It suggests cold syndrome and deficiency syndrome (loss of blood or qi). White is the manifestation of insufficient qi and blood failing to nourish the body. The pale complexion with puffiness is usually due to deficiency of yang and qi which could not enable qi and blood to go up to face. Pale complexion with emaciation is usually due to insufficiency of blood. The bluish white complexion is usually due to yang deficiency with exorbitant cold, or massive bleeding. The sudden appearance of pale complexion with profuse cold sweating is usually due to yang-qi collapse.