流珠只一点红色。环珠其形差大。长珠其形圆长。以上非谓圈子。总皆红脉贯气之如此。来蛇即是长珠散长。
一头大一头尖。去蛇亦如此。乃分其上下朝。故曰去来。角弓反张。向里为顺。向外为逆。枪形直上。鱼骨分开。水
字即三脉并行。针形即过关一二粒米许。射甲命脉射外。透指命脉曲内。四十九位。悉有轻重。自微至着。轻重
参详。色有五者。黄红紫青黑也。其病盛色能加变。黄盛即越黄红之色。红盛作紫。又成红紫之色。紫盛作青。又
有青紫之色。青盛作黑。又有青黑之色。至于纯黑之色。不可得而治之也。
入门须辨婴儿性。男左女右分明认。五指若还冷似冰。此是惊风来得盛。五指心口热似火。夹食伤寒风邪症。
食中名指热风寒。食中名冷吐泻定。中指热兮是伤寒。中指冷兮麻痘认。食指热兮上身烧。食指冷兮上膈闷。
中名热兮夹惊风。中名冷兮伤食症。
囟门八字病非常。惊透三关命不长。初关乍入惊微病。次节相侵亦可防。筋赤热兮因食隔。筋青端被水风伤。
筋黑却因风水冷。紫筋兼被有阴阳。寒热相均兼赤白。红筋定是热宜凉。重病不宜筋见白。筋白寒深可救忙。
筋连大指阴寒症。筋若生花定不祥。筋带悬针主吐泻。筋纹关外命非常。四肢瘫冷腹膨胀。吐泻多因乳食伤。
鱼口鸦声因气急。犬吠人喝受惊狂。膀胱涝病真难认。天心一点彻膀胱。口噫心哕并气吼。指冷昏沉命莫当。
口中气喘并气急。眼翻手掣可推慌。鼻干嘴黑筋见影。牙黄口白眼睛光。声气改时颜不改。手舞足蹈语颠狂。
两手乱抓如鸡爪。目睛不动眼如羊。疳论上下须凭灸。大抵横纹是痊方。天心穴上分高下。更须心细别阴阳。
如此孩提筋不好。命去南柯大路旁。小儿若犯宜推早。如是延迟命必亡。病重须凭灯心断。病轻手法亦宜良。
神仙留下真方法。后学能遵名姓扬。
流珠脉仅呈现一点红色。环珠脉的形状稍大一些。长珠脉的形状呈圆形且较长。以上所说的并非指圆圈状的纹路，而是总括而言，红脉贯穿气机时呈现出的这些形态。来蛇脉即是长珠脉散开变长，一头粗大一头尖细；去蛇脉也是如此，这是区分其上下走向的朝向，因此称为“去来”。角弓反张脉形如向后反张的弓，纹路向里弯曲为顺证，向外弯曲为逆证。枪形脉直冲向上；鱼骨脉像鱼骨头一样分叉；水字脉即三条脉并行；针形脉即穿过关纹一二粒米大小的距离。射甲命脉是脉纹射向外部，透指命脉是脉纹向内弯曲。四十九种脉位，都有轻重的区别，需要从微弱到显著进行仔细参详辨别。面色有五种：黄、红、紫、青、黑。病情加重时颜色会发生改变。黄色盛极则变为越黄和红黄之色；红色盛极则变为紫色，又呈现红紫之色；紫色盛极则变为青色，又有青紫之色；青色盛极则变为黑色，又有青黑之色。至于纯黑色的色泽，则是不可治愈的死证。
紫色主伤寒，青色主惊风，白色主疳积，黑色主中恶，黄色主脾虚困顿。
入门必须辨别婴儿的本性（体质/性别特征），男左女右要分明辨认。如果五指冰冷如冰，这是惊风发作严重的表现。如果五指和心口发热如火，这是夹食伤风或风寒邪气的病症。食指和中指发热是风寒之症，食指和中指发冷则定为吐泻之症。中指发热是伤寒，中指发冷则需辨认麻疹痘疮。食指发热是上身发烧，食指发冷是上膈闷堵。中指和无名指发热是夹带惊风，中指和无名指发冷是伤食之症。
囟门出现八字形纹路，病情非常严重。惊风穿透三关，生命难以长久。初关刚刚侵入，惊风轻微，尚可预防；次节相侵，也可以防范。筋色发红发热是因为饮食隔滞；筋色发青端正是被水风所伤；筋色发黑却是因风水寒冷所致；紫色筋脉兼有阴阳失调。寒热程度相当且兼见赤白二色；红色筋脉定属热证，适宜用凉法治疗。重病不宜见到白色筋脉；筋脉发白说明寒气深重，但尚可抢救急救。筋脉连接大拇指，属于阴寒症；筋脉若生出花朵形状，必定不祥。筋脉带有悬针纹，主吐泻；纹路由关外延伸，性命危在旦夕。四肢瘫痪冰冷、腹部膨胀，吐泻多因乳食损伤引起。鱼口、鸦声是由于气急所致；犬吠、人喝是由于受惊狂乱。膀胱淋病确实难以辨认，天心穴有一点变化可彻查膀胱问题。口噫、心哕并伴有气吼，手指冰冷昏沉，性命难保。口中气喘并气急，眼睛上翻、手脚抽搐，可以通过推拿缓解惊慌。鼻子干燥、嘴巴发黑、筋脉显现阴影，牙齿发黄、口唇苍白、眼睛光亮。声音气息改变而脸色未改，手舞足蹈、言语颠狂。两手乱抓如同鸡爪，眼球不动眼如羊眼。疳积论治上下都需要依靠灸法，大体上横纹是痊愈的方法。在天心穴上分辨高低，更须心思细腻辨别阴阳。如此这般幼儿筋脉不好，生命将逝于南柯大路旁。小儿患病应当尽早推拿，如果延误拖延，性命必然灭亡。重病必须凭借灯心草来断决（或辅助治疗），轻病手法也应当良好。神仙留下的真正方法，后学者若能遵循，名声自会弘扬。
Liu Zhu (Flowing Pearl) pulse presents as only a single red spot. Huan Zhu (Ringed Pearl) pulse is slightly larger in shape. Chang Zhu (Long Pearl) pulse is round and elongated. The above do not refer to circular patterns; generally, they describe how the red pulse traverses Qi in these specific forms. Lai She (Incoming Snake) pulse is essentially the Chang Zhu pulse spreading out and lengthening, with one end thick and the other sharp; Qu She (Outgoing Snake) pulse is similar. This distinguishes their upper and lower orientations, hence termed "Incoming and Outgoing." Jiao Gong Fan Zhang (Opisthotonos-like) pulse resembles an arched bow; curvature inward indicates a favorable prognosis, while curvature outward indicates an unfavorable one. Qiang Xing (Spear-shaped) pulse rises straight upward; Yu Gu (Fish Bone) pulse branches like fish bones; Shui Zi (Water Character) pulse consists of three parallel lines; Zhen Xing (Needle-shaped) pulse crosses the Guan position by approximately one or two grains of rice. She Jia Ming Mai (Shooting Nail Life Pulse) shoots outward, while Tou Zhi Ming Mai (Piercing Finger Life Pulse) curves inward. Among the forty-nine positions, there are distinctions of severity, ranging from subtle to pronounced, requiring careful deliberation. There are five colors: yellow, red, purple, cyan, and black. When the disease intensifies, the color changes. Excessive yellow becomes Yue Huang (Exceeding Yellow) and reddish-yellow; excessive red turns purple, presenting a red-purple hue; excessive purple turns cyan, showing a cyan-purple shade; excessive cyan turns black, displaying a cyan-black tint. Pure black color indicates an incurable condition.
