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太阴湿土司天。太阳寒水在泉。中见少征火运。岁火不及。气化营运后天。湿化为天气。
丹
清
极。
。间谷命太角者。寒化雨化胜复同。邪气化度也。雨化五。火化二。寒化六。正化度也。阴
凝于上。寒积于下。寒水胜火。则为冰雹。阳光不治。杀气乃行。 虫静。鳞虫育。是为岁
物所宜。羽虫不成。热毒不生。是为地气所制。故有余宜高。不及宜下。有余宜晚。不及宜
早。土之利。气之化也。民气亦从之。其病寒湿。腹满身 。 肿痞逆。寒厥拘急。是岁
湿土在上。寒水在下。土能制水。天气盈。地气虚。宜取化源。以平土气。益其岁气。无使
邪胜。食 玄之谷以全其真。食间气之谷以保其精。岁宜以苦燥之温之。甚者发之泄之。不
发不泄。则湿气外溢。肉溃皮坼。而水血交流。必赞其阳火。令御甚寒。运异寒湿。其化宜
少用燥热。故曰其化上苦温。中咸温。下甘热。药食宜也。
岁半之前。太阴主之。湿淫所胜。则沉阴且布。雨变枯槁。民病 肿。骨痛阴痹。阴痹
者、
病本
散而
岁半之后。太阳主之。寒淫于内。则凝肃惨栗。民病少腹控睾。引腰脊上冲。心痛血见。
嗌
纪
承
彰伏变易。其发痛。其病昏惑悲忘。其化兼所不胜。夏有炳明光显之化。则冬有严肃霜寒之
政
络
民
雨
咸
初之气。自壬午年大寒日亥初。至是岁春分日酉初。凡六十日八十七刻半。主位太角木。
客
气条舒。风湿相搏。雨乃后。民病血溢。筋络拘强。关节不利。身重筋痿。宜调厥阴之客。
以
春
居
相搏
以咸补之。以甘泻之。以酸收之。岁谷宜 。间谷宜豆。虽有热化。不能为邪。三之气。
自小满日申初。至大暑日午初。凡六十日有奇。主位少征火。客气太阴土。中见火运。岁火
当位。湿化郁之。天政布。湿气降。地气腾。雨乃时降。寒乃随之。感于寒湿。则民病身重
。肿胸腹满。宜治太阴之客。以甘补之。以苦泻之。以甘缓之。岁谷宜 。间谷宜麻。虽
有湿邪。不能为害。四之气。自大暑日午正。至秋分日辰正。凡六十日有奇。主位太宫土。
客气少阳火。中见火运。气与运同。畏火临。溽蒸化。地气腾。天气否隔。寒风晓暮。蒸热
相搏。草木凝烟。湿化不流。则白露阴布。以成秋令。民病腠理热。血暴溢。疟。心腹满热
。胪胀。甚则 肿。宜治少阳之客。以咸补之。以甘泻之。以咸 之。岁谷宜玄。间谷宜豆
。虽有火邪。不能为害。是气也。无犯司气之热。五之气。自秋分日巳初。至小雪日卯初。
凡六十日有奇。主位少商金。客气阳明金。中见火运。气与运同。惨令已行。寒露下。霜乃
早降。草木黄落。寒气及体。君子周密。民病肤腠。宜调阳明之客。以酸补之。以辛泻之。
以苦泄之。岁谷宜玄。间谷宜黍。虽有燥化。不能为邪。终之气。自小雪日卯正。至大寒日
丑正。凡六十日有奇。主位太羽水。客气太阳水。中见火运。水当其位。而能胜火。寒大举
。湿大化。霜乃积。阴乃凝。水坚冰。阳光不治。感于寒。则病患关节禁固。腰 痛。寒热
持于气交而为疾也。宜调太阳之客。以苦补之。以咸泻之。以苦坚之。以辛润之。岁谷宜玄。
间谷宜稷。虽有寒化。不能为邪。此六节之气也。气交之化。天气胜者。则有厥阴之复。地
气胜者。则有太阴之复。
各根据其胜复法治之。
【图】psjzl20.bmp
太阴湿土之气主司天，太阳寒水之气在泉。中运为少徵火运。岁火不及，气化营运滞后于天时。湿气化为天气（主导气候特征）。清气至极。
间谷（指与主运相克的年份所对应的谷物）命为太角者，表示寒化与雨化的胜复之气相同，这是邪气变化的程度。雨化数为五，火化数为二，寒化数为六，这是正化之数。
阴气凝结于上，寒气积聚于下。寒水克制心火，则出现冰雹。阳光不能正常发挥作用，肃杀之气于是流行。羽虫安静，鳞虫繁育，这是岁物生长所适宜的情况。羽虫不能成熟，热毒不能滋生，这是地气（寒水）所制约的结果。所以，有余之年宜在高处居住，不及之年宜在低处居住；有余之年发病较晚，不及之年发病较早。这是土的利导作用，也是气化的规律，民众的生理气息也随之顺应。这一年的疾病多为寒湿所致，表现为腹部胀满、身体浮肿、痞塞逆气、寒厥拘急。这是因为岁湿土在上，寒水在下，土能制水，但天气盈盛而地气虚弱，应当取法化源，以平抑土气，补益岁气，不要使邪气胜过正气。食用黑色（属水/玄色）的谷物以保全真气，食用间气之谷以保养精气。这一年适宜用苦味药燥湿、温药散寒。病情严重的，用发汗法或泄下法治疗。如果不发汗也不泄下，湿气就会外溢肌肤，导致肌肉溃烂、皮肤破裂，血水交流。必须资助阳气之火，使其抵御严寒。因为运化不同于单纯的寒湿，其变化适宜少用燥热之品。所以说，其变化在上部宜用苦温，中部宜用咸温，下部宜用甘热。这是药物和饮食适宜的法则。
岁半之前，由太阴湿土主令。湿气淫盛，则沉阴之气布散，雨水变化导致草木枯槁。民众患病见浮肿、骨痛、阴痹。所谓阴痹，是指……（原文此处有缺漏或排版错误，依文意推测为病本在内，气机散乱等，但严格按原文翻译则保留空缺或略过不通之处，此处原文“病本 散而”似有脱字，暂译为：病本在于……气机散乱）。
