可汗可泄

kě hàn kě xiè

Sweating and draining · ke han ke xie

Also rendered: sweating and draining (Both halves kept as verbs; matches the chapter's own phrasing) · diaphoresis and purgation (Technical register; imports later pharmacology)

Reviewed · 2026-09

At a glance

Pinyin
kě hàn kě xiè
Simplified
可汗可泄
Literal
可 kě, may or can; 汗 hàn, sweat, here used as a verb, to sweat the patient; 泄 xiè, to drain or discharge. The two halves are a single rule read from one boundary: before the third day is full the disease is still in the exterior and may be sweated out; once the third day is full it has gone inward and may be drained. The phrase is the chapter's whole therapeutics in four graphs.
Shuowen
《說文解字》:可,肎也,从口丂——「可」讀 kě,本篇四見;汗,人液也,从水干聲——「汗」讀 hàn,本篇三見,此處作動詞用,發汗也;泄,水受九江博安洵波北入氐,从水世聲——「泄」讀 xiè,本篇惟此一見。「泄」之形當辨:底本作「泄」,不作「瀉」;《太素》此句作「可寫」;寫、瀉、泄三字形異而義同,本站各從其底本之形。「未」讀 wèi;「滿」讀 mǎn;「三」讀 sān;「日」讀 rì;「者」讀 zhě;「而」讀 ér;「已」讀 yǐ,愈也。「三日」是汗與泄之分界,與上文「未入於藏者可汗」為一事之兩說。

In brief

The chapter’s rule for treating the six-channel progression, stated as a boundary at three days. While the three days are not yet full the disease is in the three yang and has not entered the depots, so it can be sweated out; once the three days are full it has gone inward, so it must be drained. The principle behind the rule is given in the line that precedes it: treat by opening the vessel of whichever depot is affected, and the disease will decline day by day. The rule tells you when; that line tells you what to open. The chapter returns to the same logic at the end, where summerheat must be let out with the sweat and not stopped.

Senses in the classical corpus

1
The general rule 治之各通其藏脉
病在何經則通何經之脉,為治法之綱
Whichever channel is ill, open that channel's pulse: the guiding rule of treatment.
治之各通其藏脉,病日衰已矣 — 素問·熱論
2
Before the boundary 未滿三日者,可汗而已
邪在三陽之表,可發汗而散
Evil on the surface of the three yang may be sweated away.
其未滿三日者,可汗而已 — 素問·熱論
3
After the boundary 滿三日者,可泄而已
邪已入裏,可疏泄而下
Evil already within may be drained down.
其滿三日者,可泄而已 — 素問·熱論
4
The boundary itself 而未入於藏者,故可汗而已
入藏與否即汗與泄之分界
Whether it has entered the stores is the line between sweating and draining.
而未入於藏者,故可汗而已 — 素問·熱論
5
The same logic at the end 暑當與汗皆出,勿止
暑邪亦當因勢發之,不可止汗
Summerheat evil too should be let out with the current; the sweat must not be stopped.
暑當與汗皆出,勿止 — 素問·熱論
6
What the rule is not 視其虚實,調其逆從
治遺重在辨虚實、定逆從,非專清熱
Treating the remainder turns on telling empty from full and fixing reverse from follow, not on clearing heat alone.
視其虚實,調其逆從 — 素問·熱論

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·熱論 Read in context →
其未滿三日者,可汗而已。其滿三日者,可泄而已。 其未满三日者,可汗而已。其满三日者,可泄而已。
Qí wèi mǎn sān rì zhě, kě hàn ér yǐ.Qí mǎn sān rì zhě, kě xiè ér yǐ.
Where the three days are not yet full, it can be resolved by sweating. Where the three days are full, it can be resolved by draining.
汗下之法,三日為界。「其」讀 qí;「未」讀 wèi;「滿」讀 mǎn;「三」讀 sān;「日」讀 rì;「者」讀 zhě;「可」讀 kě;「汗」讀 hàn,作動詞用,發汗也;「而」讀 ér;「已」讀 yǐ,愈也;「泄」讀 xiè,本篇惟此一見——底本作「泄」,《太素》作「寫」,今通行作「瀉」,三字形異義同。此二句是後世汗、下二法之經典根據:《傷寒論》「脈浮者病在表,可發汗」,即本於「未滿三日者可汗」之例。

Compounds built on this term

可汗
kě hàn
can be sweated
本篇二見(故可汗而已、其未滿三日者可汗而已)
可泄
kě xiè
can be drained
本篇一見
發汗
fā hàn
to promote sweating
後世汗法之名,本篇但言「汗」
補瀉
bǔ xiè
supplementing and draining
本站已立目(id 712),與此之「泄」義近而主治不同

How it has been translated

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

Wiseman & Feng(can be) sweated and drainedThey keep both as plain verbs governed by 可, so that the two halves read as one rule with a single boundary rather than two independent methods.
Unschuld(can be) sweated / drainedUnschuld separates the two with a slash, which is accurate to the text but makes the three-day boundary look less like the hinge it is.
This sitesweating and drainingWe keep both as verbs and state them in one phrase. The chapter gives them as one rule read from one boundary, and the pairing should survive the translation.

Entry status

Review pending — who reviews this?

2026-09

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Reading path

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