钱氏曰肝主风实则目直大叫呵欠项急顿闷 虚则切牙多欠气热则外生气温则内生 肝热
手寻衣领及乱捻物泻青丸主之壮热饮水喘闷泻白散主之
肝有风目连札不搐得心热则搐治肝泻青丸治心导赤散 风甚身反张直不搐心不受热也当
补肾
治肝 肝有热目直视不搐得心热则搐治与有风同 凡病或新或久皆引肝风风动而止于头目目
属肝风入于目上下左右如风吹不轻不重儿不能任故目运札也若热入目牵其筋脉两 俱紧不能
转视故目直也若得心热则搐以其子母俱有实热风火相搏故也
洁古曰肝主谋勇热则寻衣捻物目连札直视不能转视或极则身反强直折皆风热也目者肝之
窍属木木性急故如是
钱氏曰心主惊实则叫哭发热饮水而搐 虚则困卧悸动不安 心病多叫哭手足动摇惊悸
心气
热则心胸亦热欲言不能而有就凉之意故合面卧 心热视其睡口中气温或合面睡及上窜摇头咬
牙皆心热也导赤散主之 心实则气上下涩合卧则气不得通故喜仰卧则气得上下通也泻心汤主
之
钱氏曰脾主困病则困睡泄泻不思食 实则困睡身热饮水虚则吐泻生风
肺主喘实则闷乱喘促有饮水者有不饮水者 虚则哽气长出气 肺热手掐眉目鼻面 肺盛
复有
风冷胸满短气气急喘嗽上气当先散肺后散风冷肺只伤寒则不胸满 肺虚热唇深红色治之散虚
热肺脏怯唇白色当补若闷乱气粗喘促哽气者难治肺虚损故也 脾肺病久则虚而唇白脾者肺
之母也母子皆虚不能相营故名曰怯肺主唇白白而泽者吉如枯骨者死
洁古曰肺主气燥热则壮热饮水喘闷鼻干燥手扪眉面泻白散 胸满短气气急喘嗽上气皆是
肺气有余复感风邪之所伤谓之微邪先泻而复发散之
钱氏曰肾主虚无实也惟疮疹肾实则黑陷 肾虚儿
本虚怯由胎气不成则神不足目中白睛多其颅即解(自问也)面色 白此皆难养纵长不过八八之
数若恣色欲多不及四旬而亡或有因病而致肾虚者非也又肾气不足则下窜盖骨重惟欲坠下而缩
身也肾水阴也肾虚则畏明宜补之
洁古曰下窜者肾气不足两足热不喜衣覆足然此者脐以下皆肾之所主缘心气下行于肾部也
此乃肾不足而心有余宜地黄丸
钱乙说：肝主风。实证表现为眼睛直视、大声呼叫、打呵欠、颈部僵硬、突然感到胸闷。虚证表现为咬牙、频繁打呵欠、气短。热邪在外则生温，在内则生肝热。若出现手抓衣领及胡乱揉搓物品的症状，主治方为泻青丸；若出现高热、口渴饮水、气喘胸闷的症状，主治方为泻白散。
肝有风邪，表现为眼球连动不抽搐；若兼得心经热邪，则会出现抽搐。治疗肝风用泻青丸，治疗心热用导赤散。若风邪严重导致身体反张挺直而不抽搐，说明心不受热，应当补肾以治肝（实则治其母）。
肝有热邪，表现为眼睛直视而不抽搐；若兼得心经热邪，则会出现抽搐。治疗方法与有风邪的情况相同。凡是疾病，无论是新发还是久病，都会引动肝风。风邪发动后止于头目，因为目属肝，风邪进入目中，上下左右如同风吹一般，不轻不重，小儿不能承受，所以眼睛昏乱颤动。如果热邪入目，牵拉筋脉，使两眼都紧绷，不能转动视物，所以眼睛直视。如果兼得心经热邪则抽搐，这是因为母子两脏都有实热，风火相互搏结所致。
张元素（洁古）说：肝主谋虑和勇气。热邪盛时，会出现寻找衣领、揉搓物品、眼球连动、眼睛直视不能转动，或者极严重时身体反强直折，这都是风热所致。眼睛是肝的窍，属木，木性急躁，所以会出现上述症状。
钱乙说：心主惊悸。实证表现为叫喊哭泣、发热、饮水并伴有抽搐。虚证表现为嗜睡、心悸、躁动不安。心病多表现为叫哭、手足动摇、惊悸。如果心气热，心胸也会热，想说话却说不出来，且有寻求凉意的表现，所以喜欢脸朝下睡觉。观察心热的表现，看其睡眠时口中气息温热，或者脸朝下睡、向上窜动、摇头、咬牙，都是心热的表现，主治方为导赤散。心实证表现为气机上下涩滞，侧卧则气不得通畅，所以喜欢仰卧以使气机上下通畅，主治方为泻心汤。
钱乙说：脾主困倦。患病则嗜睡、泄泻、不思饮食。实证表现为嗜睡、身热、饮水；虚证表现为吐泻并生风。
肺主喘促。实证表现为胸闷烦乱、呼吸急促，有的想喝水，有的不想喝水。虚证表现为嗳气、长出气。肺热表现为用手掐眉、目、鼻、面部。肺盛且复感风冷，表现为胸满、气短、气急、喘嗽、上气，应当先疏散肺气，再疏散风冷。如果肺只受伤寒则不会胸满。肺虚热表现为嘴唇深红色，治疗应疏散虚热；肺脏怯弱表现为嘴唇白色，应当补益。如果出现胸闷烦乱、气粗、喘促、嗳气的情况，难以治疗，这是因为肺虚损的缘故。脾肺病日久则虚而嘴唇发白，脾是肺之母，母子皆虚，不能相互滋养，所以名叫“怯”。肺主唇色，白色而有光泽者吉，像枯骨一样者死。
张元素（洁古）说：肺主气。燥热则壮热、饮水、气喘胸闷、鼻干燥、手摸眉面，主治方为泻白散。胸满、气短、气急、喘嗽、上气，这些都是肺气有余又感受风邪所伤，称为微邪，应先泻肺而后发散。
钱乙说：肾主虚无实，只有疮疹出黑陷时才属实。肾虚的小儿原本就体虚怯弱，由于胎气不成，则神不足，眼中白睛多，颅门不合（囟门未闭），面色白，这些都难养育，即使长大也不超过八八六十四岁的寿命。如果父母恣意纵欲，孩子更不及四十岁而亡。有的因病导致肾虚的说法是不对的。另外，肾气不足则足部向下窜动，这是因为骨头沉重，只想坠下缩身的缘故。肾水属阴，肾虚则畏光，宜补益。
