运气症治者，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， 哉言也。今遵先贤图诀，撮其要领，使人一览而知其悉也
矣。
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。
子午少阴君火。丑未太阴湿上。寅申少阳相火。卯酉阳明燥金。辰戍太阳寒水。巳亥厥阴风木。
甲己土运为南政，盖土居中央，君尊南面，行余四运，以臣事之，面北而受令，所以有别也。
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 风雨，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 黄瘟衄血，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，万物向荣。
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，咳嗽，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，每季寄王一十八日，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，君命宜行，湿蒸相搏，豪雨时降。
民病 瘟疫盛行，远近咸若。
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。
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，益肝泻脾。自八月秋分节起，至十月立冬终止。
天时 大凉，雾露降。
民病 脾胃寒，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，至十二月小寒终止。
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，火邪则炎上，上克肺金，金受克，肾水失母，则上盛下
虚，虚阳上攻，变生诸疾，至伤元气。
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 热气伤人，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，夏旺火识，补益大肠。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，赤目喉闭，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 疟痢交作，寒热头疼。
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 邪寒风热，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，至十二月小寒终止。
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，至二月惊蛰终止。
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，泻辛益酸。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，人多卒暴。
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 卒暴寒热，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。
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，泻酸补甘。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 气郁中病，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 寒热吐痢，心烦闷乱，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，水盛水衰，泻酸助苦。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。
巳亥年厥阴风木司天，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，霜雪冰，杀气施，木草焦，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，豪雨溽湿。
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，阳乃化火，蛰虫出现，流水不冰，地气大发，草乃生。
民病 瘟疫，心肾相制。
按∶天上地下，而人居其中，一气布分，三
