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The normal physical appearance and demeanor of a child are: the expression is joyful and peaceful. There is no clear runny nose in the nasal cavity, nor any phlegm or saliva in the throat. The hair is black as if dyed with Qingdai (Indigo Naturalis). The lips are red and fresh like vermilion. The face is fragrant like flowers reflecting against bamboo. The cheeks bloom like water-floating lotuses. The child likes to smile when coaxed. The mouth does not open unnecessarily. Even if crying, it is not prolonged. Although sleeping, the sleep is not long-lasting. The mind is calm like still waves. The spirit is clear like the sky in a mirror. These manifestations are generally auspicious and healthy; why worry about disease entanglement?

Raising children requires careful nursing and care. One must not be negligent or lax. Excessive milk intake ultimately damages the Stomach Qi. Food stagnation injures the Spleen. Thick quilts are not beneficial; thin clothing is actually suitable. When there is no wind, frequent exposure to sunlight is recommended. Follow the natural changes of cold and heat according to the seasons.

Coldness at the tips of the five fingers indicates that fright symptoms are coming on fiercely and are difficult to withstand. If the middle finger is hot, it is definitely Shanghan (Cold Damage). If only the middle finger is cold, this is a characteristic passed down from Ma Dou (Smallpox and Measles) syndromes. For males, observe the left hand; for females, the right hand. Distinguish clearly and examine carefully. Initially, the fingerprint appears shallow at the Yin Guan (First Section). If the pattern invades the Mao position (Second Section), the condition deepens. The appearance of branches indicates untreatability. If it reaches the Chen position (Third Section) accompanied by weeping, life is hard to save.

For males left, females right. Observe the Guan sections and timing. Pinch the middle finger joint. If the tongue protrudes, death ensues. If there is pain upon inhalation, survival is possible. If unconscious for a long time, pinch the middle finger. Bite the Kunlun acupoint (BL60).
The area where the tiger's mouth crosses the hand is the Tiger's Mouth.
The Three Passes are located on the side of the second finger.
The Wind Pass is at the first section, Yin position.
The Qi Pass is at the second section, Mao position.
The Life Pass is at the third section, Chen position.

