先望孩儿眼色青，次看背上冷如冰，阳男搐左无防事，搐右令人甚可惊。
女搐右边犹可治，若逢搐左疾非轻，歪邪口眼终无害，纵有仙丹也莫平。
囟门肿起定为风，此候应知是必凶，忽陷成坑如盏足，未过七日命须终。
鼻门青燥渴难禁，面黑唇青命莫存，肚大青筋俱恶候，更兼腹肚有青纹。
忽见眉间紫带青，看来立便见风生，青红碎杂风将起，必见疳 膈气形。
乱纹交错紫兼青，急急求医免命倾，盛紫再加身体热，须知脏腑恶风生。
紫少红多六畜惊，紫红相等即疳成，紫黑有红如米粒，伤风夹食症堪评。
紫散风传脾脏间，紫青口渴是风痫，紫隐深沉难疗治，风痰祛散命须还。
黑轻可治死还生，红赤浮寒痰积停，赤青皮受风邪症，青黑脾风作慢惊。
红赤连兮风热轻，必然乳母不相应，两手忽然无脉见，定知冲恶犯神灵。
五指梢头冷，惊来不可安，若逢中指热，必定见伤寒。中指独自冷，麻痘症相传，女右
男分左，分明仔细看。
儿心热跳是着唬，热而不跳伤风说，凉而翻眼是水惊，此是入门探候诀。
\r三关图\pG-G91.bmp\r
风关易治，气关难治，命关死候。
左手应心肝，右手应脾肺，男主左女主右
三关者，手食指三节也。初节为风关，寅位；二节为气关，卯位；三节为命关，辰位。
夫小儿初生，五脏血气未定，呼吸至数太过，必辨虎口色脉，方可察病之的要，男以左
手验之，女以右手验之。盖取左手属阳，男以阳为主；右手属阴，女以阴为主。然男女一身
，均具此阴阳，左右两手，亦须参看，左手之纹应心、肝，右手之纹应脾、肺，于此消息，
又得变通之意。
初交病纹出虎口，或在初关，多是红色，传至中关，色赤而紫，看病又传过其色紫青，
病热深重；其色青黑，青而纹乱者，病势益重，若见纯黑，危恶不治。凡在初关易治，过中
关难治，直透三关不治。古人所谓，初得风关病犹可，传入气命定难陈，是也。
色红者风热轻，亦者风热盛，紫者惊热，青者惊积。青赤相半，惊积风热俱有，主急惊
风。青而淡紫，伸缩来去，主慢惊风。紫丝青丝或黑丝，隐隐相杂，似出不出，主慢惊风。
若四足惊，三关必青。水惊，三关必黑。人惊，三关必赤。雷惊必黄。或青或红，有纹如线
，一直者，是乳食伤脾及发热惊。左右一样者，是惊与积齐发。有三叉或散，是肺生风痰。
或似 声，有青，是伤寒及嗽。如红火是泻，有黑相兼，加渴不虚，虎口脉纹乱，乃
气不和也。盖脉纹见有五色，黄、红、紫、青、黑、黄红有色无形，即安宁脉也。有形即病
脉，由其病盛，色脉加变，黄盛作红，红盛作紫，紫盛作青，青盛作黑，至纯黑则难治，又
当辨其形如∶
流珠──。 只一点红色。主膈热，三焦不和，饮食所伤，欲吐泻，肠鸣自利，烦躁啼
哭。宜消食，补脾胃。
环珠──○ 较流珠差大。主脾虚停食，胸腹胀满，烦渴发热。宜健脾胃，消食调气。
\r流珠、环珠图\pG-G92.bmp\r
长珠──\r图\pG-Gb9.bmp\r 一头大，一头尖。主脾伤饮食，积滞腹痛，寒热不食。宜消食健胃。
来蛇──\r图\pG-Gb10.bmp\r 下头粗大。主脾胃湿热，中脘不利，干呕不食，是疳邪内作。宜克食，
健补脾胃。
\r长珠、来蛇图\pG-G93.bmp\r
去蛇──\r图\pG-Gb8.bmp\r 上头粗大。主脾虚冷积，吐泻烦渴，气短神困，多睡不食。宜健脾胃，
消积，先止吐泻。
弓反里弯向中指──HT 主感寒热邪气，头目皆重，心神惊悸，倦怠，四肢稍冷，小
便赤色，咳嗽吐逆。宜发汗逐惊，退心火，推脾摩肺。
\r去蛇、弓反里弯向中指图\pG-G94.bmp\r
弓反外弯向大指──HT 主痰热，心神恍惚作热，夹惊夹食，风痫。凡纹向内者吉，
向外者凶。
枪形──| 主风热，发痰作搐。
\r弓反外弯向大指、枪形图\pG-G95.bmp\r
针形──│ 主心肝热极生风，惊悸顿闷，困倦不食，痰盛发搐。又曰∶悬针，主泻
鱼骨形──\r图\pG-Gb11.bmp\r 主惊痰发热，甚则痰盛发搐，或不食，乃肝盛克脾，宜逐惊。或吐痰
下痰，再补脾制脾。
\r针形、鱼骨形图\pG-G96.bmp\r
鱼刺──\r图\pG-Gb13.bmp\r 初关主惊，气关主疳，命关主虚，难治。
水字形─\r图\pG-Gb12.bmp\r 主惊风食积，烦躁顿闷少食，夜啼，痰盛，口噤搐搦，此脾虚积滞，
木克土也。又曰∶水字，肺疾也，谓惊风入肺也。
\r鱼刺、水字形图\pG-G97.bmp\r
乙字──HT 初关主肝惊，二关主急惊，三关主慢惊脾风。
曲虫──\r图\pG-Gb7.bmp\r 肝病甚也。
\r乙字、曲虫图\pG-G98.bmp\r
如环──\r图\pG-Gb6.bmp\r肾有毒也。
曲向里──HT 主气疳。
曲向外──HT 主风疳。
斜向右──＼ 主伤寒。
斜向左──/ 主伤风。
勾脉── 主伤寒。
\r如环、曲向外图\pG-G99.bmp\r
长虫──\r图\pG-Gb14.bmp\r 主伤冷。
虬文──\r图\pG-Gb15.bmp\r 心虫动也。
\r长虫、虬文图\pG-G100.bmp\r
透关射指──HT 向里为射指。主惊风，痰热聚于胸膈，乃脾肺损伤，痰邪乘聚。宜
清脾肺，化痰涎。
透关射甲──HT 向外为射甲。主惊风恶症，受惊传于经络。风热发生，十死一
