The Secrets of Facial Diagnosis in Traditional Chinese Medicine (TCM)

Facial Features Indicating Severe or Untreatable Conditions

Be cautious if any of the following “dead” features appear:

1: Black spots on the glabella, tip of the nose, and both sides of the nose indicate a prognosis of three days.

2: Hair that is dry and standing upright indicates a prognosis of fifteen days.

3: A blue hue descending from the hairline to the glabella indicates death within sixty days, one month if it reaches the bridge of the nose, and seven days if it reaches the philtrum.

4: A white line appearing from the glabella to the ears or nose also indicates a fatal condition.

5: A lifespan characterized by a dry black, dry white, or deep blue color indicates certain death. (Note: The complexion is the first intuitive observation; do not scrutinize too closely.)

6: A black forehead, heavy head, stiff neck, and downward gaze also indicate an untreatable person.

7: Long-term severe illness with fixed dilated pupils indicates impending death.

8: A completely blackened and shriveled nose is also untreatable.

9: A white or purple-black line connecting the ear to the nose indicates death.

10: Black gas entering the philtrum also indicates death.

11: Dry, white-yellow corners of the mouth indicate a prognosis of seven days.

12: Blue lips and a black tongue resembling pig liver indicate a nine out of ten chance of death.

(Note: The complexion is the first intuitive observation; do not scrutinize too closely, as detailed observation may lead to confusion; rely on intuition and be confident.)

Experience Tips:

Kidney deficiency shows black under the eyes, lung heat shows red at the tip of the nose, liver excess shows red eyes, and asthma shows darkened cheeks.

Wind excess shows blue eyes, phlegm dampness shows yellow in the eyes, phlegm excess shows swollen under the eyes, cold stomach shows blue lips, and kidney failure shows black ears.

Dampness excess shows yellow skin, liver heat shows dry skin, spleen heat shows red eyes, mixed colors show darkened eyes, and foot injuries show a heavy neck.

Blood loss shows darkened lifespan, leakage shows blue-yellow complexion, qi deficiency shows puffy face, excessive sweating shows blue lips, and pain shows furrowed brows.

Heat dryness shows darkened forehead, a dry forehead needs hydration, white lips should avoid cold, red cheeks clear liver and lungs, and excess fat phlegm needs to be eliminated.

Thin people show excess liver fire, weakness shows qi deficiency, throat constriction shows food choking, mouth constriction shows cold stomach, and diarrhea shows yellow-white complexion.

Abdominal pain shows white lips and black-blue face indicating diarrhea, round eyes show risk of mania, resembling a crane indicates tuberculosis, and purple indicates bone steaming.

Fear shows blue-black face, absolute appetite shows blue mouth, poisoning shows white mouth with blood, yellow face resembles dyed paper.

Intestinal wind and blood collapse, heavy eyes indicate eye disease, ugly nose shows discomfort, and strange black spots indicate similar evaluations.

Suspended needle spiritual lock imprint, middle jiao disease must show three bends on the nose, hand and foot fractures indicate shock, and phlegm excess shows bright face.

Qi tightness shows waist pain, dark nose and ears indicate impending death, all diseases should be checked, and do not rush in clinical situations. Seek military advisor’s office.

Facial Diagnosis Mnemonics

(Facial diagnosis is a method of diagnosing organ diseases and health conditions through facial reflection zones, allowing for quick treatment.)

In all medical cases, observation is first. Essence, qi, and spirit are most important. Organ positions must be remembered. Multiple shadows should be distinguished.

Many diseases arise from qi and blood. A blue complexion indicates cold pain. A lustrous complexion indicates abundant qi and blood. A red complexion indicates heat.

Red like makeup indicates false heat. A black complexion indicates liver and kidney issues. A pale white complexion indicates deficiency and cold. A white without luster indicates blood deficiency.

A yellow complexion indicates damp heat. A dark yellow complexion 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 qi deficiency. Red eyes indicate internal heat. Yellow whites indicate liver and gallbladder disease.

