悒悒

yì yì

Oppression · yi yi

Also rendered: Depression (modern psychological sense; too clinical for a text that means a bodily feeling) · Anxiety (readings that stress the fear alongside; the chapter separates 恐懼 from 悒悒; this site keeps them apart)

Reviewed · 2026-09

At a glance

Pinyin
yì yì
Simplified
悒悒
Literal
悒悒 yì yì — 悒 is the heart radical over 邑, a city, and the word means a closed-in, brooding discomfort. It is not grief exactly and not pain exactly; it is the feeling of something shut up inside. The chapter puts it at the end of the ceasing yin malaria, after the fearfulness and the shortness of qi, as the last and most inward of the signs: the belly is oppressed. Doubling the word — 悒悒 — makes it a state rather than a moment, as the double does throughout this text.
Shuowen
《說文解字》:悒,不安也,从心邑聲——**「不安」二字是悒之本義,謂心之鬱而不舒**。「悒」讀 yì,本篇2見,**皆在「悒悒」一詞**;**从心从邑,邑者城也,心如有城之閉其中**。「腹」讀 fù;「中」讀 zhōng;「氣」讀 qì;「不」讀 bù;「足」讀 zú;「意」讀 yì;「恐」讀 kǒng;「懼」讀 jù。**「意恐懼,氣不足,腹中悒悒」十二字,寫厥陰之瘧最為層遞**——**恐懼者肝之志,氣不足者肝之用,腹中悒悒者肝之部**,**志、用、部三者俱見,而後為厥陰之瘧**。**「悒悒」與上文「太息」對照**:**太息者氣之欲舒而不得,悒悒者氣之閉而不舒**——**一在肝瘧,一在足厥陰之瘧,同經而二態**。

In brief

A closed-in, brooding discomfort — the feeling of something shut up inside. The chapter uses it as the last sign of the ceasing yin malaria: fearfulness, shortness of qi, and an oppressed belly. Doubled, it is a state rather than a moment.

Senses in the classical corpus

1
What the graph says 悒
从心邑聲,《說文》不安也
腹中悒悒 — Suwen 36
2
Doubled as a state 悒悒
重言者,狀其常態
腹中悒悒 — Suwen 36
3
The last sign of ceasing yin 腹中悒悒
承意恐懼、氣不足而來
意恐懼,氣不足,腹中悒悒 — Suwen 36
4
Liver's domain 腹中
厥陰之脉抵小腹
腹中悒悒 — Suwen 36
5
Against 太息 悒悒/太息
一閉而不舒,一欲舒而不得
肝瘧者,令人色蒼蒼然,太息 — Suwen 36
6
Kin: 恐懼 恐懼
肝之志,與悒悒同見一句
意恐懼 — Suwen 36

Occurrences in the classics

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

Display
1 passages
Suwen 36 Suwen 36 · 剌瘧 Read in context →
足厥陰之瘧,令人腰痛,少腹滿,小便不利,如癃狀,非癃也,數便,意恐懼,氣不足,腹中悒悒,剌足厥陰。 足厥阴之疟,令人腰痛,少腹满,小便不利,如癃状,非癃也,数便,意恐惧,气不足,腹中悒悒,刺足厥阴。
Zú jué yīn zhī nüè, lìng rén yāo tòng, shào fù mǎn, xiǎo biàn bù lì, rú lóng zhuàng, fēi lóng yě, shuò biàn, yì kǒng jù, qì bù zú, fù zhōng yì yì, cì zú jué yīn.
Malaria of the foot ceasing yin makes the lower back ache and the lower abdomen feel full; the urine does not flow freely, so that it looks like blockage — yet it is not blockage, for the person passes urine often. He is fearful, short of qi, and oppressed within the belly. Needle the foot ceasing yin.
**「意恐懼,氣不足,腹中悒悒」十二字,是本篇寫厥陰之瘧的三層**——**恐懼者肝之志(肝主謀慮而其志為怒,病則為恐),氣不足者肝之用(肝為罷極之本,病則氣不繼),腹中悒悒者肝之部(厥陰之脉抵小腹,挾胃)**;**志、用、部三者俱見,而後厥陰之瘧成**。**「悒悒」二字最為含蓄**:**不曰痛、不曰脹、不曰滿,而曰悒悒**——**痛者可知其處,悒悒者但覺其鬱**,**是《素問》寫不自適之狀最深之筆**。**與下文肝瘧「色蒼蒼然,太息,其狀若死者」互注**:**彼言肝藏之瘧,其色蒼而其息太**;**此言厥陰經之瘧,其志恐而其腹悒**——**同經而藏與經二層,各見其態**。

Compounds built on this term

腹中悒悒
fù zhōng yì yì
oppression within the belly
厥陰之瘧之末證
悒悒不樂
yì yì bù lè
brooding and unhappy
後世醫書承用之語
悒鬱
yì yù
brooding depression
與此同源
太息
tài xī
the deep breath
本站 id 609 已立目,與悒悒為同經之二態

How it has been translated

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

This siteoppressionkept bodily and kept distinct from the 恐懼 that stands two words before it
Unschuld(yì) yì, melancholyleans toward the emotional
Wisemanoppressionsame as this site

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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