（出《干坤生意》）
运气证治者，所以参天地阴阳之理，明五行衰旺之机。考气候之寒温，察民病之凶吉，
推加临补泻之法，施寒热温凉之剂。古人云∶治时病不知运气，如涉海问津。诚哉言也！今
遵先贤图诀，撮其要领，使人一览而知其悉也矣。
五运配十干之年
甲己得合为土运 乙庚得合为金运
丁壬得合为木运 丙辛得合为水运
戊癸得合为火运
六气为司天之岁
子午少阴君火 丑未太阴湿土
寅申少阳相火 卯酉阳明燥金
辰戌太阳寒水 巳亥厥阴风木
南政北政
甲己土运为南政。盖土居中央，君尊南面而行，余四运以臣事之，面北面受令，所以有
别也。
十二支年分运气
子午年，少阴君火司天，岁气热化之候。
司天者，天之气候也。
君火者，手少阴心经也。心者，君主之官，神明出焉。君火乃主宰阳气之本，余象生土，
乃发生万物之源。
阳明燥金在泉。
在泉者，地之气候也。
初之气，厥阴风木用事，子上父下，益辛泻苦。
自年前十二月大寒节起，至二月惊蛰终止。
天时 寒风切冽，霜雪水冰，蛰虫伏藏。
民病 关节禁固，腰腿疼，中外疮疡。
二之气，少阴君火用事，火盛金衰，补肺泻心。
自二月春分节起，至四月立夏终止。
天时 风与时寒，雨生羽虫。
民病 淋气郁于上而热，令人目赤。
三之气，少阳相火用事，君相二火，泻苦益辛。
自四月小满节起，至六月小暑终止。
天时 大火行，热气生，羽虫不鸣，燕、百舌、杜宇之类。
民病 厥热，心痛，寒，更作咳喘，目赤。
四之气，太阴湿土用事，子母相顺，泻肺补肾。
自六月大暑节起，至八月白露终止。
天时 大雨时行， 寒热互作。
民病 黄胆，衄血，咽干，呕吐，痰饮。
五之气，阳明燥金用事，心盛肺衰，火怕水复。
自八月秋分节起，至十月立冬终止。
天时 温气乃至，初冬尤暖，万物尚荣。
民病 寒热伏邪，于春为疟。
六之气，太阳寒水用事，火衰心病，泻咸益苦。
自十月小雪节起，至十二月小寒终止。
天时 暴寒劲切，火邪恣毒，寒气暴止
民病 生肿咳喘，甚则血溢，下连小腹而作寒中。
丑未年，太阴湿土司天，岁气湿化之候。
太阴湿土者，足太阴脾经也。脾属中央戊己土，每季寄旺一十八日，合为七十二日，以
应一岁六六三百六十日之成数也。
太阳寒水在泉。
初之气，厥阴风木用事，主旺客衰，泻酸补甘。
自年前十二月大寒节起，至闰二月惊蛰终止。
天时 大风发荣，雨生毛虫。
民病 血溢，经络拘强，关节不利，身重筋痛。
二之气，少阴君火用事，以下生上，泻甘补咸。
自二月春分节起，至四月立夏终止。
天时 大火至，疫疠， 君令宣行，湿蒸相搏，豪雨时降。
民病 瘟疫盛行，远近咸苦。
三之气，少阳相火用事，土旺克水，补肾泻脾。
自四月小满节起，至六月小暑终止。
天时 雷雨，电雹，地气腾，湿气降。
民病 身重，跗肿，胸腹满，感冒湿气。
四之气，太阴湿土用事，甘旺咸衰，补肾益膀胱。
自六月大暑节起，至八月白露终止。
天时 炎热沸腾，地气升，湿化不流。
民病 腠理，热血暴溢，寒疟，心腹胀，浮肿。
五之气，阳明燥金用事，土能生金，益肝泻肺。
自八月秋分节起，至十月立冬终止。
天时 大凉，雾露降。
民病 皮肤， 寒疟，痢甚行
六之气，太阳寒水用事，以上克下 泻脾补肾。
自十月小雪节起，至十一月小寒终止。
天时 大寒凝冽。
民病 关节禁固，腰腿拘痛。
寅申年，少阳相火司天，岁气火化之候。
少阳相火者，三焦浮流之火，火邪炎上，上克肺金，金受克，肾水失母，则上盛下虚，
虚阳上攻，变生诸疾，致伤元气。
厥阴风木在泉。
初之气，厥阴风木用事，子父相逢，泻苦益辛。
自年前十二月大寒节起，至二月惊蛰终止。
天时 热风伤人，时气流行。
民病 寒热交作，咳逆头痛，血气不调，心腹不快。
二之气，少阴君火用事，肺衰心盛，制苦益辛。
自二月春分节起，至四月立夏终止。
天时 暴风疾雨，温湿相蒸。
民病 上热咳逆，胸膈不利，头痛寒热。
三之气，少阳相火用事，夏旺火炽，补肺益大肠。
自四月小满节起，至六月小暑终止。
天时 炎暑亢旱，草萎河输。
民病 烦热，目赤喉闭，失血，热渴，风邪，人多暴死。
四之气，太阴湿土用事，火能生土，泻甘补咸。
自六月大暑节起，至八月白露终止。
天时 风雨时降，炎暑未去。
民病 疟病交作，寒热头痛。
五之气，阳明燥金用事，肺金受邪，泻苦补辛。
自八月秋分节起，至十月立冬终止。
天时 寒热风雨，草木黄落。
民病 寒邪风热，君子周密。
六之气，太阳寒水用事，心火受克，泻咸补苦。
自十月小雪节起，至十一月小寒终止。
天时 寒温无时，地气正寒，霜露乃降。
民病 感冒寒邪，关节不利，心腹痛。
卯酉年，阳明燥金司天，岁气燥化之候。
阳明燥金者，肺与大肠之气，象庚辛金也。
少阴君火在泉。
初之气，厥阴风木用事，金木相克，补酸泻辛。
自年前十二月大寒节起，二月惊蛰终止。
天时 阴始凝，风始肃，水乃冰寒，雨多，花开迟
民病 寒热浮肿，失血，呕吐，小便赤淋。
二之气，少阴君火用事，火盛金衰，泻苦益辛。
自二月春分节起，至四月立夏终止。
天时 臣居君位，大热早行。
民病 疫疠流行，人多猝暴。
三之气，少阳相火用事，主盛客衰，泻心补肺。
自四月小满节起，至六月小暑终止。
天时 燥热交合，风雨暴至。
民病，寒热头疼，心烦作渴。
四之气，太阴湿土用事，以下生上，泻辛益酸。
自六月大暑节起，至八月白露终止。
天时 早秋寒雨，有伤苗稼。
民病 猝暴 寒热，风邪伤人，心疼，浮肿，疮疡，失血。
五之气，阳明燥金用事，金盛木衰，泻肺补肝。
自八月秋分节起，至十月立冬终止。
天时 冬行春令， 草木生青，风雨生虫。
民病 寒热，作痢，气血不和。
六之气，太阳寒水用事，客来助主，益苦泻咸。
