钱仲阳云∶左腮为肝,右腮为肺,额为心,鼻为脾,颏为肾。色青主惊积不散,欲发风候。
红主痰积惊悸。黄者食积症伤,欲作疳癖。白主泄泻水谷,更欲作呕。黑主脏腑欲绝。
印堂∶青主初患惊泻,红主大惊夜啼,黑主客忤。
山根∶青主二次惊,泻后发躁,黑黄甚者死。
年寿∶平陷主天,青主发热生惊,黑主利死,红主躁死,微黄曰平,黄甚曰霍乱。
承浆∶青主食时被惊,黄主吐逆亦主血利,黑主惊风。
面眼∶黑睛黄主有热,白睛黄主食积疳 ,白睛青主惊风,黑睛黄主伤寒。
眉上∶青吉,忽红主烦躁夜啼,黄主霍乱,久病红者死。
风气二池∶青主风候,紫主吐逆,或发热,黄主吐逆,赤主烦躁夜啼。
两颧∶赤主肺有客热。
两太阳∶青主二次受惊,青自太阳入耳者死,红主血淋。
两脸∶青主客忤,黄主痰溢,赤主风热。
两颊∶赤主伤寒,两颐青主吐虫。
两金匮∶青主第三次惊风,黑绕口三日死,青连目入耳七日死。
两风门∶红主风热,黑主疝,青主水惊,黑从眉入耳即日死,唇黑不食者死。
面青眼青肝病,面赤心病,面白肺病,面黄脾病,面黑肾病。
额间∶赤色主心经有热,烦躁惊悸,若饮水或叫哭,属本经实热,用泻心散以清心火;微赤
困卧惊悸,热渴饮汤,属虚热,用秘旨安神丸以生心血;青黑主惊风,腹痛或螈 啼叫,用
五味异功散加木香、柴胡、钩藤钩补脾肝;青黑主心腹作痛,此寒水乘心,用益黄散;微黄
主惊疳,用安神丸。
左脸青或兼赤,主肝经风热,项强顿闷,目札螈 ,用柴胡清肝散。色微赤倏热切牙属虚热
,用地黄丸。青黑主肝克脾而惊搐腹痛,用六君子加姜、桂。微赤主潮热血虚心躁,先用秘
旨安神丸,次用地黄丸。
右脸赤主风邪,气粗咳嗽,发热饮水,为实热,用泻白散。若哽气出气、唇白气短,属虚热
,用五味异功散。若脾热所传,用清胃散。心火所刑,用人参平肺散。淡赤主潮热心躁,或
大便坚秘,用宣明柴胡饮子以疏导。如潮热未止,更用钩藤饮以清肝。色青白主咳嗽恶心,
先用惺惺散,解表邪健脾土,更以六君子汤调补中气。色青黑主惊风腹痛,盘肠内钓,用六
君、钩藤钩平肝补脾。
鼻微黄为平,赤主脾胃实热,身热饮水,乳食如常,用泻黄散清热理脾。微赤主脾经虚热,
身凉饮汤,乳食少思,用五味异功散补中健脾。色深黄主小便不通,鼻中干燥,气粗衄血,
乃脾热传于肺肾,先用济生犀角地黄汤,后用地黄丸。色淡白乃脾虚泄泻,乳食不化,用六
君子汤调补中气。青色主脾土虚寒,肝木所胜,用五味异功散加木香、炮姜温中平肝。黑为
死候。
颏间色赤主肾与膀胱气滞热结,而小便不通,用五苓散以分利。鼻准微黄兼右腮微赤,乃脾
肺燥热不能生化肾水,用黄芩清肺饮。膀胱阴虚,阳无所主,用滋肾丸。若颏间微赤,乃膀
胱阳虚,阴无所化,用六味地黄丸。若小腹胀满,或阴囊肿胀,属阴虚湿热壅滞,用六味丸
加车前、牛膝。脾肺气虚不能通调水道者,亦用前药。其小便赤色,久而尿血,亦属肝肾气
虚有热,用六味地黄丸,如不应,则用补中益气汤益脾肺生肝肾。若小便后出白津,或茎中
作痛,属肝经湿热,先用龙胆泻肝汤,后用六味地黄丸。
印堂∶青黑主腹痛夜啼,此脾气虚寒也,脾为至阴,故夜间腹痛而啼,用钩藤饮。色淡白主
