头者诸阳之会,神经之总汇也。凡小儿头角丰隆,脑髓足也。背者五脏六腑之总枢,五脏之系皆附于背,
脊背之肌肉丰满,知其脏腑足也。腹者水谷之海,腹肌宽浓,肠胃壮健也。目为肝窍,耳为肾窍,鼻为肺窍,
口为脾窍,七窍无缺,健全之形象成矣。故因其健全的形象,知肉实者,脾必足;筋强者,肝必足;骨坚者,
肾必足;不时言笑者,心足;不多啼哭者,肺足。哭声连续不断,是肺实有热;不久睡眠者,是脾热兼食滞
而实。脚健而壮,项长而肥,肾囊小而黑,是根本固也;肌肉温润色泽,是营卫和也;额腮红润明净,发黑
如漆,是表气实也;小溲清长,大便滋润,是里气实也。凡以上各形
象,皆是寿征,其儿无疾,尤易长养。反之有以下各症形,其儿皆不易长成。如小儿在胎元中即遗传其父母之淋
毒、或梅毒及其他温热等病毒,虽不实时发现于外,然胎毒必不能久蕴藏于稚体中,终至呈现于外,头面肢体发
为湿疮,身体形象亦不能完美矣。有头颅肿大,囟门不合,颈项软者,为毒瓦斯熏蒸,阳不足于上也。诸阴皆起于
下,足小脚 者,阴衰于下。鼻孔干燥,为肺叶虚枯,唇缩流涎,为脾弱不能摄津。头稀而黄焦,为贫血象。
目不明润,耳中流出黄臭水,为肾虚受湿,毒蕴内肿也。青紫之筋,散见于面者,多病风热。更兼体瘦形枯,
面色灰白暗淡者,其表必虚。泻利无时呕吐常有者,其里必虚。疮疥啼哭,及睡眠中手脚时动者,是内热毒盛,
症将外现之候。凡以上各形象,皆夭象。其儿多病,不易抚养也。
头是诸阳经交汇之处,也是神经系统的总汇。凡是小儿头角丰满隆起,说明脑髓充足。背部是五脏六腑的总枢纽,五脏的联系组织都附着在背部,脊背肌肉丰满,就知道脏腑功能充足。腹部是水谷(饮食)汇聚的海,腹肌宽厚浓密,说明肠胃壮健。眼睛是肝的外窍,耳朵是肾的外窍,鼻子是肺的外窍,嘴巴是脾的外窍,七窍没有缺损,健全的形象就形成了。所以根据这些健全的形象,可以推断:肌肉结实的人,脾一定充足;筋脉强健的人,肝一定充足;骨骼坚硬的人,肾一定充足;经常说笑的人,心气充足;不多啼哭的人,肺气充足。哭声连续不断,是肺中有实热;睡眠时间短,是脾有热兼有食积停滞而呈实证。脚部健壮有力,脖颈长且肥硕,阴囊小而黑,这是先天根本坚固的表现;肌肉温润且有光泽,这是营卫调和的表现;额头和面颊红润明净,头发黑亮如漆,这是表气充实的表现;小便清长,大便滋润,这是里气充实的表现。以上各种形象,都是长寿的征象,这样的孩子没有疾病,尤其容易养育。反之,如果有以下各种症状和形象,这样的孩子都不容易长成。比如小儿在胎元中就遗传了父母的淋病、梅毒及其他温热等病毒,虽然不一定会立即表现在外部,但胎毒必然不能在幼小的身体中长久隐藏,最终会呈现于外部,导致头面肢体发生湿疮,身体形象也不能完美了。有的头颅肿大,囟门不合拢,脖颈软弱,这是毒瓦斯熏蒸,阳气不足于上部的表现。所有的阴经都起始于下部,足部细小瘦弱,是阴气衰败于下部的表现。鼻孔干燥,是肺叶虚枯的表现;嘴唇收缩流口水,是脾弱不能固摄津液的表现。头发稀疏且黄焦枯,是贫血的现象。眼睛不明润,耳朵流出黄色臭水,是肾虚受湿,毒邪蕴结内部肿胀的表现。青色或紫色的筋络散见于面部,多是患风热的征兆。再加上身体消瘦形骸枯槁,面色灰白暗淡,这是表虚的表现。腹泻痢疾无定时,呕吐常有,这是里虚的表现。患有疮疥啼哭,以及在睡眠中手脚不时抽动,这是内热毒盛,病症即将外现的候象。以上各种形象,都是夭折的征象。这样的孩子多病,不容易抚养。
The head is the convergence point of all Yang meridians and the general assembly of the nervous system. Whenever a child has full and prominent forehead and temples, it indicates sufficient brain marrow (Nao Sui). The back is the central pivot of the five Zang organs and six Fu organs; the connections of the five Zang organs are all attached to the back. If the muscles of the spine and back are plump, it signifies that the Zang and Fu organs are robust. The abdomen is the sea of water and grain (dietary intake); if the abdominal muscles are broad and thick, it indicates strong intestines and stomach. The eyes are the orifices of the Liver, the ears are the orifices of the Kidney, the nose is the orifice of the Lung, and the mouth is the orifice of the Spleen. If the seven orifices are intact without defects, a sound physical image is formed. Therefore, based on these sound physical images, one can deduce: those with solid flesh must have sufficient Spleen Qi; those with strong sinews must have sufficient Liver Qi; those with firm bones must have sufficient Kidney Qi; those who speak and laugh frequently must have sufficient Heart Qi; those who do not cry much must have sufficient Lung Qi. Continuous crying indicates excess heat in the Lung; short sleep duration indicates Spleen heat combined with food stagnation presenting as an Excess syndrome. Strong and sturdy legs, a long and fleshy neck, and a small, dark scrotum indicate a solid fundamental constitution. Warm, moist, and lustrous muscles indicate harmonious Ying (Nutritive) and Wei (Defensive) Qi. Ruddy and clear cheeks and forehead, with hair black as lacquer, indicate solid exterior Qi. Clear and profuse urination, and moist stool, indicate solid interior Qi. All the aforementioned physical images are signs of longevity; such children are free from disease and are particularly easy to nurture. Conversely, if any of the following symptoms and images appear, the child will find it difficult to grow up properly. For instance, if a child inherits syphilis, gonorrhea, or other warm-heat viral pathogens from parents while in the fetal stage, although these may not manifest externally immediately, the fetal toxins cannot remain hidden within the tender body for long and will eventually manifest externally, causing damp sores on the head, face, and limbs, and preventing the body image from being perfect. Cases of enlarged skull, unclosed fontanelles, and a weak neck indicate that toxic vapors are steaming upward due to insufficient Yang Qi in the upper part. Since all Yin meridians originate from the lower part, small and thin feet indicate deficiency of Yin Qi in the lower part. Dry nostrils indicate empty and withered Lung lobes; retracted lips with drooling indicate Spleen weakness failing to control fluids. Sparse, yellow, and scorched hair indicates anemia. Eyes lacking clarity and luster, along with yellow, foul-smelling discharge from the ears, indicate Kidney deficiency complicated by dampness, with toxins accumulating internally causing swelling. Blue-purple veins scattered on the face often indicate Wind-Heat pathogen. Combined with emaciation, ash-white or dull complexion, this indicates exterior deficiency. Unpredictable diarrhea with frequent vomiting indicates interior deficiency. Sores, scabies, crying, and involuntary movements of hands and feet during sleep indicate excessive internal heat and toxicity, signaling that the pathology is about to manifest externally. All the aforementioned images are signs of premature death; such children suffer from frequent illnesses and are difficult to raise.