前辈有死症诀。然于中治之却有不死者。医家不可弃而不治。大冲即大墩。无脉是弱症。属不足。直视摇头
是风症。属有余。二者相兼。觉无此理。倘有相兼。不治症也。如止有一。断非死症。鱼口自动。忽作鸦声。此
脾有痰。而肝有风。若祛风豁痰。却非死症。蛔虫尽出。不加烧热。补脾即安。亦非死症。面黄四肢肿。若黄有
宝色。补脾行气自消。却非死症。至于鼻门黑燥。兼以肚大青筋。手抱头上。兼以汗似油淋。囟门肿起。忽陷成
坑。只犯一宗。犹非死症。若果并见。必死无疑。
（前辈相传不效者。删之。两代经验过者。补之。亦有诀传不明者。出己见以阐发之。）
婴儿十指冷如冰。便是惊风体不安。十指梢头热似火。定是夹食又伤寒。（握之恐不真。再以儿手指贴吾面
试之。不爽。）
以吾三指按儿额。感受风邪三指热。三指按兮三指冷。内伤饮食风邪入。（以上探病法）
一年之气二十四。开额天门亦此义。自古阴阳数有九。额上分推义无异。天庭逐掐至承浆。（卓溪）以掐代
针行血气。（此乃开首推法）
伤寒推法上三关。脏热专推六腑间。（卓溪）六腑推三关应一。三关推十腑应三。推多应少（如只推不应。
恐发热则动火。过凉又有滞。）为调燮。血气之中始不偏。
啼哭声从肺里来。无声肺绝实哀哉。（卓溪）若因痰蔽声难出。此在医家用妙裁。
（卓溪）病在膏肓不可攻。我知肺俞穴能通。不愁痰筑无声息。艾灸也能胜上工。
（卓溪）百会由来在顶心。此中一穴管通身。扑前仰后歪斜痫。艾灸三丸抵万金。腹痛难禁还泻血。亦将灸
法此中寻。
张口摇头并反折。速将艾灸鬼眼穴。更把脐中壮一艾。却是治疗最妙诀。
（卓溪）肩井穴是大关津。掐此开通血气行。各处推完将此掐。不愁气血不周身。
病在脾家食不进。重揉艮宫妙似圣。再加大指面旋（旋字不可忽略）推。脾若初伤推即应。
头疼肚痛外劳宫。揉外劳宫即见功。疼痛医家何处识。（卓溪）眉头蹙蹙哭声雄。（古人只曰头疼肚痛。非此辨法。
何以知之。）
心经热盛作痴迷。天河引水上洪池。掌中水底捞明月。六腑生凉那怕痴。
婴儿脏腑有寒风。试问医人何处攻。揉动外劳将指屈。此曰黄蜂入洞中。
揉掐五指爪节时。有风惊吓必须知。若还人事难苏醒。精威二穴对拿之。
胆经有病口作苦。只将妙法推脾土。（卓溪）口苦医人何处知。合口频频左右扭。（古人只曰口苦。非此辨法。何以
知其口苦耶）
大肠侧（侧字不可忽）推到虎口。止泻止痢断根源。（卓溪）不从指面斜推入。任教骨碎与皮穿。揉脐兼要揉龟尾。
更用推揉到涌泉。
肾水小指与后溪。推上为清下补之。小便闭赤清之妙。肾虚便少补为宜。（小指正面属肾水）
（卓溪）小儿初诞月中啼。气滞盘肠不用疑。脐轮胸口宜灯火。木香用下勿迟迟。（身不烧热。啼声雄壮。）
白睛青色有肝风。鼻破生疮肺热攻。（卓溪）祛风却用祛风散。指头泻肺效与同。
鼻准微黄紫庶几。（卓溪）奇红带燥热居脾。大指面将脾土泻。灶土（灶土即灶心焦土。名伏龙肝。）煎汤却亦宜。
太阳发汗来如雨。身弱兼揉太阴止。太阴发汗女儿家。太阳止汗单属女。
眼翻即掐小天心。望上须将下掐平。若是双眸低看地。天心上掐即回睛。
（卓溪）口眼相邀扯右边。肝风动极趁风牵。若还口眼频牵左。定是脾家动却痰。肾水居唇之上下。风来焉不作波
澜。双眸原属肝家木。枝动因风理必然。右扯将儿左耳坠。左去扯回右耳边。（将耳垂下扯）
（卓溪）三朝七日眼边黄。便是脐风肝受伤。急将灯火十三点。此是医仙第一方。
（卓溪）效见推拿是病轻。重时莫道药无灵。疗惊定要元宵火。非火何能定得惊。若用推拿须下午。推拿切莫在清
晨。任君能火还能药。烧热常多退五更。叮咛寄语无他意。恐笑先生诀不真。
The predecessors left behind formulas regarding fatal conditions. However, treating them can sometimes result in survival. Physicians must not abandon treatment.
