The patient is in the prone position. Clipping the patient’s ankles with his armpits, the practitioner treads against the bed legs with the toes and inclines his body backward to pull the lower limb distally by means of extending his trunk for a moment, then shakes the lower limbs laterally in traction. As the patient’s lumbar is relaxed, the practitioner suddenly shakes the lower limbs up and down, and then pulls the lower limbs again. Repeat these movements several times (Fig 307). This manipulation can remove the strapped synovialis in the posterior joint of the lumbar vertebrae, loosen the tension of lumbar muscles and promote the protruded nuclear to move away or to revert. It is applied for the treatment of acute lumbar sprain, subluxation of the lumbar vertebra and protrusion of lumbar intervertebral disc. Click to read Gilbert's Syndrome in TCM.