Indications, Contraindications and points of attention in Tu

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Tuina is a Chinese treatment with single systematic rules under the direction of the theory of yin-yang, Five Elements, Zang-fu, meridians, Qi, blood and body fluids in TCM. He makes the diagnosis, examination and treatment of diseases using the four diagnostic methods of inspection, auscultation, and the action research and palpation and in combination with modern medical knowledge anatomy, physiology and biochemistry of the human body. Here is a brief introduction of indications, indications against and points of attention in Tuina.

Directions
      
Tuina has a broad therapeutic indications in many types of diseases and injuries involving internal osteonosus, gynecology, pediatrics, eye, ear, nose and throat, neurological disorders and services. Today, its indication has expanded its activities in the areas of weight reduction, cosmetology, therapeutic health care, etc.

Against
     
There was an induction and a summary of Tuina-against in the past dynasties. Here are mainly diseases or injuries, which Tuina therapy should not be applied.
     
Areas with soft tissue injuries and injuries of the parties, that are bleeding.
      
All types of fracture in the early stage.
      
Territories injured skin.
      
Disease bleeding tendency, such as going to the blood coagulation mechanism and treatment of hemophilia and acute visceral bleeding such as bleeding of the upper digestive tract, the rupture of the spleen.

   Serious infectious diseases such as hepatitis, pulmonary tuberculosis, bacillary dysentery.
       
Critical heart disease, brain, liver, kidneys and other viscera.
        
Women during menstruation and pregnancy, including the abdomen and part lumbaosacral Tuina manipulations strong production incentives should not be applied.
  
Precautions
        
Apart from these indications against the following points should also be paid attention to practice Tuina.
        
Tuina doctors should cut their nails regularly and keep your hands clean and warm in winter. Although the farm, they should not wear rings. In operation, a towel therapy should be used to prevent injuring the patient's skin or muscles.
         
During Tuina, the massagists must observe and investigate the patient's response at any time and regulate the power of manipulation to achieve a good result by making Tuina even, soft and persistent manipulation.
          
In the treatment Tuina, syncope should be avoided for those who are hungry or have just completed violent sports. Once the sensations such as dizziness, dark vision, with serious flaws sweating palpitations occur for the patient, handling should be stopped immediately.
Meanwhile have the patient lie down, drink sugar water and warm press and knead Hegu acupoints (LI 4), Neiguan (PC 6), Zusanli (ST 36), and so on.
       
Generally, treatment is given to chronic diseases every two days, while for acute treatment is often applied daily. Uncomfortable sensation caused by heavy manipulation May relieve spontaneously in 1 to 3 days. And the physician must also change its handling of the case of adapting to conditions.



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