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少阴君火司天，阳明燥金在泉，中见太宫土运，岁土太过，气化营运先天，热化在上，
左化司气，右动化厥阴，故天政所布其气明，辛化在下，左藏化太阳，右明化少阳，故地
气肃而其令切，寒交暑，热加燥，云驰雨府，湿化乃行，时雨乃降，金火合德，上应荧惑太
白，其谷白丹，热化二，雨化五，燥化四，所谓正化日也。羽虫静，介虫育，藏物之宜也。
毛虫耗，湿毒不生，地气所制也。寒热持于气交而为病始，热病生于上，清病生于下，寒热
相犯而争于中，民病咳喘、血溢、血泄、鼽、嚏、目赤、 疡，寒厥入胃，心痛、腰痛、腹
大、嗌干、肿上，是岁火为天气，金为地气，火胜金，天气盈，宜于年前，先取化源，以平
火气，土运在中，天气生运，运生地气，三气相得而行顺化，其邪乃微，必抑其运土，资其
岁胜，无使暴过而生其病，食丹白之谷，以全真气，食间气之谷，以辟虚邪，岁宜以咸软之
，而调其上，甚则以苦发之，以酸收之，而安其下，甚则以苦泄之，适气异同而多少之，运
同地气，以温热化，其化上咸寒，中苦热，下酸热，药食宜也。岁半之前，少阴主之，少阴
之化热，若热淫所胜，即怫热至，火行其政，民病胸中烦热嗌干，右 满，皮肤痛，寒热咳
喘，大雨且至，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，诊在手尺泽之脉，其法平以咸寒，佐以
苦甘，以酸收之，岁半之后，阳明主之，阳明之气燥，若燥淫于内，即 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，其法治以苦温
，佐以甘辛，以苦下之，气交之中，土运主之，敦阜之纪，是谓广化，浓德清静，顺长以盈
，至阴内实，物化充成，烟埃朦郁，见于浓土，大雨时行，湿气乃用，燥政乃辟，其化圆，
其气丰，其政静，其令周备，其动濡积并 ，其德柔润重淖，其变震惊飘骤，其化兼其所胜
，其病腹满四肢不举，故曰岁土太过，雨湿流行，肾水受邪，民病腹满，清厥意不乐，体重
烦冤，甚则肌肉萎，足痿不收，行善螈，脚下痛，饮发中满食减，四肢不举，变生得位，藏
气伏，化气独治之，泉涌河衍，涸泽生鱼，风雨大至，土溃鳞见于陆，病腹满溏泄，肠鸣反
下，甚而太溪绝者，死不治。初之气，自癸巳年大寒日申初，至是岁春分日午初，凡六十日
八十七刻半，主位太角木，客气太阳水，中见土运，地气迁，燥将去，寒乃始，蛰复藏，水
乃冰，霜复降，风乃至，阳气郁，民反周密，关节禁固腰 痛，炎暑将起，中外疮疡，宜治
太阳之客，以苦补之，以咸泻之，以苦坚之，以辛润之，岁谷宜丹，间谷宜稷，虽有寒邪，
不能为害。二之气，自春分日午正，至小满日辰正，凡六十日有奇，主位少征火，客气厥阴
木，中见土运，木胜土，阳气布，风乃行，春气以正，万物应荣，寒气时至，民乃和，其病
淋目瞑目赤，气郁于上而热，宜治厥阴之客，以辛补之，以酸泻之，以甘缓之，岁谷宜丹，
间谷宜稻，虽有风邪，不能为害。三之气，自小满日巳初，至大暑日卯初，凡六十日有奇，
主位少征火，客气少阴火，中见土运，二火相加，天政布，大火行，庶类蕃鲜，寒气时至，
民病气厥心痛，寒热更作，咳喘目赤，宜治少阴之客，以酸补之，以甘泻之，以酸收之，岁
谷宜丹，间谷宜豆，虽有热邪，不能为害。四之气，自大暑日卯正，至秋分日丑正，凡六十
日有奇，主位太宫土，客气太阴土，中见土运，气与运同，又当其位，是谓司气，溽暑至，
大雨时行，寒热互至，民病寒热、嗌干、黄瘅、鼽、衄、饮发。宜调太阴之客，以甘补之，
以苦泻之，以甘缓之，岁谷宜白，间谷宜麻，虽有湿化，不能为邪，是气也。无犯司气。五
之气，自秋分日寅初，至小雪日子初，凡六十日有奇，主位少商金，客气少阳火，中见土运
，畏火临，暑反至，阳乃化，万物乃生乃长荣，民乃康，其病温，宜治少阳之客，以咸补之
，以甘泻之，以咸 之，岁谷宜白，间谷宜豆，虽有火邪，不能为害。终之气，自小雪日子
正，至大寒日戌正，凡六十日有奇，主位太羽水，客气阳明金，中见土运，土生金，燥令行
，余火内格，肿于上，咳喘甚则血溢，寒气数举，则雾 翳，病生皮腠，内舍于胁，下连少
