凡至七日，邪传阴分已足，如身微热，面有黄色，手足微温，精神清爽，此是阳气
欲复，阴气欲解，虽有卒然大热汗出，此邪气还表，即解之候也。如热而不已，昏沉烦
躁，此又是邪气胜正，阴极成热，乃必死之候。如七八日间，口噤不言，烦扰身热，或
战，此是阴阳争胜，如三部脉皆至，而目 黄者，此正气胜邪，其症即愈。即在一二日
间，病传太阳，阳明，候当头疼发热，睡卧不宁，其脉浮大。如反睡卧安宁，口不烦
渴，精神清爽、脉来沉迟而实，呼吸息数无乖，此外虽感冒，阴旺不受邪触，故不见于
脉，当三阳传足而愈，又不可作阳病见阴脉者论也。然阳病必至七日而愈，阴病必至六
日而愈者，以阳病法火，火数七，阴病法水，水数六耳。
鼻色青，主腹中痛。若冷者，死。鼻色微黑者，有水气。鼻色黄，主小便难。鼻色
白者，属气虚。鼻色赤者，属肺热。鼻色鲜明者，有留饮。鼻孔干燥者，必衄血。鼻色
燥如烟煤者，阳毒热极。鼻孔冷滑色黑者，阴毒冷极。鼻流浊涕者，属风热。鼻流清涕
者，是肺寒。鼻孔癖胀者，肺热有风。唇口焦红者，吉。唇口焦黑者，凶。唇口俱肿赤
者，是热极。唇口俱青黑者，是寒极。唇口舌断绞者，难治。唇口燥裂者，是脾热。唇
青舌卷者，死。唇吻色青者，死。环口黧黑者，死。口张气直出者，死。齿燥无津液
者，是阳明热极。前板齿燥兼脉虚者，是中暑。齿如热者，难治。耳黑枯燥者，是肾
惫。目赤唇焦舌黑者，属阳毒。目里黄色暗者，属湿毒。目黄兼小便利，大便黑，小腹
满痛者，属蓄血。目瞑者，将欲衄血。目白睛黄不渴，脉沉细者，属阴黄。两 黄者，
病欲愈。开目见人者，属阳。闭目不欲见人者，属阴。睛昏不识人，目反上视，睛小
瞪，目直视，目邪视，目睛正圆，戴眼反折，眼HT 陷下，此八者，皆死证。目睛微
定，临时稍转动者，属痰。目中不了了，睛
不和，不明白者。此因邪热结实在内，不了了者，谓见一半目，不见一半目是也。眼眶
黑者，亦主内有痰。舌肿者，雄治。舌出者，死。面观颊赤。在午后，此虚火上升，
不可作伤寒治。面赤脉数无力，此伏阴病，假热也。面赤脉沉细，此少阴病，外热内
寒，阴盛格阳，宜温。误用寒凉者，死。面赤脉弦数，此少阳病，宜小柴胡汤和解。面
部通赤，此阳明表症未解，宜解肌，不可攻里。面唇青，是阴寒极。面青兼舌卷囊缩，
亦是阴寒。面青兼小腹绞痛，是夹阴伤寒。面目身黄，兼小水短涩，是湿热。面目身
黄，小腹胀满硬痛，小便利，是蓄血伤寒。面白，为无神，或汗多是脱血所致，面白人
不宜大汗。若汗下吐后，神昏谵语者，坏病也。直视喘满下利者，死。脉沉肢冷者，
死。若黑气在鱼尾，相牵入太阳者，死。黑气自人中入口者，死。黑气入耳目鼻舌者，
死。面黑人在伤寒内涉虚，不宜参术大补，盖气多实故也。
凡是到了第七天，邪气传入阴分已经充足。如果身体微热，面色发黄，手足微微温暖，精神清爽，这是阳气想要恢复，阴气将要解除的表现。即使突然出现大热并出汗，这也是邪气回归体表，即将解除的征兆。如果发热不止，出现昏沉烦躁，这又是邪气胜过正气，阴气极盛转化为热象，是必死的征候。如果在七八天之间，口噤不能言语，烦躁扰动且身热，或者发生战栗，这是阴阳相互争胜的表现。如果寸、关、尺三部脉象都正常有力，且目睛发黄，这是正气胜过邪气，病症即将痊愈。
如果在发病一两天内，病邪传至太阳经和阳明经，应当出现头痛发热，睡卧不宁，脉象浮大。如果反而睡卧安宁，口中不烦渴，精神清爽，脉象沉迟而实，呼吸节律没有失常，虽然外表看似感冒，但这是因为阴气旺盛而不受邪气侵扰，所以脉象上不见表证之象。这种情况应当等待三阳经的病邪传遍足经后自愈，又不可将其当作“阳病见阴脉”来论述。然而，阳病必定到第七天痊愈，阴病必定到第六天痊愈的原因，是因为阳病效法火数，火数为七；阴病效法水数，水数为六罢了。
