夫六气之用，各归不胜，而为化矣。太阴雨化，施于太阳，太阳寒化，施于少阴，少阴热化，
施于少阳，少阳火化，施于阳明，阳明燥化，施于厥阴，厥阴风化，施于太阴，各命其所在，而
征之也。
司天之化∶风、热、湿、火、燥、寒。司地之化∶酸、苦、甘、苦、辛、咸。司运之化∶
苍、君火不主运、 、丹、素、玄。间气之化∶动、灼、（君火不名，名居气也。）柔、明、清、
藏。凡此之化，司天者在乎上，司地者在乎下，司运者在乎中，间气者纪其步。客行主之上，主
在客之下，五运更始，而终期日，度之亦然。上盛下衰则天气下降，下
盛上衰则地气上升。升极则降，降极则升，升降不已，而变化之为用也。变者物之初，极者病之
始也，化者，布化而物之生也。随其所在，阴阳盛衰，气之同异，故万物生化。岁有宜否、薄浓、
多少，化而不等也。然五虫之类，岁有胎孕不育，制之不全者，随其司天在泉气所制之也。同天
者静而不育，化生者少，所谓天自抑之也，同地者育而化多，司地所胜者耗而不成，运乘其胜则
甚也。地所制者制其形也，天所制者制其色也，随胜天之色而制之也。故经曰∶地气制己胜，天
气制胜己，天制色，地制形，此之谓也。
夫五虫者，毛羽裸介鳞也，以应木火土金水之化也。五虫之长者，麟凤人龟龙也。凡诸有形，
行飞走喘息之类，各有胎生、化生、湿生、卵生，悉宗乎五虫之类也。凡此者，生气根于身中，
地无根系，所谓动物，以神为主，命曰神机。此等之外，金玉土石草木之类，悉宗气味色也。凡
此之类，则气根于外，生源系地，所谓植物，以气为主，命曰气立。然神机、气立，悉由天真之
气化与变也。气化则物生，气变则物易，气盛则物壮，气弱则物衰，气绝则物死，皆随气之所在
盛衰，而为变化之用也。故万物元有生，元有成，元有死，元有盛衰不齐。其化者，悉由所在之
气使然也。岁有气立生化薄浓少多不同者，盖随其天地气之同异，而以制之也。异者，寒与热殊，
燥湿之异，温清不同也。凡寒热燥湿温清之类毒药，皆由五行标盛暴烈之气所化。若异司之气者，
不生而化少也。五味、五色、五谷者，若司地之气所胜之类不生化少，运乘其胜则甚也。同天地
之化者，浓而化多，同天地化多之谷，命曰岁谷。木司天地，木火同德，元相胜克，则气专正而
化淳，则不兼化间谷。岁谷者，苍丹也。金司天地，金火合德，化素丹，为岁谷，兼化 ，为间
谷，以间上下金火之克伐也。水司天地，水土合德，化玄 ，为岁谷，上下虽有胜克，寒湿不为大
忤，兼化素，为间谷，而间水土之克伐也。然万物变化，皆以气而为用，故经曰出入废则神机化
灭，升降息则气立孤危，斯之谓也。夫天地之气，神明之用，正则化而物生，邪则变而病作，五
星应见，万物皆由，人亦从之也。
司天之变者，巳亥岁上角风胜，则太虚埃昏，云物飞动，民病胃脘当心而痛，上支两胁，膈
咽不通，饮食不下，舌本强，食则呕，冷泄，腹胀，溏泄，瘕，水闭。病本于脾，冲阳绝，死不
治。子午岁上微热胜，则怫热大至，火行其政，民病胸中烦热，嗌干，右 满，皮肤痛，寒热咳
喘，唾血血泄，鼽衄嚏呕，溺色变，甚则疮疡 肿，肩背臂 及缺盆中痛，心痛，肺 ，腹大满
膨膨而喘咳。病本于肺，尺泽绝，死不治。丑未岁上宫湿胜，则沉阴且布，雨变枯槁，民病 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，太溪绝，死不治。寅申岁上征火胜，则温气流行，金政不平，民病头痛，
发热恶寒而疟，热上，皮肤痛，色变黄赤，传而为水，身面 肿，腹满仰息，泄注赤白，疮疡，
咳唾血，烦心，胸中热，甚则鼽衄。病本于肺，天府绝，死不治。卯酉岁上商燥胜，则木乃晚荣，
草乃晚生，筋骨内变，民病左 胁痛，寒清于中，感而疟，大凉革候，咳，腹中鸣，注泄 溏，
名木敛，生菀于下，草焦上首，心胁暴痛，不可反侧，嗌干面尘，腰痛，丈夫 疝，妇人少腹痛，
目，皆疮 ，痤痈，蛰虫来见。病本于肝，太冲绝，死不治。辰戌岁上羽寒胜，则寒气反
至，水且冰，血变于中，发为痈疡，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，胸胁胃脘不安，面赤目黄，善噫，嗌干，甚则
色，渴而欲饮。病本于心，神门绝，死不治。
司天之气补泻用药歌曰∶土位甘和药，辛温本治金，木酸凉味好，火苦水咸分。肝木主酸，
心火主苦，肺金主辛，肾水主咸，脾土主甘。补泻歌曰∶司天风胜药凉辛，辛补酸泻病自安，火
主甘泻咸补命，土言苦泻补甘欢，金辛味泻酸宜补，水主泻咸苦补痊。此是上工医未病，药归五
脏体同天。假令东方肝病，以酸泻之，以西方辛补之。西方金病，以辛泻之，以东方酸补之。南
方火病，以甘泻之，以北方咸补之。北方肾病，以本位咸泻之，以南方苦补之。中央土病，以苦
泻之，以本位甘补之。
司天之气，风淫所胜，平以辛凉，佐以苦甘，以甘缓之，以酸泻之。（东方本性酸，以西方
辛味补之。辛凉者，风以热为中见之藏也，兼风木春和之气，以凉为用。佐以苦甘，苦者补肾泻
脾，又恐春木旺，以甘补土气，甘能缓之。以酸泻之者，肝木得辛补，兼木旺生风，恐伤脾土，
是以甘缓之，酸泻肝之旺气也。）热淫所胜，平以咸寒，佐以苦甘，以酸收之。（少阴君火之热，
乃君天有德之火，平以咸寒者，咸泻肾水，寒平
火热。佐以苦甘，甘者泻心火补脾土。以酸收之，经曰心苦缓，急食酸以收之也。）湿淫所胜，
平以苦热，佐以酸辛，以苦燥之，以淡泄之。（太阴脾土之湿，乃中央脾土之化也，平以苦热者，
经曰脾苦湿，急食苦以燥之。湿淫者，温气溢于内，皆为肿满，除其肿满者，其在上者，以苦吐
之，在下者，以苦泄之。苦热者，或出汗也。佐以酸辛者，以酸收之，以辛润之，为苦燥，急以
酸收敛，湿气肿满，辛润燥。以淡泄之，平淡之味，通利小便，渗泄利水道也。治湿之病，不利
小便，非其治法也。）湿上甚而热，治以苦温，佐以甘辛，以汗为故而止。（身半以上，湿气有
余，火气复郁。郁湿相搏，则以苦温甘辛之药，解表发汗而祛之，除其病。）火淫所胜，平以酸
冷，佐以苦甘，以酸收之，以苦发之，以酸复之。热淫同法。（前君火之热化皆同，更不复解。）
燥淫所胜，平以苦湿，佐以酸辛，以苦下之。（燥者，西方肺金之化也。苦湿者，详经之说，苦
温也，肺苦气上逆，急食苦以泄之。苦者，补肾水，泻脾土，乃泻母补子。左以酸辛者，以酸收
辛润之，辛泻酸补，正补泻其肺，以平为期。以苦下之者，故以苦温渗泄之也。）寒淫所胜，平
以辛热，佐以甘苦，以咸泻之。（太阳寒水，肾病之主也，平以辛热者，肾宜食辛，肾苦燥，急
