面上白点,腹中虫积。如蟹爪路,一黄一白,食积何疑。两颧时赤,虚火上炎。面无血色,又无寒
热,脉见沉弦,将必衄血。病患黄色,时现光泽,为有胃气,自必不死;干黄少润,凶灾立应。赤现
两颧,大如拇指,病虽小愈,必将卒死。黑色出庭,拇指相似,不病卒亡。冬月面惨,伤寒已至。紫
浊时病。色白而肥,气虚多痰。黑而且瘦,阴虚火旺。
目赤色者,其病在心。白病在肺。青病在肝。黄病在脾。黑病在肾。黄而难名,病在胸中。白睛黄
淡,脾伤泄痢。黄而且浊,或似烟熏,湿盛黄胆。黄如橘明,则为热多。黄兼青紫,脉来必芤,血瘀
胸中。眼黑颊赤,乃系热痰。眼胞上下,有如姻煤,亦为痰病。眼黑步艰,呻吟不已,痰已入骨,遍
体酸痛。眼黑面黄,四肢痿痹,聚沫风痰,随在皆有。目黄心烦,脉大病进;目黄心烦,脉和病愈。
目睛晕黄,衄则未止。目睛黄者,酒疸已成。黄白及面,眼胞上下,皆觉肿者,指为谷疸,心下必
胀。明堂眼下,青色多欲,精神劳伤,不尔未睡。面黄目青,必为伤酒。面无精光,齿黑者危。瘰
赤脉,贯瞳者凶;一脉一岁,死期已终。目间青脉,胆滞掣痛。瞳子高硕,太阳不足。病患面目,俱
等无 。面黄目青,面黄目赤,面黄目白,面黄目黑,此有胃气,理皆不死。面赤目白,面青目黑,
面黑目白,面赤目青,此无胃气,皆死何辞。眼下青色,伤寒挟阴。目正圆者,太阳经绝, 病不
治。色青为痛。色黑为劳。色赤为风。色黄溺难。鲜明留饮。(鲜明者,俗言水汪汪也。俱指白珠。)目睛皆钝,不能了
了,鼻呼不出,吸而不入,气促而冷,则为阴病。目睛了了,呼吸出入,能往能来,息长而热,则为阳病。
面部出现白点,是腹中有虫积滞。若面色如蟹爪纹路,一黄一白相间,可知是食积,无需怀疑。两颧部时常发红,是虚火上炎所致。面色无血色,且没有恶寒发热的症状,脉象呈现沉弦,将来必定会出现鼻出血。患者面色发黄,但时常显现光泽,说明还有胃气,自然不会死亡;若面色干黄且缺乏润泽,凶险的灾祸立刻就会应验。两颧出现红色斑块,大小如拇指,即使病情暂时好转,也必将突然死亡。黑色出现在庭庭(前额中央),形状似拇指,即便没有明显病症,也会突然亡故。冬季面色惨淡,是伤寒病已经到来。紫色浑浊的面色,多见于时行疾病。面色白而身体肥胖,是气虚且多痰湿。面色黑且身体消瘦,是阴虚火旺。
眼睛发红,病位在心。眼睛发白,病位在肺。眼睛发青,病位在肝。眼睛发黄,病位在脾。眼睛发黑,病位在肾。黄色难以名状,病位在胸中。眼白部分颜色淡黄,是脾脏受损导致的泄泻痢疾。黄色且浑浊,或者像被烟熏过一样,是湿气盛导致的黄疸。黄色如同橘子般鲜明,则是热邪较多。黄色兼见青紫色,脉象必然芤(中空如葱管),是血液瘀滞在胸中。眼眶发黑、脸颊发红,这是热痰所致。眼睑上下,颜色像姻煤(深黑),也是痰病。眼眶发黑、行走艰难、呻吟不止,是痰邪已深入骨骼,全身酸痛。眼眶发黑、面色发黄、四肢痿软麻痹,是聚沫风痰,随处都可能存在。眼睛发黄、心烦意乱,脉象大则病情进展;眼睛发黄、心烦意乱,脉象调和则病情痊愈。眼球周围晕黄,鼻出血就不会停止。眼球发黄,是酒疸已经形成。面色黄白,眼睑上下都感觉肿胀,称为谷疸,心下必然胀满。明堂(鼻准)眼下,青色主多欲,若是精神劳伤,否则就是没睡好。面色黄、眼睛青,必定是饮酒损伤。面无神采光泽,牙齿发黑的,情况危急。瘰疬(颈部淋巴结结核)赤红,脉络贯穿瞳孔的,预后凶险;一条脉络对应一岁,死期已定。目间有青脉,是胆气郁滞牵引疼痛。瞳子高突,是太阳经气不足。病患面目,俱等无(此处原文可能有误或指特定语境,暂译为:病患面目状况均等,无明显异常)。面黄目青,面黄目赤,面黄目白,面黄目黑,这些都有胃气,按理都不会死亡。面赤目白,面青目黑,面黑目白,面赤目青,这些都没有胃气,都是死证,无可推辞。眼下青色,是伤寒挟阴证。眼睛直视不转,是太阳经气绝断,病无法治疗。面色青主痛。面色黑主劳损。面色赤主风邪。面色黄主小便困难。色泽鲜明留饮。(鲜明者,俗言水汪汪也。俱指白珠。)眼睛目光呆钝,不能清晰视物,鼻子呼气不出,吸气不入,气促且冷,这是阴病。眼睛目光清澈,呼吸出入正常,能往能来,气息长而热,这是阳病。
White spots on the face indicate accumulation of parasites in the abdomen. If the facial complexion resembles crab claw patterns, alternating yellow and white, it is undoubtedly food stagnation (Shi Ji). Redness appearing intermittently on both zygomatic arches indicates defluxion of deficient fire (Xu Huo Shang Yan). A bloodless complexion without aversion to cold or fever, accompanied by a deep and wiry pulse (Chen Xian Mai), predicts impending epistaxis (Nu Xue). A yellowish complexion that occasionally shows luster indicates the presence of Stomach Qi (Wei Qi), ensuring survival; however, a dry, dull yellow complexion lacking moisture signifies imminent disaster. Red patches on the zygomatic arches, the size of a thumb, suggest that even if the illness seems to improve, sudden death will follow. Black color appearing at Tingting (the center of the forehead), resembling a thumb, indicates sudden death even without obvious symptoms. A grim complexion in winter indicates the arrival of Cold Damage (Shang Han). Purple and turbid complexions are seen in epidemic diseases. A white complexion with obesity indicates Qi deficiency and excessive phlegm-dampness. A black complexion with emaciation indicates Yin deficiency with hyperactive fire.
