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INTRODUCTION

Rapid progress of technology and widespread use of computers contributes


to increased number of disorders plaguing current population. For instance,
the fast-paced, stressful city life is related to irregularities of bowel
movement, insomnia, and many more disorders. Instead of walking, we now
use driving as a means of transportation. At work, we sit in the front of the
computer, and at home we sit in front of the TV. Yes, modern inventions
serve us well, but at the same time, a train of civilization-related illnesses,
such as vertigo, irritability, headache, visual fatigue, heavy shoulders,
insomnia flares up alongside the computer, the car, and the Internet. The
decreased physical exertion and increased neck, eye and brain activities
reflect the dramatic revolution of the modern society from, say, a hundred
years ago. A challenging question confronts us in the face of the rapidly
changing society: Is there a natural approach to address the illnesses that are
rooted in the modern civilization? The development of the Wus Head
Massage is the response to the call of the above problems.

Traditional and modern, massages have never been focused on the


head and the face.
Both meridians and acupoints are rather dense in the area of the
head and the face.
The meridians and collaterals are the pathways in which the qi and
blood of the human body are circulated, forming a network and
linking the head/face and the body/limb into an organic whole.
By massaging these areas to promote the qi and blood flow in the
related meridians, balancing the Yin and the Yang, not only the
problem of the head/face, but also the relevant organ/limb can be
treated.
Treatment of face and head has additional cosmetic effect of
resisting the aging process.

The theoretical basis of Wus Head Massage is found in the


Yellow Emperors Canon of Internal Medicine.
To facilitate study and practice, we have devised a pictorial
distribution of organ/limb on the face as stated in the Yellow
Emperors Canon of Internal Medicine.
Wus Head Massage directly stimulates the head, face and neck
regions, triggering parasympathetic nervous system response
resulting in a deep relaxation, balancing the Yin and the Yang as
well as improving youthful appearance and enhancing well-being.
Wus Head Massage addresses a wide range of disorders in the
nervous system, the respiratory system, the musculoskeletal system,
the cardiovascular system, the gastrointestinal system, the urinary
system, and gynecology.

THE COURSE OF THE MERIDIANS ON THE HEAD-FACE AND


NECK

Six Yang meridians (three each for head and foot) of the twelve
regular hand and foot meridians courses directly around the headface and neck. Another six Yin meridians pass through the Yang
meridians of the exterior and the interior to come into contact
with the head-face and neck. Chinese medicine has a saying:
All Yang meridians have confluence on the head. The Ren and
the Du meridians also course and cross on the head-face and
neck.

Large Intestine Meridian of Hand-Yangming on the head-face and neck

Stomach Meridian of Foot-Yangming on the head-face and neck

Small Intestine Meridian of Hand-Taiyang on the head-face and neck

Bladder Meridian of Foot-Taiyang on the head-face and neck

Sanjiao (Triple Heater) Meridian of Hand-Shaoyang on the head-face and neck

Gallbladder Meridian of Foot-Shaoyang on the head-face and neck

DU Meridian on the head-face and neck

Ren Meridian on the head-face and neck

THE METHODS FOR LOCATION OF POINTS ON THE HEAD-FACE AND


NECK
There are three methods for location of points:
surface anatomical landmarks
bone proportional measurement
finger measurement.
They should be used in combination, but the first one is the fundamental and the other two are
the supplemental ones.

1) Yintang (EX-HN 3)
No. 3 point of the extra-meridian of the head and neck; it is on the forehead, at the
midpoint between bilateral eyebrows.

2) Shenting (DU 24)


No. 24 point of DU-meridian; on the head, 0.5 cun directly above the midpoint
of the anterior hairline.

3) Shangxing (DU 23)


No. 23 point of DU-meridian; on the head, 1 cun directly above the midpoint of
the anterior hairline.

4) Touwei (ST 8)
No. 8 point of Stomach Meridian of Foot-Yangming; on the lateral side of the
head, 0.5 cun above the anterior hairline at the corner of the forehead, and 4.5
cun lateral to the middle of the head.

5) Quchai (BL 4)
No. 4 point of Bladder Meridian of Foot-Taiyang; on the head, 0.5 cun directly above
the midpoint of the anterior hairline and 1.5 cuns lateral to the midline, at the junction
of medial third and middle third of the line connecting Shenting (DU24) and Touwei
(ST8).

6) Toulinqi (GB 15)


No. 15 point of Gallbladder Meridian of Foot-Shaoyang; on the head,directly above the
pupil and 0.5 cun above the anterior hairline, at the midpoint of the line connecting Shenting
(DU24) and Touwei (ST8).

7) Baihui (DU 20)


No. 20 point of DU-Meridian; on the head, 5 cuns directly above the midpoint of
the anterior hairline, at the midpoint of the line connecting the apexes of both ears.

8) Sishencong (EX-HN 1)
No. 1 point of the extra-meridian of the head and neck, four points on the vertex
of the head, 1 cun anterior, posterior and lateral to Baihui (DU 20).

9) Taiyang (EX-HN 5)
No. 5 point of the extra-meridian of the head and neck; at the temporal part
of the head, between the lateral ends of the eyebrow and outer canthus, in the
depression one fingers breadth behind them.

10) Cuanzhu(BL 2)
No. 2 point of Bladder Meridian of Foot-Taiyang; on the face, in the depression of the
medial end of eyebrow, the supraorbital notch.

11) Yuyao(EX-HN 4)
No. 4 point of the extra-meridian of the head and neck, on the forehead, directly
above the pupil, in the eyebrow.

12) Sizhukong (SJ 23)


No. 23 point of Sanjiao (triple energizer) Meridian of Hand-Shaoyang, on the face,
in the depression of the lateral end of the eyebrow.

13) Tongziliao (GB 1)


No. 1 point of Gallbladder Meridian of Foot-Shaoyang, it is on the face, lateral to
the outer canthus, on the lateral border of the orbit.

14) Jingming (BL 1)


No. 1 point of Bladder Meridian of Foot-Taiyang, on the face, in the depression
slightly above the inner canthus.

15) Yingxiang (LI 20)


No. 20 point of Large Intestine Meridian of Hand-Yangming, in the nasolabial
groove, beside the midpoint of the lateral border of the nasal ala.

16) Shuigou (DU 26)


No. 26 point of DU-Meridian; on the face, at the junction of the upper third
and middle third of the philtrum.

17) Dicang (ST 4)


No. 4 point of Stomach Meridian of Foot-Yangming; on the face, directly below
the pupil, beside the mouth angle.

18) Chengjiang (RN 24)


No. 24 point of Ren Meridian; on the face, in the depression at the midpoint of
the mentolabial sulcus.

19) Daying (ST 5)


No. 5 point of Stomach Meridian of Foot-Yangming; anterior to the mandibular
angle, on the anterior border of the masseter muscle, where the facial artery pulsates.