食辛以润之，辛润其燥。辛热者，冬寒为用，以宜服热。恐辛热过极，木气有余，遂以甘苦佐之。
以酸缓其中，苦微燥之，苦补其肾也，以平为期。）
邪反胜天者，清反胜温，治以酸温，佐以甘苦。（谓厥阴在泉，风司于地，清反胜之。治以
酸温，以酸泻其厥阴木。佐以甘苦者，以肝宜食甘缓之，脾宜食苦燥之，甘苦和之，以平为期也。）
寒反胜热，治以甘热，佐以苦辛，以咸平之。（少阴在泉，热司于地，谓为卯酉金司天，火司地
也，以此地邪胜也，治以同前说。）热反胜湿，治以苦冷，佐以咸甘，以苦平之。（太阴在泉，
湿司于地，辰戌之岁也。水司天，丑未土司地，土湿胜，反热于天，治以苦冷，泻脾土之气。佐
以咸甘，咸泻水气，以甘缓之。以苦平之者，苦泻土而补水也。）寒反胜热，治以甘热，佐以苦
辛，以咸平之。（寅申之岁，火司于地，寒反胜热也。治以甘热者，热者缓其寒，甘补其脾土也。
佐以苦辛者，苦燥辛润，和其肾水。以咸平之者，咸泻心火，补肾水，以平为期。）热反胜燥，
治以辛寒，佐以苦甘，以酸平之，以和为利。（子午之岁，燥司于地，性恶热而畏寒，治以辛寒
者，寒和其热，辛润之也。恐辛寒过极，伤肺经，遂乃佐以苦甘者也，苦以燥，甘以缓。以酸收
之，以和为平。）热反胜寒，治以咸冷，佐以甘辛，以苦平之。（丑未之岁，太阳司地，乃辰戌
寒司地也，热反胜之，治以咸冷者，咸泻肾水，补心火也。佐以甘辛者，辛散甘缓。辛咸二味，
恐伤其肾水肺金，复以苦燥平之，以和为期。）
司地变者，寅申岁下角风胜，则地气不明，平野昧，草乃早秀，民病洒洒振寒，善伸数欠，
心痛支满，两胁里急，饮食不下，膈咽不通，食则呕，腹胀善噫，得后与气则快然如衰，身体皆
重。卯酉岁下征热胜，则焰浮川泽，阴处反明，民病腹中肠鸣，气上冲胸，喘不能久立，寒热，
皮肤痛，目瞑，齿痛 肿，恶寒发热如疟，少腹中痛，腹大，蛰
虫不藏也。辰戌岁下宫湿胜，则埃昏岩谷，黄反见黑，至阴之交，民病积饮，心痛，耳聋，浑浑
，嗌干肿喉痹，阴病血见，少腹痛肿，不得小便，病冲头痛，目似脱，项似拔，腰似折，髀
不可以回， 如结， 如别。巳亥岁下征火胜，则焰明郊野，寒热更至，民病注泄赤白，少腹痛，
溺赤，甚则便血。少阴同候。子午岁下商燥胜，则 雾清瞑，民病喜呕，呕有苦，善太息，心胁
痛，不能反侧，甚则嗌干面尘，身无膏泽，足外反热。丑未岁下羽寒胜，则凝肃惨栗，民病少腹
控睾引腰脊，上冲心痛，血见，嗌痛颔肿。
诸气在泉，风淫于内，治以辛凉，佐以苦甘，以甘缓之，以辛散之。热淫于内，治以咸寒，
佐以甘苦，以酸收之，以苦发之。湿淫于内，治以苦热，佐以酸淡，以苦燥之，以淡泄之。火淫
于内，治以咸冷，佐以苦辛，以酸收之，以苦发之。燥淫于内，治以苦温，佐以甘辛，以苦下之，
以辛润之。寒淫于内，治以甘热，佐以苦辛，以咸泻之，以苦坚之。
邪反胜地者，清反胜风，治以酸温，佐以苦甘，以辛平之。寒反胜热，治以甘热，佐以苦辛，
以咸平之。热反胜湿，治以苦冷，佐以咸甘，以苦平之。热反胜燥，治以辛寒，佐以苦甘，以酸
平之，以和为利。热反胜寒，治以
咸冷，佐以甘辛，以苦平之。凡此淫邪在内也者，淫者，溢也，子母相生，皆为淫溢也。胜者得
地而太过，别刑克也。假令心火太旺，更治肝气，所生乃子母相生，皆为淫溢之病治也。别无刑
克，相生独味者，为胜之治也。淫反胜复者，补泻皆取前五运六气歌治法用之。肾为胃关，脾与
胃令软，假咸柔软而以利其关也。胃气乃行，脾气方化，故宜味与众脏不同也。
五脏补泻∶肝木酸泻辛补，心火甘泻咸补，脾土苦泻甘补，肺金辛泻酸补，肾水咸泻苦补。
五脏互换苦急∶肝苦急，急食甘以缓之，心苦缓，急食酸以收之，脾苦湿，急食苦以燥之，
肺苦气上逆，急食苦以泄之，肾苦燥，急食辛以润之。
五脏所宜∶肝宜食甘，心宜食酸，肺宜食苦，脾宜食咸，肾宜食辛。
凡天地淫胜，不必皆然，随气盛衰，变生其病。盛则淫胜，己气则衰，则己所不胜邪反胜。
邪无有盛衰，以平为期，病无由起。推其至理，命其所在，而可征矣。
凡天之六气所至，则人脉亦应之而至也。气至而脉应者，是谓平和之脉，故曰天和六脉也。
岁厥阴所至，其脉弦软虚而滑，端直以长，是谓弦，风之性也，木之象也。实而强则病，不实而
微亦病，不端直长亦病，不当其位亦病，位不能强亦病。岁少阴所至，其脉钩，来盛去衰，如偃
带钩，是谓钩，暑气之性，火之象也。来不盛去反盛则病，来盛去盛亦病，不偃带钩亦病，不当
其位亦病，位不能钩亦病。岁太阴所至，其脉大而长，往来远，是谓长，湿之性也，土之象也。
大甚则病，长甚则病，不大不长亦病，不当其位亦病，位不能大长亦病也。（经言此脉在太阳所
至之下，其气亦安，今易于此尔。）岁少阳所至，其脉大而浮，（浮，高也。大谓稍大于诸位脉
也。）热之性也，火之象也。大浮甚则病，浮而不大亦病，大而不浮亦病，不当其位亦病，位不
能浮大亦病。岁阳明所至，其脉短而涩，（往来不利，是谓涩，往来不远，是谓短。）燥之性
也。短甚则病，涩甚则病，不短不涩亦病，不当其位亦病，位不能短涩亦病。岁太阳所至，其脉
沉，（沉，下也。）按之乃得，（下于诸位脉。）寒之性也，水之象也。沉甚则病，不沉亦病，不当其位
亦病，位不能沉也病。
凡此天和六脉，所至之状，咸有归旨，天之道也。然厥阴风木主肝，故其脉弦，少阴君火主
心，故其脉钩，太阴湿土主脾，故其脉大而长，少阳相火主心包络，故其脉大而浮，阳明燥金主
六气的作用，各自归于其所不胜（即克制它的气）的方位，从而产生变化。太阴湿土之气化生湿气，施加于太阳寒水；太阳寒水之气化生寒气，施加于少阴君火；少阴君火之气化生热气，施加于少阳相火；少阳相火之气化生火气，施加于阳明燥金；阳明燥金之气化生燥气，施加于厥阴风木；厥阴风木之气化生风气，施加于太阴湿土。根据它们所在的不同位置，可以验证这一规律。
司天之气所主的变化：风、热、湿、火、燥、寒。在泉之地气所主的变化：酸、苦、甘、辛、咸（原文重复“苦”，据《内经》通例及下文补全为五味）。五运之气的变化：苍（木）、丹（火）、素（金）、玄（水），其中君火不单独主运。间气的变化：动、灼、柔、明、清、藏（君火不单独命名，因其居于客气之位）。所有这些变化，司天者位于上方，在泉者位于下方，主运者位于中间，间气者记录其步位。客气行于主气之上，主气处于客气之下，五运更替起始，终结于特定的日期，度数的推算也是如此。上部盛而下部衰，则天气下降；下部盛而上部衰，则地气上升。升至极点则降，降至极点则升，升降不止，这就是变化的作用。变是事物的初始，极是疾病的开始，化是布散生化之气使万物生长。随着所在位置的不同，阴阳的盛衰，气的同异，所以万物得以生化。每年有适宜与否、厚薄、多少的区别，因为气化并不均等。然而五类虫兽，每年有胎孕不育、发育不全的情况，这是受到司天和在泉之气制约的结果。与天同德者（指运气相同），静止而不育，化生较少，所谓天自抑之；与地同德者，孕育多而化生多；被司地之气所胜者，消耗而不能成就；运气乘袭其胜气，则病情严重。地气制约的是形体，天气制约的是色泽，随着胜气的天色而制约它。所以经文说：地气制约己所胜之气，天气制约胜己之气，天制约色，地制约形，说的就是这种情况。
