风气大行太过木，脾土受邪苦肠鸣，飨泄食减腹支满，体重烦冤抑气升，云物飞扬
草木动，摇落木胜被金乘，甚则善怒颠眩冒，胁痛吐甚胃绝倾。
【注】上文统论主运主气为病，此详言五运客运专主之病也。岁木太过、六壬年也，或
岁土不及、六已年也。木太过则恃强乘土，土不及则母弱而金衰，无以制木，而木亦来乘
土，故木气盛则风气大行，为木太过之化。在人则脾土受邪为病，苦肠鸣、飨泄、食少，腹
满、体重、烦冤。烦冤者，谓中气抑郁不伸故也。在天则有云物飞扬之变，在地则有草
木动摇之化。木胜不已而必衰，衰则反被金乘，有凋陨摇落之复也。故更见善怒、颠疾、
眩冒、胁痛、吐甚之肝脾病也。胃绝倾者，谓胃土冲阳之脉绝而不至，是为脾绝，故主命倾也。
暑热大行太过火，肺金受邪喘咳 ，气少血失及病疟，注下咽干中热多，燔炳物焦
水泉涸，冰雨寒霜水复过，甚则谵狂胸背痛，太渊脉绝命难瘥。
【注】岁火太过、六戊年也，或岁金不及、六乙年也。火太过，则火恃强而乘金。金不
及，则母弱而水衰无以制火，而火亦乘金。故火气盛则暑热大行，为火太过之化。在人则
肺金受邪，其为病喘而咳嗽，气少不足息，血失而颜色瘁，及疟疾注下，火泻咽干中热也。
在天则有燔炳炎烈沸腾之变，在地则有物焦槁、水泉涸之化。火胜不已而必衰，衰则反
被水乘，有雨冰雹早霜寒之复也；故更见谵语狂乱，胸背痛之心肺病也。太渊，肺脉也，
肺金之脉绝而不至，是为肺绝，故主病难愈也。
雨湿大行太过土，肾水受邪腹中疼，体重烦冤意不乐，雨湿河衍涸鱼生，风雨土崩
鳞见陆，腹满溏泻苦肠鸣，足痿 痛并饮满，太溪肾绝命难存。
【注】岁土太过，六甲年也，岁水不及，六辛年也，土太过，则土恃强而乘水，水不
及，则母弱而木衰无以制土，而土亦乘水。故土气盛则雨湿大行，为土太过之化。在人则
肾水受邪，其为病，四肢冷厥、腹中痛，体重、烦冤、意不乐也。在天则有雨湿数至之
变，在地则有河衍涸泽生鱼之化。湿胜不已而必衰，衰则反被木乘，有风雨大至，土崩
鳞见于陆之复也，故更见腹满、溏泻、肠鸣、足痿 痛、饮满之脾胃病也。太溪，肾脉也，
肾水之脉绝而不至，是为肾绝，故曰主命难存也。
清燥大行太过金，肝木受邪耳无闻，胁下少腹目赤痛，草木凋陨焦槁屯，甚则胸膺
引背痛， 胁何能反侧身，喘咳气逆而血溢，太冲脉绝命难生。
【注】岁金太过，六庚年也。岁木不及，六丁年也。金太过，则金恃强而乘木；木不
及，则母弱而火衰无以制金，而金亦乘木。故金气盛则清燥大行，为金太过之化。在人则
肝木受邪，其为病耳聋无闻，胁下痛、少腹痛、目 赤痛也。在天则有清燥肃杀之变，在
地则有草木凋陨之化。燥胜不已而必衰，衰则反被火乘，有苍干、焦槁之复也。故更见
胸膺引背、 胁疼痛、不能转侧，喘咳、气逆、失血之肝肺病也。太冲，肝脉也，肝木
之脉绝而不至，是为肝绝，故主命难生也。
寒气大行太过水，邪害心火热心烦，躁悸谵妄心中痛，天冰霜雪地裂坚，埃雾蒙郁
寒雨至，甚则肿咳病中寒，腹满溏鸣食不化，神门脉绝死何言。
【注】岁水太过，六丙年也。岁火不及，六癸年也，水太过，则水恃强而乘火；火不
及，则母弱而土衰无以制水，而水亦乘火。故水气盛则寒气大行，为水太过之化。在人则
心火受邪，其为病心烦躁悸，谵语妄言，心中热痛也。在天则有雨冰霜雪之变，在地则
有冻裂坚刚之化。寒胜不已而必衰，衰则反被土乘，有埃雾蒙郁不散，寒雨大至之复也。
故更见肿、喘、中寒，腹满、溏泻、肠鸣，饮食不化之肾脾病也。神门，心脉也，心火之
脉绝而不至，是为心绝，故主死也。
风气大行太过木，脾土受邪苦肠鸣，飨泄食减腹支满，体重烦冤抑气升，云物飞扬草木动，摇落木胜被金乘，甚则善怒颠眩冒，胁痛吐甚胃绝倾。
【注】上文统论主运主气为病，此详言五运客运专主之病也。岁木太过、六壬年也，或岁土不及、六已年也。木太过则恃强乘土，土不及则母弱而金衰，无以制木，而木亦来乘土，故木气盛则风气大行，为木太过之化。在人则脾土受邪为病，苦肠鸣、飨泄、食少，腹满、体重、烦冤。烦冤者，谓中气抑郁不伸故也。在天则有云物飞扬之变，在地则有草木动摇之化。木胜不已而必衰，衰则反被金乘，有凋陨摇落之复也。故更见善怒、颠疾、眩冒、胁痛、吐甚之肝脾病也。胃绝倾者，谓胃土冲阳之脉绝而不至，是为脾绝，故主命倾也。
