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Translation:

It is discussed that the syndrome of slow convulsion (Man Jing Feng) is referred to as Yin Excess. Furthermore, at the time when Yang Qi is about to perish, deficiency phlegm attacks upward to the throat, pulling the Qi and causing coarse breathing. The pulse is floating and rapid, and the symptom manifests as rigidity of the body. Physicians often believe this indicates the return of Yang Qi and a favorable condition for recovery. Consequently, they rapidly administer expectorant medicines to drain phlegm. The phlegm and saliva are discharged with the medicine, but the child's life perishes simultaneously with the action of the drug. The public accuses the physician of killing the child. I say: This is not so. It is because they lack wisdom and fail to recognize the syndrome; administering drugs when Yang Qi has already perished means that even without medication, the child would die.

It is discussed that in the syndrome of infantile malnutrition (Gan Ji), certain symptoms may appear. Initially termed Gan Qi, it sequentially transmits to Gan Ji (Extreme Malnutrition), which is described as a state of extreme deficiency. At this stage, Yin and Yang Qi are unbalanced, and the Qi of the upper and lower parts cannot ascend or descend. Ying and Wei Qi are both deficient, and the Zang-Fu organs exhibit sliding discharge (functional decline). How can one employ attacking treatments? A skilled physician treating Gan Ji will follow the course of the disease, using herbal decoctions to assist and bland diet to support. Thus, Ying and Wei gradually become balanced, and the Qi pulses can ascend and descend. Subsequently, Yin and Yang Qi are harmonized, the Zang-Fu organs become uniform and substantial, and the skin and muscles naturally become plump. However, physicians, knowing that Gan Ji has transmitted to a deficiency syndrome named Gan Ji, administer Qi-tonifying medicines. If taken in slightly excessive amounts, it generates severe heat. As the saying goes, "Do not tonify when extremely deficient." Severe heat causes irritability and thirst, the disease manifests, forming Gan Lao (Malnutrition Consumption), named Ding Xi. This is all caused by drugs exacerbating the extreme deficiency and generating heat.

It is discussed that once the syndrome of accumulation (Zheng Ji) has formed, the transmission of syndromes occurs because children's food fails to digest, leading to Qi stagnation in the Zhong Wan region. Re-eating causes Qi to stagnate again, further injuring the previous accumulation. Such diseases of Zheng Ji all lead to cold. After cold persists for a long time, the Spleen and Stomach become weak and timid. With weakness established, Yin and Yang contend with each other, cold and heat alternate, and abdominal masses (Pi Pi) increase. The Qi pulse lacks consistency. Physicians fail to address Yin and Yang to restore balance, instead treating it merely as Malaria (Nue). They either administer Arsenic (Pi) or Calomel (Fen/Ni Fen), causing purgation that is too rapid. The root cause remains, the harm worsens, and mild/harmonizing formulas become difficult to apply. This is largely because purgation disturbs the Zang-Fu organs; deficiency allows pathogens to enter the abdomen. Upon attack, there is irritability, abdominal distension and tightness, asthma, and shortness of breath, making treatment and management difficult. For such syndromes, one must investigate diligently and not neglect them; preserving the child's life is fortunate.

It is discussed that Heat is divided into internal and external. The body relies on the One Qi of Yin and Yang. Upon pathogenic invasion, the San Jiao (Triple Burner) generates heat. The essence of the San Jiao has no shape and is named for its hidden nature; it connects the Five Zang and Six Fu organs and interferes with blood vessels and skin/hair. Warmth and peace arise from excess dryness/heat. In stillness, it is called one name; in motion, it divides into three areas. The Upper Jiao extends from the throat to the diaphragm/middle chest; the Middle Jiao reaches the Zhong Wan; the Lower Jiao reaches the Dan Tian. By extending the thumb and middle finger to make a grip, and dividing the area from the Kan point at the throat into three equal parts, one can know where the Upper, Middle, and Lower San Jiao reside. Extreme warmth becomes heat; extreme heat becomes dryness; extreme dryness becomes scorching/burning, lodging within. Even adults suffering from this find it unbearable, let alone children whose San Jiao is hidden. Heat often manifests as heat syndrome; cold-cooling medicines are poorly tolerated. Ultimately, what formula should be used for long-term regulation? If not treated early, the disease will manifest as Wugu (a severe pediatric disease).