小儿半岁后有病,以无名、中、食三指,曲按额前眉上发际之下。若三指俱热,是感受
风邪
。鼻塞气粗,三指俱冷,是感受风寒,脏冷吐泻。若食、中二指热,是上热下冷;无名、中
二指热,是夹之候;食指热,是胸膈气满,乳食不消。(《兰台规范》)
按∶三指诊面法,历载简编。但其说有应有不应,务须参以别法,以求确当。缘操是术
者,
性命攸关,非苟焉已也。仲师曰∶委付凡医,恣其所措,为天下后世庸工者戒。(惕厉子)
\r全面图\pn-n1.bmp\r
目乃肝之窍,勇视而睛转者风也。直视而睛不转者,肝气将绝也。(夏禹铸)
目之窍,五脏所属。黑珠属肝,纯见黄色,凶证也。白珠属肺,现青色,肝风侮肺也。
淡黄
色,脾有积滞也;老黄色,湿热内蕴也。瞳人属肾,无光彩又兼发黄,肾气虚也。大角属大
肠,破烂,肺有风也。小角属小肠,破烂,心有热也。上胞属脾,肿则脾伤也。下胞属胃,
色青者,胃有风也。上下眼胞皆肿者,脾经风热也。睡而露睛者,脾胃虚寒所致也。(夏禹
铸)
小儿目连眨者,肝有风也。凡病或新或久,肝风入目,如风吹,儿不能任,故连眨。(
夏禹铸)
小儿目无精光,及白睛多而黑睛少者,肝肾不足也。(《大全》)
心主赤,目赤甚者,心实热也;赤微者,心虚热也。肝主青,目青甚者,肝热也;淡青
者,肝虚也。脾主黄,目黄甚者,脾热也;淡黄者,脾虚也。(《集成》)
眼眶黑,主内有痰饮,眼眶青,主生惊厥。(《大全》)
目神短促而无光,瞻视无力而昏暗者,主病夭。目瞪者,膀胱绝也,或有痰涎内扰致之
。若目睛稍定,临时转动者亦属痰。(《大全》)
目属肝,肝气实则眵干硬,肝气虚则眵胶粘。寒伤肝则泪冷,热伤肝则泪热。(惕厉子)
赤脉贯瞳,火乘水位,治宜泻心补肾。(《指南》)
凡病者,两目 有黄色起者,其病方愈。(《集成》)
目色赤者心实热,淡红者心虚热;青者肝实热,淡青者肝虚热;黄者脾实热,微黄者脾
虚热;白而混者肺实热,目无精光者肾虚也。(钱仲阳)
惊痫发搐,男则目左视无声,右视有声;女则目右视无声,左视有声,相胜故也。(钱
仲阳)
凡病者至危时,必察两目。故经曰∶视其目色以知病之存亡也。(《世补斋》)
仲圣云∶目中不了了,睛不和;睛不和者,神昏如醉也。无表里证,大便难身微热者,
此为实也,宜急下之。经云∶热病目不明,热不已者死。(《世补斋》)
小儿眼睛珠黑光满轮者主寿,虽有疾病亦易愈。若白珠多而黑珠昏蒙、眼珠或黄或小者
,主灾患。(《集成》)
小儿目直视者热,白膜遮睛者成疳。其病时或目开不合,或目合不开,或哭而
无泪,或不哭而泪出者,为肝绝。(《集成》)
开目见人者属阳,闭目不欲见人者属阴。(《大全》)
目忽无明者,脱阴脱血也。目睛定而不转者,危候也。(《周于蕃》)
按∶经云∶肝开窍于目,人之有目,犹天之有日也。天有日则阳光普照,人有目则精光
外发
,由中形外,目其最着者。分而言之,则目专属肝。统而言之,则脏腑皆系于目。六淫感于
外,七情伤于内,脏腑病无不见于目。诊目一法,亦司命所切要者尔。(惕厉子)
\r全目图\pn-n2.bmp\r
\x锐 即小 ,属心与小肠。上下胞属脾胃。瞳人属肾。黑珠属肝。白珠属肺。内 即
After infants are half a year old and fall ill, use the ring finger, middle finger, and index finger to press curvedly below the hairline above the eyebrows on the forehead. If all three fingers feel hot, it indicates contraction of wind pathogen. If nasal congestion and coarse breathing occur, and all three fingers feel cold, it indicates contraction of wind-cold, with cold viscera leading to vomiting and diarrhea. If the index and middle fingers are hot, it indicates upper heat and lower cold; if the ring and middle fingers are hot, it indicates signs of being affected by fright (Jia Jing); if only the index finger is hot, it indicates qi stagnation in the chest and diaphragm, and indigestion of milk and food. (From *Lantai Guifan*)
Note: The three-finger facial diagnosis method has been recorded in various medical texts throughout history. However, its applicability varies, so it must be combined with other diagnostic methods to ensure accuracy. Since this technique involves life-and-death stakes for the child, it cannot be performed carelessly. Zhang Zhongjing said, "Entrusting patients to mediocre physicians who act arbitrarily serves as a warning to future generations of incompetent doctors." (Ti Li Zi)
The eyes are the orifice of the Liver. Vigorous gaze with rotating eyeballs indicates Wind. Fixed gaze without rotation indicates that Liver Qi is about to exhaust. (Xia Yuzhu)
The orifices of the eyes are associated with the Five Zang Organs. The black part of the eye (Hei Zhu) belongs to the Liver; pure yellow color indicates a ominous syndrome. The white part of the eye (Bai Zhu) belongs to the Lung; cyan color indicates Liver Wind insulting the Lung. Pale yellow indicates Spleen accumulation and stagnation; dark yellow indicates internal damp-heat retention. The pupil (Tong Ren) belongs to the Kidney; lack of luster combined with yellowing indicates Kidney Qi deficiency. The outer canthus (Da Jiao) belongs to the Large Intestine; ulceration indicates Lung Wind. The inner canthus (Xiao Jiao) belongs to the Small Intestine; ulceration indicates Heart Heat. The upper eyelid belongs to the Spleen; swelling indicates Spleen injury. The lower eyelid belongs to the Stomach; cyan color indicates Stomach Wind. Swelling of both upper and lower eyelids indicates Wind-Heat in the Spleen Meridian. Sleeping with eyes partially open (Shui Lu Jing) is caused by Spleen-Stomach Deficiency-Cold. (Xia Yuzhu)
Frequent blinking in infants indicates Wind in the Liver. Whether the disease is new or chronic, when Liver Wind enters the eyes, it feels like wind blowing, which the infant cannot tolerate, causing frequent blinking. (Xia Yuzhu)
Infants lacking luster in their eyes, or having more white sclera than black iris, indicate Deficiency of Liver and Kidney. (*Da Quan*)
