壬寅 壬申（运同司地曰同天符）
上少阳相火司天，中太角木运，下厥阴风木在泉。运生天气曰小逆，木上生火也，故病亦微。
运于四孟月同，曰支德符。壬寅年木运临之，寅属木，春孟月也。太过之运加地气曰同天符。壬
寅壬申二年，运同司地曰风木。其运风鼓，其化鸣紊启拆，其变振拉摧拔，其病掉眩，支胁惊骇，
二年病少无瘟。
戊寅 戊申
上少阳相火司天，中太征火运，下厥阴风木在泉。运与司天之气相同曰天符。其运暑，其化暄
嚣郁燠，（此戊年太征之政化。）其变炎烈沸腾，（太征之变。）其病上热郁，
血溢血泄，心痛。（火之为病，内应于心。）寅申年，少阳相火当迁正司天，而阳明燥金，以上年在
泉之右间，当升新岁司天之左间，故畏天英，火星胜之也。遇戊寅戊申，戊为中运，阳火有余，
其气先天而至，金欲升天，火运抑之，故升之不前。金郁不升，人病在肺。金郁欲发，必须待德
位之时而后作。戊申年刚柔失守，如此天运失时，三年之中，金疫发也。速在庚戌，迟则辛亥，即
瘟疫热症。药宜泻白散，煎汤量冷，研化五瘟丹服。天气时雨不降，（燥金郁于地）。西风数举，
碱卤燥生。民病上热喘嗽，血溢。（火盛于上，肺金受伤。）金郁之发，肃杀气行，民病胁满悲
伤。（金邪伐肝。）金气寒敛而燥，故为嗌干，手足拆，皮肤燥等症。
甲寅 甲申
上少阳相火司天，中太宫土运，下厥阴风木在泉。天气生运，火下生土也，曰顺化。其运阴
雨，其化柔润重泽，其变振惊飘骤，其病体重浮肿痞饮。顺化之年，而民无病。
庚寅 庚申
上少阳相火司天，中太商金运，下厥阴风木在泉。天刑之年，火下克金，故曰不相得则病。
运于四孟月同，曰支德符。庚申年，金运临之。（申属金，秋孟月。）其运凉，其化雾露清切，
此庚年，太商之正化，其德雾露萧 ，其变肃杀凋零，其病肩背胸中痛。（火邪在肺。）
丙寅 丙申
上少阳相火司天，中太羽水运，下厥阴风木在泉。运克天气曰不和，水上克火，故病甚。其运
寒肃，其化凝惨栗冽，其变冰霜雪雹，其病寒浮肿。丙寅刚柔失守。寅申之岁，少阴降地，厥阴
当迁正在泉，而少阴君火，以上年司天之右间，当降为今岁在泉之左间，故畏地玄，水胜窒之也。
遇丙寅丙申，水运太过，先天而至，亦能制抑君火使之不降。君火欲降，水运承之，降而不下，即
彤云才见，黑气反生，暄暖如舒，寒常布雪，凛冽复作，天云惨凄，皆寒水胜火之化。久而不降，热
郁于上，伏之化郁，寒胜复热，赤风化疫。民病面赤心烦，头痛目眩，多温热症。丙寅年，刚
柔失守，天运失时。二年之中，火疫发也。早至戊辰，晚至己巳，气微则疫小，气甚则疫大，故
至有迟速。丙寅丙申二年，少阴君火当降在泉，遇水运承之，降而不下，人病在心，则为火郁。
火郁欲发，必待得位之时，故当因其势而解之、散之、扬之。药宜五瘟丹之类解利之，竹叶导赤
散煎汤研送。民病寒中，（火盛于外。）外发疮疡，（外热。）内为泄满。（内寒。）其病寒
热疟泄聋瞑呕吐上怫，（音佛，不舒。）肿色变，热盛寒复，则水火交争，故为诸病。
初之气，地气迁，风胜乃摇，寒去大温，草木早荣，寒来不杀，（初气君火正用事，而兼相火
司，故大温。）温病乃起。其症气怫于上，血溢目赤，咳逆头痛，血崩胁满，肤腠生疮。（君相二
火合气，故为病如此。）
二之气，火反郁，白埃四起，云趋雨府，风不胜湿，雨乃零，民乃康。其病热郁于上，咳逆呕
吐，疮发于中，胸嗌不利，头痛身热，昏愦脓疮。（皆湿热所化之病。）
三之气，天政布，炎暑至，少阳上临，相火专令，故炎暑至，雨乃际。民
病热中聋瞑，血溢脓疮，咳呕鼽衄，渴嚏欠，喉痹目赤，善暴死。（主客之火交炽，故为热病如
此。）
四之气，凉乃至，燥金之客加于湿土之主，故凉风至而炎暑间（时作时止。）化。土金相生，
故民和平。其病胸满，（燥盛者，肺自病。）身肿。（湿胜者，脾自病。）
五之气，寒水之客，加于燥金之主，水寒金敛，暑去寒来，雨乃降，气门（腠理空窍所以发泄
荣卫之气，故曰气门。）乃闭。刚木早调，民避寒邪，君子周密。金肃水寒，当畏避也。
终之气，厥阴在泉，风木用事，主气以寒水生之，地得正气而风乃至，万物反生， （地气不应。）
雾以行。其病关闭不禁，心痛，阳气不藏而咳。时当闭藏而风木动之。风为阳，故为病如此。
卯酉之岁（丁卯 丁酉 癸卯 癸酉 己卯 乙卯 乙酉 辛卯 辛酉 己酉）
阳明燥金司天，岁气燥化之候，天之气也。少阴君火在泉，地之气也。阳明燥金者，手阳
明大肠之气象，庚辛金也。其化以燥，凡清明干肃，万物坚刚，皆金之
化，而为清凉劲切，雾露萧瑟。燥金淫胜于上，则木受其克，故草生荣俱晚。在于人则肝血受伤，