才并立。人与天地，呼吸相通，升降相符，故阴阳寒暑之气，内外合一，若鱼与水然，故运气所感，即人之疾 应
之。善摄生者，能调和脏腑，使血气顺轨，天时不能侵，不则逐气而化疫疠，扎瘥不可胜瘳。至于因证而思治，疠
不能干，人可以胜天，是在乎司命留意焉。
霖按∶运气之学，白首难穷，本不必过泥，然此篇言六气而不言五运，且有主气而无客气，何以明胜复亢制之
理？设迳执某年某气应患何病，必用何药。则误人非浅，转不若缪希雍之不言为善，兹将客气主运客运录于下，聊
备详查，不足知运气之奥也。
治疗运气所致疾病的方法，是为了参悟天地阴阳的道理，阐明五行盛衰的机理，考察气候的寒温变化，观察民众疾病的吉凶趋势，推演加临、补泻的治疗法则，施用寒、热、温、凉性质的药物。古人说：“治疗时令病如果不了解五运六气，就像渡海却不知渡口在哪里。”这话说得真好啊。如今遵循先贤的图诀，摘录其要点，使人能一目了然地掌握全部知识。
甲年和己年相合为土运（中央土）。乙年和庚年相合为金运（西方金）。丁年和壬年相合为木运（东方木）。丙年和辛年相合为水运（北方水）。戊年和癸年相合为火运（南方火）。
子年和午年，少阴君火（手少阴心经之火）司天（主管上半年气候）。丑年和未年，太阴湿土（足太阴脾经之湿）司天。寅年和申年，少阳相火（手少阳三焦经之火）司天。卯年和酉年，阳明燥金（手阳明大肠经之燥）司天。辰年和戌年，太阳寒水（足太阳膀胱经之水）司天。巳年和亥年，厥阴风木（足厥阴肝经之风）司天。
甲年和己年的土运属于南政（以土居中央，君主面南而治，其余四运如臣子北面听令，故有区别）。
子年和午年，少阴君火司天，岁气的特征是热化。
所谓司天，是指天上的气候特征。
所谓君火，对应手少阴心经。心是君主之官，精神意识由此发出。君火是主宰阳气的根本，其余象生土，是发生万物的源头。
阳明燥金在泉（主管下半年气候）。
所谓在泉，是指地上的气候特征。
初之气（大寒至惊蛰），厥阴风木当令，子父相逢（木生火），宜用辛味泻苦味（实则泻其子，或根据具体脏腑虚实调整，此处指调理心与肝的关系）。从年前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，冬眠昆虫潜伏藏匿。
民病：关节僵硬固定，腰腿疼痛，身体内外疮疡。
二之气（春分至立夏），少阴君火当令，火盛金衰，宜补肺脏、泻心脏。从二月春分节气开始，到四月立夏节气结束。
天时：风雨交加，时而寒冷下雨，羽毛类昆虫滋生。
民病：淋证之气郁结于上而生热，导致眼睛发红。
三之气（小满至小暑），少阳相火当令，君火与相火两旺，宜泻苦味、益辛味。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，热气滋生，羽虫不鸣叫，燕子、百舌鸟、杜鹃等鸟类活动。
民病：四肢厥冷伴心痛，忽冷忽热咳嗽气喘，眼睛发红。
四之气（大暑至白露），太阴湿土当令，子母相顺（火生土），宜泻肺脏、补肾脏。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、瘟疫、鼻出血，咽喉干燥、呕吐、痰饮。
五之气（秋分至立冬），阳明燥金当令，心火盛肺金衰，火怕水来报复。从八月秋分节气开始，到十月立冬节气结束。
天时：温热之气到来，初冬特别暖和，万物呈现繁荣景象。
民病：寒热伏邪，到了春季发为疟疾。
六之气（小雪至小寒），太阳寒水当令，火衰心病，宜泻咸味、益苦味。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：身体浮肿，咳嗽，严重时吐血溢血，向下牵连小腹导致中寒。
丑年和未年，太阴湿土司天，岁气的特征是湿化。
太阴湿土对应足太阴脾经。脾属中央戊己土，每季寄旺十八日，合计七十二日，对应一岁六六三百六十日的成数。
太阳寒水在泉。
初之气（大寒至惊蛰），厥阴风木当令，主气旺客气衰，宜泻酸味、补甘味。从年前十二月大寒节气开始，到二月惊蛰节气结束。
天时：大风兴起，草木繁荣，雨水滋生毛虫。
民病：出血，经络拘急强直，关节不利，身体沉重筋痛。
二之气（春分至立夏），少阴君火当令，以下生上（水生木？此处原文逻辑可能有误或特指某种生克关系，通常火生土，但湿土司天，二之气为君火，火生土，故云以下生上可能指下焦肾水或前段湿气生上焦？依原文直译：以下生上），宜泻甘味、补咸味。从二月春分节气开始，到四月立夏节气结束。
天时：大火到来，发生疫病，君主命令适宜施行，湿热蒸腾相搏，豪雨时降。
民病：瘟疫盛行，远近的人都像这样。
三之气（小满至小暑），少阳相火当令，土旺克水，宜补肾、泻脾。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，湿气弥漫。
民病：身体沉重足背浮肿，胸腹胀满，感冒湿气。
四之气（大暑至白露），太阴湿土当令，甘味旺咸味衰，宜补肾、益膀胱。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，湿化不通流。
民病：腠理发热，血液突然溢出，寒疟，心腹胀满，浮肿。
