During the treatment, the patient should be seated comfortably. Your own position and posture should be such that no undue strain is exerted on your muscles or fingers. You and the aptent should sit opposite and facing each other. Keep a small stool between the two, making the aptent rest his feet over it, so that you can hold his foot conveniently for giving treatment. Use both hands and all fingers while giving treatment, changing them over very often.

How to Start
First, go all over the left foot, pressing all the reflex-points with your thumb. Exert light pressure and try to find out painful reflexes. Make a note of them. Repeat the same with the right foot. Now, return back to the left-foot and start giving pressure-massage to each of the painful points spotted, one by one. Treat each point only for a few seconds and move to the next point. After treating all the points on that foot, you can again go over to some selected more painful points among them for an additional repeated treatment. Then, move over to right-foot and treat it in the same way as the left-foot.

foot reflex points
Amount of Pressure
Begin with a very light pressure on a particular reflex, increasing it gradually till the patient can bear it comfortably. Give constant and a little rotating pressure. Watch the expressions on the patient's face. He should feel relaxed, rather than tortured. Remember, getting results takes time. Do not try to do it all in one treatment. Again, one foot may not have the same degree of sensitivity as the other one. Treat both the feet.

Length of each Treatment
If a number of points on each foot are to be treated, it may require 30 to 45 minutes. However, if the patient is very weak or reflexes are very tender, treat him for a shorter period at a time. Also if less number of points are required to be treated as in the case of a comparatively healthy patient, the treatment may take only 15 to 20 minutes.

Frequency of Treatment
Generally start with 2 or 3 treatments a week and as improvement is noticed, reduce the frequency. Results can be expected to start after 5 or 6 sittings, generally, but sometimes, earlier also.

Occasionally, the patient after a treatment may have a feeling of slight illness or increase in the usual pains or discomfort. No need to be panicky about it. Watch it, it will subside gradually by itself. No medicine is required. Do not give another treatment till the pain or illness has decreased. At the most, work over the kidney reflex to get a quick relief. It is better to UNDER TREAT rather that OVER TREAT.

Oils, Lotions, Exercise, etc.
No oil lotion or cream is needed in this massage. No physical exercise should be suggested to the patient by acupressure therapist. Physiotherapy exercises, if are prescribed by a qualified person, may be continued.

This therapy does not clash with any other system of medicines, and it can be simultaneously employed with advantage even while the patient is undergoing some other medical treatment. Treat the body as a whole, remembering that all organs are interrelated in their functions.

Reflexes for Glands, Heart, Kidney, and Liver should not be treated for more than 12 to 15 seconds at a time. But it can be repeated according to its tenderness. Some reflexes like that of the Heart, Sciatic, Lungs, may need deep pressure. Treatment should preferably be given with our own fingers. No instrument can replace the human hand. However, metal rods with round ball like ends, or with hard rubber ends can be used suitably, taking care that it does not injure the skin or capillaries.


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