Features

Human Body Bioelectricity SimulationTechnology; Modern embedded microprocessor simulates 6 distinct; TCM massage manipulation. Intuitive display of massage manipulations; LCD display; 2 Power Sources: Re-chargeable lithium battery using power converter or computer USB; Portable pocket sized massager;

TCM iMassager Operation Instruction

Technical Parameters:
USB port power converter

Input: AC 110V-220V output:DC5v

Lithium battery: BL-4C,3.7V,400mA/h Modulating frequency:0.04~1Hz;

For more information, please visit our website at: www.TCMiMassager.com Distributed by Healthmate International, LLC

Enjoy a massage anytime, anywhere with this professional, pocket sized, portable massager!
www.TCMiMassager.com

Enjoy a massage anytime, anywhere with this professional, pocket sized, portable massager.

For more information, please visit our website at: www.TCMiMassager.com Distributed by Healthmate International, LLC

Contents
Introduction General information Structure Clinical Application Operation Procedures Points for Attention Maintenance and care Regular treatment principles Regular treatment methods Pain in the trunk Pain in the joints and limbs Relieving fatigue and preventing diseases Special treatment for special diseases I Pain in the neck and back 1. Cervical syndrome 2. Fascitis in the back 3. Stiff neck 1 2 2 3 3 4 4 5 6 6 8 9 9 9 10 11 12 IV Periphery never injury 16.Facial paralysis 17.Perennial paralysis 18.Radial nerve injury 19.Injury of median nerve and radial nerve 25 25 26 26 27 V Hemiparalysis due to stroke Body shaping Health care for the old Questions and Answers 28 30 32 35 II Lumbosacral Pain 4. Lumbar muscle strain 5.Acute lumbar sprain 6.3 rd lumbar vertebra transverse process syndrome 7.Prolapse of lumbar intervertebral disk 8.Superior clunial nerve injury 9.Sacro-iliac joint injury 15 16 14 12 13 13 14 III Pain in the joints 10.Pain in the shoulder joints 11.Pain in the elbow joints 12.Pain in the wrist 13.Pain in the knee joints 14.Pain in the ankle joints and painful heels 15.Rheumatism and rheumatic arthritis 24 16 16 18 19 20 23

Introduction
Before operation, please read carefully this operation instruction manual, and be clear about the instruction.
Massage therapy is the treasure of Chinese traditional medicine, which is of good therapeutic efficacy to various commonly encountered diseases and frequently occurring diseases, especially to those symptoms caused by injury of soft tissues, aseptic inflammation and degenerative lesion. The arrival of the instrument is an achievement of State Torch-plan Project. The massage instrument is applying the modern electronic simulation technology to output bioelectrical signal with human body bioelectrical features.As it is applied on human body, regular movement of relevant muscle groups of human body will bring out the therapeutic effect of an actual manual massage. The instrument can improve the microcirculation of human body,promote the absorption of inflammatory substances, relieve the tissues adhesion, and alleviate various pains.It is good, therapeutic and effective in alleviating cervical syndrome, periarthritis of shoulder, lumbar muscle strain, fasciitis and joint pain, etc.Those that work in a fixedposture, the application of the instrument can alleviate weariness,improve partial muscle tissues and nutritional status, and prevent strain and hyperosteogeny. Bedridden patients who suffer from hemiplegia, the instrument can provide effective health nursing to prevent the muscle from atrophy and shorten the rehabilitation course. For the middle and old age, the application of the instrument may help improve physical quality and prevent the locomotor system from aging and degenerating. The instrument is small in size and easy to operate, causing no ill effect on human body.Since it's production,the instrument has won great attention and high praise.It is regarded by many professionals as a successful step taken by the natural traditional medicine toward modernization.No doubt, the instrument is good news for the patients and will help to release them from pain and improve their quality of life.

Three key points for TCM iMassager operation 1. Find the exact pain point: The point which is sticked to the massage pads should be the most painful point in normal times. 2. Strength: Therapeutic strength must be gradually increased, and it's better to reach the highest strength you can stand. 3. Therapeutic duration: 2-3 times/day, 40-60minutes/ time, over 10 days for one course of treatment.

General information Structure

finished, the indicator light is off. Clinical application 1.Treatment principle The TCM iMassager uses therapeutic waveform to produce the massage effect through piling up the bioelectric signal with the human bioelectric features. when the massager is placed directly on the diseased parts and through the regular contraction of the muscle of the diseased parts, it can: Accelerate microcirculation and promote the absorption of inflammatory substances. Loose adhesion and smooth joints. Relax muscle and relieve the muscular spasm. Relieve pain. 2.Therapeutic Objects Pains and aches in the neck, shoulder, arm, back, waist, sacrum, hip and leg, etc due to aseptic inflammation and injury in the soft tissues such as the muscle, fascia, ligament, joint capsule, peroist and fat caused by acute injury, chronic strain and hyperosteogeny etc as well as patients of paralysis. 3. Health care It can relieve fatigue for those who often work for hours in a fixed posture, such as accountants, drivers and computer operators. Health care for the middle-aged and elderly through the stimulation of relative acupuncture points. Operation procedures 1. Preparation: Clean your skin before applying the massage pads. 2. Affixing the massage pads: Find out where the pain is, clean it with a wet towel. Uncover the protective films of the massage pads, apply the pads on your body and plug the pad cord into the plughole of the device. Hints: The two massage pads should be affixed synchronously on the body, and they should not touch each other. 3.Starting up: Press the on/off key, the instrument is started. The default mode is 1, the initial strength level is 1 and the default time is 20 minutes.

