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太阴湿土司天,太阳寒水在泉,中见少商金运,岁金不及,气化营运后天,湿化在上,
地气上腾,左少阳明化,右少阴灼化,其政肃,咸化在下,天气下降,左厥阴动化,右司气
素化,其令寂,阴专其政,阳气退辟,大风时起,原野昏 ,白埃四起,云奔南极,寒雨数
至,物成于差夏,湿寒合德,黄黑埃昏,流行气交,上应镇星辰星,其谷 玄,间谷命太角
者,热化寒化胜复同,所谓邪气化日也。湿化五,清化四,寒化六,所谓正化日也, 虫静
,鳞虫育,是谓岁物所宜,羽虫耗,热毒不生,是乃地气所制,故阴凝于上,寒积于下,寒
水胜火,则为冰雹,阳光不治,杀气乃行,有余宜高,不及宜下,有余宜晚,不及宜早,土
之利气之化也。民气亦从之,其病寒湿、腹满、身 愤、 肿、痞逆、寒厥拘急,土为天
气,水为地气,土胜水,天气盈,地气虚,当取化源,以平土气,金运在中,天气生运,运
生地气,三气相得,其化顺,邪气乃微,必益其岁气,无使邪胜,食 玄之谷,以全其真,
食间气之谷,以保其精,岁宜以苦燥之温之,甚者发之泄之,不发不泄,则湿气外溢,肉溃
皮拆而水血交流,必赞其阳火,令御甚寒,岁运同寒,宜以热化,其化上苦热,中酸和,下
甘热,所谓药食宜也,岁半以前,太阴主之,若湿淫所胜,则沉阴且布,雨变枯槁, 肿骨
痛阴痹,阴痹者按之不得,腰脊头项痛,时眩,大便难,阴气不用,饥不欲食,咳唾则有血
,心如悬,病本于肾,诊在足太溪之脉,其法平以苦热,佐以酸辛,以苦燥之,以淡泄之,
岁半以后,太阳主之,若寒淫于内,则凝肃惨栗,民病少腹控睾,引腰脊,上冲心痛,血见
嗌痛颔肿,其法治以甘热,佐以苦辛,以咸泻之,以辛润之,以苦坚之,岁运之化,金不及
,纪曰从革,是谓折收,收气乃后,生气乃扬,长化合德,火政乃宣,庶类以蕃,其气扬,
其用躁切,其动铿禁瞀厥,其发咳喘,其化兼所不胜,其病嚏、咳、鼽、衄,候其气者,夏
有光显郁蒸之令,则冬有严凝整肃之应,若夏有炎烁燔燎之变,则秋有冰雹霜雪之复,其眚
西,其藏肺,其病内舍膺胁肩背,外在皮毛,所谓岁金不及,民病肩背瞀重、鼽、嚏,血便
注下,收气乃后,复则寒雨暴至、乃零冰雹,霜雪杀物,阴厥且格,阳反上行,头脑户痛,
延及囟顶,发热口疮,甚则心痛。初之气,自甲午年大寒日亥初,至是岁春分日酉初,凡六
十日八十七刻半,主位太角木,客气厥阴木,中见金运,木当其位,地气迁,寒乃去,春气
正,风乃来,生布万物以荣,民气条舒,风湿相搏,雨乃后,民病血溢筋络拘强,关节不利
,身重筋痿,宜调厥阴之客,以辛补之,以酸泻之,以甘缓之,岁谷宜 ,间谷宜稻,虽有
风化,不能为邪。二之气,自春分日酉正,至小满日未正,凡六十日有奇,主位少征火,客
气少阴火,中见金运,二火得位而胜金运,大火正,物承化,民乃和,其病温厉盛行,远近
咸若,湿蒸相搏,雨乃时降,宜调少阴之客,以咸补之,以甘泻之,以酸收之,岁谷宜 ,
间谷宜豆,虽有热化,不能为邪。三之气,自小满日申初,至大暑日午初,凡六十日有奇,
主位少征火,客气太阴土,中见金运,火生土,天政布,湿气降,地气腾,雨乃时降,寒乃
随之,感于寒湿,民病身重 肿胸腹满,宜治太阴之客,以甘补之,以苦泻之,以甘缓之,
岁谷宜 ,间谷宜麻,虽有湿邪,不能为害。四之气,自大暑日午正,至秋分日辰正,凡六
十日有奇,主位太宫土,客气少阳火,中见金运,火胜金,畏火临,溽蒸化,地气腾,天气
否隔,寒风晓暮,蒸热相搏,草木凝烟,湿化不流,则白露阴布以成秋令,民病腠理热,血
暴溢,疟心腹满热胪胀,甚则 肿,宜治少阳之客,以咸补之,以甘泻之,以咸 之,岁谷
宜玄,间谷宜豆,虽有火邪,不能为害。五之气,自秋分日巳初,至小雪日卯初,凡六十日
有奇,主位少商金,客气阳明金,中见金运,气与运同,又得其位,惨令已行,寒露下,霜
乃早降,草木黄落,寒气及体,君子周密,民病皮腠,宜调阳明之客,以酸补之,以辛泻之
,以苦泄之,岁谷宜玄,间谷宜黍,虽有燥化,不能为邪,是气也。司气以凉,用凉无犯。
终之气,自小雪日卯正,至大寒日丑正,凡六十日有奇,主位太羽水,客气太阳水,中见金
运,金生水,寒大举,湿大化,霜乃积,阴乃凝,水坚冰,阳光不治,感于寒则病患关节禁
固腰 痛,寒湿持于气交而为疾也。宜调太阳之客,以苦补之,以咸泻之,以苦坚之,以辛
润之,岁谷宜玄,间谷宜稷,虽有寒化,不能为邪,岁气之交,湿胜则厥阴复之,寒胜则太
阴复之,观其气至而致其治,湿者燥之,寒者热之,温者清之,其气乃平,治之大体也。
乙未年运气图
太阴湿土之气主管上半年(司天),太阳寒水之气主管下半年(在泉),中运为少商金运。由于岁金不足,气候与物候的正常运行滞后于天时。湿气在上空弥漫,地气向上蒸腾;左侧表现为少阳相火的化生,右侧表现为少阴君火的灼热。其政令肃杀,咸味之气在下部显现,天气下降;左侧厥阴风木发动化生,右侧客气素问中的“素化”(指正常的气候变化)显现,其令寂静。阴气专权,阳气退避,大风时常刮起,原野昏暗,白色尘埃四起,云层奔涌向南极移动,寒冷雨水频繁降临,万物在夏季后期才成熟。湿与寒共同作用,黄黑尘埃昏暗不明,气流在天地之间流行,上应镇星(土星)和辰星(水星)。对应的谷物颜色为黑,间谷中属太角(木运)者,因热化与寒化的胜复作用相同,被称为邪气化日。湿化数为五,清化数为四,寒化数为六,这被称为正化日。羽虫安静,鳞虫繁育,这是该年适宜的生物特性;羽虫消耗,热毒不生,这是地气制约的结果。因此,阴气凝结于上,寒气积聚于下,寒水克制火气,则出现冰雹;阳光不能发挥作用,肃杀之气便行施。有余之年宜在高处,不及之年宜在低处;有余之年宜晚种,不及之年宜早种,这是利用土的利导作用和气的化生规律。民众的气机也顺应这一变化。常见的疾病有寒湿、腹部胀满、身体沉重愤闷、浮肿、痞塞逆气、寒厥拘急等。土代表天气,水代表地气,土胜则天气充盈,水虚则地气衰弱,应当取法化源,以平抑土气。金运居中,天气生助中运,中运生助地气,三气相得,气化顺利,邪气就会微弱。必须补益当年的岁气,不让邪气占上风。食用黑色的谷物,以保全真气;食用间气的谷物,以保养精气。本年治疗适宜用苦味燥湿、温性散寒的方法;病情严重的,用发汗或泄下的方法。如果不发汗也不泄下,湿气就会外溢,导致肌肉溃烂、皮肤破裂而水血交流。必须赞助阳火的力量,以抵御严寒。岁运同寒,适宜用热性药物。药物的气味配伍:上部用苦热,中部用酸和,下部用甘热,这就是药食适宜的法则。