五之气（秋分至立冬），阳明燥金当令，土能生金，宜益肝、泻脾。从八月秋分节气开始，到十月立冬节气结束。
天时：大凉，雾露下降。
民病：脾胃受寒，疟疾痢疾严重流行。
六之气（小雪至小寒），太阳寒水当令，以上克下（水克火？此处湿土司天，六之气寒水，土克水，原文“以上克下”可能指客气克主气或特定语境，依原文直译），宜泻脾、补肾。从十月小雪节气开始，到十二月小寒节气结束。
天时：大寒凝结凛冽。
民病：关节僵硬固定，腰腿拘挛疼痛。
寅年和申年，少阳相火司天，岁气的特征是火化。
少阳相火是三焦浮游流动之火，火邪则炎上，上克肺金，金受克，肾水失去母亲（金生水），则上盛下虚，虚阳上攻，变生各种疾病，甚至损伤元气。
厥阴风木在泉。
初之气（大寒至惊蛰），厥阴风木当令，子父相逢，宜泻苦味、益辛味。从年前十二月大寒节气开始，到二月惊蛰节气结束。
天时：热气伤人，时气流行。
民病：寒热交替发作，咳嗽气逆头痛，气血不调，心腹不适。
二之气（春分至立夏），少阴君火当令，肺衰心盛，宜制约苦味、增益辛味。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：上部热咳气逆，胸膈不利，头痛寒热。
三之气（小满至小暑），少阳相火当令，夏季火旺，宜补益大肠。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，眼睛红赤喉闭，失血热渴风邪，人容易暴死。
四之气（大暑至白露），太阴湿土当令，火能生土，宜泻甘味、补咸味。从六月大暑节气开始，到八月白露节气结束。
天时：风雨时降，炎热暑气未去。
民病：疟疾痢疾交替发作，寒热头疼。
五之气（秋分至立冬），阳明燥金当令，肺金受邪，宜泻苦味、补辛味。从八月秋分节气开始，到十月立冬节气结束。
天时：寒热风雨，草木黄落。
民病：邪寒风热，君子应周密防范。
六之气（小雪至小寒），太阳寒水当令，心火受克，宜泻咸味、补苦味。从十月小雪节气开始，到十二月小寒节气结束。
天时：寒温无常，地气正寒，霜露下降。
民病：感冒寒邪，关节不利，心腹痛。
卯年和酉年，阳明燥金司天，岁气的特征是燥化。
阳明燥金对应肺与大肠之气，象征庚辛金。
少阴君火在泉。
初之气（大寒至惊蛰），厥阴风木当令，金木相克，宜补酸味、泻辛味。从年前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，小便赤涩淋痛。
二之气（春分至立夏），少阴君火当令，火盛金衰，宜泻辛味、益酸味。从二月春分节气开始，到四月立夏节气结束。
天时：臣居君位（客气加临主气出现异常），大热早行。
民病：疫病流行，人容易突然暴毙。
三之气（小满至小暑），少阳相火当令，主气盛客气衰，宜泻心脏、补肺脏。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，心烦口渴。
四之气（大暑至白露），太阴湿土当令，以下生上，宜泻辛味、益酸味。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：突然暴发的寒热，风邪伤人，心疼浮肿，疮疡失血。
五之气（秋分至立冬），阳明燥金当令，金盛木衰，宜泻肺脏、补肝脏。从八月秋分节气开始，到十月立冬节气结束。
天时：冬天行春天的令，草木生青，风雨生虫。
民病：寒热引发痢疾，气血不和。
六之气（小雪至小寒），太阳寒水当令，客气来助主气，宜益苦味、泻咸味。从十月小雪节气开始，到十二月小寒节气结束。
天时：气候反常温暖，冬眠昆虫出现。
民病：疫病温毒，寒热伏邪。
辰年和戌年，太阳寒水司天，岁气的特征是寒化。
太阳寒水对应足太阳膀胱经，与足少阴肾经互为表里，属北方壬癸水。
太阴湿土在泉。
初之气（大寒至惊蛰），厥阴风木当令，脾胃受邪，宜泻咸味、助甘味。从年前十二月大寒节气开始，到二月惊蛰节气结束。
天时：气候早暖，草早荣枯，温风到来。
民病：瘟疫寒热，头痛呕吐疮疡。
二之气（春分至立夏），少阴君火当令，心火受邪，宜泻酸味、补甘味。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：气郁中焦生病，浮肿寒热。
三之气（小满至小暑），少阳相火当令，以上克下，宜泻咸味、助苦味。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：寒热吐痢，心烦闷乱，痈疽疮疡。
四之气（大暑至白露），太阴湿土当令，木旺土衰，宜泻甘味、补酸味。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（秋分至立冬），阳明燥金当令，金生水旺，制约咸味、增益苦味。从八月秋分节气开始，到十月立冬节气结束。
天时：湿热而行客主之令。
民病：气虚客热，血热妄行，肺气壅盛。
六之气（小雪至小寒），太阳寒水当令，水盛水衰，宜泻酸味、助苦味。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，岁气的特征是风化。
