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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
素化
至。
角者
静
寒水
土之利。气之化也。民气亦从之。其病寒湿腹满。身 。 肿痞逆。寒厥拘急。
土为天气。
水为地气。土胜水。天气盈。地气虚。当取水源。以平土气。金运在中。天气生
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
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
水血交流。必赞其阳火。令御甚寒。岁运同寒。宜以热化。上苦热。中酸和。下
药食宜也。岁半之前。太阴主之。若湿淫所胜。则沉阴且布。雨变枯槁。民病 肿。骨疼阴
痹。阴痹者
心如悬。病
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
痛肿。其法制以甘热。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。火政乃宜。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 肿。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
条
辛
分
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。寒风晓夜蒸热相搏。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。惨令巳行。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。用凉无犯司气之凉。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】
太阴湿土司天，太阳寒水在泉，中运为少商金运。岁金不及，气化运行滞后于天时。湿气在上（司天），寒气在下（在泉）。角木之气静守，顺应寒水与湿土之利，这是气化的规律。民众的生理状态也随此变化。易患寒湿导致的腹部胀满、身体浮肿痞塞、气逆、寒厥及肢体拘挛急迫等病证。
土代表天气（司天），水代表地气（在泉）。土胜则克水，导致天气盈实而地气虚弱。此时应当调理水源（肾水），以平衡过盛的土气。金运居中（中运），天气生助中运之气，三气（司天、在泉、中运）相得，气化顺遂，邪气微弱。必须补益当年的岁气，防止邪气亢盛。食用黑色谷物以保全精气。本年适宜用苦味药燥湿温阳；病情严重的，可用发汗或泄下法治疗。若不发汗不泄下，湿气就会外溢肌肤，导致肌肉水肿、水血互结。必须资助阳气之火，以抵御严寒。因岁运属金且同化寒气，宜用热性药物化解。上部治宜苦热，中部治宜酸和，下部用药食宜配合上述原则。
上半年由太阴湿土主事。若湿气淫胜，则沉阴之气布散，雨水过多导致草木枯槁。民众易患浮肿、骨痛、阴痹（阴经痹阻）。所谓阴痹，表现为心中悬空感、疼痛。
下半年由太阳寒水主事。若寒气淫盛于内，则气候凝肃惨烈。民众易患少腹牵引睾丸、牵连腰脊、向上冲撞心痛、咽喉肿痛出血等症状。治疗法则：以甘热药为主，佐以苦辛药，用咸味药泻之，用辛味药润之，用苦味药坚之。
岁运金不及，五音纪曰“从革”，称为“折收”（收敛之气推迟）。收敛之气滞后，生发之气便扬越。长夏化合之德得以彰显，火政得以适宜，万物繁茂。其气飞扬，其用躁动急切。其变动表现为声音铿锵、昏冒、厥逆。其发病可见咳嗽气喘。其气化兼夹所不胜之气（火克金，故兼火化）。其病症见喷嚏、咳嗽、鼻塞流涕、鼻衄。观察其气候征兆：若夏季有光明显现、郁热蒸腾之令，则冬季会有严冷整肃之应；若夏季有炎热灼烧燎原之变，则秋季会有冰雹霜雪的反常报复。其灾祸发生在西方，对应脏腑为肺。其病在内则留滞于胸膺、胁肋、肩背，在外则影响皮毛。这就是所说的岁金不及，民众出现肩背浮肿、鼻塞喷嚏、便血腹泻等症状。收敛之气推迟，复气则为寒雨暴至，零落冰雹，霜雪杀伤万物。阴寒厥逆格拒阳气，阳气反而上行至头部，导致脑户痛，延及囟顶，发热、口疮，严重则心痛。
初之气（自甲午年大寒日亥初至本岁春分日酉初，共六十日八十七刻半）：主位为太角木，客气为……（原文此处有缺漏/乱码，推测为相关客气），辛金之气分……（原文残缺）从而胜过金运。大火正令，万物承受化育，民众平和。但温厉之邪盛行，远近皆然。湿与热蒸搏结，雨水按时降下。适宜调理少阴之客气，以咸味补之，以甘味泻之，以酸味收之。岁谷宜黑色，间谷宜豆类。虽有热化，但不能成为邪害。
三之气（自小满日申初至大暑日午初，共六十余日）：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，雨水按时降下，寒气随之而来。感受寒湿，民众易患身体沉重浮肿、胸腹胀满。适宜治疗太阴之客气，以甘味补之，以苦味泻之，以甘味缓之。岁谷宜黑色，间谷宜麻子。虽有湿邪，不能为害。
四之气（自大暑日午正至秋分日辰正，共六十余日）：主位为太宫土，客气为少阳火，中见金运。火胜金，畏火临，溽热蒸发，地气上升，天气闭塞不通，寒风在早晚与蒸热相搏，草木凝结烟雾，湿气不流通，则白露阴布，成就秋令。民众易患腠理热、血液暴溢、疟疾、心腹胀满、发热、全身肿胀。严重者出现浮肿。适宜治疗少阳之客气，以咸味补之，以甘味泻之，以咸味……（原文残缺，通常指软坚或收敛）。岁谷宜黑色，间谷宜豆类。虽有火邪，不能为害。
五之气（自秋分日巳初至小雪日卯初，共六十余日）：主位为少商金，客气为阳明金，中见金运。气与运相同，又得其位，肃杀之令已行，寒露下降，霜早降，草木黄落。寒气及体，君子应周密防寒。民众易患皮肤腠理病变。适宜调理阳明之客气，以酸味补之，以辛味泻之，以苦味泄之。岁谷宜黑色，间谷宜黍米。虽有燥化，不能成为邪害。此气时节，司气以凉，使用凉性药物不要违背司气的凉性。
终之气（自小雪日卯正至大寒日丑正，共六十余日）：主位为太羽水，客气为太阳水，中见金运。金生水，寒气大兴，湿气大化，霜积，阴凝，水结成坚冰，阳光不治。感受寒气，则病患关节僵硬固着，腰痛。寒湿持留在气交之中而致病。适宜调理太阳之客气，以苦味补之，以咸味泻之，以苦味坚之，以辛味润之。岁谷宜黑色，间谷宜稷米。虽有寒化，不能成为邪害。
岁气交接之时，湿胜则厥阴风木来复，寒胜则太阴湿土来复。观察气至的情况而实施治疗。湿者燥之，寒者热之，温者清之，如此气机才能平复。这是治疗的总体原则。
