小儿头疮,治宜推三关,推肺经,分阴阳,推脾土,揉太阳,揉阳池。
小儿口内生疮,治宜退六腑,分阴阳,捞明月,清天河水,
补肾水,凤凰单展翅。
小儿偏坠,治宜推三关,推肾,揉板门,分阴阳,八卦,打马过天河,三阴交,承山穴,外用艾茸为囊,
收肾卵子甚效。
涂蔚生曰∶三阴交在内踝蛳骨上三寸,乃足厥阴、足太阴、足少阴交会之点也。
小儿傍耳流脓,治宜∶推三关,六腑,推脾土,将耳珠揉,用前补泻法。小便黄赤可清之,治宜治肾水。
(从小指尖往上推为清。)掐二人上马,运水入土。如大小便俱闭,则宜分阴阳为主。
小儿眉目不开,治宜掐阳池,(宜久揉久掐)。再推四横纹。
小儿口渴咽干者,气虚火动也,清天河水为主。
小儿四肢厥冷,治宜推三关,补肾土为主。
小儿口哑不能语言,乃痰迷心窍也,清肺经为主。
小儿手不能屈伸者,风也,宜威灵穴揉之。四肢软者,血气弱也,宜补肾土,掐四肢横纹。手捏拳者,心经
热也,急掐水底捞明月,仍运八卦。
小儿头痛,揉脐及阳池,外劳宫,头向上者,宜补脾土,运八卦为主。
小儿风症,不省人事,灸上星、涌泉、少商。
小儿发热,目上视,宜泻心经,掐中衡穴,横门穴,俟眼正起视方止。
小儿眼左视,掐右端正;眼右视,掐左端正(中指中节外边是)
小儿吐血,两大指甲爪角后一韭叶许,即母腮穴掐之(母腮穴即是少商穴)
小儿汗多,是肾虚,推补肾水,汗即止。
小儿日间病重,宜抑阳;夜重者,宜抑阴。
小儿子时后火盛者,是阳火,宜泻之;午后火盛者,是阴火,宜补之。
小儿先热后寒者,阴干阳,宜先泻后补;先寒后热,是阳干阴,宜先补后泻。
小儿浮肿者,脾土宜补,阴阳宜分,肾水宜先补而后泻,用灯火太阳五心脊背上各一 ,自愈。
小儿五指节揉之,可以化痰。
小儿三焦推之,治心气冷痛。
小儿命门推之,止腰痛,补下元。
小儿四横纹重推,可以通上下之气血。
小儿板门重推,可以止小肠之寒气。
小儿之小天心重揉,治肾水枯短。
小儿风池穴用针刺之,可治眼痛头痛。
涂蔚生曰∶风池属于足少阳胆经,少阳行人之侧,走上于头,此穴在耳后颞 后脑空下发际陷中,与哑门
风府同刺,为治中风口哑,偏正头痛,一切风症之要穴。哑门入发际五分,刺宜浅。风府入发际一寸,刺宜稍
深。
小儿三关灸之,可祛腰背之风寒。
小儿昆仑穴灸之,可救半身不遂,大小便涩。
小儿曲池穴灸之,可通肺脏气血,治麻痹半身不遂。
小儿泄泻,在龟尾骨上,用艾火一 ,可愈。若大便多而秽者,恐是阴脱,多不治。
小儿吐症,心窝上下,灯火四 ,如喝水多,可推脾土。
小儿脚软,可于鬼眼穴上,灯火一 。
小儿手软倒蹭后拐,节湾上一 。
小儿头软,心脐上下,灯火一 。
小儿内热外寒,掐肾水即止。
小儿外寒内热者,掐阳筋汗出为度。
小儿作寒,掐心经转热;作热,掐肾经转凉。
小儿口或闭,多揉脾土,心口灯火一 。亦有心窝揉者,又有研朱砂一分,吹鼻即开。
小儿上吐下泻,多推脾胃,与分阴阳,灯火五心提之,肚上五火,背上五火效。
涂蔚生曰∶上吐下泻,固有纯属阴寒者,亦有多属上热下寒,与寒热参杂者。必须将症认清,因症施治,方能
取效。万不可冒用灯火,以热攻热,致误儿命。
小儿囟门有纹如针入眼五色皆主死。
小儿鼻干年长寿推下效,或曰多推肺经,以鼻乃肺窍故也。
小儿久揉脾土后心,以肚附应之,谓之内消。
小儿脊骨自下缓缓推上,可使之吐,大人亦然。
小儿足三里穴,属胃,久揉止肚痛。大人胃气痛者通用。
小儿便秘者,烧酒在肾俞推上龟尾,膀胱推下承山。但脚里边在承山旁抽骨处,亦要推下。此顺气之法,
可免急胀之患。若要泄泻,亦要逆推,使气升而泻而止。
小儿两手交叉,食指尽处,为列缺穴,可指头顶面诸症。手背掌后横纹后二寸为外关穴,治腰背痛,大人通用。
小儿掐靠山、合谷、少商、内关诸穴治疟疾。
小儿向导穴掐之,可治气喘,口歪眼偏,哭不出声,口渴。
小儿掐总筋,推天河,治口内生疮,吐热人事昏沉。
小儿掐涌泉穴,治痰壅,重则灸之。
小儿揉二大指头顶,向外转三十六,随掐之,醒脾消食。
小儿板门推倒横门可吐,横门推下板门可泻。二穴对掐之,止吐泻。
