(《素问·六节藏象论》)
帝曰∶五运之始,如环无端,其太过不及何如?岐伯曰∶五气更立,各有所盛,盛虚之变,此其常也。(太过不及,
即盛虚之变,但五运更立,则变有不同耳。)帝曰∶平气何如?岐伯曰∶无过者也。(过,过失之谓,凡太过不及皆为过
也。)帝曰∶太过不及奈何?岐伯曰∶在经有也。(经,即本经气交变、五常政等论,见后第十及十三章。)帝曰∶何谓所
胜?岐伯曰∶春胜长夏,长夏胜冬,冬胜夏,夏胜秋,秋胜春,所谓得五行时之胜,各以气命其脏。(所胜,五气互有所
胜也。春应木,木胜土。长夏应土,土胜水。冬应水,水胜火。夏应火,火胜金。秋应金,金胜木。故曰五行时之胜。
所谓长夏者,六月也,土生于火,长在夏中,万物盛长,故云长夏。不惟四时之胜如此,人之五脏亦然,如肝应木而胜
脾,脾应土而胜肾,肾应水而胜心,心应火而胜肺,肺应金而胜肝,故曰以气命其脏。命者天之所畀也。春胜长夏五句,
与金匮真言论同,详疾病类二十七。)帝曰∶何以知其胜?岐伯曰∶求其至也,皆归始春。(至,气至也,如春则暖气至、
夏则热气至者是也,即天元纪等论所谓至数之义也。始春者,谓立春之日,如《六元正纪大论》曰∶常以正月朔日平旦
视之,睹其位而知其所在矣。盖春为四时之首,元旦为岁度之首,故可以候一岁盛衰之气。一曰∶在春前十五日,当大
寒节为初气之始亦是。)未至而至,此谓太过,则薄所不胜而乘所胜也,命曰气淫。(未至而至,谓时未至而气先至,此
太过也。太过则薄所不胜而乘所胜者,凡五行之气,克我者为所不胜,我克者为所胜,假如木气有余,金不能制而木反
侮金,薄所不胜也。木盛而土受其克,乘所胜也。故命曰气淫。淫者,恃己之强而肆为淫虐也。余太过之气皆同。按∶
此下旧有不分邪僻内生工不能禁十字,乃下文之辞,误重于此,今删去之。)至而不至,此谓不及,则所胜妄行,而所生
受病,所不胜薄之也,命曰气迫。所谓求其至者,气至之时也。(至而不至,谓时已至而气不至,此不及也。不及则所胜
者妄行,所生者受病,所不胜者薄之。所生者,生我者也。如木不及则土无畏,所胜妄行也。土妄行则水受克,所生受
病也。金因木衰而侮之,所不胜薄之也。故命曰气迫。迫者,因此不及而受彼侵迫也,余不及之气皆同。按∶《五营运大
论》曰∶主岁何如?曰∶气有余,则制己所胜而侮所不胜;其不及,则己所不胜侮而乘之,己所胜轻而侮之。与此二节
义同。上二节先至后至之义,又详本类后十八。)谨候其时,气可与期,失时反候,五治不分,邪僻内生,工不能禁也。
(候其时者,候四时六气之所主也。知其时,则气之至与不至,可得其期矣。若不知之而失其时、反其候,则五运之治,
盛衰不分,其有邪僻内生,病及于人者,虽称为工,莫能禁之,由其不知时气也。如《阴阳应象大论》曰∶故治不法天
之纪,不用地之理,则灾害至矣。正此之谓。)帝曰∶有不袭乎?(言五行之气,亦有行无常候,不相承袭者否?)岐伯
曰∶苍天之气,不得无常也。气之不袭,是谓非常,非常则变矣。(苍天者,天象之总称也。不得无常,言天地之正化也。
气之不袭,是谓非常,言天地之邪化也。邪则为变,变则为病矣。)帝曰∶非常而变奈何?岐伯曰∶变至则病,所胜则微,
所不胜则甚,因而重感于邪则死矣。(所胜则微,如木受土邪、土受水邪之类,我克者为微邪也。所不胜则甚,如土受木
邪、火受水邪之类,克我者为贼邪也。贼邪既甚而复重感之,则不免于死矣。时气脏气皆然。)故非其时则微,当其时则
甚也。(邪不得令,非其时也,故为病微。邪气得令,当其时也,故为病甚。所胜所不胜皆同。)
(From *Suwen: Chapter 6 - Zangxiang Theory of the Six Jie*)
The Yellow Emperor asked: The beginning of the Five Movements (Wuyun, the movement of the five elements) is like a circle without end. What are its excesses and deficiencies? Qibo replied: The Five Qi alternate in establishing dominance, each having its own prosperity. The changes between prosperity and deficiency constitute the normal pattern. (Excess and deficiency refer to the changes between prosperity and deficiency; however, as the Five Movements alternate, the variations differ.)
