诸热元初各有因。对时发者是潮名。乍来乍止为虚症。乍作无寒属骨蒸。
夫胎热者。儿生三朝。旬月之间。目闭而赤。眼胞浮肿。常作呻吟。或啼叫不已。时复惊烦。遍体壮热。小便黄色。
此因在胎之时。母受时气热毒。或误服温剂。过食五辛。致令热蕴于内。熏蒸胎气。生下因有此症。名曰胎热。若
经久不治。则成鹅口。重舌木舌。赤紫丹瘤等症。又不可以大寒之剂攻之。热退则寒起。传作他症。切宜慎之。
治法 推三关 退六腑 三焦 分阴阳 天河 揉外劳 运八卦（自坤至坎宜多二次） 掏肾水
五总 十王穴 运 肘 水里捞明月 虎口曲池各用灯火一 。
潮热者。时热时退。来日根据时而发。如潮水之应不差。故曰潮热。大抵气血壅盛。五脏惊热。熏发于外。或夹伏热。
或宿寒。伏热者。大便黄而气臭。宿寒者。大便白而酸臭是也。
治法 推三关 补心经 运八卦 分阴阳 泻五经 掏十王 掏中指 六腑 捞明月 肘
惊热者。或遇异物而触目忤心。或金石之声而骇闻悚惧。是以心既受惊。而气则不顺。身发微热而梦寐虚惊。
面光而汗。脉数烦躁。治当与急惊同法也。
治法 推三关 肺经 分阴阳 推扇门 清心经 天河 五经 掏总经 运 肘 捞明月 飞经
走气
风热者。身热面青。口中亦热。烦叫不时。宜疏风解热。若热甚而大便秘者。下之可也。
治法 推三关 泻大肠 掏心经 泻肾水 运八卦 掏总经 清天河 二龙戏珠 运 肘
烦热者。血气两盛。脏腑实热。表里俱热。烦躁不安。皮肤壮热是也。如手足心热甚者。五心烦也。
治法 推三关 掏中指 泻五经 掏十王 运八卦 揉外劳 分阴阳 退六腑 捞明月 打马过
天河 运 肘
脾热者。舌络微缩。时时弄舌。因脾脏积热。不可妄用凉剂。
治法 推三关 脾土 泻心火 肾水 运八卦 分阴阳 掏总经 推上三关（二十四） 退下六腑（八十）
捞明月 运 肘
虚热者。因病后血气未定。四体瘦弱。时多发热。一日三五次者。此客热乘虚而作。宜调气补虚。其热自退。
治法 推三关 补五经 捻五指 运八卦 捞明月 掏总经 推上三关（二十四） 退下六腑（八十） 分阴
阳飞经走气 运 肘
实热者。头昏颊赤 。口内热。小便赤涩。大便秘结。肚腹结胀。此实热之症也。宜下之。泄去脏腑之热即安。
治法 推三关 泻五经 推大肠 清肾水 运八卦 推膀胱 分阴阳 捞明月 退六腑 打马过
天河 飞经走气 运 肘
积热者。眼胞浮肿。面黄足冷。发热从头至肚愈甚。或恶闻饮食之气。呕吐恶心。肚腹疼痛。
治法 三关 五经 脾土 大肠 心经 三焦 肾水 运八卦 掏总筋 分阴阳 捞明月 退六腑 飞经走气 揉
肘
疳热者。皆因过餐饮食。积滞于中。郁过成热。脾家一脏。有积不治。传之别脏。而成五疳之疾。若脾家病去。则
余脏皆安矣。
治法 推三关 补脾土 推大小肠 三焦 运八卦 掏总筋 分阴阳 捞明月 推上三关（二十四）
退下六腑（八十） 飞经走气 运 肘
血热者。每日辰巳时发。遇夜则凉。世人不知。多谓虚劳。或谓疳热。殊不知此乃血热症也。
治法 推三关 推上三关 退下六腑 分阴阳 运八卦 五经 掏十王 掏总筋 肾水 捞明月
揉肘 按弦搓摩 飞经走气
骨蒸热者。乃骨热而蒸。有热无寒。醒后盗汗方止。非皮肤之外烧也。皆因小儿食肉太早。或素喜炙 面食之
类。或好食桃李杨梅瓜果之类。或至冬月衣绵太浓。致耗津液而成。或疳病之余毒。传作骨蒸。或腹内痞癖。
有时作痛。
治法 三关 六腑 运五经 分阴阳 清天河 捞明月 肾水 掏总筋 大横纹 打马过天河
壮热者。一向不止。皆因血气壅实。五脏生热。蒸熨于内。故身体壮热。眠卧不安。精神恍惚。蒸发于外。则表里
俱热。甚则发惊也。
治法 三关 六腑 肺经 分阴阳 推扇门 清心经 天河 五经 总经 运 肘 捞明月 飞经走气
温壮热。与壮热相类。而有小异。但温温不甚盛。是温壮也。由胃气不和。气滞壅塞。故蕴积体热。名曰温壮热。
大便黄臭。此腹内伏热。粪白酸臭。则宿食停滞。宜微利之。
治法 三关 六腑 五经 大肠 肾水 运八卦 膀胱 分阴阳 捞明月 打马过天河
变蒸热者。阴阳水火。蒸于血气。而使形体成就也。所以变者。变生五脏。蒸者蒸养六腑。小儿初生三十二日。为
之一变。六十四日。为之一蒸。十变五蒸。计三百二十日。变蒸俱毕。儿乃成人也。婴儿之有变蒸。譬如蚕之有
眠。龙之脱骨。虎之转爪。皆同类变生而长也。先看儿身热如蒸。上气虚惊。耳冷微汗。上唇有白泡如珠。或微
肿如卧蚕者。是其症也。重者身热所乱。腹痛啼叫。不能吃乳。即少与乳食。切不可妄投药饵。及推拿火灸。若
误治之。必致杀人。故不立治法。特书以告之。
Various febrile conditions at their onset have different etiologies. Fevers that occur at specific times are termed tidal fever (Chao Re). Fevers that come and go intermittently belong to deficiency syndromes (Xu Zheng). Fevers that arise without chills are classified as bone-steaming heat (Gu Zheng).
