眼上赤脉 下贯瞳仁 囟门肿起 兼及作坑
鼻干黑燥 肚大筋青 目多直视 睹不转睛
指甲黑色 忽作鸦声 虚舌退场门 啮齿咬人
鱼口气急 啼不作声 蛔虫既出 必是死形
用药速救 十死一生
\r○察形色之图\pyf13.bmp\r
（五脏五位所属）
心为额南方火
肝为左颊东方木
脾为鼻中央土
肺为右颊西方金
肾为颐北方水
○四时察色
春色青属木 夏色红属火 季夏色黄属土
秋色白属金 冬色黑属水 四季皆不宜纯色
额红因火热 青色有肝风 黄色相生顺
黑色水来侵 印堂青色见 人惊与物惊
红赤因胎热 黑色不堪论 山根青隐隐
惊疾已重重 黄色脾伤食 黑暗死临身
年寿黑相侵 命夭定然真 恶痢因斯色
青黄吐泻频 鼻准微黄吉 深黄恶症临
青赤多应吐 黑色有灾 两脸多黄色
湿痰热难当 青为客忤病 红赤热伤寒
颐间青色见 肝病有微惊 黑色惟冬顺
黄赤是雷惊
\r图片\pyf14.bmp\r
吐泻多时起慢惊 额青汗出眼微昏
头低困睡舌常吐 身冷涎腥眼露睛
眼睑上出现赤色血脉，向下贯穿瞳孔；囟门肿胀突起，甚至凹陷成坑。
鼻孔干燥且颜色发黑、皮肤燥裂，腹部胀大且腹壁青筋暴露。
眼睛经常直视前方，目光呆滞不能转动。
指甲呈现黑色，突然发出类似乌鸦的叫声；舌头虚浮伸出（舌脱），肛门脱出（脱肛）；牙齿咬合紧锁或咬人。
口鼻气息如死鱼般腥臭且急促，啼哭却发不出声音；蛔虫已经吐出，必定是死亡的征兆。
此时用药迅速抢救，十个人中只有一人能存活。
○观察面色形态的图谱\pyf13.bmp\r
（五脏与面部五个区域的对应关系）
心对应额部，属南方火；
肝对应左脸颊，属东方木；
脾对应鼻头中央，属中央土；
肺对应右脸颊，属西方金；
肾对应下巴（颐），属北方水。
○四季察色
春季面色青，属木；夏季面色红，属火；长夏（季夏）面色黄，属土；
秋季面色白，属金；冬季面色黑，属水；四季都不宜出现单一的纯色（即五色独见而无润泽）。
额部发红是因为火热；青色表示有肝风；黄色为相生之色，属于顺证。
黑色是水气来侵；印堂部位出现青色，表示人或物受惊。
红色赤色是因为胎热；黑色则病情不堪设想；山根（鼻梁根部）隐隐发青，表示惊风疾病已经很重。
黄色表示脾伤食积；黑暗无光表示死神临近。
年寿（鼻柱中段）发黑相侵，寿命短促必然真实；恶痢因这种面色所致。
青黄相间，呕吐腹泻频繁；鼻准（鼻尖）微黄为吉兆，深黄色表示恶症来临。
青赤色多应呕吐；黑色表示有灾祸；两脸多黄色，湿痰热难以承受。
青色为客忤病（外邪惊吓所致之病）；红色赤色为热伤寒。
下巴间出现青色，肝病伴有轻微惊风；黑色仅在冬季为顺证。
黄赤色是雷惊（惊风的一种）。
\r图片\pyf14.bmp\r
吐泻发作多次后转为慢惊风，额头发青，出汗，眼睛微微昏花。
头部低垂，困倦嗜睡，舌头常伸出口外，身体冰冷，唾液腥臭，眼球外露。
\r图片\pyf15.bmp\r
牙关紧急，热涎涌潮，眼睛瞪大，嘴唇红润，头部摇动。
抽搐痉挛是急惊风，热势旺盛，化痰清热后病随之消除。
\r图片\pyf16.bmp\r
恶寒发热，面皮发红，这是表症，必须通过发汗来疏通。
热象多且内里实热，身体常裸露（喜凉），烦躁口渴，披衣（可能指衣被凌乱或特定体征）表明是里症。
Red meridians appear on the eyelids, extending downward through the pupil; the fontanelle swells and protrudes, or even sinks into a pit.