The Yellow Emperor asked: What constitutes the Normal Qi (Pingqi)? Qibo replied: It has no faults. ("Fault" refers to error; both excess and deficiency are considered faults.)
The Yellow Emperor asked: How do excess and deficiency manifest? Qibo replied: They are recorded in the Classics. (Here, "Classics" refers to chapters on the interaction and transformation of Qi, such as the "Five Constant Policies," found in Chapters 10 and 13 later in this text.)
The Yellow Emperor asked: What is meant by "the conquered" (Suosheng)? Qibo replied: Spring conquers Late Summer, Late Summer conquers Winter, Winter conquers Summer, Summer conquers Autumn, and Autumn conquers Spring. This is called obtaining the victory according to the Five Elements' seasonal timing, with each organ named according to its Qi nature. ("The conquered" refers to the mutual conquest among the Five Qi. Spring corresponds to Wood, and Wood conquers Earth. Late Summer corresponds to Earth, and Earth conquers Water. Winter corresponds to Water, and Water conquers Fire. Summer corresponds to Fire, and Fire conquers Metal. Autumn corresponds to Metal, and Metal conquers Wood. Thus, it is said to be the victory of the Five Elements' seasons. "Late Summer" refers to the sixth lunar month; Earth is born from Fire and grows in mid-summer when all things flourish, hence the name. Not only do the four seasons follow this pattern of conquest, but so do the five Zang organs of humans: for instance, Liver (Wood) conquers Spleen (Earth), Spleen (Earth) conquers Kidney (Water), Kidney (Water) conquers Heart (Fire), Heart (Fire) conquers Lung (Metal), and Lung (Metal) conquers Liver (Wood). Hence, it is said that organs are named according to their Qi. "Ming" means bestowed by Heaven. The five sentences regarding Spring conquering Late Summer etc., are identical to those in *Jingui Zhenyan Lun*; see Disease Category 27 for details.)
The Yellow Emperor asked: How can one know this conquest? Qibo replied: Seek the arrival of the Qi, which returns to early Spring. ("Zhi" refers to the arrival of Qi, such as the warmth arriving in spring or heat in summer, which corresponds to the meaning of "number of arrival" in texts like *Tianyuanji Lun*. "Early Spring" refers to the day of Lichun (Start of Spring). As stated in *Liuyuan Zhengji Dalun*: "Usually, observe at dawn on the first day of the first lunar month to see its position and know where it resides." Since Spring is the head of the four seasons and New Year's Day is the head of the year, one can use this to anticipate the Qi of prosperity and decline for the whole year. Another view states: Fifteen days before Spring, at the Dahan (Great Cold) solar term, marks the beginning of the first Qi.)
