Anmo Tuina Subject-Student Handbook

Tyler J Rowe 2011
Australian College of TCM & Qigong - Certificate of Advanced Qigong Studies

Subject Outline
Subject
Presenter
Duration
Prerequisites
Anmo Tuina Chinese Massage

Tyler J. Rowe
21 hours (14 x 1.5hr lecture/practical)
TCM theory, Acupuncture point location
Assessment
Practical exam
10 x Practical worksheets
Materials Needed
Practice rice bags

Massage cloths
Student notes
Recommended Text
Sun Chengnan (1990) Chinese Massage Therapy

Shandong Science and Technology Press
[reprinted as:- Sun Chengnan (2000) Chinese Bodywork
A Complete Handbook of Chinese Therapeutic Massage
Pacific View Press]
References
Chase, Charles & Yang Shou-zhong (1995) The Systematic Classic of Acupuncture &
Moxibustion by Huang-fu Mi a translation of the Jia Yi Jing Blue Poppy Press
Deadman, Peter & Al-Khafaji, Mazin (1998) A Manual of Acupuncture Journal of
Chinese Medicine Publications
Legge, David (1997) Close to the Bone The Treatment of Musculo-skeletal Disorder
with Acupuncture and other Traditional Chinese Medicine Sydney College Press
Legge, David (2010) Jing Jin Acupuncture treatment of muscular system using the
meridian sinews Sydney College Press
Maoshing Ni (1995) The Yellow Emperors Classic of Medicine - A New Translation
of the 'Neijing Suwen' with Commentary Shambhala Publications
Pritchard, Sarah (1999) Chinese Massage Manual Piatkus Publishing: London
Wang, Ju-Yi & Robertson, J. (2008) Applied Channel Theory in Chinese Medicine:
Wang Ju Yis Lectures on Channel Therapeutics Eastland Press
Wu Jing-Nuan (1993) Ling Shu or Spiritual Pivot University of Hawaii Press
Zhang Enqin (1990) Chinese Massage Publishing House of Shanghai University of
TCM
Zhang Yisheng (2002) Tuinaology Peoples Medical Publishing House
Tyler J Rowe 2011

Timetable
Week
1
Lecture
Practical
Introduction
Demonstration
An mo Tui na Character meaning
Tuina treatment
History & context in TCM
References in classical texts
Nijng Swn
Lngsh
Jiyjng
Specialities B zhng xu Rheumatology
Wi shng xu Traumatology
Tuina Theory
Exercises
Characteristics of Tuina
Standing postures
Functions & effects of Tuina
Sholn Nigng Internal
Treatment prescription & sequence
Cultivation Exercises
Media cloth, herbal preparations
Massage tools
Tuina Physiology
Technique
Palpation
Structures sinews, bones, channels
Gun Fa Rolling
Diagnosis palpation & assessment
Techniques
Revision of previous technique
Yi Zhi Chan Tui Fa

One Finger Meditation
Mo Fa
Rubbing
Ca Fa
Scrubbing
Techniques
Revision of previous techniques
Rou Fa
Kneading
Na Fa
Grasping
An Fa
Pressing
Tui Fa
Pushing
Techniques
Revision of previous techniques
Ji Fa
Tapping
Zhen Fa
Vibrating
Cuo Fa
Foulageing
Dou Fa
Shaking
Yao Fa
Rotating
Ban Shen Fa
Stretching
Treatment of the Head & Neck
Demonstration & practice
Assessment palpation & movement
Students to perform sequence in pairs
Main treatment sequence
with supervision followed by discussion
Common ailments & variations
Stiff neck
Cervical Osteoarthritis
Headache
Rehabilitative exercises
Treatment of the Thoracic Region
Intercostal strain
Muscular spasm
Disc injury
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9
10
11
12
13
14
Treatment of the Lower Back

Lumbar sprain
Disc injury
Arthritis
Treatment of the Shoulder
Sprain
Tendonitis
Frozen shoulder
Treatment of the Upper Limb
Tendonitis
Carpel Tunnel Syndrome
Rheumatoid Arthritis
Treatment of the Pelvis & Hip
Sciatica / Piriformis Syndrome
Arthritis
Hamstring / Groin Strain
Treatment of the Lower Limb
Tendonitis / Ankle Strain
Plantar fasciitis
Shin splints
Practical Worksheets
10 Massages to be completed and reported on
by this date. Questionnaire and self assessment
to be filled on for marking.





