Tuina techniques Flashcards

1
Q

Pressing

A

gentle-strong gentle, perpendicular

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2
Q

Finger pressing

A

Use thumb, use over small areas

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3
Q

Palm pressing

A

Over large areas (abdomen & back)

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4
Q

Elbow pressing

A

Over buttock area (GB 30), use if not enough pressure

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5
Q

Continuous pressing

A

Similar to pressing, use thumb, palm or olecranon, over back or lower back, perpendicular

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6
Q

Pointing

A

Use fingers, used to achieve stronger stimulation

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7
Q

Nipping

A

Make hollow fist, use thumb tip, perpendicular, gradually increase the pressure, for first aid & emergency cases (Du 25, Du 26, PC 6, PC 9, Lao Long)

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8
Q

Palpation through the touch

A

Feel with fingers or hand to inspect

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9
Q

Cupping

A

Palm is placed on the chest or abdomen and kept still

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10
Q

Warm covering

A

Two palms are rubbed together until warm, then placed gently on the body and kept still

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11
Q

Pushing

A

Use finger, palm or elbow, single-direction, straight line

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12
Q

Thumb pushing

A

Use thumb, push slowly and in one direction

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13
Q

Fist horizontal pushing

A

Make a fist, use PIP of finger to push

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14
Q

Finger horizontal pushing

A

Use fingers to push

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15
Q

Palm pushing

A

Use the palm on surface, used over large areas

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16
Q

Elbow pushing

A

Use elbow to push the larger area (gluteal area)

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17
Q

Thumb pushing along Qiao Gong Xue

A

Use with thumb, push in one direction, start from SJ17 to ST 12

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18
Q

Separating with thumbs

A

Thumbs are used to separate the region, starting from center, then move outwards, use both thumbs in opposite directions

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19
Q

Separating with palms

A

palms are used to separate the region, starting from center, then move outwards, use both palms in opposite directions

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20
Q

Rubbing-srubbing

A

Use palms or fingers on body, two-way, straight movements until heat

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21
Q

Straight rubbing

A

Use palms or fingers on body, two-way, straight movements until heat, on back, shoulders, limbs

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22
Q

Side to side rubbing

A

Use palms or fingers on body, two-way, straight movements until heat, around neck, knees, joints

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23
Q

Palm rubbing

A

Use palms on the skin, allow palms to move back and forth, large areas (chest, back, limbs)

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24
Q

Great thenar rubbing

A

Use thenar eminence, move back and forth, keep wrist straight, use on chest abdomen, anterior areas

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25
Q

Hypothenar rubbing

A

Use hypothenar eminence, move back and forth, keep wrist straight, use on shoulder, back, posterior areas

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26
Q

Wiping, mopping

A

Technique 1:
Use thumbs of both hands over patient’s forehead, make upward, one-way movements from Yin Tang to Du 24
Technique 2:
Use fingers or palms and move back and forth, up and down, left and right, or along arc-shaped lines bilaterally

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27
Q

Sweeping, scattering

A
  • Drops the shoulders, relaxes elbows, start at temple, following the arch of ear to the back of neck (GB channel)
  • Use the tips of four fingers, running along scalp while moving forearm actively, back and forth or one direction
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28
Q

Tweezering

A

Use index and middle fingers at PIP and clamps patient’s fingers or toes, squeeze and slide away

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29
Q

Skimming

A

Use whorl side of each four fingers and gently glide over the skin

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30
Q

Scraping

A

Uses whorl side of each four fingers with a heavy force, much stronger than skimming and pushing, similar to linear pushing

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31
Q

Circular rubbing

A

Use palms or fingers on surface, one-way circular movements

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32
Q

Finger circular rubbing

A

Use finger, mainly used on small areas and points

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33
Q

Palm circular rubbing

A

Use palm, mainly used on large areas and channels

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34
Q

Palm-root kneading

A

Use the palm, makes one-way, circular movement with pressure, mainly used on smaller areas and channels

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35
Q

Great thenar kneading

A

Use the great thenar, makes one-way, circular movement with pressure, mainly used on smaller areas and joints

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36
Q

Finger kneading

A

Use the finger, makes one-way, circular movement with pressure, mainly used on smaller areas and specific points

37
Q

Thumb kneading (finger kneading)

A

Use the thumb, makes one-way, circular movement with pressure, mainly used on smaller areas and specific points

38
Q

Middle finger kneading (finger kneading)

A

Use the middle finger, makes one-way, circular movement with pressure, mainly used on smaller areas and specific points

39
Q

Index finger kneading (finger kneading)

A

Use the index finger, makes one-way, circular movement with pressure, mainly used on smaller areas and specific points

40
Q

Three fingers kneading (finger kneading)

A

Use the three fingers, makes one-way, circular movement with pressure, mainly used on smaller areas and specific points

41
Q

One finger meditation

A

Use tip of thumb, exert force, relax and drop shoulder, loosen the hand, make a hollow fist, flex and extend the thumb joint, allow altering light and heavy pressure

42
Q

Thumb pushing with side tip

A

One finger meditation applied to the face, head, chest or hypochondriac region, slightly flex the wrist and extend the fingers, place the radial side of thumb tip on patient, swing back and forth

43
Q

Double flying of butterfly

A

Used on GB 20, use both thumbs to stimulate the points, swing forward and back

44
Q

Rolling

A

Flex and extend the joint, rotate the forearm; relax the shoulder and wrist joint, place hypothenar eminence

45
Q

Rolling with metacarpophalangeal joint

A

Similar to rolling but uses bony prominences of metacarpophalangeal joints, flex and extend wrist joint

