Current theory is able to predict the Casimir force between macroscopic bodies with an accuracy only limited by the knowledge of the material parameters. Yet surprisingly after almost 70 years of research, while theory describes the Casimir force between bodies, the force inside macroscopic bodies is poorly understood. In this paper, we develop from a physically intuitive picture the macroscopic theory of the Casimir stress inside inhomogeneous planar media. Our result agrees with a previous ad hoc procedure [T. G. Philbin et al., Ann. Phys. (New York) 325, 579 (2010)], giving both mathematical and physical justification to a conjecture that was only tested numerically so far. Our theory is likely to be extendable; it may open the gate to the computation of Casimir forces inside arbitrary materials.

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