\r男子左手正面之图\pG-G89.bmp\r
自掌至天河穴为上，自天河穴至指头为下。
\r男子左手背面之图\pG-G89a.bmp\r
一、掐两扇门，发脏腑之汗，两手掐揉，平中指为界，壮热汗多者，揉之即止。又治急
惊，口眼歪斜，左向右重，右向左重。
一、掐二人上马，能补肾，清神顺气，苏醒沉 ，性温和。
一、掐外劳宫，和脏腑之热气，遍身潮热，肚起青筋揉之效。
一、掐一窝风，治肚疼，唇白眼白一哭一死者，除风去热。
一、掐五指节，伤风被水吓，四肢常掣，面带青色用之。
一、掐精宁穴，气吼痰喘，干呕痞积用之。
一、掐威灵穴，治急惊暴死。掐此处有声可治，无声难治。
一、掐阳池，止头痛，清补肾水，大小便闭塞，或赤黄，眼翻白，又能发汗。
一、推外关，间使穴，能止转筋吐泻。外八卦，通一身之气血，开脏腑之秘结，穴络平
和而荡荡也。
\r女子右手正面之图\pG-G90.bmp\r
\r女子右手背面之图\pG-G90a.bmp\r
（针用毫针，艾炷如小麦，或雀粪大）
《宝鉴》曰∶急慢惊风，灸前项。若不愈，灸攒竹，人中各三壮。
或谓急惊属肝，慢惊属脾，《宝鉴》不分。灸前顶，攒竹二穴，俱太阳、督脉，未详其
小儿慢惊风，灸尺泽各七壮。初生小儿，脐风撮口，灸然谷三壮，或针三分，不见血，
立效。小儿癫痫、 瘕、脊强互相引，灸长强三十壮。小儿癫痫惊风，目眩，灸神庭一穴
七壮。小儿风痫，先屈手指如数物，乃发也，灸鼻柱直发际宛宛中三壮。小儿惊痫，先惊怖
啼叫乃发，灸后顶上旋毛中三壮，两耳后青丝脉。小儿癖气久不消，灸章门各七壮，脐后脊
中灸二七壮。小儿胁下满，泻痢体重，四肢不收， 癖积聚，腹痛不嗜食， 疟寒热，又治
腹胀引背，食饮多，渐渐黄瘦，灸十一椎下两旁，相去各一寸五分，七壮。小儿黄胆，灸三
壮。小儿疳瘦脱肛，体瘦渴饮，形容瘦瘁，诸方不瘥，灸尾闾骨上三寸陷中三壮，兼三伏内
，用杨汤水浴之，正午时灸。自灸之后，用帛子拭，见有疳虫随汗出，此法神效。小儿身羸
瘦，贲豚腹胀，四肢懈惰，肩背不举，灸章门。小儿吐乳汁，灸中庭一壮。小儿脱肛泻血，
秋深不效，灸龟尾一壮。脱肛，灸脐中三壮；《千金》云∶随年壮。脱肛久不瘥及风痫中风
，角弓反张，多哭，语言不择，发无时节，甚则吐涎沫，灸百会七壮。
【背景信息】
书名：针灸大成 章节：阴掌图各穴手法仙诀 / 小儿 类别：针灸
男子左手正面穴位图（图片占位）
从手掌根部至天河穴为上部，从天河穴至手指末端为下部。
男子左手背面穴位图（图片占位）
一、掐两扇门穴，可发脏腑之汗。双手掐揉，以中指位置为界限，若患儿壮热且汗多者，揉搓后即停止。此法又用于治疗急惊风（急性惊厥），症见口眼歪斜，向左歪斜时右侧用力重，向右歪斜时左侧用力重。
二、掐二人上马穴，能补肾，清神顺气，苏醒昏迷（沉痼），药性温和。
三、掐外劳宫穴，调和脏腑热气，治疗遍身潮热，腹部出现青筋者，揉搓此穴有效。
四、掐一窝风穴，治疗腹痛，对于唇白、眼白、一哭即死（指危重症状）者，可除风去热。
五、掐五指节，用于伤风或因水惊吓所致，四肢经常抽搐，面色发青者。
六、掐精宁穴，用于气促痰喘、干呕、痞积（腹部肿块或积滞）。
七、掐威灵穴，治疗急惊风暴死。掐此处若有声音则易治，无声则难治。
八、掐阳池穴，止头痛，清补肾水，治疗大小便闭塞，或小便赤黄，眼球上翻白眼，又能发汗。
九、推外关穴、间使穴，能止转筋（肌肉痉挛）、呕吐腹泻。外八卦穴，通达一身气血，开通脏腑秘结，使经络平和通畅。
女子右手正面穴位图（图片占位）
女子右手背面穴位图（图片占位）
（针刺使用毫针，艾灸艾炷如小麦大，或麻雀粪大小）
《小儿按摩经》（宝鉴）说：急惊风和慢惊风，灸上述前项穴位。如果无效，再灸攒竹穴、人中穴各三壮。
有人说急惊风属肝，慢惊风属脾，《宝鉴》未加区分。灸前顶穴、攒竹穴二穴，均属于太阳经和督脉，其原理不详。
小儿慢惊风，灸尺泽穴各七壮。初生婴儿患脐风撮口（新生儿破伤风），灸然谷穴三壮，或针刺三分，不出血，立即见效。小儿癫痫、瘕聚（腹内结块）、脊强互相牵引，灸长强穴三十壮。小儿癫痫惊风，目眩，灸神庭穴一穴七壮。小儿风痫，先屈手指似数物状，然后发作，灸鼻柱直对发际凹陷处三壮。小儿惊痫，先惊恐啼叫然后发作，灸后头顶旋毛中三壮，以及两耳后青色静脉处。小儿癖气久不消散，灸章门穴各七壮，脐后脊中灸十四壮。小儿胁下胀满，泻痢体重，四肢无力不收，瘕癖积聚，腹痛不想吃东西，寒热往来如疟疾，又治疗腹胀牵引背部，饮食增多但渐渐黄瘦，灸第十一椎骨下两旁，距离各一寸五分，每穴七壮。小儿黄疸，灸三壮。小儿疳积消瘦脱肛，身体瘦弱口渴饮水，形体憔悴，各种方剂无效，灸尾闾骨上三寸凹陷处三壮，兼在三伏天期间，用杨汤水洗澡，正午时施灸。自灸之后，用帛子擦拭，可见有疳虫随汗排出，此法神效。小儿身体羸瘦，贲豚（气从少腹上冲胸咽）、腹胀，四肢懈怠懒惰，肩背不能抬起，灸章门穴。小儿吐乳汁，灸中庭穴一壮。小儿脱肛泻血，深秋时节效果不佳，灸龟尾穴一壮。脱肛，灸脐中三壮；《千金方》说：按患儿年龄决定壮数（随年壮）。脱肛久治不愈及风痫中风，角弓反张，多哭，言语错乱不分对象，发作无定时，甚至吐涎沫，灸百会穴七壮。
