经言黑为痛。又言多血少气。盖主痛者。言其病。多血少气者。言其常。且黑者。肾与三焦膀胱之色。亦寒水
之色也。虽主痛主寒。当按其部位。审其病情。推之以四时。辨之以十法。如颧与颜黑者。肾病也。色黑齿槁
者。肾热也。黑色浅淡者。肾病水寒也。黑甚者。在脉则麻痹。在筋则拘挛也。色黑脉沉而急。脊与腰相引痛。
小腹里急。咽肿伤烂。口干。善忘。目KT KT 。骨中寒者。肾积之证。饥则见。饱则减也。色黑脉坚而大者。有积
气在小腹与阴。肾痹之证也。骨痹不已。色黑耳鸣者。复感于邪。内舍于肾也。面肿垢黑。腰脊痛。不能久立。屈
伸不利。发堕齿槁。腰背相引而痛。甚则咳唾者。骨极虚寒也。面庞然浮肿。脊痛不能正立。其色 。隐曲不
利。多汗恶风。肌上色黑者。肾风也。面黑手足不遂。腰痛难以俯仰。骨痹痛者。肾风发也。肾病色黑。其气虚
弱。吸吸少气。两耳苦聋。腰痛。时时失精。饮食减少。膝以下清。其脉沉滑而迟者。可治之证也。邪热伤肾。面
黑黄。耳色不应者。亦尚可治也。耳鸣面黑。尿赤阴疮者。肾劳也。面目干黑。精神不定。不能独卧。目视不明。
频频下泪者。肝劳也。面色黧黑。形瘦耳焦。小便浊而有脂液者。下消也。鼻头色微黑者。有水气也。色黑目
窠下微肿者。水病也。眼下如烟煤者。痰饮也。面色黧黑。其人喘满。心下痞坚。脉沉紧者。膈间有支饮也。面
色惨然青黑者。中寒也。身冷反躁。欲投井中。唇青面黑。渴欲饮水。水入则吐。大便自利。脉或伏。或沉细而
疾者。伤寒阴盛格阳也。紫浊者。时疫也。惨黑带紫者。邪气盛也。鼻孔干燥。黑如烟煤者。阳毒热深也。鼻出
冷气。滑而黑者。阴毒冷极也。阴毒身重背强。腹中绞痛。咽喉不利。心下坚强。气不得息。呕逆。唇青面黑。四
肢厥冷。其脉沉细紧数。身如被打者。毒瓦斯攻心。五六日可治。七日不可治也。黑滞而惊恐不寐者。客邪为
害也。黑如烟煤者。中恶腹痛也。耳前黑者。疝痛也。唇舌面色皆紫黯青肿者。中毒也。痫发面黑。直视不摇。
如尸状者。肾痫也。血脉不荣。颜色憔悴者。心之经病也。面见青黑斑点者。神气衰也。形枯色灰者。表虚也。
身瘦面晦暗如铅色。吐出瘀血色黑。胃脘痛。按之更痛而坚。如咬如焚。食时则痛。食后痛止者。痈在上口。
若食时不痛。食后则痛者。痈在下口也。面黑颜黑者。胃病也。小腹满。额上黑。足下热者。黑疸也。额上黑。微
汗出。手足中热。薄暮即发。膀胱急。小便自利者。名曰女劳疸。若腹如水状。则不治也。额上昏黑面黄者。亦
女劳疸也。阴黄面色黧黑。冷汗 者。死证也。阳黄黄如烟熏。目暗。唇清者。死证也。凡黄家。寸口近掌无
脉。口鼻冷黑者。皆不可治也。苍黑而枯槁者。血涸也。血凝目下。状如豚肝者。寒厥相遂。为热所壅也。妇人
羸瘦弱甚。肢体烦痛。面目瘀黑。忧恚不乐者。久虚不能食。冷结脐下也。面枯槁而略带黑者。血质有坏而
然也。妊娠色暗不开。忽尔明者。欲产也。乍暗乍明者。产难也。妇人眼眶灰黑者。崩中带下也。妇人面黑无
颜色。皮肉相连。月经失度。小腹弦急或绞痛至心。两胁肿胀。食不生肌肤者。当病崩中漏下。且腐臭也。腰
痛而面色忽红忽黑者。心肾交争。难治之证也。病患卒肿。其面苍黑者。死证也。面青黑暗。泻血者。死证也。
病患面黑。两胁下满。不能自转侧者。死证也。香港脚冲心。目额皆黑。恍惚谵妄者。水克火。命难全也。腰脚肿。
小便不通。气上喘急。目额皆黑。左尺脉绝者。香港脚入肾之死证也。真心痛。面黑四肢厥冷者。旦发夕死。夕
发旦死也。脐下忽大痛。人中黑者。死色也。破伤风。头面青黑。眼小目瞪。身汗如油者。邪入于脏。难治之证
也。吐泻之后。四肢逆冷。面黑气喘。冷汗自出。外肾搐缩。不省人事者。元气不接。脱阳之证也。面黑直视恶
风者。死证也。色泽去。面黑如黧者。手少阴气绝。血先死也。髦色不泽。面黑如漆柴者。手少阴气绝。血先死
也。脉不通。血不流。发不泽。面黑如漆叶者。血先死。手少阴气绝也。赤黑色。黯点见颜上。
若度年上者。心病少愈。必卒死也。黑色出于庭。大如拇指者。必不病而卒死也。色枯黑。语声
不转者。心先死。若天中等分。墓色应之。即死不治也。病患黑气出于天中。下至年上颧上者。
死色也。病患黑色出于额上。发际下直鼻脊。及两颧上者。死在五日中也。面黑目白者。肾气内
伤也。面黑目青者。肾气内伤。病因留积。八日当亡也。黑色横目三阳者。死在半年间也。面目
带黄黑。连耳左右者。年四旬以上。百日死也。额上黑如雾者。死在百日内也。脸上黑如雾者。
死在七日内也。人中口吻黑绕者。脾肾绝。七日死也。印堂黑暗。耳门黑气入口者。不治之证也。
气黑暗于耳前者。亦不治也。黑掩太阳者。卢医莫救也。黑如湿灰者。扁鹊不治也。气色搏聚凝
滞者。病将进。难治也。平人眼下青黑。面色如灰尘者。必病也。眼角或青或黑者。主大病也。
气如烟雾者。病欲缠身也。黑滞渐退者。病欲退也。病愈而面色如煤不开者。终不吉也。面黑齿
长而垢。腹胀闭。上下不通者。少阴终也。齿为暴枯。面为正黑。目中黄。腰欲折。自汗出如流
水者。肾绝之证。四日死也。腹胀闭。不得息。善噫善呕。呕则逆。逆则面赤。不逆则上下不通。
面黑皮毛焦者。太阴终也。病患及健人。面忽如马肝色。望之如青。近之如黑者。肝肾绝也。形
体如烟熏。直视摇头者。心绝也。鼻如烟煤者。肺绝也。鼻孔黑燥无涕者。肺绝也。环口黧黑者。
肾绝也。环口黧黑。柔汗发黄者。脾绝也。耳叶焦黑者。肾绝也。真肾脉至。搏而绝。如指弹石。
辟辟然。色黑黄不泽。毛折乃死者。脉无胃气。土克水也。心病烦闷。少气火热。热上撞心。呕
咳吐逆。狂语。汗出如珠。身体厥冷。其脉当浮。今反沉濡而滑。其色当赤。而复黑者。此是水
之克火。为大逆。十死不
治。是皆黑色之目也。（漆柴之柴。千金作叶。齿长而垢之垢。千金作枯。宜从之。）
