议曰调理婴孩一科天下之难事也且古从今着载未详其议世有质能之士未尝废业盖此等方
脉之术
也然其参习至理妙无它焉所谓审察宛详按考备既已实矣不为虚设夫苟瞑然取次应急相投致
谬滥噫审者审契表里察者察实阴阳究者究竟脏腑详者详悉标本按者按明虚实考者考较轻重推
者推评前后备者备准端的入法千心十全保命口无泛语意无滥思脉无虚究药无虚发凡有婴儿先
以视之为上
听声为次察脉又为次旦婴儿所受胎气未充其色白其形萎其气怯其声浊得颅囟（音芦音信乃顶
门也）固实稍长不任变蒸既于变蒸不备则形体萎而不壮情性不舒疾病无特不有初生之儿所受
胎气充足其色紫其形紧其气壮其声清焉得颅囟虚旷稍长渐受变蒸既而变蒸淌足则体实形因情
宽性缓疾病经年不仵凡为医工专诚守业毋浪游毋泛饮毋傲恣毋耽执用之则专（专不以心浮泛）
遣之则稳（令其绝疑）执而从机（行用以明机变）奸而致执（每根据不可法则轻易）设意无太过处性
莫
不及（切须究竟毋太过不及）凡遇临危赴急看候一见使人怆然者勿可徇众而说但如前八法明度
而已若也视之为常听之为妄视听不专浮泛致乱虚作实冷作热表为里壅为通如此仓皇安得不有
疏谬今述总要须当致谨参详乃谓成全日用善工者耶
议曰：调理婴孩这一科，是天下最难的事情。而且从古至今的记载中，对此论述得并不详尽。世间虽有具备才能的人士，也未曾废弃这门技艺，因为这属于方脉（诊察脉象与处方用药）的技术。然而，要参悟其中的至理，精妙之处并无其他捷径，唯有所谓“审、察、究、详、按、考、推、备”这八法罢了。
如果已经切实地做到了审察详尽、考核完备，就不会是虚设；倘若糊里糊涂地仓促应急，随意投药，就会导致谬误和泛滥。唉！所谓“审”，是审慎契合表里关系；所谓“察”，是明察阴阳虚实；所谓“究”，是穷究脏腑机理；所谓“详”，是详细知晓标本缓急；所谓“按”，是按压以辨明虚实；所谓“考”，是考核比较病情的轻重；所谓“推”，是推演评估前后的变化；所谓“备”，是准备周全以确保精准。运用这八法，心中要有十全把握，以此保全生命，口中不说空话，心中不乱生杂念，脉象不虚假探究，药物不虚发。
凡是遇到婴儿，首先以观察神色为上策，听声音为次，切脉又为次。这是因为婴儿所受的胎气尚未充盈，面色苍白，形体萎靡，气息怯弱，声音浑浊。若其颅囟（音芦，音信，指头顶门）坚固充实，稍长大后能耐受变蒸（婴幼儿生长发育过程中的生理现象），那么即使变蒸不全，也只是形体萎弱而不壮实，性情不畅舒，疾病不会特别严重。反之，初生的婴儿若所受胎气充足，则面色紫红，形体紧致，气息壮盛，声音清亮。若其颅囟虚旷，稍长大后逐渐接受变蒸，等到变蒸通畅充足，则身体结实，形体强健，性情宽缓，即便经年患病也不至于危重。
大凡作为医生，必须专心致志坚守职业，不要浪游四方，不要滥饮无度，不要傲慢放纵，不要固执己见。使用时要专注（专注而不心浮气躁），遣用时要稳妥（使其消除疑虑），执行时要顺应机变（行动以明确灵活应变），奸巧时要坚持原则（每次依据不可轻易违背的法度）。设定意图不要有过分之处，性格不要有不及之弊（务必穷究到底，不要太过或不及）。
凡是遇到临危赴急、一看就让人感到悲怆的情况，不要顺从众人而随意解说，只要像前述八法那样明确衡量即可。如果视诊成为常态却听诊视为妄诞，视听不专一，心浮气躁导致混乱，将虚证当作实证，冷证当作热证，表证当作里证，壅滞当作通畅，如此仓皇失措，怎能没有疏漏和谬误？如今陈述这些要点，必须谨慎参详，这才叫做成全日常善于行医的人。
Commentary states: The discipline of regulating infants is the most difficult task in the world. Moreover, records from ancient to modern times have not detailed its discussions. Although there are capable individuals in the world who have not abandoned this profession, it belongs to the art of Fangmai (diagnosing via pulse and prescribing). However, to comprehend the profound principles, there is no other subtle way than what is called "Shen, Cha, Jiu, Xiang, An, Kao, Tui, Bei" (Examine, Observe, Investigate, Detail, Press, Evaluate, Deduce, Prepare).
If one has thoroughly examined and carefully evaluated, it will not be in vain; but if one acts blindly and hastily in emergencies, arbitrarily administering remedies, errors and chaos will ensue. Alas! "Shen" (Examine) means carefully aligning with the exterior and interior relationships; "Cha" (Observe) means discerning the reality of Yin and Yang; "Jiu" (Investigate) means thoroughly exploring the Zang-Fu organs; "Xiang" (Detail) means comprehensively understanding the root and branch aspects; "An" (Press) means palpating to clarify deficiency and excess; "Kao" (Evaluate) means comparing the severity of the condition; "Tui" (Deduce) means assessing changes before and after; "Bei" (Prepare) means being fully prepared for precision. With these eight methods, one aims for perfection to preserve life, speaking no empty words, thinking no frivolous thoughts, investigating pulses without falsity, and administering medicines without waste.
For any infant, observation of complexion is primary, listening to sounds is secondary, and taking the pulse is tertiary. This is because the prenatal Qi received by infants is not yet full; their complexion is pale, their form is withered, their Qi is timid, and their voice is turbid. If their Cranfontanelle (Luo-Xin, referring to the fontanelle on the top of the head) is solid and firm, and as they grow slightly older, they can withstand Bianzheng (physiological developmental changes in infants), then even if Bianzheng is incomplete, their body may be withered and not strong, their temperament unrelaxed, but diseases will not be particularly severe. Conversely, newborns whose prenatal Qi is sufficient have a purplish-red complexion, a tight form, robust Qi, and clear voices. If their Cranfontanelle is open and loose, and as they grow, they gradually undergo Bianzheng until it is complete, their body becomes solid, form strong, temperament relaxed, and diseases over years will not be critical.
Therefore, physicians must sincerely uphold their profession, avoiding wandering aimlessly, excessive drinking, arrogance, or stubbornness. When applying methods, one must be focused (not superficial); when dispensing treatment, one must be steady (eliminating doubt); when executing, one must adapt to circumstances (acting with flexibility); when facing deceit, one must adhere to principles (following immutable laws). Intentions should not be excessive, and nature should not fall short (one must investigate thoroughly, avoiding both excess and deficiency).
Whenever encountering critical or urgent cases that evoke sorrow upon first sight, do not conform to public opinion and speak loosely; instead, judge clearly according to the aforementioned eight methods. If observation is routine while listening is dismissed as false, if attention to sight and hearing is undivided leading to chaos, if deficiency is treated as excess, cold as heat, exterior as interior, and stagnation as patency, how can one avoid negligence and error? Thus, I present the essentials: one must be cautious and deliberate in analysis, which constitutes the skill of a competent daily practitioner.