孩儿胎受诸邪热，热壅三焦作重舌，或成鹅口证堪忧，用药更须针刺裂。
禀赋元虚髓不充，六淫之气易来攻，头兼手足身羸弱，此证名为五软同。
忽然天柱倒何如，此病皆因肝肾虚，外有风邪容易袭，故传项软不相随。
头颅初见如开解，肾弱元虚大可忧，补肾调元是良药，投之不应定难瘳。
小儿自汗证多端，切莫将为一例看，要识阴阳虚实病，勤勤调理自然安。
身黄暑湿蒸脾得，内外因分治最良，更有胎传生便见，母宜多服地黄汤。
九道何为血妄行，盖因抑郁热邪生，随经施治明虚实，气顺如常血自匀。
人身一或才伤损，重则宜其血亦多，不内外因然有自，各分证治在专科。
四时欲得小儿安，常要一分饥与寒。但愿人皆根据此法，自然诸疾不相干。
上前诗诀，言虽鄙俚，所贵平易能记者，得之于心，应之于手，何施不可。参诸后论，
尤见详备。此特为初学之勉。非敢立异于人也。
（以小儿专科要识形证为韵，即前场屋中应举八韵赋式）
细辨诸证，难明小儿。惟造理以达此，于专科而见之，伤风清涕交流，初传在肺，夹
食黄纹必见，是属居脾。原夫七日之内，脐痛乃多，百 之外，骨蒸者少。惟惊疳积热，
半在攻里，故暑湿风寒，先宜发表，总谓十三科目，各贵精专，不拘长幼儿童，均称是
小。观其得病婴孺，要参脉形，虽痛痒难通于一问，然重轻明察于诸经，暴感邪气，腮
颊微紫，久因客忤，山根太清，勿问儿小，但凭药灵，肾有证攻，黑色多浮于地阁（即承浆），心
为邪克，赤纹独露于天庭（即额心）。兹盖脉病证治，审察要详襁褓婴孩，更改莫测。凡有疾
苦，全凭见识，非业擅一门，何以取效？苟医不三世，徒然用力，难同初学之妄议，贵
在专科之定式。心肝恬淡，自然毋染于时灾。脾胃和平，戒以勿餐于夜食，请言夫医通仙
道，溥以生意，家传秘方，及诸幼年，参天地之化育，无息少间，免父母之忧怀，有惊
即痊。虽用药圣，亦由业专。然而见鱼口兮气弱殊甚，闻雅声兮命倾必然。既危吐露以
真实，安有怨咨而妄传。表用疏通，细述戴君之语，藏明补泻，载稽钱氏之篇，专者何。
精义无二，全活孩提，博学有诸，在明机要，是知小脉科兮，尝喜一药多效；大方科兮，
固有十形三疗。盖进以乳食，务要撙节，而远之鼓药，免生惊叫。调和自小以无恙，长大
何忧于不肖？春融一念，普推活幼之诚，日究千方，庶尽及人之妙。然尝论形质始具，夙
有灵性，语言未通，是为哑科，非圆机之士，焉察彼证。必精制之剂，能除宿 ，有信巫
不用医，适以谬甚，有是方不重药，尤其误矣。此病家自取过耳，于医者殊无奈何？术显
咸阳扁鹊，全婴而有验，脉明晋代叔和。及幼以无讹，抑又闻 白虚盛，神气常昏，紫黑
实多，声音益胜，阳证似阴，脉按细紧，阴证似阳，脉来缓应，然大学所谓若保赤子，心
诚求之，此又在究心而观证。
尝谓为医不易，而幼幼之科，尤不易也。
黄帝曰∶若吾不能察其幼小虽圣人犹难之，况后学乎，余虽不才，谩成前赋。以便
学人观形切脉之要，临病之际，非特少资谈柄，亦可以发挥神圣工巧之妙，岂不韪欤？其
或未然，后之明者，改而证诸，幸莫大焉。
孩子胎中受诸邪热侵袭，热邪壅滞三焦（人体上、中、下三个脏腑部位）导致重舌（舌下肿胀如双舌），或者形成鹅口疮（口腔黏膜白色斑膜）令人担忧，用药的同时更需针刺破溃排脓。
禀赋元气虚弱骨髓不充盈，六淫（风、寒、暑、湿、燥、火六种外感病邪）之气容易侵犯，头部及手足身体瘦弱，此证名为五软（头项、口、手、足、肌肉软弱无力）。
忽然天柱骨（指颈项部支撑头部的骨骼）倒伏怎么办？此病皆因肝肾虚损，外有风邪容易侵袭，所以传导至颈部软弱不能随意转动。
头颅初见如颅缝开裂（解颅），肾弱元气虚损大可担忧，补肾调元是良药，投药后若不见效定难痊愈。
小儿自汗症状多种多样，切莫将其视为一种情况看待，要识别阴阳虚实病症，勤加调理自然安宁。
身体发黄由暑湿蒸腾脾土所致，内外病因分别治疗最好，更有胎传因素出生即见，母亲宜多服用地黄汤。
九道（泛指各种病理通道或经络）为何血妄行？大概因为抑郁导致热邪产生，随经络施治明确虚实，气机顺畅血液自然调和。
人身一旦遭受损伤，重的则出血也多，非内非外之因自有其理，各分证候治疗在专科中进行。
四季想要小儿平安，常要保持一分饥与寒。但愿人们都依据此法，自然各种疾病不相干扰。
上述诗诀，言辞虽浅陋，可贵之处在于平易易记，心得于心，应手于术，何事不可为？参考后文论述，尤其详尽完备。这特为勉励初学者，不敢在人前标新立异。
（以小儿专科要识形证为韵，即前科举考试中应举的八韵赋格式）
