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Third Qi, the heavenly government is distributed; dampness descends, earth qi ascends, rain falls at its proper time, and cold follows accordingly. (Taiyin Si Tian, with damp-earth in charge, thus dampness descends and earth qi ascends to form rain. After the third Qi, Taiyang is in Quan, thus cold follows.) If affected by cold-dampness, the people suffer from severe edema and fullness of the chest and abdomen. (Cold congeals and dampness stagnates, hence the disease manifests thus.)

Fourth Qi, the "Feared Fire" (Ministerial Fire) arrives, causing humid heat to transform; earth qi ascends, while heaven qi becomes obstructed. Cold wind blows morning and evening, steaming heat clashes, grass and trees condense smoke, damp transformation does not flow freely, thus white dew spreads yin, completing the autumn season. (Shaoyang Ministerial Fire is in charge, its qi being particularly fierce, hence called "Feared Fire." Hereafter, whenever "Feared Fire" is mentioned, it refers to Ministerial Fire. The guest qi is Ministerial Fire, the host qi is Damp-Earth; fire and earth combine qi to cause humid heat to ascend, thus heaven qi is blocked. However, since Taiyang is in Quan, cold wind arises at dawn and dusk. When dampness meets fire, damp transformation does not flow; only white dew spreads yin to complete the autumn season.) The people suffer from heat in the interstices, sudden hemorrhage, malaria, fullness of the heart and abdomen, distension of the chest and abdomen, and in severe cases, muscular edema. (Damp-heat moving together causes these diseases. "Lu" refers to skin; another view states the front of the abdomen is called Lu. "Zhong" refers to muscular edema. "Lu" is pronounced as "Lv" or "Lu," sound attached.)

Fifth Qi, the harsh decree has been implemented; cold dew descends, frost falls early, grass and trees turn yellow and fall. (Both guest and host qi are Yangming Dry-Metal in charge, thus their governance is as described.) When cold qi reaches the body, gentlemen dress carefully, and the people suffer from diseases of the skin and interstices. (Skin and interstices belong to Metal, as qi seeks its kind.)

Final Qi, cold rises greatly, dampness transforms largely, frost accumulates, yin congeals, water hardens into ice, and sunlight fails to function. (The guest and host qi in Quan are both Taiyang Cold-Water in charge, thus their governance is as described.) Affected by cold, patients suffer from joint stiffness and immobility, and lower back pain. (Joints are in the bones; the lower back belongs to the Kidney and Bladder, all suffering disease as cold seeks its kind.)

When cold and dampness persist at the intersection of qi and cause illness, one must break the stagnant qi and access the source of transformation. (For the above ten years, upper dampness and lower cold persist at the qi intersection. However, Taiyin Si Tian leads to Water stagnation, and Taiyang in Quan leads to Fire stagnation. The detailed meaning of stagnant qi and the source of transformation is seen in the previous section on Taiyang's governance. Furthermore, the *Supplement to the Original Disease Chapter* states: In Chou and Wei years, Shaoyang [Ministerial Fire] wishes to ascend to Heaven but is blocked by Tianpeng [Taiyang Cold-Water], so the winning qi prevents it from advancing. Jueyin [Wind-Wood] wishes to descend to Earth but is blocked by Dijing [Taiyin Damp-Earth], so the winning qi prevents it from entering. Thus, the *Acupuncture Method Treatise* says that for Fire wishing to ascend but suppressed by Tianpeng, the Sovereign Fire and Ministerial Fire should both have their Ying-Spring points of the Pericardium needled. For Wood wishing to descend but suppressed by Dijing, the Jing-Well point of the Hand-Taiyin Lung Meridian and the He-Sea point of the Hand-Yangming Large Intestine Meridian should be needled. Wang Bing said: Access the source of transformation in the ninth month, meeting and taking it to tonify. These are all meanings of breaking stagnant qi and accessing the source of transformation.) Benefit the year's qi, preventing evil from prevailing. (Taiyin Si Tian corresponds to the deficient years of Chou and Wei, thus one should benefit the year's qi.) Eat grains of the year to preserve true qi, and eat inter-grains to protect essence. (Yearly grain refers to the Xuan grain mentioned above. Inter-grain meaning is seen in the previous section on Yangming's governance.) Therefore, for this year, it is suitable to use bitter herbs to dry and warm; if severe, use dispersing or purging methods. If neither dispersed nor purged, dampness will overflow externally, muscles will ulcerate, skin will split, and water and blood will mix. (Using bitter to dry and warm: bitter transforms via Fire, drying treats dampness, warming treats cold. Dispersing and purging: dispersing can expel cold,渗泄 [osmotic drainage/purging] can remove dampness.) One must assist Yang Fire to resist severe cold. (The year's qi is Yin-Cold, thus one should support Yang.) Depending on the similarity or difference of the qi, adjust the quantity accordingly: those similar to cold are treated with hot transformations, those similar to dampness are treated with dry transformations. (For the above ten years, the movement and qi may share cold with the Qi in Quan, requiring more hot-transforming substances, such as in Shao-Jue and Shao-Yu years; or share dampness with the Si Tian, requiring more dry-transforming substances, such as in Shao-Gong years. For Shao-Jue and Shao-Zheng years, one should handle them with slight peace/harmony.) Different ones use less, same ones use more. (Although using hot or dry, each has specific treatments, but the quantity should be adjusted according to the similarity or difference of Yun and Qi.) Use cooling far from cooling times, use cold far from cold times, use warm far from warm times, use hot far from hot times; diet should follow the same method. If there is a false condition, reverse it. This is the way; reversing it causes disease. (Detailed meaning is seen in the previous sections on Taiyang and Yangming's governance.)

