Absolutely comprehensive guide to observation diagnosis, unparalleled!!!
Shen Kui (Kidney Deficiency) leads to dark circles under the eyes, Fei Re (Lung Heat) results in red eyes, Gan Sheng (Liver Excess) causes red eyes, Han Chuan (Cold Cough) leads to dark cheeks, Feng Lan (Wind Blue) results in white eyes,
Tan Shi (Phlegm Damp) leads to yellow eyes, excessive phlegm causes swollen eyes, Han Wei (Cold Stomach) results in blue lips, Shen Jue (Kidney Exhaustion) leads to black ears, Shi Sheng (Damp Excess) causes yellow skin,
Gan Re (Liver Heat) leads to dry skin, Pi Re (Spleen Heat) results in red cheeks, mixed colors in the eyes indicate dim vision, foot injuries lead to a heavy neck. Blood loss leads to dark complexion,
leakage results in a pale yellow face, Qi Xu (Qi Deficiency) leads to facial swelling, excessive sweating results in blue lips, pain leads to furrowed brows. Huo Zao (Fire Dryness) leads to a dark forehead,
the forehead should be replenished with water, white lips should avoid cold, red cheeks clear Gan (Liver) and Fei (Lung), excessive fat indicates phlegm needs to be eliminated. Thin people have excessive Gan Huo (Liver Fire),
weak Qi Xu (Qi Deficiency) should be prevented, throat discomfort leads to choking, mouth discomfort indicates stomach cold, diarrhea leads to a pale yellow face.
Abdominal pain leads to white lips,
dark blue face prevents leakage, round protruding eyes prevent mania, resembling a crane indicates tuberculosis, like purple indicates bone steaming. Gui Jing (Ghost Fright) leads to a blue-black face,
absolute stomach cold leads to a blue mouth, poisoning leads to a white mouth, red blood symptoms lead to a yellow face like dyed paper, intestinal wind and blood collapse,
sunken eyes indicate eye disease, ugly nose indicates instability, strange black parts indicate worry, spots also have the same evaluation. Suspended needle Ling Suo Yin,
middle focus disease must be formed, three bends on the nose, hands and feet should be cautious, excessive phlegm leads to a bright face. Qi Jin (Qi Tightness) leads to waist pain prevention,
dark nose and ears indicate impending death, all diseases should be checked here, do not rush in clinical symptoms.
Facial Diagnosis Mnemonics
When seeing a doctor, observation comes first. Jing Qi Shen (Essence, Qi, Spirit) is the most important. Remember the positions of the organs. Multiple shadows should be distinguished.
Many diseases arise from Qi and Blood. A blue face indicates cold pain. A lustrous face indicates abundant Qi and Blood. A red face indicates fire.
Red like makeup indicates false fire. A black face indicates liver and kidney issues. A pale white face indicates deficiency cold. A white face without luster indicates blood deficiency.
A yellow and lustrous face indicates damp heat. A dark yellow face indicates liver and kidney disease. A bright forehead indicates good spirit. A dark forehead indicates disaster.
Eyes with spirit indicate no major illness. Eyes without spirit indicate Jing Qi Xu (Essence Qi Deficiency). Red eyes indicate internal fire. Yellow whites indicate liver and gallbladder disease.
Missing iris indicates brain disease. A large stomach ring indicates poisoning. Black vertical lines indicate inflammation. Black depressions indicate organ damage.
Skin itching indicates dermatitis, gray around the iris. Hard blood vessels indicate white circles. Iris diagnosis is a vast knowledge. Concentric circles are key.
Multiple segments arranged in a ring. Rings interlock, symbolizing the whole body. Eyes are fish, precious and bright. A shiny nose indicates no major illness.
A blue nose indicates cold injury. A white nose indicates blood injury. A nose with soil indicates absolute stomach energy. An irregular nose indicates serious illness.
Spots on the nose indicate serious illness. A bright philtrum indicates no major illness. A full tear hall indicates fullness. A dry blue-black indicates kidney deficiency.
Insomnia indicates mental injury. A flat groove indicates lack of strength. A sore philtrum indicates stomach fire. A crooked philtrum indicates short life.
