Key Points
Clench both fists, place them on either side of the lumbodorsal spine, and push downward from top to bottom.
Operating Procedures
Clench both fists. Apply force with the dorsal sides of the middle finger segments and palm roots, press against both sides of the patient’s lumbodorsal spine, and push repeatedly downwards all the way to the sacrum to elicit therapeutic sensations. This manipulation is named Double-Fist Forward Pushing (Shuang Quan Shun Tui Fa) (Figure 1-21). Pushing with a single fist is called Single-Fist Forward Pushing (Dan Quan Shun Tui Fa).
Figure 1-21 Double-Fist Forward Pushing (Shuang Quan Shun Tui Fa)
Force & Sensation
Moderate force is applied. The movement creates skin friction, activates qi and blood in muscles, and brings on soreness, numbness and distension.
Therapeutic Effects
It dredges meridians and promotes qi and blood circulation. Forward pushing guides qi and blood to nourish the extremities. It moisturizes the skin, relieves muscle spasms, dispels wind-cold, and reduces swelling and inflammation. It stimulates acupoints, regulates neural activity to soothe nerves and relieve pain. It also resolves blood stasis, nourishes body fluids and harmonizes visceral functions.
This manipulation is mainly indicated for lumbodorsal disorders and soft tissue injuries.