初生如粟。里可容谷。外面如麻。里大如瓜。外面如钱。里可容拳。起势大。终无害。未老先白头。无脓软陷
休。疮从疙瘩起。有脓生方许。肿溃气昂昂。不治自安康。根高顶又高。八十寿还饶。 肿易腐烂。任大终
无恙。疮高热 疼。虽苦必然生。疮软无神气。应补方为益。肉肿疮不肿。必竟生疑恐。脓秽不进食。泄泻
黄泉客。疮色猪肝紫。无脓必定死。绵溃不腐烂。内怕葡萄嵌。仰卧不知疼。阴症命难生。腐尽有败气。笑
里终生祟。根散疮平塌。神仙无治法。久病目露神。必竟命难存。面忽似涂脂。十日后分离。败中有红肉。
虽重生门路。新肉如板片。不食终须变。手足皮枯槁。血败生难保。唇白眼无神。腹胀泻将倾。腌气不
气。虽重多生意。眼眶黑气浓。痈疽怕此逢。房中香馥馥。是病终为福。疮热身微热。轻病何须说。生死此
中求。片言一可决。
凡阅人之病。必先视其形色。而后与脉病相参。诚识于始。以决其终。百无一失矣。曷言之。阴病见阳色。
腮颧红鲜。阳病见阴色。指甲呈青。此二者俱死。又身热脉细。唇吻反青。目珠直视者死。面如涂脂。色若
土黄、油腻、黑气涂抹者死。唇舌干焦。鼻生烟煤。眼神透露者死。形容憔悴。精神昏短。身形缩小者死。喘
粗气短。鼻 睛露。语言谵妄者死。循衣摸床。遗尿失禁。撮空者死。头低项软。眼视无神。吸吸短气者死。
皮破无血 肉绽烂班。麻木不知痛庠者死。齿黄色如煮豆。唇白反理无纹。耳黑枯焦不听。人中缩而坦
平。口张气出无回闭。鼻煽相随呼吸行。汗出如珠不散。痰若胶而坚凝。出血红如肺色。指甲弯而滞青。
神昏神浮。神乱神离。缁衣生满面。黑气惨天庭。逢之都没命。法在此中评。
初生疮疡如粟米大小，内部可容纳谷粒；外面如麻子大小，内部大如瓜；外面如铜钱大小，内部可容纳拳头。起势虽大，最终无碍。未老先白头（指疮顶先发白），若无脓液且软陷，则预后不良。疮疡从疙瘩处发起，有脓生成方可言治。肿胀溃破后气息昂扬者，不治亦可自愈。疮根高、疮顶高者，八十岁仍可长寿。肿胀易腐烂，无论多大终无性命之忧。疮疡高热疼痛，虽然痛苦但必然能生还。疮疡柔软无神气，应当补益方为有益。肌肉肿胀而疮口不肿，必定令人疑虑恐惧。脓液秽浊且不进食，出现泄泻则是死期将至（黄泉客）。疮色如猪肝紫暗，无脓必定死亡。绵溃（慢性溃疡）不腐烂，内里恐怕有葡萄串状坏死组织（葡萄嵌）。仰卧不知疼痛，阴证难以生还。腐肉尽去而有败臭气，笑里藏灾（指病情恶化却反常嬉笑），终身为患。疮根散漫、疮面平塌，神仙也无治法。久病目露神光外露，必定命难存活。面色忽然像涂了脂粉，十日后分离（死亡）。败疮中有红肉，虽有生机之门路。新肉如板片状僵硬，不进食终究会变化（恶化）。手足皮肤枯槁，血败坏难以保全生命。嘴唇白、眼睛无神，腹胀腹泻将倾覆。腌渍之气不散（指局部气味异常但不臭），虽然病重多有生机。眼眶黑气浓重，痈疽最怕遇到这种情况。房中香气馥郁，此病终归是福（吉兆）。疮身热而身体微热，轻病不必多说。生死在此中寻求，片言即可决断。
凡是诊察病人的疾病，必须先观察其形色，然后与脉象、病症相互参验。确实识得于初始，以决断其结局，百无一失。为何这样说？阴病见到阳色，腮颧红鲜，这两种情况都主死。阳病见到阴色，指甲呈青色，也主死。又身热脉细，嘴唇吻部反青，眼珠直视者死。面色如涂脂，色若土黄、油腻、黑气涂抹者死。唇舌干焦，鼻生烟煤，眼神透露者死。形容憔悴，精神昏短，身形缩小者死。喘粗气短，鼻孔外翻睛露，语言谵妄者死。循衣摸床，遗尿失禁，撮空理线者死。头低项软，眼视无神，呼吸短促者死。皮破无血，肉绽烂斑，麻木不知痛痒者死。牙齿黄色如煮豆，唇白反理无纹，耳黑枯焦不听，人中缩而坦平，口张气出无回闭，鼻煽相随呼吸行，汗出如珠不散，痰若胶而坚凝，出血红如肺色，指甲弯而滞青，神昏神浮，神乱神离，缁衣生满面，黑气惨天庭，逢之都没命，法在此中评。
The sore initially appears like a millet grain, with the internal cavity capable of holding a grain; externally like hemp seeds, internally as large as a melon; externally like a copper coin, internally capable of holding a fist. Although the onset is vigorous, it ultimately causes no harm. Premature whitening of the sore top (indicating early pus formation or necrosis) without pus and with soft depression indicates a poor prognosis. Sores arising from nodules are treatable only when pus has formed. Swelling and ulceration accompanied by vigorous spirit indicate recovery even without treatment. High sore root and high sore top suggest longevity up to eighty years. Swelling prone to rotting, regardless of size, ultimately poses no life-threatening danger. Sores with high fever and pain, though painful, will surely survive. Soft sores lacking spirit require tonification for benefit. Muscle swelling without sore swelling causes doubt and fear. Turbid pus combined with anorexia and diarrhea indicates approaching death (guest of the Yellow Springs). Sore color resembling purple pig liver without pus indicates certain death. Chronic ulcers that do not rot may harbor grape-like embedded necrotic tissue inside. Supine position with insensitivity to pain in Yin syndromes makes survival difficult. Complete removal of腐肉 (necrotic