Lack of iris indicates brain disease. A large gastric ring indicates poisoning. Black vertical lines indicate inflammation. Black depressions indicate organ damage.

Itchy dermatitis shows gray around the iris. Hard blood vessels show white circular rings. Iris diagnosis is a vast knowledge. Concentric circles are key.

Multiple segments form a ring. Rings interlock, representing the whole body. Eyes are like fish, valuable and bright. A glossy nose indicates no major illness.

A blue nose indicates cold injury. A white nose indicates blood injury. A nose with soil indicates absolute stomach qi. An irregular nose indicates serious illness.

Spots on the nose indicate serious illness. A clear philtrum indicates no major illness. A full tear hall indicates good health. Dry blue-black indicates kidney deficiency.

Insomnia indicates spirit injury. A flat groove indicates lack of strength. A sore philtrum indicates stomach fire. A crooked philtrum indicates short lifespan.

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 risk. A thin face indicates caution. If there is no illness, weight will increase.

Ten steps away, clear eyebrows and eyes indicate longevity. Clear positions and five colors indicate health. Knowing colors and overcoming can ensure safety.

Facial Features and Diseases

The five features are important organs of the body, closely related to the five internal organs. If the five features feel uncomfortable, the five internal organs are gradually weakening, leading to disease.

1. Sudden frequent blurriness in vision, dry corners of the eyes, and inability to see clearly indicate weakened liver function. Pressing around the liver will feel swollen. In addition to seeking timely medical attention, 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. Constant ringing in the ears and difficulty hearing indicate gradual kidney function decline, sometimes accompanied by 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. Diminished sense of smell, frequent coughing, and sometimes even difficulty breathing indicate gradual lung function decline. Patients should first pay attention to diet, quit smoking or control smoking, and avoid being around heavy smokers. Eating more fresh fruits and vegetables and strengthening physical exercise can prevent lung complications.

4. Numbness in the lips, reduced appetite, and noticeable weight loss indicate gradual pancreatic function decline, mainly due to dietary imbalance and irregular eating habits. When the pancreas is not functioning well, it also affects the stomach, leading to noticeably dry and cracked lips, numbness, and lack of taste. Public account: Chinese Feng Shui Research Association. In addition to adjusting diet, one should also avoid eating raw, cold, and greasy foods.

5. Dull taste, inability to taste food, accompanied by palpitations, frequent dreams, and insomnia indicate heart function damage. This is caused by overwork. When the mouth feels dry, the tongue coating is thick, and one cannot taste food, one should be especially vigilant to prevent heart disease.

Comprehensive Explanation of TCM Facial Diagnosis

(1) A slightly yellowish complexion with a rosy hue, full of spirit, natural expression, and slight luster—indicates a normal person.

(2) A flushed face, excited and restless, flaring nostrils, lip blisters, painful expression, rapid breathing and pulse—indicates acute illness, such as lobar pneumonia, dysentery, or acute purulent tonsillitis.

(3) Facial swelling, pale eyelids, small eye fissures, and indentation on the forehead when pressed, especially worse in the morning—indicates acute or chronic nephritis, kidney disease, etc.

(4) A haggard face, gray complexion, dull eyes, and lack of spirit—indicates chronic wasting disease.

(5) A pale face, swelling, wide and loose eyelids, dull and cold expression, and white showing above the black of the eyes—indicates hyperthyroidism.

(6) A pale face, swelling, lack of expression, thick tongue, hoarse voice, deafness, and rough skin all over—indicates hypothyroidism.

(7) Facial swelling, dark red cheeks, and cyanotic lips—often indicates rheumatic heart disease or mitral stenosis.

(8) Enlarged head, elongated face, protruding jaw, prominent cheekbones, and enlarged ears and nose—indicates acromegaly.

(9) Slow response, apathetic expression, vacant gaze, and lack of energy—indicates typhoid fever.

(10) A red, round, moon-like face, with fat accumulation in the cheeks, possibly obscuring the ears—often indicates long-term use of corticosteroids, Cushing’s syndrome.

