The heavier the nudge, the better?

  For the massage is not the heavier the better such a problem, I believe that many people look at the title will know, of course, not the heavier the better, many people engaged in massage work is also convinced of this, but the specific implementation, as if you can really do not rely on brute force to cure the disease is not seen. Many masseurs or massage doctors will say this: massage of course, heavy, to pain, no pain no effect. People are also accustomed to the scenario that the doctor is sweating and pushing, while the patient is gritting his teeth and suffering.  Wu Qian, a Ming Dynasty doctor, said in his book “The Golden Guide to Medical Practice: The Essentials of Orthopedic Technique” that “the method is called manipulation when the patient is not aware of the pain”, pointing out that it is a good technique when the patient does not need to endure pain strongly during the manipulation.  Ming dynasty doctor Zhang Jiebin in the “class” pointed out that “the current flow of massage, do not know the benefits and harms, dedicated to strong techniques, forceful trapped people, open people’s joints, away from the vital energy, more than this is very. The patient also to say that the law of course, that is, not unbearable, barely endure, mostly see the strong to weak, weak, not only can not go to the disease, but also increase the harm, with if the generation, must not be cautious.” It is to criticize the adverse consequences of using brute force and techniques without paying attention to skills.  Different parts of the body are treated with different light and heavy techniques, and the adjustment of yin and yang, heat and cold, and deficiency and reality in the body are different. Sometimes the strength and weight are different and the effect may be completely different. Therefore, from the point of view of evidence-based treatment, the strength of manipulation is selective, not the heavier the better.  Secondly, from the point of view of the technique itself, the Tui Na technique is very skillful, emphasizing persistence, strength, uniformity and gentleness, and on this basis, achieving the purpose of deep penetration of the technique. Lasting is to make the operation of the technique to maintain a certain time without deformation; powerful is the technique must have a certain strength; uniform is the operation of the technique strength and time must have rhythmical; soft just in the soft, soft in the rigid, rigid and soft together.  Among them, lasting and powerful is the basis of the technique, uniform and soft, especially soft is the embodiment of the merits of the technique, the evaluation of the merits of the doctor’s technique is often not in the powerful and lasting, but in the uniform and soft, especially soft. In order to achieve the purpose of deep penetration, the strength only needs to reach a stage, more than this stage or less than this stage will affect the deep penetration, not the more powerful manipulation of deep penetration is stronger.  Furthermore, from the point of view of the effect of manipulation on the human body, there are two main effects of manipulation: physical effect and biological effect. The physical effect is the mechanical effect of the force and time of the manipulation on the patient’s body; the biological effect is the change of the physiological function of the body under the action of the manipulation, such as the rise and fall of blood pressure, the change of the content of active substances in the body, the slowing down or acceleration of gastrointestinal motility, etc.  The effect of Tui Na on human body is mainly through the biological effect, the physical effect is only one aspect of the effect of manipulation, if Tui Na doctors want to improve their own manipulation techniques, the direction of effort is to try to improve the biological effect of manipulation. The data shows that the strength of manipulation reaches a certain level, the strength of the biological effect and the weight of the manipulation have nothing to do with each other, blindly increase the strength of manipulation, the biological effect will be reduced.  Many tui na techniques are very skillful, and the effect on the human body is through the standardized action, so that the human body has a strong biological effect to win, if you increase the strength of the technique, the technique will be deformed, and the biological effect will be weakened or disappeared, especially for the treatment of internal diseases such as one finger zen pushing method and rolling method.  For the treatment of muscles and fascia, the rigidity of the technique is more than the flexibility, but it is not the heavier the better, because too heavy a technique can easily produce mechanical pressure damage to the organism.  In addition, for injury diseases, if you can achieve the premise of the treatment effect, try to use light techniques, in the patient, in a relatively relaxed and happy state, the treatment effect is much better than under the negative emotions of gritting teeth; in the doctor, can save physical strength, for more patients to relieve pain.  To sum up. Tui na massage techniques, not the heavier the better, as long as effective, the technique can be light, of course, each technique to follow the main points of the technique itself.