Glomerular Filtration rate and its determinants.pptx
Carte de masaj (spate,picioare)
1. 68
STOMACH AND BELLY
The stomach and belly are a soft, sensitive, muscle-covered area of
the body, unprotected by encircling bones (though the lower
abdomen is in pari protected by the bowl of the pelvis). Long aga,
when we tirst became upright, we exposed aur tender bellies to the
world. This made us mare vulnerable, but also able to relate mare
sensitively to one another. The stomach is also linked to the Solar
Plexus chakra (see p.12), which is the seat of raw emotional energy,
often of fear, but also of change and transmutation. AIso on this
level is the diaphragm, which separates chest from abdomen. Our
breathing pattern is a vital gauge of aur physical and emotional
health. Stomach problems, such as indigestion, are often linked to
anxiety and emotional causes; a surge of adrenalin can provoke a
sudden sick feeling in the stomach. The belly houses the gut and
also aur "gut feelings". The Hara chakra, just below the naveI, is
Our centre of gravity, strength and vitality. This is the centre from
which we "ground" ourselves through aur legs (see p.19). It is also
closely linked with aur sexuality. Tension and congestion here may
cause constipation, flatulence or menstrual pain. Both massage and
Shiatsu can help to ease complaints in the abdominal area.
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2. Indigestion and nausea
Indigestion can be the result of acid
over-production due to stress, or
eating too much, or foods that
don 'tagree with us. The following
strokes and techniques can help to
soothe the dl5comfort. The
vulnerable stomach must be
worked on slowly, with great
sensitivitj. Camomile or
cardamom essences (see p.21 ) can
be helpful. Step 5 works by
increasing the energy fIow by
linking the stomach with the
stomach meridian. Step 6 15
specificatiI for nausea and releases
tlghtness in the area caused by
stress.
2 Gentlestroking down from ribs
Startat one side of faur partner's
ribcageand begln to glide faur hands
smoothlydownward, one after the
other. Move over the lower ribs, the
baseof the nbs, and on to the
abdomen,wlth very light, slow
strokes.Work right across the lower
ribcageand repeat several times.
3 Holding stomach and circling back
With faur partner IYlngon one side
kneel by her back and rest one hand
on her stomach just below her
breast bone. With faur other hand
circle the mid back opposite faur
holding hand, In a counterclockwlse
direction. As you circle, relax faur
hand and stay present Move faur
hand slowly, flowing over the forms.
.
STOMACH AND BELL Y
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I Light circling on sides and stomach
Kneel beside faur partner's hip,
faCing her head, and rest faur hands
gently just inside her two hip bones.
Now very lightly stroke up the sides
of her torso, then across the lower
ribs under her breasts. Stroke
especially lightly down the centre,
ending at the hip bones. Repeat the
circling several tlmes.
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3. 4 Working under ribs
Kneel at your partner's right side and
begin to press gently, but also fairly
deeply, under her ribs on the Iert
side, Keep the whole of your hands
In gentle contact, and use your
thumbs and the flats of your fingers
to circle and press along under the
bani ridge from Iert to nght across
the body, Keep faur massage slow,
smooth, and veri sensltive here,
remaining always withln the
threshold of pain.
COMMON AILMENTS
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5 Shiatsu pressing down stomach
meridian
Kneel by your partner and turn her
leg inward by holding her foot with
your foot. With your "mother hand"
placed over the stomach area above
the navei, palm down the front of
her thigh with your active hand by
leanlng in with your body weight.
Move slowly and repeat three times,
6 Shiatsu stroking along base of ribs
Wlth your partner standlng up stand
behlnd her and bring your arms
around her sides, letting your
flngertlps meet at the solar plexus,
Now veri Ilghtly sweep both hands
slowly out and away below the ribs
and off the sides of the body, Repeat
the technlque several times,
70
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5. ",
COMMON AILMENTS
Constipation and flatulence
Constipat/an can be caused by lack
of fibre In the diet, byemotlonal
factors or by an Inadequate fluid
Intake. Flatulence ISa buildup of
gases resultlng In dlstention and
dlscomfort. The first stroke (Step
1).works specifically with the calon
and follows the direction of ItS
wavelike muscular movements,
which help to pass dlgested food
along inslde in a c/ockwlse
direction. With aii these strokes on
the belly area you should start
Ilghtly and gradually work In mare
deeply. with care and sensitlvlty.
Always move slowly and stay
aware of what your hands are
sensing. Mar;oram or fennel
essences are suggested (see p.21).
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I Warking araund cal an
Kneel at your partner's right side arid
rest both your hands on the right of
her lower abdomen. Start to work
slowly upward with small flrm
circling strokes. Follow the direction
of the calari, up to the nght lower
nbs, across to the left arid then down
to the Inslde of the left hip bone.
Slide Ilghtlyacross to the right side
again arid repeat.
,
3 "Wavekneading"of belly
Lightlyrest your hands on the centre
of your partner's belly, one on tap of
the other. Using the heels of your
hands push away across the belly arid
then let your hands curve over like a
wave, so that your flngers carne irita
contact arid begin to puii back
toward rau. Continue to rock slowly
back and forth rhythmically Inthis
way for a short tlme.
