13.望面色精读.pptVIP

面部分候脏腑《灵枢 五色》 　Ⅱ Inspection of complexion 望面色 a. the visceral essence flows to the face. b. the facial skin is soft and thin, the luster is visible and easy to observe. c. so the facial color and luster are the signs of body. It is an important part of inspection examination. 1 《灵枢 · 邪气脏腑病形》：十二经脉，三百六十五络，其气血皆上于面而走空窍。 （脏腑气血所荣） 2 《四诊抉微》：气随脏发， 色随气华 3 另外面部皮肤薄嫩外露，易于观察。 2.1Normal complexion常色: it is the normal and healthy complexion. To be ruddy and lustrous, indicating exubberance 健康, 丰富 of visceral essence and normal functions. 红黄隐隐，明润含蓄 normal individual complexion 主色: to refer to the color of the skin and face that never changes due to racial and constitutional factors. 与生俱来 基本不变 varied normal color客色 : to refer to the changes of the skin and facial color in correspondence to the variations of the seasons and climates. 季节 气候 环境 《医宗金鉴》： 四时之色，随四时加临，推迁不常，故为客色。 2.2 morbid complexion病色：it is facial color during the course of disease . 是指人体在疾病状态时的面部颜色与光泽。 有善色和恶色之分. Morbid complexion have two parts : favorable and unfavorable complexion. favorable complexion善色: to be bright and moist color ,no matter what color it is, indicates mild illness, normal condition of the visceral essence, easiness to cure and better prognosis. 面色虽有异常,但光鲜润泽.病轻,预后好. unfavorable complexion恶色: to be dull and dry color, maybe malignant or indicates serious illness, impairment of the visceral essence, difficulty to cure and bad prognosis. 面色异常,而且晦暗枯槁.病重,预后不好 2.3 diseases reflected by five colors 五色主病 According to the theory of TCM and clinical experience, the five kinds of color correspond to disorders of the five zang organs. Blue corresponding to the liver 青--肝 Red corresponding to the heart 赤--心 Yellow corresponding to the spleen 黄--脾 White corresponding to the lung 白--肺 Black corresponding to the kidney 黑--肾 a. bluish indication青色主病: indicating cold syndrome, pain syndrome, blood stasis syndrome and convulsive syndrome. 为肝胆之色。 主寒证，痛证，瘀血和小儿惊风。 色青主肝病，可能见到两胁下痛，令人善怒