xuè jiǎ
Also rendered: Blood concretion (vivid, and 瘕's coming and going is lost) · Blood gathering (exact for 瘕, and it sounds like a technique)
Reviewed · 2026-10-18
At a glance
What a floating pulse means at the end of the chapter’s second answer. The passage runs: 二陽三陰，至陰皆在，陰不過陽，陽氣不能止陰，陰陽並絶，浮爲血瘕，沈爲膿胕. Once yin and yang are cut off together, the pulse no longer reports a channel but a condition: floating, the illness is a mass in the blood; sinking, it is pus and rot. 瘕 is the word chapter 48 sets against 疝 — a gathering that comes and goes, formed of a small, tight pulse that does not beat up under the finger, whereas 疝 is a large, urgent, sinking pulse that stays. Here the mass is placed in the blood rather than in the qi, and the floating pulse is what places it there. The pair 血瘕 / 膿胕 is the chapter’s last pathological statement before it turns to the calendar of short terms.
Passages where the term does real work, with the original, pinyin and English on the same line.
Every rendering below is a decision about which reader is being addressed. There is no neutral option.
| This site | blood mass | a mass in the blood, read off a floating pulse |
| Literal | blood-jia | keeps the term, and asks the reader to learn a word |
| Clinical | a blood tumour | clear, and it claims more than the text says |
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