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太阳寒水司天。太阴湿土在泉。中见太商金运。岁金太过。气化营运先天。天地之气。
寒化
而其
止
上
所
痿
是岁水为天气。土为地气。中见金运。土能胜水。天化为虚。金运统之。土生金。金生
水。
之虚
安其
淫胜之气。岁半之前。天气太阳主之。若寒淫所胜。则寒气反至。水且冰。血变于中。变为
痈疡。民病厥心痛。呕血血泄。鼽衄善悲。时眩仆。运火炎烈。雨暴乃雹。胸腹满。手热。
肘挛。腋肿。心澹澹大动。胸胁胃腕不安。面赤目黄。善噫嗌干。甚则色 。渴而欲饮。病
本于心。诊在手神门之脉。法宜平以辛热。佐以甘苦。以咸泻之。
岁半之后。地气太阴主之。若湿淫于内。则埃昏岩谷。黄反见黑。至阴之交。民病饮
积。
法
天气洁。地气明。阳气随阴治化。燥行其政。物以司成。收气繁布。化洽不终。其
气削。其政肃。其令锐切。其德雾露萧 。其动暴折疡疰。其病喘喝。胸凭仰息。
所胜。故经曰、岁金太过。燥气流行。肝木受邪。民病两胁下少腹痛。目赤痛 疡
闻。肃杀而甚。则体重烦冤。胸痛引背。两胁满。且痛引少腹。甚则喘咳逆气。肩
连股膝间髀 足皆病。收气峻。生气微。草木敛。苍干凋陨。心胁暴痛。不
甚而血溢。诊在足太冲之脉。其治悉以辛温调中。
初之气、自己酉年大寒日申初。至是岁春分日午初。凡六十日八十七刻半。主位少角木。
客
热
间
主
民病气郁中满。寒乃始。宜治阳明之客。以酸补之。以辛泻之。以苦泄之。岁谷宜玄。间谷
宜黍。虽有燥邪。不能为害。是气也。无犯司气之凉。三之气。自小满日巳初。至大暑日卯
初。凡六十日有奇。主位太征火。客气太阳水。中见金运。水胜火。天政布。寒乃行。雨乃
降。民病寒。反热中。痈疽注下。心热瞀闷。宜治太阳之客。以苦补之。以咸泻之。以苦坚
之。以辛润之。岁
分日丑正。凡六十
主位少宫土。客气厥阴木。中见金运。木胜土。金反制之。又遇
太阴交司。风湿交
赤白。宜治厥阴之
不能为害。五之气
火。中见金运。岁
客。以咸补之。以
自小雪日子正。
金。金生水。其
孕乃死。宜治太
不能为害。此
之法。湿者燥
【图】
太阳寒水之气主司天气，太阴湿土之气主司地气，中运为太商金运。岁金太过，气化运行先于天时。天地之气，寒化……（原文此处有缺漏或排版错误，依文意接续）……其止于上，所至为痿。是岁水为天气，土为地气，中见金运。土能胜水，天化为虚，金运统之。土生金，金生水。
安其淫胜之气。岁半之前，天气由太阳主管。若寒气过胜，则寒气反而到来，水且结冰，血在体内发生变化，变为痈疡。民众患病厥心痛、呕血、便血、鼻渊、鼻衄、易悲伤、时常眩晕仆倒。运气如火炎烈，暴雨乃成冰雹。胸腹满闷，手足发热，肘部挛急，腋下肿胀，心脏悸动不安，胸胁胃脘部不适，面色红赤，目黄，易嗳气，咽喉干燥，严重时面色发黑，口渴欲饮。病本在心。诊察在手部神门穴的脉象。治疗法则宜用辛热药平抑，佐以甘苦药，用咸味药泻之。
岁半之后，地气由太阴主管。若湿气内盛，则尘埃昏暗，岩谷朦胧，黄色反现黑色，至阴之交。民众患病饮积。天气洁净，地气清明，阳气随阴气治理化育。燥气行使政令，万物得以成熟，收气繁布，化育未能终竟。其气削损，其政肃杀，其令锐切，其德为雾露萧瑟，其变动为暴折、疡疰。其病为喘喝，胸凭仰息。
（此处原文逻辑跳跃，结合上下文及《素问·六元正纪大论》补全语境：金克木，故言）所胜。所以经说：岁金太过，燥气流行，肝木受邪。民众患病两胁下少腹痛，目赤痛，疮疡。肃杀之气甚重，则身体沉重，烦闷冤结，胸痛牵引背部，两胁胀满，且疼痛牵引少腹。严重时喘咳逆气，肩、连股膝间髀、足皆病。收气峻厉，生气微弱，草木收敛，苍色干枯凋陨。心胁暴痛，不……（原文缺漏）……甚而血溢。诊察在足部太冲穴的脉象。治疗全部用辛温药调中。
初之气，从己酉年大寒日申初开始，到是岁春分日午初结束，共六十日八十七刻半。主位为少角木。客气……（原文缺漏）……热……（原文缺漏）……间……（原文缺漏）……主……（原文缺漏）。民众患病气郁中满。寒气始生。宜治阳明之客气，用酸味补之，用辛味泻之，用苦味泄之。岁谷宜用黑色（玄），间谷宜用黍米。虽有燥邪，不能为害。此气节，不可侵犯司天之气的凉性。
三之气，自小满日巳初开始，到大暑日卯初结束，共六十余日。主位为太征火。客气为太阳水。中见金运。水胜火，天政布散，寒气施行，雨水下降。民众患病寒证，反见热中，痈疽注下，心热瞀闷。宜治太阳之客气，用苦味补之，用咸味泻之，用苦味坚之，用辛味润之。岁……（原文缺漏）
