Xiao Er Tuina, also known as Pediatric Tuina, involves practitioners using their fingers to stimulate specific areas and points, primarily on the hands, forearms, head, face, lower legs, and along the spine. The goal is to enhance a child's natural immunity, manage, and prevent pediatric diseases. Children undergo a unique rhythm of physical and mental development; their spleen is generally less developed, leading to common issues like poor digestion, diarrhea, and inadequate nutrient absorption. Simultaneously, their liver tends to be relatively overactive, manifesting as busyness, impatience, easy agitation, screaming, and challenges with concentration. Pediatric Tuina has been employed for centuries in China and over five decades in Western countries to address and support these developmental challenges in children.