内医大中医推拿学课件：拿法

拿法

GraspingManipulation

一、概念Concept

以拇指与食、中二指或其他四指，缓缓地对称用力，将治疗部位挟持、提起，并同时捻搓揉捏的手法称为拿法。

Graspingmanipulationisperformedbysymmetricallyandslowlyliftingandsqueezingthetherapeuticpartandmeanwhileholdingandtwisting,foulaging,kneadingandpinchingitwiththeoperator’sthumbandindexfingerandmiddlefingerorwithfivefingers.二、分类Classification

以拇指与食、中二指操作的称三指拿法；与其他四指操作的谓五指拿法。

Operatingwiththeoperator’sthumbandindexfingerandmiddlefingeriscalledthemanipulationofthree-fingersgrasping;themanipulationwithfivefingersiscalledfive-fingersgrasping.三、动作结构

本法施术时多取站士，沉肩，肩关节外展30°~45°，前伸30°左右，屈肘约90°~110°，腕关节略屈，拇指与其余二指或四指各指间关节伸直，掌指关节屈曲约110°~120°，以指面挟持住治疗部位的肌腱或肌束，然后提起，并同时捻揉，刺激数次后再放下，如次反复操作。StructureofOperation

Inusingthismanipulation,theoperatorisofeninstandingposition,andlowershisshoulderwithhisshouldjointabducted30degreesto45degreesandprotrudedbout30degrees,flexeshiselbowabout90to110degreeswithhiswristjointslightlyflexed;andextendstheinterphalangealjointsofhisthumbandothertwofingersorfourfingerswiththemetacarpophalangealjointsflexedabout110to120degrees.

Thenheholdthetendonormusclebundleofthetherapeuticpart,liftsitupandmeanwhiletwirlsandkneadsit,andreleasesitafterstimulatingitseveraltimes.Theoperationisdonerepeatedly.四、注意事项

Precaution操作过程中，各动作环节要协调，并富于节律。提拿的部位主要是人体深层的肌腱、韧带与肌束等条索状组织，故不要紧挟持表皮，更不能用指甲着力抠掐治疗部位，以免引起疼痛等不适感。

Duringtheoperation,everymovementshouldecoordinatedandoperatedrhythmatically.Thepartbeingliftedandgraspedischieflythecordtissuesuchastendon,ligamentandmusclebundleofdeeplayersofthebody,soholdingtheepidermorevendiggingandnippingtheoperatedpartwithfingernailshouldbeavoidedincasediscomfortssuchaspainwillbecaused.五、功效Effect

具有开窍醒神、发汗解表、祛风散寒、舒筋活血、解痉止痛等功效。

Ithasthefollowingeffects:inducingresuscitationandrestoringconsciousness,relievingsuperficiessyndromebymeansofdiaphoresis,expellingpathogenicwindandcold,relaxingmusclesandtendonstopromotebloodcirculation,relievingspasmandpain,etc.五、临床应用

1、本法刺激深重而柔和。主要用于颈项、肩背、侧腹部及四肢部肌肉、肌腱等条索状软组织部位。

Thismanipulationisdeepandheavybutsoftstimulation.Itischieflyappliedtothecordsofttissuessuchasthemusclesandtendonsoftheneck,shoulder,back,lateralabdomen,upperandlowerlimbs,etc.

ClinicalApplication

2、临床使用时，根据需要，可单手或双手拿。双手拿时，两手要交替地做提拿与放松动作。

Inclinicalapplication,one-handgraspingorboth-handgraspingcanbeadoptedaccordingtothediff