头肿。由风温内伏，热毒雍遏。或发于两颐则为 腮，或发于头面则为大头瘟。内
治以普济消毒饮去升、柴、芩、连主之。
分阴阳，(二百遍。)推三关，(二百遍。)退六腑，(一百遍。)推脾土，(一百遍。)揉两
太阳
，(五十遍。)运八卦，(二十遍。)揉内劳宫，(三十遍。)汗吐法先之。凡推用葱汤，用清里
法，(见卷二，三十七页。)解烦法。(见卷二，三十八页。)
按∶头肿为温毒疫邪，疫为燥热毒疠，从无辛温升散之例，一切柴、葛、风燥辛热诸品
，皆
不可犯。外解如葱、豉、翘、荷之属，内清如芩，连、滑、栀之属，下夺如芒硝、大黄之属
。且疫为秽浊之邪，薰蒸热痰，蒙蔽心包，神昏语谵，宜芳香宣逐，清血络以防结闭。如犀
、葛、郁、佩、银花之属。烦渴多汗，如石膏、知母之属。疹发咽痛，如犀角、牛蒡、生地
之属。天行疫疠之气，亟宜解毒为先，大头瘟湿热伤巅，肿大如斗，不速治，十死八九，岂
徒以按摩已哉。(惕厉子)
腹有寒痛，热痛，食痛，气不和痛，脾虚痛，肝木乘脾痛，蛔动痛者，不可以不辨。
寒痛者，气滞阳衰，面色白，口气冷，大便青色，小便青利。痛之来也。迁缓不速，绵
绵不
已。痛时，喜以热手按之，其痛稍止，肚皮冰冷者是也。内治以香砂理中汤去白术主之。
分阴，(一百遍，重。)分阳，(二百遍，轻。)推三关，(二百遍。)退六腑，(五十遍。)
由胸
腹分推左右，(二百遍。)揉肚脐，(二百遍。)推补脾土，(一百遍。)天门入虎口，(二十遍
。)掐揉一窝风，(五十遍。)凡推用葱姜水，用定痛法。(见卷二，四十四页。)艾灸神阙、
气海各穴各七壮。(见卷二，二十六页。)
热痛，面赤，口气热，唇红，烦渴，大便秘，小便赤，时痛时止，痛来迅厉，腹形如常
，不
肿不饱，弹之不响，以热手按之，其痛愈甚，肚皮热如火灼，此真热也。内治以清热泻火主
之。
分阴，(二百遍。)分阳，(一百遍。)推三关，(五十遍。)退六腑，(一百遍。)水底捞明
月，
(一百遍。)清天河水，(三十六遍。)分腹阴阳，(二百遍。)揉肚脐，(一百遍。)推脾土。(
一百遍。)用清里法。(见卷二，三十七页。)
食痛，由饮食不节，积滞不化，食入即痛，眼胞浮肿，泻必 臭，腹必饱胀，弹如鼓
响，面黄嗳酸，便后痛减，不饥不食者是也。内治香砂平胃散主之。
分阴阳，(二百遍。)推三关，(一百遍。)退六腑，(一百遍。)推脾土，(一百遍。)天门
入虎
口，(一百遍。)分腹阴阳，(二百遍。)揉脐，(二百遍。)凡推用葱水香麝水，用艾灸神阙、
气海各穴七壮，(见卷二，二十六页。)熨法，(见卷二，四十五页。)定痛法，(见卷二，四
十四页。)
气不和痛，小儿初生后，束脐过紧，不知儿体渐长，束带未松，上下气不流通也。
分阴阳，(二百遍。)推三关，(一百遍。)退六腑，(一百遍。)推脾土，(一百遍。)分腹
阴阳
，(二百遍。)揉脐，(二百遍。)运土入水，(三十六遍。)揉脐，(二百遍。)运土入水，(三
十六遍。)运八卦。(三十六遍。)凡推用葱汤，用艾灸神阙三壮，(见卷二，二十六页。)
脐轮一 ，气海一 ，心窝一 。(见卷二，三十页。)
脾虚痛，面色萎黄，大便少而色白，中有虚寒也。内治以香砂六君汤主之。
分阴阳，(一百遍。)推三关，(一百遍。)退六腑，(一百遍。)推补脾土，(三百遍。)运
水入
土，(一百遍。)分腹阴阳，(二百遍。)揉脐。(一百遍。)凡推用葱汤，用艾灸神阙、气海各
穴三壮。(见卷二，二十六页。)
肝木乘脾痛，肝木克脾，肝气无所泄，乘脾衰而痛也。其证唇白口淡，面色时青，痛则
腹连两胁，重按之则痛止，手起又痛也。内治以四君加柴、芍主之。
分阴阳，(一百遍。)推三关，(一百遍。)退六腑，(一百遍。)推补脾土，(二百遍。)天
河入
虎口，(二百遍。)揉脐，(二百遍。)分腹阴阳，(二百遍。)运水入土，(一百遍。)运八卦坎
