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Grimy face

面垢 〔面垢〕miàn gòu

From On Cold Damage (伤寒论 shāng hán lùn). A facial complexion that looks dirty as if covered with dust and grime that cannot be washed away. Grimy face is usually attributed to contraction of summerheat evil, stomach heat sweltering upward, or to internal accumulation and stagnation.

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