\r透关射指、透关射甲图\pG-G101.bmp\r
青白紫筋，上无名指三关难治，上中指三关易治。
先观察小儿眼部的色泽呈现青色，再触摸背部感觉冷如冰一般。若是男婴左手抽搐则无大碍，若右手抽搐则令人十分惊恐。女婴右手抽搐尚可治疗，若出现左手抽搐则病情严重。口眼歪斜终归没有大害，即使有仙丹也难以平复（指此症难愈但非致命）。囟门肿起必定是受风邪，这种情况应当知道必然凶险；忽然凹陷成坑如同杯底，不出七日性命必终。鼻头部位青燥且口渴难耐，面色黑唇色青则生命难保，腹部胀大且青筋暴露均为恶候，再加上腹部有青色的纹路。忽然看见眉间紫色夹杂青色，看来立刻就会引发惊风，青色与红色杂乱相间预示风邪将起，必定会出现疳积和膈气的症状。纹路混乱交错且兼有紫色和青色，应急急求医以免丧命；若紫色浓重再加身体发热，须知脏腑易生恶风。紫色少红色多主六畜惊风，紫红相等即形成疳证，紫黑中带有红色如米粒状，可判断为伤风夹食之症。紫色散开表示风邪传入脾脏，紫色青色并见且口渴是风痫，紫色隐现深沉难以治疗，需祛散风痰方可保全性命。黑色轻浅可治，死里逃生；红色赤色浮寒且痰积停滞；赤色青色并见皮受风邪之症；青色黑色并见为脾风引起的慢惊风。红色赤色相连表示风热轻微，必然乳母饮食不相应；两手忽然摸不到脉搏，定知是冲犯神灵所致。
手指梢头发冷，惊风发作便不得安宁；若逢中指发热，必定是伤寒。中指独自发冷，则是麻疹、痘疮等病症的征兆，女看右手男看左手，分明仔细查看。小儿心热跳动是被惊吓所致，发热但不跳动是伤风，发凉且翻白眼是水惊，这是入门探查病情的诀要。
风关容易治疗，气关难治，命关是死候。左手对应心肝，右手对应脾肺，男看左手女看右手。三关是指手食指上的三节。初节为风关，对应寅位；二节为气关，对应卯位；三节为命关，对应辰位。小儿刚出生时，五脏血气尚未稳定，呼吸次数过多，必须辨别虎口的色脉，才能察知疾病的要害，男婴用左手验证，女婴用右手验证。大概取意于左手属阳，男以阳为主；右手属阴，女以阴为主。然而男女一身均具备阴阳，左右两手也须参看，左手的纹络对应心、肝，右手的纹络对应脾、肺，从中体会消息，又得变通之意。
刚发病时纹络出现在虎口，或在初关，多是红色；传至中关，颜色赤而紫；看病又传过其色紫青，说明病热深重；其色青黑，青而纹路乱者，病势更加严重，若见纯黑色，危重恶劣无法治疗。凡在初关容易治疗，过了中关难治，直透三关则不治。古人所谓，初得风关病犹可，传入气命定难陈，说的就是这个道理。颜色红者风热轻，亦者风热盛，紫者惊热，青者惊积。青赤相半，惊积风热俱有，主急惊风。青而淡紫，伸缩来去，主慢惊风。紫丝青丝或黑丝，隐隐相杂，似出不出，主慢惊风。若四足惊，三关必青。水惊，三关必黑。人惊，三关必赤。雷惊必黄。或青或红，有纹如线，一直者，是乳食伤脾及发热惊。左右一样者，是惊与积齐发。有三叉或散，是肺生风痰。或似声，有青，是伤寒及嗽。如红火是泻，有黑相兼，加渴不虚，虎口脉纹乱，乃气不和也。盖脉纹见有五色，黄、红、紫、青、黑、黄红有色无形，即安宁脉也。有形即病脉，由其病盛，色脉加变，黄盛作红，红盛作紫，紫盛作青，青盛作黑，至纯黑则难治，又当辨其形如：
流珠——只一点红色。主膈热，三焦不和，饮食所伤，欲吐泻，肠鸣自利，烦躁啼哭。宜消食，补脾胃。
环珠——较流珠差大。主脾虚停食，胸腹胀满，烦渴发热。宜健脾胃，消食调气。
长珠——一头大，一头尖。主脾伤饮食，积滞腹痛，寒热不食。宜消食健胃。
来蛇——下头粗大。主脾胃湿热，中脘不利，干呕不食，是疳邪内作。宜克食，健补脾胃。
去蛇——上头粗大。主脾虚冷积，吐泻烦渴，气短神困，多睡不食。宜健脾胃，消积，先止吐泻。
弓反里弯向中指——主感寒热邪气，头目皆重，心神惊悸，倦怠，四肢稍冷，小便赤色，咳嗽吐逆。宜发汗逐惊，退心火，推脾摩肺。
弓反外弯向大指——主痰热，心神恍惚作热，夹惊夹食，风痫。凡纹向内者吉，向外者凶。
枪形——主风热，发痰作搐。
针形——主心肝热极生风，惊悸顿闷，困倦不食，痰盛发搐。又曰：悬针，主泻。
鱼骨形——主惊痰发热，甚则痰盛发搐，或不食，乃肝盛克脾，宜逐惊。或吐痰下痰，再补脾制脾。
鱼刺——初关主惊，气关主疳，命关主虚，难治。
水字形——主惊风食积，烦躁顿闷少食，夜啼，痰盛，口噤搐搦，此脾虚积滞，木克土也。又曰：水字，肺疾也，谓惊风入肺也。
乙字——初关主肝惊，二关主急惊，三关主慢惊脾风。
曲虫——肝病甚也。
如环——肾有毒也。
曲向里——主气疳。
曲向外——主风疳。
斜向右——主伤寒。
斜向左——主伤风。
勾脉——主伤寒。
长虫——主伤冷。
虬文——心虫动也。
透关射指——向里为射指。主惊风，痰热聚于胸膈，乃脾肺损伤，痰邪乘聚。宜清脾肺，化痰涎。
透关射甲——向外为射甲。主惊风恶症，受惊传于经络。风热发生，十死一。
青白紫筋，上无名指三关难治，上中指三关易治。