重，(一百遍。)推大肠，(六十遍。)运五经。(一百遍。)凡推用葱姜汤。
蛔痛，口吐青水，痛久不歇，或一时或二时而止，或歇半日又痛，面黄唇白，或有红点
，脉乍大乍小，此其候也。内治理中安蛔散或乌梅丸加减主之。
分阴阳，(一百遍。)推三关，(一百遍。)退六腑，(一百遍。)推脾土，(一百遍。)揉肚
脐
。(一百遍。)凡推用葱姜香麝水。用艾灸神阙、气海穴各穴五壮。(见卷二，二十六页。)
史君子去壳火喂，或食十余粒，或少顷又食，以痛止则停。苦楝根皮一两，水煎浓服，
虫即下。但体弱者酌之。
按∶腹痛一证，寒淫为多，热淫为少，以寒则易于阻塞阳气也。气滞者多，血滞者少，
理气
滞不宜动血，理血滞则必兼行气也。先哲以痛则不通，通则不痛，故治痛大法，不外温散辛
通，而其要则初用通腑，久必通络，宜审虚实治之。(惕厉子)
头肿。由风温邪气内伏，热毒壅滞遏阻所致。若发作于两侧面颊则称为痄腮（流行性腮腺炎），若发作于头面部则称为大头瘟（一种以头面红肿为特征的疫病）。内治法以普济消毒饮去除升麻、柴胡、黄芩、黄连为主方。
推拿操作：分阴阳（二百遍），推三关（二百遍），退六腑（一百遍），推脾土（一百遍），揉两太阳穴（五十遍），运八卦（二十遍），揉内劳宫穴（三十遍）。先施用汗法和吐法。凡推拿均使用葱汤作为介质，配合清里法（见卷二，三十七页）和解烦法（见卷二，三十八页）。
按语：头肿属于温毒疫邪，疫疠之气多为燥热毒邪，从未有用辛温升散之法的先例，一切柴胡、葛根及风燥辛热类药物，都不可触犯。外解表邪可用葱白、豆豉、连翘、薄荷之类；内清热毒可用黄芩、黄连、滑石、栀子之类；攻下泄热可用芒硝、大黄之类。且疫疠之气为秽浊之邪，熏蒸产生热痰，蒙蔽心包，导致神志昏迷、胡言乱语，宜用芳香宣通逐邪之法，清泄血络以防瘀结闭塞。如用水牛角、葛根、郁金、佩兰、金银花之类。若见烦躁口渴多汗，可用石膏、知母之类。若见出疹咽痛，可用水牛角、牛蒡子、生地黄之类。天行疫疠之气，亟应以解毒为先，大头瘟湿热损伤头部，肿大如斗，若不迅速治疗，十人中有八九人会死亡，岂止依靠按摩就能治愈呢？（惕厉子）
腹部有寒痛、热痛、食积痛、气机不和痛、脾虚痛、肝木乘脾痛、蛔虫动痛等，不可不加以辨别。
寒痛者，因气机阻滞、阳气衰微，面色苍白，口气冷，大便呈青色，小便清长通畅。疼痛发作时，来势缓慢不急，绵绵不断。疼痛时，喜欢用热手按压，疼痛稍缓解，肚皮冰冷即是此证。内治法以香砂理中汤去除白术为主方。
推拿操作：分阴（一百遍，手法重），分阳（二百遍，手法轻），推三关（二百遍），退六腑（五十遍），从胸腹部分向左右推（二百遍），揉肚脐（二百遍），推补脾土（一百遍），天门入虎口（二十遍），掐揉一窝风穴（五十遍）。凡推拿均使用葱姜水作为介质，配合定痛法（见卷二，四十四页）。艾灸神阙穴、气海穴各七壮（见卷二，二十六页）。
热痛，面红，口气热，嘴唇红，烦躁口渴，大便秘结，小便赤黄，疼痛时作时止，疼痛发作迅猛严厉，腹部形态正常，不肿不胀，叩击不响，用热手按压则疼痛加剧，肚皮热如火灼，这是真热证。内治法以清热泻火为主。
推拿操作：分阴（二百遍），分阳（一百遍），推三关（五十遍），退六腑（一百遍），水底捞明月（一百遍），清天河水（三十六遍），分腹阴阳（二百遍），揉肚脐（一百遍），推脾土（一百遍）。配合清里法（见卷二，三十七页）。
食积痛，由饮食不节制，积滞不化所致，进食后立即疼痛，眼睑浮肿，腹泻必有臭味，腹部必然饱胀，叩击如鼓响，面色黄，嗳气带酸味，排便后疼痛减轻，不思饮食即是此证。内治法以香砂平胃散为主方。
推拿操作：分阴阳（二百遍），推三关（一百遍），退六腑（一百遍），推脾土（一百遍），天门入虎口（一百遍），分腹阴阳（二百遍），揉肚脐（二百遍）。凡推拿均使用葱水或香麝水，配合艾灸神阙穴、气海穴各七壮（见卷二，二十六页）、熨法（见卷二，四十五页）、定痛法（见卷二，四十四页）。
