining four fingers except the thumb to touch the skin, extend and slightly flex the metacarpophalangeal and interphalangeal joints, extend and flex the wrist, and swing flexibly, using wrist and finger strength. The thumb plays a role in fixing the direction and is mainly used on the neck, shoulders, head, limbs and other parts.

5. Palm push

Use the palm of your hand to push on the body, and place the palm flat on the skin to push. It is mostly used on the chest and abdomen. When pushing the abdomen, it needs to rise and fall with the breathing. When the patient starts to exhale, push upward, relax when inhaling, and repeat. In addition, use the size of the thenar at the base of the palm to close to the limb, push hard, from the distal end to the proximal end of the limb, then return it to the original position, and push repeatedly. Palm pushing is often used for swelling of limbs, which can promote the return of blood and lymph.

4. Holding method

The holding method is a method of lifting muscles with fingers. It can be combined with acupoint lifting or a certain muscle belly. The general holding direction is perpendicular to the muscle belly. The method is to pick up the tissue, hold it for a while and then let go to recover. This method is relatively intense, and usually involves feeling soreness, slight pain when lifting, and relaxation after relaxation. If the pain does not go away after lifting, it means excessive force. Generally, one part can be taken 1 to 3 times. According to different parts, several operation methods such as three-finger holding, shaking holding, and elastic tendon can be used.

1. Three-finger holding

Use the thumb, index and middle fingers to hold. It is suitable for smaller parts, such as the shoulder, middle, neck, etc.

2. Five-finger lift

Use five fingers to lift, which is suitable for larger areas with full muscles, such as quadriceps, gastrocnemius, etc. It can be done with either hand, or alternately holding and releasing the hands.

3. Shake and hold

Use both hands and five fingers to lift, mostly used for loose parts of the abdomen or muscle belly. After picking up the muscle belly with your fingers, shake it back and forth 3 to 5 times or 8 to 9 times and then release.

4. Elastic tendon

Use the thumb and index finger or the thumb, index and middle finger to lift the muscle belly or the junction of the muscle belly and tendon along the vertical direction of the muscle. After stretching it outward as much as possible, let the tendon slide back into place between the fingers (like drawing a bow and shooting an arrow). During the slippage of the muscle belly, a "clicking" sound can be made. This technique is heavier and the stimulation intensity is very strong. The patient will feel severe soreness and swelling, but will feel relaxed and happy after the elasticity.

You can also use gentle techniques after elasticity to help relieve soreness and swelling. Just do it 1 to 2 times each time. This method is mostly used for chronically painful muscle parts, such as the femoral adductors, biceps femoris, triceps femoris, latissimus dorsi, trapezius, rhomboids, sternocleidomastoid and other parts.

5. The Napping Method:

The Naping Method is to press one place tightly with the surface of your thumb, press down heavily, and then swing your wrist left and right to gradually deepen the finger force. This technique does not need to be fast, the frequency is about 100 times/min, but it must be deep and powerful enough to reach deep tissues to the extent that there is a feeling of soreness and swelling. The holding method is more difficult and must be practiced hard, so that the movement is in the wrist and the strength is in the fingers, holding tightly without relaxing, and at the same time being able to move as you wish.

When suppressing, you should also observe the key parts of the disease, find the key points, and perform repeated suppression. Only through exercise and endurance can you meet the treatment requirements. The Na method is often used to treat deep soft tissue injuries and chronic inflammation. For example, myofasciitis, etc., can be treated with the Na method to have a better effect.

6. Wrapping method

The wrapping method is to use the tip of your thumb to make a spiral movement on the acupuncture point, just like turning a screw, twisting it deeper and deeper, so that there will be stronger acid on the acupoint. Zhang's reaction is the degree. The wrapping method must be from light to heavy, and gradually deepen, and it is based on the patient's constitution and the sensitivity of each acupoint. Apply to each acupuncture point for about one minute. Then from heavy to light, from deep to shallow. The driving force of the wrapping method lies in the wrist. During exercise, the wrist should be rotated, which requires proficiency and endurance. This method is mainly used for acupoint massage. For example, for gastrointestinal disorders, wrapping massage can be done on the acupoints on both sides of the back.

7. Method

The method is to roll the back of the hand on the body, with the hand in a half-clenched fist shape, and the four fingers slightly stretched out. First, place the little finger of the hand close to the affected area at the metacarpophalangeal joint. , then press down hard and roll forward to the back of the hand, so that the back of the hand is pressed hard on the massage area, and roll back and forth again and again.

