青主肝。红主心。白主肺。黑主肾。黄主脾。青兼红。是肝与心之疾。面色青者痰也。红者热
也。白者寒也。黑者肾败。黄者脾气伤也。热主心有火。哭主肝有风。笑主脾有痰。啼主肺有伤。冷
主胃有湿。睡主肾有亏。歌曰。面色黄疳疾。青黑是惊风。吐泻面黄白。伤寒定紫红。痢疾眉头
皱。惊风两颊红。渴来唇带赤。热甚眼朦胧。
天中气色清明。即或生病必轻。头圆骨耸方平平。荔枝阴囊寿庆。眼赤肝家有热。鼻青肺内
受寒。牙齿臭烂毒难堪。热在肾经须看。两目流泪痒涩。邪风早已在肝。疮满口中热毒干。五腑俱
可成疳。冷嗽肺气伤湿。风嗽心热何疑。肠脏伤而多泻痢。冷物食积脾虚。水泻冷多浮肿。水积
肠脏虚鸣。疳盛淋涩少精神。大小不通热甚。小肠肿为下阴。冷气传于膀胱。食伤冷物哑声音。心
热相传成病。吃作鱼羊肉咸。沫延漫而 HT 。遂为多嗽与多喘。肺家虚热为患。粪门肿肠热结。因
食冷物积成。粪中带血热肠存。霍乱阴阳感应。上下气苦不顺。郁逆必须运和。阴阳不和虚汗多。
分理阴阳莫错。热留脏中不解。定然渴噪不安。赤泻热痛欠安身。痢 久而沉闷。龟胞脉穴风热。
脐烂咎在安归。客风冷水之披靡。心热睡语惊飞。手足四肢逆冷。惊风因而大剧。鹅口木舌心热
知。冷汗夜啼梦呓。乃是心惊被喝。身生此症须知。气逆淋涩遇尿啼。体热肠蒸肝气。脾虚谷食
不消。胃冷冻饮料食难进。眼转气虚吐弱甚。慢脾惊候一定。面上已无血色。痰又满在咽喉。慢惊风症
使人愁。渴燥血热脏留。肚大面青黄瘦。热疳冲于四肢。医家审定虚与实。补泄全凭法治。
青色对应肝脏。红色对应心脏。白色对应肺脏。黑色对应肾脏。黄色对应脾脏。若面色青中带红，则是肝与心同患疾病。面色发青表示有痰饮。面色发红表示有热邪。面色发白表示有寒邪。面色发黑表示肾气败绝。面色发黄表示脾气受损。热象主要反映心火亢盛。啼哭主要反映肝风内动。大笑主要反映脾有痰湿。啼叫主要反映肺气受伤。畏冷主要反映胃中有湿邪。嗜睡主要反映肾气亏虚。歌诀说：面色发黄是疳积病，面现青黑色是惊风证。呕吐腹泻且面色黄白，这是伤寒证，定见紫红色。痢疾患者眉头紧皱，惊风患儿两颊发红。口渴时嘴唇带赤色，热势严重时眼睛朦胧不清。
天中穴（位于前额正中）气色清明，即使生病也必定轻微。头型圆润、骨节耸立者，身体平平无奇（指健康或病情不重）。阴囊如荔枝状者长寿。眼睛发红，说明肝家有热。鼻子发青，说明肺内受寒。牙齿臭烂，毒邪难忍，需查看肾经是否有热。两眼流泪、干涩发痒，说明邪风早已侵入肝脏。疮疡满布口中，是热毒炽盛，五脏六腑皆可形成疳积。冷嗽是肺气受伤兼有湿邪，风嗽则是心热所致，无需怀疑。肠脏受损则多泻痢，因食用生冷食物导致食积和脾虚。水泻寒冷且多浮肿，是水湿积聚于肠脏导致虚鸣。疳积严重则淋沥涩痛、精神萎靡。大小便不通畅，说明热势极盛。小肠肿胀导致下阴病变，冷气传入膀胱。饮食损伤及生冷食物导致声音嘶哑。心热传变而成病，若进食鱼、肉、羊肉及咸味食物，唾液蔓延且难以控制，遂成为多咳嗽和多气喘。肺家虚热为患，肛门肿胀是肠热结聚，因食用生冷食物积滞而成。粪便中带血，是热邪存留于肠道。霍乱由阴阳感应失调引起，上下气机苦闷不顺，郁逆之气必须调和。阴阳不和导致虚汗多，分辨调理阴阳不可出错。热邪留滞脏腑中不解，必然口渴烦躁不安。赤色泻痢伴有热痛，使人身体不适。痢疾日久则沉闷不适。龟胞脉穴出现风热症状，肚脐溃烂责任在于安归（此处指病因归属或特定穴位/部位，原文语境稍显晦涩，通常指脐部病变与先天或外感有关，此处依字面提取实体，不做过度推断，保留“安归”作为疑似实体或忽略，鉴于“安归”非标准中医实体，且上下文为“脐烂咎在...”，可能指代不明或通假，此处暂不列入标准实体，或视为病因描述的一部分，但根据规则只提取明确实体，故此处不列具体实体，仅翻译意思）。客风冷水侵袭，心热导致睡眠中说胡话、易惊飞。手足四肢逆冷，惊风因此加剧。鹅口疮、木舌可知是心热所致。冷汗、夜间啼哭、梦呓，乃是心惊受惊吓所致。出现这些病症须知：气逆、淋沥涩痛、排尿时啼哭，是体热、肠蒸、肝气旺盛。脾虚导致谷食不消化，胃冷冻导致饮料食物难以下咽。眼球转动异常、气虚、呕吐微弱严重，是慢脾惊候，面色已无血色，痰液又充满咽喉。慢惊风症令人忧愁，燥渴、血热留滞脏腑，肚子大、面色青黄消瘦，热疠冲于四肢。医家审定虚实，补法泄法全凭治疗法则。
Green corresponds to the Liver. Red corresponds to the Heart. White corresponds to the Lung. Black corresponds to the Kidney. Yellow corresponds to the Spleen. If the complexion is green mixed with red, it indicates disease involving both the Liver and the Heart. A green complexion indicates Phlegm-Fluid (Tan-Yin). A red complexion indicates Heat pathogen. A white complexion indicates Cold pathogen. A black complexion indicates failure of Kidney Qi. A yellow complexion indicates injury to Spleen Qi. Heat manifestations primarily reflect Hyperactive Heart Fire. Crying primarily reflects Internal Stirring of Wind in the Liver. Laughing excessively primarily reflects Phlegm-Dampness in the Spleen. Wailing primarily indicates injury to Lung Qi. Aversion to cold primarily indicates Dampness in the Stomach. Somnolence primarily indicates Deficiency of Kidney Qi. The song states: A yellow complexion signifies Rickets disease (Gan Ji); green and black complexions signify Convulsive Disease (Jing Feng). Vomiting and diarrhea with a yellowish-white complexion indicate Cold Damage (Shang Han), definitely presenting with purple-red hues. Patients with Dysentery (Li Ji) have furrowed brows; children with Convulsive Disease have red cheeks. When thirsty, the lips appear reddish; when heat is severe, the eyes are blurred.
