明堂者鼻也。阙者眉间也。庭者颜也。蕃者颊侧也。蔽者耳门也。
风者百病之始也。厥逆者寒湿之起也常候阙中。薄泽为风。冲浊为痹。在地为厥。此其
常也。
赤色出两颧。大如拇指者。病虽小愈必卒死。黑色出于庭。大如拇指。必不病而卒死。
(次逆顺篇之后)
水始起也。目窠上微肿。如新卧起之状。其颈脉动。时咳。阴股间寒足胫肿。腹乃大。
其水
已成矣。以手按其腹。随手而起。如裹水之状。此其侯也(五癃津液篇云。阴阳气道不通。
四海闭塞。三焦不泻津液不化。水谷并行肠胃之中。别于回肠留于下焦。不得入膀胱则下焦
胀。水溢则为水胀)肤胀者。寒气客于皮肤之间。 然不坚。腹大身尽肿。皮浓。按其腹
而不起。(病在气分)腹色不变。此其候也 鼓胀者。腹胀身皆大。大与肤胀等也。色苍黄
。腹筋起。此其候也(以腹筋起为别。)肠覃者。寒气客于肠外。与卫气相搏气不得营。因有
所系。癖而内着。恶气乃起。息内乃生其始生也。大如鸡卵。稍以益大。至其成。如怀子之
状。久者离岁(越岁也)按之则坚。推之则移。月事以时下(病在肠外。故无妨于月事)石瘕生
于胞中。寒气客于子门。子门闭塞。气不得通恶血当泻不泻。 以留止。日以益大。状如怀
子。月事不以时下。皆生于女子。可导而下( 音丕。疑败之血也)
明堂指的是鼻子。阙指的是两眉之间的部位。庭指的是额部。蕃指的是脸颊两侧。蔽指的是耳门穴所在的部位。
风邪是各种疾病的起始原因。厥逆症是由寒湿之气引发的，通常观察阙中部位的变化：色泽薄而润泽的是风邪所致；色泽冲浊的是痹症；色泽沉陷于下的则是厥症。这是其常规表现。
如果赤色出现在两颧，大小如拇指，即使病情看似轻微好转，也必定突然死亡。如果黑色出现在庭部（额部），大小如拇指，必定在未患病的情况下突然死亡。
水病刚开始发生时，眼睑上方微微肿胀，像刚睡醒时的样子，颈部人迎脉搏动，时常咳嗽，大腿内侧感觉寒冷，小腿浮肿，腹部随之胀大，此时水病已经形成。用手按压腹部，手松开后腹部立即弹起，像包裹着水的状态，这是其征候。（《五癃津液篇》说：阴阳气道不通畅，四海闭塞，三焦不能排泄，津液无法化生，水谷并行于肠胃之中，在回肠处别出，滞留于下焦，不能进入膀胱则下焦胀满，水液外溢则成为水胀。）
肤胀，是寒气侵入皮肤之间，腹部鼓胀但不坚硬，腹部胀大，全身浮肿，皮肤增厚，按压腹部凹陷不起。（病在气分）腹部颜色没有变化，这是其征候。
鼓胀，腹胀且身体都肿大，程度与肤胀相等，面色苍黄，腹部青筋暴露，这是其征候（以腹部青筋暴露作为区别特征）。
肠覃，是寒气侵入肠外，与卫气相搏结，气机运行不畅，因而有所附着，癖积内着，恶气于是产生，息肉在内生长。它刚开始生成时，大小如鸡蛋，逐渐增大，等到形成时，像怀孕的样子，病程长的超过一年，按压它则坚硬，推动它则移动，月经仍然按时来潮（病在肠外，所以不妨碍月经）。
石瘕生于胞宫，寒气侵入子门，子门闭塞，气机不能通畅，恶血应当排出却未能排出，因而留滞停止，日渐增大，形状像怀孕，月经不能按时来潮。这些病症都发生在女子身上，可以用导引通下的方法治疗。（“丕”音pī，疑指败坏之血）
The Mingtang refers to the nose. The Que refers to the area between the eyebrows. The Ting refers to the forehead (Yintang region). The Fan refers to the sides of the cheeks. The Bi refers to the Ear Gate (Tinghui, 听会) area.
Wind pathogen is the beginning of all diseases. Jue-ni syndrome arises from cold-dampness; it is commonly observed by inspecting the Que area: a thin and lustrous color indicates wind; a turbid and rushing color indicates Bi syndrome; a sunken color indicates Jue. This is the normal manifestation.
If redness appears on both cheekbones, the size of a thumb, even if the illness seems slightly improved, sudden death will inevitably occur. If blackness appears in the Ting area, the size of a thumb, sudden death will occur without prior illness.
When water swelling begins, there is slight swelling above the eye sockets, resembling the appearance after just waking up. The neck vessels pulse, there is occasional coughing, coldness in the inner thighs, swelling of the lower legs, and the abdomen becomes distended. At this point, water disease has formed. Pressing the abdomen with the hand causes it to rise immediately upon release, resembling a bag filled with water; this is its sign. (The *Wu Long Jin Ye Pian* states: When the Qi pathways of Yin and Yang are blocked, the Four Seas are closed, the Sanjiao fails to drain, and fluids fail to transform, water and grain travel together within the intestines and stomach. They separate at the ileum, remain in the Lower Jiao, cannot enter the bladder, causing Lower Jiao distension; overflowing water results in water swelling.)
Fu-zhang (Skin Distension) occurs when cold qi lodges between the skin. The abdomen is distended but not firm; the abdomen is large, the whole body is swollen, the skin is thick, and pressing the abdomen leaves an indentation that does not rise. (The pathology is in the Qi level.) The abdominal color remains unchanged; this is its sign.
Gu-zhang (Drum Distension) presents with abdominal distension and general body enlargement, equal in degree to Fu-zhang. The complexion is pale yellow, and abdominal collateral veins are prominent; this is its sign (distinguished by the prominence of abdominal collaterals).
Chang-qin (Intestinal Polyp/Tumor) occurs when cold qi lodges outside the intestines, struggling with Wei Qi (Defensive Qi), preventing proper circulation. It adheres internally, evil Qi arises, and growths form inside. Initially, it is the size of a chicken egg, gradually increasing until it resembles pregnancy. It may last for years. Pressing it feels hard, pushing it moves it, and menstruation still arrives on time (since the pathology is outside the intestines, it does not affect menstruation).
Shi-jia (Stone Fibroid) originates in the Baozhong (Uterus). Cold qi lodges in the Zimen (Cervical Os), blocking it so Qi cannot flow. Evil blood should be discharged but remains stagnant, enlarging daily, resembling pregnancy, and menstruation does not arrive on time. These conditions occur only in women and can be treated with guiding and purging methods. ("Pi" sounds like 'pi', suspected to refer to degenerated blood.)