岁运有余属先天，为大过之年。甲丙戊庚壬。（五阳刚之年。）
六甲年。（甲己化土。）甲为阳刚之土，土太过是谓敦（浓也。）阜。（高也。）万物之化，
无不赖土以克成。土本高浓，在山川烟埃朦郁，土之气也。雨湿流行，（湿生则燥避。）土之化
湿，土胜克水，故肾脏受邪，治当以除湿补肾。脾属土，甚则土邪有余，脾经自病。脾主肌肉，
外应四肢。肌肉痿，行善 ，（抽掣。）脚下痛。脾太过则令四肢不举。脾虚则腹鸣飧泄不化。其德
浓重，故其政安静。其动柔润重淖，（泥湿。）其变震惊飘聚，（雷霆暴风。）崩溃。（洪水
冲突。）此以土极而兼木复之化。其谷稷麻，（稷土谷，麻木谷。）其果枣李，（枣土果，李木果。）
其畜犬牛，（牛土畜，犬木畜。育齐也。）其虫 毛。（土气有余， 毛齐化。）太溪，肾脉也，
土亢则肾绝，故死不治。
六丙年。（丙辛化水。）丙为阳刚之水，水太过为流衍之纪。水胜则阴气大行，天地闭而万物封
藏。岁水太过，寒气流行，寒病乃生，邪害心火。水化寒，水胜则克火，故心脏受邪。治当以逐
寒补心。民病身热烦躁，心悸阴厥，上下中寒，谵妄心痛。甚则水邪有余，肾脏自病。肾病则腹大
胫肿，喘咳身重寝汗。其德凝惨寒 ，
（雨雪貌。）其动漂（浮于上。）泄（泻于上。）沃（灌也。）涌，（溢也。）其变（非时而有曰变）。冰
雪霜雹，其病胀，（水气盛。）其象冬，其气坚，其谷豆稷，（豆水谷，稷土谷。）其果栗枣，
其畜彘牛，（彘水畜，牛土畜。）其虫鳞 。（水有余故鳞 育。）神门，心脉也，水亢则心绝，
故不治。
六戊年。（戊癸化火。）戊为阳刚之火，火太过乃赫曦之纪，阳光炎盛也。阳盛则万物俱盛，阴
气内化，阳气外荣，阴降于下，阳升于上也。民病火邪伤阴，寒热交争，故为疟。火克肺金，令
人喘咳。火逼血妄行于上，故口鼻出血。下泄于二便，故水泄注下。火炎上焦，则咽干耳聋。肩
背皆痛，其动炎灼妄扰，火盛之害也。其德暄暑郁蒸，热化所行，其应夏也。其变炎烈沸腾，火
气太过，热极之变也。其病笑疟疮疡，血流狂妄目赤，皆火盛也。若火不能务其德，暴烈其政，
甚则雨水霜雹，则金气受伤，水必来复之，故其为灾如此。而寒邪反伤心也。其谷麦豆，（其麦火
谷，其豆水谷。）其果杏栗，（杏火果，栗水果。）其畜羊彘，（羊火畜，彘水畜，其育齐也。）
其虫羽鳞。（羽属火，鳞属水。）太渊，肺脉也，火亢则肺绝救，故死不治。
六庚年。（乙庚化金。）庚为阳刚之金，金太过乃坚成之纪，万物收引而退避也。岁金太过，燥
气流行，燥病乃生，肝木受邪，治当清燥补肝。民病两胁下少腹痛，目赤觜疡，耳无所闻，皆肝
胆经病。金气太过则肃杀甚，故伤及肝经。若肝不及，则令人胸痛引背，下则两胁 胀，甚则不
可反侧，金伤于肝也。金邪有余，肺经自病，故喘咳气逆，肩背痛。金病不能生水，以致肾阴亦
病，故尻阴股膝髀 足皆痛。其德雾露萧 ，清肃之化也。其变肃杀凋零，杀令行也。其动暴折，
（金气有余。）疡疰。（皮肤之疾。）金不务德而暴害乎木，火必报复而金反受伤。其病喘喝，
