Pressing manipulations are stimulative manual techniques with long duration and smooth movement. While pressing—reducing manipulations are rectifying ones with short duration and sudden pressing. In this way, the bone and the articulate facets are shacked so that they will be restored by the tension of the ligaments and the muscles in cases of joint subluxation. Similar to pressing manipulations, either the palm root or the thumb can be used to deliver force; and either monopoint thrust or dualpoint thrust is allowed．See the Fig 151 for their model. Click to learn Constipation in TCM.