72
2 Pullingupsides
Reaclr across to your partner's far
side arid begin to puii up the slde
wlth slow generous strokes, your
hands alternating arid overlapplng as
they cover the area between ribs
arid hips. The movement should
slightlyliftarid rock your partner. Let
the stroke carne from your pelvls.
Repeat on the other slde.
6. Menstrual pain
Painfulperiods usually resu/t from
hormonal imbalances in the body,
and you might find it helpful to use
some of these techniques ta
relieve tension in the area. 8egin
with slow circ/ing on the sacrum, as
this is very soothing. The sacral
tone contains several pairs of holes
(rom which nerves issue, and
pressing these will help to relieve
congestion. Rocking the pelvis
relaxes the whole body and
loosens the pelvic area. Massaging
the legs can also help to relieve
menstrual pain. Try using either
camomile or jasmine essence (see
p.21) for this problem.
Caution.. Seek medical advice if
menstrual pain is persistent and/or
severe.
2 Pressing into sacrum
With faur partner Iyingan her front,
kneel an ane side of her thighs and
place faur thumbs at the tap of her
sacrum, keeping faur tingers in
contact with the bady. Lacate the
two upper Indentatians and, caming
farward from faur hara,leaninwith
faur thumbs. Hald for a moment
and mave an dawn the sacrum ta
the base, pressing inthe same way.
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I Holding belly andcircling sacrum
With faur partner Iyingcurled on
her side, kneel behind her and rest
one hand gently an her lawer
abdamen, belaw the naveI. With
faur ather hand circle slawly,
caunterclackwise, over the sacrum
and lawer back area. Keep faur
hands and shaulders relaxed and
stai centred and aware.
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Ask faur partner ta fiean her back
and stand with one faat either side
of her legs. Bend faur knees and
drap farward fram faur hara. Using
faur palms, start ta rock her hips
. rhythmicallyfromsideta side.Once
" yau have faund a comfartable
rhythm the racking matian needs
anlya lighttauch ta maintain it.
73
7. MIDAND LOWER BACK
The back is fie strength area of the body. Yet despite its strength
mare people have a back problem at some time in their lives than
any other ailment. Lack of regular exercise, poor posture, tension
and stress aH contribute to aur backs' proneness to aches and
strains, and sometimes to mare serious problems. Oile of these, fie
"slipped disc" occurs when the pad of cartilage between two
vertebrae ruptures and some of the gel-like nucleus protrudes and
presses against a nerve. Ye't this is not always the cause of back
pain. The large muscles of the back can suffer from strains that
massage can often ease. The mid-back area relates to the Solar
Plexus chakra, which is linked with emotion and change, and the
lower back connects with both the Hara (strength, vitality and
sexuality) and the Root chakra (our work, grounding and basic life
situation - see p.12). Many back problems, and particularly those
located in the lower back area, seem to have emotional causes,
often linked to energy blocks and withheld mobility in the pelvic
area. Since it is so vital to your back's health to have sufficient
flexibility in the joints and muscles, we have included exercises to
help your back to regain or retain its suppleness.
74
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8. MID AND LOWER BACK
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Mid backache
Aching in the mid back isaften
caused by tightness in the vertical
bands af muscle an either side af
the spine, Begin with slaw gliding
strakes and then mave an ta Sters
I and 2, which wark directly an the
spinal muscles, Step I pushes up
alang the grain af the muscle and
Step 2 warks aut across the fibres
with the heels af faur hands.Step
3 isperfarmed with the saft inner
parts af faur farearms, and
stretches the whale area with
broad comfarting mavements, Try
marjaram essencehere (see p.21).
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I Pushing along spinal muscles
Kneel beside your partner's hips and
'rest one hand on his sacrum, Using
the heel of your other hand, begin to
push up verI slowly along the ridge
of muscle on one side of the spine,
covering the whole mid-back area,
Repeat several times along both
sides of the spine, using your body
weight to push up along the muscles,
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Kneeling at your partner's side, knees
apart, rest the heels of both your
hands on the muscles at the far side
of his spine, just below his shoulder
blades, Lifting your hips up and
forward, use some of your weight to
push slowly out acrass the ridge of
muscle, Move down the mid back in
this way, then change sides and
repeat the strake,
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Kneelingby your partner, rest the
insidesof your forearms on his mid
back.Then glide them apart, one to
thetap of the neck and the other to
the bottom of the sacrum. Start
againat the mid back, but now glide
faur arms apart diagonally, 50 that
anegoesover one shoulder, the
ather over the opposite buttock,
Repeatthe stroke over the other
buttockand shoulder,
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75
.JI
9. COMMON AILMENTS
Lower backache
Lower back pain 15one of the
commonest of aii the ailments
treated in this book. As well as
these massage strokes, which can
be done In combination wlth
lumbar circ/ing (see Step 2, p.34)
we show some useful stretchlng
techmques. In Step 3 the receiver
curis up in the yoga "child's pose"-
if this 15net comfortable you can
achleve a similar effect by pressing
down on faur partner's knees (see
Step 2, opposite page). Try
rosemary essence (see p.2 1) for
pain in th,s area.
Caution: If back pain 15severe and
acute or If there are ani other
medical symptoms, consult a
doctor, osteopath or chiropractor.
