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When the tips of a child's five fingers are cold, fright causes spiritual unrest. If the middle finger is hot, it is certainly wind-cold damage (Shanghan). If only the middle finger is cold, it corresponds to rash and smallpox conditions. For males and females, observation differs by left and right sides; physicians must examine carefully.

Luo Rulong commented: The miraculous methods for saving infants transmitted by the Fairy truly comprehend the subtle mechanisms of congenital nature. Rotating left and right, pushing, grasping, kneading, and moving—these acupoint manipulation techniques are extremely profound and refined. If one acupoint is missing, the others lose efficacy; if one method is slightly lacking, the miraculous method becomes untrue. Physicians must deeply ponder its theoretical implications and meticulously investigate the direction of finger movements, so as to be beneficial in treatment. Although methods have fixed rules, adaptation lies with the practitioner. Between the root and branch, sequence, severity, and quantity, one applies manipulations without being bound by rigid rules, masters the methods without departing from them, and illuminates their spirit through mental clarity. This is what one should diligently attend to.

Generally, when observing pediatric diseases, observe the left hand and right foot for boys, and the right hand and left foot for girls. One must ascertain which meridian is affected and identify the specific symptoms to know which tendon to push, which area to pinch, and whether prolonged kneading yields results. Always first assess the deficiency or excess of the child, then determine the number of manipulations as a standard. For a one-year-old, three hundred manipulations are prescribed, but this should not be rigidly adhered to. (These two sentences illustrate "applying methods without being bound by them," proving the error of various schools' claims regarding specific numbers of manipulations for certain acupoints.) One must also determine the principal acupoint. For a specific disease, if one acupoint is principal, auxiliary manipulations on other relevant points should precede it, while the principal point is treated later with greater effort, following the principle of addressing severe conditions. Acupoints have a sovereign-minister hierarchy, and manipulations have urgency. Among multiple used acupoints, one serves as the sovereign (Jun), while others are ministers (Chen), interacting internally and externally to support each other. Thus, some infant illnesses heal instantly upon observation, while others do not heal despite manipulating multiple acupoints, due to a failure to understand the selection of principal acupoints based on form and symptom differentiation. Some acupoints treat multiple diseases, while several acupoints treat one disease. One hand may grasp two acupoints, while two hands may focus on one. Mild diseases may fail to heal despite manipulating multiple acupoints, whereas severe diseases may heal after manipulating just one or two. This requires the practitioner to illuminate the source and refine the ultimate precision. Hence, it is said that mild diseases bring immediate relief, while severe diseases require time and effort. If habitual conditioning is practiced, after completing the disease-specific manipulations, a general concluding technique must be applied so that the illness does not recur permanently. Those using these methods should reflect carefully.