亦主其毛窍，其气不顺流，溢于毛孔中而津液，尽作疳劳耳。）五心热是疳劳。（手脚及囟谓之五心。其疳热
则疳所也。） 耳是肾积风。（其耳属肾，被
外风入肾，停滞则化，脓而出于耳，故知是肾积风。）腹胀恶心是肺中积。（其肺腥而有积，或吐或泻不时，
则知肺是中积也。）
爱吃布脚是肺生虫。（其布是肺之好也。）爱吃麸炭是肝生虫。爱吃盐是肾生虫。爱吃茶末是心生虫。爱吃酸物是胆
生虫。（各是脏腑之所好也。）
钱乙杂病证∶
目赤兼青者，欲发搐。目直而青，身反折强直者，生惊。切牙甚者，发惊。口中吐沫水者，后必虫痛。身
睡善嚏悸者，将发疮疹。吐泻昏睡露睛者，胃虚热。吐泻昏睡不露睛者，胃实热。吐泻乳不化，伤食也。下之
吐沫及痰，或白绿，皆胃虚冷。吐稠涎及血，皆肺热，久则虚。泻黄红赤黑，皆热，赤亦毒。泻青白，谷不化，
胃冷。身热不饮水者，热在外。身热饮水者，热在内。先发脓 ，后发斑子者，逆。长大不行，行则脚细。齿
久不生，生则不固。发久不生则不黑。血虚怯为冷所乘则唇青。尿深黄色，久则尿血，小便不通，久则胀满，
当利小便。洗浴拭脐不干，风入作疮，令儿撮口甚者是脾虚。（或云成痫。）吐涎痰热者，下之。吐涎痰冷者，温之。
口禁不止则失音，迟声亦同。先发脓 ，后发疹子者，顺。先发水 ，后发疹子者，逆。先发脓 ，发后水
多者顺，少者逆。先水 ，后斑子，多者逆，少者顺。先疹子，后斑子者顺。凡疮疹只出一般者善。胎实，面
红目黑睛多者，多喜笑。胎怯，面黄目黑睛少，白睛多者，多哭。凡病先虚，或下之，合下者先实其母，然后
下之。假令肺虚而痰实，此可下，先当益脾，后方泻肺也。大喜后食乳食，多成痫惊。大哭后食乳，多成吐泻。
心痛吐水者，虫痛。心痛不吐水者，冷心痛。吐水不心痛者，胃冷。病重，面有五色不常不泽者，死。呵欠面
赤者，风热。呵欠面青者，惊风。呵欠面黄者，脾虚惊。呵欠多睡者，内热。呵欠气热者，伤风。热证疏利，
或解化后无虚证，勿温补，热必随生。
钱乙不治证∶
目赤脉贯瞳仁。胸肿及陷。鼻干黑。鱼口气急。吐虫不定。泻不定，精神好。大渴不定，止之又渴。吹鼻
不喷。病重，口干不睡。时气，唇上青黑点。颊深赤，如涂胭脂。鼻开张，喘急不定。
《婴童宝鉴》诸病渡必死候∶
汗出如珠不已。汗出粘臭。头躯向后。囟门肿起并陷。胸陷。喘气觉冷。口作鸦声。下药不得，喉内有涎
粘塞。指甲青黑色。目直视不转睛。口中虫出不止。
杨大邺《童子秘诀》凡小儿先看在外形证∶
一看唇肉不盖齿，二看鼻上紫黑色，三看眼啼哭无泪，四看身上不认痛，五看心胀不啼哭，六看大开双眼
睡，七看四肢俱不收。
又七恶候∶
一看囟门肿，二看脚心肿，三看手心肿，四看脐内肿，五看心上肿，六看眼角垂，七看抱来脚不缩。
以上十四候并不可治。
《五关贯真珠囊》∶凡儿生下七日内谓之一腊以前，忌有三般病起∶一曰锁禁，二曰脐风，三曰胎惊。颂曰∶
锁禁目须直，脐风撮口鸣，胎惊唇青色，三者候同名。
《玉诀》小儿五脏绝伤候歌∶
瞪目筋拘肝肾伤，胃虚惊逆面青黄，心绝不言鱼口噤，喘促长嘘肺受殃。（此看损绝，次别生死，须审详，
用药即无误矣。）
《玉诀》小儿恶候歌∶
啼哭无声不转睛，唇焦鼻黑脸偏青。涎粘齿啮频鱼口，两脚如钩手似钉。
《玉诀》小儿危困候歌∶
目多直视作邪声，咬齿摇头不转睛。僵仆面青鱼口噤，遍身针灸疗无因。
《凤髓经》杂病死候歌∶
吐泻生风眼上膜，风在掌中抓不觉。急惊过了喘无休，慢惊项软皮肤薄。盘肠气痛（一本作虫痛）胸中抓，嗽吐
呕逆心凹恶。伤寒赤脉却相交，结热面黑皮毛落。疹子入腹眼不开，热泻出虫口干恶。锁口腰低唇鼻青，秋
痢脾毒唇卷缩。此病因惊兼有积，岂无神仙留妙药。
《庄氏家传》小儿诸疾形候∶孩子有六件必死之状，不在用药治疗，其状失时矣。
