天地五运之郁，人身有五脏之应。结聚而不行，当升不升，当降不降，
当化不化，而郁病作矣。故或郁于气，或郁于血，或郁于表，或郁于里，或因郁而成病，或因病
而生郁，郁而太过者宜裁之、抑之，郁而不及者宜培之、助之，诸病多有兼郁者，故治有不同也。
天时∶岩谷震惊，雷殷气交，（升降之中，以三气四气之间。）埃昏黄黑，化为白气，川流
漫衍，田牧土驹，（洪水之后，群驹散牧于田野。）云奔雨府，（太阴湿聚之处。）霞拥朝阳，
山泽埃昏，其乃发也。土气被郁，所化皆迟。然土郁之发，必在三气四气之时，故犹能生长化成
不失其时也。
民病∶湿土为病。湿在中焦，故心腹胀。湿在下焦，故数后下利。心为湿乘，故痛。肝为湿
侮，故胁胀。呕吐者，霍乱者，注下浮肿身重者，皆土发湿邪之症。
治法∶土郁夺之。夺者，直取之也。土郁之病，湿滞之属也。其脏应脾胃，其
主在肌肉四肢，其伤在胸腹。土畏壅滞，凡滞在上者，夺其上，吐之可也。滞在中者，夺其中，
伐之可也。滞在下者，夺其下，泻之可也。凡此皆谓之夺，非独止于下也。
天时∶天洁地明，风清气切，大凉乃举，草树浮烟，燥气以行， 雾数起，杀气来至，草木
苍干，金乃有声，山泽焦枯，土凝霜卤，怫乃发也。金旺五之气，主秋分八月中后，凡六十日有
奇。
民病∶咳逆嗌干，肺病而燥也。心胁满，引少腹善暴痛，不可反侧，金气胜而伤肝也。金气肃
杀，故面色陈而恶也。
治法∶金郁泄之。泄者，疏利也。凡金郁之病，为敛为闭，为燥为塞之属也。其脏应肺与大肠，
其主在皮毛声息，其伤在气分。或解其表，或破其气，或通其便。
凡在表、在下、在上，皆为之泄也。
天地间的五运之郁结，在人体上对应着五脏的反应。气机结聚而不能运行，该升发的不升发，该下降的不下降，该转化的不转化，于是郁病就产生了。因此，有的郁结在气分，有的郁结在血分，有的郁结在体表，有的郁结在体内；有的因为郁结而生病，有的因为生病而产生郁结。对于郁结太过盛的，应当裁抑、压制；对于郁结不足的，应当培补、助益。各种疾病大多兼有郁结的情况，所以治疗方法各不相同。
天时气候：山谷震动惊响，雷声轰鸣于气交之中（处于三之气与四之气交替的时段），尘土飞扬使天空昏暗呈黄黑色，化为白色的雾气，河流泛滥漫溢，田野间如同洪水过后群驹散牧一般（指水退后田野景象），云层奔涌向雨府聚集（太阴湿气汇聚之处），朝霞拥抱着初升的太阳，山泽之间尘土昏暗，这就是土气郁结发作时的天象。土气被郁结，其所化生的万物都会迟缓。然而土郁发作，必定发生在三之气和四之气的时候，所以此时仍能生长化成而不失其时节。
民众病症：湿土邪气致病。湿气停留在中焦，所以出现心腹胀满；湿气停留在下焦，所以频繁腹泻。心受到湿邪侵犯，所以疼痛；肝受到湿邪欺侮，所以胁肋胀满。呕吐的，霍乱的，腹泻如水且浮肿身体沉重的，都是土气发动、湿邪为患的症状。
治疗方法：土郁应当用“夺”法治疗。“夺”，就是直接攻取的意思。土郁的病证，属于湿滞一类。其对应的脏腑是脾胃，主要影响肌肉四肢，损伤部位在胸腹。土性畏惧壅滞，凡是停滞在上部的，夺取上部的气机，使用吐法是可以的；停滞在中部的，夺取中部的气机，使用攻伐法是可以的；停滞在下部的，夺取下部的气机，使用泻下法是可以的。凡此种种都称为“夺”，并不仅仅局限于下部。
天时气候：天空洁净，大地明朗，风气清肃劲急，大凉之气兴起，草木笼罩在浮烟之中，燥气开始流行，雾霭多次升起，肃杀之气来到，草木苍老干枯，金属发出声响，山泽焦枯，土壤凝结成霜卤，这就是金气郁结发作时的天象。金气旺盛于五之气，主管秋分八月中之后，大约六十多天。
民众病症：咳嗽气逆、咽喉干燥，这是肺病且伴有燥邪。心胁部胀满，牵引少腹部经常突发疼痛，不能翻身侧卧，这是金气过胜而伤害肝脏。金气具有肃杀的特性，所以面色晦暗陈旧且令人厌恶。
治疗方法：金郁应当用“泄”法治疗。“泄”，就是疏利通畅的意思。凡是金郁的病证，属于收敛、闭塞、干燥、阻滞的一类。其对应的脏腑是肺与大肠，主要影响皮毛和呼吸，损伤部位在气分。或者解表，或者破气，或者通利大便。凡是病位在表、在下、在上的，都采用泄法治疗。
The stagnation of the Five Movements (Wu Yun) in heaven and earth corresponds to the reactions of the Five Zang Organs in the human body. When Qi mechanism gathers and fails to circulate, when it should ascend but does not ascend, when it should descend but does not descend, and when it should transform but does not transform, then diseases of stagnation arise. Therefore, stagnation may occur in Qi, or in Blood, or at the Exterior, or in the Interior; one may become ill due to stagnation, or develop stagnation due to illness. For excessive stagnation, it is appropriate to restrain and suppress it; for deficient stagnation, it is appropriate to tonify and assist it. Most diseases involve concurrent stagnation; thus, treatment methods vary.
