灵枢五色篇曰五脏六府各有部分能别部分万举万当自额而下阙庭上属咽喉之部分也自阙
中循鼻而下鼻端属五脏之部分也自内 挟鼻而下至承浆属六俯之部分也自颧而下颊属肩背手
之部分也自牙车以下颐属股膝胫足之部分也
又曰五脏次于中央六腑挟其两侧首面上于阙庭五官在于下极者是也
灵枢五阅五使篇曰鼻者肺之官也目者肝之官也口唇者脾之官也舌者心之官也耳者肾之
官也故肺病者喘息鼻张肝病者 青脾病者唇黄心病者舌卷短颧赤肾病者颧与颜黑
素问脉要精微论曰征其脉小色不夺者新病也征其脉不夺其色夺者此久病也征其脉与五色
俱夺者此久病也征其脉与五色俱不夺者新病也
素问脉要精微论曰能合色脉可以万全五色者气之华也赤欲如帛裹朱不欲如赭白欲如鹅羽
不欲如盐青欲如苍璧之泽不欲如蓝黄欲如罗裹雄黄不欲如土黄黑欲如重漆色不欲如地苍素问
五脏生成篇曰青如翠羽者生赤如鸡冠者生黄如蟹腹者生白如豕膏者生黑如乌羽者生此五色之
见生也青如草兹者死黄如枳实者死黑如炱者死赤如 血者死白如枯骨者死此五色之见死也又
云生于心如以缟裹朱生于肺如以缟裹红生于肝如以缟裹绀生于脾如以缟裹栝蒌实生于肾如以
缟裹紫此五脏所生之外荣也夫气由脏发色随气华如青黄赤白黑者色也如帛裹朱如鹅羽如苍璧
之泽如罗裹雄黄如重漆色又云如翠羽如鸡冠如蟹腹如豕膏如乌羽或有鲜明外露或有光润内含
者气也气至而后色彰故曰欲曰生若赤如赭白如盐青如蓝黄如土色黑如地苍甚则青如草兹黄如
枳实黑如 赤如 血白如枯骨或晦黯不泽或悴槁不荣败色虽呈气于何有故曰不欲且曰死由此
观之则色与气固不可须臾离也然而外露者不如内含内含则气藏外露则气泄亦犹脉之弦钩毛石
欲其微不欲其甚下文所云如以缟裹者正取五色之微见方是五脏之外荣否则过于彰露与弦钩毛
石之独见而无胃气名曰真脏者何以异乎
The *Ling Shu: Wu Se Pian* (Chapter on Five Colors of the Spirit Pivot) states: The five Zang organs and six Fu organs each have specific corresponding areas on the face. If one can distinguish these areas, treatments will be successful in every instance. From the forehead down to the Que Ting area (the space between the eyebrows), the upper part corresponds to the throat. Following the nose bridge downward from the center of the Que Ting, the tip of the nose corresponds to the five Zang organs. From the inner canthus, flanking the nose downward to the Cheng Jiang point (the depression below the lower lip), it corresponds to the six Fu organs. From the cheekbones downward to the cheeks, it corresponds to the shoulders, back, and hands. From below the Ya Che (angle of the mandible) to the chin, it corresponds to the thighs, knees, shins, and feet.
It also states: The five Zang organs are located in the central part of the face, while the six Fu organs flank them on both sides. The upper part of the head and face is at the Que Ting, and the five orifices are located at the lower extreme; this is the correspondence.
The *Ling Shu: Wu Yue Wu Shi Pian* (Chapter on Five Orifices and Five Entrances of the Spirit Pivot) states: The nose is the external opening of the Lung, the eyes are the external opening of the Liver, the lips are the external opening of the Spleen, the tongue is the external opening of the Heart, and the ears are the external opening of the Kidney. Therefore, patients with Lung disease exhibit panting and nasal flaring; patients with Liver disease have a bluish complexion; patients with Spleen disease have yellow lips; patients with Heart disease have a curled and short tongue with red cheekbones; and patients with Kidney disease have black cheekbones and facial color.
The *Su Wen: Mai Yao Jing Wei Lun* (Chapter on Essential Meaning of Pulse Investigation of the Plain Question) states: When examining, if the pulse is small but the complexion has not declined, it indicates a recent illness. If the pulse has not declined but the complexion has declined, it indicates a chronic illness. If both the pulse and the five colors have declined, it also indicates a chronic illness. If neither the pulse nor the five colors have declined, it indicates a recent illness.
The *Su Wen: Mai Yao Jing Wei Lun* states: One can achieve complete accuracy in diagnosis by combining the assessment of complexion and pulse. The five colors are the brilliance of Qi. Red should resemble cinnabar wrapped in silk, not like jasper (dark red); white should resemble goose feathers, not like salt (dull white); green/blue should resemble the luster of dark jade, not like indigo (dull blue); yellow should resemble realgar wrapped in gauze (bright and moist), not like earth (dull); black should resemble multiple layers of lacquer (shiny), not like dark soil.
The *Su Wen: Wu Zang Sheng Cheng Pian* (Chapter on the Generation of the Five Zang Organs of the Plain Question) states: Green resembling the feathers of a kingfisher indicates life; red resembling chicken combs indicates life; yellow resembling the belly of a crab indicates life; white resembling pig fat indicates life; black resembling crow feathers indicates life. These manifestations of the five colors signify vitality. Green resembling dead grass signifies death; yellow resembling the fruit of the Eucalyptus tree (Zhi Shi) signifies death; black resembling soot signifies death; red resembling clotted blood signifies death; white resembling dry bones signifies death. These manifestations of the five colors signify demise.
It further states: The vital color of the Heart is like cinnabar wrapped in white silk; the vital color of the Lung is like red wrapped in white silk; the vital color of the Liver is like cyan-red wrapped in white silk; the vital color of the Spleen is like the yellow of Trichosanthes fruit wrapped in white silk; the vital color of the Kidney is like purple wrapped in white silk. These are the external brilliances generated by the five Zang organs. Qi emanates from the Zang organs, and color manifests according to the brilliance of Qi. Green, yellow, red, white, and black are colors; white silk wrapping cinnabar, goose feathers, the luster of dark jade, realgar wrapped in gauze, and multiple layers of lacquer, as well as kingfisher feathers, chicken combs, crab bellies, pig fat, and crow feathers—whether bright and exposed or lustrous and contained—are Qi. Once Qi arrives, the color becomes manifest; hence, they are described as "desired" (favorable) and "vital." If red resembles jasper, white resembles salt, green resembles indigo, yellow resembles earth, and black resembles dark soil, or even green resembles dead grass, yellow resembles Zhi Shi, black resembles soot, red resembles clotted blood, and white resembles dry bones, or if they are dull without luster or emaciated and un-nourished, these are败色 (decayed colors). Although the color is presented, where is the Qi? Hence, they are described as "undesired" and called "death." From this, we see that color and Qi cannot be separated for an instant. However, exposed color is inferior to contained color; containment hides Qi, while exposure leaks Qi. This is similar to the pulse qualities of Xian (string-like), Gou (hook-like), Mao (feather-like), and Shi (stone-like): they should be subtle, not excessive. What is meant below by "like being wrapped in white silk" is precisely taking the subtle manifestation of the five colors, which constitutes the external brilliance of the five Zang organs. Otherwise, if overly exposed, how does it differ from the Xian, Gou, Mao, and Shi pulses appearing alone without Stomach Qi, named "True Zang" pulses?