小儿中风热。喘鸣肩息。脉缓则生。急则死。
小儿痢疾。脉浮大而腹痛者必死。
乳子病热。脉悬小。手足温则生。寒则死。
小儿困。汗出如珠。着身不流者死。
小儿有病胸陷。口唇干。目直视。口中气冷。头低卧不举身。手足垂软。身体强直。掌中冷。皆不
可治。脉乱者同。
眼上赤脉。下贯瞳人。囟门肿起。兼及作坑。鼻干黑燥。肚大青筋。目多直视。睹不转睛。指甲黑
色。忽作鸦声。虚舌退场门。啮齿咬人。鱼口气急。啼不作声。蛔虫既出。均是死形。
凡婴孩生下一月至三岁。当看虎口内脉两边。（脉有黄青红紫黑五色。除黄色为平和。黑色为危急外。青红紫色可以
察病。）
青色受胎气不全。主惊积多搐掣。
指脉深青卧不宁。微青脉痛粪多青。青兼黑色盘肠吊。发搐牵抽不暂停。
红色惊入脾窍。
孩儿指脉深红色。发热惊时自强直。微红下痢腹中疼。吐泻脾虚多不食。
紫色胎惊热。
指中纹生紫色深。惊时哭泣又呻吟。微中紫色肠中痛。吐泻纹弯中恶心。
（声者脏之音也）
肝应角。其声悲而和雅。心应征。其声雄而清明。脾应宫。其声慢而缓大。肺应商。其声促而清
冷。肾应羽。其声沉而细长。
声悲是肝病。（一云声呼）声雄是心病。（一云声笑）声慢是脾病。（一云声歌）声促是肺
病。（一云声哭）声沉是肾病。（一云声呻）以上脏病也。
声清是胆病。声短是小肠病。声速是胃病。声长是大肠病。声微是膀胱病。以上腑病也。
声悲慢是肝脾相克病。
声速微细是胃膀胱相克病。
声细长是实。声轻是虚。声沉粗是风。
声短细是气。声粗是热。声短迟是泻。
声长是病痢。声实是秘涩。
小儿感受风热邪气。出现气喘、喉间痰鸣、耸肩呼吸的症状。如果脉象缓和大，说明正气尚存，预后良好；如果脉象急疾躁动，则预后不良，可能导致死亡。
小儿患痢疾。如果脉象浮大且伴有腹痛，这是正气衰败、邪气盛实的表现，必然导致死亡。
婴幼儿患发热病。如果脉象悬细而小（脉搏细弱如线），但手足温暖，说明阳气未绝，预后良好；如果手足寒冷，说明阳气衰竭，预后不良，可能导致死亡。
小儿病情危重困顿。如果出汗如珍珠状，汗珠附着在身上不流动，这是津液枯竭、阳气外脱的征象，会导致死亡。
小儿患病出现胸部凹陷、口唇干燥、两眼直视、口中呼出冷气、头低垂不能抬起身体、手足松弛无力下垂、身体强直僵硬、手掌冰冷等症状，都属于不可治疗的死证。如果脉象紊乱无章，也属于此类死证。
眼睛上方有赤色血脉向下贯穿瞳孔，囟门肿胀突起甚至凹陷成坑，鼻干黑燥，腹部胀大且青筋暴露，两眼多直视、眼球转动不灵活，指甲呈黑色，突然发出类似乌鸦的叫声，舌头虚胖退至口腔后部露出齿龈，咬齿或咬人，鱼口样喘息急促，啼哭却发不出声音，蛔虫排出体外等，这些都是死亡的征兆。
凡是婴儿出生一个月到三岁之间，应当观察虎口内侧脉络两边的颜色。（脉络有黄、青、红、紫、黑五种颜色，其中黄色为平和正常的表现，黑色为危急重症的表现，青色、红色、紫色可以用来诊断疾病。）
指脉深青色，表示孩子卧睡不安宁；微青色，表示疼痛且大便多呈青色；青色兼黑色，表示盘肠吊痛（剧烈腹痛）；发作抽搐牵引抽动不停止。
脉络呈现红色，表示惊邪侵入脾窍。
孩儿指脉深红色，表示发热惊厥时身体强直；微红色，表示下痢且腹中疼痛；吐泻因脾虚导致食欲不振。
脉络呈现紫色，表示胎惊热。
指中纹路生紫色深重，表示惊风发作时哭泣又呻吟；纹路微现紫色，表示肠中疼痛；吐泻时纹路弯曲，表示中焦恶心。
（声音是脏腑功能活动的外在表现）
肝对应角音，其声音悲凉而和谐雅致。心对应徵音，其声音雄壮而清明响亮。脾对应宫音，其声音缓慢而宽宏洪大。肺对应商音，其声音急促而清冷。肾对应羽音，其声音深沉而细长。
声音悲凉是肝病。（另一种说法认为声音呼叫属肝）声音雄壮是心病。（另一种说法认为声音笑属心）声音缓慢是脾病。（另一种说法认为声音歌唱属脾）声音急促是肺病。（另一种说法认为声音哭泣属肺）声音深沉是肾病。（另一种说法认为声音呻吟属肾）以上均为脏病的声音特征。
声音清脆是胆病。声音短促是小肠病。声音快速是胃病。声音悠长是大肠病。声音微弱是膀胱病。以上均为腑病的声音特征。
声音细长表示实证。声音轻浅表示虚证。声音深沉粗重表示风邪致病。
Pediatric Wind-Heat Syndrome. Manifesting as wheezing, stridor (abnormal high-pitched breathing sound), and shoulder breathing (accessory muscle use in respiration). If the pulse is slow and relaxed (Huan Mai), survival is indicated; if the pulse is rapid and urgent (Ji Mai), death is indicated.
