1. Reduction of Hip Joint Subluxation in Children

The suffered child lies in the supine position. Standing by the suffered side, the practitioner presses the anterior superior iliac spine with one hand, and holds the lower part of the thigh with the other hand．Then the practitioner draws the leg in abductive position and waves and rotates it slightly (Fig 272). Sometimes,a restoration sound can be heard and the two legs may reinstate the same length．If the above manipulation does not succeed, the practitioner can hold the ankle with one hand and the knee with the other hand to flex the knee and the hip joints, and presses the knee under the abductive position as possible as he can to cause the thigh in touch with the abdomen. Then the practitioner makes a series of movement, during which the lower extremity is rotated laterally, then stretched so as to lead the hip joint to be abducted．The moving route of the whole course is just like the mark．Generally speaking, a restoration sound can be heard during the course, in the meanwhile the two legs may regain the same length, which indicates that the reduction is successful．This manipulation is applicable to the reduction of the children’s subluxation of the hip joint (Fig 273)．Click to read Parkinson's Disease (PD) in TCM.

2. Reduction of Hip Joint Subluxation in Adults

The patient is in the lateral lying position with the suffered leg flexed and the other leg stretched. Standing in front of the patient, the practitioner holds the upper end of the thigh to lift it for a while, and props the knee to press it downward with his abdomen; then makes the suffered leg abducted then laterally rotated and then stretched. During this course, a"gezl" sound can often be heard, which indicates that the joint is restored(Fig 274). If the manipulation does not get success, you should not repeat it again, but you can apply it two days later. This manipulation is applicable to the reduction of the adult’s subluxation of the hip joint. Click to read TCM Treatment Evaluation for Parkinson's Disease.

3. Wrenching Hip Joint as Constrained Patrick’s Test

Lying in the supine position, the patient flexes, laterally rotates and abducts the hip, flexes the knee of the suffered leg, and puts the heel on the healthy knee to form a "4" mark．Standing by the suffered side, the practitioner presses the opposite anterior superior iliac spine with one hand, pushes the knee downward with the other hand gradually to make the hip joint abducted and laterally rotated to its elastic barrier position; then makes a sudden and controlled wrenching to expand the range of laterally abducting and rotating the hip joint 3 to 5 degrees; then loosens the hip immediately．Repeat the above movements 3 to 5 times. This manipulation is applicable to the treatment of the strain of the abductor muscles and the bursal synovitis of the hip (Fig 275)．

Appendix]Rolling Coordinated with Wrenching the Hip

1) Rolling Coordinated with Medial Rotating-Wrenching Hip Joint
The patient is in the prone position．The practitioner delivers rolling on the buttocks over and over at first. While imposing rolling stimulation 013 the piriformis area with one hand, the practitioner holds the ankle to flex the suffered side and pull the angle laterally to its painful barrier position(medial rotation of the hip)with the other hand．At this moment, the practitioner makes a sudden and controlled wrenching to expand medial rotation range 3 to 5 degrees, and loosens it immediately．Repeat the above movements 3 to 5 times (Fig 276). Click to read Gonorrhea in TCM.

2) Rolling Coordinated with Wrenching Hip Joint as Inforced Patrick’s Test

The patient is in the supine position, puts the heel of the suffered lower limb on the knee of the healthy side to form a"4" mark．The practitioner applies the rolling manipulation on the regions of groin, abductor muscles at first．Then the practitioner de1ieves the rolling stimulation on these regions with one hand, pushes the suffered knee downward to its painful barrier position with the other hand．At this moment, the practitioner makes a sudden and controlled thrusting to expand the abduction and lateral rotation range of the hip 3 to 5 degrees, and loosens the hip immediately. Repeat the above manipulation 3 to 5 times(Fig 277). This manipulation is applicable to the treatment of the strain of the abductor muscles, the bursitis of the hip joint and the syndrome of the transverse process of the third lumbar veflebra. Click to read Chinese medicine Treatment for Gonorrhea.