tissue) accompanied by foul odor, or abnormal laughter amidst decline, indicates lifelong affliction. Scattered sore root and flat sore surface render even immortals unable to treat. Prolonged illness with exposed eye spirit indicates inevitable death. Sudden appearance of face like applied rouge predicts separation (death) within ten days. Red flesh appearing in decay offers a path to life. New flesh resembling rigid plates, if not nourished, will eventually deteriorate. Withered skin on hands and feet, blood corruption, makes preservation of life difficult. White lips and spiritless eyes, abdominal distension with impending diarrhea indicate critical condition. Abnormal local odor without stench, though severe, often retains vitality. Dense black qi around eye sockets is dreaded in carbuncles and ulcers. Fragrant aroma in the bedroom suggests this illness will ultimately be auspicious. Sore heat with slight body heat indicates mild disease, which needs no further explanation. Life and death are sought herein, decided by a few words.
In examining any patient's disease, one must first observe their form and color, then correlate them with pulse and disease manifestations. True understanding at the beginning ensures accurate judgment at the end, with little error. Why say this? Yin diseases presenting Yang colors, such as bright red cheeks and zygomatic arches, both indicate death. Yang diseases presenting Yin colors, such as cyanotic fingernails, also indicate death. Additionally, body heat with fine pulse, inverted cyanosis of lips and mouth corners, and fixed staring eyes indicate death. Face like applied rouge, color resembling earthy yellow, greasy texture, or smeared black qi indicate death. Dry and scorched lips and tongue, soot-like deposits in nose, and protruding eye spirit indicate death. Emaciated appearance, confused and short-spirited demeanor, and shrunken body shape indicate death. Rough breathing and shortness of breath, everted nostrils with exposed eyes, and delirious speech indicate death. Grasping at clothes and bed, urinary incontinence, and picking at empty air indicate death. Head drooping and neck weakness, spiritless gaze, and shallow rapid breathing indicate death. Broken skin without blood, ruptured and rotting flesh patches, numbness and insensitivity to pain or itching indicate death. Teeth yellow like boiled beans, white lips with reversed ridges and no lines, black and withered ears unresponsive to sound, sunken and flat philtrum, open mouth with non-returning breath, nasal flaring accompanying respiration, sweat like pearls not dispersing, phlegm like glue and solidifying, bleeding red like lung tissue, curved and stagnant cyanotic nails, confused and floating spirit, chaotic and detached spirit, black garments covering the face, and dismal black qi on the forehead—all these encountered mean loss of life. The method is evaluated herein.