陈紫山曰∶五音以应五脏，金声响，土声浊，木声长，水声清，火声燥。肝病声悲，肺病声促，心病声雄，脾
病声慢，肾病声沉，大肠病声长，小肠病声短，胃病声远，胆病声清，膀胱病声微。声清者，气弱也，重浊者，
痛与风也；高声者，热欲狂也；声噎者，气不顺也。喘者气促也，声急者惊也，声塞者痰也，声战者寒也，声浊沉
静者疳也，喷嚏者伤风也，呵欠者神倦也，声沉不响者病势危也，如生来不大啼哭声啾唧者夭也。既知其声音，
又当辨其气色，即知其病之根源矣。
陈紫山曰∶心主声，从肺出。肺绝啼哭无声，多啼肝胆风邪，气缓神疲搐甚，音哑邪热侮脾，声清火毒无侵，
鸦声螈 之候，实直声往来而无泪者是痛，连声不绝而多泪者是惊，病久声微烦躁者难愈，体缩音促者感寒。
涂蔚生曰∶此节与原文少异，因原文多有含糊难解之处，恐系刷印之误，故略为更改，以补紫山之所不逮。
陈紫山曰∶紫热红伤寒，青风白是疳，黑色因中恶，黄色困脾端。
涂蔚生曰∶青风之风字，原文是一惊字。因与风有异，故为易去。然细推紫山之意，其所谓惊字，亦即指为风
字也，余仿此。
钱氏曰∶小儿半岁之间有病，以名中食三指，曲按额前眉上发际之下。若三指具热，感受风邪，鼻塞气粗。三
指具冷，感受风寒，脏冷吐泻。若食中二指热，上热下冷。名中二指热，夹风之候。食指热，胸膈气满，乳食不消。
涂蔚生曰∶钱氏此法，是以食指在上，名指在下。而细玩其三指具热，感受风邪一层，当系一种热风之症。
因其下有三指具冷，感受风寒也。其名中二指热，夹风之候，亦当系下热上寒，因其上有上热下冷一层也。尤宜
详者，夏月人额与其全体常冷，冬月则反是，因空气温度之高下，常根据时令为增减，而人身之温度，实由与之比较，
相为寒热耳。病者之温度，固可以病为转移，而不识此，亦至有误。
陈紫山说：五音对应五脏，金的声音清脆响亮，土的声音浑浊厚重，木的声音悠长，水的声音清澈，火的声音干燥急促。肝病患者的声音表现为悲凉，肺病患者的声音短促，心病患者的声音雄壮，脾病患者的声音缓慢，肾病患者的声音低沉，大肠病患者的声音悠长，小肠病患者的声音短促，胃病患者的声音遥远，胆病患者的声音清亮，膀胱病患者的声音微弱。声音清亮的，是气虚的表现；声音重浊的，是疼痛和风邪所致；声音高亢的，是热盛欲发狂的表现；声音哽咽的，是气机不顺的表现。气喘的是气促，声音急促的是惊风，声音堵塞的是痰湿，声音颤抖的是寒证，声音浑浊沉静的是疳积（小儿慢性营养不良），打喷嚏的是伤风，打哈欠的是神疲乏力，声音低沉不响亮的，是病情危重的表现，如果出生以来哭声细小如虫鸣，则是夭折之兆。既然知道了声音的变化，又应当辨别其气色，就能知道疾病的根源了。
陈紫山说：心主宰声音，声音从肺发出。肺气衰竭时啼哭无声，多啼哭是肝胆风邪所致，气缓神疲且抽搐严重，音哑是邪热侵犯脾脏，声音清亮说明火毒未侵，声音像乌鸦叫伴有抽搐是某种征候，声音直来直去且无泪的是疼痛，连续不断且多泪的是惊风，病程长久、声音微弱且烦躁的是难治之症，身体蜷缩、声音急促的是感受寒邪。
涂蔚生说：这一节与原文略有不同，因为原文多有含糊难解之处，恐怕是印刷错误，所以略作更改，以弥补陈紫山论述的不足。
陈紫山说：面色紫红是伤寒，青色主风，白色主疳积，黑色是因中恶邪，黄色是脾困。
涂蔚生说：原文中的“青风”的“风”字，原本是一个“惊”字。因为与“风”不同，所以改为“风”字。但仔细推敲陈紫山的意思，他所说的“惊”字，其实也就是指“风”字，其余类推。
钱乙说：半岁以内的婴儿患病，用中指和无名指弯曲按压在额头前眉上发际之下。如果三指都热，是感受风邪，鼻塞气粗。如果三指都冷，是感受风寒，脏腑寒冷导致吐泻。如果食指和中指热，是上热下冷。如果无名指和中指热，是夹带风邪的征候。如果食指热，是胸膈气满，乳食不消化。
涂蔚生说：钱乙的这个方法，是将食指放在上面，无名指放在下面。仔细玩味其中“三指俱热，感受风邪”一层，应当是一种热风病症。因为其下有“三指俱冷，感受风寒”。其中“名中二指热，夹风之候”，也应当是下热上寒，因为其上有“上热下冷”一层。尤其需要详细说明的是，夏季人的额头与其全身通常较冷，冬季则相反，因为空气温度随季节高低增减，而人体的温度实际上是与之比较而言的相对寒热。病人的体温固然可以因病而变化，但不了解这一点，也会造成误判。
Chen Zishan stated: The five tones correspond to the five Zang organs. The tone of Metal is clear and resonant, the tone of Earth is turbid and heavy, the tone of Wood is long-drawn, the tone of Water is clear, and the tone of Fire is dry and harsh. In Liver disease (Gan Bing), the voice is mournful; in Lung disease (Fei Bing), it is hurried; in Heart disease (Xin Bing), it is bold; in Spleen disease (Pi Bing), it is slow; in Kidney disease (Shen Bing), it is deep; in Large Intestine disease, it is long; in Small Intestine disease, it is short; in Stomach disease (Wei Bing), it is distant; in Gallbladder disease (Dan Bing), it is clear; in Bladder disease (Pang Guang Bing), it is faint. A clear voice indicates Qi deficiency (Qi Xu); a heavy and turbid voice indicates pain and Wind pathogen (Feng Xie); a high-pitched voice indicates excess Heat (Re) approaching mania; a choking voice indicates stagnant Qi (Qi Bu Shun). Panting indicates rapid breathing; an urgent voice indicates Convulsion (Jing Feng); a blocked voice indicates Phlegm (Tan); a trembling voice indicates Cold (Han); a turbid, deep, and quiet voice indicates Infantile Malnutrition (Gan Ji); sneezing indicates Wind-Cold injury (Shang Feng); yawning indicates mental fatigue; a low and dull voice indicates critical illness; if a newborn never cries loudly but makes only a squeaking sound, it indicates premature death. Having understood the changes in voice, one must further distinguish the complexion to ascertain the root cause of the disease.