不能荣养筋骨，故生内变。且金气太凉，能革发生之气，故草生之应如此。然阳明燥金在上，则
少阴君火在下，故蛰虫来见。阳明司天，介虫同司天之气，故静。羽虫同在泉之气，故育。民病
左胁 痛等症。皆肝病，肝木主左也。按经脉篇云∶以心胁痛，不能转侧，面微有尘，为足少阳
胆经病。腰痛不可俯仰，丈夫 疝，妇人少腹痛，嗌干面尘飧泄，为足厥阴肝经病。此以肝与胆
为表里，木被金伤，故诸病本于肝也。太冲，足厥阴肝脉，在足大指本节后二寸，动脉应手。木
不胜金，则肝气竭而太冲绝，死不治。
少阴君火在泉，地之气也。君火淫胜于下，故焰浮川泽，阴处反明，蛰虫不藏，民病腹中常
鸣者，火气奔动也。气上冲胸者，火性炎上也。喘不能久立，寒热皮肤痛者，火邪乘肺也。目瞑
者，热甚阴虚畏阳光也。齿痛 肿，热乘阳明经也。寒热如疟，金水受伤，阴阳交争也。热在
下焦，故少腹痛。热在中焦，故腹胀大。燥结不通，则邪实于内，以苦下之，宜承气汤，羽虫属
火，同其气故育。介虫属金，受
其制故耗。少阴在泉，热在地中，寒毒之物不生。
上一年由少阳相火主持司天，中运为太角木运，下位由厥阴风木主持在泉。岁运生助司天之气，称为小逆，因为木生火，所以疾病也较轻微。
岁运与四孟月（立春、立夏、立秋、立冬之月）的地支五行相同，称为支德符。壬寅年木运临于寅位，寅属木，是春季孟月。太过之运加临地气，称为同天符。壬寅、壬申两年，岁运与司天地气相同，均为风木。其运气象表现为风势鼓动，其化育表现为鸣响、紊乱、开启、拆裂，其变乱表现为震动、拉拽、摧折、拔起，其病症表现为震颤、眩晕、两胁支撑疼痛、惊恐骇怕。这两年疾病较少，没有瘟疫发生。
戊寅年、戊申年
上一年由少阳相火主持司天，中运为太征火运，下位由厥阴风木主持在泉。岁运与司天之气相同，称为天符。其运气象表现为暑热，其化育表现为温暖、喧嚣、郁结、闷热。（这是戊年太征火运的政令与化育。）其变乱表现为炎热猛烈、沸腾翻滚，（这是太征火运的变乱。）其病症表现为上部热气郁结，吐血、便血，心痛。（火邪致病，内应于心。）寅申之年，少阳相火应当迁正主持司天，但阳明燥金因上年在泉的右间气，应当升为新岁司天的左间气，却畏惧天英星（火星）的克制，被火星胜克。遇到戊寅、戊申年，戊为中运，阳火有余，其气早于时令而至，金欲上升，却被火运抑制，所以金气上升不前。金气郁滞不能上升，人体会出现肺病。金气郁积欲发，必须等待得位之时才会发作。戊申年刚柔失守，如此天运失去时序，三年之中，金疫将会爆发。快的话在庚戌年，慢的话在辛亥年，即表现为瘟疫热症。药物宜用泻白散，煎汤放凉后，研化五瘟丹服用。天气时常下雨而不降（燥金郁结于地），西风多次吹起，碱卤之地干燥产生。民众患病表现为上部热盛、气喘咳嗽、吐血。（火盛于上，损伤肺金。）金郁发作时，肃杀之气流行，民众患病表现为胁肋胀满、悲伤。（金邪伐伤肝脏。）金气寒冷收敛而干燥，所以出现咽喉干燥、手足皲裂、皮肤干燥等症状。
甲寅年、甲申年
上一年由少阳相火主持司天，中运为太宫土运，下位由厥阴风木主持在泉。天气生助岁运，火在下生土，称为顺化。其运气象表现为阴雨，其化育表现为柔和滋润、厚重润泽，其变乱表现为震惊、飘忽、急骤，其病症表现为身体沉重、浮肿、痞满、停饮。顺化之年，民众没有疾病。
庚寅年、庚申年
上一年由少阳相火主持司天，中运为太商金运，下位由厥阴风木主持在泉。天刑之年，火在下克制金，所以称为不相得则病。岁运与四孟月地支相同，称为支德符。庚申年，金运临于申位。（申属金，是秋季孟月。）其运气象表现为清凉，其化育表现为雾露清切，这是庚年太商金运的正化，其德表现为雾露萧瑟，其变表现为肃杀凋零，其病症表现为肩背胸中痛。（火邪在肺。）
丙寅年、丙申年
上一年由少阳相火主持司天，中运为太羽水运，下位由厥阴风木主持在泉。岁运克制司天之气，称为不和，水上克火，所以疾病严重。其运气象表现为寒冷肃杀，其化育表现为凝结凄惨、凛冽刺骨，其变乱表现为冰霜雪雹，其病症表现为寒性浮肿。丙寅年刚柔失守。寅申之年，少阴君火应当降入地中，厥阴风木应当迁正主持在泉，但少阴君火因上年司天的右间气，应当降为今岁在泉的左间气，却畏惧地玄（水星），被水气胜克窒塞。遇到丙寅、丙申年，水运太过，早于时令而至，也能制约抑制君火使其不能下降。君火欲降，水运承接压制，欲降而不能降，于是彤云刚现，黑气反生，温暖如舒展，寒冷常布雪，凛冽再次发作，天空云彩凄惨，这都是寒水胜火的化象。久而不降，热气郁结于上，伏藏之气化郁，寒胜之后复热，赤色风化为疫。