第一，孩子病重，汗如珠流者，其状必死也。第二，孩子紫点，干气息冷者，其状必死也。第三，孩子病
重，卧如绳缠者，四肢不遂必死也。第四，孩子头足相就，四肢无力者，必死也。第五，孩子多食，下痢不止，
口唇干焦，妄言如见神鬼，必死也。第六，向阴引声哭不重，良药纵其恶性，必死之状也。
前六般，卢医扁鹊见之亦拱手难言。
（这也主管皮毛腠理，如果气机运行不畅，溢出于毛孔之中，津液就会全部转化为疳劳病。）五心热是疳劳的表现。（手脚心及囟门称为五心。这种疳热则是疳病的征象。）耳朵流脓是肾积风。（耳朵归属于肾，若外感风邪侵入肾脏，停滞化热，化为脓液从耳中流出，所以知道这是肾积风。）腹部胀满、恶心是肺中有积滞。（肺脏气味腥且有积滞，如果不时地呕吐或腹泻，就知道肺中有积滞。）
爱吃布脚是肺生虫。（布是肺脏所喜欢的东西。）爱吃麸皮和炭灰是肝生虫。爱吃盐是肾生虫。爱吃茶末是心生虫。爱吃酸味食物是胆生虫。（这些都是脏腑各自所偏好的味道。）
钱乙论杂病证候：
眼睛发红兼带青色，将要发生抽搐。眼睛直视且发青，身体反张强直，将发生惊风。咬牙严重的，将发作惊风。口中吐泡沫水的，后来必定会有虫痛。身体睡眠且容易打喷嚏、心悸的，将要发作疮疹。吐泻且昏睡、眼睛半睁露睛的，是胃虚热。吐泻且昏睡、眼睛紧闭不露睛的，是胃实热。吐泻且乳食不消化，是伤食。下利后吐沫及痰，颜色白或绿，都是胃虚冷。吐出稠涎及血，都是肺热，日久则转为虚证。大便黄、红、赤、黑，都是热证，红色也代表毒盛。大便青白，谷食不化，是胃冷。身体发热但不想喝水的，热在体表。身体发热且想喝水的，热在体内。先出脓疱，后出斑点的，为逆证。长大之后不能行走，能走则腿细弱。牙齿很久不生，生出来也不坚固。头发很久不生则不黑。血虚体弱被寒邪乘袭则嘴唇发青。尿液深黄色，日久则尿血，小便不通，日久则腹胀满，应当通利小便。洗浴后擦拭肚脐不干，风邪侵入导致疮疡，令婴儿撮口症状严重的是脾虚。（有人说会形成痫证。）吐涎痰且属热证的，用攻下法。吐涎痰且属冷证的，用温补法。口禁不止则失音，声音迟缓也同样。先出脓疱，后出疹子的，为顺证。先出水疱，后出疹子的，为逆证。先出脓疱，后出水疱多的为顺，少的为逆。先出水疱，后出斑点多为逆，少为顺。先出疹子，后出斑点的，为顺证。凡是疮疹只出一类形态的为善证。胎气充实，面色红、眼珠黑且黑睛多的，多喜欢笑。胎气怯弱，面色黄、黑睛少而白睛多的，多哭泣。凡是病前体质虚弱，或者该用下法却先用攻下的，应当先充实母体（脾胃），然后再攻下。假如肺虚而痰实，这可以用下法，但首先应当补益脾气，然后才能泻肺。大喜之后吃乳食，多形成痫惊。大哭之后吃乳，多形成吐泻。心痛且吐水的，是虫痛。心痛且不吐水的，是冷心痛。吐水但不心痛的，是胃冷。病情危重，面色五色无常且不润泽的，主死。打呵欠且面红的，是风热。打呵欠且面青的，是惊风。打呵欠且面黄的，是脾虚惊。打呵欠且多睡的，是内热。打呵欠且气息热的，是伤风。热证宜疏利，或在解表化滞后若无虚证，不要温补，否则热邪必随之而生。
钱乙论不治之证：
眼睛发红且血脉贯穿瞳仁。胸部肿胀或凹陷。鼻子干燥发黑。鱼口气急。吐虫不定。腹泻不定但精神尚好。大渴不定，止住后又渴。吹鼻药粉不喷出。病情危重，口干且不睡觉。时行疫病，嘴唇上有青黑点。脸颊深红，像涂了胭脂一样。鼻孔开张，喘息急促不定。
《婴童宝鉴》诸病渡必死证候：
汗出如珠且不停止。汗出粘腻臭秽。头躯向后仰。囟门肿胀并凹陷。胸部凹陷。喘气感觉寒冷。口中发出鸦叫声。服药不得，喉内有涎粘塞。指甲青黑色。眼睛直视不转动眼球。口中虫子出不止。
杨大邺《童子秘诀》凡小儿先看外形证候：
