瘖俳

yīn fèi

Loss of voice with palsy · yin fei

Also rendered: Loss of voice with palsy (this site; the two halves are kept apart in English, so that the reader sees one illness and not two) · Mute palsy (the compact clinical name of the later books)

Reviewed · 2026-10-01

At a glance

Pinyin
yīn fèi
Simplified
瘖俳
Literal
瘖 yīn — the voice is gone; 俳 fèi — the base text's graph for 痱, palsy. Read together, the name holds one illness in two halves: the tongue will not speak and the limbs will not move. The graph the base text writes is 俳, from 人, which on its own reads pái and means buffoonery; Zhang Jiebin argued in the Leijing that it is a scribal error for 痱, from 疒, and should be read fèi, and that reading is followed here. Wang Bing glosses it with a single word: 俳,廢也 — done for.
Shuowen
《說文解字》:瘖,不能言也,从疒音聲。痱,風病也,从疒非聲。俳,戲也,从人非聲——俳之本義為戲,此借為痱。「瘖」讀 yīn、**本篇3見**;「俳」讀 fèi、**本篇惟此一見,讀 fèi,不作 pái**;「奪」讀 duó、**本篇3見**;王冰注「俳,廢也」。

In brief

The illness chapter 49 names when depletion within is carried as far as inversion: the voice goes and the limbs fail. The chapter calls it depletion of the kidney, because the lesser yin vessel no longer reaches upward to the root of the tongue. The base text writes 俳 from 人; the received text writes 痱 from 疒, and the two are read alike as fèi.

Senses in the classical corpus

1
The first graph 瘖
从疒音聲,不能言也
入中爲瘖者 — Suwen 49
2
The second graph 俳
从人非聲,此借為痱,讀 fèi,王冰注「廢也」
則爲瘖俳 — Suwen 49
3
The cause 内奪而厥
精氣内奪,氣逆為厥
内奪而厥,則爲瘖俳 — Suwen 49
4
The viscus 腎虚
腎脉俠舌本,腎虚則少陰不至
此腎虚也,少陰不至者,厥也 — Suwen 49
5
The two halves 瘖與俳
上不能言、下不能行,合為一名
則爲瘖俳 — Suwen 49
6
The other graph 痱
《太素》作「痱」,張介賓《類經》謂當作痱、音沸
則爲瘖俳 — Suwen 49

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 49 Suwen 49 · 脉解 Read in context →
所謂入中爲瘖者,陽盛巳衰,故爲瘖也。内奪而厥,則爲瘖俳,此腎虚也,少陰不至者,厥也。 所谓入中为瘖者,阳盛巳衰,故为瘖也。内夺而厥,则为瘖俳,此肾虚也,少阴不至者,厥也。
Suǒ wèi rù zhōng wéi yīn zhě, yáng shèng yǐ shuāi, gù wéi yīn yě. Nèi duó ér jué, zé wéi yīn fèi, cǐ shèn xū yě, shào yīn bù zhì zhě, jué yě.
What is called loss of voice when yang enters the centre: yang has flourished and now declines, hence the loss of voice. When depletion within is carried as far as inversion, the result is loss of voice with palsy; this is depletion of the kidney. When the lesser yin fails to reach, that is inversion.
**「瘖俳」本篇惟此一見——「瘖」讀 yīn、**本篇3見**;「俳」讀 fèi、**讀 fèi,通痱**;「巳」讀 yǐ、**底本作「巳」而讀 yǐ,詳本篇校勘第五條**;「奪」讀 duó、**本篇3見**;**陽盛巳衰故爲瘖,内奪而厥則爲瘖俳,此腎虚也**。

Compounds built on this term

瘖俳
yīn fèi
loss of voice with palsy
本篇惟此一見
瘖
yīn
loss of voice
本篇三見;本條字作「喑」从口,見 id 1169
痱
fèi
palsy
《太素》之字,从疒
内奪
nèi duó
depletion within
本篇三見

How it has been translated

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

This siteloss of voice with palsythe chapter's own two symptoms, in the chapter's own order — tongue first, limbs second
Later medicine瘖痱 yīn fèifrom the Song formularies onward the name is written 瘖痱 and treated with formulas that supplement the kidney
Modern editionsaphasia and paralysisthe clinical pairing; it names the deficits but loses the kidney mechanism the chapter gives

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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