气机不和痛，小儿出生后，包裹脐部过紧，不知婴儿身体逐渐长大，束带未放松，导致上下气机不通畅。
推拿操作：分阴阳（二百遍），推三关（一百遍），退六腑（一百遍），推脾土（一百遍），分腹阴阳（二百遍），揉肚脐（二百遍），运土入水（三十六遍），揉肚脐（二百遍），运土入水（三十六遍），运八卦（三十六遍）。凡推拿均使用葱汤，配合艾灸神阙穴三壮（见卷二，二十六页）。以及脐轮一穴、气海一穴、心窝一穴（见卷二，三十页）。
脾虚痛，面色萎黄，大便少且颜色白，其中含有虚寒之象。内治法以香砂六君汤为主方。
推拿操作：分阴阳（一百遍），推三关（一百遍），退六腑（一百遍），推补脾土（三百遍），运水入土（一百遍），分腹阴阳（二百遍），揉肚脐（一百遍）。凡推拿均使用葱汤，配合艾灸神阙穴、气海穴各三壮（见卷二，二十六页）。
肝木乘脾痛，肝木克制脾土，肝气无处宣泄，乘脾虚而致痛。其症状为嘴唇白、口淡，面色时而发青，疼痛时腹部牵连两侧胁肋，重按时疼痛停止，手抬起又疼痛。内治法以四君子汤加柴胡、白芍为主方。
推拿操作：分阴阳（一百遍），推三关（一百遍），退六腑（一百遍），推补脾土（二百遍），天河水入虎口（二百遍），揉肚脐（二百遍），分腹阴阳（二百遍），运水入土（一百遍），运八卦坎位重手法（一百遍），推大肠（六十遍），运五经（一百遍）。凡推拿均使用葱姜汤。
蛔虫痛，口吐青水，疼痛经久不歇，有时持续一时或两时后停止，有时休息半天后又痛，面色黄、嘴唇白，或有红点，脉象忽大忽小，这是其征候。内治法以理中安蛔散或乌梅丸加减为主方。
推拿操作：分阴阳（一百遍），推三关（一百遍），退六腑（一百遍），推脾土（一百遍），揉肚脐（一百遍）。凡推拿均使用葱姜香麝水。配合艾灸神阙穴、气海穴各五壮（见卷二，二十六页）。
使君子去壳后用火炒喂服，或食用十余粒，若不久又痛可再食，直到疼痛停止则停服。苦楝根皮一两，水煎浓汁服用，寄生虫即可排出。但体质虚弱者需酌情减量。
按语：腹痛这一病症，寒邪致病居多，热邪致病较少，因为寒邪容易阻塞阳气。气滞者多，血滞者少，调理气滞不宜扰动血液，调理血滞则必须兼行气机。先哲认为“痛则不通，通则不痛”，所以治疗疼痛的大法，不外乎温散辛通，而其要点在于初期用通腑之法，久病必用通络之法，应当审察虚实进行治疗。（惕厉子）
Head Swelling. It is caused by the internal retention of wind-warmth pathogenic factors and the congestion and obstruction of heat-toxin. If it occurs on both cheeks, it is called mumps (epidemic parotitis); if it occurs on the head and face, it is called "Big Head Plague" (an epidemic disease characterized by swelling and redness of the head and face). Internal treatment is primarily based on Puji Xiaodu Yin (General Benefit Decoction for Disinfection) with Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), and Lianqiao (Forsythiae Fructus) removed.