腹而作寒中，地将易也。宜治阳明之客，以酸补之，以辛泻之，以苦泄之，岁谷宜白，间谷
宜黍，虽有燥邪，不能为害，是岁火胜则水复，金胜则火复，气之胜也。微者随之，甚者制
之，气之复也。稍者平之，暴者夺之，皆随胜气安其屈伏，无问其数，以平为期。
甲午年运气图
少阴君火主管司天之气，阳明燥金主管在泉之气，中运为太宫土运。岁运土气太过，气化运行先于天时（即气候早至）。热化之气在上（司天），左间气为厥阴风木主令，右间气动而化生厥阴风气，因此天政所布之气显得明亮；辛味化气在下（在泉），左间气为太阳寒水主令，右间气为少阳相火主令，因此地气肃杀而其命令急切。寒气与暑热交争于气交之中，从而引发疾病。热病产生于上（司天），清冷之病产生于下（在泉），寒热相互侵犯并在中焦争斗。民众易患咳嗽气喘、吐血、便血、鼻塞流涕、打喷嚏、眼睛发红、皮肤疮疡等病；若寒厥之气侵入胃腑，则出现心痛、腰痛、腹部胀大、咽喉干燥、水肿向上蔓延等症状。
这一年，火气为司天之气，金气为在泉之气，火胜克金，天气充盈，适宜在年前先调理化源，以平抑过盛的火气。中运为土气，天气（火）生助中运（土），中运（土）生助地气（金），三气相生而行顺化之理，邪气自然微弱。必须抑制过盛的土运，资助岁运所胜之气（木），不要使土气暴过而致病。饮食宜吃红色和白色的谷物，以保全真气；吃间气对应的谷物，以避开虚邪。岁运适宜用咸味来软坚散结，并调理上部；病情严重者，可用苦味药发散；用酸味药收敛，以安固下部；病情严重者，可用苦味药泄降。需根据气运的同异多少进行调节。中运与地气相同，以温热为化气。药物和食物的性味：上部宜咸寒，中部宜苦热，下部宜酸热。
岁半之前，由少阴君火主事。少阴的化气为热，如果热气淫溢而获胜，就会出现郁热骤至，火气行其政令。民众患病表现为胸中烦热、咽喉干燥、右侧胁肋满闷、皮肤疼痛、寒热交替、咳嗽气喘；大雨即将来临时，可能出现唾血、便血、鼻塞流涕、鼻出血、打喷嚏、呕吐、小便颜色改变；严重时出现疮疡肿胀，肩背臂部及缺盆中疼痛，心痛、肺叶受损、腹部胀满膨隆且咳嗽气喘。病本在于肺，诊察时应看手少阴心经尺泽脉（注：此处原文可能有误，尺泽属肺经，但少阴病常候寸口或神门，依原文直译）的脉象。治疗方法以咸寒为主，辅以苦甘，并用酸味收敛。
岁半之后，由阳明燥金主事。阳明的气化为燥，如果燥气淫溢于内，就会出现清凉昏暗之感。民众患病喜欢呕吐，呕吐物有苦味，善于叹气，心胁疼痛不能翻身侧卧；严重时咽喉干燥，面色如蒙尘土，身体缺乏润泽，足外侧反觉发热。治疗方法以苦温为主，辅以甘辛，并用苦味药通下。
气交之中，由土运主事。这是敦厚高阜的纪年，称为广博之化。德行浓厚而清静，顺应生长以使万物盈满。至阴之气内部充实，万物化育完成。烟雾尘埃朦胧郁积，见于厚重的土壤之中。大雨时常流行，湿气发挥作用，燥政被排斥。其化气圆融，其气丰饶，其政令安静，其命令周备。其变动表现为濡湿积聚并见，其德性为柔润重浊，其变异为震惊飘忽急骤。其化气兼及其所胜之气（木）。其病表现为腹部胀满，四肢不能举动。所以说岁运土气太过，雨湿流行，肾水受邪，民众患病腹部胀满，手足逆冷，心情不乐，身体沉重烦闷；严重时肌肉萎缩，足痿无力不收，行走时容易抽搐，脚底疼痛，饮邪发作导致中焦胀满，食欲减退，四肢不能举动。如果变生得位，脏气潜伏，化气独治，则泉水涌出，河水泛滥，干涸的沼泽生出鱼虾，风雨大作，泥土溃败，鳞虫出现在陆地上。病表现为腹部胀满、溏泄、肠鸣、反而下利；严重时太溪脉绝者，死不治。
初之气，从癸巳年大寒日申初开始，到本年春分日午初结束，共六十日八十七刻半。主位为太角木，客气为太阳水，中见土运。地气迁移，燥气将去，寒气开始。蛰伏之物重新藏匿，水结冰，霜再次降落，风到来，阳气郁结。民众反而感到周密不适，关节拘禁牢固，腰部疼痛，炎暑将要兴起，内外发生疮疡。适宜治疗太阳客气，用苦味补益，用咸味泻除，用苦味坚固，用辛味滋润。岁谷宜用丹色（红色）谷物，间谷宜用稷米，即使有寒邪，也不能为害。
二之气，从春分日午正开始，到小满日辰正结束，共六十多天。主位为少征火，客气为厥阴木，中见土运。木胜土，阳气散布，风乃流行，春气端正，万物应时而繁荣。寒气时至，民众平和。其病为淋证、目瞑、眼睛发红，气郁于上而生热。适宜治疗厥阴客气，用辛味补益，用酸味泻除，用甘味缓急。岁谷宜用丹色谷物，间谷宜用稻米，即使有风邪，也不能为害。