First, observe the child's eye color turning cyan; next, check if the back feels cold as ice. For a male infant, twitching of the left hand is harmless, but twitching of the right hand is alarming. For a female infant, twitching of the right hand is still treatable, whereas twitching of the left hand indicates a severe condition. Facial paralysis (wry mouth and eyes) is ultimately not fatal, though even immortal elixirs may not cure it. Swelling of the fontanelle definitely indicates wind pathogen; this condition should be known as ominous. If it suddenly collapses into a pit like the bottom of a cup, life will end within seven days. Cyanosis and dryness at the nose with unbearable thirst, black complexion and cyan lips indicate impending death. Abdominal distension with visible blue veins are all evil signs, especially when accompanied by blue patterns on the abdomen. Suddenly seeing purple mixed with cyan between the eyebrows suggests that wind convulsions will arise immediately. Mixed cyan and red patterns indicate that wind is about to rise, inevitably leading to symptoms of malnutrition (Gan syndrome) and diaphragmatic qi stagnation. Interlaced chaotic patterns with purple and cyan require urgent medical attention to avoid death. If purple is intense and accompanied by body heat, one must know that internal organs are prone to generating evil wind. Less purple and more red indicates livestock fright; equal amounts of purple and red indicate the formation of Gan syndrome; purple-black with red spots like rice grains can be assessed as wind-cold complicated with food retention. Scattered purple indicates wind transmitting to the Spleen; purple and cyan with thirst indicate wind epilepsy; deeply hidden purple is difficult to treat, but life can be saved by dispelling wind-phlegm. Light black is treatable, bringing recovery from near-death; floating red/赤 indicates cold and phlegm accumulation; red and cyan together indicate skin affected by wind pathogen; cyan and black together indicate slow convulsions caused by Spleen wind. Connected red/赤 indicates mild wind-heat; it implies the nursing mother's diet is inappropriate; sudden absence of pulse in both hands indicates shock or spiritual offense.