自十月小雪节起，至十二月小寒终止。
天时 气候反温，蛰虫出现，反行春令。
民病 疫疠，温毒，寒热伏邪。
辰戌年，太阳寒水司天，岁气寒化之候。
太阳寒水者，足膀胱经也，与足少阴肾经合为表里，属北方壬癸水。
太阴湿土在泉。
初之气，厥阴风木用事，脾胃受邪，泻咸助甘。
自年前十二月大寒节起，至二月惊蛰终止。
天时 气早暖，草早荣温风至。
民病 瘟疫，寒热，头痛呕吐，疮疡。
二之气，少阴君火用事，心火受邪，泻咸补甘。
自二月春分节起，至四月立夏终止。
天时 春寒多雨，寒湿无时。
民病 气郁中满，浮肿，寒热。
三之气，少阳相火用事，以上克下，泻咸助苦。
自四月小满节起，至六月小暑终止。
天时 暴热乍凉，疾风豪雨。
民病 寒热，吐利，生烦闷乱，痈疽疮疡。
四之气，太阴湿土用事，木旺土衰，泻甘补酸。
自六月大暑节起，至八月白露终止。
天时 风湿交争，雨生羽虫，暴风疾雨。
民病 大热短气，赤白痢泻。
五之气，阳明燥金用事，金生水旺，制咸益苦。
自八月秋分节起，至十月立冬终止。
天时 湿热而行，客行主令。
民病 气虚客热，血热妄行，肺气壅盛。
六之气，太阳寒水用事，水盛火衰，泻咸助苦。
自十月小雪节起，至十二月小寒终止。
天时 凝寒，雨雪，地气正，湿令行。
民病 病乃凄惨，孕妇多灾，脾受湿，肺旺肝衰。
己亥年，厥阴风木司天，岁气风化之候。
厥阴风木者，足厥阴肝经也。肝属东方，甲乙木春旺七十二日也。
少阳相火在泉。
初之气，厥阴风木用事，脾胃受邪，泻酸补甘。
自年前十二月大寒节起，至二月惊蛰终止。
天时 寒始肃，客行主令，杀气方至。
民病 寒居右胁，气滞，脾胃虚壅。
二之气，少阴君火用事，火旺金衰，泻心补肺。
自二月春分节起，至四月立夏终止。
天时 寒不去，霜雪，水杀气施，水草焦，寒雨至。
民病 热中，气血不升降。
三之气，少阳相火用事，肺经受邪，泻苦益辛。
自四月小满节起，至六月小暑终止。
天时 风热大作，雨生羽虫。
民病 泪出，耳鸣掉眩。
四之气，太阴湿土用事，木土相刑，泻酸益甘。
自六月大暑节起，至八月白露终止。
天时 热气返用，山泽浮云，豪雨溽温。
民病 心受邪，黄胆，面为浮肿。
五之气，阳明燥金用事，以金刑木，泻肺益肝。
自八月秋分节起，至十月立冬终止。
天时 燥湿更朦，沉阴乃布，风雨乃行。
民病 寒气及体，肺受风，脾受湿，发为疟。
六之气太阳寒水用事，主助客胜，泻酸补甘。
自十月小雪节起，至十二月小寒终止。
天时 畏火司令，阳乃火化，蛰虫出现，流水不冰，地气大发，草乃生。
民病 瘟疫，心肾相制。
谨按∶运气之说，《内经》言之详矣。夫人在气交之中，与天地相为流通，苟不先立其
年以明其气，临病施治之际，乌乎以用补泻之药哉？此运气证治不可不知也。又尝按而验之，
多有不应，何则？阴阳之消长，寒暑之更易，或失其常，在智者通其活变，岂可胶柱鼓瑟，
按图索骥也耶？
（出自《干坤生意》）
所谓运气证治，就是参悟天地阴阳的道理，阐明五行盛衰变化的机理。考察气候的寒暖变化，观察民众疾病的吉凶状况，推演加临、补泻的治疗法则，施用寒、热、温、凉性质的方剂。古人说：“治疗时令疾病如果不了解五运六气，就像渡海却找不到渡口一样。”这话确实有道理！如今遵循先贤的图诀，摘录其要点，使人能一目了然地知晓全部情况。
**五运配属十天干的年份**
甲年和己年合化为土运（Wu Yun, Five Movements）。
乙年和庚年合化为金运。
丁年和壬年合化为木运。
丙年和辛年合化为水运。
戊年和癸年合化为火运。
**六气为司天之岁的年份**
子年和午年，少阴君火（Shaoyin Junhuo, Lesser Yin Sovereign Fire）司天。
丑年和未年，太阴湿土（Taiyin Shitu, Greater Yin Damp Earth）司天。
寅年和申年，少阳相火（Shaoyang Xianghuo, Lesser Yang Ministerial Fire）司天。
卯年和酉年，阳明燥金（Yangming Zaojin, Yangming Dry Metal）司天。
辰年和戌年，太阳寒水（Taiyang Han shui, Greater Cold Water）司天。
巳年和亥年，厥阴风木（Jueyin Fengmu, Jueyin Wind Wood）司天。
**南政与北政**
甲年和己年的土运属于南政（Nanzheng, Southern Administration）。因为土居中央，如同君主面南而坐发号施令，其余四运以臣子的身份侍奉它，面北接受命令，所以有所区别。
**十二地支年份的运气分布**
**子年和午年**：少阴君火司天，岁气呈现热化的征候。
* **司天**（Sitian, Supreme Qi），指天的气候特征。
* **君火**：对应手少阴心经（Hand Shaoyin Heart Meridian）。心是君主之官，神明由此产生。君火是主宰阳气的根本，其余象生土，是发生万物的源头。
* **在泉**（Zaiquan, Subterranean Qi）：阳明燥金。在泉，指地的气候特征。
* **初之气**（First Qi Period）：厥阴风木主事。子上父下（此处指运气生克关系，子水生父木？原文意指母子相生或特定运气格局，通常解释为子母相关），益辛（补充辛味/肺）泻苦（泻除苦味/心）。
* 时间：从前一年十二月大寒节气开始，到二月惊蛰节气结束。
* **天时**：寒风凛冽，霜雪结冰，冬眠昆虫潜伏隐藏。
