凡目睛明能识见者可治睛昏不识人或反目上视或瞪目直视或目睛正圆或戴眼反折或眼胞陷下者皆不治也凡开目而
欲见人者阳证也闭目而不欲见人者阴证也凡目中不了了睛不和热甚于内也凡目疼痛者属阳明之热目赤亦热甚也目瞑者
必将衄血也白睛黄者将发身黄也凡病欲愈目 黄鼻准明山根亮也
鼻头色青者腹中痛苦冷者死微黑者水气黄色者小便难白色者为气虚赤色者为肺热鲜明者有留饮也鼻孔干燥者属阳
明之热必将衄血也鼻孔干燥黑如烟煤阳毒热深也鼻孔冷滑而黑者阴毒冷极也鼻息鼾睡者风温也鼻塞浊涕者风热也鼻孔
扇张者为肺风肺绝而不治也
凡口唇焦干为脾热焦而红者吉焦而黑者凶唇口俱赤肿者热甚也唇口俱青黑者冷极也口苦者胆热也口中甜者脾热也
口燥咽干者肾热也舌干口燥而欲饮水者阳明之热也口噤难言者痉风也凡唇上有疮为狐虫食其藏下唇有疮为惑虫食其肛
也若唇青舌卷唇吻反青环口黧黑口张气直口如鱼口口唇颤摇不止气出不返皆不治也
凡耳叶红润者生黄或白或黑或青而枯燥者死薄而白薄而黑皆为肾败凡耳聋耳中疼皆属少阳之热尚为可治若耳聋舌
卷唇青此属厥阴为难治也
凡舌鲜红者吉青为冷青而紫者为阴为寒也赤而紫者为阳为热也黑者亢极为难治凡舌上苔白而滑者表有寒也又曰丹
田有热而胸中有寒也苔黄而燥渴者热盛也苔黑而燥渴者热甚而亢极也若不燥渴舌上黑苔而滑者为寒为阴也舌卷而焦黑
而燥者阳毒热极也舌青而苔滑者阴毒冷极也凡舌肿胀舌上燥裂舌生芒刺皆热甚也凡舌硬舌强舌短缩神气昏乱语言不清
者死也又阴阳易病吐舌数寸者死也舌乃心之窍属火而色红者吉惟黑者乃水克火故难治也
If the eyes are bright and capable of clear vision, the condition is treatable. If the eyes are dim and unable to recognize people, or if they look upward, stare straight ahead, remain fixed in a round shape, exhibit "dai yan" (eyes fixed upward and unable to move), or if the eyelids are sunken, these are all untreatable conditions. Those who keep their eyes open and wish to see others have a Yang syndrome; those who keep their eyes closed and do not wish to see others have a Yin syndrome. A sensation of blurriness in the eyes and lack of coordination in gaze indicates intense heat within. Eye pain belongs to Heat of the Yangming channel; redness of the eyes also indicates intense heat. Photophobia will inevitably lead to epistaxis (nosebleed). Yellowing of the sclera indicates that jaundice (body yellowing) is about to develop. When a disease is about to resolve, signs include the fading of eye yellowness, brightness of the nasal tip, and luminosity of the shangen (root of the nose).
A bluish color at the nasal tip indicates abdominal pain with cold sensations, which is a fatal prognosis. A slightly black color indicates fluid retention (water qi); a yellow color indicates difficult urination; a white color indicates Qi deficiency; a red color indicates Lung Heat; and a bright, lustrous color indicates retained fluids (liu yin). Dry nostrils belong to Heat of the Yangming channel and will inevitably lead to epistaxis. Dry nostrils that are black like soot indicate severe deep-seated heat from Yang toxicity. Cold, slippery, and black nostrils indicate extreme cold from Yin toxicity. Snoring during sleep indicates Wind-Warmth (Feng Wen); nasal congestion with turbid discharge indicates Wind-Heat. Flaring of the nostrils indicates Lung Wind or impending collapse of Lung Qi, which is untreatable.
Chapped and dry lips indicate Spleen Heat; if chapped but red, the prognosis is good; if chapped and black, it is ominous. Swelling and redness of both lips indicate intense heat. Cyanosis and blackness of both lips indicate extreme cold. Bitter taste in the mouth indicates Gallbladder Heat; a sweet taste indicates Spleen Heat; dry mouth and throat indicate Kidney Heat. Dry tongue and mouth with a desire to drink water indicate Heat of the Yangming channel. Trismus (lockjaw) and difficulty speaking indicate Jing Feng (spasmic wind). Sores on the upper lip indicate Hu Chong (roundworms) eroding the internal organs; sores on the lower lip indicate Huo Chong eroding the anus. If the lips are cyanotic, the tongue is curled, the corners of the mouth are blue, the area around the mouth is dark, the mouth is open with uncontrolled exhalation, the mouth resembles a fish's gape, the lips tremble uncontrollably, and breath does not return, these are all untreatable conditions.
Reddish-pink earlobes indicate life; yellow, white, black, or blue earlobes that are dry and brittle indicate death. Thin and white, or thin and black earlobes both indicate failure of the Kidneys. Deafness and ear pain belong to Heat of the Shaoyang channel and are still treatable. However, deafness accompanied by a curled tongue and cyanotic lips belongs to the Jueyin channel and is difficult to treat.
A fresh red tongue color is auspicious; blue indicates cold; blue-purple indicates Yin cold; red-purple indicates Yang heat. A black tongue is extremely hyperactive and difficult to treat. A white and slippery tongue coating indicates exterior cold; alternatively, this may indicate Heat in the Dantian and Cold in the chest. A yellow and dry coating with thirst indicates excess heat. A black and dry coating with thirst indicates extreme heat and hyperactivity. If there is no thirst, and the black coating is slippery, it indicates Cold and Yin. A curled, scorched-black, and dry tongue indicates extreme heat from Yang toxicity. A blue tongue with a slippery coating indicates extreme cold from Yin toxicity. Tongue swelling, dry cracking, and prickles on the tongue all indicate intense heat. Stiffness, rigidity, shortening of the tongue, confusion of spirit, and unclear speech indicate death. In the case of Yin-Yang transmission disease, a tongue protruding several inches indicates death. The tongue is the orifice of the Heart and belongs to Fire; a red color is auspicious, whereas black indicates Water overcoming Fire, making it difficult to treat.