明堂者鼻也。阙者眉间也。庭者颜也。蕃者颊侧也。蔽者耳门也。
风者百病之始也。厥逆者寒湿之起也常候阙中。薄泽为风。冲浊为痹。在地为厥。此其
常也。
赤色出两颧。大如拇指者。病虽小愈必卒死。黑色出于庭。大如拇指。必不病而卒死。
(次逆顺篇之后)
水始起也。目窠上微肿。如新卧起之状。其颈脉动。时咳。阴股间寒足胫肿。腹乃大。
其水
已成矣。以手按其腹。随手而起。如裹水之状。此其侯也(五癃津液篇云。阴阳气道不通。
四海闭塞。三焦不泻津液不化。水谷并行肠胃之中。别于回肠留于下焦。不得入膀胱则下焦
胀。水溢则为水胀)肤胀者。寒气客于皮肤之间。 然不坚。腹大身尽肿。皮浓。按其腹
而不起。(病在气分)腹色不变。此其候也 鼓胀者。腹胀身皆大。大与肤胀等也。色苍黄
。腹筋起。此其候也(以腹筋起为别。)肠覃者。寒气客于肠外。与卫气相搏气不得营。因有
所系。癖而内着。恶气乃起。息内乃生其始生也。大如鸡卵。稍以益大。至其成。如怀子之
状。久者离岁(越岁也)按之则坚。推之则移。月事以时下(病在肠外。故无妨于月事)石瘕生
于胞中。寒气客于子门。子门闭塞。气不得通恶血当泻不泻。 以留止。日以益大。状如怀
子。月事不以时下。皆生于女子。可导而下( 音丕。疑败之血也)
The Mingtang refers to the nose. The Que refers to the area between the eyebrows. The Ting refers to the forehead (Yintang region). The Fan refers to the sides of the cheeks. The Bi refers to the Ear Gate (Tinghui, 听会) area.
Wind pathogen is the beginning of all diseases. Jue-ni syndrome arises from cold-dampness; it is commonly observed by inspecting the Que area: a thin and lustrous color indicates wind; a turbid and rushing color indicates Bi syndrome; a sunken color indicates Jue. This is the normal manifestation.
If redness appears on both cheekbones, the size of a thumb, even if the illness seems slightly improved, sudden death will inevitably occur. If blackness appears in the Ting area, the size of a thumb, sudden death will occur without prior illness.
When water swelling begins, there is slight swelling above the eye sockets, resembling the appearance after just waking up. The neck vessels pulse, there is occasional coughing, coldness in the inner thighs, swelling of the lower legs, and the abdomen becomes distended. At this point, water disease has formed. Pressing the abdomen with the hand causes it to rise immediately upon release, resembling a bag filled with water; this is its sign. (The *Wu Long Jin Ye Pian* states: When the Qi pathways of Yin and Yang are blocked, the Four Seas are closed, the Sanjiao fails to drain, and fluids fail to transform, water and grain travel together within the intestines and stomach. They separate at the ileum, remain in the Lower Jiao, cannot enter the bladder, causing Lower Jiao distension; overflowing water results in water swelling.)
Fu-zhang (Skin Distension) occurs when cold qi lodges between the skin. The abdomen is distended but not firm; the abdomen is large, the whole body is swollen, the skin is thick, and pressing the abdomen leaves an indentation that does not rise. (The pathology is in the Qi level.) The abdominal color remains unchanged; this is its sign.
Gu-zhang (Drum Distension) presents with abdominal distension and general body enlargement, equal in degree to Fu-zhang. The complexion is pale yellow, and abdominal collateral veins are prominent; this is its sign (distinguished by the prominence of abdominal collaterals).
Chang-qin (Intestinal Polyp/Tumor) occurs when cold qi lodges outside the intestines, struggling with Wei Qi (Defensive Qi), preventing proper circulation. It adheres internally, evil Qi arises, and growths form inside. Initially, it is the size of a chicken egg, gradually increasing until it resembles pregnancy. It may last for years. Pressing it feels hard, pushing it moves it, and menstruation still arrives on time (since the pathology is outside the intestines, it does not affect menstruation).
Shi-jia (Stone Fibroid) originates in the Baozhong (Uterus). Cold qi lodges in the Zimen (Cervical Os), blocking it so Qi cannot flow. Evil blood should be discharged but remains stagnant, enlarging daily, resembling pregnancy, and menstruation does not arrive on time. These conditions occur only in women and can be treated with guiding and purging methods. ("Pi" sounds like 'pi', suspected to refer to degenerated blood.)