You need not work the hands vigorously, but simply enough that the prana freely reaches the affected parts.

The rhythmic breathing must be practiced frequently during the treatment, so as to keep the rhythm normal and to afford the prana a free passage.

It is better to place the hands on the bare skin, but where this is not advisable or possible place them over the clothing.

Vary above method occasionally during the treatment by stroking the body gently and softly with the finger tips, the fingers being kept slightly separated.

This is very soothing to the patient.
In cases of long standing you may find it helpful to give the mental command in words, such as "get out, get out," or "be strong, be strong," as the case may be, the words helping you to exercise the will more forcibly and to the point.