头低无神者死,头低视深者死,头摇不止者死,头上撺者死,头重视身者死,项筋
展长者死,耸肩动形者死。
天庭光润者伤风,天庭晦暗者伤寒。面青黑者为寒,面紫黑者为热。发汗后面赤甚
者,邪未出,当再表散。阴盛格阳面赤者为戴阳,当温之。五色精华尽发于外,而内无
所畜者凶,面赤目上视者死。面黑头汗出不流者死。面淡黄者,脾胃伤。肢痿腹胀,面
黄如熏者,湿盛黄胆。面黄如橘者,多热。面黄挟青紫者,脉芤瘀血在胃,或胁有块。面
多白点者,虫积。面黄不润,多蟹爪纹者,虫积。面黄不一者食积。面赤目黑者死。面黑
目黄者死。面黄白眼胞肿者,谷疸胸痞。面黄目青者,伤酒。面目有黄色者,有胃气吉。
面赤吐沫者死。面青伏枕者死。颧赤者心痛。左颧赤者,肝热病。右颧先赤者,肺热病,两
颧赤色,如指大者,病小愈必死。颧黄黑者,肾病。伤寒汗不出,颧赤气喘者死。面青舌
卷囊缩者死。面青小腹痛者阴寒。面青唇黑者死。面青目黄,面青目赤,面青目白,面
青目黑者皆死。病患与无病患远望似青,近看似黑者死。面青者风寒。面黄者小便难,胸
中寒,面黄而光润者,湿热及痰饮蓄血。面黄而枯暗者,寒湿食积。面黄而黑者,脾胃
衰。面目身皆黄,小便涩者湿热。面目身皆黄,小腹胀痛,小便利者蓄血。面黄而赤者
风热。面黄目青,面黄目赤,面黄目白,面黄目黑者,皆不死。面赤者风热。面赤目青,
面赤目白者,皆死。面赤脉虚数者,假热。面赤脉沉细者,假热。面赤脉弦数者,少阳病。
面通赤者,阳明病。面颊午后赤者,虚火。颧现赤色者死。颧及耳目起赤色者,五日死。面
白者气虚。面白无神者,病后及脱血多汗。面白如搽残汗粉者死。面白形瘦,身热下血坏
者死。面白目黑者死。面白而黑者,寒痛。颧现青色者死。面白颧赤者死。面黑目青,面
黑目白者,皆死。面黑者,伤寒及劳。久病面焦黑者肾热。面黑唇青者死。面黑皮枯牙
根露者死。面黑目直视,恶风者死。面黑两胁难转动者死。面黑而肿者死。天庭黑者死。
颧与发际鼻梁黑者,五日死。耳目口鼻起黑色者死,面黑而肿,唇焦者死。病患及无病
人面黑,又起白色在耳目口鼻者,三日死。病中面肉瘦削见腮者死。面无精彩,不受饮食
者,四日死。面光不暗者,伤风。面暗不光者,伤寒。面如锦纹斑者,热毒。面垢如油,
喘促多汗者,中暑。面垢生尘,洒然畏凉,毛耸者,中暑。面浮肿者死。失睡之人,神若
饥。丧亡之人,神色呆。面赤者,心热络脉溢。面青者肝热爪枯。面黄者,脾热肉蠕动。
面白者,肺热毛败,面黑者,肾热齿枯。面色深暗者,内病与重病久病。面色浅亮者,外
病与新病轻病。
头部低垂且无神气的,主死;头部低垂且目光深陷的,主死;头部摇动不止的,主死;头部向上仰挺的,主死;头部沉重而身体消瘦的,主死;颈部筋脉伸展变长的,主死;耸肩且形体抖动的,主死。
天庭(前额)光泽润泽的,是伤风;天庭晦暗的,是伤寒。面色青黑的,属寒证;面色紫黑的,属热证。发汗之后,如果面部红赤严重的,说明邪气未出,应当再次使用解表发散的方法。阴气极盛格拒阳气于外导致面赤的,称为戴阳证,应当用温法治疗。五色精华全部显露于外表,而体内没有积蓄的,预后凶险;面赤且眼睛上视的,主死。面色黑且头部出汗但汗液不流动的,主死。面色淡黄的,是脾胃受伤。肢体痿软、腹部胀满,面色黄如被烟熏过的,是湿盛导致的黄疸。面色黄如橘子的,多属热证。面色黄兼有青紫色的,脉象芤,提示胃中有瘀血,或者胁下有肿块。面色多有白点的,是虫积。面色黄且不润泽,多有蟹爪纹的,是虫积。面色黄而不均匀的,是食积。