Upper limb and shoulder massage for weight loss: improves muscle metabolism and eliminates excess fat.

Neck. Basic techniques: Neck massage mainly uses techniques such as kneading, pinching, separating, and patting. The massage should progress from light to heavy pressure, starting with the ears, then the neck, and finally the shoulders. Each session lasts 10 minutes. [Main Techniques] Pinching: Pinching and lifting is called pinching. Use the thumb, index finger, and middle finger to apply relative force, rhythmically pinching and lifting on specific areas or acupoints. The force should progress from light to heavy, and be gentle and continuous. Smearing: Use the spiral surface of one or both thumbs to press firmly against the skin, making up-and-down or left-and-right back-and-forth movements. The force should be light but not superficial, heavy but not stagnant.

Pressing method: Press the acupoint with the pad or tip of your thumb, close to the skin, and apply force from light to heavy. Avoid violent pressing. [Common acupoints and locations] The neck has the Yang meridians of the hand and foot passing through it. Massaging the neck can not only help with weight loss and fat reduction, but also invigorate the spirit. The commonly used acupoints are mainly the Taiyang and Shaoyang meridians. Commonly used acupoints: Yifeng, Fengchi, Fengfu, Quepen, Renying, Futu, Dazhui. [Location of acupoints] (1) Yifeng: In the depression below and in front of the mastoid process, level with the lower edge of the earlobe. (2) Fengchi: In the depression between the upper ends of the sternocleidomastoid muscle and the trapezius muscle.

(3) Fengfu: On the nape of the neck, 1 cun directly above the midpoint of the posterior hairline, directly below the external occipital protuberance, in the depression between the two trapezius muscles. (4) Quepen: In the center of the supraclavicular fossa, 4 cun from the anterior midline. (5) Renying: Level with the Adam's apple, at the anterior border of the sternocleidomastoid muscle. (6) Futu: About 3 cun beside the Adam's apple, between the sternal head and clavicular head of the sternocleidomastoid muscle. (7) Dazhui: On the posterior midline, in the depression below the spinous process of the seventh cervical vertebra. Procedure: [Relaxation Technique] Press Yifeng: The practitioner uses the pad of the middle finger to press and rub the Yifeng acupoint below the root of the patient's ears, repeating 10-20 times.

The pressure applied when massaging the Yifeng acupoint should not be too strong, but only to the patient's tolerance. Pushing the Qiaogong acupoint: The practitioner uses the pads of their index, middle, ring, and little fingers together to push the Qiaogong acupoint (located in the depression between the mastoid process and the mandible, in the area connecting the Yifeng, Jianjing, Fengchi, and Quepen acupoints). This can be done simultaneously on both sides or alternately, repeating 10-20 times. Then press the Quepen acupoint 10-15 times. The pushing technique should not be too forceful; just enough to avoid leaving red marks on the skin. Smoothing the neck: The practitioner uses the thenar and hypothenar eminences or the pads of their four fingers.

Gently stroke from the midline of the patient's neck outwards to both sides, alternating hands, 15-20 times on each side. [Treatment Techniques] Pressing Fengchi Acupoint: The practitioner places the index and middle fingers of one hand on the Fengchi acupoint on the same side of the patient's neck, pushes forcefully towards the Fengchi acupoint on the opposite side, then pulls back to the original Fengchi acupoint, repeating 8-12 times. Pinching the Neck: The practitioner uses four fingers and the thumb of one hand to pinch the skin of the patient's neck, then releases it, repeating 10-15 times. Straight Pushing the Neck: The practitioner places both thumbs on the Fengchi acupoints on both sides of the patient's neck and pushes downwards to the Dazhui acupoint, repeating 8-12 times.

Pushing and rubbing the side of the neck: The practitioner places the index and middle fingers of both hands on the high bone behind the patient's ear, and alternately pushes and rubs towards the Quepen acupoint, repeating 8-12 times. Straight rubbing of the neck: The practitioner lightly and quickly rubs the patient's neck with the pads of the index, middle, and ring fingers of both hands, kneading the neck, repeating 10-15 times. Lifting and rotating the neck: The practitioner uses the palm of the left hand to support the patient's right lower jaw and pushes it upward and to the left, while the five fingers of the right hand are placed on the left side of the patient's head and pulled downward and to the right, causing the patient's head to rotate, thus rotating the neck to its maximum extent. Conversely, rotate to the left, rotating 3-5 times on each side.

Acupressure on neck points: The practitioner uses their thumb or middle finger to press acupoints such as Fengchi, Fengfu, Dazhui, Quepen, Futu, and Renying. Circular massage of the neck: The practitioner uses four fingers to circularly massage the patient's neck, performing flexion and extension, and left and right rotation 10 times each. Upper limbs and shoulders. Basic techniques: For the upper limbs, techniques such as grasping, rubbing, and patting are used, with firm pressure, to improve muscle metabolism, increase fat consumption, and achieve weight loss. [Main Techniques] Rubbing: Using two fingers or the palms of both hands to symmetrically support a part of the limb and perform passive back-and-forth rubbing.

To stimulate movement of the subcutaneous tissue, do not merely rub the skin to avoid abrasions. Shaking Method: The practitioner uses one or both hands to grasp the distal end of the affected limb and performs continuous, small-amplitude, high-frequency up-and-down shaking. This is called the shaking method. When using the upper limb shaking method, hold the patient's wrist or palm with both hands or one hand, slowly raise the upper limb forward and outward at approximately 60°, then apply slight force to perform continuous, small-amplitude, high-frequency up-and-down shaking, gradually transferring the amplitude of the shaking from the wrist joint to the shoulder, so that the patient experiences a comfortable sensation in the shoulder joint and upper limb. Commonly used acupoints: Quchi (LI11), Neiguan (PC6).