（水） （土）
壬辰壬戌岁 上太阳（司天） 中木运（太）下太阴（在泉） 其化上苦温。中酸和。下甘温
。药食宜也。主病眩掉瞑。
戊辰戊戌岁 上太阳（司天） 中火运（太）下太阴（在泉）其化上苦温。中甘和。下甘温。
药食宜也。主病热郁。
甲辰甲戌岁 上太阳（司天） 中土运（太）下太阴（在泉）其化上苦热。中
苦温。下苦温。药食宜也。主病湿下重。
庚辰庚戌岁 上太阳（司天） 中金运（太）下太阴（在泉）其化上苦热。中辛温。下甘热。
药食宜也。主病燥闷满。
丙辰丙戌岁 上太阳（司天） 中水运（太）下太阴（在泉）其化上苦热。中咸温。下甘热。
药食宜也。主病大寒。
凡此太阳司天之政气化营运先天。此下总结辰戌年太阳司天。六气之化也。凡子寅辰午
申戌
六阳年。皆为太过。丑亥酉未巳卯六阴年。皆为不及。太过之气。常先天时而至。故其所生
长收藏气化营运皆早不及之气。常后天时而至故。其气化营运皆迟。如交变大论曰∶太过者
先天。不及者后天。本篇后文曰∶运太过则其至先。运不及则其至后。皆此义也。
（金） （火）
丁卯丁酉岁 上阳明（司天） 中木运（少）下少阴（在泉）其化上苦小温。中辛和。下咸寒
。药食宜也。主灾三宫。
癸卯癸酉岁 上阳明（司天） 中火运（少）下少阴（在泉）其化上苦小温。中咸温。下咸寒
。药食宜也。主灾九宫。
巳卯巳酉岁 上阳明（司天） 中土运（少）下少阴（在泉）其化上苦小温。中甘和。下咸寒
。药食宜也。主灾五宫。
乙卯乙酉岁 上阳明（司天） 中金运（少）下少阴（在泉）其化上苦小温。中苦和。下咸寒
。药食宜也主灾七宫。
辛卯辛酉岁 上阳明（司天） 中水运（少）下少阴（在泉）其化上苦小温。中苦和。下咸寒
。药食宜也。主灾一宫。
凡此阳明司天之政气化营运后天。此总言卯酉年阳明司天六气之化也。凡此卯酉十年岁
气不足。故气化营运后天。
（相火） （木）
壬寅壬申岁 上少阳（司天） 中木运（太）下厥阴（在泉）其化上咸寒。中酸和。下辛凉。
药食宜也。病掉眩支胁惊骇。
戊寅戊申岁 上少阳（司天） 中火运（太）下厥阴（在泉）其化上咸寒。中甘和。下辛凉。
药食宜也。病上热郁血溢泄心痛。
甲寅甲申岁 上少阳（司天） 中土运（太）下厥阴（在泉）其化上咸寒。中咸和。下辛凉。
药食宜也。病体重 肿痞饮。
庚寅庚申岁 上少阳（司天） 中金运（太）下厥阴（在泉）其化上咸寒。中辛温。下辛凉。
药食宜也。病肩背胸中。
丙寅丙申岁 上少阳（司天） 中水运（太）下厥阴（在泉）其化上咸寒。中咸温。下辛温。
药食宜也。病寒浮肿。
凡此少阳司天之政气化营运先天。
（土） （水）
丁丑丁未岁 上太阴（司天） 中木运（少）下太阳（在泉）其化上苦温。中辛温。下甘热。
药食宜也。主灾三宫。
癸丑癸未岁 上太阴（司天） 中火运（少）下太阳（在泉）其化上苦温。中咸温。下甘热。
药食宜也。主灾九宫。
巳丑巳未岁 上太阴（司天） 中土运（少）下太阳（在泉）其化上苦热。中甘和。下甘热。
药食宜也。主灾五宫。
乙丑乙未岁 上太阴（司天） 中金运（少）下太阳（在泉）其化上苦热。中酸和。下甘热。
药食宜也。主灾七宫。
辛丑辛未岁 上太阴（司天） 中水运（少）下太阳（在泉）其化上苦热。中苦和。下苦热。
药食宜也。主灾一宫。
凡此太阴司天之政气化营运后天。
（火） （金）
壬子壬午岁 上少阴（司天） 中木运（太）下阳明（在泉）其化上咸寒。中酸凉。下酸温。
药食宜也。主病支满。
戊子戊午岁 上少阴（司天） 中火运（太）下阳明（在泉）其化上咸寒。中甘寒。下酸温。
药食宜也。主病血溢上热。
甲子甲午岁 上少阴（司天） 中土运（太）下阳明（在泉）其化上咸寒。中苦热。下酸热。
药食宜也。病中满身重。
庚子庚午岁 上少阴（司天） 中金运（太）下阳明（在泉）其化上咸寒。中辛温。下咸温。
药食宜也。主病下清。
丙子丙午岁 上少阴（司天） 中水运（太）下阳明（在泉）其化上咸寒。中咸热。下酸温。
药食宜也。主病寒下。
凡此少阴司天之政气化营运先天。
（水） （火）
丁巳丁亥岁 上厥阴（司天） 中木运（少）下少阳（在泉）其化上辛凉。中辛和。下咸寒。
药食宜也。主灾三宫。
癸巳癸亥岁 上厥阴（司天） 中火运（少）下少阳（在泉）其化上辛凉。中咸和。下咸寒。
药食宜也。主灾九宫。