五类虫兽，是指毛虫（兽）、羽虫（禽）、倮虫（人）、介虫（龟鳖）、鳞虫（鱼），以对应木、火、土、金、水的变化。五类虫兽中的长者，是指麟、凤、人、龟、龙。凡是有形体的，行走、飞翔、奔走、喘息之类，各有胎生、化生、湿生、卵生，都归属于五类虫兽。凡是这些，生气根植于体内，没有根系在地面，称为动物，以神为主导，命名为神机。在这之外的，如金玉土石草木之类，都归属于气味和色泽。凡是这类，气根植于外部，生源系于大地，称为植物，以气为主导，命名为气立。然而神机和气立，都由天真的气化与变化决定。气化则物生，气变则物易，气盛则物壮，气弱则物衰，气绝则物死，都随着气的所在盛衰，而产生变化的作用。所以万物原本有生，原本有成，原本有死，原本有盛衰不齐。它们的化生，都由所在之气使然。每年气立的生化厚薄多少不同，大概是随着天地之气的同异，而加以制约。不同的，是指寒与热殊异，燥湿的差异，温清的差别。凡是寒热燥湿温清之类的毒药，都是由五行标盛暴烈之气所化。如果是异司之气，则不生而化生少。五味、五色、五谷，如果是在地之气所胜的一类，则化生少，运气乘袭其胜气，则情况严重。与天地化生相同的，厚而化生多，与天地化生多的谷物，命名为岁谷。木司天地，木火同德，原本不相胜克，则气专一纯正而化生淳厚，则不兼化间谷。岁谷，是指苍色（木）和丹色（火）的谷物。金司天地，金火合德，化生素色（金）和丹色（火），作为岁谷，兼化青色（木），作为间谷，以间隔上下金火的克伐。水司天地，水土合德，化生玄色（水）和黄色（土），作为岁谷，上下虽有胜克，但寒湿不为大违逆，兼化白色（金），作为间谷，以间隔水土的克伐。然而万物变化，都以气为作用，所以经文说：出入废止则神机化灭，升降停止则气立孤危，说的就是这种情况。天地之气，是神明的作用，正常则化生而万物生，邪僻则变异而疾病作，五星相应显现，万物皆由之，人也随之。
司天之变：巳亥年，上角风胜，则太虚埃昏，云物飞动，民众病胃脘当心而痛，上支两胁，膈咽不通，饮食不下，舌本强，食则呕，冷泄，腹胀，溏泄，瘕积，小便闭塞。病本在于脾，冲阳脉绝，死，不可治。子午年，上微热胜，则郁热大至，火行其政，民众病胸中烦热，咽喉干燥，右胁满闷，皮肤痛，寒热咳喘，唾血血泄，鼻塞流涕或鼻出血，喷嚏呕吐，小便颜色改变，甚则疮疡浮肿，肩背臂肘及缺盆中痛，心痛，肺胀，腹部大满膨膨而喘咳。病本在于肺，尺泽脉绝，死，不可治。丑未年，上宫湿胜，则沉阴且布，雨变枯槁，民众病浮肿骨痛，阴痹，阴痹者，按之不得，腰脊头项痛，时常眩晕，大便难，阴气不用，饥不欲食，咳唾则有血，心悬空感。病本在于肾，太溪脉绝，死，不可治。寅申年，上征火胜，则温气流行，金政不平，民众病头痛，发热恶寒而疟疾，热上行，皮肤痛，面色黄赤，传变为水病，身面浮肿，腹部满闷仰息，泄注赤白，疮疡，咳唾血，心烦，胸中热，甚则鼻塞流涕或鼻出血。病本在于肺，天府脉绝，死，不可治。卯酉年，上商燥胜，则树木晚荣，草晚生，筋骨内变，民众病左胁痛，寒清于中，感邪而疟疾，大凉改变气候，咳嗽，腹中鸣响，泄泻稀溏，名木收敛，生机郁结于下，草焦枯于上，心胁暴痛，不可反侧，咽喉干燥，面色如尘，腰痛，男子疝气，妇人少腹痛，目视不明，眼睑疮疡，痤疮痈肿，冬眠虫兽出来见。病本在于肝，太冲脉绝，死，不可治。辰戌年，上羽寒胜，则寒气反至，水且结冰，血变于中，发为痈疡，民众病厥心痛，呕血血泄，鼻塞流涕或鼻出血，善悲，时常眩晕仆倒，运火炎烈，雨暴乃雹，胸腹满，手热肘挛腋肿，心跳悸动，胸胁胃脘不安，面赤目黄，善噫气，咽喉干燥，甚则面色黑，渴而欲饮。病本于心，神门脉绝，死，不可治。
司天之气补泻用药歌诀说：土位用甘和药，辛温本治金，木用酸凉味好，火用苦味水用咸分。肝木主酸，心火主苦，肺金主辛，肾水主咸，脾土主甘。补泻歌诀说：司天风胜药宜凉辛，辛补酸泻病自安，火主甘泻咸补命，土言苦泻补甘欢，金辛味泻酸宜补，水主泻咸苦补痊。这是上工医未病的道理，药归五脏体同于天。假如东方肝病，用酸味泻之，用西方辛味补之。西方金病，用辛味泻之，用东方酸味补之。南方火病，用甘味泻之，用北方咸味补之。北方肾病，用本位咸味泻之，用南方苦味补之。中央土病，用苦味泻之，用本位甘味补之。
司天之气，风淫所胜，用辛凉平调，佐以苦甘，用甘缓急，用酸泻之。（东方本性酸，用西方辛味补之。辛凉者，因风以热为中见之脏，兼风木春和之气，以凉为用。佐以苦甘，苦者补肾泻脾，又恐春木旺，以甘补土气，甘能缓之。用酸泻之者，肝木得辛补，兼木旺生风，恐伤脾土，是以甘缓之，酸泻肝之旺气也。）热淫所胜，用咸寒平调，佐以苦甘，用酸收之。（少阴君火之热，乃君天有德之火，用咸寒平调者，咸泻肾水，寒平火热。佐以苦甘，甘者泻心火补脾土。用酸收之，经曰心苦缓，急食酸以收之也。）湿淫所胜，用苦热平调，佐以酸辛，用苦燥之，用淡泄之。（太阴脾土之湿，乃中央脾土之化也，用苦热平调者，经曰脾苦湿，急食苦以燥之。湿淫者，温气溢于内，皆为肿满，除其肿满者，其在上者，以苦吐之，在下者，以苦泄之。苦热者，或出汗也。佐以酸辛者，以酸收之，以辛润之，为苦燥，急以酸收敛，湿气肿满，辛润燥。用淡泄之，平淡之味，通利小便，渗泄利水道也。治湿之病，不利小便，非其治法也。）湿上甚而热，用苦温治疗，佐以甘辛，以汗出病愈为度。（身半以上，湿气有余，火气复郁。郁湿相搏，则以苦温甘辛之药，解表发汗而祛之，除其病。）火淫所胜，用酸冷平调，佐以苦甘，用酸收之，用苦发之，用酸复之。热淫同法。（前君火之热化皆同，更不复解。）燥淫所胜，用苦湿平调，佐以酸辛，用苦下之。（燥者，西方肺金之化也。苦湿者，详经之说，苦温也，肺苦气上逆，急食苦以泄之。苦者，补肾水，泻脾土，乃泻母补子。佐以酸辛者，以酸收辛润之，辛泻酸补，正补泻其肺，以平为期。用苦下之者，故以苦温渗泄之也。）寒淫所胜，用辛热平调，佐以甘苦，用咸泻之。（太阳寒水，肾病之主也，用辛热平调者，肾宜食辛，肾苦燥，急食辛以润之，辛润其燥。辛热者，冬寒为用，以宜服热。恐辛热过极，木气有余，遂以甘苦佐之。用酸缓其中，苦微燥之，苦补其肾也，以平为期。）
