Tui Na is also called massage or manual therapy. Tui Na has a long history, with a variety of techniques and rich experience. It is safe, economical and effective in the treatment of neck, shoulder, back and leg pain, and is highly respected by both doctors and patients. The basic effect of Tui Na lies in its mechanical effect. The force of manipulation deforms the local tissues and promotes the flow of tissue fluid from high pressure to low pressure; after stopping the force, the tissues return to their original state. Alternating light and heavy force according to the rules can promote the movement of substances in the tissues, increase the exchange of substances inside and outside the blood vessels, inside and outside the cells, speed up the blood circulation, adjust and correct the physiological and metabolic disorders, circulate qi and blood, balance yin and yang, and relieve and disappear the symptoms. According to the different roles, Tui Na manipulation can be divided into two main categories. 1, antispasmodic and pain-relieving, blood-vitalizing techniques: stroking, pressing and kneading, point pressure, pushing, finger rubbing, flicking and dividing, trembling, percussion, etc.. These techniques require to be durable, powerful, even and soft, so that the power is concentrated and penetrates into the lesion, giving full play to its therapeutic effect. Long-lasting, refers to a technique in a certain part of the sustained operation for a certain period of time; powerful, refers to the technique should have a certain strength, otherwise it can not achieve the therapeutic effect, but must pay attention to just the right amount, too much power can cause new injuries; uniform, refers to the technique in the process of sustained strength evenly stable, maintain a certain frequency, not suddenly big and small, suddenly fast and slow, so that patients feel uncomfortable; soft, refers to the technique in the strength change and When moving can not be too sudden, so that the affected part of the unnecessary reaction, affecting the treatment. 2, release the adhesions, tendon rectification techniques: pulling and stretching traction method, pressure method, trigger leg method, trigger shoulder method, side trigger method, pan waist method, pan leg method, reverse back method, etc.. Among them, the wrenching method requires stability, accuracy, lightness, crispness, a purpose that stops. The pulling and stretching method requires continuous stability. Regardless of what kind of technique, should be gradual, from small to large amplitude, slowly, not impatient. Different diseases should choose the corresponding combination of techniques according to their pathological characteristics. The selection of techniques should be simple and practical, not too many. During the preparation period, choose the first type of manipulation to relieve muscle spasm, sedate and relieve pain, and promote qi and blood circulation; during the treatment period, choose the second type of manipulation with tendon adjustment, loosening adhesions, and restoring the function of joint movement; during the finishing period, it is appropriate to choose the first type of manipulation to ease stimulation and promote qi and blood circulation. The indications for massage therapy are wide, mainly including acute neck, shoulder and back sprains, chronic neck, shoulder and back strains, degenerative diseases of bones and joints, cervical spondylosis, frozen shoulder, tennis elbow, lumbar disc herniation, lumbar spinal stenosis, degenerative crestitis, lumbar small joint syndrome, sacroiliac joint sprains, pear-shaped muscle syndrome, old sprains and contusions, fracture dislocation recovery period, and wind-cold and wet lumbar and leg pain, joint pain. 1, the contraindications of massage 1, malignant tumors, acute infectious diseases, mental illness and other serious clinical conditions, are not suitable for manual massage. 2, the painful part of the skin injury or skin disease, should not be massage. 3, pregnant women and during menstruation, should not be in the waist, abdomen, hip and other parts of the massage. 4, fracture dislocation during fixation, or joint swelling and pain does not reduce, contraindicated in the local heavy manipulation and Mongolian pulling flexion and extension techniques, to prevent aggravation of pain or traumatic ossification myositis occur. 5, old bone injury disease has joint dysfunction, in the functional recovery period, should not be repeated, strong for flexion and extension joint wrenching techniques, in order to prevent aggravation of injury or ossification myositis. Second, neck and shoulder massage points commonly used 1, shoulder well point: when the head is low, the lower edge of the high point of the neck bulge and the middle point of the shoulder peak line. 2, shoulder Zhen point: located at the bottom of the shoulder joint, when the arm inward, 1 inch above the posterior axillary line. 3, Dazhi point: the depression below the spinous process of the seventh cervical vertebra. 4.Out-of-shoulder point: down from the large vertebrae point, 3 inches below the spinous process of the third thoracic vertebra. 