胸臆仰息。火乘肺金，故其病咳，其谷稻黍，其果桃杏，其畜鸡马，其虫介羽。太冲者，肝脉也，
金亢则肝绝，故死不治。
六壬年。（丁壬化木。）壬为阳刚之木，布散阳和，发生万物之象也。木和相生，则阳和布化，
阳气日进而阴气日退。岁木太过，木之化风，风气流行，风病乃生。木胜则克脾土，故脾脏受邪，
治当平肝木以补脾土。木太过侮土，则金必复之。故乘秋令而为灾如此。至其为病，则邪反伤肝
矣。民病飧泻，食减体重，烦冤肠鸣，腹
胁支满，皆脾虚气衰所致。木胜肝强，故善怒眩冒巅疾，甚则反胁痛而吐甚。（木邪伤胃。）其动掉
眩巅疾，（风木太过。）其德鸣（风木声。）靡（散也。）启拆，（即发陈之义）。其变振（怒。）拉（败拆。）
摧拔，其谷麻稻，（麻木谷，稻金谷）。其果桃李，（李木果，桃金果）。其畜鸡犬，（鸡金畜，
犬木畜。）其虫毛介。冲阳，胃脉也，木亢则胃绝，故死不治。
岁运不及属后天，为不及之年。乙丁己辛癸。（五阴年。）
六丁年。（丁壬化木。）丁为阴柔之木，木气不及，是谓委和之纪。阳和委屈，发生少也。木气
衰，土气无制也。火无所生，故长自平。木衰金胜，故收气乃早。岁木不及，燥乃大行，（木不及，
则金乘之。）燥病乃生。生气不政，物秀而实，草木晚荣，凉雨时降，风云并兴。民病中清， 胁满，
少腹痛。金气乘木，乃肝之病也。肠鸣溏泄，木不生火，乃脾之寒也。其病肢废痈肿疮疡。木被
金伤，肝筋受病，风淫末疾，故为肢废痈肿疮疡，所由生也。其主飞蠹蛆雉，（蛆化为蝇，其性喜
暖，火运之年尤多。雉火禽，凡此皆火复之理也。）其气敛，其用聚，（木兼金化，收气胜也。）其
谷稷稻，（稷土谷，稻金谷。木不及，二谷当成。）其果枣桃，（枣土果，桃金果。木不及则二果盛。）
其畜犬鸡，（犬木畜，鸡金畜。）
其虫毛介。（毛木虫，介金虫。）草木晚荣，（木不及。）苍干凋落。（金盛之。）物秀而实，肤肉内充。生
气虽晚，化气速成故也。阳明上临，金气清肃，故为白露早降。金胜火必衰，火衰土必弱。虫蚀
甘黄，甘黄属土，而阴气蚀之，故虫生焉。（观晒能除蛀，则虫为阴物可知。）胜复皆因于木，
故灾眚在三，东方震宫也。
六乙年。（乙庚化金。）乙为阴柔之金，金气不及，是谓从革之纪。岁金不及，而火气乘旺，故灾
乃大行，热病乃生。治当清肺降火。民病肩背（瞀闷），重鼽嚏，（鼻流清涕。）血便注下，金
受火邪，故为此诸症。金衰火亢，水来复之，故寒雨暴至，乃令冰雹霜雪，灾伤万物，寒之变也。
是谓无根之火，故为头脑户痛，延及脑项，发热，口疮，心痛等症。炎光赫烈，则冰雪霜雹，乃
火盛金也。其病咳喘，鼽衄，火有余而病及肺也。其谷麻麦，（麻木谷，麦火谷。二谷成。）其果
杏李，（李木果，杏火果。金不及故二果成。）其畜鸡羊，（鸡金畜，当衰；羊火畜，当盛。）其
虫介羽。（介金虫，羽火虫。）胜复皆因于金，故灾眚在七，西方兑宫也。
六己年。（甲己化土。）己为阴柔之土，土气不及，是为卑监之纪，则木气乘旺，故风气盛行，
