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41. When Shaoyin (Ministerial Fire) governs the year, heat descends to suppress Metal; Lung Qi ascends in compliance, leading to pathology of the Lung and Heart. Yangming (Dryness-Metal) is below, Dryness circulates on the earth, affecting the Liver. The combination of Dryness and Heat causes the people to suffer from wheezing and coughing, hematemesis and hematochezia, alternating chills and fever, nasal congestion, sneezing, frequent runny nose, sores and ulcers, red eyes, dry and swollen throat, cold extremities, and pain in the heart and hypochondrium accompanied by groaning.
[Note] The preceding text generally discusses diseases caused by the Main Movement and Main Qi; this section details diseases specifically governed by the Guest Qi of the Six Qi. When Shaoyin Junhuo (Monarchial Fire) governs the year, it corresponds to the Zi and Wu years. Fire qi descends, which is feared by Metal, so Lung Qi ascends and transforms with Fire, causing Lung and Heart pathology. Whenever Shaoyin Junhuo governs the year, Yangming Zaojin (Dryness-Metal) is below, so Dryness circulates on the earth and affects the Liver. Thus, it is known that the combination of Dryness and Heat causes the people to suffer from wheezing and coughing, bleeding from above or below, chills and fever, nasal congestion, sneezing, runny nose, sores and ulcers, red eyes, dry and painful throat, heart pain, and hypochondriac pain, all of which are its manifestations.

42. When Taiyin (Damp-Earth) governs the year, dampness descends to suppress Water; Kidney Qi ascends in compliance, leading to pathology of Kidney Yin. Taiyang (Cold-Water) is below, Cold circulates on the earth, affecting the Heart and Spleen. The attack of Cold and Dampness internally and externally causes the people to suffer from heavy body, edema of the dorsum of the foot, cholera-like disorder, fullness and distension, cold extremities with spasms, pain at the sole of the foot, and pain in the lower abdomen and lumbar region with difficulty in turning.
[Note] Taiyin Shitu (Damp-Earth) governs the year, corresponding to the Chou and Wei years. Dampness descends, which is feared by Water, so Kidney Qi ascends and transforms with Dampness, causing Kidney Yin pathology. Whenever Taiyin Shitu governs the year, Taiyang Han shui (Cold-Water) is below, so Cold circulates on the earth and affects the Heart and Spleen. Thus, it is known that the internal and external attack of Cold and Dampness causes the people to suffer from heavy body, edema of the dorsum of the foot, cholera-like disorder, fullness and distension, cold extremities with spasms, pain at the sole of the foot, lower abdominal pain, and lumbar pain with difficulty in movement, all of which are its manifestations.

43. When Shaoyang (Ministerial Fire) governs the year, fire descends to suppress Metal; Lung Qi ascends in compliance, leading to Fire insulting Metal pathology. Jueyin (Wind-Wood) is below, Wind circulates on the earth, and Wood prevails. Disaster caused by Wind and Fire is the cause. The people suffer from interior heat, cough, hemoptysis, red eyes, pharyngolaryngeal obstruction, deafness, dizziness, and blurred vision, sores and ulcers, heart pain, twitching, and fainting. Sudden death occurs because the Minister (Fire) insults the Monarch (Fire).
[Note] Shaoyang Xianghuo (Ministerial Fire) governs the year, corresponding to the Yin and Shen years. Fire descends, which is feared by Metal, so Lung Qi ascends and transforms with Fire, causing Lung pathology. Whenever Shaoyang Xianghuo governs the year, Jueyin Fengmu (Wind-Wood) is below, so Wind circulates on the earth, and when Wood prevails, the disease is in the Liver. Thus, it is known that disaster caused by Wind and Fire makes the people suffer from interior heat, cough with blood loss, red eyes, pharyngolaryngeal obstruction, deafness and dizziness, sores and ulcers, heart pain, twitching, convulsions, and fainting, all of which are its manifestations. Sudden death is due to the Guest Qi of the Third Qi, where Ministerial Fire overlays Monarchial Fire, insulting the Monarch.