5, Tianzong point: scapula, the central depression of the subgaleal fossa and the fourth thoracic vertebrae parallel. Third, the basic operation method of neck massage (nine steps) sitting The first step: push method. The operator with the thumb belly from top to bottom to push the patient’s neck ligaments, muscles, massage force should be appropriate, uniform, gentle, slow speed. The second step: kneading method. Take knead the neck and neck. The operator holds the patient’s shoulders with one hand, the other hand with multiple fingers (3 or 5 fingers) finger belly from the posterior hairline to the sixth cervical vertebrae on both sides, from top to bottom to knead the patient’s neck muscles on both sides respectively 5-8 times. The operation should not be too heavy. Step 3: Pressing method. The operator uses the thumbs of both hands on both sides of the spinous process of the patient’s neck, up and down, and repeatedly presses 5-8 times. The thumb belly should be about 0.5 inch on each side of the spinous process, not too far away, so as not to compress the patient’s carotid sinus causing shock. Step 4: Squeeze method. Squeeze the muscles on both sides of the cervical collar. The operator should separate the five fingers and squeeze the sternocleidomastoid muscles on both sides of the patient’s neck using the palm root, from top to bottom, one squeeze and one release, repeat 5-8 times, each squeeze should not exceed 10 seconds. Step 5: Take the method. (Pinch) Lift and hold the shoulder. The operator’s thumbs are placed on both sides of the patient’s shoulders, and the remaining 4 fingers are placed on the upper fossa of the scapulae on both sides, and the shoulders are lifted inward and outward for 5-8 times. Step 6: Point method. Point and rub the Fengchi point and the shoulder well point. The operator holds the patient’s head with one hand, and the thumb and middle finger of the other hand point and rub the Fengchi points on both sides of the patient, pointing and rubbing at the same time, pointing and rubbing for about half a minute. Then use both thumbs to point and rub the shoulder well points on both sides of the patient, pointing and rubbing at the same time for about half a minute. Step 7: Plucking and stretching method. (Lift) Plucking and stretching the neck. The operator places both thumbs behind the patient’s ears, the index finger on the jaw, and the remaining three fingers under the jaw, the patient’s neck is relaxed, and the neck is gently stretched upward, repeatedly 5-8 times. Note that the force should not be too great, the action should be gentle and the muscles should be relaxed. Step 8: Flexion and extension method. (deviation) pulling the cervical collar. The operator holds the patient’s shoulder with one hand, the other hand on the side of the head, hands gently in the opposite direction, do one side and then the other side, 5-8 times on each side. Note that the force should not be too large, the speed should not be too fast, the action should be gentle. Step 9: shaking method. Shake the neck. The operator holds the patient’s shoulder with one hand and the top of the patient’s head with the other hand, turning clockwise and counterclockwise 5-8 times each. Note that the movement should be slow and the amplitude should not be too large. Gradually slow down the end. Fourth, the shoulder massage basic operation method (seven steps) patients to take a sitting position palm while stroking the patient’s shoulders, repeat 8-10 times, so that their shoulders relax, gradually reduce the strength of the end. Five, back and waist massage techniques (prone position) The first step: kneading method. Knead the back and waist. Operators use both hands palms from top to bottom to press the patient’s back and waist, the force should be appropriate. The second step: plucking method. Plucking the foot solar bladder meridian (location in the back: 1.5 and 3 inches next to the posterior median line, four in total). The operator uses the thumbs of both hands to flick the fingers, up and down, when you need to increase the power, you can also overlap the thumbs of both hands to flick, do one side and then do the other side. Repeat 3-5 times. Step 3: Press the method. Press the foot solar bladder meridian. Overlap the palms of both hands, press from the top to the bottom, the force should be appropriate, the speed should be slow. Step 4: Rolling method. Roll both sides of the lumbar spine. Roll with one hand holding an empty fist from top to bottom, with even strength and without a sense of touch and rub. Time 1-2 minutes. Step 5: pat method. Pat the back lumbar region. With both hands empty fist or flexed palm, up and down pat 1-2 minutes, the force should be light, too heavy easy to cause kidney bleeding. Step 6: Press method. Press and rub the kidney point. Straighten the thumbs of both hands and press the kidney points on both sides of the back at the same time, and press and knead for 1-2 minutes. Step 7: rubbing method. Rub the kidney points on each of the vital points. Rub hot palms cover slightly after rubbing, so that the heat penetrates into the interior. Step 8: push method: straight push the waist and back. Use both palms to palm root as gravity, from the shoulder straight push to the lumbosacral region, repeat 3-5 times, the strength gradually reduced, end. Five, waist massage points commonly used 1, kidney points: located in the human waist. When the second lumbar vertebrae under the spinous process, about two fingers wide. 2, large intestine point: in the lumbar region of the fourth lumbar vertebrae under the spinous process next to open 1.5 inches. 3, Huanjiao point: the junction of the outer and middle third of the border between the sacral fissure and the highest point of the greater trochanter. 4, Cheng Fu point: the midpoint of the lower transverse gluteal line at the back of the thigh. 5, Wei Zhong point: the midpoint of the popliteal transverse stripe, midway between the biceps femoris tendon and the semitendinosus tendon. 6, Yinmen point: on the line between the Chengfu point and the Zhizhong point, 6 inches below the Chengfu point. 7, Chengshan point: at the junction of the posterior middle and lower third of the lower leg. It is located at the bifurcation of the heads of the peroneus longus muscle on both sides. 8, Life Gate point: located in the lumbar region, when on the posterior median line, in the depression below the spinous process of the 2nd lumbar vertebra.