Facial observation diagnosis is a part of the essence of TCM theory developed over thousands of years, and is one of the four diagnostic methods in TCM: observation, listening, inquiry, and palpation. A healthy person’s face should be clean, with a rosy and shiny complexion. Newborns typically have clean faces; however, as time passes and due to various factors such as air, water, food additives, environmental pollution, genetic changes, and mental stress, human health can be compromised, leading to symptoms appearing on the face. There are many versions of facial observation diagnosis, which can confuse many people about which version is correct. The author has collected and organized a wealth of information to systematically introduce facial diagnosis.
Diagnosis through facial color: 1. Yellow: indicates possible issues with the spleen and stomach, or digestive system; 2. White: indicates possible issues with the lungs or respiratory system; 3. Red: indicates possible issues with the cardiovascular system; 4. Blue: indicates possible issues with the liver and gallbladder, or immune system; 5. Black: indicates possible issues with the kidneys or bladder.
Diagnosis through tongue observation: A healthy person’s tongue is pink. If a person is unhealthy, it can be observed through their tongue: 1. A thick coating indicates poor spleen and stomach function; 2. A bluish root indicates kidney issues; 3. Imprints on the sides of the tongue indicate liver problems; 4. A pale tongue indicates heart issues, possibly due to insufficient blood supply; 5. A dark purple tip indicates excessive heart fire, blood stasis, or blood viscosity; 6. Numerous small red spots on the tip may indicate myocarditis; 7. A blunt tip with deep grooves may indicate diabetes.
Facial diagnosis is mainly divided into eight parts: heart, lungs, liver, kidneys, spleen, small intestine, large intestine, and reproductive system.
Heart Reflection Area (1): On the forehead from 1/3 to the hairline (the hairline circle) 1. If acne appears here or the forehead color differs, it indicates significant psychological stress; 2. If there are spots, it indicates heart disease (e.g., myocardial weakness); 3. If there are moles or birthmarks, it indicates congenital heart function deficiency.
Reflection Area (2): Between the corners of the eyes on the bridge of the nose 4. If horizontal lines appear or are prominent, it indicates arrhythmia or poor heart condition; 5. If deep horizontal lines appear and there are also deep vertical lines on the tongue, it may indicate severe heart disease; 6. People with heart issues often have red blood vessels on their faces, resembling many small insects crawling, indicating poor blood circulation.
Brain Reflection Area: Between the eyebrows 1. If deep vertical lines appear and the area is red, it indicates insufficient blood supply to the heart and brain, headaches, neurasthenia, vivid dreams, poor sleep, palpitations, and irritability; 2. If the area is red and shiny, it generally indicates high blood pressure.
Lung Reflection Area: Between the eyebrows and halfway down the forehead, at the Yintang position. 1. If the Yintang area is red, it indicates recent upper respiratory infections; 2. If the Yintang area is dark, it may indicate pathological changes, and a hospital check is advised; 3. If the middle of the forehead is sunken and the color is dull, dark, or has spots, it indicates lung disease and difficulty breathing; 4. If there are acne spots, it indicates recent colds or sore throats; 5. If there are moles or spots at the eyebrow area, it indicates pharyngitis, tonsillitis, or chest tightness; 6. If there is a bulge above the eyebrows, it also indicates lung disease.
Liver Reflection Area: The triangular area from the middle of the eyebrows to the tail of the eyebrows, and the middle section of the bridge of the nose. 1. If these areas are dark or have spots, it may indicate fatty liver; 2. If there are acne spots, it indicates excessive liver fire; 3. If there are spots at the temples, it indicates weakened liver function; 4. If there are spots in the middle section of the nose, it may indicate excessive liver fire, emotional instability, or menopause; 5. If both areas have obvious spots and the complexion is dull and unattractive, it may indicate hepatitis or cirrhosis; 6. If there are moles in the center of the eyebrows, yellowing of the eyeballs, and a very yellow complexion, it indicates hepatitis B; 7. Soft, thin nails without luster, with vertical lines, and prone to breakage, indicate poor liver function; 8. A face full of freckles indicates congenital liver function deficiency.
Gallbladder Reflection Area: On both sides of the middle section of the bridge of the nose. 1. If there are red blood vessels, acne, or a bitter taste in the mouth upon waking, it indicates mild inflammation of the gallbladder; 2. If there are spots or shadows, it may indicate cholecystitis; 3. If there are vertical wrinkles or they appear when smiling, it indicates gallbladder issues; 4. If there are moles or birthmarks, it indicates congenital gallbladder function deficiency; 5. If you place your right hand under your right rib (where the gallbladder is located) and hit it with a clenched left fist, if it hurts, it indicates cholecystitis; 6. If the pain is severe, it may indicate gallstones. People with gallbladder issues may be overweight; 7. If there are obvious spots or moles in the gallbladder area under the eyes, it indicates gallstones. Dark circles under the eyes also indicate gallbladder issues.
