Yáng míng mài jiě
Chapter 30 is short, and it is the strangest chapter in the Suwen so far. It takes a set of behaviours that look like nothing else in the book — a man who cannot bear the sight of people or of fire, who starts in terror at the sound of wood while bells and drums leave him unmoved, who tears off his clothes and runs, climbs walls and rooftops he could never have climbed when well, sings, rails and curses at kin and stranger alike, and goes for days without eating — and it explains every one of them from a single premise. Yangming is the vessel of the stomach, the stomach is earth, and Yangming is the vessel richest in blood and qi of all the channels. Earth is averse to wood, so the patient starts at the sound of wood. Yangming governs the flesh and its vessel is full of blood and qi, so when evil lodges there the body heats, and a man in heat cannot bear fire. When Yangming goes into counterflow he pants and is distressed within, and a man distressed within cannot bear company. The chapter then draws its one prognostic line: if the counterflow reaches the depots the patient dies, if it reaches only the channels he lives. The second half explains the astonishing strength of the delirious patient by the same logic. The four limbs are the root of all the yang; when yang is exuberant the limbs become full, and fullness lets a man do what he could never do in health. Heat fills the body, so the clothes come off; yang fills the person, so the speech becomes railing and the shame that governs kin and stranger disappears. What the chapter describes is what later literature calls mania, and it is worth noticing how entirely it is explained without reference to the mind: no failure of will, no disorder of spirit, only a vessel too full of blood and qi, an earth that hates wood, and limbs that have more yang in them than they know what to do with.
Readings follow the base edition; significant variants are recorded here.
惡人與火恶人与火
「惡」讀 wù,厭惡、畏忌也;本篇六見皆然(惡人與火、土惡木也、其惡火、熱甚則惡火、其惡人、惋則惡人),無一讀 è 者。
陽明厥則喘而惋阳明厥则喘而惋
「惋」讀 wǎn,本篇二見,心內煩鬱而不自舒也;《太素》此字作「悗」,舊注或讀 mán、或讀 mèn,義並為煩悶,此从底本。
其脉血氣盛其脉血气盛
「盛」讀 shèng,本篇四見(血氣盛、熱盛於身、陽盛二見),不讀 chéng。
或至不食數日或至不食数日
「數」讀 shù,幾也、若干也;不讀 shuò(屢次),亦不讀 shǔ(計算)。
踰垣上屋逾垣上屋
「踰」讀 yú,越過也,與「逾」音義並同而形異,通行本多作逾,此从底本。
其妄言駡詈其妄言骂詈
「駡」讀 mà,與「罵」音義並同而形異,通行本多作罵,此从底本;「詈」讀 lì,析言之則正斥曰罵、旁及曰詈,本篇二字連用。
而不欲食,不欲食,故妄走也而不欲食,不欲食,故妄走也
「不欲食」三字疊見,舊注多以為衍文,或以為語氣舒緩故重言之;姑从底本照錄而存疑。
Cite this page
Huangdi Neijing · Suwen 黃帝內經素問 (c. 3rd c. BCE – 1st c. CE; recension c. 762 CE). Yáng míng mài jiě 陽明脉解 [A Discourse on the Yangming Vessel Explained], Chapter 30. In Classica Sinica Medica. Base text: 《重廣補註黃帝內經素問》二十四卷,唐·王冰注,宋·林億、孫奇、高保衡等校正,宋·孫兆重改誤。據上海涵芬樓《四部叢刊初編》影印明嘉靖二十九年(1550)顧從德覆宋刊本錄入,卷一牌記題「上海涵芬樓景印明顧氏翻宋本」。底本與影印本均屬公有領域。 Retrieved 11 October 2026, from https://classicstcm.com/classics/huangdi-neijing-suwen/yangming-vessel-explained/
"Yáng míng mài jiě 陽明脉解 [A Discourse on the Yangming Vessel Explained]." Huangdi Neijing · Suwen 黃帝內經素問, chapter 30, Classica Sinica Medica, 2026, https://classicstcm.com/classics/huangdi-neijing-suwen/yangming-vessel-explained/. Accessed 11 Oct. 2026. Base text: 《重廣補註黃帝內經素問》二十四卷,唐·王冰注,宋·林億、孫奇、高保衡等校正,宋·孫兆重改誤。據上海涵芬樓《四部叢刊初編》影印明嘉靖二十九年(1550)顧從德覆宋刊本錄入,卷一牌記題「上海涵芬樓景印明顧氏翻宋本」。底本與影印本均屬公有領域。
《黃帝內經素問·陽明脉解》(Huángdì Nèijīng Sùwèn)。《重廣補註黃帝內經素問》二十四卷,唐·王冰注,宋·林億、孫奇、高保衡等校正,宋·孫兆重改誤。據上海涵芬樓《四部叢刊初編》影印明嘉靖二十九年(1550)顧從德覆宋刊本錄入,卷一牌記題「上海涵芬樓景印明顧氏翻宋本」。底本與影印本均屬公有領域。Classica Sinica Medica,2026 年 10 月 11 日 存取,https://classicstcm.com/classics/huangdi-neijing-suwen/yangming-vessel-explained/。
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