鼻头色青，腹中痛，苦冷者死。鼻头色微黑者有水气，色黄者胸上有寒，（必兼湿也。）色白者亡血也，
设微赤非时者死。其目正圆者， ，不治。又色青为痛，色黑为劳，色赤为风，
色黄者小便难，色鲜明者有留饮。（《金匮要略》。）
面青，人中反者，三日死。面无光，牙齿黑者死。面色
黑，目直视恶风者死。面色黑，胁满不能反侧者死。面色苍黑，卒肿者死。（上《中藏经》。）
赤色见于耳目及颧颊者，死在五日中。（颧颊一作额，）黑色出于额上发际，下直、鼻脊、两颧上者，
亦死在五日中。黑色起耳目鼻上，渐入于口者，死。（谓起于耳，或目，或鼻，渐入于
口。）病患及健人，黑色若白色起，入目及鼻口，死在三日中。
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。（上《脉经》。）
按∶面主气，主阳，主六腑。目主血，主阴，主五脏。
凡相五色之奇脉，面黄目青，面黄目赤，面黄目白，面黄目黑者，皆不死也。面青目赤，面赤目白，
面青目黑，面黑目白，面赤目青，皆死也。（《素问》。）
春面色青，目色赤，新病可疗，至夏愈。（此面色生目色也。）夏面色赤，目色黄，新病可疗，至季
夏愈。季夏面色黄，目色白，新病可疗，至秋愈。秋面色白，目色黑，新病可疗，
至冬愈。冬面色黑，目色青，新病可疗，至春愈。
论曰∶此四时王相本色见，故疗之必愈。夫五脏应五
行，若有病，则因其时，色见于面目，亦犹灼龟于里，吉凶之兆形于表也。
病患本色青，欲如青玉之泽，有光润者佳，面色不欲如青蓝之色。若面白目青，是谓乱常，以饮酒过
多，当风，邪风入肺，络于胆，胆气妄泄，故令目青，虽云天救，不可复生矣。（《脉经》、《千金方》，
并作面黄目青，此面色克目色也。）
病患本色赤，欲如鸡冠之泽，有光润者佳，面色不欲赤
如赭土。若面赤目白，忧恚思虑，心气内索，面色反好，急
求棺椁，不过十日死。
病患本色黄，欲如牛黄之泽，有光润者佳，不欲黄如灶中黄土。若面青目黄者，五日死。病患着床，
心痛气短，脾竭内伤。百日复愈，欲起彷徨。因坐于地，其立倚床。能治此者，是谓神良。
病患本色白，欲如璧玉之泽，有光润者佳，面色不欲如白垩。若面白目黑，（疑当作青。）无复生理
也。此谓酣饮过度，荣华已去，血脉空索，虽遇岐伯，无如之何。（《脉经》无酣饮过度句。）
病患本色黑，欲如重漆之泽，有光润者佳，面色不欲如炭色。若面黑目白，八日死，肾气内伤也。（《脉
经》无“也”字，下有“病因留积”四字，以例推之，目白当作目赤。）
病患面黄目青者不死，青如草滋死。病患面黄目赤者不死，赤如 血死。病患面黄目白者不死，白如
枯骨死。病患面黄目黑者不死，黑如 死。病患面目俱等者不死。（俱等，谓不改其常，无一部之独异也。
上《千金翼方》。）
鼻头颜色发青，说明腹中疼痛，如果伴有畏寒肢冷症状的，预后不良，多致死。鼻头颜色微黑的，体内有水饮停聚；颜色黄的，胸中有寒邪（必定兼夹湿邪）；颜色白的，是失血所致；如果出现微红色且不在正常时令季节的，预后不良，多致死。眼睛瞳孔固定不能转动的，属于不治之症。另外，面色青主痛证，色黑主劳损，色赤主风邪，色黄主小便困难，色泽鲜明光亮的主有痰饮停留。（出自《金匮要略》。）
面部青色，人中穴部位反向上翘起的，三天内死亡。面部没有光泽，牙齿发黑的，死亡。面色黑，眼睛直视不动且怕风的，死亡。面色黑，胁肋胀满不能翻身侧卧的，死亡。面色苍黑，突然发生浮肿的，死亡。（以上出自《中藏经》。）
赤色出现在耳朵、眼睛及颧骨脸颊部位的，五日内死亡。（颧颊一作额部。）黑色从额头发际处出现，向下直连鼻梁脊骨和两侧颧骨的，也死于五日内。黑色从耳、眼、鼻上方起始，逐渐蔓延到口部的，死亡。（意思是起于耳，或目，或鼻，逐渐进入口中。）无论是患病之人还是健康人，如果出现黑色或白色，并侵入眼睛及鼻口部位，三日内死亡。
肝病患者若皮肤色白，在庚辛日（金旺之日）会死亡。心病患者若眼睛色黑，在壬癸日（水旺之日）会死亡。脾病患者若嘴唇色青，在甲乙日（木旺之日）会死亡。肺病患者若脸颊红赤、眼睛肿胀，在丙丁日（火旺之日）会死亡。肾病患者若面部浮肿、嘴唇色黄，在戊己日（土旺之日）会死亡。（以上出自《脉经》。）
按语：面部主管气，属阳，对应六腑。眼睛主管血，属阴，对应五脏。
