推拿小儿如何说。只在三关用手诀。掐在心经与劳宫。热汗立至何愁雪。不然重掐二扇门。
大汗如雨便休歇。若治痢疾并水泻。重推大肠经一节。侧推虎口见工夫。再推阴阳分寒热。若问
男女咳嗽诀。多推肺经是法则。八卦离起到干宫。中间宜手轻些些。凡运八卦开胸膈。四横纹掐
和气血。五脏六腑气候闭。运动五经开其塞。饮食不进儿着吓。推展脾土就吃得。饮食若进人事
瘦。曲指补脾何须歇。直指推之便为清。曲指推之为补诀。小儿若作风火吓。多推五指指之节。大
便闭塞久不通。盖因六腑有积热。小横肚角要施工。更掐肾水下一节。口出臭气心经热。只要天
河水清彻。上入洪池下入掌。万病之中都去得。若是遍身不退热。外牢宫上多揉些。不问大热与
小炎。更有水底捞明月。天门虎口 肘诀。重揉顺气又生血。黄蜂入洞医阴病。冷气冷痰俱治得。
阳池穴掐心头痛。一窝风掐肚痛绝。威灵总心救暴亡。精宁穴治打逆噎。男女眼若往上翻。重掐
小天心一穴。二人上马补肾经。治得下来就醒些。男左女右三关推。上热退下冷如铁。寒者温之
热者清。虚者补之实者泄。仙人留下救儿诀。后学殷勤谨慎些。
心经有冷目无光。面赤须言热病当。赤见山根惊四足。疾成虚肿起阴阳。
解曰。太阳黑。目无光彩。此心经冷也。两颊赤色。乃心经热也。山根赤色。心经受风。下准头
主恶邪。又若三阴三阳虚肿。心有痰也。
肝经有冷面微青。有热眉泡赤又临。发际白兮惊便入。食仓黄是积深沉。
解曰。面青为肝经受冷。主发热惊风。眉上肿有赤纹。此是肝经有热。若发际并印堂略白。此
乃肝惊也。腮上有黄色。主肝有痰也。
脾冷因知面色黄。三阳有白热为殃。青居发际主惊候。唇口皆黄食疾伤。
解曰。面黄印堂反白者。此脾冷也。三阳上有白色者。乃脾热也。发际及印堂色青者。此脾惊
也。上下唇黄。乃脾经受病也。
肺寒面白冷为由。热赤人中及嘴头。青在山根惊要起。热居发际痰为仇。
解曰。白色在面皮。及人中青者。肺受冷也。若人中嘴头有赤色。此乃肺有热也。山根有青
色。肺受惊也。发际有赤色。内有痰也。
面黑当知肾脏寒。食仓红是热须看。风门黄色为惊入。两目微沉痰所干。
解曰。面有黑色。肾受寒也。食仓红。肾受热也。风门有黄色。肾有惊也。两目微沉。痰在肾也。
推拿小儿的方法，关键在于运用三关的手部操作诀法。掐按心经穴和劳宫穴，若遇热证出汗，立刻见效，何愁寒邪如雪难化。如果不奏效，就重掐二扇门穴，大汗淋漓后病症即可停止。若要治疗痢疾和水泻，需重推大肠经一段；侧向推虎口处可见手法高低，再结合阴阳推法以区分寒热。若问男女咳嗽的治诀，多推肺经是基本法则。从八卦中的离卦位推到干卦位，中间部位手法宜轻柔。凡是运八卦可开胸膈之郁结，掐四横纹可调和气血。五脏六腑的气机闭塞时，运动五经以开通其阻塞。饮食不进是因为孩子受惊吓，推补脾土（脾经）就能进食。如果饮食能进但身体消瘦，用曲指法补脾无需停歇。直指推之为清法，曲指推之为补诀。小儿若因风火惊吓致病，多推五指节的穴位。大便闭塞久不通，是因为六腑有积热。此时要施术于小横纹和肚角穴，再掐肾水穴下一段。口出臭气是心经有热，只需天河水穴清彻推之，从上入洪池穴下至掌心，万病皆可去除。若是遍身不退热，在外牢宫穴上多揉搓些。不问是大热还是小炎症，还有“水底捞明月”这一法。天门、虎口、肘部的诀法，重揉可顺气又生血。黄蜂入洞穴医治阴寒病，冷气冷痰都能治愈。阳池穴掐治心头痛，一窝风穴掐治腹痛绝症。威灵穴总治心痛并救暴亡，精宁穴治打嗝噎逆。男女眼睛若往上翻，重掐小天心一穴。二人上马穴补肾经，治疗后症状缓解人就清醒些。男左女右推三关，上热退去下冷如铁。寒者用温法，热者用清法，虚者用补法，实者用泄法。这是仙人留下的救儿诀，后学者应殷勤谨慎地学习。
心经有寒则目光无神，面赤说明是热病。山根见赤色主惊风四肢抽搐，疾病发展会导致虚肿，涉及阴阳两经。
解释：眼珠黑睛部分无光彩，这是心经寒冷所致。两颊赤色，是心经有热。山根赤色，是心经受风。下准头（鼻准）主恶邪。若三阴三阳出现虚肿，是有心痰。
肝经有寒则面色微青，有热则眉毛肿胀发红。发际发白则惊风易入，食仓发黄则是积滞深沉。
解释：面色青为肝经受冷，主发热惊风。眉毛上肿且有赤纹，这是肝经有热。若发际和印堂略白，这是肝惊。腮上有黄色，主肝有痰。
脾冷可知面色黄，三阳部位有白色则为热殃。青色居于发际主惊候，唇口皆黄是食积伤脾。
解释：面色黄而印堂反白，这是脾冷。三阳部位有白色，是脾热。发际及印堂色青，这是脾惊。上下唇黄，是脾经受病。
肺寒面白由寒冷引起，热证则人中及嘴头红赤。青色在山根主惊风将起，红色在发际主痰为患。
解释：面部皮肤白色及人中青色，是肺受冷。若人中、嘴头有赤色，这是肺有热。山根有青色，是肺受惊。发际有赤色，内有痰。
面黑当知肾脏寒，食仓红是热须看。风门黄色为惊入，两目微沉痰所干。
解释：面有黑色，是肾受寒。食仓红，是肾受热。风门有黄色，是肾有惊。两目微沉，是痰在肾。
How to perform pediatric tuina? It lies in the hand techniques applied to the Three Passes (San Guan). Pinching the Xin Jing (Heart Meridian) and Laogong (PC 8) points will induce sweating immediately in cases of heat, dispelling cold as easily as melting snow. If ineffective, heavily pinch the Er Men Shan (Two Gate Doors) point; profuse sweating will cause the symptoms to subside. To treat dysentery and watery diarrhea, heavily push