单燥其湿则热更炽，单清其热则湿不流，故必兼用苦温甘辛之味以汗之，庶几热清而湿燥，此又淫胜
之转病而治法之所以不同也。）火淫所胜，平以咸冷，佐以苦甘，以酸收之，以苦发之，以酸复之，热淫同。
（“此与在泉热淫治同。盖水能胜火，故平以咸冷。苦能泻火之实，甘能缓火之急，故佐以苦甘。火盛而散越
者，以酸收之。火郁而伏留者，以苦发之。然以发去火，未免伤气，故又当以酸收之，而火与热同治也。”）
燥淫所胜，平以苦湿，佐以酸辛，以苦下之。（“此与上文燥淫于内治同，但彼云佐以甘辛，此云酸辛为异，
详注见前燥淫条下。苦湿误也，当作苦温。”）寒淫所胜，平以辛热，佐以苦甘，以咸泻之。（“辛热足以散
寒，苦甘可以胜水。以咸泻之，水之正味，其泻以咸也。此与在泉治同，而文有颠倒，详见前寒淫于内条下。”）
帝曰∶邪气反胜，治之奈何？（按∶凡气之害正者即谓之邪，正气当胜，而或偶遇所不胜之客气，则反为
其所胜。如木司天地，气宜温和，乃时或清凉，则气以清凉而抑矣，木遭金气，是之谓反胜。非若真气不足，
而后邪气乘虚而入之比也。景岳解反胜，谓天地气有不足，则间气乘虚为邪。夫既已司天在泉矣，何云不足耶。
盖惟司天在泉之气，更无有能胜之者，而所不胜之时气能胜之，所以为反胜。帝之此问，的指客气为邪无疑也。
或曰∶子言此客气，有据乎？曰∶下文不云乎，风司于地，清反胜之等，谓风宜温而时反清也，非客气而何。）
岐伯曰∶风司于地，清反胜之，治以酸温，佐以苦甘，以辛平之。（按∶张景岳曰∶“治以酸温，酸求木之同
气，温以制清也。佐以苦甘，苦以温金，甘以缓肝之急也。以辛平之，木之正味，其补以辛，金之正味，其泻
以辛也。”）热司于地，寒反胜之，治以甘热，佐以苦辛，以咸平之。（“治以甘热，甘能胜水，热能制寒也。
佐以苦辛，寒得苦而温，得辛而散也。以咸平之，火之正味，其补以咸，水之正味，其泻以咸也。”）湿司于
地，热反胜之，治以苦冷，佐以咸甘，以苦平之。（“治以苦冷，抑火邪也。佐以咸甘，咸寒制热，甘温补土
也。以苦平之，即苦冷之义。”）火司于地，寒反胜之，
治以甘热，佐以苦辛，以咸平之。（“与热司于地同治。”）燥司于地，热反胜之，治以平寒，佐以苦甘，以
酸平之，以和为利。（“治以平寒，以金司于地，气本肃杀，若用大寒，必助其惨，故但宜平寒以抑其热而已。
佐以苦甘，所以泻火也。以酸平之，金之正味，其补以酸也。以和为利，戒其过也，即平寒之意。”）寒司于
地，热反胜之，治以咸冷，佐以甘辛，以苦平之。（“治以咸冷，抑火邪也。佐以甘辛，甘泻火而辛能散也。
以苦平之，水之正味，其补以苦也。王氏曰∶此六气方治，与前淫胜法殊贯。其云治者，泻客邪之胜气也。云
佐者，皆所利所宜也。云平者，补已弱之正气也。”）
帝曰∶其司天邪胜何如？（“言司天反胜也。”）岐伯曰∶风化于天，清反胜之，治以酸温，佐以甘苦。
（“治与司地同。”）热化于天，寒反胜之，治以甘温，佐以苦酸辛。（“治与司地同，但少一咸味，多一酸
味，盖火为水胜，则心苦缓，是故宜食酸以收之也。”）湿化于天，热反胜之，治以苦寒，佐以苦酸。（“苦寒
所以祛热，苦酸所以敛热。按此与上文湿司于地，皆当言风反胜之，而俱言热者，盖风火本同气，均能胜湿故
也。然佐以苦酸，则木之正味，其泻以酸，此虽治热，而实兼治风矣。”）火化于天，寒反胜之，治以甘热，
佐以苦辛。（“治与司地同。”）燥化于天，热反胜之，治以辛寒，佐以苦甘。（“辛寒所以散热，苦甘所以
泻火。”）寒化于天，热反胜之，治以咸冷，佐以苦辛。（“治与司地同。”）帝曰∶六气相胜奈何？（按∶
张景岳曰∶“相胜者，六气之有强弱而乘虚相胜也。”）岐伯曰∶厥阴之胜，耳鸣头眩，愦愦欲吐，胃膈如寒，
大风数举， 虫不滋， 胁气并，化而为热，小便黄赤，胃脘当心而痛，上支两胁，肠鸣飧泄，少腹痛，注下
赤白，甚则呕吐，膈咽不通。（按∶张景岳曰∶厥阴之胜，风邪盛也。耳鸣头眩，肝脉会于顶而风主动也。
愦愦欲吐，胃
膈如寒，以木邪伤胃，胃虚而生于寒也。 虫不滋，土气衰也。 胁气并，肝邪聚也。化热而小便黄赤，邪侵
小肠也。其在上则胃脘当心而痛，上支两胁为呕吐，为膈咽不通，在下则为飧泄，少腹痛，注下赤白，皆肝经
脉气所及，而木邪乘于肠胃也。愦音贵，心乱也。 音区。）少阴之胜，心下热，善饥，脐下反痛，气游三
焦，炎暑至，木乃津，草乃萎，呕逆躁烦，腹满痛，溏泄，传为赤沃。（“少阴之胜，君火盛也。少阴之脉起
心中，出属心系，故心下热而善饥。少阴之脉络小肠，而热乘之，故脐下反痛。心火盛则热及心包络，包络
之脉历络三焦，故气游三焦。其在天则炎暑至，在物则木乃津，草乃萎。火在上焦则咽逆躁烦，在中焦则腹满痛，
在下焦则溏泄，传为赤沃。赤沃者，利血尿血也。”）太阴之胜，火气内郁，疮疡于中，流散于外，病在 胁，
甚则心痛，热格，头痛喉痹项强，独胜则湿气内郁，寒迫下焦，痛留顶互引眉间，胃满，雨数至，湿化乃见，
少腹满，腰 重强，内不便，善注泄，足下温，头重，足胫 肿，饮发于中， 肿于上。（“太阴之胜，湿邪
盛也。寒湿外盛，则心火内郁，故疮疡先发于中，而后流散于外。心脉起心中，出腋下，故病在 胁，甚则心
痛。热格于上，则为头痛喉痹项强。若无热而湿独胜，则湿气内郁，寒迫下焦，故痛留巅顶，互引眉间。胃属
土，不能制湿，则为胀满。其在天则雨数至，在物则湿化见。湿下流，则少腹满，腰 重强。内湿不便，则清
浊不分，故善注泄。湿郁于下则热生，故足温。湿滞于上，故头重。脾胃不能胜湿，则足胫 肿，故饮发于中，
浮肿于上也。”）少阳之胜，热客于胃，烦心心痛，目赤欲呕，呕酸善饥，耳痛，溺赤，善惊谵妄，暴热消烁，
草萎水涸，介虫乃屈，少腹痛，下沃赤白。（“少阳之胜，相火盛也。热客于胃而上行，则为烦心心痛，目
赤欲呕，呕酸善饥，耳痛等病。下行则为溺赤。火盛则伤阴，故善惊谵妄，暴热消烁。热极则害物，故草萎水涸。
介虫属金，故遇火而屈。热陷下
焦，故少腹为痛。下沃赤白者，热在血分则赤，气分则白，大便曰利，小便曰浊也。”）阳明之胜，清发于中，
左胁痛，溏泄，内为嗌塞，外发 疝，大凉肃杀，华英改容，毛虫乃殃，胸中不便，嗌塞而咳。（“阳明之
胜，金邪盛也。金气寒肃，故清发于中。木受其制，故左 胁痛。清气在下则为溏泄，在上则为嗌塞，在少腹
则为 疝，在天则大凉肃杀，在物则华英改容。毛虫，木虫也，故受其殃。胸中，肺所居也，燥胜则肺气敛而
失其节治，故有不便而嗌塞为咳也。”）太阳之胜，凝栗且至，非时水冰，羽乃后化，痔疟发，寒厥入胃，则
内生心痛，阴中乃疡，隐曲不利，互引阴股，筋肉拘苛，血脉凝泣，络满色变，或为血泄，皮肤痞肿，腹满食
减，热反上行，头项囟顶脑户中痛，目如脱，寒入下焦，传为濡泻。（“太阳之胜，水邪盛也。故为凝栗水冰。
羽虫属火，故后化。太阳经夹脊贯臀，故痔发。寒胜则邪正分争，故为疟。寒气入胃，厥逆于中，上侵君火，
故内生心痛。太阳之脉，络肾贯膀胱，故为阴疡，隐曲不利，而互引阴股。筋肉得寒则为急为痹，故筋急肉苛。
血脉得寒则营卫凝涩，经脉不行，故络满色变。血滞于经则妄行，故或为血泄。表寒不行，故皮肤痞肿。里寒
为滞，故腹满食减。阴寒在下，则戴阳于上，故热反上行。头项囟顶脑户目内 ，皆太阳经也，寒气居之故为
痛如脱。寒入下焦，则命门阳衰，故传为大便濡泄。囟音信。”）帝曰∶治之奈何？岐伯曰∶厥阴之胜，治以
甘清，佐以苦辛，以酸泻之。（“木胜土败，治以甘清，甘益土，清平木也。佐以苦辛，散风邪也。以酸泻之，
木之正味，其泻以酸也。”）少阴之胜，治以辛寒，佐以苦咸，以甘泻之。（“热胜则乘金，治以辛寒，散火
也。佐以苦咸，泄热也。以甘泻之，火之正味，其泻以甘也。”）太阴之胜，治以咸热，佐以辛甘，以苦泻之。
（“土胜则湿淫，治以咸热，咸能润下，热能燥湿也。湿胜则土寒，佐以辛甘，辛能温土，甘能补土也。以苦
泻之，土之正味，其泻以苦也。”）少阳之胜，
治以辛寒，佐以甘咸，以甘泻之。（“此与上少阴治同，但佐有少异，盖甘能泻火也。”）阳明之胜，治以酸
温，佐以辛甘，以苦泄之。（“燥金之胜，病在肺肝，治以酸温，润燥暖肺也。佐以辛甘，泻肺补肝也。以苦
泄之，苦从火化，能泄燥邪之实也。”）太阳之胜，治以甘热，佐以辛酸，以咸泻之。（“水胜则火衰，治以甘
热，甘益土以制水，热扶阳以逐寒也。佐以辛酸，辛散寒邪之实，酸收心气之伤也。以咸泻之，水之正味，其
泻以咸也。”）
帝曰∶六气之复何如？（复谓报复，报其胜也。凡先有胜，后必有复。按∶张景岳曰∶“注言凡先有胜，
后必有复。新校正引玄珠正化对化之义云，正司化令之实，对司化令之虚，对化胜而有复，正化胜而不复，反
以注为未然。或又曰∶甲丙戊庚壬，阳年太过，有胜无复；乙丁己辛癸，阴年不及，有胜必有复。皆未达之言
也。夫胜复之道，随气盛衰而见，非有正对之分。考之本经诸篇，原无此言。其不及有复太过无复之说，盖以
气交变大论，凡太过之运皆不言复，惟不及之年则有之，六元正纪大论所载六十年运气之纪，亦惟不及之年言
复，而太过之岁则无，似乎阳年太过，有胜无复也。然五常正大论云，发生之纪，不务其德，则收气复。赫曦
之纪，暴烈其政，藏气乃复。敦阜之纪，大风迅至，邪伤脾也。坚成之纪，政暴变，长气斯救。流衍之纪，
政过则化气大举。是皆以太过之岁为言。由此观之，则阳年未尝无复也。惟是阴年气弱，彼来胜我，故子必起
而报之，故谓之复；阳年气强，无胜我者，但以我胜彼，故承乃从而制之。然曰承曰复，总一理也。但相继而
制者谓之承，因胜而报者谓之复，胜复相仍，本无罅隙。故经曰∶有胜则复，无胜则否。胜至则复，无常数也。
又曰∶微者复微，甚者复甚。然则气之微甚，尚不可以假借，又何有阴阳正对复与不复之理哉。故本论无分太过
不及之年，皆有淫胜反胜相胜之气，可见阳年未必全盛，而反胜者有之，阴年未必全衰，而淫胜者亦有之，天
地变化，消长无穷，但当随厥气几而察以方月之义，庶得其妙。若因辞害意，则失之远矣。）岐伯曰∶悉
乎哉问也！厥阴之复，少腹坚满，里急暴痛，偃木飞
沙， 虫不荣，厥心痛，汗发，呕吐，饮食不入，入而复出，筋骨掉眩，清厥，甚则入脾，食痹而吐。（“厥
