既集唇形之条目。当集唇色之条目。诸书谓唇红紫者。热也。唇赤而吐者。胃热也。唇色赤黑者。胃中热也。
上下唇皆赤者。心热也。上唇赤。下唇白者。心肾不交也。唇色深红。洒淅寒热喘咳者。肺之虚热也。唇红喉
耳生疮。腹胀痛。身热。脉滑数者。蛔胀也。久病唇红者。难治也。唇舌鲜赤。腮红。发热。咳嗽喷嚏者。疹也。唇舌
鲜赤。腮红。发热。眼如醉眼而含泪。指梢冷者。痘也。脉大身热。不能饮食。舌赤唇红。喜饮冷水。频频下痢者。
噤口痢也。食入即吐。口渴思冷。呕吐酸涎。身热唇红溺赤者。热吐也。小儿唇红浓者。脾胃健。易养也。妇人
唇红浓者。冲脉盛。易产也。唇淡白者。虚也。唇惨白而吐者。胃虚也。唇白食少喘咳者。脾肺气虚也。朝食暮
吐。乳食不化。四肢逆冷。面唇色白者。寒吐也。唇色或红或白。胃口时痛时止。频呕清涎者。虫吐也。齿龈无
色。舌上白。烦愦不知痛痒之处。或喜眠。下痢者。虫蚀其肛也。面上白斑。唇红能食。颜色不常。脸上有蟹爪
路者。便有虫也。痛如咬心。时作时止。口吐清水。人中鼻唇一时青黑者。虫痛之证也。妊娠唇白者。血不足。
产或难也。唇白而地库光明者。病可治也。唇白目内 白。面瘦而白。四肢肿。或脑痛。脉跳而数者。心虚血
不足也。面唇清白。渴喜热饮。痢时肠鸣切痛者。此为寒痢。虚寒之证也。舌赤唇焦。喜饮冷水。腹中窘痛。溺
短色赤。频频下痢者。此为热痢。里热之证也。脾疳肚大青筋。唇口无色。人中平。痢不止者。不治之证也。唇
白如枯骨者。死证也。口噤唇青。舌本缩者。小肠寒也。唇口青白而黑者。寒也。唇青额黑者。血气虚怯。为冷
所乘也。卒厥唇口青者。身冷为入脏。即死。身温汗自出为入腑。即愈也。唇口俱青黑者。冷极也。筋不能转。
爪甲皆痛。舌卷唇青。转筋卵缩。 脉疼急。腹中绞痛。或便欲绝。不能饮食者。筋虚极也。笑而伸。伸而反忧。
热而且狂。闷乱冒昧。言多谬误者。此心已伤。若口唇正赤可疗。青黄白黑。不可疗也。唇青紫者。胃气虚寒
也。唇色黑瘀。目睛凸露。呼吸上逆者。哮喘也。干霍乱。吐泻不得。胸腹胀硬。手足冷过腕膝。脉伏喘急。舌卷
囊缩。唇青黑者。死证也。痈疽证。声嘶色脱。唇鼻青黑。面目四肢浮肿者。恶候也。唇青人中反者。三日死也。
病患唇青体冷。遗尿者。膀胱绝。四日死也。唇黑者。胃先病也。环口黧黑者。脾肾绝也。唇色如漆黑者。脾胃
将绝也。水病唇黑者。肝伤不可治也。两颧昏暗。唇色惨黑者。气不足。血已枯也。唇口青黑。吐逆。肠腹绞痛
不可忍。发狂。七窍迸血。或外肾胀大者。中砒霜之毒也。唇色青黑者。即刻身亡也。面青唇黑。面黑唇青者。
皆死证也。举体消瘦。语音沉涩。声如破鼓。舌强不转。而好咽唾。口噤唇黑。四肢不举。身体极重。便利无度
者。脾虚寒甚。则不可治也。此皆唇色之条目也。
既然已经收集了关于唇形的条目,接下来应当收集关于唇色的条目。各种医书认为:嘴唇红紫的,是热证;嘴唇赤色且呕吐的,是胃热;嘴唇颜色赤黑的,是胃中有热。
上下嘴唇都呈赤色的,是心热;上唇赤、下唇白的,是心肾不交;嘴唇颜色深红,伴有恶寒发热、气喘咳嗽的,是肺的虚热;嘴唇红,咽喉和耳朵生疮,腹部胀满疼痛,身体发热,脉象滑数的,是蛔虫引起的腹胀(蛔胀);久病之人嘴唇仍红的,难以治疗。
嘴唇和舌头鲜红,两腮发红,发热,咳嗽打喷嚏的,是疹病;嘴唇和舌头鲜红,两腮发红,发热,眼睛像喝醉了一样含着泪水,手指梢发冷的,是痘病;脉象大,身体发热,不能进食,舌头赤红,嘴唇红,喜欢喝冷水,频繁腹泻痢疾的,是噤口痢。
吃进去就吐出来,口渴想喝冷饮,呕吐酸水,身体发热,嘴唇红,小便赤黄的,是热性呕吐;小儿嘴唇红润浓密的,说明脾胃功能健全,容易抚养;妇人嘴唇红润浓密的,说明冲脉气血旺盛,分娩容易。
嘴唇淡白色的,是虚证;嘴唇惨白且呕吐的,是胃虚;嘴唇白,食少,气喘咳嗽的,是脾肺气虚;早上吃晚上吐,乳食不消化,四肢逆冷,面部和嘴唇颜色白的,是寒性呕吐;嘴唇颜色或红或白,胃口时痛时止,频繁呕吐清稀涎水的,是虫积引起的呕吐。
齿龈无色,舌苔白,心中烦闷不知哪里痛痒,或者喜欢睡觉,伴有腹泻的,是寄生虫侵蚀肛门;脸上有白斑,嘴唇红能吃饭,面色无常,脸上有像蟹爪一样的纹路,这是有虫的表现。
疼痛像咬心一样,时作时止,口吐清水,人中、鼻子和嘴唇同时呈现青黑色的,是虫痛的症状。妊娠期间嘴唇白的,是血不足,生产可能困难。嘴唇白但地库(鼻准下方区域)光明润泽的,病可以治疗。
