夏英白曰∶凡推皆用葱姜水,浸医人大指。若小儿病重者,须以麝香末沾医人指上用之,先从眉心向额上推二
十四下,谓之开天门。
夏英白曰∶于开天门后,从眉心分推至两眉外稍太阴太阳二
穴九数,太阴穴在右眉外稍,太阳穴在左眉外稍。
夏英白曰∶于分太阴太阳二穴后,再于天庭、眉心、山风、延年、准头、人中、承浆各穴,皆用大指甲一掐。
天庭在额上,眉心在两眉夹界,山风在鼻洼,延年在鼻高骨,准头在鼻尖,人中在鼻下口上,承浆在口下低处。
夏英白曰∶于掐天庭各穴后,将两手捻儿两耳垂揉之,再将两手捧儿头摇之。
夏英白曰∶凡推首先用此四法,以开关窍,然后择用诸法。
夏英白曰∶治女揉太阴穴发汗,若发汗太过,揉太阳穴数下以止之。治男揉太阴穴,反止其汗。
夏英白曰∶治男揉太阳穴发汗,若发汗太过,揉太阴穴数下以止之。治女揉太阳穴反止汗。
夏英白曰∶以两手摄儿两耳垂揉之治风,儿眼向左邪,则揉右垂,右邪则揉左垂,上邪则揉下垂,下邪则揉
上垂。如初风眼不邪,皆轻重如一。
涂蔚生曰∶此节之风字,夏英白原为一惊字,余以惊风既属
有异,而玩此节英白之惊字,即含风字在内,故易之以免眩迷。
夏英白曰∶从坎到艮,左旋推治热,亦止吐,从艮到坎,右旋推治凉,亦止泻。掌中离南坎北,震东兑西,
干西北艮东北,巽东南坤西南,皆推左手。
夏英白说:凡是进行推拿,都要使用葱姜水,将医生的大拇指浸泡其中。如果小儿病情严重,必须用麝香粉末沾在医生手指上使用。操作时,先从眉心向额头上方推二十四下,这叫做“开天门”。
夏英白说:在“开天门”之后,从眉心分别向两侧眉毛外侧稍偏的位置分推至太阴、太阳二穴九次(即按九的倍数推)。太阴穴位于右侧眉毛外侧稍偏处,太阳穴位于左侧眉毛外侧稍偏处。
夏英白说:在分推太阴、太阳二穴之后,再对天庭、眉心、山根、延年、准头、人中、承浆各穴,都用大指甲掐一下。天庭穴在额头上,眉心在两眉之间的交界处,山根在鼻窝处,延年在鼻梁高骨处,准头在鼻尖,人中的位置在鼻子下方、嘴唇上方,承浆在下巴下方的凹陷处。
夏英白说:在掐完天庭等各穴后,用双手捻揉孩子的两个耳垂,然后再用双手捧住孩子的头部摇晃。
夏英白说:凡是推拿首先使用这四种方法,以开通窍道,然后再选择使用其他各种方法。
夏英白说:治疗女孩时,揉太阴穴可以发汗;如果发汗过多,揉太阳穴几下以停止发汗。治疗男孩时,揉太阴穴反而能止汗。
夏英白说:治疗男孩时,揉太阳穴可以发汗;如果发汗过多,揉太阴穴几下以停止发汗。治疗女孩时,揉太阳穴反而能止汗。
夏英白说:用双手捏拿并揉搓孩子的两个耳垂来治疗风邪。如果孩子眼睛向左斜视,则揉右侧耳垂;向右斜视则揉左侧耳垂;向上斜视则揉下侧耳垂;向下斜视则揉上侧耳垂。如果初起时眼睛没有斜视,揉搓的力度都应轻重一致。
涂蔚生说:这一节中的“风”字,夏英白原文原为“惊”字。我认为惊风既属于不同的范畴,且细读此节中夏英白所说的“惊”字,其实已包含“风”字的含义在内,因此将其改为“风”字以避免混淆迷惑。
夏英白说:从坎位到艮位,向左旋转推治热证,也能止吐;从艮位到坎位,向右旋转推治寒证,也能止泻。手掌中离卦在南,坎卦在北,震卦在东,兑卦在西,乾卦在西北,艮卦在东北,巽卦在东南,坤卦在西南,这些方位都对应推左手。
Xia Yingbai stated: For all tuina (massage) procedures, scallion and ginger water should be used to soak the practitioner's thumb. If the child's condition is severe, musk powder should be applied to the practitioner's finger for use. The operation begins by pushing from the glabella (Yintang acupoint) upwards to the forehead twenty-four times, which is called "Opening the Heavenly Gate" (Kai Tian Men).
Xia Yingbai stated: After "Opening the Heavenly Gate," push separately from the glabella towards the outer ends of the eyebrows at the Taiyin and Taiyang acupoints nine times (in multiples of nine). The Taiyin acupoint is located slightly outside the right eyebrow, and the Taiyang acupoint is located slightly outside the left eyebrow.
Xia Yingbai stated: After separating the pushes at the Taiyin and Taiyang acupoints, pinch each of the following acupoints with the thumbnail: Tinggong (Heavenly Court), Glabella (Yintang), Shangen (Mountain Root), Yannian (Longevity), Zhuntou (Nose Tip), Renzhong (Governor Vessel 26), and Chengjiang (Chin Groove). The Tinggong acupoint is on the forehead; the Glabella is at the junction between the two eyebrows; Shangen is in the nasal depression; Yannian is on the high bone of the nose bridge; Zhuntou is at the tip of the nose; Renzhong is below the nose and above the upper lip; Chengjiang is in the depression below the lower lip.
Xia Yingbai stated: After pinching the Tinggong and other acupoints, use both hands to twist and rub the child's earlobes, then hold the child's head with both hands and shake it.
Xia Yingbai stated: These four methods are always used first in tuina to open the orifices and meridians, after which other methods are selected for use.
Xia Yingbai stated: When treating girls, rubbing the Taiyin acupoint induces sweating; if sweating is excessive, rubbing the Taiyang acupoint a few times stops it. When treating boys, rubbing the Taiyin acupoint instead stops sweating.
Xia Yingbai stated: When treating boys, rubbing the Taiyang acupoint induces sweating; if sweating is excessive, rubbing the Taiyin acupoint a few times stops it. When treating girls, rubbing the Taiyang acupoint instead stops sweating.
Xia Yingbai stated: Use both hands to pinch and rub the child's earlobes to treat wind-pathogens. If the child's eyes deviate to the left, rub the right earlobe; if they deviate to the right, rub the left earlobe; if they deviate upward, rub the lower part of the earlobe; if they deviate downward, rub the upper part of the earlobe. If the eyes do not deviate initially, the pressure applied should be consistent in lightness and heaviness.
Tu Weisheng stated: The character "wind" (Feng) in this section was originally "startle" (Jing) in Xia Yingbai's original text. I believe that while "startle-wind" (Jing Feng) belongs to a distinct category, reading Xia Yingbai's mention of "startle" in this section inherently contains the meaning of "wind." Therefore, I changed it to "wind" to avoid confusion.
Xia Yingbai stated: Pushing from Kan to Gen in a counter-clockwise direction treats heat syndromes and also stops vomiting; pushing from Gen to Kan in a clockwise direction treats cold syndromes and also stops diarrhea. In the palm, Li corresponds to South, Kan to North, Zhen to East, Dui to West, Qian to Northwest, Gen to Northeast, Xun to Southeast, and Kun to Southwest. All these directions correspond to pushing the left hand.