《医门方》云∶论曰∶夫人有病,皆起于脏腑;生死之候,乃见于容色。犹如影响报应,
必不差违,当审察之,万无失一。其中形证具列后条。凡人无病及有病,常反眼上皮看,其
中有赤脉从上下欲贯瞳子者,一脉一年死,二脉二年死。若未下者,可疗也。人急暴肥而愦
(
人面忽有赤色出而颊颧(距员反,《广雅》曰∶ 也,颊骨也)上大如指者卒死,至鼻
头亦卒
有赤色若黑色,忽从额上起下至鼻头卒死。
黑色忽出额上,大如指,无病而卒死。忽有黑色横鼻上,或至眉下,不出月卒死。
面上忽有青色如悬帚者,须臾死。鼻上至眉额,忽色如马肝;望之如青,近之如黑,不
出百
面卒虚肥,正白无血理者,方死不久。眼中睛上白色如半米者死。面忽青而眼黑若赤者
死,
面忽赤而眼白若目青者立死。眼卒视,无所见者死。病患身有臭气异常者死。病患忽悲
泣者
病患忽洁然汗出者死。病患面青白,目张失明;及面赤、唇骞,及面目鼻或耳无轮廓,
或舌
病患脊痛,腰中重,不可反复者,胃绝五日死。
病患泄利,不觉出时者,脾绝十二日死。
病患手足爪甲青,呼骂不止者,筋绝九日死。
病患发直如干麻,或白汗出不止,肠绝六日死。
病患面青,但欲伏眼目视不见人,泣出不止者,肝绝八日死。
病患齿暴痛,面正黑,人中黄色,腰中如折,白汗出如流水者,肾绝四日死。
病患两目 有黄色者,不久方愈。病患耳目鼻边有黑色起入口者,死,十有三活。病患
面两
口,
甲下
病患目无精光,齿黑者,不治。病患足趺上肿,两膝大如斗,十日死。病患身臭,不治。
病患面青目黄,百日死。病患口张者,三日死。病患阴囊茎肿者,死。病患妄语错乱及
不能
《葛氏方》云∶凡肿有五不治,面肿仓黑,肝败不治;掌肿无理满满,心败不治;脐满
肿反
《扁鹊传》云∶病有六不治∶骄恣不论理,一不治也;轻身重财,二不治也;衣食不能
适,
不治
《本草经》云∶仓公有言∶病不肯服药,一死;信巫不信医,二死。
《医门方》说:论述道:人的疾病,都起源于脏腑;生死的征兆,表现在面色和形体上。这就像影子跟随物体、回声响应声音一样,必然准确无误,应当仔细审察,这样就不会有失误。其中具体的形态和证候详细列举在后条文中。无论是有病还是无病的人,经常向上翻眼皮看,如果其中有赤色的脉络从上向下延伸,想要贯穿瞳孔的,有一条脉一年后会死,有两条脉两年后会死。如果赤脉没有长到瞳孔下方,还可以治疗。人突然急剧肥胖且神志昏乱,面颊颧骨处突然出现如手指大小的赤色,会突然死亡;红色一直延伸到鼻头也会突然死亡,或者突然从额头出现黑色延伸至鼻头,也会突然死亡。黑色突然出现在额头上,大小如手指,即使没有生病也会突然死亡。黑色突然横穿鼻梁,或者延伸到眉毛下面,不出一个月就会突然死亡。脸上突然出现像悬挂着的扫帚一样的青色,片刻就会死亡。鼻梁到眉额之间,颜色突然像马肝一样;远看是青色,近看是黑色,不出百天就会突然死亡。面部突然虚胖,苍白而没有血色纹理的,不久就会死亡。眼睛瞳孔上的白色像半粒米大的,会死。面部突然发青而眼珠黑,或者面部发红而眼白浑浊或眼珠发青的,立即死亡。眼睛突然直视,看不见东西的,会死。病人身上散发出异常的臭气的,会死。病人突然悲伤哭泣的(原文此处似有缺漏,结合上下文及常见古籍表述,通常指无故悲泣或精神异常),(若伴随其他危象则)死。病人突然出冷汗的,会死。病人面色青白,眼睛睁大失明;以及面色红、嘴唇掀开(口角歪斜或唇裂),以及面目鼻子或耳朵没有轮廓,或者舌头卷缩短小不能伸出的,(均为死证)。
病人脊背疼痛,腰部沉重,不能翻身转侧的,胃气绝,五天后死。
病人腹泻滑脱,不知不觉排出的,脾气绝,十二天后死。
病人手足指甲发青,呼叫谩骂不止的,筋气绝,九天后死。
病人头发直立像干麻草,或者出白汗不止,肠气绝,六天后死。
病人面色青,只想闭着眼看却看不见人,流泪不止的,肝气绝,八天后死。
病人牙齿突然剧痛,面色正黑,人中部位发黄,腰部像折断一样,出白汗像流水一样的,肾气绝,四天后死。
病人两眼内有黄色的,不久才会痊愈。病人耳目鼻旁边有黑色之气进入口腔的,死,十三个人中有一个能活。病人面部两侧(原文此处似有缺漏,通常指两颧或特定部位)……(原文此处文字错乱或缺失严重,根据后文“甲下”推测可能涉及指甲或局部色泽,但依据现有文本难以完整翻译,故略去无法确证部分,保留清晰部分)……指甲下(原文缺失具体描述,暂略)。
病人眼睛没有神采,牙齿发黑的,无法治疗。病人脚背上肿胀,两个膝盖大得像斗一样,十天后死。病人身体发臭的,无法治疗。病人面色青、眼睛黄的,一百天后死。病人嘴巴张开的,三天后死。病人阴囊肿胀的,死。病人胡言乱语、神志错乱以及不能(吞咽或言语等,原文截断)……
《葛氏方》说:凡是浮肿有五种情况无法治疗:面部浮肿且颜色仓促发黑的,肝脏败坏,无法治疗;手掌浮肿没有纹理且饱满的,心脏败坏,无法治疗;肚脐满肿且向外突出的(原文“反”字后似缺字,通常指脐突),……
《扁鹊传》说:疾病有六种无法治疗的情况:骄傲放纵不讲道理,是一种无法治疗;轻视身体看重钱财,是第二种无法治疗;衣食不能适应调节(指生活起居饮食不节),……(原文截断)
《本草经》说:仓公有话说:有病不肯服药,是一种死法;相信巫师不相信医生,是第二种死法。
According to *Yimen Fang* (Medical Gate Formulas): The discussion states that human diseases all originate from the Zang-Fu organs (viscera and bowels); the signs of life and death manifest in the complexion and physical appearance. This is like a shadow following an object or an echo responding to a sound, inevitably accurate without error. One must carefully examine these signs to ensure no mistakes are made. The specific physical manifestations and syndromes are listed in the following sections. Whether a person is healthy or ill, if one frequently looks upward by rolling back the eyelids, and red vessels are seen extending from above towards the pupil, the presence of one vessel indicates death within one year, and two vessels indicate death within two years. If the vessels have not yet reached below the pupil, treatment is still possible. Sudden rapid obesity accompanied by confusion; sudden appearance of redness on the cheekbones (zygomatic arch) as large as a finger leads to sudden death; redness extending to the tip of the nose also leads to sudden death; sudden appearance of blackness starting from the forehead and extending to the nose tip leads to sudden death. Sudden appearance of blackness on the forehead, as large as a finger, leads to sudden death even in those without apparent illness. Sudden horizontal blackness across the nose bridge, or extending below the eyebrows, leads to sudden death within a month. Sudden appearance of blue-green coloration on the face resembling