Pale red lips indicate no major illness. White lips indicate blood injury. Blue-purple lips indicate cold pain and stasis. A bright face indicates water accumulation.
A yellow-black face indicates fatty liver. A scorched ear indicates cancer. A thin face indicates caution. If there is no illness, there must be weight gain.
Clear eyebrows and eyes from ten steps away. No serious illness indicates longevity. Clear positions and five colors indicate clarity. Knowing colors can ensure safety.
Extremely practical comprehensive guide to TCM observation diagnosis
Facial Features and Diseases
The five senses are important organs of the body, closely related to the five internal organs. If the five senses feel uncomfortable,
the five internal organs are gradually weakening, leading to disease.
1. If the eyes suddenly become blurry, the corners are dry, and vision is unclear, this is a precursor to liver dysfunction. Pressing around the liver will feel swollen. In addition to seeking medical attention promptly, one should also pay attention to eye hygiene and avoid excessive eye strain, as improper use of the eyes can also affect the liver.
2. If the ears constantly buzz and sounds are unclear, this is a signal of gradual kidney dysfunction, sometimes accompanied by symptoms like foot pain, back pain, and frequent urination. Those who work excessively should especially pay attention to balancing work and rest, avoiding overexertion, and reducing alcohol and spicy food intake.
3. If the sense of smell is dull, frequent coughing, and sometimes even difficulty breathing, this indicates gradual lung dysfunction. Patients should first pay attention to their diet, quit smoking or control their smoking, and avoid being around heavy smokers. Eating more fresh fruits and vegetables and strengthening physical exercise can prevent lung complications.
4. If the lips feel numb, appetite decreases, and the body becomes increasingly thin, this indicates gradual pancreatic dysfunction, mainly due to dietary imbalance and irregular eating habits. Due to poor pancreatic function, the stomach is affected, leading to noticeably dry and cracked lips, numbness, and lack of taste. In addition to adjusting the diet, one should also avoid eating raw, cold, and greasy foods.
5. If the sense of taste is dull, unable to taste flavors, accompanied by palpitations, frequent dreams, and insomnia, this indicates damage to heart function. This is caused by excessive labor. When the mouth feels dry, the tongue coating is thick, and flavors cannot be tasted, one should be especially vigilant to prevent heart disease.
Comprehensive Explanation of TCM Facial Diagnosis
(1) A slightly yellow and rosy complexion, full of spirit, natural expression, and slightly shiny — normal appearance.
(2) A flushed face, excited and restless, flaring nostrils, lip herpes, painful expression, rapid breathing and pulse — acute disease appearance, such as lobar pneumonia, dysentery, acute purulent tonsillitis, acute infectious diseases, etc.
(3) Facial swelling, pale eyelids, small eye fissures, and a pressing indentation on the forehead, especially severe in the morning — acute or chronic nephritis, kidney disease, etc.
(4) A haggard face, gray complexion, lifeless eyes, and low spirit — chronic wasting diseases.
(5) A pale face, swelling, wide and loose eyelids, dull and cold expression, white above the black eyeball, protruding eyeballs — hyperthyroidism.
(6) A pale face, swelling, lack of expression. Thick tongue and lips. Accompanied by hoarseness, deafness, and rough skin all over — hypothyroidism.
(7) Facial swelling, dark red cheeks, and cyanotic lips — often rheumatic heart disease, mitral stenosis.
(8) Enlarged head, elongated face, protruding jaw, prominent cheekbones, enlarged ears and nose — acromegaly.
(9) Slow response, indifferent expression, vacant gaze, little breath and speech — typhoid fever.
(10) A red, round, moon-like face, due to fat accumulation in the cheeks, may not see the ears from the front — often due to long-term use of adrenal cortex hormones, Cushing’s syndrome.
(11) Facial muscle rigidity, expressionless during speech or movement, resembling a mask — tremor paralysis and encephalitis.
(12) A pale grayish face, indifferent expression, vacant eyes, sunken eyes, prominent cheekbones, and a sharp nose — often due to severe hemorrhage, shock, acute peritonitis, etc.
(13) Conjunctival congestion, redness in the face and eye socket, neck, and chest skin, fading upon pressure — often epidemic hemorrhagic fever.