阴风木之复，内应肝气，少腹坚满，肝邪实也。里急暴痛，肝主筋膜，其气急也。偃木飞沙，风之甚也。 虫不
荣，木制土也。厥心痛，汗发，肝邪乘胃，上凌于心而阳气泄也。饮食不入，入则复出，脾受肝伤也。掉为颤
掉，眩为眩运，风淫所致也。风之甚者，必兼承制之化，故手足清冷而厥也。食痹者，食入不化，入则痹痛呕
汁，必吐出乃已也。”）冲阳绝，死不治。（“冲阳，胃脉也，胃绝则脾亦绝矣。按前章天地淫胜，止言司天
六脉绝者不治，而在泉未言。此章于六气之复者复言之，正以明在泉之化。盖四气尽终气，地气主之，复之常
也。”）少阴之复，燠热内作，烦躁鼽嚏，少腹绞痛，火见燔 ，嗌燥，分注时止，气动于左，上行于右，
咳，皮肤痛，暴喑，心痛，郁冒不知人，乃洒淅恶寒振栗，谵妄，寒已而热，渴而欲饮，少气骨萎，隔肠不便，
外为浮肿哕噫，赤气后化，流水不冰，热气大行，介虫不福，病 胗疮疡，痈疽痤痔，甚则入肺，咳而鼻渊。
（“少阴君火之复，燠热内作，烦躁鼽嚏，火盛于中而炎于上也。少腹绞痛，火在阴也。火见燔 嗌燥，身表
焦热而火在喉也。分注时止，谓大肠或泄，膀胱或癃，火居二便也。气动于左，阳升在东也。上行于右，火必
乘金也。咳而皮肤痛，暴喑，肺主音声，外合皮毛，而受火之伤也。心痛，郁冒不知人，心邪自实而神明乱也。
洒淅恶寒振栗，谵妄，寒已而热，水火相争，热极生寒也。渴而欲饮，亡津液也。少气骨萎，壮火食气，热极
伤精也。隔肠不便，热结不通也。外为浮肿，为哕噫，热胜则肿，火逆冲上也。赤气后化，阳明先胜，少阴后
复也。流水不冰，热气大行，介虫不福，火盛制金也。 疹疮疡，痈疽痤痔，火克肺金而皮毛受伤也。火甚必伤
肺，故咳而鼻渊所由作矣。”）天府绝，死不治。（“天府，肺经穴也。”）太阴之复，湿变乃举，体重中满，
（如果单独燥湿，热势会更猛烈；如果单独清热，湿气就无法流通。因此必须兼用苦温、甘辛的药物来发汗，这样才可能使热清而湿除，这是淫胜之邪转化后的病证，治疗方法也因此不同。）火气淫胜，用咸冷之品来平抑它，用苦甘之品来辅助，用酸味来收敛它，用苦味来发散它，再用酸味来恢复正气，热气淫胜的治疗方法与此相同。（“这与在泉热淫的治疗相同。因为水能克火，所以用咸冷来平抑。苦能泻火的实邪，甘能缓急，所以用苦甘来辅助。火盛而散越的，用酸味收敛。火郁伏留的，用苦味发散。然而用发散法去火，未免会伤气，所以又应当用酸味收敛，火与热的治法相同。”）燥气淫胜，用苦温来平抑它，用酸辛来辅助，用苦味来通下。（“这与上文燥淫于内的治疗相同，只是前文说佐以甘辛，这里说酸辛，有所不同，详细注释见前文燥淫条下。‘苦湿’是误字，应当是‘苦温’。）寒气淫胜，用辛热来平抑它，用苦甘来辅助，用咸味来泻它。（“辛热足以散寒，苦甘可以制水。用咸味来泻，是因为咸是水之本味，其泻法用咸。这与在泉的治疗相同，但文字顺序有颠倒，详见前文寒淫于内条下。”）黄帝问：邪气反胜，怎么治疗？（按：凡是伤害正气的都称为邪气，正气应当胜，但如果偶尔遇到所不胜的客气，就会反而被其所胜。如木气主司天地，气候应当温和，有时却出现清凉，则气候因清凉而被抑制，木遭遇金气，这就叫反胜。不像真气不足，然后邪气乘虚而入的情况。张景岳解释反胜，认为天地之气有不足，间气乘虚成为邪气。既然已经司天在泉了，为什么说不足呢？大概只有司天在泉之气，没有能胜过它的，而所不胜之时气能胜过它，所以叫反胜。黄帝的这个问题，明确指客气为邪无疑。有人说：您说的这个客气，有什么依据吗？回答说：下文不是说吗，风司于地，清反胜之等，意思是风宜温而时反清，不是客气是什么？）岐伯说：风气在地之主位，清气反胜，用酸温来治疗，用苦甘来辅助，用辛味来平调。（按：张景岳说：“用酸温治疗，酸是求木的同气，温是用来制约清。用苦甘辅助，苦用来温金，甘用来缓肝之急。用辛平调，辛是木的本味，补木用辛，辛也是金的本味，泻金用辛。”）热气在地之主位，寒气反胜，用甘热来治疗，用苦辛来辅助，用咸味来平调。（“用甘热治疗，甘能胜水，热能制寒。用苦辛辅助，寒得苦而温，得辛而散。用咸平调，咸是火的本味，补火用咸，咸也是水的本味，泻水用咸。”）湿气在地之主位，热气反胜，用苦冷来治疗，用咸甘来辅助，用苦味来平调。（“用苦冷治疗，是为了抑制火邪。用咸甘辅助，咸寒制热，甘温补土。用苦平调，就是苦冷的意思。”）火气在地之主位，寒气反胜，用甘热来治疗，用苦辛来辅助，用咸味来平调。（“与热气在地之主位的治疗相同。”）燥气在地之主位，热气反胜，用平寒来治疗，用苦甘来辅助，用酸味来平调，以调和为有利。（“用平寒治疗，因为金气在地之主位，气性本肃杀，如果用大寒，必定助长其惨烈，所以只宜用平寒来抑制热而已。用苦甘辅助，是为了泻火。用酸平调，酸是金的本味，补金用酸。以和为利，是告诫不要过用，也就是平寒的意思。”）寒气在地之主位，热气反胜，用咸冷来治疗，用甘辛来辅助，用苦味来平调。（“用咸冷治疗，是为了抑制火邪。用甘辛辅助，甘泻火而辛能散。用苦平调，苦是水之本味，补水用苦。王氏说：这六气方治，与前文淫胜的方法不同。说‘治’，是泻客邪的胜气。说‘佐’，都是所利所宜的。说‘平’，是补已弱的正气。”）黄帝问：司天的邪气反胜怎么样？（“说的是司天反胜。”）岐伯说：风化于天，清气反胜，用酸温来治疗，用甘苦来辅助。（“治疗与司地相同。”）热化于天，寒气反胜，用甘温来治疗，用苦酸辛来辅助。（“治疗与司地相同，但少一味咸，多一味酸，因为火被水胜，则心苦缓，所以宜食酸来收敛它。”）湿化于天，热气反胜，用苦寒来治疗，用苦酸来辅助。（“苦寒所以祛热，苦酸所以敛热。按此与上文湿司于地，都应当说是风反胜，而都说热，是因为风火本同气，均能胜湿的缘故。然而佐以苦酸，则是木的本味，泻木用酸，这虽然是治热，实则兼治风了。”）火化于天，寒气反胜，用甘热来治疗，用苦辛来辅助。（“治疗与司地相同。”）燥化于天，热气反胜，用辛寒来治疗，用苦甘来辅助。（“辛寒所以散热，苦甘所以泻火。”）寒化于天，热气反胜，用咸冷来治疗，用苦辛来辅助。（“治疗与司地相同。”）黄帝问：六气相胜怎么样？（按：张景岳说：“相胜，是指六气有强弱而乘虚相胜。”）岐伯说：厥阴之气胜，耳鸣头眩，心中烦乱想吐，胃膈像受寒一样，大风多次兴起，昆虫不繁殖，胁部气机郁结，化为热，小便黄赤，胃脘当心而痛，向上支撑两胁，肠鸣飧泄，小腹痛，腹泻赤白，严重时呕吐，膈咽不通。（按：张景岳说：厥阴之胜，是风邪盛。耳鸣头眩，肝脉会于头顶且风主动。心中烦乱想吐，胃膈像受寒，是因为木邪伤胃，胃虚而生寒。昆虫不繁殖，是土气衰。胁部气机郁结，是肝邪聚。化为热而小便黄赤，是邪侵小肠。在上则为胃脘当心而痛，向上支撑两胁导致呕吐，导致膈咽不通，在下则为飧泄，小腹痛，腹泻赤白，都是肝经脉气所及，而木邪乘于肠胃。愦音贵，心乱。翣音区。）少阴之气胜，心下热，容易饥饿，脐下反而痛，气游走三焦，炎暑到来，树木干枯，草枯萎，呕吐逆乱躁烦，腹满痛，溏泄，传变为便血尿血。（“少阴之胜，是君火盛。少阴脉起于心，出属心系，所以心下热而善饥。少阴脉络小肠，热乘之，所以脐下反痛。心火盛则热及心包络，包络之脉历络三焦，所以气游三焦。在天则炎暑至，在物则树木干枯，草枯萎。火在上焦则咽逆躁烦，在中焦则腹满痛，在下焦则溏泄，传变为赤沃。赤沃，是指便血尿血。”）太阴之气胜，火气内郁，疮疡生于体内，流散于体外，病在胁肋，严重时心痛，热格，头痛喉痹项强，独胜则湿气内郁，寒迫下焦，痛留头顶互相牵引眉间，胃满，雨多次来到，湿气显现，小腹胀满，腰重强，内部不便，容易腹泻，足下温，头重，足胫肿，饮邪发于中，浮肿于上。（“太阴之胜，是湿邪盛。寒湿外盛，则心火内郁，所以疮疡先发于中，而后流散于外。心脉起于心，出腋下，所以病在胁肋，严重时心痛。热格于上，则为头痛喉痹项强。若无热而湿独胜，则湿气内郁，寒迫下焦，所以痛留巅顶，互相牵引眉间。胃属土，不能制湿，则为胀满。在天则雨多次来到，在物则湿气显现。湿下流，则小腹胀满，腰重强。内湿不便，则清浊不分，所以容易腹泻。湿郁于下则热生，所以足温。湿滞于上，所以头重。脾胃不能胜湿，则足胫肿，所以饮发于中，浮肿于上。”）少阳之气胜，热客于胃，心烦心痛，目赤想吐，呕酸善饥，耳痛，溺赤，容易惊恐谵妄，暴热消烁，草枯萎水干涸，甲壳类虫屈曲，小腹痛，下痢赤白。（“少阳之胜，是相火盛。热客于胃而上行，则为心烦心痛，目赤想吐，呕酸善饥，耳痛等病。下行则为溺赤。火盛则伤阴，所以容易惊恐谵妄，暴热消烁。热极则害物，所以草枯萎水干涸。介虫属金，所以遇火而屈。热陷下焦，所以小腹痛。下沃赤白，热在血分则赤，气分则白，大便叫利，小便叫浊。”）阳明之气胜，清气发于中，左胁痛，溏泄，内部咽喉阻塞，外部发疝，大凉肃杀，花叶改容，毛虫受灾，胸中不便，咽喉阻塞而咳。（“阳明之胜，是金邪盛。金气寒肃，所以清气发于中。木受其制，所以左胁痛。清气在下则为溏泄，在上则为咽喉阻塞，在少腹则为疝，在天则大凉肃杀，在物则花叶改容。毛虫，是木虫，所以受灾。胸中，是肺所居，燥胜则肺气敛而失节治，所以有不便而咽喉阻塞为咳。”）太阳之气胜，凝栗且至，非时令水结冰，羽虫后化，痔疟发作，寒厥入胃，则内生心痛，阴部生溃疡，隐曲不利，互相牵引阴股，筋肉拘急苛酷，血脉凝涩，络脉满色变，或为便血，皮肤痞肿，腹满食减，热反上行，头项囟顶脑户中痛，目如脱出，寒入下焦，传为濡泻。（“太阳之胜，是水邪盛。所以为凝冷水冰。羽虫属火，所以后化。太阳经夹脊贯臀，所以痔发。寒胜则邪正分争，所以为疟。寒气入胃，厥逆于中，上侵君火，所以内生心痛。太阳之脉，络肾贯膀胱，所以为阴疡，隐曲不利，而互相牵引阴股。筋肉得寒则为急为痹，所以筋急肉苛。血脉得寒则营卫凝涩，经脉不行，所以络满色变。血滞于经则妄行，所以或为便血。表寒不行，所以皮肤痞肿。里寒为滞，所以腹满食减。阴寒在下，则戴阳于上，所以热反上行。头项囟顶脑户目内眦，都是太阳经，寒气居之所以痛如脱出。寒入下焦，则命门阳衰，所以传为大便濡泄。囟音信。”）黄帝问：怎么治疗？岐伯说：厥阴之胜，用甘清来治疗，用苦辛来辅助，用酸味来泻它。（“木胜土败，用甘清治疗，甘益土，清平木。用苦辛辅助，散风邪。