上半年由太阴湿土主事。如果湿气过盛,则沉阴之气布散,雨水变化导致草木枯槁。症状包括浮肿、骨痛、阴痹(阴分痹证)。所谓阴痹,是按压时感觉不到疼痛,伴有腰脊、头项疼痛,时常眩晕,大便困难,阴气不用,饥饿但不想进食,咳唾带血,心中空虚如悬,病本在于肾。诊察部位在足太溪脉。治疗方法是用苦热之品平治,佐以酸辛,用苦味燥湿,用淡味渗泄。
下半年由太阳寒水主事。如果寒气内盛,则凝肃惨栗。民众病症有小腹牵引睾丸,牵连腰脊,向上冲击心痛,出血,咽喉痛,下颌肿。治疗方法用甘热之品,佐以苦辛,用咸味泻之,用辛味润之,用苦味坚之。
岁运金气不足,纪名为从革,称为折收。收敛之气推迟,生发之气张扬,长养之气与之合德,火政得以宣通,万物繁茂。其气上扬,其用躁切,其动表现为铿禁、瞀厥,其发作表现为咳嗽气喘。其化兼有所不胜之气的影响。病症表现为喷嚏、咳嗽、鼻塞、鼻衄。观察其气,如果夏天有光显郁蒸的命令,冬天就会有严凝整肃的回应;如果夏天有炎烁燔燎的变化,秋天就会有冰雹霜雪的报复。其灾应在西方,其脏对应肺。病在内则舍于膺胁肩背,在外则涉及皮毛。所谓岁金不足,民众病症为肩背沉重、鼻塞、喷嚏,便血腹泻。收敛之气推迟,报复之气则为寒雨暴至,降下冰雹,霜雪杀伤万物。阴气厥逆且格拒,阳气反而上行,导致头脑后部疼痛,延及囟顶,发热,口疮,严重时心痛。
初之气,自甲午年大寒日亥初,至本年春分日酉初,共六十日八十七刻半。主位为太角木,客气为厥阴木,中见金运。木当其位,地气迁移,寒气消退,春气正当,风气到来,生机布散,万物繁荣。民众气机条达舒畅,风湿相搏,雨水稍后。民众病症为血溢、筋络拘强、关节不利、身体沉重、筋痿。适宜调理厥阴客气,用辛味补之,酸味泻之,甘味缓之。岁谷宜黑色,间谷宜稻米。虽有风化,但不能成为邪气。
二之气,自春分日酉正,至小满日未正,共六十日有余。主位为少征火,客气为少阴火,中见金运。二火得位而胜过金运,大火正当时令,万物承受化育,民众平和。其病为温厉盛行,远近皆然。湿蒸相搏,雨水适时降落。适宜调理少阴客气,用咸味补之,甘味泻之,酸味收之。岁谷宜黑色,间谷宜豆类。虽有热化,但不能成为邪气。
三之气,自小满日申初,至大暑日午初,共六十日有余。主位为少征火,客气为太阴土,中见金运。火生土,天政布散,湿气下降,地气上升,雨水适时降落,寒气随之而来。感受寒湿,民众病症为身体沉重、浮肿、胸腹胀满。适宜治疗太阴客气,用甘味补之,苦味泻之,甘味缓之。岁谷宜黑色,间谷宜芝麻。虽有湿邪,但不能为害。
四之气,自大暑日午正,至秋分日辰正,共六十日有余。主位为太宫土,客气为少阳火,中见金运。火胜金,畏火临,溽蒸化生,地气上升,天气阻隔,寒风早晚吹拂,蒸热相搏,草木凝烟,湿气不流,则白露阴布以成秋令。民众病症为腠理热,血液暴溢,疟疾,心腹胀满,热胪胀,严重时浮肿。适宜治疗少阳客气,用咸味补之,甘味泻之,用咸味...(原文此处似有缺字,依上下文推测可能为“软”或类似含义,但按规则不增添,故略去或保留语境),岁谷宜黑色,间谷宜豆类。虽有火邪,但不能为害。
五之气,自秋分日巳初,至小雪日卯初,共六十日有余。主位为少商金,客气为阳明金,中见金运。气与运同,又得其位,惨烈之令已行,寒露下降,霜早早降落,草木黄落,寒气及体,君子周密,民众病症为皮腠不适。适宜调理阳明客气,用酸味补之,辛味泻之,苦味泄之。岁谷宜黑色,间谷宜黍米。虽有燥化,但不能成为邪气。此气,司气以凉,用凉无犯。
终之气,自小雪日卯正,至大寒日丑正,共六十日有余。主位为太羽水,客气为太阳水,中见金运。金生水,寒气大举,湿气大化,霜积,阴凝,水坚冰,阳光不治。感受寒气则病患关节禁固、腰痛。寒湿持于气交而为疾。适宜调理太阳客气,用苦味补之,咸味泻之,苦味坚之,辛味润之。岁谷宜黑色,间谷宜稷米。虽有寒化,但不能成为邪气。
岁气之交,湿胜则厥阴复之,寒胜则太阴复之。观察其气至而实施治疗,湿者燥之,寒者热之,温者清之,其气乃平,这是治疗的总体原则。
Figure of the Yiwu Year's Qi and Yun
Taiyin Wet Earth governs as the Supreme Qi (Si Tian), Taiyang Cold Water governs as the Subterranean Qi (Zai Quan), and the Central Movement is Shaoshang Metal. Due to the deficiency of the year's Metal, the climate and physiological operations lag behind the heavenly timing. Wetness diffuses above, while earthly qi rises upward; on the left, Shaoyang Ministerial Fire transforms, and on the right, Shaoyin Sovereign Fire scorches. Its administration is solemn, with Salty transformations below; heavenly qi descends; on the left, Jueyin Wind Wood activates transformation, and on the right, the guest qi exhibits normal transformation (Su Hua), its command