肾水在小拇指外旁。从指尖一直到阴池部位。属小肠肾水。里推为补。外推为清。清者。因小
儿小水赤黄。补者。因肾水虚弱。清退脏腑热。补因小便短少。
肝木在食指。肝属木。木生火。肝火动人眼目昏闭。法宜清。诸病从火起。人最平者肝也。肝
火盛则伤脾。退肝家之热。又必以补脾土为要。
（宜清不宜补、补则于人不利、宜切记。）
心属中指。指根下离。属火。凡心火动。口疮弄舌。眼大小 赤红。小水不通。皆宜推而清之。
至于惊搐。又宜清此。心经内一节。掐之止吐。
肺金在无名指。属气。止咳化痰。性主温和。风寒入肺固嗽。伤热亦嗽。热宜清。寒亦宜清。惟
虚宜补。而清之后亦宜补。凡小儿咳嗽痰喘。必推此。惊亦必推此。
离在将指根下。干在二人上马之左旁。以我大指。从儿离宫推至干宫。打个圆圈。离干从重。
中要虚。男左女右。盖因冒风咳嗽。或吐逆。掐肺经指节之后。必用此法为主。
二人者。我之大食二指也。上马者。以我大指尖。按儿神门外旁。又以我食指尖。按儿小指根
横纹旁。掐之。清补肾水。治小肠诸气。最效。若单掐肾水一节横纹。退潮热立效。又苏（音苏醒也）胃气。
起沉 。左转生凉。右转生热。
四横纹。在食将无名小指指根下横纹。一名小横纹。小者对下大横纹而言也。四者四指也。
掐者。以我大指掐之。按穴不起。手微动。却有数。其数如推运之数。盖因脏腑有热。口眼歪斜。嘴
唇破烂。掐此退热除烦。且止肚痛。
肾水穴位于小拇指外侧，从指尖一直延伸至阴池部位。此穴归属于小肠与肾水系统。向里推为补法，向外推为清法。使用清法，是因为小儿小便颜色赤黄；使用补法，是因为肾水虚弱。清法用于清除脏腑的热邪，补法用于改善小便短少的情况。
肝木穴位于食指。肝在五行中属木，木能生火。肝火旺盛会扰动人体，导致眼睛昏花闭合。治疗法则适宜用清法。各种疾病多由火引起，而人最平和的状态是肝气调和。若肝火过盛则会损伤脾脏，因此退去肝经的热邪后，必须以补益脾土作为关键。
心穴位于中指。指根下方为离位，心在五行中属火。凡是心火亢动，出现口舌生疮、弄舌、眼睛内外眦赤红、小便不通等症状，都适宜推拿以清心火。至于惊风抽搐，也适宜清此穴。在心经内侧第一节处掐按，可以止吐。
肺金穴位于无名指。肺主气。此穴可止咳化痰，药性温和。风寒侵袭肺部必然导致咳嗽，伤于热邪也会咳嗽。热证适宜清法，寒证也适宜清法，只有虚证才适宜补法，且在清法之后也应当进行补法。凡是小儿咳嗽痰喘，必须推拿此穴；惊风也必须推拿此穴。
“离”穴位于将指（无名指）根下。“干”穴位于“二人上马”穴的左侧。操作时，用我的大拇指，从患儿的离宫推至干宫，画一个圆圈。力度上离和干要重，中间要轻虚。男左女右。这是因为冒风咳嗽或呕吐逆乱，在掐按肺经指节之后，必须以此法为主。
“二人”是指我的食指和中指。“上马”是指：用我的大拇指尖按住患儿神门穴的外侧旁，同时用我的食指尖按住患儿小指根横纹的旁边。掐按此处，既能清又能补肾水，治疗小肠的各种气机病症，效果极佳。如果单独掐按肾水穴的一节横纹，退潮热立竿见影。此外还能苏醒胃气，提振沉衰之气。左转产生凉意，右转产生热意。
四横纹穴位于食指、无名指、小指的指根下横纹处。又名小横纹，“小”是相对于下方的大横纹而言的。“四”是指这四个手指。掐法是：用我的大拇指掐按穴位，按压时穴位不起，手指微微移动，但确实有计数。其次数如同推运法的次数。这是因为脏腑有热，导致口眼歪斜、嘴唇破烂，掐此穴可退热除烦，并且能停止腹痛。
Kidney Water (Shen Shui) is located on the lateral side of the little finger, extending from the fingertip to the Yinchi area. It belongs to the Small Intestine and Kidney Water system. Pushing inward constitutes the tonification method (Bu), while pushing outward constitutes the clearing method (Qing). The clearing method is indicated for children with dark yellow urine; the tonification method is indicated for deficiency of Kidney Water. Clearing eliminates heat in the Zang-Fu organs, while tonifying addresses oliguria (shortage of urine).
