春夏汤宜薄荷。秋冬又用木香。咳嗽痰吼加葱姜。麝尤通窍为良。加油少许皮润。四六分做
留余。(手法一岁、虽云三百、然必轻者四分、重者六分、以待加减。)试病加减不难知。如此见功尤易。
四季俱用葱姜煎汤。加以油麝少许推之。
阴阳者。手掌下。右阴池穴。左阳池穴也。其穴屈小儿四指拳过处。即坎宫小天心处。以我两
手大拇指。从小天心处两分推之。盖小儿之病。多因气血不和。故一切推法。必先从阴阳分起。诸
症之要领。众法之先声。推此不特能和气血。凡一切膨胀泄泻。如五脏六腑有虚。或大小便不通。
或惊风痰喘等疾。皆可治之。至于乍寒乍热。尤为对症。热多则分阳从重。寒多则分阴从重。推
者必审其轻重而用之。凡症必先用此法。用时医者正好察色审音。探问因由而斟酌其对症之手法也。
合者。以我两大指从阴阳处合来。盖因痰涎涌甚。先掐肾经取热。(当作凉。)然后合阴阳照天河极
力推去。而痰即散也。
因额上有大天心。故此阴阳中间名小天心。临坎水。小水赤黄。揉此以清肾水之火。眼翻上
下。掐之甚妙。若绕天心。则已在分阴阳之内矣。
八卦在手掌上。中指根下是离宫。属心火。此宫不可运动。恐运动心火。运法必用我大指按
复之。然后以我食指头。从干宫向兑坤小指边左旋到坎。归干。为一运。其运至离宫则从大指甲
上过去。此法开胸化痰。除气闷满胀。至于吐乳食。有九重三轻之法。医者分阴阳之后。必次及于此。
春夏季节用药汤适宜选用薄荷。秋冬季节则使用木香。若出现咳嗽、痰鸣音重,可加入葱和姜。麝香尤其能通利鼻窍,效果良好。加入少许油可使皮肤滋润。将药汤分为四六两份,留有余地。(推拿手法方面,一岁的患儿,虽然常说有三百种手法,但力度上轻的占四分,重的占六分,以便根据病情加减调整。)试药后观察病情变化进行加减并不困难。如此操作见效更容易。
“阴阳”部位,位于手掌下方。右侧为阴池穴,左侧为阳池穴。这两个穴位位于弯曲小儿四指握拳处,也就是坎宫小天心所在的位置。用我的两个大拇指,从小天心处向两侧分开推擦。因为小儿的疾病,多因气血不和所致,所以所有的推拿手法,必须先从阴阳部位开始。这是各种病症的关键要领,也是众多手法的先导。推拿此部位不仅能调和气血,凡是一切腹胀、泄泻,如五脏六腑虚弱,或大小便不通,或惊风、痰喘等疾病,都可以治疗。至于忽冷忽热的症状,尤为对症。热象多时,分推阳侧用力稍重;寒象多时,分推阴侧用力稍重。施术者必须仔细审察病情的轻重来运用手法。凡是病症,必定先使用这种方法,使用时医者正好可以观察面色、听声音,探问病因从而斟酌适合的对治手法。
“合”,是用我的两个大拇指从阴阳部位合拢而来。这是因为痰涎涌盛严重,先掐揉肾经以取凉(原文作热,疑误)。然后合阴阳并沿着天河水方向极力推去,痰涎即可消散。
因为额头上有大天心,所以这个阴阳中间的部位名为小天心。它临近坎水(肾),若小便赤黄,揉按此处可以清泻肾火。若出现眼球上翻,掐揉此处非常巧妙。如果围绕天心旋转,则已经包含在分阴阳的手法之内了。
八卦位于手掌上。中指根部下方是离宫,属于心火。这个宫位不可随意运动,恐怕扰动心火。运法必须用我的大拇指按压固定,然后用食指指尖,从干宫向兑坤小指边左旋至坎宫,再回到干宫,算作一次运法。其运行到离宫时则从大指甲上经过。此法能开胸化痰,消除气闷、胀满。至于吐乳食,有九重三轻的操作法则。医者在分阴阳之后,必定次及于此法。
In spring and summer, decoctions should preferably use Menthae Haplocalycis Herba (Bohe, 薄荷). In autumn and winter, Aucklandiae Radix (Muxiang, 木香) is used. For cough with loud phlegm rattle, add Allii Tuberosi Bulbus (Congbai, 葱白) and Zingiberis Rhizoma Recens (Shengjiang, 生姜). Moschus (Shexiang, 麝香) is excellent for unblocking orifices. Add a small amount of oil to moisturize the skin. Divide the decoction into four parts and six parts, leaving some remainder. (For pediatric massage techniques: although it is said there are three hundred methods for a one-year-old child, the force should be light at four parts and heavy at six parts, to allow for adjustment.) It is not difficult to know how to adjust based on trial symptoms. Thus, efficacy is easier to achieve.
Throughout the four seasons, decoct Allii Tuberosi Bulbus (Congbai, 葱白) and Zingiberis Rhizoma Recens (Shengjiang, 生姜), add a little oil and Moschus (Shexiang, 麝香), and perform massage.
Yin-Yang refers to the area below the palm. The right side is Yin Chi acupoint, and the left side is Yang Chi acupoint. These points are located where the child's four fingers are bent into a fist, which corresponds to the location of Xiao Tian Xin (Little Heavenly Heart) in Kan Gong. Use both thumbs of the practitioner to push apart from Xiao Tian Xin. Since most diseases in children are caused by disharmony of Qi and Blood, all massage methods must begin with separating Yin and Yang. This is the key principle of various symptoms and the precursor to all methods. Pushing this area not only harmonizes Qi and Blood but can also treat conditions such as abdominal distension and diarrhea, deficiency of the five zang and six fu organs, obstruction of urination and defecation, wind-stroke with convulsions, and wheezing due to phlegm. It is particularly suitable for alternating chills and fever. When heat predominates, push Yang heavily; when cold predominates, push Yin heavily. The practitioner must carefully assess the severity and apply the method accordingly. For any condition, this method must be used first. During its application, the physician can observe the complexion and listen to the voice, inquire about the cause, and deliberate on the appropriate technique.
He (Joining) involves bringing the two thumbs together from the Yin-Yang area. This is because when phlegm-saliva surges excessively, one should first pinch the Kidney meridian to obtain cooling (the original text says 'heat', which is likely an error). Then, join Yin and Yang and push vigorously along the River Water channel, causing the phlegm to dissipate.
Because there is a large Tian Xin on the forehead, the area between Yin and Yang is named Xiao Tian Xin (Little Heavenly Heart). It borders Kan Water (Kidney). If urine is red and yellow, kneading this point clears the fire of the Kidney water. If the eyes roll upward, pinching this point is very effective. If rotating around Tian Xin, it is already included within the Yin-Yang separation method.
The Eight Trigrams are located on the palm. Below the base of the middle finger is Li Palace, which belongs to Heart Fire. This palace should not be moved, lest it disturb Heart Fire. To move it, the practitioner must press down with the thumb, then use the tip of the index finger to rotate counter-clockwise from Qian Palace towards Dui Kun (little finger side) to Kan, returning to Qian, constituting one rotation. When reaching Li Palace, pass over the thumbnail. This method opens the chest and resolves phlegm, removing qi stagnation, fullness, and distension. Regarding vomiting of milk and food, there is a method of nine heavy and three light strokes. After separating Yin and Yang, the physician must proceed to this method.