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Tuina
manipulations are used by practitioners toprevent and treat conditions
using hands or other bodyparts over the treatment area.
The quality
of tuina manipulation is vital to ensure theeffect of the treatment.
Effective manipulations need tobe lasting, forceful, even, soft, and
penetrating to dredgemeridians, circulate qi and blood, lubricate joints
andregulate the functions of zang-fu organs.
The practice of tuina
involves moving technique andincreased force of the fingers, wrist and
arm. Beginners canpractice on a sandbag first and then on the human
body. Forsandbag practice, one needs to prepare a muslin bag sizedin 8
cunx5 cun containing clean yellow sand （small piecesof sponge can make
the sandbag more elastic）. Tighten thebag at first and gradually loosen
it. After that, one can startto do comprehensive practice on the human
body, such ashead, face, neck and nape, arms, legs, shoulder and
back,low back and buttocks, chest and hypochondriac region,and abdomen.
In
addition to manipulation techniques, tuinapractitioners should also
practice increasing the forceof fingers, wrist and arms by doing
push-ups, dumbbellraises and pinch meter. Furthermore, they should
practiceimproving coordination through Yi Jin Jing and Shao LinNei Gong.
1. Rolling （Gun） manipulation
Operation:
With naturally-bent fingers and arelaxed shoulder, place the dorsal
aspect of the 5thmetacarpophalangeal joint over the treatment area
androll the hypothenar and dorsum of hand back and forthcontinuously.