岁半之后，由太阳寒水主令。寒气淫盛于内，则气候凝肃惨栗。民众患病见少腹牵引睾丸，牵连腰脊向上冲逆，心痛，出血。咽喉……（原文“嗌 ”后有缺字，通常指嗌干或嗌痛，此处依原文留白或略过）。承……（原文“纪 承 彰伏变易”语序混乱或有缺字，意指运气承袭、显隐、伏藏的变化）。其发作时疼痛，病症表现为昏惑、悲伤健忘。其气化兼有所不胜之气的影响。夏季有明亮光显的气化，则冬季有严肃霜寒的政令。
初之气，从壬午年大寒日亥初开始，到本年春分日酉初结束，共六十日八十七刻半。主位为太角木，客气条达舒畅。风湿相互搏结，雨水来得较晚。民众患病见血溢、筋络拘强、关节不利、身体沉重、筋痿。适宜调理厥阴风木的客气。用咸味药补之，用甘味药泻之，用酸味药收之。岁谷适宜黑色（玄），间谷适宜豆类。虽然有热化，但不能成为邪气。
三之气，从小满日申初开始，到大暑日午初结束，共六十余日。主位为少徵火，客气为太阴土，中见火运，岁火当位。湿气郁遏火气，天政布散，湿气下降，地气上升，雨水按时降下，寒气随之而来。感受寒湿，则民众患病见身体沉重、浮肿、胸腹胀满。适宜治疗太阴湿土的客气。用甘味药补之，用苦味药泻之，用甘味药缓之。岁谷适宜黑色（玄），间谷适宜麻类。虽然有湿邪，但不能为害。
四之气，自大暑日午正开始，到秋分日辰正结束，共六十余日。主位为太宫土，客气为少阳火，中见火运，气与运同。畏火临位，溽蒸之气化生。地气上升，天气阻隔，寒风早晚吹拂，蒸热相互搏结，草木笼罩烟雾，湿气不流通，则白露阴气布散，以成就秋令。民众患病见腠理热、血液暴溢、疟疾、心腹胀满热、胪胀，严重时出现浮肿。适宜治疗少阳相火的客气。用咸味药补之，用甘味药泻之，用咸味药……（原文“以咸 之”缺动词，通常指软坚或润下，此处依原文略过或缺失处理）。岁谷适宜黑色（玄），间谷适宜豆类。虽然有火邪，但不能为害。这个时段，不要侵犯司天之气的热性。
五之气，从秋分日巳初开始，到小雪日卯初结束，共六十余日。主位为少商金，客气为阳明金，中见火运，气与运同。肃杀的命令已经施行，寒露下降，霜早早降落，草木黄落。寒气及体，君子应周密防寒，民众患病见皮肤腠理不适。适宜调理阳明燥金的客气。用酸味药补之，用辛味药泻之，用苦味药泄之。岁谷适宜黑色（玄），间谷适宜黍米。虽然有燥化，但不能成为邪气。
终之气，从小雪日卯正开始，到大寒日丑正结束，共六十余日。主位为太羽水，客气为太阳水，中见火运，水当其位，能够胜火。寒气大兴，湿气大化，霜积存，阴气凝结，水结成坚冰，阳光不能发挥作用。感受寒气，则民众患病见关节禁固、腰痛（原文“腰 痛”缺字，通常为腰痛）、寒热交替持续于气交之中而致病。适宜调理太阳寒水的客气。用苦味药补之，用咸味药泻之，用苦味药坚之，用辛味药润之。岁谷适宜黑色（玄），间谷适宜稷米。虽然有寒化，但不能成为邪气。
这就是六节之气。气交的变化，如果天气胜，则有厥阴风木的复气；如果地气胜，则有太阴湿土的复气。各自根据它们的胜复规律来治疗。
[Figure] psjzl20.bmp
Taiyin Shitu (Too Yin Damp Earth) governs the Heaven Qi, and Taiyang Hanshui (Too Yang Cold Water) resides in the Earth. The central movement is Shaozheng Huoyun (Lesser Zhi Fire Movement). The year's Fire is insufficient, so the Qi transformation and operation lag behind the natural timing. Dampness transforms into Heaven Qi. Clear Qi reaches its extreme.
For grains corresponding to Taijue (Greater Jue Wood), the Cold transformation and Rain transformation of excess and reaction are the same; this represents the degree of pathogenic Qi transformation. The number for Rain transformation is five, for Fire transformation is two, and for Cold transformation is six; these are the numbers of correct transformation.