Practical Exam
Demonstration & discussion of random
main treatment sequence & variations
Tyler J Rowe 2011

1) Introduction
1.1 The meaning of Chinese Massage
nm Tun - Press rub Push grasp
1.2 Eight Branches of Chinese Medicine

Zhnji - Acupuncture & Moxibustion
Coyo - Herbal Medicine
Shlio - Dietary Therapy
Tun - Massage Therapy
Wsh - Martial Arts
Qgng - Meditation
Fngshu - Geomancy
Shsh - Astrology
1.3 Historical references in the classics
Nijng Swn
Chapter 1 The Universal Truth
In the past, people practiced the Dao, the Way of Life. They understood the
principle of balance, of yin and yang, as represented by the transformations of the
energies of the universe. Thus, they formulated practices such as Daoyin, an
exercise combining stretching massaging, and breathing to promote energy flow,
and meditation to help maintain and harmonise themselves with the universe.
Chapter 24 Channel Constituents and Acupuncture Techniques
People who are repeatedly startled or traumatised have an obstruction of qi and
blood in the channels and collaterals. They can manifest numbness or paralysis of
the extremities. One should use tuina, massage, and herb wine in these cases.
Lngsh Spiritual Pivot
the conduct of the movement of qi, by massage, moxibustion, ironing out,
needling, fire needling or drinking medicines. - Scroll 7 part 42. The
Propagation of Disease
The round needle has the shape of an egg. It is used for rubbing and massage, to
divide and to separate so as not to injure the muscles and flesh. - Scroll 1 part 1.
Of Nine Needles and Twelve Source Points
It is necessary to massage the channels first. - Scroll 1 part 4. Noxious Qis
Disease
It is necessary to first massage the locations for as long a time as there is a
resonance in hand. - Scroll 8 part 52. Protective Qi
When the channels are shallow, do not needle until the channel has been
massaged so that the essence does not come out, then needle. - Scroll 2 part 7.
On Governing the Needles
To harmonize, press and massage that qi which is excessive in the channels. Scroll 4 part 19. To Qi of the Four Seasons
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When the needling is finished, massage to finish the pain at this location.
When the needling is finished, massage until it is established that the pain has
stopped. - Scroll 5 part 26. Assorted Diseases
Zhnji Jiyjng The Systematic Classic of Acupuncture and
Moxibustion
Throughout the course of their therapy [foot yangming channel sinew],
massage should be applied. Book Two verse 6. Channel Sinews
To treat them [central region excess], cultivation of qi and massage are
appropriate. Book Six verse 2-3. Great Treatise on the Favourable &
Unfavourable, Root & Branch of Disease, Physiographic Characteristics,
and Configurations & Orientations
At this juncture [liver bi], massage and acupuncture are indicated At this
point [spleen wind] massage, medication, and fire-branding are indicated
At this point [shan conglomeration], massage and medication are indicated. Book Eight verse1-1. On the transmission of Disease Among the Five
Viscera Producing Cold & Heat
In the case of tugging and tension [in the muscles], one must perform
cultivation of qi and massage to promote circulation. Book Ten verse 1-1.
The Contraction of Disease by Yin Causing Bi
1.4 Specialities
Bzhngxu Arthralgia Syndrome (Rheumatology)
Wishngxu External Injury (Traumatology)
Zhngg Bone Setting (Orthopaedics)
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2) Theory
2.1 Characteristics of Tuina
Definition the manual manipulation of points, muscles, bones and sinews
with the hand, elbow or knee, for the purposes of alleviating injury and illness,
maintaining health, and preventing disease, through stimulation or reduction of the
channels and pathways.
Of the many different techniques or manoeuvres in Tuina, they all retain
certain characteristics which are essential to good practice.
Requirements Smoothness
Strength
Stability
Rhythm
Flexibility
2.2 Functions & effects of Tuina
Functions
Promote circulation of qi and relieve stagnation
Invigorate xue and dispel stasis
Relax the sinews
Indications
Soft tissue injury
Chronic joint pain
Muscular dysfunction & atrophy
Paediatric Illness*
Contraindications
Fracture & Dislocation
Open wounds
Deep Vein Thrombosis
Spinal Manipulation*
2.3 Treatment prescription & sequence
i. Opening techniques short duration, superficial, gentle methods
ii. Channel movements long duration, moderate strength and depth
iii. Point manipulations deep tissue, specific locations & mobilisations
2.4 Media cloth, herbal preparations
Traditional media used in Tuina is a cloth. Usually cotton or other natural fibre, the
cloth, measuring anywhere from 250mm to 2000mm square, serves three main
purposes.
Firstly it negates the need for oil. Most massage oils are inappropriate for use
with Tuina techniques. They make the contact area slippery and difficult to handle or
control. Skin on skin contact can lead to damage of the superficial skin layers,
becomes uncomfortable, and in time sebaceous oil and sweat secretions render this
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media useless. Tuina techniques can be completed smoothly and most effectively
with the cloth.
Secondly, the cloth is a barrier of modesty. Much of the TCM we practice
today was in ancient times practiced on the imperial family. Imperial physicians
were the best of the best in TCM, their practices were more likely to be recorded,
passed on and taught in the early medical schools. Though doctors had respect in
the palace, it was unlikely they would have been allowed to directly touch the
empress for instance. True, her pulse was usually taken through a piece of silk (with
her hand passed through the doorway from another room) rather than risk this
contact. The same extends to a degree into Chinese society, where they tend to be
more conscious of exposing body parts than in the west.
Thirdly in the north of China and the capital Beijing (where much of our TCM
comes from they had more works of literature, the palace and a large population
there) it can get particularly cold in winter (in excess of -10o) and its acts as somewhat
of an insulator.
Chinese Massage also utilises a number of herbal oils and liniments. These are
prescribed and used according to functions and indications of the herbal ingredients.
They are usually applied as an adjunct to the therapy (after the massage) rather than
used as media. Most commonly used are herbal formulas to: invigorate xue and dispel stasis
promote qi and disperse stagnation
clear heat and reduce swelling
disperse bruising and alleviate pain
promote regeneration of tissue and mend bone
relax sinews and strengthen joints
alleviate bi syndromes (wind-cold-damp)
release the exterior
Most often in sesame oil, peanut oil, rice spirit, vinegar or water bases. Commonly
used prepared products include Zheng Gu Shui, Hong Hua You,
Die Da Jiu etc
2.5 Massage tools
Massage clubs have been used over the years in some schools of Tuina. They
can be useful for weaker practitioners, or when dealing with particularly strong
clients. Generally they are used to intensify treatments. Traditionally made of horn,
bamboo or mulberry (though now plastics and rubber are often substituted) the
commonly used clubs include clubs shaped like digits, palms and elbows. Indeed
virtually substituting any part of the arm or hand. Ball-like clubs (with a ball
attached to a stick), chopping and patting clubs (shaped like a hand on a stick) and
small rubber mallets can also be found in use.
The rice bag is a traditional Tuina training device. It is considered the best
way to practice before moving to a live patient. The heavy cotton or canvas bag,
usually 200-300mm square, is filled with rice and sealed. A student can then perform
many of the techniques, developing skill, strength and rhythm, with this device.
Some traditional schools believed mastery of Tuina could only be gained once the
students rolling had turned the rice within completely to power.
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2.6 Basic Training Exercises