(14) In the absence of jaundice, a dark brown face with a grayish-blue tint — often due to cirrhosis or late-stage liver cancer.
(15) The mouth corners droop towards the healthy side, unable to whistle or puff cheeks, enlarged eye fissures, eyelids cannot close, tears flow, and forehead lines disappear — often due to facial nerve inflammation.
(16) Nodular growths and patches on the face, merging into large uneven nodules, partial or complete loss of eyebrows and eyelashes, resembling a lion’s face — often leprosy.
(17) A thin and pale face, rosy cheeks, significantly accompanied by low fever in the afternoon — active pulmonary tuberculosis.
(18) A sallow face, flat nose, almond-shaped eyes, swollen eyelids, wrinkled forehead, thick lips, extended tongue, fatigue, and weakness — congenital idiocy.
(19) Due to diarrhea or vomiting, a haggard face, sunken eye sockets, a high and thin nose, and prominent cheekbones — severe dehydration.
(20) A face that appears “black,” with black-blue pigmentation on the gums and buccal mucosa — chronic adrenal cortical insufficiency.
(21) Deep wounds from trauma, difficulty opening the mouth days later, facial muscle spasms, appearing to smile but not, presenting a special bitter smile — often tetanus.
(22) Laughing foolishly, constantly looking in the mirror, making faces, thinking strangely, emotional responses are childish, and behavior is disordered — juvenile-type schizophrenia.
(23) Manic laughter — mental illness, such as reactive psychosis, hysteria, arteriosclerotic psychosis, mania, etc.
(24) Silly laughter — often seen in congenital idiocy due to chromosomal abnormalities, as well as due to maternal exposure to radiation, viral infections during pregnancy, and other congenital developmental disorders; difficult labor and sequelae of encephalitis or meningitis.
(25) Forced laughter — often a sequel to multiple cerebrovascular accidents, also seen in multiple sclerosis. Often accompanied by forced crying, speech and swallowing difficulties, etc.
(26) Strange laughter, winking, pouting, tongue sticking out, frowning, and eye squinting — often seen in patients with chorea.
(27) Dull laughter, often with an open mouth, drooling from the corners of the mouth, and unconscious laughter — often seen in elderly diffuse cerebral arteriosclerosis.
(28) False laughter, enlarged eye fissures, flat nasolabial folds, drooping mouth corners, and facial asymmetry — facial nerve paralysis.
(29) A face with long-term abnormal color and lack of spirit — should go to the hospital for examination and treatment.
(30) A sudden yellow face — may indicate jaundice hepatitis, cholecystitis, or hookworm disease.
(31) A blue face — mostly indicates respiratory diseases, such as tuberculosis, emphysema, pneumonia, chronic bronchitis, etc.
(32) A gradually darkening face — may indicate cirrhosis.
(33) Swollen eyelids — body “water retention” or lack of sleep; if swollen eyelids are more severe in the morning — indicates heart or kidney problems.
(34) White patches on the cheekbones or facial area — may indicate vitiligo or cancer.
(35) Yellow skin, dull hair, and prone to tangling — indicates thyroid secretion disorder.
(36) Excessively pale skin — may indicate anemia.
(37) Red skin — indicates high red blood cell content or problems with the heart, liver, and intestines.
(38) Half-moon milky white spots on the eyelids — may indicate high cholesterol levels in the blood.
(39) Changes in moles on the face, such as color darkening, size increase, or irregular edges — may indicate skin cancer.
Extremely practical comprehensive guide to TCM observation diagnosis
Facial Features:
The face of an infant is clean, and only after weaning and eating solid food does it show the capabilities of the heart, liver, spleen, stomach, and kidneys; as age increases, the conditions displayed on the face become more numerous. This includes acne, spots, scars, and wrinkles; generally, adolescents show acne, middle-aged individuals show wrinkles, and the elderly show spots.
Specific Features:
1. The cardiovascular pressure zone mostly has acne, spots, and wrinkles.
2. Liver zone: fish tail wrinkles and spots.
3. Gallbladder zone: appears blue.
4. Lung zone: appears dark, indicating poor lung function.
5. Brain zone: vertical lines (inside the eyebrows, or three lines, or two lines) indicate poor cardiovascular health; a red glabella indicates high blood fat, often associated with hypertension.
