(3) Hand and foot massage is usually contraindicated for patients with severe heart disease, mental disorders, and hypertension, except for emergency rescue. Even then, only gentle digit-pressing and kneading maneuvers should be applied.

(4) Maneuvers requiring special skill should only be applied by practitioners who have thoroughly mastered them, as any adverse or violent application may damage the hand and foot themselves.

(5) The massage is prohibited for patients with a completely empty stomach, and it is best applied 1-2 hours after eating, except in cases involving abdominal distress caused by food poisoning.

(6) The practitioner's guidance is necessary for the application of hand and foot herbal bath and the decoctions for this therapy must not be administered orally.

The precautions and contraindications mentioned above have been gathered from the clinical experiences of many practitioners over a long period of time for guaranteeing the safety of this therapy. Good therapeutic medical service is assured only after careful analysis and scientific study of diseases and the problems of patients.