古有四诊,谓望、闻、问、切也。经以神、圣、工、巧配之。正文八十一,第
其言非以脉求证,则问证合脉,仅从事于工巧,而望、闻之法,十无一二。岂以后
学庸劣,皆不足与语神圣之道乎?今汇辑补入。至若触类引申,又不止此数条已也。惟同志者属意焉。
《灵枢》五色篇曰∶五脏六腑,各有部分。能别部分,万举万当。自额而下阙庭
上,属咽喉之部分也。自阙中循鼻而下鼻端,属五脏之部分也。自内 挟鼻而下至
承浆,属六腑之部分也。自颧而下颊,属肩背手之部分也。自牙车以下颐,属股膝
胫足之部分也。
又曰∶五脏次于中央,六腑挟其两侧,首面上于阙庭,王宫在于下极者是也。
《灵枢》五阅五使篇曰∶鼻者,肺之官也。目者,肝之官也。口唇者,脾之官也。
舌者,心之官也。耳者,肾之官也。故肺病者,喘息鼻张。肝病者, 青。脾病者,
唇黄。心病者,舌卷短、颧赤。肾病者,颧与颜黑。
《素问》脉要精微论曰∶征其脉小,色不夺者,新病也。征其脉不夺,其色夺者,
此久病也。征其脉与五色俱夺者,此久病也。征其脉与五色俱不夺者,新病也。
五色篇曰∶明堂者,鼻也。阙者,眉间也。庭者,颜也。蕃者,颊侧也。蔽者,
耳门也。其间欲方大。去之十步,皆见于外。如是者,寿必中百岁。
明堂骨高以起,平以直。五脏次于中央,六腑挟其两侧,首面上于阙庭,
王宫在于下极。五脏安于胸中,真色以致,病色不见。明堂润泽以清,五官恶得无辨乎?
\r面部图\pt106a1.bmp\r
庭者,首面也。阙上者,咽喉也。阙中者,肺也。下极者,心也。直下者,肝也。肝左者,胆也。下者,脾
也。方上者,胃也。中央者,大肠也。挟大肠者,肾也。当肾者,脐也。面王以上者,小肠也。面王以下者。膀
胱子处也。男子色在于面王,为小腹痛,下为卵痛,其圜直为茎痛。在女子为膀胱子处之病,散为痛,抟为聚。
\r脏腑色见面部图\pt106a2.bmp\r
颧者,肩也。颧后者,臂也。臂下者,手也。目内 上者,膺乳也。挟绳而上者,背也。循牙车以上者,
股也。中央者,膝也。膝以下者,胫也。当胫以下者,足也。巨分者,股里也。巨屈者,膝膑也。此五脏六腑
肢节之部也。
\r肢节色见面部图\pt106a3.bmp\r
古代有四种诊法,称为望、闻、问、切。经典著作将这四诊分别配属于神、圣、工、巧四种境界。《内经》正文共八十一篇,其中论述脉象与病症关系的篇章,大多只是将问诊所得与脉象结合,仅仅停留在“工”和“巧”的层面,而望诊和闻诊的方法,十中难一二见。这难道是因为后学平庸低劣,都不足以与他们谈论“神”和“圣”的道理吗?现在我将这些内容汇辑补充进去。至于触类旁通、引申发挥的内容,又不止这几条了。希望志同道合者留意于此。
《灵枢经·五色篇》说:五脏六腑在面部各有对应的部位。能够辨别这些部位,诊治就能万无一失。从额头向下到阙庭(两眉之间),是咽喉对应的部位。从阙中(两眉之间)沿鼻梁向下到鼻端,是五脏对应的部位。从内眼角挟着鼻梁向下到承浆穴(下巴中央凹陷处),是六腑对应的部位。从颧骨向下到面颊,是肩背和手对应的部位。从牙车穴(下颌角附近)以下到颐部(下巴),是大腿、膝盖、小腿和足对应的部位。
又说:五脏位于面部中央,六腑挟持在两侧,头部和面部对应于阙庭,心(王宫)对应于下极(两目之间)。
《灵枢经·五阅五使篇》说:鼻子是肺的外候。眼睛是肝的外候。口唇是脾的外候。舌头是心的外候。耳朵是肾的外候。所以肺病的人,会出现喘息、鼻孔张大的症状。肝病的人,面色发青。脾病的人,口唇发黄。心病的人,舌头卷缩短小、颧骨发红。肾病的人,颧骨和颜面发黑。
《素问·脉要精微论》说:如果脉象细小,但气色没有衰败,这是新病。如果脉象没有衰败,但气色衰败,这是久病。如果脉象和气色都衰败,这是久病。如果脉象和气色都没有衰败,这是新病。
《素问·五色篇》说:明堂指鼻子。阙指眉间。庭指额部。蕃指脸颊侧面。蔽指耳门。这些部位应该方正宽大。站在十步之外,都能看清其色泽形态。具备这种面相的人,寿命必定能活到百岁。
明堂(鼻子)骨骼高起且平直。五脏位于面部中央,六腑挟持在两侧,头部和面部对应于阙庭,心位于下极。五脏安和于胸中,真气之色显现,病色不现。明堂(鼻子)润泽清明,五官怎能不分辨清楚呢?
[图片:面部图]
庭(额部)对应首面。阙上对应咽喉。阙中对应肺。下极(两目之间)对应心。直下(鼻梁)对应肝。肝的左侧对应胆。下方对应脾。方上(鼻翼)对应胃。中央(鼻尖)对应大肠。挟持大肠两侧对应肾。当肾对应的位置对应脐部。面王(鼻尖)以上对应小肠。面王以下对应膀胱和下焦生殖器官。男子面色变化出现在面王,表示小腹痛,向下放射则睾丸痛,若色泽圆直则为阴茎痛。女子出现这种情况则是膀胱和下焦生殖器官的疾病,色泽散漫为痛,聚结为积聚。
