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Chen Zishan said: Regarding "Goose Mouth" (E Kou, a condition characterized by white patches in the infant's mouth), it typically occurs in infants from one month to over half a year of age. Suddenly, the oral cavity becomes covered with white debris on the tongue, which protrudes upwards causing obstruction, resembling the beak of a goose. The mouth opens but cannot close, voice is lost, and feeding is difficult. Alternatively, white spots may appear above or below the teeth, known as "Horse Teeth" (Ma Ya). All these conditions are caused by heat-toxins attacking upwards. Although the names differ, the treatment principles are the same.

Treatment method: Push Up Three Gates (Tui Shang San Guan, pushing along the radial border of the forearm from wrist to elbow), Retreat Down Six Fu Organs (Tui Xia Liu Fu, pushing along the ulnar border from elbow to wrist), Divide Yin and Yang (Fen Yin Yang, pushing back and forth at the palm base), and Beat the Horse Across the Heavenly River (Da Ma Guo Tian He, pushing up the midline of the forearm while blowing air). Then, use the flat end of a silver hairpin to scrape the gums until bleeding occurs, wipe clean with soft silk, and apply old ink.

Tu Weisheng said: "Horse Teeth" refers to small yellow pointed teeth growing out, which differs from Goose Mouth. I have other treatments described later. As for the massage techniques for Goose Mouth, they are very brief; it is necessary to combine them with various cooling methods.

Chen Zishan said: When children have excessive internal heat generating wind, severe wind leads to convulsions. If even more severe, the jaw becomes rigid, resulting in the "Eight Signs" (Ba Hou). The Eight Signs are: Chu (twitching), Nuo (clenching), Che (pulling/tugging), Chan (trembling), Fan (arching back), Yin (stretching arms), Chuan (darting eyes), and Shi (staring). Chu refers to the contraction of limbs; Nuo refers to the opening and closing of fingers; Che refers to movements like wrestling; Chan refers to whole-body trembling; Fan refers to the body arching backward; Yin refers to the opening and closing of arms; Chuan refers to staring straight ahead angrily; Shi refers to staring with eyes partially open and disordered spirit. These constitute the Eight Signs, caused by wind-cold-heat pathogens. Furthermore, when a newborn lands, if the body is either too soft or too hard, eyes do not open, vision is incomplete, there is no crying, and consciousness is absent, this is due to fright received in the womb.

Treatment method: Push Up Three Gates, Divide Yin and Yang, Tonify Spleen Earth (Bu Pi Tu), Rotate Five Meridian Lines (Yun Wu Jing Wen), Fly Meridians and Move Qi (Fei Jing Zou Qi), Heaven's Gate Entering Tiger's Mouth (Tian Men Ru Hu Kou), Retreat Six Fu Organs, and Rub Dou Elbow (Rou Dou Zhou).

Chen Zishan said: If a newborn has red eyes, puckered lips, head tilted left or right, clenched fists, and no cry, this is fetal heat-toxin, or wind invasion within the first month causing phlegm stagnation in the heart region.

Treatment method: Push Three Gates, Rotate Bagua (Eight Trigrams), Push Four Horizontal Lines (Si Heng Wen), Green Dragon Swings Tail (Cang Long Bai Wei), Rub Umbilicus and Turtle Tail (Gui Wei), Pinch Middle Finger Joint, Press Inner Laogong (Nei Lao Gong), and Pinch Banmen (Ban Men). On the blue vein lines, apply moxa/fire-lamp therapy seven times. For rapid breathing, apply seven times above the umbilicus.

Chen Zishan said: If a child has fever, wheezing, thirst, red eyes, and limb twitching/jumping, it is caused by food retention combined with cold invasion.

Treatment method: Push Three Gates, Divide Yin and Yang, Clear Lung Meridian (Qing Fei Jing), Push Two Door Gates (Er Feng Men). If sweating occurs, Retreat Six Fu Organs, Clear Heart Meridian (Qing Xin Jing), and Retrieve the Bright Moon from the Bottom of the Water (Shui Di Lao Ming Yue).

