既视其口。当察其唇。唇也者。齿之垣也。脾之官也。肌肉之本也。经曰。脾者。谏议之官。知周出焉。其充在肌。
其华在唇。故视唇之好恶。可知脾之吉凶。何则。黄色小理者脾小。粗理者脾大。揭唇者脾高。唇下纵者脾
下。唇坚者脾坚。唇大而不坚者脾脆。唇上下好者脾端正。唇偏举者脾偏倾。此形容之常也。左病者应在
左。右病者应在右。上应乎上。下应乎下。而凡形容之变。气色之殊。皆可以是推之。此部位之分也。按部位
而视形容。则唇肿者。病气实。唇痿者。形气虚。唇短缩者。脾伤。唇不收者。脾病。唇烂者。阳明之证。唇反者。太
阴之终。唇焦干者。病在肉。唇枯槁者。病在脾。唇疮者。邪从外解。唇裂者。毒从内发。唇内生疮者。腹中有虫。
唇上碎裂者。胃经有热。唇口僻者。风中阳明之筋。唇口撮者。风入阳明之脉。诸太过者。病在外。诸不及者。
病在内。此皆形容之变也。视形容而观气色。则唇赤者。常色也。深赤者。为太过。淡红者。为不及。淡白而黑
者。寒甚。深赤而黯者。热深。青而深者。主痛。青而淡者。为寒。唇白者。脾亏。唇黄者。脾病。诸色浅者。正气虚。
诸色深者。邪气实。明润而有血色者生。枯暗而无血色者死。此皆气色之殊也。夫分形容气色而言之。所以
识其常。合形容气色而观之。所以通其变。然究其常变。而原其始终。体用虽殊。莫不以神为本。夫神也者。
明润精爽。而有血色者也。得则生。失则死。易传云。精气为物。游魂为变。是故知鬼神之情状。其死生之谓乎。
Having observed the mouth, one should then examine the lips. The lips serve as the wall of the teeth, are the external manifestation of the Spleen (Pi), and constitute the root of the muscles. The Classics state: "The Spleen is like an official of remonstrance, from which wisdom and comprehensive knowledge emerge." Its function nourishes the muscles, and its brilliance manifests in the lips. Therefore, by observing the condition of the lips, one can deduce the auspiciousness or inauspiciousness of the Spleen. Why is this so? Because: fine lip texture indicates a small Spleen; coarse lip texture indicates a large Spleen; everted lips indicate a high-positioned Spleen; drooping lower lips indicate a low-positioned Spleen; firm lips indicate a solid Spleen; large but non-firm lips indicate a fragile Spleen; symmetrical upper and lower lips indicate a centrally positioned Spleen; unilateral protrusion of the lips indicates a tilted Spleen. These are the standard descriptions of lip morphology. Disease on the left corresponds to the left side; disease on the right corresponds to the right side; the upper corresponds to the upper, and the lower to the lower. Any variations in morphology and differences in complexion can be inferred through these principles. This constitutes the division of anatomical correspondence. By observing morphology according to location: lip swelling indicates excess pathogenic Qi; lip atrophy indicates deficiency of form and Qi; shortening of the lips indicates injury to the Spleen; inability to close the lips indicates Spleen disease; ulceration of the lips indicates a Yangming (Stomach/Large Intestine channel) syndrome; eversion of the lips indicates the terminal stage of a Taiyin (Spleen/Lung channel) syndrome; dry and scorched lips indicate pathology in the flesh; withered lips indicate pathology in the Spleen; sores on the lips indicate the resolution of pathogens from the exterior; cracked lips indicate the emergence of toxins from within; sores inside the lips indicate intestinal parasites; fragmentation of the upper lip indicates heat in the Stomach meridian; deviation of the mouth corner indicates wind striking the sinews of the Yangming meridian; puckering of the lips indicates wind entering the vessels of the Yangming meridian. Manifestations that are excessive indicate pathology in the exterior; manifestations that are deficient indicate pathology in the interior. These are all variations in morphology. Observing morphology while viewing complexion: reddish lips represent the normal color; deep red indicates excess; pale red indicates deficiency; pale white with blackish tones indicates severe cold; deep red with dullness indicates profound heat; deep blue indicates pain; pale blue indicates cold. White lips indicate Spleen deficiency; yellow lips indicate Spleen disease. Light colors indicate deficiency of healthy Qi; dark colors indicate excess of pathogenic Qi. Bright, lustrous, and blood-colored complexions indicate life; withered, dull, and bloodless complexions indicate death. These are all differences in complexion. Discussing morphology and complexion separately serves to identify the normal state; observing them together serves to understand variations. However, investigating the normal and the variable, and tracing the beginning and end, although their substance and function differ, none do not take Shen (Spirit/Vitality) as the foundation. What is called Shen is brightness, lucidity, and the presence of blood color. Possession of Shen leads to life; loss of Shen leads to death. The *Yi Zhuan* (Commentary on the Book of Changes) states: "Essence and Qi condense to form things; wandering souls undergo transformation; thus, one can know the conditions of spirits and ghosts." This refers to the distinction between life and death.