Tuina Therapy
The principle of Tuina Therapy is reinforcing function of the spleen and the stomach, removing phlegm and dampness.
(1) The patient lies on his back. The doctor stands by his side, place one palm or the overlapped palms on the patient’s umbilicus, and rubs his abdomen slightly forcefully clockwise and counterclockwise with the circle from small to large, then from large to small for 5 minutes respectively.
(2) Lift-grasp the muscles around Zhongwan(CV12) with the fingers of one hand and the muscles around Qihaishu (BL24) with those of other hand. The lifted and prasped area should be properly large enough and the force used should be penetrating. Finger-twisting and pressing actions can be added while lifting up, but the putting-down action should be slow. Repeat the procedure for 20-30 times.
(3) The patient sits. And the doctor stands behind him, grasps his abdominal muscles from under both hypochondria with both hands, and then relaxes them. Grasping and relaxing are alternately done. While gasping up, finger-twisting and pressing actions should be added with a little more fore, in the meantime, the doctor’s hands are gradually moving upwards and downwards respectively. Repeat the operations for 20 times.
(4) Push-rub forcefully from the hypochondria toward the abdomen with the two palms until a hot sensation is gained.
(5) Scrub the shoulders, the back and the lumbosacral region with a palm until a hot sensation is attained, and pat from top to below with a hollow palm for 1-3 times.
(6) The patient takes a prone position. The doctor applies grasping manipulation to the muscles of the four limbs, or pinches and grasps or presses and kneads them properly.
(7) Press-knead and pluck Hegu (LI 4), Zusanli (ST 36) and Fenglong (ST 40) for one minute respectively.
Modified manipulations with syndrome differentiation
1. For patients with obesity accompanied by asthma and palpitation, the following may also be used besides the basic manipulations.
(1) Press-knead Danzhong(CV17) and point Feimen (Ex) for one minute each.
(2) Press-knead Waiguan (TE5) and Shenmen (HT 7) for one munite each.
(3) Press-knead Pishu (BL20), Weishu (BL21) and Sanjiaoshu (BL22) for one minute each.
(4) Scrub transversely the superior part of the chest until a hot sensation is gained.
2. For patients with obesity accompanied by dizziness, insomnia and constipation, the following methods can be used additionally.
(1) Press-knead Yinyang (EX-HN3), Taiyang (EX- HN 5) and Baihui (BL9) for one minute each.
(2) Press-knead Hegu (LI 4) and Quchi (LI 11) cooperated with plucking for 1-3 minutes respectively.
(3) Palm-twist and rub the two hypochondria for 3-5 minutes.
(4) Press-knead with the hand and press with the elbow the buttocks and Huantiao(GB30) for 1-3 minutes.
Prevention is very important in avoiding incidence of obesity. On one hand, one can start from his diet, and avoids taking excessive calorie from foods. On other hand, one can do proper exercises in daily life. For those who has the problem of obesity, besides Tuina therapy
