Traditional Chinese Medicine Health -Massage Maneuvers and Kneading maneuver

Manipulation: This maneuver can be divided into finger-kneading and palm-kneading methods. In the finger-kneading maneuver, the pad of the finger is put steadily on the acupoints or areas with the wrist relaxed, and then the forearm is repeatedly swayed to and fro, with the elbow as a fulcrum, to gently and slowly sway and rotate the wrist and palm to conduct the rotating force to the finger. In the palm-kneading maneuver, the the-nar and hypothenar prominences or the root of the palm are put over the acupoints or areas for a similar swaying and rotating movement by the forearm. This maneuver should be performed gently and rhythmically
There are some modified methods for doing the kneading maneuver such as using several fingers placed side by side, or with the two palms placed face to face. However, the finger(s) or palm(s) must be placed steadily on the acupoints or areas to gently and persistently apply this maneuver for a longer period of time.
Indications: The kneading maneuver should be applied to the acupoints or areas superficially distributed on a flat and wide region to produce an adjusting and tonic effect. It may be used to treat chronic and deficient diseases, tissue strain, and local swelling and pain. It is also useful for maintaining health.
4. Pushing maneuver:
Manipulation: The pad of a single finger or multiple fingers, and the thenar and hypothenar prominences or the root of palm may be placed at certain points on the hand or foot to perform one directional and linear movement over the skin. The finger or palm should be placed steadily on the skin and a stable pressure applied to reach the tissue layer at a fixed depth for pushing with a slow and even speed
The pushing maneuver is usually applied along the direction of the bones with a force adjusted according to therapeutic requirements. If the pushing maneuver is applied across the bones, the force should be applied to a depth not beyond the most superficial bone, and this force should not be very strong, otherwise the finger or palm will meet resistance, the therapeutic effect may be reduced, and the skin and underlying tissue may be injured.
Indications : The pushing maneuver is usually applied along the longitudinal direction of the fingers and palm or along various sides of the fingers. It is used to treat chronic diseases, suffering due to strain, continuous dull pain and deficient and cold diseases. It is also useful for maintaining health. After application of the pushing maneuver for a period of time, it may be replaced by the rubbing maneuver.
5. Pinching maneuver:
Manipulation: The pinching maneuver is a strong simulating method applied with the tip of thumb and the radial border of the thumbnail to the sensitive acupoints or areas; or applied with the thumbnail edge on one side and the nail edges of the fingers on the other side to apply opposite pressure from both sides. The pinching pressure should be gradually increased to reach the deep tissue and produce a strong stimulating sensation, but the skin should be protected from injury caused by the nails. The pinching maneuver should be applied for a short time and any discomfort produced by this maneuver can be relieved by the gentle local kneading maneuver. The skin may be damaged if the pinching maneuver is not applied stably with the nails repeatedly slided away from the acupoints
The tips of both thumbs may be used to employ the opposite pinching maneuver instead of using the nails. The pinching pressure is held for half a minute after it reaches the proper depth, and then the acupoint or area is gently kneaded for half a minute after the pressure is released. The manipulation may be repeated several times, and the pinching maneuver may be applied at a quicker rhythm. Indications: The pinching maneuver is usually applied at the fingers and toes, at the narrow joint spaces of the fingers and toes, and at the metacarphalangeal joints. It may be used in combination with pressing, kneading and twisting maneuvers to treat acute diseases, pain, psychosis, and neurasthenia.

Source: TCM Treat disease- General Discussion of Massage Maneuvers
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