汉东王先生《家宝》内台秘论∶
男女十岁以前，凡有不安，皆观其气色。面上如青纱盖定，从发际至印堂，不以疾状浅深，有者六十日必
死。若至鼻柱，一月须亡。更到人中，不过十日。其色满面，即日哭伤。假使卢医亦难救疗。
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肝脏受惊候∶起发际，其色浅白，若至丞
相，即变惊风，浑身发热，夜间多啼，宜下惊
风药。若退即可调治，若其色不退，下至东岳
即有死候。耳前穴黑，金克于木。若是外候，
鼻干燥，眼睛吊上。肝主筋，筋缩则睛无光，
即是肾绝。瞳子不转即是肝绝，爪甲黑也。
肝脏受积候∶起食仓，其色微黄，下侵衬
眉即是受积。黑睛黄赤，早晚发热则多爱睡，
乃有死候，啼哭无泪是也。
肝脏受冷候∶面青淡白，眼中泪出，齿龈
淡白，口中清水，大便酸气，日中多睡，夜间
煎迫者是也。
肝脏受热候∶起正眉薄薄赤气，即冲丞相。心裹于肝，两眼亦赤，多有眼脂，小者吐奶，大者吐食。有痰
生风，早晚发热，多啼少睡。
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心脏受惊候∶起印堂，其色微黑，下至眉心，
赤则生风，若至鼻柱，即有死候。皮无血色，更
生黑 ，水克于火，恶即雨日，亥子难过。兼有
外候，即多焦渴，吃乳不收，舌退场门外是也。
心脏受积候∶起额角，太阳穴虚，两眼白赤，
小便如泔，面合地卧，大极即吐热气，此恶候也。
心脏受冷候∶起太阳，黑筋脉子来侵印堂，
面色淡赤，目即无光，要转奶食，口吐清水，日
多烦渴也。
心脏受热候∶起面颊，更加赤色，多惊少睡，
发干频渴，鼻下赤烂，口气冲人，牙床恶臭，睡卧
开口，多有烦躁，外候则吐虫也。
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脾脏受惊候∶起发际，其色微青，即传于肝。
若至眉心，其色渐赤，即传于心；若至鼻柱，其色必白。若分两耳，黑气连之即生惊风。如此不退，
一周时必死。其候主唇不盖齿，口无津液，此是脾
绝。四肢垂冷，胃主四肢，即是脾绝，不中理也，
五日后寅卯时死。其外候则泻黑血也。
脾脏受积候∶口唇黄色，两眼沉肿，早晚面浮，
太阳穴调。外候头疼，腹胀，大便饮食不消化，频频夜起，伤冷则泻白粪。若脏热则赤；若冷热不调则赤白痢。
脾脏受冷候∶起眉心中岳，其色淡白来侵鼻柱，又及元珠即是。外候粪白，食不消化，泄泻无时，下应唇
白，乃呕逆，面色黄赤也。
脾脏受热，起太阳穴，白薄皮起如竹托，口唇干燥，兼有口气。外候若起，大便亦赤，夜间烦躁颠叫是也。
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肺脏受惊候∶起发鬓，其色微赤，传于司空则
生惊风。外候气喘无力，多啼叫。若至印堂即主死候，作邪声，喉中响，哭无泪，鼻干黑燥者是也。肺脏受积候∶起发
际，其色微赤，下至眉心，
腹胀恶心。若至鼻梁，更到准头，即是死候。若气
喘急不回者，只三日午未时难过。
肺脏受伤寒候∶起人中，下至承浆，亦到下颐，
其色若春即青，夏即赤，秋即白，冬即黑。外候鼻
涕流，两眼赤昏，面颊赤，喘气喉响。其恶候则面
黑，咬人，鼻黑，身热，气喘不定是也。
肺脏受热候∶起面颊，其色青白，到冲承浆。
若是外候，鼻中出血，夜间多啼，人即烦渴甚，此为疳也。
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惊人肾脏候，起耳前穴，其色微黄，下侵潮口。若起外候，梦里切牙，乃侵下阁则生恶候。面黑恶叫，汗
出如胶HT ，其耳前穴黑也。积入肾脏候∶起两眼深沉，其色微黑，眼睛微赤。外候 耳兼耳聋，头上囟门生
疮，较后再发是也。冷入肾脏候∶起额上，色紫而微青，下侵中岳，满面青白，多 顽涎，（ ，吐也。乎典切。）亦多
睡少精光也。热入肾脏候∶起食仓，其色微赤，
下到准头而还，日久两眼延烂。外候耳重，多有
眼脂，小便赤色是也。
茅先生辩小儿五脏各受色∶小儿心脏色∶左颧应赤色丹系，心属南方火
下离。心乱心中有余热。或言风拥莫忧疑。
小儿肺脏色∶右颧白应在秋庚，肺属西方金
位行。若见颧中如马尾，此名气盛气相腾。
小儿肝脏色∶两眼青时旺甲春，在肝属木象
东君。忽青胞目如蓝靛，即是惊痫风欲 。