Liver Wood (Gan Mu) is located on the index finger. The Liver corresponds to Wood in the Five Elements, and Wood generates Fire. Excessive Liver Fire disturbs the body, causing blurred vision and closed eyes. The therapeutic principle should be to clear. Most diseases originate from Fire, and the most balanced state of a person is when the Liver Qi is harmonious. If Liver Fire is excessive, it damages the Spleen; therefore, after reducing heat in the Liver channel, tonifying Spleen Earth is essential.
(It is suitable to clear but not to tonify this point; tonification is detrimental to the patient, so remember this well.)
The Heart point is located on the middle finger. The base of the finger corresponds to the Li position, and the Heart corresponds to Fire in the Five Elements. Whenever Heart Fire is active, manifesting as mouth ulcers, tongue protrusion, redness of the inner and outer canthi of the eyes, and urinary retention, these symptoms are suitable for pushing to clear the Heart. For convulsions due to fright, clearing this point is also appropriate. Pinching the first segment inside the Heart meridian can stop vomiting.
Lung Metal (Fei Jin) is located on the ring finger. The Lung governs Qi. This point stops coughing and resolves phlegm, with a mild nature. Wind-Cold invading the lungs inevitably causes coughing, and injury by Heat also causes coughing. Heat patterns require clearing, Cold patterns also require clearing, but only Deficiency patterns require tonification. Furthermore, tonification should follow clearing. For any pediatric cough with phlegm and wheezing, this point must be pushed; for fright, this point must also be pushed.
"Li" is located below the base of the ring finger (Jiang Zhi). "Qian" is located to the left of the "Er Ren Shang Ma" point. Using my thumb, push from the child's Li Palace to the Qian Palace, drawing a circle. The pressure on Li and Qian should be heavy, while the middle part should be light and empty. For males, use the left hand; for females, the right hand. This method is primarily used after pinching the lung meridian segments for coughs due to wind exposure or vomiting/regurgitation.
"Er Ren" refers to my index and middle fingers. "Shang Ma" refers to: placing the tip of my thumb beside the Shenmen point on the child, and simultaneously placing the tip of my index finger beside the transverse crease at the root of the child's little finger. Pinching here clears and tonifies Kidney Water and treats various Qi disorders of the Small Intestine with excellent efficacy. If only one segment of the transverse crease of Kidney Water is pinched, tidal fever subsides immediately. It also revives Stomach Qi and lifts sinking Qi. Counter-clockwise rotation generates coolness, while clockwise rotation generates heat.
Si Heng Wen (Four Transverse Creases) are located at the transverse creases at the roots of the index, ring, and little fingers. Also known as Xiao Heng Wen (Small Transverse Crease), "small" distinguishes it from the larger crease below. "Four" refers to these four fingers. The pinching method involves using my thumb to pinch the acupoint; press until the depression does not rebound immediately, move the finger slightly, but maintain a count. The number of times corresponds to the counts used in Tu Yun (pushing and rubbing) techniques. This is indicated for heat in the Zang-Fu organs causing deviation of the mouth and eyes, and cracked lips. Pinching this point reduces heat, relieves irritability, and stops abdominal pain.