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少阳相火司天。厥阴风木在泉。中见太宫土运。岁土太过。气化营运先天。火化为天气。
清
地气
荧惑
雨
也
和而不争。往复之作。民病寒热。疟泄聋瞑。呕吐上沸。肿色变。
是岁阳为天气。阴为地气。中见土运。木生火。火生土。下生上。天气盈。宜于年前先
取化
之泄
之前。少阳主之。火淫所胜。则温气流行。金政不平。民病头痛。发热恶寒而疟。热上
痛。色变黄赤。传而为水。身面 肿。腹满仰息。泄注赤白。疮疡咳唾血。烦心胸中热
则鼽衄。病本于肺。诊在手天府之脉。法宜平以咸冷。佐以甘苦。以酸收之。以苦发之
酸复之。岁半之后。厥阴主之。木能胜土。地气制运。风淫于内。地气不明。平野昧。草乃
早秀。民
胀善噫。
岁运之化
埃朦郁。
其动濡
岁土太
收。行
肠鸣反
初之气。自癸未年大寒日寅初。至是岁春分日子初。凡六十日八十七刻半。主位太角木。
客
不
客
满
四
不利
间谷
六十
雨
之
秋分日未
凉乃至。
以苦泄
主位少
早凋。
之。以
凡六十
行。其
岁谷
地气
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阳明燥金司天。少阴君火在泉。中见少商金运。岁金不及。气化营运后天。少商之金不
及。
太乙
性刚
果
其
间
阳专其令。炎暑盛行。物燥以坚。淳风乃至。风燥横运。流于气交。多阳少阴。
湿化乃敷。燥极而泽。蛰虫乃见。流水不冰。金火合德。上应太白、荧惑。其谷
命太者。其耗白甲品羽。故曰热化寒化胜复同。邪气化度也。燥化四。清化四。
化度也。岁物之宜。则介虫静。羽虫育。地气所制。则介虫耗。寒毒不生。是以清
持于气交。清先而劲。毛虫乃死。热后而暴。介虫乃殃。其发躁。民病咳。嗌塞。
振栗癃闭。岁半之前。阳明主之。其化燥者。天之政也。
岁半之后。少阴主之。其令热者。地之化也。金为天气。火为地气。火能胜金。遇太乙
天符
去其
中
日八十七
水乃冰。
阴之客。
之气。自春
二火相加
夭横。宜
不能为邪
金。中见
宜调阳明
邪。是气也。用凉远凉。无犯司气之凉。四之气。自大暑日子正。至秋分日戌正。凡六十
有奇。主位太宫土。客气太阳水。中见金运。金水相生。寒雨降。病暴仆。振栗谵妄。少
嗌干引饮。及为心痛痈肿疮疡疟寒之疾。骨痿便血。宜治太阳之客。以苦补之。以咸泻
。以苦坚之。以辛润之。岁谷宜丹。间谷宜稷。虽有寒化。不能为邪。五之气。自秋分日
亥初。至小雪日酉初。凡六十日有奇。主位少商金。客气厥阴木。中见金运。岁运当位。其
气平。厥阴居之。春令反行。草乃生荣。民乃和。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。不能为邪。终之气。自小雪日酉正。至大寒日未
正。凡六十日有奇。主位太羽水。客气少阴火。中见金运。火能胜金。阳气布。候反温。蛰
虫来见。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。虽有热化。不能为邪。此六气之常也。治之大法。和者平之。各根据其
气。必清必静。则邪气自衰。归其所宗。此治之大体也。
少阳相火(三焦与心包之火)主持司天之气,厥阴风木(肝与胆之风)主持在泉之气,中运为太宫土运。岁运土气太过,气化运行先于天时。火化为天气之象。
地气表现为雨,星象对应荧惑星(火星)。气候平和而不争竞,风雨往复交替。民众易患寒热往来、疟疾、泄泻、耳聋、视物昏花等症状;出现呕吐、胃内容物上逆沸腾、浮肿、面色改变等病证。
这一年,阳气主司天气,阴气主司地气,中运为土运。木生火,火生土,下位生上位,天气充盈。适宜在年前预先采取化解泄导的方法。少阳相火主事,若火气过盛淫溢,则温气流行,金气政令不平,民众易患头痛、发热恶寒且伴有疟疾症状;热气上行导致疼痛,面色黄赤,病情传变可致水液停聚,身体面部浮肿,腹部胀满,仰卧呼吸急促,泄痢赤白脓血,疮疡,咳嗽唾血,心烦胸中热甚,进而导致鼻渊、鼻衄。病本在于肺脏。诊察应在手天府穴处的脉象。治疗法则宜用咸冷之品以平抑,佐以甘苦之味,用酸味收敛,用苦味发散,再用酸味复敛。
岁半之后,由厥阴风木主事。木能胜土,地气制约中运,风气淫溢于内,地气不明,原野昏暗,草木过早开花。民众易患腹胀、善噫(频繁嗳气)。
初之气阶段,从癸未年大寒日寅初开始,至本年春分日子初结束,共六十日八十七刻半。主气为太角木,客气……(原文此处有缺漏或乱码,依文意推测为客气相关描述),……凉气乃至。以苦味泄之。主气少……(原文残缺)……早凋。凡六十……行。其……岁谷……地气……(原文此处严重错乱,结合上下文及《素问》原文补全逻辑:四之气,自大暑日子正,至秋分日戌正,凡六十日有奇。主位太宫土,客气太阳水。中见金运。金水相生,寒雨降。病暴仆,振栗谵妄,少嗌干引饮,及为心痛痈肿疮疡疟寒之疾,骨痿便血。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。虽有寒化,不能为邪。)
阳明燥金主持司天之气,少阴君火主持在泉之气,中运为少商金运。岁运金气不及,气化运行后于天时。少商之金不及,太乙……(原文残缺/乱码)……性刚果……其……间……阳专其令,炎暑盛行,万物干燥而坚硬。淳风乃来,风燥横运,流于气交。多阳少阴,湿化乃敷,燥极而泽,蛰虫乃见,流水不冰。金火合德,上应太白星、荧惑星。对应的谷物……命太者,其耗白甲品羽。故曰热化寒化胜复同,邪气化度也。燥化四,清化四……化度也。岁物之宜,则介虫静,羽虫育。地气所制,则介虫耗。寒毒不生。是以清……持于气交。清先而劲,毛虫乃死。热后而暴,介虫乃殃。其发躁,民病咳,嗌塞,振栗癃闭。
岁半之前,阳明燥金主事。其化燥者,天之政也。
岁半之后,少阴君火主事。其令热者,地之化也。金为天气,火为地气,火能胜金。遇太乙……天符……去其……中……日八十七……水乃冰……阴之客……之气。自春……二火相加……夭横,宜……不能为邪……金。中见……宜调阳明……邪。是气也,用凉远凉,无犯司气之凉。
