每年有化气，又有五主运，复有五客运，加以司天，又加以在泉，更有六气之主气，六
气之客气，七者会聚于一时，总以客气所克者受邪，若客气是木，即脾生病也。余仿此。
岁运与司天，相会合为天符，如木运之岁，又遇厥阴风木司天，火运之岁，又遇少
阳相火司天，乃奉天行令，谓之热法，故中其病者，危而速也。
岁运与年支相会值，为岁会，如木运逢寅卯年支，火运逢巳午年支，乃平气，而主
一年，譬方伯之行令，故中其病者，徐而持久也。
岁运与司天及年支三者会合。如火运之岁，遇少阴君火司天，又遇年支是午，即戊
午年也。土运之岁，遇太阴湿土司天，又遇年支是丑未，即己丑己未年也。如金运之岁，
遇阳明燥金司天，又遇年支是酉，即乙酉年也。乃为天符岁会。
又为太乙天符，又为贵人。偏胜之时，故中此偏胜之邪者，暴而死也。又有值其日，而
中其邪，戊子日为天符，戊午日即为太乙也。
（人之鼻气一出一入为息，切脉时数之，即能辨脉）
脉浮轻按可得，浮而旺大为洪，洪而有力为实，浮大迟软为虚，虚大散漫为散，浮
大而软为芤。直硬为弦，浮而弦芤为革。小软如丝为细，浮细为软，细软如无为微。沉
脉重按始得，沉而弦硬为牢，沉至着骨为伏，沉细为弱。一息三至为迟，迟细为涩，迟而
一止为结，一息四至为缓。一息六至为数，数而流动为滑，数而弦硬为紧，数而乱转为动，
数而一止为促，促而一止为代。一息七至为疾。过于本位为长，不及本位为短。宽阔为
大，细狭为小。
Every year there is the transformational Qi (Hua Qi), the five Principal Yuns (Wu Zhu Yun, the normal climatic patterns divided into five phases), and the five Guest Yuns (Wu Ke Yun, abnormal climatic patterns varying annually). Added to these are the Si Tian (Si Tian, one of the Six Qi governing the first half of the year) and Zai Quan (Zai Quan, one of the Six Qi governing the second half of the year), as well as the Principal Qi (Zhu Qi, fixed seasonal climatic patterns) and Guest Qi (Ke Qi, annually changing superimposed climatic patterns) of the Six Qi. These seven factors converge at a specific time. The general principle is that the element controlled by the Guest Qi is susceptible to pathogenic invasion. If the Guest Qi is Wood, then the Spleen (Earth) will become diseased. The rest follows this pattern.
When the Annual Yun (Sui Yun, the Great Movement of the year) coincides with the Si Tian, it is called "Tian Fu" (Heavenly符). For example, in a year of Wood Yun, if Jue Yin Wind-Wood is the Si Tian; or in a year of Fire Yun, if Shao Yang Minister-Fire is the Si Tian. This represents executing orders from Heaven, termed "Re Fa" (Heat Method), indicating intense heat. Therefore, those contracting this disease suffer critically and rapidly.
When the Annual Yun coincides with the Earthly Branch of the year, it is called "Sui Hui" (Year Meeting). For instance, Wood Yun meeting Yin or Mao branches, or Fire Yun meeting Si or Wu branches. This constitutes Ping Qi (Balanced Qi), governing the entire year, akin to a regional governor exercising authority. Thus, those contracting this disease experience a slow onset and prolonged course.
When the Annual Yun, Si Tian, and Earthly Branch all coincide: for example, in a Fire Yun year, if Shao Yin Sovereign-Fire is the Si Tian and the branch is Wu, it is the year of Wu Wu. In an Earth Yun year, if Tai Yin Damp-Earth is the Si Tian and the branch is Chou or Wei, it is the years of Ji Chou or Ji Wei. In a Metal Yun year, if Yang Ming Dry-Metal is the Si Tian and the branch is You, it is the year of Yi You. This forms both "Tian Fu" and "Sui Hui".
This configuration is also known as "Tai Yi Tian Fu" (Great One Heavenly符) or "Gui Ren" (Noble Person). It represents a time of extreme excess. Therefore, those contracting this excessive pathogen may die suddenly. Additionally, there are specific days when contracting the pathogen occurs: the day of Wu Zi is Tian Fu, and the day of Wu Wu is Tai Yi.
(The human breath in and out is one Xi [respiration cycle]. Counting the pulse beats per Xi allows differentiation of the pulse.)
Fu Mai (Floating Pulse) is palpable with light pressure. If floating and vigorous/large, it is Hong Mai (Hollow Pulse). If Hong and forceful, it is Shi Mai (Full/Excess Pulse). If floating, large, slow, and soft, it is Xu Mai (Deficient Pulse). If deficient, large, and scattered, it is San Mai (Scattered Pulse). If floating, large, and soft/hollow, it is Kou Mai (Rind-like Pulse). Straight and hard is Xian Mai (Taut Pulse). Floating, taut, and hollow combined is Ge Mai (Drum-skin Pulse). Small, soft, and thread-like is Xi Mai (Fine Pulse). Floating and fine is Ruan Mai (Soft Pulse). Fine, soft, and faint/non-existent is Wei Mai (Faint Pulse).
Chen Mai (Deep Pulse) is obtained only with heavy pressure. If deep, taut, and hard, it is Lao Mai (Solid Pulse). If deep to the bone, it is Fu Mai (Hidden Pulse). If deep and fine, it is Ruo Mai (Weak Pulse).
Three beats per Xi is Chi Mai (Slow Pulse). If Chi and fine/choppy, it is Se Mai (Choppy Pulse). If Chi and occasionally stopping, it is Jie Mai (Knotted Pulse). Four beats per Xi is Huan Mai (Moderate Pulse).
Six beats per Xi is Shu Mai (Rapid Pulse). If Shu and flowing/smooth, it is Hua Mai (Slippery Pulse). If Shu and taut/hard, it is Jin Mai (Tight Pulse). If Shu and chaotic/turbulent, it is Dong Mai (Pulsating Pulse). If Shu and occasionally stopping, it is Cu Mai (Hasty Pulse). If Cu has regular intervals between stops, it is Dai Mai (Intermittent Pulse).
Seven beats per Xi is Ji Mai (Racing Pulse). Extending beyond its proper position is Chang Mai (Long Pulse). Failing to reach its proper position is Duan Mai (Short Pulse). Broad is Da Mai (Large Pulse). Narrow is Xiao Mai (Small Pulse).