Chen Zishan stated: The Heart governs the voice, which emanates from the Lungs. When Lung Qi fails, crying produces no sound; frequent crying often indicates Liver-Gallbladder Wind pathogen (Gan Dan Feng Xie); sluggish Qi with mental fatigue and severe convulsions; hoarseness indicates Evil Heat invading the Spleen; a clear voice indicates no invasion by Fire Toxin; a crow-like voice accompanied by twitching is a specific sign; a straight, direct voice without tears indicates pain; continuous crying with abundant tears indicates fright/convulsion; prolonged illness with a faint voice and irritability indicates a difficult-to-cure condition; a curled body with a hurried voice indicates contraction of Cold (Gan Han).
Tu Weisheng stated: This section differs slightly from the original text because the original contains many ambiguous and hard-to-understand parts, likely due to printing errors. Therefore, slight modifications were made to supplement Chen Zishan’s exposition.
Chen Zishan stated: Purple-red complexion indicates Cold Damage (Shang Han); green indicates Wind; white indicates Gan Ji; black indicates poisoning by malignant evil (Zhong E); yellow indicates Spleen stagnation.
Tu Weisheng stated: In the phrase "Green Wind," the character "Wind" was originally "Fright" (Jing). Because it differs from "Wind," it was changed to "Wind." However, carefully deducing Chen Zishan’s intent, his use of "Fright" essentially refers to "Wind." The same logic applies elsewhere.
Qian Yi stated: For infants under six months old who are ill, use the middle and ring fingers bent to press below the hairline above the forehead. If all three fingers feel hot, it indicates exposure to Wind pathogen, with nasal congestion and coarse breathing. If all three fingers feel cold, it indicates exposure to Wind-Cold, with cold internal organs leading to vomiting and diarrhea. If the index and middle fingers are hot, it indicates upper Heat and lower Cold. If the ring and middle fingers are hot, it indicates a pattern involving Wind. If the index finger is hot, it indicates fullness of Qi in the chest and diaphragm, and indigestion of milk and food.
Tu Weisheng stated: Qian Yi’s method places the index finger on top and the ring finger at the bottom. Carefully analyzing the statement "all three fingers hot, exposure to Wind pathogen," this should be a type of Wind-Heat syndrome. This is inferred from the subsequent statement "all three fingers cold, exposure to Wind-Cold." Similarly, "ring and middle fingers hot, pattern of Wind involvement" should indicate lower Heat and upper Cold, given the prior mention of "upper Heat and lower Cold." It is crucial to note that in summer, an infant's forehead and whole body are usually cooler, whereas in winter they are warmer. This is because air temperature varies with seasons, and human body temperature is perceived relatively through comparison with the environment. Although a patient's temperature can shift due to illness, failing to understand this environmental relativity can lead to misdiagnosis.