The Emperor said: Excellent. How is the governance of Shaoyin? Qibo said: It is the record of Zi and Wu years.

Ren Zi and Ren Wu Years
Upper: Shaoyin Fire (Si Tian). Middle: Taijiao Wood Movement (Zhong Yun). Lower: Yangming Metal (Zai Quan).
Its movement is wind drumming; its transformation is sounding, chaotic, opening, and splitting. (This is the normal transformation of Taijiao in Ren years. *Wu Chang Zheng Da Lun* says: Its virtue is sounding, mild, opening, and splitting.) Its change is shaking, tearing, destroying, and uprooting. (Change of Taijiao.) Its disease is limb fullness. (Liver Wood is strong.)
Heat transformation: 2 (Si Tian). Wind transformation: 8 (Middle Movement). Clear/Dry transformation: 4 (Zai Quan). These are the degrees of normal transformation.
Its treatment: Upper uses Salty-Cold (Salty-Cold transforms via Water to treat Sovereign Fire of Si Tian). Middle uses Sour-Light/Cool (Sour follows Wood Qi, Taijiao should be cool). Lower uses Sour-Warm (Sour originally follows Wood; why treat Yangming? Because Dry-Metal is in Quan, Metal disease is in the Lung. *Zang Qi Fa Shi Lun* says: The Lung desires restriction, urgently eat sour to restrict it, use sour to tonify. *Zhi Zhen Yao Da Lun* says: Master of Metal position, tonify with sour. Also: Guest of Yangming, tonify with sour. This is because Yangming is below Shaoyin, its qi is insufficient, thus treated thus. Same for following text. *Xuan Zhu* says: Lower uses Bitter-Hot.) Medicines and foods are suitable thus.

Taijiao (Initial/Normal) Shaozheng Taigong Shaoshang Taoyu (Final)

Wu Zi (Tian Fu) and Wu Wu Years (Tai Yi Tian Fu)
Upper: Shaoyin Fire. Middle: Taizheng Fire Movement. Lower: Yangming Metal.
Its movement is blazing heat; its transformation is warm shining, oppressive heat. (This is the normal transformation of Taizheng in Wu years. *Wu Chang Zheng Da Lun* says: Its virtue is warm, summer heat, oppression, steaming. Note: Taizheng movement, when encountering Taiyang Si Tian is called Heat, Shaoyang Si Tian is called Summer Heat, Shaoyin Si Tian is called Blazing Summer Heat; all include the Si Tian qi when discussing movement.) Its change is blazing fierce boiling. (Change of Taizheng.) Its disease is upper heat and blood overflow. (Yang Fire is excessive.)
Heat transformation: 7 (Si Tian and Middle Movement same). Clear/Dry transformation: 9 (Zai Quan). Degrees of normal transformation.
Its treatment: Upper uses Salty-Cold, Middle uses Sweet-Cold, Lower uses Sour-Warm. Medicines and foods are suitable thus. (Middle Sweet-Cold treats Taizheng Fire. Upper and Lower same as before. *Xuan Zhu* says: Lower uses Bitter-Hot.)