暑热大行太过火，肺金受邪喘咳 ，气少血失及病疟，注下咽干中热多，燔炳物焦水泉涸，冰雨寒霜水复过，甚则谵狂胸背痛，太渊脉绝命难瘥。
【注】岁火太过、六戊年也，或岁金不及、六乙年也。火太过，则火恃强而乘金。金不及，则母弱而水衰无以制火，而火亦乘金。故火气盛则暑热大行，为火太过之化。在人则肺金受邪，其为病喘而咳嗽，气少不足息，血失而颜色瘁，及疟疾注下，火泻咽干中热也。在天则有燔炳炎烈沸腾之变，在地则有物焦槁、水泉涸之化。火胜不已而必衰，衰则反被水乘，有雨冰雹早霜寒之复也；故更见谵语狂乱，胸背痛之心肺病也。太渊，肺脉也，肺金之脉绝而不至，是为肺绝，故主病难愈也。
雨湿大行太过土，肾水受邪腹中疼，体重烦冤意不乐，雨湿河衍涸鱼生，风雨土崩鳞见陆，腹满溏泻苦肠鸣，足痿 痛并饮满，太溪肾绝命难存。
【注】岁土太过，六甲年也，岁水不及，六辛年也，土太过，则土恃强而乘水，水不及，则母弱而木衰无以制土，而土亦乘水。故土气盛则雨湿大行，为土太过之化。在人则肾水受邪，其为病，四肢冷厥、腹中痛，体重、烦冤、意不乐也。在天则有雨湿数至之变，在地则有河衍涸泽生鱼之化。湿胜不已而必衰，衰则反被木乘，有风雨大至，土崩鳞见于陆之复也，故更见腹满、溏泻、肠鸣、足痿 痛、饮满之脾胃病也。太溪，肾脉也，肾水之脉绝而不至，是为肾绝，故曰主命难存也。
清燥大行太过金，肝木受邪耳无闻，胁下少腹目赤痛，草木凋陨焦槁屯，甚则胸膺引背痛， 胁何能反侧身，喘咳气逆而血溢，太冲脉绝命难生。
【注】岁金太过，六庚年也。岁木不及，六丁年也。金太过，则金恃强而乘木；木不及，则母弱而火衰无以制金，而金亦乘木。故金气盛则清燥大行，为金太过之化。在人则肝木受邪，其为病耳聋无闻，胁下痛、少腹痛、目 赤痛也。在天则有清燥肃杀之变，在地则有草木凋陨之化。燥胜不已而必衰，衰则反被火乘，有苍干、焦槁之复也。故更见胸膺引背、 胁疼痛、不能转侧，喘咳、气逆、失血之肝肺病也。太冲，肝脉也，肝木之脉绝而不至，是为肝绝，故主命难生也。
寒气大行太过水，邪害心火热心烦，躁悸谵妄心中痛，天冰霜雪地裂坚，埃雾蒙郁寒雨至，甚则肿咳病中寒，腹满溏鸣食不化，神门脉绝死何言。
【注】岁水太过，六丙年也，岁火不及，六癸年也，水太过，则水恃强而乘火；火不及，则母弱而土衰无以制水，而水亦乘火。故水气盛则寒气大行，为水太过之化。在人则心火受邪，其为病心烦躁悸，谵语妄言，心中热痛也。在天则有雨冰霜雪之变，在地则有冻裂坚刚之化。寒胜不已而必衰，衰则反被土乘，有埃雾蒙郁不散，寒雨大至之复也。故更见肿、喘、中寒，腹满、溏泻、肠鸣，饮食不化之肾脾病也。神门，心脉也，心火之脉绝而不至，是为心绝，故主死也。
The excessive movement of wind is Wood; the Spleen Earth is affected, suffering from borborygmus (intestinal rumbling), xiangxie (undigested food diarrhea), reduced appetite, abdominal distension and fullness, heaviness of the body, vexation and oppression, and rising of stagnant Qi. In nature, clouds and objects fly upward, and grasses and trees move. When Wood is excessive and overcomes others, it is subsequently overcome by Metal. In severe cases, there is irritability, epilepsy, dizziness, vertigo, and fainting, hypochondriac pain, and severe vomiting leading to the exhaustion of Stomach Qi and peril to life.
