(色者气之华也)
肝病面青如翠羽。或如苍玉之泽者生。如蓝、如地苔、如草滋、如枯草。眼眶陷入者。三日死。面肿苍黑。舌卷而
青。四肢乏力。两眼如盲。泣出不止。八日死。此肝脏绝也。(一云中热嗌干。善溺心烦。舌卷卵上缩。)
病患筋绝。爪甲枯黑。八日死。
面青目黄。半日死。(一云五日死)
手足甲青。频呼骂者。是筋绝。九日死。
项筋舒展者死。
目无精光。齿断黑者死。
病患目HT 绝。系不能正。胆绝也。
心病面赤。如鸡冠之色。或如帛裹朱者生。如代赭、如 血、如瘀血。一日死。
面黧肩息直视。掌肿没纹。狂言身热。一日死。此心脏绝也。
面赤目青者立死。
病患脉绝。口张唇青。毛发干竖。五日死。
久病患两颊颧赤。口张气直者死。
脾病面黄。如蟹腹、如罗裹雄黄者生。如枳实、如黄土色。四肢肿起者。九日死。
面浮黄。脐肤肿满。泄泻下痢。肌涩唇反。十二日死。此脾脏绝也。
人中满。背青。三日死。
唇青体冷。遗尿不食。四日死。
肩息直视。唇焦者死。
体肿溺赤。频数不止者。是肉绝。六日死。
口目动作。善惊妄言。胃绝也。
目 黄者。病欲愈。有胃气也。
面如土色。不食者。四日死。胃气绝也。
肺病面白。如豕膏。或如白璧之泽者生。如盐、如垩、如枯骨者死。
口鼻气出。唇反无纹。色黑似煤。皮毛干焦。爪甲枯折者。三日死。此肺脏绝也。
面白毛折者死。
发直如麻者。半日死。
肾病面黑。如乌羽。或如黑漆而泽者生。如 、如炭煤。耳色萎黄。兼卒呻吟。四日死。
面黑齿痛。两目如盲。自汗如水。腰折沉重。皮肉濡结。发无润泽者。四日死。此肾脏绝也。
病患骨绝。齿如熟豆。一日死。
耳目口鼻黑色起者死。
面黑目白者。八日死。面肿苍黑者死。
脊痛腰重。不能反复者死。
面黑齿长而垢。腹胀闭不得息。善噫善呕。皮毛焦。肾脏绝也。
大凡黄赤为热。白黑为寒。青黑为痛。
病患脚趺肿起。身体沉重。卒失屎溺。妄语错乱。忽作尸臭。阴囊皆肿。口反张。爪甲黑。两目直
视。皆死证也。
头倾视深。精气将夺。谓项不能举。天柱骨折也。转腰不能。肾气已惫。背曲肩随。腑气已坏。其
音嘶者。是气不朝肺。声散者。肺损也。凡见此证。不出三岁。
肝脏病变时,面色青如翠鸟羽毛般润泽,或像苍玉那样有光泽的,主生;若面色青如靛蓝、像地衣苔藓、像枯草滋生的颜色、或像干枯的草色,且眼眶凹陷的,三天后死亡。若面部浮肿呈苍黑色,舌体卷缩且发青,四肢无力,两眼如同失明,眼泪不止,八天后死亡。这是肝气绝败的表现。(另一种说法认为:体内有热邪导致咽喉干燥,小便频数,心烦意乱,舌体卷缩,睾丸上缩。)
如果病患筋脉之气绝败,爪甲枯黑,八天后死亡。
面色青而目黄,半天后死亡。(另一种说法认为是五天后死亡。)
手足指甲发青,频繁呼叫谩骂的,这是筋气绝败,九天后死亡。
颈部筋脉僵硬舒展不开的,死亡。
眼睛没有神采精光,牙齿断裂发黑的,死亡。
心脏病变时,面色赤红,如鸡冠般鲜亮,或像白布包裹朱砂那样的色泽,主生;若面色像代赭石、像凝血、像瘀血那样晦暗,一天后死亡。
面色黧黑,抬肩呼吸,两眼直视,手掌肿胀纹路消失,胡言乱语,身体发热,一天后死亡。这是心气绝败的表现。
面色赤红而目青的,立即死亡。
久病之人两颊颧骨处潮红,口张气直不回的,死亡。
脾脏病变时,面色黄,如蟹腹般柔润,或像丝罗包裹雄黄那样明润的,主生;若面色像枳实那样枯槁、像黄土那样暗淡,四肢肿起的,九天后死亡。
面部浮肿发黄,肚脐周围皮肤肿胀饱满,腹泻下痢,肌肤干涩,嘴唇外翻,十二天后死亡。这是脾气绝败的表现。
人中穴部位饱满隆起,背部发青,三天后死亡。
嘴唇发青,身体冰冷,遗尿且不进食,四天后死亡。
抬肩呼吸,两眼直视,嘴唇焦裂的,死亡。
身体浮肿,小便短赤,次数频繁不止的,这是肌肉之气绝败,六天后死亡。
口眼抽动,容易受惊,胡言乱语的,这是胃气绝败。
眼睛发黄,说明病欲痊愈,因为还有胃气存在。
面色如土色灰暗,不能进食的,四天后死亡。这是胃气绝败的表现。
肺脏病变时,面色白,如猪脂般润泽,或像白玉那样有光泽的,主生;若面色像盐粒、像铅粉、像枯骨那样干枯无泽的,死亡。
口鼻出气,嘴唇外翻无纹,面色黑得像煤,皮毛干枯焦脆,爪甲枯折的,三天后死亡。这是肺气绝败的表现。
面色白而毛发折断的,死亡。
头发直立像麻秆一样的,半天后死亡。
肾脏病变时,面色黑,如乌鸦羽毛般润泽,或像黑漆那样光亮有泽的,主生;若面色像某种深色物质、像炭火煤灰那样枯槁,耳色萎黄,兼有突然呻吟的,四天后死亡。
