内医大中医推拿学课件：擦法

擦法ScrubbingManipulation概念Concept

以手掌掌面小鱼际或大鱼际为着力面，在治疗部位沿直线进行往返摩擦的方法，谓之擦法。

Themanipulationofrubbingandscrubbingthetherapeuticpartofandfroastraightlinewiththeoperator’spalmarface,minorormajorthenar

eminanceiscalledscrubbingmanipulation.分类Classification

根据着力部位不同，本法可分为掌擦法、小鱼际擦法和大鱼际擦法三种。

Accordingtothedifferentoperatingparts,thismanipulationcanbedividedintothreetypes:plam-scrubbing,minor-thenarscrubbingandmajor-thenarscrubbing.动作结构

StructureofOperation

本法操作时，术者多取战势。预备姿势为：沉肩、垂肘，掌擦时，前臂内侧与治疗部位相对，腕掌与五指伸直，以全掌附着在治疗部位；小鱼际擦时，前臂取中立位，腕掌与手指用力伸直，五指并拢，以小鱼际着力；大鱼际擦时，前臂取旋前位，掌面朝下，拇指与第一掌骨内收，以隆起的大鱼际肌腹附着在治疗部位。

Intheoperationofthismanipulation,theoperatorisusuallyinastandingposition.thepreparatoryisasfollows:theoperatorlowshisshoulder,dropshiselbow.

InPalm-scrubbingmanipulation,withthemedialaspectofhisforearmfacingthetherapeuticpart，heextendshiswrist,palm,thumbandfingersstraightlywithhiswholepalmpressingcloselyontheterapeutic

part,in

minor-thenar

scrubbingmanipulation,hisforearmisinamoderatelyerccting

position,heextendshiswrist，palmandfingersnstraightlyandputshisfingerstogether,andrubsthetherapeuticpartwithminorthenarforce.

Inmajor-thenarscrubbingmanipulation,hisforearmisintheproneposition，withhispalmfacingdownwards,histhumbandfirstmetacarpalboneabducted，andtheprotuberantmuscularbellyofmajorthenar

eminancecloselyappliedtothetherapeuticpart．注意事项

Precaution

本法的动作幅度要大，使推擦的部位尽量的拉长。在操作过程中，着力面始终与受术部位的皮肤贴紧，用力均匀适中。

Thismanipulationshouldbeoperatedwithinalargerange,andtheoperatorshouldtrytolengthenthedistanceofpushingandscrubbing.Duringtheoperation,theoperatingpartshouldbekeptclosetotheskinofthetherapeuticregion,andtherubbingforceshouldbeevenandmoderate.

本法在操作时受术部位要充分暴露，开始几次推擦宜缓和稍慢，以后速度可稍快。每次治疗以局部发热为度，操作次数不宜太多，时间也不应长，以免造成局部过热、发烫起泡。一般每次以十次左右为宜。为防止擦破皮肤并有助于产热与增强疗效，施用本法时，一般要使用介质。

Inoperation,theaffectedpartshouldbeexposedfully.Theoperatorstartsrubbingsoftlyandslowly,thenabitmorequickly.Eachtreatmentisaccomplishedwhentheoperatedpartbecomeswarm.Itshouldnotbeoperatedfortoomanytimes,andthetimeshouldnotbetoolongincasethetherapeuticregionbecomessohotthatscaldblisterswillbecaused.

About10timesisusuallysuitabletoeachtreatment.Inordertopreventtheskinfrombeingabraded,producegreaterwarmthandenhancetherapeuticeffect,acertainmediumisoftenusedinthismanipulation.功效

Effect有宽胸利气、温经止痛、祛风散结、行气活血、祛痹胜湿等功效。

Themanipulationhasthefollowingeffects:relievingcheststuffinessandregulatingthecirculationofqi,warmingthechannelsandalleviatingpain,expellingpathogenicwindandcold,relievingswellingandremovingobstructionofthechannels,promotingflowofqiandbloodcirculation,relievingarthralgiaandremovingdampness,etc.临床应用ClinicalApplication本法的摩擦力强、动作幅度大，故具有明显的温热效应与推荡消散作用。Thismanipulationhasstrongrubbingforcewithalargerangeofmovement,ithasevidentwarmingeffectandthefunctionofremovingobstruction.适用与全身各部位施术。其中，掌擦法宜在胸背与腹部面积较大的部位施术，可产生较缓和的热效应。

Itcanbeappliedtoallpartsofthebody.Palm-scrubbingmanipulationissuitablefortheoperationonlargeregionssuchaschestandback,theabdominalregion,anditcancreatesoftwarmingeffect.小鱼际擦法，主要用于腰骶八髎穴、夹脊穴及骶棘肌，由于其作用面积小，故可产生较为集中的高热效应。Minor-thenarscrubbingmanipulationismainlyappliedtothelumbosacral

Baliaopoints,Jiajipointsandsacrospinalmuscle;becauseofitssmalleffect