CMTN211 SN08 Lecture - source.endeavourlearninggroup.com.au · tendino-muscular restrictions ......

CMTN211

www.endeavour.edu.au

Session 08

Tan Bo Fa, Zhen Fa, Dou

Fa & Tan Fa.

Chinese Medicine

Department

© Endeavour College of Natural Health www.endeavour.edu.au 2

CMTN211: Session 8o Plucking method (tan bo fa)

o Vibrating method (zhen fa)

o Shaking method (dou fa)

o Flicking method (tan fa)

• Rationale

• Clinical usages

• Mechanics

• Cautions & contraindications

• Demonstration & supervised practice


“To the mind that is still, the whole

universe surrenders”

- Lao Tzu


Plucking Method (Tan Bo Fa)

Chengnan 2000 pp.64

Also called

“Nipping”


Plucking (tan bo fa): rationale

Powerful, Yang styletechnique

Treats channel sinew problems & break up adhesions

Use after warm up techniques

Gives intense sensation

Several methods but all applied to channel sinews, adhesions, tendino-muscular restrictions


Plucking (tan bo fa): mechanics

Basic single-thumb plucking

Basic supported-thumb plucking

Variation of supported-thumb

plucking

Plucking with fingers of both hands


Plucking (tan bo fa): mechanics

When performing, the thumb should not scrub and move on the body surface, but direct the

subcutaneous muscular fiber or tendon and ligament to pluck together.

The direction of force should be perpendicular to the direction of the muscle and tendon

Plucking as if playing a string, first with light force, then heavy and at an even frequency

Force must be focused on one point and increased gradually, care must be taken to use appropriate

force according to the tolerance of the patient.


Plucking (tan bo fa): where to use?

o Channel sinews

o Tendons/muscles

o Old trauma/adhesions


Plucking (tan bo fa): clinical usage

o Functions:

• Breaks up adhesions & scar tissue

• Transforming the shape & structure of the body

• Releasing & clearing the channel sinews (deep

stagnation)


Plucking (tan bo fa): clinical usage

Indications: Adhesions, scar tissue and muscular contractions

Scoliosis (Bladder channel & Huatoujiaji points)

Old traumatic injuries

Hip problems (Liver & Spleen channel – pluck away from the groin)


Plucking (tan bo fa):

cautions/contraindications

Cautions:

This techniques is strong. Use kneading and rubbing after this technique to smooth Qi and Blood.

(Hongzhu, 2007, pp.279)


Plucking (tan bo fa):

demo & practice

Tip

s:

Start gently & increase intensity

Work with the patient’s breath

Pluck over the sinew like a guitar string

Keep your body soft


Vibrating Method (Zhen Fa)Chengnan 2000 pp.71


Vibrating (zhen fa): rationale

A difficult technique; one of the main Yinstyle techniques.

Transmit a high-frequency up and down vibration deep into the body.

Requires strong internal Qi– drawn from the dan tian to the hand.

Can be finger (points) or palm (abdomen) vibration.

Relax, calm and warm, clear excess, move blood stasis and break up adhesions.

Start with a rice bag, then move to a glass of water.


Vibrating (zhen fa)

Demonstration of glass of water exercise. (Pritchard, 2010, pp.46)

https://www.google.com.au/search?biw=1024&bih=411&tbm=isch&sa=1&btnG=Search&q=a+glass+of+vibrating+water

http://www.google.com.au/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.gameinformer.com/blogs/members/b/ezio_blog/archive/2010/01/24/inception.aspx&ei=0Zr7VKDGIcXf8AXY4YL4Aw&bvm=bv.87611401,d.dGc&psig=AFQjCNEnS9ZdkLvEF5IrO8foHFdThHYjQQ&ust=1425861622902129

http://www.google.com.au/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.gameinformer.com/blogs/members/b/ezio_blog/archive/2010/01/24/inception.aspx&ei=0Zr7VKDGIcXf8AXY4YL4Aw&bvm=bv.87611401,d.dGc&psig=AFQjCNEnS9ZdkLvEF5IrO8foHFdThHYjQQ&ust=1425861622902129


Vibrating (zhen fa): mechanics

Be grounded. Place dominant hand palm

on rice bag.