治当以益脾平肝。化气失令，木专其政，则草木荣美。发生在木而成实在土。土气不冲，故秀而
不实，成而 也。土德衰，故雨愆期。金无所生，故收气平也。民病飧泄霍乱，体重腹痛，筋骨
繇（摇也。）复，（摇动反复。）肌肉 酸善怒，蛰虫早附。凡此飧泄等症，皆脾弱肝强所致。
土衰木旺，金乃复之。（子复母仇。）其为胸胁暴痛，下引少腹者，肝胆病也。其土脏病，则为涌沤，
肉理病则为疮疡溃烂痈肿。其病胸满痞塞，土气不足，而脾不运也。其病飧泄，土衰风胜也。
其谷豆麻，（豆水谷，麻木谷。二谷成。）其果李栗，（李木果，栗水果。土不及，故二果成。）
其畜牛犬，（牛为土畜，当衰；犬为木畜，当盛。）其虫 毛。（ 属土，毛属木。）胜复皆因
于土，故灾眚见于四维。土位中宫，而寄旺于四隅，辰戌丑未土也。
六辛年。（丙辛化水。）辛为阴柔之水，水气不及，是为涸流之纪，则源流干涸也。六辛阴水之
年，阳反用事。水不及而湿土乘之，故湿病乃生，治当补肾除湿。水衰则火土同化，故气反用，
其化乃速，暑雨数至。民病腹满，身重濡泄，寒疡流水，腰股痛，足痿清厥，（寒厥。）脚下痛，
甚则附肿，（附同浮。）脏气（水气。）不收，肾气不衡，
（平也。不收不衡，水气衰也。）火无所畏，故蛰虫不藏也。草木条茂，荣秀满盛，长化之气丰而
浓也。埃 骤雨，（土胜水。）则振拉摧拔。（木复土。）其病癃闭，肾气不化也。水不及故邪
伤肾也。其谷黍稷，（黍火谷；稷土谷。二谷当成。黍火谷，而本经作麦。）其果枣杏，（枣土果，
杏火果。水不及，则二果成。）其畜彘牛，（彘水畜，当衰；牛土畜，当旺。）其虫鳞 。（鳞水虫，
土虫。盛衰亦然。）胜复皆因于水，故灾眚在一，北方坎宫也。
六癸年。（戊癸化火。）癸为阴柔之火，火气不及，是谓伏明之纪。阳德不彰，光明伏也。岁火
不及，而金乘之，故寒乃大行，寒病乃生，治当补心逐寒。火不及，生物不长，成实而稚，遇化
已老。物之成实者，惟稚而短，及遇土化之令，而气已老矣。阳气屈伏，蛰虫早藏，阳不施于物
也。民病胸中痛，胁支满，两胁痛，脊背肩胛间及两臂内痛。凝惨栗烈，（水胜火。）豪雨霪
霖，（土复水。）雷霆震惊，（火郁达之。）沉阴淫雨。（此皆湿复之变。）其主冰雪霜寒，
水反胜也。其病昏惑悲忘，乃火不足，而心神溃也。其谷豆稻，（豆水谷，稻金谷。二谷成。）
其果栗桃，（栗水果，桃金果。火不及，故二果成。）其畜马彘，（马火畜，当衰；彘水畜，
当旺。）其虫羽鳞。（羽属火，鳞属水。有盛衰。）盛复皆因于
火，故灾眚在九，南方离宫也。
岁运有余属于先天禀赋，是大过之年。对应天干为甲、丙、戊、庚、壬。（这是五个阳刚之年。）