泄泻,乳食不化,属脾气虚弱,用五味异功散加木香。
人中∶黄主伤乳胃逆,青主下利,乳食不化,嗳气酸腐,此脾虚停滞,先用大安丸消食,后
用异功散健脾。黑主蛔虫咬痛。
唇∶色白主吐涎呕逆,或吐血便血,乃脾气虚弱不能摄涎统血归源,急用六君子汤。色赤干
燥而皱者,主脾经热渴,大便不通,烦热不寐,先以清胃散治其热,次以四君、黄连、山栀
调其脾。黄主食积泄泻,乳食不化,以六君子汤健脾。色赤兼白主衄血,乃脾肺虚热,不能
摄血归源,用圣济犀角地黄汤清热补血,用四君子汤以补脾气,如久不应,用麦门冬散,或
人参安胃散。
口畔∶色黄主脾经积热,用清胃散;久病用四味肥儿丸以治疳热。唇口抽动主惊热不安,用
异功散加山栀、钩藤钩,补脾平肝。若口流涎唇色紫,乃脾气虚寒,用异功散加炮姜、木香
。若腹中痛口吐涎,乃虫作痛,先用芜荑散,后用调中丸。不吐涎是积痛也,用异功散。手
足厥冷,用理中汤加乌梅温补中气而痛自止。或吐后,或大便去后而痛止者,先用下积丸,
后用异功散。
白主失血死,青主惊风死,黑色绕口者不治。耳后微赤,此少阳经风热,用柴胡饮子清肝生
血。微黄主睡中惊悸切牙,用四君子加芎、归、升麻以调理脾气。
耳∶干燥主骨疳蒸热,作渴盗汗,用地黄丸。若小便后出白津,或玉茎痒痛,属肝经湿热,
先用龙胆泻肝汤,后用地黄丸。若禀赋肾气不足,或早近女色,致小便湿滞,或作痛如淋者
,急用地黄丸、补中益气汤滋其化源。或大小便去后,谷道牵痛者,其虚尤甚,用前丸加牛
膝、车前、肉桂。如手足逆冷,或畏寒少食,阳气虚寒也,急加附子多可得生。大抵多因禀
赋脏气不平,或乳食寒暑失节,或妊娠乳母饮食起居六淫七情所致。若初病元气无亏,乳食
如常,发热壮热,二便秘结,作渴饮水,睡不露睛者,悉属形病俱实,当治邪气。若病久元
气已亏,食少发热,口干饮汤,呕吐泄泻,肢体畏寒而露睛者,悉属形病俱虚,当补正气,
更宜审胎气之虚实,脏腑之相胜而治之,庶无误矣。
泻心散(方见心脏))
秘旨安神丸(方见心脏))
五味异功散(方见内钓)
朱砂安神丸(方见发搐)
柴胡清肝散(方见诸热)
地黄丸(方见肾脏症)
六君子汤(方见内钓)
泻白散(方见肺脏)
清胃散(方见内钓)
补中益气汤(方见虚羸)
人参安胃散(方见脾脏)
宣明柴胡饮子(方见发热)
钩藤饮(方见慢惊)
惺惺散(方见咳嗽)
泻黄散(方见脾脏)
五淋散(方见五淋)
济生犀角地黄汤(方见便血)
Qian Zhongyang stated: The left cheek corresponds to the Liver, the right cheek to the Lungs, the forehead to the Heart, the nose to the Spleen, and the chin to the Kidneys. A bluish complexion indicates fright with accumulated stagnation not yet resolved, suggesting an impending wind syndrome (convulsions).
