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Red meridians appear on the eyelids, extending downward through the pupil; the fontanelle swells and protrudes, or even sinks into a pit.
The nose is dry, black, and scaly; the abdomen is distended with visible cyan veins.
The eyes stare straight ahead, fixed and unable to rotate.
The fingernails turn black; suddenly, a croaking sound like that of a crow is heard; the tongue protrudes flaccidly (tongue prolapse), the anus prolapses (rectal prolapse); teeth are clenched or biting.
Breath from the mouth and nose is foul and rapid, resembling that of a dead fish; crying occurs without sound; if roundworms have been vomited, death is certain.
If medication is administered promptly for rescue, only one in ten will survive.

○ Chart of Observing Complexion and Form \pyf13.bmp\r
(Correspondence between the Five Zang Organs and Five Facial Areas)
The Heart corresponds to the forehead, belonging to South Fire;
The Liver corresponds to the left cheek, belonging to East Wood;
The Spleen corresponds to the center of the nose, belonging to Central Earth;
The Lungs correspond to the right cheek, belonging to West Metal;
The Kidneys correspond to the chin (Yi), belonging to North Water.

○ Observing Complexion by Seasons
Spring complexion is green, belonging to Wood; Summer complexion is red, belonging to Fire; Late Summer (Ji Xia) complexion is yellow, belonging to Earth;
Autumn complexion is white, belonging to Metal; Winter complexion is black, belonging to Water; In all four seasons, a single pure color should not be seen (i.e., isolated colors without luster).

Forehead redness indicates Heat-Fire; Green indicates Liver Wind; Yellow indicates mutual generation and is a favorable sign.
Black indicates invasion by Water; Cyan at the Yintang point indicates fright caused by people or objects.
Redness/Chihuo indicates fetal heat; Black is unmanageable; Faint cyan at the Shangen (root of the nose bridge) indicates severe fright disorders.
Yellow indicates Spleen injury and food retention; Dark/dull indicates approaching death.
Black encroaching on Nianshou (middle of the nasal column) confirms premature death; Dysentery results from this color.
Green and yellow mixed indicate frequent vomiting and diarrhea; Slight yellow at the Nose Tip (Zhun) is auspicious; Deep yellow indicates malignant conditions.
Green and red often indicate vomiting; Black indicates disaster; Yellow on both cheeks indicates damp-phlegm-heat that is hard to bear.
Green indicates Ke Wu disease (illness due to external fright/shock); Red/Chihuo indicates Heat Cold Damage.
Cyan at the chin indicates Liver disease with slight fright; Black is favorable only in Winter.
Yellow and red indicate Lei Jing (thunder fright/severe convulsion).

\rImage\pyf14.bmp\r
After repeated episodes of vomiting and diarrhea, Slow Convulsion (Man Jing Feng) develops; the forehead turns green, sweating occurs, and the eyes are slightly dim.
The head hangs low, drowsiness prevails, the tongue frequently protrudes, the body is cold, saliva is fishy-smelling, and the eyeballs are exposed.

\rImage\pyf15.bmp\r
Jaw stiffness and urgent heat-phlegm flooding; eyes wide open, lips red, head shaking.
Tremors and spasms indicate Acute Convulsion (Ji Jing Feng) with excess heat; resolving phlegm and clearing heat eliminates the disease.

\rImage\pyf16.bmp\r
Aversion to cold, fever, and red facial skin indicate a Exterior Syndrome (Biao Zheng), requiring perspiration to resolve.
Excessive heat and internal excess manifest as constant exposure of the body; irritability, thirst, and disheveled clothing indicate an Interior Syndrome (Li Zheng).