诊儿之法听五声，聆音察理始能明，五声相应五藏病，五声不和五藏情，
心病声急多言笑，肺病声悲音不清，肝病声呼多狂叫，脾病声歌音颤轻，
肾病声呻长且细，五音昭着证分明，啼而不哭知腹痛，哭而不啼将作惊，
兹煎不安心烦热，嗄声声重感寒风，有余声雄多壮厉，不足声短怯而轻，
多言体热阳府证，懒语身冷阴藏形，狂言焦躁邪热盛，谵语神昏病热凶，
鸭声在喉音不出，直声无泪命将倾，虚实寒热从声别，闻而知之无遁情。
[注]
小儿之病，既观其色，又当细听其声，
盖笑，呼，歌，悲，呻，五声，内应心肝脾肺肾五藏也，
五声不和，则知五藏有病之情矣，
知心属火病，则声急喜笑，
肺属金病，则声悲音浊，
肝属木病，则声狂叫多呼，
脾属土病，则声颤轻如歌，
肾属水病，则其声长细如呻吟，
有声有泪声长曰哭，有声无泪声短曰啼，
如啼而不哭，则气不伸畅，主腹痛，
哭而不啼，则气急心烦，将成惊也，
兹煎不安者，乃心经内热，故燥躁不宁也，
嗄声音哑也，声重声浊也，此为外感风寒也，有余之证其气实，
故声雄大而壮厉，
不足之证其气虚，故声怯弱而轻短，
多言与身热皆阳也，阳主府，故曰阳府证也，
懒语与身凉皆阴也，阴主藏，故曰阴藏证也，
狂言焦躁者，邪热盛也，
神昏谵语者，热乘于心，故曰病热凶也，
鸭声声在喉中而哑，气将绝也，
直声声无回转而急，气将散也，二者俱为不治之证，
医者果能以此察之，
则知表里藏府寒热虚实诸病之情态无所遁矣。
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诊断小儿疾病的方法在于听取五种声音，只有仔细聆听声音并分析其道理，才能明察秋毫。五种声音分别对应五脏的病变，五种声音的不和谐反映了五脏的状态。
心病的声音急促且多言笑；肺病的声音悲伤且音色不清；肝病的声音呼叫且多狂叫；脾病的声音歌唱且音色颤抖轻微；肾病的声音呻吟且长而细。这五种音律显著明确，证候便清晰分明。
啼哭时没有眼泪知道是腹痛，哭泣时有声无泪预示将发作惊风。因煎药不安导致心烦发热，声音嘶哑且沉重是感受了寒风。声音雄壮有力属于实证（有余），声音短促怯弱属于虚证（不足）。
多言语且身体发热属于阳腑证，懒于言语且身体发冷属于阴脏证。胡言乱语、焦躁不安是邪热炽盛，神志昏迷、谵语是病情凶险的热证。
声音像鸭子叫且在喉中不出，是气将绝的表现；声音直急而无回转且无泪，是气将散的表现。这两种情况都属于不治之证。
通过辨别虚实寒热可以从声音中得知，听到声音就能知晓病情，没有任何隐情可以遁形。
[注]
小儿的疾病，既要看望其面色，又应当仔细听其声音。
因为笑、呼、歌、悲、呻这五种声音，内应于心、肝、脾、肺、肾五脏。
如果五种声音不和谐，就可以知道五脏有病的状况。
心属火生病，则声音急促喜欢笑；
肺属金生病，则声音悲伤音色浑浊；
肝属木生病，则声音狂叫多呼喊；
脾属土生病，则声音颤抖轻微如唱歌；
肾属水生病，则声音长而细如同呻吟。
有声有泪且声音长叫做“哭”，有声无泪且声音短叫做“啼”。
如果是啼而不哭，说明气机不舒展通畅，主诉腹痛；
如果是哭而不啼，说明气急心烦，将要形成惊风。
因煎药不安者，乃是心经内部有热，所以燥热烦躁不宁静。
嗄指声音嘶哑，声重指声音浑浊，这是外感风寒所致。
有余的证候其气实，所以声音雄壮宏大且猛烈；
不足的证候其气虚，所以声音怯弱而轻短。
多言语与身体发热都属阳，阳主腑，所以称为阳腑证。
懒言语与身体发凉都属阴，阴主脏，所以称为阴脏证。
胡言乱语、焦躁不安，是邪热炽盛。
神志昏迷、谵语，是热邪侵犯心脏，所以称为病热凶险。
鸭叫声是在喉中发出且嘶哑，是气将绝灭的表现。
直声是没有回转余地且急促，是气将消散的表现。这两者都属于不治之证。
医生如果能用这种方法来观察，
那么表里、脏腑、寒热、虚实等各种疾病的状况就无所遁形了。
The method of diagnosing pediatric diseases lies in listening to the five sounds; only by carefully hearing the sounds and analyzing their principles can one achieve clarity. The five sounds correspond to pathological conditions of the five Zang organs, and the disharmony of the five sounds reflects the state of the five Zang organs.
