16.运识寒热温凉正, 气审加临过及平. 六气大来皆邪化, 五运失和
灾病生. 微甚非时猝然至, 看与何时气化并, 更与年虚月空遇, 重感
于邪证不轻.
【注】运, 五运也, 主四时, 在天则有寒热温凉之正令, 在地则有生
长收藏之正化. 气, 六气也, 主六步, 在主则有风, 热, 火, 湿, 燥
,寒一定之常候, 在客则有六气加临太过, 不及, 平和之异应也. 凡
五运六气之来 , 应时而至, 无微甚而和者, 皆为平气也. 即应时而
至,或六气大来, 或五运微甚, 或至非其时, 或猝然而至, 皆邪化失
和不平之气, 主害物病人也. 但看与何时之气化与病同并, 则当消息
其宜而主治也. 若犯之而病者, 更与不及之年, 廓空之月, 重感于邪
,则其证必重而不轻也.
17.木曰敷和火升明. 土曰备化金审平, 水曰静顺皆平运, 太过木运
曰发生, 火曰赫曦土敦阜, 水曰流衍金坚成; 不及委和伏明共, 卑监
从革涸流名.
【注】太过被抑, 不及得助, 皆曰平运. 木名敷和, 敷布和气生万物
也.火名升明, 阳性上升, 其德明也. 土名备化, 土母万物, 无不化
也.金名审平, 金审而平, 无妄刑也. 水名静顺, 体静性顺, 喜安澜
也.甲, 丙, 戊, 庚, 壬阳年, 皆曰太过之运, 木名发生, 木气有余
,发生盛也; 火名赫曦, 炎阳光盛也; 土名敦阜, 敦厚高阜, 土尤盛
也;金名坚成, 坚则成物, 金有余也; 水名流衍, 水气太过, 流漫衍
也.乙, 丁, 己, 辛, 癸阴年, 皆曰不及之运, 木名委和, 和气委弱
,发生少也; 火名伏明, 火德不彰, 光明伏地; 土名卑监, 土气不及
,化卑监也; 金名从革, 金气不及, 从火革也; 水名涸流, 水气不及
,涸其流也.
16. 识别五运的寒热温凉之正气，审察六气加临的太过、不及与平和。若六气大至则皆化为邪气，五运失和则灾害疾病产生。运气微弱或强盛若非其时突然到来，需观察其与何时之气化相合并，若再遇到年虚月空之时，双重感受邪气，则证候严重而不轻浅。
【注】“运”指五运，主司四时，在天有寒热温凉的正常时令，在地有生、长、收、藏的正常气化。“气”指六气，主司六步（一年分六步），在主气方面有风、热、火、湿、燥、寒固定的常候，在客气方面有六气加临的太过、不及、平和的不同应验。凡是五运六气的到来，应时而至，没有微弱或强盛且调和的，都称为平气。即使应时而至，但如果六气大至，或五运微弱或强盛，或来到非其时的季节，或突然到来，都是邪化失和的不平之气，主要危害万物和病人。只需看它与何时之气化与病证同时并见，就应当斟酌适宜之法而主治。如果触犯它而生病的人，又遇到不及之年、廓空之月，双重感受邪气，那么他的证候必然严重而不轻浅。
17. 木运称为敷和，火运称为升明。土运称为备化，金运称为审平，水运称为静顺，这些都是平运。太过之木运称为发生，火运称为赫曦，土运称为敦阜，水运称为流衍，金运称为坚成；不及之木运称为委和，火运称为伏明，土运称为卑监，金运称为从革，水运称为涸流。
【注】太过而被抑制，或不及而得到助益，都称为平运。木名为敷和，是布散和气以生养万物。火名为升明，阳性上升，其德性为光明。土名为备化，土为万物之母，无不化育。金名为审平，金气审慎而平定，不妄行刑罚。水名为静顺，体性安静顺从，喜欢波澜不惊。甲、丙、戊、庚、壬为阳年，都称为太过之运：木名为发生，木气有余，发生旺盛；火名为赫曦，炎阳光盛；土名为敦阜，敦厚高阜，土气尤其旺盛；金名为坚成，坚硬则能成物，金气有余；水名为流衍，水气太过，流漫衍溢。乙、丁、己、辛、癸为阴年，都称为不及之运：木名为委和，和气委弱，发生稀少；火名为伏明，火德不彰显，光明潜伏于地；土名为卑监，土气不及，化育卑微受监；金名为从革，金气不及，随火而变革；水名为涸流，水气不及，水流枯竭。
16. Identify the correct Qi of cold, heat, warmth, and coolness of the Five Movements (Wu Yun); examine the superimposition of the Six Qi (Liu Qi) for excess, deficiency, and peace. If the Six Qi arrive in great force, they all transform into pathogenic factors; if the Five Movements lose harmony, disasters and diseases arise. When the movements are weak or strong and arrive suddenly out of season, observe which seasonal Qi transformation they coincide with. If encountered simultaneously with a deficient year and an empty month, and subject to double pathogenic invasion, the syndrome will be severe and not light.
