病患五脏已夺,神明不守,声嘶者,死。
病患循衣缝, 语者,不可治。
病患阴阳俱绝,掣衣撮空,妄言者,死。
病患妄语错乱,及不能言者,不治;热病者,可治。
病患阴阳俱绝,失音不能言者,三日半死。
病患两目 有黄色起者,其病方愈。
病患面黄目青者,至期而死,重出在下文。
病患面黄目赤,不死;赤如 血者,死。
病患面黄目白者,不死;白如枯骨者,死。
病患面黄目黑者,不死;黑如 ,死。
病患面黑目青者,不死。
病患面目俱黄者,不死。
病患面青目白者,死。
病患面黑目白者,不死。
病患面赤目青者,六日死。
病患面黄目青者,九日必死。是谓乱经。饮酒当风,邪入胃经,胆气妄泄,目则为青,虽天救亦不可生。
病患面赤目白者,十日死;忧、恚、思,心气内索,面色反好,急棺椁。
病患面白目黑者,死。此谓荣华已去,血脉空索。
病患面黑目白,八日死。肾气内伤,病因留积。
病患面青目白,五日死。
病患着床,心痛短气,脾气内竭,后百日复愈。能起彷徨,因坐于地,其上倚床,能治此者也。
病患耳目鼻口,有黑色起入于口者,必死。
病患目无精光,若土色不受饮食者,四日死。
病患目无精光,及牙齿黑色者,不治。
病患耳目及颧颊赤者,死在五日中。
病患黑色出于额上发际,直鼻脊两颧上者,亦死在五日中矣。
病患黑色出天中,下至上颧上者,死。
病患及健人黑色,若白色起,入目及鼻口者,死在三日中矣。
病患及健人面忽如马肝色,望之如青,近之如黑者,必死矣。
病患面黑,直视恶风者,死。
病患面黑唇青者,死。
病患面青唇黑者,死。
病患面黑,两胁下满,不能自转反者,死。
病患目不回,直视者,一日死。
病患头目久痛,卒视无所见者,死。
病患阴结阳绝,目睛脱,恍惚者,死。
病患阴阳结绝,目眶陷者,死。
病患眉系倾者,七日死。
病患口如鱼口,不能复闭,而气出多不返者,死。
病患卧,遗尿不觉者,死。
病患尸臭者,不可治。
肝病皮白,肺之日,庚辛死。
心病目黑,肾之日,壬癸死。
脾病唇青,肝之日,甲乙死。
肺病颊赤目肿,心之日,丙丁死。
肾病面肿唇黄,脾之日,戊己死。
青欲如苍璧之泽,不欲如蓝。
赤欲如帛裹朱,不欲如赭。
白欲如鹅羽,不欲如枯骨。
黑欲如黑漆,不欲如炭。
黄欲如罗裹雄黄,不欲如土。
目赤色者病在心,白在肺,黑在肾,黄在脾,青在肝,黄色不可名者,病在胸中。
诊目病,赤脉从上下者,太阳病也;从下上者,阳明病也;从外入内者,少阳病也。
诊寒热瘰 ,目中有赤脉,从上下至瞳子,见一脉,一岁死;见一脉半,一岁半死;见二脉
,二岁死;见二脉半,二岁半死;见三脉,三岁死。
诊牙齿痛,按其阳明之脉来太过者,独热在右,右热;热在左,左热;热在上,上热;热
诊血者,脉多赤多热,多青多痛,多黑多黄,多痹多赤,多黑多青,皆见者,寒热身痛,面
色微,齿垢,黄爪甲上,黄胆也。安卧少黄赤,脉小而涩者,不嗜食。
病人五脏精气已极度衰竭,神志不能内守,声音嘶哑的,主死。
病人手循摸衣缝,胡言乱语的,不可治愈。
病人阴阳之气俱绝,出现牵引衣物、抓空动作,胡言乱语的,主死。
病人胡言乱语、神志错乱,以及不能说话的,属不治之症;但如果是热病导致的,还可以治疗。
病人阴阳之气俱绝,失音不能说话的,三天半后死亡。
病人两眼眼角出现黄色气色的,其病即将痊愈。
病人面色黄而目色青的,到了预定的日期会死亡,详细情况在下文重复提及。
病人面色黄而目色赤的,不死;如果赤色像血一样鲜艳,则主死。
病人面色黄而目色白的,不死;如果白色像枯骨一样,则主死。
病人面色黄而目色黑的,不死;如果黑色像……(原文缺字,通常指煤或炭),则主死。
病人面色黑而目色青的,不死。
病人面目都黄的,不死。
病人面色青而目色白的,主死。
病人面色黑而目色白的,不死。
病人面色赤而目色青的,六天后死亡。
病人面色黄而目色青的,九天后必定死亡。这称为“乱经”。因饮酒当风,邪气侵入胃经,胆气妄泄,导致目色变青,即使有上天救助也不能生还。
病人面色赤而目色白的,十天后死亡;若因忧愁、愤怒、思虑过度,导致心气内部耗散,但面色反而显得好,应紧急准备棺椁。
病人面色白而目色黑的,主死。这称为荣华已去,血脉空虚耗散。
病人面色黑而目色白的,八天后死亡。肾气内部受伤,病因留滞积聚。
病人面色青而目色白的,五天后死亡。
病人卧床不起,心痛且呼吸短促,脾气内部枯竭,经过一百天后可恢复痊愈。如果能起身徘徊,坐在地上,背部倚靠床沿,能治愈这种情况的医生是高手。
病人耳、目、鼻、口部位,有黑色气色升起并进入口内的,必死。
病人眼中没有神采,面色如土色且不能进食的,四天后死亡。
病人眼中没有神采,以及牙齿发黑的,不可治愈。
病人耳朵、眼睛及颧颊部发红的,五天内死亡。
病人黑色从额头发际线处出现,直冲鼻梁脊背及两颧上方的,也在五天内死亡。
病人黑色从天中(眉心)出现,向下延伸至颧骨上方的,主死。
病人及健康人面部突然出现黑色或白色气色,进入眼睛及鼻口的,三天内死亡。
病人及健康人面部忽然像马肝的颜色,远看发青,近看发黑的,必死。
病人面色黑,眼睛直视且怕风的,主死。
病人面色黑、嘴唇青的,主死。
病人面色青、嘴唇黑的,主死。
病人面色黑,两侧胁下胀满,不能自行翻身转侧的,主死。
病人眼球不转动,直视前方的,一天后死亡。
病人头部和眼睛长期疼痛,突然视力丧失看不见的,主死。
病人阴结阳绝,眼球突出,神情恍惚的,主死。