巳巳巳亥岁 上厥阴（司天） 中土运（少）下少阳（在泉）其化上辛凉。中甘和。下咸寒。
药食宜也。主灾五宫。
乙己乙亥岁 上厥阴（司天） 中金运（少）下少阳（在泉）其化上辛凉。中酸和。下咸寒。
药食宜也。主灾七宫。
辛巳辛亥岁 上厥阴（司天） 中水运（少）下少阳（在泉）其化上辛凉。中苦和。下咸寒。
药食宜也。主灾一宫。
凡此厥阴司天之政气化营运后天。
愚按人秉天地之气以生天人一理也。五运六气阴阳之变胜复之。作而人身应之。经曰随
其气所在期于左右。从其气则和。违其气则病。迭移其位者病。失守其位者危。寸尺反者死。
阴阳交者死。又曰先立其年以知其气。而主病之。阴阳虚实逆从生死。母外此以为气诊矣。
[Water and Earth]
In the years of Ren Chen and Ren Xu: The Si Tian (Supreme Heaven Qi, governing the first half of the year) is Tai Yang Cold Water; the Zhong Yun (Central Movement, governing the annual climate) is Wood Movement (excessive); the Zai Quan (Earthly Spring Qi, governing the second half of the year) is Tai Yin Damp Earth. The transformation characteristics are: the upper part (Si Tian) favors Bitter-Warm flavors; the middle part (Zhong Yun) favors Sour flavors for harmonization; the lower part (Zai Quan) favors Sweet-Warm flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as dizziness, tremors, and blurred vision.
In the years of Wu Chen and Wu Xu: The Si Tian is Tai Yang Cold Water; the Zhong Yun is Fire Movement (excessive); the Zai Quan is Tai Yin Damp Earth. The transformation characteristics are: the upper part favors Bitter-Warm flavors; the middle part favors Sweet flavors for harmonization; the lower part favors Sweet-Warm flavors. Medicines and foods should also accord with these flavors. The main disease manifests as heat stagnation.
In the years of Jia Chen and Jia Xu: The Si Tian is Tai Yang Cold Water; the Zhong Yun is Earth Movement (excessive); the Zai Quan is Tai Yin Damp Earth. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Bitter-Warm flavors; the lower part favors Bitter-Warm flavors. Medicines and foods should also accord with these flavors. The main disease manifests as heaviness in the lower body due to dampness.
