五脏俱能成疳。先从脾伤而起。其儿面黄口白。肌瘦肚大。发稀竖。必脾家病去。诸脏方安。
故以补脾为主。法宜分阴阳。运八卦。少推三关。多退六腑。侧推大肠到虎口。清天河。清肾水。按
弦走搓摩。重补脾土。方用延寿丹。决明良方。其效如神。救活甚易。
小儿 疾。如种上相沿。遇天阴发者。不必治。或食生盐。或伤风寒者。一推即愈。宜分阴阳。
运八卦。推三关。推肺经。掐横纹。掐指尖。重揉二扇门。黄蜂入洞。揉肾水。取汗。轻者合阴阳。照
天河从总经。极力一推至曲池。方用六味地黄丸。加肉桂附子为丸食之。可保无虞。然而根难除
也。大人如此。
小儿淋涩。火也。宜清之。法宜分阴阳。运八卦。运五经。清肾水。清天河。捞明月。向丹田擦。
下多上少。如小水不止。十数遍以至百遍。乃真火少。不能克水。补元气为妙。法宜分阴阳。运八
卦。补脾土。补肾水。运水入土。重推三关。大小便结法。宜分阴阳。运八卦。补脾土。清肾水。运水
入土。小便结。用运土入水。大便结。用退六腑。双龙摆尾。方用葱白加蜂蜜捣成膏。摊布上。小便
结。贴肾囊。大便结。贴肚脐。立愈。肾水枯短。法宜揉小天心。补肾水。补肺经。
火眼之症有三。有上视。有下视。有两目齐闭不开。总因肝脏热。又兼有风。以散风清火为
妙。宜分阴阳。运八卦。清天河。捞明月。掏合骨。补肾水。二人上马。掐阳池。退六腑。揉上天心。
上视往下揉。下视往上揉。不开从中间两分揉抹。若风眼。治法同前。但彼退六腑。此推三关。眼
胀头痛。宜风池一截。上视泄心经。掐中冲横纹。右视掐右端正。左视掐左端正。方总服延寿丹。
以灯心汤送下。即愈。
五脏都能导致疳疾。但通常先从脾脏受损开始。患儿面色发黄、口唇苍白，肌肉消瘦而腹部胀大，头发稀疏且竖立。只有脾脏的疾病痊愈后，其他脏腑的功能才能安宁。
因此治疗以补益脾胃为主。推拿手法适宜采用分阴阳、运八卦、少推三关、多退六腑、侧向推大肠至虎口、清天河水、清肾水、按弦走搓摩、重补脾土。方剂选用延寿丹或决明良方，疗效神奇，救治容易成功。
小儿疳疾（此处指因先天禀赋或后天失调导致的慢性虚弱性疾病），如种痘后遗留的病症，遇到阴天发作时，不必特殊治疗。若是食用生盐过多，或感受风寒所致，通过一次推拿即可痊愈。适宜手法包括分阴阳、运八卦、推三关、推肺经、掐横纹、掐指尖、重揉二扇门、黄蜂入洞、揉肾水以取汗。病情较轻者，可用合阴阳法，沿天河水从总经极力一推至曲池穴。方剂选用六味地黄丸，加入肉桂和附子制成丸药服用，可保证无虞。然而病根难以彻底清除，成人也有类似情况。
小儿淋证涩痛，属于火邪所致，适宜清热。推拿手法适宜分阴阳、运八卦、运五经、清肾水、清天河水、捞明月、向丹田方向擦拭。若小便次数多而量少，甚至十数遍至百遍，这是真火不足，不能制约水液，此时补益元气最为巧妙。适宜手法为分阴阳、运八卦、补脾土、补肾水、运水入土、重推三关。对于大小便不通结滞的情况，适宜分阴阳、运八卦、补脾土、清肾水、运水入土。小便结滞，用运土入水法；大便结滞，用退六腑法及双龙摆尾法。方剂选用葱白加蜂蜜捣成膏状，摊在布上。小便结滞贴于肾囊部位，大便结滞贴于肚脐，立即见效。若肾水枯竭短少，适宜揉小天心、补肾水、补肺经。
火眼症状有三种：有向上视物、向下视物、双眼紧闭不开。总因肝脏有热，又兼受风邪，以疏散风邪、清泻火热为妙。适宜手法包括分阴阳、运八卦、清天河水、捞明月、掏合骨、补肾水、二人上马、掐阳池、退六腑、揉上天心。向上视者往下揉，向下视者往上揉，眼睛不开者从中间向两侧分揉抹。若是风眼，治疗方法与前述相同，只是前者退六腑，此法推三关。若眼胀头痛，宜推风池穴一段距离。向上视泄心经，掐中冲穴及横纹；向右视掐右侧端正穴，向左视掐左侧端正穴。方剂总服延寿丹，以灯心草汤送服，即可痊愈。
All five zang organs can lead to gan disease (a pediatric condition characterized by malnutrition and digestive dysfunction). However, it usually originates from damage to the spleen. The child presents with a sallow complexion, white lips, emaciated muscles, and a distended abdomen, along with sparse and upright hair. Only when the pathology of the spleen is resolved can the other zang organs be at peace.