The method frequency is about 100 times/min. The method should be to use even force, and the rolling hand should absorb the massage part without jumping or rubbing, so as not to cause discomfort to the patient or damage the skin on the back of the operator's hand. However, when rolling, it must be able to move up, down, left, and right as desired, so that the rolling hand reaches the desired position. Wider parts. Therefore, the method needs to be practiced on a sandbag first, until it is very mature and has wrist strength and endurance before it can be used for treatment. The method can be operated with one hand, alternately with left and right hands, or rolled with both hands at the same time. This method is suitable for areas with larger areas and richer muscles, such as back, waist, buttocks, legs, etc. Nowadays, some people use wooden rollers, or use electric rolling massage beds or massage chairs to perform massage, which can replace manual massage. Although it can save the operator's physical strength, the effect is far less good than the rolling method.

8. Kneading method

The kneading method is to squeeze the soft tissue with your fingers, pinch the muscles or tendons with your thumb and other fingers, rotate the upper and lower fingers to each other, and pinch while moving. Push forward.

It is better to use gentle force when operating, so that it feels gentle and comfortable, and it is not advisable to pinch until the pain is unbearable. The frequency of pinching can be slow or fast, 60 to 150 times/min. When pinching, you also need to turn your wrist to help. This method can be used to pinch the thumb and index fingers relative to each other, which is suitable for the narrow parts between the two bones; it can also be pinched with the thumb, index and other fingers to be suitable for parts with rich muscles and large areas, such as shoulders and thighs. calf.

9. Kneading method

Kneading method is to use the finger surface or palm surface to knead. The kneading method is different from the rubbing method. There is no movement between the hands and the skin during kneading. The hands are close to the skin and rotate and knead the subcutaneous and deeper tissues. Therefore, the kneading method can reach deep into the subcutaneous tissue and muscles. This method is relatively gentle and vigorous, and the frequency of movements is relatively slow, 50 to 60 times/min. Generally, it is operated with one hand. If necessary, you can overlap both hands to increase the pressure and knead. You can use finger kneading or palm kneading according to different parts. Finger kneading is generally performed with the thumb surface, which is suitable for smaller parts or acupoints. It is often used after strong stimulation techniques to relieve soreness and swelling. You can also rub the larger parts with your food, middle finger or food, middle and ring fingers together. Palm kneading is to use the entire palm or the root of the palm or the thenar to knead. It is generally used in larger areas, such as shoulders, back, waist, buttocks, etc. The kneading force should be from small to large. The more you knead, the wider the area. The bigger, the deeper the force.

10. Rubbing method

The rubbing method is a technique of rubbing the limbs with both hands. Generally, the palms of both hands are used to rub each other vigorously, with the intensity increasing from small to large, the speed from slow to fast, and then from fast to slow at the end. The intensity can reach the muscles and bones. You can feel the muscles relax when you exert small amounts of force, and you can experience obvious soreness and swelling when you exert too much force. Choose the amount of force according to the needs of the condition. When performing the rubbing method, use your palms and arm strength, hold the affected area with your left and right hands, and move it up and down while rubbing. You can also rub the lower limbs. The patient needs to lie on his back and lift the affected limb and then rub it. The rubbing method is generally done with the palm of the hand. If greater strength is required, the ulnar side of the palm can be used to rub with relative force, and there will be obvious soreness and swelling. Use rubbing to soften the muscles and then end.

11. Pinch method

The pinch method is to use the tips or sides of the fingers to perform deep and continuous pinching on a certain part or acupuncture point of the body. It is called the pointer method, which refers to the needle with the finger, so it is often used on acupuncture points. For example, pinch and press the Hegu point with the tip of your thumb. You can also use the middle finger to straighten, and hold the middle finger with the thumb and index finger to keep the middle finger straight and pinch the acupoints forcefully. You can also flex your middle finger and pinch the acupoints at the interphalangeal joint of your middle finger. The pressure on the acupoints should be strong so that there is a strong soreness and swelling reaction on the acupoints. The pinching method is more stimulating, so when pinching, you should gradually apply force and pinch in slowly with your fingers. You must not use sudden force. Moreover, the force should be different from person to person according to different objects. After pinching each acupuncture point until there is soreness and swelling reaction, continue to apply force for about 30 seconds, and then use massage, kneading and other techniques to relieve the local soreness and swelling reaction.

There is another pinching method. Use the sides of the thumbs of one or both hands to pinch the swollen soft tissue and push it forward while pinching.