Physical training of the practitioner has long been a part of the study of Tuina.
Many different sets of Qigong and Wushu exercises are used including
famous sets such as the Ba Duan Jin - Eight Sections Brocade Exercises and the
Yi Jin Jing - Sinew Transforming Exercises. All the systems use similar basic
stances and hand patterns. Perhaps the most commonly used in training of Tuina are
the Sholn Nigng Internal Cultivation Exercises.
a) Stances
Zhn b Upright stance
M b Horse stance
Gng b Bow stance
b) Postures
Shnb chngzhng Extend arms support palms
Qintu bpm Push forward eight horses together
Dol jituni Pull backward the tail of nine oxen
Fnghung zhch Phoenix spreads its wings
Bwng jdng Overlord holds up the cauldron
Shnshu tuzhu Push the boat along the current
Dnzhng ljnhun Pulling the golden ring with one hand
Huizhng boyu Hold the moon in the centre of the chest
Xinrn zhl Immortal points to the road
Pngshu Tut Draw the pagoda in the hand
Hid loyu Fish out the moon from the bottom of the sea
Ynzhng hw Palm covering over the roof tile
Fngbi hy Wind sways lotus leaves
Lingshu tutin Two hands hold up heaven
Dnfng choyng Single wind in the rising sun
Dngtin bod Sustaining the heaven and holding the earth
Lp hushn Strength to split magnificent mountain
Snq snlu Three rising and three sinking
Wlng zundng Dark dragon dives into the cave
h psh 'Hungry tiger pouncing on its prey'
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3) Physiology
3.1 Structures
g bones, jng channels, jn sinews
The muscle channel of the Leg Tai Yang Bladder begins in the little toe of the
foot, goes up to connect to the anklebone, then goes diagonally up to connect to the
knee. A lower branch follows the lateral side of the foot to connect at the
anklebone, then mounts and follows the heel to connect in the crease of the knee. A
separate branch connects to the lateral part of the leg and ascends to the crease of
the knee along the medial side, then goes from the centre of the crease of the knee
to connect to the buttocks. It continues up along the pinch of the backbone on both
sides to the neck. A branch separates and enters to connect with the root of the
tongue. A straight branch connects the neck to the occipital bone to the top of the
head, then travels down in the space between eyebrows and eyes to connect in the
nose. Another branch goes along the upper net of the eye and eyelid, then descends
to connect with the cheekbone. Another branch goes from behind the armpit on the
lateral side to connect at Co15. Another branch enters the armpit, goes up to
emerge at the supraclavicular fossa, then moves up to connect to the mastoid
process. Another branch comes out at the supraclavicular fossa, and goes
diagonally up into the cheekbones.
The muscle channel of the Leg Shao Yang Gallbladder begins in the fourth toe,
then travels up to the lateral anklebone and ascends along the lateral side of the leg
to connect at the lateral side of the knee. A branch separates beginning on the
lateral side of the thigh bone, then travels up through the thigh, where in the front
it connects with St32 and in the back it connects with the buttocks. A straight
branch ascends and rises to the depression under the bottom rib. It then travels up
to the front side of the armpit, links with the region of the chest, and connects in
the supraclavicular fossa. A straight branch goes up and comes out at the armpit,
goes through the supraclavicular fossa to come out in front of the Leg Tai Yang
Bladder, and then travels to behind the ear. It goes up to the corner of the forehead
and makes a junction at the top of the head, descends and travels to the chin, and
goes up to connect with the cheekbones. A branch connects in the lateral corner of
the eye and is the lateral connective.
The muscle channel of the Leg Yang Ming Stomach begins in the second toe and
connects with the third toe, goes to the top of the foot, goes diagonally upward and
laterally along the leg bone. It continues up to connect to the lateral side of the
knee, and goes straight up to connect to the pivot of the thigh, ascends to follow
the flanks, and is attached to the backbone. A straight branch goes up and follows
the leg bone to connect with the knee. A branch connection goes along the leg bone
and joins the Leg Shao Yang Gallbladder. Another straight branch goes up,
follows St32, ascends and connects to the thigh, then assembles in the yin organs.
Then it ascends and spreads in the abdomen to reach and connect to the
supraclavicular fossa. It goes up the neck and the pinch of the mouth on both sides
to meet in the cheekbones, descends to connect with the nose, then goes up to meet
the Leg Tai Yang Bladder. The Leg Tai Yang Bladder is the upper eyelid. The Leg
Yang Ming Stomach is the lower eyelid. Another branch goes from the cheek to
connect with the front of the ear.
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The muscle channel of the Leg Tai Yin Spleen begins at the tip of the big toe on its
medial side. Then it goes up to connect to the medial anklebone. A straight branch
makes a path up along the leg bone to the medial side of the knee, ascends to the
yin side of the thigh to connect with the upper thigh and assemble in the yin
organs. It goes up the abdomen to connect in the navel, follows the base of the
abdomen to connect with the flanks, then spreads in the middle of the breast. An
internal branch is attached to the backbone.
The muscle channel of the Leg Shao Yin Kidney begins in the bottom of the foot on
a line with the little toe. Then it goes together with the muscle channel of the Leg
Tai Yin Spleen and travels diagonally to below the medial anklebone to connect
with the heel and join the muscle channel of the Leg Tai Yang Bladder. Then it
goes up to connect with the medial side of the leg and goes together with the
muscle channel of the Leg Tai Yin Spleen to ascend to the yin side of the thigh. It
continues to the yin organs, then follows the backbone along the inner pinch of the
spine along both sides until it reaches the back of the neck and connects to the
occipital bone, and joins the muscle channel of the Leg Tai Yang Bladder.
The muscle channel of the Leg Jue Yin Liver begins on the top of the big toe, then
goes up to connect to the front of the medial anklebone, ascends and follows the leg
bone. It continues up along the inside to connect below the tibia, then continues
up along the yin side of the thigh to connect with the yin organs, where it
connects with all of the muscle channels.
The muscle channel of the Arm Tai Yang Small Intestine begins on the top of the
little finger, connects with the wrist, follows the medial side of the arm to connect
with the elbow behind the medial epicondyle, which, when snapped, has
corresponding sensations on the top of the little finger. It continues by entering
and connecting to the bottom of the armpit. A branch travels behind the armpit to
ascend and to wind around the shoulder blade, then follows the neck to come out
and travel to the front of the Leg Tai Yang Bladder, and connects behind the ear
on the mastoid process. Another branch enters the middle of the ear. Another
straight branch comes out above the ear, descends to connect to the chin and jaws,
then goes up to subordinate the lateral corner of the eye.
The muscle channel of the Arm Shao Yang Sanjiao begins on the tip of the ring
finger on the side of the little finger and goes to connect at the wrist. It ascends
along the middle of the arm and connects to the elbow, goes up around the lateral
side of the upper arm, and ascends to the shoulder. It travels to the neck to join
with the Arm Tai Yang Small Intestine. A branch from the point at the bend of
the jaw enters to connect with the root of the tongue. Another branch goes up to
the bend of the teeth and jaws, goes along in front of the ear, then subordinates the
lateral angle of the eye. Then it ascends, mounting a line above the jaw to connect
with the corner of the forehead.
jngjn channel sinews ( Lngsh Spiritual Pivot Scroll 4 part 13)

