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Therapeutic principles and the enhancement and reduction of

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The principles of therapeutic Tuina Therapeutic principles are also called therapeutic laws. They are the general rules derived from therapeutic clinical cases under the direction of the basic theory of holism and differentiation of syndromadmin

The principles of therapeutic Tuina Therapeutic principles are also called therapeutic laws. They are the general rules derived from therapeutic clinical cases under the direction of the basic theory of holism and differentiation of syndrom...

The principles of therapeutic Tuina
      
Therapeutic principles are also called therapeutic laws. They are the general rules derived from therapeutic clinical cases under the direction of the basic theory of holism and differentiation of syndromes o decide treatment in traditional Chinese medicine. Therapeutic principles are ifferent concrete therapeutic methods in that the ATTER is always decided by the old and based on a therapeutic principle. From the viewpoint of the relationship between body resistance or vital qi and pathogens, for example, all kinds of diseases can be matched in the struggles between the body and resistance to pathogens and changing vicissitudes. Therefore, strengthening the body's resistance to ward off pathogenic factors is a therapeutic principle, under the direction of feeding the kidney, strengthening and invigorating the spleen yang, etc. are methods of strengthening the body's resistance, while by diaphoresis, catharsis, etc. are methods to eliminate pathogens.
      
Diseases that are manifested by signs entirely different and the symptoms. Pathological changes are very complicated.Cases differ from each other in the degree of seriousness and urgency. Pathological changes and transformations are also different in different people, different places and at different times. Therefore, it is very important for a doctor to get the main cause of a disease complex and changing phenomena and to make an active and correct treatment.
      
There are mainly the following principles in Tuina treatment.
   
The treatment for the leading cause of illness
      
The search for the primary cause of the disease treatment is a fundamental principle of differentiation of syndromes to determine treatment in Chinese Tuina. Searching for the cause refers to the understanding of the nature and the main contradiction of the disease and implementation of a treatment to the etiopathogenesis.
      
Ben or the origin or the origin or cause of the disease is the opposite of superficiality or related Biao. They are facing a pair of concepts and have many consequences, which can be used to illustrate the primary and secondary relationships of various contradictions in the context of pathological changes. For what is vital qi and pathogenic factors are involved, the first bin is the first, while the second Biao is the secondary. Determine the pathogenesis and symptoms of illness, the first bin is the first, while the second Biao is the secondary. As for the location of pathological changes, the viscera are well, the primary and superficiality Biao is the secondary. Regarding the sequence of one of the original illness or disease are well above the first, while the new or accompanying Biao, the secondary.
      
Events and disease development are manifested through the signs and symptoms, but they are only the phenomena of the disease do not always reflect the nature of the disease and sometimes even false events. Only on the basis of a thorough understanding of all aspects of the disease, including its symptoms and signs, through the analysis of a physician can understand the nature of the disease beyond the phenomena, to find its root cause and determine the corresponding good therapeutic method. Take pains in the limbs and lumbus for example, which can be caused by malposition of the vertebrae, rheumatism in the lumbus and the leg, strain of lumbar muscles and many other problems. Instead of simply waiting for treatment to stop the pain, therapeutic methods such as correction of malposition of the vertebrae, expelling wind and activation of blood, relax and activate the meridians tendon can be adopted, respectively, after the discovery of the basis of pathological changes through the general and comprehensive. Only in this way, a desirable result can be achieved, and this is the real meaning of a treatment to the main cause of disease.

   
Strengthening vital qi to eliminate pathogenic factors
      
The course of disease, in a sense, is the fight between the essential qi and pathogenic factors. In the fight, if outweigh the vital qi pathogens, disease develop, or if vital qi exceeds pathogens, diseases will be submitted. Thus, in the treatment of diseases, should be to support vital qi to eliminate pathogenic factors, change the power relationship between vital qi and pathogenic factors in order to make the change for the better diseases. Strengthening vital qi to eliminate pathogenic factors is also a fundamental principle guiding Tuina therapy clinic.
      
A syndrome of excess results in the invasion of pathogenic factors are exuberant and exhausted vital essence leads syndrome. Wax or decline of pathogens and vital qi determine sthenia asthenia and pathological changes. Fatigue syndrome requires further sthenia syndrome requires any reduction. Tonic deficiency and excess bleed is the application of the principle of strengthening vital qi to eliminate pathogenic factors. Strengthening vital qi is a strengthening of the method, which is indicated in the fatigue syndromes, and eliminating pathogenic factors is a reduction method is applied to sthenia syndromes.Strengthening vital Qi and eliminating pathogenic factors interact with each other and complement each other even if they are two different therapeutic approaches with different implications. Strengthening vital qi to strengthen the qi or the body in good health and resistance is useful in resistance and to expel pathogenic factors, while eliminating pathogens can get rid of the invasion, disruption of pathogens and their causes of deterioration of health Qi, it is useful to maintain and restore vital qi.
      