厥阴风木对应足厥阴肝经，肝属东方甲乙木，春季旺七十二日。
少阳相火在泉。
初之气（大寒至惊蛰），厥阴风木当令，脾胃受邪，宜泻酸味、补甘味。从年前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，客气行主气之令，杀气刚到。
民病：寒气居右胁气滞，脾胃虚壅。
二之气（春分至立夏），少阴君火当令，火旺金衰，宜泻心脏、补肺脏。从二月春分节气开始，到四月立夏节气结束。
天时：寒气不去，霜雪冰，杀气施展，草木焦枯，寒雨到来。
民病：内热，气血不升降。
三之气（小满至小暑），少阳相火当令，肺经受邪，宜泻苦味、益辛味。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，耳鸣头晕目眩。
四之气（大暑至白露），太阴湿土当令，木土相刑，宜泻酸味、益甘味。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，豪雨潮湿。
民病：心受邪，黄疸，面部浮肿。
五之气（秋分至立冬），阳明燥金当令，以金刑木，宜泻肺脏、益肝脏。从八月秋分节气开始，到十月立冬节气结束。
天时：燥湿更替朦胧，沉阴布散，风雨乃行。
民病：寒气及体，肺受风，脾受湿，发为疟疾。
六之气（小雪至小寒），太阳寒水当令，主助客胜，宜泻酸味、补甘味。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，阳气化为火，冬眠昆虫出现，流水不结冰，地气大发，草生长。
民病：瘟疫，心肾相互制约。
按语：天在上地下在下，人居于其中，一气分布，天、地、人三才并立。人与天地，呼吸相通，升降相符，所以阴阳寒暑之气，内外合一，就像鱼与水一样。因此运气所感，就是人的疾病反应。善于养生的人，能调和脏腑，使气血顺轨，天时不能侵犯；否则随着气化而变成疫病，灾祸不可胜数。至于根据症状思考治疗，疫病不能干扰，人可以战胜天命，这在于掌管生命的人留意罢了。
霖按语：五运六气之学，白头也难以穷尽，本不必过于拘泥。然而此篇只讲六气而不讲五运，且有主气而无客气，如何阐明胜复亢制的道理？如果直接执着于某年某气应当患什么病，必须用什么药，那么误人不浅，还不如缪希雍不讲为好。现将客气、主运、客运记录在下面，聊备详细查阅，不足以知晓五运六气的奥妙。
The treatment of diseases caused by the movements of Qi (Wu Yun Liu Qi) is to participate in the principles of Yin and Yang of Heaven and Earth, clarify the mechanism of the rise and fall of the Five Elements, examine the cold and warmth of the climate, observe the auspiciousness or inauspiciousness of people's diseases, deduce the methods of addition/subtraction and tonification/sedation, and apply medicines of cold, heat, warm, and cool properties. The ancients said: "To treat seasonal diseases without understanding Wu Yun Liu Qi is like crossing a sea without knowing where the ferry is." These are true words. Now, following the diagrams and formulas of the sages, we have extracted their essentials so that one can understand everything at a glance.
The combination of Jia and Ji years forms the Earth Movement (Central Earth). The combination of Yi and Geng years forms the Metal Movement (Western Metal). The combination of Ding and Ren years forms the Wood Movement (Eastern Wood). The combination of Bing and Xin years forms the Water Movement (Northern Water). The combination of Wu and Gui years forms the Fire Movement (Southern Fire).
