耳后完骨上。有青脉如线三两路。卧不静者。此痫疾候。当刺。掐破令血出。以为小治。若目肿破者。死候也。
手大指后。白肉鱼际之上，有筋络色青黑者。胃中有寒。赤黄者有热。赤青黑杂者寒热。若青而小短者少气。
叉手处。手大指第二指之间虎口上。有筋脉如线。看其颜色曲直。以决其病。若纹直者是惊。曲者是伤。沉隐为风。
曲外有冷。曲内为食。
〔歌曰〕虎口青纹直。情知四足惊。黑色元因水。赤乃火飞禽。淡红人惊发。湾紫有伤寻。外冷内为食。沉隐定风
生。长大疾须重。短小得安平。但看叉手处。病候验虚真。
第一指上仄三节。名曰三关。小儿从男左女右看之。有八般筋脉纹状。以验其病。名曰八片锦。最下一节。名为气
关。有纹过者。病才觉重。诸病既生。则气不调顺。故名气关也。第二节。名为风关。有纹过者。须发惊风。渐加困重。
故名风关也。第三节。名为命关。有纹过者。则病极而命危殆。故名命关也。
\r图\p03-b42a1.bmp\r
鱼刺形。主初惊。在气关。主壮热吐泻。在风关。主初惊才发。在命关。惊极难治。
〔歌曰〕形如鱼刺是初惊。遍体如汤面色青。吐泻躁烦如似此。通肠和气便惺惺。
垂针形。主泻痢。在气关。主伤冷吐泻。在风关。泻传惊风。在命关。惊传慢惊风极候。
〔歌曰〕形如悬针泻痢多。发惊身热定违和。此病若变惊风慢。命关已度是沉 。
水字形。主肺惊。在气关。涎痰咳嗽虚积。在风关。发惊喘哽涎。在命关。困不治。
〔歌曰〕形如水字肺家惊。虚积相传面色青。鬲上有涎须与治。命关若过更无宁。
乙字形。又曰中曲。主食惊。在气关。主食伤吐痢。在风关。传变风。乙形属肝。肝刑于脾。在命关。传慢
脾风。不治。
〔歌曰〕形如乙曲病因肝。眼慢惊啼螈 偏。冷积为伤传变此。慢脾风已度三关。
去蛇形。主内实外虚。来蛇形。主外实内虚。蛇中卷形。内外俱虚。此数样皆曲虫。又曰曲蛇。在气关。主
疳积。在风关。主劳带惊。在命关。不治。
〔歌曰〕形如蛇曲病因深。脾积疳劳又带惊。未过二关宜早治。若过三关更莫论。
长者弓形。短者环形。主疳积。在气关。吐逆疳热。吃泥土。在风关。疳极羸瘦。在命关。不治。
〔歌曰〕形如环弓疳气黄。好食泥土是寻常。此病早求良医治。三关已到命飞扬。
乱纹形。主虫痛。在气关。主气不和。有虫积。食诸生物。在风关。主虫咬心腹痛。在命关。病困极难治。
〔歌曰〕纹乱纵横虫上寻。晓夜啼号不可禁。神佛求遍都无应。安虫取积得康宁。
珠形死候。此候不拘三关上下。见者皆为死候。
〔歌曰〕流珠死候不须医。便是沉 莫疗之。三关若见都休望。安排后事更无疑。
〔诸纹总歌〕鱼刺初惊候。悬针泻痢多。水纹惊肺积。乙样是肝讹。曲虫惊疳病。环弓一论过。乱纹虫咬
甚。流珠病已 。
耳后完骨上方，有青色脉络如线条般呈现两三条，患儿睡眠不安稳的，这是痫疾的征候。应当进行针刺，掐破皮肤令血液流出，作为轻微的治疗手段。如果眼部肿胀且溃破的，是死证。
手大拇指后方，白肉鱼际之上，若有筋络颜色呈青黑色的，说明胃中有寒邪；颜色呈赤黄色的，说明有热邪；颜色赤、青、黑混杂的，说明寒热错杂。若青色且形态短小的，说明元气不足（少气）。
叉手处，即手大拇指与食指之间虎口上方，若有筋脉如线条状显现，观察其颜色和曲直形状，以此判断病情。若纹路笔直的是惊风，弯曲的是伤食，纹路沉隐不显的是风邪。
纹路向外弯曲表示受冷，向内弯曲表示食积。
〔歌诀〕虎口青纹笔直，明知是四肢受惊。黑色是因为水邪，红色则是火邪飞禽所致。淡红色是人惊发作，弯紫是有损伤寻找。外弯为冷内弯为食，沉隐定是风邪生。长大者病势须沉重，短小者得平安安宁。只看叉手部位，病候验证虚实真假。
第一指上侧三节，名叫三关。小儿从男左女右的方向观察。有八种筋脉纹状，用来验证病情，名叫八片锦。最下面一节，名叫气关。若有纹路越过此关，病情才刚刚显得严重。各种疾病既然产生，则气机不调顺，所以叫气关。第二节，名叫风关。若有纹路越过此关，必须发生惊风，逐渐加重困重，所以叫风关。第三节，名叫命关。若有纹路越过此关，则病情极重而生命危殆，所以叫命关。
鱼刺形，主初起惊风。在气关，主壮热吐泻。在风关，主初起惊风刚发作。在命关，惊风极重难治。
〔歌诀〕形如鱼刺是初起惊风，遍体如汤面色青。吐泻躁烦像这样，通肠和气便清醒。
垂针形，主泻痢。在气关，主伤冷吐泻。在风关，泻痢传变为惊风。在命关，惊风传变为慢惊风的极重证候。
〔歌诀〕形如悬针泻痢多，发惊身热定违和。此病若变慢惊风，命关已度是沉疴。
水字形，主肺惊。在气关，主涎痰咳嗽虚积。在风关，发惊喘哽涎。在命关，困顿不治。
〔歌诀〕形如水字肺家惊，虚积相传面色青。膈上有涎须与治，命关若过更无宁。
乙字形，又叫中曲，主食惊。在气关，主食伤吐痢。在风关，传变为风邪。乙形属肝，肝木克脾土。在命关，传变为慢脾风，不治。
〔歌诀〕形如乙曲病因肝，眼慢惊啼螈偏。冷积为伤传变此，慢脾风已度三关。
去蛇形，主内实外虚。来蛇形，主外实内虚。蛇中卷形，内外俱虚。这几样都叫曲虫，又叫曲蛇。在气关，主疳积。在风关，主劳带惊。在命关，不治。
〔歌诀〕形如蛇曲病因深，脾积疳劳又带惊。未过二关宜早治，若过三关更莫论。
长者弓形，短者环形，主疳积。在气关，主吐逆疳热，吃泥土。在风关，疳极羸瘦。在命关，不治。
〔歌诀〕形如环弓疳气黄，好食泥土是寻常。此病早求良医治，三关已到命飞扬。
乱纹形，主虫痛。在气关，主气不和，有虫积，食诸生物。在风关，主虫咬心腹痛。在命关，病困极难治。
〔歌诀〕纹乱纵横虫上寻，晓夜啼号不可禁。神佛求遍都无应，安虫取积得康宁。
珠形死候，此候不拘三关上下，见者皆为死证。
〔歌诀〕流珠死候不须医，便是沉疴莫疗之。三关若见都休望，安排后事更无疑。
〔诸纹总歌〕鱼刺初惊候，悬针泻痢多。水纹惊肺积，乙样是肝讹。曲虫惊疳病，环弓一论过。乱纹虫咬甚，流珠病已 [绝]。
