欲愈之病目 黄,(胃气行也。)眼胞忽陷定知亡。(五脏绝也。)
耳目口鼻黑色起,入口十死七难当。(肾乘胃也。)
面黄目青酒乱频,邪风在胃衰其身。(木克土也。)
面黑目白命门败,困极八日死来侵。(先青后黑,即《素问》回则不转,神去则死意。)
面色忽然望之青,进之如黑卒难当。(肝肾绝也。)
面赤目白怕喘气,待过十日定存亡。(火克金也。)
黄黑白色起入目,更兼口鼻有灾殃。(水乘脾也。)
面青目黄午时起,余候须看两日强。(木克土也。)
目无精光齿龈黑,(心肝绝也。)面白目黑亦灾殃。(肺肾绝也。)
口如鱼口不能合,(脾绝。)气出不返命飞扬。(肝肾先绝。)
肩息直视及唇焦,面肿苍黑也难逃。妄言错乱及不语,尸臭无知寿不高。(心绝。)
人中尽满兼唇青,三日须知命必倾。(木克土。)
两颊颧赤心病久,口张直气命难停。(脾肺绝。)
足趺趾肿膝如斗,十日须知难保守。(脾绝。)
项筋舒展定知殂,(督脉绝。)掌内无纹也不久。(心胞绝。)
唇青体冷及遗尿,(膀胱绝。)背面饮食四日期。(肝绝。)
手足爪甲皆青黑,许过八日定难医。(肝肾绝。)
脊疼腰重反复难,此是骨绝五日看。体重溺赤时不止,肉绝六日便高判,手足甲青呼骂多,筋绝九日定难
过。发直如麻半日死,(小肠绝。)寻衣语死十知么。(心绝。)
想要痊愈的疾病,如果目光呈现黄色,(说明胃气正在运行。)但如果眼胞突然凹陷固定不动,则必定死亡。(这是五脏精气衰竭的表现。)
耳朵、眼睛、嘴巴和鼻子出现黑色,病邪进入体内,十人中有七人难以挽救。(这是肾水乘袭胃土所致。)
面色发黄、眼睛发青,且频繁饮酒乱性,这是邪风在胃中,导致身体衰败。(这是木克土的病理表现。)
面色发黑、眼睛发白,是命门之火败绝,极度困倦,八日内死亡来临。(先见青色后见黑色,即《素问》中所说的“回则不转”,神气离去就会死亡的意思。)
面色忽然望去呈青色,走近看又如同黑色,突然发作难以抵挡。(这是肝肾精气衰竭的表现。)
面色发红、眼睛发白,害怕气喘,度过十天后才能决定生死存亡。(这是火克金的病理表现。)
黄、黑、白色出现在眼中,再加上口鼻有灾殃之象。(这是水乘袭脾土所致。)
面色发青、眼睛发黄,在午时发病,其余的预后情况需要观察两天来判断强弱。(这是木克土的病理表现。)
眼睛没有神采,齿龈发黑,(这是心肝精气衰竭的表现。)面色苍白、眼睛发黑也是灾殃之兆。(这是肺肾精气衰竭的表现。)
嘴巴像鱼嘴一样不能闭合,(这是脾脏精气衰竭。)气息只出不进,生命如飞散般终结。(这是肝肾精气先衰竭。)
呼吸时肩膀耸动(肩息),眼球直视不动,嘴唇焦裂,面部浮肿且颜色苍黑,也都难以逃脱死亡的命运。胡言乱语、错乱或沉默不语,身上散发尸臭、无知觉,寿命都不会长久。(以上均为心脏精气衰竭的表现。)
人中穴部位完全饱满,加上嘴唇发青,三天内必须知道性命必然倾覆。(这是木克土所致。)
两颊颧骨处长期发红,是心病日久;嘴巴张开、气息直出,生命难以停止。(这是脾肺精气衰竭。)
足背和脚趾肿胀,膝盖肿大如斗,十日内可知难以保守治疗。(这是脾脏精气衰竭。)
颈部筋脉舒展僵硬,必定死亡,(这是督脉精气衰竭。)手掌内没有纹路,也活不久了。(这是心包络精气衰竭。)
嘴唇发青、身体冰冷以及遗尿,(这是膀胱精气衰竭。)背部和腹部饮食不进,四日后必死。(这是肝脏精气衰竭。)
手脚指甲都变成青黑色,即使允许过八天,也一定难以医治。(这是肝肾精气衰竭。)
脊背疼痛、腰部沉重,翻身困难,这是骨骼精气衰竭,五日内可见分晓。身体沉重、小便赤红且时间不止,这是肌肉精气衰竭,六日内便可判定生死。手脚指甲发青、呼叫谩骂多,这是筋腱精气衰竭,九日内定难度过。头发直立如麻,半日即死,(这是小肠精气衰竭。)抓摸衣物、胡言乱语而死,十个里面能活一个吗?(这是心脏精气衰竭。)
Diseases that are destined to recover will show a yellowish hue in the eyes, (indicating the movement of Stomach Qi.) However, if the eyelids suddenly sink and remain fixed, death is certain. (This signifies the exhaustion of the Five Zang organs.)