In Zi and Wu years, Shaoyin Junhuo (Ministerial Fire of the Hand-Shaoyin Heart Meridian) governs the Sky (Sitting in the Heaven position, controlling the first half of the year). In Chou and Wei years, Taiyin Shitu (Dampness of the Foot-Taiyin Spleen Meridian) governs the Sky. In Yin and Shen years, Shaoyang Xianghuo (Ministerial Fire of the Hand-Shaoyang Sanjiao Meridian) governs the Sky. In Mao and You years, Yangming Zaojin (Dryness of the Hand-Yangming Large Intestine Meridian) governs the Sky. In Chen and Xu years, Taiyang Hanshui (Cold Water of the Foot-Taiyang Bladder Meridian) governs the Sky. In Si and Hai years, Jueyin Fengmu (Wind of the Foot-Jueyin Liver Meridian) governs the Sky.
The Earth Movement of Jia and Ji years belongs to Nan Zheng (Southern Administration), because Earth resides in the center, the ruler faces South, and the other four Movements serve it as ministers facing North to receive orders, thus creating a distinction.
In Zi and Wu years, Shaoyin Junhuo governs the Sky, and the characteristic of the annual Qi is Heat Transformation.
"Sitting in the Heaven" refers to the climatic characteristics of the sky.
"Junhuo" corresponds to the Hand-Shaoyin Heart Meridian. The Heart is the official of the sovereign, from which spirit and consciousness emerge. Junhuo is the root that governs Yang Qi; the remaining images generate Earth, which is the source of all things.
Yangming Zaojin sits in the Spring (Zai Quan position, controlling the second half of the year).
"Sitting in the Spring" refers to the climatic characteristics of the earth.
First Qi (from Da Han to Jing Zhe), Jueyin Fengmu is in charge. Father and son meet (Wood generates Fire); benefit Sour and sedate Bitter (adjusting the relationship between Heart and Liver). From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Cold wind is biting, frost and snow freeze, hibernating insects hide.
People's diseases: Joints are stiff and fixed, waist and leg pain, sores and ulcers inside and outside the body.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Fire is abundant and Metal is weak; tonify Lung and sedate Heart. From the solar term Chun Fen in February to Li Xia in April.
Climate: Wind and rain, sometimes cold rain, feathered insects breed.
People's diseases: Damp-heat qi stagnates above causing heat, leading to red eyes.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Both Junhuo and Xianghuo are abundant; sedate Bitter and benefit Sour. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: The Great Fire star moves, heat generates, feathered insects do not sing, swallows, mynas, and cuckoos appear.
People's diseases: Cold limbs with heart pain, alternating chills and fever with cough and asthma, red eyes.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Mother and son follow each other (Fire generates Earth); sedate Lung and tonify Kidney. From the solar term Da Shu in June to Bai Lu in August.
Climate: Heavy rains occur frequently, cold and heat alternate.
People's diseases: Jaundice, plague, epistaxis, dry throat, vomiting, phlegm-fluid retention.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Heart Fire is abundant and Lung Metal is weak; Fire fears Water retaliation. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Warm air arrives, early winter is particularly warm, all things flourish.
People's diseases: Latent pathogens of cold and heat, manifesting as malaria in spring.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Fire is weak affecting the Heart; sedate Salty and benefit Bitter. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Violent cold is piercing, Fire pathogen acts wildly and toxically, cold qi stops suddenly.
People's diseases: Body swelling, cough, severe cases involve blood overflow, extending downward to the lower abdomen causing middle-cold.
In Chou and Wei years, Taiyin Shitu governs the Sky, and the characteristic of the annual Qi is Dampness Transformation.
Taiyin Shitu corresponds to the Foot-Taiyin Spleen Meridian. Spleen belongs to Central Wu-Ji Earth, thriving for eighteen days in each season, totaling seventy-two days, corresponding to the completion number of six-six three hundred and sixty days of a year.
