Classica Sinica Medica

Taiyin Disease

辨太陰病脉證并治第十

Biàn tài yīn bìng mài zhèng bìng zhì dì shí

The taiyin chapter, nine passages, and the chapter of cold below.It opens with the outline: fullness of the abdomen with vomiting, food that will not go down, diarrhoea growing worse, and pain in the abdomen coming of itself from time to time. Purge it and there is hardness and binding below the heart — the one prohibition on which the chapter turns, since taiyin is a disease of cold and emptiness and purgation drives the yin evil inward.What follows is a chapter of distinctions. Wind in taiyin with restless aching of the limbs, and a faint yang, rough yin pulse that is long, which means recovery is near. The hour of resolution, from hai to chou, when the earth of the spleen is at its height. A floating pulse, where sweat may after all be induced with Cinnamon Twig Decoction. Diarrhoea without thirst, which belongs to taiyin and its cold viscus, to be warmed with decoctions of the Four-Rebellion kind, set against the thirst of shaoyin and its cold in the lower burner. And the seventh or eighth day, when sudden irritation and ten or more stools a day end of themselves, because the spleen household is replete and the rotten matter is leaving.The chapter closes on the two formulas that carry taiyin back toward yangming: Cinnamon Twig plus Peony for fullness with intermittent pain, and Cinnamon Twig plus Rhubarb where the pain is one of great repletion — with the caution that where the pulse is weak and the stool passes freely, the rhubarb and peony must be reduced. Cheng Wuyi's commentary is quoted selectively, marked 成注（節）.

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太陰之爲病，腹滿而吐，食不下，自利益甚，時腹自痛，若下之，必胸下結鞕。 太阴之为病，腹满而吐，食不下，自利益甚，时腹自痛，若下之，必胸下结硬。
tài yīn zhī wéi bìng fù mǎn ér tǔ shí bù xià zì lì yì shèn shí fù zì tòng ruò xià zhī bì xiōng xià jié yìng
太陰之爲病，腹部脹滿而嘔吐，飲食嚥不下，自利越來越厲害，時時腹中自痛，若用攻下，必致胸下結硬。太陰屬脾，脾虚則運化失職，寒濕內停，故見這許多證候。
The disease of taiyin is fullness of the abdomen with vomiting, food that will not go down, diarrhoea growing worse, and pain in the abdomen coming of itself from time to time; if it is purged, there will surely be hardness and binding below the heart. Taiyin belongs to the spleen; when the spleen is empty its transformation fails and cold dampness settles, which gives rise to these signs.
太陰中風，四肢煩疼，陽微陰澀而長者，爲欲愈。 太阴中风，四肢烦疼，阳微阴涩而长者，为欲愈。
tài yīn zhòng fēng sì zhī fán téng yáng wēi yīn sè ér cháng zhě wéi yù yù
太陰中風，四肢煩疼，陽微陰澀而脉長者，是將要痊愈。
When taiyin is struck by wind, with restless aching of the limbs, a faint yang and a rough yin pulse that is nevertheless long, the patient is about to recover.
太陰病欲解時，從亥至丑上。 太阴病欲解时，从亥至丑上。
tài yīn bìng yù jiě shí cóng hài zhì chǒu shàng
太陰病將要解除的時辰，是從亥時到丑時。
The hour when taiyin disease tends to resolve is from the hour of hai to the hour of chou.
太陰病，脉浮者，可發汗，宜桂枝湯。 太阴病，脉浮者，可发汗，宜桂枝汤。
tài yīn bìng mài fú zhě kě fā hàn yí guì zhī tāng
太陰病，脉浮的，可以發汗，宜桂枝湯。
In taiyin disease with a floating pulse, sweat may be induced, and Cinnamon Twig Decoction is suitable.
自利不渴者，屬太陰，以其藏有寒故也，當温之，宜服四逆輩。 自利不渴者，属太阴，以其藏有寒故也，当温之，宜服四逆辈。
zì lì bù kě zhě shǔ tài yīn yǐ qí zàng yǒu hán gù yě dāng wēn zhī yí fú sì nì bèi
自利而不渴的，屬太陰，因為其藏有寒的緣故，當温之，宜服四逆一類的方。
Diarrhoea without thirst belongs to taiyin, because the viscus has cold; it should be warmed, and decoctions of the Four-Rebellion kind are suitable.
傷寒脉浮而緩，手足自温者，繋在太陰，太陰當發身黄，若小便自利者，不能發黄。至七八日，雖暴煩，下利日十餘行，必自止。以脾家實，腐穢當去故也。 伤寒脉浮而缓，手足自温者，繋在太阴，太阴当发身黄，若小便自利者，不能发黄。至七八日，虽暴烦，下利日十余行，必自止。以脾家实，腐秽当去故也。
shāng hán mài fú ér huǎn shǒu zú zì wēn zhě xì zài tài yīn tài yīn dāng fā shēn huáng ruò xiǎo biàn zì lì zhě bù néng fā huáng zhì qī bā rì suī bào fán xià lì rì shí yú xíng bì zì zhǐ yǐ pí jiā shí fǔ huì dāng qù gù yě
傷寒脉浮而緩，手足自己温暖，這是繫在太陰，太陰當發身黄，若小便自利，就不能發黄。到了七八日，雖然突然煩躁，下利一日十餘行，必自己停止。因為脾家實，腐穢當去的緣故。
In cold damage with a floating, moderate pulse and warm hands and feet of themselves, the disease is tied to taiyin, and taiyin should make the body yellow; if urine flows freely, it cannot turn yellow. By the seventh or eighth day, though there is sudden irritation and ten or more movements a day, the diarrhoea will stop of itself, because the spleen household is replete and the rotten matter should leave.
本太陽病，醫反下之，因而腹滿時痛者，屬太陰也，桂枝加芍藥湯主之。 本太阳病，医反下之，因而腹满时痛者，属太阴也，桂枝加芍药汤主之。
běn tài yáng bìng yī fǎn xià zhī yīn ér fù mǎn shí tòng zhě shǔ tài yīn yě guì zhī jiā sháo yào tāng zhǔ zhī
本太陽病，醫生反而攻下，因而腹滿時痛的，屬太陰，桂枝加芍藥湯主治。
When Taiyang disease is wrongly purged by the physician and there follows fullness of the abdomen with intermittent pain, it belongs to taiyin, and Cinnamon Twig plus Peony Decoction governs it.
太實痛者，桂枝加大黄湯主之。 太实痛者，桂枝加大黄汤主之。
tài shí tòng zhě guì zhī jiā dà huáng tāng zhǔ zhī
大實而痛的，桂枝加大黄湯主治。
Where there is great repletion with pain, Cinnamon Twig plus Rhubarb Decoction governs it.
太陰爲病，脉弱，其人續自便利，設當行大黄、芍藥者，宜減之，以其人胃氣弱，易動故也。 太阴为病，脉弱，其人续自便利，设当行大黄、芍药者，宜减之，以其人胃气弱，易动故也。
tài yīn wéi bìng mài ruò qí rén xù zì biàn lì shè dāng xíng dà huáng sháo yào zhě yí jiǎn zhī yǐ qí rén wèi qì ruò yì dòng gù yě
太陰爲病，脉弱，其人繼續自利，若當用大黄、芍藥的，宜減去，因為其人胃氣弱，容易動利的緣故。
In taiyin disease with a weak pulse and continued free passage of stool, if rhubarb and peony are to be used they should be reduced, because the stomach qi is weak and easily stirred to diarrhoea.

