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The Tui Na Manual

Chinese Massage to Awaken Body and Mind

Published by Healing Arts Press
Distributed by Simon & Schuster



About The Book

A full-color, illustrated guide to Chinese tui na massage techniques for whole-body health

• Demonstrates each of the 15 unique Tui Na techniques with rich full-color photos and step-by-step instructions

• Explains how to use qi-points to treat conditions in close proximity to the points as well as enact healing in tender or injured regions through the use of distant points

• Details how to use Tui Na in all ages to release stress, re-energize the body, invigorate the mind, and relieve pain, sciatica, headache, sports injuries, and other common ailments

Tui Na, which means “grasp and push,” is a Chinese system of therapy that uses massage and bodywork manipulation to relieve pain, release tension, and treat common ailments. Often practiced in conjunction with acupuncture and Chinese herbalism, Tui Na is also used as a treatment to address specific patterns of disharmony and stimulate the overall flow of qi, or vital energy, throughout the body.

The leading authority on Tui Na in the West, with years of study in China, Indonesia, and Thailand, Maria Mercati combines the individual techniques of Tui Na into an easy-to-use method for whole-body health. Providing rich full-color photos with step-by-step instructions, she demonstrates each of the 15 unique Tui Na techniques, showing clearly where to place your hands as well as offering clear diagrams of the meridian energy channels and more than 100 powerful qi-points, where qi energy can be directly affected to restore balance and harmony. She explains how to use the qi-points to treat conditions in close proximity as well as enact healing in tender or injured regions through the use of distant yet connected qi-points. The author details how to use Tui Na treatments to relieve neck, shoulder, and back pain, sciatica, headache, and many other common ailments, treat sports injuries, and improve athletic performance. She also shows how it can release stress, re-energize the body, and invigorate the mind, as well as provide healing massage for adolescents, the elderly, and babies.

Offering a healing method that requires no special equipment and is simple enough to do at home or in a chair at work, this fully illustrated guide provides a hands-on program to help yourself and others find whole-body health.


Chapter Four

Tui Na Techniques

Before you start to practice Tui Na, consider whether your partner has any conditions that are contraindicated. In particular:

• Do not use Tui Na on anyone with severe heart disease, osteoporosis, or cancer, especially of the skin and lymphatic system.

• Do not massage directly on the lower back or abdomen of a pregnant woman.

• Do not use qi-points SP 6 or LI 4 during pregnancy.

• Do not massage directly on inflamed or broken skin, eczema, psoriasis, or shingles.

The techniques are presented in groups, such as squeezing, kneading, and pressing. Within each group there are variations; for example, for squeezing you can use the whole hand, the finger and thumb, or both hands interlocked. Many of the techniques have specific effects on underlying tissues, such as muscle relaxation, stimulation of blood flow, or lymph drainage. The lymphatic system helps the body deal with infection and relies on such muscle movement to keep the lymph flowing. Some techniques act on qi-points in the same way as acupuncture: releasing blockage, stimulating flow, and clearing stagnation. The most important benefits of the techniques are listed for each group.

Whatever kind of massage therapy you practice, when you first start rubbing a tense, knotted muscle, it hurts. Only with repeated hard and concentrated rubbing will the muscle release its tension and pain subside. In Tui Na, the qi-points being massaged are often tender-- indeed, this is a good guide to their position--and initial kneading may be uncomfortable. Your partner needs to know this, and that Tui Na uses strong physical forces to affect qi-flow and joint function.

Begin every technique with fairly gentle pressure and increase it gradually. Talk to your partner throughout and be guided by any reaction. If there is pain, is it a “good” pain, or should you stop? Always be ready to reduce the pressure you use, or change to a gentler technique.

Soft tissue techniques

The soft tissue massage techniques all apply pressure to the underlying tissues--muscles, ligaments, tendons, and blood vessels. This pressure is applied in a variety of ways: at right angles to the body; in a circular motion; or with a shearing motion across the underlying muscle.

Apply the pressure by leaning in to your working arm with your body weight. The amount of pressure can be varied enormously, depending on the part of your body you use, and the amount of body weight you lean in to the movement. To feel this, sit in an upright chair and press with your whole hand on your thigh. Then, without changing the amount of force you are using, move your hand so that you are pressing with just the thumb. Using your thumb you are pressing over a smaller area, so the pressure is greater. If you rock the thumb over and back, keeping the end of it pressed on one point, or if you rotate the heel of the palm over a point, you apply a different kind of pressure again.

Always start with gentle pressure and increase it gradually, releasing it equally gradually as you finish the technique.


Pressing is basic to all Tui Na techniques. Using the palm, the heel of the hand, the elbow, the thumb, and even the foot, a skilled therapist will apply precisely the right amount of pressure to the area being treated. When you use pressing, progress steadily from light to heavier pressure, guided by your partner’s response.

Thumb Press

This kind of press can apply the most concentrated pressure for a given force. If it hurts you to maintain strong pressure with the thumb, try using the tip of the elbow. When even deeper pressure is required, press the free thumb down on top of the working one.

Elbow Press

This press concentrates the force on to the area being treated so that greater pressure can be applied. For gentler pressure use your upper forearm instead.

Benefits of Pressing

• stimulates the sense organs in the skin

• aids qi-flow through underlying tissues

• stimulates the flow of lymph

• stimulates qi exchange between partners

• relieves pain


Kneading involves pressing with movement. Unlike rubbing, your hand (or elbow) must not slide on your partner’s skin. The kneading movement may be to and fro or circular, and is limited only by the looseness of your partner’s skin. A skilled therapist can create a range of different pressures delivered with subtle nuances of direction and force. Kneading can produce very gentle, relaxing pressure, or very deep stimulation. The massage effect results from the skin moving with pressure over the underlying tissue.

Thumb Kneading

Here the thumb moves in a circle to apply a penetrating pressure; the rest of the hand supports the thumb. Thumb kneading applies a very concentrated stimulus to a qi-point or a knotted area of soft tissue.

Heel of the Hand

Rock the heel of the hand to and fro, or move it in a circle. This technique covers a larger area than thumb kneading, but with less pressure.

Benefits of Kneading

• relieves tension in groups of muscles

• assists the flow of blood

• stimulates the drainage of lymph to help flush away toxins

• assists relaxation


Rubbing involves movement over the skin surface, creating friction, which generates heat. It can vary from a very gentle to and fro movement to a vigorous scrubbing. Rubbing can be in a line or a circle, and involves larger sized movements than those used in kneading.

Palms in Opposition

This technique gives a vigorous rubbing with the palms on both sides of arms, legs, fingers, thumbs, and shoulders. Begin at the top of a limb and move downward gradually.

Upper Forearm Rub

Here both forearms rub simultaneously in opposite directions. Use this technique on the back, covering the whole spine, and working from the center outward and back again. Give a push on the outward movement to effect a slight stretch.

Benefits of Rubbing

• generates warmth, stimulating circulation

• promotes flow of qi in surface tissues

About The Author

Maria Mercati is the leading exponent and teacher of authentic Tui Na in the West. In 1992, following extensive research and training in China, Maria founded BODYHARMONICS®, an integrated approach using acupuncture and Tui Na for controlling pain and promoting health and harmony. She created the original whole-body traditional Tui Na Chinese medical massage program presented in this book, which she teaches and practices at the Bodyharmonics Centre in Cheltenham, UK.

Product Details

  • Publisher: Healing Arts Press (June 12, 2018)
  • Length: 160 pages
  • ISBN13: 9781620557495

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