凡是观察五色与脉象的奇异变化，面黄目青、面黄目赤、面黄目白、面黄目黑的，都不会死亡。而面青目赤、面赤目白、面青目黑、面黑目白、面赤目青的，都会死亡。（出自《素问》。）
春季面色青，目色赤，新病可以治疗，到了夏季痊愈。（这是面色生目色的情况。）夏季面色赤，目色黄，新病可以治疗，到了长夏（季夏）痊愈。长夏面色黄，目色白，新病可以治疗，到了秋季痊愈。秋季面色白，目色黑，新病可以治疗，到了冬季痊愈。冬季面色黑，目色青，新病可以治疗，到了春季痊愈。
论述说：这是因为四季当令的本色显现出来，所以治疗必然痊愈。五脏对应五行，如果有病，则根据时令，面色显现于面目，就像在龟甲上灼烧占卜一样，吉凶的征兆显现在体表。
病患本色为青，应当像青玉那样有光泽、润泽才好，面色不应当像青蓝色那样枯暗。如果面白目青，这叫做违背常理，是因为饮酒过多，当风受邪，邪风入肺，络于胆，胆气妄泄，所以导致目青，虽然说是天救，也不可再生了。（《脉经》、《千金方》，都作面黄目青，这是面色克目色的情况。）
病患本色为赤，应当像鸡冠那样有光泽、润泽才好，面色不应当像赭石土那样枯暗。如果面赤目白，因忧愁愤怒思虑，心气内虚耗散，面色反而看似好转，急需准备棺椁，不超过十天就会死亡。
病患本色为黄，应当像牛黄那样有光泽、润泽才好，不应当像灶中的黄土那样枯暗。如果面青目黄，五日后死亡。病患卧床不起，心痛气短，脾脏衰竭内伤。百日后可恢复，想要起身却徘徊无力。因为坐在地上的缘故，站立时倚靠床铺。能治愈此病的，称为神医良工。
病患本色为白，应当像璧玉那样有光泽、润泽才好，面色不应当像白垩土那样枯白。如果面白目黑，（怀疑原文当作目青。）就没有再生的希望了。这是因为酗酒过度，荣华已去，血脉空虚耗散，即使遇到岐伯，也无能为力。（《脉经》中没有“酣饮过度”一句。）
病患本色为黑，应当像重漆那样有光泽、润泽才好，面色不应当像炭色那样枯黑。如果面黑目白，八日后死亡，这是肾气内伤。（《脉经》中没有“也”字，下面有“病因留积”四字，以此类推，目白应当是目赤。）
病患面黄目青的不死，但如果是草滋般的青色则死。病患面黄目赤的不死，但如果是凝血般的红色则死。病患面黄目白的不死，但如果是枯骨般的白色则死。病患面黄目黑的，如果是某种特定的黑色则死（原文此处可能有缺字或异文）。病患面目颜色均等协调的不死。（俱等，指不改变其常态，没有哪一部特别异常。）（以上出自《千金翼方》。）
The tip of the nose appears cyan (blue-green), indicating abdominal pain; if accompanied by aversion to cold, the prognosis is poor and death may ensue. If the tip of the nose is slightly black, it indicates water retention in the body; if yellow, there is cold in the chest (likely combined with dampness); if white, it indicates loss of blood. If a slight redness appears out of season, the prognosis is poor and death may ensue. Eyes fixed straight ahead without movement indicate an untreatable condition. Furthermore, cyan color indicates pain, black indicates exhaustion/labor injury, red indicates wind pathogen, yellow indicates difficulty in urination, and bright/shining color indicates retained fluid/phlegm-fluid (Jin Gui Yao Lue).
