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White spots on the face indicate accumulation of parasites in the abdomen. If the facial complexion resembles crab claw patterns, alternating yellow and white, it is undoubtedly food stagnation (Shi Ji). Redness appearing intermittently on both zygomatic arches indicates defluxion of deficient fire (Xu Huo Shang Yan). A bloodless complexion without aversion to cold or fever, accompanied by a deep and wiry pulse (Chen Xian Mai), predicts impending epistaxis (Nu Xue). A yellowish complexion that occasionally shows luster indicates the presence of Stomach Qi (Wei Qi), ensuring survival; however, a dry, dull yellow complexion lacking moisture signifies imminent disaster. Red patches on the zygomatic arches, the size of a thumb, suggest that even if the illness seems to improve, sudden death will follow. Black color appearing at Tingting (the center of the forehead), resembling a thumb, indicates sudden death even without obvious symptoms. A grim complexion in winter indicates the arrival of Cold Damage (Shang Han). Purple and turbid complexions are seen in epidemic diseases. A white complexion with obesity indicates Qi deficiency and excessive phlegm-dampness. A black complexion with emaciation indicates Yin deficiency with hyperactive fire.

Red eyes indicate heart disease. White eyes indicate lung disease. Greenish eyes indicate liver disease. Yellow eyes indicate spleen disease. Black eyes indicate kidney disease. Indistinct yellow color indicates pathology in the chest. Pale yellow sclera indicates spleen injury leading to diarrhea and dysentery. Turbid yellow, resembling smoke staining, indicates dampness-excess jaundice (Shi Sheng Huang Dan). Bright orange-yellow indicates excess heat. Yellow mixed with green-purple, with a knotted pulse (Kou Mai), indicates blood stasis in the chest. Dark eye sockets with red cheeks indicate hot-phlegm. Eyelids dark like soot also indicate phlegm disease. Dark eye sockets, difficulty walking, and incessant groaning indicate phlegm entering the bones, causing generalized body soreness. Dark eye sockets with a yellow face and flaccid paralysis of the four limbs indicate accumulating frothy wind-phlegm present everywhere. Yellow eyes with irritability: a large pulse indicates disease progression; a harmonious pulse indicates recovery. Periorbital yellowing indicates unceasing epistaxis. Yellow sclera indicates established wine-jaundice (Jiu Dan). Yellow-white face with swollen eyelids is called grain-jaundice (Gu Dan), accompanied by epigastric distension. Cyanosis under Mingtang (nose tip) indicates excessive desire or mental exhaustion; otherwise, it may simply be lack of sleep. Yellow face with green eyes indicates alcohol injury. Lack of luster in the face and black teeth indicate critical condition. Red scrofula with vessels penetrating the pupil is ominous; one vessel corresponds to one year, marking the end of life. Blue vessels between the eyes indicate gallbladder stagnation and pulling pain. High-pitched pupils indicate insufficiency of the Taiyang channel. [Note: The phrase "俱等无" appears corrupted or context-specific in the original text]. Complexions of yellow face with green, red, white, or black eyes all possess Stomach Qi and are theoretically non-fatal. Conversely, red face with white eyes, green face with black eyes, black face with white eyes, and red face with green eyes lack Stomach Qi and are fatal. Cyanosis under the eyes indicates Cold Damage with Yin involvement. Eyes fixed straight forward indicate the exhaustion of the Taiyang channel, rendering the disease untreatable. Cyanosis indicates pain. Blackness indicates chronic fatigue/overwork. Redness indicates wind. Yellowness indicates difficult urination. Bright and clear luster indicates retained fluid retention (Liu Yin). Dull eyes unable to see clearly, inability to exhale fully, inability to inhale deeply, rapid breathing with coldness, indicate Yin disease. Clear-eyed vision, normal respiration, long breaths with warmth, indicate Yang disease.