The basic requirements for successful application are persistence, forcefulness, evenness, and gentleness. Pressure should be applied deep enough to achieve the objective of functional adjustment. As persistence is essential, the maneuvers should be applied persistently for a period of time depending on therapeutic requirement. Manipulation with repeated intermissions and pauses cannot produce the proper effect.
Therefore, beginners should constantly practice and do physical exercise to improve their force, skill, and persistence. The maneuvers should be applied with the fight amount of force, otherwise the manipulation cannot produce the proper effect. At the same time, the force applied to the hand or foot should be modified according to the nature of the disease and the function of the acupoints and areas, because a fixed strong stimulation without correspondent modification may cause damage to the local tissue. The maneuvers should be evenly and rhythmically applied, with a stable frequency and coordinated force to producing a comfortable feeling and a sedative effect and securing the patient's cooperation.
An irregular application of maneuvers with force and frequency changed in a disorderly manner from time to time may produce a bad feeling, annoy the patient, and reduce the therapeutic effect. Even application of maneuvers can be achieved after the beginner has learned how to persistently and forcefully apply them. The manipulation should be gentle, not violent, and changes should be smooth with the intensity of stimulation adequate for applying coordinated, continuous, and orderly massage. In brief, the techniques for persistently, forcibly, evenly, and gently applying maneuvers can be learned and mastered after careful trials and untiring practice.