This method requires skillful use of force but also depth. During the operation, it can be seen that the swollen part is pinched and pushed by the fingertips and sinks. Repeat this process until the swollen area is pinched into a dense finger-cut indentation to dissipate the swelling.

12. Vibration method

The vibration method is to use the fingertips or palms to press a certain part of the body or acupuncture points to make a tremor-like movement. During the operation, the muscles of the hands and forearms are mainly used to contract, and the force is continuously exerted to form a vibration force that reaches the fingers or palms and acts on the massage parts. The surgeon needs to apply vibrations at a very fast frequency and has a longer endurance, so it takes a longer period of exercise to mature. Vibration method, such as using the thumb or middle finger to act on the acupoints, can enhance or maintain the stimulation of the acupoints. You can also use your palms to apply on the lower back, thighs, etc., to relieve muscle and gastrointestinal spasms, but the palms must rise and fall with your breathing when vibrating. It is very laborious for the surgeon to perform the vibrating method. Nowadays, electric vibrators can be used instead of artificial force. Electric vibrators are generally equipped with a variety of different contacts, suitable for different massage parts. The effects of electric vibration and artificial vibration are similar and can be used.

13. Rubbing method

The rubbing method is a technique of quickly rubbing back and forth on the skin with your fingers or palms. Its force is superficial and only acts on the skin and subcutaneous tissue. The frequency is faster, 150-200 times/min; the skin will have a greater reaction, usually until the skin becomes red. When performing the rubbing method, do not use excessive force to avoid bruising the skin. You can rub with your fingers, i.e. rub with the food, middle and ring fingers. It is suitable for smaller parts such as hands and feet. You can also rub with the palm, that is, rub with the ulnar side of the palm. Move and apply to the back. The rubbing method can improve local blood circulation and enhance skin metabolism. Back rubbing can relieve pain and adjust gastrointestinal function.

14. The flicking method

The flicking method is to use your fingers to make rapid flicking movements. When playing, clasp the index finger with the thumb or middle finger, and then use the force of the index finger to slide off the thumb and middle finger, so that the index finger can hit the affected area with the back of the finger. Use the tip of your middle finger when tapping, and use your thumb to support the middle finger in tapping movements. The intensity of the elastic ranges from light to heavy, and is suitable for superficial areas around joints. The intensity of the points is heavier and suitable for use on acupuncture points. If you need to apply more force, you can tap with five fingers.

15. Paida method

Paida method is a technique of slapping the body with fingers or palms. When the effect is light, slap with the surface of the fingers, the back of the fingers or the hollow palm; if the effect is strong, use the fist or the side of the palm to hit. Paida mainly moves the wrists, making them light, flexible and strong. It can be operated with one hand or alternately slapped with both hands. Patting is suitable for chest, back, waist, legs and joints. Pat with your finger surfaces. During operation, open your fingers and slightly flex your finger joints, and pat the affected area with your finger surfaces.

You can also tap with your fingers. During operation, each finger should be slightly separated and slightly bent, and tap with your index, middle, ring, and little fingers behind your back. You can also pat with a hollow palm. During operation, keep your fingers together, straighten your thumb, form a hollow in the palm, and pat the affected area. You can also use fists to slap. During the operation, make virtual fists with both hands, aligning the backs of the second section of the index, middle, ring, and little fingers, and use this part to pound the affected area hard. This method requires skillful use of force and elasticity when hammering. It can be fast and slow for a while, and the hammering can be moved up and down. You can also slap with the side of your fist. During operation, make a virtual fist with both hands, separate the fingers slightly, and hit with the side of your little finger (Figure 9-28). When each finger is straightened, tap with the side of the little finger. Nowadays, there are various methods of beating with tappers. The tappers are made of sponges, wooden ones, etc. Professional beaters are made of cloth into a cylindrical shape, filled with cotton or Chinese herbal medicine, and used to push and beat. All the above methods have certain curative effects and can be selected according to the condition.

16. Scratching method

The scraping method is to use the side of the thumb to press deeply on a certain part of the body and scrape or move it. When scraping, the finger force should penetrate the skin and reach deep into the tissue adhesions or chronic pain points for scraping. The direction of scraping depends on the situation.

This method is relatively intensive, and the patient will have obvious soreness and swelling. Please be patient and cooperate with the surgeon. The intensity of force should be moderate and care should be taken not to damage the skin. Use light force when moving. Generally, the thumb is deeply pinched in the gap of the muscle or tendon to move. Just dial one part 5 to 10 times. The scraping method is mostly used on tissues around joints, back fascia, ligaments or muscles, tendons, etc. It can loosen adhesions, promote the absorption of chronic inflammation, and relieve pain.

