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Key Points
Apply force with the bellies of four fingers, press on the treatment area and push forward.
Operating Procedures
Put the index, middle, ring and little fingers together. Press the combined finger bellies on the patient’s treatment areas or acupoints, then push forward firmly to produce therapeutic sensations. This manipulation is Four-Finger Pushing (Si Zhi Tui Fa).
Pushing from the proximal end to the distal end of the limb, or from the upper part downwards, is Forward Four-Finger Pushing (Si Zhi Shun Tui Fa) (Figure 1-11).
Figure 1-11 Forward Four-Finger Pushing (Si Zhi Shun Tui Fa）
Pushing from the distal end to the proximal end of the limb, or from the lower part upwards, is Reverse Four-Finger Pushing (Si Zhi Ni Tui Fa) (Figure 1-12).
Figure 1-12 Reverse Four-Finger Pushing (Si Zhi Ni Tui Fa)
Pushing transversely along the sides of limbs or intercostal spaces is Transverse Four-Finger Pushing (Si Zhi Heng Tui Fa) (Figure 1-13).
Figure 1-13 Transverse Four-Finger Pushing (Si Zhi Heng Tui Fa)
Applicable Areas
It is widely used on acupoints and treatment areas of the head, face, chest, abdomen, lumbodorsal region and limbs.
Force & Sensation
Moderate force is applied. The manipulation creates skin friction, activates qi and blood in muscles, and brings about sensations of soreness, numbness and distension.
Therapeutic Effects
It dredges meridians and boosts qi and blood circulation. Forward pushing guides qi and blood to nourish the extremities, while reverse pushing helps qi and blood fully nourish internal organs.
This technique moisturizes the skin, relieves muscle spasms, dispels wind-cold, and reduces swelling and inflammation. It stimulates acupoints, regulates neural excitation and inhibition to soothe nerves and relieve pain. It also resolves blood stasis, nourishes body fluids, and harmonizes visceral functions to keep them working normally.
Applicable Areas, Force & Sensation, Therapeutic Effects，They are basically the same as those of Thumb Pushing (Mu Zhi Tui Fa). This technique features a larger contact area, so it is mainly applied to the chest, abdomen, waist and back.
TCM Terminology Disclaimer:All traditional Chinese medicine (TCM) terms, descriptions, and wellness expressions including but not limited to nourishing lungs, soothing throat discomfort, supporting respiratory comfort, clearing mild internal heat, balancing qi and blood, harmonizing bodily functions, and regulating general wellness featured on this website are traditional TCM cultural descriptions and historical wellness theories only. These phrases are used solely for traditional TCM knowledge sharing and cultural interpretation. They do not constitute medical efficacy claims, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. All TCM wording describes traditional auxiliary wellness conditioning effects only and should never be interpreted as clinical medical treatment results. Individuals with confirmed illnesses must seek professional medical diagnosis and follow standard Western medical treatment.
FDA Mandatory Disclaimer：These statements have not been evaluated by the Food and Drug Administration. Chinese herbal dietary supplements and traditional wellness practices are not intended to diagnose, treat, cure or prevent any disease and serve only as daily auxiliary health support. If you have been diagnosed with any illness, please seek professional medical care and follow standard Western medical treatment regimens.
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