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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，天地之气，
上见少阴，左间太阴，右间厥阴，故天政所布。其气明，下见阳明，左间太阳，右间少阳。
故地气肃而其令切，交司之气寒交暑，天地之气热加燥，云驰雨府，湿化乃行，时雨乃降，
金火合德，上应荧惑太白，其谷丹白，水火寒热，持于气交而为病始，热病生于上，清病生
于下，寒热互作而争于中，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。是乃岁化之常，须候其气之至与不至，然后可名其病，是岁火为天气，
金为地气，火能胜金，天气盈地气虚，然中见土运，天气生运，运生地气，三气相得，地气
虽虚，邪胜亦微，天气既盈，化源为实。当于年前大寒初，先取化源，使之适平，取化源者
，平火气也，岁宜食白丹之谷，以全真气，食间气之谷，以辟虚邪，咸以软之而调其上，甚
则以苦发之，以酸收之，而安其下，甚则以苦泄之，运同地气，当以温热化，岁半之前，天
气少阴主之，少阴之化，本热而标阴，当是时本标之化，应寒热相半，无或偏胜者，天纹之
平也，或热淫所胜，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，诊其尺泽脉绝者，死不治，其法平以咸寒，佐以苦甘，以
酸收之。岁半之后，地气阳明主之，其化不从标本而从乎太阴之中气，当其时燥湿兼行而无
偏胜者，阳明之化也，或燥淫所胜，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，其法治以苦温，佐以甘辛，以苦下之，运土太
过，是谓敦阜之纪，雨湿流行，肾水受邪，民病腹痛，清厥意不乐，体重烦冤，甚则肌肉萎
、足萎不收，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。其治宜以苦热，所谓岁气之药食宜也，初之气，始于癸亥岁十二月中气大寒日寅
初，终于是年二月中气春分日子初。凡六十日八十七刻半，主位太角木，客气太阳水，中见
太宫统之。风寒湿三气，奉少阴之政而行春令，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，开发腠理致津液通气也。食丹谷以全
真气，食稷以辟虚邪。虽有寒邪，不能为害，二之气，自春分日子正，至小满日戌正，凡六
十日有奇，主位少征火，客气厥阴木，火木同德，中见土运，以奉少阴行舒荣之化。时令至
此，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，食丹谷以全真气，食稻以辟
虚邪。虽有风邪，不能为害，三之气，自小满日亥初，至大暑日酉初，凡六十日有奇，主位
少征火，客气少阴火，中见土运，天政之所布也。时令至此，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，以咸补之，以甘泻之，以酸收之，
食丹谷以全真气，食豆以辟虚邪，虽有热邪，不能为害。四之气，自大暑日酉正，至秋分日
未正，凡六十日有奇，主位太宫土。客气太阴土，运与气同，名为司气，溽暑至，大雨时行
，寒热互作，民病寒热、嗌干、黄瘅、鼽衄饮发。宜治太阴之客，以甘补之，以苦泻之，以
甘缓之。食白谷以全真气，食麻以辟虚邪。虽有虚邪，不能为害。五之气，自秋分日申初，
至小雪日午初，六十日有奇，主位少商金，客气少阳火，中见土运，客火用事，畏火临，暑
反至，阳乃化，物乃生荣，民乃康。其病温，宜治少阳之客，以咸补之，以甘泻之，以咸软
之，食白谷以全真气。食豆以辟虚邪，虽有火邪，不能为害，终之气，自小雪日午正。至大
寒日辰正，六十日有奇，主位太羽水，客气阳明金，中见土运，土能生金，金能生水，三气
相得而行顺化。燥令行，余火内格，民病肿于上咳喘。甚则血溢，寒气数举，则霜雾翳，病
生皮腠，内舍于胁，下连少腹而作寒中，宜治阳明之客，以酸补之，以辛泻之，以苦泄之，
食白谷以全真气，食黍以辟虚邪，虽有燥邪。不能为害，然初气终三气，天气主之，胜之常
也，四气尽终气，地气主之，复之常也，若岁半之前，司天少阴之气胜者，必有太阳之复，
若在泉阳明之气胜者，必有少阳之复，其复皆在岁半之后，观其气胜之早晚，以验复气之迟
速，各以胜复之法治之，有胜则复，无胜则已。
甲子年运气图
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。岁土太过，气化运行先于天时，天地之气表现为：上方显现少阴（君火），左侧间气为太阴（湿土），右侧间气为厥阴（风木），这是天政所布散的气化规律。其天气光明；下方显现阳明（燥金），左侧间气为太阳（寒水），右侧间气为少阳（相火）。因此地气肃杀而令行严切。交司之时，寒气与暑气交替，天地之气呈现热加燥的特点，云气奔驰于雨府，湿气教化得以施行，适时雨水降落。金与火合德，上应荧惑星（火星）与太白星（金星）。谷物呈红色和白色。水、火、寒、热四气，在气交之中相互作用而引发疾病。热病生于上部，清冷之病生于下部，寒热相互争斗于中部。民众患病多见咳嗽气喘、吐血便血、鼻塞喷嚏、眼睛发红生疮疡，寒厥之气侵入胃脘，导致心痛、腰痛、腹部胀大、咽喉干燥肿胀等症。这是岁气变化的常态，必须观察客气是否按时到来，然后才能确诊疾病。这一年，火为司天之气，金为在泉之气，火能克金，故天气盈盛而地气虚弱。然而中见土运，天气（火）生助中运（土），中运（土）生助地气（金），三气相生得宜，虽然地气虚弱，但邪气胜亦轻微，天气既已盈盛，化源也就充实。应当在年前大寒节气初至时，先调治化源，使之达到平衡。所谓“取化源”，即是平抑火气。岁宜食用红白两色的谷物，以保全真气；食用间气对应的谷物，以避开虚邪。用咸味药物来软坚调治上部，病情严重者用苦味药发散；用酸味药收敛固摄下部，病情严重者用苦味药泄降。中运土与地气金相应，当用温热之法化解。岁半之前，由司天少阴之气主事。少阴的化生，本质为热而标象为阴，此时本标之化，应当寒热各半，没有偏胜，这是天纹之平。如果热邪过胜，则郁热来袭，火行使政令，民众患病胸中烦热、咽喉干燥、右胁满闷、皮肤疼痛、寒热咳嗽气喘，大雨将至，出现唾血、便血、鼻塞鼻出血、喷嚏、呕吐、小便颜色改变，严重则发生疮疡肿毒，肩背手臂及缺盆中疼痛，心痛肺痛，腹部胀大膨隆而喘咳，病本在于肺，诊察尺泽脉绝者，死且不可治愈。治疗法则以咸寒为主，佐以苦甘，用酸味药收敛。岁半之后，由在泉阳明之气主事，其化生不遵循标本而从乎太阴的中气。此时燥湿并行而无偏胜，是阳明的化生特点。如果燥邪过胜，则雾气清冷昏暗，民众喜欢呕吐，呕吐有苦味，善于叹气，心胁疼痛不能翻身侧卧，严重则咽喉干燥、面色如蒙尘垢、身体缺乏润泽、足外侧反觉发热。治疗法则用苦温药，佐以甘辛，用苦味药泄下。中运土太过，称为敦阜之纪，雨湿流行，肾水受邪，民众患病腹痛，四肢逆冷意绪不乐，身体沉重烦闷，严重则肌肉萎缩、足痿无力不收，行走时容易抽搐，脚底疼痛，饮邪发作为中满食减，四肢不能举动。若变生得位，脏气伏藏化生，气独治之，泉水涌出河水泛滥，干涸沼泽生出鱼，风雨大作，土溃鳞虫见于陆地，患病腹满溏泄，肠鸣反而下利，严重到太溪脉绝者，死且不可治愈。治疗适宜用苦热药，这就是岁气用药饮食适宜的法则。