三之气，从小满日巳初开始，到大暑日卯初结束，共六十多天。主位为少征火，客气为少阴火，中见土运。两火相加，天政布令，大火流行，各类生物繁盛鲜艳。寒气时至，民众患病气厥心痛，寒热交替发作，咳嗽气喘，眼睛发红。适宜治疗少阴客气，用酸味补益，用甘味泻除，用酸味收敛。岁谷宜用丹色谷物，间谷宜用豆类，即使有热邪，也不能为害。
四之气，自大暑日卯正开始，到秋分日丑正结束，共六十多天。主位为太宫土，客气为太阴土，中见土运。气与运相同，又当其位，这称为司气。湿热盛大，大雨时常流行，寒热交替而至。民众患病寒热、咽喉干燥、黄疸、鼻塞流涕、鼻出血、饮邪发作。适宜调理太阴客气，用甘味补益，用苦味泻除，用甘味缓急。岁谷宜用白色谷物，间谷宜用麻子，即使有湿化，也不能成为邪气。这一阶段不可违背司天之气的规律。
五之气，从秋分日寅初开始，到小雪日子初结束，共六十多天。主位为少商金，客气为少阳火，中见土运。畏火（少阳相火）临照，暑气反而来到，阳气化育，万物生长繁荣，民众安康。其病为温病。适宜治疗少阳客气，用咸味补益，用甘味泻除，用咸味软坚（原文缺字，据义补“软”或“收”，此处依上下文推测为咸味作用，暂译为咸味处理）。岁谷宜用白色谷物，间谷宜用豆类，即使有火邪，也不能为害。
终之气，从小雪日子正开始，到大寒日戌正结束，共六十多天。主位为太羽水，客气为阳明金，中见土运。土生金，燥令施行，余火内格，肿胀于上，咳嗽气喘，严重时吐血。寒气多次举起，则雾露遮蔽，病生于皮腠，内舍于胁部，下连少腹而产生中寒。地将更替。适宜治疗阳明客气，用酸味补益，用辛味泻除，用苦味泄降。岁谷宜用白色谷物，间谷宜用黍米，即使有燥邪，也不能为害。
这一年，火气胜则水气复，金气胜则火气复，这是气的胜复规律。轻微的随顺它，严重的制约它，这是气的报复。稍轻的用平法，暴烈的用夺法。都要随顺胜气，安抚其屈伏之气，不论次数多少，以平衡为准则。
Figure of the Jia Wu Year
Shao Yin Jun Huo (Ministerial Fire) governs the Si Tian (Heavenly Qi), Yang Ming Zao Jin (Dryness Metal) governs the Zai Quan (Earthly Qi), and the central Yun (Movement) is Tai Gong Tu Yun (Excessive Earth Movement). The year's movement of Earth Qi is excessive, so the Qi transformation operates ahead of time. Heat transformation prevails above; the left interstitial Qi is governed by Jue Yin Feng Mu (Wind Wood), and the right interstitial Qi moves to transform Jue Yin wind. Therefore, the Heavenly Government distributes Qi that appears bright. The Xin (Pungent) transformation is below; the left storage Qi is governed by Tai Yang Han Shui (Cold Water), and the right bright transformation is governed by Shao Yang Xiang Huo (Ministerial Fire). Thus, the Earthly Qi is austere, and its command is sharp. Cold and heat contend in the Qi intersection, giving rise to disease. Heat