[Background Information]
Book: Zhenjiu Dacheng (Great Compendium of Acupuncture and Moxibustion)
Chapter: Xianjue for Manipulation Techniques of Each Acupoint on the Yin Palm Diagram / Pediatrics
Category: Acupuncture
Diagram of the Front Side of a Male Child's Left Hand [Image Placeholder]
The area from the palm base to Tianhe (Conception Vessel 17, CV17) is the upper part; the area from Tianhe to the fingertips is the lower part.
Diagram of the Back Side of a Male Child's Left Hand [Image Placeholder]
1. Pinching Liangmenshan (Two Gates Door): Induces sweating from the zang-fu organs. Pinch and knead both hands, using the middle finger as the boundary. If the child has high fever with excessive sweating, stop kneading immediately. This method also treats Ji Jingfeng (Acute Convulsion), characterized by deviation of the mouth and eyes. When deviated to the left, apply heavier pressure on the right; when deviated to the right, apply heavier pressure on the left.
2. Pinching Erren Shangma (Two People Mounting Horse): Tonifies the Kidney, clears the spirit, regulates qi, and revives coma (Chen Gu). The nature is mild and gentle.
3. Pinching Wailaogong (Outer Laogong): Harmonizes heat in the zang-fu organs. Effective for generalized tidal fever and distended blue veins on the abdomen.
4. Pinching Yiwo Feng (One Nest Wind): Treats abdominal pain. For critical conditions where lips and sclera turn white and death follows crying, it expels wind and clears heat.
5. Pinching Wuzhi Jie (Five Finger Joints): Used for wind-cold invasion or fright from water, causing frequent spasms of the four limbs and a bluish complexion.
6. Pinching Jingning (Spirit Peace): Used for wheezing with phlegm, dry heaving, and Pi Ji (abdominal masses or stagnation).
7. Pinching Weiling (Majestic Spirit): Treats sudden death due to acute convulsions. If sound is produced upon pinching, it is treatable; if silent, it is difficult to treat.