Massage techniques: Fen Yin-Yang (Two Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (Two Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Pitui (Pushing the Earth of the Spleen) (One Hundred Repetitions), Rou Liang Taiyang (Rubbing the Two Temples) (Fifty Repetitions), Yun Bagua (Moving the Eight Trigrams) (Twenty Repetitions), Rou Neilaogong (Rubbing Inner Laogong) (Thirty Repetitions). Apply Hanfa (Sweating Method) and Tuifa (Vomiting Method) first. For all pushing techniques, use Congtang (Green Onion Decoction) as a medium, combined with Qingli Fa (Clearing Interior Method) (see Vol. 2, p. 37) and Jiefan Fa (Relieving Irritation Method) (see Vol. 2, p. 38).
Note: Head swelling belongs to warm-toxin epidemic pathogens. Epidemic qi is mostly dry-heat toxic pestilence; there has never been an example of using acrid-warm ascending and dispersing methods. All herbs such as Chaihu (Bupleuri Radix), Gegen (Puerariae Lobatae Radix), and other wind-drying acrid-hot substances must not be used. To resolve exterior pathogens, use Congbai (Allii Fistulosi Bulbus), Douchi (Sojae Semen Preparatum), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), etc. To clear interior heat-toxins, use Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huashi (Talcum), Zhizi (Gardeniae Fructus), etc. To purge downward, use Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), etc. Moreover, epidemic qi is a turbid pathogen that steams and generates heat-phlegm, clouding the Pericardium, leading to coma and delirious speech. It is appropriate to use aromatic methods to diffuse and expel, and clear blood collaterals to prevent blockage. Use Shuiniujiao (Rhinocerotis Cornu - *note: usually substituted with Shuiniu Jiaojiao in modern practice*), Gegen (Puerariae Lobatae Radix), Yujin (Curcumae Radix), Peilan (Agastaches Herba), Jinyinhua (Lonicerae Japonicae Flos), etc. For irritability, thirst, and excessive sweating, use Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), etc. For rash and sore throat, use Shuiniujiao (Rhinocerotis Cornu), Niubangzi (Arctii Fructus), Shengdihuang (Rehmanniae Radix), etc. In the presence of seasonal epidemic qi, detoxification should be prioritized. Big Head Plague involves damp-heat damaging the vertex, causing swelling as large as a bucket. Without rapid treatment, eight or nine out of ten will die; how can it be cured merely by massage? (Ti Li Zi)
Abdominal pain includes cold pain, heat pain, food stagnation pain, qi disharmony pain, spleen deficiency pain, liver wood overacting on spleen pain, and ascariasis pain. These must not fail to be distinguished.
Cold pain is due to qi stagnation and yang decline, presenting with pale complexion, cold breath, green-colored stool, and clear, profuse urine. The onset of pain is slow and gradual, lingering continuously. During pain, the patient prefers pressure from hot hands, which slightly alleviates the pain, and the abdomen feels cold to the touch. Internal treatment is primarily based on Xiangsha Lizhong Tang (Aucklandia and Amomum Decoction for Regulating the Middle) with Baizhu (Atractylodis Macrocephalae Rhizoma) removed.
Massage techniques: Fen Yin (Dividing Yin) (One Hundred Repetitions, heavy force), Fen Yang (Dividing Yang) (Two Hundred Repetitions, light force), Tui Sanguan (Pushing the Three Gates) (Two Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (Fifty Repetitions), push left and right from the chest and abdomen (Two Hundred Repetitions), Rou Duqi (Rubbing the Umbilicus) (Two Hundred Repetitions), Tui Bu Pitui (Tonifying Pushing the Earth of the Spleen) (One Hundred Repetitions), Tianmen Ru Hukou (Heaven's Gate Entering Tiger's Mouth) (Twenty Repetitions), Qia Rou Yiwofeng (Pinching and Rubbing Yiwofeng) (Fifty Repetitions). For all pushing techniques, use Congjiangshui (Green Onion and Ginger Water), combined with Dingtong Fa (Calming Pain Method) (see Vol. 2, p. 44). Moxibustion at Shenque (CV 8) and Qihai (CV 6) points, seven moxa cones each (see Vol. 2, p. 26).
