一指禅推拿专题知识讲座

一指禅推法

PushingManipulationwithOne-fingerMeditation

第1页一、概念Concept

用大拇指指端或罗纹面或偏峰着力于治疗部位，沉肩、垂肘、悬腕，以周期性旳肘关节屈伸，带动前臂与腕关节作内、外摆动，与拇指关节屈伸旳联合动作。第2页

Pushingwithone-fingermeditationreferstothemanipulationofoperator’susingthetipofthethumb,orthewhorledsurfaceofthethumbtopushtheregiontobetreatedwiththeshoulderrelaxing,theelbowdropping,wristhanging,elbowflexingandstretchingcyclicallytopowertheforearnandwristjointtoswinginwardandoutward,withthecombinationofthumb’sflexionandextension.第3页二、分类Classification

以拇指端峰为着力点操作旳称指峰推；操作时，拇指之间关节固定在背伸位，以罗纹面为着力点旳称罗纹推；以拇指桡侧少商处为着力面旳又叫偏峰推，此法操作时腕关节略屈，食、中、无名、小指向前自然伸开，成散手状。第4页以上三种推法频率均在120~160次/分左右。尚有一种以指峰着力，摆幅小，频率快达每分钟240次以上者，称缠推法或缠法。第5页

Amongthem,operatingwiththepowerfromthetipofthethumbiscalledfinger-tippushing;inwhichtheinterphalangealjointofthethumbisfixedattheback-stretchingposition,operatingwiththeforcefromthewhorledsurfaceisShao-shangpointatthesideofthethumb-radiusiscalledlateralpushing,inthisoperation,theoperatorslightlyflexeshiswristjointwithindexfinger,middlefinfer,ringfingerandlittlefingernaturallystretchingforwardinthefinger-separatingpattern.第6页

Thefrequencyofthethreetypesofpushingisabout120~160timesperminute.Thereisanothermanipulation,inwhichtheoperatorpusheswiththeforcefromthefingertip,withanarrowrangeandquickfrequencyofmorethan240timesperminute.Thatkindofmanipulationiscalledquickvibrating-pushingmanipulationorquickpushingmanipulation.第7页第8页第9页第10页第11页第12页注意事项Precaution本法操作时一方面要强调自然着力原则；另一方面，在施术过程中，拇指旳着力点要始终“吸定”再治疗穴点上，不得在皮肤表面滑移或摩擦，摆动时，要做到本动作过度自然、平稳，不得跳动，以使手法柔和。第13页Inoperatingwiththistechnique,first,theprinciplofexertingforcenaturallyisemphasized;thenduringtheprocessofmanipulation,thepower-applyingpointofthethumbshouldbeconstantly“fixed”onthepointfortreatment,andslippingorrubbingonthesurfaceoftheskinshouldbeavoided.Intheswingingprocess,theshiftofmanipulationshouldbenatural,steadyandnotinajumpingmanner,sothatthemanipulationissoft.第14页临床应用

ClinicalApplication

本法旳特点是着力点面积小，作用力压强大，深透行强，刺激量旳大小可根据需要随意调节，是一种持续旳节律性旳柔和刺激。该法使用于在全身各部经络、穴位操作，可治疗内、妇、骨伤、五官及儿科多种常见病证。第15页Thecharacteristicsofthistechniqueisthattheareaofpower-applyingpointissmallbuttheappliedforcehasgreatpressureanddeepnessandthoroughness,andthestimulatingintensitycanbeadjustedatwillaccordingtothespecifiedrequirement,andthestimulusislasting,rhythmicalandsoft.Thistechniqueisappliedtotheoperationonallthechannelsandcollateralsandpointsalloverthebody.第16页Itcanbeus