Textual notes

Readings follow the base edition; significant variants are recorded here.

  1. 繋在太陰通行本作「繫在太陰」

    繋從糸從毄省，與繫一字，乃刻本舊體。卷八同一文作繫，此篇作繋，同書異寫。繫在太陰者，謂病屬太陰而未入陽明，與上文手足自温互證。今照錄繋，讀 xì。

  2. 胸下結鞕通行本作「胸下結硬」

    鞕與硬一字，皆謂堅。太陰本虚寒，誤下則陰邪留於胸下而結鞕，與結胸之因熱陷者不同。此篇言鞕者三，皆作鞕，今回改從通行本作硬以便檢索，錄文仍存鞕。

  3. 陽微陰澀通行本作「陽微陰澀」

    澀為濇之今字，從水從歰。陽微陰澀者，陽氣微而陰血少，脉道不利；然脉雖澀而長，長為陽脉，陰病見陽脉則生，故曰欲愈。此以脉之長短定死生，最見仲景脉法。

  4. 從亥至丑上通行本同

    王讀 wàng，同旺，謂脾土旺盛之時。脾為陰土，王於丑，亥子向陽，故太陰病欲解在亥至丑。此與少陽之寅卯辰、陽明之申酉戌同一例，皆以五行王氣定欲解之時，非偶然排比。

  5. 太實痛者通行本作「大實痛者」

    太與大形近，然此當作大。上文腹滿時痛為虚邪，此則大實而痛，故於桂枝湯中加大黄以攻實。一虚一實，同用桂枝加味而分芍藥、大黄，正是太陰轉屬陽明之關捩。今錄文照底本作太。

  6. 宜減之底本作「减」

    减從冫，為減之俗寫。減之者，減大黄、芍藥之量，非去而不用。脉弱而續自便利，是中氣已虚，雖有腹滿痛，亦只可少與，不可徑行峻攻。今回改作減，讀 jiǎn。

Cite this page

APA

Shanghan Lun 傷寒論 (Zhang Zhongjing, early 3rd century CE; the received text was reconstituted in the Song.). Biàn tài yīn bìng mài zhèng bìng zhì dì shí 辨太陰病脉證并治第十 [Taiyin Disease], Chapter 10. In Classica Sinica Medica. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。 Retrieved 31 October 2026, from https://classicstcm.com/classics/shanghan-lun/taiyin-disease/

MLA

"Biàn tài yīn bìng mài zhèng bìng zhì dì shí 辨太陰病脉證并治第十 [Taiyin Disease]." Shanghan Lun 傷寒論, chapter 10, Classica Sinica Medica, 2026, https://classicstcm.com/classics/shanghan-lun/taiyin-disease/. Accessed 31 Oct. 2026. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。

Chinese scholarly

《傷寒論·辨太陰病脉證并治第十》（Shānghán lùn）。《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。Classica Sinica Medica，2026 年 10 月 31 日 存取，https://classicstcm.com/classics/shanghan-lun/taiyin-disease/。

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