診要 简体 诊要

zhěn yào

Essentials of diagnosis · zhen yao

Also rendered: essentials of diagnosis (Literal; keeps 診 as examining) · the essentials of examination (Closer to 診's own gloss in 說文) · the key points of diagnosis (Reads 要 as points rather than what binds them)

Reviewed · 2026-09

At a glance

Pinyin
zhěn yào
Simplified
诊要
Literal
診 to examine, to look into (《說文》: 視也); 要 the waist, and so the part that cinches the rest together, the essential (《說文》: 身中也). The things that hold examining together.
Shuowen
《說文解字》:診,視也(段注:引申為診視、診候);要,身中也(段注:人身之中,要帶之處;引申為要領、切要)。

In brief

The chapter’s title word, and the question the Emperor opens with: 診要何如. What the chapter gives as the answer is unexpected — before any symptom it gives a calendar of where the human qi sits in each month of the year, and then the season’s needling rule that follows from it. Diagnosis here is not a technique applied to a patient; it is knowing where you are in the year and what depth that calls for. The second half of the chapter then takes 診 as far as it can go: the recognition of how the channels end.

Senses in the classical corpus

1
The essentials of diagnosis 診要何如
篇題即取此二字以為首問
診要何如 — Suwen 16
2
First answer: where the qi is 人氣在肝……人氣在腎
以十二月之氣所在為診之先務
正月、二月,天氣始方,地氣始發,人氣在肝 — Suwen 16
3
Second answer: the rule for needling 春夏秋冬,各有所刺,法其所在
刺之所在即診之所在
春夏秋冬,各有所刺,法其所在 — Suwen 16
4
Carried to its furthest point 願聞十二經脉之終奈何
診之極處在於知經脈之終
願聞十二經脉之終奈何 — Suwen 16

Occurrences in the classics

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

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1 passages
素問·診要經終論 Suwen 16 · 診要經終論 Read in context →
黄帝問曰:診要何如?歧伯對曰:正月、二月,天氣始方,地氣始發,人氣在肝。三月、四月,天氣正方,地氣定發,人氣在脾。五月、六月,天氣盛,地氣高,人氣在頭。七月、八月,陰氣始殺,人氣在肺。九月、十月,陰氣始冰,地氣始閉,人氣在心。十一月、十二月,冰復,地氣合,人氣在腎。 黄帝问曰:诊要何如?岐伯对曰:正月、二月,天气始方,地气始发,人气在肝。三月、四月,天气正方,地气定发,人气在脾。五月、六月,天气盛,地气高,人气在头。七月、八月,阴气始杀,人气在肺。九月、十月,阴气始冰,地气始闭,人气在心。十一月、十二月,冰复,地气合,人气在肾。
huáng dì wèn yuē: zhěn yào hé rú?qí bó duì yuē: zhēng yuè, èr yuè, tiān qì shǐ fāng, dì qì shǐ fā, rén qì zài gān. sān yuè, sì yuè, tiān qì zhèng fāng, dì qì dìng fā, rén qì zài pí. wǔ yuè, liù yuè, tiān qì shèng, dì qì gāo, rén qì zài tóu. qī yuè, bā yuè, yīn qì shǐ shā, rén qì zài fèi. jiǔ yuè, shí yuè, yīn qì shǐ bīng, dì qì shǐ bì, rén qì zài xīn. shí yī yuè, shí èr yuè, bīng fù, dì qì hé, rén qì zài shèn.
The Yellow Emperor asks: What are the essentials of diagnosis? Qibo replies: In the first and second months the heavenly qi begins to spread squarely and the earthly qi begins to issue forth, and the human qi is in the liver. In the third and fourth months the heavenly qi is squarely in place and the earthly qi issues in earnest, and the human qi is in the spleen. In the fifth and sixth months the heavenly qi is at its height and the earthly qi is high, and the human qi is in the head. In the seventh and eighth months the yin qi begins to kill, and the human qi is in the lung. In the ninth and tenth months the yin qi begins to freeze and the earthly qi begins to close, and the human qi is in the heart. In the eleventh and twelfth months the ice thickens and the earthly qi closes up, and the human qi is in the kidney.
本篇開章之問:「診要何如?」篇題《診要經終論》即取此二字。岐伯不以證候對,而以十二月人氣之所在對:正月二月在肝、三四月在脾、五六月在頭、七八月在肺、九十月在心、十一十二月在腎。蓋診之先務在知氣之所在,而後有「春夏秋冬,各有所刺,法其所在」之法,與後半「願聞十二經脉之終」之問。

Compounds built on this term

診
zhěn
to examine, to look into
說文:視也
要
yào
the essential, what binds
說文:身中也
人氣
rén qì
the human qi
本篇十二月之氣所在
十二經脉
shí èr jīng mài
the twelve channels
本篇後半所論
法其所在
fǎ qí suǒ zài
take as your rule where it resides
本篇四時刺法之總綱

How it has been translated

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

Common Englishessentials of diagnosisStandard for the chapter title, and there is little variation.
This siteessentials of diagnosis診 is 視, to look at — nearer to examination than to diagnosis in the modern sense. But the chapter's 診 covers the calendar, the needling rule and the signs of dying, which is a wider thing than examination and closer to what diagnosis meant before it became a laboratory word. The essentials is kept for 要 because 要 is the waist — the part that holds the rest together — and the chapter is giving what holds the practice together, not a list of key points.

Entry status

Review pending — who reviews this?

2026-09

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