五指梢头冷。惊来神不安。若逢中指热。必定是伤寒。中指独自冷。疹痘症相当。男女分左右。医家仔细看。
潜 曰。仙女传救婴儿妙法。实谙先天机微。左旋右揉。推拿掐运。诸穴手法。至妙至精。苟
缺一穴。而众穴不灵。稍少一法。而妙法不真。医家必深思其义蕴。而详究其指归。乃为有济。然
法虽有定。变通在人。标本先后轻重多寡之间。用手法而不泥乎法。神乎法而不离乎法。神而明
之。存乎一心。所当竞竞致意者尔。
凡观小儿病症。男观左手右脚。女观右手左脚。必察何经络。得其症候。方知道推某筋。掐某
处。久揉验。总要先观儿虚实。而手法推之数目。即一定之。一岁三百。不可拘也。(此二句所谓
用法而不泥乎法也可证诸家某穴推若千数之谬)又要审定主穴。某病症。以某穴为主。则众手该用
者在前。而此主穴在后。多用工夫。从其重也。盖穴有君臣。推有缓急。用数穴中有一穴为主者。
而一穴君也。众穴臣也。相为表里而相济者也。故赤子之病。有一视而愈者。亦有推数穴而不愈者。
是不明于察形辨症之主穴也。有一穴而治数病者。有数穴而治一病者。有一手而拿两穴者。有两手
而拿一穴者。有病轻而推数穴不愈者。有重病而推一二穴即愈者。总待人神明其源而精乎其极也。
故云病轻一时松。病重费日功。若平日有惯者。病推毕后。必用总收手法。其病方永久不犯。用手
法者慎思之。
小儿五指梢头发冷,受惊后神志不安。若中指发热,必定是伤寒病。若唯独中指发冷,则是疹痘类病症。男女患儿需分左右手观察,医生必须仔细审视。
骆如龙评注说:仙女传授的救治婴儿妙法,确实通晓先天机微之理。左旋右揉、推拿掐运等诸穴手法,精妙至极。如果缺少一个穴位,其他穴位就不灵验;稍微少一种手法,妙法就不真实。医生必须深思其义理内涵,详细探究其指法归旨,这样才能对治病救人有所帮助。然而,虽然手法有定规,变通在于人。在标本、先后、轻重、多寡之间,运用手法而不拘泥于成法,精通手法而不脱离法度,神明其中奥妙,全凭一心领悟。这正是应当兢兢业业、用心致力之处。
凡是观察小儿病症,男婴看左手右脚,女婴看右手左脚。必须察明是哪条经络受邪,获得确切的症候,才知道推哪条筋,掐哪个部位,久揉是否有效。总要先观察患儿的虚实状况,然后确定手法推拿的次数,这是一定的标准。一岁的患儿推拿三百次,不可拘泥固定。(这两句话所谓“运用手法而不拘泥于成法”,可以证明各家关于某穴推拿若干次数的谬误)。又要审定主穴,某种病症以某个穴位为主,那么其他该用的辅助穴位在前操作,而这个主穴在后操作,多用功夫,这是顺应病情重的原则。大概穴位有君臣之分,推拿有缓急之别。在使用的多个穴位中,有一个穴位为主穴,这个主穴就是“君”,其他穴位是“臣”,它们相互表里、相互济助。所以婴儿的疾病,有的看一眼(或简单处理)就痊愈了,也有推拿多个穴位却不愈的,这是因为不明白察形辨症中的主穴选择。有的一个穴位能治多种病,有的多个穴位治一种病,有的单手拿捏两个穴位,有的双手拿捏一个穴位。有病轻而推拿多个穴位不愈的,也有病重而推拿一二个穴位即愈的。这总要待人能够神明其本源,精究其极致。所以说病轻则一时轻松,病重则耗费时日功夫。如果平日有习惯性调理,病推拿完毕后,必须用总收手法,这样疾病才能永久不再复发。使用手法者应慎加思考。
When the tips of a child's five fingers are cold, fright causes spiritual unrest. If the middle finger is hot, it is certainly wind-cold damage (Shanghan). If only the middle finger is cold, it corresponds to rash and smallpox conditions. For males and females, observation differs by left and right sides; physicians must examine carefully.
Luo Rulong commented: The miraculous methods for saving infants transmitted by the Fairy truly comprehend the subtle mechanisms of congenital nature. Rotating left and right, pushing, grasping, kneading, and moving—these acupoint manipulation techniques are extremely profound and refined. If one acupoint is missing, the others lose efficacy; if one method is slightly lacking, the miraculous method becomes untrue. Physicians must deeply ponder its theoretical implications and meticulously investigate the direction of finger movements, so as to be beneficial in treatment. Although methods have fixed rules, adaptation lies with the practitioner. Between the root and branch, sequence, severity, and quantity, one applies manipulations without being bound by rigid rules, masters the methods without departing from them, and illuminates their spirit through mental clarity. This is what one should diligently attend to.
Generally, when observing pediatric diseases, observe the left hand and right foot for boys, and the right hand and left foot for girls. One must ascertain which meridian is affected and identify the specific symptoms to know which tendon to push, which area to pinch, and whether prolonged kneading yields results. Always first assess the deficiency or excess of the child, then determine the number of manipulations as a standard. For a one-year-old, three hundred manipulations are prescribed, but this should not be rigidly adhered to. (These two sentences illustrate "applying methods without being bound by them," proving the error of various schools' claims regarding specific numbers of manipulations for certain acupoints.) One must also determine the principal acupoint. For a specific disease, if one acupoint is principal, auxiliary manipulations on other relevant points should precede it, while the principal point is treated later with greater effort, following the principle of addressing severe conditions. Acupoints have a sovereign-minister hierarchy, and manipulations have urgency. Among multiple used acupoints, one serves as the sovereign (Jun), while others are ministers (Chen), interacting internally and externally to support each other. Thus, some infant illnesses heal instantly upon observation, while others do not heal despite manipulating multiple acupoints, due to a failure to understand the selection of principal acupoints based on form and symptom differentiation. Some acupoints treat multiple diseases, while several acupoints treat one disease. One hand may grasp two acupoints, while two hands may focus on one. Mild diseases may fail to heal despite manipulating multiple acupoints, whereas severe diseases may heal after manipulating just one or two. This requires the practitioner to illuminate the source and refine the ultimate precision. Hence, it is said that mild diseases bring immediate relief, while severe diseases require time and effort. If habitual conditioning is practiced, after completing the disease-specific manipulations, a general concluding technique must be applied so that the illness does not recur permanently. Those using these methods should reflect carefully.