人之脏色单见,犹天之运星独明也。太过之运其星明,不及之运其星减。明则自旺,减
则所
胜兼之,人之于色也亦然。《金匮》云肝旺色青,四时各随其色。由斯以推,何脏色见,即
是
何脏气胜,观其所胜,而源委可见已。何以言之?五行相乘,如夫妇然,夫为妇纲,以能乘
者为正,不能乘者为变,阴阳之义也。故病在此者,知其因必在彼也。此负者,因彼之乘而
太过,病也;此胜者,因彼之弱不能乘,亦病也。乘而太过,则彼强而当见彼脏之色;弱不
能乘,则此强而当见此脏之色。故凡其色独见者,皆胜也,非负也。值不及之运,而曰运星
独明者,未之闻也。顾见注家,辄云脾虚而色外见。嘻!果系脾虚,即使色不纯青,亦当于
淡黄中见青。如不及之年,运星必兼胜星之比,岂得独见黄色哉?且也色与脉应,脏和则脉
和,而不名一象;偏胜则弦钩毛石,随所胜而为象。脉弦不得谓之肝负,则色黄反得谓之脾
负乎?倘因此而用益脾之法,则差若毫厘,缪以千里矣。
或难之曰∶子言何脏色见,即是何脏气胜,而《灵枢》黄色薄皮弱肉者,不胜春时之虚
风云云
,非明明以见何脏之色,为何脏之虚乎?曰∶是大不然。经意非春风病脾之谓,谓脏色单见
者脏胜也,而薄皮弱肉者禀虚也。禀虚而脏胜,则非脏之真实也,其为胜我之脏弱不能乘显
然也。如春肝旺时也,肝既弱矣,焉得不畏虚风乎?春之虚风,西风也,其气乘于肝,肝受
之非脾受之,故知非春风病脾之谓也。《灵枢》之文,看似直易,而其义层累奥衍,极耐寻
绎。余说正与之相发明,不得据以为难。其真脏虚色见者,惟肝气先绝而吻青、心气内索而
面赤之类可以当之,要非寻常之症所可同日语也。
The solitary manifestation of a Zang organ's color in the human body is akin to a single star shining brightly in the sky. When the cosmic movement (Yun) is excessive, its corresponding star shines brightly; when it is deficient, its star appears dim. Brightness indicates self-prosperity, while dimness implies that the conquering element joins in. The principle regarding facial colors in humans is the same. As stated in *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet), when Liver Qi is prosperous, the complexion is green; across the four seasons, each follows its respective color. From this, we can deduce that whichever organ's color manifests is the one whose Qi is excessive. By observing which element is excessive, the origin and course of the disease become visible.
Why is this so? The mutual overcoming (Cheng) among the Five Elements is like the relationship between husband and wife: the husband serves as the guide for the wife. That which can overcome is considered "Zheng" (orthodox/active), while that which cannot overcome is considered "Bian" (variant/passive); this embodies the meaning of Yin and Yang. Therefore, if the pathology manifests here, its cause must lie there. Here, the condition becomes excessive due to being overcome by there, which constitutes disease; there, the condition fails to overcome here because it is weak, which also constitutes disease. If "here" overcomes excessively, then "there" should be strong and manifest the color of that Zang organ; if "there" is too weak to overcome "here," then "here" should be strong and manifest the color of this Zang organ. Thus, whenever a color appears alone, it represents excess (Sheng), not deficiency (Fu). To hear that a star representing a deficient movement shines alone has never been heard of.
However, commentators often claim that Spleen deficiency causes the color to appear externally. Alas! If it were truly Spleen deficiency, even if the color were not purely green, one would expect to see green amidst a pale yellow hue. In a year of deficient movement, the star of deficiency must be accompanied by the star of the conquering element; how could it show only yellow? Furthermore, color and pulse should correspond. When Zang organs are harmonious, the pulse is harmonious and does not present a single extreme image. If there is partial excess, the pulse will be Xian (wiry), Gou (hook), Mao (feather), or Shi (stone), depending on the prevailing element. A Xian pulse cannot be called Liver deficiency (Fu); therefore, can a yellow complexion be called Spleen deficiency (Fu)? If one employs methods to tonify the Spleen based on this error, the discrepancy will be slight at first but lead to great mistakes later.
One might object: You say that the manifestation of a Zang organ's color indicates that organ's Qi is excessive. Yet, *Lingshu* (Spiritual Pivot) states, "Those with yellowish complexion, thin skin, and weak flesh cannot withstand the empty winds of spring." Does this not clearly indicate that the manifestation of a specific Zang color signifies that Zang's deficiency? I reply: This is entirely incorrect. The meaning of the classic is not that spring wind damages the Spleen. It means that the solitary manifestation of a Zang color indicates Zang excess, whereas thin skin and weak flesh indicate congenital deficiency. Congenital deficiency combined with Zang excess implies that this is not the true state of the Zang; rather, it is evident that the Zang which should conquer me is weak and unable to do so. For instance, spring is the time when Liver Qi is prosperous. If the Liver is weak, how can it not fear the empty wind? The empty wind of spring is actually West Wind (Metal overcoming Wood). Its Qi attacks the Liver, which receives it, not the Spleen. Thus, it is known that this does not mean spring wind damages the Spleen. The text of *Lingshu* appears straightforward, but its meanings are layered and profound, demanding careful study. My explanation serves to elucidate it further and should not be used as an objection. Cases where true Zang deficiency manifests as color are limited to situations such as Liver Qi failing first with bluish lips, or Heart Qi exhausting internally with a red face. These are certainly not conditions that can be discussed on the same level as ordinary diseases.