A red complexion indicates phlegm accumulation and fright causing palpitations. A yellow complexion indicates food stagnation damaging the spleen, likely developing into infantile malnutrition (Gan syndrome) or masses. A white complexion indicates diarrhea with undigested food and water, and a tendency towards vomiting. A black complexion indicates imminent failure of the Zang-Fu organs.
Yintang area: Blue indicates initial onset of fright diarrhea; red indicates severe fright causing night crying; black indicates external malevolent influences (Ke Wu).
Shangen area: Blue indicates secondary fright; restlessness after diarrhea; if blackish-yellow is severe, it is fatal.
Nianshou area: Flat and sunken indicates premature death; blue indicates fever generating fright; black indicates death from diarrhea; red indicates death from restlessness; slight yellow indicates normality; severe yellow indicates cholera-like disorder.
Chengjiang area: Blue indicates fright during feeding; yellow indicates vomiting/regurgitation and also bloody dysentery; black indicates fright-wind.
Eyes: Yellowing of the cornea indicates internal heat; yellowing of the sclera indicates food stagnation and Gan syndrome; blueness of the sclera indicates fright-wind; yellowing of the cornea indicates Cold Damage (Shanghan).
Above eyebrows: Blue is auspicious; sudden red indicates restlessness and night crying; yellow indicates cholera-like disorder; red in chronic illness indicates death.
Fengqi Er Chi (depressions behind ears): Blue indicates wind syndrome; purple indicates vomiting/regurgitation or fever; yellow indicates vomiting/regurgitation; red indicates restlessness and night crying.
Zygomatic arches: Red indicates exogenous heat in the Lungs.
Temples: Blue indicates secondary fright; blue spreading from temples to ears indicates death; red indicates blood strangury.
Cheeks (lateral): Blue indicates external malevolent influences; yellow indicates overflowing phlegm; red indicates wind-heat.
Cheeks (medial/mandibular area): Red indicates Cold Damage; blueness on both sides of the jaw indicates vomiting of worms.
Liang Jin Kui (around mouth corners): Blue indicates third occurrence of fright-wind; black circling the mouth indicates death within three days; blue connecting eyes to ears indicates death within seven days.
Liang Feng Men (side face): Red indicates wind-heat; black indicates hernia; blue indicates water-related fright; black spreading from eyebrows to ears indicates death on the same day; black lips with refusal to eat indicates death.
General Face: Blue face and eyes indicate Liver disease; red face indicates Heart disease; white face indicates Lung disease; yellow face indicates Spleen disease; black face indicates Kidney disease.
Forehead: Red indicates Heat in the Heart Meridian, with symptoms of restlessness and palpitations; if accompanied by drinking water or crying/shouting, it belongs to Excess Heat of this meridian, treated with Xiexin San to clear Heart Fire; slight red with drowsiness, palpitations, thirst for hot drinks indicates Deficient Heat, treated with Mizhi Anshen Wan to generate Heart Blood; blue-black indicates fright-wind with abdominal pain or convulsions/crying, treated with Wuli Yigong San plus Muxiang, Chaihu, and Goutenggou to tonify Spleen and Liver; blue-black with heart/abdominal pain indicates Cold-Water assaulting the Heart, treated with Yihuang San; slight yellow indicates fright-Gan, treated with Anshen Wan.
Left Cheek: Blue or mixed with red indicates Wind-Heat in the Liver Meridian, with stiff neck and dizziness, blinking and convulsions, treated with Chaihu Qinggan San. Slight red with intermittent fever and teeth-grinding indicates Deficient Heat, treated with Dihuang Wan. Blue-black indicates Liver overacting on Spleen causing fright, convulsions, and abdominal pain, treated with Liujunzi Tang plus Shengjiang and Rougui. Slight red indicates tidal fever, blood deficiency, and restless heart, first treated with Mizhi Anshen Wan, then Dihuang Wan.