being silent. Yin exclusively holds power, while Yang retreats; great winds arise frequently, the plains grow dim, white dust rises in all directions, clouds surge toward the south pole, cold rains arrive often, and objects mature late in summer. Wetness and Cold combine their virtues, causing yellow-black dust to darken the air; flowing qi intersects between heaven and earth, corresponding above to Zhenxing (Saturn) and Chenxing (Mercury). The grains are black. The inter-grains designated as Taijiao (Wood movement) experience similar victories and reversals of Heat and Cold transformations, known as days of evil qi transformation. The number for Wet transformation is five, for Clear transformation is four, and for Cold transformation is six; these are known as days of orthodox transformation. Feathered creatures are quiet, scaled creatures breed; this is what suits the year's matters. Feathered creatures diminish, heat toxins do not generate; this is restrained by earthly qi. Thus, Yin condenses above, Cold accumulates below. When Cold Water overcomes Fire, hail occurs; when sunlight fails to function, killing qi prevails. For excess years, high places are suitable; for deficient years, low places are suitable. For excess years, late planting is suitable; for deficient years, early planting is suitable; this utilizes the benefit of Earth and the transformation of Qi. The people's qi also follows this. Diseases include Cold-Dampness, abdominal fullness, body heaviness and irritability, edema, stuffiness and rebellion, cold jue with cramping. Earth represents heavenly qi, Water represents earthly qi. When Earth overcomes Water, heavenly qi is abundant, and earthly qi is deficient. One should seek the source of transformation to level Earth qi. Metal movement is in the center; heavenly qi generates movement, and movement generates earthly qi. The three qi harmonize, transformation proceeds smoothly, and evil qi becomes slight. One must supplement the year's qi to prevent evil from prevailing. Eat black grains to preserve true qi; eat inter-qi grains to protect essence. For this year, treatment should use Bitter to dry and Warm to disperse. For severe cases, use diaphoresis or purgation. If neither diaphoresis nor purgation is used, dampness will overflow externally, leading to muscle ulceration, skin splitting, and mixing of water and blood. One must assist Yang fire to resist severe cold. Since the annual movement shares Cold, it is suitable to use Hot transformations. The appropriate medicinal properties are: Upper part uses Bitter-Hot, Middle part uses Sour-Mild, Lower part uses Sweet-Hot. This is the suitability of medicine and food.
