何以知人露卧得病,阳中有阴也。何以知人夏月得病,诸阳入阴也。 何以知人春得
病,无肝脉也。无心脉,夏得病。无肺脉,秋得病。无肾脉,冬得病。无脾脉,四季之月得
病。
病患五脏已夺,神明不守,声嘶者死。 病患循衣缝,谵语者,不可治。 病患阴阳
俱绝,掣衣掇空,妄言者,死。 病患妄语错乱,及不能语者,不治。热病见此可治。病
人阴阳俱绝,失音不能言,三日半死。 病患两目 有黄色起者,其病方愈。 病患面黄目
青者,不死。青如草滋,死。 病患面黄目赤者,不死。赤如 血,死。 病患面黄目白者,
不死。白如枯骨,死。 病患面黄目黑者,不死。黑如炱者,死。 病患面目俱等者,不死。
病患面黑目青者,不死。 病患面青目白者,死。 病患面赤目青者,六日死。 病患面黄
目青者,九日死,是谓乱经。 饮酒当风,邪入胃经,胆气妄泄,目则为青,虽有天救,不
可复生。 病患面赤目白者,十日死。 忧恚思虑,心气内索,面色反好,急求棺椁,十日
死。 病患面白目黑者死,谓荣华已去,血脉空索。 病患面黑目白者,八日死,肾气内伤,
病因留积。 病患面青目黄者,五日死。 病患着床,心痛短气,脾竭内伤,百日复愈,能
起彷徨因坐于地,其立倚床,能治此者,可谓神良。病患面无精光,若土色,不受饮食
者,四日死。 病患目无精光,及牙齿黑色者,不治。 病患耳、目、鼻、口有黑色起入于
口者,必死。 病患耳目及颧颊赤者,死在五日中。 病患黑色出于额上发际,下直鼻脊两
颧上者,亦死在五日中。病患及不病患黑色若白色起入目及鼻口者,死在三日中。 病患及
健人面忽如马肝色,望之如青,近之如黑者,死。 病患面黑目直视,恶风者,死。 病患
面黑唇青者,死。 病患面青唇黑者,死。 病患面黑,两胁下满,不能自转侧者,死。 病
人目回回直视,肩息者,一日死。 病患阴结阳绝,目精脱恍惚者,死。 病患阴阳绝竭,
目眶陷者,死。 病患眉系倾者,七日死。 病患口如鱼口,不能复闭,而气出多不返者,
死。 病患口张者,三日死。 病患唇青人中反者,三日死。 病患唇反人中满者,死。 病
人唇口忽干者,不治。 病患唇肿齿焦者,死。 病患齿忽变黑者,十三日死。 病患舌卷
卵缩者,必死。 病患汗出不流,舌卷黑者,死。 病患发直者,十五日死。 病患发如干
麻,善怒者,死。 病患发与眉冲起者,死。 病患爪甲青者,死。 病患爪甲白者,不治。
病患手足爪甲下肉黑者,八日死。 病患荣卫竭绝,面浮肿者,死。 病患卒肿,其面苍黑
者,死。 病患手掌肿无纹者,死。病患脐肿反出者,死。 病患阴囊茎俱肿者,死。 病
人脉绝,口张足肿者,五日死。病患足趺肿,呕吐头重者,死。 病患足趺上肿,两膝大如
斗者,十日死。 病患卧遗屎不觉者死。 病患尸臭者,不可治。 肝病,皮白,肺之日庚
辛死。 心病,目黑,肾之日壬癸死。 脾病,唇青,肝之日甲乙死。 肺病,颊赤目肿,
心之日丙丁死。 肾病,面肿唇黄,脾之日戊己死。 青欲如苍璧之泽,不欲如蓝。 赤欲
如帛裹朱,不欲如赭。 白欲如鹅羽,不欲如盐。 黑欲如重漆,不欲如炭。 黄欲如罗裹
雄黄,不欲如黄土。
如何判断病人是因露天睡觉而患病?这是阳气中夹杂阴邪所致。如何判断病人是在夏季患病?这是因为诸阳之气内入于阴分。
如何判断病人是在春季患病?因为肝脉缺失。没有心脉,是夏季患病;没有肺脉,是秋季患病;没有肾脉,是冬季患病;没有脾脉,是在四季之月(每季最后一个月)患病。
如果病患五脏精气已极度耗损,神明不能守舍,声音嘶哑的,预后不良而死。如果病患循着衣缝抓摸,说胡话的,不可治愈。如果病患阴阳之气俱绝,拉扯衣物、抓取虚空、胡言乱语的,会死亡。如果病患胡言乱语、神志错乱,以及不能说话的,难以治愈;但如果是热病出现这些症状,尚可治疗。如果病患阴阳之气俱绝,失音不能说话,会在三天半后死亡。
如果病患两眼周围出现黄色气色,说明病情即将痊愈。如果病患面色黄、目色青,不会死;但如果青色像草滋(枯草之色),则会死。如果病患面色黄、目色赤,不会死;但如果红色像血(凝滞之血),则会死。如果病患面色黄、目色白,不会死;但如果白色像枯骨,则会死。如果病患面色黄、目色黑,不会死;但如果黑色像烟灰,则会死。如果病患面目气色均匀调和,不会死。如果病患面色黑、目色青,不会死。如果病患面色青、目色白,会死。如果病患面色赤、目色青,六天后死亡。如果病患面色黄、目色青,九天后死亡,这称为“乱经”。饮酒时当风,邪气侵入胃经,胆气妄泄,眼睛呈现青色,即使有上天救助,也不可复生。如果病患面色赤、目色白,十天后死亡。因忧愁愤怒思虑,心气内部枯竭,但面色反而显得好,应紧急准备棺木,十天后死亡。如果病患面色白、目色黑,会死,这是因为荣华已去,血脉空虚枯竭。如果病患面色黑、目色白,八天后死亡,这是因为肾气内部受伤,病因留积体内。如果病患面色青、目色黄,五天后死亡。
