大

dà

The large quality · da

Also rendered: The big pulse (Literal) · The broad pulse (Clinical)

Reviewed · 2026-10-28

At a glance

Pinyin
dà
Simplified
大
Literal
大 dà — great, wide. As a pulse it fills the finger beyond the ordinary width, so that its coming and going are both ample.
Shuowen
**《說文》:大,天大,地大,人亦大,故大象人形**。**「大」五篇共81見**(經文),然多為「大小」「大便」「大汗」之文,其為脉名者須以「脉大」「大爲實」「大爲虚」别之。

In brief

The large quality: a pulse broader and fuller than ordinary, the first of the yang family in the opening sentence of the book. Its interest lies in a contradiction the text does not hide: at the inch, 大爲實 (large is replete); after a mistaken treatment in Taiyang, 大則爲虚 (large is empty). Same quality, opposite conclusions, because the second is a large pulse drained of substance by sweating. The entry keeps both, since a reader who knows only one will misjudge the other.

Senses in the classical corpus

1
First of the yang family 脉大、浮、數、動、滑
大為陽脉之首
Large, floating, rapid, stirring and slippery are called the yang pulse.
凡脉大、浮、數、動、滑,此名陽也 — 傷寒論·辨脉法第一
2
Large is replete 大爲實
浮大並見,浮虚而大實
At the inch, floating is emptiness and large is repletion.
寸口脉浮而大,浮爲虚,大爲實 — 傷寒論·平脉法第二
3
Large is empty 大則爲虚
誤汗之後,浮為風而大為虚
After sweating, floating means wind and large means emptiness; wind breeds slight heat, emptiness cramps the legs.
寸口脉浮而大,浮則爲風,大則爲虚 — 傷寒論·辨太陽病脉證并治上第五
4
Large and surging 脉洪大
大汗出而脉洪大,仍與桂枝湯
After Guizhi tang, with heavy sweating and a surging large pulse, give Guizhi tang again as before.
服桂枝湯,大汗出,脉洪大者,與桂枝湯如前法 — 傷寒論·辨太陽病脉證并治上第五
5
Large, floating and rapid 脉大而浮數
大而浮數,知不戰而汗出解
Large, floating and rapid: from this one knows the cure will come by sweat without a chill.
脉大而浮數,故知不戰汗出而解也 — 傷寒論·辨脉法第一
6
Large and small equal 大小、浮沉、遲數同等
三部同等,陰陽和平
When the inch, the bar and the cubit agree in large and small, floating and deep, slow and rapid, the pulse is at peace.
寸口、關上、尺中三處,大小、浮沉、遲數同等 — 傷寒論·辨脉法第一
7
Large and tight at the instep 趺陽脉大而緊
大而緊者,當即下利難治
Large and tight at the instep: diarrhea will follow and the case is hard to treat.
趺陽脉大而緊者,當即下利,爲難治 — 傷寒論·平脉法第二