20) Jiache (ST 6)


No. 6 point of Stomach Meridian of Foot-Yangming; on the cheek, one fingers
breadth (middle finger) anterior and superior to the mandibular angle, in the
depression where the masseter muscle is prominent.

21) Xiaguan (ST 7)


No. 7 point of Stomach Meridian of Foot-Yangming; on the face, anterior to the
ear, in the depression between the zygomatic arch and the mandibular notch.

22) Tinghui (GB 2)


No.2 point of Gallbladder Meridian of Foot-Shaoyang; on the face, anterior to
the intertragus notch, in the depression posterior to the condyloid process of the
mandible when the mouth is open.

23) Tinggong (SI 19)


No. 19 point of Small Intestine Meridian of Hand-Taiyang; on the face,
anterior to the tragus and posterior to the mandibular condyloid process,
in the depression found when the mouth is open.

24) Ermen (SJ 21)


No. 21 point of Sanjiao Meridian process of Hand-Shaoyang; on the face,
anterior to the supratragus notch, in the depression behind the posterior border
of the condyloid process of the mandible.

25) Lianquan (RN 23)


No. 23 point of Ren Meridian; on the neck and on the anterior midline, above
the laryngeal protuberance, in the depression above the upper border of the
hyoid bone.

26) Renying (ST 9)


No. 9 point of Stomach Meridian of Foot-Yangming; on the neck, beside the
laryngeal protuberance and on the anterior border of the sternocleidomastoid
muscle, where the pulsation of the common carotid artery is palpable.

27) Futu (LI 18)


No. 18 point of Large Intestine Meridian of Head-Yangming; on the lateral side of
the neck, beside the laryngeal protuberance, between the anterior and posterior
borders of the sternocleidomastoid muscle.

28) Quepen (ST 12)


No 12 Points of stomach meridian of foot-Yangming. At the center of
supraclavicular fossa, 4 cun lateral to the anterior midline.

29) Fengchi (GB 20)


No. 20 point of Gallbladder Meridian of Foot-Shaoyang; on the nape, below the
occipital bone, on the level of Fengfu, in the depression between the upper ends
of the sternocleidomastoid and trapezium muscles.

30) Yifeng (SJ 17)


No. 17 point of Sanjiao (triple energizer) Meridian of Hand-Shaoyang; posterior to
the ear lobe, in the depression between the mastoid process and the mandibular angle.

31) Dazhui (DU 14)


No. 14 point of DU-Meridian; on the posterior midline, in the depression below
the 7th cervical vertebra.

32) Jianjing (GB 21)


No. 21 point of Gallbladder Meridian of Foot-Shaoyang; on the shoulder,
directly above the nipple, at the midpoint of the line connecting Dazhui (DU14 )
and the acromion.

33) Chengqi (ST 1 )


No. 1 point of Stomach Meridian of Foot-Yangming; in between the eyeball and
the inferior border of orbit ,with the eyes looking straight ahead.

34) Sibai (ST 2 )


No. 2 point of Stomach Meridian of Foot-Yangming; at the depression over the
infra-orbital foramen.

35) Quanliao(SI 18 )
No. 18 point of Small Intestine Meridian of Hand-Taiyang; directly below
the external canthus on the lower border of the zygomatic bone.

36) Tiantu (RN 22)


No. 22 point of Ren Meridian; in the middle of the depression above the
suprasternal notch.

37) Tianding(LI 17)


No. 17 point of Large Intestine Meridian of Hand-Yangming; on the lateral side
of the neck, 1 cun below neck-based Futu (LI 18), on the posterior border of the
sternocleidomastoid muscle.

38) Suliao(DU 25)


No. 25 point of DU Meridian; the tip of the nose.

39) Fengfu (DU 16)


No. 16 point of DU Meridian; one cun above the middle of the natural line
of the hair at the back of the head, in the depression below the occipital
protuberance 0.5 cun above Yamen (DU 15).

40) Shuaigu(GB 8)
No. 8 point of Gall bladder Meridian of Foot-Shaoyang; above the apex of
the auricles and 1.5 cuns above the natural line of the hair.

THE FACES STIMULATION AREAS

The basis of distribution theory for the faces stimulation areas is found more than 2000
years ago in the earliest extant general medical collection in China- The Yellow
Emperors Canon of Internal Medicine (WU SE PIAN ).
The faces stimulation areas, according to WU SE PIAN and clinical experience, are
divided into six parts.
1.The part of Upper-jiao from the horizontal line of the eye-orbital to the anterior hairline (the frontal and ocular zone).
2. The part of Middle-jiao, from the horizontal line of the wing of the nose to the
horizontal line of the eye-orbital (the nasal zone and the zone of zygoma).
3. The part of Lower-Jiao, below the horizontal line of the wing of the nose (the oral
zone and the zone of medial border of the cheek).
4. The part of the spine and the back, in the auditory zone.
5. The part of the upper limb that is the zone of zygoma.
6.The part of the lower limb in the zone of the cheek and the oral zone and mandible.

In addition, there are 24 areas, including:


1) the face and head area
2) the throat area
3) the lung area
4) the heart area
5) the breast and nipple area
6) the liver area
7) the spleen area
8) the biliary area
9) the stomach area
10) the small intestine area
11) the large intestine area
12) the area of urinary bladder, uterus and genita
13) the kidney area
14) the umbilical area
15) the spine and back area
16) the shoulder area
17) the arm area
18) the hand area
19) the groin area
20) the thigh area
21) the knee area
22) the knee and patella area
23) the tibia area

Wus Head Massage


(WHM)
The picture of the organs and parts of the body distributed over the face
in the Yellow Emperors Canons of Internal Medicine

Copyright 2000 Bin-jiang Wu

1). The part of Upper Jiao----from the horizontal line of the


eye orbital to the anterior hairline
a) The face and head area
Location: at the forehead.
Indication: the diseases of the head or face.
b) The throat area
Location: between the face-head area and the lung area, above the
glabellas that is called Que Shang.
Indication: the diseases of the throat.
c) The lung area
Location: at the middle of the line connecting the medial ends of
the two eyebrows.
Indication: the diseases of the lungs.
d) The heart area
Location: at the middle of the line connecting the two inner
canthuses at the lowest place in the bridge of the nose.
Indication: the diseases of the heart.
e) The breast and nipple area
Location: slightly above the inner canthus, between the heart area
and inner canthus, in the depression of the exterior border of the
bridge of the nose.
Indication: hypogalactia or agalactia, and eye diseases.

2). The part of Middle-Jiao----From the horizontal line of the wing of the
nose to the horizontal line of the eye-orbital (The nasal zone and the zone
of medial border of the zygomatic bone)
a) The liver area
Location: at the crossing between the nasal medial lines connecting the two
regions of zygoma.
Indication: the diseases of the liver.
b) The spleen area
Location: slightly above the center of the upper border of the apex of the
nose, called Mian Wang.
Indication: the diseases of the spleen.
c) The biliary area
Location: at both sides of the liver area, directly below the inner
canthus.
Indication: the diseases of the gallbladder.
d) The stomach area
Location: at both side of the spleen area, slightly above the center of the wing
of the nose, directly below the biliary area.
Indication: the diseases of the stomach.
e) The small intestine area
Location: at the medial border of the zygomatic bone and the outside of the
midpoint connecting the stomach area and the biliary area.
Indication: the diseases of the small intestine.
f) The large intestine area
Location: the center of the face, directly below the small intestine area, at the
crossing between the line of the small intestine area and the stomach area.