一看唇肉不覆盖牙齿，二看鼻上紫黑色，三看眼睛啼哭无泪，四看身上不知疼痛，五看心腹胀满不啼哭，六看大开双眼睡觉，七看四肢都不收摄。
又有七种恶候：
一看囟门肿，二看脚心肿，三看手心肿，四看脐内肿，五看心上肿，六看眼角下垂，七看抱来时双腿不收缩。
以上十四种证候都不可治。
《五关贯真珠囊》：凡是婴儿生下七日内称为“一腊”以前，忌讳有三种病起：一是锁禁，二是脐风，三是胎惊。颂曰：锁禁眼睛须直视，脐风撮口鸣响，胎惊嘴唇青色，这三种证候名称相同。
《玉诀》小儿五脏绝伤候歌：
瞪目筋拘肝肾伤，胃虚惊逆面青黄，心绝不言鱼口噤，喘促长嘘肺受殃。（这是查看损伤绝症，其次辨别生死，必须审慎详细，用药就不会有误了。）
《玉诀》小儿恶候歌：
啼哭无声不转睛，唇焦鼻黑脸偏青。涎粘齿啮频鱼口，两脚如钩手似钉。
《玉诀》小儿危困候歌：
目多直视作邪声，咬齿摇头不转睛。僵仆面青鱼口噤，遍身针灸疗无因。
《凤髓经》杂病死候歌：
吐泻生风眼上膜，风在掌中抓不觉。急惊过了喘无休，慢惊项软皮肤薄。盘肠气痛（一本作虫痛）胸中抓，嗽吐呕逆心凹恶。伤寒赤脉却相交，结热面黑皮毛落。疹子入腹眼不开，热泻出虫口干恶。锁口腰低唇鼻青，秋痢脾毒唇卷缩。此病因惊兼有积，岂无神仙留妙药。
《庄氏家传》小儿诸疾形候：孩子有六种必死的状貌，不在用药治疗之列，这些状貌出现时就已错失时机了。
第一，孩子病重，汗如珠流出的，其状必死。第二，孩子身上有紫点，干气息冷的，其状必死。第三，孩子病重，卧姿如绳索缠绕者，四肢不遂必死。第四，孩子头足相就，四肢无力者，必死。第五，孩子多食，下痢不止，口唇干焦，胡言乱语如见神鬼，必死。第六，向阴处引声哭而不重，良药纵容其恶性，也是必死的状貌。
前六种，即使是卢医扁鹊见到，也会拱手难言（束手无策）。
(These also govern the hair follicles and interstices; if Qi flow is obstructed, overflowing into the pores, body fluids will all transform into Gan-Lao [Gan disease with consumption].) Five-center heat is a manifestation of Gan-Lao. (The palms, soles, and fontanelle are called the "five centers." This type of Gan-heat is the sign of Gan disease.) Ear discharge is Kidney Accumulation Wind. (The ears belong to the Kidney; when external wind invades the Kidney and stagnates, it transforms into pus and discharges from the ear, thus indicating Kidney Accumulation Wind.) Abdominal distension and nausea indicate accumulation in the Lungs. (The Lung has a fishy odor and contains accumulation; if there is intermittent vomiting or diarrhea, it indicates lung accumulation.)