6. Heart zone: horizontal lines (one line, two lines, or several lines) often indicate heart problems. Nose lines often indicate insufficient blood supply.
7. Spleen and stomach zone: abnormal color (or red nose) often indicates disharmony of the spleen and stomach.
8. Reproductive zone: abnormal color appears blue, often indicates endocrine disorders.
9. Kidney zone: appears dark, indicating kidney deficiency. Red bumps indicate back pain and general soreness, sunken areas on the side of the face indicate kidney deficiency, small ears indicate kidney deficiency.
10. Large intestine and small intestine zones: spots and “dark-colored” red dots indicate poor liver function.
11. Chest and breast zone: dark color corresponds to one side.
12. Bladder zone: dark and black, with acne; indicates bladder issues.
Comprehensive Supplementation of the Human Body:
1. General Discussion
1. Moles and spots on the face indicate congenital functional insufficiency of the corresponding organs.
2. Spots on the face indicate chronic diseases formed by long-term chronic consumption (formed over 3-5 years).
3. Acne on the face indicates inflammation in the corresponding organs (short-term formation).
4. Full face of acne and spots indicates endocrine disorders or decreased liver immune function.
2. Specific Discussion
1. Psychological Pressure:
The reflective area is on the upper third of the forehead to the hairline (the hairline circle), where acne (bumps) or color differences appear, indicating that this person has significant psychological pressure. If spots appear, it indicates heart disease (such as: myocardial weakness); moles indicate congenital heart function insufficiency.
2. Heart:
The reflective area is on the bridge of the nose between the corners of the eyes. If horizontal lines or prominent horizontal lines appear here, it proves arrhythmia or poor heart condition; if deep horizontal lines appear and there are also deep vertical lines (grooves) on the tongue, it may indicate serious heart disease. Heart disease generally indicates poor small intestine function; it can also lead to diseases of blood vessels, brain, thyroid, and parathyroid glands. Wrinkles on the lower ear lip indicate coronary heart disease, and purple lips indicate heart disease.
3. Brain:
The reflective area is between the two eyebrows. If vertical lines appear here, and this area is red, it proves that this person has insufficient blood supply to the cardiovascular system, headaches, neurasthenia, frequent dreams, poor sleep, palpitations, irritability, etc.
4. Lung:
(Respiratory system, throat, trachea, tonsils, etc.): The reflective area is between the two eyebrows and halfway down the forehead. If the middle of the forehead is relatively sunken, and the color is dark, or bluish, or has spots, it indicates that this person has lung disease and difficulty breathing; if there are pimples, it indicates that this person has recently had a cold or sore throat. If there are moles, spots, or whiteness in the eyebrow area, it indicates that this person has pharyngitis, tonsillitis, or chest tightness and shortness of breath, or lung disease. A bulge above the eyebrows also indicates lung disease. People with poor lung function generally have poor large intestine excretion function.
5. Chest (Breast):
The reflective area is between the corners of the eyes and the bridge of the nose. If this area is dark or bluish in men, it indicates chest tightness and shortness of breath. If this area is dark or bluish in women, it indicates breast pain during menstruation. If there are moles or pimples in the inner eyelid area, it indicates that women have lobular hyperplasia, and men have pleurisy. If there are small lumps at the corners of women’s eyes, it indicates that women have breast hyperplasia or breast tumors.
6. Liver:
The reflective area is halfway between the two eyebrows to above the temples, and below the upper third of the forehead, and the middle section of the bridge of the nose (the highest point of the nose). If these two areas are dark or have spots, and this person is relatively young or a wealthy boss or high official, it may indicate fatty liver. If these two areas or one of them has acne (bumps), it indicates that this person has excessive liver fire. If there are spots at the temples, it indicates weakened liver function. If there are spots at the highest point of the nose, it may indicate excessive liver fire, emotional instability, or menopause. If both areas have obvious spots, and the complexion is dark and dull, looking unattractive, and the person is relatively thin, it indicates liver disease (hepatitis or cirrhosis). A mole in the center of the eyebrows, yellow eyeballs, and a very yellow complexion indicate hepatitis B. A blue line from the bridge of the nose to the tip of the nose may indicate cancer or a tumor!