Cold fingertips indicate fright that cannot be settled; warmth in the middle finger indicates Cold Damage (Shanghan). Coldness isolated to the middle finger indicates measles or smallpox; for females, check the right hand, for males, the left, examining clearly. Heart heat with palpitations indicates fright; heat without palpitations indicates wind-cold; coolness with upturned eyes indicates water fright. This is the introductory diagnostic secret.
The Wind Gate is easy to treat, the Qi Gate is difficult, and the Life Gate is a sign of death. The left hand corresponds to the Heart and Liver; the right hand corresponds to the Spleen and Lung. Males are examined on the left hand, females on the right. The Three Gates refer to the three segments of the index finger. The first segment is the Wind Gate, corresponding to the Yin position; the second is the Qi Gate, corresponding to the Mao position; the third is the Life Gate, corresponding to the Chen position. When a newborn's five zang organs' blood and qi are not yet stable, and respiration is rapid, one must distinguish the colors and pulses of the Tiger's Mouth to ascertain the essence of the disease. Males are verified using the left hand, females using the right. This is based on the principle that the left hand belongs to Yang, dominant in males; the right hand belongs to Yin, dominant in females. However, both males and females possess Yin and Yang in their bodies, so both hands should be consulted. The patterns on the left hand correspond to the Heart and Liver, while those on the right correspond to the Spleen and Lung. From this, one grasps the subtle changes and flexibility.
When the pathological line first appears at the Tiger's Mouth or in the initial gate, it is mostly red. As it transmits to the middle gate, the color becomes red-purple. If it transmits further to show purple-cyan, the heat is deep and severe. If the color is cyan-black, or cyan with chaotic lines, the condition worsens. Pure black indicates critical, untreatable danger. Lines in the initial gate are easy to treat; passing the middle gate makes treatment difficult; penetrating all three gates is untreatable. As the ancients said, "Wind Gate involvement is still manageable, but transmission to Qi and Life gates is hard to recover from." Red color indicates mild wind-heat; bright red indicates strong wind-heat; purple indicates fright-heat; cyan indicates fright-stagnation. Equal parts cyan and red indicate both fright-stagnation and wind-heat, primarily acute convulsions. Pale cyan with light purple, extending and retracting, indicates slow convulsions. Purple, cyan, or black threads, faintly mixed and seemingly emerging, also indicate slow convulsions. Four-limb convulsions imply cyan lines in all three gates. Water fright implies black lines in all three gates. Human fright implies red lines in all three gates. Thunder fright implies yellow lines. Or cyan or red, with thread-like straight lines, indicating Spleen injury from milk/food and heat-induced fright. Symmetrical lines on both hands indicate simultaneous fright and stagnation. Forked or scattered lines indicate wind-phlegm generated by the Lungs. Patterns resembling sound waves with cyan indicate Cold Damage and cough. Fire-red indicates diarrhea; mixed with black and thirst without deficiency, chaotic Tiger's Mouth pulses indicate disharmony of Qi. Generally, pulse lines show five colors: yellow, red, purple, cyan, black. Yellow-red with color but no form is a peaceful pulse. Form indicates a pathological pulse. Due to disease progression, colors change: excessive yellow turns red, excessive red turns purple, excessive purple turns cyan, excessive cyan turns black. Pure black is difficult to treat. One must also distinguish the forms:
Liu Zhu (Flowing Pearl): A single red dot. Indicates diaphragmatic heat, Sanjiao disharmony, dietary injury, desire to vomit/diarrhea, borborygmus, spontaneous diarrhea, restlessness, and crying. Treatment: Digest food, tonify Spleen and Stomach.