用酸泻，酸是木的本味，泻木用酸。”）少阴之胜，用辛寒来治疗，用苦咸来辅助，用甘味来泻它。（“热胜则乘金，用辛寒治疗，散火。用苦咸辅助，泄热。用甘泻，甘是火的本味，泻火用甘。”）太阴之胜，用咸热来治疗，用辛甘来辅助，用苦味来泻它。（“土胜则湿淫，用咸热治疗，咸能润下，热能燥湿。湿胜则土寒，用辛甘辅助，辛能温土，甘能补土。用苦泻，苦是土的本味，泻土用苦。”）少阳之胜，用辛寒来治疗，用甘咸来辅助，用甘味来泻它。（“这与上面少阴的治疗相同，但辅助药稍有不同，因为甘能泻火。”）阳明之胜，用酸温来治疗，用辛甘来辅助，用苦味来泄它。（“燥金之胜，病在肺肝，用酸温治疗，润燥暖肺。用辛甘辅助，泻肺补肝。用苦泄，苦从火化，能泄燥邪之实。”）太阳之胜，用甘热来治疗，用辛酸来辅助，用咸味来泻它。（“水胜则火衰，用甘热治疗，甘益土以制水，热扶阳以逐寒。用辛酸辅助，辛散寒邪之实，酸收心气之伤。用咸泻，咸是水之本味，泻水用咸。”）黄帝问：六气之复怎么样？（复谓报复，报其胜也。凡先有胜，后必有复。按：张景岳说：“注言凡先有胜，后必有复。新校正引玄珠正化对化之义云，正司化令之实，对司化令之虚，对化胜而有复，正化胜而不复，反而认为注是错误的。或者又说：甲丙戊庚壬，阳年太过，有胜无复；乙丁己辛癸，阴年不及，有胜必有复。这些都是不懂的话。夫胜复之道，随气盛衰而见，并非有正对之分。考之本经诸篇，原本没有这话。其不及有复太过无复之说，大概因为气交变大论，凡太过之运皆不言复，惟不及之年则有之，六元正纪大论所载六十年运气之纪，亦惟不及之年言复，而太过之岁则无，似乎阳年太过，有胜无复也。然五常政大论云，发生之纪，不务其德，则收气复。赫曦之纪，暴烈其政，藏气乃复。敦阜之纪，大风迅至，邪伤脾也。坚成之纪，政暴变，长气斯救。流衍之纪，政过则化气大举。这都是以太过之岁而言。由此观之，则阳年未尝无复也。只是阴年气弱，彼来胜我，故子必起而报之，故谓之复；阳年气强，无胜我者，但以我胜彼，故承乃从而制之。然曰承曰复，总一理也。但相继而制者谓之承，因胜而报者谓之复，胜复相仍，本无罅隙。故经曰：有胜则复，无胜则否。胜至则复，无常数也。又说：微者复微，甚者复甚。然则气之微甚，尚不可以假借，又何有阴阳正对复与不复之理哉。故本论无分太过不及之年，皆有淫胜反胜相胜之气，可见阳年未必全盛，而反胜者有之，阴年未必全衰，而淫胜者亦有之，天地变化，消长无穷，但当随厥气几而察以方月之义，庶得其妙。若因辞害意，则失之远矣。）岐伯说：问得很详尽啊！厥阴之复，少腹坚满，里急暴痛，偃木飞沙，昆虫不荣，厥心痛，汗发，呕吐，饮食不入，入而复出，筋骨掉眩，清厥，严重时入脾，食痹而吐。（“厥阴风木之复，内应肝气，少腹坚满，肝邪实。里急暴痛，肝主筋膜，其气急。偃木飞沙，风之甚。昆虫不荣，木制土。厥心痛，汗发，肝邪乘胃，上凌于心而阳气泄。饮食不入，入则复出，脾受肝伤。掉为颤掉，眩为眩运，风淫所致。风之甚者，必兼承制之化，所以手足清冷而厥。食痹者，食入不化，入则痹痛呕汁，必吐出乃已。”）冲阳绝，死不治。（“冲阳，胃脉也，胃绝则脾亦绝。按前章天地淫胜，止言司天六脉绝者不治，而在泉未言。此章于六气之复者复言之，正以明在泉之化。盖四气尽终气，地气主之，复之常也。”）少阴之复，燠热内作，烦躁鼽嚏，少腹绞痛，火见燔焫，咽喉干燥，分注时止，气动于左，上行于右，咳，皮肤痛，暴喑，心痛，郁冒不知人，乃洒淅恶寒振栗，谵妄，寒已而热，渴而欲饮，少气骨萎，隔肠不便，外为浮肿哕噫，赤气后化，流水不冰，热气大行，介虫不福，病疹疮疡，痈疽痤痔，严重时入肺，咳而鼻渊。（“少阴君火之复，燠热内作，烦躁鼽嚏，火盛于中而炎于上。少腹绞痛，火在阴。火见燔焫嗌燥，身表焦热而火在喉。分注时止，谓大肠或泄，膀胱或癃，火居二便。气动于左，阳升在东。上行于右，火必乘金。咳而皮肤痛，暴喑，肺主音声，外合皮毛，而受火之伤。心痛，郁冒不知人，心邪自实而神明乱。洒淅恶寒振栗，谵妄，寒已而热，水火相争，热极生寒。渴而欲饮，亡津液。少气骨萎，壮火食气，热极伤精。隔肠不便，热结不通。外为浮肿，为哕噫，热胜则肿，火逆冲上。赤气后化，阳明先胜，少阴后复。流水不冰，热气大行，介虫不福，火盛制金。疹疮疡，痈疽痤痔，火克肺金而皮毛受伤。火甚必伤肺，所以咳而鼻渊所作。”）天府绝，死不治。（“天府，肺经穴也。”）太阴之复，湿变乃举，体重中满，
(If one solely dries dampness, the heat will become more intense; if one solely clears heat, the dampness will not flow. Therefore, it is necessary to simultaneously use bitter-warm and sweet-acrid flavors to induce sweating, so that heat may clear and dampness may dry. This is the treatment for diseases transformed from excessive influence, hence the methods differ.) When Fire Excess prevails, pacify it with salty-cold substances, assist with bitter-sweet substances, astringe with sour substances, disperse with bitter substances, and restore with sour substances. The treatment for Heat Excess is the same. ("This is the same as the treatment for Heat Excess at the In泉 position. Since Water overcomes Fire, salty-cold is used to pacify. Bitter can drain the excess of Fire, and Sweet can relieve the urgency of Fire, hence assisted with bitter-sweet. When Fire is abundant and scattered, sour is used to astringe. When Fire is depressed and latent, bitter is used to disperse. However, using dispersion to remove Fire may injure Qi, so Sour should be used to astringe again. The treatment for Fire and Heat is the same.") When Dryness Excess prevails, pacify it with bitter-warm (Note: original text says 'bitter-damp', corrected to 'bitter-warm'), assist with sour-acrid substances, and purge with bitter substances. ("This is the same as the treatment for Dryness Excess internally mentioned above, but there the assistance was sweet-acrid, whereas here it is sour-acrid. See notes under Dryness Excess earlier. 'Bitter-damp' is an error, should be 'bitter-warm'.") When Cold Excess prevails, pacify it with acrid-hot substances, assist with bitter-sweet substances, and purge with salty substances. ("Acrid-hot is sufficient to disperse Cold, and bitter-sweet can overcome Water. Purging with salty is because salty is the true flavor of Water, and its purging method uses salty. This is the same as the treatment at the In泉 position, but the text order is inverted. See details under Cold Excess internally earlier.") The Emperor asked: If pathogenic factors counter-victoriously prevail, how should they be treated? (Note: Anything that harms the righteous Qi is called pathogenic factor. Righteous Qi should prevail, but if it occasionally encounters the non-overcoming Guest Qi, it may be counter-victoriously prevailed by it. For example, when