视其睡，口中气温，或合面睡，及上窜切牙，皆心热也。导赤散主之。
心气热则心胸亦热，欲言不能而有就冷之意，故合面卧。
心气实则气上下行涩，合卧则气不得通。故喜仰卧，则气得上下通也。泻心汤主之。
儿本虚怯，由胎气不成，则神不足。目中白睛多，其颅即解，（囟开也，）面色 白。此
皆难养，纵长不过八八之数。若恣色欲多，不及四旬而亡。或有因病而致肾虚者，非也。又肾
气不足，则下窜，盖骨重惟欲坠于下而缩身也。肾水，阴也，肾虚则畏明，皆宜补肾，地
黄丸主之。
左腮为肝，右腮为肺，额上为心，鼻为脾，颏为肾。赤者，热也，随证治之。
赤者，心热，导赤散主之。
淡红者，心虚热，生犀散主之。
青者，肝热，泻青丸主之。浅淡者补之。
黄者，脾热，泻黄散主之。
无精光者，肾虚，地黄丸主之。
肝病秋见。（一作日晡）肝强胜肺，肺怯不能胜肝，当补脾肺治肝。益脾者，母令子实故
也。补脾，益黄散；治肝，泻青丸主之。
观察患儿的睡眠状态，如果口中气息温热，或者喜欢脸朝下睡觉，以及出现眼球上翻、咬紧牙齿的情况，这些都是心热的表现。治疗以导赤散为主方。
心气有热，则心胸部位也会发热，孩子想说话却说不出来，并且表现出想要靠近冷处的意愿，所以喜欢脸朝下躺着。
如果心气实证，气机在上下运行时会涩滞不畅，脸朝下躺时气机更加不通畅。所以喜欢仰面躺着，这样气机就能上下通畅。治疗以泻心汤为主方。
小儿原本体质虚弱怯懦，如果是由于胎气未成形所致，则神气不足。表现为眼白部分较多，囟门开解（即囟门未闭合），面色苍白。这些情况都难以养育，即使长大也不过是八八六十四岁的寿命。如果父母纵欲过度，导致胎儿先天不足，可能活不到四十岁就死亡。也有因为患病而导致肾虚的，但这并非上述情况的根本原因。另外，肾气不足，则会出现身体向下缩窜的现象，这是因为骨骼沉重只想向下坠落而蜷缩身体。肾属水，为阴脏，肾虚则畏光怕亮，这些都适宜采用补肾的方法，以地黄丸为主方。
左腮对应肝脏，右腮对应肺脏，额头对应心脏，鼻子对应脾脏，下巴对应肾脏。如果这些部位发红，说明有热，应根据具体证候进行治疗。
面部发红，属于心热，以导赤散为主方。
颜色淡红，属于心虚热，以生犀散为主方。
颜色发青，属于肝热，以泻青丸为主方。颜色浅淡的应当予以补益。
颜色发黄，属于脾热，以泻黄散为主方。
眼神无精光，属于肾虚，以地黄丸为主方。
肝病多在秋季显现。（另一种说法是日晡时分，即下午3-5点）。肝气强盛克制肺金，肺气虚弱不能制约肝木，此时应当补益脾肺并治疗肝脏。补益脾脏，是因为“母令子实”（脾为肺之母，补脾可使肺气充实）的缘故。补脾用益黄散；治疗肝脏用泻青丸为主方。
肺病多在春季显现。（另一种说法是早晨）。肺气强盛克制肝木，此时应当补益肝肾并治疗肺脏。肝气虚弱，是因为受到了病邪侵害。补益肝肾用地黄丸；治疗肺脏用泻白散为主方。
Observe the child's sleep: if the breath from the mouth is warm, or if the child sleeps with their face pressed against the pillow, and exhibits upward rolling of the eyes and grinding of teeth, these are all signs of Heart Heat (Xin Re). The primary formula for treatment is Daochi San (Guide Out Red Powder).
When there is heat in the Qi of the Heart, the chest and heart region also become hot. The child may wish to speak but cannot, and shows a desire to seek coldness; therefore, they prefer sleeping with their face down.
In cases of Excess Heat in the Heart Qi, the movement of Qi becomes obstructed as it travels up and down. Sleeping face down further impedes the free flow of Qi. Therefore, the child prefers supine position (lying on the back), which allows the Qi to circulate freely up and down. The primary formula for treatment is Xiexin Tang (Drain the Heart Decoction).
Children are inherently weak and timid. If this stems from incomplete prenatal Qi formation, their Shen Spirit (Shen) will be deficient. Manifestations include excessive white sclera, open fontanelles (unossified cranial sutures), and a pale complexion. Such conditions are difficult to nurture; even if they survive to adulthood, their lifespan rarely exceeds 64 years (eight times eight). If parents indulge excessively in sexual activity, leading to inadequate prenatal essence, the child may not survive past forty years of age. Some may develop Kidney Deficiency due to illness, but this is not the root cause described here. Furthermore, when Kidney Qi is insufficient, the body tends to curl inward and descend ("cuan"), because the bones feel heavy and wish to fall downward, causing the body to shrink. The Kidney belongs to Water and is Yin; Kidney Deficiency leads to photophobia (fear of light). All such cases should be treated by tonifying the Kidney, using Dihuang Wan (Rehmannia Pill) as the primary formula.
The left cheek corresponds to the Liver, the right cheek to the Lung, the forehead to the Heart, the nose to the Spleen, and the chin to the Kidney. Redness indicates Heat; treatment should follow the specific syndrome.
Redness of the face indicates Heart Heat; treat with Daochi San (Guide Out Red Powder).
Pale redness indicates Deficient Heat in the Heart; treat with Shengxi San (Fresh Rhinoceros Horn Powder).
Bluish-green color indicates Liver Heat; treat with Xieqing Wan (Drain the Green Pill). If the color is faint, apply tonification.
Yellowish color indicates Spleen Heat; treat with Xiehuang San (Drain the Yellow Powder).
Lack of luster in the eyes indicates Kidney Deficiency; treat with Dihuang Wan (Rehmannia Pill).
Liver diseases often manifest in autumn. (Alternatively, some texts state "at dusk," i.e., 3–5 PM). When Liver Qi is strong and overacts upon the Lung, and Lung Qi is weak and unable to control the Liver, one should tonify the Spleen and Lung while treating the Liver. Tonifying the Spleen follows the principle that "the mother makes the son full" (tonifying the Spleen, the Mother organ, strengthens the Lung, the Child organ). Use Yihuang San (Benefit the Yellow Powder) to tonify the Spleen; use Xieqing Wan (Drain the Green Pill) to treat the Liver.
Lung diseases often manifest in spring. (Alternatively, some texts state "in the morning"). When Lung Qi is strong and overacts upon the Liver, one should tonify the Liver and Kidney while treating the Lung. The weakness of the Liver indicates it has been affected by disease. Use Dihuang Wan (Rehmannia Pill) to tonify the Liver and Kidney; use Xiebai San (Drain the White Powder) to treat the Lung.
Frequent blinking without convulsions, if progressing to convulsions, is caused by Heart Heat. Treat the Liver with Xieqing Wan (Drain the Green Pill); treat the Heart with Daochi San (Guide Out Red Powder).
Staring straight ahead without convulsions, if progressing to convulsions, is caused by Heart Heat. Treat the Liver with Xieqing Wan (Drain the Green Pill); treat the Heart with Daochi San (Guide Out Red Powder).