天地氤氲。万物化醇。男女媾精。万物化生。五官先生鼻。五脏先成精。精乃一身之本。头为五体之尊。是以
雷公问道。黄帝传经。五色独决于明堂。四诊先观其天牝。盖鼻者。形之始也。气之门户也。呼吸之间。通乎
天地。贯乎经络。五脏六腑。无不毕达。四体百骸。无不周遍者也。分其部位。则脏腑六部之提纲是已。辨其
气色。则阴阳十法之提纲是已。其相乘之理。合之部位可推也。其相应之理。合之气色可推也。肝青、心赤、
脾黄、肺白、肾黑。与夫声音臭味情志脉病。亦无有不可推者。凡诸望法。皆当比例以相参也。金匮要略云。
鼻头色青腹中痛。若冷者死。鼻头色微黑者。有水气。色黄者。胸上有寒。色白者。亡血也。设微赤非时者死。
是宜以四时参之。以十法辨之矣。第色虽当辨。形亦宜分。望之之法。又有提纲焉。盖鼻者。肺之合也。鼻大
者。脏气有余。鼻小者。脏气不足。肿起者。邪气盛。陷下者。正气衰。鼻煽张者肺虚。鼻仰息者肺实。鼻枯槁者。
寒热之证。鼻蚀烂者。疳疮之形。鼻窍干燥者。阳明之经病。鼻柱崩坏者。疠风之败症。鼻下红肿如疮者。腹
中有虫之疳病。鼻流浊涕者。外受风热。鼻流清涕者。外感风寒。鼻渊者。脑中热。故涕下渗。鼻衄者。阳络伤。
故血外溢。鼻生 肉谓之 。鼻生粉刺谓之 。此皆鼻形之望法也。析而言之。合而观之。察五官。参四诊。
变在其中矣。至于骨部起者寿。骨部陷者夭。故鼻准贵乎丰隆焉。他如气之粗细。息之疾徐。嚏之有无。窍
之通塞。当详各门。容后续述。
The Qi of Heaven and Earth blends and interacts, causing all things to mature profoundly. The essence of men and women combines, giving birth to all living things. Among the five sense organs, the nose forms first; among the five Zang organs, Jing (Essence) is perfected first. Essence is the root of the entire body, and the head is the most honorable part of the five physical structures (Head, Hands, Feet). Therefore, Lei Gong asked about the Great Dao, and Huang Di transmitted the classics. The diagnosis of the Five Colors relies solely on the Ming Tang (Nasal Bridge/Nose), and the Four Diagnostic Methods (Inspection, Auscultation/Olfaction, Inquiry, Palpation) begin by observing Tian Pin (Nostrils/Nose). This is because the nose is the beginning of form and the portal for Qi. Through breathing, it connects with Heaven and Earth and penetrates the meridians. The Qi of the Five Zang and Six Fu organs reaches nowhere without being attained, and the four limbs and hundred bones are nowhere without being pervaded. By dividing its regions, one obtains the outline of the six departments of the Zang and Fu organs; by distinguishing its Qi and color, one obtains the outline of the Ten Methods of Yin and Yang. The principle of mutual overcoming (Wu Xing Overcoming) can be deduced by combining it with regions; the principle of correspondence can be deduced by combining it with Qi and color. The Liver corresponds to Green, the Heart to Red, the Spleen to Yellow, the Lung to White, and the Kidney to Black. As for sounds, odors, emotions, pulse conditions, and diseases, there is nothing that cannot be deduced. All inspection methods should refer to each other proportionally. *Jin Gui Yao Lue* states: "If the tip of the nose is green and there is abdominal pain, if it is cold, death ensues. If the tip of the nose is slightly black, there is water qi (fluid retention). If yellow, there is cold in the chest. If white, there is loss of blood. If slightly red and not in season, death ensues." Thus, one should refer to the four seasons and distinguish using the ten methods. However, although colors must be distinguished, forms must also be differentiated. There is an outline for inspection methods. Generally, the nose is the external union of the Lung. A large nose indicates excess Zang Qi; a small nose indicates deficient Zang Qi. Swelling indicates abundant pathogenic Qi; depression indicates depleted healthy Qi. Flaring nostrils indicate Lung deficiency;仰息 (breathing with the head tilted back) indicates Lung excess. A withered and dry nose indicates mixed cold and heat syndromes; erosion and ulceration of the nose indicate the manifestation of Gan Chuang (Gangrenous sores); dry nasal orifices indicate disease of the Yangming Meridian; collapse of the nasal bridge indicates the deteriorating stage of Li Feng (Leprosy); redness and swelling under the nose resembling sores indicate intestinal parasites (Gan disease); turbid discharge indicates external wind-heat; clear discharge indicates external wind-cold; Bi Yuan (Nasal Sinusitis) indicates heat in the brain, causing dripping mucus; Bi Nu (Epistaxis) indicates injury to Yang collaterals, causing external bleeding; flesh growth in the nose is called [Ci]; acne-like bumps on the nose are called [Za]. These are all methods of inspecting nasal form. Analyzed separately and viewed together, by observing the five sense organs and referring to the four diagnostic methods, changes are contained within. Regarding bone structure, protrusion indicates longevity, while depression indicates premature death. Therefore, the Nose Tip (Bi Zhun) is prized for being full and prominent. Other aspects such as the thickness of Qi, the speed of respiration, the presence or absence of sneezing, and the patency or obstruction of orifices will be detailed in respective sections and continued later.