Taiyang Hanshui sits in the Spring.
First Qi (from Da Han to Jing Zhe), Jueyin Fengmu is in charge. Main Qi is abundant, Guest Qi is weak; sedate Sour and tonify Sweet. From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Strong winds arise, flora flourishes, rain breeds hairy insects.
People's diseases: Hemorrhage, meridians stiff and rigid, joint dysfunction, heavy body and tendon pain.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Below generates Above; sedate Sweet and tonify Salty. From the solar term Chun Fen in February to Li Xia in April.
Climate: Great Fire arrives, epidemics occur, royal commands should be executed, dampness steams and mixes, heavy rains fall.
People's diseases: Plagues prevail, everyone everywhere is affected similarly.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Earth is abundant overcoming Water; tonify Kidney and sedate Spleen. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: Thunderstorms and hail, earth qi rises, dampness pervades.
People's diseases: Heavy body and dorsal edema, chest and abdominal fullness, catching dampness.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Sweet is abundant, Salty is weak; tonify Kidney and benefit Bladder. From the solar term Da Shu in June to Bai Lu in August.
Climate: Scorching heat boils, earth qi rises, damp transformation does not flow.
People's diseases: Heat in the interstices, sudden blood overflow, cold malaria, heart and abdominal distension, edema.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Earth generates Metal; benefit Liver and sedate Spleen. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Great coolness, fog and dew descend.
People's diseases: Cold in Spleen and Stomach, severe malaria and dysentery.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Above overcomes Below; sedate Spleen and tonify Kidney. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Great cold freezes and bites.
People's diseases: Joints stiff and fixed, waist and legs cramping and painful.
In Yin and Shen years, Shaoyang Xianghuo governs the Sky, and the characteristic of the annual Qi is Fire Transformation.
Shaoyang Xianghuo is the floating and flowing fire of the Sanjiao. Fire pathogen flares upward, overcoming Lung Metal. When Metal is overcome, Kidney Water loses its mother (Metal generates Water), resulting in excess above and deficiency below, defying Yang attacks upward, generating various diseases, even damaging Yuan Qi.
Jueyin Fengmu sits in the Spring.
First Qi (from Da Han to Jing Zhe), Juevin Fengmu is in charge. Father and son meet; sedate Bitter and benefit Sour. From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Hot qi harms people, seasonal qi circulates.
People's diseases: Alternating chills and fever, cough and reverse qi with headache, irregular Qi and Blood, discomfort in heart and abdomen.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Lung is weak, Heart is abundant; restrain Bitter and benefit Sour. From the solar term Chun Fen in February to Li Xia in April.
Climate: Storms and rapid rain, warmth and moisture steam together.
People's diseases: Upper heat with cough and reverse qi, chest and diaphragm obstruction, headache with chills and fever.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Summer Fire is abundant; tonify Large Intestine. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: Scorching heat and drought, grass withers and rivers dry up.
People's diseases: Vexing heat, red eyes and throat closure, hemorrhage, thirst due to heat and wind pathogen, people may die suddenly.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Fire generates Earth; sedate Sweet and tonify Salty. From the solar term Da Shu in June to Bai Lu in August.
Climate: Wind and rain fall occasionally, scorching heat has not gone.
People's diseases: Alternating malaria and dysentery, cold, heat, and headache.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Lung Metal suffers evil; sedate Bitter and tonify Sour. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Cold, heat, wind, and rain, plants turn yellow and fall.
People's diseases: Evil cold wind and heat, gentlemen should be careful.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Heart Fire is overcome; sedate Salty and tonify Bitter. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Cold and heat are unpredictable, earth qi is truly cold, frost and dew descend.
People's diseases: Catching cold pathogen, joint dysfunction, heart and abdominal pain.
In Mao and You years, Yangming Zaojin governs the Sky, and the characteristic of the annual Qi is Dryness Transformation.
