病如不是当年气。看与何年运气同。便向某年求活法。方知都在至真中。
夫六化六变。胜复淫治。不可纲纪。六气所至。和平暄埃。炎暑清劲。时化之常。璺启舒荣
。圆盈行出。庚仓藏敛。司化之常。风雨雾露。形见蕃鲜。生长收藏。气化之常。六气生终
。寒温溽润。毛羽 介。鳞生羽化。皆谓生成。德化之常。生荣濡茂。坚藏之谓。布政之常
。大凉骤注。燔燎散落。自埃水雹。气变之常。高明光显。沉阴暝晦。劲切凄鸣。坚芒刚固
。令行之常。为病里急。疡疼身热。积饮痞隔。嚏呕疮疡。浮虚身肿。病形之常。肢痛惊惑
。恶寒战栗。谵妄惊躁。瞀时蓄满。尻膝 病。病内之常。 (音备)戾悲妄。衄 呕涌。霍
乱吐下。喉闭耳鸣。皴揭寝汗。经病之常。胁痛呕泄。语笔重 。暴注 。流注禁止。病
主之常。凡十二变。报德以德。报化以化。报政以政。报令以令。气高则高。气下则下。气
后则后。气前则前。气中则中。气外则外。位之常也。风胜则动。热胜则肿。燥胜则干。寒
盛则浮。湿胜濡泄。甚则变病。水闭腑肿。随气所在。以言其变。六气之用。各
归不胜。而故为化。太阴雨化。施于太阳。太阳寒化。施于少阴。少阴热化。施于阳明。阳
明燥化。施于厥阴。厥阴风化。施于太阴。各命所在。征兆之耳。
疾病的表现如果不是当年的运气特征，就要观察它与哪一年的运气相同。便向那一年寻求活法（灵活的治疗法则），才知道道理都在《黄帝内经·素问·至真要大论》之中。
六气正常的化生与异常的变易，胜气、复气以及过度偏盛的治理，纷繁复杂，难以用简单的纲纪来统摄。六气所至，带来平和温暖或尘埃弥漫；炎热暑气或清凉劲风，这是时令变化的常态。裂缝开启、舒展繁荣；圆满充盈、运行出现；秋季庚金主事时的仓廪收藏与收敛，这是司天在泉之气的正常化育。风雨雾露显现，万物形态繁茂鲜艳；生长、收获、闭藏，这是气化的常态。六气贯穿生命的始终，寒温燥湿使得毛羽介鳞等生物得以生成和变化，都称为生成的常态。生机繁荣、滋润茂盛，坚固封藏，这是布政（五行之气施政）的常态。大凉突然降临，如火焚烧般散落，伴随尘埃、雨水、冰雹，这是气变的常态。高明光显，沉阴昏暗，劲急凄厉之声，坚硬芒刺刚强稳固，这是令行（五运之气行使命令）的常态。
作为疾病表现：腹中拘急、疮疡疼痛、身体发热、水饮积聚、痞满阻隔、喷嚏呕吐、疮疡、脉浮虚、身体浮肿，这是病形的常态。肢体疼痛、惊恐迷惑、恶寒战栗、胡言乱语、惊厥躁动、视物模糊、蓄积胀满、尻部及膝部病变，这是病在体内的常态。（音备，指乖戾之气）乖戾、悲伤妄乱、鼻出血、呕吐涌逆、霍乱吐泻、喉部闭塞、耳鸣、皮肤皴裂脱屑、盗汗，这是经脉病变的常态。胁痛、呕吐泄泻、言语迟钝沉重、暴注下迫、流注、二便禁止，这是病主（病邪主要所在）的常态。
凡是十二种变易，以德报德，以化报化，以政报政，以令报令。气高则病位高，气下则病位下，气后则病位后，气前则病位前，气中则病位中，气外则病位外，这是位置固定的常态。风胜则导致动摇，热胜则导致肿胀，燥胜则导致干燥，寒盛则导致浮肿，湿胜则导致濡泄，严重时会发生变病，如水液闭阻、腑脏肿胀。随着气所在的部位不同，以此来说明其变化。六气的作用，各自归于其所不胜（即被克制的对象），从而产生相应的化生。太阴脾土的雨化，施加于太阳寒水；太阳寒水的寒化，施加于少阴君火；少阴君火的热化，施加于阳明燥金；阳明燥金的燥化，施加于厥阴风木；厥阴风木的风化，施加于太阴湿土。各自命定所在，只是征兆罢了。
If the manifestation of the disease does not correspond to the Qi of the current year, observe which year's Yunqi (Luck and Qi) it resembles. Seek the flexible treatment method from that year, and you will realize that all principles lie within the *Zhi Zhen Yao Lun* (Treatise on the Most Essential Truths).
