小儿须看三关脉，风气命中审端的，青红紫黑及黄纹，屈曲开了似针直。三关通青四足
惊，水惊赤色谁能明，人惊黑色紫泻痢，色黄定是被雷惊（按此与仙授诀不同，再验之）。或
青红纹只一线，娘食伤脾惊热见，左右三条风肺痰，此时伤寒咳嗽变。火红主泻黑相兼，
痢疾之色亦如然，若是乱纹多转变，沉 难起促天年。赤色流珠主膈热，三焦不和心烦结，
吐泻肠鸣自利下，六和汤中真口诀。环珠长珠两样形，脾胃虚弱心胀膨，积滞不化肚腹痛，
消食化气药堪行。来蛇去蛇形又别，冷积脏寒神困极，必须养胃倍香砂，加减临时见药力。
弓反里形纹外形，感寒邪热少精神，小便赤色夹惊风，痫症相似在人明。枪形鱼刺水字纹，
风痰发搐热如焚，先进升麻连壳散，次服柴胡大小并。针形穿关射指甲，一样热惊非 呷，
防风通圣凉膈同，次第调之休乱杂。医者能明此一篇，小儿症候无难然，口传心授到家地，
遇地收功即近仙。
此诀即徐氏水镜诀之意，陈氏敷演之，取其便诵也。
实症∶两腮红赤便坚秘，小便黄色赤不止，上气喘急脉息多，当行冷药方可治。
虚症∶面光白色粪多青，腹虚胀大呕吐频，眼珠青色微沉细，此为冷痰热堪行。
心惊在印堂，心积额两广，心冷太阳位，心热面颊装。肝惊起发际，脾积唇焦黄，
脾冷眉中岳，脾热大肠侵。肺惊发际形，肺积发际当，肺冷人中见，肺热面腮旁。肾惊耳前
穴，肾积眼胞厢，肾冷额上热，肾热赤苍苍。
小儿诊脉需观察指纹（食指桡侧浅表静脉）的三关部位，风气之病在命关处判断最为确切。指纹呈现青、红、紫、黑及黄色纹路，弯曲形态如同针尖刺入般笔直。三关颜色通现青色主四足惊风（受惊吓），水色呈赤色难以辨明，人色呈黑色或紫色主泻痢，颜色发黄则定为雷击惊风（按：此说法与《仙授诀》不同，需进一步验证）。若青红纹路仅有一条直线，是母亲饮食损伤脾胃所致，出现惊热症状；左右三条纹路主风肺痰证，此时伤寒咳嗽发生转变。火红色主腹泻，若兼见黑色，则是痢疾的颜色表现；若是杂乱无章的纹路，病情多有转变，脉象沉涩难起且急促者，寿命难长。赤色如流珠状主膈间有热，三焦气机不和导致心烦郁结，伴有吐泻、肠鸣及自利下泄，六和汤是治疗此症的真传口诀。环珠形和长珠形两种形态不同，主脾胃虚弱、心腹胀满膨隆，食积停滞不化导致肚腹疼痛，宜用消食化气的药物治疗。来蛇去蛇形又有所不同，主冷积脏寒，精神极度困倦，必须使用养胃汤加倍香附、砂仁，根据情况加减以见药效。弓反里形纹外形，主感受寒邪热毒，精神萎靡，小便赤色夹杂惊风，症状类似痫症，需由医者明辨。枪形、鱼刺形、水字形纹路，主风痰发作抽搐，热势如火焚烧，先进服升麻连壳散，随后服用柴胡剂（大小柴胡汤）。针形穿关直达指甲，同样是热惊病症，非呷声之症，防风通圣散与凉膈散同用，依次调理不可混乱杂投。医者若能明白这一篇歌诀，小儿病症便不难诊治，口传心授达到精妙境地，遇到合适的时机施治便能接近仙道。
这首诀语源自徐氏《水镜诀》之意，由陈氏加以敷演发挥，取其便于诵读。
实证：两腮红赤，大便坚硬秘结，小便黄赤不止，上气喘急，脉息多数，应当使用寒凉性质的药物方可治疗。
虚证：面色光亮白色，粪便多呈青色，腹部虚胀大，呕吐频繁，眼珠青色微显沉细，此为冷痰证，宜用温热性质的药物治疗。
心经受惊表现在印堂穴区域，心经积滞表现为额头两侧宽广，心经寒冷表现在太阳穴位置，心经火热表现在面颊部。肝经受惊起于发际线，脾经积滞表现为嘴唇焦黄，脾经寒冷表现在眉毛中间的岳庭部位，脾经火热影响大肠。肺经受惊表现在发际线形状，肺经积滞表现在发际线正对处，肺经寒冷表现在人中沟，肺经火热表现在面颊腮部。肾经受惊表现在耳前穴位，肾经积滞表现在眼睑厢部，肾经寒冷表现为额头上发热，肾经火热表现为面色红赤苍老。
For infants, the pulse must be examined by observing the three sections of the fingerprint (the superficial veins on the radial side of the infant's index finger). The presence of wind and qi pathogens is most accurately assessed at the Mingguan section (the distal segment of the fingerprint). The fingerprint may present with blue-green, red, purple, black, or yellow patterns; if the curvature is straight like a needle piercing, it indicates severity. If the color extends through all three sections and is blue-green, it indicates fright from four-footed animals; if the water-related section is red, it is difficult to distinguish clearly; if the human-related section is black or purple, it indicates dysentery; if the color is yellow, it is determined to be fright from thunder (Note: This differs from *Xian Shou Jue* and requires further verification). If there is only a single line of blue-green or red pattern, it results from the mother's dietary injury to the spleen and stomach, manifesting as fright-heat. Three lines on the left or right indicate wind-phlegm in the lungs; this is when cold damage coughs transform. Fire-red indicates diarrhea; if accompanied by black, it resembles the color of dysentery. If the patterns are chaotic, the condition often changes; a deep, difficult-to-rise, and rapid pulse indicates a shortened lifespan. Red beads-like patterns indicate heat in the diaphragm, disharmony of the Sanjiao (Triple Burner) causing vexation and depression, accompanied by