the Da Chang Jing (Large Intestine Meridian) segment. Pushing sideways at the Tiger's Mouth reveals skill level; further pushing along Yin and Yang meridians differentiates cold from heat. Regarding coughs in both males and females, frequently pushing the Fei Jing (Lung Meridian) is the standard method. Moving through the Eight Trigrams from Li Palace to Qian Palace requires lighter touch in the middle. Generally, manipulating the Eight Trigrams opens the chest and diaphragm; pinching the Si Heng Wen (Four Transverse Creases) harmonizes Qi and Blood. When the Qi mechanisms of the Five Zang and Six Fu organs are blocked, moving the Five Meridians unblocks them. Poor appetite due to fright can be resolved by pushing Pi Tu (Spleen Earth); if food intake improves but the child remains thin, using the curved-finger technique to tonify the Spleen is effective without rest. Direct pushing clears heat, while curved pushing tonifies. For wind-fire fright in children, frequently push the finger joints. Prolonged constipation stems from accumulated heat in the Six Fu organs; apply treatment at Xiao Heng Wen (Small Transverse Crease) and Du Jiao (Belly Corner), and pinch one segment below Shen Shui (Kidney Water). Foul breath indicates Heart Heat, treated by clearing Tian He Shui (River of Heaven) from Hong Chi (HC 3) down to the palm, effective for myriad diseases. For persistent whole-body fever, rub Wai Lao Gong extensively. Regardless of high or low-grade fever, "Fishing for the Moon at the Bottom of the Water" is applicable. Techniques involving Tian Men (Heavenly Gate), Hu Kou (Tiger's Mouth), and Elbow promote Qi circulation and generate blood. Huang Feng Ru Dong (Yellow Bee Entering the Cave) treats Yin-cold diseases, including cold qi and cold phlegm. Pinching Yang Chi (Yang Pool) treats heart and head pain; Yi Wo Feng (One Nest Wind) treats severe abdominal pain. Wei Ling (Mighty Spirit) treats heart pain and sudden collapse; Jing Ning (Essential Peace) treats hiccups and choking. Upward rolling of eyes in both sexes is treated by heavily pinching Xiao Tian Xin (Little Heavenly Heart). Er Ren Shang Ma (Two People Mounting Horses) tonifies the Kidney Meridian, restoring consciousness upon improvement. Pushing the Three Passes on the left for males and right for females: upper heat recedes, lower cold becomes like iron. Cold is treated with warming methods, heat with clearing, deficiency with tonifying, and excess with purging. These are the savior's secrets left by immortals; successors must study diligently and cautiously.
