涂君蔚生，余之忘形友也。性介直，有奇志，好学能深思。民国五年，毕业于豫南师范学校，方将展其所学，
以显于世，卒以落落愤时，退居闾里，日沉潜乎典籍，观摩乎金石，咏诵挥洒之余，间亦涉猎医药百家之书。适其
时地方苦疾疫，而乡曲少医药，君试其术以治人，无不活。遂慨然以为士之欲求有济于世也，须得其时。彼禹稷益
弃，不逢盛世，则一匹夫，而与草木同腐耳。岂若仓公扁鹊之伦，树德当时，流惠后世之易哉。于是益致力于医，
极深研几，苦心孤诣，举凡《黄帝素问》之秘，雷公岐伯之奥，无不尽其玄妙，穷其幽邃。其术益精，其活人益
众，蒙赐者皆已口勒而心铭矣，固无庸余言以为重轻也。丙寅春，以事来梁，知好或劝之悬壶，君谓一人之力有
限，所活无多，乃以幼科哑症，书之善本，世无良医，叔焉忧之，拟先编订救世，然后考正群书。今年夏，《推
拿抉微》书成，嘱为之序。余谓君集各家之名言，本历年之经验，阐幽抉微，多所发明，信可谓赤子之宝筏，幼儿
之福星。然尚愿君之推此志也以往，将泽加天下，不仅以医名也。
戊辰六月二十日同邑牧芸张士杰谨序
余少壮多病，旋即弃儒业医，研究《内》、《难》、《伤寒》诸书，固非谙于小儿各科者也。然以幼科之求
治者，余每以延医大人之法治之，亦恒着效。是小儿之柔嫩脏腑，除不堪消受重剂药外，未始与大人相异者矣。惟以
儿性各殊，有可服药与不可服药之区别，余以感受此种困难，屡思征求其他捷易方术。旋闻里南有陶石庵者，工推
拿之法，余心焉慕之，间亦演习此术，以手代药。然所购推拿各书，仅有《铁镜录》、《推拿广意》、《保赤推拿
》数种。夏禹铸之《铁镜录》，症治粗具，而其推拿各法，未免过于简陋。陈紫山之《推拿广意》，略备推拿，而其
各种惊症，未免过于荒谬。夏英白之《保赤推拿》，法简明矣，术精确矣，而其认症用药诸法，具属阙如。以之治
疗幼科，又安可视为若操左券乎？余鉴于此中得失，蓄志重为编着者，已非一日。而以时不我假，卒未如愿。乙丑
冬，蒋师厄守信阳，余以困居城内，无所事事，始获从事编着。月余城围解，时间既少，脱稿尤难。丙寅夏，抵汴垣，
届冬历春夏迄秋，年又十一阅月，方能脱稿。噫！是书之成也，虽参证各家，拉杂成篇，不无瑕疵可指，而此心
此志，总冀于世不无小补云耳。
民国十七年戊辰河南信阳涂蔚生序于汴垣医室
涂蔚生先生，是我无话不谈的挚友。他性格耿介正直，怀有奇特的志向，勤奋好学且善于深入思考。民国五年（1916年），他从豫南师范学校毕业，本打算施展他的学识，在世间显露才华，却因性格孤高、愤世嫉俗，退隐回到乡里，每天沉浸在典籍之中，观摩金石碑刻，在吟诗作赋之余，偶尔也涉猎医学百家的书籍。恰逢当时地方上苦于疾疫流行，而乡村缺少医药，他尝试用医术治病救人，没有不治愈的。于是他感慨地认为，士人想要对世间有所救济，必须遇到合适的时机。像大禹、后稷、伯益那样的人，如果不逢盛世，也不过是一介平民，最终与草木一同腐烂罢了。哪里比得上仓公（淳于意）、扁鹊这一类人，在当时树立德行，将恩惠流传给后世那么容易呢？于是更加致力于医学，深入研究精微的道理，苦心钻研，独创一格，凡是《黄帝素问》的奥秘，雷公、岐伯的深奥之处，无不穷尽其中的玄妙，探究其幽深邃远。他的医术日益精湛，救活的人越来越多，蒙受他恩赐的人都已口述铭记、心中铭刻，本来就不需要我来发表意见以增重或减损了。丙寅年（1926年）春天，他因事来到开封（梁苑之地），知交好友有的劝他开设医馆行医，他说一个人的力量有限，能救活的人不多，于是将儿科哑症（指小儿失音或吞咽困难等症）的善本整理出来，感叹世上缺乏良医，为此感到担忧，计划先编纂救世的书籍，然后考证校正各类医书。今年夏天，《推拿抉微》一书编成，嘱咐我为它写序。我说涂先生汇集各家的名言，基于多年的经验，阐发幽微之理，多有发明创造，确实可以说是初生婴儿的宝筏（渡河工具，喻指救命之法），幼儿的福星。然而仍希望涂先生推广此志，使恩泽遍及天下，不仅仅以医生之名闻名于世。
戊辰年（1928年）六月二十日，同乡牧芸张士杰谨序。
我年少壮盛时多病，随即放弃儒业转而学医，研究《内经》、《难经》、《伤寒论》等书籍，原本并非精通小儿各科的专家。然而因为求治的小儿患者，我每次都用治疗成年人的方法来对待他们，也常常取得疗效。这是因为小儿柔嫩的脏腑，除了不能承受药性猛烈的重剂药物外，并未始与成年人有什么差异。只是由于小儿性情各异，存在可以服药和不可以服药的区别，我因此感受到这种困难，多次思考寻求其他简便易行的方法。不久听说城南有个叫陶石庵的人，擅长推拿法，我心里仰慕他，偶尔也演习这门技术，以手代药。然而所购买的推拿书籍，仅有《铁镜录》、《推拿广意》、《保赤推拿》几种。夏禹铸的《铁镜录》，病症治疗大体具备，但其推拿各种手法，未免过于简陋。陈紫山的《推拿广意》，略备推拿内容，但其对各种惊风病症的处理，未免过于荒谬。夏英白的《保赤推拿》，法则简明，技艺精确，但其认症用药等方法，完全缺失。用它来治疗儿科疾病，又怎么可以视为像握券取物一样容易保证成功呢？我鉴于其中的得失，立志重新编写著作，已经不止一天了。但因为时光不等人，最终未能如愿。乙丑年（1925年）冬天，蒋师厄守信阳，我因被困居城内，无所事事，才开始从事编写工作。一个多月后城围解除，时间既少，脱稿尤其困难。丙寅年（1926年）夏天，抵达开封，经历冬、春、夏直至秋天，历时一年零十一个月，才能脱稿。唉！这本书的完成，虽然参考验证各家学说，杂乱地拼凑成篇，难免有瑕疵可指，但我的心志，总是希望它对世人能有一点小小的补益罢了。
民国十七年戊辰年（1928年）河南信阳涂蔚生于开封医室序