四之气,自大暑日子正,至秋分日戌正,凡六十日有奇。主位太宫土,客气太阳水,中见金运。金水相生,寒雨降。病暴仆,振栗谵妄,少嗌干引饮,及为心痛痈肿疮疡疟寒之疾,骨痿便血。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。虽有寒化,不能为邪。
五之气,自秋分日亥初,至小雪日酉初,凡六十日有奇。主位少商金,客气厥阴木,中见金运。岁运当位,其气平。厥阴居之,春令反行,草乃生荣,民乃和。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,不能为邪。
终之气,自小雪日酉正,至大寒日未正,凡六十日有奇。主位太羽水,客气少阴火,中见金运。火能胜金,阳气布,候反温,蛰虫来见,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。虽有热化,不能为邪。
Shao Yang Xiang Huo (Ministerial Fire of San Jiao and Pericardium) governs the Si Tian (Heavenly Qi), Jue Yin Feng Mu (Wind Wood of Liver and Gallbladder) governs the Zai Quan (Earthly Qi), and the central Yun (Central Movement) is Tai Gong Earth Movement. The Earth movement is excessive in this year, so the Qi transformation operates ahead of time. Fire transforms into the Heavenly Qi.
The Earthly Qi manifests as rain, corresponding to the star Ying Huo (Mars). The climate is harmonious without contention, with wind and rain alternating. The people are prone to diseases such as alternating chills and fever, malaria, diarrhea, deafness, and blurred vision; symptoms include vomiting, regurgitation of stomach contents, edema, and changes in complexion.
In this year, Yang Qi governs the Heavenly Qi, Yin Qi governs the Earthly Qi, and the central movement is Earth. Wood generates Fire, Fire generates Earth, the lower generates the upper, and the Heavenly Qi is abundant. It is advisable to adopt methods of resolution and drainage beforehand. Shao Yang Xiang Huo is in charge. If Fire Qi is excessive and rampant, warm Qi will circulate, and the policy of Metal will be unbalanced. The people may suffer from headache, fever with aversion to cold accompanied by malaria-like symptoms; heat rising upward causes pain, yellowish-red complexion, and if transmitted, water retention leading to swelling of the body and face, abdominal fullness, orthopnea, dysentery with red and white pus/blood, sores and ulcers, cough with hemoptysis, vexation and heat in the chest. This may lead to rhinorrhea and epistaxis. The root of the disease lies in the Lung. Diagnosis should focus on the pulse at the Hand Tian Fu acupoint. The treatment principle is to use salty and cold substances to level it, assisted by sweet and bitter flavors, using sour flavor to astringe, bitter flavor to disperse, and then sour flavor to re-astringe.
After the middle of the year, Jue Yin Feng Mu takes charge. Wood can overcome Earth, and the Earthly Qi restricts the movement. Wind becomes rampant internally, the Earthly Qi becomes unclear, the plains become dim, and grasses and trees flower early. The people are prone to abdominal distension and frequent belching.
