灵枢五色篇曰五脏六府各有部分能别部分万举万当自额而下阙庭上属咽喉之部分也自阙
中循鼻而下鼻端属五脏之部分也自内 挟鼻而下至承浆属六俯之部分也自颧而下颊属肩背手
之部分也自牙车以下颐属股膝胫足之部分也
又曰五脏次于中央六腑挟其两侧首面上于阙庭五官在于下极者是也
灵枢五阅五使篇曰鼻者肺之官也目者肝之官也口唇者脾之官也舌者心之官也耳者肾之
官也故肺病者喘息鼻张肝病者 青脾病者唇黄心病者舌卷短颧赤肾病者颧与颜黑
素问脉要精微论曰征其脉小色不夺者新病也征其脉不夺其色夺者此久病也征其脉与五色
俱夺者此久病也征其脉与五色俱不夺者新病也
素问脉要精微论曰能合色脉可以万全五色者气之华也赤欲如帛裹朱不欲如赭白欲如鹅羽
不欲如盐青欲如苍璧之泽不欲如蓝黄欲如罗裹雄黄不欲如土黄黑欲如重漆色不欲如地苍素问
五脏生成篇曰青如翠羽者生赤如鸡冠者生黄如蟹腹者生白如豕膏者生黑如乌羽者生此五色之
见生也青如草兹者死黄如枳实者死黑如炱者死赤如 血者死白如枯骨者死此五色之见死也又
云生于心如以缟裹朱生于肺如以缟裹红生于肝如以缟裹绀生于脾如以缟裹栝蒌实生于肾如以
缟裹紫此五脏所生之外荣也夫气由脏发色随气华如青黄赤白黑者色也如帛裹朱如鹅羽如苍璧
之泽如罗裹雄黄如重漆色又云如翠羽如鸡冠如蟹腹如豕膏如乌羽或有鲜明外露或有光润内含
者气也气至而后色彰故曰欲曰生若赤如赭白如盐青如蓝黄如土色黑如地苍甚则青如草兹黄如
枳实黑如 赤如 血白如枯骨或晦黯不泽或悴槁不荣败色虽呈气于何有故曰不欲且曰死由此
观之则色与气固不可须臾离也然而外露者不如内含内含则气藏外露则气泄亦犹脉之弦钩毛石
欲其微不欲其甚下文所云如以缟裹者正取五色之微见方是五脏之外荣否则过于彰露与弦钩毛
石之独见而无胃气名曰真脏者何以异乎
《灵枢·五色篇》说:五脏六腑在面部各有对应的部位,能够辨别这些部位,诊疗就能万无一失。从额头向下到阙庭(两眉之间),向上对应咽喉的部位;从阙中沿着鼻梁向下,鼻头对应五脏的部位;从内眼角挟着鼻梁向下到承浆穴(下唇凹陷处),对应六腑的部位;从颧骨向下到面颊,对应肩背和手的部位;从牙车(下颌角)以下到下巴,对应大腿、膝盖、小腿和足的部位。
又说:五脏位于面部中央,六腑挟持在两侧。首面之上在于阙庭,五官位于下方的极处,就是这样的对应关系。
《灵枢·五阅五使篇》说:鼻子是肺的外窍,眼睛是肝的外窍,口唇是脾的外窍,舌头是心的外窍,耳朵是肾的外窍。所以,患肺病的人会出现喘息、鼻孔张大的症状;患肝病的人面色发青;患脾病的人嘴唇发黄;患心病的人舌头卷缩短小、颧骨发红;患肾病的人颧骨和颜面发黑。
《素问·脉要精微论》说:诊察脉象细小而面色未衰败的,是新得的病;诊察脉象未衰败而面色衰败的,这是久病;诊察脉象与五色都衰败的,这也是久病;诊察脉象与五色都不衰败的,这是新得的病。
《素问·脉要精微论》说:能够将面色与脉象结合参看,诊断就可以万全。五色是气的荣华表现。红色应该像白绸裹着朱砂,不应该像赭石那样暗红;白色应该像鹅羽毛那样洁白,不应该像盐粒那样惨白;青色应该像青玉那样润泽,不应该像蓝草那样枯暗;黄色应该像丝罗裹着雄黄那样明润,不应该像泥土那样晦暗;黑色应该像多重漆色那样光亮,不应该像地苍那样灰暗。
《素问·五脏生成篇》说:青色像翠鸟羽毛那样鲜活的是生色,赤色像鸡冠那样红润的是生色,黄色像蟹腹那样黄润的是生色,白色像猪油那样白润的是生色,黑色像乌鸦羽毛那样黑亮的是生色。这五种颜色呈现出来代表生机。青色像枯草那样枯槁的是死色,黄色像枳实那样枯黄的是死色,黑色像烟炱那样漆黑的是死色,赤色像凝血那样紫暗的是死色,白色像枯骨那样干枯的是死色。这五种颜色呈现出来代表死亡。
又说道:心之生色如同白绢裹着朱砂,肺之生色如同白绢裹着红色,肝之生色如同白绢裹着青中带红的颜色,脾之生色如同白绢裹着瓜蒌实那样的黄色,肾之生色如同白绢裹着紫色。这是五脏所生的外部荣华表现。气由脏腑发出,颜色随着气的荣华而显现。如青、黄、赤、白、黑是色;如白绸裹朱、鹅羽、青玉之泽、丝罗裹雄黄、重漆色,以及如翠羽、鸡冠、蟹腹、猪膏、乌羽,有的鲜明外露,有的光润内含,这是气。气到达之后颜色才彰显,所以说“欲”(喜欢/适宜)和“生”(生机)。如果赤色像赭石、白色像盐、青色像蓝草、黄色像泥土、黑色像地苍,甚至青色像枯草、黄色像枳实、黑色如烟炱、赤色像凝血、白色像枯骨,或者晦暗无光泽,或者憔悴干枯不荣润,这是败色,虽然颜色呈现,但气在哪里呢?所以说“不欲”(不喜欢/不适宜)且称为“死”。由此看来,色与气确实不可片刻分离。然而,外露的颜色不如内含的好,内含则气藏,外露则气泄。这也就像脉象中的弦、钩、毛、石脉,希望其微弱而不希望其过甚。下文所说的“如以白绢包裹”,正是取五色微微显露之意,这才是五脏的外部荣华。否则过于彰露,与弦、钩、毛、石脉单独出现而没有胃气的情况,被称为“真脏脉”,又有什么不同呢?
