The vibrating movement should be rhythmic and the pressure should be adequately applied depending on the condition of the patient and the nature of disease. However, the physician should not aoolv his entire weight on the patient. This is a simple and convenient method for applying pressure over a large area and the physician can save their energy. Constant application of this maneuver is very useful for adjusting the functions of the body (Fig. 3-11).

The stepping maneuver can produce stimulation over a larger area on the anterior and middle part of the sole for adjusting bodily functions, relieving fatigue, refreshing mental activity, and opening the orifices of the sense organs. It also can be used to prevent and treat cerebrovascular diseases.

Indications: The stepping maneuver is useful for treating cerebrovascular diseases, neurasthenia, general fatigue, pain, and traumatic injury with pain; and it can also be used for maintaining health and retarding the aging process. This method also can be mutually applied among family members to prevent and treat diseases.

The essential maneuvers for hand and foot massage have been discussed above. Each of them has its specific use, and they can be flexibly selected and used in combination to improve the therapeutic effect.