五指稍头冷，惊来不可安。若逢中指热，必定是伤寒。
中指独自冷，麻痘症相传。女右男分左，分明仔细看。
初起寅关浅，纹侵过卯深。生枝终不治，辰位实难禁。
气纹黄盛作红，红盛作紫，紫盛作青，青盛变黑，纯黑则难
治矣。
黄色无形者。即安乐脉(6)也。红若无形，亦安宁脉。止有
前数样形者，即病之脉。次第而变，初作一点，于气多红，脉至风
关，其病危急，纯黑分明，不可疗治。
左有红纹似线形。定知发热又兼惊。右有双纹如左状，脾伤
惊积一齐生。纹头有似三叉样，肺气生痰夜作声。青赤应是伤寒
症，只是空红泄定生。
又 歌
虎口乱纹多，须知气不和。色青惊积聚，下乳泄如何。
青即慢惊发，入掌内钓多，三关忽通过，此侯必沉苛。
指上辨青纹，认是四足惊。虎口脉青色，是猪犬马惊。
黑色因水扑(7)，赤色火人惊(8)，紫色多成泻(9)，黄色是雷
惊(10)，曲反风还盛(11)，弯弓食上蒸(12)。但看叉手处，方可辨其
形。
凡小儿三岁以上有病，深重危急者，指甲口鼻多作黑色。盖
儿脉绝神困(13)。症候恶极，虽有良药，断断乎不可保矣(14)。
额、印堂、山根论歌
额红大热燥，青色有肝风。印堂青色见，人惊火则红。
山根青隐隐(15)，惊遭是两重，若还斯处赤，泄燥定相攻。
Coldness at the tips of the five fingers indicates *Jing Feng* (Convulsions), a condition that is difficult to stabilize. If the middle finger is hot, it must be *Shang Han* (Cold Damage).
If only the middle finger is cold, it is transmitted as a sign of *Ma Dou* (Measles and Smallpox) syndromes. For females, examine the right hand; for males, the left hand. Observe clearly and carefully.
When initially appearing, the pattern on the Wind Gate (first phalanx of the index finger) is shallow; if the pattern invades the Qi Gate (second phalanx), the disease deepens. If branches appear, it is ultimately untreatable; if it reaches the Life Gate (third phalanx), it is extremely difficult to withstand.
The color of the vascular pattern changes from yellow to red when excessive, from red to purple when excessive, from purple to green/cyan when excessive, and from green/cyan to black. Pure black indicates a condition that is difficult to treat.
Yellow without specific shape is the Pulse of Peace and Health. Red without specific shape is also a pulse of tranquility. Only those with the aforementioned shapes are pathological pulses. Changing in sequence, starting as a single dot, mostly red in the Qi level; when the pulse reaches the Wind Gate, the condition is critical. If pure black is distinct, it is incurable.
A red linear pattern on the left hand indicates fever accompanied by *Jing* (Fright/Convulsion). Double patterns on the right hand resembling the left indicate simultaneous Spleen injury and Fright accumulation. A pattern head resembling a trident suggests Lung Qi generating phlegm, causing nocturnal sounds. Green and red colors should be diagnosed as *Shang Han* syndrome; however, empty redness indicates impending diarrhea.
Another verse:
Many chaotic patterns on the Tiger's Mouth indicate disharmony of Qi. Green color indicates Fright and accumulation; how to manage milk-induced diarrhea?
Green indicates the onset of Slow *Jing Feng*; entering the palm indicates many cases of *Diao Jin* (Tendon Drawing) Fright. If the Three Gates suddenly connect, this sign indicates a severe, chronic illness.
Identifying green patterns on the finger recognizes it as Fright from four-legged animals. Green color on the Tiger's Mouth pulse indicates Fright from pigs, dogs, or horses.
Black color is due to water shock (drowning/water pathogen); red color is due to Fire person (Fire pathogen/heat toxin) Fright; purple color often leads to diarrhea; yellow color is Thunder Fright (fright from lightning). Curved extension indicates prevailing Wind; arched posture indicates steaming from food retention. Only by observing the intersection points can one distinguish the shape.
For children over three years old with severe and critical illness, the fingernails, mouth, and nose often turn black. This is because the child's pulse is exhausted and spirit is困 (depressed). The symptoms are extremely malignant; even with good medicine, life absolutely cannot be preserved.
Verse on Forehead, Yintang, and Shangen:
Forehead redness indicates great heat and dryness; greenness indicates Liver Wind. Appearance of greenness at Yintang indicates human fright; fire makes it red.
Shangen (root of the nose) shows hidden greenness, indicating double layers of fright. If redness appears there, diarrhea and dryness will definitely attack each other.