胃家實 简体 胃家实

wèi jiā shí

The stomach house is full · wei jia shi

Also rendered: The stomach domain is replete (Literal) · Yang brightness repletion (Clinical)

Reviewed · 2026-10-31

At a glance

Pinyin
wèi jiā shí
Simplified
胃家实
Literal
胃 wèi is the stomach; 家 jiā is a household, and in medical usage a domain taken as one body — here the stomach together with the great intestine. 實 shí is solid, replete, the contrary of 虚. The phrase therefore names no single symptom but the state of a whole domain: heat and matter have filled it. It is the one sentence by which the yang brightness chapter defines itself, and every later sign in that chapter is a way of recognising it.
Shuowen
**《說文》:「胃,穀府也。」「實,富也。」** 本書「胃家」統胃與大腸而言,非止一府。成無己注:「胃爲水穀之海,主養四旁,故陽明之爲病,胃家實也。」**六至十篇經文共2見**(第八篇二見),一爲提綱,一爲三陽明之分。**與「脾約」對舉**:脾約者津液偏滲、大便但鞕,胃家實者燥屎内結、按之鞕滿,一潤一攻,界在津液之存亡。**與「燥屎」相因**:胃家實言其地,燥屎言其物。

In brief

The summary statement of yang brightness disease: the stomach and great intestine, taken together as one household, are replete with heat and with matter. It is not a symptom but a definition, and the chapter sets it beside two other ways into yang brightness — 脾約, where the fluids run off and the stool is merely hard, and 少陽陽明, where sweating and diuresis have dried the stomach. Where 胃家實 obtains the treatment is to purge; where 脾約 obtains it is to moisten. The phrase also marks the place of the disease: not the channels but the viscus, and not the stomach alone but the stomach with the bowel it empties into.

Senses in the classical corpus

1
提綱 陽明之爲病,胃家實也
胃家兼胃與大腸,實謂邪熱與糟粕結聚;此句爲陽明一篇之總綱,下文潮熱、讝語、燥屎諸證皆從此出
The defining sentence of the chapter: the stomach's household is full. 家 gathers stomach and great intestine into one domain, and 實 says that heat and waste have filled it; every later sign in the chapter follows from this.
陽明之爲病,胃家實也。 — 辨陽明病脉證并治第八
2
三陽明之分 正陽陽明者,胃家實是也
不由太陽誤治、不由少陽轉來,起病即胃家實,謂之正陽陽明,與太陽陽明、少陽陽明三分
The third of the three yang brightness entries: when the disease is repletion of the stomach's household from the start, neither carried over from taiyang nor left by shaoyang, it is called proper yang brightness.
正陽陽明者,胃家實是也。 — 辨陽明病脉證并治第八

Occurrences in the classics

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

Display
2 passages
辨陽明病脉證并治第八·辨陽明病脉證并治第八 Read in context →
陽明之爲病,胃家實也。 阳明之为病,胃家实也。
yáng míng zhī wéi bìng wèi jiā shí yě
The disease of yangming is excess of the stomach household.
一篇之綱。不言潮熱、不言讝語,只言胃家實,以爲諸證之根。
辨陽明病脉證并治第八·辨陽明病脉證并治第八 Read in context →
正陽陽明者,胃家實是也。 正阳阳明者,胃家实是也。
zhèng yáng yáng míng zhě wèi jiā shí shì yě
True yangming-yangming is excess of the stomach household.
三陽明之分:正陽陽明起病即實,不由他經轉來。

Compounds built on this term

胃家實
wèi jiā shí
the stomach house is full
辨陽明病脉證并治第八
陽明之爲病
yáng míng zhī wéi bìng
what yang brightness disease is
辨陽明病脉證并治第八
正陽陽明
zhèng yáng míng
proper yang brightness
辨陽明病脉證并治第八
脾約
pí yuē
the spleen's bond
辨陽明病脉證并治第八

How it has been translated

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

This sitethe stomach house is fullkeeps 家 as a domain, not a person
Literalthe stomach household is repleteexact, and strange in English
Clinicalyang brightness repletionclear, but loses the household

Entry status

Review pending — who reviews this?

2026-10-31

Search the glossary

Reading path

Guided routes through the corpus, each built on a handful of chapters and their key terms.

See all reading paths