vomiting, diarrhea, borborygmus, and spontaneous loose stools; Liuhe Tang (Six-Harmony Decoction) is the true secret formula for this. Ring-bead and long-bead shapes differ; they indicate spleen and stomach deficiency, heart and abdominal distension, undigested food accumulation causing abdominal pain, treatable with digestive and qi-regulating herbs. Lai She and Qu She (Incoming/Outgoing Snake) shapes are distinct; they indicate cold accumulation and organ coldness with extreme mental fatigue. One must use Yangwei Decoction (Stomach-Nourishing Decoction) with added Xiangfu (Cyperus Rhizome) and Sharen (Amomi Fructus), adjusting according to circumstances. Gong Fan Li Xing Wen Wai Xing (Bow-reverse inner, pattern outer) indicates invasion by cold pathogenic heat with low spirit, red urine mixed with fright-wind, resembling epilepsy, which must be distinguished by the physician. Qiang Xing (Spear shape), Yu Ci (Fish bone shape), and Shui Zi Wen (Water character shape) indicate wind-phlegm convulsions with burning heat. First administer Shengma Lianke San (Cimicifuga and Uncaria Powder), then follow with Chaihu preparations (Chaihu formulas). Zhen Xing (Needle shape) piercing through the section to the nail indicates heat-fright, not a choking symptom; Fangfeng Tongsheng San (Siler and Gardenia Powder) and Liangge San (Cooling Chest Powder) can be used together, administered sequentially without confusion. If a physician understands this verse, infant conditions will be easy to diagnose. Oral transmission and heart-to-heart teaching reach perfection; achieving results at the right time brings one close to immortality.
This verse derives its meaning from Xu's *Shui Jing Jue* (Water Mirror Verse), elaborated by Chen for ease of recitation.
Excess Syndrome: Both cheeks are red and bright, stool is hard and constipated, urine is yellow and red without stopping, upper body panting and urgency, multiple pulses. Cold-natured medicines should be administered for treatment.
Deficiency Syndrome: Face is bright white, feces are mostly green, abdomen is vacuously distended, frequent vomiting, eyeballs are cyanotic and slightly sunken/dull. This is cold-phlegm syndrome; warm-natured medicines should be administered.
Heart Fright manifests in the Yintang area; Heart Accumulation manifests in the broad forehead; Heart Cold manifests in the Taiyang position; Heart Heat manifests in the cheekbones. Liver Fright originates at the hairline; Spleen Accumulation manifests as dry yellow lips; Spleen Cold manifests in the middle of the eyebrows (Yuetting); Spleen Heat invades the Large Intestine. Lung Fright manifests in the hairline shape; Lung Accumulation manifests opposite the hairline; Lung Cold manifests in the Renzhong groove; Lung Heat manifests on the sides of the face and cheeks. Kidney Fright manifests in the acupoints before the ear; Kidney Accumulation manifests in the eyelid corners; Kidney Cold manifests as heat on the forehead; Kidney Heat manifests as red and rough complexion.