温温不甚热。与壮热相类而小异。由胃气不和。气滞壅塞。故蕴积体热。名曰温壮热。大便黄
臭。宜微利之。法宜分阴阳。运八卦。运五经。清大肠。清肾水。捞明月。退六腑。虎口 肘。热重不
退。法宜清宜泄。水底捞月。揉涌泉。引热下行。揉脐及鸠尾。小儿口吐热气。身子不热。此心经热
也。法宜分阴阳。运八卦。清心经。清天河。掐总经。补肾水。小儿诸热不退。法宜将水湿纸团。放
在小儿手心内。再用水底捞明月法。立效。以上诸热皆可推。惟小儿变蒸热。乃初生时阴阳水火。
蒸于气血。而使形体渐长成就也。切不可推。推则受害。医者照前总论变蒸。按小儿生日计算之。
则不差误矣。
早晨发热曰潮热。寅卯辰时为壮热。手足动摇目上视。头闷项急口内热。此是肝家起病由。
推拿同前用手诀。刺手大端处。韭叶边许。刺出血。泄心肝愈。
日午发搐为潮热。巳午未时不堪掣。心惊神悸目上视。白精赤色心家热。牙关紧闭口内痰。
少冲刺血儿救得。刺小儿手内端少冲穴。血出即愈。
日晚发搐潮热足。申酉戌时不堪搐。目斜微喘身稍热。清肾泄肺刺指侧。睡露睛时手足冷。
推法同前不可缺。刺手少商穴。血出即愈。
夜间发搐因潮热。亥子丑时不堪搐。身体温和卧不稳。眼睛紧而斜视侧。喉中痰涌银褐色。
泄肺涌泉二三百。须灸足中指节下三壮。刺正冲穴罗纹。出血即愈。
温热病表现为身体微微发热，程度不重。它与壮热（高热）相似但略有不同。这是由于胃气不和，气机阻滞壅塞，导致体内蕴积热量，这种病症称为温壮热。患者大便呈黄色且有臭味，适宜采用轻微通下的方法治疗。推拿手法宜用分阴阳、运八卦、运五经、清大肠、清肾水、捞明月、退六腑等法；若配合虎口穴与肘部操作，效果更佳。如果热势沉重且不退，治法宜清热泄火，可采用“水底捞月”法，揉按涌泉穴以引热下行，并揉按脐部及鸠尾穴。
若小儿口中呼出热气而身体摸起来并不烫手，这是心经有热的表现。推拿手法宜用分阴阳、运八卦、清心经、清天河水、掐总经穴、补肾水。
若小儿各种热证均不退散，可用浸湿的水纸团放在小儿手心内，再施以“水底捞明月”法，可立即见效。以上所述的各种热证均可通过推拿治疗，唯独小儿“变蒸”引起的发热不可推拿。因为变蒸是婴儿初生时，体内的阴阳水火在气血中蒸腾，促使形体逐渐生长发育的过程。若此时强行推拿则会伤害小儿。医生应参照前文关于变蒸的总论，根据小儿出生日期进行计算，就不会出现误诊了。
早晨发热称为潮热。在寅时、卯时、辰时（凌晨3点至上午9点）出现的高热为壮热，伴有手足动摇、眼睛上视、头部昏闷、颈项僵硬、口腔内灼热等症状。这是肝脏发病所致。推拿手法同前，使用相应手诀。针刺手指末端，约韭菜叶宽度的位置，刺出血，可泄去心肝之热而痊愈。
日中时分发生抽搐为潮热。在巳时、午时、未时（上午9点至下午3点）难以忍受抽搐，伴有心惊神悸、眼睛上视、眼白部分发红（或指心经热盛之象）、牙关紧闭、口腔内有痰涎。若在少冲穴处少量放血，即可挽救患儿生命。针刺小儿手掌端少冲穴，出血即愈。
傍晚时分抽搐和潮热加重。在申时、酉时、戌时（下午3点至晚上9点）难以忍受抽搐，伴有眼球偏斜、轻微气喘、身体稍热。治法宜清肾泄肺，针刺手指侧面。若睡眠时眼睛半睁（露睛），手足发冷，推拿手法同前，不可省略。针刺手太阴肺经少商穴，出血即愈。
夜间发生抽搐因潮热引起。在亥时、子时、丑时（晚上9点至凌晨3点）难以忍受抽搐，身体温和但躺卧不安稳，眼睛紧闭而向侧方斜视，喉中有痰涌出，痰色银褐。需泄肺热并揉涌泉穴二三百次，还需艾灸足中指节下三壮，针刺正冲穴（指纹罗纹处），出血即愈。
Wen (Warmth) presents as slight fever, not severe. It is similar to Zhuang Re (High Fever/Exuberant Heat) but slightly different. It arises from disharmony of Stomach Qi, with Qi stagnation and obstruction, leading to accumulated internal heat. This condition is named Wen Zhuang Re (Warmth Exuberant Heat). The stool is yellow and foul-smelling; mild purgation is indicated. The therapeutic method should include Fen Yin Yang (Separating Yin and Yang), Yun Ba Gua (Rotating the Eight Trigrams), Yun Wu Jing (Rotating the Five Meridians), Qing Da Chang (Clearing Large Intestine), Qing Shen Shui (Clearing Kidney Water), Lao Ming Yue (Fishing for the Bright Moon), Tui Liu Fu (Pushing Down the Six Yin Limbs), and manipulation at Hu Kou (Tiger's Mouth) and the elbow. If the heat is heavy and does not subside, the method should focus on clearing and draining. Use Shui Di Lao Yue (Fishing for the Moon at the Bottom of the Water), rub Yong Quan (Kidney 1) to guide heat downward, and rub the umbilicus and Jiu Wei (Conception Vessel 15).
If a child exhales hot air from the mouth but the body feels cool to the touch, this indicates Heat in the Heart Meridian. The method should include Fen Yin Yang, Yun Ba Gua, Qing Xin Jing (Clearing Heart Meridian), Qing Tian He (Clearing Heavenly River), Qia Zong Jing (Pinching the General Meridian), and Bu Shen Shui (Tonifying Kidney Water).
