钱仲阳曰∶小儿之脉气不和则弦急，伤食则沉缓，虚惊则促急，风则浮，冷则沉细，脉乱则不治。
《水镜诀》云∶阴阳运合，男女成形，已分九窃四肢，乃生五脏六腑，部分既别，逆顺难明，若凭寸口之浮沉，必
乃横亡于孩子。须明虎口，别看三关，审详用药，始无差误。未至三岁看虎口，食指第一节名风关，脉见初病易治；第
二节名气关，脉见病深难治；第三节名命关，脉见死不治。三关青是四足惊，赤是水惊，黑是人惊，紫色泻痢，黄色雷
惊，三关通度是极惊之症，必死。或青或红，有纹口线一直者，是乳食伤脾，必发惊热。左右一样者，是惊与积发。齐
有三条，或散是肺生风痰，或者 声，有赤是伤寒及嗽，如红火是泻，红黑相兼主下痢，黑青多白痢赤痢，红色紫色
相
兼加口渴，虎口脉纹乱，主胃气不和。青是惊与积，青黑发慢惊，脉入掌乃内钓，指纹曲里风盛，弯外食积。此论三岁
以上之法，若三岁以下更用一指按高骨，乃分三关，定其息数呼吸，七八至为平脉，九至不安，十至危。因浮主风，沉
迟主虚寒，实主有热，紧主癫痫，洪主热盛，沉缓主虚泻，微迟有积有虫，迟涩主胃脘不和，沉主乳食难化，沉细主
乳积停滞，紧弦主腹中热痛，牢实主大便闭结。沉而数者骨中有热，弦长是肝肺有风，紧数乃惊风为患，四肢掣颤，浮
洪乃胃口有热，沉紧主腹痛有寒，虚涩者有气，又主慢惊，芤主大便利血。四岁以下用一指滚转，寻三部以关为准，七
八岁移指少许，九岁次第根据三关部位寻取，十一十二岁亦同，十四十五岁根据大方脉部位诊视。凡看脉先定浮沉迟数、阴
阳冷热。沉（里）迟（寒）为阴，浮（表）数（热）为阳，更兼看部位。青主惊风，白主虚泻，赤主痰热，黑色病深，
黄主脾疳，以此相参察疗治，庶无误也！（批，以下形脉不可专执，以此投剂，然亦不可不知，故附诸名。以下俱参辨
脉形治也。）
流珠形（批∶流珠形只一点红色，在食指风关之侧）∶主饮食所伤，内热欲吐，或肠鸣自利，烦躁啼哭，用助胃膏
消饮食、分阴阳，若消食而病仍作，用香砂助胃膏以补其脾胃。
环珠形（批∶环珠形比流珠形大）∶主脾虚停食，胸膈胀满，烦渴发热。用五味异功散加山楂、枳实健脾消食，后
用六君子汤调养中气。
长珠形（批∶长珠形圆长，以上非谓圈子，总皆红脉贯气如此）∶主脾伤，饮食积滞，肚腹作痛，寒热不食，先用
大安丸消其积滞，次用异功散健其脾气。
来蛇形（批∶来蛇形即是长珠形散，一头大、一头尖）∶主脾胃，脾湿热中脘不利，干呕不食，此疳邪内作，先用
四味肥儿丸，治疳后用四君子汤补脾。
去蛇形（批∶去蛇亦如此，分上下朝，故曰来蛇去蛇）∶主脾虚食积吐泻，烦渴气短，喘急不食，困倦，先用六君
子汤加枳实健脾消积，次以七味白术散调补胃气。
弓反里形（批∶角弓反张向里为顺，向外为逆）∶主感冒寒邪，哽气出气，惊悸困倦，四肢梢冷，小便赤色，咳嗽
吐涎，先用惺惺散助胃气、祛外邪，后以五味异功散加茯神、当归养心血、助胃气。若外邪既解，而惊悸指冷，脾气受
损也，宜用七味白术散补之。若闷乱气粗，喘促哽气者，难治，脾虚甚故也。
弓反外形∶主痰热，心神恍惚，夹惊夹食，风痫痰盛，先以天麻防风丸祛外邪，又用五味异功散调中气。
形（批∶ 形直上）∶主风热生痰，发搐，先用抱龙丸，如未应，用牛黄清心丸。若传于脾肺，或过用风痰之药，
而见一切诸症者，专调补脾胃。
鱼骨形（批∶鱼骨分开）∶主惊痰发热，先用抱龙丸治之，如未应，属肝火实热，少用抑青丸以清肝，随用六味丸
以补肝。或发热少食，或痰盛发搐，乃肝木克脾土，用六君子汤加柴胡，补脾土以制肝木。
水字形（批∶水字形即三脉并见）∶主风惊食积，胸膈烦躁，顿闷少食，或夜啼痰盛，口噤搐搦，此脾胃虚弱、饮
食积滞而木克土也。先用大安丸消导饮食，次以六君钩藤补中清肝。若已服消导化痰等剂而病不愈者，用四君、升麻、
柴胡、钩藤升补脾气，平制肝木。
针形（批∶针形即过关一二米许）∶主心肝热极生风，惊悸烦闷，困倦不食，痰盛搐搦。先用抱龙丸祛风化痰，次
用六君子汤、钩藤平肝实脾。
透关射指形（批∶透指命脉曲里）∶主惊风痰热聚于胸膈，乃脾肺亏损，痰邪乘聚，先用牛黄清心丸清脾肺化痰涎，
次用六君子汤加桔梗、山药，补脾土益肺金。
透关射甲形（批∶射甲命脉向外）∶主惊风肝木克制脾土之败症，急用六君、木香、钩藤、官桂温补脾土，未应即
加附子以回阳气，多得生者。尝闻古人云，小儿为芽儿，如草之芽，水之泡，盖因脏腑脆嫩，口不能言，最难投剂，当
首视面色而知其属，次验虎口以辨其因，实为治法之简要也。
（虎口脉纹歌∶）
（小儿食积辨三关，男左女右一般看。要知初气中风候，末是命门易亦难。要知虎口气纹脉，到指看形分五色。黄
红
安乐五脏和，红紫依稀有损益。紫青伤食气虚损，青黑之时症候极。忽然纯黑在其间，好手医人心胆寒。指纹深青主惊
悸，青亦相半急惊看。青而深紫神形缩，来去不定慢惊干。紫黑青纹或隐隐，似出不出慢脾端。浅青之色腹中痛，青黑
内吊惊搐开。淡红下痢或吐泻，腹痛不食病尤难。深紫惊哭红惊热，赤红相半是伤寒。浅紫烦渴或吐痢。纹弯伤乳病相
干。弯纹入里顺且可，出外透甲绝脉看。风关鱼刺惊青治，气主疳劳热易痊。命关青主虚风治，风入脾兼肺主难。风见