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The muscle channel of the Arm Yang Ming Large Intestine begins on the tip of
the forefinger on the side next to the thumb. It connects with the wrist and moves
up, follows the forearm, then goes up to connect with the outside of the elbow. It
ascends the upper arm to connect with the shoulder. A branch winds around the
shoulder bone to the pinch along both sides of the backbone. A straight branch
goes along the shoulder bone and ascends the neck. Another branch goes up the
cheek to connect the cheekbones. A straight branch ascends and comes out in front
of the Arm Tai Yang Small Intestine, mounts to the left comer of the forehead,
links with the channel of the head, and moves down to the right chin and jaws.
The muscle channel of the Arm Tai Yin Lung begins on the top of the thumb, then
travels along the thumb to connect to the rear of the thenar eminence, then moves
to the lateral side of the radial pulse and ascends along the arm to connect to the
center of the elbow. Then it mounts the medial surface of the upper arm to enter
the bottom of the armpit, comes out in the supraclavicular fossa, and connects to
the front of the shoulder joint. On top there is a connection in the supraclavicular
fossa, below there is a connection in the base of the chest, where it spreads and
goes through the cardiac orifice, assembles, then goes down
to the lowest rib.
The muscle channel of the Arm Jue Yin Pericardium begins in the middle finger,
then travels together with the muscle channel of the Arm Tai Yin Lung to connect
to the medial side of the elbow. It then ascends the yin side of the upper arm to
connect with the bottom of the armpit, and spreads down both to the front
and back by clasping the ribs. A branch enters the armpit and spreads to the
centre of the chest to connect with the cardiac orifice.
The muscle channel of the Arm Shao Yin Heart begins on the inner side of the
little finger, then connects to the pisiform bone, the ulna, and goes up to connect
to the medial side of the elbow. Then it goes up to enter the armpit, intersects with
the Arm Tai Yin Lung, and clasps the base of the nipple to connect with the centre
of the chest. Then it goes along the cardiac orifice and descends to connect
with the navel.
3.2 Diagnosis
Q (Stagnation)
Moving
Generalised
Dull
worse with emotional stress
Xu Blood (Stasis)
fixed
localised
sharp
unaffected by emotions
X Empty
Chronic
aggravated by tiredness
alleviated by rest
weakness & flaccidity
enjoys pressure
Sh Full
acute
aggravated by stillness
alleviated by movement
stiffness & swelling
tenderness
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3.3 Assessment
a) Questioning location, nature, duration, frequency, radiation, aggravating,
relieving
b) Observing alignment/posture, skin colour, vasculation, reproducing pain
Palpate passive range of movement, resistance, mn scan temperature, xn
go-along channels, n press ashi-tender points, b pluck sinews
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4-6) Techniques
1. Gn f Rolling
Frequency 120-180 b/p/m
Intensity
light to strong
Penetration deep
Location
thick muscled areas, static or
dynamic
Action
promote qi and invigorate xue
Tools
dorsal aspect of hand
Method
roll obliquely from the 5th knuckle towards the root of the
thumb, fingers relaxed, hand open
2. Y zh chn tu f - One Finger

