《广意》曰∶凡推展向前者，必期如线之直，毋得斜曲，恐伤动别经而招患也。古人有
推三回一之法，谓推去三次，带回一次。若惊风用推，不可拘成数，但推中略带几回便是。
其手
法手内四指握定，以大指侧着力直推之，推向前去三次，或带回一次。如干推，则恐伤皮肤
。《广意》∶春夏用热水，秋冬用葱姜水，以手指蘸水推之，水多须以手拭之，过于干则有
伤
皮肤，过于湿则难于着实，以干湿得宜为妙。夏禹铸曰∶往上推为清，往下推为补，周于蕃
曰∶推有直其指者，则主泻，取消食之义。推有曲其指者，则主补，取进食之义。内伤用香
麝少许，和水推之，外感用葱姜煎水推之，抑或葱姜香麝并用入水推之，是摩中之手法最重
者。凡用推，必蘸汤以施之。
一、推天河水。天河水在总经之上，曲池之下。蘸水，由横纹推至天河，为清天河水。
蘸水
由内劳宫推至曲池，为大推天河水，蘸水，由曲池推至内劳宫，为取天河水，均是以水济火
，取清凉退热之义。(周于蕃) 图附卷三。
一、推骨节，由项下大堆，直推至龟尾，须蘸葱姜汤推之，。治伤寒骨节疼痛。(周于
蕃)
一、推肺俞。肺俞在第三堆下两旁，相去脊各一寸五分，对乳引绳取之。须蘸葱姜汤，
左旋推HT 属补，右旋推HT 属泄，但补泄须分四六数用之，治风寒。(周于蕃)
一、推由版门至大横纹，蘸汤推之，能吐，能止泻。(周于蕃)
一、推由大横纹至版门。蘸汤推之，能泻，能止呕。(周于蕃)
一、推三关。蘸葱姜汤，由阳池推至曲池，主温性，病寒者多推之。(周于蕃) 若以三
关在一窝风外间使处，推上至曲池，夏禹铸主之，其说甚是。
一、推六腑。蘸沸汤，由曲池推至阴池，主凉性，病热者多推之(周于蕃) 若以六腑在
掌面内间使处，由曲池推至总经，夏禹铸主之，其说亦是。
一、推肝木。肝木即食指端，蘸汤，侧推之直入虎口，能和气生血。(周于蕃)
一、推分阳池。由小儿阳掌根中间，向左蘸葱姜汤推之，治唇干头低，肢冷项强，目直
视，口出冷气。(周于蕃)
一、推分阴池。由小儿阳掌根中间，向右蘸葱姜汤推之。须用手大指，一分阳，一分阴
，治法同上条。(周于蕃)
一、推四横纹。四横纹在阳掌四指中节，蘸葱姜汤推之，和上下之气血，治人事瘦弱，
手足抽掣，头偏左右，肠胃湿热，不食奶，眼翻白者。(《按摩经》)
一、推外关、间使，其穴在阴掌根一窝风之后，蘸葱姜汤，推之，治吐泻转筋。(《按
摩经》)
一、推后溪。后溪在手掌四指后。先用掐法，后蘸汤，推上为泻，推下为补。治小便赤
涩，益肾经虚弱。(《按摩经》)
一、推版门。(穴注上。)蘸汤，往外推之，能退热，往内推之，治四肢抽搐。(《按摩
经》)
一、推指三关。三关在食指三节，分寅、卯、辰三关。蘸葱姜汤推之，能通血气，能发
汗。(《广意》)
一、推脾土。脾土在大指端，蘸汤屈儿指推之为补，能醒人事。直其指推之为清，能进
饮食。(周于蕃)
一、推五经。五经即五指尖也。蘸汤逐一往上直推，往右运为补，往左运为泻，总期辨
寒热虚实以施之。(《广意》)
一、推三阴交。(穴注上。)蘸汤从上往下推之，治急惊，从下往上推之，治慢惊。(《
广意》)
一、推心火。心火即中指端，蘸汤推之，能发汗退热，若掐之，亦能利小便。(《广意
》)
一、推肺金。肺金即无名指端。蘸汤推之，性主温通，能止咳化痰。(《广意》)
一、推肾水。肾水即小指端，蘸汤推之，退脏腑热，利小便，小便短数，又宜补之。(
《广意》)
一、推中指节，蘸汤推内则热，推外则泻。(《广意》)
一、推坎宫。坎宫在两眉上，蘸汤由小儿眉心，分推两旁，能治外感风寒。(《广意》)
图附卷三。
一、推攒竹。攒竹在天庭下，蘸汤由眉心交互往上直推。(《广意》)图附卷三。
一、推胃脘，由喉往下推，止吐，由中脘往上推，则吐。均须蘸汤。(周于蕃)
一、推肚脐。须蘸汤往小腹下推，则泄，由小腹往肚脐上推，则补。(周于蕃)
一、推面部次第也。右大指蘸葱姜汤，由眉心推至囟门三十六次。随用两大指蘸汤，由
天庭
分推两额，并太阳、大阴、各三十六次。又以大指掐印堂五下 ，囟门三十六下。随用大指
面，左右揉转，各三十六次，掐百会穴三十六下。山根、鼻准、人中、承浆各三十六下，随
于各穴亦各揉三十六次。再于主治之穴从而按摩之，自能除风痰，去寒热。其妙在适脏腑，
行气血，治经络，庶无塞而不通之病。(周于蕃)
一、推面部手部次第也。推坎宫二十四次，推攒竹二十四次，运太阳二十四次，运耳背
高骨
二十四次，掐承浆一下，掐两颊一下，掐两听会一下，掐两太阳一下，掐眉心一下，掐人耳
一下，提两耳尖三下，推虎口三关，推五指尖， 五指尖，运八卦，分阴阳，推三关、六
府，用十大手法，运斗肘，为按摩不易之法。(《广意》)
按∶掐由甲入，用以代针，掐之则生痛，而气血一止，随以揉继之，气血行而经络舒也
。推
须着力，故推必蘸汤，否则有伤肌肤。掐从按法出。推从摩法出。搓、摇、揉、运，是较推