Heat pain presents with red face, hot breath, red lips, irritability, thirst, constipation, dark urine, intermittent pain, sudden and severe onset, normal abdominal shape without swelling or fullness, no resonance upon percussion, and increased pain upon pressure from hot hands, with the abdomen feeling hot like burning fire. This is true heat. Internal treatment focuses on clearing heat and purging fire.
Massage techniques: Fen Yin (Dividing Yin) (Two Hundred Repetitions), Fen Yang (Dividing Yang) (One Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (Fifty Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Shuidi Lao Mingyue (Fishing for the Bright Moon from the Bottom of the Water) (One Hundred Repetitions), Qing Tianheshui (Clearing the Heavenly River Water) (Thirty-Six Repetitions), Fen Fu Yin-Yang (Dividing Abdominal Yin-Yang) (Two Hundred Repetitions), Rou Duqi (Rubbing the Umbilicus) (One Hundred Repetitions), Tui Pitui (Pushing the Earth of the Spleen) (One Hundred Repetitions). Combine with Qingli Fa (Clearing Interior Method) (see Vol. 2, p. 37).
Food stagnation pain is caused by irregular diet and indigestible accumulation, resulting in immediate pain after eating, swollen eyelids, foul-smelling diarrhea, abdominal fullness, drum-like resonance upon percussion, yellowish complexion, sour belching, pain relief after defecation, and loss of appetite. Internal treatment is primarily based on Xiangsha Pingwei San (Aucklandia and Amomum Powder for Leveling the Stomach).
Massage techniques: Fen Yin-Yang (Dividing Yin-Yang) (Two Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (One Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Pitui (Pushing the Earth of the Spleen) (One Hundred Repetitions), Tianmen Ru Hukou (Heaven's Gate Entering Tiger's Mouth) (One Hundred Repetitions), Fen Fu Yin-Yang (Dividing Abdominal Yin-Yang) (Two Hundred Repetitions), Rou Qi (Rubbing the Umbilicus) (Two Hundred Repetitions). For all pushing techniques, use Congshui (Green Onion Water) or Xiangsheshui (Musk Water), combined with Moxibustion at Shenque (CV 8) and Qihai (CV 6) points, seven cones each (see Vol. 2, p. 26), Yi Fa (Ironing Method) (see Vol. 2, p. 45), and Dingtong Fa (Calming Pain Method) (see Vol. 2, p. 44).
Qi disharmony pain occurs in newborns when the umbilical bandage is too tight. As the infant grows, if the bandage is not loosened, the qi flow between upper and lower parts becomes obstructed.
Massage techniques: Fen Yin-Yang (Dividing Yin-Yang) (Two Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (One Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Pitui (Pushing the Earth of the Spleen) (One Hundred Repetitions), Fen Fu Yin-Yang (Dividing Abdominal Yin-Yang) (Two Hundred Repetitions), Rou Qi (Rubbing the Umbilicus) (Two Hundred Repetitions), Yun Tu Ru Shui (Moving Earth into Water) (Thirty-Six Repetitions), Rou Qi (Rubbing the Umbilicus) (Two Hundred Repetitions), Yun Tu Ru Shui (Moving Earth into Water) (Thirty-Six Repetitions), Yun Bagua (Moving the Eight Trigrams) (Thirty-Six Repetitions). For all pushing techniques, use Congtang (Green Onion Decoction), combined with Moxibustion at Shenque (CV 8) point, three cones (see Vol. 2, p. 26). Also treat Qi Lun (Umbilical Rim), Qihai (CV 6), and Xinwo (Heart Well) points (see Vol. 2, p. 30).
Spleen deficiency pain presents with sallow complexion, scanty white stool, indicating internal deficiency-cold. Internal treatment is primarily based on Xiangsha Liujun Tang (Aucklandia and Amomum Six Gentlemen Decoction).