Healt hmateForev er
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1. Output 2. USB Port 3. LCD Screen 4. Indicator Light 5. On/Off button 6. Strength Adjustor 7. Mode Selector 8. Time Setting 9. Lock 10. Lithium Battery 11. Power Converter 12. USB Extension Wire 13. Massage Pads 14. Electrode wire

Notes: 1. The lithium battery can recharged through both power converter and computer USB. 2. When charging battery, the indicator light is on; when the charging is

4.Choosing modes: The mode can be changed upon requirement during one treatment course. Press the M for mode selection, these six modes will change in sequence and circulation. Hints: For every change of the mode, the strength level will be 1, the strength can be gradually adjusted to the strength till you can endure it. Points for Attention: 1)Clean the skin of therapeutic sites before treatment. 2)The treatment can't be made with only one massage pad. Neither should two massage pads have contact with each other. 3)Don't pull the wire when taking off the electrode. 4)The massage pads should not be placed at the heart position. 5)The patients of serious heart diseases and pregnant women should use the instruments under the guidance of a doctor. 6)The instrument is prohibited to be used by the patients with the cardiac pacemaker. 7)Children and the psychotics should not be allowed to use this instrument independently 8)The patients with acute trauma accompanied by subcutaneous hemorrhage, tumefaction and fracture should see the doctor first and use this instrument to promote the restoration after 24 hours. 9) Don't place the pads on the locations of bleeding, inflammation and ulcer. 10)The battery should be charged for 8 hours or so before first use. 11) The battery should be charged every 3 months in case the device is not used for long. 12)Please be sure to replace the battery with correct type if necessary. 13)Use the battery following the instructions of battery. Maintenance

1)Turn off the power after use and put it in a cool and dry place. The cover of the instrument should not be opened by the non technical person. It should be sent to the place purchase for repair if there are any problems. 2)A small amount of clean water can be used to moisten the massage pads when the viscosity of adhesive face of the massage pad has decreased. The massage pads can be used repeatedly, over 150 times.It may then be replaced with new ones when the viscosity is completely lost. Regular treatment principles 1.Take comfortable posture and relax the muscle for treatment. 2.Find the exact pain point that will be taken as the position for treatment. 3.Adjust the strength to the highest strength you can stand in order to improve the therapeutic effect. 4.The selection of the therapeutic waveform can be decided according to the tolerance of oneself. 5.A course of treatment is 10 days, 2-3 t i m e s / a d a y, 4 0 - 6 0 m i n u t e s / e a c h time.The treatment can be made again after a week's rest when a course of treatment is finished. 6.There are two ways to place the massage pads, in twin and opposed modes Figure: 1 Twin mode Fix the 2 massage modes at the top and bottom or both ends on the same side of

Figure: 1 twin mode

and Care

the human body, as shown in Figure 1 Figure: 2 Opposed mode Fix the 2 massage modes Respectively on the opposite sides of the therapeutic position, as shown in Figure 2.

Figure: 2 opposed mode

Regular treatment methods

Pain in the trunk Various chronic strain, acute injury and hyperosteogeny can cause local tissue inflammatory edema, pain and limited activities that are likely to occur in the neck, back and waist of the human body as shown in Fig.1. This instrument can relieve pain satisfactorily by promoting absorption of inflammatory substances and improving microcirculation to send better nutrition supply to the local injured tissues. It is essential to choose the proper spots on the body for treatment (the spots to apply the massage pads to). Position for application of the massage pads According to TCM, the most sensible pressure pain point is the key point, the most proper position to be treated. Find the pressure pain point with reference to Fig.1. Apply one massage pad onto it. Apply the other massage pad onto a proper point symmetrical to the chosen pressure pain point or near to it, but the two massage pads should not be overlapped. If there are several separated pressure pain points, treat them one by one. Fig.1 The pressure pain points of the trunks of the soft tissue strain type. Pains in necks, shoulder, arms, waist, sacrum, hip and legs 1. Processus transverses of the first vertebrae.

2. Processus splnousus of the third vertebrae 3. Anterior scalene muscle 4. Levator muscle of scapula 5. Supraspinous muscle 6. Infraspinous muscle 7. Teres minor muscle 8. Teres major muscle 9. Processus spinosus of the tenth Fig.1 thoracic vertebrae 10. Processus transverses of the 2nd lumbar vertebrae 11. Processus transversus of the 3rd lumbar vertebrae 12. Middle gluteal muscle 13.Least gluteal muscle 14.Tensor muscle of fascia lata 15.Median sacral crest 16.Medial adductor group 17.Muscle of nape 18.Lesser rhomboid muscle 19.Greater rhomboid muscle 20.Trapezius muscle 21.Dorsol extensor muscle group 22.Low margin of the 12th rib 23.Lumbar deep muscle 24.Iliac crest 25.Superior clunial nerves 26.Posterior superior iliac spine 27.Iliotibial tract 28.Superior gluteal nerve

29. Lower outlet of ischiac N pirifomis 30. Inferior gluteal nerve 31. Lower and outer margin of arococcyx 32. Gluteal tuberosity of femur Massage mode and length of operation time Mode 1 for 30 minutes, then Mode 3 or 2 for 30 minutes, 2-3 times a day for each pain point. Pain in the joints and limbs Pain in the joints, sport injury, soft tissue injury, inflammation, edema and many other diseases may cause joint ache, which often occurs in the joints of shoulder, elbow, knee, wrist, ankle, etc. Position of massage pad application For joint pain, the two massage pad should be applied to the two symmetrical sides of the painful point, see the Fig.2. Massage mode and length of operation time Mode 1 for 30 minutes, the Mode 3 for 30 minutes, 2-3 times a day. Pain in the muscles and tendons of the limbs: It is often caused by sport injury, overstrain or some other factors. The common signs are muscular pain, swelling and spasm. Position of massage pads Apply the pads to each end of the painful muscle or apply one pad to the muscle and the other to the tendon. The position can be slightly regulated Fig.2 according to sensation. Massage mode and length of time Mode 2 for 20 minutes, then Mode 1 for 20 minutes. Consult the doctor if the injury has laceration of muscle or tendon.

