典藏书目

Having grasped the general principles of observing the mouth in diagnosis, one must understand the specific items. As stated in medical texts:

If a patient has fixed eyes and an open mouth, with hands extended, presenting a look of terror, this is due to sudden severe fright or fear, causing the separation of Qi and Blood.

Breathing with an open mouth and shortness of breath indicates Lung Wei (Lung Flaccidity) accompanied by spitting saliva.

Epileptic seizures characterized by an open mouth, head shaking, horse-like neighing sounds, and body opisthotonos are called Ma Xian (Horse Epilepsy).

Muscle fever, open mouth with tongue ulceration, throat blockage, and hoarseness indicate Heart Excess syndrome, invaded by Yang Toxin.

An open mouth with ulcers on the lips indicates Heat injury to the Small Intestine.

Fever, aversion to cold, heavy body with pain, pulse that is wiry, thin, hollow, and slow; chills and piloerection after urination; cold extremities; body heat upon slight exertion; open mouth with dry incisors—this is Taiyang Zhong Yue (Summerheat Stroke in the Taiyang Channel).

Emaciation while bedridden, desire for an open mouth, bluish discoloration of extremities at times, closed eyes, and painful pupils indicate injury to the Liver.

Patients with Lung disease exhibit rapid speech and panting, shortness of breath with frequent spitting, fever with mania, closed eyes with palpitations, incoherent speech, red and open mouth, and unregulated drinking. This is Heat injuring the Lung, with Fire overcoming Metal; it is incurable. However, if the face is red but the nose is not deviated, it may be treatable.

Mouth deviation in stroke indicates Heart Qi exhaustion.

In Jing Disease (Spasm), fixed eyes, open mouth, and unconsciousness are signs of death.

A patient with an open mouth indicates death within three days.

Empty open mouth and nose with shortness of breath indicate Lung Qi exhaustion.

Open mouth with exhalation only and no inhalation indicates Lung Qi exhaustion, leading to death within three days.

An open mouth in a patient suggests prior Heart disease.

Pulselessness, open mouth, and swollen feet in a patient indicate death within five days.

A mouth resembling a fish's gape, unable to close, with excessive exhalation and no return of Qi, is a sign of death.

A mouth resembling a fish's gape that cannot close indicates Spleen Qi exhaustion.

Fixed eyes and an open mouth in a critical condition indicate inevitable meridian exhaustion.

Scattered Shen (Spirit), open mouth, and tilting of the Tianzhu bone (neck) are signs of death.

Jin (lockjaw) making speech difficult indicates Wind-Jing (Wind Spasm).

Slurred speech indicates Wind pathogen.

Tight jaw and inability to open the mouth indicate Cold-Wind invading the Yangming Channel.

Taiyang disease with no sweat, reduced urination, Qi rushing to the chest, lockjaw preventing speech, indicates impending Gang Jing (Stiff Spasm).

Chest fullness, lockjaw, inability to lie flat (opisthotonos), leg cramps, and teeth grinding characterize Jing Disease.

Postpartum onset of lockjaw, fainting, vomiting foam, convulsions, dizziness, and unconsciousness indicates acute Wind Strike.

Inability to speak indicates Liver Wind.

Sudden aphasia, lockjaw, and limb paralysis with rigidity indicate Feng Fei (Wind Paralysis).

Restlessness, unconsciousness, foaming at the mouth, opisthotonos, upward rolling of eyes, and lockjaw are identical in essence whether occurring as adult Dian (Manic Disorder) or pediatric Xian (Epilepsy).

Unconsciousness with sudden collapse, lockjaw, and silence indicate Zhong E (Evil Strike) or Shi Zhu (Corpse Transmission).

Shanghan (Cold Damage) unresolved after five to six days, with lockjaw, aphasia, and thirst for water, indicates Heat in the Chest, classified as Huai Shanghan (Damaged Cold Damage).

Various Cold pathogens causing depression, numbness, tight mouth preventing speech, and tremors indicate Stomach deficiency of Grain Qi and Spleen stagnation.

Irritating pain and difficulty speaking indicate Ying Qi (Nutritive Qi) deficiency.

On the sixth or seventh day of illness, if pulses at hand and foot are present, accompanied by severe restlessness, lockjaw, aphasia, and agitation, it indicates the pathogen is about to resolve.

Pregnant women with neck/back stiffness, tendon cramps, lockjaw, slurred speech, coma, and intermittent convulsions have Zi Xian (Eclampsia).

Newborns with blue face, cold body, and lockjaw have Tai Han (Fetal Cold).

Umbilical Wind with lockjaw, enlarged tongue, and phlegm obstruction is incurable.

Blue face and pursed lips indicate pain.

Newborns with pursed lips, crying, and inability to suckle have Qi Feng (Umbilical Wind).

Newborns with yellowing around eyes/nose/mouth, closed eyes, pursed lips, dry mouth, and immobile limbs are often misdiagnosed as Qi Feng; actually, this is blood/qi failure, malformed muscles, and unconsolidated vessels.

Newborns with mouth pursed like a bag, inability to suckle, stiff tongue, blue lips, and yellow-red complexion are named Cuo Kou (Pursed Mouth).

Cuo Kou and Qi Feng with pursed lips and stiff tongue are fatal.