[Note] "Movement" refers to the Five Movements, governing the four seasons. In heaven, there are the correct commands of cold, heat, warmth, and coolness; on earth, there are the correct transformations of growth, flourishing, harvesting, and storing. "Qi" refers to the Six Qi, governing the six steps. As the dominant Qi, there are the fixed normal patterns of wind, heat, fire, dampness, dryness, and cold. As the superimposed Qi, there are different responses of excess, deficiency, and peace in the superimposition of the Six Qi. Whenever the Five Movements and Six Qi arrive, if they come in due season without being weak or strong and are harmonious, they are all called Peaceful Qi (Ping Qi). Even if they arrive in due season, if the Six Qi arrive in great force, or the Five Movements are weak or strong, or they arrive at an inappropriate time, or arrive suddenly, these are all pathogenic transformations, unharmonious, and unpeaceful Qi, which primarily harm things and people. One only needs to see with which seasonal Qi transformation the disease coincides, and then carefully consider the appropriate treatment to govern it. If one contracts illness by violating this, and further encounters a year of deficiency and a month of emptiness, suffering from double pathogenic invasion, then the syndrome will inevitably be severe and not light.
17. Wood is called Fuhe (Spreading Harmony), Fire is called Shengming (Ascending Brightness). Earth is called Beihua (Complete Transformation), Metal is called Shenping (Judicious Peace), Water is called Jingshun (Quiet Obedience); these are all Peaceful Movements (Ping Yun). The Excess Wood Movement is called Fasheng (Promoting Growth), Fire is called Hexi (Blazing Radiance), Earth is called Dunfu (Thick Mound), Water is called Liuyan (Flowing Overflow), Metal is called Jiancheng (Firm Completion); the Deficient Wood Movement is called Weihe (Withered Harmony), Fire is called Fuming (Hidden Light), Earth is called Beijian (Low Supervision), Metal is called Congge (Following Change), Water is called Helou (Dried Stream).
[Note] Excess that is suppressed, or deficiency that is assisted, are both called Peaceful Movements. Wood is named Fuhe, spreading harmonious Qi to generate all things. Fire is named Shengming, its nature is ascending, and its virtue is brightness. Earth is named Beihua, Earth is the mother of all things, transforming everything without exception. Metal is named Shenping, Metal is judicious and peaceful, not executing punishment recklessly. Water is named Jingshun, its body is quiet and its nature is obedient, preferring calm waves. Jia, Bing, Wu, Geng, Ren are Yang years, all called Movements of Excess: Wood is named Fasheng, Wood Qi is excessive, promoting growth vigorously; Fire is named Hexi, flame and sunlight are abundant; Earth is named Dunfu, thick and high mounds, Earth Qi is particularly abundant; Metal is named Jiancheng, firmness completes things, Metal Qi is excessive; Water is named Liuyan, Water Qi is excessive, flowing and overflowing. Yi, Ding, Ji, Xin, Gui are Yin years, all called Movements of Deficiency: Wood is named Weihe, harmonious Qi is weak, promotion of growth is scarce; Fire is named Fuming, Fire's virtue is not manifest, light is hidden on the ground; Earth is named Beijian, Earth Qi is deficient, transformation is low and supervised; Metal is named Congge, Metal Qi is deficient, following Fire to change; Water is named Helou, Water Qi is deficient, drying up its flow.