小儿之十指俱冷，以三指按额俱热，身壮热，面赤而淡，不动必掣，此伤寒之症也。
表散法∶开天门，分阴阳，推三关，体浓则大发其汗，揉太阳并外劳宫，运八卦推艮入坎，
症轻推之自愈，重则用元宵火定之。体弱随发汗随止，女反是治，用芎苏饮服之。
有寒极似热者，面色红如水红桃花，口渴而唇不干燥，舌不红紫，大便青色，小便清长
，此寒极也。似热者因面有红色，口有渴形故也，治之与前法同。
如口作渴，大便秘，小便赤，是内有热，而外伤寒也，宜先表外而后清里为主。表用芎
苏饮，里用白茯、半夏、陈皮、连翘、木通、枳壳、甘草煎服。
本郡田三公祖之公孙方二岁，抱风寒烧热症，郡医见烧有惊悸便作惊症治，数日不愈。余
以三指按额俱热，儿十指俱冷，用芎苏饮一剂。留饮。席未解，内小童报曰∶小相公热退矣
。此烧有表里，不可不辨之一验也。
余于癸丑科会试，盛京有銮仪卫正堂许公乃孙方岁半，患伤寒症，初延太医院幼科失表
。后于朝房内，余同里员外郎陈是庵道及于余，余即日来贵池馆亲邀往治。但见身冷如冰，痕
毛差差，面色惨晦，不知人事，知寒邪内伏，用天保采薇汤一剂，嘱曰∶夜发热则明日来治
，不则莫可如何矣。夜果发热，仍用前汤一剂，热又解。许曰∶发热退热，药同效异，真出
奇也。余曰∶寻常症在表感一剂便解，如令公孙，邪被药误伏内，昨一剂攻邪，邪到肌表，
表见邪自是作热，仍以原方加追一剂，表解热除，无甚奇也。许曰∶前是庵备道年翁乃幼
科白眉，今若此洵名下无虚矣。以百金寿。余辞曰∶晚两代治救婴儿，从不受谢一文。再四
面璧，更欲延请余入太医院。又辞曰∶老母在堂，晚在都门白云频望承盛意心领之可矣。许
乃止。此关门杀贼之一征也。
方伯张存儒初生有公郎抱惊风，患初郡中医作夹食用消导剂，症加甚后余用半夏四钱，
生姜一钱，防风二钱，一服即愈，此药用当而通神之一验也。
余邑张中尊嫒患病，邑中医曾治十余日不愈。会余到邑，中尊得闻，接余治。婢方抱出
离座五六步外，望见面上光光浮浮毫无宝色，余曰∶不须抱近，请回。中尊问症若何。余曰
∶肺气已绝不可治矣。明日果死。此望色而知为死症之验也。
小儿的十个手指都发冷，用三指触摸额头却都很热，身体高热，面色红而淡，如果不活动必定会出现抽搐，这是伤寒的症状。
解表发散法：推开天门穴，分阴阳，推三关穴，体质壮实者大发其汗，揉太阳穴并外劳宫穴，运八卦（从艮卦推向坎卦），症状轻的推拿后即可自愈，症状重的则用元宵火灸来定惊。体质虚弱者随发汗随即停止，女孩的治疗方法与男孩相反，服用芎苏饮。
有寒极似热的情况，面色红得像水红的桃花，口渴但嘴唇不干燥，舌色不红紫，大便呈青色，小便清长，这是寒极。所谓“似热”是因为面部有红色、口有渴的表现，治疗与前法相同。
如果口作渴，大便秘结，小便赤黄，是内有热而外伤寒，应当先解表散外邪，后清里热为主。解表用芎苏饮，清里用白茯苓、半夏、陈皮、连翘、木通、枳壳、甘草煎服。
本郡田三公祖的孙子方两岁，患有抱风寒烧热症，当地医生见发热伴有惊悸，便当作惊风症治疗，数日不愈。我用三指触摸额头俱热，小儿十指俱冷的诊断，给予一剂芎苏饮。嘱咐留宿观察。席子还未收拾，内室的小童报告说：“小相公的热退了。”这是发热有表里之分，不可不辨别的验证之一。
我在癸丑科会试期间，盛京銮仪卫正堂许公的孙子才半岁，患伤寒症，起初延请太医院幼科医生未能正确解表。后来在朝房内，我的同乡员外郎陈是庵向我提及此事，我当天来到贵池馆舍亲自邀请前往诊治。只见患儿身冷如冰，毫毛竖起，面色惨暗晦滞，不知人事，知道是寒邪内伏，使用天保采薇汤一剂，嘱咐说：“夜里若发热则明日来治，若不发热则无可奈何了。”夜里果然发热，仍用前汤一剂，热又解除。许公说：“发热退热，药同效异，真是奇怪。”我说：“寻常病症在表，感邪一剂便能解除，如今像这位公孙，邪气被药物误治而伏于内，昨日一剂药攻邪，邪气到达肌表，表证显现邪气自然作热，仍以原方加追一剂，表解热除，没什么奇怪的。”许公说：“前日陈是庵备述令尊是幼科中的佼佼者，如今看来确实名不虚传。”赠送百金作为寿礼。我推辞说：“晚辈两代救治婴儿，从未接受一文谢礼。再三推辞，他更想聘请我入太医院。我又推辞说：“老母在堂，晚辈在京城白云频望，承蒙盛意心领即可。”许公于是作罢。这是关门杀贼征象之一。
方伯张存儒的初生儿子曾患惊风，患病初期当地中医当作夹食证用消导剂治疗，症状加重后，我用半夏四钱，生姜一钱，防风二钱，一服即愈，这是用药得当而通神的验证之一。
我邑张中尊的女儿患病，邑中医曾治疗十余日不愈。恰逢我回到县邑，张中尊得知后，接我诊治。婢女刚抱着孩子离开座位五六步远，我看见孩子面上光亮浮泛毫无宝色，我说：“不必抱近，请回去。”张中尊问病情如何。我说：“肺气已绝，不可治了。”第二天果然死亡。这是望色而知为死症的验证。
The ten fingers of the infant are all cold, while the forehead is hot to the touch with three fingers; the body has high fever, the face is red but pale, and without movement there will inevitably be convulsions. This is a symptom of Shanghan (Cold Damage).
