威灵穴。在外牢右边。与上一扇门相对。双手以我两大指甲与甲合。一齐着力。如小儿手嫩。
以绸绢隔之。掐虽重而不伤儿手。此治小儿急惊。一搐一死。有声治。无声不治。
向导穴。在外牢左边。与二扇门相对。掐此穴揉之。治小儿痰涌气促气急。用此法即散。
一扇门穴。在食将两指根夹缝中。二扇门穴。在无名小指夹缝处。以我两大指肉掐揉之。治
小儿汗不出。热不退。
大三关者。对风气命食指上小三关而言也。属真火元气也。其穴从鱼际穴。往膀上边。到手
弯曲池。故曰侧。其推法。以我二指。或三指。从容用力。自鱼际推到曲池。培补元气。第一有功。
熏蒸取汗。此为要着。男子左手。从鱼际推到曲池。女子从曲池推往鱼际在右手。皆大补之剂。大
热之药也。
六腑穴。在膀之下。上对三关。退者。从 肘处向外推至大横纹头。属凉。专治脏腑热。大便
结。遍身潮热。人事昏沉。三焦火病。此为要着。若女子。则从大横纹头向里推至曲池以取凉。在
右手。医家须小心记之。不可误用。男女惟此不同耳。
合上二法。大寒大热。偏用。若补元气。必相剂而用。未可偏也。但推数多寡之不同耳。
上天心者。大天心也。在天庭中。小儿病目。揉此甚效。以我大指按揉之。眼珠上视。往下揉。
眼珠下视。往上揉。两目不开。左右分揉。口眼歪斜。亦必揉此。
威灵穴。位于外劳宫穴的右侧。与上一扇门穴相对。操作时,医者用双手的大拇指指甲与指腹配合,同时用力掐按。如果小儿的手部皮肤娇嫩,可以用丝绸或绢布隔开再进行掐按。这样即使力度较重也不会损伤小儿的手。此法用于治疗小儿急惊风。若抽搐伴有声音者可以治愈,无声者则难以治愈。
向导穴。位于外劳宫穴的左侧。与二扇门穴相对。掐按此穴后加以揉动,可治疗小儿痰液涌盛、气促和气急的症状。使用此法可使痰气消散。
一扇门穴。位于食指和中指指根之间的夹缝中。二扇门穴。位于无名指和小指指根之间的夹缝处。医者用两个大拇指的肉际部分进行掐揉。此法用于治疗小儿无汗、发热不退的症状。
大三关穴。是相对于风气命穴和食指上的小三关而言的。它归属于真火元气。该穴位从鱼际穴开始,沿着手臂外侧向上,直到手肘弯曲处的曲池穴,因此称为“侧”推法。操作方法是用医者的食指和中指(或三指),从容且均匀地用力,从鱼际穴推向曲池穴,以培补元气,这是首要功效;通过熏蒸作用促使出汗,这是关键要点。男子左手,从鱼际推向曲池;女子右手,从曲池推向鱼际。这都相当于大补之剂,是大热性质的药物。
六腑穴。位于手臂内侧下方,上方对应三关穴。“退”的操作是从肘横纹处向外推至大横纹头。属性为凉性。专门治疗脏腑实热、大便干结、全身潮热、神志昏沉以及三焦火病等症。这是关键要点。若是女子,则从大横纹头向内推至曲池穴以取凉效,操作在右手进行。医生必须小心牢记,不可误用。男女在此法的操作方向上唯独这一点不同。
综合上述两种方法,对于大寒或大热的病症,可以单独偏用;若要补益元气,则必须两者配合使用,不可偏废。只是推拿的次数多少有所不同罢了。
上天心穴。即大天心穴。位于额头正中(天庭)。小儿患眼疾时,揉按此穴非常有效。医者用大拇指按揉。若患儿眼球上视,则向下揉;若眼球下视,则向上揉。若双眼无法睁开,则向左右两侧分揉。若出现口眼歪斜,也必须揉按此穴。
Weiling Point. Located on the right side of Wailaogong (Outer Labor Palace). It is opposite to the upper Yishanmen (One Gate Door) point. The operator uses both hands, combining the nails and flesh of the two thumbs, applying force simultaneously. If the child's hand skin is tender, a silk or gauze cloth can be placed between the operator's fingers and the child's hand to prevent injury even with heavy pressure. This method treats acute convulsive disease in children (Ji Jing Feng). If convulsions are accompanied by sound, it is treatable; if without sound, it is difficult to cure.
Xiangdao Point. Located on the left side of Wailaogong (Outer Labor Palace). It is opposite to Ershanmen (Two Gate Doors) point. After pinching this point, rub it. It treats phlegm surging, shortness of breath, and rapid breathing in children. Using this method dissipates the phlegm and qi obstruction.
Yishanmen Point. Located in the cleft between the roots of the index finger and middle finger. Ershanmen Point. Located in the cleft between the roots of the ring finger and little finger. The operator uses the fleshy parts of both thumbs to pinch and rub. It treats anhidrosis (absence of sweating) and persistent fever in children.
Da Sanguan (Great Three Passes). This term refers to the area relative to Fengqiming (Wind Qi Life) point and Xiao Sanguan (Small Three Passes) on the index finger. It belongs to Zhenhuo Yuanyuan (True Fire and Original Qi). The point extends from Yuji (Lu-10) towards the elbow side up to Quchi (LI-11) at the bend of the arm, hence referred to as "lateral" pushing. The technique involves using two or three fingers of the operator, applying steady and moderate force, pushing from Yuji (Lu-10) to Quchi (LI-11) to nourish and tonify Original Qi, which is its primary merit; inducing sweating through warming stimulation is a key measure. For males, push from Yuji (Lu-10) to Quchi (LI-11) on the left hand; for females, push from Quchi (LI-11) to Yuji (Lu-10) on the right hand. Both act as major tonifying agents and are equivalent to strongly heating herbs.
Liufu (Six Fu) Point. Located below the inner forearm, opposite to Sanguan above. "Retreating" (Tui) involves pushing outward from the elbow crease to the head of the transverse wrist crease. Its nature is cooling. It specifically treats internal heat of the Zang-Fu organs, constipation, tidal fever over the whole body, mental confusion, and Sanjiao (Triple Burner) fire diseases. This is a crucial technique. For females, push inward from the head of the transverse wrist crease to Quchi (LI-11) to achieve cooling effects, performed on the right hand. Physicians must remember this carefully to avoid misuse. The only difference between males and females lies in this specific direction.
Combining the above two methods: for conditions of extreme cold or extreme heat, one may use them exclusively; however, to tonify Original Qi, they must be used in conjunction, not separately. The difference lies only in the number of repetitions.
Shang Tianxin (Upper Heavenly Heart). Also known as Da Tianxin (Great Heavenly Heart). Located in the center of the forehead (Tian Ting). Rubbing this point is very effective for eye diseases in children. The operator presses and rubs with the thumb. If the eyeballs roll upward, rub downward; if they roll downward, rub upward. If the eyes cannot open, rub laterally to both sides. For facial paralysis characterized by deviation of the mouth and eye, this point must also be rubbed.