Red eyes indicate heart disease. White eyes indicate lung disease. Greenish eyes indicate liver disease. Yellow eyes indicate spleen disease. Black eyes indicate kidney disease. Indistinct yellow color indicates pathology in the chest. Pale yellow sclera indicates spleen injury leading to diarrhea and dysentery. Turbid yellow, resembling smoke staining, indicates dampness-excess jaundice (Shi Sheng Huang Dan). Bright orange-yellow indicates excess heat. Yellow mixed with green-purple, with a knotted pulse (Kou Mai), indicates blood stasis in the chest. Dark eye sockets with red cheeks indicate hot-phlegm. Eyelids dark like soot also indicate phlegm disease. Dark eye sockets, difficulty walking, and incessant groaning indicate phlegm entering the bones, causing generalized body soreness. Dark eye sockets with a yellow face and flaccid paralysis of the four limbs indicate accumulating frothy wind-phlegm present everywhere. Yellow eyes with irritability: a large pulse indicates disease progression; a harmonious pulse indicates recovery. Periorbital yellowing indicates unceasing epistaxis. Yellow sclera indicates established wine-jaundice (Jiu Dan). Yellow-white face with swollen eyelids is called grain-jaundice (Gu Dan), accompanied by epigastric distension. Cyanosis under Mingtang (nose tip) indicates excessive desire or mental exhaustion; otherwise, it may simply be lack of sleep. Yellow face with green eyes indicates alcohol injury. Lack of luster in the face and black teeth indicate critical condition. Red scrofula with vessels penetrating the pupil is ominous; one vessel corresponds to one year, marking the end of life. Blue vessels between the eyes indicate gallbladder stagnation and pulling pain. High-pitched pupils indicate insufficiency of the Taiyang channel. [Note: The phrase "俱等无" appears corrupted or context-specific in the original text]. Complexions of yellow face with green, red, white, or black eyes all possess Stomach Qi and are theoretically non-fatal. Conversely, red face with white eyes, green face with black eyes, black face with white eyes, and red face with green eyes lack Stomach Qi and are fatal. Cyanosis under the eyes indicates Cold Damage with Yin involvement. Eyes fixed straight forward indicate the exhaustion of the Taiyang channel, rendering the disease untreatable. Cyanosis indicates pain. Blackness indicates chronic fatigue/overwork. Redness indicates wind. Yellowness indicates difficult urination. Bright and clear luster indicates retained fluid retention (Liu Yin). Dull eyes unable to see clearly, inability to exhale fully, inability to inhale deeply, rapid breathing with coldness, indicate Yin disease. Clear-eyed vision, normal respiration, long breaths with warmth, indicate Yang disease.