Taizheng Shaogong Taishang Shaoyu (Final) Shaojue (Initial)

Jia Zi and Jia Wu Years
Upper: Shaoyin Fire. Middle: Taigong Earth Movement. Lower: Yangming Metal.
Its movement is rainy clouds; its transformation is soft, moist, timely rain. (This is the normal transformation of Taigong in Jia years. *Wu Chang Zheng Da Lun* says: Its virtue is soft, moist, heavy, muddy.) Its change is shocking, drifting, and sudden storms. (Change of Taigong.) Its disease is middle body heaviness. (Earth-Damp stagnation.)
Heat transformation: 2 (Si Tian. Note: *Xin Zheng Xiao* says: Detailed calculation of transformation follows the standard Cheng number, normal transformation follows the Ben Sheng number. In Jia Zi year, Heat transformation is 7, Dry transformation is 9; in Jia Wu year, Heat transformation is 2, Dry transformation is 4. This reasoning is incorrect, I believe it is explained later.) Rain transformation: 5 (Middle Movement). Dry transformation: 4 (Zai Quan). This is what is called the days of normal transformation.
Its treatment: Upper uses Salty-Cold, Middle uses Bitter-Hot, Lower uses Sour-Hot. This is what medicines and foods suit. (Middle Bitter-Hot treats Taigong Damp excess. Lower Sour-Hot differs slightly from the previous four movements, but where others say Warm, this says Hot, which is not far off. *Xuan Zhu* says: Lower uses Bitter-Hot.)

Taigong Shaoshang Taoyu (Final) Taijue (Initial) Shaozheng

Geng Zi and Geng Wu Years (Both Tong Tian Fu)
Upper: Shaoyin Fire. Middle: Taishang Metal Movement. Lower: Yangming Metal. Same as Zheng Shang. (This year's Metal Movement is Excessive, but controlled by Sovereign Fire Si Tian, so Metal achieves balance, known as the "Firm Completion Record," same as Zheng Shang above.)
Its movement is cool and stiff; its transformation is foggy and dewy desolation. (This is the normal transformation of Taishang in Geng years. Movement and Zai Quan share the same qi, hence called Cool-Stiff.) Its change is solemn killing and withering. (Change of Taishang.) Its disease is lower clearness/diarrhea. (Lower clearness refers to clear diarrhea of stool and urine, and coldness of the lower body, a disease of Metal Qi.)
Heat transformation: 7 (Si Tian). Clear/Dry transformation: 9 (Middle Movement). Dry transformation: 9 (Zai Quan). This is what is called the days of normal transformation.
Its treatment: Upper uses Salty-Cold, Middle uses Pungent-Warm, Lower uses Sour-Warm. This is what medicines and foods suit. (Middle Pungent-Warm: Pungent follows Metal, Warm treats Cold. Upper and Lower same as before. *Xuan Zhu* says: Lower uses Bitter-Hot.)

Taishang Shaoyu (Final) Shaojue (Initial) Taizheng Shaogong

Bing Zi (Sui Hui) and Bing Wu Years
Upper: Shaoyin Fire. Middle: Taoyu Water Movement. Lower: Yangming Metal.
Its movement is cold; its transformation is congealed, miserable, chilling. (This is the normal transformation of Taoyu in Bing years. *Wu Chang Zheng Da Lun* says: Its virtue is congealed, miserable, cold atmosphere.) Its change is ice, snow, frost, and hail. (Change of Taoyu.) Its disease is lower cold. (Lower cold refers to middle cold with diarrhea, and cold abdomen and feet.)
Heat transformation: 2 (Si Tian). Cold transformation: 6 (Middle Movement). Clear/Dry transformation: 4 (Zai Quan). Degrees of normal transformation.
Its treatment: Upper uses Salty-Cold, Middle uses Salty-Hot, Lower uses Sour-Warm. Medicines and foods are suitable thus. (Middle Taoyu, thus treatment should be Salty-Hot. Upper and Lower same as before. *Xuan Zhu* says: Lower uses Bitter-Hot.)

