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[Diagram of Earth Transformation Governing Diseases in Years of Jia and Ji]

**Jia Year:**
In years where Earth transport is excessive, springs gush forth, rivers overflow, and even dried-up marshes produce fish. Wind and rain prevail heavily.
The annual transport corresponds to Yellow Heaven (excessive Earth), leading to the collapse of Earth qi, with scaled creatures appearing on land.
This is the "Dun Fu" record (state of excessive Earth qi). The balanced qi is "Bei Hua" (Earth virtue is complete). In Jia years, which are Southern Government years, the tone corresponds to Tai Gong (Palace tone, associated with Earth).
The annual qi manifests as prevalent rain and dampness, with Extreme Yin qi being internally solid, causing things to mature fully. Its abnormalities manifest as shock, sudden gusts of wind and rain, and earth collapse.
When Kidney Water is affected by pathogenic factors, symptoms include abdominal pain, cold and cold extremities (Qing Jue), and heavy body weight. In severe cases, there is foot atrophy and inability to hold the feet, foot pain, abdominal fullness, and inability to move the four limbs. Spleen Earth overcomes Kidney Water; Wood is the child of Water. If the Wood restorative qi counter-overcomes Spleen Earth, it leads to loose stools.
If the Da Xi pulse (located behind the medial malleolus of the ankle, above the heel bone, where the Kidney meridian pulse is felt) becomes absent, death ensues.
When occurring in Chen or Xu years (Jia Chen, Jia Xu), these are the beginnings of the year. With Taiyin Dampness added below, it is called "Tong Tian Fu" (Same Heaven Harmony), following the same logic as above.

**Ji Year:**
In years where Earth transport is deficient, the annual transport relates to Heaven (note: text implies deficiency context), governed by the Jia supervision record. The balanced qi is "Bei Hua". In Ji years, which are Southern Government years, the tone corresponds to Shao Gong (weak Palace tone, indicating deficient Earth).
The annual qi manifests as severe wind and cold, with rain arriving late. Grass and trees bloom but do not bear fruit.
When Spleen Earth is affected by pathogenic factors, symptoms immediately include undigested stool diarrhea (Sun Xie), cholera-like disorder, heavy body weight, and abdominal pain.
Liver Wood overcomes Spleen Earth; Metal is the child of Earth. If the Metal restorative qi counter-overcomes Liver Wood, it leads to sudden chest and hypochondriac pain radiating downward to the lower abdomen.
When occurring in Chen, Xu, Chou, or Wei years (specifically Ji Chou, Ji Wei for Ji year Hui Nian), it is a "Sui Hui" (Year Assembly). Note: Text lists Jia Chen/Jia Xu erroneously here alongside Ji years; strictly, Ji Chou and Ji Wei are the Sui Hui for Ji years.
When Taiyin Dampness appears above, it is called "Tai Yi Tian Fu" (Great One Heaven Harmony) in Ji Chou and Ji Wei years.
When Jueyin Wind-Liver appears below (Ji Si, Ji Hai years), flowing water does not freeze, hibernating insects emerge, and the people remain healthy.

[Diagram of Metal Transformation Governing Diseases in Years of Yi and Geng]

**Yi Year:**
In years where Metal transport is deficient, the annual transport corresponds to Su Tian (White Heaven, color of Metal). This is the "Cong Ge" record (Metal's nature of transformation), with balanced qi "Shen Ping" (Judging Peace). In Yi years, which are Northern Government years, the tone corresponds to Shao Shang (weak Shang tone, indicating deficient Metal).
The annual qi manifests as prevalent scorching fire, allowing the generating qi to act freely. Stones are scorched, metal melts, springs dry up, and grass turns brown.
When Lung Metal is affected by pathogenic factors, symptoms include heaviness and numbness in the shoulder and back, nasal congestion, sneezing, blood in stool, and profuse diarrhea.
Heart Fire overcomes Lung Metal; Water is the child of Metal. If the Water restorative qi counter-overcomes Heart Fire, it leads to heart pain and brain pain, extending to heat in the fontanelle region, mouth ulcers, and heart pain.
When occurring in You years, it is both "Tai Yi Tian Fu" and "Sui Hui" (Yi You year).
When Yangming Dryness-Metal appears above, it is "Tian Fu" (Heaven Harmony) in Yi Mao year.
During the restorative phase, Water overcomes Fire, leading to sudden cold rain, hail, snow, and frost.

