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脉色纯红者，为初得病，为阳，为热，为病在外。
脉色红而紫者，为病传变，为内。外尚有热，或但热为阳。
脉色红或紫而青，为病荏苒，为病一寒一热，外为之变作。
脉色纯青者，为病久而过经，为冷，（为热在内，为阴，脉色青而黄，为病假极，为冷
，冷极则变热，治则费力，为虚寒，）则为五脏之邪相干，阴阳之证相反。
脉色青而黑，为病极，或为久病再作，形色黧黑。
脉色黑而黄，黄而露出者，十无一生，大凶。
赤红乃心气绝，盖火属心，主炎上，故知心绝则死。
主切牙、弄舌、虚舌出、满口生疮、木舌、鹅口、喉闭、舌上白胎、舌下重吊、咽喉肿
烂、痰涎上壅、鱼口，此为危急恶候。
红脉现变蒸候，主烦躁啼叫，头肚上温温壮热，一二日而退。
太阴上红脉现，伤寒之候，主壮热鼻塞。
文台上红脉现，伤寒三日余，主内热头疼。
太阳脉红至太阴，内外有热，又连文台，热极不解，至武台，渐生变证。
囟门红脉，胎受热受惊之候，主不时惊跳，时多啾唧，夜啼难睡。
额上红脉至眉心，惊风发热之候，引入印堂，惊痰搐搦有热，主小便涩少。
印堂红脉现，心经积热，眉心连印堂红脉，或红影心肝，上焦热蕴，痰涎上壅，贯上焦
，夜啼，将生惊候，近眉头左下有凸伏惊，时睡中惊跳。
囟门红脉肿凸，此风热痰生惊，正缘热气上冲攻急，心胃有热痰不止，渐成惊风之候。
以凉剂去痰解热即安。如囟门上红脉，引入印堂，比惊候搐动多日了。
左眉头红，变蒸热未退，肝肺有热之候，当以清肺疏风热、正胃气之剂。
风池红，有风热在上中焦，瞬息将有搐动之候，截风化痰。
气池红，伤风久，传变在脏，三焦有热之候，可频解利。
眉心印堂红，有热惊，痰饮不吐，则成惊搐。
印堂至山根红脉，是心与小肠热候，小便赤涩而少。
山根下鼻柱红，心胃热候，小便连大便皆赤涩。
印堂连至上准红，三焦有积热，可以清凉之剂治之。
准上红黄色，此平稳无恙。
颐门红脉，外肾因风温候，生热为吊。
脸堂红，内有烦躁而热。
右太阳并日角红脉，因吃乳母伤风壅奶汁，成乳癖，停滞生风热痰等证。
右太阴红脉，吃乳母热病痰奶，恐生痰，候引入。
武台红脉，渐成吐泻生惊之候。
风池红，母不忌椒姜面，或猪羊骨汁，毒乳生风。
气池红，母有热痰，乳儿虽至十岁，病亦须发见，此热痰乳入儿五脏，令儿眼目生昏，
传变他病。
颐门红，肾中气病，缘母能饮，或好异物，及食鸡鹅鸭子生鱼韭蒜，将来传变异疾。
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脉色红而紫，表示病邪传变，病位在里。体表仍有热，或仅表现为热，属阳证。
脉色红或紫兼青，表示病程迁延，症状忽冷忽热，由外部因素引发变化。
脉色纯青，表示病程长久且已越过常规经气周期，属寒证（若为热在体内，属阴证；脉色青而黄，表示病情极度危重，属寒证；寒极则转化为热，治疗费力，属虚寒证），此为五脏之邪相互干扰，阴阳证候相反。
脉色青而黑，表示病情极重，或是久病复发，面色黧黑。
脉色黑而黄，黄色显露者，十人无一存活，大凶之兆。
赤红色代表心气衰竭，因为火行对应心脏，主炎上特性，所以知道心气绝则死亡。
主要表现包括：咬紧牙关、弄舌、虚性伸舌、满口生疮、木舌（舌体僵硬肿大）、鹅口疮、喉闭（咽喉闭塞）、舌上白苔、舌下系带短缩吊起、咽喉肿痛溃烂、痰涎上壅、鱼口（指唇部疳疮或裂口），这些属于危急恶候。
红脉出现在“变蒸”候（婴幼儿生长发育过程中的生理现象），主要表现为烦躁啼叫，头腹部温和壮热，一二日后消退。
太阳脉红延伸至太阴，内外均有热，又连接文台，热势极盛不解，至武台部位，逐渐产生变证。
囟门部位出现红脉，是胎儿受热受惊的征候，表现为不时惊跳，时常发出细微呻吟声，夜间啼哭难以入睡。
额上红脉延伸至眉心，是惊风发热的征候，若引入印堂，则是惊痰搐搦伴有热象，表现为小便涩滞量少。
印堂出现红脉，是心经积热；眉心连印堂红脉，或红影涉及心肝，上焦热蕴，痰涎上壅，贯穿上焦，夜间啼哭，即将发生惊风征候，近眉头左下有凸伏状惊象，时常在睡中惊跳。
囟门红脉肿凸，这是风热痰生惊，正缘于热气上冲攻急，心胃有热痰不止，逐渐形成惊风征候。
使用凉剂去痰解热即可安宁。如囟门上红脉，引入印堂，比惊候搐动多日了。
左眉头红，是变蒸热未退，肝肺有热的征候，应当使用清肺疏风热、调理胃气的方剂。
风池部位红，是有风热在上中焦，瞬息之间将有搐动征候，需截风化痰。
气池部位红，是伤风日久，传变在脏，三焦有热的征候，可频繁使用通利之法。
准上红黄色，这是平稳无恙。
右太阳并日角红脉，因吃乳母伤风壅奶汁，成乳癖，停滞生风热痰等证。
武台红脉，渐成吐泻生惊之候。
风池红，母不忌椒姜面，或猪羊骨汁，毒乳生风。
气池红，母有热痰，乳儿虽至十岁，病亦须发见，此热痰乳入儿五脏，令儿眼目生昏，传变他病。
颐门红，肾中气病，缘母能饮，或好异物，及食鸡鹅鸭子生鱼韭蒜，将来传变异疾。
