陈紫山曰∶夜啼有四∶有风热,有心热,有寒疝,有误受惊恐。风热者,为衣裳太浓、过于温暖,邪热攻心,
心与小肠为表里,夜啼而遗溺者是也。心热者,见灯愈哭者是也。寒疝者,遇寒即啼是也。误受惊恐者,面色紫黑,气
郁如怒,若有恐惧,睡中惊跳是也。
治法∶推上三关,推下六腑,清心经,水底捞明月,分阴阳法,掐肝经。
如寒疝痛啼,宜运动四横纹,揉脐下,并一窝风。
涂蔚生曰∶凡陈紫山之所谓惊字,与风字有混者,余概以风字易之。若其字句间有可简裁者,余亦略为删去,
务使其言简而意赅,理明而词达。至推拿法有可乘者,余仍录之,以为补助。兹附陈紫山水底捞明月法。
陈紫山曰∶医以左手拿住儿掌向上,以右手滴一点水于儿内劳宫,随用右手四指扇七下。再滴水于心经,又
滴水于天河,天河即肱湾。医者用口吹上四五口,将儿中指屈之,医者仍用左大指掐住,右手捏拳,将中指节自心
经上按摩到曲池,横空在下二指。如此四五次,在三关踢、凉行背上往六腑踢,凉入心肌。此
大凉之法,不可任意乱用。
陈紫山曰∶凡重舌者生于舌下,挺露如舌,故曰重舌。然脾之络脉系舌旁,肝之络脉系舌本,心之络脉系舌
根,此三经或为湿热风寒所中,则舌卷缩,或舒长,或肿满。木舌者舌肿硬而妨乳食,由于风热盛也。盖舌者心
之苗,心热则生疮破裂,肝壅则血出如涌泉,脾闭则白苔如云,热则肿满,风则强木,口合不开,四肢壮热,气
喘语涩即其候也。
治法∶推上三关,心经,脾经,推下六腑,运八卦,运水入土,分阴阳,清天河水。
涂蔚生曰∶舌虽为心之苗,而他脏亦分发于其上。脾属土,宜居舌之中间;肝属木,宜居舌之两旁;肾属水,
宜居舌之根本;心属火,宜居舌尖;肺属金,虽无所配,而其位居至高,就舌尖以诊寒热,亦可诊肺之寒热矣。
紫山所配舌之位次,未免有误。
Chen Zishan stated: There are four types of night crying (Yeti): those caused by wind-heat, heart-heat, cold hernia, and accidental fright. The wind-heat type results from clothing being too thick or overly warm, allowing pathogenic heat to attack the Heart. Since the Heart and Small Intestine are exterior-interiorly related, this manifests as night crying accompanied by enuresis (bedwetting). The heart-heat type is characterized by intensified crying upon seeing a lamp. The cold hernia type is characterized by crying triggered by cold exposure. The accidental fright type presents with a purplish-black complexion, qi stagnation resembling anger, apparent fearfulness, and startle jumps during sleep.
Treatment methods include: pushing up the Three Gates (Shang San Guan), pushing down the Six Fu organs (Xia Liu Fu), clearing the Heart Meridian (Qing Xin Jing), retrieving the bright moon from the bottom of the water (Shuidi Lao Mingyue), separating yin and yang (Fen Yin Yang), and pinching the Liver Meridian (Qia Gan Jing).
For night crying due to pain from cold hernia, it is appropriate to move the Four Horizontal Creases (Yun Sihengwen), rub below the navel (Rou Qixia), and apply to the One Nest Wind acupoint (Yiwofeng).
Tu Weisheng stated: Wherever Chen Zishan’s text confuses the characters for "fright" (Jing) and "wind" (Feng), I uniformly replace them with "wind". If any phrases can be simplified or deleted, I have done so briefly, aiming for concise language with complete meaning, clear principles, and expressive wording. Regarding tuina techniques that are viable, I have retained them as supplements. Here, I attach Chen Zishan’s "Retrieving the Bright Moon from the Bottom of the Water" technique.
Chen Zishan stated: The practitioner holds the infant's palm upward with the left hand. With the right hand, drip a drop of water onto the infant's Neilaogong (Inner Laogong, PC8) point, then fan seven times with the four fingers of the right hand. Drip another drop on the Heart Meridian, and another on the Tianhe River (Tianhe River refers to the cubital fossa anterior midline). The practitioner blows four or five breaths over the area. Bend the infant's middle finger; the practitioner secures it with the left thumb while making a fist with the right hand. Massage from the Heart Meridian up to the Qu Chi (LI11) point along the middle finger joint. [Note: The original text describes moving from Heart meridian to Qu Chi, mentioning "two fingers below the transverse space," which anatomically corresponds to the forearm/elbow region]. Repeat this four or five times. Kick/tap along the Three Gates, coolly stroke the back towards the Six Fu channels, allowing the cooling sensation to enter the myocardium. This is a major cooling method and must not be used arbitrarily.
Chen Zishan stated: Heavy tongue (Chongshe) always arises beneath the tongue, protruding like a second tongue, hence the name. The collateral vessels of the Spleen connect to the sides of the tongue; those of the Liver connect to the root of the tongue; those of the Heart connect to the base of the tongue. If these three meridians are invaded by damp-heat, wind, or cold, the tongue may curl inward, extend long, or become swollen and full. Wooden tongue (Mushe) presents as a swollen, stiff tongue that interferes with suckling and eating, caused by excessive wind-heat. Generally, the tongue is the sprout of the Heart; heart-heat causes ulcers and rupture; liver congestion causes bleeding like a gushing spring; spleen closure results in white coating like clouds; heat causes swelling and fullness; wind causes stiffness like wood, preventing mouth opening, accompanied by intense heat in the four limbs, panting, and slurred speech. These are its signs.
Treatment methods include: pushing up the Three Gates, Heart Meridian, Spleen Meridian; pushing down the Six Fu organs; moving the Eight Trigrams (Yun Bagua); moving water into earth (Yun Shui Ru Tu); separating yin and yang; and clearing the Tianhe River.
Tu Weisheng stated: Although the tongue is the sprout of the Heart, other zang-fu organs also manifest upon it. The Spleen belongs to Earth and should reside in the center of the tongue; the Liver belongs to Wood and should reside on the sides of the tongue; the Kidney belongs to Water and should reside at the root of the tongue; the Heart belongs to Fire and should reside at the tip of the tongue; the Lung belongs to Metal. Although it has no specific pairing, it occupies the highest position. Diagnosing cold and heat at the tongue tip can also diagnose lung cold and heat. The positional distribution of the tongue proposed by Zishan is somewhat erroneous.