仔细辨别各种证候，难以明了小儿病情。只有探究医理才能通达此道，在专科中体现出来。伤风清涕交流，初传在肺；夹食积滞黄纹必见，属脾。原来七日之内，脐痛较多；百日之外，骨蒸（阴虚发热）者少。惟惊疳积热，一半在攻里，所以暑湿风寒，先宜发表（发散表邪），总谓十三科目，各贵精专，不拘长幼儿童，均称为小。观察患病婴儿，要参合脉象，虽然痛痒难以通过一问得知，然轻重明察于诸经，暴感邪气，腮颊微紫，久因客忤（外来邪气侵扰），山根（鼻根部）太清，勿问儿小，但凭药灵，肾有证攻，黑色多浮于地阁（即承浆穴处），心为邪克，赤纹独露于天庭（即额心）。这里脉病证治，审察要详细襁褓婴孩，变化莫测。凡有疾苦，全凭见识，非业擅一门，何以取效？假如医生不世传三世，徒然用力，难同初学之妄议，贵在专科之定式。心肝恬淡，自然不染时灾。脾胃和平，戒以勿餐夜食，请言夫医通仙道，广施生机，家传秘方，及诸幼年，参天地之化育，无息少间，免父母之忧怀，有惊即痊。虽用药圣，亦由业专。然而见鱼口（肛门脱出如鱼口状）气息微弱殊甚，闻雅声（声音异常）性命倾覆必然。既危吐露以真实，安有怨咨而妄传。表用疏通，细述戴君之语，藏明补泻，载稽钱氏之篇，专者何？精义无二，全活孩提，博学有诸，在明机要，是知小脉科兮，尝喜一药多效；大方科兮，固有十形三疗。盖进以乳食，务要撙节，而远之鼓药，免生惊叫。调和自小以无恙，长大何忧于不肖？春融一念，普推活幼之诚，日究千方，庶尽及人之妙。然而尝论形质始具，夙有灵性，语言未通，是为哑科（儿科古称），非圆机之士，焉察彼证。必精制之剂，能除宿疾，有信巫不用医，适以谬甚，有是方不重药，尤其误矣。此病家自取过耳，于医者殊无奈何？术显咸阳扁鹊，全婴而有验，脉明晋代叔和。及幼以无讹，抑又闻色白虚盛，神气常昏，紫黑实多，声音益胜，阳证似阴，脉按细紧，阴证似阳，脉来缓应，然大学所谓若保赤子，心诚求之，此又在究心而观证。
曾谓为医不易，而幼幼之科，尤不易也。
黄帝说：如果不能察知幼小病情，即使是圣人也难做到，何况后学呢？我虽不才，漫成前赋。以便学人观形切脉之要，临病之际，非特少资谈柄，亦可以发挥神圣工巧之妙，岂不美哉？其或未然，后之明者，改而证诸，幸莫大焉。
The child receives various pathogenic heat in the womb; heat stagnates in the Sanjiao (Triple Burner: upper, middle, and lower abdominal cavities) causing Chongshe (Double Tongue), or forms E Kou (Goose Mouth Thrush), which is worrying. Medication should be accompanied by acupuncture to lacerate and drain.
Constitutional Yuan Qi (Original Qi) is deficient and marrow is not filled; the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) easily attack. The head, hands, feet, and body are emaciated and weak; this syndrome is named Wu Ruan (Five Softnesses).
Suddenly the Tian Zhu (Heavenly Pillar: neck/spine) collapses, what then? This disease is due to Liver and Kidney deficiency. External Wind pathogens easily invade, thus transmitting to the neck causing softness and inability to move freely.
The skull initially appears as if sutured open (Jie Chu); Kidney weakness and Yuan Qi deficiency are greatly concerning. Tonifying the Kidney and regulating Yuan Qi is the good medicine; if it does not respond, recovery will surely be difficult.
Pediatric spontaneous sweating has many manifestations; do not view it as a single case. One must distinguish Yin-Yang and Deficiency-Excess syndromes; diligent regulation leads to natural peace.
Body yellowing is caused by Summerheat and Dampness steaming the Spleen; treating internal and external causes separately is best. There are also congenital cases visible at birth; the mother should take Dihuang Tang (Rehmannia Decoction) frequently.
