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The observation of the pediatric fingerprint focuses on the three sections of the index finger. For diagnosis, the left hand is examined for males and the right hand for females, requiring careful differentiation. The fingerprint is divided into three sections from the fingertip towards the root: the Wind Section (Feng Guan), the Qi Section (Qi Guan), and the Life Section (Ming Guan). If the fingerprint appears only in the Wind Section, it indicates that pathogenic factors have just begun and the condition is mild; if it extends to the Qi Section, it suggests that the disease may progress or recede, being in a state of change; if it reaches the Life Section, the prognosis is poor, often associated with danger of death. If bead-like points appear in the fingerprint and penetrate all three sections, it often foreshadows a critical condition, causing great sorrow. If the color of the tendons in all three sections is purely black, death is imminent, which is extremely ominous. If the fingerprint shape resembles an inverted bow, visible both inside and out, it is also a sign of evil prognosis.

The fingerprints on the index finger exhibit five colors: red indicates cold syndromes, and purple indicates heat syndromes, which must be distinguished in detail. Food stagnation can present as cyanotic-purple, while qi deficiency with irritability also shows cyanosis; seeing cyanotic-black is mostly a counter-indication, causing lamentation. A cyanotic fingerprint in children is often due to incomplete fetal qi. Deep cyanosis indicates restless sleep at night, and slight cyanosis is seen when there are abdominal diseases. Black qi coiling like intestinal colic is accompanied by continuous convulsions. Yellow combined with a pale face is often entangled with diarrhea. Purple is mostly seen in wind injury. If the finger tendon appears red, it indicates that shock pathogens have entered the spleen orifice. Slight redness implies no dysentery but cold in the abdomen, or vomiting/diarrhea due to spleen deficiency and dietary restrictions. Deep red lines in all three sections manifest as strong body, fever, and frequent fright. If the line shape is like a bow, with residual food stagnating in the diaphragm and yellowish face, it belongs to spleen meridian accumulation disease. Purple lines in all three sections are mostly due to fetal shock and heat-toxin steaming, with crying, wailing, and groaning during fright. This is often caused by severe purple-cyanotic tendons. Slight purple is due to heat injury, with bow-shaped lines and frequent vomiting and diarrhea. Purple, cyanotic, and black colors often form a Hanging Needle pattern (Xuan Zhen); bent fingers indicate wind-heat pathology. The "Liao" character pattern indicates watery diarrhea. The "Chuan" character pattern indicates mild phlegm-fluid conditions.

For children under six years old, pulse diagnosis is required. The physician places one finger on the Cun, Guan, and Chi positions, counting breaths to determine the pulse rate. A slow pulse indicates cold syndromes, and a rapid pulse indicates heat syndromes, which is experience passed down through ancient and modern times. A floating pulse indicates wind pathogens, and a deep pulse indicates stagnation/accumulation, which should be identified first. The Renying pulse on the left hand mainly reflects external pathogens, while the Qikou pulse on the right hand mainly reflects internal diseases. External pathogens are caused by invasion of wind, cold, summer-heat, and dampness, while internal diseases are caused by milk/food, phlegm, and accumulation. A full, large, tight, and empty-sweat pulse indicates Cold Damage (Shang Han); a floating, moderate, and sweaty pulse indicates Wind Injury (Shang Feng). Floating and full/large indicates severe wind-heat; deep, fine, and slippery indicates milk/food accumulation. A deep pulse indicates unceasing abdominal pain; a deep and wiry pulse indicates wheezing and urgency in the throat. Tight and hurried pulses indicate the emergence of rashes and smallpox; tight and rapid pulses indicate the onset of convulsive diseases. A deficient, soft, and slow pulse manifests as slow convulsions with twitching (Ji Zong, referring to pediatric wind disease). A tight and vigorous pulse is seen in wind epilepsy with convulsions and pulling. A soft and fine pulse indicates worm infestation (Gan Chong). A firm and solid pulse necessarily accompanies constipation. A slippery pulse indicates phlegm congestion and food injury. A hollow pulse (Kou Mai) necessarily indicates blood loss. Deficiency with qi disturbance leads to fright; a wiry and urgent pulse indicates sudden fright (Ke Wu), which must be recognized. Unequal size and rhythm constitute an evil prognosis. Three beats per respiration indicate collapse (Tuo), two beats indicate sudden death. Five beats indicate deficiency, four beats indicate damage. Six beats per respiration is peaceful and called disease-free. Seven to eight beats indicate mild illness. Nine to ten beats indicate critical disease progression. Eleven to twelve beats are undoubtedly fatal. This verse is infallible.

For children over three years old, the Cun, Guan, and Chi sections are palpated with one finger. Typically, six to seven beats per respiration is considered a normal pulse. An increase indicates heat syndromes, and a decrease indicates cold syndromes. Floating and full pulses indicate excessive wind; rapid pulses indicate frequent fright. Deep and stagnant pulses indicate deficiency; deep and solid pulses indicate accumulation.