17. Shaking method

The shaking method is a method of shaking the limbs, which is a passive movement method. During the operation, the surgeon holds the end of the affected limb and shakes the patient's limb like a rope. When shaking, pay attention to the movable angle and range of the limbs, and shake with gentle force to make the shaken limbs undulate like waves. It can shake up and down as well as horizontally. Such as shaking fingers: The surgeon holds the tips of the fingers and shakes each finger in turn, shaking each finger 3 to 5 times. Another example is shaking the wrist: the surgeon holds the distal end of the forearm tightly with one hand, pinches the index, middle and ring fingers with the other hand, tightens them in opposite directions, and then shakes them about 10 times. Another example is shaking the upper limbs: the surgeon holds the shoulder with one hand and the wrist with the other hand, tightens both hands in the opposite direction and then shakes. Use the same method to shake your lower limbs or waist. The shaking method mainly has the functions of relaxing muscle contracture and mobilizing joints.

18. Rocking method

The rocking method is a method of shaking joints, which is a passive movement method. To do this technique, you must be familiar with the range of motion of various joints. All joints that can move in two or three axes can be rocked. During the operation, position the patient appropriately and try to relax his body muscles. The shaking action should be slow and steady, from small to large, until it reaches the largest possible amplitude. The number of shaking depends on the condition. The shaking direction can be clockwise or counterclockwise. The rocking method is mainly used to gradually loosen stiff or ankylosed joints and gradually restore normal activity functions. Therefore, during the operation, the surgeon must check the possibility of joint movement, measure the joint mobility, and gradually increase the range of shaking after multiple treatments. Do not It is better to rush for quick results and allow the patient to feel slight soreness. The shaking techniques include finger shaking, elbow shaking, shoulder shaking, ankle shaking, hip shaking, waist shaking, etc.

19. Loosening method

Loosening method is a method of loosening joints and soft tissues. It is a passive movement method. The surgeon must be familiar with the anatomy and activity relationships of joints throughout the body and tendons, ligaments and other tissues around joints. It can be used to loosen the neck, waist, hands, shoulders and other parts. For example, when relaxing the neck, the patient should take a sitting position. After the muscles are relaxed, turn the patient's head a little to one side, bend sideways, and then gently pull it until the neck feels loose. The same can be done to loosen the other side. Neck relaxation can also be performed in the supine position. Another example is to ask the patient to sit in a sitting position, bend forward, and turn to one side, and then gently pull it until the waist feels relaxed. The method to loosen the fingers is easier. Pull the finger that needs to be loosened first, and then flex it until there is a "click" loose feeling.

The loosening methods for other joint parts are similar, you can refer to the above method. Mobilization method is suitable for joint ankylosis and intervertebral disc disease.

20. Stretching and flexing methods

Stretching and flexing methods are methods of stretching and flexing the spine and joints. It is a passive movement method. Before performing the stretching operation, the range of motion of the patient's limb joints must be carefully checked, and then the patient's limb joint movement range must be slowly increased with slow, balanced, and sustained force, and the patient's limbs can be continuously bounced within this range. Stretch to the maximum possible range and hold for 1 to 2 minutes, then relax, rest for a while, and then repeat. When doing stretching exercises, be sure not to exert force suddenly or use force. During operation, the point of force must effectively reach the restricted joint. This method is commonly used on joints such as shoulders, elbows, and hips. The operation essentials of the flexion method are the same as the extension method, and are commonly used on the hips, knees, ankles and other parts.

Twenty-one. The Shen-Yining Technique

The Shen-Yining Method is a technique that uses skillful force to suddenly pull the mind to the spine and joints. It is a special passive movement technique. The force generated by this method can make the joints and surrounding tissues move beyond their normal range of motion. The operation skills are difficult. You must follow the trend, exert force lightly, do not use brute force, and the amplitude must be large and appropriate. This method can only be understood in clinical practice.

1. Lead the upper limbs

The patient is sitting, and the surgeon stands facing the affected side.

The surgeon holds the five fingers of the affected side with both hands, with the palms facing the patient's face. Lift the affected limb and do the activity of rotating the upper limb. After several turns, when the muscles of the affected limb are very relaxed, suddenly lift the affected limb from bottom to top to refresh yourself. You can repeat the operation 2 to 3 times.

