心之合脉也，其荣色也，其主肾也。肺之合皮也，其荣毛也，其主心也。肝之合筋也，其荣爪也，其主
肺也。脾之合肉也，其荣唇也，其主肝也。肾之合骨也，其荣发也，其主脾也。是
故多食咸，则脉凝泣而变色；多食苦，则皮槁而毛拔；多食辛，则筋急而爪枯；多食酸，则肉胝 而唇揭；
多食甘，则骨痛而发落，此五味之所伤也。故心欲苦，肺欲辛，肝欲酸，脾欲甘，肾欲咸，此五味之所合也。
五脏之气，故色见青如草兹者死，黄如枳实者死，黑如 者死，赤如 血者
死，白如枯骨者死，此五色之见死也。青如翠羽者生，赤如鸡冠者生，黄如蟹腹者生，白如豕膏者生，黑如
乌羽者生，此五色之见生也。生于心，如以缟裹朱；生于肺，如以缟裹红；生于肝，如以缟裹绀；生于脾，
如以缟裹栝蒌实；生于肾，如以缟裹紫，此五脏所生之外荣也。色味当五脏∶白当肺、辛，赤当心、苦，
青当肝、酸，黄当脾、甘，黑当肾、咸。故白当皮，赤当脉，青当筋，黄当肉，黑当骨。
诸脉者皆属于目，诸髓者皆属于脑，诸筋者皆属于节，诸血者皆属于心，诸气者皆属于肺，此
四肢八溪之朝夕也。故人卧血归于肝，肝受血而能视，足受血而能步，掌受血而能握，指受血而能摄。
卧出而风吹之，血凝于肤者为痹，凝于脉者为泣，凝于足者为厥，此三者，血行而不得反其空，故为痹厥也。
人有大谷十二分，小溪三百五十四名，少十二俞，此皆卫气之所留止，邪气之所客也，针石缘而去之。诊
病之始，五决为纪，欲知其始，
先建其母。所谓五决者，五脉也。是以头痛巅疾，下虚上实，过在足少阴、巨阳，甚则入肾。徇蒙招尤，
目冥耳聋，下实上虚，过在足少阳、厥阴，甚则入肝。腹满 胀，支膈 胁，下厥上冒，过在足太阴、阳明。
咳嗽上气，厥在胸中，过在手阳明、太阴。心烦头
痛，病在膈中，过在手巨阳、少阴。夫脉之小大滑涩浮沉，可以指别；五脏之象，可以类推；五脏相音，
可以意识，五色微诊，可以目察。能合脉色，可以万全。赤脉之至也，喘而坚，诊曰有积气在中，时害
于食，名曰心痹，得之外疾，思虑而心虚，故邪从
之。白脉之至也，喘而浮，上虚下实，惊，有积气在胸中，喘而虚，名曰肺痹，寒热，得之醉而使内也。
青脉之至也，长而左右弹，有积气在心下支 ，名曰肝痹，得之寒湿，与疝同法，腰痛足清头痛。黄脉之
至也，大而虚，有积气在腹中，有厥气，名曰厥疝，女子同法，得之疾使四肢汗出当风。黑脉之至也，上
坚而大，有积气在小腹与阴，名曰肾痹，得之沐浴清水而卧。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。
心脏与脉相合，其荣华表现在面色上，其制约脏器是肾。肺脏与皮相合，其荣华表现在毫毛上，其制约脏器是心。肝脏与筋相合，其荣华表现在爪甲上，其制约脏器是肺。脾脏与肉相合，其荣华表现在口唇上，其制约脏器是肝。肾脏与骨相合，其荣华表现在头发上，其制约脏器是脾。因此，多吃咸味食物，则血脉凝滞不畅而面色改变；多吃苦味食物，则皮肤枯槁而毫毛脱落；多吃辛味食物，则筋脉拘急而爪甲干枯；多吃酸味食物，则肌肉增厚粗糙（胝：厚皮）而口唇掀揭；多吃甘味食物，则骨骼疼痛而头发脱落，这是五味过度食用所造成的伤害。所以，心喜欢苦味，肺喜欢辛味，肝喜欢酸味，脾喜欢甘味，肾喜欢咸味，这是五味与五脏相合的关系。
五脏之气外现于面部的色泽，如果呈现青色像死草那样枯暗的会死亡，黄色像枳实那样枯黄的会死亡，黑色像黑炭（原文缺字，据校勘补为“炲”或类似黑物）那样晦暗的会死亡，红色像凝血那样紫暗的会死亡，白色像枯骨那样惨白的会死亡，这是五色中预示死亡的征象。如果青色像翠鸟羽毛那样润泽的能生存，红色像鸡冠那样鲜红的能生存，黄色像蟹腹那样黄润的能生存，白色像猪油那样白润的能生存，黑色像乌鸦羽毛那样黑亮的能生存，这是五色中预示生存的征象。心脏生机旺盛的气色，就像白绢包裹着朱砂；肺脏生机旺盛的气色，就像白绢包裹着红颜色；肝脏生机旺盛的气色，就像白绢包裹着青赤色（绀）；脾脏生机旺盛的气色，就像白绢包裹着瓜蒌实；肾脏生机旺盛的气色，就像白绢包裹着紫色，这是五脏生机表现于外的荣华。
气色与味道应当对应五脏：白色对应肺、辛味，红色对应心、苦味，青色对应肝、酸味，黄色对应脾、甘味，黑色对应肾、咸味。所以白色对应皮，红色对应脉，青色对应筋，黄色对应肉，黑色对应骨。
所有的脉都汇聚于目，所有的髓都归属于脑，所有的筋都连接于关节，所有的血都归属于心，所有的气都归属于肺，这是四肢八溪（肘、膝、髀、腋等八个大关节处）气血早晚运行的规律。所以当人躺下休息时，血液回流到肝脏，肝得到血液滋养就能视物，脚得到血液滋养就能行走，手掌得到血液滋养就能握持，手指得到血液滋养就能摄取。如果在睡眠后外出受到风吹，血液凝结在皮肤的就形成痹证，凝结在脉中的就运行涩滞，凝结在足部的就发生厥逆，这三种情况，都是血液运行而不能返回其空窍（原文“空”通“孔”，指经络穴位或孔隙），所以称为痹证和厥证。
