䐜脹简体䐜胀

chēn zhàng

Distension from rising turbidity · chen zhang

Also rendered: Distension from rising turbidity (this site; the compound is expanded because 䐜 alone says only that the flesh is swollen upward) · Chen zhang (transliteration; used when the pair with 飱泄 is cited whole)

Pathology

Reviewed · 2026-10-11

At a glance

Pinyin: chēn zhàng
Simplified: 䐜胀
Literal: 䐜 chēn — the flesh swollen and rising, written with the flesh radical: Wang Bing glosses it exactly so, 䐜，肉脹起也. 脹 zhàng — distension, the flesh drawn tight. Suwen 5 names the pair once, in the first paragraph, and names it as the counterpart of food-diarrhoea: 清氣在下，則生飱泄；濁氣在上，則生䐜脹. The two clauses are the chapter's demonstration that the pathology of the body is the pathology of its directions.
Shuowen: **「䐜脹」本篇1見**；**「䐜」讀 chēn，從肉，真聲，本篇1見**；**「脹」讀 zhàng，本篇1見**；**王冰注：䐜，肉脹起也**；**《說文》未收「脹」，古多作「張」**

In brief

Distension of the belly from turbidity that has risen instead of descending. Suwen 5 gives it in the chapter’s first paragraph, paired with food-diarrhoea and explaining itself: 清氣在下，則生飱泄；濁氣在上，則生䐜脹. What should rise has gone down and produces the diarrhoea; what should descend has gone up and produces the distension. The chapter then names the whole state 陰陽反作 — yin and yang acting in reverse — and calls the pair the two directions a disease can run, 逆從. Wang Bing is exact about the graph: 䐜 is the flesh swelling up.

Senses in the classical corpus

The graphs 䐜脹

䐜者肉脹起，脹者肉脹滿

濁氣在上，則生䐜脹 — Suwen 5

What causes it 濁氣在上

濁陰之氣當下而反在上

濁氣在上，則生䐜脹 — Suwen 5

What it is set against 飱泄

清氣在下則生飱泄，濁氣在上則生䐜脹

清氣在下，則生飱泄；濁氣在上，則生䐜脹 — Suwen 5

The name of the whole state 陰陽反作

清濁升降失位，是為陰陽反作

此陰陽反作，病之逆從也 — Suwen 5

The direction the turbid should take 濁陰歸六府

濁陰本當歸六府而下出

濁陰歸六府 — Suwen 5

How the chapter treats fullness 中滿者，冩之於内

凡滿在中者，當瀉之於内

中滿者，冩之於内 — Suwen 5

Occurrences in the classics

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

Display

1 passages

素問·陰陽應象大論 Suwen 5 · 陰陽應象大論 Read in context →

寒極生熱，熱極生寒，寒氣生濁，熱氣生清。清氣在下，則生飱泄；濁氣在上，則生䐜脹。此陰陽反作，病之逆從也。寒极生热，热极生寒，寒气生浊，热气生清。清气在下，则生飧泄；浊气在上，则生䐜胀。此阴阳反作，病之逆从也。

hán jí shēng rè, rè jí shēng hán, hán qì shēng zhuó, rè qì shēng qīng. qīng qì zài xià, zé shēng sūn xiè; zhuó qì zài shàng, zé shēng chēn zhàng. cǐ yīn yáng fǎn zuò, bìng zhī nì cóng yě.

Cold at its extreme engenders heat; heat at its extreme engenders cold. Cold qi produces turbidity, hot qi produces clarity. When clear qi stays below, pouring diarrhoea results; when turbid qi stays above, distension results. This is yin and yang acting in reverse — the rebellion and compliance of disease.

**「䐜脹」本篇1見**；**「濁氣」本篇1見，見本站第四三八條**；**「飱泄」本篇2見，見本站第五九一條**；**「清陽」本篇5見，見本站新目**

Compounds built on this term

則生䐜脹

zé shēng chēn zhàng

then there arises distension

本篇1見

濁氣在上

zhuó qì zài shàng

the turbid qi is above

本篇1見

陰陽反作

yīn yáng fǎn zuò

yin and yang act in reverse

本篇1見

清氣在下

qīng qì zài xià

the clear qi is below

本篇1見

How it has been translated

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

This site	Distension from rising turbidity · chen zhang	keeps both halves of the pair visible: the swelling and the direction it came from
Literal	fleshy swelling and distension	faithful to 䐜 and 脹, but reads as two symptoms rather than one
Clinical	abdominal distension	what it is in practice; right about the symptom, silent about how it got there

Entry status

Review pending — who reviews this?

2026-10-11

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Reading path

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