2 Kneadinglower back
Now, using large, rhythmical rocking
movements, knead the whole of
faur partner's lower back area on
the opposite side, from work surface
to spine. Use generous grasplng and
squeezing movements, with the
whole of faur hands, to work Into
the muscles slowly and thoroughly.
Repeat on the other side.
3 "Child's pose" and back stretch
Ask faur partner to kneel down
with hls forehead on the floor in the
yoga "child's pose". If this is diffîcult
place a cushlon between his buttocks
and heels. Kneel by hls side and rest
one hand on the upper splne and the
other on the base. Now press down
so faur hands push in oppOSlte
directions, stretching the spine.
76
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I Circlingsacrum
Kneel by faur partner and rest both
hands, one on tor of the other, on
his sacrum, as shown above. Now,
transferring some of faur weight
forward on to faur hands, start slow
counterclockwise circles on the
sacrum. Gradually extend them
upward on to hls lower back area,
returnlng each time to the sacrum.
Check how much pressure faur
partner prefers.
10. - ..
I Shiatsubackswing
With faur partner Iyingan his back,
stand astride his legs and raise his
knees. Yaur feet shauld be shaulder-
width apart and faur knees bent.
Now, using faur farearms, lift his
lower legs belaw the knees, resting
faur elbaws an faur awn bent
knees. Feel yaurself firmly raated an
both legs, and sit back slawly an ta
faur partner's feet. This wililift his
pelvisan inch ar twa aff the flaar.
Now swing his whole lawer bady
gentlyfram side ta side.
2 Shiatsu pressing knees to chest
8egin as abave, but thls time rest
faur hands an the fronts af bath
faur partner's knees, keeping faur
awn knees bent and faur shaulders
relaxed. Use same af faur weight ta
le!ingently dawn, pressing his knees
slowly taward his chest. Da nat
farce past the paint af resistance.
Hold far a moment ar twa then
release slawly.
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MID AND LOWER BACK
Lower backache: Shiatsu
Shiatsu of the /ower back aims to
re/ax distorted musc/es and 50
a//ow rea/ignment of vertebrae.
Pain in the /umbar area can be the
effect of imba/ance in the
functioning of the kidneys, sma//
intestines and the organs in the
pe/vis. Tight hamstnngs a/sa put
extra stress on /ower back musc/es
and techniques that stretch and
/oosen the back and /egs as we// as
strengthening the hara wi// be
beneflcial. The /ower back is an
area that is weak in many peop/e,
50 work s/ow/y, with care,
synchronizing taur breath with
taur partner's and with taur own
movements, exha/ing as you app/y
pressure.
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3 Shiatsu holding hara and lower
back
Kneeling beside faur partner, slide
ane hand beneath his lawer back,
palm upward, and rest the ather an
his lawer abdamen, ar hara, just
belaw the naveI. Relax and tune in ta
faur partner's breath. Imagine faur
hands are channels far healing
energy that flaws effartlessly
thraugh them. Hald far up ta three
minutes.
77
11. COMMON AILMENTS
Sciatica
SciatlcaISa sharp shooting pain felt
inthe legsand/or buttocks and
back (usuallyon one side only),
sometimes accompamed bya
tinglmginthe corresponding leg or
foot. ItIScaused when a disc bulges
out between the vertebrae and
presses againstthe sciaticnerve.
Most discprotrusions heal
themselves, given enough time and
rest and some ofthe strokes
shown here mal help to asslstthe
healingprocess. Try the different
movements and focus on those
that afford most relief Work
slowly and be guided by faur
partner for the amount of pressure
to use. Camomile or lavender
essences (see p.2 I)may be helpful.
Caution.. Ifsciaticpain ISpersistent
and severe and/or on both sldes
seek help from faur doctor or an
osteopath.
2 Kneadingbuttocks
Facingfaur partner's side at hip
level, reach aver ta hls appasite
buttack and start ta knead it with
slaw, firm circling mavements, as
shawn abave, using faur whale
hand. Facus wlth faur fingers and
thumbs, searching inta the saft tissue
between banes. Avaid areas af
sharp pain- warkaroundthem,nat
dIrectiI an them, and always staI
withln the threshald af pain. Mave
around and repeat an the ather side.
78
I Stretching to sides of sacrum
With faur partner Iyingface dawn
kneel by ane thigh, facing hls head.
Place the heels af bath faur hands
an his sacrum, with faur fingers
paintlng autward. Naw raise faur
pelvis and lean slawly farward an ta
faur hands. Then gradually slide
faur hands away fram his sacrum,
aut across the sides af hls buttacks
and aH. Return ta the sacrum and
repeat a few times.
3 Circlingdown back of leg
With the fingers af ane hand and the
thumb af the ather, trace small
averlapping Clrclesdawn the back af
ane thigh. Ease the pressure at the
back af the knee, then pause ta
press gently an the Shiatsu tsubo
(marked) with faur thumb. Then
continue ta circle dawn ta the lawer
calf.Repeat an the ather leg.
12. 5 Pressingsacrumholesandunder
iliaccrests
Kneeling by your partner's thigh,
facing his head, rest your thumbs on
either side of the tap of his sacrum.
Feel for the small hollows, then
slowly lean on to your thumbs. Hold,
release, then move down the
sacrum, pressing the pairs of holes.
Now press carefully outward along
under the rims of the pelvic bone, as
shown right.
