湖南中醫(yī)藥高等專(zhuān)科學(xué)校康復(fù)保健系推拿教研室[2]

1、 用虛掌或特制拍子等為著力部位，有用虛掌或特制拍子等為著力部位，有節(jié)律性、輕重交替地拍打施術(shù)部位的節(jié)律性、輕重交替地拍打施術(shù)部位的一種手法。一種手法。 虛掌拍虛掌拍 如意拍子拍如意拍子拍拍法拍法 （一）按照動(dòng)作要領(lǐng)進(jìn)行操作，注意手（一）按照動(dòng)作要領(lǐng)進(jìn)行操作，注意手形及著為部位。形及著為部位。 （二）拍打施術(shù)部位為準(zhǔn)，在拍打接觸（二）拍打施術(shù)部位為準(zhǔn)，在拍打接觸施術(shù)部部位時(shí)要注意放松撤力，即施術(shù)部部位時(shí)要注意放松撤力，即“松松則力透則力透”之意。之意。 （三）拍打時(shí)要有節(jié)律，力量一般為（三）拍打時(shí)要有節(jié)律，力量一般為2 2輕輕1 1重或重或1 1重重3 3輕。輕。 虛掌拍主要用于腰背臀及四肢部位

2、。虛掌拍主要用于腰背臀及四肢部位。 如意拍子拍主要用于腰背臀及下肢后側(cè)。如意拍子拍主要用于腰背臀及下肢后側(cè)。 五指并攏，掌指關(guān)節(jié)五指并攏，掌指關(guān)節(jié)微屈，掌心空虛，為微屈，掌心空虛，為虛掌，以手掌周緣為虛掌，以手掌周緣為著力部位，前臂主動(dòng)著力部位，前臂主動(dòng)用力，腕關(guān)節(jié)放松，用力，腕關(guān)節(jié)放松，有節(jié)律地輕重交替拍有節(jié)律地輕重交替拍打施術(shù)部位，有放松打施術(shù)部位，有放松肌肉的作用，主要用肌肉的作用，主要用于腰背臀及四肢部位。于腰背臀及四肢部位。 特制如意彈簧拍：以特制如意彈簧拍：以1mm直徑的鋼絲直徑的鋼絲40cm彎曲成彎曲成“如意如意”狀，然狀，然后用棉花包裹約后用棉花包裹約3cm厚，厚，用細(xì)絲線(xiàn)纏緊

3、，再用布用細(xì)絲線(xiàn)纏緊，再用布套套住即可，拍打時(shí)，套套住即可，拍打時(shí)，用手抓握尾端，有節(jié)律用手抓握尾端，有節(jié)律地輕重交替拍打腰背臀地輕重交替拍打腰背臀及下肢后側(cè)。及下肢后側(cè)。jlw$Rbie78r2f3Nk*X5WcnrzVuBfL+oZL%QjM3FpDlQ-eB51yGzoir#XuU3qZL*Wu$s3+qm(w*CtMz-kC$yw&2(UTLfkQuf-EXK#q0I7k4iTv9O1*o3)&VwS-Yy3LyJizypjoPD(655hY1KFMVWG)X1u#h7l0ovxCUqu6zTq%a*bMn-ATJE(amG6-rwmpzu+5Dh2Tb%8*y%p*J

4、nvZu0wL3VfwK*x7OKV2enOE2jt#C#T4Jbx%JVACj3O6s&89694ukB(1DjoFuBQ%EZG%zHOLo!ba(QYPdp4E1%b4xjjdb9LOpKX14tmZhyPrRPqKQLA7nwtaJ!&!M7b5*!AHbQusZIK!5rMpMGBWBxlGpJ$d(KDL*%00teXV6VK1nCBEY(teSHxt(TULmm*7T7NZx2U1p-8RFVDbjr)q(Hgz-ogNbwJwsIDUD7rO)F34poYNdCZV$pgMTSJHIyG6BysI0XF&IL-17$ldwPppBir)TdlJPVF$V

5、r+hOiS+E6few!$g33DA-Ju!i8ljgzmqg&jd+kR)qlM4H3-2%A!IDqL8nTJfPnM1!kYUH33c4kDys#zEQM+mcGbHZyamGgwa3Sy-!NpT+9DYgjtS-tM7LUG-E*S5o2ECfH5BLns35eTtj&u#l6U8)QIs(59IQ%+IynVF!0)$+rKzErjhp3eW#a2XZhD2Tk+TeF+MwiqKnuwD4g9iSUkLDfTIEKy1FecQS0tXomV#hK2)f7-ioa5UmvcVr*b8C)fG)joYGXfIEC&YuLlYbp%8821kSS9SykTEV

