Ta có:
\(\frac{x}{1+x^2}+\frac{18y}{1+y^2}+\frac{4z}{1+z^2}=xyz\left(\frac{1}{yz\left(1+x^2\right)}+\frac{18}{xz\left(1+y^2\right)}+\frac{4}{xy\left(1+z^2\right)}\right)\)
\(=xyz\left(\frac{1}{yz+x\left(x+y+z\right)}+\frac{18}{xz+y\left(x+y+z\right)}+\frac{4}{xy+z\left(x+y+z\right)}\right)\)
\(=xyz\left(\frac{1}{\left(x+y\right).\left(x+z\right)}+\frac{18}{\left(y+x\right).\left(y+z\right)}+\frac{4}{\left(z+x\right).\left(z+y\right)}\right)\)
\(=xyz.\frac{\left(z+y\right)+18.\left(x+z\right)+4\left(x+y\right)}{\left(x+y\right).\left(y+z\right).\left(z+x\right)}\)
\(=\frac{xyz\left(22x+5y+19z\right)}{\left(x+y\right).\left(y+z\right).\left(z+x\right)}\)(đpcm)