* **民病**（Minbing, Common Diseases）：关节僵硬固着，腰腿疼痛，身体内外疮疡。
* **二之气**：少阴君火主事。火盛金衰，补肺（补辛/金）泻心（泻苦/火）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：风有时寒冷，雨水滋生羽虫（鸟类等）。
* **民病**：淋沥之气郁结于上而发热，导致人目赤。
* **三之气**：少阳相火主事。君火与相火两火并用，泻苦（心）益辛（肺）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：大火星运行，热气生成，羽虫不鸣叫，燕子、百舌鸟、杜鹃等出现。
* **民病**：四肢厥冷与高热交替，心痛，恶寒，咳嗽气喘反复发作，目赤。
* **四之气**：太阴湿土主事。子母相顺，泻肺（泻辛/金）补肾（补咸/水）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：大雨时常流行，寒热交替发作。
* **民病**：黄疸，鼻出血，咽喉干燥，呕吐，痰饮。
* **五之气**：阳明燥金主事。心盛肺衰，火怕水来报复（火克金，金生水，水克火，故曰火怕水复）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：温气到来，初冬尤其温暖，万物依然繁荣。
* **民病**：寒热伏邪，到了春天表现为疟疾（Malaria）。
* **六之气**：太阳寒水主事。火衰心病，泻咸（肾）益苦（心）。
* 时间：从十月小雪节气开始，到十二月小寒节气结束。
* **天时**：暴寒强劲刺骨，火邪恣意毒烈，寒气突然停止。
* **民病**：身体肿胀咳嗽气喘，严重时血液溢出，向下牵连小腹导致中焦虚寒。
**丑年和未年**：太阴湿土司天，岁气呈现湿化的征候。
* **太阴湿土**：对应足太阴脾经（Foot Taiyin Spleen Meridian）。脾属于中央戊己土，每季寄旺十八日，合计七十二日，以对应一岁六六三百六十日的成数。
* **在泉**：太阳寒水。
* **初之气**：厥阴风木主事。主旺客衰，泻酸（肝）补甘（脾）。
* 时间：从前一年十二月大寒节气开始，到闰二月惊蛰节气结束。
* **天时**：大风使草木繁荣，雨水滋生毛虫（兽类）。
* **民病**：血液溢出，经络拘挛强直，关节不利，身体沉重筋痛。
* **二之气**：少阴君火主事。以下生上（水生火），泻甘（脾）补咸（肾）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：大火到来，瘟疫流行，君令宣行，湿气蒸腾相互搏结，豪雨时降。
* **民病**：瘟疫盛行，远近的人都深受其苦。
* **三之气**：少阳相火主事。土旺克水，补肾（水）泻脾（土）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：雷雨，冰雹，地气上升，湿气下降。
* **民病**：身体沉重，足背浮肿，胸腹胀满，感冒湿气。
* **四之气**：太阴湿土主事。甘旺咸衰，补肾（水）益膀胱（水）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：炎热沸腾，地气上升，湿化之气不流通。
* **民病**：腠理（Coulri, Skin pores and interstices），热血突然溢出，寒疟，心腹胀满，浮肿。
* **五之气**：阳明燥金主事。土能生金，益肝（木）泻肺（金）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：大凉，雾露降落。
* **民病**：皮肤病变，寒疟，痢疾严重甚至行走困难。
* **六之气**：太阳寒水主事。以上克下，泻脾（土）补肾（水）。
* 时间：从十月小雪节气开始，到十一月小寒节气结束。
* **天时**：大寒凝结凛冽。
* **民病**：关节僵硬固着，腰腿拘挛疼痛。
**寅年和申年**：少阳相火司天，岁气呈现火化的征候。
* **少阳相火**：是三焦浮流之火，火邪炎上，向上克制肺金。金受克制，肾水失去母亲（金生水），则上盛下虚，虚阳上攻，变生各种疾病，以致损伤元气。
* **在泉**：厥阴风木。
* **初之气**：厥阴风木主事。子父相逢，泻苦（心）益辛（肺）。
* 时间：从前一年十二月大寒节气开始，到二月惊蛰节气结束。
* **天时**：热风伤人，时气流行。
* **民病**：寒热交替发作，咳嗽气逆头痛，血气不调，心腹不适。
* **二之气**：少阴君火主事。肺衰心盛，制苦（心）益辛（肺）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：暴风疾雨，温湿相互蒸腾。
* **民病**：上部热盛咳嗽气逆，胸膈不利，头痛寒热。
* **三之气**：少阳相火主事。夏季旺盛火势炽烈，补肺（金）益大肠（金）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：炎热酷暑亢旱，草枯萎河流干涸。
* **民病**：烦热，目赤喉闭，失血，热渴，风邪，人多突然死亡。
* **四之气**：太阴湿土主事。火能生土，泻甘（脾）补咸（肾）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：风雨时常降落，炎热酷暑尚未去除。
* **民病**：疟疾交替发作，寒热头痛。
