First, keep natural and relaxed when using skills.
1. One-finger brush pushing method: The operator holds an empty fist, the thumb is naturally straightened, and the eye of the fist is covered, and the finger tip or threaded surface is used to exert force on the treatment site or acupoint, and the shoulder is sunk and the elbow is turned. With the elbow joint as the fulcrum, the forearm actively swings to drive the wrist joint, thumb metacarpophalangeal joint or interphalangeal joint, so that the generated skills are alternately performed and continuously applied to the treatment site or acupoint.
2. Rolling method: the fingers of the performer naturally bend, and the dorsal part of the fifth metacarpophalangeal joint is fixed on the treatment site or acupoint. The shoulder joint is relaxed, with the elbow joint as the fulcrum, and the forearm swings actively, which drives the wrist joint, flexion and extension, and forearm to rotate, so that the dorsal metacarpal (the dorsal metacarpal triangle with the third, fourth and fifth metacarpophalangeal joints as the axis and the thenar side of the palm as the axis, where the two axes intersect) rolls back and forth continuously on the treatment site or acupoint.
3. Kneading method: The performer relaxes the wrist, takes the elbow as the fulcrum, and actively swings the forearm to drive the wrist to rotate gently.
4. Moxibustion: Relax the shoulders, elbows, wrists and elbow joints slightly, naturally straighten the metacarpal joints, gently place them on a certain part of the body surface, and then do a gentle and coordinated circular massage with the forearm, either clockwise or counterclockwise.
5. Grip method: naturally relax the shoulders and arms, focus on the wrist and metacarpophalangeal joints, and focus on the line surface of the fingers, making a lifting action that tightens up and loosens down.
6. Push method: move fingers and palms with shoulder, elbow and wrist joints, and push elbows in the specified direction. When pushing, a certain pressure is needed, which can be concentrated on the treatment site or acupoint. The force should be steady, the pushing speed should be slow, and the force should be close to the skin.
The above are the essentials of several techniques. In addition, although the natural relaxation of shoulders, elbows and bowls is not explicitly mentioned in other manipulations, attention must also be paid to the practical application of manipulations. If some techniques are done through the movement of the shoulder joint; Some rely on elbow flexion and extension to complete the operation; Some rely on the wrist joint to drive the forearm movement, or the forearm movement drives the wrist joint movement to complete; Some are done by the movement of metacarpophalangeal joints or fingertip joints, and some techniques are done by an action. However, in practice, it can only be said that some joints are mainly exercised, and other joints and parts naturally relax moderately, that is, those techniques that do not mention that some parts need exercise or relaxation. It is also necessary to consider which parts need exercise and which parts need coordination, and the coordinated parts naturally relax moderately. Only in this way can the technique achieve the requirements of persistence, strength, uniformity and gentleness, achieve the purpose of infiltration, and force them to meet at will according to their illness, age and physique.
Second, to increase the strength and flexibility of manipulation, we should learn to use our own weight and greater joint assistance to complete it.
The strength of manipulation is not only achieved by manipulation, but also by weight, such as rolling pressure. Knead the back, waist and abdomen, and the back of big legs, lean forward to increase part of the pressure, which is transmitted to the palm of your hand through your shoulders, elbows and wrists. Elbow rolling, elbow rubbing, elbow pulling and elbow pressing of the back, buttocks and lower limbs also rely on the forward leaning of the body, which is transmitted to the ulnar olecranon or the ulnar side of the forearm through the shoulder to increase the strength of the surgical site. It is also necessary to use the dot method in some parts. How to reduce the degree of physical exertion without affecting the normal operation of manipulation depends on the operator's flexible grasp, careful experience, exploration and skilled application in combination with his height, weight, operating position and manipulation angle and the conditions provided by massage facilities at that time.
