皮肤痛属心实。经云∶夏脉者心也，夏脉太过，则病身热肤痛为浸淫。
运气皮肤痛皆属火邪伤肺。经云∶少阴在泉，热淫所胜，病寒热皮肤痛。又云∶少阴司天，火淫所胜，
热上皮肤痛。又云∶少阴之复，咳，皮肤痛，治以诸寒是也。
针灸 皮肤痛取肺。经云∶邪在肺则病皮肤痛，寒热，上气喘，汗出，咳动肩背，取之膺中外 背三节五
椎之傍，以手疾按之快然，乃刺之，取之缺盆中以越之是也。
〔《甲》〕身肿，皮肤痛，不可近衣，淫泺苛获，久则不仁，屏翳主之。
皮肤索泽，即仲景所谓皮肤甲错，盖皮肤涩而不滑泽者是也。
〔仲〕五劳虚极羸瘦，腹满，不能饮食，食伤、忧伤、饮伤、房室伤、饥伤、劳伤、经络荣卫伤，内有干
血，肌肤甲错，两目黯黑，缓中补虚，大黄虻虫丸主之。（方见劳条。）
三阳为病，发寒热，其传为索泽。（全文见诊病传变 索，尽也。王氏云∶精血枯涸，故皮肤润泽
之气皆尽也。）
〔仲〕咳有微热，烦满，胸中甲错。是为肺痈。苇茎汤主之。（方见肺痈门。）
运气 皮肤索泽属燥伤胆气。经云∶阳明在泉，燥淫所胜，病体无膏泽，治以苦寒是也。
针灸 皮肤索泽，取足少阳。经云∶足少阳之脉是动，则病体无膏泽，视盛虚热寒陷下取之也。
尺肤粗如枯鱼之鳞者，水 饮也。（全文见诊法。）
皮肤痛归属于心经实证。《内经》记载：夏季的脉象对应心脏，若夏季脉象太过，就会引发身体发热、皮肤疼痛且呈蔓延状的浸淫疮病症。
运气学说认为，因六气异常导致的皮肤痛均属于火邪损伤肺脏。《内经》记载：当少阴君火在泉时，热气过盛，会引发寒热往来及皮肤疼痛的症状。又记载：当少阴君火司天时，火气过盛，热气上蒸导致皮肤疼痛。还记载：若少阴之气复返（报复性发作），会出现咳嗽、皮肤疼痛，治疗应使用各类寒凉药物。
针灸治疗皮肤痛，取穴以肺经为主。《内经》记载：邪气侵犯肺脏，会导致皮肤疼痛、寒热、气逆喘促、出汗、咳嗽牵引肩背疼痛，治疗时应选取胸膺部外侧及背部第三椎旁开处，用手快速按压该处患者感到舒适爽快时，再进行针刺；也可取缺盆穴以宣散邪气。
〔《针灸甲乙经》〕身体浮肿，皮肤疼痛，衣物接触即痛，肢体酸软无力且瘙痒难忍，日久则出现麻木不仁，由屏翳穴主治。
“皮肤索泽”，即张仲景所说的“皮肤甲错”，指的是皮肤干燥粗糙而不滑润的现象。
〔张仲景〕五种劳损导致极度虚弱消瘦，腹部胀满，无法进食，这是由于饮食所伤、忧思所伤、饮水所伤、房事所伤、饥饿所伤、劳累所伤，以及经络、营气、卫气受损，体内有干血停滞，表现为肌肤甲错，两眼暗黑，治法为缓中补虚，主方为大黄䗪虫丸。（方剂见“劳”条。）
三阳经发病，出现恶寒发热，病情传变后可发展为皮肤索泽。（全文见“诊病传变”章节。索，意为尽。王冰注云：精血枯竭，所以皮肤润泽之气全部耗尽。）
〔张仲景〕咳嗽伴有轻微发热，烦闷，胸部皮肤粗糙如鳞甲状，这是肺痈的表现，主方为苇茎汤。（方剂见“肺痈”门。）
运气学说认为，皮肤索泽属于燥邪损伤胆气所致。《内经》记载：当阳明燥金在泉时，燥气过盛，会导致身体失去膏脂润泽，治疗应使用苦寒药物。
针灸治疗皮肤索泽，取足少阳胆经穴位。《内经》记载：足少阳经脉发生变动，会导致身体失去膏脂润泽，应根据脉气的盛虚、寒热或下陷情况来选取穴位进行治疗。
尺肤（前臂内侧皮肤）粗糙如枯鱼鳞片者，提示体内有水饮停聚。（全文见“诊法”章节。）
Pain of the skin belongs to excess syndrome of the Heart. The Classics state: "The summer pulse corresponds to the Heart. If the summer pulse is excessive, it causes disease characterized by fever, painful skin, and spreading sores (Jinyin)."