Indication: the diseases of the large intestine.

3). The part of Lower-Jiao---- Below the horizontal line


of the wing of the nose (The oral zone and the zone of
the medial border of the cheek)
a) The area of urinary bladder, uterus and genital.
Location: at the nasolabial sulcus (philtrum).
Indication: the diseases of urinary bladder, uterus and
genital.
b) The kidney area
Location: at both sides of the large intestine area, in the
horizontal line of the wing of the nose.
Indication: the diseases of the kidney.
c) The umbilical area
Location: at the cheek region, below the kidney area.
Indication: umbilical diseases.

4). The part of the spine and the back (The auditory zone)
1) The spine and back area
Location: anterior to the tragus, at the middle between the
medial aspect of the tragus and the mandible joint.
Indication: pain in the spine and back.
5). The part of the upper limbs (The zone of zygoma)
a) The shoulder area
Location: at the cheekbone and the below the outer canthus.
Indication: diseases of the shoulder.
b) The arm area
Location: at the posterosuperior of the zygomatic bone,
posterior to the shoulder area, below the border of the
zygomatic bone.
Indication: arm diseases
c) The hand area
Location: below the arm area.
Indication: hand diseases

6).The part of the lower limbs (The zone of the cheek, the oral zone,
and the mandible.)
a) The groin area
Location: 0.5 cun lateral to the angle of the mouth, where the lips meet.
Indication: diseases of the mouth and lips, and pain of the groin area.
b) The thigh area
Location: at the boundary between the upper and middle 1/3 of the line
connecting the auricular lobe and the angle of the mandible.
Indication: diseases of the thigh
c) The knee area
Location: at the boundary between the lower and middle 1/3 of the line
connecting the auricular lobe and the angle of the mandible.
Indication: diseases of the knee
d) The knee and patella area
Location: at the muscular protuberance when the teeth are clenched,
anterior and superior to the angle of the mandible.
Indication: diseases of the knee or patella.
e) The tibia area
Location: anterior to the angle of the mandible, it is at the anterior and
lower area of the knee.
Indication: diseases of the tibia region.
f) The foot area
Location: at the anterior and lower areas of the tibia.
Indication: diseases of the foot.

THE HEAD S STIMULATION AREAS


There are two standard lines that are used to divide the stimulation areas. One is called
antero-posterior midline: the midline connecting the midpoint between the two
eyebrows with the lower border of the tip of the external occipital tuberosity across the
vertex; the other, the eyebrow-occiput line, is the line connecting the midpoint of the
superior border of the eyebrow with the tip of the external occipital tuberosity
horizontally along the lateral side of the head.

THE HEAD S STIMULATION AREAS


1) The motor area
Location: Take the point 0.5 cm posterior to the midpoint of the anteroposterior
midline as the upper point, and the intersection of the eyebrow-occiput line and
the anterior border of the natural line of the hair at the temple as the lower point.
The connecting line between these two points is the motor area. The area is
subdivided into 5 equal parts: the upper 1/5 is the lower limb and trunk motor
area; the middle 2/5 is the upper limb motor area; and the lower 2/5 is the facial
motor area (See Fig.2 and 4).
Indications: the upper 1/5 of the motor area for contra-lateral paralysis of the
lower limb; the middle 2/5 for contralateral paralysis of the upper limb; and the
lower 2/5 for contra-lateral central facial paralysis, motor aphasis, salivation and
dysphonia.

THE HEAD S STIMULATION AREAS

2) The sensory area


Location: The parallel line, 1.5 cun behind the motor area, is the sensory area. The
upper 1/5 of this area is the lower limb, head and trunk sensory area; the middle 2/5 is
the upper limb sensory area; and the lower 2/5 is the facial sensory area
Indication: the upper 1/5 of the sensory area for contra-lateral pain, pain of the leg,
numbness, paresthesia, occipital headache, pain in the nape region and tinnitus; the
middle 2/5 for contra-lateral upper limb pain, numbness and paresthesia; and the lower
1/5 for contra-lateral facial numbness, migraine, trigeminal neuralgia, toothache, and
temporomandibular arthritis.

THE HEAD S STIMULATION AREAS

3) The chorea trembling controlled area


Location: the parallel line 1.5 cm in front of the motor area.
Indications: Chorea, Parkinsons Disease, etc. (If the symptom is unilateral, massage
the contrary stimulation area. If bilateral, massage bilaterally.)
4) The vertigo-auditory area
Location: a 4-cm horizontal straight-line located on the site 1.5 cm right above the
auricular apex.
Indication: Tinnitus, Hypoacusis, Vertigo, Auditory Vertigo, etc.

THE HEAD S STIMULATION AREAS


5) The 2nd speech area
Location: a 3-cm straight line, starting from a point 2 cm posterior and inferior to
the parietal tubercle, parallel to the anteroom posterior midline .
Indication: Nominal Aphasia.
6) The 3rd speech area
Location: 4 cm backward horizontal line from the midpoint of the vertigo-auditory
area.
Indication: Sensory Aphasia.
7) The usage area
Location: Take the parietal tubercle as a starting point, draw a vertical line from the
point. At the same time, draw two other lines from the point separately forward and
backwards, at 40 angles with the vertical line, each of the three lines being 3 cm
long.
Indication: Apraxia.

THE HEAD S STIMULATION AREAS


8) The gastric area
Location: Take the hair margin directly above the pupil as a starting point, draw
a 2-cm straight line upwards, parallel to the antero-posterior midline .
Indication: gastric pain, epigastric discomfort, etc.
9) The thoracic area
Location: Midway between the gastric area and the antero-posterior midline,
taking the hair margin as the midpoint, draw a 4-cm straight line, parallel to the
antero-posterior midline.
Indication: chest pain, chest stuffiness, palpitation, coronary and artery
insufficiency, asthma, hiccup, etc.
10) The reproduction area
Location: Draw a 2-cm straight line from the frontal angle upward, parallel to
the antero-posterior midline.
Indication:
functional
uterine
bleeding,
pelvic
inflammation,
leukorrhagia.Prolapse of the uterus and others may be treated in association with
the foot motor sensory area.