小儿运水入土,治身弱,肚起青筋,曰水盛土枯。
小儿运土入水,治腹内作胀,眼睁,曰土盛水枯。
小儿危症,先劈面吹气一口。若眼皮连动,眼睛活转,可救。若鱼目,肝绝,不救。
小儿生血顺气,天门入虎口,揉斗肘。
小儿当时被吓,补童子 ,以两手提耳三四次即效。
小儿推拿,不可拘于推三回一之说,但推中回几下便是。
小儿推法,必是线形,毋得斜曲,恐动别经而招患也。
涂蔚生曰∶陈紫山以上各节,多有会解之处。予虽极力领会,恐仍有不能合其本意者。然以词意所在,又
不能不为牵强下去。尚希海内名家,随时校正,是所至祷,查其所以错误之点,多系传写之讹,在出版者,既系
贪图节省工费,罔顾誊写之优劣。而著作者,又属忘去自己心血,不计刷印之精疵,孰知一误再误,伊芳于胡底。
错误纵可延长,权力纵可抛弃,婴儿岂可长为误治,任其夭札乎,余不辞血汗之劳。谨为审正,以公于世,虽
是否有当,未敢断定,而我之一片婆心,当亦为天下所共谅耳。
Infants with head sores should be treated by pushing the Three Gates (San Guan, a line on the radial side of the forearm), pushing the Lung Meridian (Fei Jing, the lunula surface of the ring finger's distal phalanx), dividing Yin and Yang (Fen Yin Yang, the areas on both sides of the posterior wrist high bone), pushing Spleen Earth (Tui Pi Tu, the radial edge of the thumb or rotating the thumb tip), rubbing Taiyang acupoint (Taiyang, located in the depression about one horizontal finger width behind the intersection of the lateral end of the eyebrow and the outer canthus), and rubbing Yangchi acupoint (Yangchi, the midpoint of the dorsal wrist crease).
For infants with oral ulcers, treatment should involve retreating the Six Fu organs (Tui Liu Fu, a line on the ulnar side of the forearm from elbow to wrist), dividing Yin and Yang, retrieving the Bright Moon (Lao Mingyue, straight pushing up from Dazhui to the umbilicus, considered tonification), clearing the River Water (Qing Tianhe Shui, straight pushing up the midline of the anterior forearm from wrist to elbow), tonifying Kidney Water (Bu Shen Shui, rotating the lunula surface of the little finger), and Phoenix Spreading Single Wings (Fenghuang Dan Zhanchi, a variation of Eight Trigrams manipulation).
