Key Points
Clench both fists, place them on either side of the lumbodorsal spine, and push upward repeatedly.
Operating Procedures
Clench both fists. Apply force with the dorsal sides of the middle phalanges and palm roots, press against both sides of the patient’s lumbodorsal spine, and perform repeated upward pushing. This technique is known as Double-Fist Reverse Pushing (Shuang Quan Ni Tui Fa) (Figure 1-22). Manipulation with a single fist is called Single-Fist Reverse Pushing (Dan Quan Ni Tui Fa).
Figure 1-22 Double-Fist Reverse Pushing (Shuang Quan Ni 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.