帝曰∶其生于阴者，奈何？岐伯曰∶忧思伤心；重寒伤肺；忿怒伤肝；醉以入房，汗出当风，伤脾；用力
过度，若入房汗出，则伤肾。此内外三部之所生病者也。帝曰∶治之奈何？岐伯曰∶察其所痛，以知其应，
有余不足，当补则补，当泻则泻，毋逆天时，是谓至治。
此总结上文之义也。上言多饮食，及起居不节、内伤忧怒
等，皆病之生于阴者，此又详所伤之由，以分五脏也。重寒者，外感寒邪，内伤寒饮食也。外感则有风雨寒暑
之异，内伤则有饮食七情之分，五脏六腑，经络浅深，皆当辨别，以要言之，不出内外三部之所生病者也。
治之必先审其所因所痛之状，如上文所云，以知其内外之应，而积之所在，再辨其虚实寒热，以施补泻之法，
顺天时寒热温凉，阴阳升降之序，而调其气血，通其经脉，和其脏腑，是谓至善之治也。
《灵枢·五变篇》帝曰∶人之善病肠中积聚者，何以候之？少俞曰∶皮肤薄而不泽，肉不坚而淖泽，如
此则肠胃恶，恶则邪气留止，积聚乃伤。脾胃之间，寒温不次，邪气稍至，蓄积留止，大聚乃起。
皮肤薄弱而乏色泽，其肺虚可知；肉不坚实而淖泽，淖泽者，柔软如污泥，其脾虚可知。肠胃者，肺脾之
腑也，其脏虚，腑必恶劣，而浊邪之气留止积聚，乃伤之也。脾胃之间又寒温不调，由是稍感其邪，即与所蓄
之积留止不行，遂大聚而成患也。
黄帝问道：那些生于阴分的病证，是怎么回事呢？岐伯回答说：忧愁思虑会损伤心脏；双重寒邪（外感寒邪与内伤寒饮食）会损伤肺脏；愤怒会损伤肝脏；醉酒后行房事，汗出当风，会损伤脾脏；用力过度，或者行房事后汗出，会损伤肾脏。这些就是内外三部所发生的病证。黄帝问道：治疗它们该怎么办呢？岐伯回答说：观察患者疼痛的部位，以推知病变对应的脏腑，辨别有余（实证）和不足（虚证），应当补益的就补益，应当泻除的就泻除，不要违背天时规律，这就叫做最高明的治疗。
这段文字总结了上文的意义。上文提到多饮食、起居不节制、内伤于忧怒等，都是病生于阴分的情况，这里又详细说明了受伤的原因，以区分五脏受损的不同情况。“重寒”，是指外感寒邪，内伤寒饮食。外感则有风雨寒暑的不同，内伤则有饮食和七情的区别，五脏六腑、经络的浅深，都应当加以辨别，简而言之，不出内外三部所生病证的范畴。治疗时，必须先审察致病原因和疼痛的症状，如上文所说，以此推知内外相应的关系，以及积聚所在的位置，再辨别虚实寒热，从而施用补泻的方法，顺应天时寒热温凉、阴阳升降的顺序，来调和气血，疏通经脉，调和脏腑，这就叫做最完善的治疗。
《灵枢·五变篇》记载：黄帝问道：人容易患肠中积聚病的，如何诊察呢？少俞回答说：皮肤薄而缺乏光泽，肌肉不坚实且松软湿润，像这样的人肠胃功能恶劣，功能恶劣则邪气停留，积聚便形成并造成伤害。脾胃之间，寒温失调，邪气稍至，蓄积停留，大的积聚就会形成。
皮肤薄弱而没有色泽，可知肺气虚弱；肌肉不坚实且松软湿润，“淖泽”指柔软如污泥状，可知脾气虚弱。肠胃是肺和脾的腑，内脏虚弱，腑的功能必然恶劣，浊邪之气停留积聚，从而造成伤害。脾胃之间如果寒温不调，因此稍微感受邪气，就会与已蓄积的病邪留滞不行，最终形成大的积聚而成为病患。
Huangdi asked: What about diseases arising from Yin? Qibo replied: Worry and overthinking damage the Heart; double cold (external exposure to cold pathogens combined with internal consumption of cold food/drink) damages the Lungs; anger damages the Liver; sexual intercourse while drunk, with sweat exposed to wind, damages the Spleen; excessive physical exertion, or sexual intercourse followed by sweating, damages the Kidneys. These are the diseases occurring in the three regions of interior and exterior. Huangdi asked: How should they be treated? Qibo replied: Observe the site of pain to determine the corresponding organ, distinguish between excess and deficiency, tonify when appropriate, reduce when appropriate, do not go against the timing of nature; this is called supreme treatment.
This passage summarizes the meaning of the preceding text. The previous text mentioned that excessive eating, irregular lifestyle, and internal injury due to worry and anger are all diseases arising from Yin. Here, the causes of injury are detailed to differentiate damage among the five Zang organs. "Double cold" refers to external contraction of cold pathogens and internal injury from cold food and drink. External contraction involves differences in wind, rain, cold, and heat; internal injury involves distinctions in diet and seven emotions. The five Zang and six Fu organs, as well as the depth of meridians, must all be distinguished. In summary, these fall within the scope of diseases arising from the three regions of interior and exterior. Treatment must first examine the cause and the nature of the pain, as mentioned above, to understand the correspondence between interior and exterior, and the location of accumulations. Then, differentiate between deficiency/excess and cold/heat to apply tonification or reduction methods. By conforming to the seasonal changes of cold, heat, warmth, and coolness, and the order of Yin-Yang ascension and descent, one harmonizes Qi and Blood, unblocks meridians, and harmonizes the Zang-Fu organs; this is called the most excellent treatment.
In *Ling Shu: Wu Bian Pian*, Huangdi asked: How can we predict who is prone to intestinal accumulations? Shaoyu replied: If the skin is thin and lacks luster, and the muscles are not firm but soft and moist, such individuals have poor gastrointestinal function. Poor function allows pathogenic factors to remain and accumulate, causing harm. Between the Spleen and Stomach, if cold and warmth are disordered, even slight pathogenic invasion leads to retention and accumulation, resulting in large masses.
Thin skin lacking luster indicates Lung Qi deficiency; muscles that are not firm but soft and moist ("nao ze," meaning soft like mud) indicate Spleen Qi deficiency. The Intestines and Stomach are the Fu organs of the Lungs and Spleen. When the Zang organs are deficient, the Fu organs inevitably become dysfunctional, allowing turbid pathogenic factors to stagnate and accumulate, thereby causing harm. If there is a disorder of cold and warmth between the Spleen and Stomach, even slight exposure to pathogens will combine with existing retained accumulations, leading to stagnation and eventually forming large pathological masses.