如果病患卧床不起,心痛且呼吸短促,这是脾脏衰竭、内部受伤,经过一百天可以恢复痊愈;如果能起身徘徊并坐在地上的,或者站立时倚靠床铺,能治好这种病的,可称为神医良医。如果病患面无精光,颜色像泥土,不能接受饮食的,四天后死亡。如果病患眼中无精光,以及牙齿变黑的,不可治愈。如果病患耳、目、鼻、口出现黑色气色并进入口中,必定死亡。如果病患耳目及颧颊发红,五天内死亡。如果黑色从额头发际出现,向下直抵鼻梁脊和两颧上方,也将在五天内死亡。无论是病患还是健康人,如果面部出现黑色或白色气色并进入眼、鼻、口,三日内死亡。如果病患或健康人面部突然像马肝色,远看如青,近看如黑,会死。如果病患面色黑、双目直视、怕风的,会死。如果病患面色黑、嘴唇青的,会死。如果病患面色青、嘴唇黑的,会死。如果病患面色黑,两胁下胀满,不能自行翻身侧卧的,会死。如果病患眼球转动不定、直视,抬肩呼吸的,一天后死亡。如果病患阴结阳绝,眼球脱出、神志恍惚的,会死。如果病患阴阳竭绝,眼眶凹陷的,会死。如果病患眉系下垂倾斜的,七天后死亡。如果病患口唇张开像鱼嘴一样,不能闭合,气息只出不返的,会死。如果病患口张开的,三天后死亡。如果病患嘴唇青、人中穴反折的,三天后死亡。如果病患嘴唇反卷、人中穴饱满的,会死。如果病患嘴唇口忽然干燥的,不可治愈。如果病患嘴唇肿胀、牙齿焦枯的,会死。如果病患牙齿忽然变黑的,十三天后死亡。如果病患舌头卷缩、睾丸上缩的,必定死亡。如果病患出汗但不流动、舌头卷缩变黑的,会死。如果病患头发直的,十五天后死亡。如果病患头发像干麻一样干枯,容易发怒的,会死。如果病患头发与眉毛竖起冲天的,会死。如果病患指甲青色的,会死。如果病患指甲白色的,不可治愈。如果病患手足指甲下的肉变黑的,八天后死亡。如果病患营卫之气竭绝,面部浮肿的,会死。如果病患突然肿胀,面部苍黑的,会死。如果病患手掌肿胀且无纹理的,会死。如果病患肚脐肿胀且向外突出的,会死。如果病患阴囊和阴茎都肿胀的,会死。如果病患脉象断绝,口张足肿的,五天后死亡。如果病患足背肿胀,呕吐且头重的,会死。如果病患足背上部肿胀,两膝大如斗的,十天后死亡。如果病患卧床遗屎而不觉察的,会死。如果病患身上散发尸臭的,不可治愈。
肝病,若皮色白,在庚辛日(金旺之日)死亡。心病,若目色黑,在壬癸日(水旺之日)死亡。脾病,若唇色青,在甲乙日(木旺之日)死亡。肺病,若面颊赤红、目肿,在丙丁日(火旺之日)死亡。肾病,若面肿、唇黄,在戊己日(土旺之日)死亡。
望诊色泽的标准:青色应当像苍璧(青玉)那样润泽,不应当像蓝草那样枯暗。赤色应当像帛裹朱砂那样含蓄红润,不应当像赭石那样晦暗。白色应当像鹅羽那样洁白光泽,不应当像盐那样惨白刺眼。黑色应当像重漆那样乌黑发亮,不应当像炭那样枯黑。黄色应当像罗纱包裹雄黄那样明润含蓄,不应当像黄土那样枯槁暗淡。
How to determine that a patient contracted an illness from sleeping outdoors? This is due to Yin pathogenic factors intermingled within Yang. How to determine that a patient contracted an illness in summer? This is because the various Yang Qi have entered into Yin.
How to determine that a patient contracted an illness in spring? Because the Liver pulse (Gan Mai) is absent. Absence of the Heart pulse (Xin Mai) indicates illness contracted in summer; absence of the Lung pulse (Fei Mai) indicates illness contracted in autumn; absence of the Kidney pulse (Shen Mai) indicates illness contracted in winter; absence of the Spleen pulse (Pi Mai) indicates illness contracted in the months of the four seasons (the last month of each season).
If a patient's five Zang organs (Wu Zang) are exhausted, Shen (Spirit) cannot be retained, and the voice is hoarse, death will ensue. If a patient picks at the seams of their clothes and speaks deliriously (Chan Yu), it is incurable. If a patient's Yin and Yang Qi are both exhausted, pulling at clothes, grasping at empty air, and speaking nonsense, death will ensue. If a patient speaks nonsense, is confused, or unable to speak, it is generally untreatable; however, if these symptoms appear in a Heat disease (Re Bing), it may be treatable. If a patient's Yin and Yang Qi are both exhausted, resulting in loss of voice and inability to speak, death will occur in three and a half days.