Chen Zishan said: If the belly rumbles, vomiting occurs, limbs are cold, and consciousness is lost, it is due to Stomach Meridian injury from food retention and cold.

Treatment method: Push Three Gates, Divide Yin and Yang, Clear Lung Meridian, Tonify Spleen Earth, Rotate Bagua, Push Four Horizontal Lines, Fly Meridians and Move Qi, Phoenix Spreads Single Wing (Feng Huang Dan Zhan Chi).

Chen Zishan said: If the face is cyan, lips pale, belly rumbles with diarrhea, eyes roll back with thirst, consciousness is lost, and limbs and Six Fu organs are cold, it is injured by milk and food.

Treatment method: Push Up Three Gates, Divide Yin and Yang, Tonify Large Intestine (Bu Da Chang), Tonify Spleen Earth, Push Two Door Gates, Yellow Bee Enters Cave (Huang Feng Ru Dong), Rub Umbilicus and Turtle Tail, apply fire-lamp therapy seven times around the umbilicus.

Chen Zishan said: Uneven cold and heat, wheezing, yellowish whites of eyes, loss of appetite, fullness of blue veins in the belly, abdominal distension and diarrhea, are all due to cold invasion after eating, where the Spleen fails to transport.

Treatment method: Push Three Gates, Clear Lung Meridian, Tonify Spleen Earth, Rotate Bagua, Divide Yin and Yang, Rub Umbilicus, Guide Star Acupoint (Xiang Dao Xue), Press Strings and Rub (An Xian Cuo Mo), Phoenix Spreads Single Wing, apply fire-lamp therapy four times on the blue veins in the belly.

Tu Weisheng said: The above four symptoms are due to deficiency-cold in the intestines and stomach generating wind, a type of slow wind (Man Feng). Therefore, they should primarily use warming and tonifying methods for the spleen and stomach to restore primal yang. However, the method of pushing Three Gates mentioned here specifically applies to boys; girls should use Retreating Six Fu Organs.

Chen Zishan said: Wheezing and abdominal distension, loss of appetite, emaciation, weak body, appearance of blue veins in the belly, yellow eyes, soft hands, blockage of urination and defecation, abdominal distension and pain, are due to cold in the Six Fu organs.

Treatment method: Push Three Gates, Tonify Spleen Earth, Tonify Large Intestine, Transport Earth into Water (Yun Tu Ru Shui), Clear Lung Meridian, Tonify Kidney Water (Bu Shen Shui), Rub Umbilicus and Turtle Tail. Apply fire-lamp therapy seven times around the umbilicus, then use mugwort moxa heated and wrapped around the umbilicus.

Chen Zishan said: Wild waving of limbs and head tilting backward are due to prior wind-heat invasion followed by fright.

Treatment method: Push Three Gates, Clear Lung Meridian, Rotate Bagua, Tonify Spleen Earth, Clear Heavenly River Water (Qing Tian He Shui), Tonify Large Intestine, Fly Meridians and Move Qi. Use fire-lamp therapy on limbs, shoulders, throat, and below umbilicus, one time each.

Chen Zishan said: Vomiting white foam, swinging limbs, crooked mouth drooping, rolling back eyes showing whites, indicates wind in the Lung Meridian and cold in the Spleen Meridian.

Treatment method: Push Three Gates, Tonify Spleen Earth, Clear Lung Meridian, Rotate Bagua, Clear Heavenly River Water, Transport Water into Earth (Yun Shui Ru Tu), Rotate Five Meridian Lines, Tonify Kidney Water, Pinch Five Finger Joints three times, Head String Rub (Tou Xian Cuo Mo). Apply fire-lamp therapy four times above and below the corners of the mouth.

Chen Zishan said: Eyes rolling upward, limbs arching backward, or hands hanging down, yellow eyes, black mouth, deep coma, indicates Water overwhelming Earth (Kidney water suppressing Spleen earth). If pinching causes pain, it is treatable; if no pain, it is untreatable.

