议曰慢惊风候谓之阴盛又其欲绝之时虚痰上攻咽喉引气呼吸粗大其脉浮数其症强汤得之
医工
将谓阳回以得其所宜与下痰药用太迅痰涎实时随药而下儿命实时随药而化众言医杀之愚曰非
也谓渠无智不识症绝而用之虽不下药亦死之矣
议曰疳候有作斯症初发即谓疳气次第传至疳极是谓虚极之候阴阳二气不匀上下气不升降
荣卫
两虚脏腑滑泄岂可攻疗善医疳者随顺药饵以助之淡薄饮食以扶之荣卫渐得均匀气脉方得升降
既而阴阳二气已得调和脏腑已匀充实肌肤已自肥壮医工已知疳传在虚候名作疳极遂与补气药
服之稍多反生大热所谓虚极勿补热盛烦渴疾作疳劳名曰丁奚皆由药助虚极生热而致之也
议曰症积已作症候所传自是孩童饮食不化气滞中脘再食停气复伤前积积之为病皆致其冷
冷之
既久脾胃虚怯虚怯既存阴阳相胜寒热间发痞癖有加脉气无定医工不理阴阳令其均平但作 疟
治之或投砒或投粉（腻粉也）利下太速疾不去根为患反重难施和剂良由利动脏腑虚必入腹发作
烦躁腹肚胀紧气喘短促难以调治疗理此等症候究心毋忽保全是幸
议曰热分内外身藉阴阳一气受邪三焦致热三焦者本质无状隐伏得名所通五脏六腑相干血
脉皮毛
温平由实燥热由虚静则为之一名动则分之三所上焦喉管至臆中焦至于中脘下焦至于丹田以
大拇指展中指作一握自咽喉坎处分作三停则知上中下三焦所寓也温极即热热盛即燥燥盛即焦
寄于其中矣大人患此犹尚不可况小儿三焦隐伏热多作热寒凉之药所投不堪毕竟从长何剂调理
若不早疗疾作无辜
议曰：慢惊风证候，被称为阴盛。又在其阳气将绝之时，虚痰上攻咽喉，牵引气息，导致呼吸粗大，其脉象浮数，其症状表现为身体强直。医生们往往认为这是阳气回复、病情适宜好转的迹象，于是迅速使用下痰药。痰涎随即随药物而下，但患儿的生命也随即随着药物的作用而终结。众人指责是医生害死了孩子。我说：并非如此。这是因为他们缺乏智慧，不能识别病症，在阳气已绝的情况下用药，即使不使用药物，孩子也会死亡。
议曰：疳积证候，有出现这种症状的情况。初发时称为疳气，依次传变至疳极，这被称为极度虚弱的证候。此时阴阳二气不均衡，上下之气不能升降，营卫两虚，脏腑滑泄（功能衰退），岂可攻伐治疗？善于治疗疳积的医生，会顺应病情，通过药物来辅助调理，以清淡饮食来扶持正气。这样营卫逐渐均匀，气脉才能得以升降。随后阴阳二气得以调和，脏腑变得匀实充实，肌肤自然肥壮。然而，医生们知道疳积传变到了虚弱证候，名为疳极，便给予补气药服用。稍微过量，反而产生大热，所谓“极度虚弱时不要盲目进补”。热盛导致烦渴，疾病发作，形成疳劳，名为丁奚。这都是因为药物助长了虚极而生热所致。
议曰：症积已经形成，症候所传变的原因，是因为孩童饮食不化，气滞于中脘。再次进食则停气，再次损伤之前的积滞。症积这类疾病，都会导致寒冷。寒冷日久，脾胃虚弱怯懦。虚弱存在，阴阳相互胜复，寒热交替发作，痞癖加重，脉气没有定准。医生们不理会阴阳，令其平衡，只当作疟疾来治疗。或者投用砒霜，或者投用腻粉（即轻粉），泻下过于迅速。病根不去除，为患反而加重，难以施用平和之剂。良由泻利扰动脏腑，虚弱必然入腹，发作时烦躁、腹部胀紧、气喘短促，难以调治疗理。对于此类症候，必须用心探究，不可忽视，保全患儿性命便是幸事。
议曰：热邪分为内热和外热，身体依赖阴阳一气。受邪后三焦致热。三焦的本质无形状，因隐伏而得名，它连通五脏六腑，干涉血脉皮毛。温平是由实证引起的燥热，静默状态下称为一名，动则分为三处。上焦从喉管至膈中，中焦至于中脘，下焦至于丹田。用大拇指展开中指作一握，自咽喉坎处分作三等份，即可知晓上、中、下三焦所寓之处。温热至极即为热，热盛即为燥，燥盛即为焦，寄居在其中了。大人患此尚且不可，何况小儿三焦隐伏，热多表现为热证，寒凉药物所投不堪忍受，终究需要长期用什么方剂调理？若不早期治疗，疾病发作，成为无辜（一种儿科重病名）。
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).