Anmo Tuina

- Chinese Massage
Tyler J. Rowe
BTCM-Acu BTCM-Chm Dip-Tn CertIV-Fs Cert-CA Cert-ONM

Introduction
Chinese Massage nm Tun Press rub Push grasp Eight Branches of Chinese Medicine Zhnji - Acupuncture & Moxibustion Coyo - Herbal Medicine Shlio - Dietary Therapy Tun - Massage Therapy Wsh - Martial Arts Qgng - Meditation Fngshu - Geomancy Shsh - Astrology

 Hungd Nijing Swn Yellow Emperors Internal Medicine Classic Simple Questions
Chapter 1 The Universal Truth In the past, people practiced the Dao, the Way of Life. They understood the principle of balance, of yin and yang, as represented by the transformations of the energies of the universe. Thus, they formulated practices such as Daoyin, an exercise combining stretching massaging, and breathing to promote energy flow, and meditation to help maintain and harmonise themselves with the universe.

Chapter 24 Channel Constituents and Acupuncture Techniques People who are repeatedly startled or traumatised have an obstruction of qi and blood in the channels and collaterals. They can manifest numbness or paralysis of the extremities. One should use tuina, massage, and herb wine in these cases.

 Hungd Nijing Lngshu Yellow Emperors Internal Medicine Classic Spiritual Pivot
the conduct of the movement of qi, by massage, moxibustion, ironing out, needling, fire needling or drinking medicines. - Scroll 7 part 42. The Propagation of Disease The round needle has the shape of an egg. It is used for rubbing and massage, to divide and to separate so as not to injure the muscles and flesh. - Scroll 1 part 1. Of Nine
Needles and Twelve Source Points

It is necessary to massage the channels first. - Scroll 1 part 4. Noxious Qis Disease It is necessary to first massage the locations for as long a time as there is a resonance in hand. - Scroll 8 part 52. Protective Qi

When the channels are shallow, do not needle until the channel has been massaged so that the essence does not come out, then needle. - Scroll 2 part 7. On Governing the Needles To harmonize, press and massage that qi which is excessive in the channels. - Scroll 4
part 19. To Qi of the Four Seasons

When the needling is finished, massage to finish the pain at this location. When the needling is finished, massage until it is established that the pain has stopped. - Scroll 5 part 26. Assorted Diseases

 Zhenjiu Jiayijing The Systematic Classic of Acupuncture and Moxibustion

Throughout the course of their therapy [foot yangming channel sinew], massage should be applied. Book Two verse 6. Channel Sinews To treat them [central region excess], cultivation of qi and massage are appropriate. Book Six verse 2-3. Great Treatise on the Favourable & Unfavourable, Root & Branch of
Disease, Physiographic Characteristics, and Configurations & Orientations

At this juncture [liver bi], massage and acupuncture are indicated At this point [spleen wind] massage, medication, and fire-branding are indicated At this point [shan conglomeration], massage and medication are indicated. - Book Eight verse1-1. On the transmission of Disease Among the Five
Viscera Producing Cold & Heat

In the case of tugging and tension [in the muscles], one must perform cultivation of qi and massage to promote circulation. Book Ten verse 1-1. The
Contraction of Disease by Yin Causing Bi

Specialities
Bzhngxu Arthralgia Syndrome (Rheumatology)

Wishngxu External Injury (Traumatology) Zhngg Bone Setting (Orthopaedics)

Characteristics
Definition the manual manipulation of points, muscles, bones and sinews with the hand, elbow or knee, for the purposes of alleviating injury and illness, maintaining health, and preventing disease, through stimulation or reduction of the channels and pathways. Requirements
Smoothness Strength Stability Rhythm Flexibility

Functions & Effects

Functions Promote circulation of qi and relieve stagnation Invigorate xue and dispel stasis Relax the sinews
Indications Soft tissue injury Chronic joint pain Muscular dysfunction & atrophy Paediatric Illness* Contraindications Fracture & Dislocation Open wounds Deep Vein Thrombosis Spinal Manipulation*

Treatment prescription & sequence

i. Opening techniques short duration, superficial, gentle methods

ii. Channel movements long duration, moderate strength and depth iii. Point manipulations deep tissue, specific locations & mobilisations

Media & Tools

Cloth no oil needed, barrier, warmth Liniments, oils, ointments & plasters Appliances & devices Practice bag / rice bag