[Diagram of the Yiwu Year's Climate and Pathogenesis]
Taiyin Damp-Earth governs the Heaven (Si Tian), Taiyang Cold-Water governs the Earth (Zai Quan), and the Central Movement is Shaoshang Metal. Since the Metal movement of the year is insufficient, the Qi transformation operates later than the celestial timing. Dampness transforms above (governing Heaven), and Cold transforms below (governing Earth). The Jue Wood Qi remains quiet, benefiting from the interaction of Cold Water and Wet Earth; this is the pattern of Qi transformation. The people's physiological state follows this. Diseases include abdominal fullness due to Cold-Damp, body swelling and痞 (obstruction), Qi rebellion, Cold Jue (reversal cold), and limb stiffness and cramping.
Earth represents the Heavenly Qi (Si Tian), and Water represents the Earthly Qi (Zai Quan). When Earth overcomes Water, the Heavenly Qi becomes excessive while the Earthly Qi becomes deficient. In such cases, one should regulate the source of Water (Kidney) to balance the excessive Earth. Metal movement resides in the center. The Heavenly Qi generates the Central Qi. The three Qi factors harmonize, leading to smooth transformation and minimal pathogenic influence. One must supplement the annual Qi to prevent pathogenic excess. Consuming black-colored grains preserves essence. For this year, bitter flavors should be used to dry dampness and warm the interior. For severe cases, diaphoretic or purgative methods may be employed. If neither sweating nor purging is applied, dampness will overflow externally, causing muscle edema and intermingling of water and blood. It is necessary to support Yang Fire to resist extreme cold. Since the annual movement shares the nature of cold, heat transformations are suitable. Upper treatments should use bitter-hot substances, middle treatments sour-harmonizing substances, and lower treatments food and medicine should align with these principles.
The first half of the year is governed by Taiyin Damp-Earth. If Dampness prevails excessively, heavy Yin Qi spreads, rain falls excessively causing vegetation to wither. People suffer from edema, bone pain, and Yin Bi (bi-syndrome of the Yin meridians). Yin Bi manifests as a sensation of the heart hanging empty and painful.
The second half of the year is governed by Taiyang Cold-Water. If Cold prevails internally, the climate becomes congealed, solemn, and chilling. People suffer from pain in the lower abdomen radiating to the testicles and lumbar spine, upward rushing heart pain, sore throat, swelling, and bleeding. The treatment method involves sweet-hot herbs as the main agents, assisted by bitter-acrid ones, using salty flavors to drain, acrid flavors to moisten, and bitter flavors to firm.