Massage techniques: Fen Yin-Yang (Dividing Yin-Yang) (One Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (One Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Bu Pitui (Tonifying Pushing the Earth of the Spleen) (Three Hundred Repetitions), Yun Shui Ru Tu (Moving Water into Earth) (One Hundred Repetitions), Fen Fu Yin-Yang (Dividing Abdominal Yin-Yang) (Two Hundred Repetitions), Rou Qi (Rubbing the Umbilicus) (One Hundred Repetitions). For all pushing techniques, use Congtang (Green Onion Decoction), combined with Moxibustion at Shenque (CV 8) and Qihai (CV 6) points, three cones each (see Vol. 2, p. 26).
Liver wood overacting on spleen pain occurs when liver wood suppresses spleen earth, and liver qi has no outlet, attacking the deficient spleen to cause pain. Symptoms include pale lips, bland taste, occasional bluish complexion, pain radiating from the abdomen to both hypochondria, pain cessation upon heavy pressure, and recurrence upon lifting the hand. Internal treatment is primarily based on Sijun Zi Tang (Four Gentlemen Decoction) plus Chaihu (Bupleuri Radix) and Shaoyao (Paeoniae Radix).
Massage techniques: Fen Yin-Yang (Dividing Yin-Yang) (One Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (One Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Bu Pitui (Tonifying Pushing the Earth of the Spleen) (Two Hundred Repetitions), Tianhe Ru Hukou (Heavenly River Entering Tiger's Mouth) (Two Hundred Repetitions), Rou Qi (Rubbing the Umbilicus) (Two Hundred Repetitions), Fen Fu Yin-Yang (Dividing Abdominal Yin-Yang) (Two Hundred Repetitions), Yun Shui Ru Tu (Moving Water into Earth) (One Hundred Repetitions), Yun Bagua Kan Zhong (Moving Eight Trigrams with Heavy Pressure on Kan) (One Hundred Repetitions), Tui Dachang (Pushing Large Intestine) (Sixty Repetitions), Yun Wu Jing (Moving Five Meridians) (One Hundred Repetitions). For all pushing techniques, use Congjiangtang (Green Onion and Ginger Decoction).
Ascariasis pain presents with vomiting of green fluid, prolonged unceasing pain, stopping intermittently after one or two hours, or recurring after half a day, yellowish complexion, pale lips, possible red spots, and fluctuating pulse (alternating large and small). These are its signs. Internal treatment is primarily based on Lizhong Anhui San (Regulate Middle Calm Ascariasis Powder) or Wumei Wan (Mume Pill) with modifications.
Massage techniques: Fen Yin-Yang (Dividing Yin-Yang) (One Hundred Repetitions), Tui Sanguan (Pushing the Three Gates) (One Hundred Repetitions), Tui Liufu (Retreating the Six Palaces) (One Hundred Repetitions), Tui Pitui (Pushing the Earth of the Spleen) (One Hundred Repetitions), Rou Duqi (Rubbing the Umbilicus) (One Hundred Repetitions). For all pushing techniques, use Congjiang Xiangsheshui (Green Onion, Ginger, and Musk Water). Combine with Moxibustion at Shenque (CV 8) and Qihai (CV 6) points, five cones each (see Vol. 2, p. 26).
Shijunzi (Quinine Seed/Carissa Carandas Linn. fruit - *Note: Traditionally Canarium album seed or similar antiparasitic seed, often Quisqualis indica*) shelled and roasted/fired for feeding, or eat about ten grains; if pain recurs shortly, eat more until pain stops. Kuanlgenpi (Meliae Cortex) one tael, decocted in water to make a concentrated liquid, taken orally, worms will be expelled. However, adjust dosage for weak constitutions.
Note: Regarding abdominal pain, cold pathogenic factors are common, while heat pathogenic factors are rare, because cold easily obstructs yang qi. Qi stagnation is common, while blood stagnation is rare. Treating qi stagnation should not disturb blood; treating blood stagnation must involve moving qi. Ancient sages stated "pain implies obstruction, freedom from pain implies free flow." Therefore, the general principle for treating pain is warming and dispersing with acrid-pungent substances to promote circulation. The key lies in initially using methods to unblock the fu organs, and for chronic cases, using methods to unblock the collaterals. Treatment should be tailored according to deficiency and excess conditions. (Ti Li Zi)