悬针主水惊，气关疳亦肺烦生。命关一见未可治，紫红微微如是轻。风关水是惊入肺，咳嗽生痰潮热生。气见涎痰积不
化，命惊疳积哭亦倾。乙字风关肝受惊，气关亦主受惊侵。命关若是慢脾病，总是灵丹命不存。风见蛔虫疳积聚，小便
闭结腹虚膨。气关作渴主泻痢，命若逄之定见倾。环形风见肝疳积，气见须知吐逆侵。病久定因疳入胃，命关若见死无
生。一见流珠膈热多，三焦不慢泻频过。烦躁哭啼时欲吐，肠鸣自利可调和。来蛇中脘不调和，积气攻攒干呕多。若见
去蛇时泻痢，脾虚饮食不消磨。弓反里形头目重，寒邪惊里小便黄。四肢倦怠兼相冷，逐冷疏风便得康。弓反外形痰热
病，夹惊夹食及风痫。心神惊悸神志倦，用药宁心便得痊。）
（紫热红伤寒，青惊白色疳，黑时因中恶，黄即困脾端。）
半岁以下于额前眉端发际之间，以无名指三指候之，儿头在左举右手，儿头在右举左手，食指在上，中指在中，无
名指在下。三指热，外感风、鼻塞咳嗽；三指冷，外感寒，内伤饮食，发热吐泻。食中热主上热下冷，中指热主夹惊，
食指热主食滞。
〔附方〕
助胃膏 木香 干姜 炙草 山药 莲肉 白术 茯苓 肉果 诃子 神曲 麦芽 人参 砂仁 丁皮 白
蔻为末蜜丸，如芡实大。
五味异功散 见惊风症。
六君子汤 见疟症。
大安丸 见滞颐症。
四味丸 见五软症。
四君子汤 见惊风症。
七味白术散 见 症。
惺惺散 见诸吐症。
天麻防风丸 天麻 防风 半夏 川芎 芦荟 青黛 黄连 五灵 蝉蜕 全蝎 麝香 夜明砂
抱龙丸 见惊风症。
牛黄清心丸 见滞颐症内。
抑青丸 黄连 吴茱萸 汤浸一宿为末，水泛为丸。大泻肝火，治左胁作痛。
钱仲阳说：小儿的脉气不和则表现为弦急，伤食则表现为沉缓，虚惊则表现为促急，受风则表现为浮，受冷则表现为沉细，脉象紊乱则属于不治之症。
《水镜诀》说：阴阳运化结合，男女形成形体，九窍四肢已分，于是产生五脏六腑，部位既然有别，逆顺难以明辨，如果仅凭寸口脉的浮沉来诊断，必定会导致孩子横死。必须明了虎口（食指桡侧），别看三关（风关、气关、命关），审详用药，始无差误。未满三岁看虎口指纹，食指第一节名为风关，脉纹见于此初病易治；第二节名气关，脉纹见于此病深难治；第三节名命关，脉纹见于此死不治。三关青色是四足动物惊吓所致，赤色是水湿惊吓所致，黑色是人体惊吓所致，紫色主泻痢，黄色主雷击惊吓所致，三关纹路贯通为极惊之症，必死。或青或红，有纹口线一直者，是乳食伤脾，必发惊热。左右一样者，是惊与积滞并发。齐有三条，或散乱是肺生风痰，或者伴有声音异常，有赤色是伤寒及咳嗽，如红火色是泻，红黑相兼主下痢，黑青多白痢赤痢，红色紫色相兼加口渴，虎口脉纹乱，主胃气不和。青色是惊与积滞，青黑发慢惊，脉入掌乃内钓（一种腹痛拘急病症），指纹曲里风盛，弯外食积。此论三岁以上的法则，若三岁以下更用一指按高骨（桡骨茎突处），乃分三关，定其息数呼吸，七八至为平脉，九至不安，十至危。因浮主风，沉迟主虚寒，实主有热，紧主癫痫，洪主热盛，沉缓主虚泻，微迟有积有虫，迟涩主胃脘不和，沉主乳食难化，沉细主乳积停滞，紧弦主腹中热痛，牢实主大便闭结。沉而数者骨中有热，弦长是肝肺有风，紧数乃惊风为患，四肢掣颤，浮洪乃胃口有热，沉紧主腹痛有寒，虚涩者有气，又主慢惊，芤主大便利血。四岁以下用一指滚转，寻三部以关为准，七八岁移指少许，九岁次第根据三关部位寻取，十一十二岁亦同，十四十五岁根据大方脉部位诊视。凡看脉先定浮沉迟数、阴阳冷热。沉（里）迟（寒）为阴，浮（表）数（热）为阳，更兼看部位。青主惊风，白主虚泻，赤主痰热，黑色病深，黄主脾疳，以此相参察疗治，庶无误也！（批注：以下形脉不可专执，以此投剂，然亦不可不知，故附诸名。以下俱参辨脉形治也。）
流珠形（批注：流珠形只一点红色，在食指风关之侧）：主饮食所伤，内热欲吐，或肠鸣自利，烦躁啼哭，用助胃膏消饮食、分阴阳，若消食而病仍作，用香砂助胃膏以补其脾胃。
环珠形（批注：环珠形比流珠形大）：主脾虚停食，胸膈胀满，烦渴发热。用五味异功散加山楂、枳实健脾消食，后用六君子汤调养中气。
长珠形（批注：长珠形圆长，以上非谓圈子，总皆红脉贯气如此）：主脾伤，饮食积滞，肚腹作痛，寒热不食，先用大安丸消其积滞，次用异功散健其脾气。
来蛇形（批注：来蛇形即是长珠形散，一头大、一头尖）：主脾胃，脾湿热中脘不利，干呕不食，此疳邪内作，先用四味肥儿丸，治疳后用四君子汤补脾。
去蛇形（批注：去蛇亦如此，分上下朝，故曰来蛇去蛇）：主脾虚食积吐泻，烦渴气短，喘急不食，困倦，先用六君子汤加枳实健脾消积，次以七味白术散调补胃气。
弓反里形（批注：角弓反张向里为顺，向外为逆）：主感冒寒邪，哽气出气，惊悸困倦，四肢梢冷，小便赤色，咳嗽吐涎，先用惺惺散助胃气、祛外邪，后以五味异功散加茯神、当归养心血、助胃气。若外邪既解，而惊悸指冷，脾气受损也，宜用七味白术散补之。若闷乱气粗，喘促哽气者，难治，脾虚甚故也。
弓反外形：主痰热，心神恍惚，夹惊夹食，风痫痰盛，先以天麻防风丸祛外邪，又用五味异功散调中气。