diseases arise from above (Si Tian), cool diseases arise from below (Zai Quan), and cold and heat invade each other and contend in the middle. The people suffer from cough and wheezing, hematemesis, hematochezia, nasal congestion with discharge, sneezing, red eyes, and skin ulcers. If cold jue enters the stomach, it causes heart pain, lower back pain, abdominal distension, dry throat, and edema spreading upward.
In this year, Fire Qi is the Heavenly Qi, and Metal Qi is the Earthly Qi. Fire overcomes Metal, and Heavenly Qi is abundant. It is advisable to regulate the source of transformation before the year begins to pacify the excessive Fire Qi. The central Yun is Earth Qi. Heavenly Qi (Fire) generates the Yun (Earth), and the Yun (Earth) generates the Earthly Qi (Metal). The three Qi interact harmoniously, following the順化 (Shun Hua - smooth transformation) principle, so the pathogenic factors become slight. One must suppress the excessive Earth Yun, nourish the Qi that the yearly Yun overcomes (Wood), and prevent the Earth Qi from becoming excessively violent and causing disease. Eat red and white grains to preserve the True Qi. Eat grains corresponding to the interstitial Qi to ward off empty pathogens. For the yearly Yun, use salty substances to soften and regulate the upper part; if severe, use bitter substances to disperse. Use sour substances to astringe and secure the lower part; if severe, use bitter substances to drain. Adjust according to the similarity or difference of the Qi and their degrees. When the Yun matches the Earthly Qi, use warm and hot transformations. The appropriate medicinal and food properties are: salty and cold for the upper, bitter and hot for the middle, and sour and hot for the lower.
