陈飞霞曰∶幼科指纹,总无正论,且游移不定,莫可稽驳。有谓不必用者,有用而至于怪诞不经,诬民惑世
者,是皆未明纹
中之理,所以有用不用之殊议。请以一得之愚,聊发其要。盖此指纹,与寸关尺同一脉也,按《内经》十二
经络,始于手太阴,其支者从腕后出次指之端,而交于手阳明,此即指纹是也。明如景岳,犹谓此纹为手阳明
浮脉。不知手太阴经起于中府,而终大拇指之少商;手阳明经起于食指商阳,两不相值,若无此旁支交通营卫,
不几令太阴阳明表里断绝乎。况此脉可诊,人所不知。其迟数代促,与太渊一毫无异,但脉体差小,由旁支也。
指纹之法,起于宋人钱仲阳。以食指分三关,寅曰风关,卯曰气关,辰曰命关。其诀谓风轻气重命危,虽未必
其言悉验,而其义可取。
涂蔚生曰∶十二经皆有动脉,非独阳明太阴为然。如足阳明之趺阳,足少阴之太溪,皆以动脉之所在,古人
以之遍诊病症。取太渊以诊大人者,以其肺为华盖,会朝百脉也。取三关以诊小儿者,以其太渊细小,脉形未
全,不如三关之明了以视也。执定肺与大肠相为表里为解、以三关之指纹、即太渊之支出者,似乎过拘,而尚为
精确之谈也。独针灸所谓之足厥阴太冲穴,在足大指本节后动脉处,遍寻细审,毫未见其动脉焉。余曾访问多人,
令其细为审察,亦云无有。不知此穴此脉,究在何处?想古人审脉定穴,未必敢从意断,当阙以待考。
Chen Feixia stated: In pediatric medicine, the diagnosis by fingerprint (Fingerprint Diagnosis) has never had a definitive theory, and interpretations are inconsistent and difficult to verify. Some claim it is unnecessary to use, while others, though using it, resort to absurdities that deceive the public and confuse the world. These views arise from a failure to understand the principles underlying the fingerprints, leading to divergent opinions on its utility. Permit me to offer my humble insights to briefly elucidate the essentials. Essentially, this fingerprint is the same type of pulse as those at the Cun, Guan, and Chi positions. According to the *Neijing* (Classic of Internal Medicine), the twelve meridians begin with the Hand-Taiyin Lung Meridian. Its branch emerges from behind the wrist to the tip of the index finger, where it connects with the Hand-Yangming Large Intestine Meridian; this is what is referred to as the fingerprint. Even Zhang Jingyue, known for his clarity, claimed this line represents the floating pulse of the Hand-Yangming meridian. He failed to realize that the Hand-Taiyin meridian originates at Zhongfu (LU-1) and terminates at Shaoshang (LU-11) on the thumb, while the Hand-Yangming meridian originates at Shangyang (LI-1) on the index finger; they do not directly meet. Without this collateral branch to facilitate the communication of Ying and Wei (Nutritive and Defensive Qi), would this not sever the exterior-interior relationship between Taiyin and Yangming? Moreover, this pulse is diagnosable, though people are unaware of it. Its variations in slowness, rapidity, intermission, and urgency are identical to those of the Taiyuan pulse, differing only in being smaller because it is a collateral branch.
The method of fingerprint diagnosis originated with Qian Zhongyang (Qian Yi) of the Song Dynasty. He divided the index finger into three sections: the first section is called the Wind Section (Feng Guan), the second the Qi Section (Qi Guan), and the third the Life Section (Ming Guan). His aphorism states, "Light wind indicates mild illness, heavy qi indicates severe illness, and reaching the life section indicates danger." Although this may not be entirely accurate in every case, its theoretical basis is valuable.
Tu Weisheng stated: All twelve meridians have palpable arteries, not just the Yangming and Taiyin meridians. For instance, the Duyang pulse of the Foot-Yangming Stomach Meridian and the Taixi pulse of the Foot-Shaoyin Kidney Meridian are located where arteries are palpable, and ancient physicians used them for comprehensive diagnosis. The Taiyuan pulse is selected for diagnosing adults because the Lung is the canopy of the viscera and converges all pulses. The three sections of the finger are selected for diagnosing children because the Taiyuan pulse is too fine and the pulse shape is not fully developed in infants, whereas the three sections are clearer and easier to observe. Interpreting this strictly through the principle that the Lung and Large Intestine are exterior-interior pairs, and thus claiming the three-section fingerprint is merely an extension of the Taiyuan pulse, seems somewhat rigid, yet it remains a precise explanation. However, regarding the acupuncture point Taichong (LR-3) of the Foot-Jueyin Liver Meridian, which is said to be located at the arterial pulsation behind the metatarsophalangeal joint of the great toe, I have searched carefully but found no such artery. I consulted many people and asked them to examine closely, and they also reported finding none. It remains unknown where this specific acupoint and pulse actually lie. One may assume that ancient physicians did not arbitrarily determine pulses and acupoints based on speculation alone; rather, this should remain as a question awaiting further verification.