* **五之气**：阳明燥金主事。肺金受邪，泻苦（心）补辛（肺）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：寒热风雨，草木枯黄掉落。
* **民病**：寒邪风热，君子应周密防范。
* **六之气**：太阳寒水主事。心火受克，泻咸（肾）补苦（心）。
* 时间：从十月小雪节气开始，到十一月小寒节气结束。
* **天时**：寒温无常，地气正寒，霜露降落。
* **民病**：感冒寒邪，关节不利，心腹痛。
**卯年和酉年**：阳明燥金司天，岁气呈现燥化的征候。
* **阳明燥金**：是肺与大肠之气，象征庚辛金。
* **在泉**：少阴君火。
* **初之气**：厥阴风木主事。金木相克，补酸（肝）泻辛（肺）。
* 时间：从前一年十二月大寒节气开始，到二月惊蛰节气结束。
* **天时**：阴气开始凝聚，风气开始肃杀，水结冰寒，雨多，花开得晚。
* **民病**：寒热浮肿，失血，呕吐，小便赤涩淋沥。
* **二之气**：少阴君火主事。火盛金衰，泻苦（心）益辛（肺）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：臣居君位（火克金，金为君火之囚？或指客气加临），大热早行。
* **民病**：疫疠流行，人多猝然暴死。
* **三之气**：少阳相火主事。主盛客衰，泻心（火）补肺（金）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：燥热交合，风雨暴至。
* **民病**：寒热头疼，心烦作渴。
* **四之气**：太阴湿土主事。以下生上（火生土），泻辛（肺）益酸（肝）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：早秋寒雨，伤害庄稼。
* **民病**：猝然暴发的寒热，风邪伤人，心疼，浮肿，疮疡，失血。
* **五之气**：阳明燥金主事。金盛木衰，泻肺（金）补肝（木）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：冬天施行春天的政令，草木生出青色，风雨滋生虫害。
* **民病**：寒热，发作痢疾，气血不和。
* **六之气**：太阳寒水主事。客来助主，益苦（心）泻咸（肾）。
* 时间：从十月小雪节气开始，到十二月小寒节气结束。
* **天时**：气候反而温暖，冬眠昆虫出现，反而施行春天的政令。
* **民病**：疫疠，温毒，寒热伏邪。
**辰年和戌年**：太阳寒水司天，岁气呈现寒化的征候。
* **太阳寒水**：是足膀胱经，与足少阴肾经互为表里，属于北方壬癸水。
* **在泉**：太阴湿土。
* **初之气**：厥阴风木主事。脾胃受邪，泻咸（肾）助甘（脾）。
* 时间：从前一年十二月大寒节气开始，到二月惊蛰节气结束。
* **天时**：气候早暖，草早荣温风至。
* **民病**：瘟疫，寒热，头痛呕吐，疮疡。
* **二之气**：少阴君火主事。心火受邪，泻咸（肾）补甘（脾）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：春寒多雨，寒湿无常。
* **民病**：气郁中满，浮肿，寒热。
* **三之气**：少阳相火主事。以上克下，泻咸（肾）助苦（心）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：暴热乍凉，疾风豪雨。
* **民病**：寒热，吐利，产生烦闷混乱，痈疽疮疡。
* **四之气**：太阴湿土主事。木旺土衰，泻甘（脾）补酸（肝）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：风湿交争，雨生羽虫，暴风疾雨。
* **民病**：大热短气，赤白痢泻。
* **五之气**：阳明燥金主事。金生水旺，制咸（肾）益苦（心）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：湿热而行，客行主令。
* **民病**：气虚客热，血热妄行，肺气壅盛。
* **六之气**：太阳寒水主事。水盛火衰，泻咸（肾）助苦（心）。
* 时间：从十月小雪节气开始，到十二月小寒节气结束。
* **天时**：凝寒，雨雪，地气正，湿令行。
* **民病**：病情凄惨，孕妇多灾，脾受湿，肺旺肝衰。
**巳年和亥年**：厥阴风木司天，岁气呈现风化的征候。
* **厥阴风木**：是足厥阴肝经。肝属于东方，甲乙木，春季旺盛七十二日。
* **在泉**：少阳相火。
* **初之气**：厥阴风木主事。脾胃受邪，泻酸（肝）补甘（脾）。
* 时间：从前一年十二月大寒节气开始，到二月惊蛰节气结束。
* **天时**：寒气开始肃杀，客气行主令，杀气方才到达。
* **民病**：寒气居于右胁，气滞，脾胃虚壅。
* **二之气**：少阴君火主事。火旺金衰，泻心（火）补肺（金）。
* 时间：从二月春分节气开始，到四月立夏节气结束。
* **天时**：寒气不去，霜雪，水杀气施，水草焦枯，寒雨至。
* **民病**：热中，气血不升降。
* **三之气**：少阳相火主事。肺经受邪，泻苦（心）益辛（肺）。
* 时间：从四月小满节气开始，到六月小暑节气结束。
* **天时**：风热大作，雨生羽虫。
* **民病**：流泪，耳鸣掉眩（头晕目眩）。
* **四之气**：太阴湿土主事。木土相刑，泻酸（肝）益甘（脾）。