邪气反胜天时者，清反胜温，用酸温治疗，佐以甘苦。（谓厥阴在泉，风司于地，清反胜之。用酸温，以酸泻其厥阴木。佐以甘苦者，以肝宜食甘缓之，脾宜食苦燥之，甘苦和之，以平为期也。）寒反胜热，用甘热治疗，佐以苦辛，用咸平之。（少阴在泉，热司于地，谓为卯酉金司天，火司地也，以此地邪胜也，治以同前说。）热反胜湿，用苦冷治疗，佐以咸甘，用苦平之。（太阴在泉，湿司于地，辰戌之岁也。水司天，丑未土司地，土湿胜，反热于天，用苦冷，泻脾土之气。佐以咸甘，咸泻水气，以甘缓之。用苦平之者，苦泻土而补水也。）寒反胜热，用甘热治疗，佐以苦辛，用咸平之。（寅申之岁，火司于地，寒反胜热也。用甘热者，热者缓其寒，甘补其脾土也。佐以苦辛者，苦燥辛润，和其肾水。用咸平之者，咸泻心火，补肾水，以平为期。）热反胜燥，用辛寒治疗，佐以苦甘，用酸平之，以和为利。（子午之岁，燥司于地，性恶热而畏寒，用辛寒者，寒和其热，辛润之也。恐辛寒过极，伤肺经，遂乃佐以苦甘者也，苦以燥，甘以缓。用酸收之，以和为平。）热反胜寒，用咸冷治疗，佐以甘辛，用苦平之。（丑未之岁，太阳司地，乃辰戌寒司地也，热反胜之，用咸冷者，咸泻肾水，补心火也。佐以甘辛者，辛散甘缓。辛咸二味，恐伤其肾水肺金，复以苦燥平之，以和为期。）
司地之变：寅申年，下角风胜，则地气不明，平野昧暗，草乃早秀，民众病洒洒振寒，善伸数欠，心痛支满，两胁里急，饮食不下，膈咽不通，食则呕，腹胀善噫，得后与气则快然如衰，身体皆重。卯酉年，下征热胜，则焰浮川泽，阴处反明，民众病腹中肠鸣，气上冲胸，喘不能久立，寒热，皮肤痛，目瞑，齿痛牙龈肿，恶寒发热如疟，少腹中痛，腹大，冬眠虫兽不藏也。辰戌年，下宫湿胜，则埃昏岩谷，黄反见黑，至阴之交，民众病积饮，心痛，耳聋，浑浑耳鸣，咽喉干燥肿喉痹，阴病血见，少腹痛肿，不得小便，病冲头痛，目似脱，项似拔，腰似折，髀不可以回，腘如结，腨如别。巳亥年，下征火胜，则焰明郊野，寒热更至，民众病注泄赤白，少腹痛，溺赤，甚则便血。少阴同候。子午年，下商燥胜，则雾清瞑，民众病喜呕，呕有苦，善太息，心胁痛，不能反侧，甚则嗌干面尘，身无膏泽，足外反热。丑未年，下羽寒胜，则凝肃惨栗，民众病少腹控睾引腰脊，上冲心痛，血见，嗌痛颔肿。
诸气在泉，风淫于内，用辛凉治疗，佐以苦甘，用甘缓之，用辛散之。热淫于内，用咸寒治疗，佐以甘苦，用酸收之，用苦发之。湿淫于内，用苦热治疗，佐以酸淡，用苦燥之，用淡泄之。火淫于内，用咸冷治疗，佐以苦辛，用酸收之，用苦发之。燥淫于内，用苦温治疗，佐以甘辛，用苦下之，用辛润之。寒淫于内，用甘热治疗，佐以苦辛，用咸泻之，用苦坚之。
邪气反胜地者，清反胜风，用酸温治疗，佐以苦甘，用辛平之。寒反胜热，用甘热治疗，佐以苦辛，用咸平之。热反胜湿，用苦冷治疗，佐以咸甘，用苦平之。热反胜燥，用辛寒治疗，佐以苦甘，用酸平之，以和为利。热反胜寒，用咸冷治疗，佐以甘辛，用苦平之。凡此淫邪在内也者，淫者，溢也，子母相生，皆为淫溢也。胜者得地而太过，别刑克也。假令心火太旺，更治肝气，所生乃子母相生，皆为淫溢之病治也。别无刑克，相生独味者，为胜之治也。淫反胜复者，补泻皆取前五运六气歌治法用之。肾为胃关，脾与胃令软，假咸柔软而以利其关也。胃气乃行，脾气方化，故宜味与众脏不同也。
五脏补泻：肝木酸泻辛补，心火甘泻咸补，脾土苦泻甘补，肺金辛泻酸补，肾水咸泻苦补。
五脏互换苦急：肝苦急，急食甘以缓之，心苦缓，急食酸以收之，脾苦湿，急食苦以燥之，肺苦气上逆，急食苦以泄之，肾苦燥，急食辛以润之。
五脏所宜：肝宜食甘，心宜食酸，肺宜食苦，脾宜食咸，肾宜食辛。
凡天地淫胜，不必皆然，随气盛衰，变生其病。盛则淫胜，己气则衰，则己所不胜邪反胜。邪无有盛衰，以平为期，病无由起。推其至理，命其所在，而可征矣。
凡天之六气所至，则人脉亦应之而至也。气至而脉应者，是谓平和之脉，故曰天和六脉也。
岁厥阴所至，其脉弦软虚而滑，端直以长，是谓弦，风之性也，木之象也。实而强则病，不实而微亦病，不端直长亦病，不当其位亦病，位不能强亦病。岁少阴所至，其脉钩，来盛去衰，如偃带钩，是谓钩，暑气之性，火之象也。来不盛去反盛则病，来盛去盛亦病，不偃带钩亦病，不当其位亦病，位不能钩亦病。岁太阴所至，其脉大而长，往来远，是谓长，湿之性也，土之象也。大甚则病，长甚则病，不大不长亦病，不当其位亦病，位不能大长亦病也。（经言此脉在太阳所至之下，其气亦安，今易于此尔。）岁少阳所至，其脉大而浮，（浮，高也。大谓稍大于诸位脉也。）热之性也，火之象也。大浮甚则病，浮而不大亦病，大而不浮亦病，不当其位亦病，位不能浮大亦病。岁阳明所至，其脉短而涩，（往来不利，是谓涩，往来不远，是谓短。）燥之性也。短甚则病，涩甚则病，不短不涩亦病，不当其位亦病，位不能短涩亦病。岁太阳所至，其脉沉，（沉，下也。）按之乃得，（下于诸位脉。）寒之性也，水之象也。沉甚则病，不沉亦病，不当其位亦病，位不能沉也病。
凡此天和六脉，所至之状，咸有归旨，天之道也。然厥阴风木主肝，故其脉弦，少阴君火主心，故其脉钩，太阴湿土主脾，故其脉大而长，少阳相火主心包络，故其脉大而浮，阳明燥金主
The functions of the Six Qi (Six Atmospheric Factors) each return to that which they cannot overcome, thereby producing transformation. The transformation of Taiyin (Great Yin) dampness is applied to Taiyang (Great Yang); the cold transformation of Taiyang is applied to Shaoyin (Lesser Yin); the heat transformation of Shaoyin is applied to Shaoyang (Lesser Yang); the fire transformation of Shaoyang is applied to Yangming (Bright Yang); the dryness transformation of Yangming is applied to Jueyin (Terminal Yin); and the wind transformation of Jueyin is applied to Taiyin. Each is assigned its respective position for verification.