THE HEAD S STIMULATION AREAS


11) The foot motor sensory area
Location: Draw two 3-cm straight lines backwards parallel to the antero-posterior
midline. Their starting points are 1 cm bilateral to the midpoint of the midline
(See Fig.6).
Indication: contra-lateral lower limb pain, numbness, paralysis, acute lumbar
sprain, cerebro-cortical polyuria, nocturia, prolapse of the uterus, etc.
12) The optic area
Location: Draw a 4-cm straight line upwards, parallel to the antero-posterior
midline, 1 cm evenly beside the external occipital protuberance (See Fig.6).
Indication: cerebro-cortical visual disturbance.
13) The balance area
Location: Draw a 4-cm straight line downwards, parallel to the antero-posterior
midline, 3.5 cm evenly beside the external occipital protuberance (See Fig.6).
Indication: equilibrium disturbance caused by cerebellum disease.

THE HEAD S STIMULATION AREAS

THE EARS STIMULATION AREAS


1) Helix: the prominent rim of the auricle.
2) Helix crus: a transverse ridge of the helix continuing backward into the ear cavity.
3) Helix tubercle: a small tubercle at the posterior-superior aspect of the helix.
4) Helix cauda: the inferior part of the helix, at the junction of the helix and lobule.
5) Antihelixes: At the medial aspect of the helix, an elevated ridge parallel to the helix is
called the principal part of antihelix Its upper part branches out into the superior
antihelix crus and the inferior antihelix crus.
6) Triangular fossa: the triangular depression between the two crura of the antihelixes.
7) Scapha: the narrow curved depression between the helix and the anthelix. It is also
known as the scaphoid fossa.
8) Tragus: a small curved flap in front of the auricle.
9) Supratragus notch: the depression between the upper border of the tragus and the
helix crus.
10) Antitragus: a small tubercle opposite to the tragus and superior to the ear lobe.
11) Intertragus notch: the depression between the tragus and antitragus.
12) Helix notch: the shallow depression between the antitragus and antihelix.
13) Ear lobe: the lowest part of the auricle where there is no cartilage.
14) Cymba concha: the cavum superior to the helix crus.
15) Cavum concha: the cavum inferior to the helix curs.
16) Orifice of the external auditory meatus: the opening in the cavum concha shielded
by the tragus.

THE EARS STIMULATION AREAS

DISTRIBUTION AND INDICATION OF AURICULAR POINTS


The auricle is just like a fetus with the head downward and the
buttocks upwards. The distribution of auricular points is as follows:
points located on the lobule are related to the head and facial
regions, those on the scapha to the upper limbs, those on the
antihelixes and its two crura to the trunk and lower limbs, those in
the cavum and cymba conchae to the internal organs, and those
arranged as a ring around the helix crus to the digestive tract
Indication: treating the auricular points related to the parts of the
body that have diseases.

COMMONLY USED MANIPULATIONS


Kneading Manipulation
This manipulation is performed by slowly and softly kneading the therapeutic
region to-and -fro with the fingers, palm-heel, and thenar eminence. According to
the different parts massaged, kneading can be divided into middle-finger
kneading, thumb-kneading, palm-heel kneading and thenar eminence kneading.
During this manipulation, the therapist is in a sitting position. He presses the
relevant region with his middle finger, thumb-tip, and palm-heel and conjointly
useses joint movments of his shoulder, elbow, forearm and wrist joints. Therapist
also does annular rotation within a narrow range, causing the skin of the treated
region to rotate slowly and softly to produce a light and slow internal rubbing
between the skin and the myofascial tissue. The whole manipulation emphasizes
softness where the range of kneading and rotating should be gradually extended,
and the force gradually increased. The operating hand should be fixed on the
treatment area, without any rubbing or slipping on the skin surface. The
frequency is about 100-160 times per minute.
The effect of kneading manipulation is light, soft and slow, but penetrating and
thorough. An additional warming effect is created in the deeper layer of the
myofascial tissue by the internal rubbing part of kneading manipulation.
Kneading manipulation has the following effects: soothing the chest oppression
and regulating the flow of qi, strengthening the spleen and regulating the
stomach, promoting blood circulation to remove blood stasis, reducing swelling
and alleviating pain, expelling pathogenic wind and cold, promoting the flow of
qi by warming the channel, tranquilizing the mind and relieving convulsion.

COMMONLY USED MANIPULATIONS

Rubbing Manipulation
This manipulation is performed by rhythmically rubbing the treatment area in a
circular motion with the palm or the flats of the therapists fingers. Rubbing with the
therapists palm is called palm-rubbing manipulation; rubbing with the tips of fingers
is called fingertips-rubbing manipulation.
The therapist is in a siting position. He lowers his shoulder and drops his elbow
with his forearm in a prone position, palm facing downwards. In palm-rubbing
manipulation, the therapist slightly flexes his wrist with the whole palm pressing on
the affected part. In fingertips-rubbing manipulation, he flexes his wrist about 160
degrees, lifts up his palm, and uses the flats of his fingers as the power-applying
surface. With the synchronized motion of his shoulder, and elbow, and using the
palmar surface as the power center, the therapist continuously proceeds in a circular
motion, either clockwise or counter-clockwise. Rubing manipulation frequency
should be moderate, even and steady, about 100-120 circles per minute.
Rubbing has the effect of relieving the depressed liver and regulating the
circulation of qi, warming the middle-jiao and regulating the stomach, invigorating
the spleen, promoting digestion, removing stagnant food, and regulating
gastrointestinal peristalsis.

COMMONLY USED MANIPULATIONS


Grasping Manipulation
Grasping manipulation is performed by symmetrically and slowly lifting and
squeezing the affected part, while holding, twisting, kneading and pinching it with
the operators thumb, index finger and middle finger, or with all five fingers.
Application with the thumb, index finger and middle finger is called three-fingers
grasping; manipulation with five fingers is called five-fingers grasping.
In this manipulation, the therapist can be either sitting or standing with shoulders
lowered, shoulder joint abducted at 30 degrees to 45 degrees and shoulders bent
forward about 30 degrees. He flexes his elbow about 90 to 110 degrees, the wrist
joints slightly flexed in alignment to his thumb and other two or four fingers, with
the metacarpophalangeal joints flexed about 110 to 120 degrees. Then he holds the
tendon or muscle bundle of the affected part, lifts it up, twirls and kneads it, and
releases it after stimulating it several times. The operation is done repeatedly.
During the treatment, every movement should be coordinated and operated
rhythmically. The parts being lifted and grasped are chiefly the deep cord-like
tissues of the body, such as tendons, ligaments and muscle bundles, so holding the
epidermis of the treated part with finger nails should be avoided since this would
cause discomforts such as pain and soreness.
This manipulation is soft in application but deep in stimulation. It has the
following effects: inducing resuscitation and restoring consciousness, relieving
internal chills, relaxing muscles and tendons to promote blood circulation, and
relieving spasm and pain.