病人阴阳结绝,眼眶凹陷的,主死。
病人眉梢下垂倾斜的,七天后死亡。
病人嘴巴张开像鱼嘴一样,不能闭合,气息只出不进(无法收回)的,主死。
病人躺着时,遗尿而不自知的,主死。
病人身体散发尸臭味的,不可治愈。
肝病见皮色白,逢肺金当令之日(庚辛日)死亡。
心病见目色黑,逢肾水当令之日(壬癸日)死亡。
脾病见唇色青,逢肝木当令之日(甲乙日)死亡。
肺病见颧颊赤红、眼睛肿胀,逢心火当令之日(丙丁日)死亡。
肾病见面部浮肿、唇色黄,逢脾土当令之日(戊己日)死亡。
青色应当像苍玉那样润泽,不应当像蓝草那样枯暗。
红色应当像丝绸包裹着朱砂那样含蓄光泽,不应当像赭石那样晦暗。
白色应当像鹅毛那样洁白轻盈,不应当像枯骨那样干枯。
黑色应当像黑漆那样光亮,不应当像木炭那样焦枯。
黄色应当像罗纱包裹着雄黄那样明润,不应当像泥土那样晦浊。
眼目发红,病位在心;发白,病位在肺;发黑,病位在肾;发黄,病位在脾;发青,病位在肝;黄色难以名状的,病位在胸中。
诊察眼部疾病,赤脉从上往下走的,是太阳病;从下往上走的,是阳明病;从外向内走的,是少阳病。
诊察寒热瘰疬(颈部淋巴结结核),眼中出现赤脉,从上往下走到瞳仁,见到一条赤脉,一年死;见到一条半,一年半死;见到两条,两年死;见到两条半,两年半死;见到三条,三年死。
诊察牙齿痛,按压阳明经脉,来势太过者,右侧热则右部热,左侧热则左部热,上部热则上部热……(原文此处截断)。
诊察血色,脉象多赤多热,多青多痛,多黑多黄,多痹多赤,多黑多青,这些都出现的,会有寒热身痛,面色微黄,齿垢,指甲黄,这是黄疸病。安卧且少黄赤,脉象小而涩的,食欲不振。
If the patient's five zang organs have exhausted their essence, spirit and mind are not guarded, and the voice is hoarse, death ensues.
If the patient picks at the seams of clothing and speaks incoherently, it is incurable.
If the patient's yin and yang qi are both exhausted, exhibiting pulling at clothes and grasping at empty air, along with delirious speech, death ensues.
If the patient speaks deliriously, is confused, or cannot speak, it is incurable; however, if it is due to a heat disease (Re Bing), it may be treatable.
If the patient's yin and yang qi are both exhausted and they lose their voice and cannot speak, death occurs in three and a half days.
If yellowish hue appears at the corners of the patient's eyes, the illness is about to heal.
If the patient has a yellow complexion and greenish eyes, death will occur at the designated time; this is repeated later in the text.
If the patient has a yellow complexion and red eyes, they will survive; but if the redness resembles blood, death ensues.
If the patient has a yellow complexion and white eyes, they will survive; but if the whiteness resembles dry bones, death ensues.
If the patient has a yellow complexion and black eyes, they will survive; but if the blackness resembles [coal/ink], death ensues.
If the patient has a black complexion and greenish eyes, they will survive.
If the patient has a yellow complexion on both face and eyes, they will survive.
If the patient has a greenish complexion and white eyes, death ensues.