Relieving fatigue and preventing diseases Those people who often have to keep a fixed posture, such as office workers, computer operators and drivers may have certain muscles and ligament overstretched, resulting in pain, sore and numbness. They are mostly likely to get injury, strain, inflammation, hyperosteogeny, cervical syndrome, periarthritis of shoulder and so on. Using this instrument can help to relieve fatigue and improve microcirculation to prevent those occupational diseases. Position of massage pads for treatment of the Fig.3 neck, shoulder and back. See Fig.3 Mode 1 for 30 minutes, mode 2 or 3 for 30 minutes by turns for A, B and C. Longer treating time is needed for those parts of great pain. It is advisable to use fairly large strength as you can stand. Position of massage pads for treatment of thewaist. See the Fig.4 Mode 1 for 30 minutes, Mode 2 for 20 minutes or mode 3 for 30 minutes. It is advisable to do some waist exercise after the treatment. Longer treatment is needed for more serious sore and pain. The above described is general treatment. For information about special treatment for Fig.4 special diseases, please read the following parts of this manual.

Special Treatment for Special Diseases I. Pain in the neck and back
While working, if people keep lowering the heads and bending over their

desks for long time with an unchangeable posture (e.g. accountants, typists, PC operators, drivers and so on), the muscles of neck, nape and back are always in the mode of muscular tension. Long period of time in this mode will causes hypoxia to the muscles of neck, nape and back, and produce a great amount of lactate and potassium ion collecting together. They complain of aching and swelling muscular pain. From day to day and with people's unconsciousness for self-health protection, sooner or later a pathologic change arises form the muscles of neck and nape, and aseptic inflammation is caused by chronic strain as well, i.e. the nuchal fastiitis. With increasing fatigue and changing weather, the pain in neck, nape and back will often trouble you. If such disease is not cured timely, the injury of nuchal muscle will break the mechanical equilibrium of neck region, thus resulting in hyperplasia, degeneration and change of cervical physiological radian. Beside the pain in neck, nape and back, there are the signs of dizziness, nausea, eye turgid, tinnitus, hand numb and so on, now you have suffered cervical syndrome. The above introduction makes us know that the best way for prevention and cure of cervical syndrome lies in necessary self-health protection and prompt treatment.

(4) Notes Follow the regular principles for operation. Do not apply the pads too high upon the two sides of the neck, not too strong and not too long. For patients with nerve root and blood vessel oppression, it is advisable to have neck traction under the guidance of the doctor.

2Fascitis in the back

(1) Major signs Sore and pain, heaviness and tightness in the back and shoulders. It frequently occurs in the shadowed parts shown in the picture in older people and in those people who keep bending their head Fig.6 during work. (2) Position of massage pads See the Fig.6 Find the most sensitive pain point with reference to the shadowed parts shown. Apply the pads to and near it. (3) Treatment Mode 1 for 30 minutes, then mode 4 for 30 minutes. (4) Notes Follow the regular principles for operation. There may be several pain points.Try carefully to find the most proper ones. Apply the massage pads to the most sensible pain points, two as a set and treat 20-40 minutes each. Relax during the treatment, let the muscles twitch naturally. The above mentioned treatment is also fit for pain points not included in the picture.

Fig.5 (1) Major signs Pain in the neck, shoulders, arms or occiput, which may be accompanied with headache, dizziness, swelling pain in eyes, tinnitus, numbness in hands and limited neck movement. (2) Position of the massage pads See the Fig.5 (3) Treatment First apply the pads onto the point of A. Treat in mode 1 and mode 3 for 20 minutes each, and then take the point of B. Treat in mode 2 for 20 minutes.

1. Cervical syndrome

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3. Stiff neck
(1) Major signs Sudden attack of pain in the neck and noticeably limited neck movement due to improper sleeping posture or strain of the Fig.7 neck. (2) Position of the massage pads.See the Fig.7 (3) Treatment Apply the 2 pads on the neck root of patients and pressure pain point of the shoulder, mode 1 for 30 minutes, then mode 3 for 20 minutes. (4) Notes Follow the regular principles for operation. The patients can make proper movements of his neck during the treatment.

inflammation substances and removing threshold of pain.

4. Lumbar muscle strain

(1) Major signs Chronic recurring lumbago often in the lower part of the waist. The pain gets more serious when the weather varies or the patient is tired, but the pain is less serious after a rest. Examination finds wide-spread pressure pain in the lumbosacral part without noticeable pain in the lower limbs. (2) Position of the massage pads. See the Fig.8 (3) Treatment Fig.8 Apply one pad to the most sensible part as shown and the other to the opposite, take mode 1 and mode 3 for 30 minutes each. (4) Notes Follow the regular principles for operation. If there are may pain points in the waist, the pads can be applied to two pain points respectively.

