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Introduction | Tuina is a simple and easy treatment that everyone can do, but how can it achieve the effect of tonifying diarrhea like Chinese medicine?
The art of Tuina is most concerned about practical efficacy, and the decision to massage the efficacy of the treatment mainly lies in the nature of the technique, and the nature should be tonic diarrhea first, the Yellow Emperor's Inner Classic" Yun: "Tonic diarrhea, disease benefits", which shows its importance. Only by defining the diarrhea of Tuina can it be based on the dialectics of Traditional Chinese medicine, and the virtual is supplemented, and the actual diarrhea is diarrhea.
Acupuncture and tuina both fall under the category of TCM external treatment, both emphasize the importance of techniques, and diarrhea is the core of the techniques.
In the same way, tuina has both external stimuli and the same physiological structure as acupuncture. If the tuina technique, including form, stimulation amount, speed and other factors, is compared to the active substance that treats the disease, then the acupuncture points and substabular structures of the injured human body are the receptors. Different active substances have different biological effects on the body, and even if the same substance acts on different receptors, it will have a unique effect, but the effect is still generally biased towards "complement".
First, the definition of Tui Na laxative
Tuina diarrhea, under the guidance of the theory of dialectical treatment in traditional Chinese medicine, the doctor uses the hand, finger or a certain part of the body to select the corresponding application site (and acupuncture points) with a certain force, direction of movement, speed, and select the corresponding application site (and acupuncture points), and to act on the patient's body surface, muscles, and muscles for a certain period of action, so that the force is transmitted to the internal organs, bones, fascia and muscle depths, so that a series of material metabolism changes occur in the tissue cells and organs inside the body to affect the conduction of various nerves, change the human nerves, and the regulation of nerves - body fluids. Improves endocrine function in the body.
Its effect is reflected to the patient's own feelings, which is the reduction and disappearance of cold, pain, heat, swelling, acid, numbness and transmission sensation and symptoms at the site or acupuncture point, so as to achieve the regulation of the body's qi, blood, yin, yang and visceral function, and to achieve the therapeutic purpose of "making up for the void, actually diarrhea".
Second, the influencing factors of Tuina diarrhea
1. Strength
From the perspective of the stimulating nature of the technique, for a certain organ, under normal circumstances, a weak stimulus with a long working time can stimulate physiological functions, which is called a supplement; strong stimulation will inhibit physiological functions, called diarrhea. For example, excessive gastric acid secretion is an excessive physiological manifestation, and strong stimulation techniques can inhibit gastric acid secretion.
The strength of the massage technique, that is, the size of the stimulation amount, is the essence of the massage tonic.
Complement and diarrhea are contradictory unity of the amount of stimuli in response to techniques, which are relative, not absolute. Different manual stimulation can cause different reactions; different body function states and diseases can produce different reactions to the same manual stimulation amount.
The size of the manual stimulation is for the patient, so the patient's response sensitivity to the tuina technique is the basic factor that determines the amount of manual stimulation. When implementing tuina technique diarrhea, it is necessary to flexibly grasp the amount of stimulation of manual laxativeness in view of the different reactivity of the body to the tuina technique, and must not be separated from the specific patient, only by the manipulator's mechanical operation, subjectively believe that the required diarrhea effect has been achieved.
For example, gentle and gentle techniques can be heavy stimulation for patients with weak constitutions, while strong and deep techniques can be light stimulation for acute diseases of physical strength.
2. Take the hole
As mentioned earlier, acupuncture points are equivalent to "receptors" with specificity, with different effects and biases.
For example, Zu Sanli and Guan Yuan are all strong points for replenishing weakness, which can be understood as producing the effect of "replenishment" when performing the operation. The wind pond, the wind house, the large vertebrae, the curved pool, the twelve wells, etc., generally have the effect of "diarrhea". For example, to supplement the spleen and stomach, when taking the middle spleen, Tianshu, Qihai, Guan Yuan, Zu Sanli, etc., use the one-finger Zen pushing method, the Mo method, the kneading method, and the spleen Yu and the stomach Yu use the pressing method.
The specificity of the site of the operation or acupuncture points is a factor that cannot be ignored in tuina tonic diarrhea.
Tui Na dialectical acupuncture should pay special attention to the connection between the lesion site and the body surface, combined with the meridian and ganglion theory, to improve the pertinence of the acupuncture points. The same tuina technique acts on different acupuncture points or parts, and the laxative effect is also different.