Why do the Nine Pathways experience reckless blood movement? It is likely due to depression generating Heat pathogens. Treating according to the meridians and clarifying Deficiency-Excess allows Qi to flow smoothly and Blood to harmonize naturally.
Once the human body suffers injury, severe cases involve much bleeding. Non-internal, non-external causes have their own logic; each syndrome is treated within its specialty.
To keep children safe through the four seasons, one must maintain a state of slight hunger and cold. If everyone follows this method, naturally various diseases will not interfere.
The above poetic verses, though plain, are valuable for being easy to remember. What is grasped in the heart responds in the hand; what cannot be achieved? Referencing the subsequent discussions reveals greater detail. This is specifically to encourage beginners, not to claim originality over others.
(Using "Essential Recognition of Forms and Syndromes in Pediatric Specialty" as the rhyme scheme, following the eight-rhyme fu format used in imperial examinations.)
Carefully distinguishing various syndromes makes pediatric conditions hard to clarify. Only by exploring medical principles can one achieve understanding, manifested in the specialty. Wind-cold with clear nasal discharge indicates initial transmission to the Lung; food stagnation with yellow lines indicates involvement of the Spleen. Within seven days, umbilical pain is common; after one hundred days, bone-steaming fever is rare. For fright, malnutrition, accumulation, and heat, half requires purging the interior. Thus, for Summerheat, Dampness, Wind, and Cold, releasing the exterior is first priority. Generally speaking of thirteen categories, each requires specialization. Regardless of age, all are called "small." Observing sick infants requires pulse analysis. Although pain and itch are hard to ask about, severity is clearly observed across meridians. Sudden pathogenic invasion shows slightly purple cheeks; long-term disturbance by external evil shows a clear Shan Gen (root of nose). Do not ask about the child's age, but rely on effective herbs. If Kidney pathology attacks, black color often floats on Di Ge (Chengjiang point area). If Heart is overcome by evil, red lines appear uniquely on Tian Ting (forehead center). Here, pulse, disease, signs, and treatment require detailed examination. Infants change unpredictably. All suffering relies on medical insight. Without specializing in one field, how can efficacy be achieved? If a doctor does not come from three generations of practice, effort is futile. It is difficult to match the rash discussion of beginners; value lies in the standardized approach of the specialty. When Heart and Liver are tranquil, they naturally avoid seasonal disasters. When Spleen and Stomach are harmonious, night eating is avoided. Let us speak of medicine connecting to the Dao of immortality, broadly extending life. Family secret formulas and treatments for youth participate in the transformation and nourishment of Heaven and Earth, without pause, relieving parents' worries. With fright, recovery occurs. Even using sage-like drugs depends on professional specialization. However, seeing Yu Kou (fish-mouth anus prolapse) indicates extremely weak Qi; hearing abnormal sounds inevitably leads to death. Since danger is revealed truthfully, why complain and spread falsehoods? Exterior use involves unblocking; detailing Master Dai's words. Interior organs clarify tonification and sedation, referencing Qian's chapters. What is specialization? Precise meaning without duality. Saving children, broad learning lies in understanding key mechanisms. Knowing the small pulse department, one often likes multiple effects of one drug; the large prescription department inherently has ten forms and three therapies. Feeding with milk and food requires moderation, avoiding drumming medicines to prevent fright. Harmonizing from childhood ensures no illness; why worry about becoming unworthy when grown? A spring-like thought universally promotes sincerity in saving children; daily researching thousand prescriptions may exhaust the wonder of benefiting others. However, discussing physical formation beginning, innate spirituality, unspoken language, this is the "Mute Department" (Pediatrics). Only a master of flexible wisdom can observe those syndromes. Must refine preparations to remove chronic ailments. Those who trust shamans instead of doctors are greatly mistaken; having formulas but not valuing herbs is even more erroneous. This is the patient's family taking blame themselves; doctors are helpless. Techniques displayed by Bian Que of Xianyang verified infant preservation; pulse clarity by Shu He of Jin Dynasty ensured no error in pediatrics. Furthermore, white complexion indicates excess deficiency, spirit is often dull; purple-black indicates excess, voice is louder. Yang syndromes resemble Yin, pulse feels fine and tight upon pressing; Yin syndromes resemble Yang, pulse comes slow and responsive. As the Great Learning says, "As if protecting an infant, sincerely seeking," this again requires investigating the mind and observing syndromes.
I once said that practicing medicine is not easy, and the pediatric specialty is especially difficult.
The Yellow Emperor said: "If I cannot perceive the condition of the young, even a sage would find it difficult, let alone later learners." Though I am untalented, I casually composed the previous fu. To facilitate learners in observing forms and taking pulses, at the time of illness, not only providing topics for conversation, but also displaying the wonders of divine, sacred, skillful, and adept medicine, is it not virtuous? If not so, let future wise ones correct and verify it; this is great fortune.