Birth Old-Age Sickness Death in Chinese / Japanese...

生老病死 means “to be born, to grow old, to get sick and to die” or “birth, aging, sickness, and death.”

This is an old somewhat-morbid Chinese proverb that is also used in Korean and Japanese. It figuratively means the fate of humankind (i.e. mortality) or suggests that we are all born to suffer.

In the Buddhist context, there are the “four inevitables in human life” or “four afflictions that are the lot of every human” known as “四苦” (literally “four afflictions”). Sometimes this proverb is written with that affliction character, 苦, at the end like 生老病死苦.