夏英白曰∶掐斗肘上筋,曲池下筋,曲池即肱湾处,掐之治急风。
涂蔚生曰∶曲池属阳明大肠在肱之上侧面肱湾处,宜拱手取之。
夏英白曰∶外关在肱背,对肱面内关穴处。外间使在肱背,对肱面内间使穴处。掐之,治转筋吐泻。
涂蔚生曰∶外关在肱背面,离腕后二寸。内关在肱正面,离掌后横纹二寸。内外间使各离内外关一寸,与手
腕掌后相离三寸。
夏英白曰∶此穴在肩膀骨之夹缝处,两边两穴,揉之化痰。
涂蔚生曰∶肺俞穴之取法,须得小儿坐之端正,根据平肩之第一脊椎数起,至第三椎止。再离第三节椎之两旁
各二寸,即是肺俞穴。
夏英白曰∶以左大指按儿脐下丹田不动,以右大指在儿脐周遭搓之。治水泻、膨胀脐风等症。
涂蔚生曰∶丹田在脐下二寸、一名石门穴。膀胱如釜底乘水,丹田如灶底着薪,故能治水泻等症。
夏英白曰∶此穴在膝盖里旁,一名鬼眼穴。小儿脸上风来、急在此穴掐之。若儿身后仰即止。
夏英白曰∶此穴在腿弯内,几有风时,急在此穴掐之。若儿身前扑即止。
夏英白曰∶此穴在腿下节前面膝下,亦名中廉穴,儿风望后跌,在此穴久掐最效。
涂蔚生曰∶查《针灸大成》,并无中廉穴之名称,只有上廉下廉二穴,条口居于其间。想英白之所谓中廉穴,
亦即指针灸之所谓条口边。至此穴之取法,须沿外膝眼下量起,至下八寸止,胫上两筋骨罅宛宛中。因上廉离外
穴眼六寸,下廉离上廉三寸,而条口则在下廉上一寸边。
涂蔚生曰∶以上推拿诸法,犹本草之药味罗列,性质毕布,可谓临时治儿者选择之工具也。然病有轻重,法
有繁简,有一病
而只用一方者,有一病而须用数方者,前后变换不同,临时施用自异。在医师之良者,固可因病求法而为适宜之
推拿。若夫医师之下者,则胸无成竹,未免临症眩迷。如其临症乱推乱拿,不知因症以求法,何若另立法门,使之根据
法治症。故余于采用夏英白推拿诸法而外,另将陈紫山之分门推拿诸法列入。虽治法未克精良,疗病未必完善,而随
症增减采用,多亦可为医师之一助云耳。
Xia Yingbai stated: Pinch and manipulate the tendons on the elbow, as well as the tendons below the Quchi (Curved Pool) acupoint. Quchi is located at the cubital fossa; pinching it treats acute wind (a type of pediatric convulsion).
Tu Weisheng stated: Quchi belongs to the Hand-Yangming Large Intestine Meridian, located on the lateral side of the upper arm at the cubital fossa. It is appropriate to flex the elbow when locating this point.
Xia Yingbai stated: Waiguan (Outer Pass) is located on the dorsal aspect of the forearm, opposite the Neiguan (Inner Pass) acupoint on the palmar aspect. Waijianshi (Outer Jianshi) is located on the dorsal aspect of the forearm, opposite the Neijianshi (Inner Jianshi) acupoint on the palmar aspect. Pinching these points treats muscle spasms (tetany), vomiting, and diarrhea.
Tu Weisheng stated: Waiguan is located on the dorsal aspect of the forearm, two cun distal to the posterior wrist crease. Neiguan is located on the palmar aspect of the forearm, two cun proximal to the transverse crease of the wrist. The inner and outer Jianshi points are each one cun away from their respective Guan points, and three cun away from the posterior wrist crease.
Xia Yingbai stated: This point is located in the cleft of the shoulder bone, with one point on each side. Rubbing here resolves phlegm.
Tu Weisheng stated: To locate Feishu (Lung Shu), the child must sit upright. Counting from the first thoracic vertebra level with the shoulders down to the third thoracic vertebra, move laterally two cun from both sides of the third vertebral process; this is the Feishu point.
Xia Yingbai stated: This point is located at the end of the spinal column. Rubbing it treats watery diarrhea, abdominal distension, and slow wind (chronic convulsion).
Xia Yingbai stated: Use the left thumb to press firmly on the Dantian (Elixir Field) below the umbilicus without moving it. Use the right thumb to rub around the umbilicus. This treats watery diarrhea, abdominal distension, and umbilical wind.
Tu Weisheng stated: Dantian is located two cun below the umbilicus, also known as Shimen (Stone Gate). If the bladder is like water in a cauldron, Dantian is like firewood at the bottom of the stove; thus, it can treat conditions such as watery diarrhea.
Xia Yingbai stated: This point is located beside the medial side of the knee, also named Guiyan (Ghost Eye). When wind strikes the child's face, urgently pinch this point. Stop if the child's body arches backward.
Xia Yingbai stated: This point is located inside the popliteal fossa. Whenever wind pathogens are present, urgently pinch this point. Stop if the child's body falls forward.
Xia Yingbai stated: This point is located on the anterior aspect of the lower leg, below the knee, also named Zhonglian (Middle Lian). If the child falls backward due to wind-induced convulsions, prolonged pinching at this point is most effective.
Tu Weisheng stated: Consulting the *Zhenjiu Dacheng* (Great Compendium of Acupuncture and Moxibustion), there is no mention of "Zhonglian." There are only Shanglian (Upper Lian) and Xialian (Lower Lian) points, with Tiaokou (Band Opening) situated between them. It is presumed that Xia Yingbai's "Zhonglian" refers to the vicinity of the acupuncture point Tiaokou. Regarding its location, measure eight cun down from the lateral eye of the knee, stopping in the depression between the tendons of the tibia. Shanglian is six cun from the lateral knee eye, Xialian is three cun from Shanglian, and Tiaokou is one cun above Xialian.
Tu Weisheng stated: The aforementioned tuina methods are like the listing of medicinal herbs in materia medica, displaying various properties; they serve as tools for selection when treating children clinically. However, diseases vary in severity, and methods vary in complexity. Some diseases require only one formula, while others require multiple formulas. The application changes according to the situation. A skilled physician can certainly adapt tuina techniques based on the disease. Conversely, an incompetent physician, lacking clear principles, may become confused when facing symptoms. Randomly applying tuina without seeking methods based on symptoms is inferior to establishing specific protocols for symptom-based treatment. Therefore, besides adopting Xia Yingbai's tuina methods, I have included Chen Zishan's categorized tuina methods. Although the treatments may not be perfect or comprehensive, they can still assist physicians when adjusted according to symptoms.