In clinical application, the strengthening of the principle of vital qi to eliminate pathogenic factors, it is advisable to make any observations and careful analysis of the conditions for mutual growth and declination, the glory and decline of vital qi and pathogens and to determine the primary and secondary factors and relations order. For what is at the first place, strengthening vital qi or elimination of pathogens. Or strengthening vital Qi and eliminating pathogenic factors are combined with each other and strengthening vital qi is done before the elimination of pathogens or vice versa. Combined strengthened vital qi and eliminating pathogenic facotrs, the vital principle of strengthening the Qi without retaining pathogens and eliminate pathogenic factors essential qi not affected should be followed.
   
Regulation of yin and yang
      
The main cause of disease lies in the breakup of the relative balance between yin and yang, ie the normal relationship of growth and declination between the yin and yang is replaced by the glory and decline of yin and yang. Thus, regulation of yin and yang is also one of the fundamental principles guiding Tuina therapy clinic.
      
Relative disproportion of yin or yang refers to the excessive and unnecessary state of yin or yang pathogenic factors. Excessive yang leads to disorders of yin, yin and excess results in the disorder yang. In the treatment, an approach to reduce the excess reduction or method used.
      
Relative deficiency of yin or yang means the condition of deficient yin or yang qi vital, which appears in the form of yin or yang deficiency deficit. When yin is in a state of disability and the inability to inhibit the yang, asthenia syndrome manifests itself as heat Hyperfunction hypofunction of the yin and yang. When yang is in a weak and incapable of preventing the yin, asthenia, cold syndrome occur, which manifests itself as the yin and yang deficiency syndrome excess.In leading to yin deficiency of yang Hyperfunction, treatment of tonifying yin should be implemented to prevent yang. And the yang deficiency syndrome be cold syndrome yin, yang to yin prevent global warming is used. If yin and yang are deficient, yin and yang invigorating applies.
   
   Treatment of diseases, according to seasonality, the environment and conditions
      
This means that therapeutic treatment of disease of a therapeutic use should be adopted according to different seasons and local conditions, physical, gender and age of an individual. The reason is that the development and onset of disease are affected by many factors, such as seasons, climate, geographicenvironment, including through constitutional factors of an individual. Therefore, in the treatment of a disease, all factors contributing to it must be taken into account, a concrete analysis of concrete conditions must be made and different conditions are treated in different ways, working on a therapeutic method.
      
In clinical practice of Tuina, special attention should be paid to the principle of treating diseases, according to conditions in which different treatments are selected based on age, sex, physical, different lifestyles patients. In general, if a patient has a strong physique, place of manipulation in the lumbus, buttocks and members and the pathological changes occur in the most profound, with strong stimuli manipulations are performed. When a patient has physical weakness or is a minor, the location of the manipulation is at the head, face, chest and abdomen, or pathological changes are in the surface areas, the degree of stimulation should be weak. Other factors such as occupation, working conditions of a patient who May be affected by the occurrence of some diseases must also be taken into account in treatment.

The reinforcement and reduction of Tuina
      
This implies that strengthening fatigue syndrome any syndrome sthenia requires a reduction in the basic therapeutic principles of TCM. Reinforcement is to make up the deficit of vital qi. All types of treatment, which can complement the documents were missing from the body and strengthen the function of certain tissues, known as reinforcement. Refers to the reduction of purge or get rid of pathogens in the body. Therapeutic methods, which have a direct action of the elimination of pathogens in the body or prevent Hyperfunction a tissue or organ is called reduction.
      
The reinforcement and reduction of Tuina is produced by stimulation of handling. Manipulations are applied to parts of the body, which result in changes of qi, blood, fluids, viscera and meridians, which can strengthen asthenic conditions, reduce and regulate the conditions Sthenic qi and blood to Following the curing of diseases, health preservation and development of human constitution. Therefore, strengthening and reduction of Tuina can only be achieved by combining the conditions of the patient with strength and direction of manipulation, along their directions or against the meridians, the properties of stimuli and treated parts. Commonly used and to strengthen methods for reducing Tuina are as follows.
   