Structures g bones jng channels jn sinews

jng jn channel sinews
( Lngsh Spiritual Pivot Scroll 4 part 13)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Jingjin, David Legge (Sydney College Press 2010)

Diagnosis
Q (Stagnation) moving generalised dull worse with emotional stress X Empty chronic aggravated by tiredness alleviated by rest weakness & flaccidity enjoys pressure Xu Blood (Stasis) fixed localised sharp unaffected by emotions Sh Full acute aggravated by stillness alleviated by movement stiffness & swelling tenderness

Assessment
a) Questioning location, nature, duration, frequency, radiation, aggravating, relieving b) Observing alignment/posture, skin colour, vasculation, reproducing pain c) Palpate passive range of movement, resistance, mn scan temperature, xn go-along channels, n press ashi-tender points, b pluck sinews

 Gun fa Rolling
Frequency Intensity Penetration Location Action Tools Method 120-180 b/p/m light to strong deep thick muscled areas, static or dynamic promote qi and invigorate xue dorsal aspect of hand roll obliquely from the 5th knuckle towards the root of the thumb, fingers relaxed, hand open

 Yi Zhi

Chan Tui Fa
- One Finger Meditation

Frequency Intensity Penetration Location Action Tools Method

120-180 b/p/m light to strong deep points or channels, static or dynamic promote qi, invigorate xue and dispel stasis radial aspect of thumb, thenar eminance flex and extend the thumb, taking care not to contact with the knuckles

 Mo Fa Rubbing
Frequency Intensity Penetration Location Action Tools Method 60-90 b/p/m light superficial systematic, dynamic opens channels palmer aspect of hand circling clockwise or anti-clockwise, with a loose hand

 Ca Fa Scrubbing
Frequency Intensity Penetration Location Action Tools Method 180-240 b/p/m moderate superficial systematic, dynamic warm channels palmer aspect of hand, blade of palm vigorously rub longitudinally or horizontally, with a firm hand

 Rou Fa Kneading
Frequency Intensity Penetration Location Action Tools Method 60-90 b/p/m light to strong deep ridges, dynamic or static promote qi and invigorate xue palmer aspect of fingers pinch and squeeze with the finger and thumb pads, using a wide grip

 Na Fa Grasping
Frequency Intensity Penetration Location Action Tools Method 1-12 b/p/m strong deep ridges, static promote qi and invigorate xue palmer aspect of hand and fingers clasp the finger pads toward the palm, lift using a narrow grip

 An Fa Pressing
Frequency Intensity Penetration Location Action Tools 1-12 b/p/m strong deep points, static promote qi, invigorate xue and dispel stasis tip of finger/thumb, root of palm, knuckle, fist, elbows, knees apply firm vertical pressure, optional circling

Method

 Tui Fa Pushing
Frequency Intensity Penetration Location Action Tools Method 4-12 b/p/m strong deep thick muscled areas, dynamic promote qi, invigorate xue and disperses stasis thumb or finger pads, root of palm, elbow obliquely apply firm pressure then slide along the surface

 Ji Fa Striking
Frequency Intensity Penetration Location Action Tools 240-360 moderate deep thick muscled areas, dynamic or static promote qi and invigorate xue, relax sinews blade of palm, fist, dorsum of hand, cupped hand, cranes beak alternately strike in a drumming action with both hands

Method

 Zhen Fa Vibrating
Frequency Intensity Penetration Location Action Tools Method 240-480 b/p/m strong deep thick muscled areas, static invigorate xue and dispel stasis finger tips, palmer surface of hand place finger tips/palm vertically over area, thumb pulled in, shake horizontally and longitudinally

 Cuo Fa Foulageing
Frequency Intensity Penetration Location Action Tools Method 120-240 b/p/m light superficial limbs, neck or costal region, dynamic or static promote qi and invigorate xue, relax sinews palmer surface of hand with palms facing inward to the contact area create a rolling action by alternately moving the hands upward and downward

 Dou Fa Shaking
Frequency Intensity Penetration Location 120-360 b/p/m light to moderate deep limbs, dynamic or static relax sinews hand firmly grasp the extremity with both or one hand (the other hand can support the joint), shake upward and downward

Action Tools Method

 Yao Fa Rotating
Frequency Intensity Penetration Location 6-12 b/p/m moderate deep limbs and neck, dynamic relax sinews hands firmly grasp the extremity with both or one hand (the other hand can support the joint), progress the joint through the normal range of movement.