Regarding fetal heat (Tai Re), it manifests within three days to one month after birth, characterized by eyes closed and red, swollen eyelids, frequent groaning, incessant crying, occasional fright and irritability, generalized high fever, and yellow urine. This is caused when the mother, during pregnancy, contracts seasonal heat-toxins, mistakenly takes warm-tonifying medicines, or overconsumes the "five pungents" (Wu Xin: garlic, chives, leeks, wild onions, and asafoetida), leading to internal heat accumulation that steams and affects the fetal qi. Consequently, these symptoms appear after birth, named fetal heat. If left untreated for a long time, it may develop into thrush (E Kou), double tongue (Zhong She), wooden tongue (Mu She), or red-purple carbuncles (Chi Zi Dan Liu). It must not be treated with harsh cold-purging medicines, as clearing the heat may lead to cold pathogenesis and transmission to other syndromes; caution is essential.
Treatment methods: Push San Guan (Three Passages) point, Retire Liu Fu (Six Bowels) point, Clear San Jiao (Triple Burner), Divide Yin and Yang, Clear Tian He Shui (Heavenly River Water), Rub Wai Lao Gong (Outer Labor Palace) point, Move Ba Gua (Eight Trigrams) [from Kun to Kan position, perform twice more], Dig Shen Shui (Kidney Water) point, Pinch Wu Zong (Five Summits) lines, Pinch Shi Wang (Ten Kings) points, Move Zhou (Elbow) area, Water Fishing for Bright Moon technique, apply fire-moxa once to Qu Chi (Pool at the Elbow) point on the Tiger's Mouth.
Tidal fever (Chao Re) involves alternating fever and defervescence, recurring daily at fixed times like the tide, hence the name. Generally, this results from abundant and stagnant Qi and Blood, with Heat generated in the Five Zang organs due to fright, steaming outward. It may also involve latent heat (Fu Re) or retained cold (Su Han). Latent heat presents with yellow, foul-smelling stool; retained cold presents with white, sour-smelling stool.
Treatment methods: Push San Guan point, Tonify Xin Jing (Heart Meridian), Move Ba Gua, Divide Yin and Yang, Drain Wu Jing (Five Meridians) points, Dig Shi Wang points, Dig Zhong Zhi (Middle Finger), Retire Liu Fu point, Water Fishing for Bright Moon technique, Move Zhou area.
Fright-heat (Jing Re) occurs when the infant is startled by strange objects seen or metallic sounds heard, causing fright and fear. The Heart is affected by fright, leading to Qi stagnation, slight fever, restless sleep with frightening dreams, shiny complexion with sweating, rapid pulse, and irritability. Treatment should follow the same method as acute convulsion syndrome (Ji Jing Feng).