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MID AND LOWER BACK
4 Heel-of-handpressureon
buttocks
Facingtoward your partner's head,
place the heels of both your hands
on the hollows at the sides of his
buttocks, as shown left. Slowly press
your hands intoward each other.
Try gently rocking the pelvis from
side to side, or use alternating or
synchronized circling movements to
work into the soft tissue. Go gently if
there is any tenderness.
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6 Stretching legs
Kneel at your partner's feet and take
hold of one foot, one hand cupped
around his heel and the other
supporting the front of his ankle
joint. Now lean back from your
pelvis and let your arms go taut like
ropes. Let your body take the
weight and stretch the leg steadily
and flrmly. Release, then repeat on
the other foot.
79
13. COMMON AILMENTS
Aching hips
The hips act as the body's fulcrum,
joining legswith torso. Many
people hold tension here, due to
1.'1ckof exercise, structural
imbalance in the legsand
suppression of sexuality and anger
(both basicdrives centred in the
hara). Thiscreates stagnation in the
pelvis and increasingly limited and
painful movement of the hlp jolnts.
Pressingin the buttocks around the
hip jolnts and rotating them by
moving the legs willincrease
circulation and mobility and help to
relieve discomfort. The whole of
the sequence for sCfatica(see
pp.78-9) willalso be useful for
warming and loosening the musc/es
around the hip jolnt. Try marjoram
essence for massaginghips (see
p.21).
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I Pressingwith thumbs around joint
Kneelingbesidefaur partner, feel
for the hollow just above his hip
bone (see diagram). Rest the balls of
faur thumbs together at this point.
Now lean forward from faur hara
and let faur body push faur thumbs
into the hollow. Hold, release, then
continue on around the joint in a
semicircle. Repeat on other side.
[.
80
3 Shiatsu pressing knee to chest
Begln as above, but this time transfer
faur body weight forward, pressing
hls knee slowly toward his chest.
Stop at the point of resistance and
hold for a few seconds. Release
gently and repeat on the other leg.
2 Shiatsu rotating hip joint
With faur partner on his back, kneel
on one knee by his thigh, facing his
head. Raise his leg, as shown left,
using one hand on his knee and the
other on his ankle. Start slowly to
rotate the hip joint by describing
small circles with his knee. Gradually
extend the circles to the point of
resistance, then reverse the direction
of rotation. Repeat on the other hip.
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15. COMMON AILMENTS
I Breathingintopain
Lieon your backwithyour knees up,
feet hip-width apart, and your arms
and shoulders relaxed. Locate an
area of pain or tension in your body,
and as you inhale, imagine your
breath bringing healing energy and
nourishment to this area. As you
exhale imagine breathing out the
tension or soreness with your
breath, Breathe slowly and deeply in
this way for severa! minutes.
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3 Bringingkneesto chest
Lie on your back with your knees up,
and hold them with your hands. As
you' exhale, bring them gradually
toward your chest to the point of
resistance. You can bounce them
very slightlyinthis position ifit feels
comfortable, As you inhale, gently
lower them again until your feet
touch the floor. Repeat
., ,
82
Exercises for mid or /ower
back pain
If we kept aur backs healthy and
supple with regular exercise and if
we were aware of aur posture,
many back problems would be
avoided. Here isa series of
exercises to do daily.Never
overstrain when exercising and
move smoothly and slowly. Do
each exercise only for as long as
feels comfortable. Breathing
properly (i.e. inhalingas you spread
out faur body and exhaling as you
curl in) willaid circulationand help
to heal strained musc/es. Work up
graduallyto the halfsit-ups and
take pain as a warning to go mare
easily.A pillow under the pelvis
mar help to ease the lower back.
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Lyingasbefore, with your feet flat
on the floor, lift the baseof your
spineand pelvisslightlyby tightening
the rTlusciesof your abdomen and
squeezingyour buttocks together,
As you do this, ma~esure your neck
and shoulders remain relaxed. Hold
for a count of five andthen relax aII
the musclesand beginagain.Repeat
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16. MID AND LOWER BACK
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4 Letting one knee fali out to side
Liean faur backas befare, with
faur knees up and feet apart. As yau
inhale.let ane af faur knees flap aut
ta the side. Keepfaur neckand
shaulders relaxed. Liftfaur legagain
as yau exhale and an the next
" o' .._' , ~' inhalatianlet faur ather legflap aut
".1 o,:l!~~" ceo'' ,"::""" ta the ather side. Repeat.
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Start as befare and, as yau inhale.let
bath faur knees flap ta ane side sa
that faur pelvisrollsfram the hips.
Keepfaur shaulders an the flaar as
yau do thisand for extra twist gently
raii faur head ta the appasite side.
As yau exhale, bringfaur knees
back up ta centre againand, an the
next inhalatian,let faur pelvisraIIta
the ather side. Repeat.
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6 Partial sit-ups
Lyinganfaur backwithfaur knees
slightlybent, gentlyraise faur neck
and upper backaff the flaar as yau
exhale,stretchingfaur arms farward
atthe same time. Hald for a caunt of
flveandthen veri slawlyuncurl
backwardsa that faur back,then
faur neck,faur head, and flnally
faur arms are relaxingagainan the
flaar. Repeat.