Mr. Tu Weisheng is my intimate friend with whom I share all thoughts. He has a straightforward and upright character, extraordinary aspirations, and is diligent in learning with profound thinking abilities. In the fifth year of the Republic of China (1916), he graduated from the Henan Southern Normal School. Just as he was about to display his knowledge and make his mark on the world, due to his aloofness and indignation at the times, he retreated to his hometown. There, he immersed himself daily in classics and studied bronze inscriptions and stone carvings. Amidst chanting poetry and writing calligraphy, he occasionally dabbled in books on various schools of medicine. At that time, the local area suffered from epidemics, while rural areas lacked medical care. When he tried his skills to treat people, none failed to survive. He then sighed, realizing that for a scholar to benefit the world, one must encounter the right timing. Figures like Yu the Great, Hou Ji, and Bo Yi, if not born in prosperous ages, would remain commoners, rotting alongside grass and trees. How could this compare to the ease with which figures like Cang Gong (Chunyu Yi) and Bian Que established virtue in their times and passed benefits to posterity? Thus, he devoted himself even more to medicine, exploring its depths and mysteries. With painstaking effort and unique insight, he exhausted the secrets of *Huangdi Suswen* (Yellow Emperor's Inner Canon: Plain Questions) and the profundities of Leigong and Qibo. His techniques became increasingly refined, and the number of people he saved grew larger. Those who received his grace have engraved it in their hearts and mouths; there is no need for me to add weight or lightness to his reputation. In the spring of Bingyin (1926), he came to Liang (Kaifeng) for business. Friends advised him to open a clinic. He replied that an individual's power is limited, and the number of lives saved would be few. Therefore, he compiled excellent texts on pediatric aphonia (infantile loss of voice or swallowing difficulties). Lamenting the lack of good physicians in the world, he worried and planned to first compile books to save the world, and then verify and correct various medical texts. This summer, the book *Tuina Juewei* (Essentials of Tuina) was completed, and he asked me to write a preface. I said that Mr. Tu has collected famous sayings from various schools, based on years of experience, elucidated obscure and subtle principles, and made many discoveries. It can truly be called a raft for newborns and a lucky star for infants. However, I still hope that Mr. Tu will extend this ambition, spreading benevolence to the whole world, not just gaining fame as a physician.
On the 20th day of the sixth month of Wuchen (1928), your humble servant Zhang Shijie, a fellow townsman named Muyun, respectfully wrote the preface.