II. Lumbosacral Pain

There are many reasons for pain in lumbosacral position. Here we lay special stress on the pain caused by acute injury, chronic strain and hyperosteogeny. Soft tissue (tendon, muscle, ligament, joint capsule and so on), joints (lumbar vertebral posterior joint and sacro-iliac articulation) and lumbar intervertebral disc in the lumbosacral portion are the very parts to be injured. However, the injury of these parts from either acute injury or chronic strain, will show the same pathologic sign. For example, all pain in the lumbosacral portion is caused by stimulating the local teleneuron of traumatic aseptic inflammation. Then, we have known: The key for treatment of pain in lumbosacral portion is to fix the exact pain point, i.e. the pathological position. This instrument can play a role in subsiding swelling, pain-killing, promotion of absorption of

5. Acute lumbar sprain

(1) Major signs The patient has a clear history of lumbar sprain. Lumbago with difficulty in moving the body due to the pain, which worsens at coughing and deep breathing. (2) Position of the massage pads See the Fig.9 (3) Treatment Apply the pads to the most sensible points or nearby, take mode 1 and mode 3 for 30 minutes each. (4) Notes

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Follow the regular principles for operation Treatment should not be given until 24 hours after the injury. Fig.9

6. 3rd lumbar vertebra transverse process syndrome

(1) Major signs This disease is more often seen in the young and middle-aged people who have had lumbar trauma or internal injury caused by prolonged overstrain. The patient has pain and a sense of heaviness in the waist, which is comparatively serious in the morning after getting up and become less serious after moving about a little. The pain gets more serious when the weather varies or when the patient is tired. Examination finds obvious pain when pressure is applied to the lumbar vertebra and slightly limited bending of the waist is commonly seen. (2) Position of massage pads. See the Fig.10 (3) Treatment Apply the pads to point A. Treat in mode 1 and mode 3 for 30 minutes each. (4) Note Follow the regular principles for operation. Fig.10

Lumbago accompanied with pain in the lower limbs, which gets more serious at coughing, sneezing and walking; noticeable pressure pain and percussion pain in the waist; difficulty in lifting the stretched leg while lying, hipache in the diseased side and limited waist movement are also common. (2) Position of the massage pads.See the Fig.11 (3) Treatment Apply one pad to the most sensitive pain point and the other to the opposite side as shown by A, and treat in mode 1 and mode 3 for Fig.11 30 minutes each. For hipache, apply the pads to the most sensible pain point in the hip as shown by B and treat in mode 1 and mode 3 for 20 minutes each. For pain in the lower limbs, apply to points C and treat in mode 1 and 3 for 20 minutes each. (4) Note Follow the regular principles for operation.

8. Superior clunial nerve injury

(1) Major signs The patient has a history of lumbar sprain, stabbing pain, sore or tearing pain in one hip, sometimes with dragging pain in the lower limb but not beyond the knee. It is difficult to bend, sit and stand. Noticeable pressure pain can be detected 2-3 cm medial to the highest point of the iliac spine. (2) Position of the massage pads. See the Fig.12

Fig.12

7. Prolapse of lumbar intervertebral disc

(1) Major signs

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(3) Treatment Apply one pad to the most sensible pain point and the other above it as shown in Fig.12, treat in mode 1 and 3 for 30 minutes each. (4) Note Follow the regular principle for operation.

9. Sacro-iliac injury
(1) Main signs The patients, normally with traumatic record, have pain in the side of sacroiliac articulation. Their trunks incline to the tendon sides. The patients dare not load and walk with the infected limbs, feel uneasy when lying on their backs, find difficult to turn over, and can only sit on with their buttock on the sides. Fig.13 (2) Position of massage pads See the Fig.13 (3) Treatment Apply the pads to the correct positions as shown in Fig.13. Use mode 1 and mode 2 for 30 minutes each. (4) Note Follow the regular principles for treatment.

During daily life, a cause of disease or chronic strain will be formed without timely treatment if your shoulder joints are injured. Chronic strain will become worse, resulting in soft tissue retrograde affection owing to frequent movement of shoulder joints. The middle age, often have pain in shoulder joints caused by cold, fatigue and trauma. The pain is particularly serious in the evening, and effects sleeping. Patients decline to move their shoulder joints for fear of pain. If the patients do not immediately treat the disease for the time being, with development of aseptic inflammation, a big adhesion around shoulder joints forms, which will reduce the activity of the joints, and finally disturbs their normal life because they can not raise and straighten their arms. This sign is called frozen shoulder.

Scapuohumeral periarthritis
(periarthritis of shoulder, frozen shoulder etc.) (1) Major sign Shoulder ache and limited movement of the joint. The pain may become more serious during the night and sometimes accompanied with dragging pain in the upper arm. The pain points often lie in the anterior, lateral and posterior parts of the shoulder (2) Position of the massage pads See the Fig.14 (3) Treatment For scapuloanterior and scapuoloateral pressure pain, apply the pads to points. With mode 3 and 1 for 30 minutes each. For scapuloposterior and scapulolateral pain, Fig.14 apply the pads to point

III. Pain in the joints 10. Pain in shoulder joints

Shoulder joints are the most flexible joints with the largest scope of movement. Movements and stability of shoulder joints depend upon the muscles, tendon and ligament around shoulder joints. The muscles and tendons around shoulder joints are easily to cause acute injury or chronic strain because of their frequent movement.

