小儿乳食不节。或过食生冷坚硬之物。致令脾胃不能克化。积滞中脘。壮热足冷腹胀。昏睡
不思饮食者。宜攻其积。法宜分阴阳。运八卦。运五经。掐小横纹。揉HT 门。推大肠。推三关。退六
腑。天门虎口 肘。重补脾土。揉中脘。发热。加捞明月。揉脐及龟尾。腹痛。掐一窝风。揉中脘。膨
胀。加按弦走搓摩。不化饮食。揉外牢宫。
小儿腹痛有三。或冷。或热。或食积。脐上者热。脐中者食。脐下者冷。小儿不能言。须察面
色。热痛面赤腹胀。时痛时止。暑月最多。法宜分阴阳。阴重阳轻。运八卦。运五经。推三关少。退
六腑多。揉一窝风。大陵推上外牢讫。补脾土。虎口 肘。伤食痛。面如常。心胸高起。手不可按。
肠结而痛。食生冷硬物所伤。其气亦滞。法宜分阴阳。运八卦。运五经。侧推虎口。补脾土。揉一窝
风。揉中脘。揉HT 门。天门虎口 肘。揉脐及龟尾。大陵推上外牢宫讫。运土入水。冷痛。面青肚
响。唇白。痛无增减。法宜分阴阳。阳重阴轻。运八卦。运五经。掐一窝风。按弦走搓摩。推三关。推
肚角穴。揉脐。推脾土。天门虎口。揉 肘。大陵推上外牢泄讫。补脾土。冷气攻心痛者。手足冷。
遍身冷汗。甚之手足甲青黑。脉沉细微是也。法宜分阴阳。运八卦。推三关。补肾水。揉二扇门。黄
蜂入洞。
小儿乳食没有节制，或者过量食用生冷坚硬的食物，导致脾胃无法消化运化，食物积滞在中脘部位。出现身体高热、脚部发冷、腹部胀满、昏睡且不想吃东西的症状时，应当采用攻逐积滞的方法。推拿手法宜用分阴阳、运八卦、运五经、掐小横纹、揉HT门（此处疑为“板门”或特定穴位，依原文保留）、推大肠、推三关、退六腑、从天门推向虎口直至肘部、重补脾土、揉中脘。若伴有发热，加用捞明月、揉脐部和龟尾穴；若腹痛，掐一窝风、揉中脘；若腹部膨胀，加用按弦走搓摩法；若饮食不化，揉外牢宫。
小儿腹痛有三种情况：或是寒痛，或是热痛，或是食积痛。疼痛在肚脐上方的是热痛，在肚脐正中的是食积痛，在肚脐下方的是寒痛。小儿不能言语表达，必须观察面色。热痛表现为面色发红、腹部胀满、疼痛时作时止，在夏季暑月最为多见。治疗方法宜用分阴阳（阴分手法重，阳分手法轻）、运八卦、运五经、推三关（手法宜轻）、退六腑（手法宜重）、揉一窝风、从大陵穴向上推至外牢宫后，补脾土、从虎口推向肘部。若是伤食引起的疼痛，面色如常，但心胸部位高起，手不可按压，因肠道结滞而痛，多由食用生冷坚硬食物损伤所致，气机也随之阻滞。治疗方法宜用分阴阳、运八卦、运五经、侧推虎口、补脾土、揉一窝风、揉中脘、揉HT门、从天门推向虎口直至肘部、揉脐部和龟尾穴、从大陵穴向上推至外牢宫后，运土入水。若是寒痛，面色青白、肚子作响、嘴唇发白、疼痛程度无增减。治疗方法宜用分阴阳（阳分手法重，阴分手法轻）、运八卦、运五经、掐一窝风、按弦走搓摩、推三关、推肚角穴、揉脐部、推脾土、从天门推向虎口、揉肘部、从大陵穴向上推至外牢宫并施以泻法后，补脾土。若是冷气攻心引起的疼痛，表现为手脚冰冷、全身出冷汗，严重的甚至手脚指甲呈现青黑色，脉象沉细微弱。治疗方法宜用分阴阳、运八卦、推三关、补肾水、揉二扇门、黄蜂入洞。
Infants and children who consume milk and food without moderation, or overeat raw, cold, hard, and solid substances, may cause the spleen and stomach to fail in digestion and transformation. This leads to food stagnation in the Zhongwan (CV12) region. When symptoms such as high fever, cold feet, abdominal distension, lethargy, and loss of appetite appear, one should employ methods to purge the stagnation. The tuina techniques should include dividing yin and yang, moving the eight trigrams, moving the five meridians, pinching the transverse crease at the base of the fingers (Xiao Hengwen), rubbing HT Men (likely referring to Banmen/ST10 or a specific local point, retained as per text), pushing the Large Intestine meridian, pushing San Guan (Three Passes), retreating Liu Fu (Six Bowels), pushing from Tianmen (Yintang to Hairline) towards Tiger's Mouth (He Gu) up to the elbow, heavily tonifying Spleen Earth, and rubbing Zhongwan (CV12). If accompanied by fever, add scooping Mingyue (Lao Gong area) and rubbing the navel and Guiwei (GV8). For abdominal pain, pinch Yi Wo Feng (LI5 area) and rub Zhongwan. For abdominal distension, add pressing the strings and rubbing motion (An Xian Zuo Cuo Mo). For undigested food, rub Wai Lao Gong.