医经中说黑色主痛。又说“多血少气”。这里说“主痛”，是指疾病的表现；说“多血少气”，是指黑色的常态特征。而且，黑色是肾与三焦、膀胱的颜色，也是寒水的颜色。虽然黑色主痛、主寒，但应当根据发病部位，审察病情，结合四时变化来推断，运用十种诊法来辨别。例如：颧骨和颜面发黑的，是肾病；面色黑且牙齿干枯的，是肾热；黑色浅淡的，是肾病伴有水寒；黑色深重的，在脉象上表现为麻痹，在筋脉上表现为拘挛。面色黑、脉象沉而急迫的，脊柱与腰部相互牵引疼痛，小腹部拘急不适，咽喉肿痛溃烂，口干，容易健忘，眼睛视物模糊不清，骨中寒冷，这是肾积的证候，饥饿时症状显现，饱食后减轻。面色黑、脉象坚大有力的，说明小腹与阴部有积气，属于肾痹的证候。骨痹日久不愈，又出现面色黑、耳鸣，是再次感受邪气，内传于肾所致。面部浮肿且色泽污秽发黑，腰脊疼痛，不能久站，屈伸不利，头发脱落，牙齿干枯，腰背相互牵引疼痛，严重时咳嗽吐痰，这是骨极虚寒的证候。面部庞然浮肿，脊背疼痛不能挺直站立，面色晦暗，二便不利，多汗恶风，肌肉表面发黑，这是肾风的证候。面部发黑，手足活动不便，腰痛难以俯仰，骨节痹痛，这是肾风发作的表现。肾病面色发黑，正气虚弱，呼吸短促微弱，双耳苦于耳聋，腰痛，时常遗精，饮食减少，膝盖以下清冷，脉象沉滑而迟缓的，是可以治疗的证候。邪热损伤肾脏，面色黑黄，耳色不应（指耳色无光泽或异常），也还可以治疗。耳鸣、面黑、尿赤、阴部生疮的，是肾劳。面目干燥发黑，精神不定，不能独自卧床，视物不明，频频流泪的，是肝劳。面色黧黑，形体消瘦，耳朵焦枯，小便浑浊且有脂液的，是下消。鼻头颜色微黑的，是有水气。面色黑、眼窝下方微肿的，是水病。眼下像烟煤一样的，是痰饮。面色黧黑，其人气喘胸闷，心下痞塞坚硬，脉象沉紧的，是膈间有支饮。面色惨青带黑的，是中寒。身体寒冷反而烦躁，想跳进井里，嘴唇青紫，面色发黑，口渴想喝水，但水入即吐，大便自利，脉象或伏匿，或沉细而疾速的，是伤寒阴盛格阳证。紫浊色的，是时疫。惨黑带紫的，是邪气旺盛。鼻孔干燥，黑如烟煤的，是阳毒热深。鼻孔出冷气，滑腻而黑的，是阴毒冷极。阴毒证见身体沉重，背部僵硬，腹中绞痛，咽喉不利，心下坚硬，气息不畅，呕吐逆气，嘴唇青紫，面色发黑，四肢厥冷，脉象沉细紧数，身体感觉像被打过一样，这是毒瓦斯攻心，五六天尚可治疗，七天则不可治。黑色滞涩且惊恐失眠的，是客邪为害。黑如烟煤的，是中恶腹痛。耳前发黑的，是疝痛。嘴唇、舌头、面色都呈紫黯青肿的，是中毒。癫痫发作时面色发黑，两眼直视不动，像尸体一样的，是肾痫。血脉不荣润，颜色憔悴的，是心的经脉病变。面部出现青黑斑点的，是神气衰败。形体枯槁、面色灰暗的，是表虚。身体瘦削，面色晦暗如铅色，吐出瘀血色黑，胃脘疼痛，按压时更痛且坚硬，疼痛感如咬如焚，进食时疼痛，食后疼痛停止的，是痈在上口（贲门）；如果进食时不痛，食后则痛的，是痈在下口（幽门）。面部和颜面发黑的，是胃病。小腹胀满，额头发黑，脚底发热，是黑疸。额头发黑，微汗出，手足心热，傍晚即发作，膀胱急迫，小便自利的，名叫女劳疸。如果腹部像有水状，则不可治。额头昏黑、面色黄的，也是女劳疸。阴黄色泽黧黑，出冷汗的，是死证。阳黄色泽黄如烟熏，目暗，嘴唇清冷的，是死证。凡是黄疸病患者，寸口脉搏近掌处无脉，口鼻冷黑的，都不可治。苍黑而枯槁的，是血枯竭。血凝滞于眼下，形状像猪肝脏一样的，是寒厥相逐，被热邪壅遏所致。妇人极度羸弱消瘦，肢体烦痛，面目瘀黑，忧愁愤怒不快乐的，是久虚不能进食，冷结于脐下。面色枯槁略带黑色的，是血质败坏所致。妊娠期间面色暗淡不开，忽然明亮的，是要分娩了；忽暗忽明的，是产难。妇人眼眶灰黑的，是崩漏带下。妇人面色发黑无光泽，皮肉相连（形容面色晦暗无华），月经失调，小腹部弦急或绞痛连及心胸，两胁肿胀，饮食不能滋养肌肤的，应当患有崩中漏下，且分泌物腐臭。腰痛而面色忽红忽黑的，是心肾交争，属于难治的证候。病患突然浮肿，面色苍黑的，是死证。面青黑暗，泻血的，是死证。病患面色发黑，两胁下胀满，不能自行转侧的，是死证。香港脚冲心，目眶和额头皆黑，恍惚谵妄的，是水克火，性命难保。腰脚肿胀，小便不通，气上喘急，目眶和额头皆黑，左尺脉绝的，是香港脚入肾的死证。真心痛，面色发黑，四肢厥冷的，早晨发病晚上死，晚上发病早晨死。脐下突然剧痛，人中穴发黑的，是死色。破伤风，头面青黑，眼小目瞪，身汗如油的，是邪入于脏，难治的证候。吐泻之后，四肢逆冷，面色发黑，气喘，冷汗自出，外生殖器收缩，不省人事的，是元气不接，脱阳的证候。面色发黑，直视恶风的，是死证。色泽消退，面色黑如黎黑的，是手少阴气绝，血先死。毛发色泽不润泽，面色黑如漆柴的，是手少阴气绝，血先死。脉道不通，血液不流动，头发不润泽，面色黑如漆叶的，是血先死，手少阴气绝。赤黑色，黯点出现在颜面上，如果延伸到年上（鼻柱上部），心病将稍愈，但必定突然死亡。黑色出于庭（印堂上方），大小如拇指的，必定不病而突然死亡。色枯黑，语声不转的，是心先死，如果在天中（两眉之间）中分出现墓色应之，立即死亡不可治。病患黑气出于天中，下至年上、颧上的，是死色。病患黑色出于额上，发际下直鼻脊，及两颧上的，死在五日内。面黑目白的，是肾气内伤。面黑目青的，是肾气内伤，病因留积，八日当亡。黑色横贯目下三阳部位的，死在半年间。面目带黄黑，连及耳朵左右的，四十岁以上者，百日死。额头黑如雾的，死在百日内。脸上黑如雾的，死在七日内。人中、口吻周围发黑的，是脾肾绝，七日死。印堂黑暗，耳门黑气入口的，是不治之证。气色黑暗于耳前的，也是不治。黑掩太阳穴的，卢医莫救。黑如湿灰的，扁鹊不治。气色搏聚凝滞的，病将进展，难治。普通人眼下青黑，面色如灰尘的，必定生病。眼角或青或黑的，主大病。气如烟雾的，病欲缠身。黑滞渐退的，病欲退。病愈而面色如煤不开的，终不吉。面黑齿长而垢，腹胀闭，上下不通的，是少阴终。牙齿突然枯槁，面色正黑，目中黄，腰欲折，自汗出如流水的，是肾绝之证，四日死。腹胀闭，不得息，善噫善呕，呕则气逆，逆则面赤，不逆则上下不通，面黑皮毛焦的，是太阴终。病患及健康人，面色忽然像马肝色，远看如青，近看如黑的，是肝肾绝。形体如烟熏，直视摇头的，是心绝。鼻如烟煤的，是肺绝。鼻孔黑燥无涕的，是肺绝。环口黧黑的，是肾绝。环口黧黑，柔汗发黄的，是脾绝。耳叶焦黑的，是肾绝。真肾脉至，搏动而绝，如指弹石，辟辟作响，色黑黄不润泽，毛折乃死者，是脉无胃气，土克水也。心病烦闷，少气火热，热上撞心，呕咳吐逆，狂语，汗出如珠，身体厥冷，其脉当浮，今反沉濡而滑，其色当赤，而复黑者，此是水之克火，为大逆，十死不治。这些都是关于黑色的诊断条目。（注：漆柴之柴，《千金方》作叶；齿长而垢之垢，《千金方》作枯，宜从《千金方》。）
