一凡云拿者，总言以医手在儿经穴，以用诸法也。推者医指按经穴挤而上下之也，掐者医指在儿经穴入而
向后出也；搓者医指在儿经穴往来摩之也；摇者或于儿头，或于儿手，使之动也；摄者医以两指摄儿皮，微用力
而略动也；扯者于儿皮轻轻频摄之，而频弃之也；揉者医以指按儿经穴，不离其处而旋转之也；运者医以指于
儿经穴，由此往彼也；刮者医指挨儿皮肤，略加力而下也；分者以两手之指，由儿经穴划向两边也；和者医以两
手之指，由儿两处经穴，合于中间一处也。医者于用法时，具全副善念慈心，无半点浮词躁之，则一切神而明
之，存乎其人矣。
一凡为推拿法医者，己之大指，不可修留爪甲，但以指头肉用力，有爪甲则为伤儿皮肤矣。医者最宜轻稳，莫
致儿皮肤疼痛。
一儿病重者，医人以麝香粘己指；轻者，以葱姜水浸己指，则用一切法，始可开闭窍。
一推拿法须在下午半日为之。盖上半日阳气正盛，在儿关窍推拿，多不能入。
一指头箕斗旋纹处有火。若治儿热症，医者可用大指尖，勿将指头箕斗纹处推拿。
一是书未注明所推拿之数，以儿有大小强弱之异，病有轻重之殊。儿之大者强者，病之重者，用数多；儿之小
者弱者，病之轻者，用数少。多则用几百，少者用几十。
一是书原指某脏某腑，寒则用某法，热则用某法，虚者用某法，实者用某法。若素全不明医理，何能辨寒热虚
实，倘或错用，亦能为害，故认症宜真。
1. The terms "Na" (Grasping) and "Qia" (Pinching) generally refer to the application of various techniques by the physician's fingers on the child's acupoints along the meridians. "Tui" (Pushing) involves the physician's finger pressing on the child's meridian acupoints and moving up and down; "Qia" (Pinching/Pressing) refers to the physician's finger entering into the child's meridian acupoint and then withdrawing backward; "Cuo" (Rubbing) is the back-and-forth friction of the physician's finger on the child's meridian acupoints; "Yao" (Shaking) causes movement in the child's head or hand; "She" (Lifting/Pinching skin) involves the physician using two fingers to lift the child's skin with slight force and minimal movement; "Che" (Pulling/Tugging) consists of lightly and frequently lifting and releasing the child's skin; "Rou" (Kneading) is when the physician presses a finger on the child's meridian acupoint, rotating it without leaving the spot; "Yun" (Circling/Moving) is when the physician moves their finger from one meridian acupoint to another on the child; "Gua" (Scraping) involves the physician's finger gliding along the child's skin with slight downward pressure; "Fen" (Separating) uses the fingers of both hands to stroke outward from a child's meridian acupoint to both sides; "He" (Joining) brings the manipulation from two separate meridian acupoints on the child together to a central point. When applying these techniques, the physician must possess complete goodwill and compassion, avoiding any frivolous or impatient words. Thus, all miraculous effects depend entirely on the practitioner.
2. Physicians practicing Tuina (Chinese therapeutic massage) should not keep long fingernails on their thumbs; force should be applied using the fleshy part of the fingertip, as nails can injure the child's skin. The physician's technique should be light and steady to avoid causing pain to the child's skin.
3. For severe pediatric conditions, the physician may apply Moschus (Musk) to their fingers; for mild conditions, they may soak their fingers in water infused with Allii Fistulosi Rhizoma (Green Onion) and Zingiberis Rhizoma Recens (Fresh Ginger). This allows the various techniques to effectively open blocked orifices.
4. Pediatric Tuina should be performed during the afternoon half-day. During the morning, Yang Qi (Vital Energy) is at its peak, making it difficult for manipulations on the child's acupoints to penetrate deeply.
5. The whorls at the fingertips contain fire (heat). When treating pediatric heat syndromes, the physician should use the tip of the thumb but avoid using the whorl area of the fingertip for manipulation.
6. This book does not specify the exact number of manipulations because children vary in size and strength, and diseases differ in severity. More repetitions are used for larger, stronger children with severe conditions, while fewer repetitions are used for smaller, weaker children with mild conditions. The count ranges from dozens to hundreds.
7. This book originally indicated specific methods for certain Zang-Fu organs based on patterns: cold syndromes require specific methods, heat syndromes require others, deficiency syndromes require tonification, and excess syndromes require sedation. Without a fundamental understanding of medical principles, one cannot distinguish between cold, heat, deficiency, and excess. Incorrect application can cause harm; therefore, pattern differentiation must be accurate.