法之从轻者，亦无不从摩而出，按少而摩多者，均以宣通为得其法也。(惕厉子)
《广意》说：凡是向前推展的手法，必须力求像线一样笔直，不得歪斜弯曲，恐怕会伤及其他经络而招致祸患。古人有“推三回一”的方法，意思是向前推三次，向后带回一次。如果是治疗惊风使用推法，不可以拘泥于固定的次数，只要在推的过程中略带几次回带即可。其手法是：手内四指握紧固定，用大拇指侧面着力直接推动，向前推三次，或者带回一次。如果是干推，恐怕会损伤皮肤。《广意》补充说：春夏季节用热水，秋冬季节用葱姜水，用手指蘸水进行推法，水多了需要用手指擦拭，过于干燥则容易损伤皮肤，过于湿润则难以着力，以干湿适度为妙。夏禹铸说：向上推称为“清”，向下推称为“补”。周于蕃说：推法中手指伸直者，主要起泻的作用，取消食之意；手指弯曲者，主要起补的作用，取进食之意。内伤患者可用少许香麝，加水调和后推之；外感患者可用葱姜煎水推之，或者将葱姜和香麝并用入水推之，这是摩法中最重要的手法。凡是用推法，必须蘸汤液来施行。
一、推天河水。天河水位于总经之上，曲池之下。蘸水，由横纹推至天河，称为“清天河水”。蘸水，由内劳宫推至曲池，称为“大推天河水”；蘸水，由曲池推至内劳宫，称为“取天河水”，这些都是以水济火，取清凉退热之意。（周于蕃）图附卷三。
一、推骨节，从项下大椎穴直推至龟尾，必须蘸葱姜汤推之。治疗伤寒引起的骨节疼痛。（周于蕃）
一、推肺俞。肺俞在第三胸椎棘突下两旁，距离脊柱各一寸五分，对着乳头引绳测量定位。必须蘸葱姜汤，向左旋转推属补，向右旋转推属泄，但补法和泄法须按四六的比例配合使用，治疗风寒。（周于蕃）
一、推由版门至大横纹，蘸汤推之，能引起呕吐，也能止泻。（周于蕃）
一、推由大横纹至版门。蘸汤推之，能引起腹泻，也能止呕。（周于蕃）
一、推三关。蘸葱姜汤，由阳池推至曲池，主温性，寒证患者多推此法。（周于蕃）如果认为三关位于一窝风外侧的间使处，向上推至曲池，夏禹铸主张这种说法，他的观点是正确的。
一、推六腑。蘸沸汤，由曲池推至阴池，主凉性，热证患者多推此法（周于蕃）。如果认为六腑位于掌面内侧的间使处，由曲池推至总经，夏禹铸主张这种说法，他的观点也是正确的。
一、推肝木。肝木即食指端，蘸汤，侧向推之直达虎口，能和气血、生血液。（周于蕃）
一、推分阳池。从小儿阳掌根中间，向左蘸葱姜汤推之，治疗嘴唇干燥、头低垂、四肢冰冷、颈项强直、眼睛直视、口中呼出冷气等症状。（周于蕃）
一、推分阴池。从小儿阳掌根中间，向右蘸葱姜汤推之。需用大拇指操作，一分阳，一分阴，治疗方法同上条。（周于蕃）
一、推四横纹。四横纹位于阳掌四指的中节，蘸葱姜汤推之，能调和上下气血，治疗身体瘦弱、手足抽搐、头偏向左右、肠胃湿热、不吃奶、眼睛上翻等症状。（《按摩经》）
一、推外关、间使，其穴位在阴掌根一窝风之后，蘸葱姜汤推之，治疗呕吐、腹泻、转筋。（《按摩经》）
一、推后溪。后溪位于手掌四指后方。先用掐法，然后蘸汤，向上推为泻，向下推为补。治疗小便赤涩，补益肾经虚弱。（《按摩经》）
一、推版门。（穴位注释见上文。）蘸汤，向外推之，能退热；向内推之，治疗四肢抽搐。（《按摩经》）
一、推指三关。三关位于食指三节，分为寅、卯、辰三关。蘸葱姜汤推之，能通血气，能发汗。（《广意》）
一、推脾土。脾土位于大拇指端，蘸汤屈小儿手指推之为补，能唤醒神志。伸直手指推之为清，能促进饮食。（周于蕃）
一、推五经。五经即五指尖。蘸汤逐一向上直推，往右运为补，往左运为泻，总体原则是根据寒热虚实来施用。（《广意》）
一、推三阴交。（穴位注释见上文。）蘸汤从上往下推之，治疗急惊风；从下往上推之，治疗慢惊风。（《广意》）
一、推心火。心火即中指端，蘸汤推之，能发汗退热，如果掐之，也能利小便。（《广意》）
一、推肺金。肺金即无名指端。蘸汤推之，性质主温通，能止咳化痰。（《广意》）
一、推肾水。肾水即小指端，蘸汤推之，退脏腑热，利小便，若小便短少频数，又宜补之。（《广意》）
一、推中指节，蘸汤向内推则治热，向外推则泻。（《广意》）
一、推坎宫。坎宫在两眉上方，蘸汤从小儿眉心分推至两旁，能治疗外感风寒。（《广意》）图附卷三。
一、推攒竹。攒竹在天庭下方，蘸汤由眉心交互向上直推。（《广意》）图附卷三。
一、推胃脘，由喉部往下推，可止吐；由中脘往上推，则引起呕吐。均须蘸汤。（周于蕃）
一、推肚脐。须蘸汤往小腹方向推，则致泄；由小腹往肚脐方向推，则为补。（周于蕃）
一、推面部的次序。用右手大拇指蘸葱姜汤，由眉心推至囟门三十六次。随后用两个大拇指蘸汤，由天庭分推至两额，以及太阳、大阴穴，各三十六次。又以大拇指掐印堂五次，囟门三十六次。随后用大拇指面，左右揉转，各三十六次，掐百会穴三十六下。山根、鼻准、人中、承浆各三十六下，随后在各穴位也各揉三十六次。再根据主治穴位进行按摩，自然能除风痰，去寒热。其奥妙在于适应脏腑，运行气血，治疗经络，这样就没有堵塞不通的疾病了。（周于蕃）