For infantile hernia (Pian Zhui), treatment should include pushing the Three Gates, pushing the Kidney Meridian (pushing the lunula surface of the little finger), rubbing Banmen acupoint (Banmen, the thenar eminence plane), dividing Yin and Yang, circulating the Eight Trigrams, beating the Horse across the River Water (Da Ma Guo Tianhe, pushing from Zongjin to Quze along the River Water while blowing air), pressing Sanjiao Jiao acupoint (Sanyinjiao, 3 cun above the medial malleolus posterior to the tibia), Chengshan acupoint (Chengshan, at the apex of the depression between the two bellies of the gastrocnemius muscle), and externally applying a mugwort wool pouch to the affected area, which is very effective for retracting the testicles.
Tu Weisheng stated: Sanjiao Jiao is located three cun above the tip of the medial malleolus; it is the convergence point of the Foot Jueyin Liver Meridian, Foot Taiyin Spleen Meridian, and Foot Shaoyin Kidney Meridian.
For infants with pus flowing from beside the ear, treatment should involve: pushing the Three Gates, retreating the Six Fu organs, pushing Spleen Earth, rubbing the earlobe, and applying the aforementioned tonification and sedation methods. If urine is yellow and red, heat can be cleared by tonifying Kidney Water. (Pushing from the tip of the little finger towards the root is considered clearing.) Press Erren Shangma acupoint (Erren Shangma, the depression between the 4th and 5th metacarpal bones on the dorsum of the hand) and circulate Water into Earth (Yun Shui Ru Tu, pushing from the root of the little finger through the palm to the root of the thumb). If both stool and urine are blocked, dividing Yin and Yang should be the primary method.
For infants whose eyebrows and eyes cannot open, treatment should involve pressing Yangchi acupoint (rubbing and pressing for a long time). Then push the Four Horizontal Lines (Si Heng Wen, the transverse creases on the palmar aspect of the proximal interphalangeal joints of the index, middle, ring, and little fingers).
Infants with thirst and dry throat suffer from Qi deficiency and fire agitation; clearing the River Water is the primary treatment.
For infants with cold extremities, pushing the Three Gates and tonifying Kidney Earth (rotating the thumb tip) is the primary treatment.
Infants who are mute and unable to speak suffer from phlegm confusing the Heart orifices; clearing the Lung Meridian (straight pushing from fingertip to root of the ring finger) is the primary treatment.
Infants whose hands cannot flex or extend suffer from Wind pathogen invasion; rubbing Weiling acupoint (Weiling, the depression between the middle and ring finger metacarpals on the dorsum of the hand) is indicated. Infants with weak limbs suffer from Qi and Blood deficiency; tonifying Kidney Earth and pressing the limb transverse lines (Four Horizontal Lines) is indicated. Infants with clenched fists suffer from Heat in the Heart Meridian; urgently press Shuidi Lao Mingyue (straight pushing from fingertip to root of the little finger) and circulate the Eight Trigrams.
For infants with headaches, rub the navel, Yangchi acupoint, and Wailaogong acupoint (Wailaogong, the center of the dorsum of the hand, opposite Neilaogong). If the head tilts to one side, tonifying Spleen Earth and circulating the Eight Trigrams is the primary treatment.
For infants suffering from Wind syndrome with loss of consciousness, moxa Shangxing acupoint (Shangxing, 1 cun directly above the anterior hairline), Yongquan acupoint (Yongquan, the depression in the anterior part of the sole), and Shaoshang acupoint (Shaoshang, 0.1 cun lateral to the radial corner of the thumbnail).
For infants with fever and upward-gazing eyes, sedate the Heart Meridian (straight pushing from fingertip to root of the middle finger), press Zhongheng acupoint (Zhongheng, the midpoint of the palm) and Hengmen acupoint (Hengmen, the midpoint of the palmar crease), stopping only when the eyes return to normal gaze.
If an infant's eyes look to the left, press the Right Duanzheng acupoint (Right Duanzheng, the lunula surface of the middle finger); if looking to the right, press the Left Duanzheng acupoint (Left Duanzheng, the lunula surface of the middle finger; note: original text specifies "outer side of the middle joint of the middle finger").
For infants vomiting blood, press the Musai acupoint (Musai, also known as Shaoshang) located approximately one leek-leaf width behind the claw angle of the two big toenails/nails.
