面上五脏部分色 左颊主肝。右颊主肺。额上主心。鼻上主脾。（一云唇口）颐上主肾。色青为风。色赤为
热。色黄为食。色白为气。色黑为寒也。
面上五脏四时色 经言五脏之色。皆外荣于面。故死生疾病系焉。肝主春。其色青。心主夏。其色赤。脾主
长夏。其色黄。肺主秋。其色白。肾主冬。其色黑。是谓五脏之色。随四时各荣于面也。其色不深不浅。应常光
润者。为平和也。若色重深者。其脏实。浅淡者。其脏虚。
面上五脏生死色 经曰。滋荣者。其色生。青如翠羽。赤如鸡冠。黄如蟹腹。白如豕膏。黑如乌羽。枯夭
者。其色死。青如草兹。赤如 血。黄如枳实。白如枯骨。黑如炱煤。
面上五脏部分相乘色 肝色青者本色也。赤者心乘肝也。黄者脾乘肝也。白者肺乘肝也。黑者肾乘肝也。
心色赤者本色也。青者肝乘心也。黄者脾乘心也。白者肺乘心也。黑者肾乘心也。脾色黄者本色也。青者肝乘脾
也。赤者心乘脾也。黑者肾乘脾也。白者肺乘脾也。肺色白者本色也。青者肝乘肺也。赤者心乘肺也。黄者脾乘
肺也。黑者肾乘肺也。肾色黑者本色也。青者肝乘肾也。赤者心乘肾也。黄者脾乘肾也。白者肺乘肾也。
面上五脏四时相乘色 经言青赤见于春。赤黄见于夏。黄白见于长夏。白黑见于秋。黑青见于冬。是谓五脏
之生。五行相继也。为病轻。若肝色见青白。心色见赤黑。脾色见黄青。肺色见白赤。肾色见黑黄。是谓真藏之
色。五行相克也。为病重。
面目死生色 内经曰。凡病面黄目青。面黄目赤。面黄目白。面黄目黑者。皆不死。圣济经云。脾真为本。
而面黄必生者。以真气外荣故也。若面青目赤。面青目白。面青目黑。面黑目白。面赤目青者。皆死。谓无脾色
外荣。而真气已绝故也。
鼻上色 圣济经曰。鼻端青为腹冷。黑为水气。白为无血。黄为胸寒。赤为有风。鲜明为留饮。
目内色 赤者心热。淡红者虚热。青者肝热。浅淡者肝虚。黄者脾热。无精色肾虚。
金匮死色 凡小儿病者。有黑色满面。或绕口入口。或延眉绕目。或暗人中者。皆死。有青色延面。连目
入耳者死。目无精光。眼中有物。如横红针者死。
外台死色 凡小儿病者。面上有青黑色。如纱盖定。从发际至印堂者。不以疾状浅深。六十日死。至鼻柱者。
一月死。至人中者。十日死。满面者。即日死。
面部五脏分布区域的色泽
左脸颊主应肝脏。右脸颊主应肺脏。额头主应心脏。鼻部主应脾脏。（另一种说法认为唇口主应脾脏）下巴（颐部）主应肾脏。面色发青表示风邪，发赤表示热邪，发黄表示食积，发白表示气虚，发黑表示寒邪。
面部五脏与四时对应的色泽
医经指出，五脏的色泽都外显于面部，因此生死和疾病的情况都与面色有关。肝主春季，其色为青；心主夏季，其色为赤；脾主长夏，其色为黄；肺主秋季，其色为白；肾主冬季，其色为黑。这被称为五脏的本色，随着四季变化而在面部呈现相应的荣润之色。如果色泽不深不浅，应当常保持光泽润泽，这是平和健康的表现。如果色泽深沉浓重，说明该脏腑实证；色泽浅淡，说明该脏腑虚证。
面部五脏反映生死的色泽
医经说：色泽滋润荣润的，代表生机。青色像翠鸟的羽毛，红色像鸡冠，黄色像蟹腹，白色像猪油，黑色像乌鸦的羽毛，这些都是有生机的颜色。色泽干枯枯槁的，代表死气。青色像枯草，红色像凝固的血块，黄色像枳实（干燥皱缩），白色像枯骨，黑色像烟煤，这些都是无生气的颜色。
面部五脏区域相克（乘）的色泽
肝的本色是青色。若见赤色，是心火乘袭肝木；若见黄色，是脾土乘袭肝木；若见白色，是肺金乘袭肝木；若见黑色，是肾水乘袭肝木。
心的本色是赤色。若见青色，是肝木乘袭心火；若见黄色，是脾土乘袭心火；若见白色，是肺金乘袭心火；若见黑色，是肾水乘袭心火。
脾的本色是黄色。若见青色，是肝木乘袭脾土；若见赤色，是心火乘袭脾土；若见黑色，是肾水乘袭脾土；若见白色，是肺金乘袭脾土。
肺的本色是白色。若见青色，是肝木乘袭肺金；若见赤色，是心火乘袭肺金；若见黄色，是脾土乘袭肺金；若见黑色，是肾水乘袭肺金。
肾的本色是黑色。若见青色，是肝木乘袭肾水；若见赤色，是心火乘袭肾水；若见黄色，是脾土乘袭肾水；若见白色，是肺金乘袭肾水。
面部五脏与四时相克（乘）的色泽
医经说：青色和赤色见于春季，赤色和黄色见于夏季，黄色和白色见于长夏，白色和黑色见于秋季，黑色和青色见于冬季。这是五脏相生、五行相继的关系，患病较轻。如果肝色见青白（金克木），心色见赤黑（水克火），脾色见黄青（木克土），肺色见白赤（火克金），肾色见黑黄（土克水）。这是真脏色现，属于五行相克的关系，患病较重。
面目反映生死的色泽