一、推面部手部的次序。推坎宫二十四次，推攒竹二十四次，运太阳二十四次，运耳背高骨二十四次，掐承浆一下，掐两颊一下，掐两听会一下，掐两太阳一下，掐眉心一下，掐人耳一下，提两耳尖三下，推虎口三关，推五指尖，运八卦，分阴阳，推三关、六腑，用十大手法，运斗肘，这是按摩不易掌握的方法。（《广意》）
按语：掐法由指甲切入，用以代替针刺，掐之会产生痛感，使气血暂时停止流动，随即用揉法接续，气血运行而经络舒展。推法必须着力，所以推法必须蘸汤，否则会损伤肌肤。掐法从按法衍生出来。推法从摩法衍生出来。搓、摇、揉、运，是比较推法较轻的手法，也都从摩法衍生而来，按法少而摩法多，都以宣通为得其法。（惕厉子）
Guangyi states: Whenever pushing forward, the movement must be as straight as a line, avoiding any slant or curve, lest it injure other meridians and cause complications. The ancients had the method of "push three times, return once," meaning to push forward three times and bring back once. If used for treating convulsions (Jingfeng), one should not rigidly adhere to fixed numbers; simply including a few returns during the pushing is sufficient. The hand technique involves holding four fingers tightly inside the palm, applying force with the side of the thumb to push directly. Push forward three times, or return once. Dry pushing may damage the skin. Guangyi adds: In spring and summer, use hot water; in autumn and winter, use ginger and scallion water. Dip fingers in the water to push. If there is too much water, wipe it off with the hand; if too dry, it damages the skin; if too wet, it is difficult to apply force effectively. Moderation in moisture is ideal. Xia Yuzhu says: Pushing upward is called "Qing" (Clearing), while pushing downward is called "Bu" (Tonifying). Zhou Yushu says: Pushing with straight fingers primarily serves to "Xie" (Drain), taking on the meaning of digesting food. Pushing with curved fingers primarily serves to "Bu" (Tonify), taking on the meaning of promoting appetite. For internal injuries, add a small amount of Musk (Xiangshe) mixed with water for pushing; for external infections, use ginger and scallion decoction for pushing, or combine ginger, scallion, and Musk in water for pushing. This is the most important technique within rubbing methods. Whenever using pushing, one must dip in liquid before applying.