Taoyu (Final) Taijue (Initial) Shaozheng Taigong Shaoshang

All these Shaoyin Si Tian governances, the qi transformation and operation precede heaven. (This summarizes the six Qi transformations of Shaoyin Si Tian in Zi and Wu years. "Preceding heaven" meaning seen previously.) Earth qi is肃 (solemn/clear), Heaven qi is bright. Cold intersects with heat, heat adds to dryness. (Yangming Dry-Metal in Quan, thus Earth qi is solemn. Shaoyin Sovereign Fire Si Tian, thus Heaven qi is bright. Metal is cold and dry, Fire is hot and summer-heat. Below approaching above is intersection, above approaching below is addition.) Clouds race to the Rain Mansion, damp transformation proceeds, timely rain descends. (This is the meaning of Yangming Si Tian: extreme dryness leads to moisture.) Metal and Fire combine virtue, corresponding to Yinghuo (Mars) and Taibai (Venus) stars. (Upper Fire, Lower Metal, two qi combine virtue, these stars should be bright.) Their governance is bright, their command is sharp. (Fire bright, Metal sharp.) Their grains are red and white. (Red corresponds to Si Tian, White corresponds to Zai Quan.) Water, Fire, Cold, Heat contend at the qi intersection, marking the beginning of disease. Heat diseases arise above, Clear/Cold diseases arise below, Cold and Heat invade and contend in the middle. (Shaoyin Si Tian, Yangming Zai Quan, Upper Fire, Lower Metal, thus Water-Fire-Cold-Heat contend at the qi intersection causing disease thus.) The people suffer from cough and wheezing, hemorrhage and diarrhea, nasal congestion and sneezing, red eyes and ulcers, cold jue entering the stomach, heart pain, lower back pain, abdominal distension, dry throat, and swelling above. (Fire is heat, Metal is cold, thus heat diseases appear above, cold diseases appear below.)

First Qi, Earth qi migrates, Dryness is about to depart. (First Qi is Taiyang in charge. Last year Ji Hai, Shaoyang Final Qi ends here, should say Heat is departing, "Dry" character is an error. Meaning of Earth qi migration seen previously.) Cold begins, hibernating animals hide again, water freezes, frost descends again, wind arrives, Yang qi is depressed. (Cold-Water qi guests before Spring, thus the climate is so.) The people instead dress closely, joints become stiff and fixed, lower back pain, intense heat is about to rise, sores and ulcers occur inside and outside. (These are all diseases of Cold qi. However, Shaoyin Sovereign Fire Si Tian, and it coincides with the Second Qi Host Qi, thus intense heat is about to rise, sores and ulcers occur inside and outside. " " sounds like "Shui", referring to the buttocks.)

Second Qi, Yang qi spreads, wind flows, Spring qi is correct, all things respond with glory, Cold qi arrives at times, the people harmonize. (Wind-Wood guest adds to Sovereign Fire host, thus Yang spreads and wind flows, Spring qi is correct, all things flourish. Si Tian Sovereign Fire is not yet vigorous, thus Cold qi arrives at times. Wood and Fire correspond to the season, thus the people's qi harmonizes.) Their disease is strangury, closed eyes or red eyes, Qi depressed above and hot. (Disease of Sovereign Fire.)

Third Qi, Heavenly government is distributed, Great Fire moves, all kinds of creatures multiply and shine, Cold qi arrives at times. (Guest Qi Sovereign Fire Si Tian adds to Host Qi Ministerial Fire, thus Great Fire moves, all creatures multiply and shine. Fire extreme leads to Water return, Heat extreme leads to Cold generation, thus Cold qi arrives at times.) The people suffer from Qi jue and heart pain, alternating cold and heat, cough and wheezing, red eyes. (Two Fires blazing together, thus disease manifests thus.)

Fourth Qi, Humid heat arrives, heavy rain often occurs, Cold and Heat alternate arriving. (Guest and Host Qi are both Wet-Earth in charge, thus humid heat and heavy rain climate.) The people suffer from cold and heat, dry throat, jaundice, nasal congestion, rhinorrhea, and fluid retention. (Damp-Heat diseases.)

