Chinese Tuina was called massage or Mosuo in ancient times. The term Tuina was first seen in the Ming Dynasty. Chinese Tuina is a therapeutic approach guided by the theory of traditional Chinese medicine (TCM) and used to treat diseases through massage manipulations or by means of some massage tools applied to certain parts or points on the human body surface. It belongs to the category of external treatment in TCM. Tuina is an important component of Chinese medicine, which is very effective in curing and preventing diseases and has made great contributions to thriving and prosperity of the Chinese nation.
In the course of tuina, the massagists should observe and inquire about the reaction of the patient all the time and regulate the force of the manipulations so as to obtain good result of tuina by performing even, mild and persistent manipulation.
In tuina treatment, syncope should be avoided for those who are hungry or have just finished violent sports. Once sensations such as dizziness, dim eyesight, severe palpitation with deficient perspiration occur to the patient, manipulations should be stopped immediately.Meanwhile have the patient lie down, drink some warm sugar water and press and knead acupoints Hegu (LI 4),Neiguan (PC 6), Zusanli (ST 36) and so on.
Apart from the above contraindications, the following points should also be paid attention to in tuina practice.
Tuina doctors should trim their fingernails regularly and keep their hands clean and warm in winter. While operating, they should not wear rings. In the operating, a therapeutic towel should be used to prevent injuring patient's skin or muscles.
Generally, treatment is given to chronic diseases every other day, while for acute cases daily treatment is often applied. Uncomfortable sensation caused by heavy manipulations may relieve spontaneously in 1 to 3 days. And the doctor should also modify his or her manipulation to adapt to the case's conditions.