Tuina - Chinese Bodywork Therapy
Tuina (pronounced “toy-nah”) is an Asian Bodywork Therapy that has been used in China for 2,000 years. It utilizes manual techniques to treat various physical and energetic imbalances, which may result in disease. This is achieved by: removing obstructions to the flow of energy (Qi) throughout the body, promoting an increase in Qi and blood circulation, realignment and mobilization of joints, healing of soft tissue injuries, adjusting internal organs and regulation of nerves. External herbal poultices, compresses, liniments, and salves may also be used to enhance the other therapeutic methods.
Historically, Tuina dates back to the Shang Dynasty of China (1700 B.C.E.). By 600 C.E., Tuina was instituted into the Imperial Medical College as a separate department. Following China’s political changes of 1911, Tuina was included in the Five Branch system of Traditional Chinese Medicine. Currently it is taught as a separate, but equal, field of study along with Acupuncture, Herbology, Dietary Therapy and Medical Qigong.
Tuina treats specific musculoskeletal, chronic, and acute stress-related disorders of the digestive, respiratory, and reproductive systems. In a typical session, the client, wearing loose clothing and no shoes, lies on a table. After examination, the practitioner applies the individualized treatment protocol. Sessions last from 30 minutes to 1 hour.
Contraindications include conditions involving fractures, phlebitis, infectious conditions, open wounds, and lesions.
The Unique Approach of Tuina
Tuina is distinguished from other massage methods by its energetic quality. It combines precise manipulation of muscles and tissues with an intentional focus on Qi, allowing practitioners to address both the physical and energetic dimensions of the body through a variety of techniques.
For example, the rolling technique involves moving the back of the hand smoothly and repetitively over the area being treated. This technique does not rely on pressure; instead, its focus is on the smooth, even, repetitive flow, whose rhythm and continuity produce a constant vibration. This vibration, or Qi (energy), penetrates to the level where Qi is blocked, promoting its flow and restoring balance. The effectiveness of the technique depends on the practitioner’s ability to guide the Qi, rather than on applied force.
Qi Emitting Methods involve light to moderate pressure on acupoints, combined with the concentration and extension of Qi through the palm or fingers of the practitioner. The intention is to activate the flow of Qi through designated acupoints or channels, with the practitioner directing the Qi movement by either pushing or pulling the energy.
The goals of these techniques are to disperse, tonify, activate, harmonize, and warm both Qi and blood, achieved by adjusting the rate, pressure, and duration of treatment. The synergistic combination of hand techniques and Qi extension amplifies the therapeutic effect.
Who Can Benefit from Tuina
Tuina is well-suited for those who need treatment for specific musculoskeletal, chronic, and acute stress-related disorders of the digestive, respiratory, and reproductive systems. Effective treatment protocols have been tested in a practical setting. Tuina is not especially useful for those seeking a mild, sedating, and relaxing massage since it tends to be more task focused than other types of bodywork. Contraindications include conditions involving fractures, phlebitis, infectious conditions, open wounds, and lesions.
Whether for adults or children, Tuina offers multiple benefits. It supports those seeking to maintain good health and can address minor ailments before they develop into more serious conditions.
What to Expect During a Tuina Session
In a typical session, the client, wearing loose clothing and no shoes, lies on a table or floor mat. The practitioner examines the specific problems of the client and begins to apply a specific treatment protocol. The major focus of application is upon specific pain sites, acupressure points, energy meridians, muscles, and joints. Advanced Tuina practitioners may also use Chinese herbs to facilitate quicker healing. Sessions last from 30 minutes to 1 hour. Depending on the specific problems of the client, they may return for additional treatments. The client usually feels relaxed but energized by the treatment.
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