A Discourse on the Yangming Vessel Explained

陽明脉解

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.

View
18 paragraphs
黃帝問曰:足陽明之脉病,惡人與火,聞木音則惕然而驚,鐘鼓不爲動,聞木音而驚,何也? 黄帝问曰:足阳明之脉病,恶人与火,闻木音则惕然而惊,钟鼓不为动,闻木音而惊,何也?
Huáng dì wèn yuē: zú yáng míng zhī mài bìng, wù rén yǔ huǒ, wén mù yīn zé tì rán ér jīng, zhōng gǔ bù wéi dòng, wén mù yīn ér jīng, hé yě?
黄帝问道:足阳明的经脉一旦发病,病人厌恶见人、厌恶火,
The Yellow Emperor asks: when the vessel of foot Yangming is diseased, the patient is averse to people and to fire; he hears the sound of wood and starts in alarm, yet bells and drums do not move him. Why is it that the sound of wood alarms him?
願聞其故。 愿闻其故。
Yuàn wén qí gù.
我希望听听其中的缘故。
I wish to hear the reason for it.
歧伯對曰:陽明者,胃脉也,胃者,土也,故聞木音而驚者,土惡木也。 歧伯对曰:阳明者,胃脉也,胃者,土也,故闻木音而惊者,土恶木也。
Qí bó duì yuē: yáng míng zhě, wèi mài yě, wèi zhě, tǔ yě, gù wén mù yīn ér jīng zhě, tǔ wù mù yě.
歧伯回答说:阳明是胃的经脉,胃在五行中属土,
Qibo answers: Yangming is the vessel of the stomach, and the stomach is earth. Thus the reason the sound of wood alarms him is that earth is averse to wood.
帝曰:善。 帝曰:善。
Dì yuē: shàn.
黄帝说:讲得好。
The Emperor says: Good.
其惡火何也? 其恶火何也?
Qí wù huǒ hé yě?
黄帝又问:他厌恶火,是什么道理?
Why is he averse to fire?
歧伯曰:陽明主肉,其脉血氣盛,邪客之則熱,熱甚則惡火。 歧伯曰:阳明主肉,其脉血气盛,邪客之则热,热甚则恶火。
Qí bó yuē: yáng míng zhǔ ròu, qí mài xuè qì shèng, xié kè zhī zé rè, rè shèn zé wù huǒ.
歧伯说:阳明主一身之肌肉,这条经脉血与气都很充盛,
Qibo says: Yangming governs the flesh, and its vessel is abundant in blood and qi. When evil lodges in it, heat results; and when the heat is extreme, the patient is averse to fire.
帝曰:其惡人何也? 帝曰:其恶人何也?
Dì yuē: qí wù rén hé yě?
黄帝说:他厌恶见人,又是什么道理?
The Emperor says: and why is he averse to people?
歧伯曰:陽明厥則喘而惋,惋則惡人。 歧伯曰:阳明厥则喘而惋,惋则恶人。
Qí bó yuē: yáng míng jué zé chuǎn ér wǎn, wǎn zé wù rén.
歧伯说:阳明气逆,就会气喘而心中烦惋,
Qibo says: when Yangming is in counterflow the patient pants and is distressed within; being distressed within, he cannot bear people.
帝曰:或喘而死者,或喘而生者,何也? 帝曰:或喘而死者,或喘而生者,何也?
Dì yuē: huò chuǎn ér sǐ zhě, huò chuǎn ér shēng zhě, hé yě?
黄帝说:同样是喘,有的因此而死,有的却能活下来,
The Emperor says: some pant and die, others pant and live. Why is that?
歧伯曰:厥逆連藏則死。 歧伯曰:厥逆连脏则死。
Qí bó yuē: jué nì lián zàng zé sǐ.
歧伯说:厥逆之气若连及五脏,就会死亡。
Qibo says: when the counterflow reaches the depots, the patient dies.
連經則生。 连经则生。
Lián jīng zé shēng.
只连及经脉,就能活下来。
When it reaches only the channels, he lives.
帝曰:善。 帝曰:善。
Dì yuē: shàn.
黄帝说:讲得好。
The Emperor says: Good.
病甚則棄衣而走,登高而歌,或至不食數日,踰垣上屋,所上之處,皆非其素所能也,病反能者,何也? 病甚则弃衣而走,登高而歌,或至不食数日,逾垣上屋,所上之处,皆非其素所能也,病反能者,何也?
Bìng shèn zé qì yī ér zǒu, dēng gāo ér gē, huò zhì bù shí shù rì, yú yuán shàng wū, suǒ shàng zhī chù, jiē fēi qí sù suǒ néng yě, bìng fǎn néng zhě, hé yě?
病重的时候,病人会脱掉衣服奔跑,登上高处歌唱,
When the illness is severe, the patient casts off his clothes and runs, climbs high and sings, and may go several days without eating; he scales walls and gets onto roofs — and the places he reaches are all places he was never able to reach before. How is it that in illness he can do what he could not do in health?
歧伯曰:四支者,諸陽之本也,陽盛則四支實,實則能登高也。 歧伯曰:四支者,诸阳之本也,阳盛则四支实,实则能登高也。
Qí bó yuē: sì zhī zhě, zhū yáng zhī běn yě, yáng shèng zé sì zhī shí, shí zé néng dēng gāo yě.
歧伯说:四肢是诸阳的根本,阳气充盛则四肢坚实有力,
Qibo says: the four limbs are the root of all the yang. When yang is exuberant the four limbs become full, and being full they are able to climb high.
帝曰:其棄衣而走者,何也? 帝曰:其弃衣而走者,何也?
Dì yuē: qí qì yī ér zǒu zhě, hé yě?
黄帝说:他脱掉衣服奔跑,是什么道理?
The Emperor says: and why does he cast off his clothes and run?
歧伯曰:熱盛於身,故棄衣欲走也。 歧伯曰:热盛于身,故弃衣欲走也。
Qí bó yuē: rè shèng yú shēn, gù qì yī yù zǒu yě.
歧伯说:热邪盛于身体之内,所以脱掉衣服而想奔跑。
Qibo says: heat is exuberant in the body, and so he casts off his clothes and wants to run.
帝曰:其妄言駡詈,不避親疏而歌者,何也? 帝曰:其妄言骂詈,不避亲疏而歌者,何也?
Dì yuē: qí wàng yán mà lì, bù bì qīn shū ér gē zhě, hé yě?
黄帝说:他胡言乱语、大声骂人,
The Emperor says: and why does he speak wildly, rail and curse, sparing neither kin nor stranger, and sing?
歧伯曰:陽盛則使人妄言駡詈,不避親疏,而不欲食,不欲食,故妄走也。 歧伯曰:阳盛则使人妄言骂詈,不避亲疏,而不欲食,不欲食,故妄走也。
Qí bó yuē: yáng shèng zé shǐ rén wàng yán mà lì, bù bì qīn shū, ér bù yù shí, bù yù shí, gù wàng zǒu yě.
歧伯说:阳气充盛就会使人胡言乱语、骂人叱喝,
Qibo says: when yang is exuberant it makes a person speak wildly, rail and curse, sparing neither kin nor stranger; then he does not wish to eat, and because he does not wish to eat, he wanders without purpose.

Textual notes

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

  1. 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。

  2. 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。

  3. 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。

  4. 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)。

  5. 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。

  6. 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。

  7. 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

APA

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/

MLA

"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。

Chinese scholarly

《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/。

For classical material the edition is what makes a citation checkable: cite the base text, not the web page alone.

Passage credits

This passage has not been attributed yet.

Not yet reviewed — unreviewed passages are published as transcribed, not as reviewed.