COMMONLY USED MANIPULATIONS

Pressing (Acupressure) Manipulation


Pressing/Acupressure is the manipulation performed by pressing the treatment
region continuously with the therapists fingertip, palm, palm-heel or the tip of his
elbow, graduating from light to heavy, shallow to deep. According to the different
manipulating parts, it can be divided into thumb-pressing acupressure, middle-finger
acupressure etc.
In order to generate force easily, the operator can adopt a sitting position in light
pressure manipulation, and a standing position in heavy pressure manipulation.
During treatment, the therapist should breathe in a normal way (never hold his
breath) and press steadily from light to heavy till a certain depth is achieved. When
the patient has experienced evident sensations such as soreness, distention,
numbness, or warmth, the therapist should hold pressure even at this level and
retain his hand on the operated part for about 1-3 minutes, then slowly lift his hand
up.
This manipulation has the following effects: tranquilizing the mind and allaying
excitement, relieving spasm and pain, inducing resuscitation, relieving arthralgia,
removing obstruction in the channel, and strengthening the tendon and muscles.

COMMONLY USED MANIPULATIONS


Digital-pressing Manipulation
Digital pressing is the manipulation performed by heavily pressing the deep layer
tissue with the operators thumb or his middle finger tip or the protrusive part of the
proximal interphalangeal joints of his flexed middle finger, index finger and thumb.
According to the different operating parts, it can be divided into thumb-pressing
manipulation, middle-finger-pressing manipulation and phalangeal joint-pressing
manipulation.
This manipulation is developed from pressing manipulation, and its operation
structure is similar to that of pressing manipulation. The difference is that this
manipulation has strong stimulation, so special attention should be paid to help and
protect the therapists fingers in operation. For example, in middle-finger-pressing, the
therapist should flex the metacarpophalangeal joint of his middle finger and extend it
straight the distal interphalangial joint (DIP). At the same time, protecting, strengthening
and reinforcing the front and back of its DIP joint with the thumb and index finger, in
forceful digital pressing manipulation and avoiding sprains caused by sudden tiredness
and softness of the joint. In thumb-pressing manipulation, the fingers nearby should be
used to help and protect and strengthen the thumb in order to secure the operation and
make the manipulation stable, solid and effective.
This manipulation has small and concentrated acting areas, with a penetrating but an
evidently painful effect. It is applied to the indurate myofascial tissues of muscles and
periostal aspects of bones or tenderness points, and it has a beneficial effect of treating
pain with pain or overloading of nociceptive output in myofascial and periostal
structures.

COMMONLY USED MANIPULATIONS

Patting Manipulation
The manipulation of patting-hitting with cupped palms on the body surface is
called patting manipulation or patting-hitting manipulation.
The therapist can be either in a sitting or a standing position. During treatment,
the therapists fingersare lined together and slightly stretched. The
metacarpophalangeal joints are slightly flexed to form a cupped palm. The therapist
lifts up the operating hand, and pats down the treatment area with elastic rebound
motion, that bounces the hand up right away, and restores it to its initial position for
the next patting. The stimulus of this therapy can be divided into light, intermediate
and heavy. The structure of this operation is similar to that of digital striking
manipulation.
This manipulation is mainly used on the shoulder and back, lumbosacral portion,
and the thigh. Light patting can also be used on thoracic, abdominal regions and the
head. Long and strong patting has the effect of sedation, analgesia, promoting blood
circulation and removing blood stasis, spasmolysis, and strengthening the body.
Short and light patting has a cephalocathartic and neurotonic effect, as well as
exciting the nerve, regulating the function of the stomach and intestine, soothing
chest oppression, and regulating the flow of qi.

COMMONLY USED MANIPULATIONS


Tapping Manipulation
The manipulation of using the back of the fist, the palmar-heel, the whole palmar,
and the hypothenar eminence to pound and hit the body surface is called tapping
manipulation or striking manipulation.
Palm-tapping manipulation includes whole-palm striking and palm-heel tapping. In
case of palm-heel tapping, the therapist keeps the fingers combined, with the
thumb abducted in a natural flexed position, the wrist joint extended backwards for
45 degrees, and the protruding palmar-heel directed at the treated region. In the
case of whole palm striking, the therapist keeps the fingers adducted, with the
thumb abducted and the wrist, metacarpophalangeal, and all manual
interphalangeal joints slightly flexed so as to turn the palm into a shallow cupping
surface. The operation structure of this manipulation is the same as that of patting
manipulation. Hypothenar-hitting is also called side-hitting or ulnar-beating.
In the tapping manipulation, the force used is swift and the therapist lifts up the
operating hand at once after tapping, making the tapping part very short. During
tapping, the therapist should not only keep the wrist in a fixed posture, but also
relax it, and tap with a controlled elastic rebound force so that the manipulation can
have a specified dynamic ruthm and the patient can feel relaxed and comfortable.
This manipulation has the effect of relaxing muscles and tendons and activating the
flow of qi and blood in the channels and collaterals, promoting blood circulation to
remove blood stasis, and regulating qi and blood

COMMONLY USED MANIPULATIONS


Holding-twisting Manipulation
Holding the patients parts such as fingers and toes with the thumb and the
forefinger and rolling-kneading to and fro with relative force is called
holding-twisting.
There are three ways of pinching the fingers and toes of the patient: with
the flat side of the thumb and the index finger; with the flat side of the thumb,
index and middle fingers; with the flat side of the thumb and radial surface of
the middle joint of the first index finger which is flexed into the shape of a
bow. The holding-twisting should be dexterous and quick. A tacit coordination is needed between the movements of the holding thumb and
fingers, and the force used should be a bit hard, but even and moderate.
This manipulation is primarily applied to small joints of fingers and toes,
and finger-tips. It has the function of lubricating joints, subduing swelling,
alleviating pain, and relaxing muscles and tendons to promote blood
circulation, and is mainly used to treat symptoms of soreness, swelling,
difficult flexing and stretching, and spraining of finger and toe joints. It may
also be used as a supplementary manipulation to treat paralysis and numbness
of extremities. It can be done by operating repeatedly around the joints or
moving slowly from the finger roots to the tips while holding-twisting.

COMMONLY USED MANIPULATIONS

Wiping Manipulation
Wiping manipulation is performed by softly rubbing the skin of the affected
part with the surface of one thumb or surfaces of both thumbs in a straight up
and down, or right and left direction.
In two- hand-wiping, if it is done in one direction, the two hands should
operate along a straight line, and up and down alternately; if in right and left
directions, the two hands should operate simultaneously. Frequency should be
even, about 100-120 times per minute. The force used should be moderate, not
too light so as to prevent superficial operation. To avoid skin scratches,
mediums such as talc powder can be used.
Wiping is a manipulation of lighter stimulus, mainly applied to the head, the
face, the five sensory organs, and the cervical part. It has the function of
inducing resuscitation, tranquilizing the mind, restoring consciousness,
improving vision, alleviating pain, and relaxing muscles and tendons to
promote blood circulation. It is also curative for symptoms like headache,
dizziness, facial paralysis, myopia, and stiffness and pain of the nape.

