Key
Points of the Action
1. The circling kneading with small amplitude of the distal
end should be aroused by the proximal end of the body, e.g., the
forearm arouses the movement of the wrist and palm is called the
palm-kneading manipulation.
2. The place where the power is acted should be absorbed
and fixed at the therapeutic location, and arouse the deeper tissues.
3. The pressure should be even and the action should be harmonious
and rhythmic. The general speed per minute is 120-160 times.
4. The amplitude of the kneading should be moderate.
Clinical
Application
The kneading manipulation is an important manipulation to relieve
muscular spasm and eliminate fatigue. It can also alleviate pain
at the injured location and act on the abdomen and regulate the
gastric function.
The finger-kneading manipulation is mainly used at the acupoints.
The palm-kneading manipulation is usually used at the waist and
abdomen.
The thenar-kneading manipulation is used at the face and head.
The palm-root-kneading manipulation, the forearm-kneading manipulation
and the elbow-kneading manipulation are mainly used at the lumbar
and sacral regions.
Stratum
and Characteristics of the Action
When the kneading manipulation acts on the waist, back, four limbs,
etc. the power should be made to reach the muscular stratum; when
it acts on the abdomen, the power should reach the stomach and intestine;
when it acts on the acupoint, the sensation, such as soreness, numbness,
distension, and pain should occur; when it acts on the head and
face and is used in cosmetology, the power only reaches at the skin
and subcutaneous region.
The characteristics of the manipulation: Gentle, moderate, middle
in stimulation, etc. It can be used in various portion of the whole
body.
Matters
for Attention
While applying this manipulation, attention should be paid to
that the location where the power is acted should be absorbed and
fixed at the therapeutic location, and the amplitude of the circling
and spiraling kneading movement should be moderate. If the amplitude
is too large or too small, the effect of relaxation would be influenced.
While operating, the doctor should relax his whole body, make
qi sink to Dantian, breathe naturally and must not hold his breath.
