The five major issues with facial appearance are: First, rough skin, especially around the sides of the nose, which indicates cold in the stomach (wei han). Second, a dark complexion, either sallow or blackish. A sallow complexion indicates problems with the spleen and stomach, while a pale complexion indicates heart issues. A dark forehead suggests cold in the stomach; a dark glabella or overall dark face indicates kidney problems. Third, the presence of spots, with melasma typically appearing on the cheeks, which is associated with small intestine issues. Additionally, there are water spots, which are “pigmentation” appearing on the cheeks, around the lips, and chin. Fourth, acne on the face is generally due to cold in the stomach. Acne on the chin indicates cold in the small intestine. Fifth, dry and peeling lips.Regarding the fifth point, Zhang Zhongjing mentioned: there are women who have a history of miscarriage, with blood stasis in the lower abdomen, cysts, and fibroids, which are also manifestations of blood stasis, presenting as dry lips. The area around the lips, besides involving the spleen and stomach meridians, is also significantly influenced by the Ren (Conception) and Chong (Penetrating) meridians. When the Ren and Chong are deficient, it indicates blood deficiency and yang deficiency, leading to more severe dryness of the lips, which should be treated with “Wen Jing Tang” (Warm the Menses Decoction).Nourishing the complexion fundamentally relies on nourishing the essence of the five organs and ensuring the smooth function of the six bowels. The foundation for nourishing the five organs and six bowels lies in proper eating, sleeping, and exercising. Neglecting these aspects will naturally lead to a poor complexion.
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