1. Pushing Tianhe Water. Tianhe Water is located above Zongjing and below Quchi. Dip in water, push from the transverse crease to Tianhe Water; this is called "Clearing Tianhe Water." Dip in water, push from Neilaogong to Quchi; this is called "Major Pushing of Tianhe Water." Dip in water, push from Quchi to Neilaogong; this is called "Fetching Tianhe Water." All these methods use water to nourish fire, aiming for cooling and reducing fever. (Zhou Yushu) Diagram attached in Volume 3.
2. Pushing Bone Joints. From Dazhui at the lower neck, push straight down to Guiwei. Must dip in ginger and scallion soup for pushing. Treats bone and joint pain caused by Cold Damage (Shanghan). (Zhou Yushu)
3. Pushing Feishu. Feishu is located on both sides of the third thoracic vertebra, 1.5 cun away from the spine, aligned with the nipple for measurement. Must dip in ginger and scallion soup. Counter-clockwise rotation is Tonification (Bu); clockwise rotation is Drainage (Xie). Tonification and Drainage must be used in a 4:6 ratio. Treats Wind-Cold. (Zhou Yushu)
4. Pushing from Banmen to Da Hengwen. Dip in soup and push. Can induce vomiting and stop diarrhea. (Zhou Yushu)
5. Pushing from Da Hengwen to Banmen. Dip in soup and push. Can induce diarrhea and stop vomiting. (Zhou Yushu)
6. Pushing San Guan. Dip in ginger and scallion soup, push from Yangchi to Quchi. It has a warming nature; patients with cold syndromes should push this frequently. (Zhou Yushu) If San Guan is considered to be between Yiwofeng and Jiashi externally, pushing up to Quchi, Xia Yuzhu advocates this view, which is correct.
7. Pushing Liu Fu. Dip in boiling water, push from Quchi to Yinchi. It has a cooling nature; patients with heat syndromes should push this frequently. (Zhou Yushu) If Liu Fu is considered to be on the palmar surface between Jiashi and Zongjing, pushing from Quchi to Zongjing, Xia Yuzhu advocates this view, which is also correct.
8. Pushing Gan Mu. Gan Mu refers to the tip of the index finger. Dip in soup, push laterally into the Tiger's Mouth (Hukou). It harmonizes Qi and generates blood. (Zhou Yushu)
9. Pushing Fen Yangchi. From the center of the infant's dorsal wrist root, push leftward dipping in ginger and scallion soup. Treats dry lips, drooping head, cold limbs, stiff neck, staring eyes, and cold breath exhalation. (Zhou Yushu)
10. Pushing Fen Yinchi. From the center of the infant's dorsal wrist root, push rightward dipping in ginger and scallion soup. Use the thumb. Divide into Yang and Yin equally. Treatment method is the same as the previous item. (Zhou Yushu)
11. Pushing Si Hengwen. Si Hengwen is located at the middle phalanx of the four fingers on the dorsal hand. Dip in ginger and scallion soup and push. Harmonizes upper and lower Qi and Blood. Treats emaciation, limb twitching, head tilting to either side, damp-heat in intestines and stomach, refusal to nurse, and eyes rolling upward. (Anmo Jing)
12. Pushing Waiguan and Jiashi. These acupoints are located behind Yiwofeng at the base of the volar wrist. Dip in ginger and scallion soup and push. Treats vomiting, diarrhea, and tendon spasms. (Anmo Jing)
13. Pushing Houxi. Houxi is located posterior to the four fingers on the palm. First use pinching (Qia), then dip in soup. Pushing upward is Drainage (Xie); pushing downward is Tonification (Bu). Treats red and scanty urination, and tonifies Kidney Meridian deficiency. (Anmo Jing)
14. Pushing Banmen. (Acupoint note above.) Dip in soup. Pushing outward reduces fever; pushing inward treats limb convulsions. (Anmo Jing)
15. Pushing Finger San Guan. San Guan is located at the three segments of the index finger, divided into Yin, Mao, and Chen gates. Dip in ginger and scallion soup and push. Promotes circulation of Qi and Blood and induces sweating. (Guangyi)
