观形察色辨因由。阴弱阳强法硬柔。若是伤寒双足冷。要知有热肚皮求。鼻冷便知是疮
疹。耳冷应知风热证。浑身全热是风寒。上热下冷伤食病。
心经有冷目无光。面赤须知热病当。赤在山根惊四足。积看虚空起阴阳。肝经有冷
青。有热肩胞赤亦临。发际白言惊风入。食仓黄是积果深。脾冷应知面色黄。三阳有白热为
殃。青居发际生惊候。唇口皆黄是积伤。肺经面白冷为由。热赤人中及嘴头。青在山根惊四
足。热居发际积为仇。面黑应知肾肠寒。食仓红是热须看，风门黄可言风入。面目微沉于两
面赤为风热。面青惊可详。心肝形见此。脉症辨温凉。脾怯黄疳积。虚寒 白光。
若逢生黑气。肾败命虚亡。
鱼刺惊风证莫疑。气关疳病热相随。命关见此为难治。此是肝家传到脾。初节悬针
。气关脉热更堪疑。三关直透黄泉近。此症须知是慢脾。水字生惊肺受风。气关鸣嗽积痰
攻。医人仔细辨虚实。出命惊疳火症凶。乙字惊风肝肺随。气关形见发无时。此形若直命
关上。不久相将作慢脾。 曲虫为候主生疳。若见气关积秽肝。直到命关为不治。须知心脏
已传肝。双环肝脏受疳深。入胃气关吐逆临。若是命关为死候。枉教医人免（苦）劳（费）心
。流珠形见死来侵。面上如斯亦不深。纵有神丹不可救。医人仔细更叮咛。
观察形体和面色以辨别病因。阴气虚弱而阳气强盛，脉象表现为硬而柔和（注：此处原文“法硬柔”语意稍晦，结合上下文及中医理论，通常指阴阳失衡导致的脉象或病机特征，此处直译为阴阳强弱之法体现为硬与柔的对比）。如果是伤寒病，双脚发冷；要知道体内有热，需查看腹部。鼻子发冷便知道是疮疹；耳朵发冷应知是风热证。浑身全部发热是风寒证；上部热下部冷是伤食病。
心经有寒，目光无神；面色赤红须知是热病。红色出现在山根（鼻根部），提示惊风波及四肢；积滞看虚空处起阴阳变化（注：此句古奥，意指通过观察特定部位的气色变化判断积滞与阴阳状态）。肝经有寒，面色发青；有热则肩部和眼睑发红。发际线发白，言说惊风侵入；食仓穴（位于食指第二节外侧端）发黄，说明积果（食物积滞）深重。脾脏受寒，应知面色发黄；三阳经有白色主热为祸殃。青色出现在发际，产生惊候；嘴唇和口角皆黄，是积滞损伤。肺经面白，原因是寒冷；热邪赤色出现在人中及嘴头。青色在山根，提示惊风波及四肢；热邪在发际，积滞为仇敌（致病因素）。面色发黑，应知肾肠寒冷；食仓穴发红，须看是否有热；风门穴（位于食指第一节桡侧端）发黄，可言风邪侵入。面目微微沉重，两面赤红为风热。面色发青，惊风可详察。心和肝的形证见此。通过脉象和症状辨别温凉。脾虚怯弱，黄色疳积；虚寒则面色白光白（注：原文“白光”可能指苍白或㿠白）。如果遇到生黑气，肾败命危亡。
鱼刺纹（指纹形态如鱼刺）出现，惊风证不必怀疑。气关（指纹第二节）出现，疳病热邪相随。命关（指纹第三节）见此，为难治之症。这是肝家病传到脾。初节（风关）悬针纹（指纹直透指尖），气关脉热更令人怀疑。三关直透，接近黄泉（死亡），此症须知是慢脾风。水字纹（指纹形态如水波）出现，生惊风，肺受风邪。气关鸣嗽，积痰攻冲。医生仔细辨别虚实。出命关（指纹透出指甲），惊疳火症凶险。乙字纹（指纹形态如乙字）出现，惊风肝肺随顺。气关形见，发作无定时。此形若直透命关上，不久将变为慢脾风。曲虫纹（指纹形态如曲虫）为候，主生疳病。若见气关积秽在肝。直到命关为不治。须知心脏已传肝。双环肝脏受疳深重。入胃气关吐逆来临。若是命关，为死候。枉教医生白费心力。流珠纹（指纹形态如流珠）出现，死来侵。面上如此，亦不深（注：此处语意稍晦，可能指病情虽显但根源未深或预后极差）。纵有神丹不可救。医生仔细更要叮咛。
Observe the body shape and facial color to distinguish the causes. When Yin is weak and Yang is strong, the method reveals hardness and softness (indicating the balance of Yin and Yang). If it is Shanghan (Cold Damage), both feet are cold; to know there is heat inside, examine the abdomen. A cold nose indicates Chuangzhen (sores and rashes); cold ears indicate Fengre Zheng (Wind-Heat syndrome). Whole-body fever indicates Fenghan (Wind-Cold); upper body heat and lower body cold indicate Shisheng Bing (Food Stagnation Disease).