Meditation
Intensity
light to strong
Penetration deep
Location
points or channels, static or
dynamic
Action
promote qi, invigorate xue and
dispel stasis
Tools
radial aspect of thumb, thenar eminance
Method
flex and extend the thumb, taking care not to contact with the
knuckles
3. M f Rubbing
Intensity
light
Penetration superficial
Location
systematic, dynamic
Action
opens channels
Tools
palmer aspect of hand
Method
circling clockwise or
anti-clockwise, with a loose hand
4. C f Scrubbing
Intensity
moderate
Location
systematic, dynamic
Action
warm channels
Tools
palmer aspect of hand, blade of
palm
Method
vigorously rub longitudinally or horizontally, with a firm hand
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5. Ru f Kneading
Intensity
light to strong
Penetration deep
Location
ridges, dynamic or static
Action
Tools
palmer aspect of fingers
Method
pinch and squeeze with the finger
and thumb pads, using a wide grip
6. N f - Grasping
Intensity
strong
Penetration deep
Location
ridges, static
Action
Tools
palmer aspect of hand and
fingers
Method
clasp the finger pads toward the
palm, lift using a narrow grip
7. n f - Pressing
Intensity
strong
Penetration deep
Location
points, static
Action
dispel stasis
Tools
tip of finger/thumb, root of palm,
knuckle, fist, elbows, knees
Method
apply firm vertical pressure, optional circling
8. Tu f Pushing
Intensity
strong
Penetration deep
Location
thick muscled areas, dynamic
Action
disperses stasis
Tools
thumb or finger pads, root of
palm, elbow
Method
obliquely apply firm pressure then slide along the surface
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9. J f Striking
Frequency 240-360
Intensity
moderate
Penetration deep
Location
thick muscled areas, dynamic or
static
Action
promote qi and invigorate xue,
relax sinews
Tools
blade of palm, fist, dorsum of hand, cupped hand, cranes beak
Method
alternately strike in a drumming action with both hands
10. Zhn f Vibrating
Intensity
strong
Penetration deep
Location
thick muscled areas, static
Action
invigorate xue and dispel stasis
Tools
finger tips, palmer surface of
hand
Method
place finger tips/palm vertically over area, thumb pulled in,
shake horizontally and longitudinally
11. Cu f Foulageing
Intensity
light
Location
limbs, neck or costal region,
dynamic or static
Action
promote qi and invigorate xue,
relax sinews
Tools
palmer surface of hand
Method
with palms facing inward to the contact area create a rolling
action by alternately moving the hands upward and downward
12. Du f Shaking
Intensity
light to moderate
Penetration deep
Location
limbs, dynamic or static
Action
relax sinews
Tools
hand
Method
firmly grasp the extremity with
both or one hand (the other hand can support the joint), shake
upward and downward
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13. Yo f Rotating
Intensity
moderate
Penetration deep
Location
limbs and neck, dynamic
Action
relax sinews
Tools
hands
Method
firmly grasp the extremity with
both or one hand (the other hand can support the joint), progress
the joint through the normal range of movement.
14. Bn shn f Stretching