Huan Zhu (Ring Pearl): Larger than Liu Zhu. Indicates Spleen deficiency with food stagnation, chest/abdominal fullness, irritability, thirst, and fever. Treatment: Strengthen Spleen and Stomach, digest food, regulate Qi.
Chang Zhu (Long Pearl): Large at one end, pointed at the other. Indicates Spleen injury from diet, stagnation abdominal pain, alternating cold/heat, and anorexia. Treatment: Digest food, strengthen Stomach.
Lai She (Incoming Snake): Thick at the lower end. Indicates Damp-Heat in Spleen/Stomach, obstruction in Zhongwan, dry heaving, anorexia, and internal Gan pathogen. Treatment: Resolve food stagnation, tonify Spleen and Stomach.
Qu She (Outgoing Snake): Thick at the upper end. Indicates Spleen deficiency with cold stagnation, vomiting/diarrhea, irritability/thirst, shortness of breath, mental fatigue, lethargy, and anorexia. Treatment: Strengthen Spleen and Stomach, resolve stagnation, stop vomiting/diarrhea first.
Gong Fan Li Wan Xiang Zhong Zhi (Bow bending inward toward middle finger): Indicates invasion of cold/heat pathogens, heavy head/eyes, mental fright/palpitations, fatigue, slightly cold limbs, dark urine, cough, and vomiting. Treatment: Induce sweating to expel fright, clear Heart fire, push Spleen, rub Lungs.
Gong Fan Wai Wan Xiang Da Zhi (Bow bending outward toward thumb): Indicates Phlegm-Heat, mental confusion with heat, combined fright/food stagnation, and wind epilepsy. Patterns bending inward are auspicious; outward are ominous.
Qiang Xing (Spear Shape): Indicates Wind-Heat, generating phlegm and convulsions.
Zhen Xing (Needle Shape): Indicates extreme Heat in Heart/Liver generating Wind, sudden palpitations/oppression, fatigue/anorexia, abundant phlegm, and convulsions. Also called Xuan Zhen (Hanging Needle), indicates diarrhea.
Yu Gu Xing (Fish Bone Shape): Indicates Fright-Phlegm with fever, severe cases have abundant phlegm, convulsions, or anorexia. It is Liver excess overcoming Spleen. Treatment: Expel fright, induce vomiting/downward draining of phlegm, then tonify/restrain Spleen.
Yu Ci (Fish Spine): Initial gate indicates fright; Qi gate indicates Gan; Life gate indicates deficiency, difficult to treat.
Shui Zi Xing (Water Character Shape): Indicates Fright-Wind and food stagnation, restlessness, oppression, reduced intake, night crying, abundant phlegm, locked jaw, and convulsions. This is Spleen deficiency with stagnation, Wood overcoming Earth. Also called Shui Zi, indicating Lung disease, meaning Fright-Wind entering Lungs.
Yi Zi (Yi Character Shape): Initial gate indicates Liver fright; second gate indicates acute convulsions; third gate indicates slow convulsions/Spleen wind.
Qu Chong (Curved Worm): Indicates severe Liver disease.
Ru Huan (Like a Ring): Indicates toxicity in Kidney.
Qu Xiang Li (Curving Inward): Indicates Qi Gan.
Qu Xiang Wai (Curving Outward): Indicates Wind Gan.
Xie Xiang You (Slanting Right): Indicates Cold Damage.
Xie Xiang Zuo (Slanting Left): Indicates Wind-Cold.
Gou Mai (Hook Pulse): Indicates Cold Damage.
Chang Chong (Long Worm): Indicates Cold Injury.
Qiu Wen (Coiled Pattern): Indicates Heart worm movement.
Tou Guan She Zhi (Penetrating Gate Shooting Finger): Bending inward is She Zhi. Indicates Fright-Wind, Phlegm-Heat gathering in chest/diaphragm, Spleen/Lung damage, and phlegm pathogen aggregation. Treatment: Clear Spleen/Lungs, transform phlegm-saliva.
Tou Guan She Jia (Penetrating Gate Shooting Nail): Bending outward is She Jia. Indicates severe Fright-Wind, fright transmitted to meridians. Wind-Heat arises, ten deaths for one survival.
Cyan-white-purple veins on the ring finger's three gates are difficult to treat; on the middle finger's three gates, they are easy to treat.