议曰水有浅涸而可深山有颓荒而可林地有倾陷而可固物有损益而可珍药有贵贱人有尊卑
心存
至理追究弗迷然其贵贱长幼婴孩所患疾病异端传变异症者受气禀赋资质浓薄故也由是根不固
而
体不备气不充而志不宁贵者则骄多贱者则劳盛骄多即胚胎而得之劳盛乃孕育而招之凡儿气受
之不实或芘荫之有余月期过满或看承之有亏所袭刚柔而然犹抱虚实而已从生成应有别假造亦
无违察贵贱各体其根较长幼皆循其理凡疗小儿非以一体之谓不可同常之见所言投药者或用投
之于简（的也）投之久练（纯热也）投之穷研（精粹也）投之益后投之胜前良工用心之至是谓投药
之专若以重剂投于离（乳小也）或以峻药投于贵（峻调
严紧药）直不可混淆而设造次而施合以通利者审问扶而下之当用益补者察详按而调之孰谓恣
妄之有耶所谓不可攻击者曰虚曰幼曰娇曰重不宜冒致者曰久曰闲（不言所受）曰冗（用药众多）
曰竞（争与攻击）复加之以母之情僻（执 也）父之性急（愚憨也）子之意顽（不服药也）病之候难
（传遇坏证）母之 神父之遣祟如此人事曷可勉强而与劳心枉究哉不惟无补而反无思观其病家
情意相顺礼识相倾（看倾也）功归于我行着于先（叩根据先尝所行）是便信医即愈重药即痊用其汤
剂得为之良者诚在彼此毋忽之之谓也
议论说：水有干涸浅显之处可以治理，山有崩塌荒芜之地可以开垦，地有倾斜陷落之状可以加固，物品有增减损益之法可以珍视，药物有贵贱之分，人有尊卑之别。心中存有至高的道理，探究事物本源而不迷失。然而，由于婴幼儿所患疾病各异，传变出现奇异症状，他们禀受的先天之气、资质厚薄各不相同，因此根基不稳固，形体不完善，气机不充盈，神志不安宁。尊贵者往往骄纵多欲，这是从胚胎时期就获得的；劳苦者往往劳累过度，这是孕育过程中招致的。凡是小儿，受气不实，或庇护过多，月期过满，或照看有所亏欠，受到刚柔之气的影响而如此，犹如怀抱虚实之态罢了。从生成来看应有区别，即使假造也无违背。考察贵贱各自体会其根本，按照长幼都遵循其理。大凡治疗小儿，不能以单一模式看待，不可用对待常人的见解来说明投药的方法。所谓投药，有的投入简略（指简单的），有的投入久炼（指纯热性质的），有的投入穷究研析（指精粹的），有的投入后有益处，有的投入胜过前次。良工用心至极，这叫做投药的专一。如果用重剂投给离乳的小儿，或者用峻烈药物投给尊贵之人（峻烈指调理严紧的药物），简直不可混淆而随意设置，仓促施行。应当通利的，要审慎询问扶持而下之；应当益补的，要详细察按而调之。谁说会有肆意妄为的情况呢？所谓不可攻伐的，是指虚证、幼儿、娇嫩、重症，不宜冒犯导致伤害的，是指久病、闲杂（指未明确所受病因）、冗杂（指用药众多）、竞争（指争与攻伐）。再加上母亲的情意偏执（固执），父亲的性情急躁（愚钝憨直），孩子的心意顽劣（不服药），病症的候象难治（传变遇到坏证），母亲的迷信，父亲的驱邪祟。这样的人事，怎么可以勉强而为，劳心枉费探究呢？不仅无补，反而没有思考。观察病家情意相顺，礼识相倾（指看轻/顺应），功劳归于我行，着先于叩问根据先前尝试所行的方法，这样就相信医生，即愈；重药即痊。使用汤剂，能够成为良方，确实在于彼此不要忽视，这就是所说的意思。
Discussion states: Water may be shallow and dried up, yet it can be managed; mountains may collapse and lie barren, yet they can be reclaimed; land may tilt and sink, yet it can be reinforced; objects may have additions or subtractions, yet they can be cherished; medicines have their high and low prices, and people have their noble and humble statuses. One must hold the supreme principle in mind, investigate thoroughly without losing one's way. However, because infants and children suffer from different diseases, with transmission manifesting as atypical symptoms, and because their innate Qi endowment and physical constitution vary in thickness and thinness, their roots are not solid, their bodies are not fully formed, their Qi is not abundant, and their spirit is not tranquil. The noble tend to be arrogant and indulgent, which is acquired during the embryonic stage; the laborious tend to be overworked, which is invited during gestation. Generally, children receive Qi that is not substantial; some are overly sheltered, exceeding the full term of pregnancy, while others are neglected in care. Influenced by the interplay of rigid and soft energies, they resemble a state of holding emptiness and fullness. From the perspective of generation, there should be distinctions; even if artificial, there is no violation of principles. Examining the noble and the humble, each understands their root; observing the old and the young, all follow their respective logic. In treating pediatric patients, one cannot apply a single uniform approach, nor use the common view for adults to explain the administration of medicine. "Administration of medicine" refers to methods such as using simple preparations (simple), long-refined preparations (purely hot natured), deeply researched preparations (essence), post-administration benefits, or pre-administration superiority. A skilled physician applies utmost care, which is called the specialization of medicine administration. If heavy doses are given to weaned infants, or harsh medicines are given to the noble (harsh refers to strict regulatory drugs), it is absolutely inadmissible to confuse these categories and act hastily. For conditions requiring unblocking and promoting flow, one must carefully inquire and support before administering; for conditions requiring tonification, one must examine and adjust meticulously. Who would say there is arbitrary recklessness? The conditions where attack is contraindicated include deficiency, infancy, delicacy, and severe illness, which should not be冒犯 (offended/violated) causing harm. Conditions unsuitable for冒犯 include chronic illness, indeterminate causes (not clearly stated), polypharmacy (numerous medications used), and competitive aggression. Additionally, consider the mother's biased emotions (stubbornness), the father's impatient temperament (foolishness), the child's stubborn will (refusal to take medicine), the difficult prognosis of the disease (transmission to adverse syndromes), the mother's superstition, and the father's exorcism rituals. Under such human circumstances, how can one force treatment and waste effort in vain investigation? Not only will it be unhelpful, but it also lacks reflection. Observe whether the patient's family is compliant in attitude and respectful in etiquette; attribute success to one's own actions, acting upon prior experience. Thus, trust in the physician leads to recovery; heavy medicines lead to cure. Using decoctions effectively becomes a good prescription, truly relying on mutual non-negligence between doctor and patient.