针形（批注：针形直上）：主风热生痰，发搐，先用抱龙丸，如未应，用牛黄清心丸。若传于脾肺，或过用风痰之药，而见一切诸症者，专调补脾胃。
鱼骨形（批注：鱼骨分开）：主惊痰发热，先用抱龙丸治之，如未应，属肝火实热，少用抑青丸以清肝，随用六味丸以补肝。或发热少食，或痰盛发搐，乃肝木克脾土，用六君子汤加柴胡，补脾土以制肝木。
水字形（批注：水字形即三脉并见）：主风惊食积，胸膈烦躁，顿闷少食，或夜啼痰盛，口噤搐搦，此脾胃虚弱、饮食积滞而木克土也。先用大安丸消导饮食，次以六君钩藤补中清肝。若已服消导化痰等剂而病不愈者，用四君、升麻、柴胡、钩藤升补脾气，平制肝木。
针形（批注：针形即过关一二米许）：主心肝热极生风，惊悸烦闷，困倦不食，痰盛搐搦。先用抱龙丸祛风化痰，次用六君子汤、钩藤平肝实脾。
透关射指形（批注：透指命脉曲里）：主惊风痰热聚于胸膈，乃脾肺亏损，痰邪乘聚，先用牛黄清心丸清脾肺化痰涎，次用六君子汤加桔梗、山药，补脾土益肺金。
透关射甲形（批注：射甲命脉向外）：主惊风肝木克制脾土之败症，急用六君、木香、钩藤、官桂温补脾土，未应即加附子以回阳气，多得生者。尝闻古人云，小儿为芽儿，如草之芽，水之泡，盖因脏腑脆嫩，口不能言，最难投剂，当首视面色而知其属，次验虎口以辨其因，实为治法之简要也。
（虎口脉纹歌：）
（小儿食积辨三关，男左女右一般看。要知初气中风候，末是命门易亦难。要知虎口气纹脉，到指看形分五色。黄红安乐五脏和，红紫依稀有损益。紫青伤食气虚损，青黑之时症候极。忽然纯黑在其间，好手医人心胆寒。指纹深青主惊悸，青亦相半急惊看。青而深紫神形缩，来去不定慢惊干。紫黑青纹或隐隐，似出不出慢脾端。浅青之色腹中痛，青黑内吊惊搐开。淡红下痢或吐泻，腹痛不食病尤难。深紫惊哭红惊热，赤红相半是伤寒。浅紫烦渴或吐痢。纹弯伤乳病相干。弯纹入里顺且可，出外透甲绝脉看。风关鱼刺惊青治，气主疳劳热易痊。命关青主虚风治，风入脾兼肺主难。风见悬针主水惊，气关疳亦肺烦生。命关一见未可治，紫红微微如是轻。风关水是惊入肺，咳嗽生痰潮热生。气见涎痰积不化，命惊疳积哭亦倾。乙字风关肝受惊，气关亦主受惊侵。命关若是慢脾病，总是灵丹命不存。风见蛔虫疳积聚，小便闭结腹虚膨。气关作渴主泻痢，命若逄之定见倾。环形风见肝疳积，气见须知吐逆侵。病久定因疳入胃，命关若见死无生。一见流珠膈热多，三焦不慢泻频过。烦躁哭啼时欲吐，肠鸣自利可调和。来蛇中脘不调和，积气攻攒干呕多。若见去蛇时泻痢，脾虚饮食不消磨。弓反里形头目重，寒邪惊里小便黄。四肢倦怠兼相冷，逐冷疏风便得康。弓反外形痰热病，夹惊夹食及风痫。心神惊悸神志倦，用药宁心便得痊。）
半岁以下于额前眉端发际之间，以无名指三指候之，儿头在左举右手，儿头在右举左手，食指在上，中指在中，无名指在下。三指热，外感风、鼻塞咳嗽；三指冷，外感寒，内伤饮食，发热吐泻。食中热主上热下冷，中指热主夹惊，食指热主食滞。
〔附方〕
助胃膏 木香 干姜 炙甘草 山药 莲肉 白术 茯苓 肉果 诃子 神曲 麦芽 人参 砂仁 丁香皮 白蔻为末蜜丸，如芡实大。
五味异功散 见惊风症。
六君子汤 见疟症。
大安丸 见滞颐症。
四味丸 见五软症。
四君子汤 见惊风症。
七味白术散 见 [原文缺失] 症。
惺惺散 见诸吐症。
天麻防风丸 天麻 防风 半夏 川芎 芦荟 青黛 黄连 五灵脂 蝉蜕 全蝎 麝香 夜明砂
抱龙丸 见惊风症。
牛黄清心丸 见滞颐症内。
抑青丸 黄连 吴茱萸 汤浸一宿为末，水泛为丸。大泻肝火，治左胁作痛。
Qian Zhongyang stated: When a child's pulse qi is disharmonious, it presents as wiry and tense (Xianji); food injury presents as deep and slow (Chenhuān); deficiency fright presents as rapid and hurried (Cuji); wind presents as floating (Fu); cold presents as deep and fine (Chenxi); and a chaotic pulse indicates an untreatable condition.
The *Shuijing Jue* states: Yin and Yang interact to form the body; once the nine orifices and four limbs are distinguished, the five zang and six fu organs arise. Since their locations are distinct, determining favorable and unfavorable prognoses is difficult. Relying solely on the floating or sinking of the cunkou pulse