If blackness appears around the ears, eyes, mouth, and nose, once the pathogen enters, seven out of ten cases are difficult to save. (This is due to Kidney Water encroaching upon Stomach Earth.)
A yellow complexion with greenish eyes, accompanied by frequent indulgence in alcohol and sexual excess, indicates evil wind residing in the Stomach, causing the body to deteriorate. (This represents Wood overcoming Earth.)
A black complexion with white eyes signifies the failure of the Gate of Vitality (Mingmen). In extreme exhaustion, death approaches within eight days. (Seeing green first and then black corresponds to the concept in *Su Wen* that "if there is no return, there is no turning back"; when Shen departs, death occurs.)
If the complexion suddenly appears blue/green from a distance, but looks black up close, it arises abruptly and is difficult to handle. (This indicates the exhaustion of Liver and Kidney essence.)
A red complexion with white eyes, accompanied by fear of panting, determines survival or death after ten days have passed. (This represents Fire overcoming Metal.)
Yellow, black, and white hues appearing in the eyes, combined with ominous signs around the mouth and nose, indicate Water encroaching upon Spleen Earth.
A blue/green complexion with yellowish eyes, manifesting at Wu hour (11:00-13:00), requires observation for two additional days to assess the strength of the remaining condition. (This represents Wood overcoming Earth.)
Eyes lacking luster and blackened gums indicate the exhaustion of Heart and Liver. A pale complexion with blackened eyes also portends disaster. (This indicates the exhaustion of Lung and Kidney.)
A mouth resembling a fish's mouth that cannot close indicates Spleen exhaustion. Breath that exits but does not return signifies the flying away of life force, indicating prior exhaustion of Liver and Kidney.
Shoulder breathing (shallow respiration using accessory muscles), fixed staring gaze, cracked lips, facial edema with a dark/blackish color, delirious speech, confusion, muteness, corpse-like odor, and unconsciousness all suggest poor longevity. (These are signs of Heart exhaustion.)
When the philtrum is completely filled and the lips are cyanotic, death is inevitable within three days. (Wood overcoming Earth.)
Chronic redness on the malar cheeks indicates long-standing Heart disease; an open mouth with straight, uncontrolled breath indicates difficulty in sustaining life. (Exhaustion of Spleen and Lung.)
Swelling of the dorsum of the foot and toes, with knees swollen like a bowl, indicates that preservation of health is difficult within ten days. (Spleen exhaustion.)
Stiffness and extension of the neck tendons signify certain death. (Exhaustion of the Du Mai/Governing Vessel.) The absence of lines on the palms indicates a short lifespan. (Exhaustion of the Pericardium.)
Cyanotic lips, cold body, and urinary incontinence indicate Bladder exhaustion. Inability to eat or drink for four days indicates Liver exhaustion.
Cyanotic and black fingernails and toenails indicate that even after eight days, recovery is unlikely. (Exhaustion of Liver and Kidney.)
Pain in the spine and heaviness in the waist, making turning over difficult, indicates Bone exhaustion; prognosis can be seen within five days. Heaviness of the body, red urine that does not cease, indicates Muscle exhaustion; verdict can be reached within six days. Cyanotic nails with excessive shouting and cursing indicate Tendon exhaustion; survival beyond nine days is unlikely. Hair standing straight like hemp leads to death within half a day. (Small Intestine exhaustion.) Grasping at clothes and speaking before death suggests only one in ten might survive. (Heart exhaustion.)