83
17. LEGSAND FEET
aur legs and feet support us, transport us, and connect us with the
ground beneath. They link with aur sense of security and stability
- or lack of il. Many expressions in aur language reflect the legs'
connection with security: "to stand on aur own two feet"; "ta
stand aur ground"; "to be a person of standing" and "having aur
feet firmly on the ground". Locking aur knees and bracing aur legs
can give us a false sense of security, but in fact this increases aur
susceptibility to shock or injury as it makes aur joints less flexible.
The legs link with the hara (our centre of gravity) and the Root
chakra (our grounding and root situation in lire, see p.12). The
Root chakra is at the base of the spine and it is from here that the
nerves emerge ta supply the legs and feet, which are indeed aur
"mobile roots". aur feet are complex structures, each having 26
bones and an arch, which have to support the weight of the whole
body ab6ve, and act as shock absorbers. Massage brings awareness
to aur legs and feet, helps to improve aur circulation, clears waste
and toxins and generally increases aur sense of connection with the
ground.
84
18. Cramp
Cramp 15a painful, sharp and
sudden contraction of muscles. It
occurs most frequently in the legs
or feet, but can happen in other
parts of the body as well. Cramp is
sometimes caused by salt 1055after
very excessive sweating, or by
poor circulation. It can be violent
and come on suddenly m the mght.
In this sequence we show some
alternating kneadmg and stretchmg
movements for the calf musc/e. As
well as massaging the leg it ISof ten
helpful to get up and walk about in
order to stretch the tlghtening
musc/es. Marjoram essence mar be
helpful (see p.21 ).
LEGSAND FEET
~,
I Stretchingbackof leg
Kneelat faur partner's foot and,
cupping one hand under his heel, lift
his leg slowly to stretch the muscles
at the back of the leg. To emphasize
the stretch you can use faur other
hand to press his foot back toward
hls head. Hold the stretch for a few
seconds, then release. Then repeat
as many times as are necessary.
2 Massagingcalfwith knee up
With faur partner's knee bent, kneel
on elther slde of his foot and begin
to work, with both hands, Into his
calf muscle using slow, rhythmical
kneading and wringing strokes.
Squeeze, press and liftthe muscles,
using one hand after the other. You
can alternate thls muscle massage
with stretches of the back of hls leg,
as shown in Step 1.
3 Kneadingthe calf
Wlth faur partner Iyingon his front,
kneel at his side and begin firmly to
knead the calf muscle. Rock faur
body from faur pelvis as you lift,
circle, and squeeze with alternate
hands. Cover the whole calf area
thoroughly.
/
85
19. '1
COMMON AILMENTS
'!'lli
I~
III]
1:lm
I
lil~~
H
1I~~i
Knee ache, arthritis, sprains
andstrains
As they are large weight-bearing
jaints. the knees are subiect ta
pawerful farces. making them
susceptible ta physical stress. This
happens particularly if they are
usually held braced ar lacked. The
massage sequence shawn here will
help the healing process after any
structural damage from injury has
been repaired (see p. 90). The
strakes will alsa ease tired. aching
knee jaints and help arthritic knees
(see p. 92). The receiver can sir in a
chair. if Iying an the fIaar 15nor
comfartable. Try using lavender ar
rosemary essence (see p.21 ).
Caution: Ifthe jaint 15inflamed ar
swollen, do notmassage it. but
work the musc/es abave and away
from the swelling ta disperse fluid.
I
.
I~'I!I.
I~I~I
3 Massagingmuscles above knee
Rest your hands on either side of
your partner's leg, just above his
knee, and use your thumbs to make
slow, firm sweeping movements,
upward and outward, over the
muscles above the knee. Par special
attention to this area and then work
gradually up the front of the thigh in
the same way.
-- --
,.
'"
'
"
"-
I Broad circling of knee joint
Start by cupping your hands under
your partner's knee and then begin
to describe broad circlingand
overlapping movements right
around the front of his knee with
your thumbs. Move rhythmically in
alternating circles. As your thumbs
work over the front of his knee joint
your fingers and palms are sliding
under and massaging both the sides
and the back of the joint.
""
......
'
'"
2 Deep tissue work
Kneeling between or beside your
partner's legs, start to work slowly
and sensitively around the knee using
both your fingers and thumbs to
press into the soft tissue between
the bones. You can use small rotating
movements, without sliding on the
skin, as you press in.Stay present
and work right around t~e knee,
keeping within the threshold of pain.
Ii
I
'Iilil
IIII
Iii
86
'i11
20. LEGSAND FEET
Leg ache: Shiatsu
Energy can easily stagnate and
toxins can build up in the feet and
legs due to lack of exercise and
movement. This causes the
circulation of blood returning to
the heart to become sluggish under
the puii of gravity. Many major
meridian$, and nerves run to and
from the feet and legs, connecting
them to vital organs and glands,
and when a buildup ofimpurities
continues the legs ache and the
whole of the body isadversely
affected. Pressingdown on the legs
and walkingon the receivers feet
activates the movement of energy
and encourages the dlspersal of
toxins.
I Shiatsupalmingdown backof
thigh
With your partner Iyingon hisfront,
kneel on one knee and support his
bent leg on your other knee, Rest
one hand on his sacrum and, with
your other hand, palm slowly down
the back of histhigh. Build up and
release each pressure by moving
your body weight on to and off your
activehand, Repeat on the other leg.
