夫阴阳升降。司天在泉。上下有位。左右有纪。地理之应。标本不同。气应异象。逆顺
变
以天
自大寒后至春分（厥阴风木为一主气）。春分至小满（少阴君火为二主气）。小满至大暑
（少
阳
至小雪（阳明燥金为五主气。）小雪至大寒（太阳寒水为六主气。）
凡一气所管。六十日八十七刻半为本气。后以天之六气临御。观其逆从。以药调和。使
上下
辰戌之岁。太阳司天。太阴在泉。气化营运先天。初之气。乃少阳相火加临厥阴风木。
民病
气。
太阴
明燥
酸
头
白茯苓 木瓜干（各一两） 附子（炮去皮脐） 牛膝（酒浸各三钱） 防风（去叉） 诃
子
（炮去
滓。食
前服
至大
榴皮
卯酉之岁。阳明司天。少阴在泉。气化营运后天。初之气。太阴湿土加厥阴风木。此下克上。
病中热胀。面目浮肿。善眠鼽衄。嚏欠呕吐。小便黄赤。甚则淋。二之气。少阳相火加少阴
君火。此臣居君位。民病厉大至。善暴死。三之气。阳明燥金加少阳相火。燥热交合。民病
寒热。四之气。太阳寒水加太阴湿土。此下土克上水。民病暴仆。振栗谵妄。少气咽干引饮
。心痛痈肿。疮疡寒疟。骨痿便血。五之气。厥阴风木加阳明燥金。民气和。终之气。少阴
君火加太阳寒水。此下克上。民病温。治法宜咸寒以抑心火。甘以助金。汗之清之散之。安
其运气。审平汤治。卯酉之岁。阳明司天。少阴在泉。病者中热。面浮鼻鼽。小便赤黄。甚
则淋。或疠气行。善暴仆振栗。谵妄寒疟。痈肿便血。
远志（去心姜汁炒） 紫檀香（各一两） 天门冬（去心） 山茱萸（去心各三两） 白
术白
芍药
食前
服。
满至
前子
寅申之岁。少阳相火司天。厥阴风木在泉。气化营运先天。初之气。少阴君火加厥阴风
木。
少阴君
逆呕吐。胸胁不利。头痛身热。昏愦脓疮。三之气。少阳相火加少
阳相火
金加太
厥阴
内。
溢目
紫檀香 车前子（炒） 青皮（半夏汤洗） 酸枣仁 蔷薇 生姜 甘草（炙各半两） 上
为
锉散
自
茯
丑未之岁。太阴湿土司天。太阳寒水在泉。气化营运后天。初之气。厥阴风木加风木。
民病
远近
阴湿
肤腠
温治
太阴湿
若。或
木瓜干 茯神（去木各一两） 牛膝（酒浸） 附子（炮去皮脐各三钱） 熟地黄 覆
盆子
（各半
滓。食
前服
加
子午之岁。少阴君火司天。阳明燥金在泉。气化营运先天。初之气。太阳寒水加厥阴风
木。
而热
阴湿
终之
以平其上。苦热以治其内。咸以 之。苦以发之。酸以收之。正阳汤治。子午之岁。少阴君
火司
或
白薇 玄参 川芎 桑白皮（炙） 当归 芍药 旋复花 甘草（炙） 生姜（各半两）
上
为散
自春
加荆
巳亥之岁。厥阴风木司天。少阳相火在泉。气化营运后天。初之气。阳明燥金加厥阴风
木。
相火
阴湿
民
厥
黄瘅浮肿。时作温疠。
半夏（汤洗） 枣子 五味子 枳实（麸炒） 茯苓 诃子（炮去核） 橘皮 甘草（炙
各半
两）
加鼠粘
大暑至
阴阳之气的升降运动，由司天和在泉之气所主宰。上下各有其位，左右各有其纲纪。这是地理环境对天时的感应，标本有所不同，气机相应而呈现不同的景象。
自大寒后到春分（厥阴风木为主气之一），春分到小满（少阴君火为第二主气），小满到大暑（少阳相火为第三主气），大暑到秋分（太阴湿土为第四主气），秋分到小雪（阳明燥金为第五主气），小雪到大寒（太阳寒水为第六主气）。
每一气所管辖的时间，六十日八十七刻半为本气。之后以天之六气加临统治，观察其逆顺变化，用药物进行调和，使上下气机平衡。
辰戌之年，太阳寒水司天，太阴湿土在泉，气化运行先于天时。初之气，少阳相火加临于厥阴风木之上。民众易患……（原文此处有缺漏或乱码，依文意推测为相关病症）……气机……太阴……阳明燥金……酸味……头痛……白茯苓、木瓜干（各一两）、附子（炮制，去皮脐）、牛膝（酒浸，各三钱）、防风（去叉口）、诃子（炮制，去核……滤去药渣，饭前服用）。