will inevitably lead to the sudden death of the child. One must clearly observe the Tiger’s Mouth (the radial side of the infant's index finger) and examine the Three Passes (Fengguan, Qiguan, Mingguan). Only by carefully evaluating and prescribing medication can errors be avoided. For children under three years old, observe the Tiger’s Mouth fingerprint. The first segment of the index finger is named Fengguan (Wind Pass); if the fingerprint appears here, the disease is in its early stage and easy to treat. The second segment is named Qiguan (Qi Pass); if the fingerprint appears here, the disease is deep and difficult to treat. The third segment is named Mingguan (Life Pass); if the fingerprint appears here, the condition is fatal and untreatable. A greenish color across the three passes indicates fright from four-legged animals; red indicates fright from water; black indicates fright from humans; purple indicates diarrhea and dysentery; yellow indicates fright from thunder. If the fingerprint spans all three passes, it signifies extreme fright and is fatal. If the fingerprint is either green or red with a straight line extending from the tip, it indicates spleen injury from milk and food, which will likely develop into fright-heat. If identical on both sides, it indicates concurrent fright and accumulation. If there are three lines or they are scattered, it indicates wind-phlegm generated by the lungs. Abnormal sounds may accompany this. Redness indicates wind-cold and cough; fire-red indicates diarrhea; a mix of red and black indicates dysentery; black and green indicate white or bloody dysentery; a mix of red and purple with thirst indicates stomach qi disharmony. Green indicates fright and accumulation; green-black indicates slow fright; if the pulse enters the palm, it indicates internal hooking (Neidiao, a condition of abdominal pain and constriction); if the fingerprint curves inward, wind is excessive; if it curves outward, food accumulation is present. This describes the method for children over three years old. For children under three, use one