张元素（洁古）说：所谓下窜，是因为肾气不足，两脚发热不喜欢衣物覆盖，然而这是脐以下皆由肾所主，缘于心气下行于肾部的缘故。这乃是肾不足而心有余，宜用地黄丸。
Qian Yi stated: The Liver governs Wind. In excess conditions, manifestations include eyes staring straight, loud crying, yawning, neck stiffness, and sudden chest oppression. In deficiency conditions, manifestations include teeth grinding, frequent yawning, and shortness of breath. Heat pathogen external generates warmth; internal generates Liver Heat. If symptoms include grasping at clothing collars and randomly rubbing objects, Xie Qing Wan (Drain the Green Pill) is indicated. If symptoms include high fever, thirst with desire to drink water, wheezing, and chest oppression, Xie Bai San (Drain the White Powder) is indicated.
When the Liver has Wind, the eyes move continuously without convulsions; if Heart Heat is also present, convulsions occur. Treat Liver Wind with Xie Qing Wan (Drain the Green Pill); treat Heart Heat with Dao Chi San (Direct Outward the Red Powder). If Wind is severe causing the body to arch backward and become rigid without convulsions, it indicates the Heart does not accept heat; one should tonify the Kidney to treat the Liver (treating the mother organ).
When the Liver has Heat, the eyes stare straight without convulsions; if Heart Heat is also present, convulsions occur. The treatment method is the same as for Wind conditions. Any disease, whether new or chronic, can draw out Liver Wind. When Wind moves, it stops at the head and eyes because the eyes belong to the Liver. When Wind enters the eyes, moving up, down, left, and right like wind blowing, neither light nor heavy, the child cannot bear it, resulting in dizziness and eye tremors. If Heat enters the eyes, pulling on the sinews, making both eyes tight so they cannot turn to look, the eyes stare straight. If accompanied by Heart Heat, convulsions occur because both the mother (Liver) and child (Heart) organs have excess heat, with Wind and Fire battling each other.