Yangming Zaojin corresponds to the Qi of the Lung and Large Intestine, symbolizing Geng-Xin Metal.
Shaoyin Junhuo sits in the Spring.
First Qi (from Da Han to Jing Zhe), Jueyin Fengmu is in charge. Metal and Wood overcome each other; tonify Sour and sedate Sour. From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Yin begins to condense, wind becomes austere, water freezes, much cold rain, flowers bloom late.
People's diseases: Cold, heat, and edema, hemorrhage and vomiting, red and scanty urination with strangury.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Fire is abundant and Metal is weak; sedate Sour and benefit Sour. From the solar term Chun Fen in February to Li Xia in April.
Climate: Minister occupies Sovereign's position, great heat arrives early.
People's diseases: Epidemics circulate, people may die suddenly and violently.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Main Qi is abundant, Guest Qi is weak; sedate Heart and tonify Lung. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: Dryness and heat mix, wind and rain arrive violently.
People's diseases: Cold, heat, and headache, vexation and thirst.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Below generates Above; sedate Sour and benefit Sour. From the solar term Da Shu in June to Bai Lu in August.
Climate: Early autumn cold rain, harming crops.
People's diseases: Sudden violent cold and heat, wind pathogen harming people, heart pain and edema, sores and ulcers with hemorrhage.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Metal is abundant and Wood is weak; sedate Lung and tonify Liver. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Winter follows Spring's command, plants turn green, wind and rain breed insects.
People's diseases: Cold and heat triggering dysentery, irregular Qi and Blood.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Guest comes to assist Main; benefit Bitter and sedate Salty. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Climate reverses to warmth, hibernating insects appear.
People's diseases: Epidemic warm toxins, latent pathogens of cold and heat.
In Chen and Xu years, Taiyang Hanshui governs the Sky, and the characteristic of the annual Qi is Cold Transformation.
Taiyang Hanshui corresponds to the Foot-Taiyang Bladder Meridian, exterior-interior paired with Foot-Shaoyin Kidney Meridian, belonging to Northern Ren-Gui Water.
Taiyin Shitu sits in the Spring.
First Qi (from Da Han to Jing Zhe), Jueyin Fengmu is in charge. Spleen and Stomach suffer evil; sedate Salty and assist Sweet. From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Climate warms early, grass flourishes early, warm wind arrives.
People's diseases: Epidemic cold and heat, headache, vomiting, sores and ulcers.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Heart Fire suffers evil; sedate Sour and tonify Sweet. From the solar term Chun Fen in February to Li Xia in April.
Climate: Spring cold with much rain, cold and dampness unpredictable.
People's diseases: Qi stagnation causing middle-jiao disease, edema with cold and heat.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Above overcomes Below; sedate Salty and assist Bitter. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: Violent heat then cool, strong wind and heavy rain.
People's diseases: Cold, heat, vomiting and dysentery, vexation and confusion, carbuncles and sores.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Wood is abundant, Earth is weak; sedate Sweet and tonify Sour. From the solar term Da Shu in June to Bai Lu in August.
Climate: Wind and dampness contend, rain breeds feathered insects, strong wind and heavy rain.
People's diseases: Great heat and shortness of breath, red and white dysentery.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Metal generates Water abundantly; restrain Salty and benefit Bitter. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Damp-heat follows the Guest-Main commands.
People's diseases: Qi deficiency with guest heat, reckless bleeding due to blood heat, Lung Qi congestion.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Water is abundant and weak; sedate Sour and assist Bitter. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Freezing cold and snow/rain, earth qi is correct, damp command operates.
People's diseases: Diseases are miserable, pregnant women face many disasters, Spleen suffers dampness, Lung is abundant, Liver is weak.
In Si and Hai years, Jueyin Fengmu governs the Sky, and the characteristic of the annual Qi is Wind Transformation.
Jueyin Fengmu corresponds to the Foot-Jueyin Liver Meridian. Liver belongs to Eastern Jia-Yi Wood, thriving for seventy-two days in Spring.
