按厥阴本气。为风为木。在岁序为十一月。冬至一阳生之后。于时则两阴交尽于上。于气则风木升动于下。是以风
木为本。厥阴为标。标属沉阴。本乃少阳。少阳方起于沉阴而未着。故不曰少阳。而曰厥阴。于时风木而未胜乎阴。而
厥阴用事。是以凡厥阴时气。及岁气司天在泉所至。虽属风木。而标之所在。皆风木不足。阴寒有余。在人应之。外动
于风。内感于肝。而恒起于阴。故其病在筋。所至为里急。阴乘木而木郁也。为支痛胁痛。阴乘本经络。而木不伸也。
为缓戾。风动筋而筋转也。为呕泄。风木上达下克也。此皆所至而病也。然司天恒气。从六元天气司之。若己亥岁。虽
厥阴司天。乃风气在上。厥阴下奉之。则风宣而动。风行地上。必脾土受克。势必病脾。是以病胃脘。当心而痛。上支
两胁鬲咽不通。食饮不下。舌本强。食则呕。此时脾之部位经络。两为所乘。故病如是。至若胃膈如塞。腹胀。溏冷泄
水闭瘕之反见者。则又风兼阴寒。阴寒动脾。而厥阴之标见也。然而风气在上。又中见少阳。则风与少阳摇动。当其淫
胜。又必本肝先病。故耳鸣头眩。愦愦欲吐。 胁气并化而为热。小便黄赤。胃脘当心而痛。肠鸣飧泄。少腹痛。注下
赤白。皆风与热并。而摇动肝脾之间也。风木之动必兼寒热二者。是以寒热二症。亦出于肝也。若当不运不及。则恒从
金气所化。而为摇动注恐。摇动者筋病。注恐者肝胆俱病。又其病为支废。且壅肿疮疡。木被金刑。清燥伤荣。而壅溪
谷关节。故支废且壅肿疮疡也。然以在天之气。岂容尽克。于是有郁。郁与燥伤异。燥伤为乘所胜。郁则为内不伸。盖
其气将发而伏也。惟伏而不发。则郁特甚。所以民病亦胃脘当心而痛。上支两胁鬲咽不通。饮食不下。症与风胜同。彼
以木逆。此以木伏也。抑久而伏。必将上拒于鬲。故遂支两胁而鬲咽不通也。甚则耳鸣目眩。转不识人。善暴僵仆。不
郁生火。而相煽于心肾之间。使神魂不守。而卒中暴厥也。故所谓郁者。非不及也。受制而莫之发。则怒而自相乘也。
此其治必发而伸之乃快耳。病机曰。诸风掉眩。皆属于肝。诸暴强直。皆属于风。诸风掉眩。皆兼火与寒。诸暴强直。
皆兼胜与郁。总之皆厥阴风木外淫之为也。内气不足。而与之逢合者有之。时气太过。而脏气不能御者有之。是以有主
客之分治。客以急治。主以缓治。主胜逆。客胜缓。从此治六气之权衡也。
According to the fundamental qi of Jueyin (Jueyin Meridian), it manifests as Wind and belongs to Wood. In the annual cycle, it corresponds to the eleventh month. After the generation of one Yang at Winter Solstice, the two Yin meridians (Taiyin and Shaoyin) are exhausted above, while the Wind-Wood qi rises below. Therefore, Wind-Wood is the root (Ben), and Jueyin is the marking (Biao). The marking belongs to deep Yin, while the root belongs to Shaoyang. Since Shaoyang qi has just risen from deep Yin but is not yet prominent, it is called Jueyin rather than Shaoyang. At this time, Wind-Wood has not yet overcome Yin, but Jueyin governs. Thus, for all Jueyin seasonal qi, as well as the influences of the ruling Qi of Heaven and Earth in a given year, although they belong to Wind-Wood, where the marking resides, there is often insufficient Wind-Wood and an excess of Cold-Yin. When humans respond to this, external Wind disturbs, and internally the Liver is affected, so diseases invariably arise from the Yin aspect. Consequently, the pathology involves the sinews, presenting with internal tension and cramping, which is due to Yin attacking Wood causing Wood stagnation; presenting with distending pain in the hypochondrium, due to Yin attacking the Jueyin collaterals causing Wood to fail to extend; presenting with flaccidity and deformity, due to Wind moving the sinews causing them to twist; presenting with vomiting and diarrhea, due to Wind-Wood reaching upward and overcoming Spleen Earth downward. These are all diseases arising from the influence of the seasonal qi.
