Chinese Therapies - Week 3 - B

Overview of CMTH111 Tui Na Methods

Course Information

  • Course Title: CMTH111

  • Session: Week 3B

  • Department: Chinese Medicine Department, Endeavour College of Natural Health

Session Objectives

  • Review the six branches of Tui Na and the twenty-four Tui Na techniques including:

    • Kneading (Rou Fa)

    • Pushing (Tui Fa)

    • Grasping (Na Fa)

  • Introduction to the eight principles in channel theory.

Review

  • Review Questions:

    1. What are the six branches of Tui Na?

    2. Which branch does each of the following techniques fall under?

    • Kneading (Rou Fa)

    • Pushing (Tui Fa)

    • Grasping (Na Fa)

    1. How and where is each technique used?

    2. What are the functions and methods of each technique?

Eight Principles in Channel Theory

The Eight Principles Defined

  1. Interior / Exterior

    • Related to the classification of diseases affecting either interior organs or exterior channels.

  2. Hot / Cold

    • Differences in temperature or energetic qualities of a condition.

  3. Full / Empty (Excess / Deficiency)

    • Full indicates excess conditions, while empty indicates deficiency of Qi, Blood, or Yang.

  4. Yin / Yang

    • Energy dynamics that define the characteristics of health states.

References
  • Maciocia (2015, p. 452)

Channel Diagnosis

Interior/Exterior Channel Diagnosis

  • Interior Organs: Refers to the deeper organs of the body pertinent to internal health issues.

  • Exterior Channels: Involves potential factors affecting outer areas, often indicating surface-level disturbances.

References
  • Maciocia (2015, p. 453)

  • Maciocia (2006, p. 97)

Full/Empty Channel Diagnosis

  • Full (Excess) Characteristics:

    • Intense pain, stiffness, contractions, and cramps.

  • Empty (Deficient) Characteristics:

    • Dull ache, weakness or atrophy of the muscles, numbness.

References
  • Maciocia (2006, p. 66, 98)

Hot/Cold Channel Diagnosis

  • Hot Characteristics:

    • Accompanied by redness and heat upon touch. May present contraction and stiffness.

  • Cold Characteristics:

    • Displayed as blue hues and coldness to touch, often associated with contraction and stiffness.

References
  • Maciocia (2015, p. 455-458)

  • Maciocia (2006, p. 65-69, 245)

Yin/Yang Channel Diagnosis

  • Yang Patterns: Common in channel disorders; may present as excess or in conditions such as pain or heat.

  • Yin Patterns: Less common but can manifest in chronic stagnation or cold symptoms.

Tui Na Techniques

Detailed Descriptions of Selected Techniques

One Finger Meditation (Yi Zhi Chan Tui Fa)
  • A Tui Na version of the acupuncture needle methodology that incorporates meditation principles such as focus and attention.

  • Where Used: Specific acupuncture points and channels, typically performed with the thumb or finger.

  • Functions & Methods:

    • Small, focused, rocking movements that activate circulation of Qi & Blood.

    • Helps in dispersing Qi stagnation, blood stasis, and food retention.

    • Strengthens the Stomach & Spleen and regulates Wei and Ying Qi.

One Finger Meditation Technique
  • Procedure:

    1. Place a finger on the acupuncture point (thumb/index recommended).

    2. Allow gentle sinking into the point as the patient relaxes, registering decreased resistance.

    3. Rock the finger back and forth for 30 seconds to a minute.

    • Yin Variation: Visualize gentle ripples across water to help alleviate stagnation in deficient patients.

Rolling (Gun Fa)
  • A highly effective technique, but challenging to master; traditionally practiced on a rice bag for an extended period before application on humans.

  • Applications: Shoulders, back, waist, buttocks, hips, limbs.

  • With: Hypothenar eminence with hands in a loose fist, or using both hands in closed fists.

  • Functions & Methods:

    • Promotes warming, relaxing, and encourages Qi and blood flow.

    • Clears pathogenic influences such as Wind, Cold, and Dampness.

    • Relieves muscle tension and spasms, reduces swelling, and helps lubricate joints.

Rolling Technique
  • Steps:

    1. Apply the hypothenar eminence on the upper area of the inner bladder channel, rocking towards and away from the spine.

    2. Optionally place the second hand on the lower back for support until familiar with the motion.

    3. Perform for 2-3 minutes relying on wrist movement.

Dotting (Kou Fa)
  • A variation of dissipative techniques akin to gentle chopping motions.

  • Areas of Use: Shoulders, back, ribs, abdomen, hips, limbs, and specific acupoints.

  • Methods: Active activation of Qi and Blood; facilitates relaxation and alleviates pain while promoting recovery and harmonizing Yin & Yang.

Dotting Technique
  • Steps:

    1. Grip middle finger supported by thumb and index finger.

    2. Tap with the fingertip accurately and with appropriate force, repeating 12 times per area.

Practical Applications and Techniques

  • Activities include:

    • Musculoskeletal palpation of the arm and practice of techniques on lung, pericardium, and heart channels.

    • Utilize palpation, observation, and examination to assess areas of excess or deficiency, and hot or cold characteristics in the treated channels.

    • Document findings for discussion with instructors.

References

  1. Chengnan, S. (2000). Chinese bodywork: A complete manual of Chinese therapeutic massage. Pacific View Press.

  2. Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.). Journal of Chinese Medicine Publications.

  3. Maciocia, G. (2015). The foundations of Chinese medicine (3rd ed.). Churchill Livingstone, Edinburgh.

  4. Maciocia, G. (2006). The channels of acupuncture: Clinical use of the secondary channels and eight extraordinary vessels. Churchill Livingstone.

  5. Pritchard, S. (2015). Tui na: A manual of Chinese massage therapy. Jessica Kingsley.

Legal Notice

This material is reproduced in accordance with copyright regulations under the Commonwealth of Australia Copyright Regulations 1969. Its reproduction is authorized by the Australian College of Natural Medicine Pty Ltd (ACNM), trading as Endeavour College of Natural Health.