The medical classics state that black indicates pain. It is also stated that black indicates abundant blood and deficient qi. The phrase "indicates pain" refers to the manifestation of disease, while "abundant blood and deficient qi" refers to the normal attribute of the color black. Furthermore, black is the color of the Kidney (Shen), Sanjiao (Triple Burner), and Bladder (Pangguang); it is also the color of Cold Water (Han Shui). Although black primarily indicates Pain Syndromes (Tong Zheng) and Cold Syndromes (Han Zheng), one must examine the location of the lesion, assess the condition, deduce based on the Four Seasons (Si Shi), and differentiate using the Ten Methods (Shi Fa). For instance: Blackness on the cheekbones (Quan) and forehead (Yan) indicates a Kidney Disease (Shen Bing). Black complexion with dry teeth indicates Kidney Heat (Shen Re). Pale black indicates Kidney Disease accompanied by Cold Water (Shui Han). Severe blackness manifests as numbness in the pulse and spasms in the tendons. Black complexion with a deep and rapid pulse, pulling pain between the spine and waist, urgency in the lower abdomen, swollen and ulcerated throat, dry mouth, forgetfulness, blurred vision (Mu KT KT), and cold in the bones constitute the syndrome of Kidney Accumulation (Shen Ji), which appears when hungry and diminishes when full. Black complexion with a firm and large pulse indicates accumulated Qi in the lower abdomen and yin region, constituting the syndrome of Kidney Bi (Shen Bi). If Bone Bi (Gu Bi) persists and is accompanied by black complexion and tinnitus, it indicates re-infection with pathogenic factors that have entered internally to reside in the Kidney. Facial edema with a dirty, blackish hue, lumbar and spinal pain, inability to stand for long periods, difficulty in flexion and extension, hair loss, dry teeth, pulling pain between waist and back, and severe coughing with sputum constitute the syndrome of Extreme Bone Deficiency and Cold (Gu Ji Xu Han). Puffy facial edema, spinal pain preventing upright standing, dark complexion, difficulty in urination and defecation, profuse sweating, aversion to wind, and black muscle surface indicate Kidney