至大暑……石榴皮……
卯酉之年，阳明燥金司天，少阴君火在泉，气化运行后于天时。初之气，太阴湿土加临于厥阴风木之上，此为下克上。民众易患心中烦热胀满，面目浮肿，嗜睡，鼻塞流涕及鼻出血，打喷嚏，呵欠，呕吐，小便黄赤，严重则出现淋证。二之气，少阳相火加临于少阴君火之上，此为臣居君位。民众易患瘟疫大作，容易突然死亡。三之气，阳明燥金加临于少阳相火之上，燥热交合，民众易患寒热往来。四之气，太阳寒水加临于太阴湿土之上，此为下土克上水，民众易患突然昏倒，战栗谵妄，气短咽干想喝水，心痛痈肿，疮疡寒疟，骨痿便血。五之气，厥阴风木加临于阳明燥金之上，民众气机平和。终之气，少阴君火加临于太阳寒水之上，此为下克上，民众易患温病。治法宜用咸寒之品以抑制心火，甘味之品以助益肺金，采用发汗、清热、疏散的方法，安定其运气。使用审平汤治疗。卯酉之年，阳明燥金司天，少阴君火在泉，患者表现为心中烦热，面浮鼻鼽，小便赤黄，严重则淋证，或疠气流行，容易突然昏倒战栗，谵妄寒疟，痈肿便血。远志（去心，姜汁炒）、紫檀香（各一两）、天门冬（去心）、山茱萸（去心，各三两）、白术、白芍药，饭前服用。
从大暑到……车前子……
寅申之年，少阳相火司天，厥阴风木在泉，气化运行先于天时。初之气，少阴君火加临于厥阴风木之上……少阴君火……逆乱呕吐，胸胁不利，头痛身热，神志昏愦脓疮。三之气，少阳相火加临少阳相火……金加太……厥阴……内溢目……紫檀香、车前子（炒）、青皮（半夏汤洗）、酸枣仁、蔷薇、生姜、甘草（炙，各半两）。上方锉散……自……茯……
丑未之年，太阴湿土司天，太阳寒水在泉，气化运行后于天时。初之气，厥阴风木加临风木。民众易患……远近……阴湿……肤腠……温治……太阴湿……若。或……木瓜干、茯神（去木，各一两）、牛膝（酒浸）、附子（炮制，去皮脐，各三钱）、熟地黄、覆盆子（各半……滤去药渣，饭前服用）。
加……
子午之年，少阴君火司天，阳明燥金在泉，气化运行先于天时。初之气，太阳寒水加临于厥阴风木之上……而热……阴湿……终之……以平其上，苦热之品以治其内，咸味以……之，苦味以发之，酸味以收之。使用正阳汤治疗。子午之年，少阴君火司天……或……白薇、玄参、川芎、桑白皮（炙）、当归、芍药、旋复花、甘草（炙）、生姜（各半两）。上方为散……自春……加荆……
巳亥之年，厥阴风木司天，少阳相火在泉，气化运行后于天时。初之气，阳明燥金加临于厥阴风木之上……相火……阴湿……民众……厥……黄瘅浮肿，时作温疠。半夏（汤洗）、枣子、五味子、枳实（麸炒）、茯苓、诃子（炮制，去核）、橘皮、甘草（炙，各半两）……加鼠粘……大暑至
The ascending and descending of Yin and Qi are governed by the Si Tian (Mastering Heaven) and Zai Quan (Ruling Earth) energies. There is a specific position for above and below, and regulations for left and right. This is the response of geography; the root and branch differ, and the corresponding Qi presents different phenomena.
