内医大中医推拿学课件：平推法

平推法

Flat-pushingManipulation【概念

Concept】拇指外展与四指垂直，以手掌及拇指桡侧缘着力，在施术部位上沿直线作来回的手法，称平推法，亦称掌推法。

Flat-pushingisthemanipulationperformedbyrectilinearlypushingandscrubbingtheoperatedparttoandfrowiththeoperator’spalmandthumbradialborder,withhisthumbabductedatarightanglewiththeotherfingers.Itisalsocalledpalmpushingmanipulation.【动作结构

StructureofOperation

】

操作时，首先肩向前伸，同时肘关节顺势伸出，使手掌沿直线向前推去，拇指也在所经过的部位上用力向前推荡，并由外展位过度到向食桡侧靠拢的位置。然后，肩再后伸，同时屈肘，使手掌沿原来的轨迹轻轻地擦到起始位置，并恢复到原来的掌式。

Inoperation,first,theoperatorprotrudeshisshoulder,meanwhileextendshiselbowjointoutwards,andpushestheoperatedpartrectilinearlywithhispalmand,withhisthumbpushingandmoppingforcefullyalongit,histhumbischangedfromabductiontobeingclosetotheindexfingers’radialborder.

Thenheextendshisshouldbackwards,flexeshiselbowanduseshispalmtopushandrubalongtheoriginaltracebacktotheinitialposition,andhispalmarpostureisreturnedtoitsoriginalone.

【注意事项

Precaution】

应注意，本法在向前推去时用实力，而往回推至原位时用虚劲。整个动作要舒展，操作路线要拉长，在发力动作时，呼吸要自然，切忌屏气。另外，受术部位要暴露，为便于操作与保护皮肤，操作时要用介质。平推法的频率每分钟100次左右。

Thefollowingshouldbeemphasizedinthismanipulation:inpushingforwardsastrongforceshouldbeusedandinpushingbacktotheoriginalpositionaweakforce;themovementshouldbesmooth,andtheoperationrouteshouldbelong;ingeneratingforce,theoperatorshouldbreathenormallyandavoidholdinghisbreath.

Inaddition,theoperatedregionshouldbeexposed,andacertainmediumcanbeusedinoperationinordertomaketheoperationeasyandprotecttheskin.Itsfrequencymanipulationisabout100timesperminute.【功效

Effect】本法是一种“温、力”并行的方法，故有良好的温经通络。行气活血等治疗作用。Thismanipulationisacombinationof“warmthandforce”,soithasagoodeffectonwarminganddredgingthechannelsandcollaterals,promotingcirculationofbloodandqi,etc.有开胸利气止咳平喘之功。Ithastheeffectofrelievingthecheststuffiness,promotingcirculationofqi,relievingcoughandasthma.

具健脾和胃疏肝理气之效。Itfunctionsininvigoratingthespleenandregulatingthestomach,andrelievingdepressedliverandregulatingthecirculationofqi.

壮腰健肾。Ithastheeffectofinvigoratingtheloinsandstrengtheningthekidney.【临床应用

ClinicalApplication】适宜于在胸背及腰背部操作。

Itissuitablefortheoperationonthethoracodorsalregionandlumbo-abdominalregion.常用以治疗胸闷、胸痛、心绞痛、肺气肿、气喘、久咳、脘腹胀痛、肝气郁滞、腰痛、肾虚等病证。

Itiscommonlyusedtocureoppressedfeelinginthechest,chestpain,anginapectoris,pulmonaryemphysema,as