Occurrences in the classics

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

Display
5 passages
傷寒論·辨脉法第一 Read in context →
問曰:脉有陰陽者,何謂也?答曰:凡脉大、浮、數、動、滑,此名陽也;脉沉、濇、弱、弦、微,此名陰也。凡陰病見陽脉者生,陽病見陰脉者死。 问曰:脉有阴阳者,何谓也?答曰:凡脉大、浮、数、动、滑,此名阳也;脉沉、涩、弱、弦、微,此名阴也。凡阴病见阳脉者生,阳病见阴脉者死。
wèn yuē mài yǒu yīn yáng zhě hé wèi yě dá yuē fán mài dà fú shuò dòng huá cǐ míng yáng yě mài chén sè ruò xián wēi cǐ míng yīn yě fán yīn bìng jiàn yáng mài zhě shēng yáng bìng jiàn yīn mài zhě sǐ
The Master asked: “The pulse has yin and yang — what does that mean?” The answer: “When the pulse is large, floating, rapid, moving or slippery, it is named yang; when it is deep, astringent, weak, wiry or faint, it is named yin. In yin disease, seeing a yang pulse, the patient lives; in yang disease, seeing a yin pulse, the patient dies.”
**「大」五篇共81見**(經文,不含成注),本文引第1篇第01段、第2篇第53段、第5篇第43段、第5篇第28段、第1篇第24段。
傷寒論·平脉法第二 Read in context →
寸口脉浮而大,浮爲虚,大爲實,在尺爲關,在寸爲格,關則不得小便,格則吐逆。 寸口脉浮而大,浮为虚,大为实,在尺为关,在寸为格,关则不得小便,格则吐逆。
cùn kǒu mài fú ér dà fú wéi xū dà wéi shí zài chǐ wéi guān zài cùn wéi gé guān zé bù dé xiǎo biàn gé zé tù nì
When the inch mouth pulse is floating and large: the floating is vacuity, the large is repletion. At the cubit it makes a closing, at the inch a barrier. Closing, no urine passes; barring, there is vomiting.
大之兩面最須留意:寸口「大爲實」,太陽誤汗後「大則爲虚」。同形而異義,以有無胃氣、曾否發汗别之。
傷寒論·辨太陽病脉證并治上第五 Read in context →
問曰:證象陽旦,按法治之而增劇,厥逆,咽中乾,兩脛拘急而讝語。師曰:言夜半手足當温,兩脚當伸。後如師言,何以知此?答曰:寸口脉浮而大,浮則爲風,大則爲虚。風則生微熱,虚則兩脛攣。病證象桂枝,因加附子參其間,增桂令汗出,附子温經,亡陽故也。厥逆,咽中乾,煩燥,陽明内結,讝語煩亂,更飲甘草乾薑湯。夜半陽氣還,兩足當熱,脛尚微拘急,重與芍藥甘草湯,爾乃脛伸,以承氣湯微溏,則止其讝語,故知病可愈。 问曰:证象阳旦,按法治之而增剧,厥逆,咽中干,两胫拘急而谵语。师曰:言夜半手足当温,两脚当伸。后如师言,何以知此?答曰:寸口脉浮而大,浮则为风,大则为虚。风则生微热,虚则两胫挛。病证象桂枝,因加附子参其间,增桂令汗出,附子温经,亡阳故也。厥逆,咽中干,烦燥,阳明内结,谵语烦乱,更饮甘草干姜汤。夜半阳气还,两足当热,胫尚微拘急,重与芍药甘草汤,尔乃胫伸,以承气汤微溏,则止其谵语,故知病可愈。
wèn yuē zhèng xiàng yáng dàn àn fǎ zhì zhī ér zēng jù jué nì yān zhōng gān liǎng jìng jū jí ér zhān yǔ shī yuē yán yè bàn shǒu zú dāng wēn liǎng jiǎo dāng shēn hòu rú shī yán hé yǐ zhī cǐ dá yuē cùn kǒu mài fú ér dà fú zé wéi fēng dà zé wéi xū fēng zé shēng wēi rè xū zé liǎng jìng luán bìng zhèng xiàng guì zhī yīn jiā fù zǐ cān qí jiān zēng guì lìng hàn chū fù zǐ wēn jīng wáng yáng gù yě jué nì yān zhōng gān fán zào yáng míng nèi jié zhān yǔ fán luàn gèng yǐn gān cǎo gān jiāng tāng yè bàn yáng qì huán liǎng zú dāng rè jìng shàng wēi jū jí chóng yǔ sháo yào gān cǎo tāng ěr nǎi jìng shēn yǐ chéng qì tāng wēi táng zé zhǐ qí zhān yǔ gù zhī bìng kě yù
Question: the signs resemble yangdan; treating by the rule only made it worse — cold limbs, a dry throat, cramped calves and delirious speech. The master said: by midnight the hands and feet will be warm and the legs will straighten. It turned out as he said. How could he know? Answer: the cunkou pulse is floating and large; floating means wind, large means emptiness. Wind engenders faint heat, emptiness cramps the calves. The signs resemble the Cinnamon Twig pattern, but aconite was added in between and cinnamon increased to make sweat come out; aconite warms the channels, so the yang was lost. Cold limbs, dry throat, restlessness, yangming binding within, delirious and confused speech: again drink Liquorice and Dried Ginger Decoction. At midnight the yang returns, both feet grow hot, the calves are still slightly cramped; give Peony and Liquorice Decoction again and the calves straighten; with the Qi-Settling Decoction a slight looseness stops the delirium. Thus one knows the illness can be cured.
大之兩面最須留意:寸口「大爲實」,太陽誤汗後「大則爲虚」。同形而異義,以有無胃氣、曾否發汗别之。
傷寒論·辨太陽病脉證并治上第五 Read in context →
服桂枝湯,大汗出,脉洪大者,與桂枝湯如前法。若形如瘧,日再發者,汗出必解,宜桂枝二麻黃一湯。 服桂枝汤,大汗出,脉洪大者,与桂枝汤如前法。若形如疟,日再发者,汗出必解,宜桂枝二麻黄一汤。
fú guì zhī tāng dà hàn chū mài hóng dà zhě yǔ guì zhī tāng rú qián fǎ ruò xíng rú nüè rì zài fā zhě hàn chū bì jiě yí guì zhī èr má huáng yī tāng
After Cinnamon Twig Decoction, with heavy sweating and a surging, large pulse, give Cinnamon Twig again as before. If the pattern is malaria-like with two attacks a day, sweat will surely resolve it: Cinnamon Twig Two and Ephedra One Decoction is fitting.
大之兩面最須留意:寸口「大爲實」,太陽誤汗後「大則爲虚」。同形而異義,以有無胃氣、曾否發汗别之。
傷寒論·辨脉法第一 Read in context →
問曰:脉病欲知愈未愈者,何以别之?答曰:寸口、關上、尺中三處,大小、浮沉、遲數同等,雖有寒熱不解者,此脉陰陽爲和平,雖劇當愈。 问曰:脉病欲知愈未愈者,何以别之?答曰:寸口、关上、尺中三处,大小、浮沉、迟数同等,虽有寒热不解者,此脉阴阳为和平,虽剧当愈。
wèn yuē mài bìng yù zhī yù wèi yù zhě hé yǐ bié zhī dá yuē cùn kǒu guān shàng chǐ zhōng sān chù dà xiǎo fú chén chí shuò tóng děng suī yǒu hán rè bù jiě zhě cǐ mài yīn yáng wéi hé píng suī jù dāng yù
Asked: “In pulse illness, how does one tell whether recovery has come?” The answer: “When at cunkou, the bar and the cubit the three positions are equal in large and small, floating and deep, slow and rapid, then even if cold and fever are not yet resolved, the yin and yang of the pulse are at peace, and however severe the illness, it will recover.”
大之兩面最須留意:寸口「大爲實」,太陽誤汗後「大則爲虚」。同形而異義,以有無胃氣、曾否發汗别之。

Compounds built on this term

脉大
mài dà
the pulse is large
辨脉法第一
大爲實
dà wéi shí
large means replete
平脉法第二
大則爲虚
dà zé wéi xū
large means empty
太陽病脉證并治上第五
洪大
hóng dà
surging and large
太陽病脉證并治上第五

How it has been translated

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

This sitethe large qualitykeeps the contradiction in view
Literalgreatplain, and it drifts into 大 as an adverb
Clinicalboundingvivid, and it is a later description

Entry status

Review pending — who reviews this?

2026-10-28

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Reading path

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