Exert force on a certain site or point with the tip or the whorl surface or the radial hump of the thumb. Meanwhile relax the wrist area, drop the shoulder, hang down the elbow and suspend the wrist. Having the elbow joint slightly lower than the wrist and using the elbow as a pivot, sway the forearm initiatively and make it drive the wrist to sway and the thumb joint to do flexion and extension. While the wrist is swaying, its ulnar side should be lower than the radial side, so as to make the force act on the treated disease area. Pressing force, frequency and swaying range should be even with nimble action. The frequency is 120 - 160 times per minute.
In operating, clench a hollow fist with the thumb covering the fist hole, relax the muscles of the upper limb. Exert force naturally with the tip or the thumb, avoiding pressing downward violently. After the tip or whorl surface of the thumb are able to fix at a certain site, begin practicing swaying the wrist and do slow, straight, to-and-fro movements, which is the so-called movement of forcefully pushing and slowly moving
Clinical Application
This technique has the characteristics of small touched area and great penetrating force, so it can be used for points all over the body. In clinic, it is often applied to the head, face, chest, abdomen and limbs. Diseases such as headache, stomachache, abdominal pain, aching pain in the joints, tendons and bones are often treated with this technique, which has the effect of relaxing tendons and activating the meridians, regulating ying and wei systems, eliminating blood stasis and food retention and strengthening the spleen and stomach.
Notes:Twining Manipulation or Quick Pushing Manipulation (Chanfa)
When the frequency of Pushing Manipulation with One-finger increases up to 220 - 250 times per minute, the manipulation is called Twining Manipulation or Quick Pushing Manipulation (Chanfa). Have the tip or the radial hump of the thumb exert force on a certain spot to reduce the touched area and decrease the amplitude of swaying and pressure on the body surface to increase the frequency up to given times a minutes. This technique can be gradually commanded only on the basis of mastering pushing manipulation with one-finger skillfully. And it is commonly used to treat sthenia-heat syndrome, furuncle and carbuncle and other external problems.
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