内医大中医推拿学课件：按法

按法

PressingManipulation一、概念Concept

以指端、掌、掌根或肘尖着力，先轻渐重、由浅而深地反复按压治疗部位的手法。

Pressingisthemanipulationperformedbypressingthetherapeuticregioncontinuouslywiththeoperator’sfinger-tip,palm,palm-rootorthetipofhiselbow,fromlightlytoheavily,shallowlytodeeply.二、分类

Classification

根据其着力部位不同，可分为拇指按法、中指按法、指节按法、掌根按法、掌按法与肘按法等。

Accordingtothedifferentmanipulatingparts,itcanbedividedintothumb-pressingmanipulation,middle-finger-pressingmanipulation,phalangeal-joint-pressingmanipulation,palm-root-pressingmanipulation,palm-pressingmanipulation,elbow-pressing

manipulation,etc.三、动作结构

StructureofOperation

1、为了便于发力，轻按时术者可取坐势；重按时则应取站势。施术时，术者要呼吸自然，不得屏气，用力平稳，由轻而重逐渐加力，当达到一定深度，患者有明显的痛、胀、麻、放射等“得气感”时，停留约5~10秒钟左右，再将手慢慢抬起。

１．Inordertogenerateforceeasily,theoperatorcanadoptsittingpostureinlightpressuremanipulation,andstandingpostureinheavypressuremanipulation.Inoperation,theoperatorshouldbreatheinanormalway(neverholdhisbreath)andpresssteadilyfromlighttoheavytillacertaindeepnessisachieved.

Whenthepatienthasexperiencedevidentsensationssuchassoreness,distention,numbnessandradiation,theoperatorshouldretainhishandontheoperatedpartforabout5to10minutes,thenslowlylifthishandup.

2、本法在需要较大力度与反复多次操作时，宜用叠揉法。

3、本法利用自身重力来施加压力，手或臂无需主动用力，故作用力强而术者省力。Ifthemanipulationisrequiredtocarrygreatforceandneedsoperatingcontinuouslyformanytimes,thesuperposedkneadingmanipulationcanbeadopted.Inthismanipulation,theoperatorpressestheoperatedpartwiththepressurefromhisowngravity,andhishandorarmdoesnotneedtogenerateforceactively,sothemanipulationsaystheoperatoraloteffortsofstrengthbuthasgreateffect.四、功效

Effect

本法具有安神镇静、解痉止痛、开窍闭塞、舒筋活血、蠲痹通络与壮筋养肌等作用。

Thismanipulationhasthefollowingeffects:tranquilizingthemindandallayingexcitement,relievingspasmandpain,inducingresuscitation,relaxingmusclesandtendonsandpromotingbloodcirculation,relieving

arthralgiaandremovingobstructioninthechannel,strengtheningthetendonandmuscles,etc.五、临床应用ClinicalApplication按法是一种古老的传统手法，其适用范围很广，可在全身各部操作施术。Pressingmanipulationisatraditionalmanipulationwhichdatesbacktotheancienttimes,ithasmanyindicationsandcanbeappliedtooperatingonallthepointsoverthebody.指按法适用于全身各部经穴，可“以指代针”发挥针刺样的治疗作用，故又有“指针法”之称；Finger-pressingmanipulationisappliedtoallthechannel-pointsanditcanachieveacupunctureeffect“withthefingerinsteadofneedle”;soitisalsocalled“finger-pressuretherapy”;掌按法主要用于腹部；掌根按适用于腰背及臂部面积较大肌肉又丰厚的部位；肘按法又称肘压法，需作重力刺激时常用此法。常用以治疗头痛、失眠、胃脘痛、痹证肢体麻木、酸痛瘫痪等证。Palm-pressingmanipulationischieflyappliedtotheabdominalregion;Palm-root-pressingmanipulationissuitablefortheoperationontheregionsoflargeandthickmusclessuchasthelumbodorsalregionandthebuttockregion;Elbow-pressingmanipulationisfrequentlyusedwhengreats