两腮肝肺位,鼻准内斯脾。
正额为心主,颏间三肾随。
有内斯形外,观之识病机。
面赤唇青者,伤寒热证推。
惊风青黑应,唇脸所由知。
面黄多积病,疟疾亦何辞。
白多应是泻,痢更蹙双眉。
面青肝有病,春患最难医。
举金来克木,余仿此推之。
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头者诸阳经络所会,面者五脏气血之荣,色者五脏精神之华,五脏虚败,色必枯槁。五
脏充实,色必光华。
面色光泽者生,面色枯槁者死。经以望为先,故曰∶能察色脉,可以万全。
面青属肝病,面赤属心病,面黄属脾病,面白属肺病,面黑属肾病。各位色见以生克论。
虎口者,叉手处是也。三关者,第二指之三节是也。除大拇指,第二指名食指,第一节为
初关,又名风关。第二节为中关,又名气关。第三节为末关,又名命关。男以左手,女以右手,
侧看之。惊风初得,纹出虎口,或在初关,多是红色。传至中关也,赤而紫。若病又传过,其
色紫青,病势深重。其色青黑而纹乱者,病深。若见纯黑者,危。大抵红者,风热轻。赤者,
风热甚。紫者,热惊。青春,积惊。青赤相半,惊积风热,主急惊风。青而紫淡,伸缩来去,
主慢惊风。紫纹青纹或黑纹隐隐相杂,似出不出,主有慢脾风。凡手纹在初关者易治,过中关
者难治,透未关者不治,三关直透大抵不治。然脉绞弯曲入里者,病虽重而证顺,犹可用力。若
纹势如弓,反出外, 靠于指甲者,断不能生。三关纹如流珠,三五点相连,或形于面,
或形于身,此危恶之甚者。
The areas of the two cheeks correspond to the Liver and Lung, while the tip of the nose (Nose Tip) corresponds to the Spleen.
The center of the forehead corresponds to the Heart, and the chin area corresponds to the Kidney.
Internal organ pathologies manifest externally on the body shape; by observing these signs, one can discern the mechanism of disease.
A red face with cyanotic lips is generally deduced as a Heat Syndrome (Re Syndrome) of Cold Damage (Shanghan).
Cyanosis or blackness should be anticipated in Convulsive Disease (Jing Feng), which can be known from the condition of the lips and face.
A yellowish complexion indicates many cases of Food Stagnation Disease (Ji Bing); Malaria (Nuè Ji) also presents with this color.
A pale complexion suggests Diarrhea (Xie), while patients with Dysentery (Li) often have knitted brows.
A bluish-green face indicates Liver pathology; if contracted in Spring, it is hardest to treat.
Apply the principle of Metal overcoming Wood to deduce other situations accordingly.
The head is the convergence point of all Yang meridians; the face is the flourishing manifestation of Qi and Blood of the Five Zang organs; complexion is the splendor of the Spirit of the Five Zang organs. When the Five Zang organs are deficient and failing, the complexion must be withered. When the Five Zang organs are full and solid, the complexion must be radiant.
A lustrous complexion indicates life; a withered complexion indicates death. The Classics prioritize inspection (Wang Zhen), stating: "If one can inspect complexion and pulse, the treatment can be flawless."
A greenish face belongs to Liver disease; a red face belongs to Heart disease; a yellow face belongs to Spleen disease; a white face belongs to Lung disease; a black face belongs to Kidney disease. The appearance of various colors should be discussed based on the generating and overcoming cycles (Sheng Ke).
The Tiger's Mouth refers to the area where the hand crosses. The Three Passes refer to the three segments of the second finger. Excluding the thumb, the second finger is named the Index Finger (Shi Zhi). The first segment is the Initial Pass (Chu Guan), also known as the Wind Pass (Feng Guan). The second segment is the Middle Pass (Zhong Guan), also known as the Qi Pass (Qi Guan). The third segment is the Terminal Pass (Mo Guan), also known as the Life Pass (Ming Guan). For males, observe the left hand; for females, observe the right hand, viewing from the side. When Convulsive Disease (Jing Feng) first occurs, the vein emerges at the Tiger's Mouth or at the Initial Pass, mostly appearing red. If it transmits to the Middle Pass, it becomes red and purple. If the disease further transmits, the color becomes purple and cyan, indicating a deep and severe condition. If the color is cyan-black and the pattern is chaotic, the disease is deep. If pure black is seen, it is critical. Generally, red indicates mild Wind-Heat; red indicates severe Wind-Heat; purple indicates Heat and Convulsion; cyan indicates Accumulation and Convulsion. Equal parts of cyan and red indicate Convulsion, Accumulation, Wind, and Heat, primarily pointing to Acute Convulsive Disease (Ji Jing Feng). Cyan with faint purple, moving in and out, points to Chronic Convulsive Disease (Man Jing Feng). Purple, cyan, or black patterns mixed indistinctly, seemingly emerging but not fully, point to Chronic Spleen Wind (Man Pi Feng). Veins located at the Initial Pass are easy to treat; those exceeding the Middle Pass are difficult to treat; those penetrating the Terminal Pass are untreatable; veins penetrating all three passes straight through are generally untreatable. However, if the vein twists and curves inward, although the disease is severe, the syndrome is favorable, and effort can still be made. If the vein's momentum resembles a bow, curving outward toward the nail, survival is impossible. If the veins at the three passes resemble flowing pearls, connected in groups of three or five, or appearing on the face or body, this is an extremely critical and malignant condition.