(11) Facial muscle rigidity, expressionless during speech or movement, resembling a mask—indicates tremor paralysis and encephalitis.

(12) A pale grayish complexion, apathetic expression, vacant eyes, sunken eyes, prominent cheekbones, and a sharp nose—often indicates severe hemorrhage, shock, or acute peritonitis.

(13) Conjunctival congestion, redness in the face and eye socket, neck, and chest skin—often indicates epidemic hemorrhagic fever.

(14) In the absence of jaundice, a dark brownish-black complexion with a bluish-gray tint—often indicates liver cirrhosis or late-stage liver cancer.

(15) A crooked mouth towards the healthy side, inability to whistle or puff cheeks, enlarged eye fissures, inability to close eyelids, tearing, and disappearance of forehead wrinkles—often indicates facial nerve inflammation.

(16) Nodular hyperplasia and patches on the face, merging into large uneven nodules, partial or complete loss of eyebrows and eyelashes, resembling a lion’s face—often indicates lepromatous leprosy.

(17) A thin and pale face, rosy cheeks, especially noticeable in the afternoon with low fever—indicates active pulmonary tuberculosis.

(18) A withered yellow face, flat nose, almond-shaped eyes, swollen eyelids, wrinkled forehead, thick lips, extended tongue, and fatigue—indicates congenital idiocy.

(19) A haggard face due to diarrhea or vomiting, sunken eyes, prominent nose, and clearly visible cheekbones—indicates severe dehydration.

(20) A face resembling a “black person,” with black-blue pigmentation on the gums and buccal mucosa—indicates chronic adrenal cortical insufficiency.

(21) Deep wounds from trauma, difficulty opening the mouth after several days, facial muscle spasms, appearing to smile but not genuinely—often indicates tetanus.

(22) Laughing foolishly, constantly looking in the mirror, making faces, and exhibiting childish emotional responses—often indicates juvenile-type schizophrenia.

(23) Manic laughter—indicates mental illness, such as reactive psychosis, hysteria, arteriosclerotic psychosis, or mania.

(24) Foolish laughter—often seen in patients with congenital idiocy due to chromosomal abnormalities, or due to maternal exposure to radiation or viral infections during pregnancy, as well as complications from difficult labor, 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.

(26) Strange laughter, winking, pouting, tongue sticking out, frowning, and eye squinting—often seen in patients with chorea. Public account: Chinese Feng Shui Research Association.

(27) Blank laughter, often with open mouth, drooling, and unconscious laughter—often seen in elderly diffuse cerebral arteriosclerosis.

(28) Fake laughter, with enlarged eye fissures, flat nasolabial folds, drooping mouth corners, and facial asymmetry—indicates facial nerve paralysis.

(29) A long-term abnormal complexion and lack of spirit—should seek hospital examination and treatment.

(30) A sudden yellow complexion—may indicate jaundice hepatitis, cholecystitis, or hookworm disease.

(31) A blue complexion—often indicates respiratory diseases, such as tuberculosis, emphysema, pneumonia, or chronic bronchitis.

(32) A gradually darkening face—may indicate liver cirrhosis.

(33) Swollen eyelids—indicate “water retention” or lack of sleep; if swelling is more severe in the morning—indicates heart or kidney issues.

(34) White patches on the cheekbones or facial area—may indicate vitiligo or cancer.

(35) Yellow skin, dull hair, and easily tangled hair—indicate thyroid dysfunction.

(36) Excessively pale skin—may indicate anemia.

(37) Red skin—indicates high red blood cell count or issues with the heart, liver, and intestines.

(38) Half-moon white patches on the eyelids—may indicate high cholesterol levels in the blood.

(39) Changes in moles on the face, such as darkening, enlargement, or irregular borders—may indicate skin cancer.

Facial Features:

An infant’s face is clean, and only after weaning and starting solid food does the ability of the heart, liver, spleen, stomach, and kidneys manifest. As age increases, more conditions appear on the face, including acne, blemishes, scars, and wrinkles; generally, adolescents show acne, middle-aged individuals show wrinkles, and the elderly show spots.