五之气，自小雪日子正开始，到……（原文缺漏）……分日丑正结束，共六十……（原文缺漏）。主位为少宫土。客气为厥阴木。中见金运。木胜土，金反制之。又遇太阴交司，风湿交……（原文缺漏）……赤白。宜治厥阴之……（原文缺漏）……客，用咸味补之，以……（原文缺漏）……不能为害。五之气……（原文缺漏）……火，中见金运，岁……（原文缺漏）……金，金生水。其……（原文缺漏）……孕乃死。宜治太……（原文缺漏）……不能为害。此……（原文缺漏）……之法。湿者燥……（原文未完）
[Figure]
Taiyang Cold-Water governs the heavenly qi. Taiyin Damp-Earth governs the earthly qi. The central movement is Taishang Metal Movement. The year's Metal is excessive, and its qi operation precedes the natural timing. The qi of heaven and earth... [text incomplete/corrupted in source] ...its cessation is above, manifesting as flaccidity syndromes (Wei syndrome). In this year, Water is the heavenly qi, Earth is the earthly qi, with Metal movement seen in the middle. Earth can overcome Water; the transformation of heaven becomes deficient, governed by Metal movement. Earth generates Metal, Metal generates Water.
To stabilize the excessive and victorious qi. Before the midpoint of the year, the heavenly qi is governed by Taiyang. If Cold excess prevails, then cold qi returns contrary to season, water freezes, blood changes within, transforming into carbuncles and sores. The people suffer from jue heart pain, hematemesis, bloody diarrhea, rhinorrhea, epistaxis, frequent sadness, dizziness, and sudden collapse. The movement resembles fierce fire flames, violent rain turns to hail. Chest and abdomen are full, hands and feet are hot, elbows are contracted, axillae are swollen, the heart palpitates violently, chest, hypochondrium, and stomach region are uneasy, face is red, eyes are yellow, frequent belching, throat is dry. In severe cases, complexion turns dark, thirst with desire to drink. The disease originates in the Heart. Diagnosis is at the pulse of Shenmen (HT7) on the hand. The treatment principle should be to level with Pungent-Hot herbs, assist with Sweet-Bitter herbs, and drain with Salty herbs.
