人禀天地。全而最灵。原无夭札。善养则存。始生为幼。三四为小。七龆八龀。九童十稚。惊痫
疳癖。伤食中寒。汤剂为难。推拿较易。以其手足。联系脏腑。内应外通。察识详备。男左女右。为
主看之。先辨形色。次观虚实。认定标本。手法祛之。寒热温凉。取效指掌。四十余穴。有阴有阳。
十三手法。至微至妙。审症欲明。认穴欲确。百治百灵。万不失一。
要得小儿安。常带饥与寒。肉多必滞气。生冷定成疳。胎前防辛热。乳后忌风参。保养常如法。灾病自无干。
小儿有变蒸热症。变蒸者。所以变化脏腑。坚强骨脉。是阴阳正气。阳气行于旦。交人物之情
性。阴气行于夜。变人物之形体。故小儿自初生至四岁八岁。三十二日一变蒸。而肾气足。八八六
十四日再变蒸。则膀胱气足。以后每增四八则一蒸。使五腑气俱足。到三百二十日。凡十蒸变。则
诸脏气足。小蒸既毕。然后大蒸。又积至二百零六日。大蒸三遍毕。然后出蒸。是一岁零七个月。
大小蒸俱毕。或一日二日发热。此不可推。痘疹亦然。推则拂乱其气。反受其伤。故下手要观五
色。辨音。细问。切脉。察病数件。庶不有误也。（上唇尖有米粒又黄泡者即是）
小儿之疾。大半胎毒。小半食伤。外感风寒之症。什一而已。儿在胎中。母饥亦饥。母饱亦饱。
辛辣适口。胎热即随。情欲动中。胎息即噪。专食煎炒。恣味辛酸。喜怒不常。皆能令子受患。母若
胎前不能谨节。产后不能调养。惟务姑息。不能防微杜渐。未满百日。遽与咸酸之味。未及周岁。
辄与肥甘之物。则百疾由是而生焉。小儿脾胃。本自娇嫩。易于损伤。乳食伤胃。则为呕吐。乳食
伤脾。则为泄泻。吐泻既久。则成慢惊。乳食停积。则生湿痰。痰则生火。痰火交作。则为急惊。或
成喉痹。痰火结滞。则成吊痫。或为喘嗽。胎热胎寒。禀受有病。脐风撮口者。胎元有毒也。鹅口。
口疮。胃有湿热也。重口木舌。脾经有实火也。走马牙疳。气虚湿热也。爱吃泥土。脾脏心生疳热
也。胎惊夜啼。邪火入心也。变蒸发热者。毒散而五脏生也。丹毒者。火行于外也。蕴热者。火积于
中而外邪乘也。睡惊者。内火动也。喉痹者。热甚也。眼痛者。火动也。脓耳者。肾气上冲也。鼻塞
者。因冒风寒也。头疮者。胎毒热攻也。脐风者。中痰中湿也。尾骨痛者。阴虚痰也。诸虫痛者。胃
气伤也。阴肿痛者。寒所郁也。盘肠气痛者。冷滞脾胃也。便血者。热传心肺也。淋 者。热郁膀胱
也。吐血生肿者。荣卫气逆也。小便不通者。无阴有阳也。大便不通者。无虚有实也。解颅鹤节者。
胎元不全也。行迟发迟者。血气不完也。鸡胸者。肺热满胸也。龟背者。风邪入脊也。语迟者。邪乘
心也。齿迟者。肾不足也。疟疾者。膈上痰结也。痢疾者。食积腹中也。咳嗽者。肺气伤也。喘气者。
痰气盛也。心痛者。虫所啮也。腹痛食所伤也。内伤发热。口苦舌干也。外感发热。鼻塞声重也。腹
胀者。脾胃虚弱也。水肿。水旺土亏也。疸黄者。脾胃虚而有湿热也。故调理脾胃。医中之王道也。
节戒饮食。却病之良方。惊疳积热。小儿之常病也。恒居时。常观其脾。微有青黑。即推数百。去
其青黑之气。再加补脾手法。可保小儿常安。此为要着。不可忽也。然推脾必要补。泄而不补。则
脾愈弱。擦龟尾亦要补。如不补。则泄不止。脾上用功。手法之要务也。痢痞痰疳。小儿之重症也。
医家慎之。（病源论得精细入手者所宜留心）
Humans are endowed with the Qi of Heaven and Earth, possessing the highest spirituality, originally free from premature death or calamity; proper nurturing ensures survival. The period shortly after birth is called "You" (infancy), three to four years old is called "Xiao" (toddlerhood), seven to eight years old when teeth change is called "Tiao Chen" (childhood), nine years old is "Tong", and ten years old is "Zhi". Conditions such as Wind-Convulsion (Jing Feng), Epilepsy (Xian), Infantile Malnutrition (Gan Ji), and Masses (Pi Ku), as well as Food Stagnation and Cold Invasion, are difficult to treat with herbal decoctions but relatively easier with Tuina (Chinese therapeutic massage). This is because a child's hands and feet are connected to the Zang-Fu organs, internally reflecting and externally communicating with the body surface, allowing for detailed observation. Diagnosis follows the principle of "Left for males, Right for females," primarily observing the left or right hand. First, distinguish complexion and physique; then observe Deficiency (Xu) and Excess (Shi) patterns; identify the root and branch of the disease, and apply manual techniques to eliminate pathogens. Whether Cold, Heat, Warmth, or Coolness, efficacy can be achieved at the touch of a finger. There are over forty acupoints, belonging to Yin and Yang meridians; thirteen Tuina manipulation methods are extremely subtle and profound. To examine symptoms clearly and identify acupoints accurately ensures hundred percent efficacy and no mistakes.
