鼻头色青，腹中痛，苦冷者死。鼻头色微黑者有水气，色黄者胸上有寒，（必兼湿也。）色白者亡血也，
设微赤非时者死。其目正圆者， ，不治。又色青为痛，色黑为劳，色赤为风，
色黄者小便难，色鲜明者有留饮。（《金匮要略》。）
面青，人中反者，三日死。面无光，牙齿黑者死。面色
黑，目直视恶风者死。面色黑，胁满不能反侧者死。面色苍黑，卒肿者死。（上《中藏经》。）
赤色见于耳目及颧颊者，死在五日中。（颧颊一作额，）黑色出于额上发际，下直、鼻脊、两颧上者，
亦死在五日中。黑色起耳目鼻上，渐入于口者，死。（谓起于耳，或目，或鼻，渐入于
口。）病患及健人，黑色若白色起，入目及鼻口，死在三日中。
肝病皮白，肺之日庚辛死。心病目黑，肾之日壬癸死。
脾病唇青，肝之日甲乙死。肺病颊赤目肿。心之日丙丁死。肾病面肿唇黄，脾之日戊己死。（上《脉经》。）
按∶面主气，主阳，主六腑。目主血，主阴，主五脏。
凡相五色之奇脉，面黄目青，面黄目赤，面黄目白，面黄目黑者，皆不死也。面青目赤，面赤目白，
面青目黑，面黑目白，面赤目青，皆死也。（《素问》。）
春面色青，目色赤，新病可疗，至夏愈。（此面色生目色也。）夏面色赤，目色黄，新病可疗，至季
夏愈。季夏面色黄，目色白，新病可疗，至秋愈。秋面色白，目色黑，新病可疗，
至冬愈。冬面色黑，目色青，新病可疗，至春愈。
论曰∶此四时王相本色见，故疗之必愈。夫五脏应五
行，若有病，则因其时，色见于面目，亦犹灼龟于里，吉凶之兆形于表也。
病患本色青，欲如青玉之泽，有光润者佳，面色不欲如青蓝之色。若面白目青，是谓乱常，以饮酒过
多，当风，邪风入肺，络于胆，胆气妄泄，故令目青，虽云天救，不可复生矣。（《脉经》、《千金方》，
并作面黄目青，此面色克目色也。）
病患本色赤，欲如鸡冠之泽，有光润者佳，面色不欲赤
如赭土。若面赤目白，忧恚思虑，心气内索，面色反好，急
求棺椁，不过十日死。
病患本色黄，欲如牛黄之泽，有光润者佳，不欲黄如灶中黄土。若面青目黄者，五日死。病患着床，
心痛气短，脾竭内伤。百日复愈，欲起彷徨。因坐于地，其立倚床。能治此者，是谓神良。
病患本色白，欲如璧玉之泽，有光润者佳，面色不欲如白垩。若面白目黑，（疑当作青。）无复生理
也。此谓酣饮过度，荣华已去，血脉空索，虽遇岐伯，无如之何。（《脉经》无酣饮过度句。）
病患本色黑，欲如重漆之泽，有光润者佳，面色不欲如炭色。若面黑目白，八日死，肾气内伤也。（《脉
经》无“也”字，下有“病因留积”四字，以例推之，目白当作目赤。）
病患面黄目青者不死，青如草滋死。病患面黄目赤者不死，赤如 血死。病患面黄目白者不死，白如
枯骨死。病患面黄目黑者不死，黑如 死。病患面目俱等者不死。（俱等，谓不改其常，无一部之独异也。
上《千金翼方》。）
The tip of the nose appears cyan (blue-green), indicating abdominal pain; if accompanied by aversion to cold, the prognosis is poor and death may ensue. If the tip of the nose is slightly black, it indicates water retention in the body; if yellow, there is cold in the chest (likely combined with dampness); if white, it indicates loss of blood. If a slight redness appears out of season, the prognosis is poor and death may ensue. Eyes fixed straight ahead without movement indicate an untreatable condition. Furthermore, cyan color indicates pain, black indicates exhaustion/labor injury, red indicates wind pathogen, yellow indicates difficulty in urination, and bright/shining color indicates retained fluid/phlegm-fluid (Jin Gui Yao Lue).
If the face is cyan and the philtrum (Ren Zhong) is inverted/upturned, death occurs within three days. A face lacking luster with black teeth indicates death. Black complexion with fixed gaze and aversion to wind indicates death. Black complexion with fullness in the hypochondrium and inability to turn over indicates death. Cyan-black complexion with sudden edema indicates death (Shang Zang Jing).