In the years of Geng Chen and Geng Xu: The Si Tian is Tai Yang Cold Water; the Zhong Yun is Metal Movement (excessive); the Zai Quan is Tai Yin Damp Earth. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Pungent-Warm flavors; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The main disease manifests as dryness causing chest tightness and fullness.
In the years of Bing Chen and Bing Xu: The Si Tian is Tai Yang Cold Water; the Zhong Yun is Water Movement (excessive); the Zai Quan is Tai Yin Damp Earth. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Salty-Warm flavors; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The main disease manifests as severe cold.
The above summarizes the administration of Tai Yang Cold Water Si Tian in the years of Chen and Xu, where the Qi transformation and Yun movement precede the natural timing. This section generally discusses the six Qi transformations for Tai Yang Cold Water Si Tian in the years of Chen and Xu. For all six Yang stems (Zi, Yin, Chen, Wu, Shen, Xu), the Qi is considered "Excessive" (Tai Guo); for all six Yin stems (Chou, Hai, You, Wei, Si, Mao), the Qi is considered "Deficient" (Bu Ji). The Qi of Excess often arrives before the seasonal timing, so its growth, flourishing, harvesting, and storage transformations occur earlier. The Qi of Deficiency often arrives after the seasonal timing, so its transformations occur later. As stated in *Tian Yuan Ji Da Lun*: "Excess precedes heaven [timing], deficiency follows heaven." Later in this chapter, it says: "When Yun is excessive, its arrival is early; when Yun is deficient, its arrival is late." All these refer to this principle.
[Metal and Fire]
In the years of Ding Mao and Ding You: The Si Tian is Yang Ming Dry Metal; the Zhong Yun is Wood Movement (deficient); the Zai Quan is Shao Yin Ministerial Fire. The transformation characteristics are: the upper part favors Slightly Warm-Bitter flavors; the middle part favors Pungent flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Third Palace (corresponding to East/Zhen, Wood).
In the years of Gui Mao and Gui You: The Si Tian is Yang Ming Dry Metal; the Zhong Yun is Fire Movement (deficient); the Zai Quan is Shao Yin Ministerial Fire. The transformation characteristics are: the upper part favors Slightly Warm-Bitter flavors; the middle part favors Salty-Warm flavors; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Ninth Palace (corresponding to South/Li, Fire).
In the years of Ji Mao and Ji You: The Si Tian is Yang Ming Dry Metal; the Zhong Yun is Earth Movement (deficient); the Zai Quan is Shao Yin Ministerial Fire. The transformation characteristics are: the upper part favors Slightly Warm-Bitter flavors; the middle part favors Sweet flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Fifth Palace (corresponding to Center/Kun, Earth).
In the years of Yi Mao and Yi You: The Si Tian is Yang Ming Dry Metal; the Zhong Yun is Metal Movement (deficient); the Zai Quan is Shao Yin Ministerial Fire. The transformation characteristics are: the upper part favors Slightly Warm-Bitter flavors; the middle part favors Bitter flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Seventh Palace (corresponding to West/Dui, Metal).
In the years of Xin Mao and Xin You: The Si Tian is Yang Ming Dry Metal; the Zhong Yun is Water Movement (deficient); the Zai Quan is Shao Yin Ministerial Fire. The transformation characteristics are: the upper part favors Slightly Warm-Bitter flavors; the middle part favors Bitter flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the First Palace (corresponding to North/Kan, Water).
The above generally states the six Qi transformations for Yang Ming Dry Metal Si Tian in the years of Mao and You. In these ten years of Mao and You, the annual Qi is insufficient, so the Qi transformation and Yun movement follow the natural timing.
[Ministerial Fire and Wood]
In the years of Ren Yin and Ren Shen: The Si Tian is Shao Yang Ministerial Fire; the Zhong Yun is Wood Movement (excessive); the Zai Quan is Jue Yin Wind Wood. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Sour flavors for harmonization; the lower part favors Pungent-Cool flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as tremors, dizziness, flank distension, and fright/panic.