finger to press the high bone (radial styloid process) to distinguish the three passes and count breaths. Seven to eight beats per breath is a normal pulse; nine beats indicates discomfort; ten beats indicates critical condition. Floating indicates wind; deep and slow indicates deficiency-cold; full indicates heat; tight indicates epilepsy; surging indicates excessive heat; deep and slow indicates deficiency-diarrhea; faint and slow indicates accumulation and parasites; slow and choppy indicates stomach epigastric disharmony; deep indicates difficulty digesting milk; deep and fine indicates milk stagnation; tight and wiry indicates abdominal heat and pain; firm and solid indicates constipation. Deep and rapid indicates heat in the bones; wiry and long indicates wind in the liver and lungs; tight and rapid indicates fright-wind pathology with twitching of the four limbs; floating and surging indicates heat in the stomach; deep and tight indicates abdominal pain due to cold; deficient and choppy indicates qi stagnation and also slow fright; hollow indicates profuse bowel movements with blood. For children under four, roll one finger to locate the three positions, using the Guan position as the standard. For seven- or eight-year-olds, shift the finger slightly. For nine-year-olds, sequentially follow the Three Passes positions. Eleven- and twelve-year-olds are similar. Fourteen- and fifteen-year-olds are examined according to adult pulse diagnosis methods. Generally, determine floating/sinking, slow/rapid, yin/yang, and cold/heat first. Deep (Interior) and Slow (Cold) are Yin; Floating (Exterior) and Rapid (Heat) are Yang. Also consider the location. Green indicates fright-wind; white indicates deficiency-diarrhea; red indicates phlegm-heat; black indicates deep disease; yellow indicates spleen malnutrition (Gan). By comparing these, treatment can proceed without error. (Commentary: Do not rigidly adhere to the following fingerprint shapes for prescription, but one must know them, so they are attached below. Below involves differentiating pulse forms for treatment.)