小儿脾脏色∶脾胃四季属中央，戊乙相乘土
色黄。外绕四唇如橘水，须因积滞热相当。
小儿肾脏色∶北方壬癸肾黑色，浓水随归两耳流。若在耳边垂黑发，肾家有病是因由。
茅先生辩小儿四季受色吉凶∶
春青夏赤秋白平，冬黑四季亦同名。（此为四季以上色，平也。）春黄夏白秋青色，冬赤四季黑为宁。
春赤夏黄秋色黑，
冬青四季白灾轻（子）。春黑夏青秋色黄，冬白四季赤同评（母）。春白夏黑秋色赤，冬黄四季青不羸。（此为贼邪。）
茅先生辩小儿面部五色∶
小儿面带赤色心病。或惊，或壮热，或伤。小儿面带黄色脾病。或肚膨，或肚痛，或不进食，或脾寒，或
呕逆。小儿面带白色肺病。或咳嗽，或气喘。小儿面带黑色肾病。夜有虚汗，或夜有虚热，小便先带红色后
带白色。小儿面带青色肝病。身上须发大疮。
茅先生小儿杂病色∶
白在右颧肺气盛，左颧微白邪干心。绕唇白色气不顺，左右人中脾积深。胃气不和黄色淡，睛胞青色只因
惊。心多惊悸言颧左，右肺青风喘嗽声。满面黑时肾家冷，常抛黑粪不曾停。
茅先生小儿五脏受赤色∶
左颧右颧心肺热，两眼连箱肝候同。唯有四唇耳前后，肾脾受热本同宗。
茅先生小儿面部杂色∶
面黄金色有积余，西方青色号惊呼。面红身热伤寒候，耳冷疮疡是一徒。（此言疹痘，赤言浑身热，
面青色，耳尖冷，手足
冷即是也。）客忤黑青翻白沫，眼睛黄色积难除。非时面黑多惊叫，啼哭声频气不苏。面黄脸赤惊疳积，分明解得病
当除。面青面黄鼻亦痒，目暗风疳是本源。面黑面青及红热，啼呼中水患由偏。
钱乙面上证（与茅先生五部位不同）
左腮为肝，右腮为肺，额上为心，鼻为脾，颏为肾。
赤者热也，随证治之。
钱乙目内证∶
赤者心热，导赤散主之。（方见实热门中。）淡红者心虚热，生犀散主之。（方见虚热门中。）青者肝热，泻青丸主之。
（方见惊热门中。）淡浅者，补之。黄者脾热，泻黄散主之。（方见胃热门中。）无精光者肾虚，地黄丸主之。（方见虚寒
门中。）
《婴童宝鉴》》论形色∶
凡小儿自期岁以前，犹有变蒸，未及诊脉，唯以形候而知其病矣。看形候之际，医工可安神定思，勿令情
意惑乱。其孩子又忌方睡起，哭声始断，如此则色候不正矣。凡形候在辰后巳前者，为夏未酷热，冬乃微和，
即外色不盈于面耳，可以向明观也。
《婴童宝鉴》观五脏各部色（与茅先生部位同，与钱乙不同∶）
心属火，其色赤。（南方之应。）王在夏，外应于面之左颧，故左颧上赤色如丹丝之乱理者，心有余热，亦言有风
热。肺属金，其色白。（西方之应。）王在秋，外应于面之右颧，故右颧上白色如马尾者，为肺之盛气。肝属木，其色
青。（东方之应。）王在春，外应两目，故目内青色如绽者，谓肝有风，或云惊痫欲发。脾属土，其色黄。（中央之应。）
王在
四季，外应于合，故口四畔黄色如橘者，脾之有积热。肾属水，其色黑。（北方之应。）王在冬，应于两耳前，流转不
定，水性也，故耳前黑色如鸟丝垂于水中者，肾之有疾也。
凡色赤在左颧者，心热。在右颧者，肺热。在两目者，肝热。（其色在于两目，眼周遭也。）在口四畔者，
脾热。在两
耳前后者，肾热。凡白色在右颧者，肺气盛。左颧者，微邪干心；口四畔者，气不顺。凡黄色在口及人中，并
左右两边黄者，脾有疾。黄色微者，胃气不和。凡青色在两眼，（目中白人也。又在目坑者，亦同也。）是惊
欲发。在左颧上，
心多惊悸。右颧上者，风入肺为咳嗽而喘。凡黑色满面者，肾冷，必下黑粪。此者辨五脏病色，更识春夏秋冬
四季，断其病状，须在审详，勿令误矣。
面黄白色，有积。面青白色，有惊。面色赤，身热者，伤寒。面色赤，耳尖冷，身热者，疹痘。面色青黑，
或时吐白沫者，客忤。非时面上红赤变易不定者，惊。眼睛黄者，有积。面黄，两颧小赤者，惊疳。面青黄，
鼻痒，目昏者，风疳。面青黑，色夭纠，啼呼者，中寒之患。初生，面目上、鼻口左右悉黄为血 。人中鼻下
青，乳不消。痢下青者，衣薄中寒。诸阳皆会于面，阳衰本有风邪，夹冷者面青。鼻下两边赤者，名赤鼻。
面青白，躯身哭者，胎中受邪。面青者，肝痫。面赤者，心痫。面白者，肺痫。面黄者，脾痫。面黑者，肾
痫。
心风∶唇赤，汗流，面赤。肝风∶两目连额并唇青面黄。脾风∶腹满，通身黄。肾风∶胁有HT KT ，面
黑。肺风∶胸满，鼻下目下色白。
面赤或壮热，四肢烦，手足心热，为心腹热痛。面色或青或白，甚者至面黑，唇、口、爪皆青，是心腹冷
发痛。鼻上赤色是风疳。
小儿伤寒，鼻燥喘息，鼻气有声者，必衄候。