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B. Treat in mode 3 and 1 for 30 minutes each. For pain in the lateral part of the shoulder and below the deltoid muscle, apply the pads to point C. Treat in mode 3 and 1 for30 minutes each. (4) Notes Follow the regular principles for operation. The strength of treatment for shoulder should be gradually increased, but it should not be suddenly increased in order to avoid injury of soft tissue. Patients should exercise their shoulders for recovery of function during the treatment. Patients should persist in treatment, for this disease has a long course to go.

(3) Treatment Apply the pads to the pain point and the opposite. Treat in mode 2 for 30 minutes, then the mode 1 for 30 minutes. (4) Note Follow the regular principles for operation.

12. Pain in the wrist

There are two reasons for the pain in the wrist joints: (1) Acute injury It is normally caused by trauma such as sprain or fall. The pain is notable and pain point is fixed. Treatment upon the injury muse be complete, or it will turn into chronic strain, which will affect the function of wrist. (2) Chronic strain Besides the transition from acute strain, a repetitive action (especially under heavy load) for long time by wrist will cause aseptic inflammation in soft tissue which is the major reason for pain in wrist joint.

11. Pain in Elbow Joint

Pain in elbow joint is mainly caused by acute or chronic strain of elbow soft tissue. Owing to the special anatomical structure, the position of injury, i.e. the pain point lies in the medial or lateral of elbow joint in the most cases when people suddenly bend or straight their wrists, or when they carelessly injure their elbow joints, or when they suffer chronic strain because of repeated bending and straightening their wrists. Normally, the pain in the lateral is caused by external humeral epicondylitis, and called tennis elbow. As well while the pain in medial is caused by internal humeral epicondylitis and called golf elbow as well. Now, we take tennis elbow as an example to make the following introduction: (1) Major signs This disease is due to acute or chronic injury. The hand can not hold with force, the elbow is feeble. Noticeable pain is felt at the external humeral epicondyle and the humeroradial joint. Tennis elbow test shows positive. Fig.15 (2) Position of the massage pads See the Fig.15

A. Sprain and contusion of wrist joint:

(1) Major signs It is caused by acute injury. The position of pain lies normally in the medial or lateral of the back of wrist with locally notable pressure pain, swelling and inconvenient movement. It should be properly fixed within 24 hours, and cold compress is applied. This instrument can not be used until 24 hours later. (2) Position of massage pads (Take the lateral back of wrist as an example) Fig.16 See the Fig.16 (3) Treatment Apply one pad to the position of pain, apply the other to the opposite position in the back. Take mode 3 for treatment for 30 minutes, then mode 1

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for 30 minutes. (4) Note Follow the regular principles for treatment.

B. Tenosynovitis Stenosans (wrist ache)

(1) Major signs It is more likely to occur in females, due to knitting and sewing. Noticeable pain is felt within pressure applied to the styloid process of radius; friction can be felt when the thumb turns to the outside; and the pain gets more serious more serious when the ulnar part of the wrist bends or turns. (2) Position of the massage pads. See the Fig.17 (3) Treatment Fig.17 Apply the pads as shown in the Fig.17. Treat in mode 3 for 30 minutes, then mode 1 for 30 minutes. (4) Notes Follo w the regular principles for operation. Relax the wrist and move the thumb during the operation for better results.

not to be treated timely. (2) Chronic strain Knee joints,playing an important role in walking and standing,can retrograde degeneration by aging, e.g. hyperosteogny, chronic strain of soft tissue and so on. These changes need a long period of time and are too slight to be sensed by people, but this slight strain might cause a sudden case from wind-chill, fatigue, cold or trauma, resulting in pain in knee, especially when going up and down stairs, squatting or standing up. Its general designation is called degenerative arthritis. The reason for pain in knee joint lies in traumatic aseptic inflammation, either acute injury or chronic strain. Since the position of pathologic change is different for different person, the position of pain is different as well. The following positions are classified as pain in Hsiyen; pain in the two sides of knee joint and pain around knee cap.

A. Pain in Hsiyen
(1) Main diseases and signs Main diseases in Hsiyen that cause pain: hypertrophy of subpatellar fat; traumatic synovitis; subpatellar synovitis and so on. Normally, they are caused by swelling of acute injury or chronic strain. The main symptoms are pain in knee joint, tumefaction, difficult in moving and so on. (2) Position of massage pads See the Fig.18 (3) Treatment Apply the two pads to the Hsiyen of two knees, use mode 1 and mode 3 for 30 minutes. (4) Note Follow the regular principles for operation. Fig.18

13. Pain in the knee joints

Knee joint with the largest articular surface and the most complicated structure of human body are particularly apt to be injured due to considerably heavy load they bear. The causes for pain in knee joint can be classified into two categories: (1) Acute injury The injury often happens to athletes and manual labors with knees as their loading support. Such injury, normally with obviously traumatic record and an obvious pain point, can cause sharp pain. It might become a chronic strain if

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B. Pain in the medial and lateral knee joint

(1) Major diseases and Signs Main diseases that cause the pain are injury of lateral and medial accessory ligaments of knee joint and injury of lateral and medial meniscus of knee joint. These two diseases are normally caused by acute strain. Therefore, a clear diagnosis must be made, and an exact pain point must be fixed. (2) Position of massage pads See the Fig.19 (3) Treatment Apply the two pads to the knee joint, one to the medial and other to the lateral. Use mode 1 and mode 3 for 30 minutes each. (4) Notes Follow the regular principles for operation. A patient with acute injury should not use the Fig.19 instrument until 24 hours later. The patient who suffers cross-locking caused by laceration of meniscus should go to hospital.