民众患病表现为面色红赤、心烦、头痛、目眩，多患温热症。丙寅年，刚柔失守，天运失去时序。二年之中，火疫将会爆发。早至戊辰年，晚至己巳年，气微弱则疫病小，气强盛则疫病大，所以有快慢之分。丙寅、丙申两年，少阴君火应当降入在泉，遇水运承接压制，欲降而不能降，人体会出现心病，则为火郁。火郁欲发，必须等待得位之时，所以应当顺应其势而解之、散之、扬之。药物宜用五瘟丹之类解利，竹叶导赤散煎汤研送。民众患病表现为寒中（火盛于外），外发疮疡（外热），内为泄满（内寒）。其病表现为寒热疟疾、泄泻、耳聋、昏瞑、呕吐、上焦怫郁（音佛，不舒畅）、肿胀、颜色改变，热盛寒复，则水火交争，所以出现各种疾病。
初之气，地气迁移，风胜则摇动，寒气去除而大温，草木早早繁荣，寒气来而不杀伤，（初气君火正当令，兼相火司事，所以大温。）温病于是兴起。其症状表现为气怫郁于上，吐血、目赤，咳嗽气逆、头痛，血崩、胁肋胀满，肌肤腠理生疮。（君火与相火合气，所以生病如此。）
二之气，火反被郁，白色尘埃四起，云层趋向雨府，风不胜湿，雨水零落，民众反而安康。其病表现为热郁于上，咳嗽气逆、呕吐，疮发于中，胸膈咽喉不利，头痛身热，昏愦、脓疮。（都是湿热所化的病。）
三之气，天政布散，炎暑到来，少阳在上降临，相火专权令行，所以炎暑到来，雨水随即而降。民众患病表现为热中、耳聋、昏瞑，吐血、脓疮，咳嗽、呕吐、鼻渊、衄血，口渴、打喷嚏、呵欠，喉痹、目赤，容易突然死亡。（主气与客气之火交炽，所以患热病如此。）
四之气，凉气才至，燥金之客加临于湿土之主，所以凉风至而炎暑间断（时作时止）化育。土金相生，所以民众平和。其病表现为胸满，（燥盛者，肺自病。）身体浮肿。（湿胜者，脾自病。）
五之气，寒水之客加临于燥金之主，水寒金敛，暑去寒来，雨水降落，气门（腠理空窍用来发泄营卫之气，所以叫气门）闭合。刚木早早调顺，民众躲避寒邪，君子周密防护。金肃水寒，应当畏避。
终之气，厥阴在泉，风木当令，主气以寒水生之，地得正气而风乃至，万物反而生长，（地气不应。）雾气流行。其病表现为关门不禁（指二便失禁或汗出不止），心痛，阳气不藏而咳嗽。时当闭藏而风木动之。风为阳，所以生病如此。
卯酉之年（丁卯、丁酉、癸卯、癸酉、己卯、乙卯、乙酉、辛卯、辛酉、己酉）
阳明燥金主持司天，岁气表现为燥化之候，这是天之气。少阴君火主持在泉，这是地之气。阳明燥金，是手阳明大肠经的气象，对应庚辛金。其化育以燥为主，凡是清明干肃，万物坚刚，都是金的化育，表现为清凉劲切，雾露萧瑟。燥金淫胜于上，则木受其克，所以草木生长繁荣都晚。在人身上则是肝血受伤，不能荣养筋骨，所以产生内部病变。而且金气太凉，能变革发生之气，所以草木生长的应验如此。然而阳明燥金在上，则少阴君火在下，所以蛰虫出来显现。阳明司天，介虫（带壳昆虫）同司天之气，所以安静。羽虫（鸟类）同在泉之气，所以繁育。民众患病表现为左胁疼痛等症状。都是肝病，肝木主左。按《经脉篇》说：心胁痛，不能转侧，面色微有尘垢，是足少阳胆经病。腰痛不可俯仰，男子疝气，妇人少腹痛，咽喉干燥，面色尘垢，完谷不化泄泻，是足厥阴肝经病。这是因为肝与胆为表里，木被金伤，所以诸病本源于肝。太冲穴，是足厥阴肝脉，在足大趾本节后方二寸，动脉应手。木不胜金，则肝气竭绝而太冲脉绝，死不治。
少阴君火在泉，是地之气。君火淫胜于下，所以火焰浮于川泽，阴处反而明亮，蛰虫不藏，民众患病表现为腹中常鸣，是火气奔动所致。气上冲胸，是火性炎上所致。气喘不能久立，寒热、皮肤痛，是火邪乘袭肺脏所致。目瞑，是热甚阴虚畏阳光所致。齿痛、牙龈肿，是热乘阳明经所致。寒热如疟，是金水受伤，阴阳交争所致。热在下焦，所以少腹痛。热在中焦，所以腹胀大。燥结不通，则邪实于内，用苦味药攻下，宜用承气汤。羽虫属火，同其气所以繁育。介虫属金，受其制约所以消耗。少阴在泉，热在地中，寒毒之物不生。
Ren Yin and Ren Shen years (When the year's movement is identical to the ruling Qi of the Heaven, it is called "Tong Tian Fu" / Same Heaven Harmony).