The transformations governed by the Si Tian (Chief Heavenly Qi): Wind, Heat, Dampness, Fire, Dryness, Cold.
The transformations governed by the Si Di (Chief Earthly Qi): Sour, Bitter, Sweet, Pungent, Salty.
The transformations governed by the Yun (Five Movements): Cang (Wood/Green), Dan (Fire/Red), Su (Metal/White), Xuan (Water/Black). Jun Huo (Ministerial Fire) does not govern movement independently.
The transformations of Jian Qi (Intermittent Qi): Movement, Scorching, Softness, Clarity, Purity, Storage. (Jun Huo is not named separately, as it occupies the position of Guest Qi).
All these transformations: those governed by Si Tian are above, those governed by Si Di are below, those governing Yun are in the middle, and Jian Qi records their steps. Guest Qi moves over Host Qi; Host Qi is beneath Guest Qi. The Five Movements cycle from beginning to end within a specific period; the measurement of degrees follows the same principle. When the upper is excessive and the lower deficient, Heavenly Qi descends; when the lower is excessive and the upper deficient, Earthly Qi ascends. Ascension reaches its limit then descends; descent reaches its limit then ascends. Endless ascent and descent constitute the function of change. "Bian" (Change) is the beginning of things; "Ji" (Extreme) is the start of disease; "Hua" (Transformation) is the dissemination of life-generating qi, causing things to grow. Depending on location, the waxing and waning of Yin and Yang, and the similarity or difference of Qi, all things are generated and transformed. There are differences in suitability, thickness, and quantity each year because transformations are not equal. However, among the five categories of creatures, there are years of infertility or incomplete development due to constraints imposed by Si Tian and Zai Quan (Subterranean) Qi. Those agreeing with Heaven remain still and infertile, with fewer transformations, as Heaven suppresses them. Those agreeing with Earth are fertile and abundant in transformation. Those overcome by the governing Earth Qi are depleted and fail to mature. If Yun (Movement) rides upon the victorious Qi, the condition becomes severe. Earthly Qi constrains form; Heavenly Qi constrains color, suppressing according to the color of the victorious Qi. Thus, the Classic states: Earthly Qi constrains what it overcomes; Heavenly Qi constrains what overcomes it; Heaven constrains color, Earth constrains form. This is what is meant.