Right Cheek: Red indicates Wind-Evil, with coarse breathing, cough, fever, and desire for water, indicating Excess Heat, treated with Xiebai San. If accompanied by gasping, shortness of breath, and pale lips, it indicates Deficient Heat, treated with Wuli Yigong San. If transmitted from Spleen Heat, treat with Qingwei San. If punished by Heart Fire, treat with Renshen Pingfei San. Pale red indicates tidal fever and restlessness, or constipation, treated with Xuanming Chaihu Yinzi to unblock and guide. If tidal fever persists, use Gouteng Yin to clear the Liver. Blue-white indicates cough and nausea, first treated with Xingxing San to release exterior evils and strengthen Spleen Earth, followed by Liujunzi Tang to regulate Middle Qi. Blue-black indicates fright-wind and abdominal pain, intestinal coiling/internal drawing, treated with Liujunzi Tang and Goutenggou to calm Liver and tonify Spleen.
Nose: Slight yellow is normal; red indicates Excess Heat in Stomach and Spleen, with body heat, thirst, but normal appetite, treated with Xiehuang San to clear heat and regulate Spleen. Slight red indicates Deficient Heat in Spleen Meridian, with cool body, desire for hot drinks, poor appetite, treated with Wuli Yigong San to tonify Middle and strengthen Spleen. Deep yellow indicates urinary retention, dry nose, coarse breathing, and epistaxis, indicating Spleen Heat transmitting to Lungs and Kidneys, first treated with Jisheng Xijiao Dihuang Tang, then Dihuang Wan. Pale white indicates Spleen deficiency diarrhea with indigestion, treated with Liujunzi Tang to regulate Middle Qi. Blue indicates Spleen Earth deficiency-cold overcome by Liver Wood, treated with Wuli Yigong San plus Muxiang and Paojiang to warm Middle and calm Liver. Black is a sign of death.
Chin: Red indicates Qi stagnation and heat binding in Kidneys and Bladder, causing urinary retention, treated with Wuling San to separate and drain. Slight yellow at nasal tip with slight red on right cheek indicates Spleen-Lung dry-heat failing to generate Kidney Water, treated with Huangqin Qingfei Yin. Bladder Yin deficiency with Yang having no master, treated with Zishen Wan. Slight red on chin indicates Bladder Yang deficiency with Yin having no transformation, treated with Liuwei Dihuang Wan. Abdominal distension or scrotal swelling indicates Yin deficiency with damp-heat obstruction, treated with Liuwei Wan plus Qiancao and Niuxi. Spleen-Lung Qi deficiency failing to regulate water passages also uses these medicines. Chronic red urine or hematuria indicates Liver-Kidney Qi deficiency with heat, treated with Liuwei Dihuang Wan; if ineffective, use Buzhong Yiqi Tang to tonify Spleen-Lung and generate Liver-Kidney. White fluid after urination or urethral pain indicates Liver Meridian damp-heat, first treated with Longdan Xiegan Tang, then Liuwei Dihuang Wan.
Yintang: Blue-black indicates abdominal pain and night crying due to Spleen Qi deficiency-cold; as Spleen is the Ultimate Yin, pain occurs at night, treated with Gouteng Yin. Pale white indicates diarrhea with indigestion due to Spleen Qi deficiency, treated with Wuli Yigong San plus Muxiang.
Renzhong: Yellow indicates milk injury causing Stomach Qi rebellion; blue indicates lower discharge, indigestion, sour belching, due to Spleen deficiency stagnation, first treated with Da'an Wan to digest food, then Yigong San to strengthen Spleen. Black indicates pinworm biting pain.