Cuo Kou with foaming and cold extremities is incurable.

Kou Pi (Facial Deviation) occurs when Foot Yangming tendons are tight from Cold or loose from Heat.

Kou Pi with paralysis results from pathogenic looseness on one side and righteous tension on the other. Leftward deviation indicates right-sided hemiplegia and left facial muscle contraction; rightward deviation indicates left-sided hemiplegia and right facial muscle contraction.

Facial and eye deviation indicates Wind striking the meridians.

Ear and mouth deviation with tendon tightness preventing sudden vision indicates Foot Yangming and Hand Taiyang tendon tightness.

Rash on lips indicates Foot Yangming disease.

Palpitations, mixed/unclear voice, dull mouth, and spontaneous laughter indicate Heart Deficiency-Cold and Li Feng (Vicious Wind) injuring the Heart.

Illness starting from hair follicles, followed by yawning, chills with jaw trembling, back pain, then internal/external heat, splitting headache, and craving cold drinks indicates the onset of Nue (Malaria).

Chills with jaw trembling in malaria indicates Yangming Deficiency. General body tremors also indicate Yangming Deficiency. Eye and mouth twitching indicates the end of Yangming.

Dropped lower jaw is called Luo Jia Feng, caused by slackness of Yangming meridians.

Teeth grinding in sleeping children indicates intestinal parasites or teething.

Symptoms resembling wind-cold, extreme aversion to wind, barking sounds, biting behavior, abdominal distension, and dysuria indicate rabies toxicity from dog bite.

Nail-biting in children indicates Gan Disease with parasites.

Teeth gnashing and biting in children indicates Kidney Qi exhaustion.

Teeth grinding or loss in smallpox indicates epidemic Qi sinking into the Kidney.

Yangming disease with dry mouth, desire to rinse but not swallow, indicates impending epistaxis.

First day of Shanghan with headache, dry mouth, irritability, and fullness indicates simultaneous Ju Yang (Taiyang) and Shao Yin disease.

Shao Yin disease with clear watery diarrhea, pure green color, subcardiac pain, and dry mouth requires urgent purgation.

Shao Yin disease with dry mouth and throat on days two or three also requires urgent purgation.

Dry mouth with panting, heavy sensation, dizziness, and swelling indicate Lung struck by Wind.

Dry mouth and lips with ulcers indicate Guest Heat in the Stomach.

Astringent pulse with dry mouth/lips indicates lack of desire to drink.

Heat-like symptoms, irritability, dry mouth/thirst, but pulse lacking heat signs indicate Yin Trapped Blood stasis.

Qi injury with panting, hemoptysis, anorexia, dry mouth/throat indicates Qi Exhaustion.

Heat disease on day 7-8 with minute/small pulse, hematuria, dry mouth leads to death in 1.5 days; if pulse is Dai (Intermittent), death occurs in one day.

Heat disease with unknown pain, deafness, inability to control self, dry mouth, extreme Yang Heat with Yin Cold indicates Heat in Marrow; it is fatal and untreatable.

Ding Sores (Carbuncles) unresolved after 5-6 days with fire in eyes, confusion, dry mouth, irritability is fatal.

Dry throat and sticky-hot mouth indicate Foot Shao Yin syndrome.

Post-illness chronic spitting indicates Cold in the Upper Jiao/Stomach.

Continuous drooling in children indicates Spleen Qi Deficiency.

Drooling onto the chin indicates Cold Spleen.

Excessive saliva in the mouth indicates Upper Jiao Cold.

False fullness, cough, and vomiting foam indicate Hand Taiyin Qi reversal.

Saliva flow in humans indicates moving parasites.

Heart pain with salivation, occurring intermittently, indicates Ascariasis.

Heart/abdominal pain, migratory masses, intermittent pain, abdominal heat, and salivation indicate worm biting.

Slightly urgent Spleen pulse with regurgitation of food and subsequent foamy stool indicates Ge Zhong Bing (Diaphragmatic Disease).

Epilepsy with phlegm obstruction, shortness of breath, coma, and foaming is Tan Xian (Phlegm Epilepsy).

Preference for spitting foam indicates Zhu Xian (Pig Epilepsy).

Dian disease with vomiting much foam and downward Qi leakage is incurable.

Straightened hair like hemp and foaming at the mouth are fatal signs.

Regurgitation with excessive foaming is fatal.

Crab-foam vomit in Ge Ye (Dysphagia) indicates Spleen failure.

Subcardiac heat/pain, hot palms, vomiting, oral ulcers, and absent Yin pulse at Left Cun indicate Heart Deficiency.

Oral ulcers indicate Heart disease.

Mouth thrush (oral mucosal erosion) indicates Heat transferring from Bladder to Small Intestine.

Persistent fever, oral ulcers, chest irritability, anhidrosis, heaviness, and excess Yang pulse at Left Cun indicate Hand Taiyang Small Intestine Excess.

Oral ulcers with bloating and obstruction indicate Large Intestine Excess Heat.

Oral ulcers indicate the expulsion of pathogen.

Gum erosion indicates confusion of Sanjiao, blockage of interior/exterior, and mutual薰 steaming of Zang Qi.

These are all descriptions of the mouth's appearance.