The upper part is governed by Shaoyang Xianghuo (Ministerial Fire) as the Si Tian (Heavenly Ruler), the middle movement is Tai Jiao Wood Movement (Excessive Wood), and the lower part is governed by Jueyin Fengmu (Wind-Wood) as the Zai Quan (Earthly Ruler). When the movement generates the Heavenly Qi, it is called Xiao Ni (Minor Rebellion), because Wood generates Fire; therefore, the diseases are also mild.
When the movement coincides with the Earthly Branches of the four Meng months (the first month of each season), it is called Zhi De Fu (Branch Virtue Harmony). In the Ren Yin year, the Wood Movement coincides with the Yin position. Yin belongs to Wood, which is the Meng month of Spring. An Excessive Movement added to the Earthly Qi is called Tong Tian Fu. In the Ren Yin and Ren Shen years, the movement and the ruling Qi of Heaven and Earth are the same, both being Wind-Wood. Its movement is characterized by wind stirring, its transformation by rustling, disorder, opening, and splitting, its alteration by shaking, pulling, destroying, and uprooting, and its disease by tremors, dizziness, hypochondriac distension and pain, and fright. Diseases in these two years are few, and there are no plagues.
Wu Yin and Wu Shen years
The upper part is governed by Shaoyang Xianghuo (Ministerial Fire) as the Si Tian (Heavenly Ruler), the middle movement is Tai Zheng Huo Movement (Excessive Fire), and the lower part is governed by Jueyin Fengmu (Wind-Wood) as the Zai Quan (Earthly Ruler). When the movement is identical to the Si Tian Qi, it is called Tian Fu (Heaven Harmony). Its movement is characterized by summer heat, its transformation by warmth, noise, stagnation, and muggy heat. (This is the administration and transformation of the Tai Zheng Fire Movement in Wu years.) Its alteration is characterized by fierce heat and boiling, (the alteration of Tai Zheng Fire.) Its diseases are characterized by upper heat stagnation, hematemesis, hematochezia, and