Before the middle of the year, Taiyin governs. If Dampness excessively wins, deep Yin spreads, rain changes cause withering. Symptoms include edema, bone pain, Yin Bi (Yin obstruction). Yin Bi refers to pain that cannot be elicited by pressure, accompanied by pain in the lower back, spine, head, and neck, occasional vertigo, difficulty in defecation, dysfunction of Yin qi, hunger without desire to eat, hemoptysis, a feeling of emptiness in the heart like hanging, with the root of the disease in the Kidney. Diagnosis focuses on the pulse at Foot Taixi. The method is to level with Bitter-Hot, assist with Sour-Acrid, use Bitter to dry, and use Acrid to drain.
After the middle of the year, Taiyang governs. If Cold invades internally, there is congealing, solemnity, and shivering. People suffer from lower abdomen pulling to the testicles, connecting to the waist and spine, upward rushing heart pain, bleeding, throat pain, and submandibular swelling. Treatment uses Sweet-Hot, assisted by Bitter-Acrid, using Salty to purge, Acrid to moisten, and Bitter to firm.
The annual movement of Metal is deficient, recorded as Conge and, called Zhe Shou (breaking harvest). The gathering qi is delayed, the generating qi expands, the long-growing virtue combines, Fire administration is declared, and myriad species flourish. Its qi rises, its use is restless and sharp, its movement involves Jing Jin and Mao Jue, its onset involves cough and wheezing. Its transformation involves the element it does not overcome. Diseases include sneezing, coughing, nasal congestion, and epistaxis. Observing its qi: if Summer has the command of luminous oppression and steaming, Winter will have the response of strict congealment and solemnity. If Summer has changes of scorching burning, Autumn will have retaliation of hail and frost-snow. The disaster is in the West, the organ is Lung. Internally, it resides in the chest, hypochondrium, shoulders, and back; externally, it affects the skin and hair. Due to deficient Metal, people suffer from shoulder/back heaviness, nasal congestion, sneezing, bloody diarrhea. Gathering qi is delayed; retaliation brings sudden cold rain, hail, frost, and snow killing plants. Yin jue and gridlock occur, Yang counter-rises, causing pain in the head and vertex, fever, mouth ulcers, and in severe cases, heart pain.
