月死生

yuè sǐ shēng

The moon's dying and living · yue si sheng

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

Pinyin
yuè sǐ shēng
Simplified
月死生
Literal
月 yuè — the moon, and the month it measures; 死 sǐ — to die, and of the moon to wane; 生 shēng — to live, to be born, and of the moon to wax. The chapter uses the phrase four times, always as the rule by which a number is set: 以月死生爲數, 以月死生爲痏數. The count itself is spelled out once and then again at the end: 月生一日一痏,二日二痏,十五日十五痏,十六日十四痏 — as the moon grows, one insertion on the first day, two on the second, fifteen on the fifteenth; and after the full, one fewer each day, 漸少之. It is the only arithmetic in the chapter, and it is given to wandering obstruction, to the hip, to the low back — to the complaints that have no fixed place, which is what the chapter is about. And the chapter will not let it become mechanical; the line that follows is a caution: 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 sets the count, and the qi has the last word.
Shuowen
**「月」讀 yuè,本篇6見;太陰之精,亦以為三十日之數**;**「死」讀 sǐ,本篇4見;月之虧曰死**;**「生」讀 shēng,本篇8見;月之盈曰生**;**「月死生」本篇4見:以月死生爲數三見、以月死生爲痏數一見**;**「爲」讀 wéi,本篇5見;底本作「爲」,不从「為」,本篇無「為」字**;**「數」此讀 shù(數目),本篇「數」12見,「數脊椎」一見讀 shǔ、「此新病數日已」「凡刺之數」讀 shù**;**「痏」讀 wěi,本篇26見,一刺為一痏**;**「漸」讀 jiàn,漸次也;「漸多之」「漸少之」各一見**;**「少」此讀 shǎo(減少),本篇「少」10見,經名與少腹之少讀 shào**;**「脱」讀 tuō、「氣」讀 qì;「冩」讀 xiè,本篇1見,「寫」之俗省**;**「針」讀 zhēn,本篇2見;同篇「鍼」3見,二形並存,各从底本**

In brief

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.

Senses in the classical corpus

1
The graphs 月死生
月者太陰之精,亦以為月之數;死者月之虧,生者月之盈
以月死生爲數 — Suwen 63
2
The count it sets 月生一日一痏,二日二痏
月生則日增一痏,至十五日十五痏而極
月生一日一痏,二日二痏,十五日十五痏 — Suwen 63
3
The other half of the cycle 十六日十四痏,漸少之
月死則日減一痏,與月生之漸多相對
十六日十四痏,漸少之 — Suwen 63
4
Where the chapter applies it 以月死生爲痏數
本篇4見:痏往來行無常處者、樞中痛髀不可舉者、腰痛引少腹者、臂掌之間不可屈者
以月死生爲痏數,發鍼立已。 — Suwen 63
5
The caution that goes with it 隨氣盛衰,以爲痏數
針過其日數則脱氣,不及日數則氣不冩——月數之外仍以氣為斷
用針者,隨氣盛衰,以爲痏數 — Suwen 63
6
The graph this base text uses 爲
本篇作「以月死生爲數」,「爲」5見,不从「為」
以月死生爲數 — Suwen 63

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 63 Suwen 63 · 繆刺論 Read in context →
以月死生爲數,月生一日一痏,二日二痏,十五日十五痏,十六日十四痏。 以月死生为数,月生一日一痏,二日二痏,十五日十五痏,十六日十四痏。
Yǐ yuè sǐ shēng wéi shù, yuè shēng yī rì yī wěi, èr rì èr wěi, shí wǔ rì shí wǔ wěi, shí liù rì shí sì wěi.
The number is set by the dying and the living of the moon: as the moon grows, one puncture on the first day, two on the second, fifteen on the fifteenth, fourteen on the sixteenth.
**「月死生」本篇4見,皆為定痏數之則**:**「以月死生爲數,月生一日一痏,二日二痏,十五日十五痏,十六日十四痏」一見**;**「以月死生爲數」二見(凡痺往來行無常處者、留於樞中痛髀不可舉者)**;**「以月死生爲痏數,發鍼立已」一見(腰痛引少腹控䏚者)**;**「月」讀 yuè、「死」讀 sǐ、「生」讀 shēng、「爲」讀 wéi(不从「為」)**;**「痏」讀 wěi,本篇26見;「數」讀 shù,本篇「數」12見,「數脊椎」一見讀 shǔ**;**「漸多之」與「漸少之」各一見,「漸」讀 jiàn、「少」此讀 shǎo**;**「針過其日數則脱氣,不及日數則氣不冩」——月數之外仍以氣為斷**

Compounds built on this term

以月死生爲數
yǐ yuè sǐ shēng wéi shù
taking the moon's dying and living as the count
本篇4見;「爲」讀 wéi
痏數
wěi shù
the number of insertions
以月死生爲痏數、隨氣盛衰以爲痏數;「痏」讀 wěi、「數」讀 shù
漸多之
jiàn duō zhī
increasing it by degrees
月生一日一痏,二日二痏,漸多之;「漸」讀 jiàn
漸少之
jiàn shǎo zhī
decreasing it by degrees
十六日十四痏,漸少之;「少」此讀 shǎo

How it has been translated

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

This sitethe moon's dying and livingliteral 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
Modernthe phases of the moonhow 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
Clinicalthe lunar countwhat 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

Entry status

Review pending — who reviews this?

2026-10-05

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