推摩法。乃先师之真传秘法。按病推之。有立竿见影之效。因后世不得传授手法。以致弃置不用。几于失传。盖小
儿脏腑柔脆。受风寒暑湿之邪。即便发热。或受惊吓。肝胆气浮。热发于内。血热沸腾。医者不能见病知源。发表
清里。用药杂乱。则以小儿柔脆之脏腑。运化乳食。尚且不逮。何能再加猛烈之药性。岂有不反增药病耶。何如推
摩法。既稳而又速效哉。近来是术盛行。而精者不一二觏。其法以手五指分主五脏。指尖属脏。本节属腑。热清寒
温。实泻虚补。分顺推逆。推左旋右。旋右推左。以定温清补泻之法。俱有下数。或三百或五百。不可乱推。又有揉以
运气。掐以定惊。面上亦各有所主之部位。肚腹手足。俱可推摩。有十大手诀做法。乃先师之秘法也。若能精是术
者。广行于世。则小儿之病。庶几无夭札之虞矣。
小儿脏腑柔脆。药入不能运化。是以用药宜轻。如外感风寒之邪。解肌疏表之药。每味几分可矣。药味亦不宜多。
如药多而重。则药反过病。病必不能愈也。惟痘 二症。则宜重而不宜轻。轻则药力不逮。亦不能愈也。何则。痘
二症。乃先天之火毒尽发于外。是以人生每只一次。非比他病之常有也。观叶氏案当自知之。
方药治病。始于伊芳尹。六淫之邪在表在肌在营卫在六腑者。宜用汤剂邪在表者宜汗。在肌者宜解在营卫者宜
和。入于六腑。在膈上者宜吐。在肠胃者宜下。在脏则非汤剂所能尽主之知矣。如肺病多有用散者。以肺居最高
用药宜轻。心肝脾有或宜丹或宜丸者。以其地位深幽。治之宜缓。肾则多虚少实。故或宜于丸。或宜于膏。内经云。
肾藏精。精不足者。补之以味。故肾虚者。宜气浊味浓之品。或血肉有情之物。为膏为丸。同类相感。 乃克有济。如病
在经络。或疼痛流注。或拘挛弛纵。必用微针以调其外。更佐药酒以和其内。则经络和而隧道通。而疾愈矣。徒事
药饵。病必不愈。如小儿惊风。二十四种。惊病必用按摩。更用灸法以治之小儿丹毒及大人恶血留阻。须用砭法。
砭去恶血。一切沉寒痼冷之久病痞积。以及溃疡虚寒。年久不敛。肌肉黑陷者。非用灸法。不能回春。肿疡疼痛
瘕等病。俱宜薄贴。但症有阴阳。而药分寒热耳。如历节痛风筋骨疼痛。须用熏蒸以提其毒。是以病分肌表营卫
经络筋骨气血脏腑上中下之部署。而治法则各有所主。先圣立法。一定不易。后世医者。不能通晓。每以方剂通
治百病。治之不愈。延为终身之疾者多矣。故为医者必当深考古法博览群书。然后能操纵在手。运用如神也。
推摩法，是师父传承下来的真正秘密技法。根据病情进行推拿，有立竿见影的效果。因为后世的人没有得到传授手法，导致这种方法被弃置不用，几乎失传。大概是因为小儿的脏腑柔嫩脆弱，受到风寒暑湿等邪气侵袭，就会发热；或者受到惊吓，导致肝胆之气上浮，热气发于体内，血液热盛沸腾。医生如果不能透过病症看到本源，随意使用发表和清里的药物，用药杂乱无章，那么对于小儿柔嫩脆弱的脏腑来说，连运化乳食都尚且力不从心，怎么能再承受猛烈药性的伤害呢？这难道不是反而增加药源性疾病吗？哪里比得上推摩法，既稳妥又快速见效呢。近来这种技艺盛行，但精通者却一两个都难见到。其方法是用手的五指分别对应五脏，指尖归属于脏，本节（指第一指节根部）归属于腑。通过清热、温寒、泻实、补虚，区分顺推与逆推，左旋右推、右旋左推，来确定温、清、补、泻的方法。都有规定的次数，或三百次，或五百次，不可乱推。还有揉法以调运气，掐法以定惊安神。面部也各有对应的部位，腹部、四肢手足，都可以进行推摩。共有十大手诀的操作做法，这是师父的秘法。如果能精通这门技艺，广泛施行于世，那么小儿的疾病，或许就没有夭折的忧患了。
小儿脏腑柔嫩脆弱，药物进入后难以运化，因此用药宜轻。比如外感风寒邪气，使用解肌疏表的药物，每味药只需几分即可。药味也不宜过多。如果药多且剂量重，则药力会超过病情所需，病必定不能痊愈。只有痘疹和疳积这两种病症，则宜重不宜轻。如果药轻，则药力达不到治疗要求，也不能痊愈。为什么呢？痘疹和疳积，是先天之火毒全部发于体表，所以人一生只患一次，不像其他疾病那样常有。看叶氏的医案应当自然知晓。
方药治病，始于伊尹。六淫邪气在表、在肌、在营卫、在六腑的，适宜用汤剂。邪气在表的适宜发汗，在肌表的适宜解表，在营卫的适宜和解，进入六腑的，在膈上的适宜催吐，在肠胃的适宜攻下。如果在脏，则不是汤剂所能完全主治的了。比如肺病多用散剂，因为肺居最高处，用药宜轻。心、肝、脾有的适宜用丹剂，有的适宜用丸剂，因为它们位置深幽，治疗宜缓。肾则多虚少实，所以或适宜用丸剂，或适宜用膏剂。《内经》说：肾藏精，精气不足的，用厚味的药物来补益。所以肾虚者，适宜用气味浓厚、或血肉有情之品，制成膏剂或丸剂，同类相感，才能起到疗效。如果病在经络，或是疼痛流注，或是拘挛弛纵，必须用微针来调理外部，再辅以药酒来调和内部，这样经络调和而隧道通畅，疾病就能痊愈。如果只从事药物治疗，病必定不能痊愈。比如小儿惊风，有二十四种，惊病必须用按摩，再用灸法来治疗。小儿丹毒以及大人恶血留阻，须用砭法。砭法可以去除恶血。一切沉寒痼冷导致的久病痞积，以及溃疡虚寒、年久不愈合、肌肉黑陷的情况，非用灸法，不能恢复生机。肿疡疼痛、瘕块等疾病，都适宜用薄贴。但症状有阴阳之分，而药物分寒热属性。比如历节痛风、筋骨疼痛，须用熏蒸来提引毒邪外出。因此，病位分为肌表、营卫、经络、筋骨、气血、脏腑、上中下等部署，而治法则各有所主。先圣制定的法则，一定不可改变。后世医者，不能通晓这些道理，往往用方剂通治百病，治疗不愈，延误成终身疾病的很多。所以做医生的，必须深入考证古法，博览群书，然后才能操纵在手，运用如神。