Fifth Qi, Feared Fire arrives, Summer heat reverses, Yang transforms, all things grow and flourish, the people are healthy. (Feared Fire is Ministerial Fire. Time is Autumn Harvest but Yang transforms, thus all things flourish, people are healthy.) Their disease is Warm disease. (Time Cold qi recedes, Heat qi prevails, Yang Evil prevails.)

Final Qi, Dryness decree operates, residual Fire is internally blocked, swelling above, cough and wheezing, severe cases hemorrhage. Cold Qi frequently rises, thus fog obscures. (Dry-Metal guest adds to Cold-Water host, Metal Qi contracts, thus residual Fire of Fifth Qi is internally blocked. And disease manifests thus. Ge means rejection. Cold Qi rises, fog obscures, all transformations of Metal and Water.) Disease arises in skin and interstices, internally resides in the hypochondrium, connects downward to the lower abdomen causing internal cold. Earth Qi is about to change. (Disease in skin/interstices is combination of Metal. Internally residing in hypochondrium/connecting to lower abdomen is Metal overcoming Wood. Metal nature is cold, thus internal cold. Zai Quan Qi ends, thus Earth Qi is about to change.)

One must suppress its Yun Qi, nourish its Yearly Winning Qi. (Above Zi-Wu ten years, Yun Qi is excessive, must suppress the surplus to achieve balance; Year has winning Qi, must nourish the deficient, do not let it be injured.) Break its stagnant emission, first take the Source of Transformation, do not let violent excess generate disease. (This year Shaoyin Si Tian leads to Metal stagnation, Yangming Zai Quan leads to Wood stagnation. Meaning of stagnant qi and Source of Transformation, see previous Taiyang governance. Also *Ben Bing Pian* says: In Zi-Wu years, Taiyin wishes to ascend to Heaven, blocked by Tianchong, winning qi prevents advance. Taiyang wishes to descend to Earth, blocked by Difou, winning qi prevents entry. Thus *Ci Fa Lun* says for Earth wishing to ascend but blocked by Tianchong, needling Foot-Taiyin Shu points. Water wishing to descend but blocked by Difou, needling Foot-Taiyin Jing-Well and Foot-Yangming He-Sea points. Wang Bing said: First in the twelfth month of the preceding year, meet and take it. These are all meanings of breaking stagnant qi and taking Source of Transformation.) Eat yearly grain to preserve True Qi, eat inter-grain to avoid Empty Evil. (Yearly grain is Dan-Bai grain mentioned above. Inter-grain meaning seen in previous Yangming governance.) This year suits Salty to soften, and regulate the upper part. (Salty transforms via Water, thus can regulate Sovereign Fire above.) Severe cases use Bitter to disperse, Sour to collect, and calm the lower part. (Bitter disperses, can scatter Fire. Sour collects, can tonify Metal. Calming upper Sovereign Fire allows lower Dry Metal to be at peace.) Severe cases use Bitter to drain. (Severe Heat-Dryness requires Bitter-Cold to drain. I note: Five Flavors attributes, as *Yin Yang Ying Xiang Da Lun* says Fire generates Bitter, *Jin Gui Zhen Yan Lun* says its flavor is Bitter, its category is Fire, this divides Five Elements flavors, Bitter transforms via Fire. So in this chapter, for Taiyang, Taiyin, Yangming etc. governance, saying use Bitter to dry/warm or Bitter to disperse, all use Bitter's Yang aspect. Also *Yin Yang Ying Xiang Da Lun* and *Zhi Zhen Yao Da Lun* both say Sour and Bitter induce vomiting and purging are Yin, this speaks of aroma/flavor effects, Bitter transforms via Yin. So this section says use Bitter to drain, *Zhi Zhen Yao Da Lun* says Damp ruling Earth, Heat counter-wins, treat with Bitter-Cold; Damp transforming Heaven, Heat counter-wins, treat with Bitter-Cold, all use Bitter's Yin aspect. Again *Xuan Ming Wu Qi Pian* and *Wu Wei Pian* both say Bitter enters Bone. North generates Cold, in body is Bone, Bone originally belongs to Yin, yet Bitter enters it, is it not Yin? Visible that Bitter flavor, though one, has Yin/Yang differentiation, Bitter-Hot and Bitter-Cold differences, how can one not distinguish? Now some say Bitter belongs to Fire and shy away from its Cold nature, some only know Bitter-Cold and forget its Hot nature, none understand the principle of aroma/flavor transformation. Taking this one example, the nature of Five Flavors can be inferred. Also *Zang Qi Fa Shi Lun* says Rice, Beef, Jujube, Okra are all Sweet, Wheat, Mutton, Apricot, Leek are all Bitter etc., within common dietary flavors, there are further distinctions. The principle of flavor transformation is thus; without grasping the essence, one cannot speak of aroma/flavor.) Adjust qi similarity/difference and quantity accordingly. Those similar to Heaven Qi are treated with Cold/Clear transformations, those similar to Earth Qi are treated with Warm/Hot transformations. (Meaning: Above ten years, Yun and Qi, those sharing Heat with Si Tian, should be treated with Cold/Clear transformed substances, e.g., Taijue, Taizheng years. Those sharing Cold with Zai Quan, should be treated with Warm/Hot transformed substances, e.g., Taoyu, Taigong, Taishang years. Each should be made according to their similarity/difference.) Use Hot far from Hot times, use Cool far from Cool times, use Warm far from Warm times, use Cold far from Cold times; diet follows same method. If false, reverse. This is the way; reversing it causes disease to arise. (Detailed meaning seen in previous Taiyang/Yangming governance.)