The five categories of creatures refer to Hairy (Mammals), Feathered (Birds), Naked (Humans), Armored (Reptiles/Turtles), and Scaled (Fish), corresponding to the transformations of Wood, Fire, Earth, Metal, and Water. The elders of the five categories are Qilin, Feng (Phoenix), Humans, Gui (Turtles), and Long (Dragons). All有形 (form-bearing) creatures, whether walking, flying, running, or breathing, have various modes of birth—viviparous, metamorphic, damp-born, or egg-laid—all belonging to the five categories. For these, Sheng Qi (Life Qi) is rooted within the body, without roots in the earth. They are called Animals, led by Shen (Spirit), termed Shen Ji (Spirit Mechanism). Outside these, such as metals, stones, soils, and plants, belong to Qi, Flavor, and Color. For these, Qi is rooted externally, and the source of life depends on the earth. They are called Plants, led by Qi, termed Qi Li (Qi Establishment). However, both Shen Ji and Qi Li depend entirely on the transformation and variation of Tian Zhen (Heavenly Truth) Qi. Qi transformation generates things; Qi variation alters things; Qi excess makes things robust; Qi deficiency makes things decline; Qi extinction causes death. All changes follow the waxing and waning of Qi in its location. Thus, all things originally have birth, formation, death, and varying degrees of prosperity and decline. Their transformation is entirely caused by the Qi present. Differences in the thickness and quantity of Qi-based generation each year arise from the similarities and differences between Heaven and Earth Qi, which impose constraints. Differences refer to distinctions between Cold and Heat, Dryness and Dampness, Warmth and Coolness. All toxic substances of Cold, Heat, Dryness, Dampness, Warmth, and Coolness are transformed from the excessive and violent Qi of the Five Elements' markers. If the Qi belongs to a different governance, generation is scarce. The Five Flavors, Five Colors, and Five Grains: if they belong to the category overcome by Earthly Qi, generation is scarce; if Yun rides upon the victorious Qi, the effect is severe. Those identical to Heaven and Earth's transformation are thick and abundant, known as Sui Gu (Year Grains). When Wood governs Heaven and Earth, Wood and Fire share virtue, originally not overcoming each other; thus, Qi is pure and transformation is mellow, without mixed Jian Gu (Intermittent Grains). Sui Gu refers to Green (Wood) and Red (Fire) grains. When Metal governs Heaven and Earth, Metal and Fire share virtue, transforming White (Metal) and Red (Fire) as Sui Gu, and Green (Wood) as Jian Gu, to interpose between the mutual overcoming of Metal and Fire above and below. When Water governs Heaven and Earth, Water and Earth share virtue, transforming Black (Water) and Yellow (Earth) as Sui Gu. Although there is mutual overcoming above and below, Cold and Dampness do not severely conflict; White (Metal) is transformed as Jian Gu to interpose between Water and Earth's overcoming. Since all things change via Qi, the Classic states: If entry and exit cease, Shen Ji perishes; if ascent and descent stop, Qi Li stands alone. This is what is meant. The Qi of Heaven and Earth is the function of Spirit and Enlightenment. When correct, it transforms and generates things; when deviant, it changes and diseases arise. The Five Stars correspondingly appear; all things derive from this, and humans follow suit.
Variations of Si Tian Qi:
In years of Si and Hai, Upper Jiao (Wood/Wind) prevails. The vast void becomes dusty and dim, clouds and objects move wildly. People suffer from epigastric pain centered behind the heart, distension extending to both hypochondria, obstruction of the diaphragm and pharynx, inability to swallow food, stiffness of the tongue root, vomiting after eating, cold diarrhea, abdominal distension, loose stools, masses (Zhang Ju), and urinary retention. The disease originates in the Spleen. If Chong Yang pulse vanishes, death is inevitable and untreatable.
In years of Zi and Wu, Upper Wei Re (Minor Heat) prevails. Stifling heat arrives greatly, Fire dominates administration. People suffer from vexation and heat in the chest, dry throat, fullness in the right hypochondrium, skin pain, aversion to cold and fever, cough and asthma, hemoptysis and hematochezia, nasal congestion, sneezing, vomiting, changes in urine color, and in severe cases, sores and swelling, pain in the shoulder, back, arm, elbow, and clavicular fossa, heart pain, Lung distension, massive abdominal bloating with cough and asthma. The disease originates in the Lung. If Chi Ze pulse vanishes, death is inevitable and untreatable.
In years of Chou and Wei, Upper Gong (Earth/Dampness) prevails. Deep yin spreads, rain causes withering. People suffer from edema and bone pain, Yin Bi (obstruction). In Yin Bi, pressure yields no relief; there is pain in the lower back, spine, head, and neck, occasional dizziness, difficulty defecating, dysfunction of Yin Qi, hunger without desire to eat, blood in sputum, and a sensation of the heart hanging empty. The disease originates in the Kidney. If Tai Xi pulse vanishes, death is inevitable and untreatable.
In years of Yin and Shen, Upper Zheng (Fire) prevails. Warm Qi circulates, Metal administration is uneven. People suffer from headache, fever with aversion to cold, and malaria. Heat rises, skin pain, yellow-red complexion, progression to water disease, facial and bodily edema, abdominal fullness with仰息 (breathing with raised chest), dysentery with red and white discharge, sores, hemoptysis, vexation, heat in the chest, and in severe cases, nasal congestion and epistaxis. The disease originates in the Lung. If Tian Fu pulse vanishes, death is inevitable and untreatable.
In years of Mao and You, Upper Shang (Metal/Dryness) prevails. Trees bloom late, grass grows late, internal changes occur in sinews and bones. People suffer from left hypochondriac pain, coldness in the middle, malaria upon contraction, drastic cooling altering seasons, cough, borborygmus, watery diarrhea, gathering of famous trees, stagnation of vitality below, scorching of grass tops, sudden pain in heart and hypochondrium, inability to turn sideways, dry throat, dusty face, lower back pain, hernia in men, lower abdominal pain in women, visual impairment, eyelid sores, acne, carbuncles, and emergence of hibernating insects. The disease originates in the Liver. If Tai Chong pulse vanishes, death is inevitable and untreatable.
In years of Chen and Xu, Upper Yu (Water/Cold) prevails. Cold Qi returns contrary to season, water freezes, blood changes internally, leading to abscesses. People suffer from Jue Xin Tong (Cold Heart Pain), hematemesis, hematochezia, nasal congestion, epistaxis, sadness, occasional dizziness and collapse. Fire burns fiercely, violent rain brings hail, chest and abdominal fullness, hot hands, contracted elbows, swollen axillae, palpitations, discomfort in chest, hypochondria, and epigastrium, red face, yellow eyes, frequent belching, dry throat, and in severe cases, blackish complexion, thirst, and desire to drink. The disease originates in the Heart. If Shen Men pulse vanishes, death is inevitable and untreatable.
Song of Tonification and Purging Medicines for Si Tian Qi:
For Earth position, use Sweet and Harmonizing medicines; Pungent and Warm treat Metal.
For Wood, Sour and Cool flavors are good; Bitter treats Fire, Salty treats Water.
Liver Wood governs Sour; Heart Fire governs Bitter; Lung Metal governs Pungent; Kidney Water governs Salty; Spleen Earth governs Sweet.
Song of Tonification and Purging:
For Si Tian Wind Excess, use Cool and Pungent; Pungent tonifies, Sour purges, illness calms.
Fire uses Sweet to purge, Salty to tonify life.
Earth uses Bitter to purge, Sweet to tonify joy.
Metal uses Pungent to purge, Sour to tonify.
Water uses Salty to purge, Bitter to tonify for recovery.
This is the method of superior physicians preventing disease; medicines correspond to the Five Zang organs and Heaven's body.
Example: For East Liver disease, purge with Sour, tonify with West Pungent.