Wood governs Heaven and Earth, the Qi should be mild and warm, but sometimes it becomes cool, thus suppressing the Qi due to coolness. Wood encountering Metal Qi is called counter-victory. This is not comparable to True Qi deficiency where pathogenic factors enter due to emptiness. Zhang Jingyue explained counter-victory as Heaven and Earth Qi having insufficiency, allowing Interstitial Qi to become pathogenic due to emptiness. But since it is already governing Heaven or In泉, how can it be said to be insufficient? It seems only the Qi governing Heaven or In泉 has nothing to overcome it, but the non-overcoming seasonal Qi can overcome it, hence called counter-victory. The Emperor's question clearly refers to Guest Qi as pathogenic. Someone asked: Do you have evidence for this Guest Qi? I say: Does the following text not say, Wind governs at the ground, Clearness counter-victoriously prevails, etc.? It means Wind should be warm but time is contrary clear, which Guest Qi else?) Qibo said: When Wind governs at the ground, Clearness counter-victoriously prevails, treat with sour-warm, assist with bitter-sweet, and pacify with acrid. (Note: Zhang Jingyue said: "Treating with sour-warm, sour seeks the same Qi as Wood, warm controls Clearness. Assisting with bitter-sweet, bitter warms Metal, sweet relieves Liver urgency. Pacifying with acrid, acrid is the true flavor of Wood, tonifying Wood uses acrid; acrid is also the true flavor of Metal, purging Metal uses acrid.") When Heat governs at the ground, Cold counter-victoriously prevails, treat with sweet-hot, assist with bitter-acrid, and pacify with salty. ("Treating with sweet-hot, sweet overcomes Water, hot controls Cold. Assisting with bitter-acrid, Cold becomes warm with bitter, disperses with acrid. Pacifying with salty, salty is the true flavor of Fire, tonifying Fire uses salty; salty is also the true flavor of Water, purging Water uses salty.") When Dampness governs at the ground, Heat counter-victoriously prevails, treat with bitter-cold, assist with salty-sweet, and pacify with bitter. ("Treating with bitter-cold, to suppress Fire pathogen. Assisting with salty-sweet, salty-cold controls Heat, sweet-warm tonifies Earth. Pacifying with bitter, is the meaning of bitter-cold.") When Fire governs at the ground, Cold counter-victoriously prevails, treat with sweet-hot, assist with bitter-acrid, and pacify with salty. ("Same treatment as when Heat governs at the ground.") When Dryness governs at the ground, Heat counter-victoriously prevails, treat with neutral-cold, assist with bitter-sweet, pacify with sour, and benefit from harmony. ("Treating with neutral-cold, because Metal governs at the ground, Qi is inherently austere and killing. If great cold is used, it must aid its cruelty, so only neutral-cold should be used to suppress Heat. Assisting with bitter-sweet, to drain Fire. Pacifying with sour, sour is the true flavor of Metal, tonifying Metal uses sour. Benefiting from harmony, warns against excess, which is the meaning of neutral-cold.") When Cold governs at the ground, Heat counter-victoriously prevails, treat with salty-cold, assist with sweet-acrid, and pacify with bitter. ("Treating with salty-cold, to suppress Fire pathogen. Assisting with sweet-acrid, sweet drains Fire and acrid disperses. Pacifying with bitter, bitter is the true flavor of Water, tonifying Water uses bitter. Wang Shi said: These six Qi prescriptions are inconsistent with the previous Excess methods. 'Treat' means draining the prevailing Qi of Guest pathogens. 'Assist' means what is beneficial and suitable. 