8. Pinching Yangchi (Yang Pool): Stops headache, tonifies and clears Kidney Water, treats constipation or urinary retention with yellow/red urine, upward rolling of the eyes, and induces sweating.
9. Pushing Waiguan (Outer Pass) and Jianshi (Intercalated Sea): Stops muscle spasms (Zhuan Jin), vomiting, and diarrhea. Wuba Gua (Outer Eight Trigrams) unblocks qi and blood throughout the body and opens zang-fu obstructions, bringing meridians to a state of peace and free flow.
Diagram of the Front Side of a Female Child's Right Hand [Image Placeholder]
Diagram of the Back Side of a Female Child's Right Hand [Image Placeholder]
(Acupuncture uses filiform needles; moxa cones should be the size of wheat grains or sparrow droppings.)
According to *Xiao'er Anmo Jing* (Treasure Mirror): For Ji Jingfeng (Acute Convulsion) and Man Jingfeng (Chronic Convulsion), moxibustion is applied to the aforementioned points. If there is no improvement, moxa three burns (Zhuang) at Canzhu (Bladder 2, BL2) and Renzhong (Governor Vessel 26, GV26).
Some argue that Ji Jingfeng belongs to the Liver and Man Jingfeng belongs to the Spleen, but *Treasure Mirror* does not distinguish them. Moxibustion is applied to Qian Ding (Governor Vessel 20, GV20) and Canzhu (BL2); both belong to the Taiyang and Du Mai (Governor Vessel), though the rationale is not detailed.
For pediatric Man Jingfeng (Chronic Convulsion), moxa seven Zhuang at Chize (Lung 5, LU5). For newborns suffering from Qifeng Cuokou (Neonatal Tetanus/lockjaw), moxa three Zhuang at RanGu (Kidney 2, KI2), or needle 0.3 cun without bleeding, yielding immediate effect. For pediatric epilepsy, Jia Ju (abdominal masses), and stiff spine with mutual pulling, moxa thirty Zhuang at Changqiang (Governor Vessel 1, GV1). For pediatric epilepsy and convulsions with dizziness, moxa seven Zhuang at Shenting (Governor Vessel 24, GV24). For pediatric Feng Xian (Wind Epilepsy), which manifests first by flexing fingers as if counting objects before onset, moxa three Zhuang at the depression directly above the nasal bridge aligned with the hairline. For pediatric Jing Xian (Fright Epilepsy), which manifests first with frightened crying before onset, moxa three Zhuang at the center of the whorl on the top of the head, and also at the cyanic veins behind both ears. For persistent Pi Qi (accumulated masses) in children that does not dissipate, moxa seven Zhuang at Zhangmen (Liver 13, LR13), and fourteen Zhuang at the center of the spine behind the umbilicus. For children with fullness under the ribs, dysentery with heavy body, flaccidity of the four limbs unable to hold themselves, Jia Pi accumulations, abdominal pain with loss of appetite, and alternating chills and fever like malaria, as well as for treating abdominal distension radiating to the back, polyphagia followed by gradual emaciation and jaundice, moxa seven Zhuang at the sides of the spinous process of the eleventh thoracic vertebra, each 1.5 cun away. For pediatric Jaundice, moxa three Zhuang. For pediatric Gan Syndrome (malnutrition) with rectal prolapse, emaciation, thirst, and wasted appearance, where various prescriptions fail, moxa three Zhuang at the depression 3 cun above the coccyx (Weilu). During the Sanfu days (dog days), combine this with bathing in willow soup, performing moxibustion at noon. After moxibustion, wipe with silk; if Gan worms are seen exuding with sweat, this method is miraculous. For children with severe emaciation, Ben Tun (Qi rushing from lower abdomen to chest/throat), abdominal distension, lethargy of the four limbs, and inability to lift shoulders and back, moxa at Zhangmen (LR13). For infants vomiting milk, moxa one Zhuang at Zhongting (Conception Vessel 12, CV12). For pediatric rectal prolapse with bloody stool, if late autumn treatments fail, moxa one Zhuang at Guiwei (Governor Vessel 1, GV1 - note: often synonymous with Changqiang in some contexts, here distinct). For rectal prolapse, moxa three Zhuang at Shenque (Conception Vessel 8, CV8); *Qianjin Fang* states: use the number of Zhuang equal to the child's age. For chronic rectal prolapse unresponsive to treatment, and for Feng Xian or Zhong Feng (Stroke) presenting with opisthotonos, excessive crying, inappropriate speech, irregular onset, and even salivation, moxa seven Zhuang at Baihui (Governor Vessel 20, GV20).