古有四诊,谓望、闻、问、切也。经以神、圣、工、巧配之。正文八十一,第
其言非以脉求证,则问证合脉,仅从事于工巧,而望、闻之法,十无一二。岂以后
学庸劣,皆不足与语神圣之道乎?今汇辑补入。至若触类引申,又不止此数条已也。惟同志者属意焉。
《灵枢》五色篇曰∶五脏六腑,各有部分。能别部分,万举万当。自额而下阙庭
上,属咽喉之部分也。自阙中循鼻而下鼻端,属五脏之部分也。自内 挟鼻而下至
承浆,属六腑之部分也。自颧而下颊,属肩背手之部分也。自牙车以下颐,属股膝
胫足之部分也。
又曰∶五脏次于中央,六腑挟其两侧,首面上于阙庭,王宫在于下极者是也。
《灵枢》五阅五使篇曰∶鼻者,肺之官也。目者,肝之官也。口唇者,脾之官也。
舌者,心之官也。耳者,肾之官也。故肺病者,喘息鼻张。肝病者, 青。脾病者,
唇黄。心病者,舌卷短、颧赤。肾病者,颧与颜黑。
《素问》脉要精微论曰∶征其脉小,色不夺者,新病也。征其脉不夺,其色夺者,
此久病也。征其脉与五色俱夺者,此久病也。征其脉与五色俱不夺者,新病也。
五色篇曰∶明堂者,鼻也。阙者,眉间也。庭者,颜也。蕃者,颊侧也。蔽者,
耳门也。其间欲方大。去之十步,皆见于外。如是者,寿必中百岁。
明堂骨高以起,平以直。五脏次于中央,六腑挟其两侧,首面上于阙庭,
王宫在于下极。五脏安于胸中,真色以致,病色不见。明堂润泽以清,五官恶得无辨乎?
\r面部图\pt106a1.bmp\r
庭者,首面也。阙上者,咽喉也。阙中者,肺也。下极者,心也。直下者,肝也。肝左者,胆也。下者,脾
也。方上者,胃也。中央者,大肠也。挟大肠者,肾也。当肾者,脐也。面王以上者,小肠也。面王以下者。膀
胱子处也。男子色在于面王,为小腹痛,下为卵痛,其圜直为茎痛。在女子为膀胱子处之病,散为痛,抟为聚。
\r脏腑色见面部图\pt106a2.bmp\r
颧者,肩也。颧后者,臂也。臂下者,手也。目内 上者,膺乳也。挟绳而上者,背也。循牙车以上者,
股也。中央者,膝也。膝以下者,胫也。当胫以下者,足也。巨分者,股里也。巨屈者,膝膑也。此五脏六腑
肢节之部也。
\r肢节色见面部图\pt106a3.bmp\r
There are four diagnostic methods in ancient times, namely inspection (Wang), auscultation and olfaction (Wen), inquiry (Wen), and palpation (Qie). The classics associate these with the levels of Divine (Shen), Sage (Sheng), Artisan (Gong), and Skillful (Qiao). Among the eighty-one chapters of the canonical texts, most discussions on pulse and symptoms merely combine inquiry findings with pulse diagnosis, remaining at the level of "Artisan" and "Skillful," while the methods of inspection and auscultation/olfaction are rarely employed, perhaps one or two out of ten. Is it because later learners are mediocre and incompetent, unworthy of being taught the Dao of the Divine and the Sage? I have now compiled and supplemented these materials. Furthermore, by analogy and extension, there is more than just these few entries. I hope those with shared interests will pay attention to this.
The *Ling Shu* (Spiritual Pivot), chapter "Five Colors," states: The five Zang organs and six Fu organs each have specific corresponding areas on the face. If one can distinguish these areas, treatments will be successful ten thousand times out of ten thousand. From the forehead down to the Que Ting (area between the eyebrows), this corresponds to the throat. From the Que Zhong (center between eyebrows) along the nose bridge down to the nasal tip, this corresponds to the five Zang organs. From the inner canthus, flanking the nose bridge down to the Cheng Jiang point (depression in the center of the chin), this corresponds to the six Fu organs. From the cheekbones down to the cheeks, this corresponds to the shoulders, back, and hands. From below the Ya Che point (near the angle of the mandible) down to the Yi area (chin), this corresponds to the thighs, knees, shins, and feet.