'Pacify' means tonifying the already weak righteous Qi.") The Emperor asked: What about Counter-victory of Heavenly pathogens? ("Speaking of Heavenly counter-victory.") Qibo said: When Wind transformation occurs in Heaven, Clearness counter-victoriously prevails, treat with sour-warm, assist with sweet-bitter. ("Treatment is same as governing at ground.") When Heat transformation occurs in Heaven, Cold counter-victoriously prevails, treat with sweet-warm, assist with bitter-sour-acrid. ("Treatment is same as governing at ground, but one less salty, one more sour. Because Fire is overcome by Water, Heart suffers from laxity, hence sour food is suitable to astringe it.") When Dampness transformation occurs in Heaven, Heat counter-victoriously prevails, treat with bitter-cold, assist with bitter-sour. ("Bitter-cold dispels Heat, bitter-sour gathers Heat. Note: This and the above Dampness governing at ground should both say Wind counter-victoriously prevails, but both say Heat, because Wind and Fire share the same Qi and both can overcome Dampness. However, assisting with bitter-sour, sour is the true flavor of Wood, purging Wood uses sour. Although treating Heat, it actually treats Wind as well.") When Fire transformation occurs in Heaven, Cold counter-victoriously prevails, treat with sweet-hot, assist with bitter-acrid. ("Treatment is same as governing at ground.") When Dryness transformation occurs in Heaven, Heat counter-victoriously prevails, treat with acrid-cold, assist with bitter-sweet. ("Acrid-cold dissipates Heat, bitter-sweet drains Fire.") When Cold transformation occurs in Heaven, Heat counter-victoriously prevails, treat with salty-cold, assist with bitter-acrid. ("Treatment is same as governing at ground.") The Emperor asked: How about the mutual victory of Six Qi? (Note: Zhang Jingyue said: "Mutual victory means the Six Qi have strength and weakness and invade each other due to emptiness.") Qibo said: When Jueyin prevails, there is tinnitus and vertigo, mental confusion with desire to vomit, stomach diaphragm feels cold, strong winds rise frequently, insects do not thrive, Qi converges in the hypochondrium, transforms into Heat, urine is yellow and red, epigastric pain at the heart center, extending upward to support both hypochondria, borborygmus with undigested stool, lower abdominal pain, dysentery with red and white discharge, severe cases vomiting, obstruction of diaphragm and pharynx. (Note: Zhang Jingyue said: Jueyin prevalence is Wind pathogen abundance. Tinnitus and vertigo, Liver meridian meets vertex and Wind moves. Mental confusion and desire to vomit, stomach diaphragm feels cold, because Wood pathogen injures Stomach, Stomach deficiency generates Cold. Insects do not thrive, Earth Qi declines. Hypochondriac Qi convergence, Liver pathogen gathers. Transforming into Heat and urine yellow-red, pathogen invades Small Intestine. Upper part epigastric pain at heart center, supporting two hypochondria causing vomiting, causing diaphragm-pharynx obstruction. Lower part causes undigested stool, lower abdominal pain, dysentery red-white, all within reach of Liver meridian Qi, and Wood pathogen attacking intestines and stomach. Kui sound gui, heart disorder. Sha sound qu.) When Shaoyin prevails, heat below the heart, frequent hunger, pain below the umbilicus, Qi wanders through the Triple Burner, scorching heat arrives, trees sap dries, grass withers, vomiting, reversal, restlessness, irritability, abdominal fullness and pain, loose stools, transmitting to red discharge. ("Shaoyin prevalence is Ministerial Fire abundance. Shaoyin meridian originates in the heart, exits belonging to Heart Link-organ, hence heat below heart and frequent hunger. Shaoyin meridian connects to Small Intestine, Heat attacks it, hence pain below umbilicus. Heart Fire abundance then Heat reaches Pericardium Link-organ, Pericardium meridian passes through Triple Burner, hence Qi wanders Triple Burner. In Heaven scorching heat arrives, in objects trees sap dry, grass withers. Fire in Upper Burner causes pharyngeal reversal, restlessness, irritability. In Middle Burner abdominal fullness and pain. In Lower Burner loose stools, transmitting to red discharge. Red discharge means blood in stool and blood in urine.") When Taiyin prevails, Fire Qi stagnates internally, sores and ulcers arise inside, spreading outside, disease in hypochondrium, severe cases heart pain, heat obstruction, headache, throat bi, neck stiffness, sole prevalence causes Dampness to stagnate internally, Cold presses Lower Burner, pain stays at vertex interconnecting eyebrows, stomach full, rain comes frequently, Dampness transformation appears, lower abdominal fullness, heavy and stiff