Before the midpoint of the year, Shao Yin Jun Huo (Ministerial Fire) presides. The transformation of Shao Yin is heat. If heat excess prevails, stifling heat arrives suddenly, and Fire conducts its administration. The people suffer from vexation and heat in the chest, dry throat, fullness on the right side, skin pain, alternating chills and fever, cough, and wheezing. When heavy rain approaches, they may experience bloody saliva, bloody stool, nasal congestion, epistaxis, sneezing, vomiting, and changes in urine color. In severe cases, sores, ulcers, and swelling occur, with pain in the shoulders, back, arms, and clavicular fossa, heart pain, lung damage, abdominal distension and bloating with cough and wheezing. The root of the disease lies in the Lung. Diagnosis should focus on the pulse at Chize (LU-5). The treatment method uses salty and cold as the main approach, assisted by bitter and sweet, and employs sour substances to astringe.
After the midpoint of the year, Yang Ming Zao Jin (Dryness Metal) presides. The transformation of Yang Ming is dryness. If dryness excess occurs internally, there is a sensation of coolness and dimness. The people tend to vomit, with bitter-tasting vomitus, frequent sighing, and pain in the heart and hypochondrium preventing them from turning over. In severe cases, the throat becomes dry, the face looks dusty, the body lacks luster, and the outer aspect of the feet feels hot. The treatment uses bitter and warm as the main approach, assisted by sweet and pungent, and employs bitter substances to purge downward.
In the Qi intersection, the Earth Yun presides. This is the record of Dun Fu (Thick and High), called Broad Transformation. Its virtue is profound and tranquil, promoting growth to achieve abundance. The Extreme Yin Qi is solid inside, and all things are fully transformed. Smoke and dust are misty and dense, visible in thick soil. Heavy rains occur frequently, moisture functions, and dry policies are repelled. Its transformation is round, its Qi is abundant, its governance is quiet, and its commands are comprehensive. Its movement involves damp accumulation and merging. Its virtue is soft, moist, and heavy. Its variation is shocking, floating, and sudden. Its transformation combines with what it overcomes. Diseases include abdominal fullness and inability to move the limbs. Thus, when the yearly Yun of Earth is excessive, rain and dampness prevail, and Kidney Water suffers evil. People suffer from abdominal fullness, cold extremities, and unhappiness. Their bodies feel heavy and irritable. In severe cases, muscles atrophy, legs are flaccid and unresponsive, walking is accompanied by spasms, and the soles of the feet hurt. Fluid retention causes middle jiao fullness, appetite decreases, and limbs cannot be moved. If the change occurs in its proper position, Zang Qi is suppressed, and Transformation Qi rules alone. Springs gush, rivers overflow, dried marshes breed fish, great winds and rains arrive, earth collapses, and scaled creatures appear on land. Diseases include abdominal fullness, loose stools, borborygmus, and reverse diarrhea. If the Taixi pulse vanishes, death is inevitable and untreatable.
The First Qi period starts from Shen hour on the day of Da Han (Major Cold) in the Gui Si year until Wu hour on the day of Chun Fen (Spring Equinox) of this year, totaling 60 days and 87.5 ke. The Main Position is Tai Jiao Mu (Great Wood), the Guest Qi is Tai Yang Shui (Great Water), and the central Yun is Earth. The Earthly Qi shifts, dryness departs, and cold begins. Hibernating creatures hide again, water freezes, frost falls again, and wind arrives. Yang Qi is depressed. The people feel uncomfortably enclosed. Joints become stiff, and waist pain occurs. As summer heat approaches, sores and ulcers arise inside and outside. It is appropriate to treat the Guest Qi of Tai Yang using bitter substances to tonify, salty substances to drain, bitter substances to firm, and pungent substances to moisten. Year grains should be red (Dan), interstitial grains should be Ji (Millet). Even if cold pathogens exist, they cannot cause harm.
The Second Qi period starts from Wu Zheng (noon) on Chun Fen until Chen Zheng (morning) on Xiao Man (Grain Buds), totaling over 60 days. The Main Position is Shao Zheng Huo (Lesser Fire), the Guest Qi is Jue Yin Mu (Jue Yin Wood), and the central Yun is Earth. Wood overcomes Earth, Yang Qi spreads, wind circulates, Spring Qi is correct, and all things flourish accordingly. Cold Qi arrives at times, and the people are harmonious. Diseases include strangury, eye closure, and red eyes. Qi stagnates above and generates heat. It is appropriate to treat the Guest Qi of Jue Yin using pungent substances to tonify, sour substances to drain, and sweet substances to relax. Year grains should be red, interstitial grains should be rice. Even if wind pathogens exist, they cannot cause harm.
