《素问》皮部篇,黄帝问曰∶余闻皮有分部,脉有经纪,筋有结络,骨有度量,其所生病各异,
别其分部,左右上下,阴阳所在,病之始终,愿闻其道。岐伯对曰∶欲知皮部,以经脉为纪者,诸经
皆然。阳明之阳,名曰害蜚,上下同法,视其部中有浮络者,皆阳明之络也。其色多青则痛,多黑则
痹,黄赤则热,多白则寒,五色皆见,则寒热也。络盛则入客于经,阳主外,阴主内。少阳之阳,名
曰枢持,上下同法,视其部中有浮络者,皆少阳之络也。络盛则入客于经,故在阳者主内,在阴者主
出,以渗于内,诸经皆然。太阳之阳,名曰关枢,上下同法,视其部中有浮络者,皆太阳之络也。络
盛则入客于经。少阴之阴,名曰枢儒(一作 ),上下同法,视其部中有浮络者,皆少阴之络也。络
盛则入客于经,其入经也,从阳部注于经;其出者,从阴内注于骨。心主之阴,名曰害肩,上下同法,
视其部中有浮络者,皆心主
之络也。络盛则入客于经。太阴之阴,名曰关蛰,上下同法,视其部中有浮络者,皆太阴之络也。络
盛则入客于经。凡十二经络脉者,皮之部也。是故百病之始生也,必先于皮毛,邪中之则腠理开,开
则入客于络脉,留而不去,传入于经,留而不去,传入于腑,廪于肠胃。邪之始入于皮也,溯然起毫
毛,开腠理;其入于络也,则络脉盛色变;其入客于经也,则感虚乃陷下。其留于筋骨之间,寒多则
筋挛骨痛,热多则筋弛骨消,肉烁 破,毛直而败。帝曰∶夫子言皮之十二部,其生病皆何如?岐伯
曰∶皮者,脉之部也,邪客于皮则腠理开,开则邪入客于络脉,络脉满则注于经脉,经脉满则入舍于
腑脏也。故皮者有分部,不与而生大病也。帝曰∶善。皮肤属肺。经云∶肺之合皮也,其荣毛也。又
云∶肺主皮毛,在脏为肺,在体为皮毛是也。毛折爪枯,为手太阴绝。经云∶手太阴者,行气温于皮
毛者也。气不荣则皮毛焦,皮毛焦则津液去。皮绝者,津液既去则爪枯毛折,毛折者,毛先死矣。
In the "Pi Bu Pian" (Chapter on Skin Parts) of the *Su Wen* (Basic Questions), the Yellow Emperor asked: I have heard that the skin has distinct regions, the meridians have their pathways and regulations, the sinews have connecting networks, and the bones have measurable dimensions. The diseases they generate are different. I wish to know how to distinguish these regions, their locations in the left and right, upper and lower, yin and yang, and the beginning and end of diseases. May I ask for the principles involved? Qibo replied: To understand the skin parts, one should take the meridians as the guiding principle; this applies to all meridians. The yang aspect of the Yangming Meridian is called Haifei. The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of Yangming. If the color is predominantly blue/green, it indicates pain; if predominantly black, it indicates Bi syndrome (obstruction); if yellow/red, it indicates heat; if predominantly white, it indicates cold; if all five colors appear, it indicates a mix of cold and heat. When the collaterals are full, pathogens enter and lodge in the main meridians. Yang governs the exterior, Yin governs the interior. The yang aspect of the Shaoyang Meridian is called Chuchi. The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of Shaoyang. When the collaterals are full, pathogens enter and lodge in the main meridians. Thus, what is in the yang [collaterals] governs inward transmission, and what is in the yin [collaterals] governs outward discharge, allowing seepage into the interior. This applies to all meridians. The yang aspect of the Taiyang Meridian is called Guanshu. The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of Taiyang. When the collaterals are full, pathogens enter and lodge in the main meridians. The yin aspect of the Shaoyin Meridian is called Shuru (alternatively written as 'Shu'). The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of Shaoyin. When the collaterals are full, pathogens enter and lodge in the main meridians. Upon entering the meridians, they flow from the yang regions into the meridians; upon exiting, they flow from the yin interior into the bones. The yin aspect of the Pericardium (Heart Master) is called Haijian. The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of the Pericardium. When the collaterals are full, pathogens enter and lodge in the main meridians. The yin aspect of the Taiyin Meridian is called Guanzhe. The methods above and below are the same. Observe the floating collaterals within the region; these are all the collaterals of Taiyin. When the collaterals are full, pathogens enter and lodge in the main meridians. All twelve meridian collateral systems are the divisions of the skin. Therefore, the onset of all diseases must first occur in the hair and skin. When pathogens attack, the interstices (Cou Li) open; when open, pathogens enter and lodge in the collaterals. If they remain without departing, they transmit to the meridians; if they remain without departing, they transmit to the fu organs, stagnating in the intestines and stomach. When pathogens initially enter the skin, the body hair stands erect, and the interstices open. When they enter the collaterals, the collaterals become full and the color changes. When they lodge in the meridians, deficiency allows them to sink inward. If they remain between the sinews and bones, excessive cold causes sinew spasms and bone pain; excessive heat causes sinew flaccidity and bone wasting, muscle emaciation, skin cracking, and the stiffening and deterioration of body hair. The Emperor said: You spoke of the twelve divisions of the skin; what kind of diseases do they produce? Qibo said: The skin is the division of the meridians. When pathogens lodge in the skin, the interstices open; when open, pathogens enter and lodge in the collaterals. When collaterals are full, they transmit to the main meridians; when main meridians are full, they enter and reside in the zang-fu organs. Thus, the skin has specific divisions; failing to observe them leads to serious diseases. The Emperor said: Excellent. The skin belongs to the Lung. The classics state: The Lung combines with the skin, and its flourishing aspect manifests in the body hair. It also states: The Lung governs the skin and hair. In the zang organs, it corresponds to the Lung; in the形体 (body structures), it corresponds to the skin and hair. Withered body hair and dry nails indicate the exhaustion of the Hand-Taiyin [Lung Meridian]. The classics state: The Hand-Taiyin [Meridian] circulates qi to nourish the skin and hair. If qi does not nourish, the skin and hair become scorched/dry; if skin and hair become scorched/dry, body fluids are lost. In cases of skin exhaustion, once body fluids are lost, the nails become dry and the body hair withers. Withered body hair indicates that the hair dies first.