The normal transformation and abnormal variation of the Six Qi, along with the Winning Qi (Sheng), Repaying Qi (Fu), and excessive influence, are complex and cannot be easily governed by simple principles. When the Six Qi arrive, they bring peace, warmth, or dust; intense heat or cool wind—these are the constants of seasonal transformation. Cracks open, expansion flourishes; fullness盈 (completeness) emerges and moves; storage and收敛 (contraction) under the governance of Geng Metal—are the constants of the transformative functions. Wind, rain, fog, and dew appear, shapes become lush and fresh; growth, harvest, and storage are the constants of Qi transformation. The Six Qi generate and conclude life; cold, warmth, humidity, and dryness allow fur, feathers, shells, and scales to grow and transform—all constitute the constants of generation. Vitality flourishes, nourishment thrives, firmness stores—this is the constant of administering policies (the governance of the Five Elements). Sudden great coolness pours down, burning and scattering, accompanied by dust, water, and hail—this is the constant of Qi variation. High brightness and clarity, deep yin darkness, sharp and desolate sounds, hard, sharp, and rigid solidity—this is the constant of executing orders (the execution of the Five Movements).
As manifestations of disease: abdominal urgency, sores and pain, body heat, accumulation of fluids, stagnation and obstruction, sneezing, vomiting, sores and ulcers, floating and deficient pulse, bodily edema—these are the constants of disease forms. Limb pain, fright and confusion, aversion to cold and shivering, delirium, convulsions and restlessness, visual obscuration, accumulation and fullness, diseases of the sacrum and knees—these are the constants of internal diseases. Perverse Qi, sadness and madness, epistaxis, vomiting and rushing upward, cholera-like vomiting and diarrhea, throat closure, tinnitus, skin cracking and peeling, nocturnal sweating—these are the constants of meridian diseases. Hypochondriac pain, vomiting and diarrhea, heavy speech, sudden violent diarrhea, flowing accumulation, prohibition of flow and excretion—these are the constants of the main disease location.
Regarding the twelve variations: virtue is repaid with virtue, transformation with transformation, policy with policy, order with order. If Qi is high, the pathology is high; if Qi is low, the pathology is low; if Qi is posterior, the pathology is posterior; if Qi is anterior, the pathology is anterior; if Qi is central, the pathology is central; if Qi is exterior, the pathology is exterior. This is the constancy of position. Excess Wind causes movement; excess Heat causes swelling; excess Dryness causes dryness; excess Cold causes edema; excess Dampness causes loose stools; in severe cases, pathological changes occur, such as fluid retention and organ swelling. Depending on where the Qi resides, one can describe its variations. The function of the Six Qi returns to what it overcomes (is overcome by), thereby generating specific transformations. Taiyin's Rain Transformation applies to Taiyang; Taiyang's Cold Transformation applies to Shaoyin; Shaoyin's Heat Transformation applies to Yangming; Yangming's Dryness Transformation applies to Jueyin; Jueyin's Wind Transformation applies to Taiyin. Each is destined to its location, serving merely as signs.