Operation
The doctor pinches the four fingers of the child patient with the left hand, turns the palm upward, and uses the pulp surface of the thumb of the other hand to manipulate the Neilaogong acupoint. Then, bend the four fingers of the child patient upward and hold them with the left hand. Next, use the pulp surfaces of the index finger and middle finger to pat, rising and falling alternately, from the Neiguan acupoint and Jianshi acupoint along the Tianheshui (the medial aspect of the forearm) up to the Hongchi acupoint. This is considered one operation, and it should be performed 10 to 20 times.

Key Points of the Movement
(1) When performing the manipulating operation, the force should be light and the frequency should be slow.
(2) Use the pulp surfaces of the index finger and middle finger for the patting operation. The movements should be flexible rather than stiff, and the frequency should be moderate.

Requirements and precautions

Follow the steps required by the specific requirements of the technique.

Clinical application

This method can clear away heat and circulation, and promote qi and blood; It is used for high fever irritability, delirious convulsions, upper limb numbness and other real fever syndromes.