In my youth and prime, I suffered from frequent illnesses and soon abandoned Confucian studies for medicine. I studied books such as *Neijing* (Inner Canon), *Nanjing* (Classic of Difficult Issues), and *Shanghan Lun* (Treatise on Cold Damage Disorders). Originally, I was not proficient in pediatric specialties. However, when treating children, I often applied methods used for adults, and these treatments frequently proved effective. This is because the tender viscera of children, apart from being unable to tolerate heavy doses of potent medicines, are not fundamentally different from those of adults. The difference lies mainly in the varied temperaments of children, creating distinctions between those who can take medicine and those who cannot. Facing this difficulty, I repeatedly sought other quick and easy methods. Soon, I heard of a man named Tao Shi'an in the southern part of the town who excelled in Tuina (Chinese therapeutic massage). I admired him and occasionally practiced this technique, using hands instead of medicine. However, the Tuina books I purchased were only a few types: *Tiejing Lu* (Record of the Iron Mirror), *Tuina Guangyi* (Broad Meaning of Tuina), and *Baochi Tuina* (Protecting Infant Tuina). Xia Yuzhu's *Tiejing Lu* covered symptoms and treatments roughly, but its Tuina methods were too simplistic. Chen Zishan's *Tuina Guangyi* briefly prepared Tuina content, but its handling of various convulsive disorders was absurd. Xia Yingbai's *Baochi Tuina* had simple laws and precise techniques, but lacked methods for syndrome differentiation and medication. Using it to treat pediatrics, how could one consider success as guaranteed as holding a voucher? Observing these gains and losses, I had long harbored the ambition to rewrite and compile works, but time did not wait, and I failed to realize my wish. In the winter of Yichou (1925), Master Jiang E guarded Xinyang. As I was confined within the city walls with nothing to do, I finally began compiling. A month later, the siege was lifted. Time was scarce, making completion difficult. In the summer of Bingyin (1926), I arrived in Bianyuan (Kaifeng). From winter through spring, summer, and autumn, spanning eleven months, I finally finished the manuscript. Alas! Although this book references various schools and is somewhat杂乱ly assembled, leaving room for criticism, my heart and ambition always hoped it would offer some small benefit to the world.
Preface by Tu Weisheng of Xinyang, Henan, at his medical room in Bianyuan, on the 17th year of the Republic of China, Wuchen (1928).