小儿下痢细寻推。不独成疳积所为。冷热数般虽各异。宽肠调胃在明医。
赤白之痢。世人莫不曰赤为阳为热。白为阴为冷。或曰无积不成痢。若以冷热之法互治。必难取效。不究其原。
何由可疗。且四时八风之中人。五运六气之相胜。夏秋人多痢疾。内经曰。春伤于风。夏生飧泄。其可拘于无
积不成痢之说。岂一岁之中。独于夏秋。人皆有积乎。盖风邪入胃。木能胜土。不为暴下。则成痢疾。赤白交杂。
此为阴阳不分。法当分正阴阳为主。
夹热而痢者。则痢下红色。此风能动血也。
治法 推三关 六腑 清心经 和阴阳 推大肠 脾土 八卦 肾水 揉脐及龟尾
夹冷而痢者。则下纯白冻。或白上有粉红色。或似猪肝瘀血。皆为阴症。盖血得寒则凝故也。
治法 推三关 八卦 脾土 大肠 和阴阳 天门虎口 揉脐及龟尾
夏伤于暑秋成疟。间日连朝不少差。解表去邪须次第。再宜养胃固脾家。
夏伤于暑。秋必病疟。谓腠理开而汗出遇风。或得于澡浴水气含于皮肤。因卫气不守。邪气并居。其疾始作。伸
欠寒栗。腰背俱痛。骨节烦疼。寒去则内外皆热。头疼而渴。乃阴阳二气交争。虚实更作而然。阴气独胜则阳
虚。故先寒战栗。阳气独胜则阴虚。故先热。阴盛阳虚。则内外皆寒。阳盛阴虚。则内外俱热。阴阳各衰。卫气与
病气相离则病愈。阴阳相搏。卫气与病气再集则病复。各随其卫气之所在。与所中邪气相合而然也。
疟疾兼呕吐肚疼者。
治法 推三关 脾土 分阴阳 揉脐 运八卦
痰疟一日一发者。
治法 推三关 肺经 分阴阳 八卦 按弦搓摩
久疟不退。而脾气虚弱者。
治宜补脾土（二百） 分阴阳（一百） 运八卦（二百）
邪疟至晚发者。
治宜推三关（五十） 脾土（一百） 分阴阳（三百） 八卦 六腑（二百） 天门入虎口
瘅疟。但热无寒者。
治宜推三关 脾土 分阴阳 八卦 肺经 六腑 间使内关（各一截） 天门入虎口 肘
小儿患痢疾，需仔细推演推拿手法。这并非仅仅由疳积引起。虽然寒热痢疾表现各异，但关键在于明医能宽肠调胃。
对于赤白痢疾，世人无不认为红色属阳、属热，白色属阴、属冷；或者认为没有积滞就不会形成痢疾。如果用治疗寒热的方法互相通用，必然难以见效。如果不探究其根本原因，如何能够治愈？况且四季八风侵袭人体，五运六气相互克制，夏秋季节人们多患痢疾。《黄帝内经》说：“春季受风邪，夏季发生飧泄（完谷不化的腹泻）。”怎么能拘泥于“无积不成痢”的说法呢？难道一年之中，唯独在夏秋两季，所有人都会有积滞吗？大概是因为风邪侵入胃部，木克土（肝木乘脾土），若不表现为暴注下迫的急性腹泻，就会形成痢疾。赤白混杂，这是阴阳之气不分明的表现，治疗方法应当以分辨正气的阴阳为主。
夹热而患痢疾的，则大便下红色，这是因为风邪扰动血分所致。
治疗方法：推三关、退六腑、清心经、和阴阳、推大肠、补脾土、运八卦、补肾水、揉脐部及龟尾穴。
夹冷而患痢疾的，则大便纯为白色冻状物，或者白色中带有粉红色，或者像猪肝瘀血一样，这些都属阴证。因为血液遇寒则凝结的缘故。
治疗方法：推三关、运八卦、补脾土、推大肠、和阴阳、推天门入虎口、揉脐部及龟尾穴。
夏季感受暑邪，秋季便成疟疾，隔日发作或连续发作，病情少有减轻。解除表邪去除病气必须按次序进行，随后宜养胃固护脾胃。
夏季感受暑邪，秋季必定患疟疾。这是因为腠理开泄出汗时遇到风邪，或者洗澡时水气含留在皮肤之间，导致卫气不能固守，邪气并居体内，疾病才开始发作。出现伸欠、恶寒战栗，腰背俱痛，骨节烦疼。寒气退去后，内外都发热，头痛且口渴，这是阴阳二气交争，虚实交替变化所致。如果阴气独盛则阳气虚，所以先出现寒战栗；如果阳气独盛则阴虚，所以先出现发热。阴盛阳虚，则内外皆寒；阳盛阴虚，则内外俱热。当阴阳各自衰退，卫气与病气分离，疾病就会痊愈；如果阴阳相搏，卫气与病气再次聚集，疾病就会复发。这都是随着卫气所在的位置，与所中的邪气相结合而发生的。
疟疾兼有呕吐、腹痛的：
治疗方法：推三关、补脾土、分阴阳、揉脐、运八卦。
痰疟，一天发作一次的：
治疗方法：推三关、清肺经、分阴阳、运八卦、按弦搓摩。
久疟不退，且脾气虚弱的：
适宜补脾土（二百次）、分阴阳（一百次）、运八卦（二百次）。
邪疟，到晚上才发作的：
适宜推三关（五十次）、补脾土（一百次）、分阴阳（三百次）、运八卦、退六腑（二百次）、推天门入虎口。
瘅疟，只有发热没有发冷的：
适宜推三关、补脾土、分阴阳、运八卦、清肺经、退六腑、掐间使穴和内关穴（各一截）、推天门入虎口、掐肘部穴位。
Pediatric dysentery requires careful application of tuina (pediatric massage) techniques. It is not solely caused by gan accumulation (malnutrition syndrome). Although cold and heat dysenteries differ in presentation, the key lies in the clear-sighted physician's ability to broaden the intestines and regulate the stomach.