Relatively speaking, the muscles of the larger joints are more developed, the strength generated by contraction is also greater, and the joint activities are more flexible. If some manipulations can be done with larger joints, the manipulations will be better. For example, there are two kinds of thumb rubbing methods. One is to move the subcutaneous tissue under the thumb line through the circular motion of the metacarpophalangeal joint; Second, the circular motion of the wrist joint, coupled with the swing of the forearm, drives the subcutaneous tissue under the thumb line to rub. It is not difficult to see that the latter has more advantages (less fatigue, firmness, easy penetration and more flexible kneading). For another example, when the patient lies on his side, the operator fixes his fingertips horizontally on the sacrospinous muscle by overlapping his thumbs, and uses the movement of the waist to transfer the force to the fingertips of the thumb through his shoulders, elbows and wrists, thus pulling the sacrospinous muscle. Third, adjust your posture and change your technique properly at work.
Proper posture during massage is beneficial to manipulation, but a posture that lasts too long is easy to cause fatigue, which will cause damage to some tissues of the body over time. At the same time, changing posture in time is also beneficial to fully implement the role of manipulation in the parts where patients need treatment or adjustment. Such as massage, nerve root massage and mixed cervical spondylosis, the patient sits on a stool, and the operator first stands in front of the patient for head massage, then stands on his side for neck massage, then stands behind him for neck, shoulder and back massage, and finally stands on the side or in front for upper limb massage; Another example is the whole body health massage, in which the operator lies on his back and sits on the stool in front of the operator's head for head and face massage, then he lies on his side for upper limb massage, then he lies on his side for back of the head, neck, waist, buttocks, back of lower limbs and feet massage, and finally he lies on his back and massages the inside, outside and front of lower limbs. As can be seen from the above, the performer must change the massage posture in time, whether doing local massage or full body massage, sitting massage or horizontal massage. In addition, the operator's massage techniques should be changed in time, which will not only help to give full play to the role of various techniques and achieve good results, but also make the tissue with tight contraction get a relative rest after the last manipulation. It is also of great positive significance to delay or avoid the occurrence of occupational diseases.
The above is about the technique of manipulation, but just mastering the technique of manipulation may not necessarily achieve a good massage effect. Experienced masseur, proper use of massage time and stimulation, good massage effect. Although experience is the result of long-term accumulation, there are rules to follow.
Different individuals or different parts of the same person need different amounts of massage stimulation, even if the same person needs the same part, the amount of stimulation will change to some extent. For people who receive massage for the first time, the amount of stimulation needs to be relatively small. After several massages, you can appropriately increase the amount of stimulation. Moreover, for those who are nervous, psychologically timid and physically weak, the technique should be relatively light, and for those who are mentally normal, distracted, determined and physically strong, the technique can be heavier. Individual differences mainly refer to differences in age, physique, gender and disease. Children have delicate skin and are highly sensitive to artificial stimuli. The elderly are in a period of aging and degeneration, with fragile bones and poor muscle elasticity. Too much massage stimulation can easily cause soft tissue injury or fracture. Women's muscle tension is smaller than men's, their subcutaneous fat is thicker and their muscles are not as developed as men's. They are as weak as people who have been ill for a long time, and excessive massage can easily cause adverse reactions or consequences. Therefore, for children, the elderly, women with weak physique and patients with chronic diseases, the amount of stimulation should be appropriately reduced. On the contrary, for young adults, men, people with strong physique, obesity and health, the amount of stimulation can be relatively increased. For patients with limb paralysis, we can distinguish between true and false, and flexibly master the stimulation amount of manipulation according to the feeling of manipulation, so as to adapt it to the disease and improve the treatment effect.
Time refers to the duration of manipulation. The longer the manipulation lasts, the greater the total stimulation and the better the therapeutic effect. In addition, the effect is related to the quality of the technique. Generally speaking, it takes about 20 minutes for the part with moderate intensity, 30-60 minutes for the whole body massage with moderate intensity, 3-5 minutes for the part with small intensity, 60 minutes for the light whole body massage, and 0/0-/0/5 minutes for children, usually once a day or once every other day.
In addition, in practical work, in addition to the above rules, we should flexibly analyze and master the massage time and stimulation according to the specific situation to achieve the best effect.