面赤目黑的,主死。面黑目黄的,主死。面黄白眼胞肿的,是谷疸伴胸中痞闷。面黄目青的,是饮酒损伤。面目有黄色的,表示还有胃气,为吉兆。面赤且吐沫的,主死。面青且伏枕卧睡的,主死。颧骨红赤的,是心痛。左颧红赤的,是肝热病。右颧先红赤的,是肺热病,两颧红赤如指头大小,病情虽暂时减轻也必死。颧部黄黑的,是肾病。伤寒后不出汗,颧赤且气喘的,主死。面青舌卷缩且阴囊收缩的,主死。面青且小腹痛的,属阴寒证。面青唇黑的,主死。面青目黄、面青目赤、面青目白、面青目黑的,都主死。病人和没生病的人远看像青色,近看像黑色的,主死。面青的,属风寒。面黄的,小便困难,胸中寒冷;面黄而光润的,是湿热及痰饮、蓄血。面黄而枯暗的,是寒湿、食积。面黄而黑的,是脾胃衰弱。面目身体皆黄,小便涩滞的,是湿热。面目身体皆黄,小腹胀痛,小便通利的,是蓄血。面黄而赤的,是风热。面黄目青、面黄目赤、面黄目白、面黄目黑的,都不死。面赤的,是风热。面赤目青、面赤目白的,都主死。面赤且脉象虚数的,是假热。面赤且脉象沉细的,是假热。面赤且脉象弦数的,是少阳病。满面通红的是阳明病。面颊午后红赤的,是虚火。颧骨现红赤色的,主死。颧骨及耳目出现红赤色的,五日内死。面色白的,是气虚。面白无神气的,多见于病后及失血、多汗之后。面白如涂抹了残存的汗粉的,主死。面白形瘦,身热且下血的,预后不良主死。面白目黑的,主死。面白而黑的,是寒痛。颧骨现青色的,主死。面白颧赤的,主死。面黑目青、面黑目白的,都主死。面黑的,多见于伤寒及劳损。久病面色焦黑的,是肾热。面黑唇青的,主死。面黑皮肤干枯牙根露出的,主死。面黑目直视且恶风的,主死。面黑且两胁难以转动的,主死。面黑且浮肿的,主死。天庭黑的,主死。颧骨与发际、鼻梁黑的,五日内死。耳目口鼻出现黑色的,主死,面黑且浮肿、唇焦的,主死。病人及无病之人面黑,又在耳目口鼻处出现白色的,三日内死。病中面部肌肉瘦削见到腮骨的,主死。面无神采,不能接受饮食的,四日内死。面色光亮不昏暗的,是伤风。面色昏暗不光亮的,是伤寒。面色如锦纹斑点的,是热毒。面色垢腻如油,喘促多汗的,是中暑。面色垢腻生尘,洒然畏凉,毫毛耸立的,是中暑。面部浮肿的,主死。失眠的人,神气如同饥饿般虚弱。丧亡的人,神色呆滞。面赤的,是心热络脉溢满。面青的,是肝热爪甲枯槁。面黄的,是脾热肌肉蠕动。面白的,是肺热毛发败坏。面黑的,是肾热牙齿枯槁。面色深暗的,是内病以及重病、久病。面色浅亮的,是外病以及新病、轻病。
If the head hangs low and lacks spirit, death ensues. If the head hangs low with deep-set eyes, death ensues. If the head trembles incessantly, death ensues. If the head is thrust upward rigidly, death ensues. If the head feels heavy while the body is emaciated, death ensues. If the tendons of the neck are stretched long, death ensues. If the shoulders shrug and the form trembles, death ensues.