2 Shiatsukneelingon feet and
pressingcalves
Carefully kneel on the soles of your
partner's feet and place the palms of
your hands on his calves. Incr~ase
your pressure by slowly moving
your body weig~t on to your knees
and hands, and begin to massage his
calves. You can also work on your
partner's thighs from this position.
3 Shiatsu treading on feet
For this technique, your partner's
feet should lie flat, with the heels
fallingout to the sides. Using your
heels, walk on the soles of his feet.
Put pressure anii on the insteps and
balls of his feet, and take care not to
step on his heels. Ifthere isspace
between his ankles and the floor,
insert a rolled towel to fiIIthe gap.
87
21. COMMON AILMENTS
Footache, sprains and strains,
arthritis
Foot massage is wonderfully
refreshingand relaxingand,
because of the hundreds of nerve
endings on the sale of the foot that
have reflex connections with aii
parts of the body, it can relax the
whole body as well. The sequence
here canbe used incombination
with the foot strokes shown for
the whole body(see p.36), and will
help in the recovery stage of strains
or sprains(see p.90). Try rosemary
or bergamot essences (see p.21).
Caution.. Do not massage swollen
or inflamedJoints.Before treating
arthritlssee p.92.
Iif
"
,""re
w
"" -
2 Pushingfrontof foot back
Kneel beside faur partner and with
one hand press down on his heel and
use the other to push the front of his
foot back toward his head. Press to
the point of resistance, then hold,
and release.
"
1,
;
&
/
I Rotatinganklejoint
With faur partner Iyingon hisfront,
lift his lower leg. Now clasp the side
of the big toe joint and let faur inner
forearm rest on his heel. Using faur
forearm like a lever rotate the whole
foot in a slow, wide circle, first in one
direction and then inthe other.
/
I "
~, '.
!Ii "
""',
~
,
-~
'.-r
yl""
II,:" '<1(1
-
3 Pressing down on baII of foot
Kneel up, and with one hand, hold
either side of the Achilles tendon,
just below faur partner's heel. With
faur other hand, press down on the
baii of hisfoot (not on the toes
alone), while pushing the heel up.
Lean firmly in to this stretch, but
check the limit with faur partner.
"
~<;'
/
I
i
i
4 Twisting front of foot to sides
Stillkneeling,face down toward faur
partner's toes. Claspeachsideof the
front of hisfoot. Now slowly twist it
sideways,first to one side andlhen
the other. Repeat severaltimes.
22. LEGSAND FEET
5 RollingbaIIof foot between heels
of hands
Sandwichthe baiiof faur partner's
foot (backand front) between the
heels of faur hands. Now rollthe
baiiof hisfoot between them and,
with afirm rotating pressure, move
from side to side, coveringthe whole
of the area just behind the toes.
6 Stretching toes apart
Hold two adJacent toes between the
thumbs and flngers of faur hands
and slowly puii them apart from each
other, stretching the web of skln. Let
faur partner tell you when the
stretch is enough. Stretch aiithe toes
in this way.
7 Pullingtoes
Facingup toward faur partner's
head, hold his foot with one hand.
With faur other hand, take hold of a
toe between faur thumb and flnger
and gently but flrmly rotate it a few
times. Then stretch itwith a steady
puii before slidingfaur flngers to the
tip and off. Repeat on every toe.
I
I
8 Holdingtoes ina bunchand
shakingleg
Face toward faur partner's head
and, with one hand, grasp his toes in
a bunch between the heel of faur
hand and the flatsof faur flngers
(avoid "clawing" in under the toes).
With faur other hand, take hold of
the big toe and joint and then with
both hands, liftthe leg slightlyand
shake it a little, thereby stretching aII
the toes at once. Repeat from Step I
on the other foot.
I
89
23. ,},~1,,
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LJ,
)~t~,
"J~ ,::;,,
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~"
.r..tI
,
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t
,
,
,,
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'..A~V' ..:Kr~ ,/~j{
,,"y ,o..y' ",".'
,
Oi,f.<GOY:; 0,...,;/,;<0",,<',,'.
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,'.,"'.,
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..7..;::~./.:/;t1/:/'
90
Sprains and strains
A strain is an injury to muscle fibres or ligaments that have been
forcibly stretched beyond their proper length. This can result in
some local pain and perhaps swelling. A sprain is mare severe and
is caused by a violent wrench or twist, causing tearing of the
muscle fibres or the ligaments of a joint, resulting in pain, swelling
and bruising. The most common areas to be affected are wrists,
ankles and backs. These are both common injuries that can be
helped by massage in the recovery stages, but you will need to
follow the process outlined below. Having ascertained from a
doctor that no bones are broken, the best initial treatment for
sprains and strains is an ice pack or a cold-water compress if no ice
is available. Then you should apply a bandage and support the
jQint, elevating it if possible. Rest for between 24 and 48 hours, or
until tenderness has subsided. Remedial massage treatment can
then begin.
Don't work directly on swollen areas, but start with gentle
gliding strokes that push up toward the heart, above the injury. In
the case of a sprained ankle, for example, work first from knee to
thigh, and then from ankle to knee, to help disperse the fluid (see
below). As the injury heals you can begin to work all aratind the
area with careful kneading and friction strokes. Finally, where
possible, you can work with passive movements to help restore
mobility. Always keep within the threshold of pain. You could use
a mixture of lavender and rosemary essences (see p.21).
