食积既久。顽结成痞。左积为痰。痰从食起。右积为气。气与痰结。宜速除之。久者七日十日
方消。法宜分阴阳。运八卦。运五经。掐四横纹。推三关。补脾土。久揉按弦走搓摩。侧推大肠到虎
口。清肝火。清肺经。天门虎口揉 肘。方用田螺师车前草捣敷丹田。
肿有十症。大抵湿热脾虚而起。脉浮为风虚。沉伏为水病。沉则脉络虚。伏则小便难。即为正
水。脾脉虚大。多作脾肿。因循不治。乃成水肿。盖脾土喜燥而恶湿。土败不能治水。则停蓄不行。
留滞皮肤。故作浮肿。初起时。见眼胞早辰浮突。至午后稍消。然此症夏与秋冬治之颇易。惟春水
泛溢。兼之肝木旺。而脾土受克。不能治水。所以难疗。进退不常。须徐徐调理取效。大凡小儿浮
肿。先用发散。然后行泄法。推用葱姜。加真麻油。再用酒一盏。飞盐少许。皂角一片为末。黄土一
盅同炒。布包。倒合手心。掐大指节。即消。法宜分阴阳。运八卦。推三关。推脾土。黄蜂入洞。运五
经。揉二扇门。以止泄。补肾水。虎口 肘。补脾土。运土入水。气肿专是脾虚。不能生金。以致肺
家虚气作胀。宜分阴阳。运八卦。推三关。补脾土。运水入土。天门虎口 肘。按弦走搓摩。此推用
淡醋亦可。又有浮肿。因小儿多食伤湿。气不行故肿。非水非气。食散而肿自消。法宜分阴阳。运
八卦。揉中脘。按弦走搓摩。揉HT 门。天门。虎口 肘。补脾土。灸龟尾。（男左女右。）
饮食积滞时间过长，顽固地结聚形成痞块。左侧的积滞转化为痰，痰由饮食积滞产生；右侧的积滞转化为气，气与痰相互结聚。应当迅速将其消除，病程较长的需要七到十天才能消散。推拿手法适宜采用分阴阳、运八卦、运五经、掐四横纹、推三关、补脾土。长时间揉按“弦”部并配合走搓摩手法，向侧方推大肠经直至虎口部位，清肝火，清肺经，在天门至虎口连线及肘部进行揉法。处方使用田螺和车前草捣烂后敷贴于丹田穴。
肿胀有十种症状表现，大抵是由湿热和脾虚引起的。脉象浮表示风邪或虚证，脉象沉伏表示水病。脉沉说明脉络虚弱，脉伏说明小便困难，这属于正水（正常的水肿病）。脾脉虚大，多表现为脾脏肿大，如果拖延不治疗，就会发展成水肿。因为脾土喜欢干燥而厌恶湿气，脾土衰败不能运化水湿，导致水液停蓄不行，滞留于皮肤之间，所以出现浮肿。初起时，可见眼睑在早晨浮肿突起，到了午后稍微消退。然而此症在夏季以及秋季、冬季治疗颇为容易，只有在春季，雨水泛滥，加之肝木旺盛克制脾土，脾土不能运化水湿，所以难以治疗。病情进退无常，必须慢慢调理才能见效。大凡小儿浮肿，先用发散的方法，然后使用行泄法。推拿时用葱白和生姜，加入真正的麻油，再用酒一盏，飞盐少许，皂角一片研成粉末，黄土一盅一同炒热，用布包裹，倒扣在手心，掐按大拇指节，浮肿即可消退。手法适宜分阴阳、运八卦、推三关、推脾土、黄蜂入洞、运五经、揉二扇门以止泻，补肾水，在虎口至肘部操作，补脾土，运土入水。气肿专门是因为脾虚，不能生养肺气，导致肺家虚气作胀。适宜分阴阳、运八卦、推三关、补脾土、运水入土、天门至虎口及肘部揉法、按弦走搓摩。此处推拿使用淡醋也可以。又有浮肿，是因为小儿多吃东西损伤湿气，气机运行不畅所以肿胀，既不是水也不是气，食积消散而肿胀自然消除。手法适宜分阴阳、运八卦、揉中脘、按弦走搓摩、揉HT门（注：原文疑为特定穴位名或误字，保留原意）、天门、虎口至肘部揉法、补脾土、灸龟尾。（男性左手法，女性右手法定位或操作顺序，依古法通常指左右手操作差异，此处直译）
When food stagnation persists for a long time, it stubbornly condenses into a mass (Pi Ji). Accumulation on the left transforms into phlegm, which arises from food stagnation; accumulation on the right transforms into Qi, which knots with phlegm. It should be eliminated quickly. For chronic cases, it takes seven to ten days to dissipate. The massage techniques should include separating Yin and Yang, moving the Eight Trigrams, moving the Five Meridians, pinching the Four Transverse Creases, pushing the Three Gates, and tonifying Spleen Earth. Long-term rubbing and pressing of the "string" area combined with rubbing and kneading techniques, lateral pushing of the Large Intestine meridian up to the Tiger's Mouth point, clearing Liver Fire, clearing Lung Meridian, and rubbing at Tianmen (Heavenly Gate), the line between Tianmen and Tiger's Mouth, and the elbow. The prescription involves crushing Field Snail (Cipraeum) and Plantago Seed Herb (Cheqiancao) and applying the paste to the Dantian (Sea of Qi) acupoint.
