大陵 掏之主吐。
阳池 掏之主泻。
分阴阳 除寒热泄泻。
天河水 推之清心经烦热。如吐宜多运。
三关 男左三关推发汗。退下六腑谓之凉。女右六腑推上凉。退下三关谓之热。
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脐上 运之治肚胀气响。如症重则周遭用灯火四 。
龟尾 揉之止赤白痢泄泻之症。
三里 揉之治麻木顽痹。○行涧穴同功。
委中 掏之治往前跌扑昏闷。
内庭 掏之治往后跌扑昏闷。
大冲 掏之治危急之症。舌吐者不治。
大敦 掏之爪。惊不止。将大指屈而掏之。
涌泉 揉之左转止吐。右转止泻。
昆仑 灸之治急慢惊风危急等症。咬之叫则治。不叫不治。
前承山 掏之治惊来急速者。○子母穴同功。
后承山 揉之治气吼发汗。
一推坎宫。自眉心分过两旁。二推攒竹。自眉心交互直上。三运太阳。往耳转为泻。往眼转为补。四运耳背高骨。
推后掏之。大指并掏。一听会。二风门。三太阳。四在额。五以一指独掏天心下。而后高骨耳珠人中承浆。俱不必
太重。此面部常用不易者。举诸般惊症伤寒疟痢。俱不可少。如过久病瘦弱。多汗痢疾。推而不掏为是。由是推
手必先从三关。悉从指尖上起也。而亦重虎口并合谷。而不知补脾胃培一身之根本。分阴阳分一身之寒热。
亦不可缓焉。运八卦。凉则多补。热则多泻。分阴阳。阳则宜重。阴则宜轻。若夫五脏六腑如咳嗽推肺。烦躁推心
之类。岂可一概而混施哉。总在人心因病举指。用舍变通耳。由是推脚宜运昆仑。以四指围而掏之。倘热急吼
喘。即诸穴未推之先。在承山推下数遍为妙。其余亦在人审症。不悉。
大陵穴:掏法主治呕吐。
阳池穴:掏法主治泄泻。
分阴阳手法:可消除寒热及泄泻症状。
天河水穴:推之可清心经烦热。若伴有呕吐,宜多运此穴。
三关穴:男孩左侧三关向上推可发汗;向下推六腑称为“凉”。女孩右侧六腑向上推为“凉”;向下推三关称为“热”。
足部图
脐上穴:运法治疗腹胀气响。若病症严重,则需用灯火灸四周四壮。
龟尾穴:揉之可止赤白痢疾及泄泻症状。
三里穴:揉之治疗麻木、顽痹。○行涧穴功效相同。
委中穴:掏之治疗向前跌倒导致的昏闷。
内庭穴:掏之治疗向后跌倒导致的昏闷。
大冲穴:掏之治疗危急重症。若出现舌吐(伸舌不收),属不治之症。
大敦穴:用指甲掐之。若惊风不止,将大拇指弯曲并掐之。
涌泉穴:向左旋转揉之可止吐;向右旋转揉之可止泻。
昆仑穴:灸之治疗急慢惊风等危急症状。若患儿咬人且叫喊,则可治;若不叫喊,则属不治。
前承山穴:掏之治疗惊恐发作迅速者。○子母穴功效相同。
后承山穴:揉之治疗气喘、发汗。
面部推拿手法:一推坎宫,从眉心向两旁分开;二推攒竹,从眉心交互直上;三运太阳,向耳方向转为泻法,向眼方向转为补法;四运耳背高骨。
推完后进行掏法。大拇指并拢掏按。一听会穴,二风门穴,三太阳穴,四在额头,五用单指单独掏按天心穴下方。之后的高骨、耳珠、人中、承浆穴,都不必太重。这是面部常用且不易出错的手法。举凡各种惊症、伤寒、疟疾、痢疾,都不可少用。若是久病体瘦虚弱、多汗或痢疾患者,只推不掏为宜。由此推手,必须先从三关开始,全部从指尖上方起势。同时也重视虎口和合谷穴,但不知道要补脾胃以培固一身根本,区分阴阳以调节一身寒热,也是不可延缓的。运八卦,凉证则多补,热证则多泻。分阴阳,阳证宜重,阴证宜轻。至于五脏六腑,如咳嗽推肺,烦躁推心之类,岂能一概而论混施呢?全在于医者根据病情灵活变通运用。由此推脚,宜运昆仑穴,用四指围住掏按。倘若热急气喘,就在诸穴未推之前,先在承山穴向下推数遍为妙。其余也在于医者审察病情,不再一一详述。
Daling (PC7): The scooping method treats vomiting.