Da Chong (Great Surge), also known as Da Dun (Great Mound) acupoint. Absence of pulse indicates a deficiency syndrome, belonging to insufficiency of healthy qi. Staring straight ahead and shaking the head indicates a wind syndrome, belonging to excess pathogenic factors. If these two occur simultaneously, it seems illogical; if they truly coexist, it is an incurable condition. If only one symptom is present, it is definitely not a fatal condition. Spontaneous opening and closing of the fish mouth (external genitalia), suddenly making crow-like sounds: this indicates phlegm in the Spleen and wind in the Liver. If wind is dispelled and phlegm is resolved, it is not a fatal condition. Expulsion of all roundworms without aggravating heat; tonifying the Spleen brings peace, which is also not a fatal condition. Yellow complexion with swollen limbs: if the yellow has a lustrous quality, tonifying the Spleen and moving Qi will cause it to dissipate naturally, which is not a fatal condition. As for blackness and dryness at the nose tip combined with abdominal distension and visible blue veins; hands holding the head combined with sweat dripping like oil; fontanelle swelling then suddenly sinking into a pit. If only one of these occurs, it is still not a fatal condition. If all are indeed present, death is certain.
(Those passed down by predecessors but ineffective are deleted. Those verified over two generations are added. For those where the formula was transmitted unclearly, personal insights are offered to elucidate them.)
If an infant's ten fingers are cold as ice, it indicates an unsettled state due to convulsive disease (Jing Feng). If the tips of the ten fingers are hot as fire, it indicates food retention complicated by cold damage (Shang Han). (Holding them may not be accurate; test again by pressing the infant's fingers against my cheek; it will not fail.)
Press the infant's forehead with three fingers of mine. If wind pathogen is felt, the three fingers feel hot. If the three fingers feel cold when pressing, it indicates internal injury from diet leading to wind pathogen invasion. (Above are methods for probing illness.)
The annual Qi corresponds to twenty-four solar terms; pushing the Tian Men (Heavenly Gate) on the forehead follows this principle. Since ancient times, Yin and Yang numbers involve nine; pushing apart on the forehead carries the same meaning. Pinch sequentially from Tian Ting (Heavenly Court) down to Cheng Jiang (Receiving Pool). (Zhuo Xi note) Using pinching instead of acupuncture to move Blood and Qi. (This is the initial pushing method.)
For cold damage, push up the San Guan (Three Passes). For organ-heat, specifically push the Liu Fu (Six Bowels). (Zhuo Xi note) Pushing the Six Bowels corresponds to one San Guan; pushing San Guan ten times corresponds to three Six Bowels. Push more than the response requires (if pushing yields no response, fever may stir Fire; too much cooling causes stagnation), thereby regulating and balancing so that Blood and Qi do not deviate.
Crying sounds originate from the Lungs. No sound indicates Lung exhaustion, which is tragic. (Zhuo Xi note) If voice is difficult to produce due to phlegm obstruction, the physician must use skillful judgment. (Zhuo Xi note) When disease reaches Gao Huang (Diaphragm and Heart), attack is contraindicated. I know Fei Shu (BL13) acupoint can unblock it. Do not worry about phlegm blocking silence; moxibustion can surpass even superior physicians.
Bai Hui (DU20) originates at the crown of the head. This single acupoint governs the whole body. For prostration, retroflexion, deviation, or epilepsy, three moxa cones are worth ten thousand gold. For unbearable abdominal pain accompanied by bloody stool, seek moxibustion here.
For gaping mouth, shaking head, and opisthotonos, quickly apply moxibustion to Gui Yan (Ghost Eye) acupoint. Add a strong moxa cone to the umbilicus; this is the most wonderful secret of treatment.
(Zhuo Xi note) Jian Jing (GB21) acupoint is a major pass. Pinching here opens the flow of Blood and Qi. After completing pushing elsewhere, pinch here; do not worry that Blood and Qi will not circulate throughout the body.