Treatment method: Push Three Gates, Clear Lung Meridian, Push Four Horizontal Lines, Heaven's Gate Entering Tiger's Mouth, Rub Dou Elbow, Transport Water into Earth, Fly Meridians and Move Qi.

Chen Zishan said: Symptoms lighter during the day and heavier at night, coma in the evening, crooked mouth, limb twitching, cold breath from mouth and nose, indicate cold in the Spleen and Stomach.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Push Four Horizontal Lines, Rotate Bagua, Divide Yin and Yang, Pinch Five Finger Joints, Pinch Kidney Water, Beat the Horse Across the Heavenly River.

Chen Zishan said: Crooked mouth and eyes, limb convulsions, phlegm blocking the heart causing confusion and unconsciousness, resembling death, is a condition of liver meridian accumulated heat generating wind.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Tonify Kidney Water, Clear Heavenly River Method, Tonify Spleen Earth, Clear Lung Meridian, Rotate Five Meridian Lines, Pinch Five Finger Joints, Ape Plucks Fruit (Yuan Hou Zhai Guo), Bite Kunlun Point (Yao Kun Lun Xue), Push Three Yin Points (Tui San Yin Xue). (For slow wind, push from top to bottom.)

Tu Weisheng said: The location of the Three Yin Point was not specified by ancient experts. Inferring from Xia Yingbai's method of Dividing Yin and Yang, it should also be on the side of the little finger of the hand. Whether correct awaits correction by experts.

Chen Zishan said: Cyan face, white lips, cold limbs, coma, limb convulsions, slow eyelids, and phlegm accumulation are named Slow Wind (Man Feng). This occurs after serious illness, following vomiting and diarrhea, where Spleen Earth is deficient and failing, and Liver Wood moves spontaneously with wind.

Treatment method: First pinch Laolong Point (Lao Long Xue); if sound is produced, it is treatable; if silent, untreatable. Next, moxa Kunlun Point, Push Three Gates, Clear Lung Meridian, Tonify Kidney Water, Tonify Spleen Earth, Pinch Five Finger Joints, Rotate Five Meridian Lines, Rotate Bagua, Red Phoenix Shakes Head (Chi Feng Yao Tou), Two Dragons Play with Pearl (Er Long Xi Zhu), Heaven's Gate Entering Tiger's Mouth. Apply fire-lamp therapy four times on palms and soles, three times above and below the heart center, and on the Three Yin Point. (For slow wind, push from bottom to top.)

Chen Zishan said: Eyes closed and blurry, incessant crying, cyan face, yellow eyes, inward twitching of hands and eyes, indicates Lung Meridian affected by wind-cold.

Treatment method: Push Three Gates, Clear Lung Meridian, Tonify Spleen Earth, Tonify Kidney Water, Phoenix Spreads Wings (Feng Huang Zhan Chi), Press Strings and Rub, then administer bamboo sap (Zhu Li). Also, mix fine tea, flying salt, and gleditsia sinensis powder (each 5 fen) with one cup of water and 2 fen of beeswax, melt in a pot, add the powders, make into a cake, and apply to the heart pit for immediate effect.

Tu Weisheng said: Bamboo sap is too cold; use with discretion. Even the tea-gleditsia cake should be used cautiously.

Chen Zishan said: If a child's eyes roll up, cries loudly, limbs convulse, mouth and eyes are crooked, nose runs clear fluid, or bleeds, it is due to Lung Meridian affected by wind, or cold invasion after eating.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Tonify Spleen Earth, Divide Yin and Yang, Clear Heavenly River Water, Clear Lung Meridian, Rotate Bagua, Rub Five Fingers, heavily rub Big and Small Tianxin points.

Also say: Pinch Zongjin (Total Tendon), Qingjin (Blue Vein), and earlobe. Also, lift-fire lamp therapy above and below the umbilicus.

Chen Zishan said: Head tilted back, limbs extended backward, eyes rolled or closed, abdominal distension, incessant crying, is due to Lung Meridian affected by wind and accumulated phlegm.