Purple indicates Shang Han (Cold Damage); cyan indicates Jing Feng (Wind-Stroke/Convulsion); white indicates Gan (Infantile Malnutrition); black indicates Zhong E (Acute Poisoning/Malignant Qi); yellow indicates Pi Xu (Spleen Deficiency/Fatigue).
One must first distinguish the infant's nature; male left and female right must be clearly recognized. If the five fingers are cold as ice, this indicates severe onset of Jing Feng (Convulsion). If the five fingers and the heart region are hot as fire, this indicates Ji Shi Shang Feng (Food Retention with Wind-Cold) or Wind-Cold pathogenic factors. Heat in the index and middle fingers indicates Wind-Cold; coldness in these fingers indicates Tu Xie (Vomiting and Diarrhea). Heat in the middle finger indicates Shang Han (Cold Damage); coldness requires differentiation between Ma Dou (Smallpox/Measles). Heat in the index finger indicates upper body fever; coldness indicates upper jiao stagnation. Heat in the middle and ring fingers indicates combined Jing Feng (Convulsion); coldness indicates Shang Shi (Food Injury).
An octagonal pattern at the Fontanelle indicates a critical illness. If Jing Feng (Convulsion) penetrates the Three Passes, life expectancy is short. Initial invasion into the First Pass indicates mild convulsion, which can be prevented; invasion into the Second Pass can also be guarded against. Red and hot veins indicate food stagnation; distinct cyan veins indicate injury by Water-Wind; black veins indicate Cold-Wind; purple veins indicate Yin-Yang imbalance. Equal amounts of cold and heat with red and white colors; red veins definitely indicate Heat, suitable for cooling methods. White veins should not appear in severe diseases; white veins indicate deep cold, yet rescue is possible. Veins connecting to the thumb indicate Yin-Cold syndrome; vein patterns resembling flowers indicate misfortune. A Xuan Zhen (Hanging Needle) mark on the vein indicates vomiting and diarrhea; veins extending beyond the Guan position indicate imminent death. Paralysis and cold limbs with abdominal distension, vomiting and diarrhea often due to milk and food injury. Yu Kou (Fish Mouth) and Ya Sheng (Crow Cry) result from急促 breathing; Quan Fei (Dog Bark) and Ren He (Human Roar) result from fright-induced mania. Lan Bing (Bladder Strangury) is difficult to identify; a change at Tian Xin (Heavenly Heart) point relates to bladder issues. Kou Yi (Mouth Twitching), Xin Yue (Heart Regurgitation) accompanied by Qi Hou (Gasping), cold fingers, and coma indicate fatal prognosis. Panting and急促 breathing in the mouth, eye rolling, and hand spasms can be alleviated by tuina. Dry nose, black mouth, visible vein shadows, yellow teeth, pale lips, and bright eyes. Changes in voice and breath without facial changes, dancing hands and feet, and delirious speech. Frantic grasping like chicken claws, fixed gaze like a sheep's eyes. Gan (Malnutrition) treatment involves moxibustion on upper and lower areas; generally, transverse wrinkles indicate recovery. Distinguishing high and low at Tian Xin (Heavenly Heart) point requires careful attention to Yin and Yang. If such infants have poor vein conditions, life will pass by the road to Nan Ke (Dream/Illusion). Early tuina is essential for children's illnesses; delay leads to certain death. Severe cases may require Deng Xin Cao (Juncus Effusus/Stem of Rush) for diagnosis/treatment; mild cases still require skilled manual techniques. These true methods left by immortals, if followed by later learners, will bring fame and renown.