waist, internal difficulty, prone to profuse diarrhea, feet warm, head heavy, calf swelling, fluid retention arises inside, edema swells outside. ("Taiyin prevalence is Dampness pathogen abundance. Cold-Dampness externally abundant, Heart Fire stagnates internally, hence sores first arise inside then spread outside. Heart meridian originates in heart, exits armpit, hence disease in hypochondrium, severe cases heart pain. Heat obstruction upper, causes headache, throat bi, neck stiffness. If no Heat and Dampness sole prevalence, Dampness stagnates internally, Cold presses Lower Burner, hence pain stays at vertex, interconnects eyebrows. Stomach belongs to Earth, cannot control Dampness, hence distension-fullness. In Heaven rain comes frequently, in objects Dampness transformation appears. Dampness flows down, lower abdominal fullness, heavy stiff waist. Internal Dampness difficult, clear and turbid not separate, hence prone to profuse diarrhea. Dampness stagnates lower generates Heat, hence feet warm. Dampness stagnates upper, hence head heavy. Spleen-Stomach cannot overcome Dampness, hence calf swelling, hence fluid retention inside, edema outside.") When Shaoyang prevails, Heat lodges in Stomach, vexation, heart pain, red eyes, desire to vomit, vomiting acid, frequent hunger, ear pain, dark urine, prone to fright, delirium, sudden heat consumes, grass withers, water dries, shell creatures curl up, lower abdominal pain, lower discharge red and white. ("Shaoyang prevalence is Ministerial Fire abundance. Heat lodges in Stomach and ascends, causing vexation, heart pain, red eyes, desire to vomit, vomiting acid, frequent hunger, ear pain etc. Descending causes dark urine. Fire abundance injures Yin, hence prone to fright, delirium, sudden heat consumes. Heat extreme harms objects, hence grass withers, water dries. Shell creatures belong to Metal, hence curl when meeting Fire. Heat sinks Lower Burner, hence lower abdominal pain. Lower discharge red-white, Heat in Blood level is red, Qi level is white. Stool is Li, Urine is Zhuo.") When Yangming prevails, Clearness arises inside, left hypochondriac pain, loose stools, internally throat obstruction, externally hernia, great cold austere killing, flowers and leaves change appearance, hair creatures suffer, chest discomfort, throat obstruction and cough. ("Yangming prevalence is Metal pathogen abundance. Metal Qi cold and austere, hence Clearness arises inside. Wood controlled by it, hence left hypochondriac pain. Clearness below causes loose stools, above causes throat obstruction, in lower abdomen causes hernia, in Heaven great cold austere killing, in objects flowers/leaves change appearance. Hair creatures are Wood creatures, hence suffer calamity. Chest is Lung residence, Dryness abundance makes Lung Qi contract and lose regulation, hence discomfort, throat obstruction, cough.") When Taiyang prevails, coagulation and chill arrive, water freezes out of season, feather creatures transform late, hemorrhoids and malaria occur, Cold jue enters Stomach, internally generates heart pain, yin area ulcerates, hidden difficulties not smooth, interconnects inner thigh, muscles and tendons cramped and rigid, blood vessels coagulate and stagnate, collaterals full color changes, or blood discharge, skin痞肿 (impetigo/swelling), abdominal fullness, food reduction, Heat counter-ascends, head-neck fontanelle vertex brain-house pain, eyes like protruding, Cold enters Lower Burner, transmits to moist diarrhea. ("Taiyang prevalence is Water pathogen abundance. Hence coagulation/chill/water ice. Feather creatures belong to Fire, hence transform late. Taiyang meridian夹 spine penetrates buttocks, hence hemorrhoids occur. Cold abundance means pathogen/righteous struggle, hence malaria. Cold Qi enters Stomach, jue-ni in middle, invades Superior Fire upwards, hence internally generates heart pain. Taiyang meridian connects Kidney penetrates Bladder, hence yin ulcer, hidden difficulties not smooth, interconnects inner thigh. Muscles/tendons get Cold become urgent/bi, hence tendon urgent muscle rigid. Blood vessels get Cold Ying-Wei coagulate/stagnate, meridians not move, hence