From after Da Han (Great Cold) to Chun Fen (Spring Equinox), Jue Yin Wind Wood is the first principal Qi. From Chun Fen to Xiao Man (Grain Full), Shao Yin Sovereign Fire is the second principal Qi. From Xiao Man to Da Shu (Great Heat), Shao Yang Ministerial Fire is the third principal Qi. [Text implies: From Da Shu to Qiu Fen (Autumn Equinox), Tai Yin Damp Earth is the fourth principal Qi.] From Qiu Fen to Xiao Xue (Minor Snow), Yang Ming Dryness Metal is the fifth principal Qi. From Xiao Xue to Da Han, Tai Yang Cold Water is the sixth principal Qi.
Each Qi governs a period of 60 days and 87.5 ke as its fundamental Qi. Subsequently, the Six Qi of Heaven descend to rule; observe their deviation or compliance, and use herbs to harmonize, ensuring balance between above and below.
In years of Chen and Xu, Tai Yang Cold Water masters Heaven, and Tai Yin Damp Earth rules Earth. The Qi transformation operates prior to the natural timing. In the First Qi, Shao Yang Ministerial Fire overlays Jue Yin Wind Wood. The people suffer from... [text fragment] ...Qi... Tai Yin... Yang Ming Dryness Metal... Sour flavor... Headache... Bai Fu Ling (Poria), Mu Gua Gan (Dried Chaenomeles Fruit) (each 1 liang), Fu Zi (prepared, skin and umbilicus removed), Niu Xi (Achyranthes Root, soaked in wine, each 3 qian), Fang Feng (Saposhnikovia Root, cleaned), He Zi (Chebula Fruit, prepared, pit removed... strain the dregs, take before meals).
Until Da Shu... Shi Liu Pi (Pomegranate Peel)...
In years of Mao and You, Yang Ming Dryness Metal masters Heaven, and Shao Yin Sovereign Fire rules Earth. The Qi transformation operates after the natural timing. In the First Qi, Tai Yin Damp Earth overlays Jue Yin Wind Wood. This is lower overcoming upper. The people suffer from internal heat and distension, swelling of the face and eyes, somnolence, nasal congestion with epistaxis, sneezing, yawning, vomiting, yellow-red urine, and severely, strangury. In the Second Qi, Shao Yang Ministerial Fire overlays Shao Yin Sovereign Fire. This is the minister occupying the sovereign's position. The people suffer from severe epidemics and sudden death. In the Third Qi, Yang Ming Dryness Metal overlays Shao Yang Ministerial Fire. Dryness and heat combine. The people suffer from alternating chills and fever. In the Fourth Qi, Tai Yang Cold Water overlays Tai Yin Damp Earth. This is lower earth overcoming upper water. The people suffer from sudden collapse, tremors, delirium, shortness of breath, dry throat with desire to drink, heart pain, carbuncles, cold malaria, bone atrophy, and hematochezia. In the Fifth Qi, Jue Yin Wind Wood overlays Yang Ming Dryness Metal. The people's Qi is peaceful. In the Final Qi, Shao Yin Sovereign Fire overlays Tai Yang Cold Water. This is lower overcoming upper. The people suffer from warm diseases. The treatment method should employ salty-cold substances to suppress Heart Fire, and sweet substances to assist Lung Metal. Use sweating, clearing, and dispersing methods to stabilize the operating Qi. Treat with Shen Ping Tang. In years of Mao and You, Yang Ming Dryman Metal masters Heaven, and Shao Yin Sovereign Fire rules Earth. Patients present with internal heat, facial edema, nasal congestion, red-yellow urine, severely strangury, or epidemic qi prevalence, sudden collapse with tremors, delirium, cold malaria, carbuncles, and hematochezia. Yuan Zhi (Polygala Root, heart removed, stir-fried with ginger juice), Zi Tan Xiang (Sandalwood, each 1 liang), Tian Men Dong (Asparagus Tuber, heart removed), Shan Zhu Yu (Cornus Fruit, heart removed, each 3 liang), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Shao Yao (White Peony Root), take before meals.
