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When Shaoyin (Ministerial Fire) governs the Heaven, heat descends, Lung Qi ascends in response, leading to diseases of the Lung and Heart; Dryness moves on the Earth, affecting the Liver. The combination of Dryness and Heat causes the people to suffer from wheezing and coughing, hematemesis and hematochezia, alternating chills and fever, nasal congestion, sneezing, frequent rhinorrhea, sores and ulcers, red eyes, dry and swollen throat, Jue syndrome, heart pain, and hypochondriac pain with groaning.

[Note] The preceding text generally discusses diseases caused by the Principal Movement and Principal Qi; this section details diseases specifically governed by the Six Qi of Guest Qi. When Shao Yin Ministerial Fire governs the Heaven, it corresponds to the Zi and Wu years. Fire Qi descends, which is feared by Metal, thus Lung Qi ascends in response, resulting in diseases of the Lung and Heart. Whenever Shao Yin governs the Heaven, Yangming Dryness Metal governs the Earth, so Dryness moves on the Earth and causes Liver disease. Thus, it is known that the combination of Dryness and Heat leads to people suffering from wheezing and coughing, bleeding from above or below, chills and fever, nasal congestion, sneezing, rhinorrhea, sores and ulcers, red eyes, dry throat, swelling and pain, heart pain, and hypochondriac pain, all of which are its manifestations.

When Taiyin (Wet Earth) governs the Heaven, dampness descends, Kidney Qi ascends in response, leading to diseases of the Kidney and Yin aspect; Cold moves on the Earth, affecting the Heart and Spleen. The internal and external attack of Cold and Dampness causes the people to suffer from heavy body, edema of the dorsum of the foot, cholera-like disorder, epigastric fullness, abdominal distension, cold limbs with spasms, pain at the sole of the foot, and pain in the lower abdomen and lumbar region with difficulty in turning.

[Note] Taiyin Wet Earth governs the Heaven, corresponding to the Chou and Wei years. Dampness descends, which is feared by Water, thus Kidney Qi ascends in response, resulting in diseases of Kidney Yin. Whenever Taiyin governs the Heaven, Taiyang Cold Water governs the Earth, so Cold moves on the Earth and causes diseases of the Heart and Spleen. Thus, it is known that the internal and external attack of Cold and Dampness leads to people suffering from heavy body, edema of the dorsum of the foot, cholera-like disorder, epigastric fullness, abdominal distension, cold limbs with spasms, pain at the sole of the foot, lower abdominal pain, and lumbar pain with difficulty in movement, all of which are its manifestations.

When Shaoyang (Ministerial Fire) governs the Heaven, heat descends, Lung Qi ascends in response, where Fire insults Metal; Wind moves on the Earth, causing Liver Wood to prevail. Wind and Fire cause disasters due to the Minister insulting the Sovereign. The people suffer from interior heat, coughing with blood loss, red eyes, pharyngolaryngeal obstruction, deafness, dizziness, sores and ulcers, heart pain, convulsions, and fainting. Sudden death occurs because the Minister insults the Sovereign.

[Note] Shaoyang Ministerial Fire governs the Heaven, corresponding to the Yin and Shen years. Fire Qi descends, which is feared by Metal, thus Lung Qi ascends in response, resulting in Lung disease. Whenever Shaoyang governs the Heaven, Jueyin Wind Wood governs the Earth, so Wind moves on the Earth; when Wood prevails, the disease is in the Liver. Thus, it is known that Wind and Fire cause disasters, leading to people suffering from interior heat, coughing with blood loss, red eyes, pharyngolaryngeal obstruction, deafness and dizziness, sores and ulcers, heart pain, convulsions, and fainting, all of which are its manifestations. Sudden death occurs because the Third Qi Guest Qi, Ministerial Fire, overlays Sovereign Fire, resulting in the Minister insulting the Sovereign.

When Yangming (Dryness Metal) governs the Heaven, dryness descends, Liver Qi ascends in response, leading to diseases of the Liver and sinews; Heat moves on the Earth, harming the Lung and Heart. Clear Dryness and Wind-Heat mutually invade. The people suffer from chills and fever with cough, chest oppression, tremors, flaccidity of sinews with inability to extend strength, vexation and depression, hot pain in both hypochondria and the heart region, painful and red eyes, and dark urine.

[Note] Yangming Dryness Metal governs the Heaven, corresponding to the Mao and You years. Dryness Qi descends, which is feared by Wood, thus Liver Qi ascends in response, resulting in diseases of Liver sinews. Whenever Yangming governs the Heaven, Shaoyin Sovereign Fire governs the Earth, so Heat moves on the Earth and causes diseases of the Lung and Heart. Thus, it is known that the mutual invasion of Clear Dryness and Wind-Heat leads to people suffering from chills and fever with cough, chest oppression and fullness, trembling and shaking, flaccidity of sinews with weakness, vexation and depression with inability to stretch, hot pain in both hypochondria and the heart region, painful and red eyes, and crimson urine, all of which are its manifestations.

When Taiyang (Cold Water) governs the Heaven, cold descends, Heart Qi ascends in response, leading to diseases of the vessels and Heart; Dampness moves on the Earth, affecting the flesh of the Spleen. Investigating internally, Cold, Dampness, and Heat combine. The people suffer from interior cold that eventually transforms into heat, abscesses and carbuncles due to fire stagnation entangling the body, skin numbness and heaviness, muscle stiffness and insensitivity, flaccidity of the feet with weakness, damp diarrhea, abdominal fullness, and edema, which stem from Dampness.

[Note] Taiyang Cold Water governs the Heaven, corresponding to the Chen and Xu years. Cold Qi descends, which is feared by Fire, thus Heart Qi ascends in response, resulting in diseases of Heart vessels. Whenever Taiyang governs the Heaven, Taiyin Wet Earth governs the Earth, so Dampness moves on the Earth and causes diseases of Spleen flesh. Thus, it is known that the combination of Cold, Dampness, and Heat leads to people suffering initially from interior cold that eventually transforms into heat, such as abscesses and carbuncles due to all kinds of fire stagnation, skin bi-syndrome with heaviness, muscle condition with stiffness and insensitivity, flaccidity of the feet with weakness, damp diarrhea, abdominal fullness, and edema, all of which are its manifestations.

When Jueyin (Wind Wood) governs the Heaven, wind descends, Spleen Qi ascends in response, causing Spleen disease; Heat moves on the Earth, bringing about winter warmth. The mixture of Wind, Fire, Cold, and Dampness causes diseases. The people suffer from tinnitus, tremors, and dizziness due to Wind transformation; abdominal fullness, borborygmus, and frequent stool with undigested food; heavy body, reduced appetite, and muscular flaccidity. Warm epidemics occur due to excessive Fire transformation.

[Note] Jueyin Wind Wood governs the Heaven, corresponding to the Si and Hai years. Wind Qi descends, which is feared by Earth, thus Spleen Qi ascends in response, resulting in Spleen disease. Whenever Jueyin governs the Heaven, Shaoyang Ministerial Fire governs the Earth, so Heat moves on the Earth and causes warm diseases. Thus, it is known that the mixture of Wind, Fire, Cold, and Dampness leads to people suffering from deafness, tremors, dizziness, abdominal fullness, borborygmus, diarrhea with undigested food, heavy body, reduced appetite, and muscular flaccidity, all of which are its manifestations.