Therefore, treatment focuses on tonifying the spleen. The tuina techniques should include dividing yin and yang (Fen Yin Yang), moving the eight trigrams (Yun Ba Gua), pushing the three gates (Tui San Guan) sparingly, and retreating the six palaces (Tui Liu Fu) extensively. Push the large intestine channel laterally towards the tiger's mouth (Hu Kou). Clear the Heavenly River Water (Qing Tian He Shui), clear the Kidney Water (Qing Shen Shui), perform "pressing the string and walking搓摩" (An Xian Zuo Cuo Mo), and heavily tonify the Spleen Earth (Bu Pi Tu). Use the formulas Yanshou Dan (Longevity Pill) or Jieming Liang Fang (Excellent Formula for Clear Vision); their efficacy is miraculous, and rescue is easy.
Pediatric gan disease, such as sequelae following vaccination, which flares up on cloudy days, requires no specific treatment. If caused by excessive consumption of raw salt or contraction of wind-cold, one session of tuina will suffice. Suitable techniques include dividing yin and yang, moving the eight trigrams, pushing the three gates, pushing the Lung Meridian, pinching the transverse crease (Qia Heng Wen), pinching the fingertips, heavily rubbing the Two Gates of Heaven (Er Feng Men), performing "Yellow Bee Entering the Cave" (Huang Feng Ru Dong), and rubbing the Kidney Water (Rou Shen Shui) to induce sweating. For mild cases, use the combining yin and yang technique (He Yin Yang), push vigorously along the Heavenly River Water from the total meridian (Zong Jing) up to the Quchi point (Qūchí, LI11). Use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), added with Cinnamon Twig (Rou Gui) and Aconite Root (Fu Zi), made into pills for oral administration, ensuring safety. However, the root cause is difficult to eradicate; adults may experience similar conditions.
Pediatric strangury with dysuria is due to fire pathogen and should be cleared. Techniques include dividing yin and yang, moving the eight trigrams, moving the five meridians (Yun Wu Jing), clearing the Kidney Water, clearing the Heavenly River Water, scooping the bright moon (Lao Ming Yue), and wiping towards the Dantian. If urination is frequent but scanty, occurring dozens or even hundreds of times, this indicates insufficient true fire failing to control water; tonifying primordial qi (Yuan Qi) is optimal. Techniques include dividing yin and yang, moving the eight trigrams, tonifying the Spleen Earth, tonifying the Kidney Water, moving water into earth (Yun Shui Ru Tu), and heavily pushing the three gates. For constipation of both urine and stool, divide yin and yang, move the eight trigrams, tonify the Spleen Earth, clear the Kidney Water, and move water into earth. For urinary retention, use moving earth into water (Yun Tu Ru Shui); for fecal retention, use retreating the six palaces and "Two Dragons Waving Their Tails" (Shuang Long Bai Wei). Apply a paste made of Scallion White (Cong Bai) and honey onto cloth. For urinary retention, apply to the scrotum; for fecal retention, apply to the umbilicus; cure is immediate. For dried-up kidney water and shortness, rub the Little Sky Heart (Xiao Tian Xin), tonify the Kidney Water, and tonify the Lung Meridian.
Fire eye symptoms manifest in three ways: upward gaze, downward gaze, or both eyes tightly closed. This is generally due to liver heat combined with wind pathogen; dispersing wind and clearing fire is ideal. Techniques include dividing yin and yang, moving the eight trigrams, clearing the Heavenly River Water, scooping the bright moon, digging the He Gu point (Tao He Gu - *Note: likely referring to a specific pediatric point or typo for Hegu*), tonifying the Kidney Water, performing "Two People Mounting Horse" (Er Ren Shang Ma), pinching the Yang Chi point (Yángchí, TE4), retreating the six palaces, and rubbing the Upper Sky Heart (Shang Tian Xin). For upward gaze, rub downwards; for downward gaze, rub upwards; for closed eyes, rub and wipe from the center outwards. For wind eye, the treatment is the same as above, except that retreating the six palaces is replaced by pushing the three gates. For eye distension and headache, push the Fengchi point (Fēngchí, GB20) segment. For upward gaze, drain the Heart Meridian and pinch Zhongchong (Zhòngchōng, PC9) and the transverse crease; for rightward gaze, pinch the right Duan Zheng point; for leftward gaze, pinch the left Duan Zheng point. Administer Yanshou Dan orally, taken down with Jiedexin Decoction (Dentary Grass Tea); recovery follows.