heart pain. (Fire pathologies internally correspond to the Heart.) In Yin and Shen years, Shaoyang Xianghuo (Ministerial Fire) should advance to govern the Si Tian, but Yangming Zaojin (Dryness-Metal), as the right interstitial Qi of the previous year's Zai Quan, should ascend to become the left interstitial Qi of the new year's Si Tian, yet it fears the victory of Tian Ying Star (Mars/Fire). Encountering Wu Yin and Wu Shen years, Wu represents the Central Movement, where Yang Fire is excessive, and its Qi arrives before the proper time. Metal desires to ascend, but is suppressed by the Fire Movement, so its ascent does not proceed. When Metal Qi stagnates and cannot ascend, people suffer from Lung diseases. When Metal Qi stagnates and desires to erupt, it must wait for the time of proper positioning to manifest. In the Wu Shen year, if Gang (Yang) and Rou (Yin) fail to maintain their positions, such that the Heavenly Movement loses its timing, a Jin Yi (Metal Plague) will erupt within three years. It may happen quickly in the Geng Xu year or slowly in the Xin Hai year, presenting as epidemic febrile diseases. The medication should be Xie Bai San (White Powder Decoction to Drain the Lungs), decocted and cooled, then taken with dissolved Wu Wen Dan (Five Plagues Pill). When the weather frequently rains but does not descend (Zaojin Dryness-Metal stagnates on the earth), and west winds blow frequently, saline land becomes dry. People suffer from upper heat, wheezing cough, and hematemesis. (Fire is excessive above, injuring Lung Metal.) When Metal stagnation erupts, the Qi of desolation and killing prevails, and people suffer from hypochondriac fullness and sadness. (Metal evil attacks the Liver.) Metal Qi is cold, contracting, and dry, thus causing symptoms such as dry throat, cracked hands and feet, and dry skin.