Wind (Shen Feng). Black face with hemiplegia, lumbar pain preventing bending and stretching, and bone Bi pain indicate the onset of Kidney Wind. In Kidney Disease, the complexion is black; if Qi is deficient and weak, with shallow breathing, deafness in both ears, lumbar pain, frequent seminal emission, reduced appetite, and cold below the knees, a deep, slippery, and slow pulse indicates a treatable condition. If pathogenic heat damages the Kidney, resulting in a black-yellow face and dull ear color, it is still treatable. Tinnitus, black face, red urine, and genital sores indicate Kidney Exhaustion (Shen Lao). Dry, dark-black face and spirit, inability to lie alone, poor vision, and frequent tearing indicate Liver Exhaustion (Gan Lao). Dark-black face, emaciation, scorched ears, and turbid urine with lipid fluid indicate Lower Xiao (Xia Xiao). Slightly black nose tip indicates Water Qi (Shui Qi). Black face with slight swelling under the eyes indicates Water Disease (Shui Bing). Eye area resembling coal smoke indicates Phlegm-Fluid Retention (Tan Yin). Dark-black face, asthma and chest fullness, epigastric hardness, and deep-tight pulse indicate Branch Fluid (Zhi Yin) in the diaphragm. Gloomy blue-black face indicates Interior Cold (Zhong Han). Cold body with restlessness, desire to jump into a well, cyan lips, black face, thirst for water but vomiting upon ingestion, spontaneous diarrhea, and pulse either hidden or deep-thin-rapid indicate Yang Repelled by Yin in Cold Damage (Shang Han Yin Sheng Ge Yang). Purple turbidity indicates Seasonal Epidemic (Shi Yi). Gloomy black with purple indicates Exuberant Pathogenic Factor (Xie Qi). Dry nostrils with blackness like coal smoke indicate Deep Heat in Yang Toxin (Yang Du Re Shen). Cold air from nostrils with smooth blackness indicates Extreme Cold in Yin Toxin (Yin Du Leng Ji). Yin Toxin presents with heavy body, stiff back, colicky abdominal pain, dysphagia, hard epigastrium, breathlessness, vomiting, cyan lips, black face, cold limbs, and deep-thin-tight-rapid pulse, feeling as if beaten; this is Toxin attacking the Heart, treatable within five to six days, untreatable after seven days. Stagnant blackness with fear and insomnia indicates Invasion by Guest Pathogen (Ke Xie). Coal-smoke-like blackness indicates Evil Attack Abdominal Pain (Zhong E Fu Tong). Blackness before the ears indicates Hernia Pain (Shan Tong). Cyan-purple-swollen