初之气，始于癸亥年十二月的大寒节气日寅初，终于本年二月春分节气日子初，共六十日八十七刻半。主气为太角木，客气为太阳水，中见太宫土运统摄。风寒湿三气，奉少阴之政而行春令。地气迁移，燥气将去，寒气始生，蛰虫复藏，水结冰，霜复降，风至，阳气郁结，民众反而周密保暖，关节拘紧固定，腰部疼痛，炎暑将起，内外发生疮疡。适宜治疗太阳之客，用苦味补益，咸味泻除，苦味坚阴，辛味润燥，开发腠理，使津液流通，气机通畅。食用丹谷以保全真气，食用稷米以避开虚邪。虽有寒邪，不能为害。
二之气，自春分日子正，至小满日戌正，共六十日有余。主气为少征火，客气为厥阴木，火木同德，中见土运，奉少阴之行舒荣之化。时令至此，阳气布散，风气运行，春气端正，万物应时繁荣，寒气时至，民众调和。其病为淋证、目瞑、目赤，气郁于上而生热。适宜治疗厥阴之客，用辛味补益，酸味泻除，甘味缓急。食用丹谷以保全真气，食用稻米以避开虚邪。虽有风邪，不能为害。
三之气，自小满日亥初，至大暑日酉初，共六十日有余。主气为少征火，客气为少阴火，中见土运，为天政所布散。时令至此，大火运行，各类生物繁茂鲜艳，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。适宜治疗少阴之客，用咸味补益，甘味泻除，酸味收敛。食用丹谷以保全真气，食用豆类以避开虚邪。虽有热邪，不能为害。
四之气，自大暑日酉正，至秋分日未正，共六十日有余。主气为太宫土，客气为太阴土，运与气相同，名为司气。溽暑来到，大雨时常流行，寒热互相作用，民众患病寒热、咽喉干燥、黄疸、鼻塞鼻出血、饮邪发作。适宜治疗太阴之客，用甘味补益，苦味泻除，甘味缓急。食用白谷以保全真气，食用芝麻以避开虚邪。虽有虚邪，不能为害。
五之气，自秋分日申初，至小雪日午初，六十日有余。主气为少商金，客气为少阳火，中见土运。客气火用事，畏火临头，暑气反至，阳气化生，万物生长繁荣，民众安康。其病为温病，适宜治疗少阳之客，用咸味补益，甘味泻除，咸味软坚。食用白谷以保全真气，食用豆类以避开虚邪。虽有火邪，不能为害。
终之气，自小雪日午正，至大寒日辰正，六十日有余。主气为太羽水，客气为阳明金，中见土运。土能生金，金能生水，三气相得而行顺化。燥令运行，余火内格，民众患病上部肿胀咳嗽气喘，严重则吐血。寒气多次兴起，则霜雾遮蔽，病生于皮腠，内舍于胁部，下连少腹而作寒中。适宜治疗阳明之客，用酸味补益，辛味泻除，苦味泄降。食用白谷以保全真气，食用黍米以避开虚邪。虽有燥邪，不能为害。
然而，初气至三气，由天气主事，这是胜气的常态；四气至终气，由地气主事，这是复气的常态。如果在岁半之前，司天少阴之气过胜，必有太阳之复气；如果在岁半之后，在泉阳明之气过胜，必有少阳之复气。其复气都在岁半之后。观察气胜的早晚，以验证复气到来的迟速，分别根据胜复的法则治疗。有胜则有复，无胜则无复。
Figure of the Jiazi Year's Qi and Fire
Shaoyin Junhuo (Ministerial Fire) governs the Si Tian (Heavenly) Qi, Yangming Zaojin (Dryness Metal) governs the Zai Quan (Earthly) Qi, and the Central Movement is Taigong Earth. The year's Earth is excessive; its qi transformation operates prior to the natural timing. The qi of Heaven and Earth manifests as follows: above, Shaoyin appears; the left interstitial Qi is Taiyin (Damp Earth); the right interstitial Qi is Jueyin (Wind Wood). This is the distribution of Heavenly Governance. Its atmospheric quality is bright. Below, Yangming appears; the left interstitial Qi is Taiyang (Cold Water); the right interstitial Qi is Shaoyang (Ministerial Fire). Thus, the Earthly Qi is solemn and its command is sharp. At the transition of Qi, Cold and Heat alternate. The Qi of Heaven and Earth combines Heat with Dryness. Clouds race in the Rain Mansion, the transformation of Dampness proceeds, and timely rains descend. Metal and Fire combine their virtues, corresponding above to Yinghuo (Mars) and Taibai (Venus). The grains are red and white. Water, Fire, Cold, and Heat hold sway at the intersection of Qi, where diseases begin. Heat diseases arise in the upper part; Clear/Cold diseases arise in the lower part; Cold and Heat contend in the middle. The people suffer from coughing and wheezing, hematemesis and hematochezia, nasal congestion and sneezing, red eyes, and sores. Cold jue invades the stomach, causing heart pain, waist pain, abdominal distension, dry throat, and