棄衣而走 简体 弃衣而走

qì yī ér zǒu

Casting off the clothes and running · qi yi er zou

Also rendered: casting off the clothes and running (Keeps 棄 as casting off and 走 as running) · throwing off the clothes and running away (Adds 'away', which the text does not say)

Reviewed · 2026-09

At a glance

Pinyin
qì yī ér zǒu
Simplified
弃衣而走
Literal
棄 qì is to throw away, 衣 clothes, 走 to run — and 走 in early Chinese means run, not walk. The phrase describes a patient who tears off his clothes and runs, and chapter 30 explains it in one clause: 熱盛於身,故棄衣欲走也. Heat is exuberant in the body, so the clothes come off and the running follows. What later literature would class as mania the chapter explains as thermostatics: a body too hot to bear covering, moving to shed it.
Shuowen
《說文解字》:棄,捐也,从廾推𠦒棄之——**「棄」讀 qì,本篇三見,捨去、脫去也**,底本作「棄」,不作「弃」;「衣」讀 yī,本篇三見;**「走」讀 zǒu,本篇四見,奔跑也,非行走之義**——古書「走」皆訓趨、奔,與今語之緩步者別。四字連言本篇二見:「病甚則棄衣而走」「其棄衣而走者,何也」,一陳其狀、一問其故。

In brief

One of the behaviours chapter 30 explains in the severe stage of Yangming disease: the patient casts off his clothes and runs. The chapter’s explanation is heat — Yangming governs the flesh, its vessel is rich in blood and qi, evil lodging there turns to heat, and a body full of heat cannot bear clothes. The same behaviour recurs in the later literature as a stock sign of mania, but chapter 30 gives it no mental cause at all.

Senses in the classical corpus

1
The behaviour in the severe stage 棄衣而走
病甚則脫衣而奔
病甚則棄衣而走,登高而歌 — Suwen 30
2
The reason given 熱盛於身
熱盛則惡衣,故棄之
熱盛於身,故棄衣欲走也 — Suwen 30
3
What makes the heat 其脉血氣盛
血氣盛則邪易化熱
陽明主肉,其脉血氣盛,邪客之則熱 — Suwen 30
4
The wanting and the doing 棄衣欲走
欲走言其情,而走言其狀
故棄衣欲走也 — Suwen 30
5
Its neighbours in the list 登高而歌,踰垣上屋
同屬病甚所為,皆陽盛之實
病甚則棄衣而走,登高而歌,或至不食數日,踰垣上屋 — Suwen 30
6
The strength behind them all 陽盛則四支實
四肢實故能為素所不能為
四支者,諸陽之本也,陽盛則四支實,實則能登高也 — Suwen 30

Occurrences in the classics

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

Display
2 passages
素問·陽明脉解 Suwen 30 · 陽明脉解 Read in context →
帝曰:其棄衣而走者,何也?歧伯曰:熱盛於身,故棄衣欲走也。 帝曰:其弃衣而走者,何也?歧伯曰:热盛于身,故弃衣欲走也。
Dì yuē: qí qì yī ér zǒu zhě, hé yě?Qí bó yuē: rè shèng yú shēn, gù qì yī yù zǒu yě.
The Emperor says: and why does he cast off his clothes and run? Qibo says: heat is exuberant in the body, and so he casts off his clothes and wants to run.
問答二句,一言其狀、一言其故。「帝」讀 dì;「曰」讀 yuē;「其」讀 qí;**「棄」讀 qì,本篇三見,底本作「棄」,不作「弃」**;「衣」讀 yī;「而」讀 ér;**「走」讀 zǒu,本篇四見,奔跑也**;「者」讀 zhě;「何」讀 hé;「也」讀 yě;「歧」讀 qí;「伯」讀 bó;**「熱」讀 rè,本篇三見,底本作「熱」,不作「热」**;**「盛」讀 shèng,本篇四見**,不讀 chéng;「於」讀 yú,底本作「於」;「身」讀 shēn;「故」讀 gù;**「欲」讀 yù,想要也**。**「棄衣而走」言其已然之狀,「棄衣欲走」言其所以然之情**:熱盛則惡衣,惡衣則欲去之,既去而身猶熱,故奔走以求涼,二字之別見古人用字之審。
素問·脉解 Suwen 49 · 脉解 Read in context →
所謂病至則欲乘高而歌,棄衣而走者,陰陽復爭,而外并於陽,故使之棄衣而走也。 所谓病至则欲乘高而歌,弃衣而走者,阴阳复争,而外并于阳,故使之弃衣而走也。
Suǒ wèi bìng zhì zé yù chéng gāo ér gē, qì yī ér zǒu zhě, yīn yáng fù zhēng, ér wài bìng yú yáng, gù shǐ zhī qì yī ér zǒu yě.
What is called wanting to climb high and sing and to cast off the clothes and run when the illness comes on: yin and yang contend again and the evil merges outward with yang; hence the running with the clothes cast off.
「乘高而歌,「棄」讀 qì衣而走」——**本篇「棄衣而走」2見**;「乘」讀 chéng、**本篇惟此一見,登也**;**與第三十篇陽明病「棄衣而走」同文,此篇以陰陽復爭而外并於陽釋之**。

Compounds built on this term

棄衣而走
qì yī ér zǒu
casting off the clothes and running
本篇二見,病甚之狀
棄衣欲走
qì yī yù zǒu
casting off the clothes and wanting to run
本篇一見,答語之辭
熱盛於身
rè shèng yú shēn
heat exuberant in the body
本篇一見,棄衣之因
踰垣上屋
yú yuán shàng wū
scaling walls and roofs
本篇一見,與棄衣同類而加甚

How it has been translated

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

Wiseman & Feng(rendered as) discards his clothing and runsThey keep 走 as run and 棄 as discard, preserving the behaviour as a clinical sign rather than an outburst.
Unschuld(rendered as) throws away his clothes and runs aroundUnschuld's 'runs around' adds a circling, aimless quality that fits the later mania reading more than this chapter's.
This sitecasting off the clothes and runningWe keep 走 as running, because in this text it always means running, and we keep 棄 as casting off rather than discarding — the point is not tidiness but a body that cannot bear to be covered. Nothing in the phrase is about the mind, and the rendering should not quietly supply one.

Entry status

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2026-09

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Reading path

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