Classica Sinica Medica

㿗疝 简体 颓疝

tuí shàn

Tui shan

Also rendered: Tui shan (this site; transliterated, following the entry for 疝, so that the two graphs stay visible) · Scrotal swelling / hernia (the clinical sense the word carries in later medicine; broader than what this chapter names)

Pathology

Reviewed · 2026-10-01

At a glance

Pinyin
tuí shàn
Simplified
颓疝
Literal
㿗 tuí — written with the sickness radical and 頹 as its phonetic, and read with it: a heavy, sagging swelling. 疝 shàn is the painful swelling chapter 48 names from the pulse. Put together, chapter 49 attaches the name to two places at once — the scrotum, and the lower abdomen of a woman — and gives both one mechanism: the evil is in the centre, yin is abundant, and the vessel is swollen so that it does not pass. The graph 㿗 is what this base text writes; received texts write 頹, and 㿉 is a further variant of the same word.
Shuowen
《說文解字》：疝，腹痛也，从疒山聲。「㿗」字《說文》不載，从疒、頹省聲，為後起之形聲字，又作「頹」，異體作「㿉」。「㿗」讀 tuí、**本篇4見：「㿗疝」2、「㿗癃疝」2各二見**；「疝」讀 shàn、**本篇4見**；「辰」讀 chén、**本篇惟此一見，三月建辰**。

In brief

The mounting illness of the reverting yin in chapter 49, given in the third month — the yin within yang — with the evil lodged in the centre. The chapter states it twice: 㿗疝 with swelling of the lower abdomen in women, and 㿗癃疝, the same swelling with the passages stopped and the skin distended. Both are explained from one mechanism, yin abundant and the vessel swollen so that it does not pass.

Senses in the classical corpus

1
The graph 㿗
从疒、頹省聲，後起之形聲字，讀 tuí，又作頹
厥陰，所謂㿗疝 — Suwen 49
2
The disease 㿗疝
陰囊腫大，或婦人少腹腫
故曰㿗疝少腹腫也 — Suwen 49
3
The month 辰、三月
厥陰配辰、配三月，三月陽中之陰
厥陰者，辰也。三月陽中之陰 — Suwen 49
4
The mechanism 邪在中
邪氣在中，陰亦盛而脉脹不通
邪在中，故曰㿗疝少腹腫也 — Suwen 49
5
The second name 㿗癃疝
同病而兼小便不通、膚脹
所謂㿗癃疝膚脹者 — Suwen 49
6
What the chapter does 六經配月
六經各配一月，諸證皆以月令陰陽釋之
厥陰者，辰也 — Suwen 49

Occurrences in the classics

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

Display
2 passages
Suwen 49 Suwen 49 · 脉解 Read in context →
厥陰，所謂㿗疝、婦人少腹腫者，厥陰者，辰也。三月陽中之陰，邪在中，故曰㿗疝少腹腫也。 厥阴，所谓颓疝、妇人少腹肿者，厥阴者，辰也。三月阳中之阴，邪在中，故曰颓疝少腹肿也。
Jué yīn, suǒ wèi tuí shàn, fù rén shào fù zhǒng zhě, jué yīn zhě, chén yě. Sān yuè yáng zhōng zhī yīn, xié zài zhōng, gù yuē tuí shàn shào fù zhǒng yě.
As for the reverting yin and what is called mounting illness and swelling of the lower abdomen in women: reverting yin is chen, the third month — the yin within yang. The evil is in the centre; hence it is called mounting illness with swelling of the lower abdomen.
**「㿗疝」本篇2見——「㿗」讀 tuí、**本篇4見，讀 tuí**；「疝」讀 shàn、**本篇4見**；「辰」讀 chén、**本篇惟此一見**；「婦」讀 fù、「腫」讀 zhǒng、**本篇1見、8見**；**下文「㿗癃疝膚脹」即此病之兼癃閉者，同篇二名**。
素問·陰陽别論 Suwen 7 · 陰陽别論 Read in context →
曰：三陽爲病，發寒熱，下爲癰腫，及爲痿厥腨㾓。其傳爲索澤，其傳爲頽疝。 曰：三阳为病，发寒热，下为痈肿，及为痿厥腨㾓。其传为索泽，其传为颓疝。
yuē: sān yáng wéi bìng, fā hán rè, xià wéi yōng zhǒng, jí wéi wěi jué shuàn yuān. qí chuán wéi suǒ zé, qí chuán wéi tuí shàn.
It is said: when the third yang is diseased, it produces cold and heat; below, it becomes abscesses and swellings, and also weakness, reversal, and aching of the calf. If it transmits into a withered sheen, and then into a drooping hernia, the illness is grave.
「其傳爲頽疝」——三陽之病傳為頽疝，陰囊腫垂而弛緩不收；底本作「頽」，通行本多作「㿗疝」；**「頽疝」本篇1見**

Compounds built on this term

㿗疝
tuí shàn
tui shan
本篇二見
㿗癃疝
tuí lóng shàn
tui shan with dribbling block
本篇二見
疝
shàn
shan
第四十八篇立目，本篇四見
頹
tuí
the received graph
通行本作「頹」，異體作「㿉」

How it has been translated

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

This sitetui shan㿗 transliterated and 疝 kept as shan, because the chapter's disease is named from the conduit and the month, not from a modern pathology
Later medicine㿗疝 as scrotal swellingfrom the Ming surgical books onward the word is read as a large painless scrotal swelling
Modern editions颓疝 tuí shànthey print the received graph 頹 and keep the reading

Entry status

Review pending — who reviews this?

2026-10-01

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Reading path

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