皮膚著 简体 皮肤著

pí fū zhuó

The skin sticks · pi fu zhuo

Also rendered: the skin sticks (Literal, and keeps 著 as adhesion) · the skin adheres to the bone (Spell it out; the text leaves the bone implied) · the skin is attached (Too mild — it is always attached) · pi fu zhuo (Bare transliteration)

Reviewed · 2026-09

At a glance

Pinyin
pí fū zhuó
Simplified
皮肤著
Literal
皮 skin (《說文》: 皮,剝取獸革者謂之皮). 膚 the skin of a person (《說文》: 臚,皮也;膚,籀文臚). 著 to adhere — the 說文 form is 箸 (《說文》: 箸,飯攲也; 段注: 引申爲附箸之偁), 著 being its later shape; read zhuó. The skin has nothing left under it and has stuck to the bone.
Shuowen
《說文解字》:皮,剝取獸革者謂之皮;臚,皮也(膚,籀文臚);箸,飯攲也(段玉裁注:引申爲附箸、箸明之偁;「著」為其隸變,附著之義讀 zhuó)。

In brief

The last of the chapter’s signs of death, and the most physical. Three verdicts are given in a row: a swift pulse is not disease; a slow pulse is disease; a pulse that does not come and go is death. Then, without a pulse at all, the skin sticks — 皮膚著者死 — the flesh is gone and the skin has adhered to what is left. The chapter has spent its length on numbers, sectors and hours; it ends by asking a finger to test whether there is anything left under the skin.

Senses in the classical corpus

1
The sign 皮膚著者死
肉脫而皮附於骨,死候
皮膚著者死 — Suwen 20
2
The verdict before it 脉不往來者死
脈不往來,氣血不行
其脉疾者不病。其脉遲者病,脉不往來者死 — Suwen 20
3
The two that are not death 疾者不病,遲者病
脈疾不為病,遲則為病
其脉疾者不病。其脉遲者病 — Suwen 20
4
What the chapter has already said of flesh 形肉已脱,九候雖調,猶死
形肉既脫,雖調亦死
形肉已脱,九候雖調,猶死 — Suwen 20
5
The flesh elsewhere in the chapter 脱肉身不去者,死
肉脫而身不去者死
是以脱肉身不去者,死 — Suwen 20

Occurrences in the classics

Passages where the term does real work, with the original, pinyin and English on the same line.

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1 passages
素問·三部九候論 Suwen 20 · 三部九候論 Read in context →
其脉疾者不病。其脉遲者病,脉不往來者死。皮膚著者死。 其脉疾者不病。其脉迟者病,脉不往来者死。皮肤著者死。
Qí mài jí zhě bù bìng. Qí mài chí zhě bìng, mài bù wǎng lái zhě sǐ. Pí fū zhuó zhě sǐ.
A rapid pulse means no disease. A slow pulse means disease. A pulse that does not come and go is death. Skin that clings to the bone is death.
本篇脈之三斷:「其脉疾者不病。其脉遲者病,脉不往來者死。」疾不為病,遲則為病,不往來則死——以脈之來去有無為斷,與上文「九候之相應也,上下若一」相發。末云「皮膚著者死」,則不復論脈,直以形診:肉既脫,皮無所附而著於骨,故死。「著」讀 zhuó(附著),與篇首「著之骨髓」之著讀 zhù 者異讀異義,本篇已於校勘互注。與上文「形肉已脱,九候雖調,猶死」「是以脱肉身不去者,死」同屬形肉之診。

Compounds built on this term

皮
pí
skin, hide
說文:剝取獸革者謂之皮
膚
fū
the skin of a person
說文:臚,皮也;膚,籀文臚
著
zhuó
to adhere
說文作「箸」,飯攲也;引申為附著
脉不往來
mài bù wǎng lái
a pulse that does not come and go
本篇死候
形肉已脱
xíng ròu yǐ tuō
the flesh of the form is gone
本篇:雖調猶死

How it has been translated

Every rendering below is a decision about which reader is being addressed. There is no neutral option.

Wiseman & Fengthe skin sticks [to the bone]著 read zhuó is rendered as sticking or adhering in their usage.
Unschuldthe skin adheres [to the bones]Same, with the object supplied.
This sitethe skin sticks著 read zhuó is 附著 — to be stuck fast to something — and the chapter is describing a failure of a surface to have anything beneath it. The text does not say bone; it says skin, and it leaves the reader to notice what skin has to stick to once the flesh is gone. Supplying the bone makes the sentence easier and the sign smaller; leaving it out makes the reader look, which is what the sign is for.

Entry status

Review pending — who reviews this?

2026-09

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Reading path

Guided routes through the corpus, each built on a handful of chapters and their key terms.

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