0-周尔晋小儿推拿法

0-周尔晋小儿推拿法 周尔晋小儿推拿法 周尔晋著 湖北省东风轮胎厂 郑树安整理 小儿百脉汇集于掌，适宜于5岁以下小儿的推拿法有多个版本，而以周老的最为简单、实用。今将周老小儿推拿法的有关内容从《火柴棒医生手记》中单独抽出，并参考其他版本作了少量补充，供人们试用。 一、小儿推拿手法 1(清、补脾土 部位:拇指 指腹(即末节螺纹面) 。 操作:顺时针旋推为补，名“补脾土”，中医功效等于吃人参、白术;从螺纹面根部推向指尖( 即离心方向——编者注 )的直推为清，名“清脾土”。脾土多用补，而少用清。 2(清、推大肠 部位: 食指外缘 ( 即食指桡侧——编者注 )，自指尖至虎口成一直线。 操作:从食指端直推至虎口，名“推大肠”，为补，止泻;从虎口推向食指端，名“清大肠”，治便秘。 3(揉板门 部位:手掌大鱼际平面。 操作:用中指尖作揉法，名“揉板门”。揉法为补，自掌根推向指根( 即离心方向——编者注 )为“清”，作用同清推大肠。 4(清肝木 部位:食指指腹。 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 操作:直推为清，名“清肝木”。 注意:“肝木”宜清不宜补，补之恐动肝火。 5(清心火 部位:中指指腹。 操作:直推为清，名“清心火”。 注意:“心火”也宜清不宜补，补后恐动心火。清肝木与清心火有清火、降热功能。 (清、补肺金 6 部分:无名指指腹。 操作:直推为清，名“清肺金”;旋推为补，名“补肺金”。“肺金”实热症用清法，虚症用补法。 7(补肾水 部位:小指脂腹。 操作: 肾水与肝木、心火、肺金的手法不同，直推为补，名“补肾水”。 注意:“水”宜补不宜清，补肾水相当吊盐水与葡萄糖，也有健体与降热作用。 8(揉外劳宫 部位:第三掌骨背侧，腕横纹至掌骨小头连线之中点。 操作:用指尖作揉法，名“揉外劳宫”。有清热、镇静、止痛作用。 9(推上三关 部位:小臂前侧，自腕横纹至肘部成一直线。 操作:用拇指或食、中两指自下向上推，名“推上三关”或“推三关”，有发汗降热作用。 10(清天河水 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 部位:小臂内侧，自腕横纹中点至肘横纹中点成一直线。 操作:用拇指侧推或用食、中指指腹向上直推，名“清天河水”，是退热重要手法，还有宁心与安眠作用。 11(退六腑 部位:小臂后侧，自腕横纹至肘部成一直线。 操作:用拇指或食、中两指指腹自肘部向前推向腕部，名“退六腑”。 注意:退六腑大寒，相当于中药之犀角、羚羊角，非40?以上之高热，不可轻用。 12(分推肩胛骨 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 操作:沿肩胛骨骨缝从上向下推如弯月，名“分推肩胛骨”(如箭头所示)，本手法宣肺止咳，对久咳急气患儿适用。 13(揉肺俞 部位:第三、四胸椎间，正中线旁开1(5寸处。 操作:用双手拇指指尖作揉法(右手为顺时针，左手为逆时针)。 14(推脊柱 部位:上起大椎穴，下至尾骨之间成一直线。 操作:用食、中指指腹由上而下直推，名“推脊柱”，为退热重要手法。 15(推尾椎 部位:自第4节腰椎到尾骨之间成一直线。 操作:用拇指或食、中指指腹向上直推，为补，又名“推七节”;下推为“清七节”。补法止泻，清法治便秘。 16(揉长强 部位:肛门与尾骨之间。 操作:用指尖作揉法，名“揉长强”。可止泻。 17(捏脊 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 操作:以双手拇指与食指并拢，从尾椎骨沿脊柱两侧向上捏(成人高血压患者从颈部向下捏至尾椎骨)，连皮带肉用力捏起即放下，一起捏至颈部发际处为止，以脊柱两侧皮肤微有潮红为有效。 说明:捏脊多用于治疗小儿积聚一类的疾患，如食积、疳积、呕吐、便秘、泄泻等，故又称“捏积”;还可消除肝、脾肿大，并有医治百病与抗癌作用。 18(揉内关 部位:伸臂仰掌，腕横纹上2寸 (以患者的手量) 两筋之间。有宁心安神，镇静止吐作用。 19(揉、压足三里 部位:外膝眼下3寸 (用患者的手取)， 胫骨外侧约一横指处。 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 说明:在周老小儿推拿诸多病例中，唯有“急救中毒性菌痢患儿”一例，用的是指压双足三里附近的“高升点”，其余皆按揉足三里。有强壮、消炎、治胃肠道疾病作用。 20(揉三阴交 部位:内踝尖上3寸( 用患者的手取 )，胫骨后缘稍后。 附:小儿推拿用润滑剂 为减轻摩擦，避免损伤小儿皮肤，损伤时可将姜汁、葱白汁、酒精或清水等涂于推拿部位，这些润滑剂可根据病情、时令选用。有强壮、消炎作用，对治肠炎、泌尿系统疾病也有一定的成效。 二、小儿常见病的推拿方 摘自《火柴棒医生手记》 1(早产女婴(不足2公斤，第236页) 每天捏脊一次(5遍)，取左手补脾土200次，清肝木、清心火各100次，补肺金200次，补肾水200次，揉板门150次，推上三关150次。 