Climatic Phenomena: Rocks and valleys shake with thunderous sounds, and loud thunder roars at the intersection of Qi (occurring between the Third and Fourth Qi phases). Dust rises, darkening the sky yellow-black, transforming into white misty air. Rivers overflow and spread widely, while fields and pastures resemble scenes after floods where foals graze freely. Clouds rush toward the Rain Mansion (where Taiyin Dampness gathers), and morning mists embrace the rising sun. Mountains and marshes are obscured by dust and haze; this is the manifestation of Earth Qi stagnation. When Earth Qi is stagnant, its transformations are delayed. However, since Earth Stagnation occurs during the Third and Fourth Qi periods, growth and transformation still proceed without missing their proper timing.
Public Health Manifestations: Diseases caused by Damp-Earth pathogenic factors. When Dampness resides in the Middle Jiao (Middle Burner), epigastric and abdominal distension occur. When Dampness resides in the Lower Jiao (Lower Burner), frequent diarrhea ensues. If the Heart is invaded by Dampness, pain results. If the Liver is oppressed by Dampness, hypochondriac distension occurs. Vomiting, cholera-like syndromes (Huo Luan), profuse watery diarrhea accompanied by edema and heaviness of the body, are all symptoms of Earth Qi activation and Dampness pathogenicity.
Treatment Principles: For Earth Stagnation, employ the "Du" (Plunder/Attack) method. "Du" refers to direct removal. Diseases of Earth Stagnation belong to the category of Dampness obstruction. The corresponding organs are the Spleen and Stomach; the primary domain involves muscles and four limbs; the site of injury is the chest and abdomen. Earth fears obstruction. If stagnation is located superiorly, remove it from above, using emesis is appropriate. If stagnation is located centrally, remove it from the middle, using purgation/attack is appropriate. If stagnation is located inferiorly, remove it from below, using catharsis/laxative therapy is appropriate. All these constitute "Du," which is not limited solely to the lower part.
Climatic Phenomena: The sky is clear, the earth bright, the wind is crisp and sharp, great coolness arises, grass and trees are shrouded in floating smoke, Dryness Qi begins to move, fog frequently rises, killing/somber Qi arrives, vegetation becomes pale and dry, Metal produces sound, mountains and marshes scorch and wither, soil congeals into frost and brine. This is the manifestation of Metal Qi stagnation. Metal Qi is prosperous during the Fifth Qi phase, governing the period after the Autumnal Equinox (mid-August), lasting slightly more than sixty days.
Public Health Manifestations: Coughing, counterflow Qi, and dry throat indicate Lung disease combined with Dryness. Fullness in the heart and hypochondrium, radiating to the lower abdomen with sudden severe pain, preventing turning over on either side, indicates Metal Qi excess injuring the Liver. Due to the肃杀 (Sousha - austere and killing/nature of autumn) quality of Metal Qi, the complexion appears dull and old, causing aversion.
Treatment Principles: For Metal Stagnation, employ the "Xie" (Drain/Unblock) method. "Xie" refers to dredging and promoting free flow. Diseases of Metal Stagnation belong to categories of constriction, closure, dryness, and blockage. The corresponding organs are the Lung and Large Intestine; the primary domain involves skin/hair and respiration; the site of injury is the Qi level. Treatment may involve releasing the Exterior, breaking Qi stagnation, or unblocking bowels. Whether the pathology is in the Exterior, Inferior, or Superior, the "Xie" method is applied.