Treatment methods: Push San Guan point, Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Tui Men Shan (Push Door Gate) point, Clear Xin Jing, Clear Tian He Shui, Clear Wu Jing points, Dig Zong Jin (General Tendon) line, Move Zhou area, Water Fishing for Bright Moon technique, Fei Jing Zou Qi (Flying Meridian Moving Qi) technique.
Wind-heat (Feng Re) presents with body heat, bluish-green facial color, hot sensation in the mouth, and intermittent irritability and calling. It is suitable to disperse wind and resolve heat. If the heat is severe accompanied by constipation, purgation is appropriate.
Treatment methods: Push San Guan point, Drain Da Chang Jing (Large Intestine Meridian), Dig Xin Jing, Drain Shen Shui point, Move Ba Gua, Dig Zong Jin line, Clear Tian He Shui, Er Long Xi Zhu (Two Dragons Playing with Pearl) technique, Move Zhou area.
Irritable heat (Fan Re) arises from excessive Qi and Blood, excess heat in the Zang-Fu organs, affecting both interior and exterior, causing restlessness and high skin temperature. Severe heat in the palms and soles is termed "Five Hearts Irritability" (Wu Xin Fan Re).
Treatment methods: Push San Guan point, Dig Zhong Zhi, Drain Wu Jing points, Dig Shi Wang points, Move Ba Gua, Rub Wai Lao Gong point, Divide Yin and Yang, Retire Liu Fu point, Water Fishing for Bright Moon technique, Da Ma Guo Tian He Shui (Horse Crossing Heavenly River Water) technique, Move Zhou area.
Spleen heat (Pi Re) involves slight retraction of the tongue tendons and frequent tongue protrusion. This is due to accumulated heat in the Spleen; cool-cold medicines should not be used arbitrarily.
Treatment methods: Push San Guan point, Tonify Pi Tu (Spleen Earth) point, Drain Xin Huo (Heart Fire) point, Tonify Shen Shui point, Move Ba Gua, Divide Yin and Yang, Dig Zong Jin line, Push Shang San Guan (Upper Three Passages) 24 times, Tui Xia Liu Fu (Lower Six Bowels) 80 times, Water Fishing for Bright Moon technique, Move Zhou area.
Deficiency heat (Xu Re) occurs post-illness when Qi and Blood are unsettled, limbs are emaciated, and fever occurs frequently (3-5 times a day). This is exogenous heat taking advantage of deficiency. It is suitable to regulate Qi and tonify deficiency, after which the heat will subside naturally.
Treatment methods: Push San Guan point, Tonify Wu Jing points, Nian Wu Zhi (Twist Five Fingers), Move Ba Gua, Water Fishing for Bright Moon technique, Dig Zong Jin line, Push Shang San Guan 24 times, Tui Xia Liu Fu 80 times, Divide Yin and Yang, Fei Jing Zou Qi technique, Move Zhou area.
Excess heat (Shi Re) presents with dizziness, flushed cheeks, oral heat, dark and scanty urination, constipation, and abdominal distension. This is an excess heat syndrome. Purging is indicated to drain the heat from the Zang-Fu organs, bringing relief.
Treatment methods: Push San Guan point, Drain Wu Jing points, Push Da Chang Jing, Clear Shen Shui point, Move Ba Gua, Push Pang Guang Jing (Bladder Meridian), Divide Yin and Yang, Water Fishing for Bright Moon technique, Retire Liu Fu point, Da Ma Guo Tian He Shui technique, Fei Jing Zou Qi technique, Move Zhou area.
Accumulated heat (Ji Re) manifests with swollen eyelids, sallow complexion, cold feet, fever intensifying from head to abdomen, aversion to food odors, vomiting, nausea, and abdominal pain.
Treatment methods: Push San Guan point, Move Wu Jing points, Tonify Pi Tu point, Push Da Chang Jing, Clear Xin Jing, Clear San Jiao, Tonify Shen Shui point, Move Ba Gua, Dig Zong Jin line, Divide Yin and Yang, Water Fishing for Bright Moon technique, Retire Liu Fu point, Fei Jing Zou Qi technique, Rub Zhou area.