In the years of Wu Yin and Wu Shen: The Si Tian is Shao Yang Ministerial Fire; the Zhong Yun is Fire Movement (excessive); the Zai Quan is Jue Yin Wind Wood. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Sweet flavors for harmonization; the lower part favors Pungent-Cool flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as upper heat stagnation, blood溢 (hemorrhage), diarrhea, and heart pain.
In the years of Jia Yin and Jia Shen: The Si Tian is Shao Yang Ministerial Fire; the Zhong Yun is Earth Movement (excessive); the Zai Quan is Jue Yin Wind Wood. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Salty flavors for harmonization; the lower part favors Pungent-Cool flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as heavy body, edema, palpitations/fullness, and fluid retention.
In the years of Geng Yin and Geng Shen: The Si Tian is Shao Yang Ministerial Fire; the Zhong Yun is Metal Movement (excessive); the Zai Quan is Jue Yin Wind Wood. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Pungent-Warm flavors; the lower part favors Pungent-Cool flavors. Medicines and foods should also accord with these flavors. The main disease manifests as discomfort in the shoulders, back, and chest (text implies obstruction or pain).
In the years of Bing Yin and Bing Shen: The Si Tian is Shao Yang Ministerial Fire; the Zhong Yun is Water Movement (excessive); the Zai Quan is Jue Yin Wind Wood. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Salty-Warm flavors; the lower part favors Pungent-Warm flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as cold and edema.
The above summarizes the administration of Shao Yang Ministerial Fire Si Tian, where the Qi transformation and Yun movement precede the natural timing.
[Earth and Water]
In the years of Ding Chou and Ding Wei: The Si Tian is Tai Yin Damp Earth; the Zhong Yun is Wood Movement (deficient); the Zai Quan is Tai Yang Cold Water. The transformation characteristics are: the upper part favors Bitter-Warm flavors; the middle part favors Pungent-Warm flavors; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Third Palace.
In the years of Gui Chou and Gui Wei: The Si Tian is Tai Yin Damp Earth; the Zhong Yun is Fire Movement (deficient); the Zai Quan is Tai Yang Cold Water. The transformation characteristics are: the upper part favors Bitter-Warm flavors; the middle part favors Salty-Warm flavors; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Ninth Palace.
In the years of Ji Chou and Ji Wei: The Si Tian is Tai Yin Damp Earth; the Zhong Yun is Earth Movement (deficient); the Zai Quan is Tai Yang Cold Water. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Sweet flavors for harmonization; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Fifth Palace.
In the years of Yi Chou and Yi Wei: The Si Tian is Tai Yin Damp Earth; the Zhong Yun is Metal Movement (deficient); the Zai Quan is Tai Yang Cold Water. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Sour flavors for harmonization; the lower part favors Sweet-Hot flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Seventh Palace.
In the years of Xin Chou and Xin Wei: The Si Tian is Tai Yin Damp Earth; the Zhong Yun is Water Movement (deficient); the Zai Quan is Tai Yang Cold Water. The transformation characteristics are: the upper part favors Bitter-Hot flavors; the middle part favors Bitter flavors for harmonization; the lower part favors Bitter-Hot flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the First Palace.
The above summarizes the administration of Tai Yin Damp Earth Si Tian, where the Qi transformation and Yun movement follow the natural timing.
[Fire and Metal]
In the years of Ren Zi and Ren Wu: The Si Tian is Shao Yin Ministerial Fire; the Zhong Yun is Wood Movement (excessive); the Zai Quan is Yang Ming Dry Metal. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Sour-Cool flavors; the lower part favors Sweet-Warm flavors. Medicines and foods should also accord with these flavors. The main disease manifests as flank fullness.
In the years of Wu Zi and Wu Wu: The Si Tian is Shao Yin Ministerial Fire; the Zhong Yun is Fire Movement (excessive); the Zai Quan is Yang Ming Dry Metal. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Sweet-Cold flavors; the lower part favors Sweet-Warm flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as hemorrhage and upper heat.
