议曰观形看候察色听声宜究阴阳受于邪正皆由一气生成之本一气者先天应运造化 基禀
赋不
常故抱虚怯孩童作疾其在实实虚虚损益得中标本无恙过与不及以意逆之凡为医工须知表里复
审盈亏不和则众疾皆临稍顺则四大悉正世传小方脉书八十余家究竟症候良方妙剂不过五十然
其传变形容诸症该千述万各显其长不得不录是故医家明理药不繁劳乃知至妙广博言章欲使学
者通变而已太抵小儿得疾所受无过惊积冷热疗理不致散漫者乃为上工其候传散斯为下客传散
者惊即作痫热即成风积成痞癖虚作疳痢冷致吐泻逆为呕哕其症泛泛其医KT KT 若不寻其源流渐
入江海愈远愈深弥开弥大上士治之未萌（不待传变）中士治之已行（疾作它症）下士治之纵横（
或有得失）盲者治之峥嵘（无规法也）用药副之规矩行道从之精专婴孩无隐疾之情药饵有反功
之叹勿致矜哀乃招庆善矣
议曰幼幼方脉在乎参审推详究竟尽善深明其理为得之矣不以意竟为务不以疑似为怯不以
未用
试功不以疏怠为向每一症无不审究古意及师授之因每一候无不察度准绳平善之理所见至良决
定有路无可疑者方与投药庶无勉强肆臆之为岂有伤大坏症之害或有之盖其灭裂故也初生之儿
审其胎气少稳断乳之子究其饮食伤脾离母之孩察其暑湿寒邪非角髫童觉其驰遂斗力劳则伤气
动则伤神役则伤形饱即伤滞毋有四意医工次焉若也顺事致敬婴孩何疾加之一曰调护谓调适
其寒温护令不受邪触春不怯冻秋不乘凉夏知清冷冬觉温焕二曰保持谓保娇情所欲撮所经任之
意乳须
及时食无过剂睡无令饫戏勿令饥坐卧起止惟母当知三曰抚育谓幼则顺其娇痴长则变其情忘抚
之乃常存其神而知其体育之乃要其形而调其性四曰鞠养谓儿长成宜鞠问之毋令纵恣毋令忽暴
毋令悖逆毋令顽慢四者穷理盖性纵恣毋令忽暴毋令悖逆毋令顽慢四者穷理尽性可谓慈母之
道凡儿初生之后出三日气脉定已脱脐风之难过七日精神全方离锁肚之害越百日腠理持不致咳
嗽之危千日外胃气正不泻青黑之咎又亦有四焉一曰和爱二曰顺敬三曰谨训四曰宽责和爱者不
恣儿男口腹顺敬者不听炎威嬉戏谨训者至诚礼貌相持宽责者忠怒丁宁举喻若加鞭笞呵叱不惟
惊恐怖畏此之用狠彼之亦愚若也父子相尚温恭相顺斯为善矣
议论说：观察形体、查看神色、察验面色、听辨声音，应当探究阴阳。疾病受于邪气或正气，皆源于“一气”生成的根本。“一气”者，是先天应运造化所禀赋的根基，禀赋不常，故抱持虚怯体质的孩童容易患病。如果在治疗中能做到虚实得当、损益适宜，把握标本，则身体无恙；若治疗过当或不及，便需凭心意去推究。大凡作为医生，必须知晓表里关系，反复审视盈亏。气血不和，则各种疾病都会降临；稍加顺应调理，则四肢百骸（四大）都能恢复正常。世间流传的小儿方脉书籍有八十多家，究竟涉及的症候与良方妙剂不过五十种。然而其传变形容诸症，千述万言，各显其长，不得不收录。因此，医家若能明理，用药就不繁复劳神，从而知晓医术的至妙之处。广博的言论章节，旨在使学习者能够通晓变化罢了。大体上，小儿患病，所受不外乎惊、积、冷、热四种。治疗调理如果不致散漫无章，才算是上等医生。如果病候传变扩散，则是下等医者。所谓传散，是指：惊则发作为痫证，热则转化为风证，积滞形成痞块癖积，虚弱导致疳疾痢疾，寒冷引起吐泻，逆乱则为呕哕。这些病症泛泛而谈，如果医生不探寻其源流，病情就会像逐渐汇入江海一样，离源头越远越深，范围越大。上等医生在病未萌发时治疗（不待传变），中等医生在病已发作并产生他症时治疗，下等医生在治疗时纵横无序（或有得失），庸医治疗则杂乱无章（没有规范的法度）。用药必须符合规矩，行医之道在于精专。婴幼儿没有隐瞒病情的能力，若用药不当会有反效的叹息。不要导致哀伤，反而要招来喜庆善果。
议论说：儿科方脉关键在于参详审究，推求详尽，达到尽善尽美，深刻明白其中的道理才算得法。不以主观臆断为务，不因疑似症状而胆怯，不因未试用功效而轻率，不因疏忽懈怠而趋向错误。每一个症状无不审究古人的意旨及师授的缘由；每一个候象无不察度准绳和平善之理，所见极为良好，决定有路可循，无可怀疑，然后才投药，这样就不会有勉强和肆意妄为造成的伤害。如果有伤害，大概是因为草率马虎的缘故。初生的婴儿，要审察其胎气是否少稳；断乳的孩子，要究查其饮食是否伤脾；离开母亲的孩童，要察视其暑湿寒邪；非幼童（较大儿童）要觉察其奔跑追逐、斗力玩耍，劳累则伤气，运动过度则伤神，役使过度则伤形，饱食即伤滞。不要有四意（指上述四种损伤），医生其次才考虑治疗。如果顺从事理、恭敬对待，婴儿有什么疾病会加重呢？第一曰调护，谓调节适应其寒温，保护使其不受邪气触碰。春天不畏惧冻害，秋天不乘凉，夏天知道清冷，冬天感觉温暖焕新。第二曰保持，谓保护娇嫩的情性，顺遂其经任之意。哺乳须及时，饮食无过量，睡眠不令过饱，嬉戏不令饥饿，坐卧起止只有母亲应当知晓。第三曰抚育，谓年幼时顺从其娇痴，长大则改变其情志。抚摸他们以常存其神，教育他们以要领其形并调和其性情。第四曰鞠养，谓儿女长成后宜问讯教导，不令放纵恣肆，不令忽暴，不令悖逆，不令顽劣缓慢。这四者穷尽物理、尽显本性，可以说是慈母之道。凡是婴儿初生之后，出三日气脉安定，已脱离脐风的难过阶段；过七日精神完全，方才远离锁肚的危害；越百日腠理坚固，不致咳嗽的危险；千日外胃气正常，不泻青黑之粪便的咎害。又有四条准则：一曰和爱，二曰顺敬，三曰谨训，四曰宽责。和爱者，不纵容孩子的口腹之欲；顺敬者，不听任孩子在炎热威严中嬉戏；谨训者，以至诚礼貌相互持守；宽责者，忠告怒斥叮咛，举例说明如同施加鞭笞呵叱。不这样做，不仅会使孩子惊恐恐怖畏惧，这种用狠毒手段对待他人的做法也是愚蠢的。如果父子之间崇尚温和恭敬，相互顺从，这才是好的。
Translation:
