Most people would agree that signs of aging are easy to spot. In TCM theory, healthy people should exhibit the following :

Strong physique: powerful muscles, tendons and bones ensure mobility, agility and flexibility, a strong physique indicates that every part of the body is in an optimum state.

Sharp eyes: TCM claims that the eyes are one of the gathering places for the organs' essence and qi (vital energy) to meet, so expression in the eyes naturally reflect the functional states of internal organs; bright and piercing eyes are the prime expression of good health. Furthermore, the eyes are regarded as the openings of the liver in the body surface; good vision reflects the liver functioning properly.

Good complexion: the face is regarded as the outer manifestation of internal organs especially for the heart; a pink and radiant complexion means the body's blood and qi circulations are smooth.

Healthy looking skin and hair: these indicate that the body has sufficient blood and qi (vital energy) to nourish them.

Quiet and steady breathing: TCM believes that the heart and lungs are responsible for exhalation, while the liver and kidneys are responsible for inhalation. Smooth respiratory movements result from close coordination of these organs.

Acute hearing: the ears are the openings of the kidney in the body surface which is also important pivot locations for the meridians to communicate with each other; diminished hearing, tinnitus or deafness means internal disharmony particular in the kidney.

Loud voice: vocalization depends on the qi and is also associated with lung function.

Rhythmic pulse: the pulse is governed by the heart and commanded by qi (vital energy). Whatever the causes of the disease, abnormalities or pathological changes can be reflected by the pulse, and from this arise changes in the pulse image.

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