火爇 简体 火焫

huǒ ruò

Fire cautery · huo ruo

Also rendered: Fire cautery (keeps the burning and the medical frame) · Moxibustion (the later term, and it names the material instead of the act) · Cauterisation (clinical, and it carries a modern surgical echo)

Reviewed · 2026-10-25

At a glance

Pinyin
huǒ ruò
Simplified
火焫
Literal
火 huǒ — fire; 爇 ruò — to burn, to scorch, written with the fire radical over the abbreviated 熱. The compound names the treatment, not the flame: the burning of moxa on the skin.
Shuowen
《說文》:爇,燒也,从火蓺聲。通行本多作焫,焫亦燒也。「火爇」本篇5見,與「鍼石」對舉,一刺一灸,皆外治。

In brief

Moxibustion, named by its action rather than its material. The chapter pairs it with needle and stone at the very first question: the strength of the bones, the firmness of the flesh, the thickness of the skin and the density of the interstices all differ, and the pain of needle, stone and fire differs with them. The answer is a rule about tissue rather than about disease — hard bone, soft sinew, slack flesh and thick skin bear pain, and bear fire too; hard flesh with thin skin does not. Fire is thus treated as a stimulus of the same order as the needle, to be judged by the same bodily measure, and the chapter’s later questions about black complexion and strong bone extend the same logic to the point where a man may be said to bear moxa at all.

Senses in the classical corpus

1
The treatment 其于鍼石火爇之痛何如
对鍼石火灸的疼痛怎样
What of the pain of needle, stone and fire cautery?
其于鍼石火爇之痛何如 — 靈樞·論痛
2
Who bears it 人之骨强、筋弱、肉緩、皮膚厚者耐痛
骨强筋弱肉缓皮厚的人耐痛
One whose bones are strong, sinews soft, flesh slack and skin thick bears pain.
人之骨强、筋弱、肉緩、皮膚厚者耐痛 — 靈樞·論痛
3
Confirmed by complexion 加以黑色而美骨者,耐火爇
加上色黑而骨相壮实的,耐得住火灸
Add a black complexion and strong bone, and he bears fire.
加以黑色而美骨者,耐火爇 — 靈樞·論痛
4
Who does not 堅肉薄皮者,不耐鍼石之痛,于火爇亦然
肉坚皮薄的人不耐鍼石之痛,火灸也一样
Hard flesh and thin skin: he does not bear the needle, and fire is the same.
堅肉薄皮者,不耐鍼石之痛,于火爇亦然 — 靈樞·論痛

Occurrences in the classics

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

Display
1 passages
靈樞·論痛 Read in context →
黃帝問于少俞曰:筋骨之强弱,肌肉之堅脆,皮膚之厚薄,腠理之疏密,各不同,其于鍼石火爇之痛何如?腸胃之厚薄堅脆亦不等,其於毒藥何如?願盡聞之。 黄帝问于少俞曰:筋骨之强弱,肌肉之坚脆,皮肤之厚薄,腠理之疏密,各不同,其于针石火𦶟之痛何如?肠胃之厚薄坚脆亦不等,其于毒药何如?愿尽闻之。
Huáng Dì wèn yú shào yú yuē: jīn gǔ zhī qiáng ruò, jī ròu zhī jiān cuì, pí fū zhī hòu bó, còu lǐ zhī shū mì, gè bù tóng, qí yú zhēn shí huǒ ruò zhī tòng hé rú? cháng wèi zhī hòu bó jiān cuì yì bù děng, qí yú dú yào hé rú? yuàn jìn wén zhī.
The Yellow Emperor asked Shao Yu: The strength or weakness of sinew and bone, the firmness or brittleness of flesh, the thickness or thinness of skin, the looseness or density of the interstices all differ from person to person. How do they respond to the pain of needle and moxa? And since the stomach and intestines also differ in thickness and firmness, how do they respond to toxic drugs? I should like to hear it all.
「火爇」本篇5見,首見于問詞,與鍼石並舉;爇即焫,謂以火灼之,後世所謂灸。

Compounds built on this term

鍼石
zhēn shí
needle and stone
與火爇對舉
耐痛
nài tòng
to bear pain
本篇之綱

How it has been translated

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

This sitefire cauterythe text's own action
Literalfire-burningexact, and it sounds like an injury
Clinicalmoxa cauteryclear, and it adds the herb

Entry status

Review pending — who reviews this?

2026-10-25

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Reading path

Guided routes through the corpus, each built on a handful of chapters and their key terms.

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