* 时间：从六月大暑节气开始，到八月白露节气结束。
* **天时**：热气返用，山泽浮云，豪雨溽温（闷热潮湿）。
* **民病**：心受邪，黄疸，面部浮肿。
* **五之气**：阳明燥金主事。以金刑木，泻肺（金）益肝（木）。
* 时间：从八月秋分节气开始，到十月立冬节气结束。
* **天时**：燥湿更朦，沉阴乃布，风雨乃行。
* **民病**：寒气及体，肺受风，脾受湿，发为疟疾。
* **六之气**：太阳寒水主事。主助客胜，泻酸（肝）补甘（脾）。
* 时间：从十月小雪节气开始，到十二月小寒节气结束。
* **天时**：畏火司令，阳气乃火化，冬眠昆虫出现，流水不冰，地气大发，草乃生长。
* **民病**：瘟疫，心肾相制。
**谨按**：关于运气的学说，《黄帝内经》（Huangdi Neijing, The Yellow Emperor's Classic of Internal Medicine）已经论述得很详细了。人处在气交之中，与天地相互流通，如果不预先确立当年的运气以明确其气化特点，在面对疾病施治的时候，怎么能知道使用补泻的药物呢？这就是运气证治不可不知的原因。我又曾经考证并验证过，发现很多情况并不应验，为什么呢？阴阳的消长，寒暑的更替，有时会失去常态，在聪明的人看来应当通晓其灵活变化，怎么可以像胶住瑟柱弹琴那样拘泥不变，或者按照图像寻找良马那样机械套用呢？
(Excerpted from "Gan Kun Sheng Yi")
The diagnosis and treatment based on Wu Yun Liu Qi (Five Movements and Six Qi) involves comprehending the principles of Heaven and Earth's Yin and Yang, and clarifying the mechanisms of the flourishing and waning of the Five Elements. It examines the coldness and warmth of climatic conditions, observes the auspiciousness or inauspiciousness of diseases among the people, deduces the methods of addition/subtraction and tonification/sedation, and applies remedies of cold, heat, warm, and cool natures. The ancients said: "To treat seasonal diseases without understanding Wu Yun Liu Qi is like crossing a sea without knowing where to ford." This statement is indeed true! Today, following the diagrams and formulas of the sages, we extract their essentials so that one may understand the entirety at a glance.
**Wu Yun (Five Movements) Paired with the Ten Heavenly Stems Years**
Years of Jia and Ji combine to form Tu Yun (Earth Movement).
Years of Yi and Geng combine to form Jin Yun (Metal Movement).
Years of Ding and Ren combine to form Mu Yun (Wood Movement).
Years of Bing and Xin combine to form Shui Yun (Water Movement).
Years of Wu and Gui combine to form Huo Yun (Fire Movement).
**Liu Qi (Six Qi) as Sitian (Supreme Qi) Years**
Years of Zi and Wu: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is Sitian.
Years of Chou and Wei: Taiyin Shitu (Greater Yin Damp Earth) is Sitian.
Years of Yin and Shen: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is Sitian.
Years of Mao and You: Yangming Zaojin (Yangming Dry Metal) is Sitian.
Years of Chen and Xu: Taiyang Hanshui (Greater Cold Water) is Sitian.
Years of Si and Hai: Jueyin Fengmu (Jueyin Wind Wood) is Sitian.