Treatment method: Push Three Gates, Clear Lung Meridian, Clear Spleen Meridian, Rotate Bagua, Clear Heavenly River Water, heavily rub hand and foot bends (elbows/knees), Neiguan and middle boundary, pinch above and below umbilicus.

Apply fire-lamp therapy three times on blue vein lines and below the throat. Also, heavily rub Weizhong point. The book says: For limbs extending backward and head tilting back, moxa above and below the umbilicus for health.

Chen Zishan said: Tongue protruding, cold limbs with convulsions, no cry, indicates heat in the Heart Meridian, caused by eating milk while sleeping and wind entering the corner of the mouth.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Divide Yin and Yang, Rotate Bagua, Clear Heavenly River Water, (push Three Gates lightly), push Kidney Water heavily. If tongue protrusion persists, apply fire-lamp therapy six times on the chest.

Tu Weisheng said: Since it is a heat symptom with tongue protrusion, how dare one use fire-lamp therapy? Physicians should examine carefully.

Chen Zishan said: Clutching people, clenching teeth, hands down, mouth up, alternating cold and heat, are due to fright injuring milk intake, causing heart heat generating wind.

Treatment method: Push Three Gates, Tonify Spleen Earth, Divide Yin and Yang, Rotate Bagua. Also pinch left and right of thumb, and three bends of hands and feet. Then apply fire-lamp therapy once each on palms, Taiyang acupoint, brow center, and soles.

Tu Weisheng said: This section's syndrome discussion does not fully match the treatment; users should choose carefully.

Chen Zishan said: Limb convulsions, cyan-black lips and mouth, abdominal distension with blue veins, indicate cold in the Zang-Fu organs.

Treatment method: Push Three Gates, Clear Lung Meridian, Rotate Bagua (should be pushed heavily), Retreat Six Fu Organs Tonify Spleen Earth (push lightly), press Inner Laogong, Push Two Door Gates. Then use fire-lamp therapy on the Four Hearts (palms/soles) to lift, and seven times on the blue vein lines in the belly.

Chen Zishan said: Hand and foot convulsions, closed mouth and eyes, loud scream, resembling death, is heart heat generating phlegm, similar to acute wind (Ji Feng).

Treatment method: Push Three Gates; Clear Lung Meridian, Retreat Six Fu Organs, Clear Heavenly River Water, Retrieve the Bright Moon from the Bottom of the Water, Fly Meridians and Move Qi, Tonify Spleen Earth. If vomiting occurs, apply fire-lamp therapy once each on the Four Hearts.

Tu Weisheng said: It is unknown whether "Four Hearts" refers to palms/soles or Big/Small Tianxin points. But since it is heart heat generating phlegm, how dare one use fire-lamp therapy.

Chen Zishan said: Vomiting foam, nasal bleeding, soft limbs, preference for cold items, white eyes without crying, indicates heat in Heart and Spleen, excessive fire and phlegm stagnation.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Clear Heavenly River Water, Retrieve the Bright Moon from the Bottom of the Water, Divide Yin and Yang, Rotate Bagua, Tonify Kidney Water, Red Phoenix Shakes Head.

Chen Zishan said: Eye rolling and teeth grinding, limbs alternating between spasm and rigidity, indicates wind affecting Heart Meridian, initially cold then hot, with phlegm.

Treatment method: Push Three Gates, Retreat Six Fu Organs, Clear Lung Meridian, Clear Heavenly River Water, Tonify Spleen Earth, Rotate Bagua, Red Phoenix Shakes Head.

Join both hands together and pinch the horizontal lines together. If not waking, pinch the tip of the thumb. For upper and lower qi closure, pinch Renzhong point. If no breath in/out from nose, wheezing, cold/heat with thirst, treat according to symptoms. First pinch Chengshan point, push brow center, then apply fire-lamp therapy twice on hands and back of hands. If teeth grinding, twist earlobes with both hands, flex middle finger to rub Jiache acupoint, then Transport Earth into Water.