面色黑且牙齿疼痛,两眼如同失明,自汗如水,腰部折断感沉重,皮肉濡湿粘连,头发没有润泽的,四天后死亡。这是肾气绝败的表现。
病患骨气绝败,牙齿像熟豆一样松动的,一天后死亡。
耳目口鼻出现黑色的,死亡。
面色黑而眼白多的,八天后死亡。面部浮肿呈苍黑色的,死亡。
脊背疼痛,腰部沉重,不能翻身转侧的,死亡。
面色黑,牙齿显得长且有污垢,腹胀闭塞呼吸困难,喜欢嗳气呕吐,皮毛焦枯,这是肾气绝败的表现。
大凡而言,黄色和红色主热证,白色和黑色主寒证,青色和黑色主痛证。
病患脚背肿胀,身体沉重,突然大小便失禁,胡言乱语神志错乱,忽然散发出尸体般的臭味,阴囊全部肿胀,口角反张(角弓反张),爪甲发黑,两眼直视,这些都是死证的表现。
头低垂不能抬起,眼神深陷,这是精气即将被剥夺的表现,意思是颈项不能举,天柱骨(颈椎)已骨折。转身困难,说明肾气已经疲惫。背部弯曲,肩膀下垂随动,说明腑气已经败坏。声音嘶哑的,是气不能上朝于肺,声音散乱的,是肺脏受损。凡是见到这些证候,不出三年就会死亡。
(The complexion is the external splendor of Qi and essence.)
In Liver disease, if the face is blue/green like the feathers of a kingfisher, or lustrous like dark jade, life is possible. If the face is blue/green like indigo, like moss on the ground, like overgrown grass, or like withered grass, and the eye sockets are sunken, death occurs in three days. If the face is swollen and cyan-black, the tongue is curled and blue/green, the four limbs are weak, the eyes are blind-like, and tears flow incessantly, death occurs in eight days. This indicates the exhaustion of the Liver organ. (Another account states: internal heat causing dry throat, frequent urination, irritability, curled tongue, and retraction of the testicles.)
If the patient's sinews are exhausted, with withered and black nails, death occurs in eight days.
If the face is blue/green and the eyes are yellow, death occurs in half a day. (Another account states five days.)
If the fingernails and toenails are blue/green, and the patient frequently calls out and curses, this indicates the exhaustion of the sinews, and death occurs in nine days.
If the neck tendons are stiff and cannot extend, death occurs.
If the eyes lack spirit and luster, and the teeth break and turn black, death occurs.
If the patient's eye connections are exhausted, and the eyeballs cannot move normally, this indicates the exhaustion of the Gallbladder.