Yin Qi condenses above, and Cold Qi accumulates below. When Cold Water overcomes Fire, hail occurs. The Sun's warmth fails to function properly, and killing (autumnal/winter) Qi begins to prevail. Winged insects remain quiet, while scaled insects breed; this is what suits the year's objects. Winged insects do not mature, and heat toxins do not generate; this is restricted by Earth Qi. Therefore, in years of excess, one should dwell in high places; in years of insufficiency, in low places. In years of excess, disease onset is late; in years of insufficiency, it is early. This is the benefit of Earth and the transformation of Qi; people's physiological Qi also follows this. Diseases in such a year are caused by Cold-Damp, manifesting as abdominal fullness, body swelling, epigastric distension with counterflow, cold jue with spasms and stiffness. This is because Sui Wet Earth is above and Cold Water is below; Earth can control Water, but Heaven Qi is abundant while Earth Qi is deficient. One should take the source of transformation to level Earth Qi, augment the Sui Qi, and prevent pathogenic Qi from overcoming healthy Qi. Eat black-colored (Xuan) grains to preserve true Qi, and eat grains of the inter-qi to protect essence. For this year, it is suitable to use Bitter flavors to dry dampness and Warm methods to dispel cold. For severe cases, use Diaphoresis (Sweating) or Purging methods. If neither diaphoresis nor purging is used, dampness will overflow externally, causing muscle ulceration and skin cracking, leading to the mixing of water and blood. One must assist Yang Fire to resist severe cold. Since the movement differs from simple cold-damp, its transformation is suitable for sparing use of Dry-Hot substances. Thus it is said: its transformation above is Bitter-Warm, middle is Salty-Warm, and below is Sweet-Hot. This is the suitability of medicine and food.
Before the midpoint of the year, Taiyin governs. When Dampness prevails excessively, deep Yin Qi spreads, and rain changes cause withering. People suffer from edema, bone pain, and Yin Bi (Cold Bi syndrome affecting the yin regions). Yin Bi refers to... [text missing/garbled].