人体有大谷十二处，小溪三百五十四穴，减去十二个俞穴，这些都是卫气停留止息的地方，也是邪气客居的地方，可以通过针刺砭石来祛除病邪。诊断疾病的开始，以五脏脉象为纲纪，想要了解疾病的起因，先要确立其根本（母）。所说的“五决”，是指五脏的脉象。因此，头痛头顶疾病，属于下虚上实，病位在足少阴肾经和足太阳膀胱经，严重时病邪入肾。眼睛昏花眩晕，耳聋，属于下实上虚，病位在足少阳胆经和足厥阴肝经，严重时病邪入肝。腹部胀满，支撑胸胁，下部厥冷上部昏蒙，病位在足太阴脾经和足阳明胃经。咳嗽气逆，气逆在胸中，病位在手阳明大肠经和手太阴肺经。心烦头痛，病在膈中，病位在手太阳小肠经和手少阴心经。
脉象的小大滑涩浮沉，可以用手指辨别；五脏的征象，可以类推；五脏的声音，可以用意识感知，五色的细微诊察，可以用眼睛观察。能够结合脉象和气色进行诊断，就可以万无一失。
脉搏跳动急促而坚硬的，诊断认为中有积气，时常妨碍饮食，名叫心痹，得自外感疾病，因思虑过度导致心气虚弱，所以邪气侵入。脉搏跳动急促而浮浅的，上部虚下部实，易受惊骇，有积气在胸中，气喘且虚弱，名叫肺痹，伴有寒热症状，得自醉酒之后行房事。脉搏跳动长而左右弹指的，有心下支撑胀满的感觉，名叫肝痹，得自寒湿之邪，治疗同疝气，伴有腰痛、足冷、头痛。脉搏跳动大而虚弱的，有积气在腹中，有厥逆之气，名叫厥疝，女子治疗方法相同，得自剧烈活动四肢出汗后当风。脉搏跳动上部坚硬且大的，有积气在小腹和阴部，名叫肾痹，得自洗冷水澡后卧床休息。
凡是观察五色与奇脉的配合，面色黄而目青，面色黄而目赤，面色黄而目白，面色黄而目黑的，都不会死亡。面色青而目赤，面色赤而目白，面色青而目黑，面色黑而目白，面色赤而目青的，都会死亡。
The heart is harmonized with the vessels (Mai, blood vessels), its flourishing manifestation is in the complexion (Rong, luster/color of the face), and its controlling organ is the Kidney. The Lung is harmonized with the skin, its flourishing manifestation is in the body hair, and its controlling organ is the Heart. The Liver is harmonized with the sinews, its flourishing manifestation is in the nails, and its controlling organ is the Lung. The Spleen is harmonized with the muscles, its flourishing manifestation is in the lips, and its controlling organ is the Liver. The Kidney is harmonized with the bones, its flourishing manifestation is in the hair, and its controlling organ is the Spleen. Therefore, excessive consumption of salty flavor causes the vessels to coagulate and flow sluggishly, leading to changes in complexion; excessive consumption of bitter flavor causes the skin to wither and the hair to fall out; excessive consumption of pungent flavor causes the sinews to become tight and the nails to wither; excessive consumption of sour flavor causes the flesh to thicken into calluses and the lips to peel; excessive consumption of sweet flavor causes bone pain and hair loss. These are the injuries caused by the five flavors. Thus, the Heart desires bitter flavor, the Lung desires pungent flavor, the Liver desires sour flavor, the Spleen desires sweet flavor, and the Kidney desires salty flavor. This represents the correspondence between the five flavors and the Zang organs.