Lips: White indicates spitting saliva, vomiting, or hematemesis/melena due to Spleen Qi deficiency failing to control saliva and blood, urgently treated with Liujunzi Tang. Red, dry, and wrinkled indicates Spleen Meridian heat-thirst, constipation, restlessness, and insomnia, first treated with Qingwei San to resolve heat, then Siguniu Tang, Huanglian, and Shanzhi to regulate Spleen. Yellow indicates food stagnation diarrhea with indigestion, treated with Liujunzi Tang to strengthen Spleen. Red mixed with white indicates epistaxis due to Spleen-Lung deficient heat failing to control blood, treated with Shengji Xijiao Dihuang Tang to clear heat and nourish blood, and Siguniu Tang to tonify Spleen Qi; if chronic, use Maidong San or Renshen Angwei San.
Perioral: Yellow indicates Spleen Meridian accumulated heat, treated with Qingwei San; chronic cases treated with Siwei Fei'er Wan for Gan heat. Lip twitching indicates fright-heat and insecurity, treated with Yigong San plus Shanzhi and Goutenggou to tonify Spleen and calm Liver. Saliva flow with purple lips indicates Spleen Qi deficiency-cold, treated with Yigong San plus Paojiang and Muxiang. Abdominal pain with saliva spit indicates worm pain, first treated with Wuyi San, then Tiaozhong Wan. No saliva indicates stagnation pain, treated with Yigong San. Cold extremities treated with Lizhong Tang plus Wumei to warm and tonify Middle Qi, stopping pain. Pain stopping after vomiting or defecation treated first with Xiaji Wan, then Yigong San.
White indicates death from blood loss; blue indicates death from fright-wind; black circling mouth is incurable. Slight red behind ears indicates Shaoyang Meridian wind-heat, treated with Chaihu Yinzi to clear Liver and generate blood. Slight yellow indicates fright-palpitations and teeth-grinding during sleep, treated with Siguniu Tang plus Chuanxiong, Danggui, and Shengma to regulate Spleen Qi.
Ears: Dryness indicates bone-Gan steaming heat, thirst, and night sweats, treated with Dihuang Wan. White fluid after urination or glans itching/pain indicates Liver Meridian damp-heat, first treated with Longdan Xiegan Tang, then Liuwei Dihuang Wan. Congenital Kidney Qi insufficiency or early sexual activity causing damp-stagnation in urination or strangury-like pain requires urgent Dihuang Wan and Buzhong Yiqi Tang to nourish the source. Pain in anus after bowel movements indicates severe deficiency, treated with previous pills plus Niuxi, Cheqiancao, and Rougui. Cold extremities or aversion to cold/poor appetite indicates Yang deficiency-cold, urgently add Fuzi for survival. Generally caused by congenital organ imbalance, irregular diet/exposure, or maternal diet/lifestyle/emotions affecting pregnancy/nursing. Initial illness with intact Yuan Qi, normal feeding, high fever, constipation, thirst, and closed eyes during sleep indicates Excess in form and disease, treat evil Qi. Chronic illness with depleted Yuan Qi, poor appetite, fever, dry mouth, vomiting/diarrhea, cold limbs, and open eyes indicates Deficiency in form and disease, tonify Righteous Qi; also assess fetal Qi and organ interactions to avoid error.
Xiexin San (Formula seen in Heart section)
Mizhi Anshen Wan (Formula seen in Heart section)
Wuli Yigong San (Formula seen in Neidiao section)
Zhusha Anshen Wan (Formula seen in Fac抽搐 section)
Chaihu Qinggan San (Formula seen in Zhu Re section)
Dihuang Wan (Formula seen in Kidney Disease section)
Liujunzi Tang (Formula seen in Neidiao section)
Xiebai San (Formula seen in Lung Organ section)
Qingwei San (Formula seen in Neidiao section)
Buzhong Yiqi Tang (Formula seen in Xu Lei section)
Renshen Angwei San (Formula seen in Spleen Organ section)
Xuanming Chaihu Yinzi (Formula seen in Fever section)
Gouteng Yin (Formula seen in Man Jing section)
Xingxing San (Formula seen in Cough section)
Xiehuang San (Formula seen in Spleen Organ section)
Wulin San (Formula seen in Wulin section)
Jisheng Xijiao Dihuang Tang (Formula seen in Hematochezia section)