食亦

shí yì

Eat and waste · shi yi

Also rendered: Eat and waste (this site; keeps the paradox the name is built on) · Food-passing (a literal rendering of 亦 as 易; accurate but unidiomatic)

Reviewed · 2026-09

At a glance

Pinyin
shí yì
Simplified
食亦
Literal
食亦 shí yì — to eat, and 亦. The 亦 is not the adverb 'also'; the old commentaries gloss it as 易, to change, to pass through: the illness in which food goes through a body without ever becoming flesh. Eat well, grow thin. Chapter 37 names it twice and from two different directions — once when the large intestine shifts heat into the stomach, once when the stomach shifts heat into the gallbladder — which is the chapter's way of saying that one illness can have two sources. The line in which it first appears carries a graph the base text has and most modern editions do not: 善食而瘦入, eat well and waste with 入. Wang Bing's edition has it too. This site keeps it and records the omission in the collation.
Shuowen
《說文解字》:食,一米也——**本義為飯食**;**「亦」之本義為「人之臂亦(腋)」**——**本篇「食亦」之「亦」,舊注讀為「易」,謂食入移易而過、不生肌膚**。「食」讀 shí,本篇3見,**皆讀 shí**;「亦」讀 yì,本篇3見;「瘦」讀 shòu;「入」讀 rù,**本篇惟此一見**——**底本有「入」字,今通行本多無之,本站照錄**。

In brief

Eating well and yet wasting away — food passes through without building flesh. Named twice in chapter 37, from two different transmissions, making it the clearest case in the chapter of one illness with two sources.

Senses in the classical corpus

1
What the graphs say 食亦
食,飯食;亦,舊注讀為易,移易而過
善食而瘦入,謂之食亦 — Suwen 37
2
The sign 食亦
善食而瘦,食入而不生肌膚
善食而瘦入 — Suwen 37
3
First source 食亦
大腸移熱於胃
大腸移熱於胃,善食而瘦入,謂之食亦 — Suwen 37
4
Second source 食亦
胃移熱於膽
胃移熱於膽,亦曰食亦 — Suwen 37
5
The 入 of the base text 瘦入
底本有「入」,王冰本亦有;今本多無
善食而瘦入 — Suwen 37
6
Named, not argued 謂之食亦
本篇「者…也」之例,以「謂之」立名
謂之食亦 — Suwen 37

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 37 Suwen 37 · 氣厥論 Read in context →
大腸移熱於胃,善食而瘦入,謂之食亦。 大肠移热于胃,善食而瘦入,谓之食亦。
Dà cháng yí rè yú wèi, shàn shí ér shòu rù, wèi zhī shí yì.
When the large intestine shifts heat into the stomach, one eats well and yet wastes away: this is called eat-and-waste.
**「大腸移熱於胃,善食而瘦入,謂之食亦」十六字,是熱移十變之第七變,亦為本篇所立之名之一**。**本篇一大關目在「瘦入」之「入」字**——**底本作「善食而瘦入」,王冰注本亦有「入」字**,**今通行本多無「入」字,作「善食而瘦」**;**一說「入」字為衍文,一說「入」當屬下讀**;**本站例:正文從底本照錄,異文只入校勘**,**故正文作「善食而瘦入」,校勘列通行本無「入」之異**。**「食亦」為本篇所立之病名**——**「亦」者,易也;食亦者,食入移易而過、不生肌膚**,**故善食而反瘦**;**「食亦」一詞,《素問》惟本篇二見**:**此處與下文「胃移熱於膽,亦曰食亦」**——**同病而異源,本篇條列之體於此最顯**。**「食」「食」讀 shí,本篇3見皆讀 shí**;**「善」「善」讀 shàn、「而」「而」讀 ér、「瘦」「瘦」讀 shòu、「謂」「謂」讀 wèi、「亦」「亦」讀 yì。

Compounds built on this term

善食而瘦
shàn shí ér shòu
eats well yet grows thin
食亦之證,後世「消中」「食㑊」之屬
亦曰食亦
yì yuē shí yì
likewise called eat-and-waste
本篇同名二見之第二見
瘦入
shòu rù
wastes with 入
底本之文,通行本無「入」字
大腸移熱於胃
dà cháng yí rè yú wèi
the large intestine shifting heat into the stomach
本篇熱移十變之第七變

How it has been translated

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

This siteeat and wastethe two halves of the name are the two halves of the sign: appetite preserved, flesh lost
Unschuld(shí yì) eat and [still] hungersupplies a verb the Chinese leaves out
Wiseman(shí yì) food交换glosses 亦 as exchange; loses the wasting entirely

Entry status

Review pending — who reviews this?

2026-09

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Reading path

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