Drainingabove swellinginsprained ankle
With faur partner Iyingdown, his ankleand up toward the knee. Use
knee supported with a cushion, alternatinghand movements, gently
beginto stroke slowlyupward, first squeezingand pushinginthe
on the thighfrom knee to tor of leg, directionof the heart to aidthe
After several minutesdo the same dispersalof fluidfrom the jointalong
on the lower leg,working above the the blood and Iymphvessels,
i
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',"',' ~
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,.
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,,
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,,.,:' ,
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24. /ce and water compresses
For sprains and strains ice is useful
for reducing infernal bleeding, but
you should never apply ice directly
to the skin. Always wrap it in a
cloth. ar use a bag of frozen peas.
Apply ice for five minutes in every
hour, for several hours, during the
first dar or two. Ifyou do nor have
any ice, a cloth wrung out in cald
water is a/sa effective. Where
there is persistent aching from
strained muscles, alternating hot
and cald campresses can bring
relief.
Applyinghot andcoldcompresses
You need two bowls, one containing
iced water and the other veri hot
(not boiling) water, and two cotton
cloths or small towels. It is usefulto
start with the hot compress, 50
wring out one cloth inthe hot water,
then fold it to shape and apply itto
the area of pain for three minutes.
Next wring out the cald cloth and
apply it for one minute. Continue
alternating these compresses for
between ten and fifteen minutes.
~>o
---- 9/
25. Arthritis
There are many different kinds of arthritis, all of them involving
the joints. The most common are rheumatoid arthritis and
osteoarthritis. Rheumatoid arthritis is a generalized disease that
caD start in childhood, usually in the small bones of the hands or
feet. Joints become very painful, swollen and infiamed, and the
condition caD spread throughout the body. Osteoarthritis is a
disease of later lire, linked with wear and tear and mechanical
deterioration of joints, bones and discs. It is often rotind first in the
lower neck and lower back, and caD occur in joints where there
have been previous injuries. Massage caD help to reduce pain in
both these ailments. However, if a joint is swollen or infiamed do
nor work on il. You may give it hand healing by just resting your
hands' lightly on the painful area for several minutes while
remaining centred. Then work with light gliding strokes above the
swelling, in the direction of the heart. Where there is no swelling
you caDuse whatever strokes feel good to your partner, from the
section of the book that deals with that part of the body.
Before doing passive movements on arthritic joints check with a
doctor to see if this is alright and then always go very sensitively
and keep within the pain threshold. Never force movements
beyond their range. General soothing, slow stroking and gentle
kneading and thumb circling aratind the affected areas caD be
comforting and relaxing. Rosemary and lavender essences dis-
solved in oiI will also help to alleviate pain (see p.21).
Supporting the limb
As people with arthritis may feel too
stiffto climb on to a table or get
down on to the floor you can
improvise in a variety of ways with
chairs of different kinds, and stools
or footstools to support the legs.
Watch faur own posture and avoid
bending too much. Sit on the floor
or on a stool or chair as you work.
92.
27. INDEX
A
Anxlety 33
Arms and hands 64-7
Aromatherapy essences 20, 21
Arthritis92
of arms and hands64
offoot88-9
of knee 86
of neck 53-55
Asthma 60, 63
and chest congestlon 6 1
and upper back and shoulder 56
Aura 13
B
Backache
exercises for 82- 3
low76-7
mld 75
upper 56-9
Basic massage strokes 22-7
Bergamot 21 , 33, 56, 61, 88
Bronchial infections
and chest congestion 61
and upper back and shoulder 56
Bronchitis 63
c
Camomile 21, 33, 45, 69, 73, 78
Cardomom 21, 69
Centnng 19, 23
Shiatsu technique 63
Chakras !3
Brow 44
Crown 44
Hara 68,74,84
Heart 52, 60, 64
Plneal see Brow
Root 74, 84
Solar plexus 68, 74
Throat 52, 64
Chest 60-3
congestion 61-2
"Child's pose" 76
Circling 23
Colds 60
Compress
for headaches 46
for migraine 45
for neckache 53
for upper back, shoulder paln 56-8
for sprains and strains 90-1
stiffness or paln 56
Connectlng 23, 43
Constipation 72
Contralndlcatlons 93
Coughs63
Cramp
arm 64,65
leg and foot 85
Cupping26III
~. 94
D
Deep tissue strokes 23, 25
Depression 33
"Dragon's mouth" technique 27
"Draining" 35,39,42
E
Enfolding 23
Essentialoils
see Aromatherapy essences
Eucalyptus 21, SI, 61
F
Fatlgue33
Featherrng strokes 23
Fennel 21 , 72
Flatulence 72
Footache 88
Frrction strokes
see Deep tissue strokes
G
Glidlng strokes 23
"Grounding" 16, 68
medltation for 19
H
Hacking26
Hand healing 93
for arthritis 92
Hand problems 66-7
Hara 16, 19, 22. 27, 32, 59, 73, 77, 80
Head 44-51
Headache 44-9
Heel-of-hand pressure 27
Heel-of-the-hand stroke 25
Hlps
achlng80
IJ
Indian heallng massage 47
Indigestion 69-70
In-do pornI 60
Insomnia 33
jasmine73
K
Ki13
Kneading 24
Knee ache 86
L
Lavender 21, 33, 45, 59, 78, 86, 90, 92
Legache 87
Legs and feet 84-9
Lower back 74-83
1
M
Marjoram 21 , 59, 72, 75, 80, 85
Massage
baslc strokes 22-7
beginning 16-21
contraindications 93
making contact 20
tables 18
value of 10, 12, 15
Medium-depth strokes 23, 24
Melissa 21 , 45
Menstrual pain 73
Meridians 13, 14,48
stomach meridian 69
upper back meridians 59
Mid back 74-83
Migraine 44-5
...
