First, to solve the suffering of patients' diseases
This is the most direct purpose for doctors to practice medicine. All the methods used by doctors are aimed at relieving the disease, eliminating the pain of patients and restoring the body to health. If the bone injury is twisted, the manipulation can be restored. Another example is "toothache", although it is a minor illness, its pain is unbearable, which affects life. If you treat it by hand, you can get immediate results and get rid of its pain quickly. Massage therapy with hands is one of the characteristics of traditional Chinese medicine and the essence of Chinese medicine, and its significance is superior to modern medicine. To relieve the patient's suffering is related to the doctor's clear diagnosis and proper treatment, that is, to apply appropriate techniques, correct techniques and proficiency according to dialectics to determine the basis for curing the disease. As "The Essentials of Bone-Setting Mind Therapy" says: "The injury is serious and the manipulation is appropriate. Whether it can heal quickly or not and whether it leaves a disability or not is related to the appropriate manipulation."
Secondly, it doesn't add more pain to patients
This is also the brilliant point of curing diseases, the essence of "not knowing their suffering" and one of the goals pursued by doctors. There are two kinds of techniques: rigid and soft, with the heavier stimulus being "rigid" and the lighter stimulus being "soft", and there is a dialectical relationship between them. If the muscle spasm in the pain is tough, how to apply the technique? If you use "rigid" force, it will aggravate the damage of local muscle and blood, so you should use a softer and more flexible method to gradually loosen it, which is called "being soft and rigid" For the deeper pain, the local operation also requires heavier manipulation, but the force should be gradually applied slowly to the deep part, so as to stop the pain, so as not to cause damage to the outer tissue, and the pain is not bitter. This is called "softness in rigidity". For example, the manual treatment of piriformis injury needs this, which is more and more changed by the disease; However, some acute injury symptoms, such as ankle sprain, will aggravate bleeding and edema by applying softer rubbing techniques, and the injury will be aggravated by applying heavier rigid force. What should I do? In this case, we should take acupuncture points near or at the far end of the meridian, apply the method at the dialectical corresponding point, and then apply the law of targeted local acupoint pressing and smoothing, which has good detumescence and pain relief effect. This is also a characteristic therapy of Chinese medicine. When discussing the "lifting" method, the Essentials of Bone-Setting Mind Therapy also mentioned that "the severity of the injury must be measured and then treated. If the person who is serious mentions it lightly, the disease can't be cured. If the light person mentions it again, the old disease will go away, but it will add new ones. " This is of great guiding significance to the selection of massage techniques and operation in traditional Chinese medicine.
Many new students have this experience at the beginning of their study, that is, the operation is as light as scratching through the clothes, and when it is heavy, it causes bruises, blood stasis, swelling and pain, and they feel uncomfortable for several days. It is understandable that beginners are not proficient in massage, but some old technicians still have these problems, even causing soft tissue sprain and contusion, muscle injury and bone movement. We often hear and see reports of serious medical accidents caused by excessive massage techniques in the news media. Can this method of increasing patients' more pain be called manipulation? There are also people in the modern medical field who use too much powerful external force or traction when treating lumbar disc herniation, and even apply a thousand pounds of force, but they don't know that this will cause the rupture of muscle tendons in soft tissues such as muscles and produce new injuries. The secondary symptoms and pathogenic factors such as nerve root compression stimulation and soft tissue injury are the main causes of disease pain. It has been proved by a large number of literature reports and clinical observations that in fact, the external force method can't make the nucleus pulposus outside the protruding intervertebral disc fiber be recovered, and it is often better to choose a softer and deeper method, mainly to relax local soft tissue and dredge meridians, and then to apply targeted lumbar facet joint pulling method, combined with effective lumbar traction method, to correct the deviation or shift the protrusion and relieve the compression stimulation.
"Manipulation is when the method is applied so that patients do not know their suffering." In other words, "the application of the law makes the patient comfortable, which is called manipulation."
Third, the operator doesn't know the pain.
At the beginning of study, new students feel very tired from massage, often sweating, panting, sore shoulders and arms, gnashing their teeth, stiff joint muscles and even finger tendon sheath inflammation for a long time, and the pain is unbearable. It is very painful to talk about massage. Often ask, is massage so painful? When is the head to drum in your heart? Do you have to deal with such a painful thing all your life? Who else among modern young people can bear such hardships? Many people backed out because of this and gave up halfway. Even a colleague around me a few years ago was tired of lumbar disc herniation because he had been doing massage so painfully for three years, and he could no longer do heavy manual work. This is a painful and bloody lesson. If massage is really so painful, who will come to learn massage? Who will take massage as their lifelong career again? The answer can be imagined. So today I'm going to say that "the method is applied so that the practitioner doesn't know its suffering, so it's called manipulation."
to sum up, "the method is called manipulation when the patient does not know its suffering." Extended understanding is "the application of the law, so that (the patient) does not know its suffering, which is called manipulation." If you want to learn massage, you can love it, accept it and engage in it happily as soon as you learn it. Please listen to my next installment.