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阳明燥金司天。少阴君火在泉。中见少角木运。岁木不及。气化营运后天。燥化在上。
左藏
专其
化乃
惑。
九。
是
金为天气。火为地气。火胜金。天气虚。当资化源。以助金气。安其运木。无使受邪。
食白
运与
岁半之前。阳明主之。若燥淫所胜。则木乃晚荣。草乃晚生。筋骨内变。民病左 胁痛。
寒
胁暴痛。不可反侧。嗌干面尘。腰痛。目昧。 疡。疮痤痈。病本于肝。诊在足太冲脉。法
宜
岁半之后。少阴主之。若热淫于内。则焰浮川泽。阴处反明。民病腹中常鸣。气上冲胸。
喘
咸
正
实
之
其
也
客气
民病
以
至小满日丑正。凡六十日有奇。主位太征火。客气少阳火。中见木运。二火相加。木运相和
。阳乃布。民乃舒。物乃生荣。厉大至。民善暴死。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。三之气。自小满日寅初。至大暑
日子初。凡六十日有奇。主位太征火。客气阳明金。中见木运。金胜木。天政布。凉乃行。
燥热交合。燥极而泽。民病寒热。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。四之气。自大暑日子正。至秋分日戌正。凡六十日有
奇。主位少宫土。客气太阳水。中见木运。寒雨降。民病暴仆。振栗谵妄。少气嗌干。引饮
。及为心痛痈肿疮疡疟寒之疾。骨痿血便。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。五之气。自秋分日亥初。至小雪
日酉初。凡六十日有奇。主位太商金。客气厥阴木。中见木运。气与运同。司气为苍化。春
令反行。草乃生荣。民气和。宜调厥阴之客。以辛补之。以酸泻之。以甘缓之。岁谷宜丹。
间谷宜稻。虽有风化。不能为害。是气也。用温远温。无犯司气之温。终之气。自小雪日酉
正。至大寒日未正。凡六十日有奇。主位少羽水。客气少阴火。中见木运。水生木。木生火。
其化顺。阳气布。候反温。蛰虫反见。流水不冰。民乃康平。其病温。宜治少阴之客。以咸
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。岁气之交。天气
胜者。少阳复之。地气胜者。太阳复之。其治各根据其复法也。
【图】psjzl34.bmp
阳明燥金之气主司天气，少阴君火之气主司地气。中运为少角木运。岁木之气不及，气化与运化均落后于时令。燥金之气在上（司天），其专胜之化导致混乱迷惑。
金为天气，火为地气。火气胜过金气，致使天气虚弱。应当资助化源，以辅助金气。安定木运，使其不受邪气侵害。
上半年，由阳明燥金主事。若燥气过盛，则树木开花结果推迟，草木生长延后，筋骨内部发生变化。民众易患左侧胁肋疼痛、胁部突发剧痛、身体不能左右翻转、咽喉干燥、面色如蒙尘垢、腰痛、视物模糊、皮肤疮疡等病症。病本在于肝，诊察部位在足太冲脉。治疗方法适宜……
下半年，由少阴君火主事。若热气内盛，则火焰浮游于川泽之上，阴暗之处反而明亮。民众易患腹中常鸣响、气上冲胸、气喘等症状。
从丑正时到小满日，共六十余日。主运位为太征火，客气为少阳相火，中见木运。两火相加，木运与之相和，阳气得以布散，民众感到舒畅，万物生长繁荣。但疫疠之气大至，民众容易突然死亡。适宜治疗少阳的客气，用咸味药补益它，用甘味药泻泄它，用咸味药……岁谷宜选白色谷物，间谷宜选豆类。即使有火邪，也不能造成危害。
第三气，从小满日寅初到大暑日子初，共六十余日。主运位为太征火，客气为阳明燥金，中见木运。金克木，天政布令，凉气盛行。燥热交合，燥极而转为湿润。民众易患寒热往来之症。适宜治疗阳明的客气，用酸味药补益它，用辛味药泻泄它，用苦味药通泄它。岁谷宜选白色谷物，间谷宜选黍米。即使有燥邪，也不能造成危害。
第四气，自大暑日子正到秋分日戌正，共六十余日。主运位为少宫土，客气为太阳寒水，中见木运。寒雨下降。民众易患突然昏仆、战栗谵妄、气短、咽喉干燥、引饮不止，以及心痛、痈肿、疮疡、疟疾寒战等病症，还有骨痿、便血等症。适宜治疗太阳的客气，用苦味药补益它，用咸味药泻泄它，用苦味药坚阴，用辛味药润燥。岁谷宜选红色谷物，间谷宜选稷米。即使有寒邪，也不能造成危害。
第五气，自秋分日亥初到小雪日酉初，共六十余日。主运位为太商金，客气为厥阴风木，中见木运。客气与中运相同。司天之气表现为苍色之化，春季的生发之气反行，草木重新繁荣，民众气血平和。适宜调理厥阴的客气，用辛味药补益它，用酸味药泻泄它，用甘味药缓急。岁谷宜选红色谷物，间谷宜选稻米。即使有风化邪气，也不能造成危害。此阶段用药，用温性药要远离温性时令，不要违犯司天之气的温性规律。
终之气，自小雪日酉正到大寒日未正，共六十余日。主运位为少羽水，客气为少阴君火，中见木运。水生木，木生火，其气化过程顺遂。阳气布散，气候反而温暖，冬眠的虫类再次出现，流水不结冰，民众健康平安。但若发病则为温病。适宜治疗少阴的客气，用咸味药补益它，用甘味药泻泄它，用酸味药收敛它。岁谷宜选红色谷物，间谷宜选豆类。即使有热邪，也不能造成危害。
岁气交接之时，若天气（司天）偏胜，则由少阳之气来复；若地气（在泉）偏胜，则由太阳之气来复。治疗应分别根据各自的复法进行。
[Figure] psjzl34.bmp
Yangming Dryness Metal governs the Heaven Qi (Heavenly influence), Shaoyin Ministerial Fire governs the Earth Qi (Earthly influence). The Central Movement is Shaojiao Wood Movement. The Wood Qi of the year is insufficient, causing the Qi transformation and movement to lag behind the seasonal timing. Dryness Metal Qi prevails above (governing Heaven), and its exclusive dominance leads to confusion and disorder.