Specific Features:

1. Cardiovascular pressure zones often show acne, spots, and wrinkles.

2. Liver zones: show crow’s feet and spots.

3. Gallbladder zones: show a bluish hue.

4. Lung zones: show darkening and depression indicating poor lung function.

5. Brain zones: show vertical lines (inside the eyebrows, or three or two lines) indicating poor cardiovascular health; a red glabella indicates thick blood lipids, often associated with hypertension.

6. Heart zones: show horizontal lines (one, two, or several) indicating poor heart health. Nose lines often indicate insufficient blood supply.

7. Spleen and stomach zones: show abnormal colors (or red nose) indicating disharmony of the spleen and stomach. Public account: Chinese Feng Shui Research Association.

8. Reproductive zones: show abnormal colors indicating endocrine disorders.

9. Kidney zones: show darkening indicating kidney deficiency. Red bumps indicate back pain and general soreness, and a sunken area on the side of the cheek indicates kidney deficiency, while small ears indicate kidney deficiency.

10. Large intestine and small intestine zones: show spots and “dark colors” indicating poor liver function.

11. Chest and breast zones: show dark colors corresponding to each side.

12. Bladder zones: show darkening, blackness, and acne; indicating bladder issues.

Comprehensive Body Supplementation:

1. General Overview

1. Moles and blemishes 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 (3-5 years).

3. Acne on the face indicates current inflammatory changes in the corresponding organs (short-term formation).

4. Full facial acne and spots indicate endocrine disorders or decreased liver immune function.

2. Specific Discussions

1. Psychological Stress:

The reflective area is on the forehead from one-third to the hairline (the hairline circle); if acne (bumps) appears here, or if the forehead color differs, it indicates significant psychological stress. If spots appear, it indicates heart disease (e.g., myocardial insufficiency); 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 appear or are prominent, it indicates arrhythmia or poor heart condition; if deep horizontal lines appear and there are also deep vertical lines on the tongue, it may indicate serious heart disease. Heart disease generally indicates poor small intestine function and can lead to diseases of blood vessels, brain, thyroid, and parathyroid. Wrinkles on the lower lip indicate coronary heart disease, and purple lips indicate heart disease.

3. Brain:

The reflective area is between the eyebrows; if vertical lines appear, especially deep and red, it indicates insufficient blood supply to the cardiovascular system, headaches, nervous exhaustion, frequent dreams, poor sleep, palpitations, and irritability.

4. Lungs:

(Respiratory system, throat, trachea, tonsils, etc.): The reflective area is between the eyebrows and the lower third of the forehead. If the middle of the forehead is depressed and the color is dark, bluish, or spotted, it indicates lung disease and difficulty breathing; if there are pimples, it indicates recent colds or sore throats. If there are moles or spots on the eyebrow area, it indicates pharyngitis, tonsillitis, or chest tightness and shortness of breath. A bulge above the eyebrows also indicates lung disease. People with poor lung function generally have poor large intestine elimination function.

5. Chest (Breast):

The reflective area is between the corners of the eyes and the bridge of the nose. If a male has dark or bluish areas here, it indicates chest tightness and shortness of breath. If a female has dark or bluish areas here, it indicates breast swelling and pain during menstruation. If there are moles or pimples on the inner eyelid area, it indicates lobular hyperplasia in females, and if a female has small bumps at the corners of the eyes, it indicates breast hyperplasia or breast tumors.

6. Liver:

The reflective area is between the eyebrows and above the temples, and the lower third of the forehead, as well as the middle section of the nose (the highest point of the nose). If these areas are dark or spotted, and the person is relatively young or wealthy, it may indicate fatty liver. If these areas or one of them has acne (bumps), it indicates excess liver fire. If there are spots on the temples, it indicates weakened liver function. If there are spots on the high part of the nose, it may indicate excessive liver fire, emotional instability, or menopause. If both areas have noticeable spots and the complexion is dark and dull, indicating poor appearance and thinness, it indicates liver disease (hepatitis or cirrhosis). A mole in the center of the eyebrows, yellowing of the eyes, and a very yellow complexion indicate hepatitis B. A blue hue from the bridge of the nose to the tip may indicate cancer or tumors!