It is discussed that observing the form, examining the manifestations, inspecting the complexion, and listening to the voice should involve investigating Yin and Yang. Diseases caused by pathogenic factors or healthy qi all originate from the root of generation by "One Qi" (the primordial vital energy). "One Qi" is the foundation endowed by innate congenital adaptation and creative transformation. Since endowment varies, children with deficient and timid constitutions are prone to illness. If treatment achieves balance between deficiency and excess, and addresses both root and branch, health remains intact; if treatment is excessive or insufficient, one must infer through mental reasoning. Generally, physicians must understand exterior and interior relationships and repeatedly examine盈 (fullness) and 亏 (deficiency). When harmony is disrupted, various diseases will approach; slight compliance in regulation will rectify the four limbs and body. Over eighty families of pediatric pulse books have been passed down, yet the actual symptoms and excellent prescriptions amount to no more than fifty. However, their descriptions of transmission and manifestations of various conditions are numerous, each displaying its strengths, so they cannot but be recorded. Therefore, if a physician understands principles, medication will not be cumbersome, thereby knowing the subtlety of medicine. Extensive writings aim to enable learners to comprehend changes. Broadly speaking, pediatric illnesses stem from fright, accumulation, cold, and heat. Treatment that is not scattered or chaotic belongs to superior practitioners. If symptoms spread and transmit, it indicates inferior practitioners. Specifically, fright transforms into epilepsy, heat transforms into wind, accumulation forms masses and癖 (fixed masses), deficiency leads to 疳 (infantile malnutrition) and dysentery, cold causes vomiting and diarrhea, and rebellion results in belching and hiccups. These symptoms are general; if doctors do not trace their source, the condition deepens like water flowing into rivers and seas, becoming wider and larger. Superior physicians treat before onset (without waiting for transmission), average physicians treat after onset (when other symptoms appear), inferior physicians treat chaotically (with gains and losses), and blind physicians treat irregularly (without standard methods). Medication must follow rules, and medical practice requires specialization. Infants cannot conceal their condition; improper medication leads to regretful counter-effects. Avoid causing sorrow and instead invite auspicious outcomes.