**Southern Administration (Nanzheng) and Northern Administration (Beizheng)**
The Earth Movements of Jia and Ji years belong to Nanzheng (Southern Administration). Because Earth resides in the center, it acts like a monarch facing south issuing commands, while the other four movements serve it as ministers, facing north to receive orders; thus, there is a distinction.
**Distribution of Wu Yun and Liu Qi for the Twelve Earthly Branch Years**
**Years of Zi and Wu**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is Sitian, and the annual qi presents characteristics of heat transformation.
* **Sitian (Supreme Qi)** refers to the climatic characteristics of Heaven.
* **Junhuo (Sovereign Fire)** corresponds to the Hand Shaoyin Heart Meridian. The Heart is the official of the sovereign, from which Shenming (Spirit/Mind) emerges. Junhuo is the root that governs Yang Qi, and its manifestations generate Earth, serving as the source for the birth of all things.
* **Zaiquan (Subterranean Qi)**: Yangming Zaojin (Yangming Dry Metal). Zaiquan refers to the climatic characteristics of Earth.
* **First Qi Period**: Jueyin Fengmu (Jueyin Wind Wood) is in charge. [Regarding generative relationships], benefit Xin (Metal/Lung) and sedate Ku (Fire/Heart).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in February.
* **Climate**: Cold winds are biting, frost and snow freeze water, hibernating insects lie hidden.
* **Common Diseases**: Joint stiffness and immobility, pain in the waist and legs, sores and ulcers inside and outside the body.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Fire flourishes and Metal declines; tonify Lung (Metal) and sedate Heart (Fire).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Winds are sometimes cold; rain generates feathered creatures (birds).
* **Common Diseases**: Damp-heat stagnation accumulates above causing fever, leading to red eyes.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Both Sovereign and Ministerial Fires are active; sedate Ku (Fire/Heart) and benefit Xin (Metal/Lung).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: The Great Fire star moves; heat generates; feathered creatures do not sing; swallows, thrushes, and cuckoos appear.
* **Common Diseases**: Alternating cold limbs and high fever, heart pain, aversion to cold, recurrent cough and asthma, red eyes.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Mother and child harmonize; sedate Lung (Metal) and tonify Kidney (Water).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Heavy rains frequently occur; cold and heat alternate.
* **Common Diseases**: Jaundice, epistaxis, dry throat, vomiting, phlegm-fluid retention.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Heart flourishes and Lung declines; Fire fears Water retaliation (Fire overcomes Metal, Metal generates Water, Water overcomes Fire).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Warm air arrives; early winter is particularly warm; all things remain lush.
* **Common Diseases**: Latent pathogens of cold and heat; manifesting as malaria in spring.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Fire declines affecting the Heart; sedate Xian (Water/Kidney) and benefit Ku (Fire/Heart).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in December.
* **Climate**: Sudden cold is piercing; Fire pathogen acts violently and toxically; cold qi stops abruptly.
* **Common Diseases**: Body swelling, cough, and asthma; in severe cases, blood extravasation; extending downward to the lower abdomen causing deficiency-cold in the middle jiao.
**Years of Chou and Wei**: Taiyin Shitu (Greater Yin Damp Earth) is Sitian, and the annual qi presents characteristics of damp transformation.
* **Taiyin Shitu** corresponds to the Foot Taiyin Spleen Meridian. The Spleen belongs to Central Wu-Ji Earth, flourishing for eighteen days in each season, totaling seventy-two days, corresponding to the complete number of three hundred and sixty days in a year (6x60).
* **Zaiquan**: Taiyang Hanshui (Greater Cold Water).
* **First Qi Period**: Jueyin Fengmu (Jueyin Wind Wood) is in charge. Host is strong, guest is weak; sedate Suan (Wood/Liver) and tonify Gan (Earth/Spleen).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in the leap second month.
* **Climate**: Strong winds cause vegetation to flourish; rain generates hairy creatures (mammals).
* **Common Diseases**: Blood extravasation, meridians stiff and rigid, joint immobility, heavy body and tendon pain.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Below generates above (Water generates Fire); sedate Gan (Earth/Spleen) and tonify Xian (Water/Kidney).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Great Fire arrives; epidemics spread; sovereign command is executed; dampness steams and conflicts; torrential rains fall.
* **Common Diseases**: Epidemics prevail; people near and far suffer greatly.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Earth flourishes overcoming Water; tonify Kidney (Water) and sedate Spleen (Earth).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: Thunder and rain, hail; earth qi rises, dampness descends.
* **Common Diseases**: Heavy body, dorsal edema, chest and abdominal fullness, catching dampness.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Gan (Earth) flourishes, Xian (Water) declines; tonify Kidney (Water) and benefit Bladder (Water).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Scorching heat boils; earth qi rises; damp transformation does not flow.
* **Common Diseases**: Couli (skin pores and interstices); sudden overflow of hot blood; cold malaria; abdominal distension and fullness; edema.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Earth generates Metal; benefit Liver (Wood) and sedate Lung (Metal).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Great coolness; fog and dew descend.
* **Common Diseases**: Skin lesions; cold malaria; severe dysentery leading to difficulty walking.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Above overcomes below; sedate Spleen (Earth) and tonify Kidney (Water).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in November.
* **Climate**: Great cold condenses and bites.
* **Common Diseases**: Joint stiffness and immobility; cramping pain in the waist and legs.
**Years of Yin and Shen**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is Sitian, and the annual qi presents characteristics of fire transformation.