The *Ling Shu: Wu Se Pian* (Chapter on Five Colors of the Spirit Pivot) states: The five Zang organs and six Fu organs each have specific corresponding areas on the face. If one can distinguish these areas, treatments will be successful in every instance. From the forehead down to the Que Ting area (the space between the eyebrows), the upper part corresponds to the throat. Following the nose bridge downward from the center of the Que Ting, the tip of the nose corresponds to the five Zang organs. From the inner canthus, flanking the nose downward to the Cheng Jiang point (the depression below the lower lip), it corresponds to the six Fu organs. From the cheekbones downward to the cheeks, it corresponds to the shoulders, back, and hands. From below the Ya Che (angle of the mandible) to the chin, it corresponds to the thighs, knees, shins, and feet.
It also states: The five Zang organs are located in the central part of the face, while the six Fu organs flank them on both sides. The upper part of the head and face is at the Que Ting, and the five orifices are located at the lower extreme; this is the correspondence.
The *Ling Shu: Wu Yue Wu Shi Pian* (Chapter on Five Orifices and Five Entrances of the Spirit Pivot) states: The nose is the external opening of the Lung, the eyes are the external opening of the Liver, the lips are the external opening of the Spleen, the tongue is the external opening of the Heart, and the ears are the external opening of the Kidney. Therefore, patients with Lung disease exhibit panting and nasal flaring; patients with Liver disease have a bluish complexion; patients with Spleen disease have yellow lips; patients with Heart disease have a curled and short tongue with red cheekbones; and patients with Kidney disease have black cheekbones and facial color.
The *Su Wen: Mai Yao Jing Wei Lun* (Chapter on Essential Meaning of Pulse Investigation of the Plain Question) states: When examining, if the pulse is small but the complexion has not declined, it indicates a recent illness. If the pulse has not declined but the complexion has declined, it indicates a chronic illness. If both the pulse and the five colors have declined, it also indicates a chronic illness. If neither the pulse nor the five colors have declined, it indicates a recent illness.
The *Su Wen: Mai Yao Jing Wei Lun* states: One can achieve complete accuracy in diagnosis by combining the assessment of complexion and pulse. The five colors are the brilliance of Qi. Red should resemble cinnabar wrapped in silk, not like jasper (dark red); white should resemble goose feathers, not like salt (dull white); green/blue should resemble the luster of dark jade, not like indigo (dull blue); yellow should resemble realgar wrapped in gauze (bright and moist), not like earth (dull); black should resemble multiple layers of lacquer (shiny), not like dark soil.
The *Su Wen: Wu Zang Sheng Cheng Pian* (Chapter on the Generation of the Five Zang Organs of the Plain Question) states: Green resembling the feathers of a kingfisher indicates life; red resembling chicken combs indicates life; yellow resembling the belly of a crab indicates life; white resembling pig fat indicates life; black resembling crow feathers indicates life. These manifestations of the five colors signify vitality. Green resembling dead grass signifies death; yellow resembling the fruit of the Eucalyptus tree (Zhi Shi) signifies death; black resembling soot signifies death; red resembling clotted blood signifies death; white resembling dry bones signifies death. These manifestations of the five colors signify demise.
It further states: The vital color of the Heart is like cinnabar wrapped in white silk; the vital color of the Lung is like red wrapped in white silk; the vital color of the Liver is like cyan-red wrapped in white silk; the vital color of the Spleen is like the yellow of Trichosanthes fruit wrapped in white silk; the vital color of the Kidney is like purple wrapped in white silk. These are the external brilliances generated by the five Zang organs. Qi emanates from the Zang organs, and color manifests according to the brilliance of Qi. Green, yellow, red, white, and black are colors; white silk wrapping cinnabar, goose feathers, the luster of dark jade, realgar wrapped in gauze, and multiple layers of lacquer, as well as kingfisher feathers, chicken combs, crab bellies, pig fat, and crow feathers—whether bright and exposed or lustrous and contained—are Qi. Once Qi arrives, the color becomes manifest; hence, they are described as "desired" (favorable) and "vital." If red resembles jasper, white resembles salt, green resembles indigo, yellow resembles earth, and black resembles dark soil, or even green resembles dead grass, yellow resembles Zhi Shi, black resembles soot, red resembles clotted blood, and white resembles dry bones, or if they are dull without luster or emaciated and un-nourished, these are败色 (decayed colors). Although the color is presented, where is the Qi? Hence, they are described as "undesired" and called "death." From this, we see that color and Qi cannot be separated for an instant. However, exposed color is inferior to contained color; containment hides Qi, while exposure leaks Qi. This is similar to the pulse qualities of Xian (string-like), Gou (hook-like), Mao (feather-like), and Shi (stone-like): they should be subtle, not excessive. What is meant below by "like being wrapped in white silk" is precisely taking the subtle manifestation of the five colors, which constitutes the external brilliance of the five Zang organs. Otherwise, if overly exposed, how does it differ from the Xian, Gou, Mao, and Shi pulses appearing alone without Stomach Qi, named "True Zang" pulses?