凡色者，应其春青，夏红，秋白，冬黑，在四季而黄，此五色为平也。
凡春得黄色，夏得白色，秋得青色，冬得赤色为微邪。虽有病，不治而自愈，亦为欲瘥之候。
凡春得白色，夏黑，秋赤，冬黄，四季青，此五色为恶色，见之虽不患亦大凶。
《婴童宝鉴》面部异色∶
青色如横针眼下，死。鼻上色青，腹中痛，死。面青目黑是肝气所伤，荣卫不通，难瘥。青色连目入耳，
死。赤色入口三日死，赤色入眉上，入目，死。黑色从眉绕目者七日死。黑色入口二日死。黑色绕口者死。鼻
上黑色患水肿，人中黑色者死。鼻色白为吐血死，亦破伤出血后死。白色绕眉，患肺疾。黄色，鼻上脐中寒极。
《婴童宝鉴》年上色（谓鼻准上，中为年上，上为寿上∶）
鼻准头上微微高处名曰年上。（看年凶吉。）更上一位，亦有微起处名曰寿上。（看夭寿也。）上得青色，白
色，黑色，赤
色，并不可治。雌黄色如金者平。
又曰∶春色白，秋凶。夏色白，冬凶。
《婴童宝鉴》四墓色（从两眉间直上至发际，左为父墓，上为母墓，口吻直下为男女墓∶）
四墓上有四季正色者平。
春得青平，白在四墓七日死。夏得赤平，黑在四墓四日死。秋得白平，赤在四墓四日死。冬得黑平，黄在四墓者死。
四季黄平。青在四墓者死。
汉东王先生的《家宝》内台秘论中说：
男女儿童在十岁以前，凡是有身体不适，都要观察其气色。如果面部像被青纱遮盖一样，从发际线到印堂（两眉之间），无论病情轻重，出现这种面色的人六十天内必定死亡。如果青色延伸到鼻柱（鼻梁骨），一个月内必须死亡。如果再延伸到人中（鼻下沟槽），不超过十天就会死亡。如果这种青色布满整个面部，当天就会因惊恐而亡。即使是神医扁鹊也难以救治。
图1
肝脏受惊候：青色从发际线开始，颜色浅白，如果延伸到丞相（鼻根两侧凹陷处），就会转变为惊风，全身发热，夜间多啼哭，适宜服用下惊风的药物。如果青色消退就可以调理治疗，如果青色不退，向下延伸到东岳（鼻翼旁）就有死亡的征兆。耳前穴位发黑，是金克木的表现。如果是外候，鼻子干燥，眼睛向上吊起。肝主筋，筋脉收缩则眼睛无光泽，这就是肾绝。瞳孔不转动就是肝绝，指甲发黑也是肝绝的表现。
肝脏受积候：从食仓（鼻头）开始，颜色微黄，向下侵犯衬眉（眉毛下方）就是受积。黑眼球发黄赤色，早晚发热且嗜睡，这是死候，啼哭时没有眼泪也是如此。
肝脏受冷候：面色青淡白，眼中流泪，齿龈淡白，口中流出清水，大便有酸味，白天多睡，夜间烦躁不安。
肝脏受热候：从正眉（眉毛中部）开始有薄薄的赤气，直冲丞相。心包络于肝，两眼也发红，眼屎多，幼儿吐奶，大童吐食。有痰生风，早晚发热，多啼少睡。
图2
心脏受惊候：从印堂开始，颜色微黑，向下延伸到眉心，变红则生风，如果延伸到鼻柱，就有死候。皮肤无血色，又生出黑色斑点，是水克火的表现，恶兆出现在雨天，亥子时（晚上9点至凌晨3点）难过。兼有外候，就有多焦渴，吃奶吸不住，舌头伸出唇外（舌退场门外）。
心脏受积候：从额角、太阳穴虚陷处开始，两眼白珠带赤色，小便像米泔水，面贴地卧，极度痛苦时吐出热气，这是恶候。
心脏受冷候：从太阳穴开始，黑筋脉侵入印堂，面色淡赤，眼睛无光，想要转奶食，口吐清水，白天多烦渴。
心脏受热候：从面颊开始，更加赤色，多惊少睡，头发干枯频繁口渴，鼻下红肿溃烂，口气冲人，牙床恶臭，睡觉张口，多有烦躁，外候则吐虫。
图3
脾脏受惊候：从发际线开始，颜色微青，即传于肝。如果延伸到眉心，颜色渐红，即传于心；如果延伸到鼻柱，颜色必白。如果分向两耳，黑气相连即生惊风。如此不退，一周时必定死亡。此候主要表现嘴唇不能盖住牙齿，口中无津液，这是脾绝。四肢垂冷，胃主四肢，即是脾绝，不合常理，五日后寅卯时（凌晨3点至7点）死亡。其外候则是泻黑血。
脾脏受积候：口唇黄色，两眼沉肿，早晚面部浮肿，太阳穴调适。外候头疼，腹胀，大便饮食不消化，频频夜起，伤冷则泻白粪。若脏热则便赤；若冷热不调则赤白痢。
脾脏受冷候：从眉心中岳（眉心下方）开始，颜色淡白来侵鼻柱，又及元珠（黑眼球）即是。外候粪便白色，食物不消化，泄泻无时，下应唇白，乃呕逆，面色黄赤。
脾脏受热，从太阳穴开始，白薄皮起如竹托，口唇干燥，兼有口气。外候若起，大便亦赤，夜间烦躁颠叫。
图4
肺脏受惊候：从发鬓开始，颜色微赤，传到司空（眼角外侧）则生惊风。外候气喘无力，多啼叫。如果延伸到印堂即主死候，发出邪声，喉中响，哭无泪，鼻干黑燥。