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A pulse color that is purely red indicates the initial stage of illness, representing Yang syndrome, Heat syndrome, with the pathogen located in the exterior.
A pulse color that is red and purple indicates disease transmission and an interior location. There may still be heat on the exterior, or only heat present, which is classified as Yang.
A pulse color that is red or purple mixed with green indicates a lingering illness, alternating chills and fever, with changes induced by external factors.
A pulse color that is purely green indicates a long-standing illness that has passed through the regular meridian cycles, representing Cold (if heat is internal, it represents Yin; if the pulse color is green and yellow, it indicates extreme severity of illness, representing Cold; extreme cold transforms into heat, making treatment difficult, representing Deficiency-Cold). This signifies interference among the pathogens of the five Zang organs and contradictory Yin-Yang syndromes.
A pulse color that is green and black indicates extreme severity of illness, or recurrence of a chronic illness, with a dark sallow complexion.
A pulse color that is black with yellow showing, where the yellow is exposed, indicates a fatal prognosis with no survivors out of ten, signifying great misfortune.
Crimson red signifies the exhaustion of Heart Qi. Since Fire corresponds to the Heart and governs upward flaming, knowing that Heart Qi exhaustion leads to death.
Main manifestations include: teeth grinding, tongue playing, protrusion of a flaccid tongue, sores all over the mouth, wooden tongue (stiff and swollen tongue), thrush, throat closure (obstruction of the throat), white coating on the tongue, short lingual frenulum pulling down, swelling and ulceration of the throat, accumulation of phlegm and saliva rising upward, fish-mouth (ulcers at the corners of the mouth). These are critical and ominous signs.
Red pulses appearing in the "Bian Zheng" pattern (physiological phenomena during infant growth and development) mainly manifest as irritability and crying, moderate high fever on the head and abdomen, subsiding after one or two days.