It also states: The five Zang organs are located in the central part of the face, while the six Fu organs flank them on both sides. The head and face correspond to the Que Ting, and the King's Palace (Heart) corresponds to the Xia Ji (area between the eyes).
The *Ling Shu*, chapter "Five Orifices and Five Oracles," states: The nose is the external manifestation of the Lung. The eyes are the external manifestation of the Liver. The lips are the external manifestation of the Spleen. The tongue is the external manifestation of the Heart. The ears are the external manifestation of the Kidney. Therefore, patients with Lung disease exhibit panting and flaring of the nostrils. Patients with Liver disease show a bluish complexion. Patients with Spleen disease have yellow lips. Patients with Heart disease have a curled and short tongue and red malar bones. Patients with Kidney disease have blackening of the malar bones and the face.
The *Su Wen* (Basic Questions), chapter "Essential Secrets of Pulse Diagnosis," states: If the pulse is small but the complexion is not depleted, it is a new disease. If the pulse is not depleted but the complexion is depleted, it is an old disease. If both the pulse and the five colors are depleted, it is an old disease. If both the pulse and the five colors are not depleted, it is a new disease.
The *Su Wen*, chapter "Five Colors," states: Ming Tang refers to the nose. Que refers to the area between the eyebrows. Ting refers to the forehead. Fan refers to the sides of the cheeks. Bi refers to the ear gates. These areas should be square and large. Standing ten steps away, their features should be clearly visible externally. Those with such facial characteristics will surely live to a hundred years.
If the bone structure of the Ming Tang (nose) is high and rising, flat and straight, with the five Zang organs in the center and the six Fu organs flanking them, and the head/face corresponding to the Que Ting, and the King's Palace (Heart) at the Xia Ji, then when the five Zang organs are harmonious within the chest, the true color manifests, and pathological colors do not appear. If the Ming Tang is moist and clear, how could the five sense organs fail to be distinguished?
[Image: Facial Map]
The Ting (forehead) corresponds to the head and face. Above the Que corresponds to the throat. The Que Zhong corresponds to the Lung. The Xia Ji corresponds to the Heart. Directly below (nasal bridge) corresponds to the Liver. To the left of the Liver corresponds to the Gallbladder. Below corresponds to the Spleen. Fang Shang (sides of the nose/alae nasi) corresponds to the Stomach. The Center (nasal tip) corresponds to the Large Intestine. Flanking the Large Intestine corresponds to the Kidney. Opposite the Kidney corresponds to the umbilicus. Above the Mian Wang (nasal tip) corresponds to the Small Intestine. Below the Mian Wang corresponds to the Bladder and the lower jiao/reproductive organs. In men, if discoloration appears at the Mian Wang, it indicates lower abdominal pain; radiating downward, it causes testicular pain; if the color is round and straight, it indicates penile pain. In women, this indicates diseases of the bladder and lower reproductive organs; scattered color indicates pain, gathered color indicates accumulation.
[Image: Organ Color-Face Map]
The malar bones correspond to the shoulders. Behind the malar bones correspond to the arms. Below the arms correspond to the hands. Above the inner canthus correspond to the chest and breasts. Along the Shen (cheekbone line) upward correspond to the back. Along the Ya Che upward correspond to the thighs. The center corresponds to the knees. Below the knees correspond to the shins. Below the shins correspond to the feet. Ju Fen (depression anterior to the jaw joint) corresponds to the medial thigh. Ju Qu (popliteal fossa/knee cap area) corresponds to the knee patella. These are the corresponding areas of the five Zang organs, six Fu organs, and limbs/joints on the face.
[Image: Limb/Joint Color-Face Map]