Bring attention to the breath helping Qi

gather in the dantian.

Direct this Qi up your body and down your arm into the palm.

Stay relaxed. Breathe and use some tension

in your forearm to create vibration.

Build this practice up to 2-3minutes. You’ll

need 3-5 mins for therapeutic

effectiveness.

Traditionally learnt on a rice bag.


Vibrating (zhen fa): mechanics

Different methods.

Palm of hand (abdomen, sacrum,

lower back)

Middle finger (points)

Middle + index fingers

(points & adhesions/masses)

Middle finger + thumb

(two points at once)

Elbow

(Deep points e.g.. GB30)


Vibrating (zhen fa): operating method

It is performed by placing the finger tip or palm on the body surface, exerting force intensively and statically to produce vibrating movements

exerting force intensively and statically means to tighten the muscles of hand and forearm to make them highly & statically contract, but not to make

any initiative movement

In performing, force should be concentrated on the fingertips or palm, frequency should be high

and force exerted should be slightly heavy.


Vibrating (zhen fa): where to use?

o Any points

o Head

o Chest

o Ribs

o Abdomen

o Lower back

o Sacrum

o Joints


Vibrating (zhen fa): clinical usage

Functions:

• Deep, moving & warming effect

• Head & face

• Calm the mind, stimulate the brain, improve the memory & the eyesight

• Abdomen

• Warm the Middle Jiao, regulate the flow of Qi, disperse Blood stasis, clear food stagnation, promote digestion, regulate intestines, warm Uterus

• Break up accumulations, adhesions & blood stasis

• Opens the chest & aids breathing

• Stimulates points.


Vibrating (zhen fa): clinical usage

Indications: Insomnia, headaches, anxiety, vertigo, poor memory, dull thinking, poor concentration and poor vision.

Digestive disorders

Gynaecological disorders cause by cold or Qi/Blood stasis

Adhesions from trauma or surgery


Vibrating (zhen fa):


Cautions:

This technique requires long term training. (E.g.. Shao Lin Lei Gong)

(Hongzhu, 2007, pp.275)


Vibrating (zhen fa):

demo & practiceT

ips:

Relax

Don’t hold your breath

Direct your Qiwith your mind from your Dantian to palm or finger

Vibrate up and down, not sideways

Use the weight of your arm and hand

So, 2013

https://www.google.com.au/search?q=mind+lead+qi&biw=1024&bih=411&site=webhp&tbm=isch&tbo=u&

source=univ&sa=X&ei=p5YLVaHzFIKD8gXBmYJY&ved=0CCMQsAQ&dpr=1

https://www.google.com.au/search?q=mind+lead+qi&biw=1024&bih=411&site=webhp&tbm=isch&

tbo=u&source=univ&sa=X&ei=p5YLVaHzFIKD8gXBmYJY&ved=0CCMQsAQ&dpr=1


Shaking Method

(Dou Fa)Pritchard 2009 pp.85


Shaking (dou fa): rationale

Applied to arms and legs

Often alternated with rub rolling (cuo fa)

Relaxes muscles & joints


Shaking (dou fa): mechanics

Patient lying supine or seated.

Hold their arm below their shoulder height and out to the side.

Create slight traction with your body weight and hold just above

patient’s wrist.

Shake the arm with small moderate

movements up to the shoulder, gradually become more rapid.

Repeat at least 20 times.

Dou fa on the arm:

Dou fa on the leg is

very similar. Hold just

above the ankle, shake

to the hip and repeat at

least 10 times.


Shaking (dou fa): where to use?

o Arms

o Legs


Shaking (dou fa): clinical usage

Functions:

• Regulates the flow of Qi & Blood in limbs

• Relaxes the muscles &joints

• Removes obstructions from the channels


Shaking (dou fa): clinical usage

Indications: Muscular sinew problems of limbs

Aches & pains due to injuries and RSI

Bi syndrome

Frozen shoulder

Tennis elbow

Joint problems: hip, knee, shoulder, elbow


Shaking (dou fa):


Cautions:

• Use wider shaking for upper extremities and narrower shaking for lower extremities.