The meridians have the function of running qi and blood, communicating inside and outside the surface, and are the links between the organs and tissues. The correct application of meridian theory can greatly improve the efficacy of Tuina.
Acupuncture points are the body's reaction points on the body surface, which have a bidirectional effect of reflecting pain from the inside out and transmitting stimulus signals from the outside to the inside. Different acupuncture points have different effects. The therapeutic effect of an acupuncture point in treating different diseases may also be different. For example, Foot Sanri has an inhibitory effect when the gastrointestinal function is hyperactive; conversely, it has an excitatory effect.
Therefore, when treating organ diseases, special attention should be paid to the performance of acupuncture points when selecting acupuncture points.
In the clinical trial of Tuina, some specific acupuncture points are often selected, such as the five infusion points, the original network points, the Yu acupoints, the Yu Recruitment acupuncture points, the eight acupuncture points and the eight pulse intersection acupuncture points, which have special effects and are combined with appropriate techniques, so as to play a role in replenishing the weakness and diarrhea of the internal organs.
The length and physiological function of the meridians of the human body vary. The foot meridian is longer than the hand meridian, and the yang meridian is longer than the yin meridian. Therefore, when Tui Na Foot Sutra and Yang Sutra, the technique should be heavier, and for the Yin Sutra and The Hand Sutra, the technique should be lighter, so that it can make up for the diarrhea.
3. Orientation
From the meridian circulation angle, the meridian is the supplement, the reverse meridian is diarrhea; from the angle of rotation, here according to the "Organ Diagram Point Acupuncture Method", the acupuncture point is supplemented by right rotation, and the left rotation is diarrhea; such as the Mo Abdominal Method takes clockwise (colon direction) as diarrhea to smooth the bowel, and vice versa, it can make up for the astringent intestine to stop diarrhea.
In meridian theory, the circulation of the fourteen meridians has a clear direction. Acupuncture method of laxative stresses "greeting" diarrhea, that is, "taking it and taking it with it", and when acupuncture is pointed, the needle tip is diarrhea in the direction of the meridian circulation, and it is supplemented in the direction of its circulation.
There are many similar situations in the tuina technique, such as the pushing method in the tuina technique, which is applied along the direction of the meridian to help the circulation of the meridian qi, which has the effect of "following" the supplement; the operation is applied against the direction of the meridian circulation to prevent the evil qi from being deep, and there is the effect of "welcoming" diarrhea.... Therefore, there is an extremely close relationship between the technique of "supplementing the circulation of meridian qi and blood" and "taking advantage of the diarrhea of evil qi".
Regarding the relationship between the direction of the technique and the laxative, the literature is mainly concentrated in pediatric massage. The "Children's Massage Sutra" says: "Pinch the spleen soil, turn left to make up, and push straight into diarrhea." "Children's Tuina Guangyi" records: "Transport the sun, turn to the ear to diarrhea, and the eye to make up for it."
At present, there are two major schools of pediatric massage in China that have a greater influence, that is, Shanghai and Hunan as the representative of the use of "rotary push as a supplement, to the direction of the finger root directly pushed for the clear" laxative method, represented by Shandong, advocating "centripetal push for supplementation, centrifugal push for diarrhea, back and forth for qing (flat supplement and flat diarrhea) laxative method.
4. Speed
In Tuina diarrhea, a certain speed is the basic condition for the application site to get gas, generate heat, transfer and maintain its effect, and it is also the basic condition for the manipulation to act on the body and produce a body reaction to achieve the basic conditions for adjusting the body's yin and yang and supplementing the diarrhea, which is to maintain a certain speed of rhythm (that is, to maintain rhythmic stimulation) The effect of the operation is good.
Third, the formation mechanism of Tuina diarrhea
Limited by the verification of one's own knowledge and experiments, one can only put forward conjectures here.
If you use the most scientific theory to explain Tuina diarrhea, because the same material basis, the same physical stimulation of the external treatment method, here you can learn from the principle of needle sense formation.
Tuina physical signals act on the body, the body cells release biologically active substances, these active substances in turn stimulate the above-described needle-sensitive receptors such as small nerve bundles, free nerve endings, etc. further convert chemical signals into electrical signals, uploaded to the higher center through the relevant sensory nerve fibers.
Therefore, different Tuina laxative factors, such as strength, direction, etc. will produce corresponding bioactive substances, and the signal transduction of the human body is very precise, which makes different diarrhea effects.
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