**Geng Year:**
In years where Metal transport is excessive, the annual transport corresponds to Su Tian. This is the "Jian Cheng" record (Metal's nature of firm completion), with balanced qi "Shen Ping". In Geng years, which are Northern Government years, the tone corresponds to Tai Shang (strong Shang tone, indicating excessive Metal).
The annual qi manifests as prevailing dryness. The heavenly qi is clean, and the earthly qi is bright. Yang qi follows Yin qi, leading to肃杀 (solemn killing/drying) and withering.
When Liver Wood is affected by pathogenic factors, symptoms include abdominal pain, red eyes, heavy body, chest pain, hypochondriac fullness radiating to the lower abdomen, and deafness. In severe cases, there is wheezing, coughing, and reverse qi flow, with pain in the back, shoulders, sacrum, yin region, thighs, knees, calves, and feet.
Lung Metal overcomes Liver Wood; Fire is the child of Wood. If the Fire restorative qi counter-overcomes Lung Metal, it leads to bleeding, heart pain, inability to turn the sides due to pain, coughing, and reverse qi flow. If the Tai Chong pulse (dorsal pedal artery, where Liver meridian pulse is felt) becomes absent, death ensues.
When occurring in You years, it is "Sui Hui" (Note: Text says Yi You, but Geng Shen is the actual Sui Hui for Geng years; text transcription follows original). When Yangming Dryness-Metal appears below, it is "Tong Tian Fu" (Geng Zi, Geng Wu years).

[Diagram of Water Transformation Governing Diseases in Years of Bing and Xin]

**Bing Year:**
In years where Water transport is excessive, rain, snow, and frost fall irregularly, and dampness alters the nature of things.
The annual transport corresponds to Xuan Tian (Black Heaven, color of Water). This is the "Liu Yan" record (Water flowing and spreading), with balanced qi "Jing Shun" (Quiet and Obedient). In Bing years, which are Northern Government years, the tone corresponds to Tai Yu (strong Yu tone, indicating excessive Water).
The annual qi manifests as cold and freezing of heaven and earth. Its abnormalities are ice, frost, snow, and hail.
When Heart Fire is affected by pathogenic factors, symptoms include fever and irritability of the body and mind, cold extremities (Yin Jue), and interior cold. In severe cases, there is abdominal distension, leg swelling, wheezing, and coughing.
Kidney Water overcomes Heart Fire; Spleen is the child of Fire. If the Spleen restorative qi counter-overcomes Kidney Water, it leads to intestinal murmuring and loose stools. If the Shen Men pulse (acupoint at the end of the sharp bone at the wrist, where the Pericardium meridian pulse is felt) becomes absent, death ensues.
When occurring in Zi years, it is "Sui Hui" (Bing Zi year). When Taiyang Cold-Water appears above, it is "Tian Fu" (Bing Xu, Bing Chen years).

**Xin Year:**
In years where Water transport is deficient, the annual transport corresponds to Xuan Tian. This is the "He Liu" record (Dried-up flow), with balanced qi "Jing Shun". In Xin years, which are Northern Government years, the tone corresponds to Shao Yu (weak Yu tone, indicating deficient Water).
The annual qi manifests as reduced water sources but lush grass and trees.
When Kidney Water is affected by pathogenic factors, symptoms include heavy body, damp diarrhea, edema and fullness, waist and knee pain, foot atrophy, and cold extremities. In severe cases, there is dorsal foot swelling and imbalance of Kidney Qi.
Spleen Earth overcomes Kidney Water; Wood is the child of Water. If the Wood restorative qi counter-overcomes Spleen Earth, it leads to frequent changes in facial complexion, muscle twitching/atrophy (text missing character, inferred as muscle issue), pain in the diaphragm, and heart/abdominal pain.
When occurring in Chou years, it is "Tong Sui Hui" (Xin Chou, Xin Wei years). When Taiyin Dampness appears above and Taiyang Cold-Water appears below, it is also "Tong Sui Hui", resulting in extreme cold, with hibernating insects hiding early.

[Diagram of Wood Transformation Governing Diseases in Years of Ding and Ren]

**Ding Year:**
In years where Wood transport is deficient, heaven and earth are desolate and sad. The sun appears dim and obscure. Rain is not like rain, and clear weather is not like clear weather. The atmosphere is bleak and condensed, with severe肃杀 (killing/drying) qi.
The annual transport corresponds to Cang Tian (Green Heaven, color of Wood). This is the "Wei He" record (Wood yielding and harmonizing), with balanced qi "Fu He" (Spreading Harmony). In Ding years, which are Northern Government years, the tone corresponds to Shao Jue (weak Jue tone, indicating deficient Wood).
The annual qi manifests as Dryness prevailing, with the Generating Qi losing its governance. Cool rain falls frequently, wind and snow arise together. Grass and trees blossom late. Objects may appear beautiful but fail to mature properly (Text says "Wu Xiu Er Shi", literally objects bloom and become real, which contradicts typical Wood deficiency theory, but translated literally as per source).
When Liver Wood is affected by pathogenic factors, symptoms include internal cold, hypochondriac fullness, lower abdominal pain, intestinal murmuring, and loose stools.
Lung Metal overcomes Liver Wood; Fire is the child of Wood. If the Fire restorative qi counter-overcomes Lung Metal, it leads to sores, itching, acne, miliaria, swelling, carbuncles, hemoptysis, intense summer heat, dampness turning into agitation, withering of grass and trees, and regeneration of the lower body parts (or pathology in lower body).
When Jueyin Wind-Liver appears above, it is "Tian Fu" (Ding Si, Ding Hai years). When occurring in Mao years, it is "Sui Hui" (Ding Mao year).

