美眉者太阳多血,通髯极须者少阳多血,美须者阳明多血。然则妇人无须者,无血气乎。曰∶冲脉、任
脉,皆起于胞中,上循背里,为经络之海。其浮而外者,循腹右上行,会于咽喉,别而络唇口。血气盛则充肤
热肉,血独盛则澹渗皮肤,生毫毛。妇人之生也,有余于气,不足于血,以其数脱血也,冲任之脉,不荣唇
口,故须不生矣。士人有伤于阴,阴气绝而不起,(阴气即阴器,非误。)阴不用,然其须不去,
而宦者独去,何也?曰∶宦者其宗筋伤,其冲脉血泻不复,皮肤内结,唇口不荣,故须不生矣。其有天宦者,
未尝被伤,不脱于血,然其须不生何也?曰∶此天之所不足也,其任冲不盛,宗筋不成,有气无
血,唇口不荣,故须不生矣。(上妇宦无须。)
阳明多血多气,太阳多血少气,少阳多气少血,太阴多
血少气,(一作少血多气。林亿引杨上善《太素》云∶太阴与阳明表里,血气
俱盛,当是多血多气。)厥阴多血少气,(一作多气少血。)少阴多气少血。
(一作多血少气。)是故刺阳明出血气,刺太阳出血恶气,(恶,去声。不欲出气也。)刺少阳出气恶血,刺
太阴出血恶气,刺厥阴出血恶气,刺少阴出气恶血也。(上六经气血多少。并出《灵枢》。)
(出《灵枢》)
春青风,夏阳风,秋凉风,冬寒风。凡此四时之风,其所病各不同形。黄色薄皮弱肉者,不胜春之
虚风。白色薄皮弱肉者,不胜夏之虚风。青色薄皮弱肉者,不胜秋之虚风。赤色薄皮弱肉者,不胜冬之虚风
也。黑色而皮浓肉坚,固不伤于四时之风。其皮薄而肉不坚色不一者,(色不正黑。)长夏至
而有虚风即病矣。其皮浓而肌肉坚者,长夏至而有虚风不病也,必重感于寒,外内皆然乃病。故材木之异也,
皮之浓薄,汁之多少,而各不同。木之早花先叶者,遇春霜烈风,则花落而叶萎。久曝大旱,则脆木薄皮者,
枝条汁少而叶萎。久阴淫雨,则薄皮多汁者,皮溃而漉。卒风暴起,则刚脆之木
枝折杌伤。秋霜疾风,则刚脆之木根摇而叶落。凡此五者,各有所伤,况于人乎。(杌同 。)
Individuals with beautiful eyebrows indicate that the Taiyang channel (Taiyang Meridian) is abundant in blood. Those with whiskers extending fully and extremely thick beards indicate that the Shaoyang channel (Shaoyang Meridian) is abundant in blood. Those with aesthetically pleasing beards indicate that the Yangming channel (Yangming Meridian) is abundant in blood. Given this, do women without beards lack blood and qi? The answer is: The Chong vessel (Penetrating Vessel) and Ren vessel (Conception Vessel) both originate from the Baozhong (uterus/womb), ascend along the interior of the back, and serve as the sea of the meridians. Their branches floating outward follow the right side of the abdomen upward, converge at the throat, and branch off to connect with the lips and mouth. When blood and qi are abundant, they nourish the skin and warm the flesh; when blood is particularly abundant, it permeates the skin and generates body hair. Women are physiologically characterized by an excess of qi and a deficiency of blood, primarily because they frequently lose blood through menstruation. Consequently, the Chong and Ren vessels fail to nourish the lips and mouth, resulting in the absence of beard growth.
If a scholar suffers injury to the yin organ (genitals), causing the yin qi to cease and function to fail (note: "yin qi" here refers to the genitalia, not a textual error), and the genitals become impotent, yet the beard does not fall out; however, eunuchs' beards do fall out. Why is this? The answer is: Eunuchs suffer damage to the Zongjin (tendons of the genitals/genital region), causing the blood of the Chong vessel to drain and fail to recover. Internal stagnation occurs in the skin, the lips and mouth are not nourished, and thus the beard does not grow. What about those born as "Tianhuan" (heavenly eunuchs/congenitally hairless)? They have never suffered trauma nor lost blood, yet why do they not grow beards? The answer is: This is due to congenital insufficiency. Their Ren and Chong vessels are not vigorous, the Zongjin fails to develop properly, there is qi but no sufficient blood, the lips and mouth are not nourished, and thus the beard does not grow. (The above discusses the conditions for women, eunuchs, and Tianhuan lacking beards.)
The Yangming channel is abundant in both blood and qi. The Taiyang channel is abundant in blood but deficient in qi. The Shaoyang channel is abundant in qi but deficient in blood. The Taiyin channel is abundant in blood but deficient in qi (another version states deficient in blood and abundant in qi. Lin Yi cites Yang Shangshan's *Taisu*, stating: Since Taiyin and Yangming are exterior-interior pairs with both blood and qi abundant, it should be abundant in both blood and qi). The Jueyin channel is abundant in blood but deficient in qi (another version states abundant in qi and deficient in blood). The Shaoyin channel is abundant in qi but deficient in blood (another version states abundant in blood and deficient in qi). Therefore, needling the Yangming channel can release both blood and qi; needling the Taiyang channel can release blood but should avoid releasing qi (the character 'e' is pronounced with the departing tone, meaning 'to dislike' or 'avoid'); needling the Shaoyang channel can release qi but should avoid releasing blood; needling the Taiyin channel can release blood but should avoid releasing qi; needling the Jueyin channel can release blood but should avoid releasing qi; needling the Shaoyin channel can release qi but should avoid releasing blood. (The above outlines the abundance and deficiency of blood and qi in the six channels, all sourced from the *Ling Shu*.)
(From the *Ling Shu*)
Spring wind is called Qingfeng (Green Wind); summer wind is called Yangfeng (Sun Wind); autumn wind is called Liangfeng (Cool Wind); winter wind is called Hanfeng (Cold Wind). The diseases caused by these seasonal winds manifest differently. Individuals with yellow complexion, thin skin, and weak flesh cannot withstand the empty wind of spring. Those with white complexion, thin skin, and weak flesh cannot withstand the empty wind of summer. Those with blue/green complexion, thin skin, and weak flesh cannot withstand the empty wind of autumn. Those with red complexion, thin skin, and weak flesh cannot withstand the empty wind of winter. Individuals with black complexion, thick skin, and firm muscle are naturally resistant to the winds of the four seasons. However, those with thin skin, unfirm muscle, and irregular complexion (not truly black) will fall ill if exposed to empty wind during the late summer period. Those with thick skin and firm muscle will not fall ill even if exposed to empty wind during late summer, unless they are doubly affected by cold, suffering from both external and internal pathogenic factors. This is analogous to the differences among timber: some have thick bark, some thin; some have much sap, some little. Trees that flower early and leaf before others, when encountering spring frost and fierce winds, will have their flowers fall and leaves wither. Under prolonged exposure and severe drought, brittle trees with thin bark will have few juices in their branches and withered leaves. Under prolonged heavy rain, trees with thin bark and high sap content will have rotting bark and leaking fluids. Sudden violent storms will cause rigid and brittle trees to break their branches and suffer structural damage. Autumn frost and rapid winds will cause rigid and brittle trees to shake their roots and drop their leaves. All these five scenarios involve specific types of damage; how much more so for humans? ('Wu' is identical to 'Wu', referring to a tree stump, here implying broken or damaged wood.)