In Heart disease, if the face is red like a rooster's comb, or bright like cinnabar wrapped in silk, life is possible. If the face resembles hematite, fresh blood, or stagnant blood (dark purple/black), death occurs in one day.
If the face is dark, the patient breathes with raised shoulders, stares fixedly, the palms are swollen with disappeared creases, there is delirious speech and body heat, death occurs in one day. This indicates the exhaustion of the Heart organ.
If the face is red and the eyes are blue/green, death occurs immediately.
If the patient's pulse is exhausted, the mouth is open, lips are blue/green, hair is dry and standing erect, death occurs in five days.
In chronic illness, if the malar bones are red, the mouth is open, and breathing is straight/rigid, death occurs.
In Spleen disease, if the face is yellow, soft like a crab's belly, or bright like realgar wrapped in gauze, life is possible. If the face resembles zhi shi (immature bitter orange) in dullness, or like yellow earth, and the four limbs are swollen, death occurs in nine days.
If the face is puffy and yellow, the skin around the umbilicus is swollen and full, there is diarrhea and dysentery, the muscle is rough, and the lips evert, death occurs in twelve days. This indicates the exhaustion of the Spleen organ.
If the area above the upper lip is full/protruding, and the back is blue/green, death occurs in three days.
If the lips are blue/green, the body is cold, there is enuresis, and no food intake, death occurs in four days.
If there is shoulder-breathing, fixed staring, and cracked lips, death occurs.
If the body is swollen, urine is red, and frequency is incessant, this indicates the exhaustion of flesh/muscles, and death occurs in six days.
If the mouth and eyes twitch, there is easily provoked fright, and delirious speech, this indicates the exhaustion of the Stomach.
If the eyes are yellow, the disease is about to heal, indicating the presence of Stomach Qi.
If the face is like earth color (dull gray/yellow) and there is no food intake, death occurs in four days. This indicates the exhaustion of Stomach Qi.
In Lung disease, if the face is white, glossy like pig fat, or lustrous like white jade, life is possible. If the face resembles salt, chalk, or withered bone (dry and dull), death occurs.
If air exits the mouth and nose, lips evert without wrinkles, color is black like coal, hair and skin are dry and scorched, and nails are withered and broken, death occurs in three days. This indicates the exhaustion of the Lung organ.
If the face is white and hair breaks, death occurs.
If hair stands straight like hemp, death occurs in half a day.
In Kidney disease, if the face is black, lustrous like crow feathers, or shiny like black lacquer, life is possible. If the face resembles [unclear term, likely dark/dull substance], like charcoal and coal, ears are withered yellow, accompanied by sudden groaning, death occurs in four days.
If the face is black and teeth hurt, eyes are blind-like, spontaneous sweating like water, waist feels heavy/broken, skin and flesh are damp and stuck together, and hair lacks luster, death occurs in four days. This indicates the exhaustion of the Kidney organ.
If the patient's bones are exhausted, and teeth resemble cooked beans (loose/rotten), death occurs in one day.
If black color appears around the ears, eyes, mouth, and nose, death occurs.
If the face is black and whites of the eyes are prominent, death occurs in eight days. If the face is swollen and cyan-black, death occurs.
If there is spinal pain, heavy waist, and inability to turn over, death occurs.
If the face is black, teeth appear long with dirt, abdomen is distended and closed with difficulty breathing, there is frequent belching and vomiting, and hair/skin are scorched, this indicates the exhaustion of the Kidney organ.
Generally speaking, yellow and red indicate Heat; white and black indicate Cold; blue/green and black indicate Pain.
If the dorsum of the foot is swollen, the body is heavy, there is sudden loss of stool and urine, delirious speech and confusion, a sudden corpse-like odor emanates, the scrotum is fully swollen, there is opisthotonos (mouth corner retracted/open), black nails, and fixed staring, these are all signs of impending death.
If the head droops and cannot be lifted, and the eyes are deep-set, this indicates that Jing-Qi (Essence-Qi) is being depleted. It means the neck cannot support the head, indicating fracture of the Tianzhu bone (cervical spine). Inability to twist the waist indicates Kidney Qi is exhausted. A curved back and drooping shoulders indicate the deterioration of Fu-organ Qi. Hoarseness indicates Qi failing to ascend to the Lungs; scattered voice indicates Lung damage. Any patient presenting these signs will not survive beyond three years.