The Qi and color at Tianzhong point (located at the center of the forehead) being clear and bright means that even if illness occurs, it will be mild. A round head and prominent bone structure indicate a normal or healthy state. An scrotum resembling a lychee fruit indicates longevity. Red eyes indicate Heat in the Liver home. A blue-green nose indicates Cold invading the Lungs. Foul-smelling and rotten teeth indicate unbearable toxicity; one must examine whether there is Heat in the Kidney Meridian. Tears flowing from both eyes, dryness, and itching indicate that Evil Wind has already invaded the Liver. Sores filling the mouth indicate blazing Toxic Heat; all five Zang and six Fu organs can form Gan syndrome. Cold cough indicates Lung Qi injury combined with Dampness; wind-induced cough is due to Heart Heat, leaving no room for doubt. Injury to the Intestines and Bowels leads to frequent diarrhea and dysentery, caused by consuming cold foods resulting in Food Stagnation and Spleen Deficiency. Watery diarrhea that is cold and accompanied by edema indicates Water Accumulation in the intestines causing hollow sounds. Severe Gan syndrome leads to dribbling dysuria, spiritual dullness, and listlessness. Inability to pass stool and urine indicates extreme Heat. Swelling of the Small Intestine causes pathology in the external genitalia; Cold Qi transmits to the Bladder. Dietary injury and consumption of cold foods lead to hoarseness. Heart Heat transmitting and becoming disease; eating fish, meat, mutton, and salty foods causes saliva to spread uncontrollably, leading to frequent coughing and wheezing. Empty Heat in the Lungs causes harm; swelling of the anus indicates Heat accumulation in the intestines, formed by stagnation from consuming cold foods. Blood in the stool indicates Heat pathogen remaining in the intestines. Huoluan (Colic with vomiting and diarrhea) is caused by disharmony of Yin and Yang, where Qi mechanism above and below is bitter and obstructed; stagnant and rebellious Qi must be harmonized. Disharmony of Yin and Yang leads to profuse spontaneous sweating; distinguishing and regulating Yin and Yang must not be mistaken. Heat lingering within the Zang organs without resolving inevitably causes thirst, restlessness, and discomfort. Bloody diarrhea with Heat pain makes the body uncomfortable. Chronic dysentery becomes heavy and stifling. Wind-Heat at the Guibao pulse point; umbilical rot is attributed to [unclear term "An Gui", likely referring to etiology or specific location, omitted as non-standard entity]. Invasion by Guest Wind and cold water; Heart Heat causes sleep-talking and fright. Cold extremities of hands and feet cause Convulsive Disease to become severe. Thrush (E Kou) and stiff tongue indicate Heart Heat. Cold sweat, night crying, and sleep-talking indicate Heart Fright due to startling. Regarding these symptoms: Qi rebellion, dribbling dysuria, and crying during urination indicate Body Heat, intestinal steaming, and vigorous Liver Qi. Spleen Deficiency leads to indigestion of grains and food; Stomach Cold leads to difficulty ingesting drinks and food. Abnormal eye movement, Qi Deficiency, and severe weak vomiting indicate Slow Spleen Convulsion (Man Pi Jing); the facial complexion lacks blood color, and Phlegm fills the throat. Slow Convulsive Disease causes worry; dryness, thirst, and Blood Heat remain in the Zang organs; the abdomen is large, the face is green-yellow and emaciated, and Heat Gan attacks the four limbs. Physicians must determine Deficiency and Excess; tonification and purgation rely entirely on treatment principles.