五亂 简体 五乱

wǔ luàn

The five derangements · wu luan

Also rendered: the five derangements (Says the order has been upset) · the five disorders (Flat, and the chapter uses 病 for that) · the five confusions (Too mental for what is described) · wu luan (Bare transliteration)

Reviewed · 2026-09

At a glance

Pinyin
wǔ luàn
Simplified
五乱
Literal
亂 is the most interesting gloss in the dictionary: the graph shows a hand unravelling tangled silk, and 說文 defines it 治也 — to put in order, which is what you do with a tangle. The medical sense kept the tangle and dropped the sorting.
Shuowen
《說文解字》:亂,治也。从乙从𤔔(段注:引申為凡不治之稱)。本篇「五邪所亂」,謂邪氣擾亂陰陽而為諸證。

In brief

Five states, every one of them produced by evil crossing a line it should not cross. Entering yang it makes mania; entering yin, obstruction; striking yang, disease of the crown of the head; striking yin, loss of voice. Then two more, which are the same rule read from the other side: yang going into yin makes quiet, yin coming out to yang makes anger. What the chapter is really giving is a way to place an illness by its manner — the raving patient and the silent one are on opposite sides of one line, and so are the quiet one and the furious one.

Senses in the classical corpus

1
Evil entering yang 邪入於陽則狂
陽主動,邪入之則狂亂
邪入於陽則狂 — Suwen 23
2
Evil entering yin 邪入於陰則痺
陰主靜,邪入之則閉而為痺
邪入於陰則痺 — Suwen 23
3
Striking the top and the voice 搏陽則爲巔疾,搏陰則爲喑
一在上為頭疾,一在下為失聲
搏陽則爲巔疾,搏陰則爲喑 — Suwen 23
4
Crossing the other way 陽入之陰則靜
陽邪入陰則靜,與狂相對
陽入之陰則靜 — Suwen 23
5
Yin coming out to yang 陰出之陽則怒
陰邪出陽則怒,與靜相對
陰出之陽則怒 — Suwen 23

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·宣明五氣 Suwen 23 · 宣明五氣 Read in context →
五邪所亂:邪入於陽則狂,邪入於陰則痺,搏陽則爲巔疾,搏陰則爲喑。陽入之陰則靜,陰出之陽則怒,是謂五亂。 五邪所乱:邪入于阳则狂,邪入于阴则痺,搏阳则为巅疾,搏阴则为喑。阳入之阴则静,阴出之阳则怒,是谓五乱。
Wǔ xié suǒ luàn: xié rù yú yáng zé kuáng, xié rù yú yīn zé bì, bó yáng zé wéi diān jí, bó yīn zé wéi yīn. yáng rù zhī yīn zé jìng, yīn chū zhī yáng zé nù, shì wèi wǔ luàn.
The disorders the five evils make: evil entering yang brings mania; evil entering yin brings obstruction; striking yang it makes disease of the crown of the head; striking yin it makes loss of voice. Yang entering yin brings quiet; yin going out to yang brings anger. This is called the five derangements.
本篇「五邪所亂」一條,其法只在「界」字——邪入陽則狂、入陰則痺、搏陽則為巔疾、搏陰則為喑,皆邪氣越界而後見之證。末二句「陽入之陰則靜,陰出之陽則怒」,是同一條界線反過來讀:入者靜,出者怒,靜與狂對、怒與狂應。第十篇「痺」條所論五痺(心痺肺痺肝痺腎痺之屬),是「邪入於陰則痺」之推演;本篇之痺則止言陰分受邪而閉,不立五痺之名。「搏」字《太素》作「薄」,義同(迫也);「巔」一說當作癲,本篇從王冰注作頭首之疾解之,並見本篇校勘。

Compounds built on this term

亂
luàn
derangement
說文:治也;引申為不治
五亂
wǔ luàn
the five derangements
本篇之目
搏
bó
to strike
《太素》作「薄」,迫也,見本篇校勘
巔疾
diān jí
disease of the crown of the head
底本作「巔」,見本篇校勘
喑
yīn
loss of voice
字亦作「瘖」,見本篇校勘

How it has been translated

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

Wiseman & Fengthe five disordersThey use their standing word for 亂 so that the same term serves wherever it appears.
Unschuldthe five [ways evil qi] causes disorderHe supplies the subject, since the sentence is about what evil does.
This sitethe five derangementsThe dictionary's own gloss is the opposite — 亂 is putting in order — and the medical sense is the disorder that needs it. Disorder would also collide with 病, four entries earlier in the same chapter.

Entry status

Review pending — who reviews this?

2026-09

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Reading path

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