Craving to eat cloth feet indicates worms in the Lungs. (Cloth is what the Lung favors.) Craving bran and charcoal indicates worms in the Liver. Craving salt indicates worms in the Kidneys. Craving tea dregs indicates worms in the Heart. Craving sour foods indicates worms in the Gallbladder. (Each represents the preference of the respective Zang-Fu organ.)
Qian Yi on Miscellaneous Disease Syndromes:
Red eyes with a bluish tint suggest impending convulsions. Eyes staring straight with a bluish hue, accompanied by opisthotonos and rigidity, indicate impending fright. Severe teeth-grinding suggests onset of fright. Spitting foam and water from the mouth predicts subsequent worm pain. Sleeping with frequent sneezing and palpitations suggests impending eruption of sores and rashes. Vomiting and diarrhea with lethargy and half-open eyes indicate Stomach Deficiency Heat. Vomiting and diarrhea with lethargy and tightly closed eyes indicate Stomach Excess Heat. Vomiting and diarrhea with undigested milk indicate food injury. Post-defecation spitting of foam and phlegm, white or green in color, indicates Stomach Deficiency Cold. Spitting thick saliva and blood indicates Lung Heat, which becomes deficient over time. Yellow, red, crimson, or black stools indicate Heat; red also signifies toxicity. Green and white stools with undigested grain indicate Stomach Cold. Fever without thirst indicates Heat at the exterior. Fever with thirst indicates Heat at the interior. Appearance of pustules followed by macules/papules is a adverse progression (Ni). Inability to walk in adulthood, or thin legs when walking, indicates deficiency. Delayed tooth eruption or loose teeth indicate deficiency. Delayed hair growth results in lack of pigmentation. Blood deficiency with weakness invaded by cold causes cyanotic lips. Deep yellow urine progressing to hematuria or urinary retention leading to abdominal distension requires promoting urination. Failure of the umbilicus to dry after bathing, with wind invasion causing sores and severe infant lockjaw, indicates Spleen Deficiency. (Some say this leads to epilepsy.) Spitting phlegm-saliva with heat signs requires purgation; with cold signs requires warming. Persistent trismus leads to aphonia; delayed speech recovery is similar. Appearance of pustules followed by rash is favorable (Shun); appearance of vesicles followed by rash is adverse. Appearance of pustules followed by abundant vesicles is favorable, scarce is adverse. Appearance of vesicles followed by abundant macules/papules is adverse, scarce is favorable. Appearance of rash followed by macules/papules is favorable. Eruptions presenting only one morphology are auspicious. Strong fetal essence manifests as red face, dark eyes with large pupils, and frequent laughter. Weak fetal essence manifests as yellow face, small pupils with large sclera, and frequent crying. For diseases preceded by deficiency, or when purgation is indicated but not yet applied, first strengthen the mother (Spleen/Stomach), then purge. If Lung is deficient but phlegm is excess, purgation may be used, but first tonify Spleen Qi, then drain Lung. Eating after extreme joy often leads to epilepsy and fright; eating after extreme crying often leads to vomiting and diarrhea. Heart pain with spitting water indicates worm pain; heart pain without spitting water indicates cold heart pain; spitting water without heart pain indicates stomach cold. Severe illness with five-colored, dull complexion indicates death. Yawning with red face indicates wind-heat; yawning with blue face indicates fright-wind; yawning with yellow face indicates Spleen deficiency fright; yawning with excessive sleepiness indicates internal heat; yawning with hot breath indicates wind-cold. For heat syndromes, use draining or resolving methods; if no deficiency remains after resolution, do not use warming tonification, or heat will re-emerge.