Jia Yin and Jia Shen years
The upper part is governed by Shaoyang Xianghuo (Ministerial Fire) as the Si Tian (Heavenly Ruler), the middle movement is Tai Gong Tu Movement (Excessive Earth), and the lower part is governed by Jueyin Fengmu (Wind-Wood) as the Zai Quan (Earthly Ruler). When Heavenly Qi generates the Movement, Fire below generates Earth, it is called Shun Hua (Smooth Transformation). Its movement is characterized by yin rain, its transformation by softness, moisture, heaviness, and abundant dew, its alteration by shock, drifting, and sudden storms, and its disease by heavy body, edema, epigastric fullness, and fluid retention. In years of Smooth Transformation, the people do not get sick.
Geng Yin and Geng Shen years
The upper part is governed by Shaoyang Xianghuo (Ministerial Fire) as the Si Tian (Heavenly Ruler), the middle movement is Tai Shang Metal Movement (Excessive Metal), and the lower part is governed by Jueyin Fengmu (Wind-Wood) as the Zai Quan (Earthly Ruler). This is a Tian Xing (Heaven Punishment) year, where Fire below controls Metal, hence it is called "Bu Xiang De Ze Bing" (Disagreement leads to disease). When the movement coincides with the Earthly Branches of the four Meng months, it is called Zhi De Fu. In the Geng Shen year, Metal Movement coincides with the Shen position. (Shen belongs to Metal, the Meng month of Autumn.) Its movement is characterized by coolness, its transformation by clear mist and dew. This is the normal transformation of the Tai Shang Metal Movement in Geng years. Its virtue is rustling mist and dew, its alteration is desolation and withering, and its disease is pain in the shoulders, back, and chest. (Fire evil in the Lung.)
