Operation
The doctor holds the four fingers of the child patient with the left hand, and fixes the child’s thumb with the index finger and middle finger of the right hand. Then, the doctor uses the thumb to push from the tip of the child’s little finger to the Xiaotianxin acupoint, and then turn to the Neilaogong acupoint. This is regarded as one operation, and it should be pushed 30 to 50 times.

Key Points of the Movement
When performing the pushing manipulation, the force should be moderate, and the frequency should be slower than that of the direct pushing manipulation. It is advisable to be 20 to 30 times per minute.

Requirements and Precautions
Pay attention to following the procedure of the manipulation operation.

Clinical Application
This method has a cold nature and is an important method for reducing fever. It is used to treat excess-heat syndromes such as high fever with delirium, heat invading the nutrient-blood system, restlessness, constipation, etc.