Metal constitutes the Heaven Qi, and Fire constitutes the Earth Qi. Fire overcomes Metal, resulting in a deficiency of Heaven Qi. One should nourish the source of transformation to assist Metal Qi. Stabilize the Wood Movement to prevent it from being invaded by pathogenic factors.
In the first half of the year, Yangming [Dryness Metal] presides. If Dryness exuberates and overwhelms, trees will flower and fruit late, and grasses and plants will grow late. Internal changes occur in the sinews and bones. The people suffer from pain in the left hypochondrium, sudden severe pain in the hypochondrium, inability to turn the body, dryness of the throat, dusty complexion, lower back pain, blurred vision, and skin sores, ulcers, carbuncles, and boils. The root of the disease lies in the Liver. Diagnosis focuses on the Foot Taiyong [Taichong] Pulse. The treatment method is suitable...
In the second half of the year, Shaoyin [Ministerial Fire] presides. If Heat exuberates within, flames float upon rivers and marshes, and dark places appear bright. The people suffer from constant borborygmus in the abdomen, Qi rushing up to the chest, and asthma.
From Chou Zheng until the Xiao Man (Grain Buds) day, lasting more than sixty days. The Main Position is Tai Zheng Fire, the Guest Qi is Shaoyang [Ministerial] Fire, and the central connection is Wood Movement. Two Fires combine, harmonized by the Wood Movement. Yang Qi spreads, the people feel comfortable, and all things grow luxuriant. However, epidemic diseases arrive in large numbers, and the people are prone to sudden death. It is appropriate to treat the Shaoyang Guest Qi: tonify it with Salty substances, drain it with Sweet substances, and... Year grains should be white; intercalary grains should be beans. Even if there is Fire pathogen, it cannot cause harm.
The Third Qi period, from Yin Chu of Xiao Man day to Zi Chu of Da Shu (Great Heat) day, lasting more than sixty days. The Main Position is Tai Zheng Fire, the Guest Qi is Yangming [Dryness] Metal, and the central connection is Wood Movement. Metal overcomes Wood. The Heavenly Administration is deployed, Coolness prevails. Dryness and Heat mix; extreme Dryness turns to Moisture. The people suffer from alternating chills and fever. It is appropriate to treat the Yangming Guest Qi: tonify it with Sour substances, drain it with Pungent substances, and drain it with Bitter substances. Year grains should be white; intercalary grains should be yellow millet (Shu). Even if there is Dryness pathogen, it cannot cause harm.
The Fourth Qi period, from Zi Zheng of Da Shu day to Xu Zheng of Qiu Fen (Autumn Equinox) day, lasting more than sixty days. The Main Position is Shao Gong Earth, the Guest Qi is Taiyang [Cold] Water, and the central connection is Wood Movement. Cold rain descends. The people suffer from sudden collapse, trembling, delirium, shortness of breath, dryness of the throat, excessive thirst, as well as heart pain, carbuncles, swellings, sores, ulcers, malaria with chills, bone atrophy, and bloody stools. It is appropriate to treat the Taiyang Guest Qi: tonify it with Bitter substances, drain it with Salty substances, firm it with Bitter substances, and moisten it with Pungent substances. Year grains should be red; intercalary grains should be broomcorn millet (Ji). Even if there is Cold pathogen, it cannot cause harm.
The Fifth Qi period, from Hai Chu of Qiu Fen day to You Chu of Xiao Xue (Minor Snow) day, lasting more than sixty days. The Main Position is Tai Shang Metal, the Guest Qi is Jueyin [Wind] Wood, and the central connection is Wood Movement. The Qi and Movement are identical. The governing Qi manifests as Cang [Green/Blue] transformation. The Spring command acts in reverse, and grasses and plants flourish again. The people's Qi is peaceful. It is appropriate to regulate the Jueyin Guest Qi: tonify it with Pungent substances, drain it with Sour substances, and relax tension with Sweet substances. Year grains should be red; intercalary grains should be rice. Even if there is Wind pathogen, it cannot cause harm. In this phase, when using Warm medicines, one must stay away from Warm seasons and not violate the Warm nature of the governing Qi.
The Final Qi period, from You Zheng of Xiao Xue day to Wei Zheng of Da Han (Great Cold) day, lasting more than sixty days. The Main Position is Shao Yu Water, the Guest Qi is Shaoyin [Ministerial] Fire, and the central connection is Wood Movement. Water generates Wood, and Wood generates Fire. The transformation follows a smooth sequence. Yang Qi spreads, the climate becomes unexpectedly warm, hibernating insects reappear, flowing water does not freeze, and the people remain healthy and peaceful. If disease occurs, it is a Warm disease. It is appropriate to treat the Shaoyin Guest Qi: tonify it with Salty substances, drain it with Sweet substances, and astringe it with Sour substances. Year grains should be red; intercalary grains should be beans. Even if there is Heat pathogen, it cannot cause harm.
At the transition of yearly Qi, if Heaven Qi (Governing Qi) prevails, Shaoyang [Ministerial Fire] restores balance. If Earth Qi (Ruling Qi) prevails, Taiyang [Cold Water] restores balance. Treatment should follow their respective restoration methods.