肺脏受积候：从发际线开始，颜色微赤，下至眉心，腹胀恶心。如果延伸到鼻梁，更到准头（鼻尖），即是死候。如果气喘急不回者，只三日午未时（中午11点至下午5点）难过。
肺脏受伤寒候：从人中开始，下到承浆（下巴中央），也到下颐，其色若春即青，夏即赤，秋即白，冬即黑。外候鼻涕流，两眼赤昏，面颊赤，喘气喉响。其恶候则面黑，咬人，鼻黑，身热，气喘不定。
肺脏受热候：从面颊开始，颜色青白，到冲承浆。若是外候，鼻中出血，夜间多啼，人即烦渴甚，此为疳病。
图5
惊人肾脏候，从耳前穴开始，颜色微黄，下侵潮口（嘴角）。若起外候，梦里切牙，乃侵下阁则生恶候。面黑恶叫，汗出如胶，其耳前穴黑也。
积入肾脏候：从两眼深沉开始，颜色微黑，眼睛微赤。外候耳聋，头上囟门生疮，较后再发。
冷入肾脏候：从额上开始，色紫而微青，下侵中岳，满面青白，多顽涎（粘稠的痰），吐也。亦多睡少精光。
热入肾脏候：从食仓开始，颜色微赤，下到准头而还，日久两眼延烂。外候耳重，多有眼脂，小便赤色。
茅先生辩小儿五脏各受色：
小儿心脏色：左颧应赤色丹系，心属南方火下离。心乱心中有余热。或言风拥莫忧疑。
小儿肺脏色：右颧白应在秋庚，肺属西方金位行。若见颧中如马尾，此名气盛气相腾。
小儿肝脏色：两眼青时旺甲春，在肝属木象东君。忽青胞目如蓝靛，即是惊痫风欲发。
小儿脾脏色：脾胃四季属中央，戊乙相乘土色黄。外绕四唇如橘水，须因积滞热相当。
小儿肾脏色：北方壬癸肾黑色，浓水随归两耳流。若在耳边垂黑发，肾家有病是因由。
茅先生辩小儿四季受色吉凶：
春青夏赤秋白平，冬黑四季亦同名。（此为四季以上色，平也。）春黄夏白秋青色，冬赤四季黑为宁。
春赤夏黄秋色黑，冬青四季白灾轻（子）。春黑夏青秋色黄，冬白四季赤同评（母）。春白夏黑秋色赤，冬黄四季青不羸。（此为贼邪。）
茅先生辩小儿面部五色：
小儿面带赤色心病。或惊，或壮热，或伤。小儿面带黄色脾病。或肚膨，或肚痛，或不进食，或脾寒，或呕逆。小儿面带白色肺病。或咳嗽，或气喘。小儿面带黑色肾病。夜有虚汗，或夜有虚热，小便先带红色后带白色。小儿面带青色肝病。身上须发大疮。
茅先生小儿杂病色：
白在右颧肺气盛，左颧微白邪干心。绕唇白色气不顺，左右人中脾积深。胃气不和黄色淡，睛胞青色只因惊。心多惊悸言颧左，右肺青风喘嗽声。满面黑时肾家冷，常抛黑粪不曾停。
茅先生小儿五脏受赤色：
左颧右颧心肺热，两眼连箱肝候同。唯有四唇耳前后，肾脾受热本同宗。
茅先生小儿面部杂色：
面黄金色有积余，西方青色号惊呼。面红身热伤寒候，耳冷疮疡是一徒。（此言疹痘，赤言浑身热，面青色，耳尖冷，手足冷即是也。）客忤黑青翻白沫，眼睛黄色积难除。非时面黑多惊叫，啼哭声频气不苏。面黄脸赤惊疳积，分明解得病当除。面青面黄鼻亦痒，目暗风疳是本源。面黑面青及红热，啼呼中水患由偏。
钱乙面上证（与茅先生五部位不同）
左腮为肝，右腮为肺，额上为心，鼻为脾，颏为肾。
赤者热也，随证治之。
钱乙目内证：
赤者心热，导赤散主之。（方见实热门中。）淡红者心虚热，生犀散主之。（方见虚热门中。）青者肝热，泻青丸主之。（方见惊热门中。）淡浅者，补之。黄者脾热，泻黄散主之。（方见胃热门中。）无精光者肾虚，地黄丸主之。（方见虚寒门中。）
《婴童宝鉴》论形色：
凡小儿自期岁以前，犹有变蒸，未及诊脉，唯以形候而知其病矣。看形候之际，医工可安神定思，勿令情意惑乱。其孩子又忌方睡起，哭声始断，如此则色候不正矣。凡形候在辰后巳前者，为夏未酷热，冬乃微和，即外色不盈于面耳，可以向明观也。
《婴童宝鉴》观五脏各部色（与茅先生部位同，与钱乙不同∶）
心属火，其色赤。（南方之应。）王在夏，外应于面之左颧，故左颧上赤色如丹丝之乱理者，心有余热，亦言有风热。肺属金，其色白。（西方之应。）王在秋，外应于面之右颧，故右颧上白色如马尾者，为肺之盛气。肝属木，其色青。（东方之应。）王在春，外应两目，故目内青色如绽者，谓肝有风，或云惊痫欲发。脾属土，其色黄。（中央之应。）王在四季，外应于合，故口四畔黄色如橘者，脾之有积热。肾属水，其色黑。（北方之应。）王在冬，应于两耳前，流转不定，水性也，故耳前黑色如鸟丝垂于水中者，肾之有疾也。
