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Pediatric dysentery requires careful application of tuina (pediatric massage) techniques. It is not solely caused by gan accumulation (malnutrition syndrome). Although cold and heat dysenteries differ in presentation, the key lies in the clear-sighted physician's ability to broaden the intestines and regulate the stomach.

Regarding red and white dysentery, people generally believe that red indicates yang and heat, while white indicates yin and cold; or they assert that dysentery cannot occur without food stagnation. If one treats them interchangeably using methods for cold or heat, efficacy will likely be poor. Without investigating the root cause, how can it be cured? Moreover, when the eight winds of the four seasons invade the human body, and the five movements and six qi interact with mutual overcoming, dysentery is common in summer and autumn. The *Huangdi Neijing* states: "Wind injury in spring leads to uncooked stool diarrhea in summer." How can one rigidly adhere to the saying that "no stagnation means no dysentery"? Does it mean that only in summer and autumn do all people have stagnation? Generally, wind pathogen enters the stomach, and wood overcomes earth (liver wood invades spleen earth). If it does not manifest as acute violent diarrhea, it becomes dysentery. Red and white mixed stools indicate a lack of distinction between yin and yang energies. The treatment method should primarily focus on distinguishing the correct yin and yang.

For dysentery complicated by heat, the stool is red, which is due to wind stirring the blood level.
Treatment method: Push San Guan (Three Gates), Retire Liu Fu (Six Limbs), Clear Xin Jing (Heart Meridian), Harmonize Yin and Yang, Push Da Chang (Large Intestine), Tonify Pi Tu (Spleen Earth), Rotate Ba Gua (Eight Trigrams), Tonify Shen Shui (Kidney Water), Rub Qi (Navel) and Gui Wei (Turtle Tail acupoint).

For dysentery complicated by cold, the stool is purely white and jelly-like, or white with pinkish hues, or resembling pig liver bruised blood. These are all yin syndromes, because blood coagulates when exposed to cold.
Treatment method: Push San Guan, Rotate Ba Gua, Tonify Pi Tu, Push Da Chang, Harmonize Yin and Yang, Push Tian Men into Hu Kou (Heavenly Gate into Tiger's Mouth), Rub Qi and Gui Wei.

Summer injury by summer-heat leads to malaria in autumn. Attacks may occur every other day or consecutively, with little relief. Resolving the exterior and eliminating pathogens must follow a sequence, followed by nourishing the stomach and consolidating the spleen.

Summer injury by summer-heat inevitably leads to malaria in autumn. This occurs because when pores open and sweat is released, wind pathogen is encountered, or bathwater vapor remains trapped in the skin. Due to defensive qi (Wei Qi) failing to guard, pathogens gather together, and the disease begins. Symptoms include yawning, aversion to cold and shivering, pain in the waist and back, and vexing pain in bone joints. After the cold recedes, both interior and exterior become hot, accompanied by headache and thirst. This is caused by the contention of yin and yang energies, resulting from alternating deficiency and excess. If yin energy alone prevails, yang becomes deficient, hence chills and shivering occur first. If yang energy alone prevails, yin becomes deficient, hence fever occurs first. Yin excess and yang deficiency lead to cold throughout; yang excess and yin deficiency lead to heat throughout. When yin and yang both decline, and Wei Qi separates from the pathogenic qi, the illness heals. If yin and yang contend, and Wei Qi gathers again with the pathogenic qi, the illness recurs. This happens according to where Wei Qi resides and combines with the invading pathogen.

Malaria complicated by vomiting and abdominal pain:
Treatment method: Push San Guan, Tonify Pi Tu, Divide Yin and Yang, Rub Qi, Rotate Ba Gua.

Phlegm malaria, occurring once a day:
Treatment method: Push San Guan, Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Rotate Ba Gua, Press Strings and Rub (An Xian Cuo Mo technique).

Chronic malaria that does not recede, accompanied by spleen qi deficiency:
Suitable to Tonify Pi Tu (200 times), Divide Yin and Yang (100 times), Rotate Ba Gua (200 times).

Pathogenic malaria, manifesting late in the evening:
Suitable to Push San Guan (50 times), Tonify Pi Tu (100 times), Divide Yin and Yang (300 times), Rotate Ba Gua, Retire Liu Fu (200 times), Push Tian Men into Hu Kou.

Dan malaria (fever-only malaria), characterized by fever without chills:
Suitable to Push San Guan, Tonify Pi Tu, Divide Yin and Yang, Rotate Ba Gua, Clear Fei Jing, Retire Liu Fu, Pinch Jian Shi (Intercesus) and Nei Guan (Inner Pass) acupoints (one segment each), Push Tian Men into Hu Kou, Pinch Zhou (Elbow) area.