swelling. This is the normal pattern of annual transformation. One must wait to see if the Qi arrives or not before naming the disease. In this year, Fire is the Heavenly Qi, and Metal is the Earthly Qi. Fire overcomes Metal, so Heavenly Qi is full while Earthly Qi is deficient. However, the Central Movement is Earth. Heavenly Qi generates the Movement, and the Movement generates Earthly Qi. The three Qi are harmonious. Although Earthly Qi is deficient, the pathogenic victory is slight. Since Heavenly Qi is full, the source of transformation is substantial. One should select the source of transformation at the beginning of Da Han (Great Cold) before the new year, to make it balanced. "Selecting the source of transformation" means balancing Fire Qi. It is advisable to eat red and white grains to preserve True Qi, and to eat grains corresponding to the interstitial Qi to ward off empty pathogens. Use salty flavors to soften and regulate the upper part; for severe cases, use bitter flavors to disperse. Use sour flavors to astringe and stabilize the lower part; for severe cases, use bitter flavors to drain. The Movement corresponds to Earthly Qi and should be transformed with warm and hot methods. Before the midpoint of the year, Shaoyin governs. Shaoyin's transformation is fundamentally Hot but marked by Yin. At this time, the fundamental and marked transformations should be half cold and half hot, without excess. This is the balance of Heavenly patterns. If Heat is excessively victorious, stifling heat arrives, and Fire exercises its administration. The people suffer from vexation and heat in the chest, dry throat, fullness on the right side, skin pain, aversion to cold and fever, coughing, and wheezing. Heavy rain is imminent. There is blood in saliva, diarrhea with blood, nasal congestion and epistaxis, sneezing, vomiting, and changes in urine color. Severely, there are sores and swellings, pain in the shoulders, back, arms, and clavicular fossa, heart pain, lung pain, abdominal distension with bloating, coughing, and wheezing. The disease originates in the Lung. If the Chize pulse is absent, death is inevitable and untreatable. The method of treatment is to level with salty-cold, assist with bitter-sweet, and astringe with sour. After the midpoint of the year, Yangming governs. Its transformation does not follow the fundamental and marked aspects but follows the central Qi of Taiyin. At this time, Dryness and Dampness act together without excess. This is the transformation of Yangming. If Dryness is excessively victorious, fog, clarity, and dimness occur. The people like to vomit, vomiting bitter fluid, sigh frequently, have pain in the heart and hypochondrium preventing turning over. Severely, there is dry throat, dusty face, lack of luster on the body, and reverse heat on the outer foot. The treatment method uses bitter-warm, assisted by