It is discussed that pediatric pulse diagnosis lies in careful examination and detailed deduction to achieve perfection and profound understanding of principles. Do not rely on subjective assumptions, do not hesitate due to doubtful signs, do not act rashly because efficacy is untested, and do not tend towards negligence. Every symptom must be investigated according to ancient wisdom and teacher's teachings; every manifestation must be measured against standards of balance and health. With excellent observations and clear paths for decision-making, there is no room for doubt before administering medicine. This prevents forced or arbitrary actions that could harm severe cases. Harm usually arises from carelessness. For newborns, assess whether fetal qi is stable; for weaned children, investigate if diet has injured the spleen; for children separated from mothers, observe summer-dampness and cold pathogens; for older children, notice running, chasing, and strength contests—fatigue injures qi, excessive movement injures spirit, overwork injures form, and fullness causes stagnation. Physicians should avoid these four injuries and consider treatment secondary. By respecting and following natural processes, what disease would worsen in an infant? First is "Regulation and Protection": adjust warmth and coolness, protect from pathogenic contact. In spring, avoid fear of cold; in autumn, avoid cooling drafts; in summer, know clarity and cold; in winter, feel warmth. Second is "Maintenance": protect delicate emotions and desires, follow natural impulses. Nursing should be timely, food intake moderate, sleep not excessive, play not leading to hunger. Mothers should know sitting, lying, rising, and walking. Third is "Nurturing": accommodate childish innocence when young, change temperament as they grow. Stroke them to preserve spirit, educate them to guide form and harmonize nature. Fourth is "Upbringing": question and instruct growing children, preventing indulgence, sudden violence, rebellion, and stubborn slowness. These four exhaust principles and fulfill nature, embodying the way of a loving mother. After birth, at three days, qi and pulse stabilize, escaping umbilical tetanus difficulties; at seven days, spirit is complete, avoiding locked belly harm; beyond one hundred days, pores hold firm, avoiding cough dangers; beyond one thousand days, stomach qi is normal, avoiding green-black stool issues. There are also four guidelines: First is "Loving Harmony," not indulging oral desires; Second is "Respectful Compliance," not allowing play in harsh heat; Third is "Cautious Instruction," maintaining sincere politeness; Fourth is "Lenient Reproof," using earnest warnings and examples rather than whipping or scolding, which only cause fear. Such harshness is foolish. If father and son respect each other with warmth and courtesy, this is good.