However, the constant Qi of the Ruling Heaven follows the laws of the Six Yuan Heavenly Qi. For example, in the Ji-Hai year, although Jueyin rules Heaven, with Wind Qi above and Jueyin below complying, the Wind disperses and moves, blowing upon the earth, inevitably overcoming Spleen Earth, thus inevitably causing Spleen disease. Therefore, epigastric pain occurs, painful in the region of the heart, radiating upward to both hypochondria and obstruction in the diaphragm and throat, inability to swallow food and drink, stiffness of the tongue root, and vomiting after eating. This is because the location and collaterals of the Spleen are simultaneously attacked by both Wind-Wood and Yin-Cold, hence such symptoms occur. As for the counter-occurrence of sensations like blockage in the stomach and diaphragm, abdominal distension, loose cold diarrhea, water retention, and masses, these indicate Wind combined with Yin-Cold, where Yin-Cold agitates the Spleen, manifesting the marking aspect of Jueyin.
Nevertheless, since Wind Qi is above and it internally corresponds to Shaoyang (Ministerial Fire), Wind and Shaoyang shake together. When their excessive influence prevails, it must be that the Liver organ is first diseased. Thus, tinnitus, dizziness, mental confusion with a desire to vomit occur. Qi in the hypochondrium transforms into Heat, urine becomes yellow and red, epigastric pain centered behind the heart, borborygmus with undigested stool in diarrhea, lower abdominal pain, and dysentery with red and white discharge all result from Wind and Heat combining to agitate between the Liver and Spleen. The movement of Wind-Wood must involve both Cold and Heat; therefore, both Cold and Heat syndromes also originate from the Liver.
If the annual fortune is deficient (Bu Ji), it tends to transform according to Metal Qi, resulting in tremors and fear. Tremors indicate Sinew disease, while fear indicates simultaneous disease of the Liver and Gallbladder. Additionally, its pathologies include limb paralysis, swelling, and sores/ulcers. This is because Wood is punished by Metal, Clear-Dryness damages the Ying (Nutritive) Blood, causing stagnation in the溪谷 (valleys/collaterals) and joints, hence limb paralysis accompanied by swelling and sores/ulcers.
However, how can the Qi in Heaven completely overcome? Thus, stagnation (Yu) arises. Stagnation differs from Dryness injury; Dryness injury is overcoming the conquered element, whereas stagnation is internal failure to extend. Because the Qi is about to emerge but remains latent. Only when it lies latent without emerging does stagnation become particularly severe. Therefore, the people suffer from epigastric pain centered behind the heart, radiating upward to both hypochondria and obstruction in the diaphragm and throat, inability to eat and drink. The symptoms are the same as those caused by Wind excess. In the former case, it is due to Wood rebelling upward; in this case, it is due to Wood being suppressed. If suppressed for a long time, it will eventually resist upward against the diaphragm, leading to distending pain in the hypochondria and obstruction in the diaphragm and throat. In severe cases, tinnitus, dizziness, inability to recognize people upon turning the head, sudden stiff collapse, and fainting occur. This is because stagnation generates Fire over time, which fans the Ministerial Fire between the Heart and Kidney, causing the Soul and Spirit to lose their residence, resulting in stroke and sudden syncope.
Therefore, what is meant by "Stagnation" is not deficiency, but being constrained and unable to emit, leading to anger and self-overcoming. The treatment for this must involve dispersing and extending the Qi to achieve relief. The Pathogenesis says: "All wind-induced tremors and dizziness belong to the Liver"; "All sudden rigidity and straightening belong to Wind." All wind-induced tremors and dizziness involve Fire and Cold; all sudden rigidity and straightening involve Overcoming (Sheng) and Stagnation (Yu). In summary, these are all caused by the external invasion of Jueyin Wind-Wood. There are instances where internal Qi is insufficient and meets with external Qi, and instances where seasonal Qi is excessive and the Zang Qi cannot defend against it. Therefore, there is a distinction between Primary (Zhu) and Guest (Ke) treatments. Guest pathogens require urgent treatment, while Primary pathogens require slow treatment. Primary victory is contrary (Ni), Guest victory is compliant (Huan). From this, the balance of treating the Six Qi is determined.