Behind the ear, above the mastoid process (Wangu), if there are blue veins appearing like lines, two or three in number, and the infant sleeps restlessly, this is a sign of epilepsy. Acupuncture should be performed, pinching the skin until blood flows out, as a minor treatment. If the eyes are swollen and ulcerated, it is a fatal sign.
Behind the thumb, on the thenar eminency (Yuji), if the tendons and vessels appear cyanotic or blackish, it indicates cold in the stomach; if red and yellow, it indicates heat; if mixed with red, cyanotic, and black, it indicates mixed cold and heat. If the color is cyanotic and the shape is short and small, it indicates deficiency of Qi (Shaoqi).
At the "crossed hands" area, specifically at the Hegu point (Hukou) between the first and second fingers of the hand, if tendons and vessels appear like lines, observe their color and curvature to determine the disease. If the line is straight, it indicates fright (Jing); if curved, it indicates food injury (Shang); if deep and hidden, it indicates wind (Feng).
Curving outward indicates cold; curving inward indicates food retention (Shi).
[Verse]
Blue lines straight at the tiger's mouth indicate fright in the four limbs.
Blackness originates from water pathogen; redness comes from fire and birds.
Pale red indicates human fright onset; purple curves suggest trauma.
Outward curve is cold, inward curve is food.
Deep and hidden confirms wind generation.
Longer lines mean severe illness; shorter ones imply peace and safety.
Just look at the crossed-hand area to verify the truth of the condition.
The three segments on the dorsal side of the first finger are named the Three Passes (San Guan). Observe boys on the left hand and girls on the right. There are eight types of vascular patterns used to diagnose diseases, known as the Eight Brocade Patterns (Ba Pian Jin). The lowest segment is called the Qi Pass (Qi Guan). If the pattern extends beyond this pass, the disease has just become serious. Since various diseases arise when Qi circulation is unsmooth, it is named the Qi Pass. The second segment is called the Wind Pass (Feng Guan). If the pattern extends beyond this pass, convulsions and wind-stroke will occur, gradually becoming heavier, hence named the Wind Pass. The third segment is called the Life Pass (Ming Guan). If the pattern extends beyond this pass, the disease is extreme and life is in danger, hence named the Life Pass.