Tuomo (Pushing and Rubbing) Method is the authentic secret technique passed down from my master. By applying Tuomo according to the disease condition, there is an effect as immediate as raising a staff and seeing its shadow. Because later generations did not receive instruction in these manual techniques, this method was abandoned and nearly lost to history. This is largely because children's Zang-Fu organs are tender and fragile; upon invasion by Wind-Cold, Summer-Heat, or Dampness pathogens, fever may arise immediately. Or, due to fright, Liver and Gallbladder Qi floats upward, heat arises internally, and blood heat boils vigorously. If physicians cannot perceive the root cause behind the symptoms and indiscriminately use methods to release the exterior or clear the interior with chaotic prescriptions, then for children with such tender and fragile Zang-Fu organs, which struggle even to transform and transport milk and food, how can they withstand the harsh nature of strong medicines? Would this not merely increase iatrogenic illness? How does it compare to the Tuomo method, which is both stable and rapidly effective? Recently, this art has become prevalent, yet those who have mastered it are rare—one or two at most. The method uses the five fingers of the hand to correspond to the Five Zang organs: the fingertips belong to the Zang, and the proximal phalangeal joints belong to the Fu. Through clearing heat, warming cold, draining excess, and tonifying deficiency, one distinguishes between pushing forward and backward, rotating left and pushing right, or rotating right and pushing left, to determine the methods of warming, clearing, tonifying, and draining. There are prescribed numbers of repetitions, either three hundred or five hundred; one must not push randomly. Additionally, rubbing is used to regulate Qi flow, and pinching is used to settle fright and calm the spirit. The face also has specific corresponding areas, and the abdomen, limbs, and hands and feet can all be subjected to Tuomo. There are ten major hand formulas for operation, which are the secret methods of my master. If one can master this skill and widely practice it in the world, then children's illnesses will perhaps be free from the fear of premature death.
