若病患面赤者，下虚也。手足振摇者，为元气无主持也。腰腿沉重者，三阴经受寒湿也
。或恐或悸者，知阴寒之邪在手足少阴也。喜笑则为痴，悲怡则为惨，手少阴、太阴也。头项不
甚痛，行步只如旧，知寒邪之气不在经而在里也。若头项痛者，内之外逆上行而至于经矣！
或已有冬伏寒邪，始得内感便发，头项痛亦无定也。或时太息者，《灵枢》云∶心不足则心
系急，心系急故太息以舒之，是知手少阴心火不足也。前人云去声是已。
以上初病时，多有形状如此等类。
身如被杖者，阳气尽而血脉凝涩，不能荣于身也。色青黑，肾肝子母二色，真脏见也。
手足倦而卧者，四肢之阳气尽，而阴气贵收也，卧而面壁者，阴欲静也。恶闻人与语者，阴欲默
也。昏昏欲寐者，元气杂绝，邪热攻肺也∶或欲寐以自养，及目白睛而赤者，肺受火邪也。
三四日之间，或可行步，不甚觉重者，阳犹在外也。五六日阴盛，热药不能回者，阴主杀而
暴绝，非若阳气徘徊不已，而欲其生生也。
初病面赤胀者，下虚故也。至于死，先青而后赤者，阳气不生，温令不行而就北方寒也，其
逆行如此 。经云∶阳气前绝，阴气后竭者，其人死身色必青；阴气前绝，
阳气后竭者，其人死，身色必赤。若阴阳二毒相匿，或只伏阳，
此等阴证，或身半以上经汗死，即不青黑者亦有之。
厥阴有遍身青黑如花厥状，何也？
答曰∶阳气不能营运于四肢，身表经络遏绝，气欲行而不得行，及其得行而遽止之，故
行处微紫色，不得行而止处不青则黑也。所以身如被杖，有有处，有无处也。遍身俱黑，阳气全
无也。故经络论云∶寒多则疑泣，凝泣则青黑；热多则淖泽，淖泽则黄赤。此之谓也。
如果病人面色发红，这是下焦虚损的表现。手足震颤摇动，是因为元气失去主持作用。腰腿沉重，是三阴经受寒湿侵袭所致。时而恐惧、时而心悸，可知是阴寒之邪侵犯手少阴心和足少肾经。喜笑则是痴呆的表现，悲伤凄惨则是痛苦的表现，这涉及手少阴心和手太阴肺经。头项疼痛不明显，行走如常，可知寒邪之气不在经络而在体内脏腑。如果头项疼痛，说明寒邪由内向外逆乱上行，已经波及经络了！或者原本冬季潜伏的寒邪，刚受到内部诱因触动就发作，头项痛也没有固定规律。有时长叹气的，《灵枢》说：心气不足则心系拘急，心系拘急所以通过叹气来舒缓它，由此可知是手少阴心火不足。前人（已指出）是正确的。
以上所述是疾病初起时，多有类似这样的症状表现。
身体感觉像被棍棒打过一样疼痛，这是因为阳气耗尽而血脉凝滞涩阻，不能濡养周身。面色青黑，是肾和肝的子母两色同时出现，这是真脏色外露的表现。手足疲倦想躺卧，是因为四肢阳气耗尽，而阴气主收敛，所以想躺卧；面向墙壁躺卧，是因为阴气想要安静。厌恶听到人和说话的声音，是因为阴气想要沉默。昏昏沉沉想睡觉，是因为元气断绝，邪热攻冲肺部；或者想睡觉以自我调养，以及眼白部分发红，这是肺受到火邪侵袭。发病三四天之间，或许还能行走，不觉得特别沉重，这是因为阳气还在体表。五六天后阴气盛极，使用热药也不能挽回的，是因为阴主杀伐而导致突然死亡，不像阳气那样徘徊不定，还想要维持生命。
初病时面色红胀，是因为下焦虚损的缘故。至于死亡时，先变青而后变红的，是因为阳气不生发，温煦功能不行而归于北方的寒性，它的逆行情况就是这样。经文说：阳气先绝，阴气后竭的，人死后身体颜色必定发青；阴气先绝，阳气后竭的，人死后身体颜色必定发红。如果阴阳二毒相互隐匿，或者只有伏阳，这些阴证患者，有的半身以上经过发汗而死，也有不发青黑的情况。
厥阴病有全身青黑如花斑厥逆的样子，为什么呢？
回答说：阳气不能在四肢营运，体表的经络被遏制断绝，气想要运行却不能运行，等到它能运行时又突然停止，所以运行的地方呈现微紫色，不能运行且停止的地方不发青而是发黑。所以身体像被棍棒打过一样，有的部位有这种痛感，有的部位没有。全身都发黑，是因为阳气完全没有了。所以《经络论》说：寒气多则血液凝泣，凝泣则呈现青黑色；热气多则血液润泽，润泽则呈现黄红色。说的就是这个道理。
If the patient's face is red, it indicates deficiency in the lower jiao (Lower Burner). Trembling and shaking of the hands and feet indicate that the Yuan Qi (Original Qi) has lost its governing function. Heaviness in the waist and legs indicates invasion by Cold-Dampness into the Three Yin Meridians (Taiyin, Shaoyin, Jueyin). Occasional fear or palpitations indicate that Yin-Cold pathogenic factors are affecting the Hand-Shaoyin Heart Meridian and Foot-Shaoyin Kidney Meridian. Excessive laughter manifests as dementia, while sorrowful distress relates to the Hand-Shaoyin Heart Meridian and Hand-Taiyin Lung Meridian. If there is little pain in the head and neck, and walking remains normal, it indicates that the Cold pathogen is not in the meridians but within the interior organs. If there is pain in the head and neck, it means the pathogen has reversed upward from the interior to affect the meridians! Alternatively, if Winter-Latent Cold was present initially and triggered by internal factors, causing immediate onset, the headache may also be irregular. Occasional sighing: The *Ling Shu* states, "When Heart Qi is insufficient, the Heart Connection becomes tense; due to this tension, one sighs to relieve it." This indicates insufficiency of Fire in the Hand-Shaoyin Heart. Predecessors have correctly noted this.
