望闻审察婴儿病，诸症原由当细评。先观面部推五色，某色某脏各呈形。心赤肝青肺主白，脾黄肾黑自分明。岁气
合来参四季，寒热温凉药更改。次观虎口何色现，红轻青重黑非轻。风关初见为易治，气关纹见病 ；若在命关危
恶候，透指膏肓药不灵。眼赤羞明肝家热，惊搐啼叫属心经，呕吐泻痢脾土厄，水肿痞积亦脾经。面青眉皱心腹痛，脸
上斑癣 鳖真。
积聚日久成雀目，口臭牙宣胃火蒸。伤风咳嗽病在肺，痰喘气急肺寒凝。龟背却因寒客背，
龟胸肺热症相应。疝气偏坠寒在肾，走马牙疳亦肾经。疳有五疳分五脏，惊风八症热痰生。浑身疮疖乳
热毒，颈项痰核火结成。小便不利膀胱热，大肠蓄热便不行。借问惊痫从何起？风痰火热一齐兴。传变慢惊脾困极，亦
有风寒变此形。反张目闭肢螈 ，速灸关元尚可生。此是幼科入门诀，请君牢记在心经。
幼童死症辩何形 二十五种甚分明 抱着遍身不温暖（血绝） 四肢重 哭鸦声（骨绝） 鼻干黑燥目直视（脾绝）
啼哭无泪泻涎青（肝绝） 眉摘眼爪甲黑（肝绝） 泥垣肿起或为坑（肾绝） 将口咬人鱼口急 脚直肚大有青筋（气
绝） 上觑似视于高物（胆绝） 长嘘出气黑侵唇（肺绝） 吃乳不收舌退场门（胃绝） 唇不盖齿眼眶青（脾绝） 泻
痢便变黑黯血（心绝） 偏搐自笑没心情（心绝） 不论贵贱及男女 救疗十人无一生。
观察、询问和审察婴儿的疾病，各种症状的起因应当仔细评估。首先观察面部以推断五色（青、赤、黄、白、黑），不同颜色对应不同脏腑的表现形态。心色赤，肝色青，肺主白色，脾色黄，肾色黑，各自分明。结合当年的岁气与四季变化，根据寒热温凉调整药物。其次观察虎口（食指桡侧）脉络的颜色显现：红色为轻症，青色为重症，黑色则病情非轻。风关（靠近指甲的第一节）初见纹路表示容易治疗；若纹路延伸至气关（第二节），表示病势加重；若到达命关（第三节），则为危重恶候，甚至透关射甲直达指端，此时膏肓之疾药石难灵。眼睛发红畏光属于肝家有热，惊厥抽搐啼叫属于心经病变，呕吐腹泻痢疾属于脾土受困，水肿痞块积聚也属脾经病变。面色发青眉头紧皱是心腹痛，脸上出现斑癣如同鳖纹（形容皮肤粗糙如鳖背）。积聚日久形成雀目（夜盲症），口臭牙龈出血是胃火蒸腾所致。伤风咳嗽病位在肺，痰喘气急是肺寒凝滞。龟背是因为寒气客于背部，龟胸则是肺热的相应症状。疝气偏坠是肾寒，走马牙疳（一种严重的口腔溃烂病）也属肾经病变。疳证分为五疳对应五脏，惊风八症由热痰生成。浑身疮疖乳痈是热毒蕴结，颈项痰核是火邪凝结而成。小便不利是膀胱有热，大肠蓄热导致大便不通。请问惊痫从何而起？风、痰、火、热一齐兴起。传变缓慢的慢惊风是因脾困至极，也有因风寒转化为此种形态。角弓反张、目闭、肢体抽搐者，速灸关元穴尚可求生。这是儿科入门的诀要，请君牢记在心。
如何辨别幼童的死症形态？共有二十五种，非常分明。怀抱中遍身不温暖（血绝），四肢沉重，哭声像乌鸦般嘶哑（骨绝），鼻干黑燥且双目直视（脾绝），啼哭无泪且泻出青色涎沫（肝绝），眉毛脱落、眼珠上翻、爪甲发黑（肝绝），前额肿胀或凹陷成坑（肾绝），张口咬人、鱼际部位紧急、脚直肚子大且有青筋暴露（气绝），向上看如同注视高处物体（胆绝），长吁短叹气息黑侵嘴唇（肺绝），吃奶时不收舌、舌头退至后部（胃绝），嘴唇不能覆盖牙齿、眼眶发青（脾绝），泻痢便变为黑黯血色（心绝），半身抽搐、自笑、神情淡漠无心绪（心绝）。不论贵贱及男女，救治十人无一生还。
Observe, inquire, and examine the infant's illness; the origins of various symptoms should be carefully evaluated. First, observe the face to deduce the Five Colors (Green, Red, Yellow, White, Black); different colors manifest in distinct forms corresponding to specific Zang organs. The Heart manifests as Red, the Liver as Green, the Lung governs White, the Spleen as Yellow, and the Kidney as Black, each clearly distinguished. Integrate the annual Qi with the four seasons, and adjust medicines according to Cold, Heat, Warmth, and Coolness. Next, observe the color manifestation at the Tiger's Mouth (the radial side of the index finger): Red indicates a mild condition, Green indicates a severe one, and Black indicates a serious condition. If the vein pattern appears only at the Wind Gate (the first segment near the nail), it is easy to treat; if visible at the Qi Gate (the second segment), the disease is worsening; if it reaches the Life Gate (the third segment), it is a critical and ominous sign, potentially penetrating through to the Huangzhong acupoint where remedies become ineffective. Red eyes and photophobia indicate Heat in the Liver family; convulsions, crying, and calling belong to the Heart Meridian; vomiting, diarrhea, and dysentery represent distress in the Earth of the