Either direction that a fan turns creates air movement in the room.
The difference is that, when the fan is pushing down, directly under it will be a burst of air. This can be useful in warmer months, but unwanted in the cooler months.
In either case, there is a current that goes between the fan, across the ceiling, down the walls, across the floor, and back up. It’s just a matter of which direction it’s going.
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