夫精明五色者。气之华也。
凡人赤者欲如帛裹朱砂。不欲如赭色也。白者欲如白璧之色。不欲如白垩也。青者欲如
苍璧之色。不欲如蓝也。黄者欲如罗裹雄黄。不欲如黄土也。黑者欲如漆。不欲如炭也。
凡色青如草滋。黑如 。黄如枳实。赤如 血。白如枯骨。有此五色者。并为死候也。
凡青如翠羽。黑如鸟羽。赤如鸡冠。黄如蟹腹。白如豚膏。有此五色者。并为生候也。
病患耳目鼻口有黑色起。入口者必死。
病患两目皆有黄色起者。其病当愈。病患耳目及颊颧上赤者。五日死。
病患有黑色出于额上及发际。至鼻脊两颧上。五日死。
病患及健人。黑及白色入目鼻口者。五日而死。
病患及健人。面目忽如马肝色。望之如青。近之如黑者死。
病患口如鱼口。不能复闭。而气出多不返者死。
病患妄语错乱。及不能语者。不可治。热病者可治。
病患循衣缝谵言者不可治。
病患尸臭甚者不可治。
病患目回回直视。肩息者一日中死。
病患背青。人中反者三日死。
病患面无精光。似土色。不能食者四日死。
病患目无精光。及牙齿黑色者不可治。
病患面黄目黑者。九日死。
病患面白目黑者。不可治。
病患面赤目白者。十日死。
病患但张口不能闭者。三日死。
病患面赤目青者。立即死。
病患面黑目白者。八日死。
病患面青目黄者。五日死。
病患眉系倾者。七日死。
病患齿忽变黑者。十三日死。
病患发直者。十五日死。
病患遗尿不觉者死。
病患唇口忽干者必死。
病患爪甲青者必死。
病患头目久痛。卒视物不见者必死。
病患舌卷及卵缩者死。
病患面黑目直视。恶风者死。
病患面色黄目赤者不死。
病患面青目白者死。
病患面黄目白者不死。
病患面黄目青者死。
病患面目俱黄即不死。
病患面目俱白者即不死。
病患面黑目青者不死。
病患面青唇黑者死。
病患发如干麻。喜怒者死。
病患面色黑。两胁下满。不能自转反者死。
病患发与眉冲起者死。
病患卒肿。面色苍黑者死。
病患手掌肿无纹者死。
病患脐肿反出外者死。
病患阴囊茎俱肿者死。
病患手足爪甲下肉黑者死。
病患汗出不流。舌卷者死。
病患唇反人中满者死。
病患阴阳绝。目眶陷者死。
病患五脏已夺。神气不守。声嘶者死。
病患阴结阳绝。目精脱。恍惚者死。
病患阴阳俱绝。裂衣掇空。妄言者死。
病患阴阳俱泄。失音不能言者死。
病患荣卫竭绝。面浮肿者死。
The clarity of the eyes and the luster of the five complexions are the external manifestations of Zang-Fu organ Qi (Vital Energy).
For a ruddy complexion, it should resemble cinnabar wrapped in silk—subtle and lustrous—not like jasper which is dull and dark red.
For a white complexion, it should resemble white jade—smooth and warm—not like kaolin (white chalk) which is dry and lifeless.
For a bluish-green complexion, it should resemble dark green jade—vibrant and moist—not like indigo dye which is dark and stagnant.
For a yellow complexion, it should resemble realgar wrapped in silk—bright and clear—not like yellow earth which is withered.
For a black complexion, it should resemble lacquer—shiny and deep—not like charcoal which is ashy and dull.
If the complexion resembles rotten grass (green), coal dust (black), zhi shi fruit (yellow), coagulated blood (red), or dried bones (white), these five colors indicate impending death.
If the complexion resembles kingfisher feathers (green), crow feathers (black), rooster combs (red), crab abdomen (yellow), or pork fat (white)—all indicating moisture and luster—these five colors indicate survival.
If black qi appears around the eyes, ears, nose, and mouth of a patient, and enters the mouth, death is certain.
If yellow qi appears in both eyes of a patient, the illness will likely heal.
If redness appears on the eyes, ears, and cheekbones of a patient, death will occur within five days.
