A study of a clinical application in Tuina therapy.

本研究旨在探讨推拿对内关穴肌肉疲劳的影响、自我推拿刺激对身体状况自我评价的影响以及推拿刺激对面部美容的影响。内关穴：运动负荷试验采用跑步机。采用拇指按揉法对被试的内关穴进行推拿刺激。静息状态下BP、LA、HR值均低于无刺激状态（p<0.05）。运动状态（80%HRmax）时，HR、Vo_2、RR值均显著低于无刺激状态（p<0.05）。在恢复状态下，LA显著低于未刺激状态（p<0.05）。推拿内关穴可促进疲劳恢复。自我推拿：受试者根据自身疾病和疲劳症状，从6个部位、52种中自由选择3种或3种以上的自我推拿刺激手法进行推拿。面部是最受欢迎的（80%），其次是头颈部（50%）。尤其明显的是，对自我推拿刺激效果评价积极的物理区域是面部、下背部和下肢。我们明确了自我推拿刺激的效果主要可以通过自我评价的标准来评价。美容推拿：推拿刺激是指用压、抹、推、揉、圆手法对受试者面部穴位进行按摩20分钟。StO_2、THb、CVR-R均显著低于未刺激组（p<0.05）。S-IgA和面部量表显著高于非刺激组（p<0.05）。美容推拿可促进疲劳恢复。我们的研究表明，推拿可以作为治疗疲劳的一种治疗方法和适当的刺激。

The purpose of this study is to examine Tuina acupressure on Neiguan acupoint effect of muscle fatigue, effect of self-Tuina stimulation on self-assessment of physical conditions and effect of beautification Tuina stimulation to a face.Neiguan acupoint :Exercise stress testing was used the treadmill. As Tuina stimulation, the thumb pressing and kneading technique were used to the subjects's Neiguan acupoint. In the resting state, BP, LA and HR showed lower values (p<0.05) than under non-stimulation. In exercising state (80%HRmax), HR, Vo_2 and RR showed significantly lower values (p<0.05) than Non-stimulation. In the recovering state, LA showed significantly lower values (p<0.05) than Non-stimulation. Tuina acupressure on Neiguan acupoint could be promotion to recover the fatigue.The Self-Tuina :Subjects were according to their disease and fatigue symptom, they selected three or moreover manual skills of self-Tuina stimulation from 6 parts and 52 kinds freely and performed them. Face was the most (80%), and head and neck was the next (50%) popular selected regions. In particular, it became obvious that the physical regions evaluated positively for an effect of self-Tuina stimulation, were a face, the lower back, and lower limbs. We clarified that effects of self-Tuina stimulation could be evaluated mainly by the criteria of self-assessment.The beautification Tuina :Tuina stimulation was the Pressing, Wiping, Pushing, Round rubbing and Kneading Technique ware used to the subjects's Face acupoints for 20 minutes. StO_2, THb and CVR-R showed significantly lower values (p<0.05) than Non-stimulation. S-IgA and the face scale showed significantly higher values (p<0.05) than Non-stimulation.Beautification Tuina could be promotion to recover the fatigue.Our study indicates that the Tuina could be a therapeutic method and proper stimulation for healing the fatigue.