耳叶红润者生。干枯尘垢而青黑者，为肾败，死。
耳中策策痛，而耳叶黄者，病名黄耳，类伤寒也。（风入于肾，卒然发热恶寒，脊强背直，
如痉状。）
鼻头色青，腹痛苦冷者死。（中寒暴证。）微黑而泽者，水气。黑而枯燥者，房
劳。黑黄而亮者，瘀血。黄色者，小便难。（湿热不泄，故瘀而黄。）鲜明者，有留饮。（津液不
行，湿生热，故色黄而明润。）赤为肺热。鼻孔干燥，目瞑，漱水不咽者，欲衄也。鼻孔黑如
烟煤而燥者，阳毒也。黄黑枯槁，为脾火，津涸，大便燥结。鼻塞涕浊者，风热也。
白为气虚，为亡血。鼻孔冷滑而黑者，阴毒也。鼻孔煽张者，肺绝，不治。鼻上汗
出如珠，为心脾痛极。男子色见于准头，为小腹痛，为卵痛。其圆直，（其色直垂而绕于
面王之下。）为茎痛、狐疝、 阴之属也。女子为膀胱子处之病，散为痛，（色散，但为气痛，无
积聚。抟色若结滞。）为聚，（血凝气滞。）方圆左右，（以积之形位为言。）各如其色形。
唇焦干燥裂，为脾热。（经谓脾胃之华在唇四白，四白者，唇之四际白肉也。）唇赤肿，为胃
湿热。鲜红，为火盛。淡白，为气虚。淡而四绕起白晕，为亡血。青黑为寒。唇青
舌卷，或还口黧黑，唇口动颤不止者，皆死证也。唇下有疮，名狐，上有疮，名惑。
齿槁者，肾热。前板齿燥者，中暑。
The ear lobes being red and lustrous indicate survival. If they are dry, dusty, and appear cyanotic or black, it signifies the failure of the Kidney (Shen), which is fatal.
Stabbing pain within the ear, accompanied by yellowing of the ear lobes, constitutes a disease named "Yellow Ear" (Huang Er), resembling Taiyang syndrome (Taiyang Bing). (This occurs when wind pathogens invade the Kidney, causing sudden fever and aversion to cold, with stiffness of the spine and straightening of the back, presenting like spasm.)
If the tip of the nose is cyanotic, accompanied by abdominal pain and a sensation of cold, it is a fatal condition (an acute syndrome of Cold invading the Middle Jiao). If the color is slightly black but lustrous, it indicates Water Qi (fluid retention). If black and dry/rough, it results from sexual exhaustion. If blackish-yellow and shiny, it indicates Blood stasis (Yu Xue). If yellow, it indicates difficulty in urination (due to Damp-Heat failing to drain, leading to stagnation and yellowing). If bright and clear, it indicates retained fluids (Liu Yin) (due to impaired fluid metabolism, where Dampness generates Heat, resulting in a yellow and lustrous complexion). Redness indicates Lung Heat. Dry nostrils, closed eyes, and rinsing water without swallowing suggest an impending epistaxis (Nu). Nostrils appearing black as burnt coal and dry indicate Yang Toxin (Yang Du). Yellowish-black and withered appearance indicates Spleen Fire consuming Body Fluids, leading to dry stool constipation. Nasal congestion with turbid discharge indicates Wind-Heat.
Whiteness indicates Qi Deficiency or loss of Blood. Cold, slippery, and black nostrils indicate Yin Toxin (Yin Du). Flaring of the nostrils indicates Exhaustion of Lung Qi, which is incurable. Sweat beading on the bridge of the nose indicates extreme pain in the Heart and Spleen. In men, cyanosis at the nasal tip indicates lower abdominal pain or testicular pain. If the color hangs vertically and surrounds below the face king (the area below the nasal tip), it belongs to diseases of the genitalia, such as penile pain or Hu Hernia. In women, it indicates diseases of the Bladder and Uterus. Scattered color indicates Qi pain (scattered color implies Qi stagnation pain without accumulation). Congested/stagnant color indicates Accumulation (Ju) (Blood congealing with Qi stagnation). The shape and position of the accumulation correspond to the form of the color.
Chapped, dry, and cracked lips indicate Spleen Heat (as stated in the classics: the splendor of the Stomach and Spleen manifests in the four white borders of the lips; "Si Bai" refers to the white mucosal border surrounding the lips). Red and swollen lips indicate Damp-Heat in the Stomach. Bright red indicates Excess Fire. Pale white indicates Qi Deficiency. Pale white with a white halo around the edges indicates loss of Blood. Cyanotic/black indicates Cold. Cyanotic lips with a curled tongue, or lips turning dark/black with continuous trembling, are all fatal signs. Sores under the lips are named "Hu"; sores above the lips are named "Huo". Withered teeth indicate Kidney Heat. Dry anterior incisors indicate Summerheat (Zhong Shu).