In Heart disease (Xin Bing), the voice is rapid with excessive talking and laughing; in Lung disease (Fei Bing), the voice is sorrowful and the tone is unclear; in Liver disease (Gan Bing), the voice involves calling out with much wild shouting; in Spleen disease (Pi Bing), the voice resembles singing with a trembling and light tone; in Kidney disease (Shen Bing), the voice is groaning, long, and thin. When these five tones are distinct and clear, the syndromes become evident.
Crying without tears indicates abdominal pain; weeping without crying suggests impending convulsions (Jing Feng). Restlessness due to decoction preparation leads to vexation and heat; hoarseness with a heavy voice indicates contraction of Wind-Cold (Feng Han). A robust and vigorous voice belongs to Excess syndromes (Yu You); a short and timid voice belongs to Deficiency syndromes (Bu Zu).
Excessive talking accompanied by body heat characterizes Yang Fu syndromes (Yang Fu Zheng); reluctance to speak accompanied by cold body characterizes Yin Zang syndromes (Yin Zang Zheng). Delirious speech with irritability indicates flourishing pathogenic Heat (Xie Re); coma with delirium indicates a critical heat syndrome (Bing Re Xiong).
A quacking sound stuck in the throat signifies the exhaustion of Qi (Qi Jiang Jue); a straight, urgent voice without resonance and tears signifies the dissipation of Qi (Qi Jiang San). Both are considered incurable syndromes.
By distinguishing between deficiency/excess and cold/heat through voice, one can perceive the condition upon hearing it, leaving no hidden aspects concealed.
[Note]
For pediatric diseases, besides observing the complexion, one must also carefully listen to the voice.
The five sounds—laughing, calling, singing, grieving, and groaning—correspond internally to the five Zang organs: Heart, Liver, Spleen, Lung, and Kidney.
Disharmony among the five sounds reveals the pathological state of the five Zang organs.
When the Heart, belonging to Fire, is diseased, the voice is rapid and prone to laughter.
When the Lung, belonging to Metal, is diseased, the voice is sorrowful and the tone turbid.
When the Liver, belonging to Wood, is diseased, the voice is wild with frequent calls.
When the Spleen, belonging to Earth, is diseased, the voice trembles lightly like singing.
When the Kidney, belonging to Water, is diseased, the voice is long and thin, resembling groaning.
Sound accompanied by tears and a long duration is called "crying" (Ku); sound without tears and a short duration is called "whimpering" (Ti).
If whimpering occurs without crying, it indicates stagnant and unsmooth Qi, primarily indicating abdominal pain.
If crying occurs without whimpering, it indicates urgent Qi and mental vexation, suggesting the formation of convulsions.
Restlessness associated with decoction preparation stems from internal Heat in the Heart meridian, causing dryness, irritability, and restlessness.
"Hoarse" (Sha) refers to a hoarse voice; "heavy" (Zhong) refers to a turbid voice; this indicates external contraction of Wind-Cold.
In Excess syndromes, Qi is solid, resulting in a robust, loud, and fierce voice.
In Deficiency syndromes, Qi is weak, resulting in a timid, weak, and short voice.
Excessive talking and body heat both belong to Yang; Yang governs the Fu organs, hence termed Yang Fu syndrome.
Reluctance to speak and cool body both belong to Yin; Yin governs the Zang organs, hence termed Yin Zang syndrome.
Delirious speech and irritability indicate flourishing pathogenic Heat.
Coma and delirium indicate Heat invading the Heart, thus termed critical heat syndrome.
A quacking sound in the throat that is hoarse indicates the imminent extinction of Qi.
A straight, urgent voice without resonance indicates the imminent dissipation of Qi. Both are incurable syndromes.
If physicians can observe using this method,
the states of exterior-interior, Zang-Fu, cold-heat, and deficiency-excess syndromes will be fully revealed without concealment.