Swelling presents with ten types of symptoms, generally arising from damp-heat and Spleen deficiency. A floating pulse indicates wind or deficiency; a deep and hidden pulse indicates water disease. A deep pulse suggests weak meridians; a hidden pulse suggests difficulty in urination, which constitutes Zheng Shui (standard edema). A deficient and large Spleen pulse often indicates Spleen enlargement. If neglected and untreated, it develops into edema. This is because Spleen Earth prefers dryness and dislikes dampness. When Spleen Earth fails, it cannot control water, leading to fluid retention and stagnation in the skin, causing swelling. Initially, the eyelids may appear swollen in the morning and subside slightly by afternoon. However, this condition is relatively easy to treat in summer, autumn, and winter. In spring, when rainwater floods and Liver Wood flourishes to overact upon Spleen Earth, making Spleen Earth unable to transform water, it becomes difficult to treat. The progression and regression are irregular, requiring gradual regulation to achieve efficacy. Generally, for pediatric edema, first use dispersing methods, then draining methods. Massage with scallion white and ginger, add pure sesame oil, then one cup of wine, a little refined salt, powder from one piece of Gleditsia Sinensis Fruit (Zaojiao), and one bowl of yellow earth, stir-fried together. Wrap in cloth, invert onto the palm, pinch the thumb joint, and the swelling will subside. Techniques should include separating Yin and Yang, moving the Eight Trigrams, pushing the Three Gates, pushing Spleen Earth, Yellow Bee Entering the Cave, moving the Five Meridians, rubbing the Two Doors of Wind to stop diarrhea, tonifying Kidney Water, operating at the Tiger's Mouth to elbow area, tonifying Spleen Earth, and moving Earth into Water. Qi distension is specifically due to Spleen deficiency failing to generate Metal (Lung), resulting in empty Qi causing bloating in the Lungs. Suitable techniques include separating Yin and Yang, moving the Eight Trigrams, pushing the Three Gates, tonifying Spleen Earth, moving Water into Earth, rubbing at Tianmen, Tiger's Mouth to elbow, and pressing the string with rubbing and kneading. Light vinegar can also be used for massage here. Another type of edema occurs because children overeat, damaging dampness, and Qi fails to circulate, causing swelling; this is neither water nor Qi, but food stagnation. Once the food disperses, the swelling naturally subsides. Techniques should include separating Yin and Yang, moving the Eight Trigrams, rubbing Zhongwan (CV12), pressing the string with rubbing and kneading, rubbing HT Men (likely a specific point or typo in original text), Tianmen, Tiger's Mouth to elbow rubbing, tonifying Spleen Earth, and moxibustion on Guwei (GV1). (For males, operate on the left; for females, on the right.)