Qian Yi on Incurable Syndromes:
Red eyes with vessels crossing the pupil. Chest swelling or depression. Dry, black nose. Fish-mouth gasping. Irregular expulsion of worms. Irregular diarrhea with good spirit. Intense, fluctuating thirst that returns after relief. No spray response to nasal insufflation. Severe illness with dry mouth and insomnia. Epidemic disease with cyanotic-black spots on lips. Deep red cheeks like rouge. Open nostrils with irregular rapid breathing.
"Yingtong Baojian" on Fatal Prognoses of Various Diseases:
Profuse sweating like pearls without cessation. Sticky, foul-smelling sweat. Head and trunk arched backward. Fontanelle swollen and depressed. Chest depression. Cold sensation during panting. Crow-like sounds from the mouth. Inability to administer medication due to salivary obstruction in the throat. Cyanotic-black nails. Fixed gaze without eye movement. Continuous expulsion of worms from the mouth.
Yang Daye's "Tongzi Mijue" on Initial External Signs in Children:
First, check if lip flesh does not cover teeth. Second, check for purple-black discoloration on the nose. Third, check for tearless crying. Fourth, check for insensitivity to pain on the body. Fifth, check for abdominal distension without crying. Sixth, check for sleeping with wide-open eyes. Seventh, check for inability to flex limbs.
Seven further ominous signs:
First, swollen fontanelle. Second, swollen soles. Third, swollen palms. Fourth, swollen umbilicus. Fifth, swollen chest/heart area. Sixth, drooping eye corners. Seventh, legs do not retract when held.
The above fourteen signs are incurable.
"Wuguan Guanzhenzhunang": Within seven days of birth, termed "before the first fast," three diseases are taboo: 1. Suojin (Locking Constriction), 2. Qifeng (Umbilical Wind), 3. Taijing (Fetal Fright). Verse says: Suojin presents with fixed eyes; Qifeng presents with lockjaw and sounds; Taijing presents with cyanotic lips; these three signs share names.
"Yujue" Song on Five Zang Collapse in Children:
Staring eyes and tendon contraction indicate Liver-Kidney damage. Stomach deficiency with fright reversal shows yellow-green face. Heart collapse prevents speech, presenting as fish-mouth trismus. Panting and long sighs indicate Lung affliction. (This assesses damage and collapse to distinguish life from death; careful examination ensures correct treatment.)
"Yujue" Song on Ominous Signs in Children:
Silent crying with fixed gaze, scorched lips, black nose, and bluish face. Saliva adhering to teeth, frequent biting, fish-mouth trismus. Legs hooked like hooks, hands stiff like nails.
"Yujue" Song on Critical Conditions in Children:
Fixed gaze with abnormal sounds, teeth-grinding, head-shaking, fixed eyes. Collapsing with cyanotic face, fish-mouth trismus. Acupuncture and moxibustion over the whole body yield no cause for improvement.
"Fengsui Jing" Song on Fatal Signs of Miscellaneous Diseases:
Vomiting/diarrhea generating wind with eyelid membranes; wind in palms causing scratching unawareness. After acute fright, continuous panting; chronic fright with soft neck and thin skin. Intestinal colic pain (or worm pain) with chest scratching, coughing/vomiting with sunken heart region. Cold damage with intersecting red vessels, accumulated heat with black face and falling hair/rash entering abdomen with closed eyes, heat-diarrhea with expelled worms and dry mouth disgust. Lockjaw with low back, cyanotic lips/nose, autumn dysentery with spleen toxin and curled lips. These diseases arise from fright and accumulation; surely immortals left miraculous remedies.
"Zhuang Family Collection" on Forms of Pediatric Diseases:
Children have six fatal states beyond medical treatment, appearing when timing is lost.
First, severe illness with profuse pearl-like sweating indicates certain death. Second, purple spots with dry, cold breath indicate certain death. Third, severe illness with supine posture like bound ropes and limb paralysis indicates certain death. Fourth, head touching feet with limb weakness indicates certain death. Fifth, excessive eating with unceasing dysentery, scorched lips, and delirium seeing spirits indicates certain death. Sixth, crying weakly towards the shade despite potent medicine indicates certain death.
Even Lu Yi Bian Que would be helpless upon seeing these six states.