Action Tools Method

 Ban Stretching
Frequency Intensity Penetration Location Action Tools Method 1-2 b/p/m light to strong deep joints, static relax sinews hands, elbows, knees various passive flexibility exercises depending upon joint

Shen Fa

Head & Neck

Common Ailments headache, stiff neck, cervical osteoarthritis Clinical Manifestations dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, dizziness, light headedness, radiation to the upper limb, parasthesia, neuropathy, photosensitivity, nausea, nasal discharge or congestion, redness, oedema, heat Assessment observation of symmetry, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Arm Taiyang Small Intestine & Arm Yangming Large Intestine

Head & Neck

Main Treatment Sequence Foulageing neck Kneading & Grasping neck, Gb20, 21, Bailao One finger meditation - Anmain, Gb20, Bl10, Du16 Rolling neck & nape Pressing Anmain, Gb20, Bl10, 60, Du16, Si3,13 Scrubbing Du14 Stretching & Rotating
Modifications Headache: Kneading scalp Tapping scalp Pressing Taiyang, Co4, Lv3, Bitong, Yintang Stiff neck: Pressing - Gb39, Luozhen Osteoarthritis: Pressing Bl11 Pushing Bailao, Bl11 Rehabilitation Sash rotation, flexion and side bending (passive and resited)

Thoracic Regoin
Common Ailments intercostal strain, muscular spasm, subluxation of vertebrae Clinical Manifestations dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, radiation to the head and neck or lumbar region, shortness of breath, redness, oedema, heat, dislocation of vertebrae Assessment observation of symmetry during breathing, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder & Arm Yangming Large Intestine

Thoracic Regoin
Main Treatment Sequence Rubbing thoracic One finger meditation Bl, Jiaji, Du Rolling Bl, Jiaji, Du Pressing Si13, Bl, Jiaji, Du Grasping Bl, Du Pushing - Bl, Jiaji Striking Bl Scrubbing Bl Foulageing Costal Stretching
Modifications Intercostal strain: Muscular spasm: Subluxation of vertebrae : Rehabilitation Sash cross on back

Pressing Lv13, Gb25, Sp21 Pressing Bl17, 46 Pressing Gb34, Si3, Sj5

Lower Back
Common Ailments acute lumbar sprain, disc pathology, arthritis Clinical Manifestations dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement, radiation to thoracic or pelvis and lower limb, parasthesia, neuropathy, weakness, tenderness, redness, oedema, heat or coldness, compensatory curvature deformities, narrowing of intervertebral spaces, vascular congestion, constipation

Assessment observation of symmetry, rotation, flexion, extension and side bending, palpation of Leg Taiyang Bladder & Leg Shaoyang Gallbladder

Lower Back
Main Treatment Sequence Rubbing lumbar One finger meditation Bl, Jiaji, Du, Yaoyan Rolling Bl, Jiaji, Du Pressing Bl, Jiaji, Du, Yaoyan Grasping Bl, Du Pushing - Bl, Jiaji Striking Bl Scrubbing Bl, Jiaji, Du, Yaoyan Stretching Rotating
Modifications Lumbar sprain: Pressing Bl40, 60, Yaoytong Disc injury: Pressing Bl25, 31-33, 54, Si3 Arthritis : Pressing Du4, Bl23, 57

Scrubbing - Gao Pushing - Gao

Rehabilitation Sash assisted four-point core exercises, lumbar and hamstring stretches

Shoulder
Common Ailments tendonitis, a-c joint sprain, frozen shoulder Clinical Manifestations dull ache or sharp pain, worse at night, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to thoracic, neck, upper limb, parasthesia, neuropathy, atrophy, weakness, joint luxation, swelling, tenderness, redness, oedema, heat or coldness Assessment observation of symmetry, flexion, extension, internal and external rotation, adduction, abduction, scaption, palpation of Arm Taiyang Small Intestine, Arm Yangming Large Intestine, Arm Shaoyang Sanjiao & Arm Jueyin Pericardium