凡色赤在左颧者，心热。在右颧者，肺热。在两目者，肝热。（其色在于两目，眼周遭也。）在口四畔者，脾热。在两耳前后者，肾热。凡白色在右颧者，肺气盛。左颧者，微邪干心；口四畔者，气不顺。凡黄色在口及人中，并左右两边黄者，脾有疾。黄色微者，胃气不和。凡青色在两眼，（目中白人也。又在目坑者，亦同也。）是惊欲发。在左颧上，心多惊悸。右颧上者，风入肺为咳嗽而喘。凡黑色满面者，肾冷，必下黑粪。此者辨五脏病色，更识春夏秋冬四季，断其病状，须在审详，勿令误矣。
面黄白色，有积。面青白色，有惊。面色赤，身热者，伤寒。面色赤，耳尖冷，身热者，疹痘。面色青黑，或时吐白沫者，客忤。非时面上红赤变易不定者，惊。眼睛黄者，有积。面黄，两颧小赤者，惊疳。面青黄，鼻痒，目昏者，风疳。面青黑，色夭纠，啼呼者，中寒之患。初生，面目上、鼻口左右悉黄为血疸。人中鼻下青，乳不消。痢下青者，衣薄中寒。诸阳皆会于面，阳衰本有风邪，夹冷者面青。鼻下两边赤者，名赤鼻。
面青白，躯身哭者，胎中受邪。面青者，肝痫。面赤者，心痫。面白者，肺痫。面黄者，脾痫。面黑者，肾痫。
心风：唇赤，汗流，面赤。肝风：两目连额并唇青面黄。脾风：腹满，通身黄。肾风：胁有痞块，面黑。肺风：胸满，鼻下目下色白。
面赤或壮热，四肢烦，手足心热，为心腹热痛。面色或青或白，甚者至面黑，唇、口、爪皆青，是心腹冷发痛。鼻上赤色是风疳。
小儿伤寒，鼻燥喘息，鼻气有声者，必衄候。
凡色者，应其春青，夏红，秋白，冬黑，在四季而黄，此五色为平也。
凡春得黄色，夏得白色，秋得青色，冬得赤色为微邪。虽有病，不治而自愈，亦为欲瘥之候。
凡春得白色，夏黑，秋赤，冬黄，四季青，此五色为恶色，见之虽不患亦大凶。
《婴童宝鉴》面部异色：
青色如横针眼下，死。鼻上色青，腹中痛，死。面青目黑是肝气所伤，荣卫不通，难瘥。青色连目入耳，死。赤色入口三日死，赤色入眉上，入目，死。黑色从眉绕目者七日死。黑色入口二日死。黑色绕口者死。鼻上黑色患水肿，人中黑色者死。鼻色白为吐血死，亦破伤出血后死。白色绕眉，患肺疾。黄色，鼻上脐中寒极。
《婴童宝鉴》年上色（谓鼻准上，中为年上，上为寿上∶）
鼻准头上微微高处名曰年上。（看年凶吉。）更上一位，亦有微起处名曰寿上。（看夭寿也。）上得青色，白色，黑色，赤色，并不可治。雌黄色如金者平。
又曰∶春色白，秋凶。夏色白，冬凶。
《婴童宝鉴》四墓色（从两眉间直上至发际，左为父墓，上为母墓，口吻直下为男女墓∶）
四墓上有四季正色者平。
春得青平，白在四墓七日死。夏得赤平，黑在四墓四日死。秋得白平，赤在四墓四日死。冬得黑平，黄在四墓者死。四季黄平。青在四墓者死。
Wang Xiansheng of Handong's *Jiabao* Inner Platform Secret Theory states:
For boys and girls under the age of ten, whenever there is discomfort, one must observe their complexion. If the face appears covered by a green gauze, extending from the hairline to Yintang (the point between the eyebrows), regardless of the severity of the illness, such a complexion indicates death within sixty days. If the green color extends to the nasal bridge, death will occur within one month. If it further reaches the philtrum (the groove below the nose), death will occur in no more than ten days. If this green color covers the entire face, death due to fright will occur on that very day. Even if Bian Que (a legendary divine physician) were present, he would find it difficult to treat.