If the patient has a black complexion and white eyes, they will survive.
If the patient has a red complexion and greenish eyes, death occurs in six days.
If the patient has a yellow complexion and greenish eyes, death will certainly occur in nine days. This is called "disorder of the meridians" (Luan Jing). Drinking alcohol while exposed to wind allows pathogenic factors to enter the Stomach meridian, causing gallbladder qi to leak recklessly, turning the eyes green; even with heavenly rescue, survival is impossible.
If the patient has a red complexion and white eyes, death occurs in ten days; if caused by sorrow, anger, or excessive thinking, leading to internal depletion of heart qi, yet the facial color appears surprisingly good, prepare the coffin urgently.
If the patient has a white complexion and black eyes, death ensues. This indicates that glory and brilliance have departed, and blood vessels are emptied and depleted.
If the patient has a black complexion and white eyes, death occurs in eight days. Kidney qi is internally injured, and the pathogenic cause remains stagnant and accumulated.
If the patient has a greenish complexion and white eyes, death occurs in five days.
If the patient is bedridden, suffers from heart pain and shortness of breath, and spleen qi is internally exhausted, recovery may occur after one hundred days. If they can rise and pace, sit on the ground, lean against the bed, and recover, such cases can be treated.
If blackish hue arises in the patient's ears, eyes, nose, and mouth and enters the mouth, death is certain.
If the patient's eyes lack luster and the complexion is like earth, unable to eat or drink, death occurs in four days.
If the patient's eyes lack luster and the teeth are black, it is incurable.
If the patient's ears, eyes, and cheekbones are red, death occurs within five days.
If blackish hue emerges from the hairline on the forehead, straight up the nasal bridge to above the cheekbones, death also occurs within five days.
If blackish hue emerges from Tianzhong (the area between the eyebrows) and extends downward to above the cheekbones, death ensues.
If black or white hue suddenly appears on the faces of patients or healthy individuals, entering the eyes, nose, and mouth, death occurs within three days.
If the patient or a healthy person's face suddenly looks like horse liver color—greenish from afar and blackish up close—death is certain.
If the patient has a black complexion, fixed gaze, and aversion to wind, death ensues.
If the patient has a black complexion and cyan lips, death ensues.
If the patient has a cyan complexion and black lips, death ensues.
If the patient has a black complexion, fullness under both hypochondria, and inability to turn over independently, death ensues.
If the patient's eyes do not move and gaze fixedly, death occurs in one day.
If the patient suffers from chronic headache and eye pain, followed by sudden blindness, death ensues.
If the patient has yin knotting and yang exhaustion, protruding eyeballs, and mental confusion, death ensues.
If the patient has yin and yang knotting and exhaustion, with sunken eye sockets, death ensues.
If the patient's eyebrow tails droop, death occurs in seven days.
If the patient's mouth opens like a fish's mouth, cannot close, and breath exits without returning, death ensues.
If the patient urinates involuntarily while lying down without awareness, death ensues.
If the patient emits a corpse-like odor, it is incurable.
In liver disease, if the skin is white, death occurs on Geng-Xin days (Metal days).
In heart disease, if the eyes are black, death occurs on Ren-Gui days (Water days).
In spleen disease, if the lips are cyan, death occurs on Jia-Yi days (Wood days).
In lung disease, if the cheeks are red and eyes swollen, death occurs on Bing-Ding days (Fire days).
In kidney disease, if the face is swollen and lips yellow, death occurs on Wu-Ji days (Earth days).
Green should resemble the luster of dark jade, not the dullness of indigo.
Red should resemble cinnabar wrapped in silk, not the dullness of hematite.
White should resemble goose feathers, not the dryness of dead bones.
Black should resemble black lacquer, not the charred look of charcoal.
Yellow should resemble realgar wrapped in thin silk, not the dullness of soil.
Red eyes indicate disease in the Heart; white in the Lungs; black in the Kidneys; yellow in the Spleen; green in the Liver; yellow that cannot be clearly defined indicates disease in the Chest center.
When diagnosing eye diseases: red veins moving from top to bottom indicate Taiyang disease; from bottom to top, Yangming disease; from outside to inside, Shaoyang disease.
When diagnosing scrofula (Luo Li) with chills and fever: if red veins in the eyes extend from top to bottom to the pupil, seeing one vein means death in one year; one and a half veins, death in one and a half years; two veins, death in two years; two and a half veins, death in two and a half years; three veins, death in three years.
When diagnosing toothache, pressing the Yangming pulse which is excessive: heat on the right indicates right-sided heat; heat on the left indicates left-sided heat; heat above indicates upper-body heat... [text cuts off].
When diagnosing blood conditions: pulses that are mostly red indicate heat; mostly green indicate pain; mostly black and yellow indicate bi-syndrome; mostly red and black/green appearing together indicate alternating chills and fever with body pain, slightly yellowish complexion, dental fur, and yellow nails, indicating jaundice (Huang Dan). Those who lie still with little red/yellow hue and have small, choppy pulses suffer from poor appetite.