The Heart governs redness. Severe redness of the eyes indicates Excess Heat in the Heart; mild redness indicates Deficient Heat in the Heart. The Liver governs cyan color. Severe cyan color indicates Liver Heat; pale cyan indicates Liver Deficiency. The Spleen governs yellow color. Severe yellowing indicates Spleen Heat; pale yellow indicates Spleen Deficiency. (*Ji Cheng*)
Dark circles under the eyes indicate internal Phlegm-Fluid retention; bluish discoloration indicates impending convulsions due to Fright. (*Da Quan*)
Short-lived spirit without luster, weak vision, and dimness indicate critical illness and potential early death. Fixed staring eyes indicate exhaustion of Bladder Qi, possibly caused by internal disturbance of Phlegm-Saliva. If the eyes are slightly fixed but can move temporarily, it also belongs to Phlegm syndromes. (*Da Quan*)
The eyes belong to the Liver. When Liver Qi is Excess, eye discharge (Chi) is dry and hard; when Liver Qi is Deficient, eye discharge is sticky. Cold injuring the Liver causes cold tears; Heat injuring the Liver causes hot tears. (Ti Li Zi)
Red vessels penetrating the pupil indicate Fire invading the Water position (Kidney). Treatment should involve draining the Heart and tonifying the Kidney. (*Zhi Nan*)
In any disease, if yellow color appears in both eyes, the illness is about to heal. (*Ji Cheng*)
Red eyes indicate Heart Excess Heat; pale red indicates Heart Deficient Heat. Cyan eyes indicate Liver Excess Heat; pale cyan indicates Liver Deficient Heat. Yellow eyes indicate Spleen Excess Heat; slight yellow indicates Spleen Deficient Heat. White and turbid eyes indicate Lung Excess Heat; lack of luster indicates Kidney Deficiency. (Qian Zhongyang)
During convulsions from Fright and Epilepsy: males look left without sound, look right with sound; females look right without sound, look left with sound. This is due to mutual overcoming of Yin and Yang. (Qian Zhongyang)
When a patient is critically ill, one must observe both eyes. Thus, the classics state: "Observe the eye color to know the survival or demise of the disease." (*Shi Bu Zhai*)
Zhang Zhongjing said: "Eyes appear unclear, pupils are not harmonious"; "Pupils not harmonious" means mental confusion akin to drunkenness. Without exterior or interior syndromes, but with difficulty in defecation and slight fever, this is an Excess syndrome requiring urgent purgation. The classics state: "In heat diseases, if vision is impaired and heat persists, death ensues." (*Shi Bu Zhai*)
Infants with black irises full of luster indicate longevity; even if sick, they recover easily. If there is excessive white sclera, dull/blackish iris, or small/yellowish eyeballs, it indicates disaster/misfortune. (*Ji Cheng*)
Fixed staring eyes in infants indicate Heat; white membrane covering the pupil indicates development of Guan Syndrome (malnutrition/parasitic disorder). Symptoms include eyes opening but not closing, or closing but not opening; crying without tears, or weeping without crying, indicate Exhaustion of the Liver. (*Ji Cheng*)
Opening eyes to see people belongs to Yang; closing eyes and avoiding people belongs to Yin. (*Da Quan*)
Sudden loss of vision indicates depletion of Yin and Blood. Fixed eyes without movement indicate a critical condition. (Zhou Yufan)
Note: The classics state: "The Liver opens into the eyes." Having eyes is like heaven having the sun. With the sun, sunlight shines everywhere; with eyes, essence and light project outward. The eyes are the most prominent manifestation. Separately, eyes specifically belong to the Liver. Generally, all Zang-Fu organs are connected to the eyes. External Six Evils and internal Seven Emotions cause Zang-Fu diseases that manifest in the eyes. Diagnosing the eyes is an essential skill for physicians. (Ti Li Zi)
The inner canthus (Rui Kou/Xiao Chi) belongs to the Heart and Small Intestine. Upper and lower eyelids belong to the Spleen and Stomach. The pupil belongs to the Kidney. The black part of the eye belongs to the Liver. The white part of the eye belongs to the Lung. The inner canthus is...