鼻色发青，主诉腹中疼痛。如果是寒气所致，则为死证。鼻色微黑，说明体内有水气停留。鼻色发黄，主诉小便困难。鼻色白，属于气虚。鼻色赤，属于肺热。鼻色鲜明光亮，说明体内有留饮（水液停滞）。鼻孔干燥的，必定会出现鼻衄（流鼻血）。鼻色燥裂如烟煤状，是阳毒热极。鼻孔冷滑且色黑的，是阴毒冷极。鼻流浊涕的，属于风热。鼻流清涕的，是肺寒。鼻孔癖胀的，是肺热兼有风邪。唇口焦红的，为吉兆。唇口焦黑的，为凶兆。唇口俱肿且赤红的，是热极。唇口俱青黑的，是寒极。唇口舌断裂绞结的，难以治疗。唇口燥裂的，是脾热。唇青舌卷缩的，为死证。唇吻色青的，为死证。口周黧黑的，为死证。口张气直出的，为死证。牙齿干燥无津液的，是阳明热极。前板齿干燥兼脉虚的，是中暑。牙齿感觉像被火烧一样的，难治。耳朵黑且枯燥的，是肾气疲惫。眼睛红、嘴唇焦、舌头黑的，属于阳毒。眼内黄色暗滞的，属于湿毒。目黄兼小便通利，大便黑，小腹胀满疼痛的，属于蓄血证。眼睛闭合的，将要发生鼻衄。眼白睛黄且不渴，脉象沉细的，属于阴黄。两目发黄者，病情将愈。睁眼看人的，属于阳证。闭眼不欲看人的，属于阴证。眼睛昏花不识人，眼球上翻，瞳孔小且瞪视，直视不动，斜视，眼球正圆固定，戴眼反折，眼眶凹陷下陷，这八种情况，都是死证。眼球微微定住，偶尔能稍微转动的，属于痰证。眼中视物不清，眼球不和，不明白视物的，这是因为邪热结实在内部。“不了了”，是指看见一半，看不见一半的情况。眼眶黑的，也主诉体内有痰。舌头肿大的，用雄黄治疗。舌头伸出不收的，为死证。面颊发红，若在午后出现，这是虚火上升，不可当作伤寒治疗。面赤脉数但无力，这是伏阴病，假热证。面赤脉沉细，这是少阴病，外热内寒，阴盛格阳，宜用温法。误用寒凉药的，会死亡。面赤脉弦数，这是少阳病，宜用小柴胡汤和解。面部通红，这是阳明表症未解，宜用解肌法，不可攻里。面唇青，是阴寒极盛。面青兼舌卷囊缩，也是阴寒。面青兼小腹绞痛，是夹阴伤寒。面目身体发黄，兼小便短涩，是湿热。面目身体发黄，小腹胀满硬痛，小便通利的，是蓄血伤寒。面色白，是无神的表现，或者是汗多导致脱血所致，面色白的人不宜大汗。如果在汗、下、吐之后，出现神昏谵语的，是坏病。直视、喘满、下利的，为死证。脉沉肢冷的，为死证。如果黑气在眼角鱼尾处，牵连入太阳经的，为死证。黑气自人中穴入口中的，为死证。黑气进入耳目鼻舌的，为死证。面色黑的人在伤寒中涉及虚证，不宜使用人参、白术等大补之药，因为气多实证缘故。
When the seventh day arrives, the pathogenic factor has sufficiently transmitted to the Yin aspect. If there is slight body heat, a yellowish complexion, slightly warm hands and feet, and clear spirit, this indicates that Yang Qi is about to recover and Yin Qi is about to resolve. Even if sudden high fever and sweating occur, this is a sign that the pathogen returns to the exterior and is about to be resolved. If the fever persists with drowsiness and restlessness, this indicates that the pathogen overcomes the healthy Qi, Yin reaches its extreme transforming into heat, which is a fatal prognosis. If between the seventh and eighth days, there is lockjaw with inability to speak, restlessness, body heat, or shivering, this represents a struggle between Yin and Yang. If the pulses at the Cun, Guan, and Chi positions are all present and strong, and the eyes are yellow, this indicates that healthy Qi overcomes the pathogen, and the condition will heal.