Shaoyang Xianghuo sits in the Spring.
First Qi (from Da Han to Jing Zhe), Jueyin Fengmu is in charge. Spleen and Stomach suffer evil; sedate Sour and tonify Sweet. From the solar term Da Han in December of the previous year to Jing Zhe in February.
Climate: Cold begins to austere, Guest executes Main's command, killing qi just arrived.
People's diseases: Cold residing in right hypochondrium with Qi stagnation, Spleen and Stomach deficiency and congestion.
Second Qi (from Chun Fen to Li Xia), Shaoyin Junhuo is in charge. Fire is abundant and Metal is weak; sedate Heart and tonify Lung. From the solar term Chun Fen in February to Li Xia in April.
Climate: Cold does not depart, frost and snow ice, killing qi exerts itself, trees and grass wither, cold rain arrives.
People's diseases: Internal heat, Qi and Blood fail to ascend and descend.
Third Qi (from Xiao Man to Xiao Shu), Shaoyang Xianghuo is in charge. Lung Meridian suffers evil; sedate Bitter and benefit Sour. From the solar term Xiao Man in April to Xiao Shu in June.
Climate: Wind and heat rage greatly, rain breeds feathered insects.
People's diseases: Tearing, tinnitus, dizziness and vertigo.
Fourth Qi (from Da Shu to Bai Lu), Taiyin Shitu is in charge. Wood and Earth punish each other; sedate Sour and benefit Sweet. From the solar term Da Shu in June to Bai Lu in August.
Climate: Heat returns to use, mountains and marshes have floating clouds, heavy rain and humid dampness.
People's diseases: Heart suffers evil, jaundice, facial edema.
Fifth Qi (from Qiu Fen to Li Dong), Yangming Zaojin is in charge. Metal punishes Wood; sedate Lung and benefit Liver. From the solar term Qiu Fen in August to Li Dong in October.
Climate: Dryness and dampness alternate obscuring, deep Yin spreads, wind and rain occur.
People's diseases: Cold qi affects the body, Lung suffers wind, Spleen suffers dampness, manifesting as malaria.
Sixth Qi (from Xiao Xue to Xiao Han), Taiyang Hanshui is in charge. Main assists Guest to overcome; sedate Sour and tonify Sweet. From the solar term Xiao Xue in October to Xiao Han in December.
Climate: Feared Fire commands, Yang transforms into Fire, hibernating insects appear, flowing water does not freeze, earth qi erupts, grass grows.
People's diseases: Plague, Heart and Kidney mutually restrain.
Commentary: Heaven is above, Earth is below, and humans reside in the middle. One Qi distributes, and Heaven, Earth, and Humanity stand together. Humans and Heaven and Earth communicate through respiration, and ascent/descent correspond. Thus, the Qi of Yin/Yang, cold/heat, and summer/winter are unified internally and externally, like fish and water. Therefore, what is felt by Wu Yun Liu Qi is exactly how human diseases respond. Those skilled in nurturing life can harmonize Zang-Fu organs, making Qi and Blood follow the track, so that heavenly times cannot invade; otherwise, following the Qi transformation leads to epidemics, and disasters are countless. As for treating according to symptoms, plagues cannot interfere, and humans can conquer nature; this depends on those who manage life to pay attention.
Lin's Note: The study of Wu Yun Liu Qi is difficult to exhaust even with white hair, and it need not be taken too literally. However, this chapter discusses Six Qi but not Five Movements, and has Main Qi but no Guest Qi, so how can the principles of victory, reversal, excess, and restraint be clarified? If one directly adheres to "which year and which Qi should cause what disease, and must use what medicine," the error would be shallow yet harmful. It might be better not to speak, as Miao Xiyong did. Here, Guest Qi, Main Movement, and Guest Movement are recorded below for detailed reference, sufficient only to prepare for inquiry, not enough to know the profundity of Wu Yun Liu Qi.