内医大中医推拿学课件：振法

振法

VibratingManipulation【概念

Concept】

以中指端或手掌面为着力点，用前臂伸、屈肌群小幅度、快速地交替收缩所产生的轻柔振颤，持续地作用于体表治疗部位的手法，称为振法或振颤法。

Vibratingmanipulationisperformedbyusingtheforearmtostretch-flexthemusclegroupwiththetipofthemiddlefingerorthepalmastheforce-givingpoints;andcontractinginanarrowrange,swiftlyandalternativelytocausesoftvibrationwhichkeepseffectingonthetreatedregiononthebodysurface.Itisalsocalled“vibratingtrembingmanipulation”.【分类

Classification】

以中指着力者称指振法；以手掌着力者称掌振法。

Themanipulationwiththemiddlefingerastheforce-givingpointiscalled“finger-vibratingmanipulation”;thatwiththepalmastheforce-givingpointiscalled“palm-vibratingmanipulation”.【动作结构StructureofOperation】

1.掌振时，手掌与治疗部位贴平，肘略低于腕；中指振时，指伸直，掌指关节屈曲100°左右，指端垂直放置于穴点上，腕关节略屈。

Inpalm-vibratingmanipulation,thepalmispressedclosetothetreatedregion,andtheelbowshouldbeslightlylowertothewrist.Infinger-vibratingmanipulation,thedoctorstraightlystretcheshismiddlefingerwiththemetacarpophalangealjointflexedforabout100degress,verticallyputsthetipofthefingeronthepointwiththewristjointslightlyflexed.

2.动作时，前臂的腕屈肌群与腕伸肌群持续地交替收缩与放松，使手的屈伸动作在每一次短促的振动终了时，迅速地发生逆转，于是就产生了振颤。频率约为每秒钟8~12次。

Inoperation,thewristoftheforearm’sflexingandstretchingmusclegroupsarecontinuouslyandalternativelycontractedandrelaxedtomakethemovementsofflexingandstretchingofthehandreverseswiftlyaftereachshortvibration,sothatvibrationandquiverarecaused.Itsfrequencyisabout8~12timespersecond.【注意事项

Precaution】

本法在操作过程中，术者要精神集中，呼吸调匀，气沉丹田，并将意念从丹田提起，沿术手内侧运引至掌中劳宫穴或中指端，做到以意引气，以气生力，以力发振，动作自然、流畅、协调、统一。切不可闭气用强力“硬屏”而发振，这样不但手法不能持久，而且，久之必损正气造成自伤。

Inoperatingthismanipulation,thedoctorshouldconcentratehisattention,regulatehisbreathevenly,directhisqithroughconcentrationdowntoDantiananddirecttheflowofqiupfromDantianbyhiswith,anddirecttheflowofqifromtheinsideoftheoperatinghandtoLaogongpointofthepalmorthetipofthemiddlefinger.

Theoperationshoulddirecthisstrengththroughconcentrationbyhiswill,produceforcewiththeflowofqiandvibrationwiththeforce.Theoperationshouldbeaccomplishednaturally,fluently,harmoniouslyanduniformly.Vibrationbyholdinghisbreathstronglyisprohibited,forthemanipulationcannotremainforalongtime,andinthecourseoftime,itwoulddestroythevital-qiresultinginautolesion.【功效

Effect】

具有镇静安神、明目益智、温中理气、消积导滞调节肠胃蠕动等功能。

Ithastheeffectsoftranquilizingandallayingexcitement,improvingvisionandintelligence,warmingthemiddle-jiaoandregulatingthefloworqi,promotingdigestionandremovingstagnatedfood,regulatingenterogastric

peristalsis,etc.【临床应用

ClinicalApplication】本法可用于全身各部经穴，尤其适用于头面部与胸腹部。Thismanipulationcanbeappliedtoallthepointonthebody,especiallytothecraniofacialregionandthethoracico-abdominalregion.

对失眠、健忘、焦虑、植物神经功能紊乱、胃肠功能失调、运动员赛前紧张等有显效。