Manipulations for Infantile Tuina
Time:9/13/2008 9:42:12 AM
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[PDF]Manipulations for Infantile Tuina
Manipulations, Infantile, Commonly used tuina, massage, manipulationsManipulations for Infantile Tuina

Straight Pushing Manipulation (Zhituifa)
    
OPERATING METHOD
  
A manipulation performed by pushing one wastraightly on the point with the radial aspect of the thumb or the pads of the index and middle fingers is called straight pushing manipulation. In operating, the surface of the finger exerting force should attach firmly to the operated area or the point. Force should be exerted steadily, but not stickily (Fig. 39).
 
CLINICAL APPLICATION
    
This is one of the most commonly manipulation of infantile tuina.the manipulation is applicable to linear points all over the body such as kaitianmen, tuitianzhugu, the manipulation is also suitable for points of regional form such as pushing Pitu and Feijing. Operation between points is mainly of reducing method. But reinforcing or reducing effect induced by pushing on certain points are concerned with directions, which in clinic should be determined by the pushed parts and points.


 Rotationally Pushing Manipulation(Xuantuifa)
    
OPERATING METHOD
 
Make the clockwise rotational movements on the point with the pad of the thumb at a great speed and with steady force (Fig. 40).
    
CLINICAL APPLICATION
 
The technique has invigorating effect, and is applicable to points on the fingers such as reinforcing Pitu, Weijing and Shenjing (the spleen, stomach and kidney meridians).


Separating Manipulation (Fenfa)
    
OPERATING METHOD
   
Push from a point to both its sides with the radius aspect of the whorl surface of the thumbs or the pads of the index and middle fingers. In the operation, exertion of force by both hands should be even and coordinative and the movement should be along a straight line (Fig. 41).
      
CLINICAL APPLICATION
   
The manipulation is chiefly suitable for points on the head, face, chest, abdomen and back regions.
 
Joining Manipulation (Hera)
      
OPERATING METHOD
 
Push from two sides of a point to its center with the whorl surface of both thumbs. The operation is opposite to that of separating manipulation. This manipulation is also called Hefa (Meeting manipulation).
      
CLINICAL APPLICATION
 
This manipul,ation is mainly operated on the hand, for example, pushing hand yin and yang points, which has the effect of regulating yin and yang and balancing the function of zang and fu organs.
 
Nipping Manipulation (Qiafa)
     
OPERATING METHOD
 
A manipulation operated by heavily stabbing with nail or pressing rhythmically a point is called nipping manipulation. In operating, force should be gradually given until it penetrates into the deep part, and be sure not to injure the skin. Gently kneading the local area is often applied after nipping to relieve the irritated sensation. The manipulation is often used in combination with kneading manipulation and called nipping-kneading manipulation(Fi 42).
    
CLINICAL APPLICATION
   
Nipping manipulation is one of the manipulations inducing strong stimulations in infantile tuina, which is applicable to points on the face and four extremities such as Shuigou (GV 26), Suliao (GV 25), Neiguan (PC 6), Laolong. The method is cotrknonly used for acute problems such as convulsion, loss of consciousness for its action of inducing resuscitation and restoring consciousness and relieving spasm.


Arc-pushing Manipulation (Yunfa)
    
OPERATING METHOD 
 
A manipulation operated by pushing and rubbing on certain points in an arc or rotary route with the thumb orthe tip of the middle finger is called arc-pushing manipulation. In manipulating, light and slow motion is advisable without involving the deep muscular tissues. The frequency is better at 80 to 100 times per minute (Fig. 43).
    
CLINICAL APPLICATION
 
The manipulation is light, mild and moderate in nature and often applied to operation on certain specific points on the hand such as Yunbagua. It has the effect of promoting qi circulation to activate blood and regulating meridian qi. Common cold, fever, indigestion and abdominal distension and borborygrnus are often treated with this manipulation.


Pinching Manipulation (Niefa)
     
OPERATING METHOD
 
Support the skin with the radial aspect of the thumb,press forward with the index and middle fingers. Then grasp and lift the skin up with the three fingers simultaneously. Do the lifting and pinching operation with both hands alternately and move forward. Or use the radial aspect of the middle knuckle of the flexed index finger to support the skin, the thumb to press forward. Then grasp and lift the skin forcefully with the two fingers and move forward while both hands are alternately doing the manipulation. In operating, the force used for pinching and lifting the skin should be proper, and twisting and rotating operation must be avoided. Pinching, lifting and then loosening the skin should be done one after another along
a straight way (Fig. 44).
    
CLINICAL APPLICATION
 
This manipulation is also called manipulation of lifting the spine or manipulation of pinching the spine. It is,therefore, commonly applied to the spine and the areas lateral to it. The technique has the effect of promoting digestion to eliminate stagnation, strengthening the spleen and stomach, regulating the spleen and stomach to dissipate dampness and promote qi circulation to activate blood. Epigastric distension and fullness, indigestion, anorexia and chronic diarrhea can be treated with the maniptflation.


Squeezing Manipulation (Jifa)
    
OPERATING METHOD
    
Grip the skin around a point and lift it gently with both the thumbs and index fingers. Then squeeze the point in opposite direction with force to cause pain in the local area around the point. The operation of gripping,squeezing each point should be less than ten times.
    
CLINICAL APPLICATION
  
The method is suitable for all parts of the body. It is mostly used on Taiyang (EX-HN 5), Yintang (EX-HN 3),Fengchi (GB 20) and other acupoints on the head, and is also used on Jianjing (GB 21) and acupoints on the chest, abdomen and back. The method has the effect of dispersing wind to relieve the exterior, diaphoresis to reduce fever and removing blood stasis to eliminate mass. Common cold, headache, summer heat, vomiting, nausea, liver stagnation and blood stasis can be treated with this manipulation.

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