After the midpoint of the year, the earthly qi is governed by Taiyin. If Dampness invades internally, then dust obscures, valleys are dim, Yellow color appears reversed with Black, at the junction of Extreme Yin. The people suffer from fluid accumulation. Heavenly qi is clean, earthly qi is bright, Yang qi follows Yin for governance and transformation. Dryness exercises its administration, objects mature under its control, Gathering Qi spreads profusely, but transformation does not complete. Its qi is weakened, its administration is solemn, its command is sharp and cutting, its virtue is misty dew desolate, its movement is violent fracture and ulcerative infectious diseases. Its disease is wheezing and panting, chest oppression requiring upright breathing.
[Text corruption makes logical flow difficult, inferring from context of Metal overcoming Wood]: Overcoming what is superior. Thus the Classic says: When Metal is excessive in the year, Dryness qi flows widely, Liver Wood suffers evil. The people suffer from pain in the lower part of both hypochondria and lower abdomen, red and painful eyes, ulcers. When肃杀 (Solemn/Killing) qi is severe, then body weight is heavy, vexation and grievance arise, chest pain radiating to the back, fullness and pain in both hypochondria radiating to the lower abdomen. In severe cases, wheezing, coughing, and reverse qi, shoulder, connecting thigh, knee, thigh bone, foot all suffer disease. Gathering Qi is harsh, Generating Qi is weak, grasses and trees gather, green color dries up and falls. Sudden pain in chest and hypochondrium... [text missing] ...severe cases lead to hemorrhage. Diagnosis is at the pulse of Taichong (LR3) on the foot. Treatment is entirely with Pungent-Warm herbs to regulate the center.
First Qi period: From Shen hour on the day of Great Cold in Jiyou Year to Wu hour on the day of Spring Equinox in this year, totaling 60 days and 87.5 ke. The host position is Shaojiao Wood. Guest [qi]... [text missing] ...Heat... [text missing] ...Intervening... [text missing] ...Host... [text missing]. The people suffer from qi stagnation and abdominal fullness. Cold begins. One should treat the Yangming guest qi, tonify with Sour, drain with Pungent, and drain out with Bitter. Year grain should be Black (Xuan), intervening grain should be Foxtail Millet (Shu). Although there is Dryness evil, it cannot cause harm. This qi period should not violate the Coolness of the governing qi.
Third Qi period: From Si hour on the day of Grain Full to Mao hour on the day of Great Heat, totaling over 60 days. Host position is TaiZheng Fire. Guest qi is Taiyang Water. Central Metal movement is seen. Water overcomes Fire, Heavenly administration spreads, Cold acts, Rain descends. The people suffer from Cold, counteracting with internal Heat, carbuncles, dysentery, heart heat, and mental confusion. One should treat the Taiyang guest qi, tonify with Bitter, drain with Salty, firm with Bitter, and moisten with Pungent. Year [grain]... [text missing]
Fifth Qi period: From Zi hour on the day of Minor Snow... [text missing] ...to Chou hour on the day of [Equinox/Solstice], totaling 60... [text missing]. Host position is Shaogong Earth. Guest qi is Jueyin Wood. Central Metal movement is seen. Wood overcomes Earth, Metal counter-controls it. Again encountering Taiyin exchange, Wind-Damp interact... [text missing] ...Red and White discharge. One should treat Jueyin... [text missing] ...Guest, tonify with Salty, with... [text missing] ...cannot cause harm. Fifth Qi... [text missing] ...Fire, central Metal movement, year... [text missing] ...Metal, Metal generates Water. Its... [text missing] ...pregnancy dies. One should treat Tai... [text missing] ...cannot cause harm. This... [text missing] ...method. For Dampness, use Dryness... [text ends abruptly]