三變 简体 三变

sān biàn

The three changes of needling · san bian

Also rendered: The three changes (literal, and it keeps 變) · The three targets (clear, and it loses the turning)

Reviewed · 2026-10-24

At a glance

Pinyin
sān biàn
Simplified
三变
Literal
三 sān — three; 變 biàn — change, the turning of a thing at its extreme. The three are not three techniques but three targets: the camp, the guard, and the cold that has lodged in the channels.
Shuowen
《說文》:變,更也。「三變」本篇3見;「變」3見,皆就刺法而言,與《素問》言氣化之變者別。

In brief

Three ways in which needling changes what it acts on: 有刺營者,有刺衛者,有刺寒痺之留經者 — the camp is reached by letting blood, the guard by letting qi, and cold bi lodged in the channels by bringing heat within. The order is from the deepest and most substantial to the most superficial and most external, and each has its own instrument in practice: fire for the labourer, a medicated compress for the nobleman.

Senses in the classical corpus

1
The three 刺有三變
刺營、刺衛、刺寒痺
Needling has three changes: the camp, the guard, and cold bi.
余聞刺有三變 — 靈樞·壽夭剛柔
2
The camp 有刺營者
刺營者出血
There is needling of the camp, which lets blood.
有刺營者 — 靈樞·壽夭剛柔
3
The guard 有刺衛者
刺衛者出氣
There is needling of the guard, which lets qi.
有刺衛者 — 靈樞·壽夭剛柔

Occurrences in the classics

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

Display
1 passages
靈樞·壽夭剛柔 Read in context →
黃帝曰:余聞刺有三變,何謂三變? 黄帝曰:余闻刺有三变,何谓三变?
Huáng Dì yuē: yú wén cì yǒu sān biàn, hé wèi sān biàn?
Huang Di said: I have heard that needling has three changes. What are the three changes?
「三變」本篇3見,一問一答,皆在篇末論刺之處。三變者,刺營、刺衛、刺寒痺,各以其法:出血、出氣、内熱。

Compounds built on this term

刺營
cì yíng
needling the camp
出血
刺衛
cì wèi
needling the guard
出氣
寒痺
hán bì
cold obstruction
留經不去

How it has been translated

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

This sitethe three changes of needlingthe text's own phrase
Literalthree transformationsexact, and it sounds alchemical
Clinicalthree depths of treatmentclear, and it flattens the scheme

Entry status

Review pending — who reviews this?

2026-10-24

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Reading path

Guided routes through the corpus, each built on a handful of chapters and their key terms.

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