I. Introduction
The treatment that acts on the
skin and muscle of the body technically by hands and fingers is called
massage.
According to Records of the
Historian in China, Bianque, a famous physician in Qin Dynasty (221-206BC),
had cured Prince Guo's Shi Jue Zheng (deathlike faint disease) by using
massage. From the Qin Dynasty till now, massage has had a history of more
than two thousand years. The oldest monograph on massage should be the Yellow
Emperor's Canon of Massage (in ten volumes), but it's a pity that the book
had lost. Massage was also mentioned in the Yellow
Emperor's Internal Canon of Medicine. In ancient
times, Chinese was able to treat various diseases with massage, such as limb
paralysis, debility, faint, moist disease, chill and fever,
etc.
There are so many advantages
of massage, for example, it is easy to learn, convenient to practice,
economical, and an alternative for medicine as well. Massage plays a role of
analeptic as well as sedative, respectively, for it can either make people
refreshed or calm down.
It is relatively safe for
general chronic diseases or overly weak patients, because massage is propitious
to circulation and metabolism. As to children who are inconvenient to take
medicine, massage could boost up the constitution and function of the children's
body. Regarding some complicated diseases, this method could be used
cooperatively with acupuncture and medication. However, as to some acute or
hyperpyretic infections, or organs having pathological changes such as typhoid,
pneumonia, pulmonary tuberculosis and so on, massage only has supporting
effects. Patients having serious or acute diseases such as tumor, acute
suppurative appendicitis, intestinal perforation, cholecystitis due to bilis
duct ascarid etc. should get nosocomial first aid.
For married women with sudden
intense pains at lower abdomen, who have had menoschesis for about two months,
it is suggested to immediately send them to hospital in order to determine
whether ectopic pregnancy or any other acute diseases exist.
II. Indications and
Contraindications of Massage
Indications
Wrick, joint disarticulation,
strain of lumbar muscles, amyotrophy, migraine, fore and back headache,
trifacial neuralgia, inter-rib neuralgia, femoral
neuralgia, sciatica, waist & back neuralgia, arthralgia (including shoulder,
elbow, wrist, knee, ankle, toe); facial neural paralysis, facial muscle spasm,
gastrocnemius spasm; muscle pain due to rheumatism, including muscle pain
inshoulder, back, waist, knee, etc., as well as acute or chronic rheumatic
arthritis, gall of joint synovium, ankylosis, etc.
Other indications include
neurogenic vomiting, dyspepsia, habitual constipation, gastroptosis, chronic
gastritis, insomnia, spermatorrhea, dysmenorrhea and neurosis as well, all of
which can be treated through massaging.
Contraindications
Various acute infections,
acute osteomyelitis, tuberculous arthritis, infective dermatosis, eczema, scald
by water or fire, cutaneous ulcer, tumor and all kinds of sore, as well as
menses and pregnancy of more than five months, acute peritonitis, acute purulent
peritonitis, acute appendicitis, weakness because of long-term sickness or
senility and serious cardiovascular disease.
III. Categories and
Techniques
The massage is usually classed
into two categories. One is called active massage or self-massage, which is a
method of health care by massaging oneself. The other is passive massage, which
is used by doctors as massage therapy. The frequently used techniques of massage
include pressing, rubbing, bunting, seizing, kneading, pinching, quivering and
beating. However, the above techniques are not used alone but usually
cooperatively.
Pressing
The pressing is fingertip or
fingerplate rising and falling rhythmically on proper position of the patient's
body, which usually can be done by one hand or both hands.
Generally, one-hand or
two-hand pressing is applied below ribs or on abdomen in clinic. While on back
or other muscle-thick parts, one-hand pressing with added pressure is applied,
that is, the right hand presses the finger back of the left hand placing on the
body with gentle strength and vice versa.
Rubbing
Rubbing means touching --
touching softly on the proper part of the patient's body with the finger or
palm, which is often used cooperatively with pressing and bunting. There are
one-hand rubbing used for upper limbs and the shoulder end, and two-hand rubbing
used for the chest.
Bunting
Driving in force ahead is
called bunting. Clinically, two frequent methods include one-hand and two-hand
bunting. Bunting and rubbing cannot be separated and often are utilized together
because rubbing is involved in bunting. Bunting and rubbing should be used on
muscle-thick parts, such as arms and legs.
Seizing
Seizing is taking up the skin
of proper part slightly with fingers.
The usually used method in
clinic is one-hand seizing on legs or muscle-thick places. In case of sudden
choke with chest jam like asphyxia due to tenderness and exasperation, one-hand
seizing could be applied. Concretely, at the joint part of the shoulder and the
back above clavicle, the doctor should grab the muscle and then set down, repeat
twenty times at a speed of twice per second and take a rest, then repeat twenty
times again. After that, breath will become regular gradually.
