Pressing-kneading the points on the upper limbs: Press-whorled kneading surface with the thumb and the palmar aspect of the major Jianyu (LI 15), Jianjing (GB 21) around the shoulder joint , Quchi (LI 11), Shousanli (LI 10), Chizé (LU 5), Quze (PC 3), Shaohai (HT 3), Xiaohai (SI 8) around the elbow joint, and Waiguan (TE 5) , Neiguan (PC 6), Yangchi (TE 4), Yangxi (LI 5), Hegu (LI 4) on the forearm and around the wrist. Press-knead each about 20 times until there is a feeling of qi arrival with pain, numbness and distention. Massage points on the upper right with the left hand and vice versa.
Pushing friction upper limb: Scrub with a palm previous posterior medial and lateral aspects of the opposite shoulder, elbow and wrist, 10 - 30 times on each side, until they are hot. Then rub them with a palm tree next to the other side branch from the dorsal carpal transverse striation along the meridian direction to Jianyu (LI 15) on the lateral aspect of the shoulder, then turn the anterior part of the shoulder, and rub along the median of the upper limbs to the cross striation intracarpal. For example, rubbing the side up and down the middle repeatedly 30 times until they are hot.
Rubbing and twisting Palms Finger Knuckles: intermetacarpal Rub the muscles of the back of the left hand with the major thenar eminence of the right hand until they are hot. Then kneading and twisting the fingers of each of the interphalangeal joints of the left hand at about 10 - 20 times each with the right thumb and right index finger. Exchange between the hands and repeat the above manipulations with the same requirements.
ACTIONS These manipulations have effects of the relaxation of muscles and activating meridians, promoring circulation and eliminate blood stasis, expelling wind and dispersing cold, and the lubrication of joints. It can be used to treat and prevent scapulohumeral periarthritis, subacrominal bursitis, epicondylitis, tenosynovitis of the wrist and other upper limb disorders. It is also effective to relax the muscles of upper limbs, relieve fatigue, improve motor function of upper limbs and prevent occupational injuries.
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