Regarding red and white dysentery, people generally believe that red indicates yang and heat, while white indicates yin and cold; or they assert that dysentery cannot occur without food stagnation. If one treats them interchangeably using methods for cold or heat, efficacy will likely be poor. Without investigating the root cause, how can it be cured? Moreover, when the eight winds of the four seasons invade the human body, and the five movements and six qi interact with mutual overcoming, dysentery is common in summer and autumn. The *Huangdi Neijing* states: "Wind injury in spring leads to uncooked stool diarrhea in summer." How can one rigidly adhere to the saying that "no stagnation means no dysentery"? Does it mean that only in summer and autumn do all people have stagnation? Generally, wind pathogen enters the stomach, and wood overcomes earth (liver wood invades spleen earth). If it does not manifest as acute violent diarrhea, it becomes dysentery. Red and white mixed stools indicate a lack of distinction between yin and yang energies. The treatment method should primarily focus on distinguishing the correct yin and yang.
For dysentery complicated by heat, the stool is red, which is due to wind stirring the blood level.
Treatment method: Push San Guan (Three Gates), Retire Liu Fu (Six Limbs), Clear Xin Jing (Heart Meridian), Harmonize Yin and Yang, Push Da Chang (Large Intestine), Tonify Pi Tu (Spleen Earth), Rotate Ba Gua (Eight Trigrams), Tonify Shen Shui (Kidney Water), Rub Qi (Navel) and Gui Wei (Turtle Tail acupoint).
For dysentery complicated by cold, the stool is purely white and jelly-like, or white with pinkish hues, or resembling pig liver bruised blood. These are all yin syndromes, because blood coagulates when exposed to cold.
Treatment method: Push San Guan, Rotate Ba Gua, Tonify Pi Tu, Push Da Chang, Harmonize Yin and Yang, Push Tian Men into Hu Kou (Heavenly Gate into Tiger's Mouth), Rub Qi and Gui Wei.
Summer injury by summer-heat leads to malaria in autumn. Attacks may occur every other day or consecutively, with little relief. Resolving the exterior and eliminating pathogens must follow a sequence, followed by nourishing the stomach and consolidating the spleen.
Summer injury by summer-heat inevitably leads to malaria in autumn. This occurs because when pores open and sweat is released, wind pathogen is encountered, or bathwater vapor remains trapped in the skin. Due to defensive qi (Wei Qi) failing to guard, pathogens gather together, and the disease begins. Symptoms include yawning, aversion to cold and shivering, pain in the waist and back, and vexing pain in bone joints. After the cold recedes, both interior and exterior become hot, accompanied by headache and thirst. This is caused by the contention of yin and yang energies, resulting from alternating deficiency and excess. If yin energy alone prevails, yang becomes deficient, hence chills and shivering occur first. If yang energy alone prevails, yin becomes deficient, hence fever occurs first. Yin excess and yang deficiency lead to cold throughout; yang excess and yin deficiency lead to heat throughout. When yin and yang both decline, and Wei Qi separates from the pathogenic qi, the illness heals. If yin and yang contend, and Wei Qi gathers again with the pathogenic qi, the illness recurs. This happens according to where Wei Qi resides and combines with the invading pathogen.
Malaria complicated by vomiting and abdominal pain:
Treatment method: Push San Guan, Tonify Pi Tu, Divide Yin and Yang, Rub Qi, Rotate Ba Gua.
Phlegm malaria, occurring once a day:
Treatment method: Push San Guan, Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Rotate Ba Gua, Press Strings and Rub (An Xian Cuo Mo technique).
Chronic malaria that does not recede, accompanied by spleen qi deficiency:
Suitable to Tonify Pi Tu (200 times), Divide Yin and Yang (100 times), Rotate Ba Gua (200 times).
Pathogenic malaria, manifesting late in the evening:
Suitable to Push San Guan (50 times), Tonify Pi Tu (100 times), Divide Yin and Yang (300 times), Rotate Ba Gua, Retire Liu Fu (200 times), Push Tian Men into Hu Kou.
Dan malaria (fever-only malaria), characterized by fever without chills:
Suitable to Push San Guan, Tonify Pi Tu, Divide Yin and Yang, Rotate Ba Gua, Clear Fei Jing, Retire Liu Fu, Pinch Jian Shi (Intercesus) and Nei Guan (Inner Pass) acupoints (one segment each), Push Tian Men into Hu Kou, Pinch Zhou (Elbow) area.