Liuzhu Shape (Commentary: Liuzhu shape is a single red dot on the side of the Wind Pass of the index finger): Indicates food injury, internal heat with desire to vomit, or borborygmus with spontaneous diarrhea, irritability, and crying. Use Zhuwei Gao (Stomach-Assisting Paste) to resolve food and differentiate yin and yang. If digestion resolves but the illness persists, use Xiangsha Zhuwei Gao (Aucklandia and Amomum Stomach-Assisting Paste) to tonify the spleen and stomach.
Huanzhu Shape (Commentary: Huanzhu shape is larger than Liuzhu): Indicates spleen deficiency with food retention, chest and diaphragm distension, irritability, thirst, and fever. Use Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) plus Hawthorn Fruit (Shanzha) and Immature Bitter Orange (Zhishi) to strengthen the spleen and resolve food. Subsequently, use Liujunzi Tang (Six-Gentlemen Decoction) to regulate middle qi.
Changzhu Shape (Commentary: Changzhu shape is round and long; above does not mean circles, generally red vessels penetrate qi like this): Indicates spleen injury, food stagnation, abdominal pain, alternating chills and fever, and anorexia. First use Da'an Wan (Great Peace Pill) to resolve stagnation, then use Yigong San (Extraordinary Efficacy Powder) to strengthen spleen qi.
Laishe Shape (Commentary: Laishe shape is a dispersed Changzhu shape, large at one end and pointed at the other): Indicates spleen-stomach issues, spleen damp-heat causing epigastric obstruction, dry retching, and anorexia. This is internal Gan pathogen activity. First use Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill) to treat Gan, then use Sijunzi Tang (Four-Gentlemen Decoction) to tonify the spleen.
Qushe Shape (Commentary: Qushe is similar, divided into upper and lower directions, hence called Laishe and Qushe): Indicates spleen deficiency with food accumulation leading to vomiting and diarrhea, irritability, thirst, shortness of breath, rapid breathing, anorexia, and fatigue. First use Liujunzi Tang plus Zhishi to strengthen the spleen and resolve accumulation, then use Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) to regulate and tonify stomach qi.
Gongfanli Shape (Commentary: Opisthotonos curving inward is favorable, outward is unfavorable): Indicates contraction of cold evil, gasping, fright palpitations, fatigue, cold extremities, dark urine, cough, and salivation. First use Xingxing San (Wonderful Powder) to assist stomach qi and dispel external evil, then use Wuwei Yigong San plus Poria (Fushen) and Angelica Sinensis (Danggui) to nourish heart blood and assist stomach qi. If external evil is resolved but fright palpitations and cold fingers persist, spleen qi is damaged; use Qiwei Baizhu San to tonify. If there is confusion, rough breathing, and rapid gasping, it is difficult to treat due to severe spleen deficiency.
Gongfanwai Shape: Indicates phlegm-heat, mental confusion, concurrent fright and food, wind-epilepsy with abundant phlegm. First use Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill) to dispel external evil, then use Wuwei Yigong San to regulate middle qi.
