Anmo Tuina- Chinese Massage

Tyler J. Rowe BTCM-Acu BTCM-Chm Dip-Tn CertIV-Fs Cert-CA Cert-ONM

IntroductionChinese Massage nm Tun Press rub Push grasp

Eight Branches of Chinese Medicine Zhnji - Acupuncture & Moxibustion Coyo - Herbal Medicine Shlio - Dietary Therapy Tun - Massage Therapy Wsh - Martial Arts Qgng - Meditation Fngshu - Geomancy Shsh - Astrology

Hungd Nijing Swn Yellow Emperors Internal Medicine Classic Simple Questions

Chapter 1 The Universal Truth

In the past, people practiced the Dao, the Way of Life. They understood the principle of balance, of yin and yang, as represented by the transformations of the energies of the universe. Thus, they formulated practices such as Daoyin, an exercise combining stretching massaging, and breathing to promote energy flow, and meditation to help maintain and harmonise themselves with the universe.

Chapter 24 Channel Constituents and Acupuncture Techniques

People who are repeatedly startled or traumatised have an obstruction of qiand blood in the channels and collaterals. They can manifest numbness or paralysis of the extremities. One should use tuina, massage, and herb wine in these cases.

Hungd Nijing Lngshu Yellow Emperors Internal Medicine Classic Spiritual Pivot

the conduct of the movement of qi, by massage, moxibustion, ironing out, needling, fire needling or drinking medicines. - Scroll 7 part 42. The Propagation of Disease

The round needle has the shape of an egg. It is used for rubbing and massage, to divide and to separate so as not to injure the muscles and flesh. - Scroll 1 part 1. Of Nine Needles and Twelve Source Points

It is necessary to massage the channels first. - Scroll 1 part 4. Noxious Qis Disease

It is necessary to first massage the locations for as long a time as there is a resonance in hand. - Scroll 8 part 52. Protective Qi

When the channels are shallow, do not needle until the channel has been massagedso that the essence does not come out, then needle. - Scroll 2 part 7. On Governing the Needles

To harmonize, press and massage that qi which is excessive in the channels. - Scroll 4 part 19. To Qi of the Four Seasons

When the needling is finished, massage to finish the pain at this location.

When the needling is finished, massage until it is established that the pain has stopped. - Scroll 5 part 26. Assorted Diseases

Zhenjiu Jiayijing The Systematic Classic of Acupuncture and Moxibustion

Throughout the course of their therapy [foot yangming channel sinew], massage should be applied. Book Two verse 6. Channel Sinews

To treat them [central region excess], cultivation of qi and massage are appropriate. Book Six verse 2-3. Great Treatise on the Favourable & Unfavourable, Root & Branch of Disease, Physiographic Characteristics, and Configurations & Orientations

At this juncture [liver bi], massage and acupuncture are indicated At this point [spleen wind]massage, medication, and fire-branding are indicated At this point [shan conglomeration], massage and medication are indicated. - Book Eight verse1-1. On the transmission of Disease Among the Five Viscera Producing Cold & Heat

In the case of tugging and tension [in the muscles], one must perform cultivation of qi and massage to promote circulation. Book Ten verse 1-1. The Contraction of Disease by Yin Causing Bi

Specialities

Bzhngxu Arthralgia Syndrome

(Rheumatology)

Wishngxu External Injury

(Traumatology)

Zhngg Bone Setting

(Orthopaedics)

Characteristics

Definition the manual manipulation of points, muscles, bones and sinews with the hand, elbow or knee, for the purposes of alleviating injury and illness, maintaining health, and preventing disease, through stimulation or reduction of the channels and pathways.

Requirements Smoothness Strength Stability Rhythm Flexibility

Functions & Effects

Functions

Promote circulation of qi and relieve stagnation

Invigorate xue and dispel stasis

Relax the sinews

Indications

Soft tissue injury

Chronic joint pain

Muscular dysfunction & atrophy

Paediatric Illness*

Contraindications

Fracture & Dislocation

Open wounds

Deep Vein Thrombosis

Spinal Manipulation*

Treatment prescription & sequence

i. Opening techniques short duration, superficial, gentle methods

ii. Channel movements long duration, moderate strength and depth

iii. Point manipulations deep tissue, specific locations & mobilisations

Media & Tools

Cloth no oil needed, barrier, warmth

Liniments, oils, ointments & plasters

Appliances & devices

Practice bag / rice bag

Structures

g bones

jng channels

jn sinews

jng jn channel sinews( Lngsh Spiritual Pivot Scroll 4 part 13)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Diagnosis Q (Stagnation) Xu Blood (Stasis)

