擦 法 Scrubbing Manipulation
概念 Concept 以手掌掌面小鱼际 或大鱼际为着力面，在治疗部位沿直线进行往返摩擦的方法，谓之擦法。 The manipulation of rubbing and scrubbing the therapeutic part of and fro a straight line with the operator’s palmarface,minor or major thenar eminance is called scrubbing manipulation .
分类 Classification 根据着力部位不同，本法可分为掌擦法、小鱼际擦法和大鱼际擦法三种。 According to the different operating parts,this manipulation can be divided into three types:plam-scrubbing,minor-thenar scrubbing and major-thenar scrubbing.
动作结构Structure of Operation 本法操作时，术者多取战势。预备姿势为：沉肩、垂肘，掌擦时，前臂内侧与治疗部位相对，腕掌与五指伸直，以全掌附着在治疗部位；小鱼际擦时，前臂取中立位，腕掌与手指用力伸直，五指并拢，以小鱼际着力；大鱼际擦时，前臂取旋前位，掌面朝下，拇指与第一掌骨内收，以隆起的大鱼际肌腹附着在治疗部位。
In the operation of this manipulation ,the operator is usually in a standing position.the preparatory is as follows:the operator lows his shoulder,drops his elbow.
In Palm-scrubbing manipulation, with the medial aspect of his forearm facing the therapeutic part，he extends his wrist,palm,thumb and fingers straightly with his whole palm pressing closely on the terapeutic part,in minor-thenar scrubbing manipulation, his forearm is in a moderately erccting position,he extends his wrist，palm and fingersn straightly and puts his fingers together,and rubs the therapeutic part with minor thenar force.
In major-thenar scrubbing manipulation, his forearm is in the prone position，with his palm facing downwards,his thumb and first metacarpal bone abducted，and the protuberant muscular belly of major thenar eminance closely applied to the therapeutic part．
This manipulation should be operated within a large range, and the operator should try to lengthen the distance of pushing and scrubbing. During the operation, the operating part should be kept close to the skin of the therapeutic region, and the rubbing force should be even and moderate.
本法 在操作时受术部位要充分暴露，开始几次推擦宜缓和稍慢，以后速度可稍快。每次治疗以局部发热为度，操作次数不宜 太多，时间也不应长，以免造成局部过热、发烫起泡。一般每次以十次左右为宜。为防止擦破皮肤并有助于产热与增强疗效，施用本法时，一般要使用介质。
In operation, the affected part should be exposed fully.The operator starts rubbing softly and slowly, then a bit more quickly. Each treatment is accomplished when the operated part becomes warm. It should not be operated for too many times, and the time should not be too long in case the therapeutic region becomes so hot that scald blisters will be caused.
About 10 times is usually suitable to each treatment. In order to prevent the skin from being abraded, produce greater warmth and enhance therapeutic effect, a certain medium is often used in this manipulation.
The manipulation has the following effects: relieving chest stuffiness and regulating the circulation of qi, warming the channels and alleviating pain, expelling pathogenic wind and cold, relieving swelling and removing obstruction of the channels, promoting flow of qi and blood circulation, relieving arthralgia and removing dampness, etc.
临床应用Clinical Application • 本法的摩擦力强、动作幅度大，故具有明显的温热效应与推荡消散作用。 • This manipulation has strong rubbing force with a large range of movement,it has evident warming effect and the function of removing obstruction.
适用与全身各部位施术。其中，掌擦法宜在胸背与腹部面积较大的部位施术，可产生较缓和的热效应。适用与全身各部位施术。其中，掌擦法宜在胸背与腹部面积较大的部位施术，可产生较缓和的热效应。 • It can be applied to all parts of the body. Palm-scrubbing manipulation is suitable for the operation on large regions such as chest and back, the abdominal region, and it can create soft warming effect.
小鱼际擦法，主要用于腰骶八髎穴、夹脊穴及骶棘肌，由于其作用面积小，故可产生较为集中的高热效应。小鱼际擦法，主要用于腰骶八髎穴、夹脊穴及骶棘肌，由于其作用面积小，故可产生较为集中的高热效应。 • Minor-thenar scrubbing manipulation is mainly applied to the lumbosacral Baliao points, Jiaji points and sacrospinal muscle; because of its small effect area, concentrated high heat effect can be created.
大鱼际擦法，主要用在四肢，可产生中等的温热作用。大鱼际擦法，主要用在四肢，可产生中等的温热作用。 • Major-thenar scrubbing manipulation is mainly applied to the limb, by which the moderate warming effect can be created.