Red pulses appearing in the Taiyin area indicate signs of Shanghan (Cold Damage), manifesting as high fever and nasal congestion.
Red pulses appearing in the Wentai area, more than three days into Shanghan, manifest as internal heat and headache.
Redness in the Taiyang pulse extending to Taiyin indicates heat inside and outside. If connected to Wentai, extreme heat fails to resolve. Upon reaching Wutai, variable syndromes gradually develop.
Red pulses in the fontanelle indicate signs of fetal exposure to heat and fright, manifesting as frequent startles, frequent whimpering, night crying, and difficulty sleeping.
Red pulses on the forehead extending to the glabella indicate signs of wind-stroke and fever. If introduced to Yintang, it indicates convulsions due to wind-phlegm with heat, manifesting as scanty and difficult urination.
Appearance of red pulses at Yintang indicates accumulated heat in the Heart Meridian. Red pulses connecting the glabella to Yintang, or red shadows involving the Heart and Liver, indicate heat accumulation in the Upper Jiao, rising phlegm and saliva, traversing the Upper Jiao, night crying, impending wind-stroke signs. Near the lower left of the eyebrow, there is a convex/concave wind sign, with frequent startles during sleep.
Swelling and protrusion of red pulses in the fontanelle indicate wind-heat and phlegm generating wind-stroke. This is precisely due to urgent upward rushing of heat qi, with unceasing heat-phlegm in the Heart and Stomach, gradually forming wind-stroke signs.
Using cooling formulas to eliminate phlegm and clear heat will bring peace. For example, if red pulses in the fontanelle extend to Yintang, it lasts longer than typical wind-stroke convulsions.
Redness at the left eyebrow indicates that Bian Zheng heat has not yet subsided, indicating heat in the Liver and Lungs. Formulas that clear the Lungs, disperse wind-heat, and regulate Stomach Qi should be used.
Redness at Fengchi indicates wind-heat in the Upper and Middle Jiao, with imminent convulsions. Wind should be intercepted and phlegm resolved.
Redness at Qichi indicates prolonged wind-cold transmission to the Zang organs, with heat in the Sanjiao. Frequent purgative/diuretic methods can be used.
Redness at the glabella and Yintang indicates heat-fright. If phlegm-fluids are not expectorated, it becomes wind-stroke convulsions.
Red pulses from Yintang to Shangen indicate heat in the Heart and Small Intestine, with red, scanty, and difficult urination.
Redness below Shangen on the nasal bridge indicates heat in the Heart and Stomach, with both urine and stool being red, scanty, and difficult.
Redness from Yintang extending to Shangzhun indicates accumulated heat in the Sanjiao, treatable with cooling agents.
Red-yellow color on Shangzhun indicates stability and health.
Red pulses at Yimen indicate external kidney issues due to wind-warmth, generating heat leading to torsion.
Redness in the face center indicates internal irritability and heat.
Red pulses in the right Taiyang and Ri Jiao areas indicate milk stasis caused by the mother's wind-cold obstructing milk flow, forming breast lumps, stagnating to generate wind-heat-phlegm syndromes.
Red pulses in the right Taiyin area indicate ingestion of milk containing phlegm from the mother's febrile disease, fearing phlegm generation and introduction.
Red pulses in Wutai gradually form signs of vomiting, diarrhea, and wind-stroke.
Redness at Fengchi indicates the mother did not avoid pepper, ginger, noodles, or pork/mutton bone broth, leading to toxic milk generating wind.
Redness at Qichi indicates the mother has heat-phlegm. Even if the nursing child reaches ten years old, the disease must manifest. This heat-phlegm milk enters the child's five Zang organs, causing blurry vision, and transmitting to other diseases.
Redness at Yimen indicates Qi disease in the Kidney. Due to the mother's drinking habits, preference for strange foods, or consumption of chicken, goose, duck, raw fish, leeks, garlic, future transmission of strange diseases may occur.