These are typical manifestations seen at the beginning of the illness.
A body sensation as if beaten with a stick occurs when Yang Qi is exhausted and blood vessels become stagnant and obstructed, failing to nourish the body. A bluish-black complexion represents the Zi-Mu (Mother-Child) colors of the Kidney and Liver appearing simultaneously, indicating the revelation of the True Zang colors. Fatigue in the hands and feet leading to lying down indicates that Yang Qi in the four limbs is exhausted, and Yin Qi, which governs convergence, causes the desire to lie down. Lying facing the wall indicates a desire for stillness inherent in Yin. Dislike of hearing people speak indicates a desire for silence inherent in Yin. Drowsiness and dizziness indicate the interruption of Yuan Qi and attack by Pathogenic Heat on the Lung; or, if drowsiness is sought for self-nourishment accompanied by redness in the white part of the eye, it indicates the Lung suffering from Fire pathogen. Within three to four days, if the patient can walk without feeling particularly heavy, it indicates that Yang Qi is still on the exterior. By five to six days, if Yin is excessive and hot herbs cannot restore vitality, it is because Yin governs destruction leading to sudden collapse, unlike Yang Qi which lingers and strives for life generation.
Initial facial redness and distension are due to lower deficiency. Regarding death, turning blue first then red indicates that Yang Qi fails to generate, warmth fails to circulate, and it reverts to Northern Cold; this is the nature of its reversal. The Classic states: "If Yang Qi perishes first and Yin Qi exhausts later, the corpse will be blue; if Yin Qi perishes first and Yang Qi exhausts later, the corpse will be red." If Yin and Yang Poisons hide within each other, or only latent Yang exists, among these Yin Syndrome cases, some who died after sweating above half the body may not appear blue or black.
Why does Jueyin Syndrome present with whole-body blue-black discoloration resembling floral patterns in cold reversal?
The answer is: When Yang Qi cannot circulate in the four limbs, the meridians and collaterals on the body surface are blocked. Qi desires to move but cannot; when it finally moves, it is suddenly stopped. Thus, areas where Qi moved show slight purple color, while areas where Qi could not move and stopped turn black rather than blue. Hence, the body feels like it has been beaten, with pain in some areas and none in others. Whole-body blackness indicates complete absence of Yang Qi. Therefore, the *Treatise on Meridians* states: "Excess Cold causes blood to stagnate and congeal, resulting in blue-black color; excess Heat causes blood to be moist and lubricated, resulting in yellow-red color." This refers to such phenomena.