There are three types of abdominal pain in infants: cold pain, heat pain, or food stagnation pain. Pain above the umbilicus is heat pain; pain at the umbilicus is food stagnation pain; pain below the umbilicus is cold pain. Since infants cannot speak, one must observe their complexion. Heat pain presents with a red face, abdominal distension, and intermittent pain, being most common during the summer months. The treatment method involves dividing yin and yang (with heavier yin techniques and lighter yang techniques), moving the eight trigrams, moving the five meridians, pushing San Guan (lightly), retreating Liu Fu (heavily), rubbing Yi Wo Feng, pushing from Da Ling (PC7) upwards to Wai Lao Gong, then tonifying Spleen Earth, and pushing from Tiger's Mouth to the elbow. If caused by food injury, the complexion remains normal, but the chest and heart area appear elevated, and the abdomen is tender to touch due to intestinal obstruction. This is often caused by damage from consuming raw, cold, and hard foods, leading to qi stagnation. The treatment involves dividing yin and yang, moving the eight trigrams, moving the five meridians, laterally pushing Tiger's Mouth, tonifying Spleen Earth, rubbing Yi Wo Feng, rubbing Zhongwan, rubbing HT Men, pushing from Tianmen to Tiger's Mouth up to the elbow, rubbing the navel and Guiwei, pushing from Da Ling to Wai Lao Gong, and finally performing "moving earth into water" (Yun Tu Ru Shui). If it is cold pain, the face appears cyan, the belly makes sounds, the lips are white, and the pain intensity does not fluctuate. The treatment involves dividing yin and yang (with heavier yang techniques and lighter yin techniques), moving the eight trigrams, moving the five meridians, pinching Yi Wo Feng, pressing the strings and rubbing motion, pushing San Guan, pushing Du Jiao (abdominal corner point), rubbing the navel, pushing Spleen Earth, pushing from Tianmen to Tiger's Mouth, rubbing the elbow, pushing from Da Ling to Wai Lao Gong with draining technique, and then tonifying Spleen Earth. If cold qi attacks the heart causing pain, symptoms include cold hands and feet, cold sweat all over the body, and in severe cases, cyanotic and black fingernails and toenails, with a deep, fine, and weak pulse. The treatment involves dividing yin and yang, moving the eight trigrams, pushing San Guan, tonifying Kidney Water, rubbing Er Feng Men (Two Gate Doors), and Huang Feng Ru Dong (Yellow Bee Enters the Cave).