If yellow Qi appears around the eyes of a patient, the illness is about to heal. If a patient has a yellow complexion and green eyes, they will not die; but if the green color resembles withered grass (Cao Zi), they will die. If a patient has a yellow complexion and red eyes, they will not die; but if the red color resembles stagnant blood, they will die. If a patient has a yellow complexion and white eyes, they will not die; but if the white color resembles dry bone, they will die. If a patient has a yellow complexion and black eyes, they will not die; but if the black color resembles soot, they will die. If a patient's facial features and eye colors are harmonious and balanced, they will not die. If a patient has a black complexion and green eyes, they will not die. If a patient has a green complexion and white eyes, they will die. If a patient has a red complexion and green eyes, they will die in six days. If a patient has a yellow complexion and green eyes, they will die in nine days; this is called "Disordered Meridians" (Luan Jing). Drinking alcohol while exposed to wind allows pathogenic factors to enter the Stomach meridian, causing Gallbladder Qi to leak recklessly, turning the eyes green; even with heavenly rescue, recovery is impossible. If a patient has a red complexion and white eyes, they will die in ten days. Due to worry, anger, and overthinking, Heart Qi becomes internally depleted; if the complexion unexpectedly looks good, prepare coffins immediately, as death will occur in ten days. If a patient has a white complexion and black eyes, they will die, indicating that prosperity has departed and blood vessels are empty and depleted. If a patient has a black complexion and white eyes, they will die in eight days, indicating internal injury to Kidney Qi and accumulation of pathogenic factors. If a patient has a green complexion and yellow eyes, they will die in five days.
