面上紫,心气绝,五日死。面赤目陷,肝气绝,三日死。面黄,四肢重,脾气绝,九日
死。面白,鼻入奇论,肺气绝,三日死。胸如黄熟豆,骨气绝,一日死。面黑耳黄,呻吟,
肾气绝,四日死。口张唇青,毛枯,肺绝,五日死。大凡病儿足跗肿,身重,大小便不禁,
目无转睛,皆死。若病将愈者,面黄目黄,有生意。
痢疾眉头皱,惊风面颊红,渴来唇带赤,吐泻面浮黄。
热甚眼朦胧,青色是惊风,白色是泄泻,伤寒色紫红。
汤氏歌
山根若见脉横青,此病明知两度惊,赤黑因疲时吐泻,色红啼夜不曾停。
青脉生于左太阳,须惊一度见推详,赤是伤寒微燥热,黑青知是乳多伤。
右边赤脉不须多,有则频惊怎奈何?红赤为风抽眼目,黑沉三日见阎罗。
指甲青兼黑暗多,唇青恶逆病将瘥,忽将鸦声心气急,此病端的命难过。
蛔虫退场门有三般,口鼻中来大不堪,如或白虫兼黑色,此病端的命难延。
四肢疮痛不为祥,下气冲心兼滑肠,气喘汗流身不热,手拿胸膈定遭殃。
红净为安不用惊,若逢红黑便难宁,更加红乱青尤甚,取下风痰病立轻。
赤色微轻是外惊,若如米粒势难轻,红散多因乘怒乱,更加搐搦实难平。
小儿初诞月腹病,两眉颦号作盘肠,泣时啼哭又呻吟,急宜施法行功作。
小儿初诞日,肌体瘦 羸,秃发毛稀少,元因是鬼胎。
面部呈现紫色,是心气衰竭的征象,五日后死亡。面色红赤且双目凹陷,是肝气衰竭的征象,三日后死亡。面色发黄,四肢沉重,是脾气衰竭的征象,九日后死亡。面色苍白,鼻翼内陷(或指鼻孔干黑),是肺气衰竭的征象,三日后死亡。胸部皮肤如熟透的黄豆色,是骨气衰竭的征象,一日后死亡。面色发黑且耳廓发黄,伴有呻吟声,是肾气衰竭的征象,四日后死亡。口张唇青,毛发枯槁,是肺脏功能绝灭,五日后死亡。大凡患病的小儿若足背浮肿,身体沉重,大小便失禁,眼球固定无转动,均为死证。若病情即将痊愈者,面色黄而目黄,表示尚有生机。
痢疾患儿眉头皱缩,惊风患儿面颊发红,口渴患儿嘴唇带赤,呕吐腹泻患儿面色浮黄。
热邪炽盛时眼睛朦胧不清,面色青色主惊风,白色主泄泻,伤寒病色呈紫红色。
汤氏歌诀:
山根(鼻梁根部)若见横行的青色脉络,此病明知会两次受惊;若呈赤黑色,是因疲劳时而呕吐腹泻;若呈红色,则夜间啼哭不停。
青色脉络生于左侧太阳穴处,必定受惊一次,需仔细推究;若呈赤色,是伤寒兼有轻微燥热;若呈黑青色,可知是哺乳过度损伤所致。
右侧出现赤色脉络不必多说,若有则频繁受惊怎么办?红色赤色主风邪抽引眼目,若脉色黑沉,三日后将死亡。
指甲青暗且黑暗之色多,嘴唇青紫为恶逆之兆,病势将缓解时忽发出乌鸦般的叫声,心气急促,此病确实难以存活。
蛔虫退至肛门处有三种情况,从口鼻中排出最为不堪;若是白虫兼有黑色,此病确实命难延续。
四肢疮痛不是吉祥之兆,下气冲心兼有大便滑泄,气喘汗出但身体不发热,手抓胸膈部位,定遭殃祸。
面色红润洁净为平安,不用惊恐;若逢红黑相间便难以安宁;若更加红乱且青色尤甚,攻下风痰后病情立即减轻。
赤色轻微是外感惊风,若如米粒般密集则势难轻缓;红色散漫多因愤怒导致气机紊乱,再加上抽搐痉挛,实在难以平息。
小儿刚出生一个月患腹部疾病,双眉紧锁号哭,称为盘肠气痛;哭泣时啼哭又呻吟,应立即施法行功治疗。
小儿刚出生之日,肌体瘦弱,头发稀少秃落,根本原因是鬼胎(先天禀赋不足或胎毒)。
If the face appears purple, it indicates the exhaustion of Heart Qi (Heart energy), and death will occur in five days. If the face is red with sunken eyes, it indicates the exhaustion of Liver Qi (Liver energy), and death will occur in three days. If the face is yellow with heavy limbs, it indicates the exhaustion of Spleen Qi (Spleen energy), and death will occur in nine days. If the face is pale with retracted nostrils, it indicates the exhaustion of Lung Qi (Lung energy), and death will occur in three days. If the chest skin resembles ripe yellow beans, it indicates the exhaustion of Bone Qi (Bone energy), and death will occur in one day. If the face is black with yellow ears accompanied by groaning, it indicates the exhaustion of Kidney Qi (Kidney energy), and death will occur in four days. If the mouth is open, lips are cyanotic, and hair is withered, it indicates the extinction of the Lung organ, and death will occur in five days. Generally, if a sick child presents with edema on the dorsum of the feet, heaviness of the body, incontinence of urine and feces, and fixed eyes without rotation, these are signs of death. However, if the disease is about to heal, a yellow face and yellow sclera indicate that there is still vitality.