Strengthen methods and reduction of light or heavy manipulation
      
Strengthen the production method is the manipulation of light stimuli. The handling is smooth, fast and long-term operation, such as light kneading and pressing, which can promote the circulation of qi and blood, Qi vital to strengthen and enhance asthenia. Reduce the production method is the strong stimulation manipulations. This manipulation is heavy, solid and short-term performance with the exercise of force to change from light to heavy, such as strong mixing and pressing, which can stop pain and improve circulation of blood to disperse stagnant blood and the body and relieve the swelling to stop the pain.
      
MTherapeutic modern medical research and the principles of reinforcement and reduction of TuinaFrom: TCM_xiaozhong Time: 9/13/2008 9:35:54 AMAcupuncture: TCM to a breakthrough in the world "national essence of acupuncture," l ' history of the United States the use of acupuncture special "national essence of acupuncture," the history of the United States use of acupuncture aintains that tampering with the light and weak stimuli can activate and to excite and promote a physiological function in the secretion of glands. For example, for indigestion splenogastric due to fatigue, the application of light, gentle pressure and manipulation to take a finger to Pishu acupoints (BL 20), Weishu (BL 21), Zhongwan (CV 12), and Qihai (CV 6), so long term, rhythmic stimuli can boost the spleen and stomach with good results. Heavy and strong incentives to prevent manipulation and to reduce the physiological function of the gland secretion. For example, in the case of gastro-intestinal spasms, digital pressing and pressing operations are carried out with strong incentives for a short time on the stains on the back of
Weishu acupoints (BL 21), Dachangshu (BL 25), etc., may relieve spasms.
      
The above examples indicate that the sharp reduction in stimulation, while the enhancement of light stimulation. However, the strength of reinforcing and reducing by powerful production or manipulation of light stimulation varies with the constitution of individuals, the threshold value of receiving the stimulation of different regions stimulated. Clinically, it is marked by the highest degree or mild pain and distention caused sensations in a patient who, of course, is only approximate.
   
Strengthen methods and reducing manipulation rotate right or left
      
There are many documents on the relationship between the management of Tuina and strengthening and reduction of the action in the medical literature through the ages. It is said in the book Xiao'er Anmojing that point stifle Pitu (spleen-earth), finger flexion and rotation to the left, it has the effect of reinforcement. And it is also stated in the book Youka Tuina Mishu that the strengthening of rotation to the left, straight ahead is to reduce the rotation. Although these statements are cited from the work on infant Tuina, clinical practice confirms that they are applicable to adults. The practical operation of this method is to manipulate a part or a point with your finger or palm thenar Emin. In general, rotating clockwise effect of reinforcement and rotation counter-clockwise is the reduction of the action. Tuina in the abdomen, if the direction of the handling and movement of the direction of the party to deal with are both clockwise, which was cathartic effect, this manipulation is known that reducing the method. If the direction of manipulation is clockwise and the direction of movement of the piece to be treated is clockwise, which improves the digestive function of the stomach and intestine and has the effect of boosting the rate and stomach, this manipulation is designated by the strengthening of the method.
   
The reinforcement and reduction methods against manipulation or along the meridians
      
Tuina therapy and acupuncture, although they each have their own characters and functions, technology, are just the same in the enhancement and reduction principles. It is said that in handling Neijing against meridians disposal means of reduction, while along the meridian manipulation to strengthen the means of strengthening. Tuina in clinical cases for the need to promote the smooth flow of qi and blood to fill vital Qi, Tuina should be done along the meridians. For example, some gynecological diseases, fatigue, syndrome differentiation, are handled by selecting certain acupoints of the lower sections of the three yin meridians of the foot connecting with the diseases and the application of long, soft, fast manipulation in the direction of meridians.

They can also be treated by the practice of Tuina manipulation along the meridians to promote the abundance and good circulation of qi and blood in order to restore the normal functioning of the activities of certain tissues and organs weakened. This is a strengthening of manipulation exploited along the direction of qi and invigorating therapy. For cases requiring the promotion and circulation of qi purging, Tuina must be done against the direction of meridians. For example, if differentiation sthenia-heat syndrome with severe Tuina or pushing up the manipulation is performed on some points against the direction of the ship, the governor, which is linked to the disease, get rid of pathogenic heat in the body. It is a method of reducing excess.
   
Strengthen methods and reduction of back and forth handling
      
This is a more commonly used in clinical Tuina, which refers to the fact various comings and goings of manipulation of points or parts of the body to promote circulation of qi and blood and regulations between yin and yang.
      
Apart from cumbersome and guidelines, strengthening and reduction of Tuina manipulation are also closely related to areas or points stimulated. Therefore, in dealing with the proper selection of parts processed or points depending on the diseases is also essential for good results in strengthening and reduction of Tuina.

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