(3) Treatment Apply one pad to the medial, and the other to the lateral, use mode 1 and mode 3 for 30 minutes. As for inflammation of apex patellae, one pad is applied to the apex patellae, and other to the medial of knee-cap. Use mode 1 and mode 2 for 30 minutes each. (4) Note Follow the regular principles for operation.

14. Pain in ankle joints and painful heels

Ankle is a connection between feet and leg. The rear part of ankle is tendon calcaneus which ends at heel. Pain in ankle joint is normally caused by sprain of ankle, while pain in heel is caused by chronic strain.

A. Acute strain of ankle joint (strain of ankle)

(1) Major signs A clear history of sprain, the pain point often appears in the lower front of lateral malleolus. Some patients may have ecchymoma, swelling, serious pain and difficulty in walking. (2) Position of the massage pads See the Fig.21 (3) Treatment Apply one pad to the pain point and the other to the opposite side as shown in Fig.21 and treat in mode 1 and 3 for 30 Fig.21 minutes each. (4) Notes Follow the regular principles for operation. For acute injury, treatment should not be given until 24 hours later.

C. Pain around knee-cap

(1) Main diseases and signs Both chondromlacia patellae and inflammation of apex patellae can cause pain around knee-cap. Normally, chondromlacia patellae causes pain in the edge of medial and lateral knee cap, while inflammation of apex patellae causes pain in the lower edge of knee cap. (2) Position of massage pads See the Fig.20 Fig.20

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B. Pain in heel (posterior of heel)

(1) Major signs Patients have pain or pressure pain in heel with slight swelling. The pain becomes serious when walking or standing for long time, and not so painful after taking a break. (2) Position of massage pads See the Fig.22 (3) Treatment Apply one of the two pads to the heel, the other the rear or the lateral. Treat in mode 1 and mode 3 for 30 minutes each. (4) Notes Follow the regular principles for treatment. Fig.22 Put the feet in hot-water for 20-40 minutes every day. Place soft shoe-pads inside shoes when walking.

pathologic joints, refering to the above-mentioned treatment. Generally, apply the pads to the position where pain lies.

IV. Periphery Nerve Injury

Periphery Nerve Injury is a general description of nerve and nerve constitution lying in the whole body including 12 pairs of cranial nerves, 31 pairs of spiral nerves and autonomic nerves. Periphery nerve controls the limbs in normal movements. The limbs will not be able to move partially or wholly once they are injured. Therefore, the injured periphery nerve should be treated as earlier as possible in order to achieve the best recovery. At the same time, attention should be paid to recovering the function of joints and muscles. All patients of injured periphery nerve who need not have operations or need a postoperative restoration stage can use this instrument.

15. Rheumatism and rheumatic arthritis

The major signs of rheumatic arthritis are: wandering polyarticular pain (Pain goes everywhere in common saying); normally pain at the same time in the medial and lateral of big joints like knee, ankle, shoulder, wrist, elbow and hip. The joints become red, hot and swelling when pain appears. But no suppuration in the joints will occur, and normally it will not cause the joints teratogenesis later. Rheumatic Arthritis is mainly characterized by chronic symmetrical polyarticular pain with wandering pain. The small joints of two hands are apt to be attacked by this disease. This disease has a long period of time, and breaks out repeatedly. The small joints might become teratogenesis later if not to be treated timely. Treating the above disease with this instrument can alleviate pain, dispel swelling and make joints agile. For the concrete treatment of various

16. Facial paralysis

(1) Major signs Paralysis in facial muscles is caused by periphery nerve injury in one side. Facial muscle activities are lost, the mouth corner drops, the diseased part of the face twists towards the opposite side. The patient has difficulty protruding his lips and whistling. (2) Position of the massage pads. See the Fig.23 Fig.23

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(3)Treatment Apply the pads to places as shown by A and treat in mode 2 for 20 minutes, then mode 1 for 20 minutes. (4) Notes Follow the regular principles for operation. Do not use too high massage strength. It is only required to cause the facial muscle to twitch. The pads should be applied to the diseased part of the face. Begin the treatment as soon as possible after the attack.

Apply the pads to places as shown by A and treat in mode 2 for 20 minutes, then mode 1 for 20 minutes. (4) Notes Follow the regular principles for operation. The treatment should begin as soon as possible after the attack. Regulate the massage strength to the extent that the wrist stretches. Increase the strength until stretching of the wrist.

Fig.25

17. Perennial paralysis

19. Injury of median nerve and radial nerve

Fig.24 (1) Major signs Injury of median nerve: the forearm has difficulty in turning thumb and eating finger can not bend and hold. Injury of radial nerve: weakened ability of wrist bending, inability of bending of ring finger and little finger and hyopthenal atrophy. (2) Position of the massage pads.See the Fig.26 (3) Treatment Injury of median nerve: apply the pads to the points shown by A, treat in mode 2, then mode 1 for 20 minutes each. Fig.26 Injury of radial nerve: apply the pads to the points shown by B, treat in mode 2 for 20 minutes, then mode 1 for 20 minutes. (4) Notes Treatment should be given as soon as possible after the injury. Adjust the massage strength so that the thumb and eating finger feel tingling and distending in the case of injury of median nerve and the wrist tend to bend in case of injury of radial nerve.

(1). Major signs Foot drop, strephenopodoa, walking in a stepping gait, myophagism in the front part of the shank. (2) Position of the massage pads See the Fig.24 (3) Treatment Apply the pads as shown in Fig.24, treat in mode 2 for 20 minutes, then mode 1 for 20 minutes. (4) Notes Follow the regular principles for operation. Treatment should begin as soon as possible after the attack. Regular the level of strength so that the patient feels muscular contraction and twitch in the foot.