Fish-spine shape: Mainly indicates initial fright. At the Qi Pass, it indicates high fever with vomiting and diarrhea. At the Wind Pass, it indicates initial onset of fright. At the Life Pass, severe fright is difficult to treat.
[Verse]
Shape like fish spine indicates initial fright.
Whole body feels hot, face turns cyanotic.
With vomiting, diarrhea, restlessness, and irritability,
Regulating the intestines and harmonizing Qi brings clarity.
Drooping needle shape: Mainly indicates dysentery and diarrhea. At the Qi Pass, it indicates cold-induced vomiting and diarrhea. At the Wind Pass, diarrhea transmits into convulsive disorders. At the Life Pass, convulsions transmit into chronic convulsive disorders (Man Jing Feng), an extreme condition.
[Verse]
Shape like a hanging needle indicates much dysentery and diarrhea.
Onset of fright with body heat definitely causes disharmony.
If this disease transforms into chronic convulsions,
Having passed the Life Pass, it is a deep-seated ailment.
Water character shape: Mainly indicates lung fright. At the Qi Pass, it indicates phlegm-rheum cough and deficiency accumulation. At the Wind Pass, it manifests as fright, wheezing, choking, and salivation. At the Life Pass, it leads to exhaustion and untreatable conditions.
[Verse]
Shape like the character 'water' indicates lung fright.
Deficiency accumulation transmits, face turns cyanotic.
Phlegm-rheum above the diaphragm must be treated.
If it passes the Life Pass, there will be no peace.
Yi-character shape (also called middle curve): Mainly indicates food fright. At the Qi Pass, it indicates food injury with vomiting and dysentery. At the Wind Pass, it transmits into wind disorders. The Yi shape belongs to the Liver; liver wood overacts on spleen earth. At the Life Pass, it transmits into chronic spleen wind (Man Pi Feng), which is untreatable.
[Verse]
Shape like the curved Yi character, the cause lies in the Liver.
Slow eyes, fright crying, and spasms on one side.
Cold accumulation causes injury and transmission.
Chronic spleen wind has passed the Three Passes.
Departing snake shape: Mainly indicates internal excess and external deficiency. Approaching snake shape: Mainly indicates external excess and internal deficiency. Coiled snake shape: Both internal and external are deficient. These several shapes are all called Curved Worms (Qu Chong) or Curved Snakes. At the Qi Pass, it indicates malnutrition syndrome (Gan Ji). At the Wind Pass, it indicates consumption with fright. At the Life Pass, it is untreatable.
[Verse]
Shape like a curved snake, the cause is deep.
Spleen accumulation, malnutrition, consumption, and fright.
Before passing the Two Passes, early treatment is suitable.
If it passes the Three Passes, do not discuss further.
Long bow shape, short ring shape: Mainly indicate malnutrition syndrome (Gan Ji). At the Qi Pass, it indicates vomiting, reverse flow, malnutrition heat, and pica (eating dirt). At the Wind Pass, it indicates extreme malnutrition and emaciation. At the Life Pass, it is untreatable.
[Verse]
Shape like rings and bows, malnutrition Qi is yellow.
Liking to eat dirt is common.
Seek good medical treatment early for this disease.
Once the Three Passes are reached, life flies away.
Chaotic line shape: Mainly indicates worm pain. At the Qi Pass, it indicates Qi disharmony and worm accumulation, eating raw things. At the Wind Pass, it indicates worm-biting heart and abdominal pain. At the Life Pass, the disease is exhausted and extremely difficult to treat.
[Verse]
Chaotic lines crisscross, seek worms.
Crying day and night cannot be suppressed.
Praying to gods and Buddhas yields no response.
Calming worms and removing accumulation brings health.
Pearl shape fatal sign: This sign does not depend on whether it is above or below the Three Passes; seeing it indicates a fatal prognosis.
[Verse]
Flowing pearl fatal sign needs no doctor.
It is a deep-seated ailment, untreatable.
If seen at the Three Passes, give up hope.
Arrange funeral affairs without doubt.
[General Verse on All Patterns]
Fish-spine indicates initial fright.
Hanging needle indicates much dysentery and diarrhea.
Water-pattern indicates lung fright and accumulation.
Yi-shape indicates liver error.
Curved-worm indicates fright and malnutrition disease.
Ring-bow discusses passing through.
Chaotic lines indicate severe worm biting.
Flowing pearls indicate the disease is [extinct/dead].