黄帝曰。卫气之留于腹中。蓄积不行。苑蕴不得常所。使人支胁。胸中满。喘呼逆息者。何以去之。伯高曰。其气
积于胸中者。上取之。积于腹中者。下取之。上下皆满者。旁取之。黄帝曰。取之奈何。伯高对曰。积于上。泻大迎天
突喉中。积于下者。泻三里与气街。上下皆满者。上下取之。与季胁之下一寸。重者。鸡足取之。诊视其脉。大而弦急。
及绝不至者。及腹皮急甚者。不可刺也。黄帝曰善。黄帝问于伯高曰。何以知皮肉气血筋骨之病也。伯高曰。色起两眉
薄泽者。病在皮。唇色青黄赤白黑者病在肌肉。营气霈然者。病在血脉。（脉一作气非此即上编伤于湿气藏于血脉之中也）
目色青黄赤白黑者。病在筋。耳焦枯如受尘垢者。病在骨。黄帝曰。病形何如。取之奈何。伯高曰。夫百病变化。不可
胜数。然皮有部。肉有柱。血气有输。骨有属。黄帝曰。愿闻其故。伯高曰。皮之部。输于四末。肉之柱。在臂胫诸阳
分肉之间。与足少阴分间。血气之输。输于诸络气血留居。则盛而起。筋部无阴无阳。无左无右。候病所在。骨之属者。
骨空之所以受益而益脑髓者也。黄帝曰。取之奈何。伯高曰。夫病变化。浮沉深浅。不可胜穷。各在其处。病间者浅之。
甚者深之。间者小之。甚者众之。随变而调气。故曰上工。黄帝问于伯高曰。人之肥瘦大小寒温。有老壮少小。别之奈
何。伯高对曰。人年五十以上为老。二十以上为壮。十八以上为少。六岁以上为小。黄帝曰。何以度知其肥瘦。伯高曰。
人有肥。有膏。有肉。黄帝曰。别此奈何。伯高曰。 肉坚。皮满者肥。 肉不坚。皮缓者膏。皮肉不相离者肉。黄帝
曰。身之寒温何如。伯高曰。膏者。其肉淖。而粗理者身寒。细理者身热。脂者。其肉坚。细理者热。粗理者寒。黄帝
曰。其肥瘦大小奈何。伯高曰。膏者。多气而皮纵缓。故能纵腹垂腴。肉者。身体容大。脂者。其身收小。黄帝曰。三
者之气血多少。何如。伯高曰。膏者多气。多气者热。热者耐寒。肉者多血。多血则充形。充形则平。脂者其血清。气
滑少。故不能大。此别于众人者也。黄帝曰。众人奈何。伯高曰。众人皮肉脂膏。不相加也。血与气不能相多。故其形
不小不大。各自称其身。命曰众人。黄帝曰。善。治之奈何。伯高曰。必先别其三形。血之多少。气之清浊。而后调之。
无失常经。是故膏人。纵腹垂腴。肉人者。上下容大。脂人者。虽脂不能大也。
前后三事文义不贯。文气亦不接续。
Huangdi said: When Wei Qi (Defensive Qi) remains in the abdomen, accumulating and failing to circulate, becoming stagnant and unable to distribute normally, causing distending fullness in the hypochondrium, chest oppression, wheezing, and reverse flow of breath, how can it be eliminated?
Bo Gao said: If the Qi accumulates in the chest, treat by selecting points from the upper body; if it accumulates in the abdomen, treat by selecting points from the lower body; if both upper and lower are full, treat by selecting points from the sides.
Huangdi said: How should these points be selected?
Bo Gao replied: For accumulation in the upper part, reduce Da Ying (ST4), Tian Tu (CV22), and points in the throat region; for accumulation in the lower part, reduce Zu San Li (ST36) and Qi Chuan (ST30); for accumulation in both upper and lower parts, select points from both upper and lower regions, along with a point one cun below the costal margin. In severe cases, use the "Chicken Foot" needling technique (inserting needles obliquely around a central point). Upon pulse diagnosis, if the pulse is large, wiry, and rapid, or absent/interrupted, or if the abdominal skin is extremely tense, acupuncture is contraindicated.
Huangdi said: Excellent.
Huangdi asked Bo Gao: How can one identify diseases affecting the skin, flesh, Qi, blood, sinews, and bones?