In dysentery (dysentery), the child's eyebrows are furrowed; in convulsive disorders (convulsions), the cheeks are red; in thirst, the lips carry a reddish hue; in vomiting and diarrhea, the face is puffy and yellow.
When heat is severe, the eyes appear hazy; a bluish color indicates convulsions; a white color indicates diarrhea; a purplish-red color indicates Cold Damage (Shanghan).
Song by Lady Tang:
If horizontal blue-green vessels are seen at the Shan Gen (root of the nose), this illness is known to involve two episodes of fright; if the color is red-black due to fatigue, there is intermittent vomiting and diarrhea; if the color is red, crying continues throughout the night.
Blue-green vessels arising from the left Tai Yang (Taiyang) area indicate one episode of fright, which requires careful analysis; red indicates Cold Damage with slight dryness and heat; black-blue indicates injury from excessive breastfeeding.
Red vessels on the right need not be discussed much; if present, frequent frights are inevitable? Red and crimson indicate wind drawing into the eyes; if black and deep, death comes in three days.
Cyanotic and dark fingernails, along with cyanotic lips, signal adverse conditions where the illness may subside; suddenly emitting crow-like sounds with urgent Heart Qi indicates that life is indeed hard to save.
Ascaris lumbricoides (roundworms) retreating to the anus presents in three ways; expulsion from the mouth and nose is most unbearable; if white worms accompany black ones, life is indeed difficult to prolong.
Sores and pain in the four limbs are not auspicious; downward rushing Qi striking the heart accompanied by slippery bowels, panting with sweating but no fever, and hands clutching the chest and diaphragm definitely lead to disaster.
Pure and clean red indicates peace, requiring no alarm; encountering red mixed with black makes stability difficult; if red becomes chaotic and blue-green is even more prominent, expelling wind-phlegm brings immediate relief.
Slight red indicates external fright; if dense like rice grains, the condition is hard to lighten; scattered red often results from anger causing chaos, and combined with spasms, it is truly hard to calm.
Infants suffering from abdominal diseases one month after birth, frowning and wailing, are diagnosed as Pan Chang Qi Tong (Coiled Intestine Pain); crying, wailing, and groaning require immediate therapeutic intervention.
Infants born on the first day with emaciated bodies, sparse bald hair, fundamentally suffer from Ghost Fetus (congenital deficiency or fetal toxin).