嘴唇白,眼内眦白,面瘦而白,四肢浮肿,或者头痛,脉搏跳动快而数的,是心虚血不足。面部和嘴唇清白,口渴喜欢热饮,痢疾发作时肠鸣切痛的,这是寒痢,属于虚寒证候。
舌头赤红,嘴唇焦干,喜欢喝冷水,腹中窘迫疼痛,小便短少色赤,频繁腹泻痢疾的,这是热痢,属于里热证候。脾疳症肚子大、青筋暴露,嘴唇口角无色,人中平坦,痢疾不止的,是不治之症。
嘴唇白得像枯骨一样的,是死证。牙关紧闭,嘴唇青,舌体缩小的,是小肠寒证。嘴唇口部青白而黑的,是寒证。嘴唇青、额头黑的,是气血虚弱怯懦,被寒气侵袭所致。
突然昏厥,嘴唇口部青的,身体寒冷说明病邪入脏,即刻死亡;身体温暖出汗自出的,说明病邪入腑,即刻痊愈。嘴唇口部都青黑的,是极寒。筋脉不能转动,指甲都痛,舌卷缩,嘴唇青,转筋,睾丸收缩,脉搏疼痛紧急,腹中绞痛,或者大便欲解而不能,不能进食的,是筋极度虚弱。
笑然后伸懒腰,伸懒腰后又转为忧愁,既热又狂躁,烦乱昏昧,言语多谬误的,这是心脏已受损,如果口唇正赤还可以治疗,如果是青、黄、白、黑等色,则不可治疗。
嘴唇青紫的,是胃气虚寒。嘴唇颜色黑瘀,眼球凸出,呼吸上逆的,是哮喘。干霍乱,想吐泻却不得,胸腹胀硬,手足冷过腕膝,脉伏匿喘息急促,舌卷缩,阴囊收缩,嘴唇青黑的,是死证。
痈疽重症,声音嘶哑,神色脱失,嘴唇鼻子青黑,面目四肢浮肿的,是恶候。嘴唇青,人中纹反折的,三天后死亡。病人嘴唇青,身体冷,遗尿的,膀胱气绝,四天后死亡。
嘴唇黑的,是胃先发病。环绕口唇黧黑的,是脾肾气绝。嘴唇颜色像漆黑一样的,是脾胃将绝。水肿病嘴唇黑的,是肝受伤,不可治疗。两颧昏暗,嘴唇颜色惨黑的,是气不足,血已枯竭。
嘴唇口部青黑,呕吐逆气,肠腹绞痛无法忍受,发狂,七窍出血,或者外生殖器胀大的,是中了砒霜毒。嘴唇颜色青黑的,即刻身亡。面青唇黑,面黑唇青的,都是死证。
全身消瘦,语音沉涩,声音像破鼓一样,舌强直不能转动,却喜欢吞咽唾液,牙关紧闭,嘴唇黑,四肢不能抬起,身体极重,大小便无度的,是脾虚寒甚,则不可治疗。以上这些都是关于唇色的条目。
Since the entries regarding the shape of the lips have been collected, the entries regarding the color of the lips should now be compiled. Various medical texts state that red and purplish lips indicate Heat (Re). Lips that are crimson and accompanied by vomiting indicate Stomach Heat. Lips that are crimson and black indicate Heat in the Stomach.
When both the upper and lower lips are crimson, it indicates Heart Heat. When the upper lip is crimson and the lower lip is white, it indicates a lack of communication between the Heart and Kidney. Deep red lips accompanied by aversion to cold and fever, wheezing, and coughing indicate Deficient Heat of the Lung. Red lips with sores in the throat and ears, abdominal distension and pain, body heat, and a slippery and rapid pulse indicate Ascariasis Distension (Hui Zhang - abdominal distension caused by roundworms). For patients with chronic illness, if the lips remain red, the condition is difficult to treat.