If within one or two days of onset, the disease transmits to the Taiyang (Greater Yang) and Yangming (Yang Brightness) meridians, headache and fever should occur, along with restless sleep and a floating, large pulse. If instead the patient sleeps peacefully, has no thirst or irritability in the mouth, maintains a clear spirit, and presents with a deep, slow, and solid pulse without irregular breathing, although the exterior appears affected by cold, it is because Yin Qi is prosperous and resists the pathogen, so the exterior signs do not manifest in the pulse. This condition should resolve after the Three Yang diseases transmit through the Foot meridians, and it should not be discussed as "Yang disease presenting with Yin pulse." However, Yang diseases must heal by the seventh day, and Yin diseases by the sixth day, because Yang diseases follow the number of Fire (seven), and Yin diseases follow the number of Water (six).
A blue nose indicates abdominal pain. If caused by cold, it is fatal. A slightly black nose indicates water retention. A yellow nose indicates difficult urination. A white nose belongs to Qi deficiency. A red nose belongs to Lung Heat. A bright and lustrous nose indicates retained fluids (Liuyin). Dry nostrils indicate epistaxis. A dry nose resembling soot indicates extreme heat from Yang Toxin. Cold, slippery, and black nostrils indicate extreme cold from Yin Toxin. Thick nasal discharge belongs to Wind-Heat. Clear nasal discharge indicates Lung Cold. Distended nostrils indicate Lung Heat with Wind. Scorched red lips and mouth are auspicious. Scorched black lips and mouth are ominous. Swollen and red lips and mouth indicate extreme heat. Blue-black lips and mouth indicate extreme cold. Broken and twisted lips, mouth, and tongue are difficult to treat. Dry and cracked lips and mouth indicate Spleen Heat. Blue lips with curled tongue are fatal. Blue lips and mouth corners are fatal. Black around the mouth is fatal. Mouth open with straight outflow of breath is fatal. Dry teeth without saliva indicate extreme Yangming Heat. Dry front incisors with a deficient pulse indicate Summerheat. Teeth feeling hot are difficult to treat. Black and dry ears indicate Kidney exhaustion. Red eyes, scorched lips, and black tongue belong to Yang Toxin. Dark yellow inside the eyes belongs to Damp-Toxin. Yellow eyes with free urination, black stool, and lower abdominal fullness/pain belong to Blood Stasis. Closed eyes indicate impending epistaxis. Yellow sclera with no thirst and a deep, fine pulse belongs to Yin Jaundice. Yellow eyes indicate the disease is about to heal. Opening eyes to see people belongs to Yang. Closing eyes and unwillingness to see people belongs to Yin. Dim eyes unable to recognize people, eyes rolling upward, small staring pupils, fixed gaze, strabismus, round fixed eyeballs, eyes deviated upward with opisthotonos, and sunken eye sockets—these eight conditions are all fatal. Eyes slightly fixed but occasionally moving belong to Phlegm. Unclear vision and disordered eyes, unable to see clearly, result from pathogenic heat knotting internally. "Unclear" means seeing half and not seeing half. Black eye orbits also indicate internal Phlegm. Swollen tongue is treated with Xionghuang (Realgar). Tongue protruding and unable to retract is fatal. Red cheeks observed in the afternoon indicate rising Deficient Fire and should not be treated as Shanghan. Red face with rapid but weak pulse indicates Fu Yin Disease (Hidden Yin Disease), a false heat syndrome. Red face with deep and fine pulse indicates Shaoyin Disease, external heat and internal cold, with Yin excess repelling Yang; warming methods are appropriate. Misuse of cold/cooling herbs leads to death. Red face with wiry and rapid pulse indicates Shaoyang Disease; Xiaochaihu Tang is indicated for harmonizing. General redness of the face indicates unresolved Yangming exterior syndrome; muscle-releasing methods are indicated, not purgation. Blue face and lips indicate extreme Yin Cold. Blue face with curled tongue and retracted testicles also indicates Yin Cold. Blue face with severe lower abdominal colic indicates Jia Yin Shanghan (Cold Damage involving Yin). Yellow face, eyes, and body with scanty, obstructed urination indicate Damp-Heat. Yellow face, eyes, and body with lower abdominal fullness, hardness, pain, and free urination indicate Blood Stasis Shanghan. White face indicates lack of Spirit or blood loss due to excessive sweating; persons with white faces should not sweat excessively. Confusion and delirium after sweating, purging, or vomiting constitute Huai Bing (Ruined Disease). Fixed gaze, wheezing, fullness, and diarrhea are fatal. Deep pulse with cold limbs is fatal. Black qi in the corner of the eye extending to the Taiyang region is fatal. Black qi entering the mouth from the Renzhong point is fatal. Black qi entering the eyes, ears, nose, or tongue is fatal. In patients with a black face suffering from Shanghan involving deficiency, large tonics like Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala) should not be used, as Qi is often Excess.