* **Shaoyang Xianghuo** is the floating and flowing fire of the Sanjiao (Triple Burner). Fire pathogen flares upward, overcoming Lung Metal above. When Metal is overcome, Kidney Water loses its mother (Metal generates Water), resulting in excess above and deficiency below. Deficient Yang attacks upward, generating various diseases and damaging Yuan Qi (Original Qi).
* **Zaiquan**: Jueyin Fengmu (Jueyin Wind Wood).
* **First Qi Period**: Jueyin Fengmu (Jueyin Wind Wood) is in charge. Son and father meet; sedate Ku (Fire/Heart) and benefit Xin (Metal/Lung).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in February.
* **Climate**: Hot wind harms people; seasonal qi spreads.
* **Common Diseases**: Alternating cold and heat, cough with rebellious qi and headache, disharmony of blood and qi, discomfort in the heart and abdomen.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Lung declines, Heart flourishes; control Ku (Fire/Heart) and benefit Xin (Metal/Lung).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Violent storms and rapid rain; warmth and humidity steam together.
* **Common Diseases**: Upper heat with cough and rebellious qi, chest and diaphragm obstruction, headache with cold and heat.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Summer flourishes, fire blazes; tonify Lung (Metal) and benefit Large Intestine (Metal).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: Blazing heat and severe drought; grass withers, rivers dry up.
* **Common Diseases**: Vexing heat, red eyes and throat closure, hemorrhage, thirst due to heat, wind pathogen; many people die suddenly.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Fire generates Earth; sedate Gan (Earth/Spleen) and tonify Xian (Water/Kidney).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Wind and rain fall frequently; blazing heat has not yet departed.
* **Common Diseases**: Malaria alternating attacks, cold and heat with headache.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Lung Metal is attacked by pathogen; sedate Ku (Fire/Heart) and tonify Xin (Metal/Lung).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Cold, heat, wind, and rain; grass and trees turn yellow and fall.
* **Common Diseases**: Cold pathogen and wind-heat; gentlemen should be vigilant and careful.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Heart Fire is overcome; sedate Xian (Water/Kidney) and tonify Ku (Fire/Heart).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in November.
* **Climate**: Cold and warmth are irregular; earth qi is truly cold; frost and dew descend.
* **Common Diseases**: Catching cold pathogen, joint immobility, heart and abdominal pain.
**Years of Mao and You**: Yangming Zaojin (Yangming Dry Metal) is Sitian, and the annual qi presents characteristics of dry transformation.
* **Yangming Zaojin** is the qi of the Lung and Large Intestine, symbolizing Geng-Xin Metal.
* **Zaiquan**: Shaoyin Junhuo (Lesser Yin Sovereign Fire).
* **First Qi Period**: Juevin Fengmu (Jueyin Wind Wood) is in charge. Metal and Wood overcome each other; tonify Suan (Wood/Liver) and sedate Xin (Metal/Lung).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in February.
* **Climate**: Yin begins to condense; wind becomes austere; water freezes cold; much rain; flowers bloom late.
* **Common Diseases**: Cold and heat with edema, hemorrhage, vomiting, red and scanty painful urination.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Fire flourishes and Metal declines; sedate Ku (Fire/Heart) and benefit Xin (Metal/Lung).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Minister occupies Sovereign position; great heat arrives early.
* **Common Diseases**: Epidemics spread; many people die suddenly and violently.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Host is strong, guest is weak; sedate Heart (Fire) and tonify Lung (Metal).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: Dry and heat combine; wind and rain arrive violently.
* **Common Diseases**: Cold and heat with headache, vexation and thirst.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Below generates above (Fire generates Earth); sedate Xin (Metal/Lung) and benefit Suan (Wood/Liver).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Early autumn cold rain; damages crops.
* **Common Diseases**: Sudden onset of cold and heat; wind pathogen harms people; heart pain, edema, sores and ulcers, hemorrhage.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Metal flourishes and Wood declines; sedate Lung (Metal) and tonify Liver (Wood).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Winter practices Spring commands; grass and trees turn green; wind and rain generate pests.
* **Common Diseases**: Cold and heat, onset of dysentery, disharmony of qi and blood.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Guest comes to assist Host; benefit Ku (Fire/Heart) and sedate Xian (Water/Kidney).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in December.
* **Climate**: Climate reverses to warmth; hibernating insects appear; Spring commands are practiced again.
* **Common Diseases**: Epidemics, warm toxins, latent pathogens of cold and heat.
**Years of Chen and Xu**: Taiyang Hanshui (Greater Cold Water) is Sitian, and the annual qi presents characteristics of cold transformation.
* **Taiyang Hanshui** is the Foot Taiyang Bladder Meridian, exterior-interior paired with the Foot Shaoyin Kidney Meridian, belonging to Northern Ren-Gui Water.
* **Zaiquan**: Taiyin Shitu (Greater Yin Damp Earth).
* **First Qi Period**: Jueyin Fengmu (Jueyin Wind Wood) is in charge. Spleen and Stomach are attacked by pathogen; sedate Xian (Water/Kidney) and assist Gan (Earth/Spleen).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in February.
* **Climate**: Climate warms early; grass flourishes early; warm wind arrives.
* **Common Diseases**: Epidemics, cold and heat, headache and vomiting, sores and ulcers.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Heart Fire is attacked by pathogen; sedate Xian (Water/Kidney) and tonify Gan (Earth/Spleen).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Spring cold with much rain; cold and damp are irregular.