collaterals full color change. Blood stasis in meridians妄行 (runs wild), hence or blood discharge. Exterior Cold not moves, hence skin impetigo/swelling. Interior Cold stagnation, hence abdominal fullness food reduction. Yin-Cold below, Dai-Yang above, hence Heat counter-ascends. Head-neck-fontanelle-vertex-brain-house-inner canthus are all Taiyang meridians, Cold resides therein hence pain like protruding. Cold enters Lower Burner, Mingmen Yang declines, hence transmits to moist diarrhea. Xin sound xin.") The Emperor asked: How to treat them? Qibo said: Jueyin prevalence, treat with sweet-neutral, assist with bitter-acrid, purge with sour. ("Wood abundance Earth defeat, treat with sweet-neutral, sweet benefits Earth, neutral calms Wood. Assist with bitter-acrid, disperses Wind pathogen. Purge with sour, sour is true flavor of Wood, purging Wood uses sour.") Shaoyin prevalence, treat with acrid-cold, assist with bitter-salty, purge with sweet. ("Heat abundance attacks Metal, treat with acrid-cold, disperses Fire. Assist with bitter-salty, drains Heat. Purge with sweet, sweet is true flavor of Fire, purging Fire uses sweet.") Taiyin prevalence, treat with salty-hot, assist with acrid-sweet, purge with bitter. ("Earth abundance Dampness exuberance, treat with salty-hot, salty moistens downward, Hot dries Dampness. Dampness abundance Earth Cold, assist with acrid-sweet, acrid warms Earth, sweet tonifies Earth. Purge with bitter, bitter is true flavor of Earth, purging Earth uses bitter.") Shaoyang prevalence, treat with acrid-cold, assist with sweet-salty, purge with sweet. ("Same as above Shaoyin treatment, but assistance slightly different, because sweet can drain Fire.") Yangming prevalence, treat with sour-warm, assist with acrid-sweet, drain with bitter. ("Dry-Metal abundance, disease in Lung/Liver, treat with sour-warm, moistens Dryness warms Lung. Assist with acrid-sweet, drains Lung tonifies Liver. Drain with bitter, bitter transforms from Fire, can drain Dryness pathogen excess.") Taiyang prevalence, treat with sweet-hot, assist with acrid-sour, purge with salty. ("Water abundance Fire decline, treat with sweet-hot, sweet benefits Earth to control Water, Hot supports Yang to drive Cold. Assist with acrid-sour, acrid disperses Cold pathogen excess, sour collects Heart Qi injury. Purge with salty, salty is true flavor of Water, purging Water uses salty.") The Emperor asked: How about the Rebound of Six Qi? (Rebound means retaliation, repaying the victory. Whenever there is victory first, there must be rebound later. Note: Zhang Jingyue said: "Commentary says whenever there is victory first, there must be rebound later. New Correction cites Xuanzhu Zhenghua Duiahua meaning, Zheng Si Hua Ling Shi, Dui Si Hua Ling Xu, Dui Hua Sheng You Fu, Zheng Hua Sheng Bu Fu, instead thinking commentary is wrong. Or again says: Jia Bing Wu Geng Ren, Yang Year Tai Guo, has Sheng no Fu; Yi Ding Ji Xin Gui, Yin Year Bu Ji, has Sheng must have Fu. All are ignorant words. The way of Sheng-Fu follows Qi abundance/decline, not divided by Zheng/Dui. Examining Benjing chapters, originally no such words. Its Bu Ji has Fu Tai Guo no Fu theory, probably because Qi Jiao Bian Da Lun, all Tai Guo Yun do not speak Fu, only Bu Ji years have it. Liu Yuan Zheng Ji Da Lun recorded 60-year Yunqi Ji, also only Bu Ji years speak Fu, Tai Guo years none, seems Yang Year Tai Guo has Sheng no Fu. But Wu Chang Zheng Da Lun says, Fa Sheng Zhi Ji, does not attend virtue, then Shou Qi Fu. He Xi Zhi Ji, violent politics, Cang Qi then Fu. Dun Fu Zhi Ji, great wind swift arrives, pathogen injures Spleen. Jian Cheng Zhi Ji, politics violent change, Zhang Qi then saves. Liu Yan Zhi Ji, politics excess then Hua Qi grand movement. All speak of Tai Guo years. From this view, Yang Year never lacks Fu. Only Yin Year Qi weak, They come Sheng Me, hence Son must rise and repay, hence called Fu; Yang Year Qi strong, no Sheng Me, only by Me Sheng Bi, hence Cheng Nai Cong Er Zhi Zhi. But saying Cheng saying Fu, total one principle. But continuously controlling is called Cheng, due to Sheng and repaying is called Fu, Sheng-Fu successive, originally no