小儿推拿操作顺序及补泻原则
Sequence of manipulation and principle of reinforcing and reducing of massage in children
推拿时，应按顺序依次操作，以免遗漏。应先轻手法，如推、揉、运等，后重手法，如掐、捏、拿等；先头面，次上肢，再下肢，最后是胸腹腰背。
Massage should be operated in order to avoid omission. Should first light manipulation, such as pushing, kneading, transportation, etc., and then heavy manipulation, such as pinching, pinching, holding, etc. First head, next upper limbs, then lower limbs, finally chest, abdomen, waist and back.
小儿推拿所使用的穴位，根据其手法操作可分为直线、旋转及垂直方向，可根据操作方向来决定补泻原则。
The acupoints used in pediatric massage can be divided into straight line, rotation and vertical direction according to their manipulation, and the principle of reinforcing and reducing can be determined according to the direction of manipulation.
1.直线方向
1. Straight line direction
主要是应用推、捏等法施于直线状穴位。总的补泻原则为：向心方向推为补法，离心方向推为泻法，来回推为平补平泻法。有些非特定穴在经络线上，它们共同的补泻原则是：顺经方向推为补，逆经方向推为泻，来回推为平补平泻。
It is mainly applied to straight-line acupoints by pushing and pinching. The general principles of reinforcing and reducing are: centripetal direction, centrifugal direction and horizontal reinforcing and reducing method. Some non-specific acupoints are on the meridian line. Their common principles of reinforcing and reducing are: pushing along the meridian direction for reinforcing, pushing against the meridian direction for reducing, pushing back and forth for reinforcing and reducing.
2.旋转方向
2. Direction of rotation
多用于揉、运、摩等手法，施于面、点状穴位。总的补泻原则是：顺时针方向旋转为补，逆时针方向旋转为泻，双向旋转为平补平泻。如果是左右对称的两个穴位时，其补泻原则为：向内旋转为补，向外旋转为泻，双向旋转为平补平泻。
It is mostly used for kneading, transportation and moxibustion, and applied to facial and point-like acupoints. The general reinforcing and reducing principles are: clockwise rotation for reinforcing, counterclockwise rotation for reinforcing and reducing, two-way rotation for flat reinforcing and reducing. If there are two symmetrical acupoints, the principle of reinforcing and reducing is: rotating inward to reinforcing, rotating outward to reinforcing and reducing, and rotating in both directions to flat reinforcing and flat reinforcing and reducing.
3.垂直方向
3. Vertical direction
多用于按、掐、拿等手法，施于点状穴位。其补泻原则以手法的轻重定补泻，重手法为泻法，轻手法为补法，不轻不重为平补平泻。
It is mostly used for pressing, pinching, holding and other manipulations, applied to point-like acupoints. The principle of reinforcing and reducing is that the method of reinforcing and reducing should be light and heavy, the method of reinforcing and reducing should be heavy and the method of reinforcing and reducing should be light and light.
此外，还有一些穴位的操作方向为特定的，不受以上补泻原则约束，例如推三关、清天河水等。
In addition, there are some acupoints whose operation direction is specific and not subject to the above principles of reinforcing and reducing, such as pushing Sanguan, clearing Tianhe River, etc.