Bo Gao said: If the luster appears thin and moist between the two eyebrows, the disease is in the skin. If the lips show colors of green, yellow, red, white, or black abnormally, the disease is in the muscle. If Ying Qi (Nutritive Qi) manifests vigorously externally, the disease is in the blood vessels. (Note: The character "Mai" [Pulse] is sometimes written as "Qi", which is incorrect here; it refers to dampness injuring the body and hiding within the blood vessels as mentioned in the previous chapter.) If the eye whites show colors of green, yellow, red, white, or black abnormally, the disease is in the sinews. If the ears appear dry, withered, and blackened like dust-covered, the disease is in the bone.
Huangdi said: What are the manifestations of these diseases, and how should points be selected for treatment?
Bo Gao said: The changes of all diseases are countless. However, the skin has its distribution areas, the muscle has its pillars (prominent muscle masses), the Qi and blood have their transport points, and the bone has its attachments.
Huangdi said: I wish to hear the reasoning behind this.
Bo Gao said: The transport points of the skin are located at the four extremities. The pillars of the muscle are located between the fleshy parts of the Yang meridians in the arms and shins, and between the territories of the Foot Shaoyin Kidney Meridian. The transport points of Qi and blood are located in the collateral vessels; when Qi and blood stagnate and accumulate, they become prominent and raised. The sinews do not distinguish between Yin/Yang or left/right; one must observe the location of the pathology. The attachments of the bone refer to the bone cavities that receive essence to nourish the brain and marrow.
Huangdi said: How should points be selected for treatment?
Bo Gao said: The changes of disease, whether floating/sinking or shallow/deep, are inexhaustible and exist in specific locations. For mild/shallow conditions, needle superficially; for severe/deep conditions, needle deeply. For mild conditions, use fewer points; for severe conditions, use more points. Adjust the Qi according to the changing condition; this is called being a "Superior Physician" (Shang Gong).
Huangdi asked Bo Gao: How can one differentiate people based on fat/thinness, size, cold/heat tolerance, and age groups (old, strong, young, small)?
Bo Gao replied: People aged fifty and above are considered old; those above twenty are strong; those above eighteen are young; those above six are small.
Huangdi said: How can one measure and determine fat versus thinness?
Bo Gao said: There are three types: Fei (Fat), Gao (Pasty), and Rou (Fleshy).
Huangdi said: How to distinguish them?
Bo Gao said: If the muscle is firm and the skin is full, it is Fei (Fat). If the muscle is not firm and the skin is lax, it is Gao (Pasty). If the skin and muscle are tightly adhered and not separable, it is Rou (Fleshy).
Huangdi said: What about the cold/heat constitution?
Bo Gao said: In Gao type, the muscle is soft. Those with coarse texture are cold-bodied; those with fine texture are hot-bodied. In Zhi (Lipid) type, the muscle is firm. Those with fine texture are hot-bodied; those with coarse texture are cold-bodied.
Huangdi said: How do they differ in fat/thinness and size?
Bo Gao said: Gao type individuals have abundant Qi and lax skin, resulting in a pendulous abdomen with hanging fat. Rou type individuals have a large, voluminous body. Zhi type individuals have a compact, smaller body.
Huangdi said: What are the differences in Qi and blood volume among these three types?
Bo Gao said: Gao type has abundant Qi. Abundant Qi leads to heat; hot-bodied individuals tolerate cold well. Rou type has abundant blood. Abundant blood fills the form; filled form indicates balance. Zhi type has thin blood and smooth but scarce Qi, thus cannot grow large. This distinguishes them from the general population.
Huangdi said: What characterizes the general population?
Bo Gao said: In the general population, skin, muscle, lipid, and pasty tissues are balanced without excess addition. Blood and Qi are neither excessive nor deficient relative to each other. Thus, their body size is neither too large nor too small, fitting their frame appropriately. They are called "Zhong Ren" (General People).
Huangdi said: Excellent. How should they be treated?
Bo Gao said: One must first distinguish the three body types, assess the volume of blood and the clarity/turbidity of Qi, then regulate accordingly, without deviating from the regular meridian patterns. Therefore, Gao type presents with a pendulous abdomen; Rou type presents with a large upper and lower body; Zhi type, despite having fat, does not have a large body.
(Note: The textual meaning of the preceding three sections is disjointed, and the literary flow is discontinuous.)