gap. Hence Jing says: You Sheng Ze Fu, Wu Sheng Ze Pi. Sheng Zhi Ze Fu, Wu Chang Shu Ye. Also says: Wei Zhe Fu Wei, Shen Zhe Fu Shen. Then Qi Wei Shen, still cannot borrow, why have Yin-Yang Zheng Dui Fu Yu Bu Fu Li? Hence Ben Lun no divide Tai Guo Bu Ji years, all have Yin Sheng Fan Sheng Xiang Sheng Qi, visible Yang Year not necessarily fully Sheng, and Fan Sheng ones exist, Yin Year not necessarily fully Shuai, and Yin Sheng ones also exist, Heaven-Earth changes, Xiao Zhang infinite, only should follow Jue Qi Ji and observe Fang Yue meaning, likely obtain its wonder. If due to words harm meaning, then lost far.) Qibo said: Ah, your question is thorough! Jueyin Rebound, lower abdomen hard and full, interior urgency sudden pain, trees fall sand flies, insects not flourish, Jue Heart Pain, sweat issues, vomiting, food/drink not entering, entering then coming out, sinews/bones tremor/vertigo, cold jue, severe cases enter Spleen, food bi and vomiting. ("Jueyin Wind-Wood Rebound, internally corresponds Liver Qi, lower abdomen hard/full, Liver pathogen excess. Interior urgency sudden pain, Liver governs fascia, its Qi urgent. Trees fall sand flies, Wind extreme. Insects not flourish, Wood controls Earth. Jue Heart Pain, sweat issues, Liver pathogen attacks Stomach, upper凌 Heart and Yang Qi leaks. Food/drink not entering, entering then coming out, Spleen injured by Liver. Diao is trembling, Xuan is vertigo, caused by Wind exuberance. Wind extreme, must join Cheng-Zhi transformation, hence hands/feet cold and jue. Shi Bi means food enters not digest, enters then bi-pain vomits juice, must vomit out then stop.") Chongyang pulse absent, death untreatable. ("Chongyang, Stomach pulse, Stomach absent then Spleen also absent. Note previous chapter Heaven-Earth Yin Sheng, only spoke Tian Six Pulse absent death untreatable, In Quan did not speak. This chapter on Six Qi Rebound repeats speaking, precisely to clarify In Quan transformation. Cover four Qi end final Qi, Earth Qi governs, Rebound normal.") Shaoyin Rebound, warmth-heat works internally, vexation/sniffle/sneeze, lower abdominal colic, Fire seen burning, throat dry, profuse discharge sometimes stops, Qi moves on left, ascends on right, cough, skin pain, sudden aphonia, heart pain, depression/dizziness unconscious, then shivering chills, delirium, after cold then heat, thirst desire drink, short Qi bone wither, blocked intestines not convenient, exterior edema belching, Red Qi later transforms, flowing water not ice, Heat Qi grand movement, shell creatures not blessed, disease rashes sores ulcers, carbuncles/fistula/acne/hemorrhoids, severe cases enter Lung, cough and nasal sinusitis. ("Shaoyin Ministerial Fire Rebound, warmth-heat works internally, vexation/sniffle/sneeze, Fire abundant middle and blazing upper. Lower abdominal colic, Fire in Yin. Fire seen burning throat dry, body surface scorched hot and Fire in throat. Profuse discharge sometimes stops, means Large Intestine or diarrhea, Bladder or strangury, Fire occupies two passages. Qi moves left, Yang rises East. Ascends right, Fire must attack Metal. Cough and skin pain, sudden aphonia, Lung governs voice/sound, exterior combines skin/hair, and receives Fire injury. Heart pain, depression/dizziness unconscious, Heart pathogen self-excess and Spirit confused. Shivering chills, delirium, after cold then heat, Water-Fire struggle, Heat extreme generates Cold. Thirst desire drink, loss of Jin-Ye. Short Qi bone wither, Strong Fire eats Qi, Heat extreme injures Essence. Blocked intestines not convenient, Heat knot not unblock. Exterior edema, belching, Heat abundance then swelling, Fire reversal冲 upper. Red Qi later transforms, Yangming first Sheng, Shaoyin later Fu. Flowing water not ice, Heat Qi grand movement, shell creatures not blessed, Fire abundance controls Metal. Rashes sores ulcers, carbuncles/fistula/acne/hemorrhoids, Fire overcomes Lung Metal and skin/hair injured. Fire extreme must injure Lung, hence cough and nasal sinusitis made.") Tianfu pulse absent, death untreatable. ("Tianfu, Lung meridian acupoint.") Taiyin Rebound, Dampness transformation raised, body heavy middle full,