Classica Sinica Medica

溢陽 简体 溢阳

yì yáng

Overflowing yang · yi yang

Also rendered: Overflowing yang (literal, and it keeps the water) · Yang excess in the neck pulse (clinical, and it loses the name)

Pathology

Reviewed · 2026-10-24

At a glance

Pinyin
yì yáng
Simplified
溢阳
Literal
溢 yì — to overflow, water going beyond its vessel; 陽 yáng — the yang pulse, here the neck pulse. Four times the wrist pulse is more than the vessel holds.
Shuowen
《說文》：溢，器滿也。「溢陽」本篇2見，「溢陰」2見，「陰陽俱溢」1見，三目相承，皆以人迎、脉口四倍為斷。

In brief

The state in which the neck pulse is four times the wrist pulse and both large and rapid: 人迎四盛，且大且數，名曰溢陽，溢陽爲外格 — overflowing yang is outer obstruction. The image is of water that has left its channel: the excess is not strength but a failure of containment, and the treatment is to open what is blocked rather than to add anything.

Senses in the classical corpus

1
The pulse 人迎四盛
頸脈四倍於寸口
The neck pulse fourfold, both large and rapid.
人迎四盛，且大且數 — 靈樞·終始
2
The name 名曰溢陽
陽氣滿溢之名
It is called overflowing yang.
名曰溢陽 — 靈樞·終始
3
The consequence 溢陽爲外格
陽溢於外而格拒
Overflowing yang is outer obstruction.
溢陽爲外格 — 靈樞·終始

Occurrences in the classics

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

Display
2 passages
靈樞·終始 Read in context →
人迎一盛，病在足少陽，一盛而躁，病在手少陽。人迎二盛，病在足太陽，二盛而躁，病在手太陽。人迎三盛，病在足陽明，三盛而躁，病在手陽明。人迎四盛，且大且數，名曰溢陽，溢陽爲外格。 人迎一盛，病在足少阳，一盛而躁，病在手少阳。人迎二盛，病在足太阳，二盛而躁，病在手太阳。人迎三盛，病在足阳明，三盛而躁，病在手阳明。人迎四盛，且大且数，名曰溢阳，溢阳为外格。
rén yíng yī shèng, bìng zài zú shào yáng, yī shèng ér zào, bìng zài shǒu shào yáng. rén yíng èr shèng, bìng zài zú tài yáng, èr shèng ér zào, bìng zài shǒu tài yáng. rén yíng sān shèng, bìng zài zú yáng míng, sān shèng ér zào, bìng zài shǒu yáng míng. rén yíng sì shèng, qiě dà qiě shuò, míng yuē yì yáng, yì yáng wéi wài gé.
When the neck pulse is onefold abundant, the disease is in the foot shaoyang; if it is onefold abundant and agitated, the disease is in the hand shaoyang. When it is twofold abundant, the disease is in the foot taiyang; if twofold and agitated, in the hand taiyang. When threefold abundant, the disease is in the foot yangming; if threefold and agitated, in the hand yangming. When fourfold abundant, both large and rapid, it is called overflowing yang, and overflowing yang is outer obstruction.
「溢陽」與「溢陰」對舉：人迎四盛為溢陽，脉口四盛為溢陰；二者俱盛四倍以上，則為關格。「溢」皆謂滿而出其常度，非盛美之辭。
靈樞·禁服 Read in context →
人迎四倍者，且大且數，名曰溢陽。溢陽爲外格，死不治。必審按其本末，察其寒𤍠，以驗其藏府之病。 人迎四倍者，且大且数，名曰溢阳。溢阳为外格，死不治。必审按其本末，察其寒𤍠，以验其藏府之病。
rén yíng sì bèi zhě, qiě dà qiě shuò, míng yuē yì yáng. yì yáng wéi wài gé, sǐ bù zhì. bì shěn àn qí běn mò, chá qí hán rè, yǐ yàn qí zàng fǔ zhī bìng.
When the ren ying is four times greater, both large and rapid, it is called overflowing yang. Overflowing yang is an outer barrier, and death is not to be treated. One must examine its root and branch, observe cold and heat, and so verify the disease of the viscera and fu.
「溢陽」禁服第14段見，義與本條相合，引全段為證。

Compounds built on this term

溢陰
yì yīn
overflowing yin
脉口四盛，爲内關
關格
guān gé
the closing barrier
陰陽俱盛四倍

How it has been translated

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

This siteoverflowing yangthe chapter's own term
Literalyang overflowingexact, and it reads as a verb
Clinicalfourfold neck pulseclear, and it drops the diagnosis

Entry status

Review pending — who reviews this?

2026-10-24

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Reading path

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