2(先天性哮喘(1岁以下/2岁以上，第170页) 取左手补脾土200/300次以上，清心火、清肝木各100次/各200次，清肺金300次/300次以上，补肾水200次/300次以上，揉外劳宫100次，推上三关200次，分推肩胛骨(此是主穴)50次/100次。 3(先天性心肌炎(2岁，第143页) 取左手补脾土300次，清肝木200次，清心火200次，补肺金300次，补肾水300次，揉内关300次，揉三阴交300次，捏脊5遍。 4(中毒性肺炎，高烧41?(2岁，第42页) 清肺金300次，清脾土、清肝木、清心火各300次，补肾水400次，揉外劳宫200次，推上三关300次，清天河水300次，退六腑300次，推脊柱300次。 5(百日咳(1-2岁，第66页) 取左手补脾土300次，清肝木、清心火各200次，清肺金300次，补肾水300次，揉外劳宫200次，推上三关300次，分推胛骨100次，揉肺俞50次。 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 6(疳积(2岁，第46页) 取左手补脾土300次，清肝木、清心火各200次，补肺金、补肾水各300次，揉外劳宫150次，推上三关300次，揉双足三里300次，捏脊5遍。 7(疳积兼肠炎(2岁，第153页) 取左手补脾土300次，推大肠200次，揉板门200次，清肝木、清心火各200次，补肺金、补肾水各300次，推上三关300次，捏脊5遍，揉双足三里200次，揉双三阴交200次。 8(腹泻(3岁，第53页) 取左手补脾土300次，推大肠200次，揉板门200次，推上三关300次，推尾椎300次，揉长强300次，揉双足三里300次，捏脊5遍。 9(中毒性菌痢，高烧40?(4岁，第145页) 治痢与退热双管齐下:取左手补脾土300次，推大肠200次，揉板门150次，清肝木、清心火各200次，清、补肺金各150次，补肾水300次，推上三关300次，清天河水300次，退六腑300次。推脊柱300次，捏脊5遍，指压双足三里附近的“高升点”5到7分钟。 10(白血病，高烧40?(4岁，第127页) 采取以捏脊为中心的降热与水肿的医治法:取左手补脾土300次，清肝木、清心火各200次，清、补肺金各150次，补肾水300次，推上三关300次，清天河水300次，退六腑300次，推脊柱300次，捏脊5遍。 11(休克(5岁，第60、73页) 掐人中，掐揉手精威两穴，捏双脚太溪、昆仑及揉背部双肺俞。 说明:“精威”是“精宁”与“威灵”之合称。此两穴在手颈部两侧用单拇指甲掐之，或用中指端作揉法，两穴掐5-10次，揉100-200次。 12(感冒发烧(两岁小儿，两岁以上酌加，以下酌减) 说明:清肺金300次，清心火、肝木各200次，补肾水、脾土各300次，推三关300次，推天河水300次，推脊200次，若高热40度以上，加退六腑300次。 13(感冒咳嗽(两岁小儿，两岁以上酌加，以下酌减) 说明:清肺金300次，补脾土、肾水各300次，揉外劳宫100次，推三关300次，分推肩胛骨50-100次，揉肺俞100次。 14(呕吐(两岁小儿，两岁以上酌加，以下酌减) 说明:补脾土300次，清大肠(从虎口推向指尖)100次，推板门(从掌根推向指尖)100次，按双足三里3-5分钟，揉涌泉100次(左旋)。又吐又泻，加揉尾尖300次，推尾椎300次(由下向上)。 15(便秘(两岁小儿，两岁以上酌加，以下酌减) 说明:清大肠300次(由虎口推向指尖)，清脾土300次，清心火、肝木各200次，补肾水300次，清肺金200次，指压双外关穴3-5分钟。 16(小儿夜啼(两岁小儿，两岁以上酌加，以下酌减) 说明:补清脾土各150次，清肝木、心火各200次，补清肺金各150次，补肾水300次，捏脊(自下而上)每天捏1-2次，每次捏5-7遍。 17(遗尿(五岁以上小儿，五岁以上酌加，以下酌减) 说明:补脾土800次，补肾水800次，推三关300次，揉丹田20分钟，按压百会2-3分钟。 18(脱肛(五岁小儿，五岁以上酌加，以下酌减) 说明:补脾土300次，推大肠100次(从指尖推向虎口)，补肺金300次，推三关300次，揉外劳宫100次，摩丹田5分钟，推尾椎(向上)300次，揉尾尖500次，压百会2-3coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer 分钟，捏脊，自下而上每天捏1-2次，每次捏5-7遍。 14(小儿盗汗(两岁小儿，两岁以上酌加，以下酌减) 说明:补肺金300次，补脾土、肾水各300次，清肝木、心火各200次，揉外劳宫100次，捏脊，从下向上，每天捏1-2次，每次捏5-7遍。 20(小儿口舌生疮不吸奶(两岁小儿，两岁以上酌加，以下酌减) 说明:清心火、肝木各200-300次，清肺金300次，清脾土300次，补肾水300次，揉内、外劳宫各100次。 21(小儿皮肤病与瘙痒症(两岁小儿，两岁以上酌加，以下酌减) 说明:清肺金300次，清心火与肝木各200次，清脾土300次，补肾水300次，清心火与肝木各200次，清脾土300次，补肾水300次，捏脊从下向上捏，每天捏1-2次，每次捏5-7遍，揉双曲池穴各100次。 