44. When Yangming (Dryness-Metal) governs the year, dryness descends to suppress Wood; Liver Qi ascends in compliance, leading to pathology of Liver Sinews. Shaoyin (Monarchial Fire) is below, Heat circulates on the earth, harming the Lung and Heart. Clear Dryness and Wind-Heat mutually invade. The people suffer from chills and fever, cough, chest oppression and fullness, tremors and shaking, flaccidity of sinews with inability to extend, vexation and depression, heat and pain in the hypochondrium and heart, eye pain, red canthi, and dark red urine.
[Note] Yangming Zaojin (Dryness-Metal) governs the year, corresponding to the Mao and You years. Dryness descends, which is feared by Wood, so Liver Qi ascends and transforms with Dryness, causing Liver Sinew pathology. Whenever Yangming Zaojin governs the year, Shaoyin Junhuo (Monarchial Fire) is below, so Heat circulates on the earth and affects the Lung and Heart. Thus, it is known that the mutual invasion of Clear Dryness and Wind-Heat causes the people to suffer from chills and fever with cough, chest oppression and fullness, tremors and shaking, flaccidity of sinews with weakness, vexation and depression, heat and pain in the hypochondrium and heart, eye pain and red canthi, and dark red urine, all of which are its manifestations.

45. When Taiyang (Cold-Water) governs the year, cold descends to suppress Fire; Heart Qi ascends in compliance, leading to pathology of Heart Vessels. Taiyin (Damp-Earth) is below, Dampness circulates on the earth, affecting Spleen Flesh. Investigating internally, the combination of Cold, Dampness, and Heat causes the people to suffer initially from interior cold which eventually turns into heat, such as carbuncles and sores caused by Fire stagnation wrapping around the body, skin numbness and heaviness, muscle induration and insensitivity, leg flaccidity and weakness, damp diarrhea, abdominal fullness, and swelling, which stem from Dampness.
[Note] Taiyang Hanshui (Cold-Water) governs the year, corresponding to the Chen and Xu years. Cold descends, which is feared by Fire, so Heart Qi ascends and transforms with Cold, causing Heart Vessel pathology. Whenever Taiyang Hanshui governs the year, Taiyin Shitu (Damp-Earth) is below, so Dampness circulates on the earth and affects Spleen Flesh. Thus, it is known that the combination of Cold, Dampness, and Heat causes the people to suffer initially from interior cold which eventually turns into heat, such as carbuncles and sores of all Fire stagnation diseases, skin bi-syndrome with heaviness, muscle induration with lack of sensation, leg flaccidity and weakness, damp diarrhea with abdominal fullness and swelling, all of which are its manifestations.

46. When Jueyin (Wind-Wood) governs the year, wind descends to suppress Earth; Spleen Qi ascends in compliance, leading to Spleen pathology. Shaoyang (Ministerial Fire) is below, Fire circulates on the earth, transforming winter into warmth. The mixture of Wind, Fire, Cold, and Dampness causes disease. The people suffer from tinnitus, tremors, dizziness, and other wind-induced pathologies, flank fullness, borborygmus, frequent diarrhea with undigested food, heavy body, reduced appetite, and muscle emaciation. Warm epidemics occur as disasters due to the excess of Fire transformation.
[Note] Jueyin Fengmu (Wind-Wood) governs the year, corresponding to the Si and Hai years. Wind descends, which is feared by Earth, so Spleen Qi ascends and transforms with Wind, causing Spleen pathology. Whenever Jueyin Fengmu governs the year, Shaoyang Xianghuo (Ministerial Fire) is below, so Fire circulates on the earth and causes warm diseases. Thus, it is known that the mixture of Wind, Fire, Cold, and Dampness causes the people to suffer from deafness, tremors, dizziness, abdominal fullness, borborygmus, diarrhea with undigested food, heavy body, reduced appetite, and muscle emaciation, all of which are its manifestations.