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Key Points
Use the entire palm to apply pressure on the treatment area and push forward with force.
Operating Procedures
Place your flat palm on the patient’s treatment areas or acupoints, then push toward the fingertips. This manipulation is known as Flat-Palm Pushing (Ping Zhang Tui Fa).
Pushing from the proximal end to the distal end, or from the upper part downwards, is Forward Flat-Palm Pushing (Ping Zhang Shun Tui Fa) (Figure 1-14). When applied to the lower limbs, it is also called Lower Limb Forward Pushing (Xia Zhi Shun Tui Fa).

Figure 1-14 Forward Flat-Palm Pushing (Ping Zhang Shun Tui Fa)
Pushing from the distal end to the proximal end, or from the lower part upwards, is Reverse Flat-Palm Pushing (Ping Zhang Ni Tui Fa) (Figure 1-15). When applied to the lower limbs, it is also called Lower Limb Reverse Pushing (Xia Zhi Ni Tui Fa).

Figure 1-15 Reverse Flat-Palm Pushing (Ping Zhang Ni Tui Fa)
Pushing horizontally to the sides with a flat palm is Transverse Flat-Palm Pushing (Ping Zhang Heng Tui Fa) (Figure 1-16). It is commonly used on the chest, abdomen, shoulders and back, so it is also referred to as Chest Transverse Pushing, Abdominal Transverse Pushing or Shoulder Transverse Pushing.

Figure 1-16 Transverse Flat-Palm Pushing (Ping Zhang Heng Tui Fa)
Applicable Areas
Commonly used on the chest, abdomen, scapulae, lumbodorsal region and lower limbs.
Force & Sensation, Therapeutic Effects
Similar to Thumb Pushing (Mu Zhi Tui Fa). It has a larger contact area and allows for stronger force application.
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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