六甲年。（甲己化土。）甲是阳刚之土，土气太过称为“敦”（浓厚之意）和“阜”（高厚之意）。万物的生化，无不依赖土来完成。土本性高厚，在自然界表现为山川烟雾尘埃朦胧郁结，这是土的气象。雨湿之气流行，（湿气生发则燥气退避。）土的气化属性为湿，土胜则克制水，所以肾脏受邪，治疗应当以除湿补肾为主。脾属土，病情严重时土邪有余，脾经自身发病。脾主肌肉，外应四肢。出现肌肉痿软，行走时腿部抽掣，（抽搐牵引。）脚底疼痛。脾气太过会导致四肢不能举动。脾虚则腹部鸣响，完谷不化的飧泄。土的德性浓厚庄重，所以其政令安静。其运动状态柔和湿润泥泞，（如泥湿状。）其变化表现为震惊飘聚，（雷霆暴风。）崩溃，（洪水冲突。）这是土气极盛而兼有木气来复的生化规律。对应的谷物是稷和麻，（稷为土谷，麻为木谷。）对应的果实是枣和李，（枣为土果，李为木果。）对应的牲畜是犬和牛，（牛为土畜，犬为木畜。指孕育整齐。）对应的虫类是倮虫和毛虫。（土气有余，倮虫和毛虫共同繁育。）太溪穴是肾脉所在，土气亢盛则肾气绝，所以死亡且无法救治。
六丙年。（丙辛化水。）丙是阳刚之水，水气太过称为“流衍”之纪。水胜则阴气大行，天地闭塞而万物封藏。岁水太过，寒气流行，寒病于是产生，邪气伤害心火。水的气化属性为寒，水胜则克火，所以心脏受邪。治疗应当以逐寒补心为主。百姓患病身体发热烦躁，心悸阴厥，上下及中部皆寒，胡言乱语心痛。严重时水邪有余，肾脏自身发病。肾病则腹部胀大，小腿肿胀，气喘咳嗽，身体沉重，睡中出汗。土的德性凝结凄惨寒冷，（雨雪景象。）其运动漂浮，（浮于上。）泄泻，（泻于上。）灌溉，（灌也。）涌溢，（溢也。）其变化（非时令而有称为变）为冰雪霜雹，其病症为胀满，（水气盛。）其象对应冬季，其气坚硬，对应的谷物是豆和稷，（豆为水谷，稷为土谷。）对应的果实是栗和枣，对应的牲畜是猪和牛，（猪为水畜，牛为土畜。）对应的虫类是鳞虫和倮虫。（水有余故鳞虫和倮虫繁育。）神门穴是心脉所在，水气亢盛则心气绝，所以无法救治。
六戊年。（戊癸化火。）戊是阳刚之火，火气太过称为“赫曦”之纪，阳光炎热盛大。阳气盛则万物俱盛，阴气在内化育，阳气在外荣养，阴降于下，阳升于上。百姓患病因火邪伤阴，寒热交争，所以发生疟疾。火克肺金，使人气喘咳嗽。火逼迫血液妄行于上，所以口鼻出血。向下排泄于二便，所以水样泄泻注下。火炎上焦，则咽喉干燥耳聋。肩背皆痛，其运动状态炎灼妄扰，是火盛的害处。其德性温暖暑热郁蒸，是热化的推行，其应验在夏季。其变化为炎烈沸腾，是火气太过，热极的变化。其病症为笑疟疮疡，血流狂妄目赤，都是火盛所致。如果火不能履行其德性，暴烈其政令，严重时雨水霜雹，则金气受伤，水必来报复，所以灾害如此。而寒邪反而伤心。对应的谷物是麦和豆，（麦为火谷，豆为水谷。）对应的果实是杏和栗，（杏为火果，栗为水果。）对应的牲畜是羊和猪，（羊为火畜，猪为水畜，其孕育整齐。）对应的虫类是羽虫和鳞虫。（羽属火，鳞属水。）太渊穴是肺脉所在，火气亢盛则肺气绝，所以死亡无法救治。