Liu Zhu Xing (Flowing Pearl Shape): Indicates food retention with diaphragmatic heat. San Jiao (Triple Burner) disharmony, qi mechanism obstruction. Symptoms include desire to vomit or diarrhea after eating, borborygmus, spontaneous diarrhea, irritability, and crying.
Huan Zhu Xing (Ringed Pearl Shape): Indicates qi disharmony. Spleen and Stomach deficiency. Food injury and stagnation. Abdominal distension and fullness. Vexation, stuffiness, and fever.
Chang Zhu Xing (Long Pearl Shape): Indicates food accumulation. Abdominal pain. Alternating chills and fever. Hypochondriac distension. Undigested food. Restlessness due to intestinal parasites.
Lai She Xing (Approaching Snake Shape): Indicates disharmony of Zhong Wan (Middle Epigastrium). Accumulated qi attacking upward. Inability to eat. Gan Qi (Wasting-Heat Syndrome) progressing. Visceral unrest. Distension, fullness, and dry heaving.
Qu She Xing (Departing Snake Shape): Indicates Spleen and Stomach weakness. Food accumulation with vomiting and diarrhea. Irritability, coarse breathing, thirst, vexation, and panting. Undigested food. Mental fatigue and excessive sleep.
Gong Fan Wai Xing (Bow Reversing Outward Shape): Indicates phlegm-heat disturbing the heart-mind. Unstable sleep. Body heat. Combined fright and food retention. Feng Xian (Wind Epilepsy) and other syndromes.
Gong Fan Li Xing (Bow Reversing Inward Shape): Indicates invasion of cold pathogen. Heavy sensation in head and eyes. Heart-mind fright and palpitations. Silence and lassitude. Coldness at the tips of the four fingers. Cough with profuse phlegm. Red urine.
Qiang Xing (Spear Shape): Indicates abundant evil heat and phlegm. Trance-like mental state. Unrestful sleep. Generation of wind and convulsions. Transmission of Jing Feng (Infantile Convulsion).
Yu Gu Xing (Fish Bone Shape): Indicates Jing Feng with phlegm-heat syndrome. Urgently apply methods to extinguish wind, resolve phlegm, benefit the mind, and reduce fever. If treatment is delayed, other syndromes will develop.
Shui Zi Xing (Water Character Shape): At the Wind Pass, indicates Jing Feng entering the Lungs. Cough, red face. At the Qi Pass, indicates deficient phlegm in the diaphragm. Deficient accumulation and stagnation. At the Life Pass, indicates Jing Feng. Critical Gan Ji (Wasting Syndrome).
Zhen Xing (Needle Shape): At the Water Pass, cyan-black color indicates Water Fright. At the Qi Pass, red color indicates Gan Ji. At the Life Pass, presence of these five colors, or penetrating through all three passes, indicates refractory acute or chronic infantile convulsion.
Tou Guan She Zhi Xing (Pass-Penetrating Finger-Shooting Shape): Indicates the four syndromes of Jing Feng, phlegm, and heat gathering in the chest and diaphragm without dispersing. Although the signs are severe, if the syndrome follows a favorable course, it can be treated.
Tou Guan She Jia Xing (Pass-Penetrating Nail-Shooting Shape): Indicates malignant signs of Jing Feng. Pathogen enters the meridians. Wind-heat arises. Merges with the Eight Signs. Deficient phlegm obstruction. Critical condition, most difficult to treat.
Mai Ru Luan Si (Pulse Like Messy Threads): Indicates cold diarrhea in the abdomen. Cyan-white lip color. Hands and feet like ice. Deficient generation of fright jumps.
Xing Ru She Wei (Shape Like Snake Tail): Purple-red color. Indicates fright-food injuring the Spleen. Combined with wind-cold. Warm heat in head, face, chest, and abdomen.
This pulse should be known as a Wind Pulse.
This pulse reveals it is a Qi Pulse.
This shape at the Wind Pass indicates Gan Ji disease.
Indicates Jing Feng and Shang Han (Cold Damage).
This shape resembles a ring. Seen at the Wind Pass, it indicates Liver Gan Ji with accumulation. At the Qi Pass, Gan Ji enters the Stomach. Vomiting and regurgitation are untreatable. At the Life Pass, no medicine can cure it.
If this pattern is in the Wind and Qi passes, it is easy to treat. Penetrating the Life Pass is difficult to treat.
Curving inward indicates Qi Gan.
Curving outward indicates Wind Gan.
Foot slanting to the right indicates Shang Shen (Cold Damage) with body heat, anorexia, and absence of sweat.
Foot slanting to the left indicates Shang Feng (Wind Damage) with body heat, anorexia, and presence of sweat.
Shuang Gou Mai (Double Hook Pulse) indicates Shang Han (Cold Damage).
Three curves resembling a long worm indicate injury from choking on foreign objects.
This shape resembling a ring with a "foot" indicates food injury.
San Qiang Xing (Three Spears Shape) indicates Gan Ji signs.
Pulse shape like a flying gull indicates Jing Feng.
This shape indicates Heat Disease of the Middle Jiao.
Shapes with two curves interconnecting indicate Wind signs.
People wishing to recognize Shang Leng (Cold Injury) syndrome: three protrusions westward and three convexities eastward.
This shape indicates cold sores in ears and nose, Gan worms.
Both pulses curving indicate roundworms.
Large in the center, pointed at both ends, red color: indicates Jing Feng with fever. If penetrating all three passes, indicates Innocent Gan Ji (Wasting Syndrome), which is fatal.
Head small, tail large, yellow color: indicates injury to the Stomach by hard objects. High fever, closed eyes, or fright deviation.
Red color straight through the middle of the segment: indicates Jing Feng with convulsions. One end red, one end white is favorable.
Purple color reaching the pass indicates Gan Ji. Fatal.
Upper red, lower white, named Fire Light. Fire overcomes Metal. Circumferential passes and encounters of Five Elements overcoming each other are fatal.
This shape resembles a curved worm. At the Wind Pass, three types of Gan Ji accumulation. Protruding abdomen and large belly. At the Qi Pass, Large Intestine filth accumulation. At the Life Pass, Heart transmitting to Liver. Difficult to treat.
Whenever the pulse is not visible, and the Tiger's Mouth is cloud-dust colored, this is the pulse of Ke Wu (External Shock) and Gui Sui (Spirit Affliction). Seek divine intervention to expel it. If the pulse shows uneven size, it definitely indicates ominous signs.
Three curves penetrating the Life Pass indicate death from Jing Feng.
This shape at the Wind Pass indicates Liver Gan Ji. At the Qi Pass, Spleen cold with vomiting and regurgitation. Untreatable. At the Life Pass, fatal.
This shape appearing in the Guan, hand, or face are all death omens.
This shape resembles messy worms. Indicates Gan food accumulation. Also has fatal signs.
This shape appearing at the Wind Pass in cyan color is easy to treat; it is an initial fright sign. Black color is difficult to treat. Cyan at the Qi Pass indicates Gan Lao (Wasting Consumption) with body heat. Cyan at the Life Pass indicates Deficient Wind and transmission to the Spleen. Difficult to treat.
Wind Pass like the character Yi (乙): indicates Liver Jing Feng. Easy to treat. Qi Pass like Yi: indicates Jing Feng. Life Pass like Yi: cyan-black color is difficult to treat.
Indicates Jing Feng. Its form may be single or double. Coming reversely.