lips, tongue, and face indicate Poisoning (Zhong Du). Black face during epilepsy with fixed staring and corpse-like stillness indicates Kidney Epilepsy (Shen Xian). Blood vessels failing to nourish, with haggard complexion, indicate Meridian Disease of the Heart (Xin Zhi Jing Bing). Blue-black spots on the face indicate Decline of Spirit Qi (Shen Qi Shuai). Emaciated form with gray complexion indicates Exterior Deficiency (Biao Xu). Emaciated body with lead-colored dull face, vomiting of dark blood clots, epigastric pain worsened by pressure and hardness, burning sensation, pain during eating relieved after eating, indicates Abscess at the Upper Orifice (Yong Zai Shang Kou); if no pain during eating but pain after eating, it indicates Abscess at the Lower Orifice (Yong Zai Xia Kou). Black face and chin indicate Stomach Disease (Wei Bing). Lower abdominal fullness, black forehead, and hot feet indicate Black Jaundice (Hei Dan). Black forehead, slight sweating, hot palms and soles, evening onset, bladder urgency, and spontaneous urination are named Female Labor Jaundice (Nv Lao Dan). If the abdomen resembles water accumulation, it is untreatable. Dull black forehead with yellow face is also Female Labor Jaundice. Yin Jaundice with dark-black face and cold sweat is a Death Syndrome (Si Zheng). Yang Jaundice with yellow like smoked tobacco, dim eyes, and clear lips is a Death Syndrome. In all Jaundice cases, absence of pulse near the palm at Cun Kou, and cold-black mouth/nose indicate untreatability. Cyan-black and withered indicates Blood Depletion (Xue He). Blood stasis under eyes resembling pig liver indicates Cold Jue following each other, obstructed by Heat. Extremely emaciated and weak women with limb pain, bruised-black face, and sorrow/anger indicate Long-term Deficiency with inability to eat and Cold Knot below the umbilicus. Withered face with slight blackness indicates Damaged Blood Quality. During pregnancy, sudden brightness after darkness indicates impending labor; alternating darkness and brightness indicates Difficult Labor. Gray-black eye sockets in women indicate Metrorrhagia and Leukorrhea (Beng Zhong Lou Xia). Black, lusterless face in women with skin/muscle adhesion, irregular menstruation, stringy/tense or colicky lower abdominal pain radiating to heart, distended hypochondrium, and food failing to nourish flesh indicates Metrorrhagia and Intermittent Bleeding with putrid odor. Lumbar