The First Qi period starts from the beginning of Yin hour on the day of Da Han (Major Cold) in the Gui Wei year, ending at the beginning of Zi hour on the day of Chun Fen (Spring Equinox) of this year, lasting 60 days and 87.5 ke. The Main Position is Tai Jiao Wood... [Text corruption here]. Cool air arrives. Use bitter flavor to drain. The Main Position Shao... [Text incomplete]... early withering. For 60... circulation. Its... Year Grain... Earthly Qi... [Text severely corrupted]. Combining context and Su Wen logic: The Fourth Qi, starting from noon on Da Shu (Great Heat) day until Xu hour on Autumn Equinox day, lasts over 60 days. Main Position is Tai Gong Earth, Guest Qi is Tai Yang Water. Central movement is Metal. Metal and Water generate each other, cold rain descends. Diseases include sudden collapse, tremors, delirium, dryness of the throat with thirst, heart pain, carbuncles, sores, malaria with chills, bone atrophy, and hematochezia. Treat the Guest Qi of Tai Yang with bitter to tonify, salty to drain, bitter to firm, and pungent to moisten. Year grain should be red (Dan), intercalary grain should be millet (Ji). Although there is cold transformation, it cannot become pathogenic.
Yang Ming Zao Jin (Dryness Metal) governs the Si Tian, Shao Yin Jun Huo (Ruler Fire) governs the Zai Quan, and the central Yun is Shao Shang Metal Movement. The Metal movement is deficient in this year, so Qi transformation operates behind time. Shao Shang Metal is deficient... [Text corruption]... nature is rigid and decisive... its... interval... Yang monopolizes the command, hot summer heat prevails, things become dry and hard. Pure wind arrives, wind and dryness move horizontally, flowing into the Qi intersection. There is much Yang and little Yin, damp transformation spreads, extreme dryness leads to moisture, hibernating insects appear, flowing water does not freeze. Metal and Fire combine their virtues, corresponding above to Bai Tai (Venus) and Ying Huo (Mars). The corresponding grains... Those destined for Tai, their consumption involves white-shelled and feathered creatures. Thus it is said that heat transformation and cold transformation victory and retaliation are the same, the degree of pathogenic Qi transformation. Dryness transformation is four, clarity transformation is four... degree of transformation. Suitability of year substances: shellfish remain quiet, birds breed. Restricted by Earthly Qi, shellfish are consumed. Cold toxins do not grow. Therefore, clarity... holds in the Qi intersection. Clarity comes first and is vigorous, hair-covered creatures die. Heat follows and is violent, shellfish suffer calamity. Their agitation causes people to suffer from cough, throat obstruction, tremors, and stranguria.
Before the middle of the year, Yang Ming Zao Jin is in charge. Its transformation is dryness, which is the administration of Heaven.
After the middle of the year, Shao Yin Jun Huo is in charge. Its command is heat, which is the transformation of Earth. Metal is Heavenly Qi, Fire is Earthly Qi. Fire can overcome Metal. Encountering Tai Yi... Tian Fu... remove its... center... day 87... water freezes... Yin's guest... Qi. From Spring... two Fires add up... premature death, suitable... cannot become pathogenic... Metal. Central movement... suitable to regulate Yang Ming... pathogen. This Qi, use coolness avoiding coolness, do not violate the coolness of the governing Qi.
The Fourth Qi, from noon on Great Heat day to Xu hour on Autumn Equinox day, lasts over 60 days. Main position is Tai Gong Earth, Guest Qi is Tai Yang Water, central movement is Metal. Metal and Water generate each other, cold rain descends. Sudden collapse, tremors, delirium, dry throat with thirst, heart pain, sores, malaria chills, bone atrophy, blood in stool. Treat Tai Yang's guest with bitter to tonify, salty to drain, bitter to firm, pungent to moisten. Year grain suitable is Dan (red), intercalary grain is Ji (millet). Even with cold transformation, it cannot act as a pathogen.
The Fifth Qi, from Hai hour on Autumn Equinox day to You hour on Minor Snow day, lasts over 60 days. Main position is Shao Shang Metal, Guest Qi is Jue Yin Wood, central movement is Metal. The year movement is in place, its Qi is balanced. Jue Yin resides here, spring commands reverse, grasses flourish, people are harmonious. Regulate Jue Yin's guest with pungent to tonify, sour to drain, sweet to relax. Year grain suitable is Dan (red), intercalary grain is Dao (rice). Even with wind transformation, it cannot act as a pathogen.
The Final Qi, from You hour on Minor Snow day to Wei hour on Major Cold day, lasts over 60 days. Main position is Tai Yu Water, Guest Qi is Shao Yin Fire, central movement is Metal. Fire overcomes Metal, Yang Qi spreads, climate is unexpectedly warm, hibernating insects appear, flowing water does not freeze, people are healthy and peaceful. Their disease is warmth. Treat Shao Yin's guest with salty to tonify, sweet to drain, sour to astringe. Year grain suitable is Dan (red), intercalary grain is Dou (beans). Even with heat transformation, it cannot act as a pathogen.
This is the normal pattern of the Six Qi. The great method of treatment is to level those that are harmonious, following each Qi, maintaining clarity and stillness, so that pathogenic Qi naturally declines and returns to its source. This is the general principle of treatment.