If a patient is bedridden, suffers from heart pain and shortness of breath, this indicates Spleen exhaustion and internal injury; after one hundred days, they may recover and heal. If they can rise, pace around, and sit on the floor, or stand leaning against the bed, those who can cure such conditions can be considered divine physicians. If a patient lacks luster in their face, resembling earth color, and cannot accept food or drink, they will die in four days. If a patient's eyes lack luster and teeth turn black, it is incurable. If black Qi appears in the ears, eyes, nose, and mouth of a patient and enters the mouth, death is certain. If the eyes, ears, and cheekbones of a patient are red, death will occur within five days. If black Qi emerges from the hairline on the forehead, extending straight down to the nasal bridge and above the cheekbones, death will also occur within five days. Whether for patients or healthy individuals, if black or white Qi appears on the face and enters the eyes, nose, and mouth, death will occur within three days. If a patient or healthy person suddenly has a face color like horse liver—looking green from afar and black up close—death will ensue. If a patient has a black complexion, fixed staring eyes, and aversion to wind, death will ensue. If a patient has a black complexion and blue lips, death will ensue. If a patient has a green complexion and black lips, death will ensue. If a patient has a black complexion, fullness under both hypochondria, and inability to turn themselves over, death will ensue. If a patient's eyes roll and stare fixedly, and they breathe with shoulder movement (Jian Xi), they will die in one day. If a patient has Yin binding and Yang exhaustion, with protruding eyes and confusion, death will ensue. If a patient's Yin and Yang are exhausted, with sunken eye sockets, death will ensue. If the connection point of the eyebrows of a patient tilts downward, they will die in seven days. If a patient's mouth opens like a fish mouth and cannot close, with Qi exiting but not returning, death will ensue. If a patient's mouth is open, they will die in three days. If a patient's lips are blue and the philtrum is inverted, they will die in three days. If a patient's lips are everted and the philtrum is full, death will ensue. If a patient's lips and mouth suddenly become dry, it is incurable. If a patient's lips are swollen and teeth are scorched, death will ensue. If a patient's teeth suddenly turn black, they will die in thirteen days. If a patient's tongue curls and testicles retract, death is certain. If a patient sweats without flow and the tongue curls and turns black, death will ensue. If a patient's hair stands straight, they will die in fifteen days. If a patient's hair is dry like hemp and prone to anger, death will ensue. If a patient's hair and eyebrows stand upright and outward, death will ensue. If a patient's nails are blue, death will ensue. If a patient's nails are white, it is incurable. If the flesh under the nails of a patient's hands and feet turns black, they will die in eight days. If a patient's Ying and Wei Qi are exhausted and the face is edematous, death will ensue. If a patient has sudden swelling and a dark-green/black face, death will ensue. If a patient's palms are swollen and lack lines, death will ensue. If a patient's umbilicus is swollen and protrudes, death will ensue. If a patient's scrotum and penis are both swollen, death will ensue. If a patient's pulse is cut off, mouth is open, and feet are swollen, they will die in five days. If a patient's dorsum pedis is swollen, accompanied by vomiting and heavy head, death will ensue. If the upper part of a patient's dorsum pedis is swollen and both knees are as large as a dou (a unit of volume), they will die in ten days. If a patient wets the bed with feces unconsciously, death will ensue. If a patient emits a corpse-like odor, it is incurable.
In Liver disease, if the skin is white, death occurs on Geng-Xin days (Metal days). In Heart disease, if the eyes are black, death occurs on Ren-Gui days (Water days). In Spleen disease, if the lips are blue, death occurs on Jia-Yi days (Wood days). In Lung disease, if the cheeks are red and eyes are swollen, death occurs on Bing-Ding days (Fire days). In Kidney disease, if the face is swollen and lips are yellow, death occurs on Wu-Ji days (Earth days).
The standard for observing complexion colors: Green should resemble the luster of cyan jade (Cang Bi), not the dullness of indigo plant. Red should resemble cinnabar wrapped in silk, not the dullness of hematite. White should resemble goose feathers, not the stark whiteness of salt. Black should resemble double-lacquered wood, not the dry blackness of charcoal. Yellow should resemble realgar wrapped in gauze, not the dullness of yellow earth.