pain with alternating red/black face indicates Heart-Kidney Conflict, a difficult-to-treat syndrome. Sudden edema with cyan-black face is a Death Syndrome. Blue-dark face with bloody stool is a Death Syndrome. Black face with bilateral hypochondriac fullness and inability to turn sideways is a Death Syndrome. Hong Kong Foot (Jiao Qi) rushing to the heart with black orbits/forehead, delirium, indicates Water overcoming Fire, life cannot be saved. Swollen legs/feet, urinary retention,急促 breathing, black orbits/forehead, and absent Left Chi pulse indicate Hong Kong Foot entering Kidney, a death syndrome. True Heart Pain with black face and cold limbs results in death same day (morning onset/evening death, or vice versa). Sudden severe pain below umbilicus with black Ren Zhong is a death sign. Tetanus with blue-black head/face, small eyes, wide stare, oily sweat indicates Pathogen entering Zang organs, difficult to treat. Post-emesis/diarrhea with cold limbs, black face, panting, cold sweat, contracted external genitals, and unconsciousness indicates Disconnection of Yuan Qi and Yang Collapse (Tuo Yang). Black face, fixed gaze, aversion to wind is a death syndrome. Loss of luster with black-as-Li face indicates Termination of Hand-Shao Yin Qi, Blood dies first. Hair lacking luster with black-as-lacquer-firewood face indicates Termination of Hand-Shao Yin Qi, Blood dies first. Unobstructed pulse, non-flowing blood, lusterless hair, black-as-lacquer-leaf face indicates Blood dies first, Termination of Hand-Shao Yin Qi. Red-black with dark spots on face extending to Nian Shang indicates Heart Disease slightly improving but leading to sudden death. Black emerging at Ting (Yin Tang), thumb-sized, indicates sudden death without prior illness. Withered black with unmodulated voice indicates Heart dies first; if dividing Tian Zhong, tomb color corresponds, death is inevitable. Black Qi emerging from Tian Zhong down to Nian Shang/Zhang Shang is a death sign. Black emerging from forehead, straight down nasal bridge to Zhang Shang, indicates death within five days. Black face with white eyes indicates Internal Injury to Kidney Qi. Black face with green eyes indicates Internal Injury to Kidney Qi with retained pathogen, death in eight days. Black across three Yang meridians under eyes indicates death within half a year. Yellow-black face connecting to ears in those over forty indicates death within