Spleen; edema, distension, and accumulation also belong to the Spleen Meridian. A blueish complexion with furrowed brows indicates Heart and abdominal pain; spots and tinea on the face resemble the texture of a turtle shell. Accumulations lasting long periods lead to Yu Ming (Night Blindness); bad breath and bleeding gums are steamed by Stomach Fire. Wind-cold coughing indicates the disease is in the Lung; phlegm-wheezing and rapid breathing indicate Cold stagnation in the Lung. Tortoise back results from Cold invading the back; tortoise chest corresponds to Lung Heat. Hernia and scrotal swelling indicate Cold in the Kidney; Zhu Ma Ya Gang (a severe form of gingivitis/stomatitis) also belongs to the Kidney Meridian. Gan syndrome is divided into five types corresponding to the five Zang organs; the eight signs of Jing Feng (Convulsive Disease) arise from Heat and Phlegm. Whole-body sores, boils, and mastitis are caused by the accumulation of Heat toxins; phlegm nodules on the neck are formed by Fire condensation. Difficult urination indicates Heat in the Bladder; heat accumulation in the Large Intestine leads to constipation. May I ask, where do Jing Xian (Epilepsy) originate? Wind, Phlegm, Fire, and Heat rise together. Slowly progressing slow Jing Feng is due to extreme Spleen exhaustion; some cases transform from Wind-Cold into this form. For opisthotonos, closed eyes, and limb twitching, moxibustion at Guan Yuan (CV4) can still save life. This is the introductory mantra for pediatrics; please keep it firmly in mind.
How to distinguish the forms of fatal diseases in young children? There are twenty-five types, very clearly defined. The body feels cold when held (Blood Exhaustion); limbs are heavy, and the cry sounds like a crow (Bone Exhaustion); nose is dry, black, and rough, with eyes staring straight ahead (Spleen Exhaustion); crying without tears and passing green saliva (Liver Exhaustion); eyebrows fall out, eyes roll up, and nails turn black (Liver Exhaustion); the forehead swells or sinks into a pit (Kidney Exhaustion); biting people, urgency in the fish-mouth area (thenar eminence), straight legs, large belly with exposed green veins (Qi Exhaustion); looking upward as if gazing at high objects (Gallbladder Exhaustion); long sighs with black breath invading the lips (Lung Exhaustion); refusing milk, tongue retracting to the throat (Stomach Exhaustion); lips cannot cover teeth, eye sockets are blue (Spleen Exhaustion); diarrhea and dysentery turning into dark black blood (Heart Exhaustion); unilateral convulsions, laughing spontaneously, lacking mood (Heart Exhaustion). Regardless of nobility or commonality, male or female, among ten treated, none survive.