Use a slightly concaved palm to pat the body surface over the lesion of a disease (Fig. 4-11). The fingers are slightly bent and separated from each other. With the finger pads and the thenar and hypothenar prominences pat the skin. For areas of the body with thick muscles, use a hollow fist to pat the injured area.
Notes and Suggestions
Patting produces a shaking mechanical stimulation of medium intensity and is usually applied to the limbs, back and loins. Patting can stimulate deep muscles, joints and bones. To apply patting therapy, your shoulders and elbowjoints should be relaxed; move your palms up and down rhythmically, patting patients with a frequency of 10-15 times per minute at the beginning of the treatment. Patting frequency and intensity may be gradually increased. Patting can promote the circulation of qi and blood, remove blood stasis in meridians, improve kidney and spleen functioning and strengthen the physique. Heavy patting can stimulate nerves; gentle patting can relax muscles. Before patting therapy, diseases must be correctly diagnosed and the appropriate points should be chosen. The movement of the wrist joint should be flexible and coordinated to produce a springlike feeling. The patting frequency and intensity can be gradually increased to produce heat and relaxation; but it should not be very heavy, otherwise, it may produce adverse effects in patients.
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