Regarding the Qi of the five Zang organs manifesting as colors on the face: if the color appears green like dead grass, death ensues; if yellow like the fruit of the Akebia (Zhi Shi), death ensues; if black like soot, death ensues; if red like clotted blood, death ensues; if white like dry bones, death ensues. These are the signs of death seen in the five colors. If green appears like the feathers of a kingfisher, life is sustained; if red appears like the comb of a rooster, life is sustained; if yellow appears like the belly of a crab, life is sustained; if white appears like the fat of a pig, life is sustained; if black appears like the feathers of a crow, life is sustained. These are the signs of life seen in the five colors. Life in the Heart resembles white silk wrapping cinnabar; life in the Lung resembles white silk wrapping red; life in the Liver resembles white silk wrapping dark blue-red (Gan); life in the Spleen resembles white silk wrapping the fruit of Trichosanthes (Gua Lou); life in the Kidney resembles white silk wrapping purple. These are the external flourishing manifestations generated by the five Zang organs.
Colors and flavors correspond to the five Zang organs: White corresponds to the Lung and Pungent flavor; Red corresponds to the Heart and Bitter flavor; Green corresponds to the Liver and Sour flavor; Yellow corresponds to the Spleen and Sweet flavor; Black corresponds to the Kidney and Salty flavor. Thus, White corresponds to the skin, Red to the vessels, Green to the sinews, Yellow to the muscles, and Black to the bones.
All vessels converge at the eyes; all marrow belongs to the brain; all sinews belong to the joints; all blood belongs to the Heart; all Qi belongs to the Lung. This describes the daily circulation of Qi and Blood in the four limbs and the eight large joints (Ba Xi). Therefore, when a person lies down, blood returns to the Liver. When the Liver receives blood, vision is possible; when the feet receive blood, walking is possible; when the palms receive blood, grasping is possible; when the fingers receive blood, holding is possible. If one goes out after sleeping and is exposed to wind, blood coagulating in the skin results in Bi syndrome (Obstruction); coagulating in the vessels results in sluggish flow; coagulating in the feet results in Jue syndrome (Cold extremities/Reversal). In these three cases, blood flow cannot return to its orifices/acupoints, hence they are termed Bi and Jue syndromes.
The human body has twelve major valleys (Da Gu) and 354 minor streams (Xiao Xi), excluding the twelve Shu points. These are locations where Wei Qi (Defensive Qi) stays and stops, and where pathogenic factors lodge. Needling and stone therapy are used to remove them. At the beginning of diagnosing disease, the Five Pulse Determinations (Wu Jue) serve as the guideline. To understand the origin, one must first establish the root (Mother). The "Five Determinations" refer to the pulses of the five Zang organs. Thus, headache and disorders of the vertex, characterized by deficiency below and excess above, involve the Foot Shaoyin (Kidney) and Foot Taiyang (Bladder) meridians; severely, it enters the Kidney. Dizziness, visual blurring, and deafness, characterized by excess below and deficiency above, involve the Foot Shaoyang (Gallbladder) and Foot Jueyin (Liver) meridians; severely, it enters the Liver. Abdominal fullness and distension, with support and obstruction in the chest and hypochondrium, lower reversal and upper cloudiness, involve the Foot Taiyin (Spleen) and Foot Yangming (Stomach) meridians. Cough and rebellious Qi, with rebellion in the chest, involve the Hand Yangming (Large Intestine) and Hand Taiyin (Lung) meridians. Heart vexation and headache, with disease in the diaphragm region, involve the Hand Taiyang (Small Intestine) and Hand Shaoyin (Heart) meridians.
The smallness, largeness, slippery-ness, roughness, floating, and sinking of pulses can be distinguished by finger palpation; the images of the five Zang organs can be inferred by analogy; the sounds of the five Zang organs can be perceived by consciousness; the subtle diagnosis of the five colors can be observed by the eye. By combining pulse and color diagnosis, one can achieve perfection.
When the pulse arrives rapid and firm, diagnosis indicates accumulation of Qi in the middle, occasionally hindering food intake, named Xin Bi (Heart Obstruction). It arises from external pathogens; due to excessive worry causing Heart Qi deficiency, pathogens enter. When the pulse arrives rapid and floating, with deficiency above and excess below, fright, accumulation of Qi in the chest, wheezing and deficiency, it is named Fei Bi (Lung Obstruction), accompanied by aversion to cold and fever, arising from intercourse while drunk. When the pulse arrives long and pulsating left and right, with a feeling of fullness and support under the heart, it is named Gan Bi (Liver Obstruction), arising from cold-dampness, treated similarly to Shan (Hernia), accompanied by lower back pain, cold feet, and headache. When the pulse arrives large and deficient, with accumulation of Qi in the abdomen and rebellious Qi, it is named Jue Shan (Rebellious Hernia), with the same method for women, arising from vigorous movement of the four limbs with sweating followed by exposure to wind. When the pulse arrives firm and large above, with accumulation of Qi in the lower abdomen and yin region, it is named Shen Bi (Kidney Obstruction), arising from bathing in cold water and then lying down.
In observing the extraordinary combinations of the five colors and pulses: those with yellow face and green eyes, yellow face and red eyes, yellow face and white eyes, or yellow face and black eyes will not die. Those with green face and red eyes, red face and white eyes, green face and black eyes, black face and white eyes, or red face and green eyes will die.