one hundred days. Fog-like black forehead indicates death within one hundred days. Fog-like black face indicates death within seven days. Black around Ren Zhong and mouth indicates Termination of Spleen-Kidney, death in seven days. Dark Yin Tang with black Qi entering Ear Gate indicates untreatable. Darkness before ears indicates untreatable. Black covering Tai Yang indicates even Lu Yi cannot save. Black like wet ash indicates even Bian Que cannot treat. Aggregated stagnant Qi color indicates worsening disease, difficult to treat. Normal person with blue-black under eyes and dusty face will surely get sick. Blue/black eye corners indicate major disease. Smoke-like Qi indicates disease entangling body. Gradual retreat of stagnation indicates disease receding. Coal-like unopening face after recovery indicates ultimate misfortune. Black face, long dirty teeth, abdominal distension/closure, upper/lower blockage indicates Termination of Shao Yin. Sudden withered teeth, pure black face, yellow eyes, desire to break waist, profuse sweating indicates Termination of Kidney, death in four days. Abdominal distension/closure, dyspnea, belching/vomiting, reversal causing red face or blockage, black face/scorched skin/hair indicates Termination of Tai Yin. Sudden horse-liver colored face (blue afar, black close) in patient or healthy person indicates Termination of Liver-Kidney. Smoke-like form with fixed stare/head shaking indicates Termination of Heart. Nose like coal smoke indicates Termination of Lung. Dry black nostrils without mucus indicates Termination of Lung. Ring-mouth black indicates Termination of Kidney. Ring-mouth black with soft yellow sweat indicates Termination of Spleen. Scorched black ear lobes indicate Termination of Kidney. True Kidney Pulse arriving, beating abruptly like finger striking stone, black-yellow lusterless, withering hair indicates death due to lack of Stomach Qi, Earth overcoming Water. Heart Disease with vexation, shortness of breath, fire heat, heat hitting heart, vomiting/coughing/reversal, madness, bead-like sweat, cold body, yet pulse is deep-soft-slippery (should be floating) and color is black (should be red), indicates Water overcoming Fire, great reversal, ten deaths untreatable. These are all items regarding black complexion diagnosis. (Note: 'Chai' in lacquer-firewood is 'Ye' in Qian Jin Fang; 'Gou' in long-dirty teeth is 'Ku' in Qian Jin Fang, follow them.)