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here is one major
factor which distinguishes Tuina from other types of massage.
And that is its energetic quality. Tuina incorporates an energetic
focus with the manipulation of physical structures, such as muscles.
This can be accomplished in many different ways.
For
example, the rolling technique involves rolling the back of the
hand back and forth over the area to be treated. Rolling does
not require pressure, instead the focus is on the smooth, even,
repetitive flow of the technique. These qualities establish a
rhythm which produces a constant vibration.
The vibration, or Qi (energy), then penetrates to the level where
the Qi is blocked and promotes movement. Pressure is not required
because the Qi of the techniques can penetrate and achieve the
desired therapeutic result.
Whether for adults or children, Tuina presents several useful
advantages. It may be used by people interested in maintaining
good health either at home or through professional treatments.
Tuina can be used to treat conditions when they are very minor
and simple, thus preventing the development of a more serious
condition. Also it may be used in conjunction with other types
of therapy, either Chinese or Western, as one aspect of an overall
treatment strategy. 
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