Shoulder
Main Treatment Sequence Rubbing shoulder Kneading & Grasping Co, Sj One finger meditatn Gb21, Co15, Sj14, Si9-13 Rolling Co, Si, Sj Pressing Gb21, Co15, Sj14, Si9-13 Pushing Co, Sj Striking Co, Si, Sj Scrubbing Co, Si, Sj Foulageing Co Stretching Rotating Shaking
Modifications Tendonitis: A-C joint sprain: Frozen shoulder: Pressing Co11, 16, Sj5, Gb34 Pressing Jianqian, Jianneiling Pressing Co4, St38 Pushing - Bl41

Rehabilitation Health ball rotations on wall, Bamboo cane stretches

Upper Limb
Common Ailments tendonitis, carpel tunnel syndrome, rheumatoid arthritis Clinical Manifestations dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to shoulder, parasthesia, neuropathy, atrophy, weakness, joint deformity, swelling, tenderness, redness, oedema, heat or coldness Assessment observation of symmetry, flexion, extension, rotation, adduction, abduction, palpation of Arm Taiyang Small Intestine, Arm Yangming Large Intestine, Arm Shaoyang Sanjiao, Arm Taiyin Lung, Arm Shaoyin Heart, Arm Jueyin Pericardium

Upper Limb
Main Treatment Sequence Rubbing arm Kneading & Grasping Lu, Sj, Co One finger meditatn Co10, 11, Lu3, 5, Pc3, 4, Sj5 Pressing Co4, 5, 10, 11, Lu3, 5, 10, Pc3, 4, 6, 8, Sj2, 5, 10, Si3, 6, 8, Ht3, 8 Rolling - Lu, Sj, Co Pushing/Scrubbing - Lu, Sj, Co, Pc Foulageing Lu, Sj, Co Stretching Rotating Shaking
Modifications Tendonitis: Plucking - tendon Carpel tunnel: Pushing Pc7, Sj4 Arthritis: Pinching Shixuan

Pressing epichondyle points

Pressing baxie, shangbaxe

Rehabilitation Health ball rotations, Bamboo cane stretches

Pelvis & Hip

Common Ailments sciatica/piriformis syndrome, arthritis, muscular strain Clinical Manifestations dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to lower back or lower limb, parasthesia, neuropathy, atrophy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or coldness Assessment observation of symmetry, flexion, extension, rotation, adduction, abduction, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Leg Yangming Stomach, Leg Taiyin Spleen

Pelvis & Hip

Main Treatment Sequence Rubbing hip Kneading & Grasping Gb, St Rolling - Bl, Gb Pressing Bl36, 54, Gb29, 30, 34 Pushing Bl, Gb Striking Bl, Gb Scrubbing Bl, Gb Foulageing Hip Stretching Rotating Shaking
Modifications Sciatic/Piriformis: Arthritis: Muscular strain: Pressing Jiaji, Bl40, 57, 60, Gb41 Pushing/Scrubbing - Gao Pressing/Pushing Bl37, Sp10, 11, St31, Lv8

Rehabilitation Sash assisted lumbar & hamstring stretch, plum blossom stake rolling

Lower Limb
Common Ailments tendonitis/ankle sprain, plantar faciitis, shin splints Clinical Manifestations dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted range of movement, radiation to lower back or limb, atrophy, parasthesia, neuropathy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or coldness, crepitus, vascular congestion Assessment observation of symmetry, flexion, extension, rotation, pronation, supination, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Leg Yangming Stomach, Leg Taiyin Spleen, Leg Shaoyin Kidney, Leg Jueyin Liver

Lower Limb
Main Treatment Sequence Rubbing leg Kneading & Grasping Bl, Gb, St One finger meditatn Bl37, 40, 57, Sp6, 9, 10, Kd1 Pressing Xiyan, St36, Sp6, 9, 10, Bl37, 40, 57, 60, Gb34, 41, Kd3 Rolling - Bl, Gb, St, Kd Pushing/Scrubbing Bl, Gb, St, Kd Foulageing Lv, Gb Stretching Rotating Shaking
Modifications Tendonitis: Pressing Gb40, St41, Lv4, Kd4 Plucking - tendon Fasciitis: Pressing - Bl61, 62, St43, Sp3,4, 3, Kd2 Grasping Shin splints: Pressing/Pushing Lv5, Kd7 Striking St, Lv/Kd Rehabilitation Plum blossom stake stepping and rolling