六庚年。（乙庚化金。）庚是阳刚之金，金气太过称为“坚成”之纪，万物收敛退缩而避让。岁金太过，燥气流行，燥病于是产生，肝木受邪，治疗应当清燥补肝。百姓患病两胁下少腹痛，眼睛红赤嘴角生疮，耳朵听不见声音，都是肝胆经的病。金气太过则肃杀严重，所以伤害肝经。如果肝气不足，则使人胸痛牵引背部，向下则两胁胀满，严重时不能翻身侧卧，这是金伤于肝。金邪有余，肺经自身发病，所以气喘咳嗽气逆，肩背痛。金病不能生水，导致肾阴也生病，所以尻骨、阴部、大腿、膝盖、大腿根、足部都疼痛。其德性雾露萧瑟，是清肃的生化。其变化为肃杀凋零，是杀令施行。其运动猛烈折断，（金气有余。）疡疰。（皮肤疾病。）金不务德而暴害木，火必报复而金反受伤。其病症为喘喝，胸臆仰息。火乘肺金，所以其病咳嗽，对应的谷物是稻和黍，对应的果实是桃和杏，对应的牲畜是鸡和马，对应的虫类是介虫和羽虫。太冲穴是肝脉所在，金气亢盛则肝气绝，所以死亡无法救治。
六壬年。（丁壬化木。）壬是阳刚之木，布散阳和之气，是发生万物的景象。木气和顺相生，则阳和布化，阳气日进而阴气日退。岁木太过，木的气化为风，风气流行，风病于是产生。木胜则克脾土，所以脾脏受邪，治疗应当平肝木以补脾土。木太过侮土，则金必来报复。所以在秋季成为灾害如此。至于其发病，则邪气反而伤肝。百姓患病飧泻，食欲减退体重减轻，烦闷肠鸣，腹部胁肋支撑胀满，都是脾虚气衰所致。木胜肝强，所以容易愤怒眩晕头顶疾病，严重时反而胁痛呕吐严重。（木邪伤胃。）其运动掉眩巅疾，（风木太过。）其德性鸣响，（风木声。）靡散，（散也。）启拆，（即发陈的意义。）其变化震动，（怒。）拉拽，（败拆。）摧拔，对应的谷物是麻和稻，（麻为木谷，稻为金谷。）对应的果实是桃和李，（李为木果，桃为金果。）对应的牲畜是鸡和犬，（鸡为金畜，犬为木畜。）对应的虫类是毛虫和介虫。冲阳穴是胃脉所在，木气亢盛则胃气绝，所以死亡无法救治。
岁运不及属于后天运势，是不及之年。对应天干为乙、丁、己、辛、癸。（五个阴年。）
六丁年。（丁壬化木。）丁是阴柔之木，木气不及，称为“委和”之纪。阳和之气委屈，发生之力少。木气衰弱，土气无制约。火无所生，所以长夏之气自平。木衰金胜，所以收敛之气乃早。岁木不及，燥气大行，（木不及，则金乘之。）燥病于是产生。生气不施政令，植物秀而不实，草木晚荣，凉雨时常降落，风云并兴。百姓患病中部清冷，胁肋胀满，少腹痛。金气乘木，是肝的病。肠鸣溏泄，木不生火，是脾的寒证。其病症为肢体废用痈肿疮疡。木被金伤，肝筋受病，风淫末疾，所以产生肢体废用痈肿疮疡的原因。其主宰飞蠹蛆雉，（蛆化为蝇，其性喜暖，火运之年尤多。雉为火禽，凡此皆是火复的道理。）其气收敛，其作用聚集，（木兼金化，收气胜也。）对应的谷物是稷和稻，（稷为土谷，稻为金谷。木不及，二谷当成。）对应的果实是枣和桃，（枣为土果，桃为金果。木不及则二果盛。）对应的牲畜是犬和鸡，（犬为木畜，鸡为金畜。）对应的虫类是毛虫和介虫。（毛为木虫，介为金虫。）草木晚荣，（木不及。）苍干凋落。（金盛之。）植物秀而充实，肤肉内充。生气虽晚，化气速成所以如此。阳明上临，金气清肃，所以白露早降。金胜火必衰，火衰土必弱。虫蚀甘黄，甘黄属土，而阴气蚀之，所以虫生焉。（观察日晒能除蛀，则知虫为阴物可知。）胜复皆因于木，所以灾眚在三宫，东方震宫也。