sweet-acrid, and drains with bitter. The Earth Movement is excessive, called the Chronicle of Dunfu (Piled High). Rain and dampness prevail, and Kidney Water is affected. The people suffer from abdominal pain, cold extremities, low spirits, heavy body, and vexation. Severely, muscles atrophy, feet are flaccid and unresponsive, walking is accompanied by spasms, sole pain, fluid retention with middle-fullness, reduced appetite, and inability to move the limbs. If changes occur in proper positions, organ Qi hides its transformation, and Qi acts alone. Springs gush, rivers overflow, dried marshes produce fish, wind and rain arrive heavily, soil collapses, and scaled creatures appear on land. Diseases include abdominal fullness, loose stools, borborygmus with reverse purging. If the Taixi pulse is absent, death is inevitable and untreatable. Treatment is suitable with bitter-hot. This is the suitability of medicine and food for annual Qi.
The First Qi begins at Yin Chu (early Yin hour) on the day of Da Han (Great Cold) in the twelfth lunar month of the Guihai year, and ends at Zi Chu (early Zi hour) on the day of Chun Fen (Spring Equinox) in the second lunar month of the same year. It lasts 60 days and 87.5 ke. The Host Position is Taijiao Wood, the Guest Qi is Taiyang Water, governed centrally by Taigong Earth. Wind, Cold, and Damp Qi, serving the governance of Shaoyin, enact the Spring command. Earthly Qi migrates, Dryness departs, Cold begins. Hibernating animals hide again, water freezes, frost descends again, wind arrives. Yang Qi is depressed. People wrap themselves tightly. Joints become stiff and fixed. Waist pain occurs. As scorching heat rises, sores and ulcers appear inside and outside. It is appropriate to treat the Guest of Taiyang: tonify with bitter, drain with salty, firm with bitter, moisten with acrid. Open the cou li (pores), generate fluids, and circulate Qi. Eat Dan grains to preserve True Qi; eat Ji (millet) to ward off empty pathogens. Even if Cold pathogens exist, they cannot cause harm.
The Second Qi starts from Zi Zheng (mid-Zi hour) on Chun Fen (Spring Equinox) to Xu Zheng (mid-Xu hour) on Xiao Man (Grain Buds). It lasts slightly more than 60 days. The Host Position is Shaozheng Fire, the Guest Qi is Jueyin Wood. Fire and Wood share virtue, with the Central Movement of Earth assisting Shaoyin in enacting the transformation of舒展 (expansion) and flourishing. When the season arrives, Yang Qi spreads, wind moves, Spring Qi is upright, all things flourish accordingly. Cold Qi arrives, and the people are harmonious. Diseases include strangury, eye closure, and red eyes. Qi stagnates in the upper part generating heat. It is appropriate to treat the Guest of Jueyin: tonify with acrid, drain with sour, relax with sweet. Eat Dan grains to preserve True Qi; eat rice to ward off empty pathogens. Even if Wind pathogens exist, they cannot cause harm.
