It is a manipulation to forcefully rub the trunk or limbs upwards and downwards or forwards and backwards by putting two hands respectively on the opposite aspects of the diseased part. The operation should be light, quick and coordinate, and the force should be even and continuous. For the case of severe stagnation of qi and blood, the manipulation should be done first heavily, and then gradually slightly. The method, as a manipulation before the end of tendon-smoothing, can harmonize local qi and blood, dredge meridians, relax muscles, and relieve muscular fatigue. It is often used for treating tendon injuries of joints in the four extremities, shoulder and knee, as well as the waist and back.