Pediatric Dysentery. If the pulse is floating and large (Fu Da) accompanied by abdominal pain, death is inevitable.
Infantile Febrile Disease. If the pulse is suspended and small (Xuan Xiao), but the hands and feet are warm, survival is indicated; if the hands and feet are cold, death is indicated.
Critical Pediatric Condition. Sweating profusely like pearls, where sweat beads adhere to the body without flowing, indicates death.
Pediatric Disease with Chest Depression. Symptoms include dry lips, fixed gaze (eyes staring straight ahead), cold breath from the mouth, head drooping unable to lift the body, flaccid and hanging limbs, rigid body, and cold palms. These are all untreatable conditions indicating death. A chaotic pulse (Luan Mai) signifies the same prognosis.
Red vessels on the upper eyelids extending down through the pupil. Fontanelle swelling protruding or sinking into a pit. Dry, black, and scaly nose. Distended abdomen with visible blue veins. Frequent fixed gaze with immobile eyeballs. Black nails. Sudden crow-like sounds. Flaccid tongue receding to expose gums. Teeth grinding or biting. Fish-mouth gasping (open-mouthed rapid breathing). Crying without sound. Expulsion of roundworms. All these are signs of impending death.
For infants aged one month to three years, observe the color of the pulses on both sides inside the Tiger's Mouth (the area between the thumb and index finger). (The pulses may appear yellow, green/blue, red, purple, or black. Yellow indicates normalcy/peace; black indicates critical danger; green/blue, red, and purple are used for disease diagnosis.)
Green/Blue color indicates incomplete prenatal Qi, primarily associated with fright accumulation and frequent convulsions/tremors.
Deep green/blue pulse indicates restlessness in sleep. Slight green/blue pulse indicates pain and green stools. Green/blue combined with black indicates intestinal colic (Pan Chang Diao). Convulsions and twitching that do not cease.
Red color indicates fright invading the Spleen orifice.
Deep red finger pulse indicates fever and fright with body rigidity. Slight red finger pulse indicates dysentery and abdominal pain. Vomiting and diarrhea due to Spleen deficiency leading to anorexia.
Purple color indicates Prenatal Fright Heat.
Deep purple lines on the fingers indicate crying and groaning during fright attacks. Slight purple lines indicate intestinal pain. Vomiting and diarrhea with curved lines indicate middle-jiao nausea.
(Voice is the sound of the Zang organs.)
Liver corresponds to Jue note; its voice is mournful yet harmonious. Heart corresponds to Zhi note; its voice is majestic and clear. Spleen corresponds to Gong note; its voice is slow, broad, and loud. Lung corresponds to Shang note; its voice is hurried and cold/clear. Kidney corresponds to Yu note; its voice is deep and long/thin.
Mournful voice indicates Liver disease. (Alternatively, shouting/calling is attributed to Liver.) Majestic voice indicates Heart disease. (Alternatively, laughing is attributed to Heart.) Slow voice indicates Spleen disease. (Alternatively, singing is attributed to Spleen.) Hurried voice indicates Lung disease. (Alternatively, crying is attributed to Lung.) Deep voice indicates Kidney disease. (Alternatively, moaning is attributed to Kidney.) These are the vocal characteristics of Zang organ diseases.
Clear voice indicates Gallbladder disease. Short voice indicates Small Intestine disease. Fast voice indicates Stomach disease. Long voice indicates Large Intestine disease. Weak voice indicates Bladder disease. These are the vocal characteristics of Fu organ diseases.
Mournful and slow voice indicates Liver overacting on Spleen (Wood overacting on Earth).
Fast and weak/thin voice indicates Stomach overacting on Bladder (Earth overacting on Water).
Long and thin voice indicates Excess syndrome. Light voice indicates Deficiency syndrome. Deep and coarse voice indicates Wind pathogen.
Short and thin voice indicates Qi stagnation. Coarse voice indicates Heat syndrome. Short and slow voice indicates Diarrhea.
Long voice indicates Dysentery. Full/Excessive voice indicates Constipation and obstruction.