22(小儿腹胀不适(两岁小儿，两岁以上酌加，以下酌减) 说明:清脾土300次，清大肠200次(由虎口推向指尖)，清板门200次(由指根推向指尖方向)，清心火、肝木各100次，补肾水300次，捏脊从下向上捏，每天捏1-2次，每次捏5-7遍，压双足三里2-3分钟。 23(小儿厌食(两岁小儿，两岁以上酌加，以下酌减) 说明:补脾土300次，清肝木、心火各200次，补肺金、肾水各300次捏脊从下向上，每天捏1-2次，每次捏5-7遍，压双足三里2-3分钟。 24(小儿舞蹈症与多动症(四岁小儿，四岁以上酌加，以下酌减) 说明:清脾土400次，清肝木、心火各300次，清肺金300次，补肾水500次，揉双合谷、双太冲各3-5分钟，捏脊，从下向上每天捏1-2次，每次5-7遍。 25(小儿大脑发育不全(四岁小儿，四岁以上酌加，以下酌减) 说明:补脾土500次，清心火、肝木各300次，补肺金、肾水各500次。揉双合谷、双太冲各3-5分钟，捏脊，从下向上捏，每天捏1-2次，每次5-7遍。 26(小儿自闭症(五岁小儿，五岁以上酌加，以下酌减) 说明:补脾土500次，清肝木、心火各400次，补肺金、肾水各500次。揉双合谷、双太冲各5-7分钟，捏脊，从下向上捏，每天捏1-2次，每次5-7遍。 coefficient not greater than 1.3; High efficiency: control 1 hour travel time between any two points within the various groups within the area up to half an hour, 1-hour access to the airport, 45min reached the city's main traffic hub, external highway for half an hour with the main channels connecting bus 1.5 hours between any two groups of core areas; Intensive: 2030 transit share rate of around 35%, 2050 bus sharing rate of 45% per cent. 3rd chapter, Yibin city, traffic situation and General ... 3.1.1 city traffic status 1, external transport passenger and cargo traffic in Yibin city, traffic at the present main railway, highway, waterway and air four modes of passenger and freight transport, thereand cultural heritage, highlighting the cultural taste and shape characteristics of the city in Yibin. According to forecasts, vision 2050 population will reach 2.1 million people in the center of Yibin city, urban land is around 210km2. Figure 2.6-1 2050 figure 2.7 land use planning in the Center City, Yibin city development requires the development of bus rapid transit construction and socio-economic development trends, Yibin city coordination, supporting urban space layout and infrastructure networks, transport organized, internal and external traffic hub smoothly linking, realizing sustainable development of Yibin city integrated transportation system. Concrete can be summarized as, accessible, efficient, intensive and sustainable. Accessibility: Central built-up area road network density of about 7.0km/km2; bus line density of 3-4 km/km2, bus transfer