Frequency 1-2 b/p/m
Intensity
light to strong
Penetration deep
Location
joints, static
Action
relax sinews
Tools
hands, elbows, knees
Method
various passive flexibility
exercises depending upon joint
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7) Treatment of the Head & Neck
Common Ailments
headache, stiff neck, cervical osteoarthritis
Clinical Manifestations
dull ache or sharp pain, rigidity, spasms, tenderness, restricted range of movement,
dizziness, light headedness, radiation to the upper limb, parasthesia, neuropathy,
photosensitivity, nausea, nasal discharge or congestion, redness, oedema, heat
Assessment
observation of asymmetry, rotation, flexion, extension and side bending, palpation of
Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Arm Taiyang Small Intestine & Arm
Yangming Large Intestine
Main Treatment Sequence
Foulageing neck
Kneading & Grasping neck, Gb20,21, Bailao
One finger meditation - Anmain, Gb20, Bl10, Du16
Rolling neck & nape
Pressing Anmain, Gb20, Bl10,60, Du16, Si3, 13
Scrubbing Du14
Stretching & Rotating
Modifications
Headache:
Kneading scalp
Tapping scalp
Pressing Taiyang, Co4, Lv3, Bitong, Yintang
Stiff neck:
Pressing - Gb39, Luozhen
Osteoarthritis:
Pressing Bl11
Pushing Bailao, Bl11
Rehabilitation
Sash rotation, flexion and side bending (passive and resited)
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8) Treatment of the Thoracic Region

Common Ailments
intercostal strain, muscular spasm, subluxation of vertebrae
radiation to the head and neck or lumbar region, shortness of breath, redness,
oedema, heat, dislocation of vertebrae
Assessment
observation of symmetry during breathing, rotation, flexion, extension and side
bending, palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder & Arm
Yangming Large Intestine
Rubbing thoracic
One finger meditation Bl, Jiaji, Du
Rolling Bl, Jiaji, Du
Pressing Si13, Bl, Jiaji, Du
Grasping Bl, Du
Pushing - Bl, Jiaji
Striking Bl
Scrubbing Bl
Foulageing Costal
Stretching
Modifications
Intercostal strain:
Pressing Lv13, Gb25, Sp21
Muscular spasm:
Pressing Bl17, 46
Subluxation of vertebrae: Pressing Gb34, Si3, Sj5
Rehabilitation
Sash cross on back
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9) Treatment of the Lower Back
Common Ailments
acute lumbar sprain, disc pathology, arthritis
radiation to thoracic or pelvis and lower limb, parasthesia, neuropathy, weakness,
tenderness, redness, oedema, heat or coldness, compensatory curvature deformities,
narrowing of intervertebral spaces, vascular congestion, constipation
Assessment
observation of symmetry, rotation, flexion, extension and side bending, palpation of
Leg Taiyang Bladder & Leg Shaoyang Gallbladder
Rubbing lumbar
One finger meditation Bl, Jiaji, Du, Yaoyan
Rolling Bl, Jiaji, Du
Pressing Bl, Jiaji, Du, Yaoyan
Grasping Bl, Du
Pushing - Bl, Jiaji
Striking Bl
Scrubbing Bl, Jiaji, Du, Yaoyan
Stretching
Rotating
Modifications
Lumbar sprain:
Disc Injury:
Arthritis :
Pressing Bl40, 60, Yaoytong