From Da Shu to... Che Qian Zi (Plantago Seed)...
In years of Yin and Shen, Shao Yang Ministerial Fire masters Heaven, and Jue Yin Wind Wood rules Earth. The Qi transformation operates prior to the natural timing. In the First Qi, Shao Yin Sovereign Fire overlays Jue Yin Wind Wood... Shao Yin Sovereign Fire... rebellious vomiting, chest and hypochondriac discomfort, headache, body heat, confusion, and suppurative sores. In the Third Qi, Shao Yang Ministerial Fire overlays Shao Yang Ministerial Fire... Metal overlays Tai... Jue Yin... internal overflow to eyes... Zi Tan Xiang, Che Qian Zi (stir-fried), Qing Pi (Citrus Reticulata Green Peel, washed with Pinellia decoction), Suan Zao Ren (Ziziphus Seed), Qiang Wei (Rose), Sheng Jiang (Fresh Ginger), Gan Cao (Licorice Root, honey-fried, each half liang). The above is crushed into powder... From... Fu...
In years of Chou and Wei, Tai Yin Damp Earth masters Heaven, and Tai Yang Cold Water rules Earth. The Qi transformation operates after the natural timing. In the First Qi, Jue Yin Wind Wood overlays Wind Wood. The people suffer from... distant/near... Yin dampness... skin and pores... warm treatment... Tai Yin Dampness... If. Or... Mu Gua Gan (Dried Chaenomeles Fruit), Fu Shen (Poria with Pine Root, wood removed, each 1 liang), Niu Xi (soaked in wine), Fu Zi (prepared, skin and umbilicus removed, each 3 qian), Shu Di Huang (Prepared Rehmannia Root), Fu Pen Zi (Rubus Fruit, each half... strain the dregs, take before meals).
Add...
In years of Zi and Wu, Shao Yin Sovereign Fire masters Heaven, and Yang Ming Dryness Metal rules Earth. The Qi transformation operates prior to the natural timing. In the First Qi, Tai Yang Cold Water overlays Jue Yin Wind Wood... and heat... Yin dampness... Final... To calm the upper, treat the interior with bitter-hot substances, salty substances to... them, bitter substances to disperse, sour substances to astringe. Treat with Zheng Yang Tang. In years of Zi and Wu, Shao Yin Sovereign Fire masters Heaven... Or... Bai Wei (Cynanchum Atratum Root), Xuan Shen (Scrophularia Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Sang Bai Pi (Mulberry Root Bark, honey-fried), Dang Gui (Angelica Sinensis Root), Shao Yao (Peony Root), Xuan Fu Hua (Inula Flower), Gan Cao (honey-fried), Sheng Jiang (Fresh Ginger, each half liang). The above is made into powder... From Spring... Add Jing...
In years of Si and Hai, Jue Yin Wind Wood masters Heaven, and Shao Yang Ministerial Fire rules Earth. The Qi transformation operates after the natural timing. In the First Qi, Yang Ming Dryness Metal overlays Jue Yin Wind Wood... Ministerial Fire... Yin dampness... The people... Jue... Yellow jaundice and edema, occasional warm plagues. Ban Xia (Pinellia Tuber, washed with decoction), Zao Zi (Jujube), Wu Wei Zi (Schisandra Fruit), Zhi Shi (Immature Bitter Orange, bran-fried), Fu Ling (Poria), He Zi (prepared, pit removed), Ju Pi (Tangerine Peel), Gan Cao (honey-fried, each half liang)... Add Niu Bang Zi (Arctium Fruit)... From Da Shu to