Zhen Shape (Commentary: Zhen shape goes straight up): Indicates wind-heat generating phlegm and convulsions. First use Baolong Wan (Dragon-Holding Pill); if ineffective, use Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill). If transmitted to spleen and lungs, or due to overuse of wind-phlegm resolving drugs resulting in various symptoms, specifically regulate and tonify spleen and stomach.
Yugu Shape (Commentary: Yugu shape is separated like fish bones): Indicates fright-phlegm and fever. First treat with Baolong Wan; if ineffective, it belongs to excess heat of liver fire, use little Yiqing Wan (Suppressing Cyan Pill) to clear the liver, followed by Liuwei Wan (Six-Ingredient Pill) to tonify the liver. Or if fever with poor appetite or abundant phlegm with convulsions occurs, it is liver wood overcoming spleen earth; use Liujunzi Tang plus Bupleurum (Chaihu) to tonify spleen earth to control liver wood.
Shuizi Shape (Commentary: Shuizi shape shows three pulses simultaneously): Indicates wind-fright and food accumulation, chest irritation, sudden stuffiness, poor appetite, night crying with abundant phlegm, locked jaw, and convulsions. This is spleen-stomach weakness, food stagnation, and wood overcoming earth. First use Da'an Wan to guide out food, then use Liujun Gouteng (Six-Gentlemen and Uncaria) to tonify middle and clear liver. If already taken resolving and phlegm-resolving agents but the illness persists, use Sijunzi, Cimicifuga (Shengma), Bupleurum (Chaihu), and Uncaria (Gouteng) to ascend and tonify spleen qi and level liver wood.
Zhen Shape (Commentary: Zhen shape crosses the pass by one or two rice grains): Indicates extreme heat in heart and liver generating wind, fright palpitations, oppression, fatigue, anorexia, abundant phlegm, and convulsions. First use Baolong Wan to dispel wind and resolve phlegm, then use Liujunzi Tang and Gouteng to calm liver and strengthen spleen.
Touguanshezhi Shape (Commentary: Touzhi Mingmai curves inward): Indicates fright-wind and phlegm-heat gathering in chest and diaphragm, due to spleen-lung deficiency and phlegm pathogen accumulation. First use Niuhuang Qingxin Wan to clear spleen-lung and resolve phlegm-saliva, then use Liujunzi Tang plus Platycodon (Jiegeng) and Chinese Yam (Shanyao) to tonify spleen earth and benefit lung metal.
Touguanshejia Shape (Commentary: Shejia Mingguan extends outward): Indicates a deteriorating condition of fright-wind where liver wood overcomes spleen earth. Urgently use Liujunzi, Costus Root (Muxiang), Gouteng, and Cinnamon Twig (Guangui) to warm and tonify spleen earth. If ineffective, add Aconite (Fuzi) to restore yang qi; many recover. I have heard ancients say that children are like sprouts, like grass shoots or water bubbles, because their zang-fu are fragile and tender, they cannot speak, and prescribing is most difficult. One should first observe facial color to determine the category, then verify the Tiger’s Mouth to identify the cause, which is truly a concise treatment method.
(Tiger’s Mouth Fingerprint Song:)
(Differentiate three passes for infant food accumulation, looking left for boys and right for girls similarly. To know initial wind conditions, ending at Mingmen is easy yet difficult. To know Tiger’s Mouth qi and fingerprint pulse, look at the finger shape and divide five colors. Yellow and red indicate harmonious five zang; red and purple indicate slight gain or loss. Purple-green indicates food injury and qi deficiency; green-black indicates extreme seasonal symptoms. Suddenly pure black in between makes even skilled doctors fearful. Deep green fingerprint indicates fright palpitations; half green indicates acute fright. Green and deep purple with shriveled spirit and irregular movement indicates slow fright. Purple-black-green patterns or hidden, appearing and disappearing, indicate slow spleen. Light green indicates abdominal pain; green-black indicates internal hooking and convulsions. Pale red indicates dysentery or vomiting/diarrhea; abdominal pain and anorexia make the illness particularly difficult. Deep purple indicates fright crying; red indicates fright-heat; half red-half purple indicates wind-cold. Light purple indicates irritability/thirst or vomiting/dysentery. Curved