yuè sǐ shēng
Also rendered: The moon's dying and living (this site; it keeps the two verbs the phrase is built on, which is the whole of what it says) · The waxing and waning of the moon (the same thing said in the words a modern reader expects, and the one most translations use)
Reviewed · 2026-10-05
At a glance
The moon’s dying and living — 月 yuè, the moon; 死 sǐ, its waning; 生 shēng, its waxing — and the chapter uses the phrase four times as the rule that sets the number of insertions: 以月死生爲數, 以月死生爲痏數. The count is spelled out once: 月生一日一痏,二日二痏,十五日十五痏,十六日十四痏 — rising by one a day to fifteen at the full, then 漸少之 as the moon dies. It is the only arithmetic in the chapter, and it is given to exactly the complaints the chapter is about — wandering obstruction, the hip, the low back — things with no fixed place. The chapter then refuses to leave it mechanical: 用針者,隨氣盛衰,以爲痏數,針過其日數,則脱氣,不及日數,則氣不冩. The moon gives the number; the qi decides. The phrase has not appeared in any chapter transcribed on this site before.
Passages where the term does real work, with the original, pinyin and English on the same line.
Every rendering below is a decision about which reader is being addressed. There is no neutral option.
| This site | the moon's dying and living | literal from the three graphs — 月 the moon, 死 to die, 生 to live — because the phrase is not a number but a cycle, and the chapter counts insertions on a cycle rather than on a quantity |
| Modern | the phases of the moon | how the phrase is usually rendered; right, and it turns two verbs into one noun, so that the rising and the falling of the count no longer has anything to hang on |
| Clinical | the lunar count | what the rule is in practice — so many insertions for so many days of the month; useful as a label, and it drops the moon itself, which is the thing the chapter is watching |
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