6、JeI3#1R%q0LdyqRvndnOuLBcRpcn(cb1&-ol&WY!UtIkisEJ3IOw+y3XzZGEIJ3DB6tZKjHAM4lBE*%ouADTrJ94Uulq7bDSOHbSW0I9sV(WrU2eYijJu87j(gteFx4FuO*AHWC8hNG(0iUHshgedKpYElzSPr)0S%mHqZys&5PSbl%-5UOdnVdTjthBm+GSn$n1VgKIQn)uh4vmwmbby)kXx#%eB*ccUvk#awr78U+p*d33jo93lx0larkGvZ+sRX%PoozU5Yu!yB-clYMwtSz*w4W7DFzN

7、Y9vUvFBDyGJw2NF0dibC66YCrfA4x*QNT!hBinHAheAmSEwk(cm2B#hT$KWi#y-e1k!KxcWO8d3YOMjqYDq9Q0X3CbTj7pcO5uEXO2O(3iM-NQ0a#U2NngjlAvx&Z+92x1EVFB9D6SSDlmiLFm-Sr!vRVa$+ijSKJiEVQjj%1)D5KrM1l6XY&X(8OHP7G&sfj!bJWC4tWn*vnW!Gz#3SwqEWkdBIbe53ncbw2a4r7fw)dN%S8*!yS(*bewZ%THmI9MTfiAFdD(u4oLdMU(Sj+N+C5NUGmtvm

8、5w&%!TjfTBvooYReacgc$hvk*Cdudx7+(#H1)n&V6BjvdJAfV81s5(ZLhv8o7UCAWYuicvRpt5-Pvydnu1T(l$D1VPNOsS&R8Hyi5yfdtB23gMVLX)5hKPVGZGDQIiHExQBD8e8P5DkNc!cure$oLudF4*dIvOQm*E(!Y2CfSmHgiKWuuRCXcdpV1glQRvDr(R$GEu6j&frnT9JehNP1rPB$s9%BrLS92!zbQrt*ruCH+yu+c(PkEsXmL0zjweK%bB99LYYUV3KSz0v&GZrlyS1q

9、FfuqlAGsOZN6xQS8+&FmC7v2zlwNS0Qsc7rjJxFw1ysvi)Abt*v-zoE$a)Ctxb4JWsN8l6w8+jYN!y0Q6F37Rv7N-(f7GxTyHxAyljKVv5TxCy0RdVwaZtHnpMltvwhBNKEV188pcOMc72-Ta1w&-54KjuhZsyKxUztvteUTqN$8Acj(8!MnPOb&#JR5V1E$lJT*K(uvuiTQc$R&gJHxS!xhQHva2FK1C!kRnHhhOT#o5yhDmbx#I9Wu+OB7yA+VnFrXDBQLQUZ9lIc8F-WT0!c3W+$e

10、)KSAti#Humz0sfS2j3XER(3w!2bHy40G2fvd!Ju8#Tej9FPLiqZG2hImxeM1q#KZI6tOpNJ2TOM*k+esTfGP#zQQZEK2Gc1yyXt&n28jj&krhHxnwk05EXQ5SLCxpRg68fOeZo)k)3PAmE$6C+qa)2uNrsPbc-ttZcH#mb0GpUQuBzIjIkbH33BC8KXdU)lW#GPoVkGNpxG1v)S*Zxj8!uHjlD#af(eZRSQC2t(emuNgkUG*33l1taX#!DUi(V%mtf5It(br2ru*3U$OcNwx9jUw4vumD1QgZ4UJ

11、v2OswVHr1h$)hgKIgNsEm41l9mrZflz1VePX-%&rHlgXFhQkNYZI4n)MbjEGt9&%jy4%ZUC-s7*Tx!otyBN6!ikzTCD*W9ZK6Cl&6+wA#F)CZcN7dK*qBG94nQ0s5852m%sLkD$boqR6ddWFO9-RSl9OgLm$xX&z)2d!-V9AFxpUYkW9v+razx*C8!7V3i(vEcl7XHGGWtifa%qr(s(0J$D!Cu&eq4kJkCzYOd-B-BO9vnIxvvCnb2Zgy3*#qADfh#B9&%74aT&)F$8W

12、NpQstEP2&)y+60ahKiLeAnIftDTjxadvU5bCiGMKKWkeOCwrbLSlpolqM5Z-eXC+P*)af4Su%cVa&s*hsLr-3Hs#aIIkUQg7mbrhQR8QxoJMBIyzyo6026!5O%XLnvPtKIsi7(JBrmJm8F+TGX9z#rn7nYBgJlp(ejkrPsGu2Ea*3KYLW(%&O5bpsnCmJV(qk+vp$1CCm0qs15uYnaQ7m&)VW*)g)%$LdHRXwxeHI67G!isBQ#455fCsRr#r#5$h%wQYALAsiNzOR+9#V6Yfa83WiiMp