• Apply pulling-stretching and rub-rolling first before shaking.

• The amplitude of shaking should be small and the frequency should be rapid.

• Keep natural breath, don’t hold your breath.

(Hongzhu, 2007,

pp.275)


Shaking (dou fa):

demo & practice

Tip

s:

Use body weight for traction

Shaking should be small and controlled

Start slow and get faster

Make sure shaking travels to the hip/shoulder


Flicking Method (Tan Fa)Hongzhu (2007) pp.281-282


Flicking (tan fa): rationale

Flicking method is performed by using a finger to flick against the body.

The index finger is bent against the thumb or middle finger, and then forcefully flicked against the body.

Strength of the spring-like strokes should go from light to heavy, but should not normally become painful.

Applied mainly to the soft tissue around joints and acupuncture points.

One variation uses the back of the knuckles to hit painfully & directly on the bone until numbness develops. This provides later pain relief.


Flicking (tan fa): clinical usage

o Functions:

• Stimulates flow of qi and blood

• Disperses stagnation

• Relives painful joints


Indications: Osteoarthritic joints can usually benefit from flick method, but rheumatoid arthritic joints should be approached with caution. This is because rheumatoid arthritis (RA) is an inflammatory, auto-immune disease.

When in a period of remission the flick can be applied

Flick method should not be used if the joint is red, hot, inflamed and swollen

Apply to the head, face and joint as a supplementary method. (ring heaven drum)

Flicking (tan fa): clinical usage


Flicking (tan fa): demo & practice

Tip

s:

Posture is straight relaxed back and shoulders, bent knees

As you need to alter your body height to accommodate different parts of the client’s body, do this by bending your knees and keeping your back straight, rather than stooping forward.

The movement is all in the hand

Flick method may be applied to a seated client


References

Chengnan, S 2000, Chinese bodywork: a complete manual of Chinese

therapeutic massage, Pacific View Press, Berkeley, CA.

Hongzhu, J 2007, Science of Tuina = Tui na xue, 2nd ed., People’s Medical

Publishing House, Beijing

Pritchard, S 2009, Chinese massage manual, Healing Path Publications,

Britain.

So, R 2013, Iron man in hong kong, viewed 16/12/15

https://www.flickr.com/photos/o_o--so/8674680267/in/photolist-edy1dT-edy1GT-

edy1MH-d96Kd9-egQaj5-6wu8iN-cct1Ab-ixYgN4-n9JVUi-Bh4wAZ-bHB9fx-

qdVdmR-cE2zR5-fpeh7Z-cE2A27-fyMgcR-e9DemK-9YLNCj-btm5Y9-bj8FvP-

hAk4P9-vwijsV-7gAxcJ-2tLBdn-cE2zE5-hTmBd4-5a1sao-cE2zNA-5mLxMV-

cE2zBs-9Du3gb-ebrwW7-7UBbb2-od7Vs8-bm58pj-eg65e1-7gWMwo-od7Vrg-

xpLQ-bz5oor-izESmK-78yTT7-i7RkHo-9YHTTx-8pqNEN-7Rx8vR-7Zo3kr-

efd5sV-7UBbcD-9YLNBC

Zhang, YS 2002, Tuinaology, People’s Medical Publishing House, Beijing


COMMONWEALTH OF AUSTRALIA

Copyright Regulations 1969

WARNING

This material has been reproduced and

communicated to you by or on behalf of

the Endeavour College of Natural Health pursuant to

Part VB of the Copyright Act 1968 (the Act).

The material in this communication may

be subject to copyright under the Act.

Any further reproduction or

communication of this material by you

may be the subject of copyright

protection under the Act.

Do not remove this notice.

CMTN211 SN08 Lecture - source.endeavourlearninggroup.com.au · tendino-muscular restrictions ......

Documents

Transcript of CMTN211 SN08 Lecture - source.endeavourlearninggroup.com.au · tendino-muscular restrictions ......