The nose is dry, black, and scaly; the abdomen is distended with visible cyan veins.
The eyes stare straight ahead, fixed and unable to rotate.
The fingernails turn black; suddenly, a croaking sound like that of a crow is heard; the tongue protrudes flaccidly (tongue prolapse), the anus prolapses (rectal prolapse); teeth are clenched or biting.
Breath from the mouth and nose is foul and rapid, resembling that of a dead fish; crying occurs without sound; if roundworms have been vomited, death is certain.
If medication is administered promptly for rescue, only one in ten will survive.
○ Chart of Observing Complexion and Form \pyf13.bmp\r
(Correspondence between the Five Zang Organs and Five Facial Areas)
The Heart corresponds to the forehead, belonging to South Fire;
The Liver corresponds to the left cheek, belonging to East Wood;
The Spleen corresponds to the center of the nose, belonging to Central Earth;
The Lungs correspond to the right cheek, belonging to West Metal;
The Kidneys correspond to the chin (Yi), belonging to North Water.
○ Observing Complexion by Seasons
Spring complexion is green, belonging to Wood; Summer complexion is red, belonging to Fire; Late Summer (Ji Xia) complexion is yellow, belonging to Earth;
Autumn complexion is white, belonging to Metal; Winter complexion is black, belonging to Water; In all four seasons, a single pure color should not be seen (i.e., isolated colors without luster).
Forehead redness indicates Heat-Fire; Green indicates Liver Wind; Yellow indicates mutual generation and is a favorable sign.
Black indicates invasion by Water; Cyan at the Yintang point indicates fright caused by people or objects.
Redness/Chihuo indicates fetal heat; Black is unmanageable; Faint cyan at the Shangen (root of the nose bridge) indicates severe fright disorders.
Yellow indicates Spleen injury and food retention; Dark/dull indicates approaching death.
Black encroaching on Nianshou (middle of the nasal column) confirms premature death; Dysentery results from this color.
Green and yellow mixed indicate frequent vomiting and diarrhea; Slight yellow at the Nose Tip (Zhun) is auspicious; Deep yellow indicates malignant conditions.
Green and red often indicate vomiting; Black indicates disaster; Yellow on both cheeks indicates damp-phlegm-heat that is hard to bear.
Green indicates Ke Wu disease (illness due to external fright/shock); Red/Chihuo indicates Heat Cold Damage.
Cyan at the chin indicates Liver disease with slight fright; Black is favorable only in Winter.
Yellow and red indicate Lei Jing (thunder fright/severe convulsion).
\rImage\pyf14.bmp\r
After repeated episodes of vomiting and diarrhea, Slow Convulsion (Man Jing Feng) develops; the forehead turns green, sweating occurs, and the eyes are slightly dim.
The head hangs low, drowsiness prevails, the tongue frequently protrudes, the body is cold, saliva is fishy-smelling, and the eyeballs are exposed.
\rImage\pyf15.bmp\r
Jaw stiffness and urgent heat-phlegm flooding; eyes wide open, lips red, head shaking.
Tremors and spasms indicate Acute Convulsion (Ji Jing Feng) with excess heat; resolving phlegm and clearing heat eliminates the disease.
\rImage\pyf16.bmp\r
Aversion to cold, fever, and red facial skin indicate a Exterior Syndrome (Biao Zheng), requiring perspiration to resolve.
Excessive heat and internal excess manifest as constant exposure of the body; irritability, thirst, and disheveled clothing indicate an Interior Syndrome (Li Zheng).