《内经》说：凡是病人面黄目青、面黄目赤、面黄目白、面黄目黑的，都不会死亡。《圣济总录》说：脾土真气为本源，而面色发黄必定能生的原因，是因为真气外显于面部。如果面青目赤、面青目白、面青目黑、面黑目白、面赤目青的，都会死亡。这是因为没有脾土之色的外荣，且真气已经断绝的缘故。
鼻部上方的色泽
《圣济总录》说：鼻头发青表示腹部寒冷，发黑表示有水气，发白表示血虚，发黄表示胸中寒冷，发红表示有风邪，色泽鲜明表示有留饮（水饮停留）。
眼内色泽
发红表示心热，淡红表示虚热，发青表示肝热，浅淡表示肝虚，发黄表示脾热，眼神无光彩表示肾虚。
《金匮要略》中的死色
凡是小儿患病，出现黑色布满满面，或者环绕口唇入口，或者蔓延至眉毛环绕眼睛，或者人中穴部位晦暗的，都是死证。出现青色蔓延至面部，连接眼睛进入耳朵的，也是死证。眼神没有精光，眼中如有横置的红针状物的，也是死证。
《外台秘要》中的死色
凡是小儿患病，面上出现青黑色，如同纱布遮盖固定一样，从发际线延伸至印堂穴的，不论病情深浅，六十日死；延伸至鼻柱（山根）的，一个月死；延伸至人中穴的，十日死；布满满面的，当天即死。
Facial Zang-Fu Distribution and Color
The left cheek corresponds to the Liver. The right cheek corresponds to the Lung. The forehead corresponds to the Heart. The nose corresponds to the Spleen. (Another theory states that the lips and mouth correspond to the Spleen.) The chin (Yi area) corresponds to the Kidney. A bluish color indicates Wind pathogen; a red color indicates Heat pathogen; a yellow color indicates Food retention; a white color indicates Qi deficiency; a black color indicates Cold pathogen.
Facial Zang-Fu Colors Corresponding to the Four Seasons
Medical classics state that the colors of the Five Zang organs manifest externally on the face; thus, life, death, and diseases are associated with these colors. The Liver governs Spring, its color being Green; the Heart governs Summer, its color being Red; the Spleen governs Late Summer, its color being Yellow; the Lung governs Autumn, its color being White; the Kidney governs Winter, its color being Black. These are referred to as the intrinsic colors of the Five Zang organs, flourishing on the face according to the four seasons. If the color is neither deep nor shallow, but maintains luster and moisture, it indicates a state of harmony and health. If the color is heavy and deep, it indicates excess in the corresponding Zang organ; if light and pale, it indicates deficiency in the corresponding Zang organ.