After the midpoint of the year, Taiyang governs. When Cold prevails internally, the climate becomes condensed, solemn, and chilling. People suffer from lower abdomen pulling to the testicles, radiating to the waist and spine with upward rushing, heart pain, and bleeding. Throat... [text missing]. The succession... [text garbled]. Its onset involves pain, and the disease manifests as confusion, sorrow, and forgetfulness. Its transformation combines with the qi it cannot overcome. Summer has bright and luminous transformations, thus winter has stern and frosty regulations.
First Qi period: From Hai hour on Great Cold day of Renwu year to You hour on Spring Equinox day of this year, totaling 60 days and 87.5 ke. The main position is Taijue Wood. Guest Qi is gentle and comfortable. Wind-Damp struggle against each other, and rain comes late. People suffer from blood effusion, tendon meridian stiffness, joint disadvantage, heavy body, and tendon flaccidity. It is suitable to regulate the Guest Qi of Jueyin. Supplement with Salty, drain with Sweet, and astringe with Sour. Year grain should be Black (Xuan); inter-grain should be Beans. Although there is Heat transformation, it cannot become pathogenic.
Third Qi period: From Shen hour on Grain Full day to Wu hour on Great Heat day, totaling over 60 days. Main position is Shaozheng Fire. Guest Qi is Taiyin Earth. Central Fire Movement matches. Year Fire is in position. Dampness stagnates it. Heaven policy spreads, Dampness descends, Earth Qi rises. Rain falls on time, Cold follows. Contracting Cold-Damp leads to diseases of heavy body, edema, chest and abdominal fullness. Treat Taiyin Guest Qi. Supplement with Sweet, drain with Bitter, and relax with Sweet. Year grain should be Black (Xuan); inter-grain should be Hemp. Although there is Damp pathogen, it causes no harm.
Fourth Qi period: From Wu hour on Great Heat day to Chen hour on Autumn Equinox day, totaling over 60 days. Main position is Taigong Earth. Guest Qi is Shaoyang Fire. Central Fire Movement matches. Qi and Movement are identical. Fearful Fire arrives, humid steaming transforms. Earth Qi rises, Heaven Qi is blocked. Cold wind blows morning and evening. Steaming heat struggles, grasses and trees are shrouded in smoke. Dampness does not flow, so White Dew Yin Qi spreads, forming Autumn decree. People suffer from acupore heat, sudden blood effusion, malaria, heart and abdominal fullness-heat, abdominal distension, and severely, edema. Treat Shaoyang Guest Qi. Supplement with Salty, drain with Sweet, and... [verb missing]. Year grain should be Black (Xuan); inter-grain should be Beans. Although there is Fire pathogen, it causes no harm. In this period, do not violate the heat of the governing Qi.
Fifth Qi period: From Si hour on Autumn Equinox day to Mao hour on Minor Snow day, totaling over 60 days. Main position is Shaoshang Metal. Guest Qi is Yangming Metal. Central Fire Movement matches. Qi and Movement are identical. Stern decree has acted. Cold dew descends, frost falls early. Grasses and trees yellow and fall. Cold air reaches the body. Gentlemen should be careful and covered. People suffer from skin and acupore issues. Regulate Yangming Guest Qi. Supplement with Sour, drain with Pungent, and drain with Bitter. Year grain should be Black (Xuan); inter-grain should be Millet (Shu). Although there is Dry transformation, it cannot become pathogenic.
Final Qi period: From Mao hour on Minor Snow day to Chou hour on Great Cold day, totaling over 60 days. Main position is Taiyu Water. Guest Qi is Taiyang Water. Central Fire Movement matches. Water is in position and can overcome Fire. Cold greatly rises, Dampness greatly transforms. Frost accumulates, Yin condenses. Water forms hard ice. Sunlight fails to function. Contracting Cold leads to diseases of joint stiffness, back pain [missing character], and alternating cold and heat persisting at the Qi intersection. Regulate Taiyang Guest Qi. Supplement with Bitter, drain with Salty, firm with Bitter, and moisten with Pungent. Year grain should be Black (Xuan); inter-grain should be Foxtail Millet (Ji). Although there is Cold transformation, it cannot become pathogenic.
These are the Six Jie Qi periods. Transformations at the Qi intersection: if Heaven Qi prevails, there is a reaction of Jueyin; if Earth Qi prevails, there is a reaction of Taiyin. Treat each according to their respective excess-reaction laws.