According to the theory of Six Qi (Yunqi), pain of the skin caused by climatic abnormalities all belongs to fire pathogen injuring the Lung. The Classics state: "When Shaoyin (Ministerial Fire) is in the lower position (Zaiquan), if heat is excessively prevalent, it causes diseases with alternating chills and fever and painful skin." It also states: "When Shaoyin governs the upper position (Sitian), if fire is excessively prevalent, heat rises and causes painful skin." Furthermore: "If there is a recurrence of Shaoyin qi, cough and painful skin occur; treatment should employ various cold-natured herbs."
For acupuncture treatment of painful skin, points from the Lung meridian are selected. The Classics state: "When pathogenic factors are in the Lung, they cause painful skin, alternating chills and fever, upward rushing of qi leading to asthma, sweating, cough that pulls on the shoulder and back. Treatment involves selecting points lateral to the third thoracic vertebra on the chest and back. Press firmly with the hand until the patient feels relief, then puncture. Alternatively, select Quepen (LU 1) to disperse the pathogen."
[From *Jia Yi Jing*]: Body edema, painful skin, intolerance to clothing contact, limb weakness and itching, progressing to numbness over time; treated by Pingyi (BL 43).
"Skin Suoze" refers to what Zhang Zhongjing called "skin like fish scales" (Jiacuo), meaning the skin is rough and dry rather than smooth and moist.
[Zhang Zhongjing]: In cases of five types of consumptive disorders leading to extreme debility and emaciation, abdominal fullness, and inability to eat, caused by injury from diet, sorrow, drinking, sexual activity, hunger, labor, and damage to the meridians, Ying (Nutrient) and Wei (Defensive) qi, with dry blood retained internally, the manifestations include skin like fish scales and darkened eyes around the orbits. The treatment method is to gently replenish the center and tonify deficiency, primarily using Dahuang Mengchong Wan (Rhubarb and Ground Beetle Pill). (Formula see under "Consumptive Disorders".)
Diseases of the Three Yang meridians manifest with chills and fever; if transmitted, they develop into Suoze. (Full text see under "Diagnosis of Disease Transmission". Suo means exhaustion. Wang Bing notes: Essence and blood are dried up, thus the qi of moisture and luster of the skin is completely exhausted.)
[Zhang Zhongjing]: Cough accompanied by slight fever, vexation and fullness, and rough, scaly skin in the chest region indicates Lung Abscess (Fei Yong). Treated primarily with Weijing Tang (Reed Shoot Decoction). (Formula see under "Lung Abscess Section".)
Regarding Yunqi, skin Suoze belongs to dryness pathogen injuring Gallbladder qi. The Classics state: "When Yangming (Dryness Metal) is in the lower position, if dryness is excessively prevalent, it causes the body to lack oiliness and luster; treatment employs bitter-cold herbs."
For acupuncture treatment of skin Suoze, points from the Foot-Shaoyang (Gallbladder) meridian are selected. The Classics state: "When the Foot-Shaoyang meridian undergoes change, it causes the body to lack oiliness and luster; treatment depends on observing whether the pulse is excess or deficient, hot or cold, or sunken, and selecting points accordingly."
If the skin of the chi area (inner forearm) is rough like the scales of a dead fish, it indicates water-fluid retention. (Full text see under "Diagnostic Methods".)