Tuina (Tui Na) methods include the use of hand techniques to massage the soft tissue (muscles and tendons) of the body, acupressure techniques to directly affect the flow of Qi , and manipulation techniques to realign the musculoskeletal and ligamentous relationships (bone-setting). External herbal poultices, compresses, liniments, and salves are also used to enhance the other therapeutic methods.
Tuina (Tui Na) has a variety of different systems that emphasize particular aspects of these therapeutic principles. The main schools in China include the rolling method school which emphasizes soft tissue techniques and specializes in joint injuries and muscle sprains, the one finger pushing method school which emphasizes techniques for acupressure and the treatment of internal diseases, and Nei Gung method school which emphasizes the use of Nei Gong Qi energy generation exercises and specific massage methods for revitalizing depleted energy systems, and the bone setting method school which emphasizes manipulation methods to realign the musculoskeletal and ligamentous relationships and specializes in joint injuries and nerve pain.

In a typical session, the client, wearing loose clothing and no shoes, lies on a table or floor mat. The practitioner examines the specific problems of the client and begins to apply a specific treatment protocol. The major focus of application is upon specific pain sites, acupressure points, energy meridians, and muscles and joints. Advanced Tuina (Tui Na) practitioners may also use Chinese herbs to facilitate quicker healing. Sessions last from 30 minutes to 1 hour. Depending on the specific problems of the client, they may return for additional treatments. The client usually feels relaxed but energized by the treatment.

Tuina (Tui Na) is now being popularized in this country as a powerful therapeutic extension of traditional western massage methods. Tuina’s (Tui Na) simplicity and focus on specific problems, rather than a more generalized treatment, make it both an excellent alternative and/or extension of the Swedish-style massage. By utilizing treatments of shorter duration, it can be used in a variety of settings, including home, office, clinic or hospital. It is well suited for both the professional massage therapist or the active, health conscious individual.

Tuina (Tui Na) practitioners can be found by calling Acupuncture Colleges of the American Oriental Bodywork Therapy Association.
Tuina (Tui Na) dates back to the Shang Dynasty of China, 1700 B.C.E. Oracle bones show that tuina (tui na) massage was used to treat children’s diseases and digestive complaints in adults. By 600 C.E. Tuina (tui na) was included in the Imperial Medical College as a separate department. Tuina (tui na) flourished throughout China until the Qing Dynasty where it was suppressed along with other Chinese cultural arts. Following the Communist revolution, Tuina (tui na) was restored along with other traditional medical arts and was included in the creation of the current system of Traditional Chinese Medicine Colleges.

Currently, Tuina (tui na) is taught as a separate but equal field of study in the major traditional Chinese medical colleges. Tuina (tui na) doctors receive the same demanding training as acupuncturists and herbalists and enjoy the same level of professional respect.

Benefits, Limitations, Contraindications
Tuina (tui na) is well suited for the treatment of specific musculoskeletal disorders and chronic stress-related disorders of the digestive, respiratory and reproductive systems. Effective treatment protocols have been tested in a practical setting. Tuina (tui na) is not especially useful for those seeking a mild, sedating and relaxing massage since it tends to be more task focused than other types of bodywork. Contraindications include conditions involving fractures, phlebitis, infectious conditions, open wounds, and lesions.

The Ma Huang plant is an evergreen shrub that grows to an average of 50 cm tall and is native to desert regions in the countries where it can be found. Characterized by its variety of colors, the shrub has tiny leaves that remain green only briefly and tough yet flexible stems. Dependant upon the particular species, Ma Huang shrubs can display colors including green, yellow, red, or brown-gray. more

Ma Huang works as a stimulant. Biologically similar to methamphetamines, the substance derived from this plant has an effect similar to Epinephrine, only far stronger. A variety of stories concerning the use of Ma Huang exist in folklore, including its use by guards of Genghis Khan as a way to remain awake while on duty, and the consumption by early Mormons in Utah as a replacement for caffeine-loaded coffee and tea.

Because of the highly powerful stimulant reaction caused by derivatives of Ma Huang, herbal practitioners recommend use of the entire stem rather than extracts. Ephedrine extracted from Ma Huang is known to cause elevations to blood pressure and heart rate, while the effects of consumption of the entire stem are far milder. Beyond use as a stimulant, Ma Huang is also known for its mood elevating properties as well as its potential to speed weight loss by affecting the body’s metabolic rate through appetite suppression.

Ephedra is most popular is modern-day herbal medicine as a dietary supplement used by patients seeking mild to extreme weight loss. Most effective in individuals who already experience lower basal metabolic rates, Ephedra stimulates the body’s fat burning ability while taking away feelings of hunger. The resulting weight loss is often very welcome, but care should be taken to limit the rate of lost weight to a healthy level.

Although usage in moderation can have a positive impact on your health, Ma Huang is not without side effects. Because of its primary purpose as a stimulant, Ma Huang can cause sleeplessness and insomnia, although these symptoms will clear quickly after discontinuing use or adjusting dosage. Anyone suffering from problems related to blood pressure and heart disease should use with great caution, as Ma Huang can lead to dangerously high blood pressure and heart rates. Finally, because of its interaction with the body’s metabolic process, Ma Huang can lead to feelings of nervousness and anxiety and lead to dry mouth, headache and tremors.

The use of Ephedra or Ephedrine was banned by the Food and Drug Administration (FDA) in the United States in 2004 due to an increase in adverse reactions and even several deaths reportedly caused by its ingestion. Following additional research into both the benefits and detriments of the use of Ma Huang, a Federal District Court overruled the ban in 2005, but set into place a provision that limits dosage to 10 mg or less. As with any drug or dietary supplement, use Ma Huang carefully and upon consultation with your doctor.