The Third Qi starts from Hai Chu (early Hai hour) on Xiao Man (Grain Buds) to You Chu (early You hour) on Da Shu (Great Heat). It lasts slightly more than 60 days. The Host Position is Shaozheng Fire, the Guest Qi is Shaoyin Fire, with the Central Movement of Earth. This is what Heavenly Governance distributes. When the season arrives, Great Fire moves, myriad species flourish and are fresh. Cold Qi arrives. The people suffer from Qi jue, heart pain, alternating cold and heat, coughing, wheezing, and red eyes. It is appropriate to treat the Guest of Shaoyin: tonify with salty, drain with sweet, astringe with sour. Eat Dan grains to preserve True Qi; eat beans to ward off empty pathogens. Even if Heat pathogens exist, they cannot cause harm.
The Fourth Qi starts from You Zheng (mid-You hour) on Da Shu (Great Heat) to Wei Zheng (mid-Wei hour) on Qiu Fen (Autumn Equinox). It lasts slightly more than 60 days. The Host Position is Taigong Earth. The Guest Qi is Taiyin Earth. The Movement and Qi are identical, named Siqu (Sovereign Qi). Humid heat arrives, heavy rain flows frequently. Cold and heat interact. The people suffer from cold and heat, dry throat, jaundice, nasal congestion and epistaxis, and fluid retention. It is appropriate to treat the Guest of Taiyin: tonify with sweet, drain with bitter, relax with sweet. Eat Bai grains (white grains) to preserve True Qi; eat sesame to ward off empty pathogens. Even if Empty pathogens exist, they cannot cause harm.
The Fifth Qi starts from Shen Chu (early Shen hour) on Qiu Fen (Autumn Equinox) to Wu Chu (early Wu hour) on Xiao Xue (Minor Snow). It lasts slightly more than 60 days. The Host Position is Shaoshang Metal, the Guest Qi is Shaoyang Fire, with the Central Movement of Earth. The Guest Fire takes effect. Fei Huo (Fearful Fire) descends. Heat returns. Yang transforms. Things grow and flourish. The people are healthy. The disease is Wen (Warmth disease). It is appropriate to treat the Guest of Shaoyang: tonify with salty, drain with sweet, soften with salty. Eat Bai grains to preserve True Qi; eat beans to ward off empty pathogens. Even if Fire pathogens exist, they cannot cause harm.
The Final Qi starts from Wu Zheng (mid-Wu hour) on Xiao Xue (Minor Snow) to Chen Zheng (mid-Chen hour) on Da Han (Great Cold). It lasts slightly more than 60 days. The Host Position is Taiyu Water, the Guest Qi is Yangming Metal, with the Central Movement of Earth. Earth generates Metal, Metal generates Water. The three Qi are harmonious and proceed with smooth transformation. The Dryness command acts. Residual Fire is internally blocked. The people suffer from swelling in the upper part, coughing, and wheezing. Severely, there is hematemesis. Cold Qi rises frequently, causing frost and fog obscuration. Disease arises in the skin and cou li, enters internally to the hypochondrium, connects downward to the lower abdomen, and causes internal Cold. It is appropriate to treat the Guest of Yangming: tonify with sour, drain with acrid, drain with bitter. Eat Bai grains to preserve True Qi; eat shu (glutinous millet) to ward off empty pathogens. Even if Dryness pathogens exist, they cannot cause harm.
However, from the First Qi to the Third Qi, Heavenly Qi governs; this is the norm of Victory (Sheng). From the Fourth Qi to the Final Qi, Earthly Qi governs; this is the norm of Repayment (Fu). If before the midpoint of the year, the Si Tian Shaoyin Qi is victorious, there must be a Fu of Taiyang. If after the midpoint of the year, the Zai Quan Yangming Qi is victorious, there must be a Fu of Shaoyang. These repayments all occur after the midpoint of the year. Observe the lateness or earliness of the victorious Qi to verify the slowness or speed of the repaying Qi. Treat each according to the methods of Victory and Repayment. Where there is victory, there is repayment; where there is no victory, there is no repayment.