The principle of Tuina Therapy: removing dampness and strengthening the kidney
(1) The patient takes a prone position. The doctor stands by his side, presses and kneads, and palm-twists and scrubs the caudal region with the two palms until a hot sensation is achieved.
(2) Digitally-press Baliao (BL31-BL34) with the two thumbs for 3-5 minutes, and then strike the points with the metacarpal-phalangeal parts or a slightly-bent palm for one minute.
(3) The patient lies on his back. The doctor places one palm or two overlapped palms on Gaunyuan (CV4) to press-knead and circularly rub toward the public region repeatedly for 3-5 minutes.
(4) Place both palms beside the umbilicus, obliquely push-scrub toward the public until a hot sensation is achieved.
(5) Press-knead Yinlingquan (SP9) and Sanyinjiao (SP6) with a finger for one minutes respectively.
Modified Manipulations with syndrome differentiation
1. Syndrome of Downward Infusion of Damp-heat
The manipulations may include the following besides the basic ones.
(1) Push-scrub the medial side of the thigh with one palm from top to below till a hot sensation is achieved.
(2) Press-knead Sanyinjiao (SP6), Taichong (LR 3) and Yinlingquan (SP9) for one munite respectively.
(3) Palm-rub and scrub the inguinal regions for one minute.
2. Syndrome of Asthenic Kidney Qi
The manipulation may include the following in addition to those basic ones.
(1) Push-scrub the medial sides of the thighs with one palm from top to below until a hot sensation is achieved.
(2) Scrub transversely Mingmen (GV4) until a hot sensation is achieved.
(3) Press-knead Zusanli (ST 36) and Taixi (KI3) for one minute respectively.
(4) Palm-twist and scrub Yongquan (KI 1) for 1-3 minutes.
(5) Press-knead the perineum for one minute.