Excessive sweating in infants indicates Kidney deficiency; pushing to tonify Kidney Water will stop the sweat.
If an infant's illness is heavier during the day, suppress Yang; if heavier at night, suppress Yin.
If Fire is excessive after Zi hour (1-3 PM), it is Yang Fire, which should be sedated; if Fire is excessive in the afternoon (after 1 PM), it is Yin Fire, which should be tonified.
If an infant has fever first followed by chills, it is Yin interfering with Yang; treat by sedating first then tonifying. If chills occur first followed by fever, it is Yang interfering with Yin; treat by tonifying first then sedating.
For infants with edema, tonify Spleen Earth, divide Yin and Yang, and first tonify then sedate Kidney Water. Apply lamp-fire moxibustion to Taiyang acupoint, Five Centers (two palms, two soles, and Baihui on the vertex), and points on the spine, one moxa cone each, for spontaneous recovery.
Rubbing the Five Finger Joints (Wu Zhi Jie, the first interphalangeal joints on the dorsum of the hands) of infants can resolve phlegm.
Pushing the Sanjiao Meridian (from wrist to elbow on the ulnar side) treats Cold Pain of Heart Qi.
Pushing the Mingmen acupoint (Mingmen, below the spinous process of the second lumbar vertebra) stops lower back pain and tonifies the Lower Yuan.
Heavily pushing the Four Horizontal Lines can unblock Qi and Blood throughout the body.
Heavily pushing Banmen acupoint can stop Cold Qi in the Small Intestine.
Heavily rubbing Xiaotianxin acupoint (Xiaotianxin, the depression at the base of the palm) treats Kidney Water deficiency (Yin deficiency and fluid depletion).
Needling Fengchi acupoint (Fengchi) treats eye pain and headache.
Tu Weisheng stated: Fengchi belongs to the Foot Shaoyang Gallbladder Meridian. The Shaoyang meridian runs along the side of the body and ascends to the head. This acupoint is located in the depression behind the mastoid process and temporal bone, at the hairline, corresponding to Kongzui. Needling together with Yamen and Fengfu acupoints is a key method for treating stroke-induced muteness, migraine and tension-type headaches, and all Wind syndromes. Yamen enters the hairline by five fen; needling should be shallow. Fengfu enters the hairline by one cun; needling should be slightly deeper.
Moxa on the Three Gates acupoint in infants can dispel Wind-Cold from the waist and back.
Moxa on Kunlun acupoint in infants can save cases of hemiplegia and difficulty in urination and defecation.
Moxa on Quchi acupoint in infants can unblock Lung Qi and Blood, treating paralysis and hemiplegia.
For infantile diarrhea, apply one moxa cone on the Guiwei bone (tailbone end) using lamp-fire moxibustion; this can cure it. However, if there is abundant and foul-smelling stool, it may indicate Yin collapse, which is often untreatable.
For infantile vomiting, apply four moxa cones on the upper and lower epigastrium using lamp-fire moxibustion. If the infant drinks much water, push Spleen Earth.
For infantile weak legs, apply one moxa cone on Guiyan acupoint (Guiyan, the center of the heel) using lamp-fire moxibustion.
For infantile weak hands dragging backwards on the wrist bend, apply one moxa cone on the joint curve.
For infantile weak neck, apply one moxa cone on the heart-navel area using lamp-fire moxibustion.
For infants with internal Heat and external Cold, pressing Kidney Water stops it.
For infants with external Cold and internal Heat, press Yangjin until sweating occurs.
When infants manifest cold symptoms, press the Heart Meridian to induce warmth; when manifesting heat symptoms, press the Kidney Meridian to induce coolness.
If an infant's mouth is closed and won't open, rub Spleen Earth frequently and apply one moxa cone to the heart area using lamp-fire moxibustion. Some methods involve rubbing the epigastrium, or grinding one fen of Cinnabar and blowing it into the nose to open the mouth.
For infantile vomiting and diarrhea, frequently push Spleen and Stomach, combine with dividing Yin and Yang, lift with lamp-fire moxibustion on the Five Centers, and apply five moxa cones on the abdomen and five on the back for efficacy.