If the Qi arrives before the time, this is called Excess. It will encroach upon what it cannot conquer (Suobusheng) and exploit what it conquers (Suosheng), termed Qi Yin (Overwhelming Qi). ("Wei zhi er zhi" means the season has not arrived but the Qi does, indicating Excess. In Excess, it encroaches upon the unconquerable and exploits the conquered. Of the Five Elements' Qi, that which controls me is Suobusheng, and that which I control is Suosheng. For example, if Wood Qi is excessive, Metal cannot restrain it, and Wood instead insults Metal, which is encroaching upon Suobusheng. Wood is prosperous, and Earth suffers its control, which is exploiting Suosheng. Hence, it is called Qi Yin. "Yin" implies relying on one's strength to act recklessly and tyrannically. The same applies to other excessive Qi. Note: The old text contained ten characters 'bu fen xie pi nei sheng gong bu neng jin' here, which belong to the following text and were mistakenly repeated; they have been deleted.)
If the Qi does not arrive when the time has come, this is called Deficiency. Then, what it conquers will act recklessly, what generates it will suffer disease, and what controls it will encroach upon it, termed Qi Po (Oppressed Qi). ("Zhi er bu zhi" means the season has arrived but the Qi does not, indicating Deficiency. In Deficiency, what it conquers acts recklessly, what generates it suffers disease, and what controls it encroaches. "What generates it" refers to that which produces me. For instance, if Wood Qi is deficient, Earth has nothing to fear, so the conquered (Earth) acts recklessly. If Earth acts recklessly, Water suffers control, so the generator (Water) suffers disease. Metal, taking advantage of Wood's weakness, insults it, so the controller (Metal) encroaches. Hence, it is called Qi Po. "Po" means being invaded and oppressed due to this deficiency. The same applies to other deficient Qi. Note: *Wuyunxing Dalun* states: "How is the ruling Qi?" Answer: "If Qi is in excess, it controls what it conquers and insults what controls it; if deficient, what controls it insults and exploits it, and what it conquers lightly insults it." This shares the same meaning as these two sections. The previous two sections discuss the meanings of arriving early and late; see Section 18 of this category for details.)
Carefully observe the timing, and the Qi can be anticipated. If one misses the time and contradicts the signs, the treatments of the Five Movements will not be distinguished, evil deviations will arise internally, and even skilled physicians cannot prevent them. (To "observe the time" means to monitor the dominant Qi of the four seasons and six Qi. Knowing the time allows one to predict the arrival or non-arrival of Qi. If one fails to know this, missing the time and contradicting the signs, the governance of the Five Movements becomes indistinguishable in terms of prosperity and decline. If evil deviations arise internally and affect people, even those called physicians cannot prevent it, because they do not understand the seasonal Qi. As *Yinyang Yingxiang Dalun* says: "Therefore, if treatment does not follow the laws of Heaven and the principles of Earth, disasters will occur." This is exactly what is meant here.)
The Yellow Emperor asked: Is there any case where there is no succession? (Meaning: Are there cases where the Qi of the Five Elements moves without regular signs and does not succeed one another?) Qibo replied: The Qi of the Blue Sky (Heaven) must not lack constancy. If Qi does not succeed in accordance with norms, it is called Abnormal. Abnormality leads to Change. (Blue Sky refers to the general term for celestial phenomena. "Must not lack constancy" refers to the normal transformation of Heaven and Earth. "Qi does not succeed in accordance with norms" refers to abnormal transformation. Abnormality leads to change, and change leads to disease.)
The Yellow Emperor asked: How should one handle abnormal changes? Qibo replied: When change arrives, disease occurs. If affected by the conquered Qi, the disease is mild; if affected by the unconquerable Qi, the disease is severe. If additionally re-infected by evil, death ensues. ("Affected by the conquered is mild": e.g., Wood suffering Earth's evil, Earth suffering Water's evil; that which I conquer is a mild evil. "Affected by the unconquerable is severe": e.g., Earth suffering Wood's evil, Fire suffering Water's evil; that which conquers me is a thief evil. If the thief evil is severe and one is re-infected, death is inevitable. This applies to both seasonal and Zang Qi.) Therefore, if not during the proper season, the disease is mild; if during the proper season, the disease is severe. (When evil does not hold authority, it is not its season, so the disease is mild. When evil holds authority, it is its season, so the disease is severe. This applies equally to the conquered and the unconquerable.)