If Xin Jing (Heart Meridian) has Cold, the eyes lack luster; a red face indicates Re Bing (Heat Disease). Redness at Shan Gen (root of the nose) suggests Jing Si Zu (Fright affecting four limbs); observing accumulation involves looking for Yin-Yang changes in empty spaces. If Gan Jing (Liver Meridian) has Cold, the complexion is green; if there is Heat, the shoulders and eyelids become red. White hairline suggests Jing Feng Ru (Fright-Wind invasion); yellow Shi Cang (Food Granary acupoint on index finger) indicates deep Food Accumulation. Spleen Cold should be known by yellow complexion; Bai Se (White color) in San Yang (Three Yang meridians) brings disaster from Heat. Green at the hairline generates Jing Hou (Fright condition); yellow lips and mouth indicate Ji Shang (Accumulation injury). Lung Meridian white face is due to Cold; Heat and redness at Ren Zhong (philtrum) and mouth tip. Green at Shan Gen indicates Fright affecting four limbs; Heat at hairline makes Accumulation an enemy. Black face indicates Shen Chang Han (Kidney and Intestine Cold); red Shi Cang requires checking for Heat; yellow Feng Men (Wind Gate acupoint) indicates Wind invasion. Slight heaviness of face and eyes, with redness on both sides, indicates Feng Re (Wind-Heat). Green face details Jing (Fright). Heart and Liver forms appear here. Pulse and symptoms distinguish Wen Liang (Warmth and Coolness). Spleen deficiency leads to Huang Gan Ji (Yellow Malnutrition Accumulation); Xu Han (Deficiency Cold) presents as pale/white complexion. If black Qi appears, Kidney fails and life perishes.
Yu Ci (Fish Bone pattern) indicates Jing Feng Zheng (Fright-Wind Syndrome) without doubt. Qi Guan (Qi Pass, second segment of fingernail fold) indicates Gan Bing (Malnutrition Disease) with accompanying Heat. Ming Guan (Life Pass, third segment) appearing here is difficult to treat; this is Liver disease transmitting to Spleen. Initial segment Xuan Zhen (Hanging Needle pattern) with Qi Guan pulse heat is more suspicious. Three segments penetrating straight approach Huang Quan (Yellow Springs/Death); this condition must be known as Man Pi Feng (Slow Spleen Wind). Shui Zi (Water Character pattern) generates Fright, Lung receives Wind. Qi Guan coughing with phlegm accumulation attacks. Physicians must carefully distinguish Deficiency and Excess. Exiting Ming Guan, Fright-Malnutrition Fire Syndrome is fierce. Yi Zi (Yi Character pattern) indicates Fright following Liver and Lung. Qi Guan form appears with irregular onset. If this form penetrates straight to Ming Guan, Slow Spleen Wind will soon follow. Qu Chong (Curved Worm pattern) as a sign governs generating Gan Bing (Malnutrition). If Qi Guan shows accumulated filth in Liver. Reaching Ming Guan is incurable. Know that Heart has transmitted to Liver. Double Rings indicate Liver suffering deep Gan (Malnutrition). Entering Stomach Qi Guan, vomiting and reversal occur. If Ming Guan appears, it is a death omen, causing physicians to labor in vain. Liu Zhu (Flowing Pearl pattern) appearing signals approaching death. Facial signs like this are not deep (or: though superficial, they are critical). Even with divine pills, rescue is impossible. Physicians must be careful and earnestly admonish.