The patient is in the prone position with a few pillows under his chest and pelvis to make his spine overextended and his abdomen suspended. Holding a handrail which is fixed on the wall to support his weight, the practitioner steps gently on the patient’s lumbar with his toes. Then the patient is asked to take a deep breath. When the patient’s muscle is relaxed, the practitioner springs up and drops down according to the respiratory cycles rhythmically, i. e, 1eaping up gently in the inhaling period and falling down in the exhaling period. Click to read Idiopathic Pulmonary Hemosiderosis in TCM.

Note: The toes should not leave the lumbar in order to avoid shocking force that may cause injury (Fig 296). It is allowed to gradually increase the springing force according to the patient’s constitution, but not beyond the patient’s endurance. Generally speaking, the practitioner can repeat springing 5 to 10 times. This manipulation is applicable to the treatment of the protrusion of the lumbar intervertebral disc, but it is seldom used at present. The spring notion of the toes in stepping may be replaced with rhythmic, brief thrusting motion of the hands. In this way, the magnitude of force and the range of spring can be easily controlled, then this manipulation is not stepping, but is called pressing-vibrating lumbar (Fig 297)．Click to read TCM Treatment for Idiopathic Pulmonary Hemosiderosis.