Archives: Glossary

Each entry gives the term in traditional and simplified form, its pinyin, the senses it carries in the classical corpus, the passages where it does real work, and how published translations have rendered it.

  • 變嘔

    biàn ǒu

    Transforming Vomiting

    What too much bitter food does. Bitter enters the lower stomach, the five grains' qi cannot overcome it, the three burners' roads all close and do not pass, so the qi turns upward and the man vomits. 變 is the precise word: what is brought up has changed, and the change is the evidence. The chapter adds that bitter goes to bone, that the teeth are where bone ends, and that it goes in and comes out again — which is how one knows it travelled to the bone.

  • 傳乘

    chuán chéng

    Transmission and encroachment · chuan cheng

    The chapter's two mechanisms of movement, named together at the end of its long discussion of transmission. 傳 is ordered movement: the viscera hand the disease along the conquest cycle, liver to spleen to kidney to heart to lung, and each handover can be counted, so the time of death can be calculated in months, or days, or in fifths of a day and night. 乘 is movement that ignores order: one emotion empties a viscus and another's qi rides into the gap — joy empties the heart and the kidney encroaches, anger lets the liver encroach, sorrow the lung, fear the spleen, anxiety the heart. Five diseases and five encroachments give twenty-five variations, and the chapter closes the section by saying these are the names of the two things it has been describing.

  • 病傳

    bìng chuán

    Transmission of illness

    Transmission of illness — 病 bìng, illness; 傳 chuán, to pass along — and it is the second half of this chapter's title. 《說文》 has 病,疾加也, an illness that has grown, and 傳,遽也, to hand on in haste, which together describe exactly what the catalogue shows: an illness that grows and then moves. The chapter names it once, at the head of the catalogue — 夫病傳者,心病,先心痛 — and then gives seven illnesses, each with the day each symptom arrives, the day of death if it has not abated, and the hour, in winter and in summer alike. The conclusion is what the catalogue is for: 諸病以次是相傳,如是者皆有死期,不可刺. An illness that runs the viscera in order has a date, and an illness with a date is not to be needled. The two exceptions follow immediately — where the transmission skips a viscus and stops, and where it reaches a third or fourth viscus — and those may be punctured. 張介賓 notes that the intervals are not uniform and that the text should not be forced into an arithmetic.

  • 俞

    shù

    Transport point · shu

    The word the chapter uses for what the needle goes into, in three compounds inside a single sentence: 散俞 in spring, 絡俞 in summer, 俞竅 in winter. The chapter is not naming acupoints; it is naming depth and kind — the scattered points at the partings of the flesh, the points of the network vessels, the deep orifices. The single character is the constant: a place where the channel's qi comes near enough to be reached.

  • 治未病

    zhì wèi bìng

    Treating what is not yet ill

    The line that made prevention central to Chinese medicine: don't wait for the disease. The chapter closes with the image that makes the point — digging a well only once you are thirsty.

    ,
  • 真邪

    zhēn xié

    True and evil · zhen xie

    True qi and evil qi, named together as a pair because what matters clinically is not either one alone but whether they have joined. Chapter 27 turns on exactly this. While the evil is still loose in the blood it rises like a swell and can be met at the instant it arrives; once 真邪以合 — true and evil have merged — the wave-swell stops rising, there is nothing to wait for, and the physician must fall back on the three regions and nine indicators and regulate by what is full and what is empty. The chapter's closing indictment is of the physician who cannot tell them apart: he takes repletion for vacuity and the evil for the true, attacks the upright, and cuts short a life that should have been long.

  • 真頭痛

    zhēn tóu tòng

    True Headache

    The headache that is not a branch of anything else. The chapter gives six 厥頭痛, each with its own pulse and its own channel, and then this one: the pain is severe, the whole brain aches, and the hands and feet go cold to the joints — death, not to be treated. The distinction is the chapter's whole method. A 厥頭痛 is reversed qi that can be chased to its channel; the true headache is the disease at the centre, with the extremities already cold, and no channel left to needle. Later commentators read the cold limbs as yang failing at the root while the evil holds the head.

  • 真心痛

    zhēn xīn tòng

    True Heart Pain

    The heart pain that belongs to the heart itself. The chapter gives five 厥心痛 — kidney, stomach, spleen, liver, lung — each diagnosed by what the pain draws on and what the colour does, and each treatable at named points. Then the true one: hands and feet cold to the joints, the pain severe, onset at dawn and death by evening, or onset at evening and death by dawn. The structure is the argument. Where the pain is a branch of another organ the channel can be reached; where it is the heart's own, the extremities are already cold and there is no time.

  • 真氣

    zhēn qì

    True qi

    Not a second kind of qi, but the same qi unobstructed. 真 is doing the work of 'genuine': when craving and agitation subside, what follows of itself is the real thing rather than something manufactured.

    ,
  • 㿗疝

    tuí shàn

    Tui shan

    The mounting illness of the reverting yin in chapter 49, given in the third month — the yin within yang — with the evil lodged in the centre. The chapter states it twice: 㿗疝 with swelling of the lower abdomen in women, and 㿗癃疝, the same swelling with the passages stopped and the skin distended. Both are explained from one mechanism, yin abundant and the vessel swollen so that it does not pass.

  • 㿉疝

    tuí shàn

    Tuishan Hernia

    Hernial swelling of the genitals, given here as what a very slippery liver pulse produces: 滑甚,爲㿉疝. Slipperiness means damp and heat together, and the liver's channel runs through the genitals, so the two facts are enough for the chapter. The same character returns three times in the spleen's series with other endings — 㿉癃 for retention, 腸㿉 and 内㿉 for suppurating conditions — so that 㿉 marks the swelling and the second character says where. The chapter is not building a classification; it is naming what each pulse gives, and the names are the ones its readers already used.

  • 濁氣

    zhuó qì

    Turbid qi

    The organs keep the pure part of what comes in; what they are finished with is handed to the palaces of transmission as turbid qi, and the palaces exist precisely in order not to keep it. Wang Bing is emphatic on the timing: once transformed, it is to be transmitted and discharged, not held. The turbidity is not an enemy to be driven out but a remainder to be moved on.