2. Lead the lower limbs

The patient lies on his back, and the surgeon stands on the affected side in a lunge, with his forearm supporting the calf on the affected side, and the other hand supporting the knee. First, flex the affected limb. Keep your thighs as close to your abdomen as possible. Then exert force and use skillful force to pull the affected limb outward and upward. It can be repeated several times, and each time the stretch is performed, the height of the affected limb from the bed surface can be gradually increased.

3. Leading the waist

The method of leading the waist depends on the condition. The main method is to draw the waist backward. You can also bend the waist forward according to the needs of the condition. Lead the gods.

(1) Draw the mind backwards with the waist: There are several methods. For example, in the waist pulling method, the patient is lying on the healthy side. The surgeon holds the patient's waist with one hand and holds the ankle of the affected limb with the other hand. He pulls the posterior part of the affected limb with both hands in a coordinated manner. When the patient's waist muscles are felt to relax, , the hands suddenly push with great force, causing the patient's waist to hyperextend. This method only needs to be done once. Another example is the waist pressing method. The patient lies prone, and the surgeon presses the waist tightly with one forearm, and lifts the patient's thighs and knees with the other forearm. When one arm presses down, the other arm lifts up with force, so that both hands press and lift in a coordinated manner. , make the waist move elastically several times. When you feel the patient's waist muscles relax, suddenly increase the force intensity and stretch the waist backward. The waist should have a large hyperextension movement. This method requires the surgeon to have greater strength to be successful. If the surgeon is not strong enough, two people can work together.

(2) Flex the waist forward and stretch: The patient lies on the healthy side, the surgeon stands behind the patient, holds the affected limb with one hand, bends the hip and knee, and keeps the thigh as close to the abdomen as possible, pushing hard, Bend the spine forward, and the range of movement needs to be larger each time. When you feel the waist muscles relax, suddenly exert force and push forward once. In this method, if one person is not strong enough, the patient can be made to lie on his back and two people can work together.

There is another method. The patient lies on the healthy side. The surgeon stands behind the patient, holds the lower limb of the affected side with one hand, and pushes behind the shoulder of the affected side with the other hand. The holding hand moves the affected limb toward the abdomen and pushes it. Use the hand behind the shoulder to push forward with force, bending and pushing to make the waist twist. When you feel the patient's waist muscles relax, suddenly add force, bending and pushing to make the waist twist.

The extension method mainly has a good effect on the intervertebral disc tissue lesions of the spine or joint malposition. If it is targeted at the appropriate condition and used correctly, it can have significant curative effects.

Twenty-two, stepping method

The stepping method is an ancient method in which the feet are used to massage certain parts of the body or acupuncture points. During operation, the whole foot, arch and heel are used, and there are three types: stepping, rubbing and grinding. The patient is usually placed in a prone or supine position, and the surgeon climbs a horizontal bar on the roof with his hands, and then steps on the patient's meridian points with one or both feet for treatment.

1. Stepping

The patient lies prone, and pillows are placed on the chest and thighs to make his waist in the air. The surgeon steps on the patient's sacrum with one foot and moves it elastically while stepping. Once down, make the waist bounce up and down like a shoulder pole. Step on it 10 to 50 times, and the strength must increase from light to heavy. This method is effective for certain lumbar lesions and intervertebral disc lesions.

2. Step and rub

The patient lies prone, the surgeon holds the upper horizontal bar with one hand, steps on the patient's back, waist, and thighs with one foot, and uses the arch of the foot to rub horizontally. Move and rub each area dozens of times. This method is effective for lesions of muscles and fascia.

3. Stepping and grinding

The patient lies on his back, the surgeon climbs the horizontal bar with his hands, steps on the lower abdomen or acupuncture points with the heel of one foot, and performs a rotating and grinding motion. The power of treading goes from shallow to deep. This method can cure some chronic diseases of the abdomen.

Twenty-three, other massage techniques

There are many other massage techniques, such as twisting, pulling, wiping, etc. The twisting method is to use the thumb and index fingers to pinch the skin relative to each other and twist it. It is used on the back and abdominal skin of children. It can treat indigestion in children; the pulling method is to use the thumb and index fingers to hold the skin and pull it to one side. Then suddenly let go, there may be a "click" sound, and one spot can be pulled more than ten times until the skin becomes red. It can treat heat stroke, indigestion and other diseases; the method of wiping is to press one spot with the finger surface of your thumb. On the skin or acupuncture points, press firmly and then spread to both sides, repeat several times. It is often used on the forehead to treat headaches, visual fatigue and other symptoms.