Method for releasing the exterior: Push Tiantianmen (Open Heavenly Gate), Fen Yinyang (Divide Yin and Yang), push Sanguan (Three Passages); if the constitution is robust, induce heavy sweating; rub Taiyang (Sun Temple) and Wailaogong (Outer Labor Palace); circulate Bagua (Eight Trigrams) by pushing from Gen to Kan. For mild symptoms, massage alone leads to self-healing; for severe symptoms, use Yuanxiao fire moxibustion to stabilize. If the constitution is weak, stop immediately after sweating. The treatment for girls is reversed; administer Xiong Su Yin (Ligusticum and Perilla Decoction).
There are cases where extreme cold mimics heat: the face is red like water-red peach blossoms, there is thirst but the lips are not dry, the tongue is not red or purple, the stool is green, and the urine is clear and copious. This is extreme cold. The "mimicking heat" is due to the redness of the face and the appearance of thirst. Treatment is the same as the previous method.
If there is thirst, constipation, and reddish urine, it indicates internal heat with external cold injury. The primary approach should be to first release the exterior and then clear the interior. For the exterior, use Xiong Su Yin; for the interior, decoct Baifu (Poria), Banxia (Pinellia), Chenpi (Tangerine Peel), Lianqiao (Forsythia), Mutong (Akebia), Zhike (Bitter Orange), and Gancao (Licorice) for administration.
The grandson of Tian San Gongzu in this prefecture was two years old, suffering from a condition of embracing wind-cold with fever. Local physicians, seeing fever accompanied by palpitations and fright, treated it as Jingfeng (Wind-Stroke/Convulsion). After several days without improvement, I diagnosed based on the hot forehead and cold fingers, administering one dose of Xiong Su Yin. I instructed them to stay overnight. Before the mat was cleared, a servant reported that the young master's fever had subsided. This is a verification that fever must be distinguished between exterior and interior.
During the Guichou imperial examinations, the grandson of Xu Gong, Director of the Imperial Guard in Shengjing, was half a year old and suffered from Shanghan. Initially, pediatricians from the Imperial Medical Academy failed to correctly release the exterior. Later, at the court, my fellow townsman Chen Shi'an, Vice Director, mentioned this to me. I went to Guichi Guesthouse to invite myself to treat him. The child's body was cold as ice, lanugo was erect, the complexion was dull and dark, and he was unconscious. Knowing that cold pathogen was hidden internally, I prescribed one dose of Tianbao Caiwei Tang. I instructed: "If fever occurs at night, come tomorrow for treatment; otherwise, nothing can be done." Indeed, fever occurred at night. One more dose of the previous decoction resolved the fever. Mr. Xu said, "Fever and defervescence, same medicine, different effect, truly strange." I said, "Ordinary exterior patterns resolve with one dose. In this case, the pathogen was suppressed internally by erroneous medication. Yesterday's dose drove the pathogen to the muscle layer; when the exterior pattern manifested, the pathogen naturally caused heat. Using the original formula plus one more dose resolved the exterior and removed the heat. There is nothing strange about it." Mr. Xu said, "Chen Shi'an previously praised your father as the best in pediatrics. Truly, the name matches the reality." He offered 100 taels of silver as a gift. I declined, saying, "My family has treated infants for two generations, never accepting any gratitude money." After repeated refusals, he wished to recruit me into the Imperial Medical Academy. I declined again, saying, "My mother is alive; I am in the capital, watching the clouds frequently. I appreciate your kindness." Mr. Xu stopped. This is a sign of "killing thieves at the gate."
Zhang Cunru, Fangbo (Provincial Administrator), had a newborn son who initially contracted Jingfeng. Early local doctors treated it as food stagnation with digestive agents, worsening the condition. I used Banxia (Pinellia) 4 qian, Shengjiang (Fresh Ginger) 1 qian, and Fangfeng (Saposhnikovia) 2 qian. One dose cured it. This is a verification of appropriate medication leading to miraculous effects.
The daughter of Zhang Zhongzun in my county was ill. Local doctors treated her for over ten days without success. When I returned to the county, Zhang Zhongzun heard of my arrival and invited me. As the maid carried the child five or six steps away from the seat, I saw her face was shiny and floating, lacking vital luster. I said, "No need to bring her closer, please return." Zhang Zhongzun asked about the condition. I said, "The Lung Qi is exhausted; it is incurable." The next day, she indeed died. This is a verification of knowing fatal conditions through observing facial color.