Redness appearing on the ears, eyes, and cheekbones indicates death within five days (cheekbones sometimes read as forehead). Blackness emerging from the hairline of the forehead, extending straight down the nasal bridge and to both cheekbones, also indicates death within five days. Blackness starting above the ears, eyes, or nose and gradually spreading into the mouth indicates death (meaning starting from the ear, eye, or nose, gradually entering the mouth). Whether for patients or healthy individuals, if black or white color appears and invades the eyes, nose, and mouth, death occurs within three days.
In liver disease, if the skin is white, death occurs on Geng-Xin days (Metal days). In heart disease, if the eyes are black, death occurs on Ren-Gui days (Water days). In spleen disease, if the lips are cyan, death occurs on Jia-Yi days (Wood days). In lung disease, if the cheeks are red and eyes swollen, death occurs on Bing-Ding days (Fire days). In kidney disease, if the face is swollen and lips yellow, death occurs on Wu-Ji days (Earth days) (Mai Jing).
Commentary: The face governs Qi, belongs to Yang, and corresponds to the Six Fu Organs. The eyes govern Blood, belong to Yin, and correspond to the Five Zang Organs.
Regarding the observation of the five colors and unusual pulses: Face yellow with eye cyan, face yellow with eye red, face yellow with eye white, and face yellow with eye black all indicate survival. However, face cyan with eye red, face red with eye white, face cyan with eye black, face black with eye white, and face red with eye cyan all indicate death (Su Wen).
In Spring, if the face is cyan and eyes red, new diseases can be treated and will heal by Summer (this is face generating eye color). In Summer, if the face is red and eyes yellow, new diseases can be treated and will heal by Late Summer. In Late Summer, if the face is yellow and eyes white, new diseases can be treated and will heal by Autumn. In Autumn, if the face is white and eyes black, new diseases can be treated and will heal by Winter. In Winter, if the face is black and eyes cyan, new diseases can be treated and will heal by Spring.
It is stated: This is because the ruling color of the four seasons appears, so treatment will surely lead to recovery. The Five Zang Organs correspond to the Five Elements. When diseased, according to the timing, colors appear on the face and eyes, just like divination by tortoise shell burning, where omens of good or bad fortune manifest on the surface.
For a patient whose natural color is cyan, it should resemble the luster of cyan jade, shiny and moist, which is good; the face should not look like dull cyan-blue. If the face is white and eyes cyan, this violates normalcy, caused by excessive drinking, exposure to wind, wind pathogen entering the Lung, connecting to the Gallbladder, causing reckless leakage of Gallbladder Qi, thus making the eyes cyan. Even if heaven saves, life cannot be restored (Mai Jing, Qian Jin Fang, both state face yellow with eye cyan, which is face overcoming eye color).
For a patient whose natural color is red, it should resemble the luster of rooster comb, shiny and moist, which is good; the face should not look like dark ochre earth. If the face is red and eyes white, due to worry, anger, and overthinking, Heart Qi is internally depleted. Although the complexion may seem improved, prepare coffins immediately; death will occur within ten days.
For a patient whose natural color is yellow, it should resemble the luster of ox gallstone, shiny and moist, which is good; it should not look like yellow earth from a stove. If the face is cyan and eyes yellow, death occurs in five days. The patient is bedridden, suffering from heart pain and shortness of breath, with Spleen exhaustion and internal injury. Recovery takes one hundred days; the patient wishes to rise but hesitates. Due to sitting on the ground, standing requires leaning on the bed. Those who can cure this are called divine physicians.
For a patient whose natural color is white, it should resemble the luster of jade disc, shiny and moist, which is good; the face should not look like white chalk. If the face is white and eyes black (suspected to be eye cyan in original text), there is no hope of life. This is due to excessive indulgence in alcohol, depletion of vitality, and empty/consumed blood vessels. Even if Qi Bo were present, nothing could be done (Mai Jing lacks the phrase "excessive indulgence in alcohol").
For a patient whose natural color is black, it should resemble the luster of double-lacquered wood, shiny and moist, which is good; the face should not look like charcoal. If the face is black and eyes white, death occurs in eight days, indicating internal injury to Kidney Qi (Mai Jing lacks the character "ye" and has "disease cause accumulation" below; by analogy, eye white should be eye red).
Patients with face yellow and eye cyan do not die, but if the cyan resembles grass dye, they die. Patients with face yellow and eye red do not die, but if the red resembles coagulated blood, they die. Patients with face yellow and eye white do not die, but if the white resembles dry bone, they die. Patients with face yellow and eye black... [text missing/variant] ...die. Patients with harmonious/equal face and eye colors do not die ("Ju Deng" means not changing their normal state, with no single part being abnormally different) (Qian Jin Yi Fang).