Kneading
Kneading means that the doctor
keeps the hands touching patient's skin and rotates slightly, which is sorted to
one-hand kneading and two-hand kneading. Fingers are usually used at some small
part such as temples, while palm used at larger parts, e.g. the back. There is
one-hand kneading with added pressure also, for example, pressing right hand on
the left hand back keeping on the patient's calf and carrying out one-hand
kneading with added pressure on the midleg.
Two-hand kneading could be
done on the calf of the patient. Kneading can clear up blood stasis and
harmonize the circulation of blood, so it is quite effective to cure partial
pain.
Pinching
Nipping shin and muscle with
fingers at proper parts is called pinching, which is similar with seizing
carried out with full force. However, the force is stressed on fingers when
pinching, while the seizing is much more forceful. Pinching is a fundamental
technique of massage and is usually applied cooperatively with kneading.
Actually, pinching acts
accompanied with the effect of finger squeezing. As a result of squeezing muscle
slightly, activity of skin and muscle tendon improves, moreover, circulation of
blood and lymph ameliorates. Simple pinching can easily remove cold and dissolve
gores, while forceful pinching can treat pains of muscle, tendon and joint
caused by cold and moist.
Quivering
Quivering, as one of the
massage techniques, means vibrating and trembling quickly, hastily and equably.
The preferable speed is 10 times per second, or 600 times per minute.
Quivering cannot be separated
from movement, thus quivering is also called as vibrating.
Single-finger quivering means
vertically pointing at the patient's pain point with the thumb, and then
vibrating with the force of wrist, resulting in dithering of the thumb. Another
kind of quivering is called two-finger quivering, which is done by wrist-shaking
after placing thumb & forefinger, or forefinger & middle finger, on the
patient's pain point or eyebrow.
Beating
Beating is also called
knocking, which is usually applied after kneading and rubbing. It can also be
carried out alone when necessary.
When carrying out beating, the
strength must be well-situated. Only suitable application could relax the
patient, otherwise it will result in uncomfortable experience.
Generally, both hands are used
when beating, and the frequently used methods are side-palm chopping, flat-palm
patting, across fist knocking and upright fist knocking, etc.
1. Side-Palm Chopping
Both palms Stand side to side,
with the thumb upward and the little finger downward. Moreover fingers should
have about one centimeter distance from each other. Following the fall of palms
with shut fingers, raise hands with separate fingers. Raise and lay down both
hands in turn.
2. Flat-Palm Patting
Put both palms on the muscle,
and tap rhythmically in turn.
3. Across Fist-Knocking
Make a fist with hand-back
upward and thumbs against each other, moreover loose with a little space between
fingers and the palm. Knock across with both fists in turn. This method is
usually used on muscle-rich parts, such as waist, leg and shoulder.
4. Upright Fist
Knocking
Make an upright fist with
thumb upside and little finger downside. Loose with a little space between
fingers and the palm. This is usually used on the back and the waist.
Four methods of beating
mentioned above are mostly utilized on muscle-rich parts, e.g. neck, shoulder,
back, waist, thigh and crus. Knock gently at first, put on some force slowly,
and then lose force gradually. The force here will never be extremely heavy.
Anyhow, it is the most important to make patients feel comfortable. As to the
speed of beating, it should be generally slow at the beginning and then fast.
Two times per second at the beginning, and gradually increase to six or eight
times per second.
It should be emphasized that
no matter which method to use, no great force should be used at the beginning,
and strengthening gradually. In order to comfort the patient, falling palms
should be not only with force but also flexibility. Generally, knocking for one
or two minutes, or three minutes at most, is enough. In very few cases, beating
time could be prolonged or shortened according to the degree of the illness.
Beating can be carried out after or along with other massage techniques.
IV. Attention
1. Before massage, trim nails
and wash hands with hot water, and pick off any hindrance to massage such as
rings.
2. Make sure to be kindly,
solemn and careful. Explain patients' condition patiently to win their
cooperation.
3. Arrange proper posture of
the patient and the doctor. Particularly, the patient's pose should be not only
comfortable but also convenient for the doctor's operation.
4. Massage should be suitably
gentle or heavy. Observe the patient's expressions at any moment so as to make
the patient feel comfortable.
5. Proper duration is 20~30
minutes each time and 12 times make up a period of treatment.
6. Do not massage the patient
immediately when he or she is in a rage such as intense anger, happiness, fear
and sadness.
7. Do not massage the patient
immediately after overeating. It is much proper to practice massage 2 hours
after meal.
8. If the patient falls asleep
during the massage, the doctor should cover the patient with a towel to prevent
him from getting a cold. Be careful to the room temperature, and do not massage
against wind.