[图片:脏腑色见面部图]
颧骨对应肩部。颧骨后方对应手臂。手臂下方对应手部。内眼角上方对应胸膺和乳房。挟持耳前向上对应背部。沿牙车穴向上对应大腿。中央对应膝盖。膝盖以下对应小腿。当小腿以下对应足部。巨分(颊车穴前凹陷处)对应大腿内侧。巨屈(曲泉穴或膝腘窝)对应膝盖髌骨。这是五脏六腑及肢节在面部的对应部位。
[图片:肢节色见面部图]
There are four diagnostic methods in ancient times, namely inspection (Wang), auscultation and olfaction (Wen), inquiry (Wen), and palpation (Qie). The classics associate these with the levels of Divine (Shen), Sage (Sheng), Artisan (Gong), and Skillful (Qiao). Among the eighty-one chapters of the canonical texts, most discussions on pulse and symptoms merely combine inquiry findings with pulse diagnosis, remaining at the level of "Artisan" and "Skillful," while the methods of inspection and auscultation/olfaction are rarely employed, perhaps one or two out of ten. Is it because later learners are mediocre and incompetent, unworthy of being taught the Dao of the Divine and the Sage? I have now compiled and supplemented these materials. Furthermore, by analogy and extension, there is more than just these few entries. I hope those with shared interests will pay attention to this.
The *Ling Shu* (Spiritual Pivot), chapter "Five Colors," states: The five Zang organs and six Fu organs each have specific corresponding areas on the face. If one can distinguish these areas, treatments will be successful ten thousand times out of ten thousand. From the forehead down to the Que Ting (area between the eyebrows), this corresponds to the throat. From the Que Zhong (center between eyebrows) along the nose bridge down to the nasal tip, this corresponds to the five Zang organs. From the inner canthus, flanking the nose bridge down to the Cheng Jiang point (depression in the center of the chin), this corresponds to the six Fu organs. From the cheekbones down to the cheeks, this corresponds to the shoulders, back, and hands. From below the Ya Che point (near the angle of the mandible) down to the Yi area (chin), this corresponds to the thighs, knees, shins, and feet.