moving fixed

generalised localised

dull sharp

worse with emotional stress unaffected by emotions

X Empty Sh Full

chronic acute

aggravated by tiredness aggravated by stillness

alleviated by rest alleviated by movement

weakness & flaccidity stiffness & swelling

enjoys pressure tenderness

Assessment

a) Questioning location, nature, duration, frequency, radiation, aggravating, relieving

b) Observing alignment/posture, skin colour, vasculation, reproducing pain

c) Palpate passive range of movement, resistance, mn scan temperature, xngo-along channels, n press ashi-tender points, b pluck sinews

Gun fa Rolling

Frequency 120-180 b/p/m

Intensity light to strong

Penetration deep

Location thick muscled areas, static or dynamic

Action promote qi and invigorate xue

Tools dorsal aspect of hand

Method roll obliquely from the 5th knuckle towards the root of the thumb, fingers relaxed, hand open

Yi ZhiChan Tui Fa- One Finger

Meditation

Frequency 120-180 b/p/m

Intensity light to strong

Penetration deep

Location points or channels, static or dynamic

Action promote qi, invigorate xue and dispel stasis

Tools radial aspect of thumb, thenar eminance

Method flex and extend the thumb, taking care not to contact with the knuckles

Mo Fa Rubbing

Frequency 60-90 b/p/m

Intensity light

Penetration superficial

Location systematic, dynamic

Action opens channels

Tools palmer aspect of hand

Method circling clockwise or anti-clockwise, with a loose hand

Ca Fa Scrubbing

Frequency 180-240 b/p/m

Intensity moderate

Penetration superficial

Location systematic, dynamic

Action warm channels

Tools palmer aspect of hand, blade of palm

Method vigorously rub longitudinally or horizontally, with a firm hand

Rou Fa Kneading

Frequency 60-90 b/p/m

Intensity light to strong

Penetration deep

Location ridges, dynamic or static

Action promote qi and invigorate xue

Tools palmer aspect of fingers

Method pinch and squeeze with the finger and thumb pads, using a wide grip

Na Fa -Grasping

Frequency 1-12 b/p/m

Intensity strong

Penetration deep

Location ridges, static

Action promote qi and invigorate xue

Tools palmer aspect of hand and fingers

Method clasp the finger pads toward the palm, lift using a narrow grip

An Fa -Pressing

Frequency 1-12 b/p/m

Intensity strong

Penetration deep

Location points, static

Action promote qi, invigorate xue and dispel stasis

Tools tip of finger/thumb, root of palm, knuckle, fist, elbows, knees

Method apply firm vertical pressure, optional circling

Tui Fa Pushing

Frequency 4-12 b/p/m

Intensity strong

Penetration deep

Location thick muscled areas, dynamic

Action promote qi, invigorate xue and disperses stasis

Tools thumb or finger pads, root of palm, elbow

Method obliquely apply firm pressure then slide along the surface

Ji Fa Striking

Frequency 240-360

Intensity moderate

Penetration deep

Location thick muscled areas, dynamic or static

Action promote qi and invigorate xue, relax sinews

Tools blade of palm, fist, dorsum of hand, cupped hand, cranes beak

Method alternately strike in a drumming action with both hands

Zhen Fa Vibrating

Frequency 240-480 b/p/m

Intensity strong

Penetration deep

Location thick muscled areas, static

Action invigorate xue and dispel stasis

Tools finger tips, palmer surface of hand

Method place finger tips/palm vertically over area, thumb pulled in, shake horizontally and longitudinally

Cuo Fa Foulageing

Frequency 120-240 b/p/m

Intensity light

Penetration superficial

Location limbs, neck or costal region, dynamic or static

Action promote qi and invigorate xue, relax sinews

Tools palmer surface of hand

Method with palms facing inward to the contact area create a rolling action by alternately moving the hands upward and downward

Dou Fa Shaking

Frequency 120-360 b/p/m

Intensity light to moderate

Penetration deep

Location limbs, dynamic or

static

Action relax sinews

Tools hand

Method firmly grasp the extremity with both or one hand (the other hand can support the joint), shake upward and downward

Yao Fa Rotating

Frequency 6-12 b/p/m

Intensity moderate

Penetration deep

Location limbs and neck,

dynamic

Action relax sinews

Tools hands

Method firmly grasp the extremity with both or one hand (the other hand can support the joint), progress the joint through the normal range of movement.

