癇 简体 痫

xián

Xian

Also rendered: Xian (this site; kept in pinyin, so that the fit is not quietly replaced by the modern word epilepsy) · Epilepsy (what the word later came to name; narrower than the chapter's use)

Reviewed · 2026-10-01

At a glance

Pinyin
xián
Simplified
痫
Literal
癇 xián — the fit. Chapter 48 puts it in the mouth of a pulse, twice running and both times in the same breath as 瘛 and 筋攣: a heart pulse full and large gives 癇瘛筋攣, and so does a liver pulse small and tight. The point is that two opposite pulses are said to produce the same three signs, which is the chapter's way of saying that the pulse here is a verdict rather than a description.
Shuowen
《說文解字》無「癇」字,後起从疒閒聲。「癇」讀 xián、**本篇三見**(癇瘛二、癇厥一);「攣」讀 luán、**本篇二見,皆與癇瘛連言**。

In brief

The fit. Chapter 48 names it twice from two opposite pulses — a heart pulse full and large, and a liver pulse small and tight — and both times it comes as 癇瘛筋攣, fit, tetany and contracted sinews together. The chapter’s third use puts it with inversion in 癇厥, the fit that comes of the second yin going tight.

Senses in the classical corpus

1
The graph 癇
从疒閒聲,後起字,發則仆地而瘛
癇瘛筋攣 — Suwen 48
2
From a full pulse 心脉滿大
心脉滿大而發,與小急同病
心脉滿大,癇瘛筋攣 — Suwen 48
3
From a tight pulse 肝脉小急
肝脉小急而發,與滿大同病
肝脉小急,癇瘛筋攣 — Suwen 48
4
Its company 瘛
發則筋脉相引而急,故癇瘛連言
癇瘛筋攣 — Suwen 48
5
Its company 筋攣
筋急而攣,與瘛同見
癇瘛筋攣 — Suwen 48
6
With inversion 癇厥
二陰之脉急,則發為癇厥
二陰急,爲癇厥 — Suwen 48

Occurrences in the classics

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

Display
1 passages
Suwen 48 Suwen 48 · 大奇論 Read in context →
心脉滿大,癇瘛筋攣。肝脉小急,癇瘛筋攣。 心脉满大,痫瘛筋挛。肝脉小急,痫瘛筋挛。
Xīn mài mǎn dà, xián chì jīn luán. Gān mài xiǎo jí, xián chì jīn luán.
A full and large heart vessel gives fits, spasm and contracting sinews. A small and hurried liver vessel gives the same.
**「癇瘛筋攣」二見——**「癇」讀 xián、**本篇三見**;「瘛」讀 chì、「攣」讀 luán、**各本篇二見**;**同一證而心脉滿大、肝脉小急二脉皆能致之,本篇以脉斷病之例此最明**。

Compounds built on this term

癇
xián
xian, the fit
本篇三見
癇瘛
xián chì
fit and tetany
二見,皆連筋攣
癇厥
xián jué
fit with inversion
二陰急所為
筋攣
jīn luán
contracted sinews
癇發之證

How it has been translated

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

This sitexiankept in pinyin, glossed as the fit, so the modern disease name is not read back into the chapter
Unschuldepilepsyhe uses the modern disease name directly
Wisemanepilepsyhis system uses the same modern equivalent

Entry status

Review pending — who reviews this?

2026-10-01

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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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