16. Pushing Pi Tu. Pi Tu is located at the tip of the thumb. Dip in soup and bend the infant's finger while pushing for Tonification (Bu), which awakens consciousness. Straighten the finger while pushing for Clearing (Qing), which promotes appetite. (Zhou Yushu)
17. Pushing Wu Jing. Wu Jing refers to the tips of the five fingers. Dip in soup and push each straight upward. Rotating clockwise is Tonification (Bu); rotating counter-clockwise is Drainage (Xie). Generally, apply based on differentiation of Cold/Heat and Deficiency/Excess. (Guangyi)
18. Pushing Sanyinjiao. (Acupoint note above.) Dip in soup and push downward to treat Acute Convulsion (Ji Jing); push upward to treat Chronic Convulsion (Man Jing). (Guangyi)
19. Pushing Xin Huo. Xin Huo refers to the tip of the middle finger. Dip in soup and push. Induces sweating and reduces fever. Pinching it also promotes diuresis. (Guangyi)
20. Pushing Fei Jin. Fei Jin refers to the tip of the ring finger. Dip in soup and push. Its nature is warm and unblocking. Coughs and resolves phlegm. (Guangyi)
21. Pushing Shen Shui. Shen Shui refers to the tip of the little finger. Dip in soup and push. Reduces internal organ heat and promotes diuresis. If urine is short and frequent, Tonification (Bu) is appropriate. (Guangyi)
22. Pushing Middle Finger Joint. Dip in soup. Pushing inward treats Heat; pushing outward drains. (Guangyi)
23. Pushing Kangong. Kangong is above both eyebrows. Dip in soup and push outward from the glabella to both sides. Treats external Wind-Cold. (Guangyi) Diagram attached in Volume 3.
24. Pushing Zan Zhu. Zan Zhu is below Tingting. Dip in soup and push straight upward alternately from the glabella. (Guangyi) Diagram attached in Volume 3.
25. Pushing Weiwuan. Pushing downward from the throat stops vomiting; pushing upward from Zhongwan induces vomiting. Both require dipping in soup. (Zhou Yushu)
26. Pushing Navel. Dip in soup and push downward toward the lower abdomen to induce diarrhea; push upward from the lower abdomen to the navel for Tonification (Bu). (Zhou Yushu)
27. Sequence of Facial Pushing. Use the right thumb dipped in ginger and scallion soup to push from the glabella to Ximen 36 times. Then use both thumbs dipped in soup to push outward from Tianting to both foreheads, as well as Taiyang and Dayin, 36 times each. Then pinch Yintang 5 times and Ximen 36 times. Next, use the flat of the thumb to rub circularly left and right, 36 times each. Pinch Baihui 36 times. Shan Gen, Bi Zhun, Ren Zhong, and Cheng Jiang each receive 36 pinches, followed by 36 rubs at each point. Finally, massage the governing points accordingly. This naturally eliminates wind-phlegm and dispels cold and heat. Its subtlety lies in adapting to the Zang-Fu organs, circulating Qi and Blood, and treating meridians, thereby preventing blockages. (Zhou Yushu)
28. Sequence of Facial and Hand Pushing. Push Kangong 24 times, push Zan Zhu 24 times, rotate Taiyang 24 times, rotate the high bone behind the ear 24 times, pinch Cheng Jiang once, pinch both cheeks once, pinch both Tinghui once, pinch both Taiyang once, pinch the glabella once, pinch the human ear once, lift both ear tips three times, push Tiger's Mouth San Guan, push the five finger tips, rotate Bagua, divide Yin and Yang, push San Guan and Liu Fu, use the ten major techniques, rotate Dou Zhou. This is a fundamental yet difficult massage method. (Guangyi)
Note: Pinching (Qia) enters via the nail, serving as a substitute for acupuncture. Pinching causes pain, temporarily stopping Qi and Blood flow, followed immediately by rubbing to restore circulation and relax meridians. Pushing requires force, hence the need for liquid lubrication to prevent skin injury. Pinching derives from Pressing (An). Pushing derives from Rubbing (Mo). Twisting (Cuo), Shaking (Yao), Rubbing (Rou), and Rotating (Yun) are lighter techniques compared to Pushing, all deriving from Mo. Since Pressing is less frequent than Rubbing, the key to mastery lies in promoting free flow and unblocking. (Tili Zi)