Figure 1
Liver Affected by Fright Syndrome: The green color starts at the hairline; if the color is pale white, and extends to Chengxiang (the depressions on either side of the root of the nose), it transforms into Convulsive Wind (Jing Feng), accompanied by whole-body fever and frequent crying at night. It is appropriate to administer medicines for expelling wind from convulsions. If the green color recedes, the condition can be regulated and treated; if the color does not recede and extends downward to Dongyue (beside the alae nasi), there are signs of impending death. Blackness at the acupoint in front of the ear indicates Metal overcoming Wood. If external signs are present, the nose is dry, and the eyes roll upward. The Liver governs the sinews; when sinews contract, the eyes lose luster, indicating Kidney Exhaustion. Inability to move the pupils indicates Liver Exhaustion, as does blackening of the fingernails.
Liver Affected by Accumulation Syndrome: Starting from Shicang (the tip of the nose), the color is slightly yellow; if it invades downward to Chenmei (below the eyebrows), it indicates accumulation. Yellowish-red dark pupils, fever morning and evening, and excessive sleepiness indicate a fatal prognosis. Crying without tears is also a sign.
Liver Affected by Cold Syndrome: The face is pale blue-white, tears flow from the eyes, gums are pale white, clear water flows from the mouth, stool has a sour odor, the child sleeps much during the day, and suffers from restlessness at night.
Liver Affected by Heat Syndrome: A thin red aura begins at Zhengmei (middle of the eyebrow) and rushes toward Chengxiang. The Heart Pericardium surrounds the Liver; both eyes become red with much eye discharge. Infants vomit milk, older children vomit food. Phlegm generates wind, causing fever morning and evening, frequent crying, and little sleep.
Figure 2
Heart Affected by Fright Syndrome: Starting at Yintang, the color is slightly black; extending downward to the inner ends of the eyebrows, if it turns red, wind is generated. If it reaches the nasal bridge, there are signs of death. The skin lacks blood color, and black spots appear, indicating Water overcoming Fire. The ominous signs manifest on rainy days, particularly difficult during Hai-Zi hours (9 PM to 3 AM). With external signs, there is extreme thirst, inability to suckle properly, and the tongue protrudes beyond the lips.
Heart Affected by Accumulation Syndrome: Starting from the forehead corners and hollow temples, the whites of the eyes are reddish, urine resembles rice washings, the child lies face down, and vomits hot air when extremely distressed; this is an ominous sign.
Heart Affected by Cold Syndrome: Starting from the temples, black veins invade Yintang. The face is pale red, eyes lack luster, there is a desire to change milk/food, mouth produces clear water, and daytime irritability and thirst are prominent.
Heart Affected by Heat Syndrome: Starting from the cheeks, the redness intensifies. There is much fright, little sleep, dry hair, frequent thirst, redness and ulceration below the nose, foul breath, bad-smelling gums, sleeping with mouth open, much irritability, and vomiting worms in external cases.
Figure 3
Spleen Affected by Fright Syndrome: Starting at the hairline, the color is slightly blue, transmitting to the Liver. If it reaches the inner ends of the eyebrows and turns red, it transmits to the Heart; if it reaches the nasal bridge, the color becomes white. If black qi connects towards both ears, Convulsive Wind arises. If this does not recede, death occurs within a week. This syndrome is characterized by lips failing to cover teeth and absence of saliva, indicating Spleen Exhaustion. Limp, cold limbs indicate Spleen Exhaustion because the Stomach governs the limbs, which is contrary to normal logic; death occurs five days later during Yin-Mao hours (3 AM to 7 AM). External signs include passing black blood.
Spleen Affected by Accumulation Syndrome: Lips are yellow, eyes are puffy, facial edema occurs morning and evening, temples are relaxed. External signs include headache, abdominal distension, indigestion, frequent waking at night. Cold injury causes white stool. Heat in the zang organs causes red stool; imbalance of cold and heat causes dysentery with red and white mucus.
Spleen Affected by Cold Syndrome: Starting from Zhongyue (below the inner ends of the eyebrows), pale white color invades the nasal bridge and Yuanzhu (pupil). External signs include white stool, indigestion, constant diarrhea, white lips, vomiting, and yellow-red complexion.
Spleen Affected by Heat: Starting from the temples, white thin skin rises like bamboo supports. Lips are dry, accompanied by bad breath. External signs include red stool and nighttime irritability with screaming.
Figure 4
Lung Affected by Fright Syndrome: Starting from the hairline near the temples, the color is slightly red. Transmission to Sikong (outer corner of the eye) generates Convulsive Wind. External signs include panting, weakness, and frequent crying. Extension to Yintang indicates death, characterized by abnormal sounds, rattling in the throat, crying without tears, and dry, black, crusty nose.
Lung Affected by Accumulation Syndrome: Starting from the hairline, the color is slightly red, extending to the inner ends of the eyebrows, causing abdominal distension and nausea. Extension to the nasal bridge and Zhuntou (tip of the nose) indicates death. Panting that does not resolve indicates difficulty during Wu-Wei hours (11 AM to 5 PM) for three days.
Lung Affected by Cold Injury: Starting from the philtrum, extending to Chengjiang (center of chin) and lower jaw. Color follows seasons: blue in Spring, red in Summer, white in Autumn, black in Winter. External signs include runny nose, red and dim eyes, red cheeks, panting with rattling sound. Ominous signs include black face, biting, black nose, fever, and irregular panting.
Lung Affected by Heat Syndrome: Starting from the cheeks, the color is blue-white, rushing toward Chengjiang. External signs include nosebleeds, frequent crying at night, severe irritability and thirst, indicating Guan disease (infantile malnutrition).