Tu Weisheng stated: Vomiting and diarrhea may indeed be purely due to Yin-Cold, but often belong to Upper Heat and Lower Cold, or mixed Cold and Heat. One must clearly identify the symptoms and treat according to the condition to achieve efficacy. One must never recklessly use lamp-fire therapy to attack Heat with Heat, which could lead to fatal errors in treating the child.
If an infant's fontanelle shows lines like needles entering the eye, and the color is one of the five pathological colors, it indicates a death prognosis.
For infants with dry nose, pushing downwards for longevity is effective; some say to frequently push the Lung Meridian because the nose is the orifice of the Lung.
After frequently rubbing Spleen Earth and the posterior heart area in infants, if the abdomen responds, it is called Internal Dissolution (Nei Xiao).
Slowly pushing the infant's spine upwards from bottom to top can induce vomiting; the same applies to adults.
The Zusanli acupoint in infants belongs to the Stomach; frequent rubbing stops abdominal pain. It is generally applicable for adult stomach Qi pain.
For infantile constipation, use burning wine to push upwards from Shenshu acupoint to Guiwei, and downwards along the Bladder Meridian to Chengshan. Also, push downwards at the bone-drawing area beside Chengshan on the inner leg. This is a method of regulating Qi to prevent acute distension. To treat diarrhea, one must push in reverse to raise Qi and stop diarrhea.
Where the two hands of an infant cross, at the end of the index finger, lies Lieque acupoint, which can address various conditions of the head and face. Wai Guan acupoint is located two cun posterior to the dorsal wrist crease on the dorsum of the hand; it treats lower back and waist pain and is generally applicable to adults.
Pressing Kaoshan, Hegu, Shaoshang, and Neiguan acupoints in infants treats malaria.
Pressing Xiangdao acupoint in infants treats asthma, facial deviation, inability to cry, and thirst.
Pressing Zongjin acupoint and pushing Tianhe Shui treats oral ulcers, vomiting heat, and unconsciousness.
Pressing Yongquan acupoint in infants treats Phlegm obstruction; if severe, apply moxibustion.
Rubbing the tips of the two thumbs of infants, rotating outwards thirty-six times, followed by pressing, awakens the Spleen and aids digestion.
Pushing Banmen to Hengmen in infants can induce vomiting; pushing Hengmen down to Banmen can induce diarrhea. Pressing these two acupoints against each other stops vomiting and diarrhea.
Circulating Water into Earth in infants treats weakness and visible blue veins on the abdomen, known as Excess Water and Deficient Earth.
Circulating Earth into Water in infants treats abdominal distension and staring eyes, known as Excess Earth and Deficient Water.
In critical infant conditions, blow a breath forcefully onto the face. If the eyelids twitch and the eyes become active, rescue is possible. If the eyes resemble fish eyes, indicating Liver failure, rescue is impossible.
To generate Blood and regulate Qi in infants, push from Tianmen into the Tiger's Mouth and rub Douzhou.
If an infant is frightened, tonify Tongzi Ming (original text implies a specific point or method, retained as is) by lifting the ears three or four times with both hands for immediate effect.
Pediatric massage should not be rigidly bound by the theory of "push three times, return once"; simply returning a few times during the pushing process is sufficient.
Pediatric pushing methods must be linear; do not push obliquely or curvilinearly, lest you disturb other meridians and cause harm.
Tu Weisheng stated: Chen Zishan's sections above have many interpretations. Although I strive to understand them fully, I fear I may still not align with their original intent. However, given the context, I cannot help but force my way through. I hope famous experts within the realm will correct me at any time; this is my utmost prayer. Investigating the reasons for errors, they are mostly transcription mistakes. Publishers, seeking to save labor costs, disregard the quality of copying. Authors, forgetting their own painstaking efforts, disregard the precision of printing. Who knows how far errors will propagate? Even if errors can persist and authority be abandoned, how can infants be subjected to prolonged misdiagnosis and allowed to die prematurely? I do not shy away from the toil of blood and sweat. I carefully review and correct this work to make it public. Whether it is appropriate or not, I dare not decide, but my compassionate heart should be understood by the world.