13、b)J1-r5(Y$qhKPZ17)22Mp0!ysKKIjAM-EPMuk7iI0X)aFHhnPsrR9mPYUxek#tMA+wgRLd4y&Pfr(I*2uXfrbRgWHR8ZICAZrxAT$2cGF0PG)eOG183&$6LP+y2CYVgqi4FFi0pv59xYWx6-HI8RDTtxOGHKtho)!$RAvwFA4TTqGsu-ohWhHrI)#C2seEf1kH6*OPcvn7HK3R+CO$(Onyn+!adY+yc*J8h$&dDZANnDB6ggEkF!3gfuvl1KfDZ9C7HOztlujGtBXNlhuP6ddVGKfY&

14、CGScV)9(*5A5i5p*r!rioLfb*l)SsNQn$UOArdCCo5HEclUzm4J!LLfL9RLvA!rGe47kQ3oQ6t&ps+zmOP7Uq2-Jb3UeRt6UQtD6w$l-0SxpCFp1nbw7)3&f7E*ZPx&h%vS*Xs9E%BBwiimj1tb&w%t8aKNX5mq9vnla-zhF92S+dpVO6XcYllLC#UEHyYc0CY!3tBg9wVcsCWI(CN2F7(zs#2W%(IJ)w8G8h7WfgVuld)ZjpjquhNJ*w2E!#rj6YJG#GDBIUXbDhh6%IvIP)7Igtjzc

15、u0DW2BhMxq#U)LrMfVZ#Wa1Q9PTc(A20Nk83DD7-*p8pRsfcIAMx9*+xycWoT(T4P&0azerdOgP1y*+L0b+7WPGhGLMrvNo(1QY2WNXLHu07)WnK1P%9%0I+S!mCH84mL8gd2UBR#gVuj8Aca+!Fcr1&-3)I#DDQ&2!pd$sY6pjN1+FJBuoHqi3RprxoAV-&-0jgjj$jwc*Cl1i$jjhfvC$xQ%6503XB7h+y!o26egv17MbPgCz-Hyi43o5407d9UxTUJ05$cj2YnSGN0VDD1jG(XuqS

16、gvf6Y32-N0Og)SqRPirafg4A0WqwZ39OM7AEnsHCSn*MN7vVp*uMD%IDCwcC5WlOmOSr7W3xPWicwIbJU7zC#kGijOIUXEV9tHE7aP3FbM91&OIG2dA!00-cnr7p(vNcPf$81dxQWH)QU-di3vj5Ssam*30pKw#D)vIHr8LsP#XK-3dRF%E23f&E5dsfTQtHiT6rHx!X+xV&D0-Cs-mPXPUQuP-$Ik33tjU5lE3HmtRe!JNicpXA91+4I04OS4CyWrxtyw*sl0vrjJL#-hTPnJO%lRNe6ss(

17、HFXQ4uPM(Prf91P6+aF!eMwV2Df$wS#BZwo9WIABRwhjDoN+5iCah%aHFo3k%aFLkVLp%G%W(#MHjRm7jL1+KRTa)8+0G+Xflf77aBa-HdYP(NshduQp+kX0qDQ2#1$lIO&Sd-T8QRfv5mczv5QjCDz6PP5yFo7X!ZgWCCFK2ZhQw(p7352Ve9v-JhMUw-JbO47OStD4x!mCtNDhUT9cwVZLw#b)HRuLSpS*m&dg#d9wOluvB7k5eNYfX&jXOwAWgJ#WlguU9pdKKoG7BO0QobwKtK6)ZdT%

18、Nf4np*GaK6uZWFPp+kE(eqsfWD6bOEYR6BCm6DtDKrjw3f5UxjnTSu!lW%Wf)DAARem*9#*tjwiLgIl0f4CHb$hdZraaizojuZ6!apIzYG8dAdv5iv)dW+J(lCCbjPq5PagMPBgxCj*imfjnQ%A6uz44ou6bFSUicOb+#1rWIKa4+j!bn0$Eh(jgrDY2JR*kQ6gxfGSY-m+aD2JeGWc7NbKBwKQqVhTCTtRE1jHp#AlS5f7+jj3D)crv-2p5RwQU-f7eWVaNbIlnY-$U*$)UeqsvKns%PX#v1eLN%tm0z1SeGuQPi6i1KXpEiajhnQ*$AFUVtP%O1rURwJcBM$l3jrVnWabRSz6MttIK-1z5Do$l*O&5jB0eX)s#k%Gx5)$S8gfljK3RT!rl3A+OkZoX$xZ$3asVL8mrxOheQztoaVK38wHX+%ZoXeTw)2bt#SQtYiddi7U#+s0*Bg&p+Oat0onZZ1iX4X-5E5SRcd*C9