Figure 5
Kidney Affected by Fright: Starting at the acupoint in front of the ear, the color is slightly yellow, invading Chakou (corners of mouth). External signs include grinding teeth in sleep. Invasion of Xiage leads to ominous signs: black face, fearful screaming, sweat like glue, and blackness at the preauricular acupoint.
Kidney Affected by Accumulation: Starting from deep-set eyes, color is slightly black, eyes slightly red. External signs include deafness, sores on the fontanelle, recurring after initial healing.
Cold Entering Kidney: Starting from the forehead, color is purple-blue, invading Zhongyue. Face is blue-white, with much sticky phlegm (spitting). Sleeps much, lacks spirit.
Heat Entering Kidney: Starting from Shicang, color is slightly red, reaching Zhuntou and returning. Long-term results in rotting eyes. External signs include heavy ears, much eye discharge, and red urine.
Mr. Mao discusses the colors of the five zang organs in children:
Heart Color in Children: The left cheek should show red like cinnabar threads; the Heart belongs to Fire in the South (Li trigram). Restless heart indicates excess heat. Do not worry about wind obstruction.
Lung Color in Children: White on the right cheek corresponds to Autumn Geng; the Lung belongs to Metal in the West. If the cheek shows patterns like horse tails, it indicates abundant lung qi.
Liver Color in Children: Blue around the eyes indicates flourishing Wood in Spring; the Liver belongs to Wood in the East. Sudden blue eyelids like indigo indicate impending convulsive epilepsy.
Spleen Color in Children: The Spleen and Stomach belong to the Center in all four seasons; Earth color is yellow. Yellow around the lips like orange juice indicates accumulation and heat.
Kidney Color in Children: Black corresponds to Ren-Gui in the North; thick fluid flows to both ears. Black hair hanging by the ears indicates kidney disease.
Mr. Mao discusses the auspicious and inauspicious colors of children in the four seasons:
Blue in Spring, Red in Summer, White in Autumn are normal; Black in Winter is also normal.
Yellow in Spring, White in Summer, Blue in Autumn, Red in Winter are peaceful.
Red in Spring, Yellow in Summer, Black in Autumn, Blue in Winter bring light disaster (Son).
Black in Spring, Blue in Summer, Yellow in Autumn, White in Winter are equal (Mother).
White in Spring, Black in Summer, Red in Autumn, Yellow in Winter do not weaken (Thief Evil).
Mr. Mao discusses the five facial colors in children:
Red face indicates Heart disease: fright, high fever, or injury.
Yellow face indicates Spleen disease: bloated belly, belly pain, loss of appetite, spleen cold, or vomiting.
White face indicates Lung disease: cough or panting.
Black face indicates Kidney disease: night sweats, night fever, urine initially red then white.
Blue face indicates Liver disease: large sores on body hair.
Mr. Mao discusses miscellaneous disease colors in children:
White on right cheek indicates abundant Lung qi; slight white on left cheek indicates evil affecting the Heart. White around lips indicates stagnant qi; deep accumulation in philtrum indicates Spleen issues. Pale yellow indicates Stomach disharmony. Blue eyelids indicate only fright. Left cheek palpitations indicate Heart fright; right cheek blue indicates wind in Lung causing cough and panting. Full black face indicates Kidney cold, often with black stool.
Mr. Mao discusses red colors in the five zang organs of children:
Red on left and right cheeks indicates Heart and Lung heat. Red around eyes and liver signs are similar. Only the four lips and areas before/after ears share the same origin for Kidney and Spleen heat.
Mr. Mao discusses miscellaneous facial colors in children:
Golden-yellow face indicates accumulation. Western blue indicates fright. Red face with fever indicates Cold Damage (Shang Han). Cold ears with sores indicate measles/smallpox (red face, full body heat, blue face, cold ear tips and hands). Guest awe (Ke Wu) presents with black-blue face and white foam. Yellow eyes indicate hard-to-remove accumulation. Unexplained black face with frequent crying indicates fright. Yellow face with red cheeks indicates fright-Guan accumulation. Blue-yellow face with itchy nose and dim eyes indicates Wind-Guan. Black-blue-red-hot face with crying indicates internal cold/water affliction.
Qian Yi's Facial Signs (Different from Mr. Mao's five locations):
Left cheek is Liver, Right cheek is Lung, Forehead is Heart, Nose is Spleen, Chin is Kidney.
Red indicates Heat; treat according to symptoms.
Qian Yi's Eye Internal Signs:
Red indicates Heart Heat; treat with Dao Chi San (see Fever Chapter). Pale red indicates Heart Deficiency Heat; treat with Sheng Xi San (see Deficiency Fever Chapter). Blue indicates Liver Heat; treat with Xie Qing Wan (see Fright Heat Chapter). Pale blue requires tonification. Yellow indicates Spleen Heat; treat with Xie Huang San (see Stomach Heat Chapter). Lack of luster indicates Kidney Deficiency; treat with Di Huang Wan (see Deficiency Cold Chapter).
*Yingtong Baojian* discusses form and color:
Before the age of two, infants undergo bianzheng (metamorphic steaming); pulse diagnosis is not yet applicable, so illness is known through form and signs. When observing signs, the physician should calm their mind and avoid confusion. Avoid examining immediately after waking or when crying just stops, as the complexion will be inaccurate. Observe in the morning (Chen-Si hours) when summer heat is not intense and winter is mild, ensuring external color is not obscured by sweat.