For West Metal disease, purge with Pungent, tonify with East Sour.
For South Fire disease, purge with Sweet, tonify with North Salty.
For North Kidney disease, purge with local Salty, tonify with South Bitter.
For Central Earth disease, purge with Bitter, tonify with local Sweet.
When Si Tian Qi causes Wind Excess, level with Pungent-Cool, assist with Bitter-Sweet, relax with Sweet, purge with Sour. (East nature is Sour; West Pungent tonifies. Pungent-Cool addresses Wind's intermediate Heat organ, combining Wind-Wood Spring harmony, using Cool as function. Assist with Bitter-Sweet: Bitter tonifies Kidney, purges Spleen; fearing Spring Wood excess, Sweet tonifies Earth. Sweet relaxes. Sour purges Liver excess.)
When Heat Excess occurs, level with Salty-Cold, assist with Bitter-Sweet, collect/astringe with Sour. (Shaoyin Ministerial Fire heat is virtuous Heaven Fire. Salty-Cold levels: Salty purges Kidney Water, Cold calms Fire-Heat. Assist with Bitter-Sweet: Sweet purges Heart Fire, tonifies Spleen Earth. Sour collects: Classic says Heart dislikes laxity, urgently eat Sour to collect.)
When Dampness Excess occurs, level with Bitter-Hot, assist with Acid-Pungent, dry with Bitter, drain with Light/Bland. (Taiyin Spleen Earth dampness is central transformation. Level with Bitter-Hot: Classic says Spleen dislikes Dampness, urgently eat Bitter to dry. Dampness excess means Warm Qi overflows internally, causing swelling/fullness. Remove swelling/fullness: upper, purge with Bitter; lower, drain with Bitter. Bitter-Hot may induce sweating. Assist with Acid-Pungent: Acid collects, Pungent moistens, countering Bitter-drying. Urgently collect with Acid for Dampness swelling/fullness; Pungent moistens dryness. Drain with Light/Bland: bland flavor promotes urination,渗泄 (percolates/drainages) water passages. Treating Dampness without promoting urination is incorrect.)
When Dampness is severe above with Heat, treat with Bitter-Warm, assist with Sweet-Pungent, stop when sweat occurs. (Upper half has Dampness excess, Fire Qi is stifled. Stifled Dampness combats, use Bitter-Warm, Sweet-Pungent to release exterior, induce sweat, dispel pathogen.)
When Fire Excess occurs, level with Acid-Cold, assist with Bitter-Sweet, collect with Acid, vent with Bitter, restore with Acid. Heat Excess follows same method. (Previous Ministerial Fire transformations are the same, no further explanation needed.)
When Dryness Excess occurs, level with Bitter-Dry (Note: Text says 'Ku Shi', likely meaning Bitter-Warm or Bitter to dry), assist with Acid-Pungent, descend with Bitter. (Dryness is Western Lung Metal transformation. Bitter-Dry: Detailed in Classic, Bitter-Warm. Lung dislikes Qi rebellion, urgently eat Bitter to drain. Bitter tonifies Kidney Water, purges Spleen Earth, draining Mother, tonifying Child. Assist with Acid-Pungent: Acid collects, Pungent moistens. Pungent purges, Sour tonifies, correctly tonifying/purging Lung, aiming for balance. Descend with Bitter: Use Bitter-Warm to percolate and drain.)
When Cold Excess occurs, level with Pungent-Hot, assist with Sweet-Bitter, purge with Salty. (Taiyang Cold Water, master of Kidney disease. Level with Pungent-Hot: Kidney should eat Pungent. Kidney dislikes Dryness, urgently eat Pungent to moisten. Pungent moistens dryness. Pungent-Hot: Winter Cold uses Hot, suitable to take Hot. Fearing Pungent-Hot extreme leads to Wood excess, assist with Sweet-Bitter. Acid moderates middle, Bitter slightly dries, Bitter tonifies Kidney, aiming for balance.)
When Evil Counter-Victories Heaven: Clearness counter-victories Warmth, treat with Acid-Warm, assist with Sweet-Bitter. (Refers to Jueyin at泉 (Subterranean), Wind governs Earth, Clearness counter-victories. Treat with Acid-Warm, Acid purges Jueyin Wood. Assist with Sweet-Bitter: Liver likes Sweet to relax, Spleen likes Bitter to dry. Sweet-Bitter harmonize, aim for balance.)
When Cold counter-victories Heat, treat with Sweet-Hot, assist with Bitter-Pungent, level with Salty. (Shaoyin at Subterranean, Heat governs Earth. Refers to Mao-You Metal Si Tian, Fire governs Earth. Earth evil victory. Treat as previously stated.)
When Heat counter-victories Dampness, treat with Bitter-Cold, assist with Salty-Sweet, level with Bitter. (Taiyin at Subterranean, Dampness governs Earth. Chen-Xu years. Water Si Tian, Chou-Wei Earth governs Earth. Earth Dampness wins, counter-heats Heaven. Treat with Bitter-Cold, purge Spleen Earth Qi. Assist with Salty-Sweet: Salty purges Water Qi, Sweet relaxes. Level with Bitter: Bitter purges Earth, tonifies Water.)
When Cold counter-victories Heat (Yin-Shen year, Fire governs Earth, Cold counter-victories Heat), treat with Sweet-Hot, assist with Bitter-Pungent, level with Salty. (Sweet-Hot: Hot relieves Cold, Sweet tonifies Spleen Earth. Assist with Bitter-Pungent: Bitter dries, Pungent moistens, harmonizes Kidney Water. Level with Salty: Salty purges Heart Fire, tonifies Kidney Water, aim for balance.)
When Heat counter-victories Dryness (Zi-Wu year, Dryness governs Earth, dislikes Heat, fears Cold), treat with Pungent-Cold, assist with Bitter-Sweet, level with Acid, benefit from Harmony. (Pungent-Cold: Cold harmonizes Heat, Pungent moistens. Fearing Pungent-Cold extreme damages Lung Meridian, assist with Bitter-Sweet. Bitter dries, Sweet relaxes. Collect with Acid, harmonize to balance.)
When Heat counter-victories Cold (Chou-Wei year, Taiyang governs Earth, Chen-Xu Cold governs Earth, Heat counter-victories), treat with Salty-Cold, assist with Sweet-Pungent, level with Bitter. (Salty-Cold: Salty purges Kidney Water, tonifies Heart Fire. Assist with Sweet-Pungent: Pungent disperses, Sweet relaxes. Fear Pungent-Salty damages Kidney Water/Lung Metal, restore with Bitter drying to level, aim for Harmony.)
Variations of Si Di (Subterranean) Qi:
In Yin-Shen years, Lower Jiao (Wood/Wind) prevails. Earth Qi is unclear, plains are dim, grass blooms early. People suffer from shivering chills, frequent stretching and yawning, heart pain with distension, tightness in both hypochondria, inability to swallow, diaphragmatic/pharyngeal obstruction, vomiting after eating, abdominal distension with frequent belching, relief after defecation/gas passage, heavy body.