a hanging broom leads to death in a moment. Color on the nose bridge up to the eyebrows and forehead suddenly resembling horse liver; appearing blue-green from afar but black up close, leads to sudden death within a hundred days. Sudden facial puffiness with pale white color lacking blood texture indicates death is near. White patches on the pupils resembling half a grain of rice indicate death. Sudden blue-green face with black eyes, or red face with cloudy/white eyes or blue-green pupils, indicates immediate death. Sudden fixed gaze with inability to see indicates death. Patients emitting abnormal foul odor from the body indicate death. Patients suddenly weeping bitterly (often associated with spirit disturbance) indicate death. Patients suddenly breaking out in cold sweat indicate death. Patients with blue-white complexion, wide-open eyes with loss of vision; or red face with retracted lips; or lack of contour in face, eyes, nose, or ears; or tongue curled and short unable to extend—these are fatal signs.
If the patient has back pain, heaviness in the waist, and inability to turn over, it indicates exhaustion of Stomach Qi (Wei Qi), leading to death in five days.
If the patient suffers from diarrhea with involuntary leakage, it indicates exhaustion of Spleen Qi (Pi Qi), leading to death in twelve days.
If the patient's fingernails and toenails turn blue-green and they shout and curse incessantly, it indicates exhaustion of Tendon Qi (Jin Qi), leading to death in nine days.
If the patient's hair stands straight like dry hemp, or they suffer from continuous profuse sweating of "white sweat" (cold sweat), it indicates exhaustion of Intestine Qi (Chang Qi), leading to death in six days.
If the patient's face is blue-green, desires to keep eyes closed but cannot see people, and cries continuously, it indicates exhaustion of Liver Qi (Gan Qi), leading to death in eight days.
If the patient experiences sudden severe toothache, face is distinctly black, the philtrum area is yellow, waist feels as if broken, and "white sweat" flows like water, it indicates exhaustion of Kidney Qi (Shen Qi), leading to death in four days.
If there is yellowish discoloration inside both eyes, recovery will take some time. If black qi appears around the ears, eyes, and nose and enters the mouth, it indicates death, though one in thirteen may survive. [Text fragment missing]. If the patient's eyes lack luster and teeth are black, the condition is untreatable. Swelling on the dorsum of the foot and knees swollen as large as a measuring cup indicate death in ten days. Foul body odor indicates untreatability. Blue-green face with yellow eyes indicates death in one hundred days. Open mouth indicates death in three days. Swelling of the scrotum and penis indicates death. Delirious speech, mental confusion, and inability to [swallow/speak]...
According to *Ge Shi Fang*: There are five types of edema that are untreatable: Facial swelling with sudden dark/blackish hue indicates Liver failure and is untreatable; Palm swelling without visible texture and full/bulging indicates Heart failure and is untreatable; Umbilical swelling protruding outward...
According to *Bi Que Zhuan*: There are six types of disease that are untreatable: Arrogance and irrationality constitute the first untreatable condition; Valuing wealth over health constitutes the second untreatable condition; Inability to adapt diet and clothing to seasonal changes... [Text truncated]
According to *Ben Cao Jing*: Cang Gong stated: Refusing to take medicine for illness is the first cause of death; Trusting shamans instead of doctors is the second cause of death.