[Note] The above generally discusses diseases caused by the Main Yùn (Primary Movement) and Main Qi. This section details the specific diseases governed by the Five Yùn and Ke Yun (Guest Movements). Excessive Wood corresponds to the Ren years (Six Ren). Alternatively, insufficient Earth corresponds to the Ji years (Six Ji). When Wood is excessive, it relies on its strength to overcome Earth. When Earth is insufficient, its mother (Fire) is weak, causing Metal to decline; lacking the ability to control Wood, Wood then comes to overcome Earth. Thus, when Wood Qi is prosperous, wind moves excessively, representing the transformation of excessive Wood. In humans, Spleen Earth is affected, suffering from borborygmus, xiangxie, reduced food intake, abdominal fullness, body heaviness, and vexation. "Vexation" refers to the depression and failure of middle Qi to extend freely. In heaven, there are changes of flying clouds and objects; in earth, there are transformations of swaying grasses and trees. If Wood's dominance continues without end, it must decline; upon declining, it is counter-attacked by Metal, resulting in a reaction of withering and falling. Thus, one further sees Liver and Spleen diseases such as irritability, epilepsy, dizziness, vertigo, hypochondriac pain, and severe vomiting. "Exhaustion of Stomach Qi leading to peril" means the Chongyang pulse of Stomach Earth ceases and does not arrive; this is considered exhaustion of the Spleen, thus indicating peril to life.
Excessive heat is Fire; the Lung Metal is affected, suffering from wheezing and coughing, shortness of breath, loss of blood, and malaria. There is profuse diarrhea, dry throat, and internal heat. In nature, things burn and scorch, springs and streams dry up. When Water reacts excessively, there is ice rain, cold frost, and water returning. In severe cases, there is delirium, mania, chest and back pain, and if the Taiyuan pulse ceases, life is difficult to save.
[Note] Excessive Fire corresponds to the Wu years (Six Wu). Alternatively, insufficient Metal corresponds to the Yi years (Six Yi). When Fire is excessive, it relies on its strength to overcome Metal. When Metal is insufficient, its mother (Earth) is weak, causing Water to decline; lacking the ability to control Fire, Fire then overcomes Metal. Thus, when Fire Qi is prosperous, summer heat moves excessively, representing the transformation of excessive Fire. In humans, Lung Metal is affected, suffering from wheezing and coughing, insufficiency of Qi and difficulty breathing, loss of blood and sallow complexion, as well as malaria, profuse diarrhea, fire-diarrhea, dry throat, and internal heat. In heaven, there are changes of blazing, fierce, and boiling heat; in earth, there are transformations of scorched and withered objects and dried-up springs. If Fire's dominance continues without end, it must decline; upon declining, it is counter-attacked by Water, resulting in a reaction of rain, hail, early frost, and cold. Thus, one further sees Heart and Lung diseases such as delirious speech, madness, chest and back pain. Taiyuan is the Lung pulse; if the Lung Metal pulse ceases and does not arrive, this is considered exhaustion of the Lung, thus indicating that the disease is difficult to cure.
Excessive dampness is Earth; the Kidney Water is affected, suffering from abdominal pain, body heaviness, vexation, and unhappiness. In nature, rain and dampness cause rivers to overflow and dry ponds to produce fish. Wind and rain cause soil collapse, and scales appear on land. There is abdominal fullness, loose stools, and borborygmus. There is flaccidity of the legs, pain, and fluid retention. If the Taixi pulse ceases, life is difficult to preserve.