Pressing Bl25, 31-33, 54, Si3
Pressing Du4, Bl23, 57
Scrubbing - Gao
Pushing - Gao
Rehabilitation
Sash assisted four-point core exercises, lumbar and hamstring stretches
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Tyler J Rowe 2011
10) Treatment of the Shoulder
Common Ailments
supraspinatus tendonitis, acromio-clavicular sprain, frozen shoulder
dull ache or sharp pain, worse at night, rigidity, spasms, nodular masses, tenderness,
restricted range of movement, radiation to thoracic, neck, upper limb, parasthesia,
neuropathy, atrophy, joint luxation, swelling, tenderness, redness, oedema, heat or
coldness
Assessment
observation of symmetry, flexion, extension, internal and external rotation,
adduction, abduction, scaption, palpation of Arm Taiyang Small Intestine, Arm
Yangming Large Intestine, Arm Shaoyang Sanjiao & Arm Jueyin Pericardium
Rubbing shoulder Kneading & Grasping Co, Sj
One finger meditatn Gb21, Co15, Sj14, Si9-13
Rolling Co, Si, Sj Pressing Gb21, Co15, Sj14, Si9-13
Pushing Co, Sj
Striking Co, Si, Sj Scrubbing Co, Si, Sj
Foulageing Co
Stretching Rotating
Shaking
Modifications
Tendonitis:
Pressing Co11, 16, Sj5, Gb34
AC joint sprain:
Pressing Jianqian, Jianneiling
Frozen shoulder:
Pressing Co4, St38
Pushing - Bl41
Rehabilitation
Health ball rotations on wall, Bamboo cane stretches
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Tyler J Rowe 2011
11) Treatment of the Upper Limb
Common Ailments
tendonitis, carpel tunnel syndrome, rheumatoid arthritis
dull ache or sharp pain, rigidity, spasms, nodular masses, tenderness, restricted
range of movement, radiation to shoulder, parasthesia, neuropathy, atrophy,
weakness, joint deformity, swelling, tenderness, redness, oedema, heat or coldness
Assessment
observation of symmetry, flexion, extension, rotation, adduction, abduction,
palpation of Arm Taiyang Small Intestine, Arm Yangming Large Intestine, Arm
Shaoyang Sanjiao, Arm Taiyin Lung, Arm Shaoyin Heart & Arm Jueyin Pericardium
Rubbing arm
Kneading & Grasping Lu, Sj, Co
One finger meditatn Co10, 11, Lu3, 5, Pc3, 4, Sj5
Pressing Co4, 5, 10, 11, Lu3, 5, 10, Pc3, 4, 6, 8, Sj2, 5, 10, Si3, 6, 8, Ht3, 8
Rolling
- Lu, Sj, Co Pushing/Scrubbing - Lu, Sj, Co, Pc
Foulageing Lu, Sj, Co
Stretching Rotating
Shaking
Modifications
Tendonitis:
Plucking - tendon Pressing epichondyle points
Carpel tunnel:
Pushing Pc7, Sj4
Arthritis:
Pinching Shixuan Pressing baxie, shangbaxe
Rehabilitation
Health ball rotations, Bamboo cane stretches
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Tyler J Rowe 2011
12) Treatment of the Pelvis & Hip
Common Ailments
sciatica/piriformis syndrome, arthritis, muscular strain
range of movement, radiation to lower back or lower limb, parasthesia, neuropathy,
atrophy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or
coldness
Assessment
observation of symmetry, flexion, extension, rotation, adduction, abduction,
palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Leg Yangming Stomach,
Leg Taiyin Spleen
Rubbing hip
Kneading & Grasping Gb, St
Rolling - Bl, Gb
Pressing Bl36, 54, Gb29, 30, 34
Pushing Bl, Gb
Striking Bl, Gb
Scrubbing Bl, Gb
Foulageing Hip Stretching Rotating
Shaking
Modifications
Sciatic/Piriformis: Pressing Jiaji, Bl40, 57, 60, Gb41
Arthritis:
Pushing/Scrubbing - Gao
Muscular strain:
Pressing/Pushing Bl37, Sp10, 11, St31, Lv8
Rehabilitation
Sash assisted lumbar & hamstring stretch, plum blossom stake rolling
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Tyler J Rowe 2011
13) Treatment of the Lower Limb
Common Ailments
tendonitis/ankle sprain, plantar faciitis, shin splints
range of movement, radiation to lower back or limb, atrophy, parasthesia,
neuropathy, altered gait, weakness, swelling, tenderness, redness, oedema, heat or
coldness, crepitus, vascular congestion
Assessment
observation of symmetry, flexion, extension, rotation, pronation, supination,
palpation of Leg Taiyang Bladder, Leg Shaoyang Gallbladder, Leg Yangming Stomach,
Leg Taiyin Spleen, Leg Shaoyin Kidney, Leg Jueyin Liver
Rubbing leg
Kneading & Grasping Bl, Gb, St
One finger meditatn
Bl37, 40, 57, Sp6, 9, 10, Kd1
Pressing Xiyan, St36, Sp6, 9, 10, Bl37, 40, 57, 60, Gb34, 41, Kd3
Rolling
- Bl, Gb, St, Kd
Pushing/Scrubbing Bl, Gb, St, Kd
Foulageing Lv, Gb Stretching Rotating
Shaking
Modifications
Tendonitis: Pressing Gb40, St41, Lv4, Kd4
Fasciitis:
Pressing - Bl61, 62, St43, Sp3,4, 3, Kd2
Shin splints: Pressing/Pushing Lv5, Kd7
Plucking - tendon
Grasping
Striking St, Lv/Kd
Rehabilitation
Plum blossom stake stepping and rolling
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Tyler J Rowe 2011
14) Practical Assessment Sheets