fingerprint relates to milk injury illness. Curved inward is smooth and acceptable; outward crossing the nail indicates dying pulse. Wind Pass fish-bone indicates fright-green treatment; Qi Pass indicates Gan-labor heat easily cured. Mingguan green indicates deficiency wind treatment; wind entering spleen and lung indicates difficulty. Wind seeing hanging needle indicates water fright; Qi Pass Gan also generates lung annoyance. Mingguan appearance is untreatable; slight purple-red is light. Wind Pass water indicates fright entering lung, cough generating phlegm and tidal fever. Qi Pass saliva-phlegm accumulation not transforming; Mingguan fright-Gan accumulation crying also collapses. Yi character at Wind Pass indicates liver fright; Qi Pass also indicates fright invasion. Mingguan if slow spleen disease, even spiritual pills cannot save life. Wind seeing roundworm Gan accumulation, urinary blockage and abdominal distension. Qi Pass thirst indicates diarrhea-dysentery; Mingguan meeting it definitely leads to collapse. Ring shape at Wind Pass indicates liver Gan accumulation; Qi Pass knows vomiting invasion. Long illness definitely due to Gan entering stomach; Mingguan appearance means death without life. Once seeing Liuzhu, diaphragm heat is much; three jiao not slow, frequent diarrhea. Irritability crying wanting to vomit, borborygmus and self-diarrhea can be harmonized. Laishe epigastric disharmony, accumulated qi attacking dry retching much. If seeing Qushe time diarrhea-dysentery, spleen deficiency food not digested. Gongfanli shape head-eye heavy, cold evil fright inside urine yellow. Four limbs fatigue and cold, dispelling cold and dispersing wind brings health. Gongfanwai shape phlegm-heat illness, concurrent fright-food and wind-epilepsy. Mental fright palpitations spirit tired, using medicine to calm heart brings cure.)
(Purple heat, red wind-cold, green fright, white Gan, black time due to evil intrusion, yellow traps spleen.)
For infants under half a year, place three fingers of the ring finger between the forehead, eyebrow ends, and hairline. If the child's head is to the left, raise the right hand; if to the right, raise the left hand. Index finger is upper, middle finger is middle, ring finger is lower. Heat in all three fingers indicates external wind contraction, nasal congestion, and cough; cold in all three indicates external cold contraction, internal food injury, fever, vomiting, and diarrhea. Heat in the middle finger indicates upper heat and lower cold; heat in the middle finger indicates concurrent fright; heat in the index finger indicates food stagnation.
[Attached Formulas]
Zhuwei Gao (Stomach-Assisting Paste): Aucklandia (Muxiang), Dried Ginger (Ganjiang), Prepared Licorice (Zhigancao), Chinese Yam (Shanyao), Lotus Seed (Lianrou), Atractylodes Macrocephala (Baizhu), Poria (Fuling), Myristica Seed (Rouguo), Chebula Fruit (Hezi), Medicated Leaven (Shenqu), Malt (Maiya), Ginseng (Renshen), Amomum (Sharen), Tangerine Peel (Dingpi), White Cardamom (Baiko). Grind into powder, honey-pill, size of Corn Coturnix seed (Qianshi).
Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder): See Fright-Wind Syndrome.
Liujunzi Tang (Six-Gentlemen Decoction): See Malaria Syndrome.
Da'an Wan (Great Peace Pill): See Drooling Syndrome.
Siwei Wan (Four-Ingredient Pill): See Five-Softness Syndrome.
Sijunzi Tang (Four-Gentlemen Decoction): See Fright-Wind Syndrome.
Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder): See [Missing] Syndrome.
Xingxing San (Wonderful Powder): See Various Vomiting Syndromes.
Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill): Gastrodia (Tianma), Saposhnikovia (Fangfeng), Pinellia (Banxia), Ligusticum Chuanxiong (Chuanxiong), Aloe (Lvhui), Indigo Naturalis (Qingdai), Coptis (Huanglian), Trogopterus Dung (Wuling), Cicada Slough (Chantui), Whole Scorpion (Quanxie), Moschus (Shexiang), Owl Droppings (Yemingcha).
Baolong Wan (Dragon-Holding Pill): See Fright-Wind Syndrome.
Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill): See Drooling Syndrome Internal.
Yiqing Wan (Suppressing Cyan Pill): Coptis (Huanglian), Evodia (Wuzhuyu). Soak in decoction overnight, grind into powder, water-pill. Greatly drains liver fire, treats left hypochondriac pain.