Kidney Reflection Area: The area where a vertical line from the outer corner of the eye intersects with a line from the middle of the ear down to the chin. 1. If there are bumps or dark spots in this area, it indicates poor kidney function; 2. If there are red blood vessels, acne, or spots, it indicates kidney deficiency, generally leading to laziness, and soreness in the lower back and legs; 3. If there are deep and large spots, it may indicate kidney stones. If black moles or bumps appear on the ears, it may indicate kidney stones; 4. If there are moles or lumps in this area, it indicates congenital kidney function deficiency, which may also lead to soreness in the lower back and legs; 5. Deep crow’s feet at the corners of the eyes and vertical wrinkles near the ears indicate declining kidney function; 6. The chin is the soreness area for the kidneys. If red spots or bumps appear in this area, it indicates kidney inflammation, leading to lower back pain.
Spleen and Stomach Reflection Area: The tip of the nose for the spleen and the wings of the nose for the stomach, with the depressions on both sides indicating the duodenum area. 1. If the lips are pale, colorless, dry, and cracked, it indicates poor spleen and stomach function; 2. A red tip of the nose, rosacea, red blood vessels, black spots, or bumps indicate poor spleen and stomach function; 3. A white tip of the nose, especially pale, indicates spleen deficiency and may lead to anemia. A yellow tip also indicates spleen deficiency, leading to excessive sweating, aversion to wind, fatigue, and poor appetite; 4. If the nostrils are always dirty, black, and oily, or have bumps, it indicates poor stomach function; 5. If the wings of the nose are red, it indicates stomach fire, leading to hunger and bad breath. Severe red blood vessels generally indicate gastritis; 6. If the wings of the nose are grayish-blue, it indicates stomach cold, and a handshake reveals cold fingertips, indicating wind-cold stomach pain and diarrhea; 7. If spots or moles appear in the spleen area, it may indicate spleen enlargement, while spots and moles in the stomach area may indicate ulcers or other pathological changes. Stomach pain before meals generally indicates gastritis, while stomach pain one to two hours after meals indicates gastric ulcers, with tenderness in the middle or slightly to the left of the abdomen; stomach pain two to four hours after meals indicates duodenal ulcers, with pain in the area between the ribs near the heart, resembling a needle prick, and severe cases may cause pain to the back, with tenderness slightly to the right of the abdomen.
Small Intestine Reflection Area: Located on the inner side below the cheekbone. If there are red blood vessels, acne, spots, or moles in this area, it indicates poor absorption function of the small intestine, generally leading to loose stools.
Large Intestine and Rectum Reflection Area: Located on the outer side below the cheekbone, from the eyeball to the outer corner of the eye down to the mouth corner. 1. If there are red blood vessels, acne, spots, or moles in this area, it indicates poor excretory function of the large intestine, generally leading to dry stools and constipation; 2. If there are crescent-shaped spots, it indicates constipation or hemorrhoids; 3. If the large intestine area is dark red and uneven, it may indicate colitis. Rectum Reflection Area: At the intersection of the line below the root of the nose and the line down from the outer corner of the eye. If there are spots, it indicates hemorrhoids; if this area is red or has white spots, it may indicate rectal cancer.
Bladder Reflection Area: Located on both sides of the philtrum at the root of the nose. 1. If this area is red, with red blood vessels, acne, or sores, it indicates cystitis, which may lead to symptoms of yellow, frequent urination; cystitis can also cause lower back pain; 2. If there are wrinkles in the bladder area, it may indicate kidney atrophy, with red acne indicating inflammation, and later black moles indicating possible pathological changes.
Reproductive System Reflection Area: Around the philtrum and lips. 1. If a woman has moles or spots below her lips, and the kidney reflection area is clean, it indicates a retroverted uterus and lower back pain; 2. If a woman has moles or spots around her lips, and the kidney reflection area is poor, or if the area around her lips is blue, dark, or pale, and the kidney reflection area is also poor, it generally indicates sexual coldness; 3. If there are lumps in the philtrum area, it generally indicates uterine disease; 4. If a man has moles or spots around his lips and the kidney reflection area is poor, it indicates reproductive system issues; 5. If a man’s upper lip is uneven, with grooves and vertical lines, it indicates male sexual dysfunction.
Chest and Breast Reflection Area: The slope of the bridge of the nose between the eyes. The presence of moles and spots in the breast area may indicate breast hyperplasia or tumors.
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