The Emperor said: Excellent. How is the governance of Jueyin? Qibo said: It is the record of Si and Hai years.

Ding Si and Ding Hai Years (Both Tian Fu)
Upper: Jueyin Wood (Si Tian). Middle: Shaojiao Wood Movement (Zhong Yun). Lower: Shaoyang Ministerial Fire (Zai Quan). Same as Zheng Jiao. (This year's Wood Movement is Deficient, aided by Si Tian Jueyin, known as "Wei He Record," same as Zheng Jiao above.)
Its movement is Wind clearing Heat. (Wind is Zhong Yun Shaojiao qi, Clear is the qi that wins over Wind, Heat is the qi that復 [repeats/rebounds] Clear.) Clear transformation and Heat transformation winning/repeating are same, Evil Qi transformation degree. (See previous details.) Disaster in Palace Three. (Three is East Zhen Palace. Wood qi deficient, thus disaster affects it.)
Wind transformation: 3 (Si Tian and Movement same). Fire transformation: 7 (Zai Quan). Degrees of normal transformation.
Its treatment: Upper uses Pungent-Cool (Pungent-Cool transforms via Metal, treating Wind-Wood above). Middle uses Pungent-Harmonious (Wood Movement deficient, aided by Si Tian, thus suitable Pungent and Harmonious). Lower uses Salty-Cold (Salty-Cold transforms via Water, treating Ministerial Fire below). Medicines and foods are suitable thus.

Shaojiao (Initial/Normal) Taizheng Shaogong Taishang Shaoyu (Final)

Gui Si and Gui Hai Years (Both Tong Sui Hui)
Upper: Jueyin Wood. Middle: Shaozheng Fire Movement. Lower: Shaoyang Ministerial Fire. Its movement is Heat, Cold, Rain. (Heat is Yun Qi, Cold is Winning Qi, Rain is Rebounding Qi.) Cold transformation and Rain transformation winning/repeating are same, Evil Qi transformation degree. Disaster in Palace Nine. (Nine is Li Palace. Fire Movement deficient, thus disaster affects it.)
Wind transformation: 8 (Si Tian). Fire transformation: 2 (Movement and Zai Quan same). Degrees of normal transformation.
Its treatment: Upper uses Pungent-Cool, Middle uses Salty-Harmonious, Lower uses Salty-Cold. Medicines and foods are suitable thus. (Middle Movement Shaozheng, receiving life-assistance from Heaven and Earth, thus suitable Salty-Harmonious. Upper and Lower same as before.)

Shaozheng Taigong Shaoshang Taoyu (Final) Taijue (Initial)

Ji Si and Ji Hai Years