Ban Shen Fa Stretching

Frequency 1-2 b/p/m

Intensity light to strong

Penetration deep

Location joints, static

Action relax sinews

Tools hands, elbows, knees

Method various passive flexibility exercises depending upon joint

Head & Neck

Common Ailments

headache, stiff neck, cervical osteoarthritis

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, dizziness, light headedness, radiation to the upper limb, parasthesia, neuropathy, photosensitivity, nausea, nasal discharge or congestion, redness, oedema, heat

Assessment

observation of symmetry, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Arm Taiyang Small Intestine & Arm Yangming Large Intestine

Head & Neck Main Treatment Sequence

Foulageing neck Kneading & Grasping neck, Gb20, 21, Bailao

One finger meditation - Anmain, Gb20, Bl10, Du16

Rolling neck & nape Pressing Anmain, Gb20, Bl10, 60, Du16, Si3,13

Scrubbing Du14 Stretching & Rotating

Modifications

Headache: Kneading scalp Tapping scalp

Pressing Taiyang, Co4, Lv3, Bitong, Yintang

Stiff neck: Pressing - Gb39, Luozhen

Osteoarthritis: Pressing Bl11 Pushing Bailao, Bl11

Rehabilitation

Sash rotation, flexion and side bending (passive and resited)

Thoracic Regoin

Common Ailments

intercostal strain, muscular spasm, subluxation of vertebrae

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, radiation to the head and neck or lumbar region, shortness of breath, redness, oedema, heat, dislocation of vertebrae

Assessment

observation of symmetry during breathing, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder, Leg ShaoyangGallbladder & Arm Yangming Large Intestine

Thoracic Regoin Main Treatment Sequence

Rubbing thoracic One finger meditation Bl, Jiaji, Du

Rolling Bl, Jiaji, Du Pressing Si13, Bl, Jiaji, Du

Grasping Bl, Du Pushing - Bl, Jiaji

Striking Bl Scrubbing Bl

Foulageing Costal Stretching

Modifications

Intercostal strain: Pressing Lv13, Gb25, Sp21

Muscular spasm: Pressing Bl17, 46

Subluxation of vertebrae : Pressing Gb34, Si3, Sj5

Rehabilitation

Sash cross on back

Lower Back

Common Ailments

acute lumbar sprain, disc pathology, arthritis

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, radiation to thoracic or pelvis and lower limb, parasthesia, neuropathy, weakness, tenderness, redness, oedema, heat or coldness, compensatory curvature deformities, narrowing of intervertebralspaces, vascular congestion, constipation

Assessment

observation of symmetry, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder & Leg Shaoyang Gallbladder

Lower Back Main Treatment Sequence

Rubbing lumbar One finger meditation Bl, Jiaji, Du, Yaoyan

Rolling Bl, Jiaji, Du Pressing Bl, Jiaji, Du, Yaoyan

Grasping Bl, Du Pushing - Bl, Jiaji

Striking Bl Scrubbing Bl, Jiaji, Du, Yaoyan

Stretching Rotating

Modifications

Lumbar sprain: Pressing Bl40, 60, Yaoytong

Disc injury: Pressing Bl25, 31-33, 54, Si3 Scrubbing - Gao

Arthritis : Pressing Du4, Bl23, 57 Pushing - Gao

Rehabilitation

Sash assisted four-point core exercises, lumbar and hamstring stretches

Shoulder

Common Ailments

tendonitis, a-c joint sprain, frozen shoulder

Clinical Manifestations

dull ache or sharp pain, worse at night, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to thoracic, neck, upper limb, parasthesia, neuropathy, atrophy, weakness, joint luxation, swelling, tenderness, redness, oedema, heat or coldness

Assessment

observation of symmetry, flexion, extension, internal and external rotation, adduction, abduction, scaption, palpation of Arm TaiyangSmall Intestine, Arm Yangming Large Intestine, Arm Shaoyang Sanjiao & Arm Jueyin Pericardium