COMMONLY USED MANIPULATIONS

Traction Manipulation
The therapist uses a controled pulling-extending in opposite directions on
the upper and lower ends of joints along the longitudes of the limbs to
enlarge joint spaces. This is called traction, or pulling and leading.
With one hand holding and stabilizing the proximal end of the patients
joint, the other hand holding its distal end, the therapist uses controlled force
simultaneously in both hands and applies traction directionally to enlarge
joint space.
In the course of this manipulation, the force given should be even, lasting,
and slowly increased. Pulling in uncontrolled manner is contraindicated.
Direction of pulling force should always be along the longitudes of the joints
manipulated. The traction manipulation is used with caution if articular
deformity and rigidity is encountered.
This manipulation has the following effects: restoring and treating injured
soft tissues, correcting malpositioned joints, enlarging joint spaces, relieving
nerve compression, and relaxing adhesion.

WUS HEAD MASSAGE MANIPULATION


1. Kneading and pressing Cuan Zhu (BL 2)
Let the patient lie in the supine position and relax his body, while the
operator sits or stands in front of the head. With one hand, the tip of the
thumb tightly on the points of Shenting (DU 24), rest the whorled surfaces
of the index and middle fingers on the points of Cua Zhu (BL 2), kneading
and pressing for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


2. Wiping the meridian of the forehead
Using the flats of both thumbs, wipe the head in a straight-line
separately, all the way from Yintang (EX-HN 3), Cuanzhu (BL 2), Yu
Yao (EX-HN 4) and Sizhukong (SJ 23), to the apex of the head.
Repeat the procedure for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


3. Wiping the forehead
Starting from the medial line, wipe from the Yintang (EX-HN 3) to the center of
the forehead, the hairline, and to Taiyao (EX-HN 5), respectively. Repeat each
procedure for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


4. Kneading and pressing Yu-Yao (EX-HN 4)
Rest the fingertip surfaces of middle fingers on the points of Yu Yao
(EX-HN 4), kneading and pressing them for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION

5. Kneading and pressing Si Zhu Kong (SJ 23)


Rest the fingertip surfaces of the middle fingers on the points of
Sizhukong (SJ 23), pressing and kneading them for about 4 to 6 times

WUS HEAD MASSAGE MANIPULATION

6. Scraping the eyebrow


With both thumbs, start from Cuazhu (BL 2), and scrape along the
eyebrow bone until Sizhikong (SJ 23). Repeat the procedure for 4
to 6 times.

WUS HEAD MASSAGE MANIPULATION

7. Wiping the eyeball


Rest the fingertip surfaces of the thumbs on the points of Jing Ming (BL 1); then
softly wipe the closed eyeball until Tongziliao (GB 1). Repeat the procedure for 4
to 6 times.

WUS HEAD MASSAGE MANIPULATION


8. Kneading and pressing Ying Xiang (LI 20)
Rest the fingertip surfaces of the middle fingers on the points of Ying
Xiang (LI 20), kneading and pressing until there is a feeling of soreness.
Repeat the procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


9. Kneading and pressing Di Cang (ST 4)
Rest the fingertip surfaces of the thumbs or middle fingers on
the points of Di Cang (ST 4), kneading and pressing for about 4 to
6 times.

WUS HEAD MASSAGE MANIPULATION


10. Pressing acupressure points
Using the whorled surfaces of the middle fingers or thumbs as
pressure basis, press successively from Renying (ST 9), Daying (ST 5),
Jiache (ST 6), Xiaguan (ST 7), Tinghui (GB 2), Tinggong (ST 19),
Ermen (SJ 21) until Baihui (DU 20). Repeat the procedure for 4 to 6
times.

WUS HEAD MASSAGE MANIPULATION


11. Kneading and pressing Cheng Jiang (RN 24)
Rest the fingertip surfaces of the thumb on the Chengjiang (RN 24) and
middle finger of the right hand on the point of Lianquan (RN 23) and
press and knead for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


12. Stroking the right side of the neck
Let the patient rotate his head to the left side, his cheek supported by your left
hand. Resting your right hand on the neck, gently stroke along the points
Lianquan (RN 23), Renying (ST 9), Futu (LI 18) and Quepen (ST 12) which
appear on the curved contour. Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


13. Right scalp sweeping method
Spread open the five fingers, with the flats of the fingers as basis, and
the thumb as an alignment point for the other fingers. Starting with the
little finger, sweep each finger in succession like a wave, from the hair
line at the corner of the forehead to the posterior ear, until the posterior
hairline in the curved manner, for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


14. Right scalp finger-combing method
Continuing from the last movement, make claw-like fingers, combing along
the curve of the head from the anterior hairline all the way to the posterior
hairline in curved manner. Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


15. Massaging the right motor and sensory area
Knead with the flat of the thumb from the apex of the head all the way to end
of the lateral hairline in front of the ear. Repeat the same procedure for 4 to 6
times.

WUS HEAD MASSAGE MANIPULATION


16. Finger flicking right motor and sensory area
With the middle finger enclosed by the thumb, use the index or
middle finger to flick slowly and softly on the right motor and
sensory area found along the lateral side of the head for about 2 to 4
times.

WUS HEAD MASSAGE MANIPULATION


17. Kneading and pressing the right auricular helix
With the back of the right ear supported by the forefinger, middle, ring
and little fingers, and the flat of the thumb right over corresponding
surfaces of the other fingers, softly and slowly move the thumb
downward, kneading and pressing along the helix of the ear. Repeat
the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


18. Stroking the left side of the neck
Let the patients head incline to the right side, the cheek supported by
your right hand. Resting the left hand on the neck, gently stroke the points
Lianquan (RN 23), Renying (ST 9), Futu (LI 18) and Quepen (ST 12)
which appear along the curved contour. Repeat the same procedure for
about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


19. Left scalp sweeping method
Spread open the five fingers, with the flats of the fingers as basis,
and the thumb as an alignment point for the other fingers. Starting
with the little finger, sweep each finger in succession like a wave,
from the hair line at the corner of the forehead to the posterior ear,
until the posterior hairline in the curved manner, for about 4 to 6
times.

WUS HEAD MASSAGE MANIPULATION


20. Left scalp finger-combing method
Continuing from the last movement, make claw-like fingers, combing
along the curve of the head from the anterior hairline all the way to the
posterior hairline in curved manner. Repeat the same procedure for 4 to
6 times.

WUS HEAD MASSAGE MANIPULATION


21. Massaging the left motor and sensory area
Knead with the flat of the thumb from the apex of the head all the way to end of the
lateral hairline in front of the ear. Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


22. Finger flicking left motor and sensory area
With the middle finger enclosed by the thumb, use the index or middle finger
to flick slowly and softly on the right motor and sensory area found along the
lateral side of the head for about 2 to 4 times.