When disease affects the Spleen causing loss of appetite, heavily rub Gen Gong (Gen Palace) for miraculous effect. Then add circular pushing with the thumb surface (the character "rotate" cannot be ignored). If the Spleen is newly injured, pushing will yield immediate results.
Headache and abdominal pain: treat Wai Lao Gong (Outer Labor Palace). Rubbing Wai Lao Gong shows efficacy immediately. How does the physician identify pain? (Zhuo Xi note) Brows furrowed, crying loudly. (Ancients only said headache and abdominal pain; without this differentiation method, how would one know?)
Excessive Heat in the Heart Meridian causes confusion. Guide Tian He Shui (River Water) upward to Hong Chi (Red Pool). Scoop bright moon from the bottom of the palm (Lao Gong area); generating coolness in the Six Bowels, why fear confusion?
If infant organs have cold wind, ask the physician where to attack. Rub Wai Lao Gong and flex the fingers; this is called "Yellow Bee Entering the Cave."
When rubbing and pinching the nail beds of the five fingers, one must know if there is wind fright. If consciousness is hard to regain, grasp Jing (Jingming, BL1) and Wei (Weizhong, BL40) acupoints oppositely.
Disease in the Gallbladder Meridian causes bitter taste. Use the subtle method of pushing Pi Tu (Spleen Earth). (Zhuo Xi note) How does the physician know of bitter taste? The mouth closes frequently twisting left and right. (Ancients only said bitter taste; without this method, how to know it is bitter taste?)
Push the lateral side of the Large Intestine meridian (do not ignore "lateral") to Hu Kou (LI4). This stops diarrhea and dysentery at the root. (Zhuo Xi note) Do not push obliquely from the finger surface, regardless of broken bones or pierced skin. Rub the umbilicus and also rub Gui Wei (Turtle Tail); further push and rub to Yong Quan (KI1).
Kidney Water corresponds to the little finger and Hou Xi (SI3) acupoint. Pushing up clears, pushing down tonifies. Clearing is excellent for urinary retention and red urine; tonifying is suitable for scanty urine due to Kidney deficiency. (The anterior aspect of the little finger belongs to Kidney Water.)
(Zhuo Xi note) Crying in the first month after birth: Qi stagnation causing intestinal colic should not be doubted. Apply lamp-moxibustion to the umbilical ring and chest. Use Mu Xiang (Aucklandiae Radix) promptly. (Body not heated, crying vigorous.)
Blue sclera indicates Liver Wind; nasal ulceration and sores indicate Lung Heat attack. (Zhuo Xi note) To dispel wind, use Qu Feng San (Wind-Dispelling Powder); clearing Lung via finger manipulation has equal efficacy.
Slight yellow/purple on the nose tip is acceptable. (Zhuo Xi note) Strange redness with dryness indicates Heat residing in the Spleen. Clear Pi Tu (Spleen Earth) on the thumb surface; decocting Zao Tu (Furnace Soil/Fu Long Gan) is also appropriate.
Tai Yang channel induces sweating profusely; for weak bodies, combine with rubbing Tai Yin to stop sweating. Tai Yin inducing sweating suits girls; Tai Yang stopping sweating belongs solely to females.
Eyes rolling back: pinch Xiao Tian Xin (Small Heavenly Heart). Looking up requires pinching below to level it. If eyes look low at the ground, pinching Tian Xin returns gaze.
(Zhuo Xi note) Mouth and eye pulling to the right: extreme Liver Wind, follow the wind to pull. If mouth and eye pull frequently to the left, it is definitely Phlegm stirring in the Spleen. Kidney Water resides above and below the lips; how can wind not create waves? Eyes belong to Liver Wood; branches move due to wind, which is logical. Pull right to the left earlobe; pull left to the right ear edge. (Pull down the earlobe.)
(Zhuo Xi note) Yellow around eyes on the third or seventh day: this is Umbilical Wind injuring the Liver. Urgently apply thirteen points of lamp-moxibustion; this is the First Formula of Medical Immortals.
(Zhuo Xi note) If massage shows improvement, the illness is light. In severe cases, do not say medicine is ineffective. Treating fright requires Yuan Xiao Fire (lantern fire); without fire, how can fright be settled? If using massage, it must be in the afternoon; never massage in the early morning. Whether you can use fire or medicine, frequent heating often retreats by Wu Geng (early morning). These earnest words have no other intent, lest you laugh that Mr.'s secrets are untrue.