To keep children safe and healthy, they should often maintain a state of slight hunger and coolness. Excessive flesh leads to Qi stagnation; raw and cold foods inevitably cause Gan syndrome. During pregnancy, avoid pungent and hot foods; after breastfeeding, avoid wind exposure and Ginseng tonics. Nurturing must follow proper methods, so disasters and diseases will not interfere.
Children may experience fever due to Bian Zheng (a physiological developmental process). "Bian Zheng" transforms Zang-Fu functions and strengthens bones and vessels through the movement of Yin-Yang righteous Qi. Yang Qi moves during the day, influencing temperament; Yin Qi moves at night, altering physical form. Thus, from birth to four and eight years old, every thirty-two days constitutes one Bian Zheng cycle, filling Kidney Qi; another sixty-four days later, Bladder Qi fills. Subsequently, every four times eight days (32 days) brings one Zheng, ensuring all Zang-Fu Qi are sufficient. By 320 days, ten cycles complete, making all organ Qi sufficient. After small Zheng ends, large Zheng begins, accumulating another 206 days. Three rounds of large Zheng complete the process at one year and seven months. Fever occurring for one or two days during this time should not be treated as pathology; similar logic applies to Smallpox/Measles eruption. Forcing Tuina disrupts Qi and causes harm. Therefore, before treatment, one must observe the Five Complexions (Green, Red, Yellow, White, Black), distinguish voice, ask in detail, palpate the pulse, and examine key indicators to avoid error. (Yellow blisters like rice grains on the tip of the upper lip indicate Bian Zheng fever).
Most childhood illnesses stem from Fetal Toxin (Tai Du), less from food injury, and only one-tenth from external Wind-Cold invasion. In the womb, if the mother is hungry, the fetus is hungry; if full, the fetus is full. If the mother craves spicy food, fetal heat arises; if the mother experiences emotional desire, fetal breath becomes restless. Fried foods, excessive sour/pungent tastes, and mood swings all harm the child. If the mother fails to restrain herself prenatally or care postpartum, indulging rather than preventing minor issues, giving salty/sour foods before 100 days or rich/greasy foods before one year, myriad diseases arise. Children's Spleen and Stomach are delicate and easily damaged. Food injuring the Stomach causes vomiting; food injuring the Spleen causes diarrhea. Prolonged vomiting/diarrhea leads to Slow Convulsion. Food stagnation generates Damp-Phlegm; Phlegm generates Fire; Phlegm-Fire interaction causes Fast Convulsion. It may also lead to Throat Bi (obstruction), Hanging Epilepsy (opisthotonos), or wheezing cough. Congenital Heat/Cold defects cause Umbilical Wind (neonatal tetanus); Goose Mouth Sores/Mouth Ulcers indicate Stomach Damp-Heat; Heavy Tongue/Wooden Tongue indicates Spleen Meridian Excess Fire; Running Horse Gum Rot indicates Qi deficiency with Damp-Heat; craving dirt indicates Spleen-Heart Gan Heat; Fetal Startle/Night Crying indicates Evil Fire entering the Heart; Bian Zheng fever indicates toxin dispersal and organ growth; Erysipelas indicates Fire moving outward; Accumulated Heat indicates internal Fire accumulation with external pathogen invasion; Sleep Startle indicates internal Fire stirring; Throat Bi indicates severe Heat; Eye Pain indicates Fire movement; Otitis Media with Pus indicates Kidney Qi rushing upward; Nasal Congestion indicates Wind-Cold invasion; Head Sores indicate Fetal Toxin Heat attacking; Umbilical Wind indicates Phlegm-Damp invasion; Coccyx pain indicates Yin deficiency with Phlegm; Worm pain indicates Stomach Qi injury; Genital swelling/pain indicates Cold stagnation; Intestinal Colic indicates Cold stagnation in Spleen/Stomach; Hematochezia indicates Heat transmitting to Lung/Heart; Strangury indicates Heat stagnating in Bladder; Vomiting blood with swelling indicates Ying-Wei Qi rebellion; Urinary retention indicates "No Yin, Only Yang"; Constipation indicates "No Deficiency, Only Excess"; Craniolysis/Rickets indicates incomplete fetal origin; Delayed walking/tooth eruption indicates incomplete Blood-Qi; Pigeon Chest indicates Lung Heat filling the chest; Hunchback indicates Wind-Evil invading the spine; Delayed speech indicates Evil attacking the Heart; Delayed tooth eruption indicates Kidney insufficiency; Malaria indicates Phlegm knotting above the diaphragm; Dysentery indicates Food stagnation in the abdomen; Cough indicates Lung Qi injury; Wheezing indicates盛 Phlegm-Qi; Heart pain indicates worm biting; Abdominal pain indicates food injury; Internal Injury Fever presents with bitter taste and dry tongue; External Contraction Fever presents with nasal congestion and heavy voice; Abdominal distension indicates Spleen-Stomach weakness; Edema indicates Water excess and Earth deficiency; Jaundice indicates Spleen-Stomach deficiency with Damp-Heat. Therefore, regulating Spleen and Stomach is the King's Way of medicine; dietary restraint is the good prescription for dispelling disease. Convulsion, Gan, and Accumulated Heat are common childhood ailments. Daily observation of the Spleen meridian (e.g., finger collaterals): if slightly green/black, perform hundreds of manipulations to remove the color, then apply Spleen-tonifying techniques to ensure safety. This is crucial and cannot be ignored. However, pushing the Spleen must include tonification; purging without tonifying weakens the Spleen further. Rubbing the Guwei point must also include tonification; otherwise, diarrhea persists. Working on the Spleen is the primary task of Tuina. Dysentery,痞块 (masses), Phlegm, and Gan are severe pediatric conditions; physicians must exercise caution. (The precise diagnostic methods in *Bing Yuan Lun* deserve attention).