N
Nausea 69-70
Neck 52-9
ache 55
stiffness 53-5
strain 53-5
o
Oii 23
carrier oils 21
mineral-based 20
vegetable 20, 21
Oiling 20, 23
arm 39
back 33, 75
backs of legs 35
buttocks 34
legs 42
nose and sinuses 60
torso 41
Osteoarthritls 92
self-help for 55
PQR
Palm pressure 27
Percussion strokes 23, 26, 61
Plneal chakra
see Chakra. Brow 44
Plucking 26
Rheumatoid arthrrtis 92
Rosemary 21, 51, 53, 55, 56, 65, 76, 86, 88,
90,92
s
Sciatica 78-80
Shiatsu
as a healing IDol 13,23, 27
basic techniques 27
beglnning 16-19
connectlng points 49
"dragon's mouth" technique 27
28. for achlnghips 80
for asthma63
for bronchitis 63
for colds 60
for congestlon 60
for coughs63
for headaches48-9
for indigestion 69-70
for legache87
for lower backache77
for menstrual pain 73
for nausea69-70
for sinusproblems 60
for upper back stiffnessand pain 59
Shoulders 52-9
stiffnessor paln 56-8
Sinuscongestlon 59
"Slipped disc"74
Sprainsand strains90
arm 65
foot 88
knee 86
neck 53-5
Stomach and belly 68-73
Publisher's acknowledgements
Gaiawould like to extend special thanks to the following:
SaraThomas, Jane Downer, Chris Jarmey, Sheilagh Noble,
Fausto Dorelli, Lesley Gilbert, Peter Sperryn, Sara
Mathews, all the photographic models, aRd the staff at
Marlin Graphics Ltd aRd F. E. Burman.
Author's acknowledgements
.First of all 1want to thank Chris Sturgess-Lief, who
encouraged me to write the book when it was still only an
idea. 1also would like to thank Jane Downer for her
contribution on Shiatsu aRd her invaluable help aRd support
(and wonderful Shiatsu treatments). Thanks also to Chris
Jarmey for his advice. 1want to thank Lucy Lidell for her
Recommended reading
Brooks,Charles,SensoryAwareness,VikingPress, 1974
Downing, George, The Massage Book, Wi1dwood House,
1973
LideU, Lucinda, The Book of Massage, Ebury Press, 1984
Masunaga, Shizuto, Zen Shiatsu, JapaR Pub1ications, 1977
Montague, Ash1ey, Touching, Harper aRd Row, 1971
Ohashi, Wataru, Do-it-yourselfShiatsu, Unwin Paperbacks,
1976
Tanner, John, Beating Back Pain, Dorling Kindersley, 1987
Van Durkheim, Eraf Karlfried, Hara: the Vital Centre of
Man, Unwin Paperbacks, 1977
Sources of quotes on p. 7
Gunter, Bernard,Massage, Academy Editions, 1973
Liss, Jerome, In the Wake ofReich, Coventure Ltd, 1976
Brooks, Charles, SensoryAwareness, Viking ~ress, 1974
INDEX/ A CKNOWLEDG EMENTS
T
T ennis elbow 64. 65
Tsubos 13,48, 51
uw
Upper back 52-9
Whiplash InJury44
Whole body massage32-43
Wringing 24
Wrist problems 66-7
Wnter's cramp 66
work on the book, aRd all her support aRddarity. Many
thanks to Joanna Godfrey Wood for aUher bard work,
co-operation aRd patience in editing, a1soto Susan
McKeever, aRd to Lynn Hector for her design aRdpatience.
Thanks to Fausto Dorelli for his beautifu1 photographs aRd
to Sheilagh Noble for her sensitive drawings. Thanks, too,
to Peter Sperryn as my medical advisor, aRdto Mary-Jane
Anderton aRdAnita Sullivan. Gratitude also to those who
modelled for the photographs aRddrawings: Jane Downer,
Terry Williams, Karen Drury, Parti Money-Coutts, Jerry
Gloag, Otter Baker, Michael TirreU, David Kayla-Joseph
aRd friend Mike, Danny Paradise aRdMargareeta Saari.
Finally, special thanks ro Bob Moore for his healing aRd
inspiration.
Useful addresses
Sara Thomas
l5A Biidge Avenue
London W6 9JA
Jane Downer
92 Chesson Rd
London W14 9QU
Chris Jarmey
(Shiatsu School of Natural
Therapy)
Churchfield Cottage
East Kennet
Nr Marlborough
Wiltshire SN8 4EY
tel. 0672 86459
95
29. 1..,
-
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