The annual movement is Metal deficiency, characterized by "Cong Ge" (following change), termed "Zhe Shou" (premature harvest/restriction delayed). The Restricting Qi is delayed, allowing the Generating Qi to rise. The virtue of Long Summer harmonization is manifested, and Fire administration is appropriate, leading to abundant growth. The Qi is expansive, its function restless and urgent. Its movements manifest as resonant sounds, dizziness, and Jue. Its diseases include cough and asthma. Its transformation combines with the element it cannot overcome (Fire overcomes Metal, so Fire characteristics appear). Symptoms include sneezing, coughing, nasal congestion, and epistaxis. Observing climatic signs: if summer has bright light and stifling heat, winter will have strict cold and order; if summer has scorching fire changes, autumn will have retaliatory hail, frost, and snow. The disaster occurs in the West, corresponding to the Lung organ. Internally, disease stays in the chest, hypochondrium, shoulders, and back; externally, it affects the skin and hair. This describes the consequences of insufficient Metal Qi: shoulder/back swelling, nasal symptoms, bloody stools, and diarrhea. The Restricting Qi is delayed, and the Rebounding Qi brings sudden cold rain, hail, and frost that kill vegetation. Yin Jue blocks Yang, causing Yang to reverse upward to the head, resulting in pain at Naohu (DU17) extending to the fontanelle, fever, mouth ulcers, and in severe cases, heart pain.
First Qi Period (from Hai hour of Da Han day in Jiawu year to You hour of Chun Fen day in the current year, 60 days and 87.5 ke): The Principal Position is Taijiao Wood. [Text fragmentary]. The Xin Metal Qi divides... thereby overcoming the Metal movement. The Great Fire is in command, objects undergo transformation, and people are peaceful. However, warm epidemics prevail widely. Dampness and heat contend, and rain falls on time. It is appropriate to regulate the Guest Qi of Shaoyin, tonifying with salty, draining with sweet, and astringing with sour. Annual grain should be black; intermittent grain should be beans. Although there is heat transformation, it does not become pathogenic.
Third Qi Period (from Shen hour of Xiao Man day to Wu hour of Da Shu day, over 60 days): The Principal Position is Shaozheng Fire. The Guest Qi is Taiyin Earth. The central movement is Metal. Fire generates Earth. Heavenly administration spreads, dampness descends, Earthly Qi rises, rain falls on time, and cold follows. Contracting Cold-Damp leads to heavy body, edema, and chest/abdominal fullness. Treat the Guest Qi of Taiyin by tonifying with sweet, draining with bitter, and relaxing with sweet. Annual grain should be black; intermittent grain should be hemp seeds. Although dampness exists, it causes no harm.
Fourth Qi Period (from Wu zheng of Da Shu day to Chen zheng of Qiu Fen day, over 60 days): The Principal Position is Taigong Earth. The Guest Qi is Shaoyang Fire. The central movement is Metal. Fire overcomes Metal. With the arrival of Fearful Fire (Fire controlling Metal), humid heat evaporates, Earthly Qi rises, and Heavenly Qi is blocked. Cold wind in the morning and evening contends with steaming heat, causing grass and trees to condense smoke. Dampness does not flow, so white dew spreads yin, establishing the Autumn command. People suffer from hot pores, sudden blood extravasation, malaria, abdominal fullness, fever, and general distension. Severe cases involve swelling. Treat the Guest Qi of Shaoyang by tonifying with salty, draining with sweet, and [text missing, likely softening/astringing]. Annual grain should be black; intermittent grain should be beans. Although Fire pathogen exists, it causes no harm.
Fifth Qi Period (from Si chu of Qiu Fen day to Mao chu of Xiao Xue day, over 60 days): The Principal Position is Shaoshang Metal. The Guest Qi is Yangming Metal. The central movement is Metal. Qi and movement are identical, occupying their proper positions. The severe command is executed, cold dew descends, frost falls early, grass and trees yellow and fall. Cold Qi reaches the body; gentlemen should be careful. People suffer from skin and pore disorders. Regulate the Guest Qi of Yangming by tonifying with sour, draining with acrid, and draining with bitter. Annual grain should be black; intermittent grain should be millet (Shu). Although dryness transforms, it does not become pathogenic. During this period, the governing Qi is cool; do not violate the coolness of the governing Qi when using cool medicines.
Final Qi Period (from Mao zheng of Xiao Xue day to Chou zheng of Da Han day, over 60 days): The Principal Position is Taiyu Water. The Guest Qi is Taiyang Water. The central movement is Metal. Metal generates Water. Cold expands greatly, dampness transforms greatly, frost accumulates, Yin congeals, water freezes hard, and sunlight fails. Contracting Cold leads to stiff joints and lower back pain. Cold-Damp persists in the Qi intersection causing disease. Regulate the Guest Qi of Taiyang by tonifying with bitter, draining with salty, firming with bitter, and moistening with acrid. Annual grain should be black; intermittent grain should be Setaria italica (Ji). Although cold transforms, it does not become pathogenic.
At the transition of annual Qi, if Dampness prevails, Jueyin Wind Liver rebounds; if Cold prevails, Taiyin Damp Spleen rebounds. Observe the arrival of Qi and apply treatment accordingly. Dry the damp, warm the cold, clear the warm. Thus, the Qi returns to peace. This is the general principle of treatment.