If various fevers in children do not subside, place a wet paper towel in the child's palm, then apply the Shui Di Lao Yue (Fishing for the Moon at the Bottom of the Water) technique; immediate effect is expected. All the aforementioned fevers can be treated with tuina. However, the fever caused by Bian Zheng (Physiological Growth Fever) in infants must not be treated with tuina. Bian Zheng refers to the steaming of Yin and Yang and Water and Fire within the Qi and Blood after birth, which promotes gradual physical growth and maturation. Tuina at this stage causes harm. Physicians should refer to the general discussion on Bian Zheng mentioned earlier and calculate based on the infant's birth date to avoid errors.
Fever occurring in the morning is called Chao Re (Tidal Fever). High fever occurring during Yin, Mao, and Chen hours (03:00–09:00) is Zhuang Re (Exuberant Heat), accompanied by shaking of hands and feet, upward deviation of the eyes, head heaviness, neck stiffness, and heat in the mouth. This originates from Liver pathology. Tuina follows the previous methods using specific hand techniques. Prick the tip of the finger, approximately the width of a leek leaf, to bleed; draining Heart and Liver heat leads to recovery.
Convulsions occurring at noon are Chao Re (Tidal Fever). Convulsions during Si, Wu, and Wei hours (09:00–15:00) are unbearable, accompanied by fright, palpitations, upward deviation of the eyes, redness of the sclera (indicating Heart Heat), clenched jaw, and phlegm in the mouth. Pricking Shao Chong (Heart 9) to bleed saves the child. Prick the tip of the hand at Shao Chong point; bleeding leads to recovery.
Convulsions and tidal fever worsen in the evening. Convulsions during Shen, You, and Xu hours (15:00–21:00) are unbearable, accompanied by strabismus, slight asthma, and slight body heat. The method should clear Kidney and drain Lung, pricking the side of the fingers. If the eyes remain half-open during sleep (exposing the pupil) and hands and feet are cold, tuina methods as described above must not be omitted. Prick Shao Shang (Lung 11); bleeding leads to recovery.
Convulsions occurring at night are due to Chao Re (Tidal Fever). Convulsions during Hai, Zi, and Chou hours (21:00–03:00) are unbearable, accompanied by a warm body but restless lying, tightly closed eyes deviating to the side, and gurgling phlegm in the throat with silver-brown color. Drain Lung heat and rub Yong Quan (Kidney 1) two to three hundred times. Moxibustion of three cones should be applied below the joint of the middle toe. Prick the Zheng Chong point (at the whorl of the fingerprint); bleeding leads to recovery.