First Qi: From Hai hour of Da Han day in Jiawu year to You hour of Chun Fen day in this year, 60 days and 87.5 ke. Main position is Taijiao Wood, Guest qi is Jueyin Wood, central sees Metal movement. Wood occupies its position, earthly qi shifts, cold departs, spring qi is correct, wind arrives, life spreads, things flourish. People's qi is smooth and comfortable. Wind and Damp contend, rain is delayed. People suffer from blood overflow, tendon network stiffness, joint disadvantage, body heaviness, and tendon flaccidity. It is suitable to regulate Jueyin guest qi: tonify with Acrid, drain with Sour, soothe with Sweet. Annual grain should be black, inter-grain should be rice. Although wind exists, it cannot become evil.
Second Qi: From You hour of Chun Fen day to Wei hour of Xiao Man day, 60+ days. Main position is Shaozheng Fire, Guest qi is Shaoyin Fire, central sees Metal movement. Two Fires occupy positions and overcome Metal movement. Great Fire is correct, things receive transformation, people are harmonious. Epidemic febrile diseases prevail widely. Dampness and steaming contend, rain falls timely. Suitable to regulate Shaoyin guest qi: tonify with Salty, drain with Sweet, collect with Sour. Annual grain should be black, inter-grain should be beans. Although heat transformation exists, it cannot become evil.
Third Qi: From Shen hour of Xiao Man day to Wu hour of Da Shu day, 60+ days. Main position is Shaozheng Fire, Guest qi is Taiyin Earth, central sees Metal movement. Fire generates Earth, heavenly administration spreads, dampness descends, earthly qi rises, rain falls timely, cold follows. Contracting Cold-Damp, people suffer from body heaviness, edema, chest/abdominal fullness. Suitable to treat Taiyin guest qi: tonify with Sweet, drain with Bitter, soothe with Sweet. Annual grain should be black, inter-grain should be sesame. Although damp evil exists, it cannot harm.
Fourth Qi: From Wu hour of Da Shu day to Chen hour of Qiu Fen day, 60+ days. Main position is Taigong Earth, Guest qi is Shaoyang Fire, central sees Metal movement. Fire overcomes Metal, Feared Fire arrives, humid steaming transforms, earthly qi rises, heavenly qi is blocked, cold wind blows morning and evening, steaming heat contends, grass/trees condense smoke, dampness does not flow, thus white dew spreads yin to complete autumn command. People suffer from pore heat, sudden blood overflow, malaria, heart/abdominal fullness, hot distension, severe cases edema. Suitable to treat Shaoyang guest qi: tonify with Salty, drain with Sweet... Annual grain should be black, inter-grain should be beans. Although fire evil exists, it cannot harm.
Fifth Qi: From Si hour of Qiu Fen day to Mao hour of Xiao Xue day, 60+ days. Main position is Shaoshang Metal, Guest qi is Yangming Metal, central sees Metal movement. Qi matches movement, occupying its position. Severe command acts, cold dew descends, frost falls early, grass/trees yellow/fall, cold reaches body, gentlemen are careful, people suffer from skin/pore issues. Suitable to regulate Yangming guest qi: tonify with Sour, drain with Acrid, drain with Bitter. Annual grain should be black, inter-grain should be millet. Although dryness transformation exists, it cannot become evil. This qi, administrative qi is Cool, use Cool without offending.
Final Qi: From Mao hour of Xiao Xue day to Chou hour of Da Han day, 60+ days. Main position is Taiyu Water, Guest qi is Taiyang Water, central sees Metal movement. Metal generates Water, cold rises greatly, dampness transforms greatly, frost accumulates, Yin condenses, water freezes hard, sunlight fails. Contracting cold causes joint rigidity and lower back pain. Cold-Damp persists in qi intersection causing disease. Suitable to regulate Taiyang guest qi: tonify with Bitter, drain with Salty, firm with Bitter, moisten with Acrid. Annual grain should be black, inter-grain should be broomcorn millet. Although cold transformation exists, it cannot become evil.
At the intersection of year qi, if Dampness wins, Jueyin retaliates; if Cold wins, Taiyin retaliates. Observe the arrival of qi and apply treatment: Dry the Damp, Warm the Cold, Clear the Warm. Then qi becomes balanced. This is the general principle of treatment.