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Key Points
Form both hands into splay palms, place them on either side of the spine. Push obliquely outward in a splay pattern while moving hands downward continuously.
Operating Procedures
Make splay palms with both hands and place them on both sides of the patient’s dorsal spine. Push obliquely outward along the intercostal spaces in a splay shape, and move the hands downward gradually during the manipulation. This technique is named Splay-shaped Separating Pushing (Ba Zi Fen Tui Fa) (Figure 1-23).

Figure 1-23 Splay-shaped Separating Pushing (Ba Zi Fen 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.
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.