Freshly red lips and tongue, with red cheeks, fever, coughing, and sneezing, indicate Rash Disease (Zhen). Freshly red lips and tongue, red cheeks, fever, eyes appearing drunk and tearful, and cold fingertips indicate Pox Disease (Dou). A large pulse, body heat, inability to eat, a crimson tongue, red lips, preference for drinking cold water, and frequent dysentery indicate Jinkou Li (Throat-lock Dysentery). Vomiting immediately after eating, thirst with desire for cold drinks, vomiting of sour saliva, body heat, red lips, and dark urine indicate Hot Vomiting. In children, thick and red lips indicate strong Spleen and Stomach function, making them easy to raise. In women, thick and red lips indicate vigorous Chong Mai (Penetrating Vessel) Qi and Blood, facilitating childbirth.
Pale white lips indicate Deficiency.惨白 (Miserably pale) lips accompanied by vomiting indicate Stomach Deficiency. White lips with poor appetite, wheezing, and coughing indicate Qi and Blood Deficiency of the Spleen and Lung. Morning food vomited in the evening, undigested milk and food, cold extremities, and white facial and lip color indicate Cold Vomiting. Lips that are alternately red or white, intermittent stomach pain, and frequent vomiting of clear saliva indicate Worm Vomiting.
Colorless gums, a white tongue, mental restlessness without knowing where pain or itching is located, drowsiness, and diarrhea indicate intestinal parasites eroding the anus. White patches on the face, red lips indicating good appetite, variable complexion, and crab-claw-like lines on the face indicate the presence of parasites. Pain resembling heart-biting, intermittent onset, spitting of clear water, and simultaneous cyanosis of the philtrum, nose, and lips indicate Worm Pain.
White lips during pregnancy indicate insufficient Blood, potentially leading to difficult labor. If the lips are white but the Di Ku area (the skin below the nose tip) is bright and lustrous, the disease is treatable. White lips, white inner canthi, emaciated and white face, edema of the four limbs, or headache, with a jumping and rapid pulse, indicate Heart Qi Deficiency and insufficient Blood. Clear-white face and lips, thirst with preference for hot drinks, and borborygmus with cutting pain during dysentery indicate Cold Dysentery, a pattern of Empty-Cold.
Crimson tongue, scorched lips, preference for cold water, abdominal distress and pain, short and dark urine, and frequent dysentery indicate Hot Dysentery, a pattern of Interior Heat. Abdominal distension with visible blue veins in Pi Gan (Spleen Wasting), colorless lips and mouth, flat philtrum, and unceasing diarrhea indicate an incurable condition. Lips as white as dry bones indicate a Death Syndrome. Jaw stiffness, cyanotic lips, and retracted tongue base indicate Small Intestine Cold. Cyanotic, white, and black lips indicate Cold. Cyanotic lips and black forehead indicate Qi and Blood deficiency and timidity, invaded by Cold pathogen.
Sudden syncope with cyanotic lips and cold body indicates the pathogen has entered the Zang organs, leading to immediate death. Warm body with spontaneous sweating indicates the pathogen has entered the Fu organs, leading to immediate recovery. Cyanotic and black lips indicate Extreme Cold. Inability to move tendons, pain in all nails, rolled tongue, cyanotic lips, muscle spasms, and retracted testicles, with painful and urgent pulse, severe abdominal colic, inability to pass stool or eat, indicate Extreme Deficiency of Tendons. Laughing then stretching, stretching then becoming sorrowful, combined with heat, mania, confusion, and erroneous speech, indicates Heart damage. If the lips are correctly crimson, it is treatable; if cyanotic, yellow, white, or black, it is not treatable.
Cyanotic and purple lips indicate Deficient-Cold of Stomach Qi. Black and bruised lip color, protruding eyeballs, and upward reversing respiration indicate Asthma. Dry Huoluan (Stagnant Turmoil), inability to vomit or purge, chest and abdominal distension and hardness, cold hands and feet extending past wrists and knees, hidden pulse, rapid breathing, rolled tongue, and retracted scrotum with cyanotic-black lips indicate a Death Syndrome.
Severe carbuncles and ulcers with hoarse voice, depleted expression, cyanotic-black lips and nose, and edema of face, eyes, and limbs indicate a Malignant Sign. Cyanotic lips with reversed philtrum lines indicate death within three days. Patient with cyanotic lips, cold body, and enuresis indicates Bladder Qi exhaustion, death within four days. Black lips indicate initial disease in the Stomach. Blackness surrounding the mouth indicates exhaustion of Spleen and Kidney. Lips as black as lacquer indicate impending exhaustion of Spleen and Stomach. Edema with black lips indicates Liver injury, which is incurable. Dim bilateral malar regions and miserably black lips indicate insufficient Qi and exhausted Blood.
Cyanotic-black lips, vomiting and reflux, unbearable intestinal colic, mania, bleeding from seven orifices, or enlarged external genitalia indicate Arsenic poisoning. Cyanotic-black lips indicate immediate death. Blue face with black lips, or black face with blue lips, are all Death Syndromes. General emaciation, husky voice, sound like a broken drum, stiff tongue unable to turn, preference for swallowing saliva, jaw stiffness, black lips, inability to lift limbs, extreme heaviness, and uncontrolled bowel/bladder movements indicate Severe Spleen Deficiency-Cold, which is incurable. These are all the entries regarding lip color.