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Wei Yilin stated: If a child cries in fright during sleep with a floating (light and superficial) voice, it is easy to treat. If the voice is deep and dull, it is difficult to cure. If the voice resembles that of a crow struck by an arrow (hoarse and shrill), it is incurable.

Li said: A light voice indicates Qi deficiency. A heavy and turbid voice indicates pain or Wind pathogen. Loud shouting indicates Heat excess approaching mania. An urgent voice indicates Shock to the Shen (Spirit). A blocked voice indicates Phlegm obstruction. A trembling voice indicates Cold. A choked voice indicates stagnant Qi. Panting indicates rapid breathing. Sneezing indicates injury by Wind. Crying in fright with a heavy body and dull voice indicates severe condition. A turbid and quiet voice indicates Gan accumulation (malnutrition syndrome). If a newborn does not cry loudly but makes a squeaking sound, death is inevitable. Sudden manic screaming due to excessive Fire indicates Fire excess with Qi deficiency, leading to death. Onset at midnight often involves mouth ulcers; one should examine carefully. Direct sounds without tears indicate pain. Continuous crying with many tears indicates fright. Irritable and noisy voices are difficult to heal. Restless and rapid voices indicate invasion by Cold.

Li Zhongnan said: When children are ill, symptoms manifest in the complexion and must correspond in the voice. The voices vary and must be examined carefully. There is the "heavy and solid" voice. The song states: "Heavy and solid voice, vigorous body heat, San Jiao Qi stagnation in Heart and Spleen. Wind-cold cough, sore throat, constipation with delayed stool passage." There is the "sad and scorched" voice. The song states: "Sad and scorched voice implies dryness, terror may generate Wind. Heavy and turbid quiet voice, Gan attack leads to deafness." There is the "crying and wailing" voice. The song states: "Only crying without wailing indicates fright; much wailing without crying indicates clear pain. Light, trembling, hoarse voice indicates Wind epilepsy; fast or slow frequent voices indicate vomiting and diarrhea." There is the "irritable" voice. The song states: "Irritability makes the illness hard to settle; restless and rapid voices indicate Cold invasion. Short speech and faint Qi with astringent urine; long, slow, thin voices indicate various types of dysentery." There is the "slow and sluggish" voice. The song states: "Rapid and short versus slow and sluggish; intestinal rumbling and frequent diarrhea. Hoarse voices mostly lack resonance, caused by Wind-Heat and Lung deficiency."

Qian Yi said: To inspect a child's pulse, use the thumb to press the Cun, Guan, and Chi positions. Six or seven beats per respiration cycle indicate a harmonious pulse; eight or nine beats indicate fever; five beats indicate internal Cold. The rhyme states: "Tight pulse in children suggests Wind-Epilepsy; deep and slow pulse suggests food injury with much vomiting. Wiry and urgent pulse indicates Qi disharmony; rapid and urgent pulse suggests acute fright with unsettled Shen. Cold presents as deep and fine; Wind presents as floating. Firm and solid pulse indicates chronic constipation. Abdominal pain presents as tight and wiry; chaotic pulse is untreatable. During Bian Zheng (physiological growth changes), the pulse must be chaotic; no treatment is needed to avoid error. Thin and fine pulse suggests Gan consumption; surging pulse suggests parasites. Unequal size indicates a malignant prognosis. Deep and slow pulse with tidal fever indicates internal invasion by Stomach Cold. Large pulse in diarrhea and dysentery is untreatable; careful consideration is required."

Wang Kentang said: Zhang Yunqi claimed: For children under five who cannot see or hear well, the pulse cannot be differentiated. Only above five years old can the pulse be distinguished as floating, deep, slow, or rapid. Referring to Qian's previous discussion, this is not strictly limited to age five. The *Shui Jing Jue* (Water Mirror Rhyme) also states: For children under three, observe the Three Passes on the Tiger's Mouth. For those under three, use one finger to press the high bone to divide the Three Passes and determine breath count. Eight breaths per pulse beat is a normal pulse; nine breaths indicate unease; ten breaths indicate critical danger. For children under four, roll one finger to seek the three positions, using the Guan position as the standard. At seven or eight years, shift the finger slightly; at nine years, sequentially follow the Three Passes positions. After eleven or twelve years, diagnose according to adult pulse positions. This view differs from the previous two; physicians should consult and apply these methods flexibly according to circumstances.