7. Gallbladder:
The reflective area is on the outer side of the high point of the bridge of the nose. If this area has red blood vessels, acne, or if the mouth is bitter upon waking, it indicates mild inflammation of the gallbladder; if there are spots, it may indicate cholecystitis. If there are vertical folds or vertical lines when smiling, it indicates gallbladder issues. If there are moles, it indicates congenital gallbladder insufficiency. If the right hand is placed under the right rib (the gallbladder is located here), and the left hand punches the back of the right hand, if this area hurts, it indicates cholecystitis; if the pain is severe, it may indicate gallstones. People with gallbladder issues may be overweight. A pair of obvious spots or moles under the eyes indicates gallstones. Dark eye bags also indicate poor gallbladder function.
8. Kidney:
The reflective area is where a vertical line from the outer corner of the eye intersects with a line dropped from the middle of the ear to the chin. If this area has red blood vessels, acne, or spots, it indicates kidney deficiency, generally leading to fatigue, back pain, and leg soreness. If this area has deep and large spots, it may indicate kidney stones. If this area has disease or lumps, it indicates congenital kidney insufficiency, which can also lead to back, leg, and back pain. Kidney deficiency can lead to bladder, reproductive system, and gonadal diseases. Deep crow’s feet at the corners of the eyes. Vertical folds near the ears also indicate kidney deficiency. If this area has disease or moles and the brain area has deep vertical lines, it indicates that this person has hypertension or is at risk of cerebrovascular disease in the future.
9. Bladder:
The reflective area is on both sides of the philtrum below the nose. If this area is red, with red blood vessels, acne, or sores, it indicates cystitis, which may lead to symptoms like yellowish and frequent urination. Cystitis can also cause lower back pain. In women, cystitis may sometimes be related to gynecological issues. If the root of the nose is red, but urination is not frequent or urgent, and the entire bridge of the nose is red, it indicates rhinitis.
10. Spleen:
The reflective area is at the tip of the nose. If the tip of the nose is red or has rosacea or is swollen, it indicates spleen heat or spleen enlargement, generally leading to a heavy head, cheek pain, irritability, etc. If the tip of the nose is yellow or white, it indicates spleen deficiency, which may lead to excessive sweating, aversion to wind, lethargy, and lack of appetite.
11. Stomach:
The reflective area is at the wings of the nose. If the wings of the nose are red, it indicates stomach fire, leading to hunger and bad breath. If there are red blood vessels and it is severe, it generally indicates gastritis. Stomach pain before meals generally indicates gastritis. Abdominal pain one to two hours after meals is generally a stomach ulcer, with tenderness in the middle of the abdomen or slightly to the left; abdominal pain two to four hours after meals indicates a duodenal ulcer, with pain in the area between the ribs near the heart, similar to a needle prick, and severe cases may cause pain to the back, with tenderness slightly to the right. If the wings of the nose are grayish-blue, it indicates stomach cold, and when shaking hands, one can feel that this person’s fingertips are cold, indicating that this person has stomach pain due to wind-cold, diarrhea, etc. If the wings of the nose are sunken, it generally indicates previous stomach pain, forming a root cause, which may lead to atrophic gastritis, and atrophic gastritis has a high possibility of leading to stomach cancer. Thin and deep wings of the nose indicate atrophic gastritis.
12. Small Intestine:
The reflective area is below the cheekbones, slightly inward. If this area has red blood vessels, acne, spots, moles, or blemishes, it indicates poor absorption function of the small intestine, generally leading to thinness.
13. Large Intestine:
The reflective area is below the cheekbones, slightly outward. If this area has red blood vessels, acne, spots, moles, or blemishes, it indicates poor excretion function of the large intestine, generally leading to dry stools, constipation, or loose stools. If this area has crescent-shaped spots, it indicates constipation or hemorrhoids. The intersection of the lower line of the nose and the outer corner of the eyes is the rectal reflex area; if there are spots here, it indicates hemorrhoids, and if this area is red or has white spots, there is a possibility of rectal cancer.