In the years of Jia Zi and Jia Wu: The Si Tian is Shao Yin Ministerial Fire; the Zhong Yun is Earth Movement (excessive); the Zai Quan is Yang Ming Dry Metal. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Bitter-Hot flavors; the lower part favors Sour-Hot flavors. Medicines and foods should also accord with these flavors. The main diseases manifest as abdominal fullness and heavy body.
In the years of Geng Zi and Geng Wu: The Si Tian is Shao Yin Ministerial Fire; the Zhong Yun is Metal Movement (excessive); the Zai Quan is Yang Ming Dry Metal. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Pungent-Warm flavors; the lower part favors Salty-Warm flavors. Medicines and foods should also accord with these flavors. The main disease manifests as lower clearness (e.g., loose stools, clear urine).
In the years of Bing Zi and Bing Wu: The Si Tian is Shao Yin Ministerial Fire; the Zhong Yun is Water Movement (excessive); the Zai Quan is Yang Ming Dry Metal. The transformation characteristics are: the upper part favors Salty-Cold flavors; the middle part favors Salty-Hot flavors; the lower part favors Sweet-Warm flavors. Medicines and foods should also accord with these flavors. The main disease manifests as lower cold.
The above summarizes the administration of Shao Yin Ministerial Fire Si Tian, where the Qi transformation and Yun movement precede the natural timing.
[Water and Fire]
In the years of Ding Si and Ding Hai: The Si Tian is Jue Yin Wind Wood; the Zhong Yun is Wood Movement (deficient); the Zai Quan is Shao Yang Ministerial Fire. The transformation characteristics are: the upper part favors Pungent-Cool flavors; the middle part favors Pungent flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Third Palace.
In the years of Gui Si and Gui Hai: The Si Tian is Jue Yin Wind Wood; the Zhong Yun is Fire Movement (deficient); the Zai Quan is Shao Yang Ministerial Fire. The transformation characteristics are: the upper part favors Pungent-Cool flavors; the middle part favors Salty flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Ninth Palace.
In the years of Ji Si and Ji Hai: The Si Tian is Jue Yin Wind Wood; the Zhong Yun is Earth Movement (deficient); the Zai Quan is Shao Yang Ministerial Fire. The transformation characteristics are: the upper part favors Pungent-Cool flavors; the middle part favors Sweet flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Fifth Palace.
In the years of Yi Si and Yi Hai: The Si Tian is Jue Yin Wind Wood; the Zhong Yun is Metal Movement (deficient); the Zai Quan is Shao Yang Ministerial Fire. The transformation characteristics are: the upper part favors Pungent-Cool flavors; the middle part favors Sour flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the Seventh Palace.
In the years of Xin Si and Xin Hai: The Si Tian is Jue Yin Wind Wood; the Zhong Yun is Water Movement (deficient); the Zai Quan is Shao Yang Ministerial Fire. The transformation characteristics are: the upper part favors Pungent-Cool flavors; the middle part favors Bitter flavors for harmonization; the lower part favors Salty-Cold flavors. Medicines and foods should also accord with these flavors. The disaster occurs in the First Palace.
The above summarizes the administration of Jue Yin Wind Wood Si Tian, where the Qi transformation and Yun movement follow the natural timing.
My Commentary: Humans are born by inheriting the Qi of Heaven and Earth; Heaven and Man share one principle. The changes of Five Movements and Six Qi, and the interplay of Yin and Yang, victory and retaliation, are responded to by the human body. The Classics state: "Follow the location of the Qi, expecting it on the left and right." Following the Qi leads to harmony; violating the Qi leads to disease. Displacement of positions causes disease; loss of position brings danger; reversal of Cun and Chi pulses indicates death; intersection of Yin and Yang indicates death. It also says: "First establish the year to know its Qi," thereby determining the main disease. Through Yin-Yang, Deficiency-Excess, Reversal-Compliance, one can deduce life and death; there is no other method to diagnose Qi beyond this.