Yangchi (TE4): The scooping method treats diarrhea.
Dividing Yin and Yang: Eliminates cold-heat patterns and diarrhea.
Tianhe Water: Pushing clears heat in the Heart meridian causing irritability. If vomiting is present, this point should be manipulated more frequently.
San Guan: For males, pushing up the left San Guan induces sweating. Pushing down the Liu Fu is termed "cooling." For females, pushing up the right Liu Fu is "cooling"; pushing down the San Guan is termed "heating."
[Image: Foot Acupoints]
Qishang: Manipulating (rotating) treats abdominal distension and borborygmus. If the condition is severe, apply moxibustion with fire-lamp around the circumference for four moxa cones.
Guiwei: Rubbing stops dysentery (red and white stools) and diarrhea.
Sanli: Rubbing treats numbness and stubborn bi-syndrome. ○ Xingjian has the same efficacy.
Weizhong: Scooping treats faintness caused by falling forward.
Neiting: Scooping treats faintness caused by falling backward.
Dachong: Scooping treats critical conditions. If the tongue protrudes and cannot retract, it is incurable.
Dadun: Pinch with fingernails. If convulsions do not cease, flex the thumb and pinch.
Yongquan: Rotating to the left stops vomiting; rotating to the right stops diarrhea.
Kunlun: Moxibustion treats acute and chronic infantile convulsions and other critical conditions. If the patient bites and cries out, it is treatable; if silent, it is incurable.
Qian Chengshan: Scooping treats sudden onset of fright. ○ Zi-Mu points share the same efficacy.
Hou Chengshan: Rubbing treats wheezing and induces sweating.
Facial Tuina techniques: 1. Push Kangong, dividing from the glabella to both sides. 2. Push Zanzhu, moving straight up alternately from the glabella. 3. Rotate Taiyang; rotating towards the ear constitutes draining, while rotating towards the eye constitutes tonifying. 4. Rotate the high bone behind the ear.
After pushing, perform scooping. Use the thumb to scoop together. 1. Tinghui, 2. Fengmen, 3. Taiyang, 4. On the forehead, 5. Use a single finger to scoop Tianxin below. Subsequently, the high bone, earlobe, Renzhong, and Chengjiang need not be pressed too heavily. These are common facial techniques that are difficult to err with. They are indispensable for various fright syndromes, Shanghan, malaria, and dysentery. However, for patients with prolonged illness, emaciation, excessive sweating, or dysentery, pushing without scooping is appropriate. When performing hand Tuina, one must start from San Guan, originating from above the fingertips. Attention should also be paid to the Tiger’s Mouth and Hegu, but one must not neglect tonifying the Spleen and Stomach to cultivate the root of the whole body, nor distinguishing Yin and Yang to regulate the cold-heat of the whole body. This cannot be delayed. When manipulating Bagua, tonify more for cold patterns and drain more for heat patterns. In Dividing Yin and Yang, heavy pressure is suitable for Yang patterns, and light pressure for Yin patterns. Regarding the Five Zang and Six Fu organs, such as pushing the Lung for cough or the Heart for irritability, how can they be applied indiscriminately? It all depends on the practitioner’s ability to adapt based on the disease. When pushing the feet, it is advisable to manipulate Kunlun, surrounding it with four fingers to scoop. If there is urgent heat and wheezing, it is best to push down several times at Chengshan before manipulating other acupoints. The rest depends on the practitioner’s assessment of the syndrome; further details are omitted.