Shoulder Main Treatment Sequence

Rubbing shoulder Kneading & Grasping Co, Sj

One finger meditatn Gb21, Co15, Sj14, Si9-13

Rolling Co, Si, Sj Pressing Gb21, Co15, Sj14, Si9-13

Pushing Co, Sj Striking Co, Si, Sj Scrubbing Co, Si, SjFoulageing Co Stretching Rotating Shaking

Modifications

Tendonitis: Pressing Co11, 16, Sj5, Gb34

A-C joint sprain: Pressing Jianqian, Jianneiling

Frozen shoulder: Pressing Co4, St38 Pushing - Bl41

Rehabilitation

Health ball rotations on wall, Bamboo cane stretches

Upper Limb

Common Ailments

tendonitis, carpel tunnel syndrome, rheumatoid arthritis

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to shoulder, parasthesia, neuropathy, atrophy, weakness, joint deformity, swelling, tenderness, redness, oedema, heat or coldness

Assessment

observation of symmetry, flexion, extension, rotation, adduction, abduction, palpation of Arm Taiyang Small Intestine, Arm YangmingLarge Intestine, Arm Shaoyang Sanjiao, Arm Taiyin Lung, Arm ShaoyinHeart, Arm Jueyin Pericardium

Upper Limb Main Treatment Sequence

Rubbing arm Kneading & Grasping Lu, Sj, Co

One finger meditatn Co10, 11, Lu3, 5, Pc3, 4, Sj5

Pressing Co4, 5, 10, 11, Lu3, 5, 10, Pc3, 4, 6, 8, Sj2, 5, 10, Si3, 6, 8, Ht3, 8

Rolling - Lu, Sj, Co Pushing/Scrubbing - Lu, Sj, Co, Pc

Foulageing Lu, Sj, Co Stretching Rotating Shaking

Modifications

Tendonitis: Plucking - tendon Pressing epichondyle points

Carpel tunnel: Pushing Pc7, Sj4

Arthritis: Pinching Shixuan Pressing baxie, shangbaxe

Rehabilitation

Health ball rotations, Bamboo cane stretches

Pelvis & Hip

Common Ailments

sciatica/piriformis syndrome, arthritis, muscular strain

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to lower back or lower limb, parasthesia, neuropathy, atrophy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or coldness

Assessment

observation of symmetry, flexion, extension, rotation, adduction, abduction, palpation of Leg Taiyang Bladder, Leg ShaoyangGallbladder, Leg Yangming Stomach, Leg Taiyin Spleen

Pelvis & Hip Main Treatment Sequence

Rubbing hip Kneading & Grasping Gb, St

Rolling - Bl, Gb Pressing Bl36, 54, Gb29, 30, 34

Pushing Bl, Gb Striking Bl, Gb Scrubbing Bl, Gb

Foulageing Hip Stretching Rotating Shaking

Modifications

Sciatic/Piriformis: Pressing Jiaji, Bl40, 57, 60, Gb41

Arthritis: Pushing/Scrubbing - Gao

Muscular strain: Pressing/Pushing Bl37, Sp10, 11, St31, Lv8

Rehabilitation

Sash assisted lumbar & hamstring stretch, plum blossom stake rolling

Lower Limb

Common Ailments

tendonitis/ankle sprain, plantar faciitis, shin splints

Clinical Manifestations

dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to lower back or limb, atrophy, parasthesia, neuropathy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or coldness, crepitus, vascular congestion

Assessment

observation of symmetry, flexion, extension, rotation, pronation, supination, palpation of Leg Taiyang Bladder, Leg ShaoyangGallbladder, Leg Yangming Stomach, Leg Taiyin Spleen, Leg ShaoyinKidney, Leg Jueyin Liver

Lower Limb Main Treatment Sequence

Rubbing leg Kneading & Grasping Bl, Gb, St

One finger meditatn Bl37, 40, 57, Sp6, 9, 10, Kd1

Pressing Xiyan, St36, Sp6, 9, 10, Bl37, 40, 57, 60, Gb34, 41, Kd3

Rolling - Bl, Gb, St, Kd Pushing/Scrubbing Bl, Gb, St, Kd

Foulageing Lv, Gb Stretching Rotating Shaking

Modifications

Tendonitis: Pressing Gb40, St41, Lv4, Kd4 Plucking - tendon

Fasciitis: Pressing - Bl61, 62, St43, Sp3,4, 3, Kd2 Grasping

Shin splints: Pressing/Pushing Lv5, Kd7 Striking St, Lv/Kd

Rehabilitation

Plum blossom stake stepping and rolling