血枯

xuè kū

Blood withering · xue ku

Also rendered: Blood withering (this site; keeps the image of something dried out) · Blood exhaustion (flatter, and loses the withering that the graph has)

Reviewed · 2026-09

At a glance

Pinyin
xuè kū
Simplified
血枯
Literal
血 xuè — blood; 枯 kū — withered, dried up, as a tree that has lost its sap. The name is a diagnosis in two syllables: this is not blood that has been spilled or blood that is hot, but blood that has run out. Chapter 40 gives it two causes, both of them belonging to youth — a great loss of blood, or entering the chamber drunk — and one consequence that fixes the illness in a woman's body: 月事衰少不來, the monthly affair dwindles and does not come. Its prescription is the most detailed in the whole Suwen: four parts of cuttlebone to one of madder, rolled into pills with sparrow's egg the size of a small bean, five before the meal, washed down with abalone juice. The pairing is worth noting — a shell from the sea and a root from the earth, and the pill bound with egg and carried down with fish. Where drum distension is too much in the belly, blood withering is too little in the vessels, and the chapter puts the two first for the contrast.
Shuowen
《說文解字》:血,祭所薦牲血也——**本義為祭祀所薦之牲血**,**引申為一身流行之赤液**;枯,槁也——**本義為木之乾槁**。「血」讀 xuè、**本篇6見,本站一律讀 xuè**;「枯」讀 kū、**本篇1見**,**「血枯」1見**。**其因有二**:「脱」讀 tuō血(**本篇1見,不作「脫」**)「醉」讀 zuì入房中,**一失之於血、一傷之於精**;**其驗則在「月事」(「月」讀 yuè「事」讀 shì)**,**本站「月事」一條見 #1006**。

In brief

Blood that has dried up rather than blood that has been lost: a wasting of the blood in youth, from a great haemorrhage or from entering the chamber drunk, marked by the menses failing and answered with cuttlebone, madder and abalone juice.

Senses in the classical corpus

1
What the graph says 枯
枯,槁也;木乾曰枯,引申為凡液之竭
病名血枯 — Suwen 40
2
When it was got 年少時
得之年少之時,非一朝一夕之故
此得之年少時,有所大脱血 — Suwen 40
3
The first cause 大脱血
有所大脱血,血之驟失也
有所大脱血 — Suwen 40
4
The second cause 醉入房中
醉而入房,氣竭而肝傷,精血兩耗
若醉入房中,氣竭肝傷 — Suwen 40
5
The sign 月事衰少不來
月事以血為本,血枯則月事衰少而不來
故月事衰少不來也 — Suwen 40
6
The remedy 四烏鰂骨一藘茹
烏鰂骨四、藘茹一,丸以雀卵,飲以鮑魚汁
利腸中及傷肝也 — Suwen 40

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 40 Suwen 40 · 腹中論 Read in context →
歧伯曰:病名血枯。此得之年少時,有所大脱血,若醉入房中,氣竭肝傷,故月事衰少不來也。帝曰:治之柰何?復以何術?歧伯曰:以四烏鰂骨,一藘茹,二物并合之,丸以雀卵,大如小豆,以五丸爲後飯,飲以鮑魚汁,利腸中及傷肝也。 歧伯曰:病名血枯。此得之年少时,有所大脱血,若醉入房中,气竭肝伤,故月事衰少不来也。帝曰:治之奈何?复以何术?歧伯曰:以四乌鲗骨,一藘茹,二物并合之,丸以雀卵,大如小豆,以五丸为后饭,饮以鲍鱼汁,利肠中及伤肝也。
Qí bó yuē: bìng míng xuè kū. Cǐ dé zhī nián shào shí, yǒu suǒ dà tuō xuè, ruò zuì rù fáng zhōng, qì jié gān shāng, gù yuè shì shuāi shǎo bù lái yě.Dì yuē: zhì zhī nài hé? fù yǐ hé shù?Qí bó yuē: yǐ sì wū zéi gǔ, yī lǘ rú, èr wù bìng hé zhī, wán yǐ què luǎn, dà rú xiǎo dòu, yǐ wǔ wán wéi hòu fàn, yǐn yǐ bào yú zhī, lì cháng zhōng jí shāng gān yě.
Qi Bo says: the illness is named blood withering. It is got in the years of youth, when there has been a great loss of blood, or when one enters the chamber drunk: the qi is spent and the liver is hurt, and so the monthly affair dwindles and does not come. The Emperor says: how is it treated? And by what art? Qi Bo says: take four of cuttlebone and one of madder, put the two together and pill them with sparrow’s egg, the size of a small bean; take five pills after which comes the meal, washed down with abalone juice — it frees the inside of the intestines and reaches the damaged liver.
**「病名血枯」之下即言其因、其驗、其方,四者相連,為本篇中最完整之一條**。「少」讀 shào**「年少」讀 shào**(年幼也),「少」讀 shǎo**「衰少」讀 shǎo**(減少也)——**同章同字而二讀,本篇4見**。「肝」讀 gān**本篇2見**;「月」讀 yuè、「事」讀 shì**各1見、1見**。**「藘茹」(「藘」讀 lǘ「茹」讀 rú)即茜草**,**「烏鰂骨」(「烏」讀 wū「鰂」讀 zéi「骨」讀 gǔ)即烏賊骨、海螵蛸**——**一介之殼、一草之根,合而為丸,是《內經》配伍之最早者**。**「後飯」者,先藥而後食**;**「鮑魚汁」(「鮑」讀 bào「魚」讀 yú「汁」讀 zhī)送之,取其下行而入於血分**。

Compounds built on this term

血枯
xuè kū
blood withering
本篇第二病之名
大脱血
dà tuō xuè
a great loss of blood
血枯之因一
醉入房中
zuì rù fáng zhōng
entering the chamber drunk
血枯之因二
四烏鰂骨一藘茹
sì wū zéi gǔ yī lǘ rú
four cuttlebone to one madder
血枯之方

How it has been translated

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

This siteblood witheringxuè kū is translated; the graph 枯 is a tree that has lost its sap, and the translation keeps that
Unschuldblood desiccationthe literal reading of 枯; clinical in tone
Wisemanblood witheringthe same; Wiseman notes the formula that follows as the earliest in the book

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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