*Yingtong Baojian* observes colors of five zang organs (Same as Mr. Mao, different from Qian Yi):
Heart belongs to Fire, color Red (South). Prosperous in Summer, externally reflected on left cheek. Red chaotic lines on left cheek indicate Heart excess heat or wind-heat.
Lung belongs to Metal, color White (West). Prosperous in Autumn, externally reflected on right cheek. White horse-tail patterns on right cheek indicate abundant Lung qi.
Liver belongs to Wood, color Blue (East). Prosperous in Spring, externally reflected on eyes. Blue bursting patterns inside eyes indicate Liver wind or impending convulsive epilepsy.
Spleen belongs to Earth, color Yellow (Center). Prosperous in all four seasons, externally reflected on mouth. Orange-like yellow around lips indicates Spleen accumulation heat.
Kidney belongs to Water, color Black (North). Prosperous in Winter, reflected in front of ears. Flowing black like bird threads in water indicates Kidney disease.
Red on left cheek: Heart Heat. On right cheek: Lung Heat. On eyes: Liver Heat (including surrounding area). Around mouth: Spleen Heat. Before/behind ears: Kidney Heat.
White on right cheek: Abundant Lung qi. Left cheek: Slight evil affecting Heart. Around mouth: Qi stagnation.
Yellow on mouth and philtrum, bilateral: Spleen disease. Slight yellow: Stomach disharmony.
Blue on eyes (whites or eye pits): Impending fright. On left cheek: Heart fright/palpitations. On right cheek: Wind entering Lung causing cough/panting.
Full black face: Kidney cold, likely passing black stool. Distinguishing zang organ colors requires understanding the four seasons to judge accurately.
Yellow-white face: Accumulation. Blue-white face: Fright. Red face with fever: Cold Damage. Red face with cold ear tips and fever: Measles/Smallpox. Blue-black face with occasional white foam: Guest Awe. Unstable red face changes: Fright. Yellow eyes: Accumulation. Yellow face with small red cheeks: Fright-Guan. Blue-yellow face with itchy nose and dim eyes: Wind-Guan. Blue-black sallow face with crying: Internal Cold.
Newborns with yellow face/nose/mouth: Blood Jaundice. Blue under philtrum: Milk indigestion. Green stool: Thin clothing/Cold.
Yang meridians converge on the face. Yang deficiency with wind-cold causes blue face. Redness on both sides below nose: Red Nose.
Blue-white face with body crying: Pathogen received in utero. Blue face: Liver Epilepsy. Red face: Heart Epilepsy. White face: Lung Epilepsy. Yellow face: Spleen Epilepsy. Black face: Kidney Epilepsy.
Heart Wind: Red lips, sweating, red face.
Liver Wind: Blue eyes connecting to forehead and lips, yellow face.
Spleen Wind: Abdominal fullness, whole body yellow.
Kidney Wind: Flank masses, black face.
Lung Wind: Chest fullness, white color below nose and eyes.
Red face or high fever, limb irritability, hot palms/soles: Heart/Abdominal Heat Pain.
Blue/white/black face, blue lips/mouth/nails: Heart/Abdominal Cold Pain.
Redness on nose: Wind-Guan.
Pediatric Cold Damage with dry nose, panting, noisy breathing: Likely nosebleed.
Normal colors correspond to seasons: Blue Spring, Red Summer, White Autumn, Black Winter, Yellow in transition periods.
Spring Yellow, Summer White, Autumn Blue, Winter Red: Minor Evil. Illness heals without treatment, indicating recovery.
Spring White, Summer Black, Autumn Red, Winter Yellow, Transition Blue: Evil Colors. Highly inauspicious even if asymptomatic.
*Yingtong Baojian* Abnormal Facial Colors:
Blue like horizontal needle under eye: Death. Blue above nose: Abdominal pain, Death. Blue face, black eyes: Liver qi damage, Wei/Qi blockage, hard to cure. Blue connecting eye to ear: Death. Red entering mouth: Death in 3 days. Red entering brows/eyes: Death. Black circling eyes from brows: Death in 7 days. Black entering mouth: Death in 2 days. Black circling mouth: Death. Black on nose: Edema. Black philtrum: Death. White nose: Hematemesis death, or post-trauma bleeding death. White circling brows: Lung disease. Yellow on nose/navel: Extreme Cold.
*Yingtong Baojian* Year/Age Colors (Tip of nose is Year, above is Longevity):
Slight elevation at nose tip is "Year" (judging annual fortune). Higher point is "Longevity" (judging lifespan). Blue, White, Black, Red here are incurable. Golden-yellow is normal.
Also: Spring White, Autumn Inauspicious. Summer White, Winter Inauspicious.
*Yingtong Baojian* Four Tomb Colors (From glabella to hairline: Left Father, Top Mother, Below mouth Male/Female):
Normal seasonal colors on tombs are peaceful.
Spring Blue peaceful; White on tombs: Death in 7 days.
Summer Red peaceful; Black on tombs: Death in 4 days.
Autumn White peaceful; Red on tombs: Death in 4 days.
Winter Black peaceful; Yellow on tombs: Death.
Transition Yellow peaceful; Blue on tombs: Death.