**Ren Year:**
In years where Wood transport is excessive, the annual transport corresponds to Cang Tian. This is the "Fa Sheng" record (Wood generating and flourishing), with balanced qi "Fu He". In Ren years, which are Northern Government years, the tone corresponds to Tai Jue (strong Jue tone, indicating excessive Wood).
The annual qi manifests as prevailing wind, with pure and transforming generating qi, causing all things to flourish. Its abnormalities are thunderous destruction and uprooting.
When Spleen Earth is affected by pathogenic factors, symptoms include undigested stool diarrhea, reduced appetite, heavy body, intestinal murmuring, abdominal pain, and hypochondriac fullness.
Liver Wood overcomes Spleen Earth; Metal is the child of Earth. If the Metal restorative qi overcomes Wood, it leads to hypochondriac pain and vomiting. If the Chong Yang pulse (dorsal pedal artery, where Stomach meridian pulse is felt) becomes absent, death ensues.
When occurring in Mao years, it is "Sui Hui" (Note: Text says Ding Mao, but Ren Yin/Ren Shen are the actual Sui Hui for Ren years; text transcription follows original). When Jueyin Wind-Liver appears below, it is "Tong Tian Fu" (Ren Shen, Ren Yin years).

[Diagram of Fire Transformation Governing Diseases in Years of Wu and Gui]

**Wu Year:**
In years where Fire transport is excessive, flames burn fiercely, water sources dry up, and objects become scorched and withered.
The annual transport corresponds to Dan Tian (Red Heaven, color of Fire). This is the "He Xi" record (Radiant Light), with balanced qi "Sheng Ming" (Ascending Brightness). In Wu years, which are Northern Government years, the tone corresponds to Tai Zhi (strong Zhi tone, indicating excessive Fire).
The annual qi manifests with Yin qi transforming internally. Its abnormalities are intense heat and boiling.
When Lung Metal is affected by pathogenic factors, symptoms include malaria, shortness of breath, coughing, bleeding, diarrhea, chest and hypochondriac fullness and pain, back and spine pain, body fever, and bone pain.
Heart Fire overcomes Lung Metal; Water is the child of Metal. If the Water restorative qi overcomes Fire, it leads to mania, diarrhea, wheezing, coughing, and bleeding. If the Tai Yuan pulse (on the radial artery, where Lung meridian pulse is felt) becomes absent, death ensues.
When occurring in Zi years, it is "Tai Yi Tian Fu" (Wu Zi is Tian Fu, Wu Wu is Tai Yi Tian Fu).
When Shaoyin Ministerial Fire or Shaoyang Triple Burner Fire appears above, it is "Tian Fu" (Wu Wu, Wu Zi, Wu Yin, Wu Shen years).

**Gui Year:**
In years where Fire transport is deficient, the annual transport corresponds to Dan Tian. This is the "Fu Ming" record (Hidden Brightness), with balanced qi "Sheng Ming". In Gui years, which are Northern Government years, the tone corresponds to Shao Zhi (weak Zhi tone, indicating deficient Fire).
The annual qi manifests as prevailing cold. The Fire command does not govern. Things do not grow well. Yang qi is suppressed. Hibernating insects hide early.
When Heart Fire is affected by pathogenic factors, symptoms include chest, hypochondriac, anterior chest, and back pain, depression and dizziness, sudden aphonia, and arm pain.
Kidney Water overcomes Heart Fire; Earth is the child of Fire. If the Earth restorative qi counter-overcomes Kidney Water, it leads to coldness, intestinal murmuring and projectile diarrhea, spasms and bi-syndrome, and inability of the feet to support the body.
When occurring in Mao or You years, it is "Tong Sui Hui" (Gui You, Gui Mao years).
When Shaoyin Ministerial Fire or Shaoyang Triple Burner Fire appears below, it is "Tong Sui Hui" (Gui Mao, Gui You, Gui Si, Gui Hai years).