Bing Yin and Bing Shen years
The upper part is governed by Shaoyang Xianghuo (Ministerial Fire) as the Si Tian (Heavenly Ruler), the middle movement is Tai Yu Water Movement (Excessive Water), and the lower part is governed by Jueyin Fengmu (Wind-Wood) as the Zai Quan (Earthly Ruler). When the Movement controls the Heavenly Qi, it is called Bu He (Discord), because Water above controls Fire, so the disease is severe. Its movement is characterized by cold and solemnity, its transformation by congealing, bleakness, and biting cold, its alteration by ice, frost, snow, and hail, and its disease by cold edema. The Bing Yin year involves Gang-Rou Shi Shou (Loss of Gang and Rou balance). In Yin-Shen years, Shaoyin Junhuo (Monarch Fire) should descend into the Earth, and Jueyin Fengmu should advance to govern the Zai Quan. However, Shaoyin Junhuo, as the right interstitial Qi of the previous year's Si Tian, should descend to become the left interstitial Qi of the current year's Zai Quan, yet it fears Di Xuan (Water Star), being blocked by Water victory. Encountering Bing Yin and Bing Shen years, Water Movement is excessive and arrives before the proper time, also suppressing Monarch Fire so it cannot descend. Monarch Fire desires to descend, but is met by Water Movement; it attempts to descend but fails. Thus, red clouds appear briefly, black Qi arises instead, warmth feels like stretching out, but cold often brings snow, and biting cold returns. The sky's clouds are bleak; all these are transformations of Cold Water overcoming Fire. If it remains undescended for a long time, Heat stagnates above. The latent Qi transforms into stagnation; after Cold victory, Heat returns, and Red Wind transforms into plague. People suffer from red face, vexation, headache, dizziness, and many warm-heat diseases. In the Bing Yin year, Gang-Rou Shi Shou occurs, and the Heavenly Movement loses its timing. Within two years, Huo Yi (Fire Plague) will erupt. It may arrive early in the Wu Chen year or late in the Ji Si year. If the Qi is weak, the plague is small; if strong, the plague is large, hence the variation in speed. In the Bing Yin and Bing Shen years, Shaoyin Junhuo should descend to the Zai Quan, but is met by Water Movement, preventing descent. People suffer from Heart diseases, resulting in Huo Yu (Fire Stagnation). When Fire stagnation desires to erupt, it must wait for the time of proper positioning. Therefore, one should resolve, disperse, and elevate it according to its trend. Medications should include Wu Wen Dan (Five Plagues Pill) to resolve and benefit, administered with Zhu Ye Dao Chi San (Bamboo Leaf Decoction to Guide Out Redness) decoction. People suffer from Han Zhong (Cold inside) due to Fire excess outside, external carbuncles due to external heat, and internal diarrhea and fullness due to internal cold. Their diseases include chills and fever, malaria, diarrhea, deafness, blindness, vomiting, upper fu Yu (oppression/discomfort), swelling, color changes. When Heat is excessive and Cold returns, Water and Fire contend, causing various diseases.
First Qi: Earthly Qi migrates, Wind wins and shakes, Cold departs and Great Warmth arrives, grass and trees flourish early. Cold comes but does not kill. (In the First Qi, Junhuo Monarch Fire is in charge, combined with Xianghuo Ministerial Fire, hence Great Warmth.) Warm diseases arise. Symptoms include Qi oppression above, hematemesis, red eyes, cough and asthma, headache, blood flooding, hypochondriac fullness, and skin ulcers. (Junhuo and Xianghuo combine their Qi, causing such diseases.)
Second Qi: Fire is reversely stagnated, white dust rises everywhere, clouds move toward the Rain House, Wind cannot overcome Dampness, rain falls, and people recover. Diseases include heat stagnation above, cough and asthma, vomiting, mid-body ulcers, chest and throat obstruction, headache, fever, confusion, and suppurative sores. (All are diseases transformed by Damp-Heat.)
Third Qi: Heavenly Administration spreads, scorching heat arrives, Shaoyang descends from above, Ministerial Fire holds exclusive command, so scorching heat arrives and rain follows. People suffer from heat in the center, deafness, blindness, hematemesis, suppurative sores, cough, vomiting, rhinorrhea, epistaxis, thirst, sneezing, yawning, throat bi, red eyes, and sudden death. (Host and Guest Fires blaze together, causing such heat diseases.)
Fourth Qi: Coolness finally arrives, Dryness-Metal guest adds upon Wet-Earth host, so cool wind arrives while scorching heat interrupts (intermittent). Transformation occurs. Earth and Metal generate each other, so people are peaceful. Diseases include chest fullness (when Dryness is excessive, the Lung suffers itself), and body edema (when Dampness is excessive, the Spleen suffers itself).
Fifth Qi: Cold-Water guest adds upon Dryness-Metal host, Water is cold and Metal contracts, Summer departs and Cold arrives, rain descends, and Qi Men (pores/openings that vent Ying and Wei Qi, hence called Qi Men) close. Young Wood adjusts early, people avoid Cold Evil, gentlemen are meticulous. Metal is solemn and Water is cold, one should beware and avoid.