Gan heat (Gan Re) results from overeating, causing food stagnation in the middle jiao, which郁 (depresses) and transforms into heat. If spleen stagnation is untreated, it transmits to other organs, forming the five types of Gan disease. Once the spleen pathology resolves, the other organs will be at peace.
Treatment methods: Push San Guan point, Tonify Pi Tu point, Push Da and Xiao Chang Jing (Large and Small Intestine Meridians), Clear San Jiao, Move Ba Gua, Dig Zong Jin line, Divide Yin and Yang, Water Fishing for Bright Moon technique, Push Shang San Guan 24 times, Tui Xia Liu Fu 80 times, Fei Jing Zou Qi technique, Move Zhou area.
Blood heat (Xue Re) occurs specifically during Chen and Si hours (7 AM - 11 AM), cooling down at night. Laypeople often mistake it for consumption (Xu Lao) or Gan heat, but it is actually blood heat.
Treatment methods: Push San Guan point, Push Shang San Guan, Tui Xia Liu Fu, Divide Yin and Yang, Move Ba Gua, Move Wu Jing points, Dig Shi Wang points, Dig Zong Jin line, Tonify Shen Shui point, Water Fishing for Bright Moon technique, Rou Zhou (Rub Elbow) point, An Xian Cuo Mo (Press String and Rub) technique, Fei Jing Zou Qi technique.
Bone-steaming heat (Gu Zheng Re) is a deep heat steaming from the bones, present without chills, stopping only after waking with night sweats, distinct from superficial burning. Etiologies include early introduction of meat, habitual consumption of roasted wheat foods, preference for fruits like peaches, plums, waxberries, or melons, or wearing thick cotton clothes in winter, all consuming body fluids. It may also stem from residual toxins of Gan disease transmitting to become bone-steaming, or from abdominal masses (Pi Xi) causing intermittent pain.
Treatment methods: Push San Guan point, Retire Liu Fu point, Move Wu Jing points, Divide Yin and Yang, Clear Tian He Shui, Water Fishing for Bright Moon technique, Tonify Shen Shui point, Dig Zong Jin line, Push Da Heng Wen (Major Transverse Crease), Da Ma Guo Tian He Shui technique.
High fever (Zhuang Re) persists continuously due to abundant and stagnant Qi and Blood, generating heat in the Five Zang organs, steaming internally. This causes high body temperature, restlessness in sleep, mental confusion, and external manifestation of heat in both interior and exterior. Severe cases may lead to convulsions.
Treatment methods: Push San Guan point, Retire Liu Fu point, Clear Fei Jing, Divide Yin and Yang, Tui Men Shan point, Clear Xin Jing, Clear Tian He Shui, Move Wu Jing points, Dig Zong Jin line, Move Zhou area, Water Fishing for Bright Moon technique, Fei Jing Zou Qi technique.
Warm-high fever (Wen Zhuang Re) is similar to high fever but less intense. It is called Wen Zhuang due to stomach Qi disharmony, Qi stagnation, and obstruction, leading to accumulated body heat. Yellow, foul stool indicates latent heat in the abdomen; white, sour stool indicates food stagnation. Mild purgation is suitable.
Treatment methods: Push San Guan point, Retire Liu Fu point, Move Wu Jing points, Push Da Chang Jing, Tonify Shen Shui point, Move Ba Gua, Push Pang Guang Jing, Divide Yin and Yang, Water Fishing for Bright Moon technique, Da Ma Guo Tian He Shui technique.
Bian Zheng Re (Transformation and Evaporation Fever): The interaction of Yin-Yang and Water-Fire steams within Qi and Blood to mature the physical form. "Bian" refers to the transformation and generation of the Five Zang organs; "Zheng" refers to the nourishment of the Six Fu organs. At 32 days after birth, there is one "Bian"; at 64 days, one "Zheng". After ten Bians and five Zhengs (totaling 320 days), the process completes, and the child matures. Infant Bian Zheng is analogous to silkworm molting, dragon shedding skin, or tiger changing claws—natural growth processes. Symptoms include mild fever resembling steaming, upward Qi rebellion with fright, cold ears with slight sweating, white pearl-like blisters on the upper lip, or mild swelling resembling a lying silkworm. Severe cases involve high fever, confusion, abdominal pain, crying, and inability to nurse; reduce milk intake slightly. Do not administer drugs, tuina, or moxibustion arbitrarily. Misdiagnosis and mistreatment can be fatal. Therefore, no treatment methods are prescribed here; this is recorded solely for warning.