18. Radial nerve injury

(1) Major signs Dropped wrist and difficulty in turning and stretching the wrist and fingers. (2) Position of the massage pads See the Fig.25 (3) Treatment

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V. Hemiparalysis due to stroke

(1) Major signs Paralysis in one side of the body due to cerebral hemorrhage, cerebral embolism and cerebral thrombosis. In the early stage (the first 3 weeks) after the attack, the patient has dyscinesia, myasthenia and flaccid paralysis in one side of the body. Then, comes the restoration stage (3 weeks to one year after attack). In this period, the diseased side of the body begins to make movements which are active but not normal, showing spastic paraplegia. (2) Determination of the time to start treatment The early stage (flaccid paralysis). When the patient is under a stable condition well out of danger and has a clear sense, treatment can start with therapy A under the guidance of the doctor until the diseased limbs are capable of active movements Restoration stage (spastic paraplegia). Treatment with therapy B can be given when the diseased limbs of the patient are capable of active movements. (3) Therapy A: Position of the massage pads, operation and notes. Apply one pad to the belly of biceps muscle of arm and the other pad to the belly of brachial triceps muscle as shown in Fig. 27. treat in mode 1 for 20 minutes. Fig.27

Fig.28

Fig.29

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Apply the two pads to the flexor of the forearm as is shown in Fig.28, treat in mode 1 for 20 minutes Apply the pads to the medial end and lateral end of the quadriceps muscle of thigh as shown in Fig.30, treat in mode 1 for 20 minutes Apply the pads to tibialis anterior as shown in Fig.31, treat in mode 1 for 20 minutes. Notes: FIg.31 Follow the regular principles for operation. Treatment should not start until the patient is under a stable condition well out of danger and has a clear sense. Strength should be regulated to the degree that effective contraction occurs in Fig.30 the relative muscles. Make careful observation over the patient's condition. This therapy is only fit for patients in the stage of flaccid paralysis (no active movement in the diseased limbs). Beside the massage treatment, other treatments are still needed at this stage. The patients with a history of Fig.33 epilepsy can only use with care. (4) Therapy B: Position of the massage pads, operation and Fig.32 notes

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Apply the two pads to the extensor muscle of the forearm as shown in Fig. 32. treat in mode 1 for 20 minutes. Apply the pads to brachial triceps muscle as shown in Fig.33, treat in mode Fig.34 Fig.35 1 for 20 minutes. Apply the pads to tibialis anterior as shown in Fig.34, treat in mode 1 for 20 minutes. Apply the pads to biceps muscle of thigh as shown in Fig.35, treat in mode 1 for 20 minutes. Notes: Follow the regular principles for operation. Regulate the massage strength to the degree that effective contraction occurs in the relative muscle group. Stimulation to flexor groups is strictly prohibited. Besides the massage treatment, other treatments are still needed at this stage. The patients with a history of epilepsy can only use with care.

more flexible. Body Shaping 3(Releasing toxin)Bioelectronics signalsspeed up the blood circulation, and help the elimination of the toxins within the human body. Keep FitAvailable acupoints:

Enhance breast:Selected Rugen,zhongwan,ganshu,sanyinjiaoKeep fit: guanyuan,qihai,dazhui,ganshu,shenshu,zhongwan,chengfu or the position where you require keeping fit. Treatment modes: Mode 5 body-shapingTreatment Time: Once of twice a day, ten minutes for each accupoint, one treatment cycle for every 15 days.

Body shaping
Body Shaping Modes: Body Shaping1(reducing weight)Quickyly decomposing, blazing, fastening the excess fat under the skin, helping to mae the waist appar slimmer. Body Shaping 2(skin tightening)Strengthening the energy of the humanbody's cell and reconstructiong the flexible fibre and protein to make your skin tighter and

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Professional advice: Reducing weight is a complicated process, it should be done properly and not achieved in a short time. Discipline and perseverance ensure you will achieve success and consultation with dietician, fitness instructoror doctor's are always helpful.

1. Senile Chronic Trachitis, Asthma

Acupoints: Feishu, zhongfu, Hegu. Treatment: Acupoints are divided into three pairs left and right Feishu; left Zhongfu, left Hegu; right Zhongfu, right Hegu. Apply the massage pads to each pair of acupoints and treat in mode 1 and mode 3 for 20 minutes each.

Health Care for the Old

Acupoint treatment for the old Due to the degradation of functions of the organs of the old people, they are prone to have some chronic diseases which bring pains and inconvenience to their life. Application of this instrument can not only help promote blood circulation, metabolism and improve the adaptive capacity and immunity, but also act as an accessory treatment for a number of diseases commonly suffered by the old. Refer to the following picture for location of relative acupoints and make health care treatment according to the following methods. Remember not to discard other methods. Relative acupoints for the health care of the old people.

2. Constipation
Acupoints: Tianshu, Dachangshu, Shangjuxu,Zusanli Treatment: Apply one pad to Tianshu on one side of the body and the other pad to Dachangshu on the other side of the body, treat in mode 1 or mode 3 for 20 minutes. Then apply the pads to left and right Shangjuxu, then left and right Zusanli, treat in mode 1 and mode 3 for 20 minutes each.

3. Coronary heart desease

Acupoints: Neiguan , Zusanli, Quchi Treatment: The acupoints are divided in to three pairs, left Neiguan left Zusanli, right Neiguan- right Zusanli; left Neigaun- left Quchi; right Neiguanright Quchi. Apply the pads to each pair and treat in mode 1 and mode 3 for 20 minutes each.