Sixth Qi: Jueyin is at the bottom, Wind-Wood is in charge, Host Qi generates it with Cold Water, Earth receives righteous Qi and Wind arrives, things grow again (Earthly Qi should not respond). Fog moves. Diseases include inability to control closure (incontinence or sweating), heart pain, and cough due to Yang Qi not storing. The time should be for storage, but Wind-Wood stirs it. Wind is Yang, hence diseases occur thus.
Mao-You Years (Ding Mao, Ding You, Gui Mao, Gui You, Ji Mao, Yi Mao, Yi You, Xin Mao, Xin You, Ji You)
Yangming Zaojin (Dryness-Metal) governs the Si Tian (Heavenly Ruler), representing the state of Dryness transformation of the year's Qi, which is Heavenly Qi. Shaoyin Junhuo (Monarch Fire) governs the Zai Quan (Earthly Ruler), which is Earthly Qi. Yangming Zaojin corresponds to the Qi image of the Hand-Yangming Large Intestine Meridian, associated with Geng-Xin Metal. Its transformation is based on Dryness. All clarity, dryness, solemnity, and firmness of all things are transformations of Metal, manifesting as cool, crisp, and biting, with rustling mist and dew. When Dryness-Metal overflows above, Wood is controlled by it, so grass grows late in flourishing. In humans, Liver Blood is injured and cannot nourish sinews and bones, leading to internal changes. Moreover, Metal Qi is too cold, capable of altering the generating Qi, hence the response of grass growth is thus. However, with Yangming Zaojin above, Shaoyin Junhuo is below, so hibernating insects appear. Yangming governs Si Tian, Jie Chong (shelled insects) share the Si Tian Qi, hence they are quiet. Yu Chong (feathered birds) share the Zai Quan Qi, hence they breed. People suffer from left hypochondriac pain, etc. These are all Liver diseases, as Liver Wood governs the left. According to the *Meridian Chapter*: Heart and hypochondriac pain, inability to turn, slightly dusty face, indicate Foot-Shaoyang Gallbladder Meridian disease. Lower back pain, inability to bend or straighten, hernia in men, lower abdominal pain in women, dry throat, dusty face, undigested stool diarrhea, indicate Foot-Jueyin Liver Meridian disease. This is because Liver and Gallbladder are interior-exterior pairs; Wood is injured by Metal, so all diseases originate from the Liver. Taichong acupoint is the Foot-Jueyin Liver Meridian pulse, located two cun behind the root of the big toe, with a palpable arterial pulse. If Wood cannot overcome Metal, Liver Qi exhausts and Taichong pulse vanishes, leading to untreatable death.
Shaoyin Junhuo (Monarch Fire) governs the Zai Quan (Earthly Ruler), which is Earthly Qi. When Monarch Fire overflows below, flames float on rivers and marshes, dark places shine, hibernating insects do not hide. People suffer from constant abdominal rumbling, caused by Fire Qi rushing. Qi rushing to the chest is due to Fire nature flaming upward. Wheezing, inability to stand long, chills, fever, and skin pain are caused by Fire evil attacking the Lung. Eye closing/blindness is due to extreme heat and Yin deficiency fearing sunlight. Toothache and gum swelling are due to Heat attacking the Yangming Meridian. Chills and fever like malaria are due to injury to Metal and Water, and contention of Yin and Yang. Heat in the Lower Jiao causes lower abdominal pain. Heat in the Middle Jiao causes abdominal distension. Dryness constipation means pathogens are solid inside; use bitter purgatives, preferably Chengqi Tang (Chengqi Decoction). Yu Chong belong to Fire, sharing its Qi, hence they breed. Jie Chong belong to Metal, subject to its control, hence they diminish. With Shaoyin at the bottom, Heat is in the earth, so cold-toxic substances do not generate.