14. Reproductive System:
The reflective area is around the philtrum and lips. If a woman has moles or blemishes below her lips, and the chin is red, while the kidney reflective area is relatively clean, it indicates that this person has a retroverted uterus and back pain. If a woman has moles or blemishes around her lips, and the kidney reflective area is also poor, or if the area around her lips is blue, black, or white, and the kidney reflective area is also poor, these two situations generally indicate sexual coldness. If a woman has a mole in the philtrum, it generally indicates that she has uterine disease. If a man has moles or blemishes around his lips, and the kidney reflective area is also poor, it indicates that this person has reproductive system issues. If a man over 40 has a thicker upper lip, it may indicate prostate enlargement; if the upper lip has acne that recurs, it may indicate prostatitis. If a man has an uneven upper lip with grooves, it indicates male sexual dysfunction, and if both sides of the upper lip are red, it also indicates prostatitis.
Appendix:
(1) Moles on the upper eyelid indicate dizziness.
(2) Any reflective area with moles or blemishes indicates that ancestors have suffered from diseases in that area.
(3) Diabetes: A pitted tip of the nose with red blood vessels in the kidney area and red wings of the nose. Puffy eyelids and cracked lips with a red line in the middle of the tongue may indicate diabetes. (4) Dark circles around the eyes indicate insufficient blood supply to the brain, easily leading to trigeminal neuralgia and poor sleep.
(5) If there are two blue veins in the throat, it indicates rheumatic arthritis.
(6) Spots on the entire face belong to thrombocytopenia.
The upper third of the forehead near the hairline, if symptomatic, indicates poor cardiovascular function or significant mental stress. If there are moles, it indicates congenital cardiovascular dysfunction. If there are bumps or redness, blueness, purpleness, blackness, or darkness, it indicates current or long-term poor cardiovascular function or significant mental stress. If there are spots or pigmentation, it indicates long-term poor cardiovascular function or long-term mental stress.
The area between the two eyebrows and halfway between the two eyebrows represents the respiratory system, lungs, throat.
The outer half of the area between the two eyebrows includes the temples, representing the liver.
Below the eyes and above the cheekbones represents the gallbladder.
Between the eyes and the sides of the bridge of the nose represents the cardiovascular system.
Between the eyes and the sides of the bridge of the nose, for men represents the thorax, for women represents the mammary glands, both are viewed crosswise.
Another location for the liver is at the midpoint of the bridge of the nose, and the gallbladder is on both sides of the midpoint of the bridge of the nose, hence the saying that the liver and gallbladder are interconnected.
The tip of the nose represents the spleen, and the wings of the nose represent the stomach.
The area from the lower cheekbones to the lower tip of the nose, the outer side represents the large intestine. The inner side represents the small intestine.
The area between the cheekbones and the ears, including the ears and cheeks, represents kidney function.
The philtrum represents the bladder. The area around the mouth represents the reproductive system.
The chin represents the kidneys or body soreness; a full face of acne indicates significant mental stress.
Facial features indicating extremely difficult or impossible treatment
If any of the following “death” features appear, caution is advised:
1: Black color appears on the glabella, tip of the nose, and both corners, difficult to survive for three days.
2: Hair is dry and upright, difficult to survive for 15 days.
3: Blue energy descends from the hairline to the glabella, regardless of the severity of the illness, death within 60 days; if it reaches the bridge of the nose, death within a month; if it reaches the philtrum, difficult to survive for seven days.
4: A white line appears from the glabella to the ear or nose, also indicates death.
5: Lifespan appears dry black, dry white, or deep blue, must die without a doubt. (Note: complexion is the first intuitive perception, do not scrutinize)
6: A black forehead, heavy head, stiff neck, and downward gaze also indicate an incurable person.
7: Long-term severe illness, fixed pupils, indicates impending death.
8: The entire nose appears dry and black, also indicates incurability.
9: The life gate (in front of the ear) connected to the nose has a white horizontal line or purple-black color indicates death.
10: Black energy enters the philtrum, also indicates death.
11: Dry corners of the mouth, white-yellow, difficult to survive for seven days.
12: Blue lips and black tongue like pig liver, nine out of ten die.
(Note: complexion is the first intuitive perception, do not scrutinize, scrutinizing leads to confusion, rely on intuition for judgment, and be confident.)
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