Cold in the Heart Meridian results in lackluster eyes; facial redness indicates heat disease. Redness at Shan Gen (Root of Nose) signifies fright affecting the four limbs; progression leads to edema involving Yin and Yang meridians.
Explanation: Lackluster black pupils indicate Heart Meridian cold. Redness on both cheeks indicates Heart Meridian heat. Redness at Shan Gen indicates Wind invading the Heart Meridian. The area below Zhun Tou (Nose Tip) relates to evil pathogens. Edema across the Three Yin and Three Yang meridians suggests Phlegm in the Heart.
Cold in the Liver Meridian manifests as slightly blue complexion; heat presents with swollen eyebrows and redness. Whitening at the hairline invites fright; yellow at Shi Cang (Food Granary) indicates deep accumulation.
Explanation: Blue complexion indicates Liver Meridian cold, leading to fever and convulsions. Swollen eyebrows with red streaks indicate Liver Meridian heat. Whitening at the hairline and Yin Tang (Between Eyebrows) indicates Liver Fright. Yellow color on the cheeks indicates Phlegm in the Liver.
Yellow face indicates Spleen Cold; white at the Three Yang areas indicates heat disaster. Blue at the hairline indicates fright; yellow lips and mouth indicate food injury to the Spleen.
Explanation: Yellow face with reverse whiteness at Yin Tang indicates Spleen Cold. Whiteness at the Three Yang areas indicates Spleen Heat. Blue color at the hairline and Yin Tang indicates Spleen Fright. Yellow upper and lower lips indicate Spleen Meridian pathology.
White face indicates Lung Cold caused by chill; redness at Ren Zhong (Philtrum) and mouth tip indicates heat. Blue at Shan Gen indicates impending fright; redness at hairline indicates Phlegm as the enemy.
Explanation: White skin on the face and blue at Ren Zhong indicate Lung Cold. Redness at Ren Zhong and mouth tip indicates Lung Heat. Blue at Shan Gen indicates Lung Fright. Redness at the hairline indicates internal Phlegm.
Black face indicates Kidney Cold; red at Shi Cang indicates heat. Yellow at Feng Men (Wind Door) indicates fright invasion; sunken eyes indicate Phlegm affecting the Kidneys.
Explanation: Black complexion indicates Kidney Cold. Redness at Shi Cang indicates Kidney Heat. Yellow at Feng Men indicates Kidney Fright. Sunken eyes indicate Phlegm residing in the Kidneys.