The Third Qi period starts from Si Chu (early morning) on Xiao Man until Mao Chu (dawn) on Da Shu (Great Heat), totaling over 60 days. The Main Position is Shao Zheng Huo (Lesser Fire), the Guest Qi is Shao Yin Huo (Lesser Fire), and the central Yun is Earth. Two Fires combine, Heavenly Government is established, Great Fire circulates, and all classes of life are lush and fresh. Cold Qi arrives at times. People suffer from Qi jue and heart pain, alternating chills and fever, cough, wheezing, and red eyes. It is appropriate to treat the Guest Qi of Shao Yin using sour substances to tonify, sweet substances to drain, and sour substances to astringe. Year grains should be red, interstitial grains should be beans. Even if heat pathogens exist, they cannot cause harm.
The Fourth Qi period starts from Mao Zheng (dawn) on Da Shu until Chou Zheng (early morning) on Qiu Fen (Autumn Equinox), totaling over 60 days. The Main Position is Tai Gong Tu (Great Earth), the Guest Qi is Tai Yin Tu (Great Earth), and the central Yun is Earth. The Qi and Yun are identical and occupy their proper positions, which is called Si Qi (Sovereign Qi). Humid heat arrives, heavy rains occur frequently, and cold and heat alternate. People suffer from chills and fever, dry throat, jaundice, nasal congestion, epistaxis, and fluid retention. It is appropriate to regulate the Guest Qi of Tai Yin using sweet substances to tonify, bitter substances to drain, and sweet substances to relax. Year grains should be white, interstitial grains should be hemp seeds. Even if damp transformation exists, it cannot become pathogenic. Do not violate the laws of Si Qi during this period.
The Fifth Qi period starts from Yin Chu (early morning) on Qiu Fen until Zi Chu (midnight) on Xiao Xue (Minor Snow), totaling over 60 days. The Main Position is Shang Shang Jin (Lesser Metal), the Guest Qi is Shao Yang Huo (Lesser Fire), and the central Yun is Earth. Feared Fire (Shao Yang) descends, summer heat returns, Yang Qi transforms, and all things grow and flourish. The people are healthy. The disease is warm disease. It is appropriate to treat the Guest Qi of Shao Yang using salty substances to tonify, sweet substances to drain, and salty substances to soften. Year grains should be white, interstitial grains should be beans. Even if fire pathogens exist, they cannot cause harm.
The Final Qi period starts from Zi Zheng (midnight) on Xiao Xue until Xu Zheng (evening) on Da Han (Major Cold), totaling over 60 days. The Main Position is Tai Yu Shui (Great Water), the Guest Qi is Yang Ming Jin (Yang Ming Metal), and the central Yun is Earth. Earth generates Metal, dryness policy executes, residual fire is blocked internally, swelling occurs above, cough and wheezing worsen, and severe cases involve hematemesis. Cold Qi rises frequently, causing foggy obscurity. Disease arises in the skin and hair follicles, resides internally in the hypochondrium, connects downward to the lower abdomen, and causes interior cold. The Earthly Qi is changing. It is appropriate to treat the Guest Qi of Yang Ming using sour substances to tonify, pungent substances to drain, and bitter substances to drain. Year grains should be white, interstitial grains should be broomcorn millet. Even if dryness pathogens exist, they cannot cause harm.
In this year, if Fire wins, Water retaliates; if Metal wins, Fire retaliates. This is the law of Qi victory and retaliation. Slight victories are followed; severe victories are controlled. This is Qi retaliation. Mild cases are balanced; violent cases are depleted. All actions should follow the winning Qi and pacify the subdued Qi, regardless of the number of occurrences, aiming for balance.