7. Gallbladder:

The reflective area is on the outer side of the high part of the nose. If this area has red blood vessels, acne, or if the mouth tastes bitter in the morning, it indicates mild inflammation of the gallbladder; if there are spots, it may indicate cholecystitis. If there are vertical wrinkles or vertical lines when smiling, it indicates gallbladder issues. If there are moles or spots here, it indicates congenital gallbladder insufficiency. If you place your right hand under the right rib (the gallbladder is located here) and hit your right hand with a fist, if it hurts, it indicates cholecystitis; if it hurts severely, it may indicate gallstones. People with gallbladder issues may be overweight. A pair of noticeable spots or moles under the eyes indicates gallstones. Dark eye bags also indicate gallbladder issues.

8. Kidneys:

The reflective area is 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. If this area has red blood vessels, acne, or spots, it indicates kidney deficiency, generally accompanied by fatigue, soreness in the lower back and legs. 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 lower back soreness. Kidney deficiency can lead to bladder, reproductive system, and gonadal diseases. Deep crow’s feet at the corners of the eyes and vertical lines near the ears also indicate kidney deficiency. If this area has disease or moles and the brain area has deep vertical lines, it indicates hypertension or a future risk of cerebral thrombosis.

9. Bladder:

The reflective area is on both sides of the philtrum below the nose. If this area is red, has red blood vessels, acne, or sores, it indicates cystitis, which may cause red-yellow, slightly frequent urination; cystitis can also cause lower back soreness. In females, cystitis may sometimes indicate 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 accompanied by a heavy head, cheek pain, and irritability. If the tip of the nose is yellow or white, it indicates spleen deficiency, which may cause 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 generally indicates gastric ulcers, with tenderness in the middle of the abdomen or slightly to the left; abdominal pain two to four hours after meals generally indicates duodenal ulcers, 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 cold stomach; when shaking hands, one can feel the person’s fingertips are cold, indicating that this person suffers from wind-cold stomach pain and diarrhea. The wings of the nose being thin and sunken generally indicates previous stomach pain, forming a root cause, which can lead to atrophic gastritis, and atrophic gastritis has a higher risk of leading to stomach cancer. Thin wings of the nose with deep grooves 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 elimination 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; 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 female has moles or blemishes below her lips, and the chin is red while the kidney reflective area is clean, it indicates a retroverted uterus and lower back pain. If a female 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 female has a mole in the philtrum, it generally indicates uterine disease. If a male has moles or blemishes around his lips, and the kidney reflective area is also poor, it indicates reproductive system issues. If a male 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 male’s upper lip is uneven with grooves, it indicates male sexual dysfunction; if the 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 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. Large eyelids with swelling and cracked lips, with a red line in the middle of the tongue, may indicate diabetes. (4) Darkening around the eyes indicates 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 indicate thrombocytopenia.

The area of the forehead close to 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 eyebrows and the outer half of the eyebrows represents the respiratory system, lungs, throat.

The outer half of the eyebrows, including the temples, represents the liver.

Below the eyes and above the cheekbones represents the gallbladder.

Between the eyes and the sides of the nose represents the cardiovascular system.

Between the eyes and the sides of the nose, for males represents the thorax, for females represents the mammary glands, both are viewed crosswise.

Another location for the liver is at the midpoint of the nose, and the gallbladder is on both sides of the midpoint of the nose, hence the saying “the liver and gallbladder are interconnected and reflect each other.”

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, on the outer side, represents the large intestine. The inner side represents the small intestine.

The area from the cheekbones to 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 soreness in the body; full facial acne indicates significant mental stress.

The Secrets of Facial Diagnosis in Traditional Chinese Medicine (TCM)

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