WUS HEAD MASSAGE MANIPULATION


23. Kneading and pressing the left auricular helix
With the back of the left ear supported by the forefinger, middle, ring and
little fingers, and the flat of the thumb right over corresponding surfaces of the
other fingers, softly and slowly move the thumb downward, kneading and
pressing along the helix of the ear. Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


24. Stroking the chin on both sides
Raise the thumb and put the index fingers at the points of Chengjiang (RN
24). With the fingers encircling the lower jaw and chin, stroke the chin on
both sides downwards to the points of Daying (ST 5) and the ear lobe.
Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


25. Stroking Shuigou (philtrum) on both sides
Continuing from the last movement, rest the index fingers on the philtrum, and
the middle fingers on the points of Chengjiang (RN 24). With the chin encircled
by the ring fingers and the little fingers, stroke the philtrum on both sides
downwards to the points of Daying (ST 5) and the ear lobe for about 4 to 6
times.

WUS HEAD MASSAGE MANIPULATION


26. Stroking Jingming downwards and raising the chin upwards
Rest the fingertip surfaces of the thumbs on the points of Jingming (BL 1).Stroke
along both sides of the nose downwards to Yingxiang (LT 20) and Dicang (ST 4).
Simultaneously, with the chin encircled by the other fingers, raise the muscle of the
chin upwards slowly and softly for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


27. Downward squeezing of the nose
Support the lower chin with the left hand. Using the right index and middle
fingers, gently squeeze along the points from Jingming (BL 1) to Yingxiang (LT
20). Repeat the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


28. Kneading (Temple) Taiyang (EX-HN 5)
Place the two thumbs at the forehead and make a cupped fist. Knead
(Temple) Taiyang (EX-HN 5) with the radial side of the index finger,
repeating the same procedure for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


29. Rubbing the face
The therapists right hand exerts pressure to the left side of the patients and
vice versa. Move the palms of both hands circularly clockwise from the
mandible to both sides of the face until the forehead, rubbing alternately for
about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


30. Digital-pressing Fengchi (GB 20)
Put the fingertips of the middle fingers tightly on the Fengchi (GB 20),
pressing it for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


31. Digital-pressing Yifeng (SJ 17)
Put the fingertips of the middle fingers tightly on the Yifeng (SJ 17), pressing it
for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


32. Digital-pressing Bai Hui (DU 20)
Put the fingertips of the thumbs tightly on the Baihui (DU 20), pressing it for
about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


33. Digital-pressing Si Shen Cong (EX-HN 1)
Put the fingertips of the thumbs tightly on the Sishencong (EX-HN 1),
pressing for about 4 and 6 times

WUS HEAD MASSAGE MANIPULATION


34. Hypothenar rolling of the forehead
With the hypothenar eminence and the ulnar dorsum of the hand as the
manual-treating surface, roll and knead the forehead from middle of forehead
toward both lateral ends of forehead for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


35. The palmar pressing and wiping the forehead
Use the bottom of the palm, and slowly and softly press forehead and
wipe from the eyebrow line toward hairline for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


36. Combing and wiping with the fingers from the forehead until the top of
the head
Exerting pressure with the flats of the fingers on the forehead, slowly and softly
comb and wipe with regular sequence in a straight line from the points of Yintang
(EX-HN 3) to Shenting (DU 24), Shangxing DU 23), Cuanzhu (BL 2), Qucha (BL
4), Yuyao (EX-HN 4), Tolinqi (GB 15), Sizhukong (SJ 23), Touwei (ST 8), until the
top of the head for about 4 to 6 times

WUS HEAD MASSAGE MANIPULATION


37. Stroking over the face without touching
Continuing from the last step, gradually separate the hands from the head.
Stroke slowly and softly over the face with the Qi of the hands without touching
the surface for 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


38. Fingers flicking on the forehead
With the middle finger enclosed by the thumb, flick the middle finger on the
forehead from one side to another, slowly and softly, for about 2 to 4 times.

WUS HEAD MASSAGE MANIPULATION


39. Tapping on the forehead with the hands holding each other
Hold the hands together, the joints slightly flexed so as to concave the
palm to form a hollow palmar cup. Tap on the forehead with the back of the
hand from one side to another for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


40. Tapping on the forehead with hollow fists
With hollow fists, tap slowly and softly on the forehead with the ulnar side of the
little fingers, from the middle to both sides for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


41. Pressing and squeezing on both sides of the head
With the patient sitting, apply both palms on the sides of the head of the
patient, slowly and softly squeezing it for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


42. Occipital area stimulation (Ming Tiangu)
The therapist places his two palms on the ears of the patient, with the hearts of
the palms pointing to the front and the fingers to the back. With the index finger
on top of the middle finger, he flick-hits stimulating occipital skull area 10 times
producing a booming sound in the ears.

WUS HEAD MASSAGE MANIPULATION


43. Lifting and scrubbing
With the two hands placed on the vicinity of the head as if holding a ball, lift
and scrub swiftly and repeatedly for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


44. Finger tapping
With the two hands placed on the vicinity of the head as if holding a ball, swiftly
and gently tap from the apex of head down to the shoulder. Repeat for about 4 to 6
times.

WUS HEAD MASSAGE MANIPULATION


45. Kneading and grasping the tendons of the neck
Hold and grasp posterior neck musculature by the thumb, index and middle
finger symmetrically. Knead and grasp them, from up to down. Repeat for
about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


46. Rubbing the posterior cervical area
Using the backs of the thumb, index and middle fingers together, lift up the
myofascia of the posterior cervical area and rub softly from both sides to the
middle line. Repeat for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


47. Pushing and pressing the sternocleidomastoid muscle
The patient is in a sitting position, with the head inclined to the left side and
slightly raised. Standing behind the patient, the therapist support the left chin with
his left hand. The thumb of the right hand is open at a 90 angle, the thumb radial
surface resting on the sternocleidomastoid muscle. Therapist then pushes and
presses along the muscle from up to down until the proximal clavicle is reached,
manipulation is done slowly and softly for about 4 to 6 times. Manipulation is
repeated on the the left side as well.

WUS HEAD MASSAGE MANIPULATION


48. Squeezing the neck
Let the patients head bend down. The therapist stands behind, and connects
the two hands by crossing the fingers, with the palms facing inward
conforming to the shape of the neck. He then applies pressure with the two
palms in a squeeze-and-relax rotation for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


49. Kneading and pressing Dazhui (DU 14)
Rest the thumbs on the point of Dazhui (DU 14), below spinus process of 7th
cervical vertebrae, kneading and pressing for about 4 to 6 times

WUS HEAD MASSAGE MANIPULATION


50. Rolling and pressing the neck
The patient is in a sitting position. The therapist stands behind and rests the
hypothenar eminence of both hands on the back of the neck, with the hands and
fingers slightly bent. From the middle of the shoulder (Dazhui DU 14), he rolls
and presses laterally over upper trapezius toward the acromioclavicular joints of
the shoulder for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


51. Grasping and lifting the shoulder muscles
Hold the upper trapezius muscle fold by the thumb and middle finger symmetrically,
rhythmically grasping and lifting them in a squeeze-and-relax rotation from the
middial to the lateral part of shoulder. Repeat for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