[Note] Excessive Earth corresponds to the Jia years (Six Jia). Insufficient Water corresponds to the Xin years (Six Xin). When Earth is excessive, it relies on its strength to overcome Water. When Water is insufficient, its mother (Metal) is weak, causing Wood to decline; lacking the ability to control Earth, Earth then overcomes Water. Thus, when Earth Qi is prosperous, rain and dampness move excessively, representing the transformation of excessive Earth. In humans, Kidney Water is affected, suffering from cold limbs and cold extremities, abdominal pain, body heaviness, vexation, and unhappiness. In heaven, there are changes of frequent rain and dampness; in earth, there are transformations of overflowing rivers and fish born in drying marshes. If Dampness's dominance continues without end, it must decline; upon declining, it is counter-attacked by Wood, resulting in a reaction of heavy wind and rain, soil collapse, and scales appearing on land. Thus, one further sees Spleen and Stomach diseases such as abdominal fullness, loose stools, borborygmus, leg flaccidity and pain, and fluid retention. Taixi is the Kidney pulse; if the Kidney Water pulse ceases and does not arrive, this is considered exhaustion of the Kidney, thus indicating that life is difficult to preserve.
Excessive dryness is Metal; the Liver Wood is affected, suffering from deafness and inability to hear. There is pain under the hypochondrium and in the lower abdomen, redness and pain of the eyes. Grasses and trees wither and scorch. In severe cases, there is pain radiating from the chest to the back, inability to turn the body due to hypochondriac pain, wheezing, coughing, rebellious Qi, and bleeding. If the Taichong pulse ceases, life is difficult to sustain.
[Note] Excessive Metal corresponds to the Geng years (Six Geng). Insufficient Wood corresponds to the Ding years (Six Ding). When Metal is excessive, it relies on its strength to overcome Wood; when Wood is insufficient, its mother (Water) is weak, causing Fire to decline; lacking the ability to control Metal, Metal then overcomes Wood. Thus, when Metal Qi is prosperous, clear and dry air moves excessively, representing the transformation of excessive Metal. In humans, Liver Wood is affected, suffering from deafness and inability to hear, pain under the hypochondrium, lower abdominal pain, and redness and pain of the eyes. In heaven, there are changes of clear, dry, and austere killing energy; in earth, there are transformations of withering and falling grasses and trees. If Dryness's dominance continues without end, it must decline; upon declining, it is counter-attacked by Fire, resulting in a reaction of desiccation and scorching. Thus, one further sees Liver and Lung diseases such as pain radiating from the chest to the back, hypochondriac pain, inability to turn sideways, wheezing, coughing, rebellious Qi, and hemorrhage. Taichong is the Liver pulse; if the Liver Wood pulse ceases and does not arrive, this is considered exhaustion of the Liver, thus indicating that life is difficult to sustain.
Excessive cold is Water; evil harms the Heart Fire, causing heart vexation, restlessness, palpitations, delirium,妄言 (wild talk), and pain in the center of the heart. In nature, there is ice, frost, snow, and cracked hard ground. Dust and fog obscure, and cold rain arrives. In severe cases, there is edema, coughing, interior-cold, abdominal fullness, loose stools with rumbling, and undigested food. If the Shenmen pulse ceases, death occurs, what can be said?
[Note] Excessive Water corresponds to the Bing years (Six Bing). Insufficient Fire corresponds to the Gui years (Six Gui). When Water is excessive, it relies on its strength to overcome Fire; when Fire is insufficient, its mother (Wood) is weak, causing Earth to decline; lacking the ability to control Water, Water then overcomes Fire. Thus, when Water Qi is prosperous, cold moves excessively, representing the transformation of excessive Water. In humans, Heart Fire is affected, suffering from heart vexation, restlessness, palpitations, delirious speech, wild talk, and heat-pain in the center of the heart. In heaven, there are changes of rain, ice, frost, and snow; in earth, there are transformations of frozen cracks and hardened rigidity. If Cold's dominance continues without end, it must decline; upon declining, it is counter-attacked by Earth, resulting in a reaction of obscuring dust and fog that does not disperse, and heavy cold rain. Thus, one further sees Kidney and Spleen diseases such as edema, wheezing, interior-cold, abdominal fullness, loose stools, borborygmus, and undigested food. Shenmen is the Heart pulse; if the Heart Fire pulse ceases and does not arrive, this is considered exhaustion of the Heart, thus indicating death.