If black qi appears on the forehead and hairline, extending to the nasal bridge and above the cheekbones, death will occur within five days.
In patients or healthy individuals, if black or white qi penetrates into the eyes, nose, or mouth, death will occur within five days.
If the face and eyes of a patient suddenly take on the color of a horse's liver—looking blue from afar and black up close—death ensues.
If the patient's mouth remains open like a fish's mouth and cannot close, with breath escaping without returning (Qi collapse), death ensues.
If the patient speaks nonsense and is confused, or is unable to speak, the condition is generally incurable; however, if caused by heat disease, it may be treatable.
If the patient gropes along the seams of their clothing while speaking deliriously, the condition is incurable.
If the patient emits a strong odor resembling a corpse, the condition is incurable.
If the patient's eyes roll abnormally and stare fixedly, accompanied by shoulder breathing (accessory muscle use in respiration), death will occur within one day.
If the back of the patient turns blue and the philtrum becomes flat or inverted, death will occur within three days.
If the patient's face lacks luster, resembles soil, and they are unable to eat, death will occur within four days.
If the patient's eyes lack luster and their teeth turn black, the condition is incurable.
If the patient's face is yellow and their eyes are black, death will occur within nine days.
If the patient's face is white and their eyes are black, the condition is incurable.
If the patient's face is red and their eyes are white, death will occur within ten days.
If the patient can only keep their mouth open and cannot close it, death will occur within three days.
If the patient's face is red and their eyes are blue/green, death occurs immediately.
If the patient's face is black and their eyes are white, death will occur within eight days.
If the patient's face is blue/green and their eyes are yellow, death will occur within five days.
If the inner corners of the patient's eyebrows droop or tilt, death will occur within seven days.
If the patient's teeth suddenly turn black, death will occur within thirteen days.
If the patient's hair stands straight and stiff, death will occur within fifteen days.
If the patient urinates involuntarily without awareness, death ensues.
If the patient's lips and mouth suddenly become dry, death is certain.
If the patient's fingernails and toenails turn cyanotic/blue, death is certain.
If the patient suffers from chronic headache and eye pain followed by sudden blindness, death is certain.
If the patient's tongue is retracted and the testicles retract upward, death ensues.
If the patient's face is black, eyes are staring fixedly, and they are aversive to wind, death ensues.
If the patient's face is yellow and eyes are red, they will not die.
If the patient's face is blue/green and eyes are white, death ensues.
If the patient's face is yellow and eyes are white, they will not die.
If the patient's face is yellow and eyes are blue/green, death ensues.
If both the face and eyes are yellow, they will not die.
If both the face and eyes are white, they will not die.
If the patient's face is black and eyes are blue/green, they will not die.
If the patient's face is blue/green and lips are black, death ensues.
If the patient's hair is dry and stiff like hemp, accompanied by erratic emotions (anger or joy), death ensues.
If the patient's face is black, the hypochondriac regions are full/distended, and they cannot turn over independently, death ensues.
If the patient's hair and eyebrows stand upright simultaneously, death ensues.
If the patient suffers from sudden generalized edema and the face is dark blue/black, death ensues.
If the patient's palms are swollen and the skin lines disappear, death ensues.
If the patient's umbilicus is swollen and protrudes outward, death ensues.
If the patient's scrotum and penis are both swollen, death ensues.
If the flesh under the fingernails and toenails of the patient's hands and feet turns black, death ensues.
If the patient sweats but the sweat does not flow freely, and the tongue is retracted, death ensues.
If the patient's lips evert and the philtrum is full/flat, death ensues.
If the Yin and Yang Qi are severed and the eye sockets are sunken, death ensues.
If the essence of the Five Zang organs is exhausted, Shen (Spirit) fails to reside, and the voice is hoarse, death ensues.
If Yin is bound and Yang is severed, the eyeballs appear detached, and the mind is trance-like/confused, death ensues.
If both Yin and Yang Qi are severed, and the patient tears at clothes, grasps at empty air, and speaks deliriously, death ensues.
If both Yin and Yang Qi are depleted, and the patient loses their voice and cannot speak, death ensues.
If Ying (Nutritive) and Wei (Defensive) Qi are exhausted, and the face is puffy/swollen, death ensues.