52. Tapping the neck and shoulders with hollow fists
Form a hollow fists, with the ulnar edge tapping the neck and shoulder areas.
Tap from left to right side repeatedly for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


53. Tapping neck and shoulder with clapped hands
Place the two hands in a clapping-hand fashion, with the joints slightly flexed
so as to create a space between the palms. Use the back of the hand to tap from
left to right on the neck and shoulder areas. Repeat for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


54. Patting the neck and shoulders with a concave palm
The fingers of one hand are lined together, the joints slightly flexed so as to
concave the palm. Pat on the neck and shoulders with the concave palm from
left to right side for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


55. Stretching the chest wall muscles
The patient is sitting, with fingers crossed at the back of head, the arms open, and
elbows abducted. The therapist stands behind the patient and presses the palms of his
hands against the patients elbows, drawing them back and stretching chest wall
muscles. The therapists right knee should be raised against the thoracic vertebrae of
the patient for this procedure. Repeat for about 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


56. Rotating the shoulders
Patient is sitting with fingers crossed at the back of the head, the arms open, and
the elbows abducted. The therapist stands behind, pressing the palms of his
hands against the patients elbows and make s up, down, front and back figure
8 rotational movements with fulcrum in both shoulders. Repeat the procedure
2 to 4 times.

WUS HEAD MASSAGE MANIPULATION


57. Cupped fist tapping the arm
Support the patients out-stretched arm by holding his wrist with your left hand.
Make a hollow fist with the right hand. Start from the wrist, tapping up along the
inner, middle and outer aspects of the arm respectively. Tap each side of the arm 4
to 6 times.

WUS HEAD MASSAGE MANIPULATION


58. Wiping the back of the hand
With the flat of the thumbs tightly adhering to the dorsum of the patients hand,
wipe the thumb from the center towards the sides of the hand. Repeat the
procedure 4 to 6 times.

WUS HEAD MASSAGE MANIPULATION


59. Holding-twisting the fingers
Hold one finger between the thumb and the index finger. Knead and twist all
the way from the root of the finger to the tip. Repeat the procedure 2 to 4
times for each finger.

WUS HEAD MASSAGE MANIPULATION


60. Traction of the interphhalangeal joints of the fingers
Hold the patients wrist with one hand. Hold the proximal end of of the finger
between the flexed middle and index fingers. Initiate downward movement
along shaft of the interphalangeal bone with a quick pulling motion, from the
proximal end to the tip of the finger. Repeat the procedure 2 to 4 times for each
finger.

SELF MASSAGE OF THE EYES


1) Kneading Zanzhu (UB 2)
Apply the fingertip surfaces of the thumbs on the two points of Zanzhu
(UB 2) in the depressions proximal to the medial ends of the eyebrows
and knead for 10 times respectively. The force of kneading should be
increased gradually to get a feeling of soreness and distention.

SELF MASSAGE OF THE EYES


2) Kneading Jingming (UB 1)
Put the thumb and the index finger of the right hand on the point Jingming
(UB 1) which is located in the depression 0.1 cun above the inner canthus.
Press down and pinch alternately for about 10 times.

SELF MASSAGE OF THE EYES


3)Pressing-kneading Sibai (St 2)
Put the index fingers on the points of Sibai (St 2) each of which is 1 cun under the
midpoint of the lower orbit, and press-knead for about 10 times to get the sensation of
soreness and distention.

SELF MASSAGE OF THE EYES


5) Ironing the eyes
Close yours eyes slightly. Rub yours hands against each other until they are
hot, and cover the eyes with your palms to iron the eyes for about 30
seconds. Follow by rubbing them gently 10 times or more.

SELF MASSAGE OF THE EYES


6) Kneading Taiyang (Extra 2)
Press hard on the points of Taiyang(Extra 2) with the figertip surfaces of the
thumbs or index fingers, and knead for about 10 times to get the sensation of
soreness and distention.

SELF MASSAGE OF THE NOSE


1) Pressing-kneading Yingxiang (LI 20)
Rest the whorled surfaces of the index fingers on the points of Yingxiang (LI
20), and press and knead them for about 10 times to get the sensation of
soreness and distention .

SELF MASSAGE OF THE NOSE


2) Rubbing the sides of the nose
Rub the index or middle fingers of the two hands against each other to get them
hot. Then rub with middle finger tips on the nasolabial grooves up and down till
skin surface feels hot too. Do it about 10 times each session.

SELF MASSAGE OF THE EARS


1) Pressing-kneading the points around the ear
Press and knead, with the tips of the thumbs or the middle fingers, the points
Ermen (SJ 21), Tinggong (SI 19), Tinghui (GB 2), and Yifeng (SJ 17) for
about 10 times each, to get the sensation of soreness or distention.

SELF MASSAGE OF THE EARS


2) Rubbing the helix
Pinch the helices gently with the thumbs and the radial sides of the index
fingers, and rub up and down repeatedly for about 10 times to get the helices
hot.

SELF MASSAGE OF THE EARS


3) Occipital area stimulation (Ming Tiangu)
Apply the two palms to the ears, with the bases of the palms pointing to the
front and the fingers to the back. Put the index fingers on top of the middle
fingers and the flick-hit stimulating occipital skull area 10 times, producing a
booming sound in the ears.

SELF MASSAGE OF THE HEAD


1) Pushing the forehead on either side (front of the head)
Bend the two index fingers and push with their radial sides along the midline
of the forehead, which runs from Yintang (Extra 1) to the anterior hairline.
Branch out towards the left and right Taiyang (Extra 2), Sizhukong (SJ 23)
and Touwei (St 8) on the two sides of the forehead respectively for 10 times.

SELF MASSAGE OF THE HEAD


2) Wiping the temples (sides of the head)
Press the temples with the thumbs and wipe backwards with force
repeatedly for about 10 times. The massage should give a sensation of
soreness and distention.

SELF MASSAGE OF THE HEAD


3) Pressing-kneading the back of the skull (occipital area)
Put the fingertip surfaces of the thumbs tightly on the points of Fengchi (GB
20) and press them for over 10 times, followed by circular kneading. Then
knead the points of Naohoukong (GB 19) for about 10 times until the patient
has a sensation of soreness and distention.

SELF MASSAGE OF THE HEAD


4) Pressing-kneading the points of Bai Hui (DU 20) and Si Shen Cong (EX-HN 1)
Put the tips of the middle fingers on the points of Bai Hui (DU 20) and press - knead
for about 8-10 times. Do the same for Si Shen Cong(EX-HN 1) for 2-4 times.

SELF MASSAGE OF THE HEAD


5) Bathing the face with hands
Rub the hands against each other to get them warm. With the palms put lightly
against the forehead, rub forcefully down to the mandibles, along the
mandibular angle sidewise to the points of Jiache (St 6), then upwards via the
preauricular area and the temples to the midpoint of the forehead. Repeat the
procedure for 6-8 times until the face feels warm.

THE END

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