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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
© Endeavour College of Natural Health www.endeavour.edu.au 3
“To the mind that is still, the whole
universe surrenders”
- Lao Tzu
© Endeavour College of Natural Health www.endeavour.edu.au 4
Plucking Method (Tan Bo Fa)
Chengnan 2000 pp.64
Also called
“Nipping”
© Endeavour College of Natural Health www.endeavour.edu.au 5
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
© Endeavour College of Natural Health www.endeavour.edu.au 6
Plucking (tan bo fa): mechanics
Basic single-thumb plucking
Basic supported-thumb plucking
Variation of supported-thumb
plucking
Plucking with fingers of both hands
© Endeavour College of Natural Health www.endeavour.edu.au 7
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.
© Endeavour College of Natural Health www.endeavour.edu.au 8
Plucking (tan bo fa): where to use?
o Channel sinews
o Tendons/muscles
o Old trauma/adhesions
© Endeavour College of Natural Health www.endeavour.edu.au 9
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)
© Endeavour College of Natural Health www.endeavour.edu.au 10
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)
© Endeavour College of Natural Health www.endeavour.edu.au 11
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)
© Endeavour College of Natural Health www.endeavour.edu.au 12
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
© Endeavour College of Natural Health www.endeavour.edu.au 13
Vibrating Method (Zhen Fa)Chengnan 2000 pp.71
© Endeavour College of Natural Health www.endeavour.edu.au 14
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.
© Endeavour College of Natural Health www.endeavour.edu.au 15
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
© Endeavour College of Natural Health www.endeavour.edu.au 16
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.
© Endeavour College of Natural Health www.endeavour.edu.au 17
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)
© Endeavour College of Natural Health www.endeavour.edu.au 18
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.
© Endeavour College of Natural Health www.endeavour.edu.au 19
Vibrating (zhen fa): where to use?
o Any points
o Head
o Chest
o Ribs
o Abdomen
o Lower back
o Sacrum
o Joints
© Endeavour College of Natural Health www.endeavour.edu.au 20
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.
© Endeavour College of Natural Health www.endeavour.edu.au 21
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
© Endeavour College of Natural Health www.endeavour.edu.au 22
Vibrating (zhen fa):
cautions/contraindications
Cautions:
This technique requires long term training. (E.g.. Shao Lin Lei Gong)
(Hongzhu, 2007, pp.275)
© Endeavour College of Natural Health www.endeavour.edu.au 23
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
© Endeavour College of Natural Health www.endeavour.edu.au 26
Shaking Method
(Dou Fa)Pritchard 2009 pp.85
© Endeavour College of Natural Health www.endeavour.edu.au 27
Shaking (dou fa): rationale
Applied to arms and legs
Often alternated with rub rolling (cuo fa)
Relaxes muscles & joints
© Endeavour College of Natural Health www.endeavour.edu.au 28
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.
© Endeavour College of Natural Health www.endeavour.edu.au 29
Shaking (dou fa): where to use?
o Arms
o Legs
© Endeavour College of Natural Health www.endeavour.edu.au 30
Shaking (dou fa): clinical usage
Functions:
• Regulates the flow of Qi & Blood in limbs
• Relaxes the muscles &joints
• Removes obstructions from the channels
© Endeavour College of Natural Health www.endeavour.edu.au 31
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
© Endeavour College of Natural Health www.endeavour.edu.au 32
Shaking (dou fa):
cautions/contraindications
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)
© Endeavour College of Natural Health www.endeavour.edu.au 33
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
© Endeavour College of Natural Health www.endeavour.edu.au 34
Flicking Method (Tan Fa)Hongzhu (2007) pp.281-282
© Endeavour College of Natural Health www.endeavour.edu.au 35
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.
© Endeavour College of Natural Health www.endeavour.edu.au 36
Flicking (tan fa): clinical usage
o Functions:
• Stimulates flow of qi and blood
• Disperses stagnation
• Relives painful joints
© Endeavour College of Natural Health www.endeavour.edu.au 37
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
© Endeavour College of Natural Health www.endeavour.edu.au 38
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
© Endeavour College of Natural Health www.endeavour.edu.au 39
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
© Endeavour College of Natural Health www.endeavour.edu.au 40
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