癉瘧 简体 瘅疟

dān nüè

Dan malaria · dan nüè

Also rendered: dan malaria, left in pinyin (What both standard translations do; honest, but gives the reader nothing) · parching malaria (Captures 癉's heat and the wasting, at the cost of inventing an English the text never suggested)

Reviewed · 2026-09

At a glance

Pinyin
dān nüè
Simplified
瘅疟
Literal
癉 dān, heat, exhaustion — the graph is 疒 plus 單, and the site reads it the same way in 消癉; 瘧 nüè, malaria. The third kind, and the one that stands outside the pairing of the other two: heat only, no cold at all. The chapter's explanation is that the yin qi has been cut off first, so the yang qi breaks out alone — there is no yin left for it to merge into, and merging into yin is what makes cold. The late passage gives it a lodging: inward in the heart, outward between the parted flesh, wasting and scorching a person until the flesh is stripped away.
Shuowen
《說文解字》:癉,勞病也,从疒,單聲——**勞而為病,故癉有「熱」「勞」二義**。「癉」讀 dān,本篇 4 見——**底本从疒从單,不作「瘅」(「瘅」)**;讀 dān,與本站所收「消癉」之癉同讀;**本篇之癉取「熱」義**,故下文曰「令人消爍脱肉」。**「癉瘧」二字本篇三見,命曰癉瘧一見**(名曰癉瘧、帝曰癉瘧何如、癉瘧者、故命曰癉瘧)。「陰」讀 yīn;「氣」讀 qì;「先」讀 xiān;**「絶」讀 jué,本篇惟此一見**——底本从糸从刀从卩,不作「絕」(「絕」);「陽」讀 yáng;「獨」讀 dú,本篇 3 見;「發」讀 fā;「則」讀 zé;**「少」讀 shǎo,本篇惟此一見,讀 shǎo**——**本篇無經名之少,故無一讀 shào 者**;「煩」讀 fán;「冤」讀 yuān,本篇惟此一見,不作「寃」(「寃」);「手」讀 shǒu;「足」讀 zú,本篇 6 見;「熱」讀 rè;「欲」讀 yù;「嘔」讀 ǒu,本篇惟此一見,不作「呕」(「呕」);「名」讀 míng;「曰」讀 yuē;「瘧」讀 nüè。**「陰氣先絶」四字是癉瘧之眼**:**寒瘧、温瘧皆有寒有熱,以其陰陽俱在而相爭也;癉瘧之陰已絶,無可與爭,故但有陽之獨發**——**「絶」字一篇惟此一見,正為此證而設**。與第三十三篇「陰陽交」之「陰不勝陽」者異:**彼則陰不勝,此則陰先絶**。

In brief

Malaria with heat and no cold. The yin qi has been cut off first, so the yang qi breaks out alone: scant qi with fretting distress, heat in the hands and feet, a wish to vomit. The late passage locates it — inward in the heart, outward between the parted flesh — and names its end stage, wasting and scorching until the flesh is stripped off.

Senses in the classical corpus

1
The name, given 名曰癉瘧
以但熱不寒名之
手足熱而欲嘔,名曰癉瘧 — Suwen 35
2
Why there is no cold 陰氣先絶
陰已斷絶,無可與陽相並
陰氣先絶,陽氣獨發 — Suwen 35
3
Yang goes out alone 陽氣獨發
無陰可並,故陽獨發
陽氣獨發 — Suwen 35
4
The signs 少氣煩冤,手足熱而欲嘔
氣少、煩冤、手足熱、欲嘔
則少氣煩冤 — Suwen 35
5
Where it lodges 氣内藏於心,而外舍於分肉之閒
內藏於心,外舍於分肉
氣内藏於心 — Suwen 35
6
Its end stage 令人消爍脱肉
熱盛不衰,則肌肉消削
令人消爍脱肉,故命曰癉瘧 — Suwen 35

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·瘧論 Suwen 35 · 瘧論 Read in context →
其但熱而不寒者,陰氣先絶,陽氣獨發,則少氣煩冤,手足熱而欲嘔,名曰癉瘧。 其但热而不寒者,阴气先绝,阳气独发,则少气烦冤,手足热而欲呕,名曰瘅疟。
Qí dàn rè ér bù hán zhě, yīn qì xiān jué, yáng qì dú fā, zé shǎo qì fán yuān, shǒu zú rè ér yù ǒu, míng yuē dān nüè.
Those with heat only and no cold have had the yin qi cut off first, so that the yang qi breaks out alone: there is scant qi with fretting distress, heat in the hands and feet and a wish to vomit. It is named dan malaria.
癉瘧定名之句。「其」讀 qí;「但」讀 dàn,本篇 2 見;「熱」讀 rè;「而」讀 ér;「不」讀 bù,本篇 30 見;「寒」讀 hán;「者」讀 zhě;「陰」讀 yīn;「氣」讀 qì;「先」讀 xiān;「絶」讀 jué,不作「絕」(「絕」);「陽」讀 yáng;「獨」讀 dú;「發」讀 fā;「則」讀 zé;「少」讀 shǎo;「煩」讀 fán;「冤」讀 yuān;「手」讀 shǒu;「足」讀 zú;「欲」讀 yù;「嘔」讀 ǒu;「名」讀 míng;「曰」讀 yuē;「癉」讀 dān;「瘧」讀 nüè。**「其但熱而不寒者」七字,是癉瘧出於寒瘧、温瘧二局之外之證**:寒瘧先寒後熱,温瘧先熱後寒,**二瘧皆有寒,惟癉瘧無寒**——**故「但」字為此證之眼**。**「陰氣先絶」與上文「陽氣獨發」為一因一果**:陰絶於前,故陽獨發於後;**「先」字與「獨」字相呼,最見筆力**。**「手足熱而欲嘔」六字狀癉瘧之證**:熱聚於四末而不遍於身,是陽氣獨發於外之象,與上文「必從四末始也」之四末為同一部位而義別。

Compounds built on this term

癉瘧
dān nüè
dan malaria
但熱而不寒,本篇三名之一
陰氣先絶
yīn qì xiān jué
yin qi cut off first
「絶」為「絕」之異體,本篇惟此一見
消爍脱肉
xiāo shuò tuō ròu
wasted, scorched, stripped of flesh
「脱」不作「脫」,本篇惟此一見
陽氣獨發
yáng qì dú fā
yang qi breaking out alone
與上文「陽氣獨發」為同一語而二義

How it has been translated

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

Wiseman & Fengdan malariaThey transliterate, and gloss 癉 as heat in their dictionary entry.
Unschulddan malariaUnschuld keeps the syllable and notes the reading of exhaustion as well as heat.
This sitedan malariaWe keep the syllable as we do for 消癉, so that the same graph is recognisable across the site, and we say in the gloss what it means here: heat, and the wasting that heat brings. The chapter's own definition — heat only, no cold, because yin is gone — is what carries the meaning, and we do not try to improve on it.

Entry status

Review pending — who reviews this?

2026-09

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Reading path

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