肾水在小拇指外旁。从指尖一直到阴池部位。属小肠肾水。里推为补。外推为清。清者。因小
儿小水赤黄。补者。因肾水虚弱。清退脏腑热。补因小便短少。
肝木在食指。肝属木。木生火。肝火动人眼目昏闭。法宜清。诸病从火起。人最平者肝也。肝
火盛则伤脾。退肝家之热。又必以补脾土为要。
（宜清不宜补、补则于人不利、宜切记。）
心属中指。指根下离。属火。凡心火动。口疮弄舌。眼大小 赤红。小水不通。皆宜推而清之。
至于惊搐。又宜清此。心经内一节。掐之止吐。
肺金在无名指。属气。止咳化痰。性主温和。风寒入肺固嗽。伤热亦嗽。热宜清。寒亦宜清。惟
虚宜补。而清之后亦宜补。凡小儿咳嗽痰喘。必推此。惊亦必推此。
离在将指根下。干在二人上马之左旁。以我大指。从儿离宫推至干宫。打个圆圈。离干从重。
中要虚。男左女右。盖因冒风咳嗽。或吐逆。掐肺经指节之后。必用此法为主。
二人者。我之大食二指也。上马者。以我大指尖。按儿神门外旁。又以我食指尖。按儿小指根
横纹旁。掐之。清补肾水。治小肠诸气。最效。若单掐肾水一节横纹。退潮热立效。又苏（音苏醒也）胃气。
起沉 。左转生凉。右转生热。
四横纹。在食将无名小指指根下横纹。一名小横纹。小者对下大横纹而言也。四者四指也。
掐者。以我大指掐之。按穴不起。手微动。却有数。其数如推运之数。盖因脏腑有热。口眼歪斜。嘴
唇破烂。掐此退热除烦。且止肚痛。
Kidney Water (Shen Shui) is located on the lateral side of the little finger, extending from the fingertip to the Yinchi area. It belongs to the Small Intestine and Kidney Water system. Pushing inward constitutes the tonification method (Bu), while pushing outward constitutes the clearing method (Qing). The clearing method is indicated for children with dark yellow urine; the tonification method is indicated for deficiency of Kidney Water. Clearing eliminates heat in the Zang-Fu organs, while tonifying addresses oliguria (shortage of urine).
Liver Wood (Gan Mu) is located on the index finger. The Liver corresponds to Wood in the Five Elements, and Wood generates Fire. Excessive Liver Fire disturbs the body, causing blurred vision and closed eyes. The therapeutic principle should be to clear. Most diseases originate from Fire, and the most balanced state of a person is when the Liver Qi is harmonious. If Liver Fire is excessive, it damages the Spleen; therefore, after reducing heat in the Liver channel, tonifying Spleen Earth is essential.
(It is suitable to clear but not to tonify this point; tonification is detrimental to the patient, so remember this well.)
The Heart point is located on the middle finger. The base of the finger corresponds to the Li position, and the Heart corresponds to Fire in the Five Elements. Whenever Heart Fire is active, manifesting as mouth ulcers, tongue protrusion, redness of the inner and outer canthi of the eyes, and urinary retention, these symptoms are suitable for pushing to clear the Heart. For convulsions due to fright, clearing this point is also appropriate. Pinching the first segment inside the Heart meridian can stop vomiting.
Lung Metal (Fei Jin) is located on the ring finger. The Lung governs Qi. This point stops coughing and resolves phlegm, with a mild nature. Wind-Cold invading the lungs inevitably causes coughing, and injury by Heat also causes coughing. Heat patterns require clearing, Cold patterns also require clearing, but only Deficiency patterns require tonification. Furthermore, tonification should follow clearing. For any pediatric cough with phlegm and wheezing, this point must be pushed; for fright, this point must also be pushed.
"Li" is located below the base of the ring finger (Jiang Zhi). "Qian" is located to the left of the "Er Ren Shang Ma" point. Using my thumb, push from the child's Li Palace to the Qian Palace, drawing a circle. The pressure on Li and Qian should be heavy, while the middle part should be light and empty. For males, use the left hand; for females, the right hand. This method is primarily used after pinching the lung meridian segments for coughs due to wind exposure or vomiting/regurgitation.
"Er Ren" refers to my index and middle fingers. "Shang Ma" refers to: placing the tip of my thumb beside the Shenmen point on the child, and simultaneously placing the tip of my index finger beside the transverse crease at the root of the child's little finger. Pinching here clears and tonifies Kidney Water and treats various Qi disorders of the Small Intestine with excellent efficacy. If only one segment of the transverse crease of Kidney Water is pinched, tidal fever subsides immediately. It also revives Stomach Qi and lifts sinking Qi. Counter-clockwise rotation generates coolness, while clockwise rotation generates heat.
Si Heng Wen (Four Transverse Creases) are located at the transverse creases at the roots of the index, ring, and little fingers. Also known as Xiao Heng Wen (Small Transverse Crease), "small" distinguishes it from the larger crease below. "Four" refers to these four fingers. The pinching method involves using my thumb to pinch the acupoint; press until the depression does not rebound immediately, move the finger slightly, but maintain a count. The number of times corresponds to the counts used in Tu Yun (pushing and rubbing) techniques. This is indicated for heat in the Zang-Fu organs causing deviation of the mouth and eyes, and cracked lips. Pinching this point reduces heat, relieves irritability, and stops abdominal pain.