Sample
Student Name
Date
Client Name
Date of Birth
Gender
your name
of the massage
the person massaged
the clients
the client
Main Complaint
Clinical Manifestation
(signs & symptoms)
Assessment
Diagnosis
Prescription
Duration
History
Medications?
Nature
Location
Intensity
Frequency
Duration
Aggravated/Relieved
Observation
Palpation
Testing
Qi Stagnation/Xue Stasis
Xu/Shi
Heat/Cold
Techniques
Channels
Points
Duration
Was the style of massage

explained? How is it different?
Was the massage appropriate for
your needs? If no, why?
Was the massage comfortable? Set
up well? If not, why?
Was the massage smooth and
consistent? Or irregular/jumpy?
Was the massage too heavy or too
soft?
Was the massage too fast or too
slow?
Could the massage have been
improved in any way?
Did the signs and symptoms reduce
after the massage?
Did you enjoy the massage?
Client Signature
client to provide this information


24
Tyler J Rowe 2011
TUINA WORKSHEET #
Student Name
Date
Client Name
Date of Birth
Gender
Main Complaint
(dur, hist, med)
Clinical
Manifestations S&S
(nat, loc, int, freq,
dur, agg, rel)
Assessment
(obs, palp, test)
Diagnosis
(qi/xue, xu/shi,
hot/cold)
Treatment
(tech, jl, pts, dur)
Was the style of massage

explained? How is it different?
Was the massage appropriate for
your needs? If no, why?
Was the massage comfortable? Set
up well? If not, why?
Was the massage smooth and
consistent? Or irregular/jumpy?
Was the massage too heavy or too
soft?
Was the massage too fast or too
slow?
Could the massage have been
improved in any way?
Did the signs and symptoms
reduce after the massage?
Did you enjoy the massage?
Client Signature
25

Anmo Tuina Subject-Student Handbook

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Anmo Tuina Subject-Student Handbook

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Tyler J Rowe 2011

Australian College of TCM & Qigong - Certificate of Advanced Qigong Studies

Anmo Tuina Chinese Massage

Practice rice bags

Sun Chengnan (1990) Chinese Massage Therapy

Tyler J Rowe 2011

Yi Zhi Chan Tui Fa

Tyler J Rowe 2011

Treatment of the Lower Back

Demonstration & practice

Demonstration & practice

Demonstration & practice

Demonstration & practice

Demonstration & practice

Tyler J Rowe 2011

1.1 The meaning of Chinese Massage

nm Tun - Press rub Push grasp

1.2 Eight Branches of Chinese Medicine

Tyler J Rowe 2011

Tyler J Rowe 2011

Tyler J Rowe 2011

Tyler J Rowe 2011

2.6 Basic Training Exercises

Tyler J Rowe 2011

Tyler J Rowe 2011

jngjn channel sinews ( Lngsh Spiritual Pivot Scroll 4 part 13)

Tyler J Rowe 2011

Tyler J Rowe 2011

Tyler J Rowe 2011

2. Y zh chn tu f - One Finger

Tyler J Rowe 2011

Tyler J Rowe 2011

Tyler J Rowe 2011

14. Bn shn f Stretching

Tyler J Rowe 2011

7) Treatment of the Head & Neck

Tyler J Rowe 2011

8) Treatment of the Thoracic Region

Tyler J Rowe 2011

9) Treatment of the Lower Back

Pressing Bl40, 60, Yaoytong

Tyler J Rowe 2011

10) Treatment of the Shoulder

Tyler J Rowe 2011

11) Treatment of the Upper Limb

Tyler J Rowe 2011

12) Treatment of the Pelvis & Hip

Tyler J Rowe 2011

13) Treatment of the Lower Limb

Tyler J Rowe 2011

14) Practical Assessment Sheets

Was the style of massage

client to provide this information

client to provide this information

Tyler J Rowe 2011

Was the style of massage

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