Facial Zang-Fu Colors Indicating Life and Death
Medical classics state: Lustrous and vibrant colors indicate life. Green like a kingfisher's feather, red like a rooster's comb, yellow like a crab's belly, white like suet, black like a crow's feather. Dry and withered colors indicate death. Green like dead grass, red like coagulated blood, yellow like dried zhi shi (Fructus Aurantii), white like dry bone, black like soot.
Facial Zang-Fu Areas Showing Overcoming (Cheng) Colors
The intrinsic color of the Liver is Green. Red indicates the Heart overcoming the Liver. Yellow indicates the Spleen overcoming the Liver. White indicates the Lung overcoming the Liver. Black indicates the Kidney overcoming the Liver.
The intrinsic color of the Heart is Red. Green indicates the Liver overcoming the Heart. Yellow indicates the Spleen overcoming the Heart. White indicates the Lung overcoming the Heart. Black indicates the Kidney overcoming the Heart.
The intrinsic color of the Spleen is Yellow. Green indicates the Liver overcoming the Spleen. Red indicates the Heart overcoming the Spleen. Black indicates the Kidney overcoming the Spleen. White indicates the Lung overcoming the Spleen.
The intrinsic color of the Lung is White. Green indicates the Liver overcoming the Lung. Red indicates the Heart overcoming the Lung. Yellow indicates the Spleen overcoming the Lung. Black indicates the Kidney overcoming the Lung.
The intrinsic color of the Kidney is Black. Green indicates the Liver overcoming the Kidney. Red indicates the Heart overcoming the Kidney. Yellow indicates the Spleen overcoming the Kidney. White indicates the Lung overcoming the Kidney.
Facial Zang-Fu Colors Showing Seasonal Overcoming (Cheng)
Medical classics state: Green and Red appearing in Spring, Red and Yellow in Summer, Yellow and White in Late Summer, White and Black in Autumn, Black and Green in Winter. This represents the generation cycle of the Five Zang organs and the sequential progression of the Five Elements, indicating mild disease. If the Liver color appears Green-White (Metal overcoming Wood), the Heart color appears Red-Black (Water overcoming Fire), the Spleen color appears Yellow-Green (Wood overcoming Earth), the Lung color appears White-Red (Fire overcoming Metal), or the Kidney color appears Black-Yellow (Earth overcoming Water). These represent the colors of the True Zang organs and the overcoming cycle of the Five Elements, indicating severe disease.
Facial and Ocular Colors Indicating Life and Death
The *Neijing* (Inner Canon) states: In any illness, if the face is yellow while the eyes are green, red, white, or black, the patient will not die. The *Shengji Jing* (Holy Relief Classic) states: The Spleen's true qi is the root. The reason why a yellow face indicates survival is due to the manifestation of true qi externally. Conversely, if the face is green with red eyes, green face with white eyes, green face with black eyes, black face with white eyes, or red face with green eyes, the patient will die. This is because there is no external flourishing of Spleen color, and the true qi has been exhausted.
Color Above the Nose
The *Shengji Jing* states: Cyan at the nasal tip indicates cold abdomen; black indicates fluid accumulation; white indicates blood deficiency; yellow indicates chest cold; red indicates wind pathogen; bright and clear indicates retained fluids (Liu Yin).
Color Inside the Eyes
Red indicates Heart Heat; pale red indicates Deficiency Heat; green indicates Liver Heat; pale green indicates Liver Deficiency; yellow indicates Spleen Heat; lack of luster in the eyes indicates Kidney Deficiency.
Death Colors from *Jin Gui Yao Lue*
In pediatric patients, if black color covers the entire face, or surrounds the mouth and enters the lips, or extends over the eyebrows and around the eyes, or darkens the Renzhong point, it indicates death. If green color spreads across the face, connecting the eyes into the ears, it indicates death. Lack of luster in the eyes, or presence of foreign matter in the eyes resembling a horizontal red needle, indicates death.
Death Colors from *Wai Tai Mi Yao*
In pediatric patients, if cyan-black color appears on the face, fixed as if covered by gauze, extending from the hairline to the Yintang point, regardless of the severity of symptoms, death occurs within sixty days. If it extends to the nasal bridge (Shangen), death occurs within one month. If it extends to the Renzhong point, death occurs within ten days. If it covers the entire face, death occurs on the same day.