* **Common Diseases**: Qi stagnation with middle fullness, edema, cold and heat.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Above overcomes below; sedate Xian (Water/Kidney) and assist Ku (Fire/Heart).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: Sudden heat then coolness; violent wind and torrential rain.
* **Common Diseases**: Cold and heat, vomiting and diarrhea, vexation and confusion, carbuncles and sores.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Wood flourishes and Earth declines; sedate Gan (Earth/Spleen) and tonify Suan (Wood/Liver).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Wind and damp contend; rain generates feathered creatures; violent wind and rapid rain.
* **Common Diseases**: Severe heat and shortness of breath, red and white dysentery/diarrhea.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Metal generates Water which flourishes; restrain Xian (Water/Kidney) and benefit Ku (Fire/Heart).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Damp-heat prevails; guest qi executes host command.
* **Common Diseases**: Qi deficiency with external heat, reckless bleeding due to blood heat, lung qi congestion.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Water flourishes and Fire declines; sedate Xian (Water/Kidney) and assist Ku (Fire/Heart).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in December.
* **Climate**: Congealed cold, snow and rain; earth qi is correct; damp command prevails.
* **Common Diseases**: Disease manifests miserably; pregnant women face many disasters; Spleen affected by damp, Lung flourishes, Liver declines.
**Years of Si and Hai**: Jueyin Fengmu (Jueyin Wind Wood) is Sitian, and the annual qi presents characteristics of wind transformation.
* **Jueyin Fengmu** is the Foot Jueyin Liver Meridian. The Liver belongs to the East, Jia-Yi Wood, flourishing for seventy-two days in Spring.
* **Zaiquan**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire).
* **First Qi Period**: Jueyin Fengmu (Jueyin Wind Wood) is in charge. Spleen and Stomach are attacked by pathogen; sedate Suan (Wood/Liver) and tonify Gan (Earth/Spleen).
* Time: From the Great Cold solar term in December of the previous year to the Awakening of Insects solar term in February.
* **Climate**: Cold begins to austere; guest qi executes host command; killing qi just arrived.
* **Common Diseases**: Cold lodged in the right hypochondrium, qi stagnation, spleen and stomach deficiency and congestion.
* **Second Qi Period**: Shaoyin Junhuo (Lesser Yin Sovereign Fire) is in charge. Fire flourishes and Metal declines; sedate Heart (Fire) and tonify Lung (Metal).
* Time: From the Spring Equinox solar term in February to the Beginning of Summer solar term in April.
* **Climate**: Cold does not depart; frost and snow; water killing qi exerts influence; aquatic plants scorch; cold rain arrives.
* **Common Diseases**: Heat in the middle, qi and blood fail to ascend and descend.
* **Third Qi Period**: Shaoyang Xianghuo (Lesser Yang Ministerial Fire) is in charge. Lung meridian is attacked by pathogen; sedate Ku (Fire/Heart) and benefit Xin (Metal/Lung).
* Time: From the Grain Buds solar term in April to the Minor Heat solar term in June.
* **Climate**: Wind and heat rage; rain generates feathered creatures.
* **Common Diseases**: Tearing, tinnitus, dizziness, and vertigo.
* **Fourth Qi Period**: Taiyin Shitu (Greater Yin Damp Earth) is in charge. Wood and Earth punish each other; sedate Suan (Wood/Liver) and benefit Gan (Earth/Spleen).
* Time: From the Great Heat solar term in June to the White Dew solar term in August.
* **Climate**: Heat returns to exert influence; clouds float over mountains and marshes; torrential rain and muggy heat.
* **Common Diseases**: Heart attacked by pathogen, jaundice, facial edema.
* **Fifth Qi Period**: Yangming Zaojin (Yangming Dry Metal) is in charge. Metal punishes Wood; sedate Lung (Metal) and benefit Liver (Wood).
* Time: From the Autumn Equinox solar term in August to the Beginning of Winter solar term in October.
* **Climate**: Dry and damp alternate in obscurity; deep yin spreads; wind and rain proceed.
* **Common Diseases**: Cold qi affects the body; Lung affected by wind, Spleen affected by damp; manifesting as malaria.
* **Sixth Qi Period**: Taiyang Hanshui (Greater Cold Water) is in charge. Host assists Guest to overcome; sedate Suan (Wood/Liver) and tonify Gan (Earth/Spleen).
* Time: From the Light Snow solar term in October to the Minor Cold solar term in December.
* **Climate**: Fearful Fire commands; yang transforms into fire; hibernating insects appear; flowing water does not freeze; earth qi erupts; grass grows.
* **Common Diseases**: Epidemics, mutual restriction between Heart and Kidney.
**Commentary**: The theory of Wu Yun Liu Qi is discussed in detail in the *Huangdi Neijing* (Yellow Emperor's Inner Canon). Humans exist within the intersection of qi, interacting and circulating with Heaven and Earth. If one does not first establish the annual qi to clarify its characteristics, how can one know which tonifying or sedating herbs to use when treating disease? This is why the diagnosis and treatment based on Wu Yun Liu Qi cannot be ignored. I have also examined and verified this, finding that many situations do not correspond. Why? The waxing and waning of Yin and Yang, the alternation of cold and heat, may sometimes deviate from the norm. Wise individuals must understand its flexible application; how can one play a瑟 (se, a zither) with glued tuning pegs or search for a steed according to a drawing—being so rigid and mechanical?