Zhang Yuansu (Jiegu) stated: The Liver governs planning and courage. When Heat is excessive, there is seeking of clothes, rubbing objects, continuous eye movement, inability to turn the eyes, or extreme cases of body rigidity and bending, all due to Wind-Heat. The eyes are the opening of the Liver, belonging to Wood; Wood nature is urgent, hence such symptoms.
Qian Yi stated: The Heart governs Fright. In excess conditions, manifestations include crying and wailing, fever, drinking water, and convulsions. In deficiency conditions, manifestations include lethargy, palpitations, and restlessness. Heart diseases often present with crying, shaking of hands and feet, fright, and palpitations. If Heart Qi is hot, the chest and heart area will also be hot; the patient wants to speak but cannot, and has a desire for coolness, thus preferring to sleep face down. To observe Heart Heat, check if breath from the mouth is warm during sleep, or if the child sleeps face down, looks upward, shakes the head, or grinds teeth; these are signs of Heart Heat, treated with Dao Chi San (Direct Outward the Red Powder). In Heart Excess, Qi flow is obstructed up and down; lying on the side prevents Qi from flowing freely, so the patient prefers lying on the back to allow Qi to circulate freely, treated with Xie Xin Tang (Drain the Heart Decoction).
Qian Yi stated: The Spleen governs fatigue. Disease manifests as lethargy, diarrhea, and loss of appetite. In excess conditions, there is lethargy, body heat, and thirst; in deficiency conditions, vomiting and diarrhea occur, generating Wind.
The Lung governs panting. In excess conditions, there is chest stuffiness, confusion, rapid breathing; some patients desire water, others do not. In deficiency conditions, there is belching and long sighs. Lung Heat manifests as picking at the eyebrows, eyes, nose, and face. If Lung is excessive and complicated by Wind-Cold, there is chest fullness, shortness of breath, urgency, coughing, and rebellious Qi; one should first disperse Lung Qi, then disperse Wind-Cold. If the Lung is only affected by Cold Damage, there is no chest fullness. Lung deficiency heat manifests as deep red lips; treat by dispersing deficiency heat. Lung weakness manifests as white lips; tonify. If there is chest stuffiness, confusion, coarse breathing, panting, and belching, it is difficult to treat due to Lung deficiency and damage. Chronic Spleen and Lung diseases lead to deficiency and white lips. The Spleen is the mother of the Lung; when both mother and child are deficient and cannot nourish each other, it is called "Qie" (Timidity/Weakness). The Lung governs lip color; white and lustrous is auspicious; dry as dead bone is fatal.
Zhang Yuansu (Jiegu) stated: The Lung governs Qi. Dry-Heat manifests as high fever, thirst, wheezing, chest oppression, dry nose, and hand-picking at the brows and face, treated with Xie Bai San (Drain the White Powder). Chest fullness, shortness of breath, urgency, coughing, and rebellious Qi are all due to excess Lung Qi compounded by Wind pathogen injury, termed Minor Evil; first drain the Lung, then disperse.
Qian Yi stated: The Kidney governs deficiency, not excess; only in carbuncle-rash eruptions turning black and depressed is it considered excess. Children with Kidney deficiency are originally timid and weak. Due to incomplete fetal Qi, Spirit is insufficient, there is excessive white sclera, open fontanelles, and pale complexion; these are hard to nurture, and even if they survive, rarely exceed sixty-four years of age. If parents indulge excessively in sexual desires, children may die before forty. It is incorrect to attribute this solely to post-natal illness causing Kidney deficiency. Furthermore, insufficient Kidney Qi causes the feet to curl downward/crawl, because bones are heavy and desire to sink and shrink. Kidney Water is Yin; Kidney deficiency leads to fear of light, suitable for tonification.
Zhang Yuansu (Jiegu) stated: What is called "crawling downward" is due to insufficient Kidney Qi, with hot feet that dislike being covered by clothes. However, this area below the navel is governed by the Kidney, originating from Heart Qi descending into the Kidney region. This is actually Kidney deficiency with Heart excess, suitable for Di Huang Wan (Rehmannia Pill).