Children's Zang-Fu organs are tender and fragile, and medicines entering the body are difficult to transform and transport; therefore, medication should be light. For example, when dealing with external Wind-Cold pathogens, herbs that release the muscle layer and disperse the exterior are sufficient at doses of only a few fen per ingredient. The number of herbal ingredients should also not be excessive. If there are too many ingredients and heavy dosages, the medicinal force will exceed the needs of the disease, and the illness certainly will not be cured. Only in cases of Smallpox/Chickenpox (Dou) and Gan syndrome (Gan Ji), should heavier dosages be used rather than lighter ones. If the dosage is too light, the medicinal strength will be insufficient, and the disease will not be cured. Why is this? Dou and Gan syndromes involve the complete manifestation of congenital Fire-Toxin on the exterior; thus, humans contract them only once in a lifetime, unlike other diseases that occur frequently. One can understand this naturally by observing Ye Tianshi's medical cases.
The use of herbal formulas to treat diseases began with Yi Yin. When Six Excess pathogens are located in the Exterior, Muscle Layer, Ying-Wei, or Six Fu Organs, decoctions are appropriate. For pathogens in the Exterior, sweating is indicated; for those in the Muscle Layer, resolving the exterior is indicated; for those in Ying-Wei, harmonizing is indicated; having entered the Six Fu Organs, if located above the diaphragm, vomiting is indicated; if in the intestines and stomach, purging is indicated. However, for diseases in the Zang organs, decoctions alone cannot fully address them. For instance, Lung diseases often use powder forms because the Lung resides at the highest position, requiring light medication. Heart, Liver, and Spleen diseases may require pills or elixirs because their locations are deep and secluded, necessitating slow treatment. The Kidney is mostly deficient and rarely excess, so it may require pills or pastes. The *Neijing* states: "The Kidneys store Essence; where Essence is insufficient, it is supplemented with substantial flavors." Therefore, for Kidney deficiency, substances with thick flavors or "sentient flesh-and-blood" materials are suitable, made into pastes or pills. Through resonance of similar categories, efficacy can be achieved. If the disease is in the meridians, involving pain migration, spasms, or flaccidity, fine needles must be used to regulate the exterior, assisted by medicinal wine to harmonize the interior. Thus, the meridians harmonize, the tunnels open, and the disease resolves. Relying solely on oral medication will certainly not cure the disease. For example, infantile convulsions include twenty-four types; fright-related disorders require massage and moxibustion. Infantile erysipelas and adult blood stasis require scarification (Bian Fa). Scarification removes bad blood. For chronic conditions caused by deep-seated Cold and stubborn accumulation, as well as ulcers with deficiency-cold, non-healing over years, or blackened sunken muscles, moxibustion is required to restore vitality. Swellings, pain, and masses are suitable for plasters. However, symptoms differ in Yin and Yang, and medicines differ in Cold and Heat properties. For joint gout and bone-joint pain, fumigation and steaming are required to draw out toxins. Therefore, disease locations are categorized into Exterior, Muscle Layer, Ying-Wei, Meridians, Sinews and Bones, Qi and Blood, Zang-Fu, and Upper/Middle/Lower Jiao, each with specific therapeutic principles established by the Sages, which remain unchangeable. Later physicians, failing to comprehend these, often use formulas to treat all diseases indiscriminately. Failure to cure leads to lifelong ailments. Thus, physicians must deeply study ancient methods and read extensively to master these techniques and apply them with divine proficiency.