Classica Sinica Medica

䐜滿 简体 䐜满

chēn mǎn

Distension and fullness · chen man

Also rendered: distension and fullness (Keeps both graphs, as the chapter has them) · abdominal distension (Adds the site, which the chapter implies but does not say)

Pathology

Reviewed · 2026-09

At a glance

Pinyin
chēn mǎn
Simplified
䐜满
Literal
䐜 is the flesh radical with 眞 beside it: the flesh risen, swollen, pushed outward. It is a rare graph — the base text of chapter 29 uses it once, and many printed editions replace it with a more common near-homograph. 滿 is fullness, the sense of being filled to capacity. Together they describe what the chapter says happens when the evil reaches the five depots rather than the six palaces: the belly is distended and full, and everything below is blocked. The contrast the chapter draws is spatial — the palaces give heat and panting above, the depots give distension and flux below.
Shuowen
《說文解字》無䐜字；《廣韻》昌真切：䐜，脹起也。**「䐜」讀 chēn，本篇一見**，與「瞋」（張目也）形音俱近而義別，通行本或徑作瞋，或與脹互用，各從所見，底本作䐜，照錄不改。「滿」讀 mǎn，底本作「滿」，不作「满」。

In brief

Abdominal distension and fullness, the signature of evil that has entered the five depots rather than the six palaces. Chapter 29 sets it in a clean opposition: what yang receives goes to the palaces and produces fever, broken sleep and panting above; what yin receives goes to the depots and produces distension, fullness and blockage, with food-diarrhoea below that in time becomes intestinal flux. The word matters because it is the depot-side sign — the chapter’s whole argument is that the same body, struck from within rather than without, fills up and shuts down instead of heating up and calling out.

Senses in the classical corpus

1
The sign itself 䐜滿
腹中脹起而滿
入五藏則䐜滿閉塞 — Suwen 29
2
Paired with blockage 閉塞
滿而又閉，上下不通
入五藏則䐜滿閉塞 — Suwen 29
3
What it stands against 身熱不時卧，上爲喘呼
府病見於上，藏病見於下
入六府則身熱不時卧，上爲喘呼 — Suwen 29
4
Where it leads 下爲飱泄
䐜滿閉塞於上，飱泄於下
入五藏則䐜滿閉塞，下爲飱泄 — Suwen 29
5
Where it ends 久爲腸澼
飱泄久而不愈則為腸澼
下爲飱泄，久爲腸澼 — Suwen 29
6
Why it happens 陰受之則入五藏
食飲起居之傷自內生，故陰受之而入藏
食飲不節，起居不時者，陰受之 — Suwen 29

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·太陰陽明論 Suwen 29 · 太陰陽明論 Read in context →
入六府則身熱不時卧，上爲喘呼；入五藏則䐜滿閉塞，下爲飱泄，久爲腸澼。 入六府则身热不时卧，上为喘呼；入五藏则䐜满闭塞，下为飧泄，久为肠澼。
Rù liù fǔ zé shēn rè bù shí wò, shàng wéi chuǎn hū; rù wǔ zàng zé chēn mǎn bì sè, xià wéi sūn xiè, jiǔ wéi cháng pì.
Entering the six palaces, there is heat in the body and sleep out of season, and above, panting and calling out. Entering the five depots, there is distension, fullness and blockage, and below, food-diarrhoea, which in time becomes intestinal flux.
**此句是全篇對舉之樞，府病與藏病於此分道。**「入」讀 rù；「六」讀 liù；「府」讀 fǔ，本篇四見，底本無一處作「腑」；「則」讀 zé；「身」讀 shēn；「熱」讀 rè，底本作「熱」，不作「热」；「不」讀 bù；「時」讀 shí；**「卧」讀 wò，底本作「卧」，不作「臥」**；「上」讀 shàng；「爲」讀 wéi，表現為也；「喘」讀 chuǎn；「呼」讀 hū；「五」讀 wǔ；「藏」讀 zàng，本篇六見；「䐜」讀 chēn；「滿」讀 mǎn；「閉」讀 bì，底本作「閉」，不作「闭」；**「塞」讀 sè，阻滯不通也**，與「塞」之讀 sāi（填塞）者別；「下」讀 xià；「飱」讀 sūn；「泄」讀 xiè；「久」讀 jiǔ；「腸」讀 cháng；「澼」讀 pì。上下二截，各以「入某則某」為式：入府則熱、不臥、喘呼（皆在上、皆屬陽）；入藏則䐜滿閉塞、飱泄、腸澼（皆在下、皆屬陰）。與上文「陽受之則入六府，陰受之則入五藏」及「喉主天氣，咽主地氣」同一義脈。

Compounds built on this term

䐜滿
chēn mǎn
distension and fullness
本篇一見，藏病之候
閉塞
bì sè
blockage
本篇一見，「塞」讀 sè
飱泄
sūn xiè
food-diarrhoea
本站已立目（id 591），本篇一見
腸澼
cháng pì
intestinal flux
本站已立目（id 869），本篇一見

How it has been translated

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

Wiseman & Fengdistension and fullnessThey render 䐜 as distension rather than swelling, keeping the pair of sensations rather than collapsing them into one clinical sign.
Unschuldbloating and fullnessUnschuld chooses a plainer, more colloquial word for 䐜, which reads well but sits oddly beside the technical register of the rest of the chapter.
This sitedistension and fullnessWe keep distension: 䐜 is flesh that has risen, and the chapter sets it against heat and panting as the depot-side alternative. Bloating is too domestic for a passage that is drawing a structural contrast between palaces and depots.

Entry status

Review pending — who reviews this?

2026-09

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Reading path

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