46
Q

Rolling with proximal interphalangeal joint

A

Similar to rolling but uses bony prominence of proximal interphalangeal joints

47
Q

Pinching

A

Hold and lift patient’s skin, create a type of roll, move forward and alternate with thumb and fingers

48
Q

Three fingers pinching

A

Pinching with thumb, index and middle fingertips, do it along du channel

49
Q

Two fingers pinching

A

Pinching with thumb and index fingers, do it on shoulder

50
Q

Grasping

A

Use thumb with either index and middle fingers, or with all four fingers, hold and lift certain parts of body in rhythmic way

51
Q

Seizing

A

Use all fingers and “grasp”, often used on the head, shoulders, and limbs

52
Q

Three fingers seizing

A

Use thumb, index and middle fingers and “grasp”, used on the neck and shoulders

53
Q

Five fingers seizing

A

Use all fingers and “grasp”, often used on the head and limbs

54
Q

Plucking

A

Extend the thumb, index, and middle fingers, apply pressure, make a deep, short, one-way movement without lifting

55
Q

Joining

A

Places both palms on opposite sides of the joint, push the joint directly to center

56
Q

Joining method 1: Taiyang to Taiyang

A

Join with fingers or palms

57
Q

Joining method 2: Taiyang (L) to GB20 (R)

A

Join with fingers or palms

58
Q

Joining method 3: Taiyang (R) to GB 20 (L)

A

Join with fingers or palms

59
Q

Joining method 4: Forehead to occiput

A

Join with fingers or palms

60
Q

Holding-kneading, “twiddling”

A

Take patient’s fingers/toes between pads of the thumb and fingers, apply pressure, make circular movement, begin, move proximally and then distally,

61
Q

Twisting

A

Hold the patient’s limb snugly with both palms, twist and rub one way and other, move up and down along axis of the limb

62
Q

Twisting on the shoulder joint

A

Patient is seated, anchor the shoulder using both palms, one on the front and other on the back

63
Q

Twisting on the upper limb

A

Patient is seated, grasp the limb with two palms, perform foulage from upper limb to the wrist

64
Q

Twisting on the hypochondriac region

A

Use two hands to perform twisting on hypochondriac region

65
Q

Vibrating

A

Uses both finger and palm vibrating, abduct the shoulder about 30 degrees, and flex the elbow about 140 degrees.

66
Q

Palm vibrating

A

Slightly extends the wrist and with fingers relaxed, place the palm on body. Use shoulders, muscles of the forearm and hand, create intense, high frequency vibrations

67
Q

Finger vibrating

A

Slightly extends the wrist and with fingers relaxed, place the finger on body. Use shoulders, muscles of the forearm and hand, create intense, high frequency vibrations

68
Q

Waving with ulnar side of the hand

A

Place ulnar side of the hand on the body, make motion similar to a moving fishtail, flexing and extending the wrist, use it on abdomen and leg

69
Q

Waving with radial side of hand

A

Use the radial side of the hand, make motion similar to a moving fishtail, flexing and extending the wrist, use it on arm and arm joints

70
Q

Lifting-trembling

A

Combine grasping and vibrating, fingers are open, semiflexed, hold the muscles and skin gently with thumb, index and middle fingers

71
Q

Swinging

A

Based on lifting-trembling, but increases the range of trembling while simultaneously reducing the frequency. Only applied to abdomen.

72
Q

Joining-vibrating applying to the joint using acupressure

A

Combine two manipulations, use palms to push the joint from opposite sides while applying vibrations, and press down for acupressure

73
Q

Joining-vibrating only on the joint

A

Combine two manipulations, use palms to push the joint from opposite sides while applying quickly vibrations up down or left and right rapidly

74
Q

Knocking

A

“knock” on a part of body, use bony part of hand or back of a hand, closed first. Heel or the hand or palm (in neutral) is also used

75
Q

Thumping

A

Make hollow fist to drum the body, use ulnar side of the fist, relax the fist, exert force from elbows. Used on back, legs, heel, upper gluteal region.

76
Q

Chopping

A

Fingers are together, palms flat, “chops” at the patient’s body with ulnar sides of hand

77
Q

Chopping with alternating two hands

A

Chop using two hands, ulnar side, alternate two hands

78
Q

Chopping with one hand

A

Chop using ulnar side, only one hand

79
Q

Chopping with “sword fingers”, two hands-two fingers

A

Both hands join together, looks like a “gun”

80
Q

Chopping with alternate technique for the patient’s hands

A

Chop into hands

81
Q

Closed palms tapping

A

Fingers are straight, palms are closed together, use ulnar side, used on shoulder, back, chest, hypochondriac area

82
Q

Flexed fingers tapping

A

Fingers are semiflexed, use dorsa of the proximal interphalangeal joints of the index and middle fingers, suitable for children

83
Q

Patting

A

Fingers are together, make a cup with a palm, then “pat”

84
Q

Pecking with fingertips of both hands

A

Use pecking, should involve fingertips of both hands

85
Q

Pecking with fingers closed together

A

Use pecking, fingers should be closed together

86
Q

Pecking with “raining”

A

With fingers separated and relaxed, quickly move the fingers, as if playing a piano on patient’s body

87
Q

Supporting

A

Supine position, palpate and finds he outline of great curvature of stomach, straighten and close the index, middle, ring and little finger, use the whorl side of fingers as well as ulnar edge of the palm. Hold and support the stomach in counterclockwise direction

88
Q

Inserting

A

Prone position, hold left shoulder with left hand, straightens and closes index, middle, ring and little fingers. Insert fingers into space between scapula and chest wall

89
Q

Hooking

A

Supine position, flex the index, middle, ring, and little fingers of right hand, palpate the inferior border of patient’s costal border. During inhalation, pressure is applied slightly. During exhalation, pressure is reduced.