If the Tian Ting (forehead) is lustrous and moist, it indicates Wind Injury (Shang Feng). If the Tian Ting is dull and dark, it indicates Cold Damage (Shang Han). A cyan-black complexion indicates Cold; a purple-black complexion indicates Heat. After sweating, if the face becomes severely red, the pathogenic factor has not exited, and surface-dispersing methods should be applied again. Facial redness caused by Yin excess repelling Yang outward is called Dai Yang syndrome (Floating Yang), which requires warming treatment. If the essence of the five colors is fully revealed on the exterior without internal accumulation, the prognosis is ominous. Facial redness with upward-gazing eyes indicates death. Facial blackness with non-flowing head sweat indicates death. A pale yellow complexion indicates Spleen-Stomach injury. Flaccid limbs with abdominal distension and a yellow complexion like smoke indicate Dampness-Excess Jaundice. A yellow complexion like an orange suggests excessive Heat. A yellow complexion mixed with cyan-purple, accompanied by a Kou pulse (hollow), indicates blood stasis in the Stomach or masses in the hypochondrium. Frequent white spots on the face indicate worm accumulation. A yellow, unmoistened complexion with crab-claw-like patterns indicates worm accumulation. An uneven yellow complexion indicates food retention. Facial redness with black eyes indicates death. Facial blackness with yellow eyes indicates death. Yellow face with swollen eyelids indicates Gu Jaundice (Grain Jaundice) with chest stuffiness. Yellow face with cyan eyes indicates alcohol damage. The presence of yellow color in the face and eyes indicates the presence of Stomach Qi, which is auspicious. Facial redness with foaming at the mouth indicates death. Cyan face with the head resting on the pillow indicates death. Red malar eminences indicate Heart pain. Redness on the left malar eminence indicates Liver Heat disease. Redness appearing first on the right malar eminence indicates Lung Heat disease. If both malar eminences are red, the size of a finger, even if the illness seems to subside, death will follow. Yellow-black malar eminences indicate Kidney disease. In Cold Damage, if there is no sweating, red malar eminences, and panting, death ensues. Cyan face with curled tongue and retracted scrotum indicates death. Cyan face with lower abdominal pain indicates Yin-Cold. Cyan face with black lips indicates death. Cyan face with yellow eyes, cyan face with red eyes, cyan face with white eyes, and cyan face with black eyes all indicate death. If a patient or a healthy person appears cyan from afar but black up close, death ensues. A cyan complexion indicates Wind-Cold. A yellow complexion with difficult urination and cold in the chest; a yellow and lustrous complexion indicates Damp-Heat, Phlegm-Fluid retention, or Blood stasis. A yellow and withered-dark complexion indicates Cold-Dampness and food retention. A yellow and black complexion indicates Spleen-Stomach decline. Yellow face, eyes, and body with obstructed urination indicate Damp-Heat. Yellow face, eyes, and body with lower abdominal fullness/pain and free urination indicate Blood stasis. A yellow and red complexion indicates Wind-Heat. Yellow face with cyan eyes, yellow face with red eyes, yellow face with white eyes, and yellow face with black eyes do not indicate death. A red complexion indicates Wind-Heat. Facial redness with cyan eyes or white eyes indicates death. Facial redness with a deficient-rapid pulse indicates False Heat. Facial redness with a deep-thin pulse indicates False Heat. Facial redness with a string-taut-rapid pulse indicates Shaoyang disease. Generalized facial redness indicates Yangming disease. Redness on the cheekbones in the afternoon indicates Deficient Fire. Appearance of red color on the malar eminences indicates death. Redness on the malar eminences and around the ears/eyes indicates death within five days. A white complexion indicates Qi deficiency. White face lacking spirit is seen after illness, excessive bleeding, or profuse sweating. A white face resembling applied residual sweat-powder indicates death. White face with emaciation, fever, and lower bleeding indicates a critical condition leading to death. White face with black eyes indicates death. White face with black areas indicates Cold pain. Cyan appearance on the malar eminences indicates death. White face with red malar eminences indicates death. Black face with cyan eyes or white eyes all indicate death. A black complexion is seen in Cold Damage and exhaustion/overwork. A scorched-black complexion in chronic illness indicates Kidney Heat. Black face with cyan lips indicates death. Black face with dry skin and exposed tooth roots indicates death. Black face with fixed gaze and aversion to wind indicates death. Black face with difficulty turning the sides/flanks indicates death. Black face with edema indicates death. Black Tian Ting (forehead) indicates death. Blackness on the malar eminences, hairline, and nasal bridge indicates death within five days. Blackness arising in the ears, eyes, mouth, and nose indicates death. Black face with edema and scorched lips indicates death. If a patient or healthy person has a black face with white patches appearing in the ears, eyes, mouth, and nose, death occurs within three days. Wasting of facial flesh revealing the zygomatic bone during illness indicates death. Lack of brilliance and inability to accept food/drink indicates death within four days. A bright, non-dull face indicates Wind Injury. A dull, non-bright face indicates Cold Damage. A face patterned like brocade indicates Toxic Heat. A greasy, oily face with panting and profuse sweating indicates Summerheat. A dusty, greasy face with sudden aversion to coolness and erect hair indicates Summerheat. Facial edema indicates death. Those who have lost sleep have a spirit as if starving. Those who have died have a呆 (dull/stiff) expression. Facial redness indicates Heart Heat and overflowing collaterals. Facial cyanosis indicates Liver Heat and withered nails. Facial yellowness indicates Spleen Heat and muscle twitching. Facial whiteness indicates Lung Heat and deteriorating hair. Facial blackness indicates Kidney Heat and withered teeth. A deep, dark complexion indicates internal disease, severe illness, or chronic illness. A light, bright complexion indicates external disease, new illness, or mild illness.