It also states: The five Zang organs are located in the central part of the face, while the six Fu organs flank them on both sides. The head and face correspond to the Que Ting, and the King's Palace (Heart) corresponds to the Xia Ji (area between the eyes).
The *Ling Shu*, chapter "Five Orifices and Five Oracles," states: The nose is the external manifestation of the Lung. The eyes are the external manifestation of the Liver. The lips are the external manifestation of the Spleen. The tongue is the external manifestation of the Heart. The ears are the external manifestation of the Kidney. Therefore, patients with Lung disease exhibit panting and flaring of the nostrils. Patients with Liver disease show a bluish complexion. Patients with Spleen disease have yellow lips. Patients with Heart disease have a curled and short tongue and red malar bones. Patients with Kidney disease have blackening of the malar bones and the face.
The *Su Wen* (Basic Questions), chapter "Essential Secrets of Pulse Diagnosis," states: If the pulse is small but the complexion is not depleted, it is a new disease. If the pulse is not depleted but the complexion is depleted, it is an old disease. If both the pulse and the five colors are depleted, it is an old disease. If both the pulse and the five colors are not depleted, it is a new disease.
The *Su Wen*, chapter "Five Colors," states: Ming Tang refers to the nose. Que refers to the area between the eyebrows. Ting refers to the forehead. Fan refers to the sides of the cheeks. Bi refers to the ear gates. These areas should be square and large. Standing ten steps away, their features should be clearly visible externally. Those with such facial characteristics will surely live to a hundred years.
If the bone structure of the Ming Tang (nose) is high and rising, flat and straight, with the five Zang organs in the center and the six Fu organs flanking them, and the head/face corresponding to the Que Ting, and the King's Palace (Heart) at the Xia Ji, then when the five Zang organs are harmonious within the chest, the true color manifests, and pathological colors do not appear. If the Ming Tang is moist and clear, how could the five sense organs fail to be distinguished?
[Image: Facial Map]
The Ting (forehead) corresponds to the head and face. Above the Que corresponds to the throat. The Que Zhong corresponds to the Lung. The Xia Ji corresponds to the Heart. Directly below (nasal bridge) corresponds to the Liver. To the left of the Liver corresponds to the Gallbladder. Below corresponds to the Spleen. Fang Shang (sides of the nose/alae nasi) corresponds to the Stomach. The Center (nasal tip) corresponds to the Large Intestine. Flanking the Large Intestine corresponds to the Kidney. Opposite the Kidney corresponds to the umbilicus. Above the Mian Wang (nasal tip) corresponds to the Small Intestine. Below the Mian Wang corresponds to the Bladder and the lower jiao/reproductive organs. In men, if discoloration appears at the Mian Wang, it indicates lower abdominal pain; radiating downward, it causes testicular pain; if the color is round and straight, it indicates penile pain. In women, this indicates diseases of the bladder and lower reproductive organs; scattered color indicates pain, gathered color indicates accumulation.
[Image: Organ Color-Face Map]
The malar bones correspond to the shoulders. Behind the malar bones correspond to the arms. Below the arms correspond to the hands. Above the inner canthus correspond to the chest and breasts. Along the Shen (cheekbone line) upward correspond to the back. Along the Ya Che upward correspond to the thighs. The center corresponds to the knees. Below the knees correspond to the shins. Below the shins correspond to the feet. Ju Fen (depression anterior to the jaw joint) corresponds to the medial thigh. Ju Qu (popliteal fossa/knee cap area) corresponds to the knee patella. These are the corresponding areas of the five Zang organs, six Fu organs, and limbs/joints on the face.
[Image: Limb/Joint Color-Face Map]