4. Hypertension
Acupoints: Zusanli, Neiguan Treatment: The acupoints are divided into two pairs: left Zusanli-left Neiguan; right Zusanli-right Neiguan, treat in mode 1 and mode 3 for 20 minutes each.

5. Diabetes
Acupoints: Quchi, Tianshu, Diji Treatment: The acupoints are divided into three pairs, left Tianshu-left Quchi, right Tianshu- right Quchi; left and right Diji,treat in mode 1 and mode 3 for 20 minutes each.

6. Prostatitis
Acupoints: Ciliao, Guanyuan, Zhongji

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Treatment: Apply one pad to Ciliao and the other to Guanyuan, treat in mode 1 for 20 minutes. Then move the pad which was at Guanyuan to Zhonji with the other pad remaining at Cilaio, treat in mode 1 and mode 3 for 20 minutes each.

Questions and Answers

1.What's the function of the six therapeutic modes?
M o d e 1 : K n e a d i n g ( Tu i n a t h e r a p y ) . G o o d e ff e c t o f a c c e l e r a t i n g microcirculation, releasing adhesion, loosing joints and relieving pain. Mode 2:Acupuncture therapy. Good effect of relaxing muscles, removing fatigue, accelerating microcirculation and relieving pain. Acupuncture corresponds directly to the energy meridians. It regulates the physiological activity of the meridian channels and collateral, by balancing the Yin and Yang, adjusting the Qi and blood and preventing pathological changes. It is one of the most effective ways to unblock energy flow to restore body to a state of balanced Qi like energy boost. M o d e 3 : Ta p p i n g . G o o d e f f e c t o f r e l i e v i n g p a i n , a c c e l e r a t i n g microcirculation and galvanoi-acupuncture. Mode 4:Guasha is a special physical therapy. Good effect of improving Qi flow and blood circulation, balancing yin and yang, strengthening the antipathogenic Qi, removing pathogenic factors, discharging or draining stagnant toxins, clearing heat, opening the orifices, and refreshing the mind. Biomedical studies show that Guasha therapy can directly stimulate subcutaneous peripheral nerves, improve local circulation of blood and lymph fluid, speed up the metabolism, promote nutritional supply, regulate immune function through the nerve-endocrine immunoregulation network and facilitate the body's defensive abilities. This, thereby, improves the pathological state and suppresses the pathological process. Mode 5: Body Building/Body Shaping. Body shaping 1 (Reducing weight) Quickly decomposing, blazing, fastening the excess fat under the skin, helping to make the waist appar slimmer.Body shaping 2 (Skin tightening) Strengthening the energy of the human body's cell and reconstructing t the flexible Fiber and protein to make your skin tighter and more flexible.Body shaping 3 (Releasing toxin) Bioelectronics signal speed up the blood

7. Improving health against senility

Acupoints: Zusanli, Hegu Treatment: Three pairs of acupoints: left Zusanli-left Hegu; right Zusanliright Hegu; Apply the pads to the first two pairs and treat in mode 1 or mode 3 for 20 minutes, then apply them to the third pair (left and right Zusanli) and treat in mode 3 for 20 minutes.

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circulation, and help the elimination of the toxins within the human body. Mode 6: Combination. Relax muscle and relieve the muscular spasm.

2. How long does it take to effect a cure by TCM iMassager?

It can cure pains in neck, shoulders, waist and joints Different people (with different types of pain, conditions of pain and duration of pain) take different therapeutic duration for cure. Normall y , the duration by TCM iMassager is no much different from the duration by a masseur in a hospital. Every course of treatment takes 10 days, 2-3 times everyday, 40-60 minutes every time, and strength should be as strong as possible.

The different electric resistance in the two positions of skin gives patients different feelings, the weak resistance gives patients intensive feeling. Maybe, one of the massage pads is not properly placed.

5.Where should the massage pads be applied during operation?

First apply the massage pads to pain point for treatment. If the most stimulated position felt by patients is not the most painful position in normal times, the position must be timely regulated. No matter how many times, the most painful position in normal times should be chosen as the final point to be stimulated.

3.Can patients suffering heart disease and hypertension use TCM iMassager?
Patients with cardiac pacemakers are prohibited from using TCM iMassager. No problem will arise when it is used for limbs, joints and waist In the beginning, the strength should not be strong. The strength can be gradually increased when patients get used to it, but the extent of strength should not make a patient feel a bit of unwell. Operate according to the acupoints shown in the operation manual. It has a certain curative effect on heart disease and hypertension.

6. Why is the effect not so striking after a certain period of time?

The position for treatment is not correctly chosen. Determine the exact pain point. The therapeutic strength is not strong enough. Increase it to the most strength which patients can bear. The therapeutic duration is not enough. 2-3 times a day, 40-60minutes a time, and 10 days every course of treatment The wave mode is not properly chosen. Normally, mode 1 is firstly chosen.

4.During operation, the two massage pads sometimes give patients different feelings, ie, one appears heavy and the other light, why?
The different strength of self-muscular contraction in the two positions gives different feelings, the strong contraction gives patients intensive feeling.

7. Why should it be applied where it pains?

Pains in neck, shoulders, back, waist, legs and joints are mainly caused by local soft tissue injury. The traditional Chinese medicine goes, pain point is shu, shu means a therapeutic position or and acupoint in Chinese.

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The western medicine goes, the painful point where the disease lies, ie, the disease is just in the position where it pains and where the therapeutic

Note

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Note