In Mao-You years, Lower Zheng (Fire/Heat) prevails. Flames float on rivers/marshes, shady places become bright. People suffer from borborygmus, Qi rushing to chest, asthma unable to stand long, aversion to cold/fever, skin pain, eye closure, tooth pain, gum swelling, aversion to cold/fever like malaria, lower abdominal pain, large abdomen, hibernating insects do not hide.
In Chen-Xu years, Lower Gong (Earth/Dampness) prevails. Dust dims rocks/valleys, Yellow shows Black, intersection of Extreme Yin. People suffer from fluid accumulation, heart pain, deafness, roaring tinnitus, dry throat, swollen throat obstruction, Yin disease with bleeding, lower abdominal pain/swelling, inability to urinate, rushing headache, eyes feel like falling out, neck feels like pulling, waist feels like breaking, thighs immobile, popliteal fossa feels bound, calf feels separated.
In Si-Hai years, Lower Zheng (Fire) prevails. Flames bright in suburbs, alternating cold/heat. People suffer from profuse dysentery red/white, lower abdominal pain, red urine, severe hematochezia. Shaoyin presents similarly.
In Zi-Wu years, Lower Shang (Metal/Dryness) prevails. Foggy clear/dim vision. People suffer from frequent vomiting, bitter vomit, frequent sighing, heart/hypochondriac pain, inability to turn sideways, severe dry throat, dusty face, lack of skin luster, reverse heat on outer foot.
In Chou-Wei years, Lower Yu (Water/Cold) prevails. Freezing solemn/cold. People suffer from lower abdominal pain drawing to testicles/waist/spine, upward rushing heart pain, bleeding, sore throat, submandibular swelling.
Qi at Subterranean, Wind Excess Internally: Treat with Pungent-Cool, assist with Bitter-Sweet, relax with Sweet, disperse with Pungent.
Heat Excess Internally: Treat with Salty-Cold, assist with Bitter-Sweet, collect with Acid, vent with Bitter.
Dampness Excess Internally: Treat with Bitter-Hot, assist with Acid-Light, dry with Bitter, drain with Light.
Fire Excess Internally: Treat with Salty-Cold, assist with Bitter-Pungent, collect with Acid, vent with Bitter.
Dryness Excess Internally: Treat with Bitter-Warm, assist with Sweet-Pungent, descend with Bitter, moisten with Pungent.
Cold Excess Internally: Treat with Sweet-Hot, assist with Bitter-Pungent, purge with Salty, firm with Bitter.
Evil Counter-Victories Earth: Clearness counter-victories Wind, treat with Acid-Warm, assist with Bitter-Sweet, level with Pungent.
Cold counter-victories Heat, treat with Sweet-Hot, assist with Bitter-Pungent, level with Salty.
Heat counter-victories Dampness, treat with Bitter-Cold, assist with Salty-Sweet, level with Bitter.
Heat counter-victories Dryness, treat with Pungent-Cold, assist with Bitter-Sweet, level with Acid, benefit from Harmony.
Heat counter-victories Cold, treat with Salty-Cold, assist with Sweet-Pungent, level with Bitter.
All these internal excessive pathogens: "Yin" means overflow. Mother-Child generation creates overflow. Victory gains Earth and becomes excessive, distinct from punishment/overcoming. Example: Heart Fire too strong, treat Liver Qi. Generated is Mother-Child, all are overflow diseases. No punishment/overcoming, only single flavor generation, is treatment for Victory. Overflow counter-victory/reversal: Tonification/Purging use previous Five Yun Six Qi Song methods. Kidney is Stomach Gate; Spleen/Stomach command softness. Use Salty to soften and open gate. Stomach Qi moves, Spleen Qi transforms. Thus flavor differs from other Zang.
Five Zang Tonification/Purging:
Liver Wood: Sour purge, Pungent tonify.
Heart Fire: Sweet purge, Salty tonify.
Spleen Earth: Bitter purge, Sweet tonify.
Lung Metal: Pungent purge, Acid tonify.
Kidney Water: Salty purge, Bitter tonify.
Five Zang Mutual Exchange Dislikes/Urgency:
Liver dislikes urgency, urgently eat Sweet to relax.
Heart dislikes laxity, urgently eat Acid to collect.
Spleen dislikes Dampness, urgently eat Bitter to dry.
Lung dislikes Qi rebellion, urgently eat Bitter to drain.
Kidney dislikes Dryness, urgently eat Pungent to moisten.
Five Zang Suitability:
Liver likes Sweet.
Heart likes Acid.
Lung likes Bitter.
Spleen likes Salty.
Kidney likes Pungent.
Heaven/Earth excessive victories need not always be so; follow Qi waxing/waning, changing to generate disease. Excess leads to excessive victory, own Qi declines, then Own Non-Overcome Evil counter-victories. Evil has no excess/decline, aim for balance, disease does not arise. Deduce ultimate principle, assign location, and verify.
All Heaven's Six Qi arrivals, human pulses also respond and arrive. Qi arrival and pulse response is called Peaceful Pulse, hence "Heaven Harmony Six Pulses".
Year Jueyin arrival: Pulse is Xian (Wiry) - soft, empty, slippery, straight and long. This is Xian, Wind nature, Wood image. Excessive and strong is disease; not excessive but weak is disease; not straight/long is disease; wrong position is disease; position cannot be strong is disease.
Year Shaoyin arrival: Pulse is Gou (Hook) - comes strong, goes weak, like inverted belt hook. This is Gou, Summer Heat nature, Fire image. Comes weak, goes strong is disease; comes strong, goes strong is disease; not hook-like is disease; wrong position is disease; position cannot hook is disease.
Year Taiyin arrival: Pulse is Da Er Chang (Large and Long) - distant coming/going. This is Chang, Dampness nature, Earth image. Very large is disease; very long is disease; not large/long is disease; wrong position is disease; position cannot be large/long is disease. (Classic says this pulse under Taiyang arrival, Qi is safe, now changed here.)
Year Shaoyang arrival: Pulse is Da Er Fu (Large and Floating). (Fu is high. Da is slightly larger than other positions.) Heat nature, Fire image. Large/Floating extreme is disease; Floating not large is disease; Large not floating is disease; wrong position is disease; position cannot be large/floating is disease.
Year Yangming arrival: Pulse is Duan Er Se (Short and Choppy). (Unsmooth coming/going is Se; short distance coming/going is Duan.) Dryness nature. Short extreme is disease; Choppy extreme is disease; not short/choppy is disease; wrong position is disease; position cannot be short/choppy is disease.
Year Taiyang arrival: Pulse is Chen (Deep). (Chen is low.) Press to obtain. (Below other positions.) Cold nature, Water image. Deep extreme is disease; not deep is disease; wrong position is disease; position cannot be deep is disease.
All these Heaven Harmony Six Pulses, their arriving states, all have guiding principles, Heaven's Way. Jueyin Wind Wood governs Liver, hence pulse is Wiry. Shaoyin Ministerial Fire governs Heart, hence pulse is Hook. Taiyin Damp Earth governs Spleen, hence pulse is Large and Long. Shaoyang Ministerial Fire governs Pericardium, hence pulse is Large and Floating. Yangming Dry Metal governs...