1. Tapping
Based on the knocking manipulation, reducing the force to make its actions penetrate into the subcutaneous tissues and the muscles, and increasing the frequency up to 80 to 100 times per minute is called tapping. Its variations are as follows．

(1) Closed Palms Tapping
With his fingers straightened and closed up, the manipulator taps a certain part of the body with the ulnar sides of the palms(Fig 125)．This manipulation is suitable the shoulder, back, chest, and hypochondriac regions. Click to read Chinese medicine Treatment for Superficial Gastritis.

(2) Flexed Fingers Tapping
With his fingers semi-flexed, the manipulator taps a certain part of the body with the dorsums of the proximal interphalangeal joints of the index and middle fingers brief1y(Fig 126). This tapping manipulation is suitable for children．
 
The tapping is brisk in manipulating, has the functions of relaxing muscles and tendons, promoting blood circulation, removing fatigue, tranquilizing mind and allaying excitement, and is applied to treat stress and insomnia as well as recovery after sports competition．

2. Patting
The manipulator is required to knock on the patient’s body solidly both in knocking with the palm root and knocking with the palm edge. If the manipulator strikes the body with a hollow Dalm briskly, the manipulation is called patting. Patting is manipulated as follows: The manipulator closes the fingers to make a hollow palm, then knocks at the patient’s body surface brisklv bv means of wrist movement (Fig 127). The patting is usually applied on the shoulder, back, sacrum and joints of the limbs, and has the functions of relaxing muscles  and tendons and promoting the blood circulation. Click to read Erosive Gastritis in TCM.

3. Pecking
The manipulator knocks on a certain part of the patient body briskly and alternately with the finger tips of the two hands．It is called pecking for the manipulation is just like the pecking movement of a chicken, In pecking, the finger tips can be opened as a bird talon or closed as a plum(Fig 128, Fig 129)．The pecking is suitable for the head and face. It has the actions of calming mind and arousing the brain, and so is applied to treat headache and insomnia．

4. Flicking
The force is delieved by the active movement of the wrist in pecking, while the elastic foree is delieved by the extensor of the fingers in flicking. In flicking, the middle finger nail (Fig 130) can be propped by either the whorl side of the index tinger or the abdomen of the thumb (Fig 131), then the middle finger pops swiftly to knock at a point with the fingertip. The flicking is suitable for the head and face and its functions are the same as that of pecking. The frequency of the patting, pecking and flicking are 100 to 120 times per minute. Click to read Chinese medicine Treatment for Erosive Gastritis.