If the face is cyan and the philtrum (Ren Zhong) is inverted/upturned, death occurs within three days. A face lacking luster with black teeth indicates death. Black complexion with fixed gaze and aversion to wind indicates death. Black complexion with fullness in the hypochondrium and inability to turn over indicates death. Cyan-black complexion with sudden edema indicates death (Shang Zang Jing).
Redness appearing on the ears, eyes, and cheekbones indicates death within five days (cheekbones sometimes read as forehead). Blackness emerging from the hairline of the forehead, extending straight down the nasal bridge and to both cheekbones, also indicates death within five days. Blackness starting above the ears, eyes, or nose and gradually spreading into the mouth indicates death (meaning starting from the ear, eye, or nose, gradually entering the mouth). Whether for patients or healthy individuals, if black or white color appears and invades the eyes, nose, and mouth, death occurs within three days.
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) (Mai Jing).
Commentary: The face governs Qi, belongs to Yang, and corresponds to the Six Fu Organs. The eyes govern Blood, belong to Yin, and correspond to the Five Zang Organs.
Regarding the observation of the five colors and unusual pulses: Face yellow with eye cyan, face yellow with eye red, face yellow with eye white, and face yellow with eye black all indicate survival. However, face cyan with eye red, face red with eye white, face cyan with eye black, face black with eye white, and face red with eye cyan all indicate death (Su Wen).
In Spring, if the face is cyan and eyes red, new diseases can be treated and will heal by Summer (this is face generating eye color). In Summer, if the face is red and eyes yellow, new diseases can be treated and will heal by Late Summer. In Late Summer, if the face is yellow and eyes white, new diseases can be treated and will heal by Autumn. In Autumn, if the face is white and eyes black, new diseases can be treated and will heal by Winter. In Winter, if the face is black and eyes cyan, new diseases can be treated and will heal by Spring.
It is stated: This is because the ruling color of the four seasons appears, so treatment will surely lead to recovery. The Five Zang Organs correspond to the Five Elements. When diseased, according to the timing, colors appear on the face and eyes, just like divination by tortoise shell burning, where omens of good or bad fortune manifest on the surface.
For a patient whose natural color is cyan, it should resemble the luster of cyan jade, shiny and moist, which is good; the face should not look like dull cyan-blue. If the face is white and eyes cyan, this violates normalcy, caused by excessive drinking, exposure to wind, wind pathogen entering the Lung, connecting to the Gallbladder, causing reckless leakage of Gallbladder Qi, thus making the eyes cyan. Even if heaven saves, life cannot be restored (Mai Jing, Qian Jin Fang, both state face yellow with eye cyan, which is face overcoming eye color).
For a patient whose natural color is red, it should resemble the luster of rooster comb, shiny and moist, which is good; the face should not look like dark ochre earth. If the face is red and eyes white, due to worry, anger, and overthinking, Heart Qi is internally depleted. Although the complexion may seem improved, prepare coffins immediately; death will occur within ten days.
For a patient whose natural color is yellow, it should resemble the luster of ox gallstone, shiny and moist, which is good; it should not look like yellow earth from a stove. If the face is cyan and eyes yellow, death occurs in five days. The patient is bedridden, suffering from heart pain and shortness of breath, with Spleen exhaustion and internal injury. Recovery takes one hundred days; the patient wishes to rise but hesitates. Due to sitting on the ground, standing requires leaning on the bed. Those who can cure this are called divine physicians.
For a patient whose natural color is white, it should resemble the luster of jade disc, shiny and moist, which is good; the face should not look like white chalk. If the face is white and eyes black (suspected to be eye cyan in original text), there is no hope of life. This is due to excessive indulgence in alcohol, depletion of vitality, and empty/consumed blood vessels. Even if Qi Bo were present, nothing could be done (Mai Jing lacks the phrase "excessive indulgence in alcohol").
For a patient whose natural color is black, it should resemble the luster of double-lacquered wood, shiny and moist, which is good; the face should not look like charcoal. If the face is black and eyes white, death occurs in eight days, indicating internal injury to Kidney Qi (Mai Jing lacks the character "ye" and has "disease cause accumulation" below; by analogy, eye white should be eye red).
Patients with face yellow and eye cyan do not die, but if the cyan resembles grass dye, they die. Patients with face yellow and eye red do not die, but if the red resembles coagulated blood, they die. Patients with face yellow and eye white do not die, but if the white resembles dry bone, they die. Patients with face yellow and eye black... [text missing/variant] ...die. Patients with harmonious/equal face and eye colors do not die ("Ju Deng" means not changing their normal state, with no single part being abnormally different) (Qian Jin Yi Fang).