六乙年。（乙庚化金。）乙是阴柔之金，金气不及，称为“从革”之纪。岁金不及，而火气乘旺，所以灾害乃大行，热病于是产生。治疗应当清肺降火。百姓患病肩背闷重，鼻塞喷嚏，（鼻流清涕。）血便注下，金受火邪，所以有此诸症。金衰火亢，水来复之，所以寒雨暴至，乃令冰雹霜雪，灾伤万物，是寒的变化。这称为无根之火，所以为头脑户痛，延及脑项，发热，口疮，心痛等症。炎光赫烈，则冰雪霜雹，是火盛金衰。其病症为咳喘，鼻塞衄血，火有余而病及肺也。对应的谷物是麻和麦，（麻为木谷，麦为火谷。二谷成。）对应的果实是杏和李，（李为木果，杏为火果。金不及故二果成。）对应的牲畜是鸡和羊，（鸡为金畜，当衰；羊为火畜，当盛。）对应的虫类是介虫和羽虫。（介为金虫，羽为火虫。）胜复皆因于金，所以灾眚在七宫，西方兑宫也。
六己年。（甲己化土。）己是阴柔之土，土气不及，称为“卑监”之纪，则木气乘旺，所以风气盛行，治疗应当益脾平肝。化气失令，木专其政，则草木荣美。发生在木而成实在土。土气不冲，所以秀而不实，成而不育。土德衰，所以雨愆期。金无所生，所以收敛之气平也。百姓患病飧泄霍乱，体重腹痛，筋骨摇动反复，（摇动反复。）肌肉酸痛易怒，蛰虫早附。凡此飧泄等症，都是脾弱肝强所致。土衰木旺，金乃复之。（子复母仇。）其为胸胁暴痛，下引少腹者，是肝胆病。其土脏病，则为涌沤，肉理病则为疮疡溃烂痈肿。其病症为胸满痞塞，土气不足，而脾不运也。其病症为飧泄，土衰风胜也。对应的谷物是豆和麻，（豆为水谷，麻为木谷。二谷成。）对应的果实是李和栗，（李为木果，栗为水果。土不及，故二果成。）对应的牲畜是牛和犬，（牛为土畜，当衰；犬为木畜，当盛。）对应的虫类是倮虫和毛虫。（倮属土，毛属木。）胜复皆因于土，所以灾眚见于四维。土位中宫，而寄旺于四隅，辰戌丑未土也。
六辛年。（丙辛化水。）辛是阴柔之水，水气不及，称为“涸流”之纪，则源流干涸也。六辛阴水之年，阳反用事。水不及而湿土乘之，所以湿病于是产生，治疗应当补肾除湿。水衰则火土同化，所以气反用，其化乃速，暑雨数至。百姓患病腹满，身重濡泄，寒疡流水，腰股痛，足痿清厥，（寒厥。）脚下痛，严重时浮肿，（附同浮。）脏气（水气。）不收，肾气不衡，（平也。不收不衡，水气衰也。）火无所畏，所以蛰虫不藏也。草木条茂，荣秀满盛，长化之气丰而浓也。埃尘骤雨，（土胜水。）则振拉摧拔。（木复土。）其病症为癃闭，肾气不化也。水不及故邪伤肾也。对应的谷物是黍和稷，（黍为火谷；稷为土谷。二谷当成。黍火谷，而本经作麦。）对应的果实是枣和杏，（枣为土果，杏为火果。水不及，则二果成。）对应的牲畜是猪和牛，（猪为水畜，当衰；牛为土畜，当旺。）对应的虫类是鳞虫和倮虫。（鳞为水虫，倮为土虫。盛衰亦然。）胜复皆因于水，所以灾眚在一宫，北方坎宫也。
六癸年。（戊癸化火。）癸是阴柔之火，火气不及，称为“伏明”之纪。阳德不彰，光明伏也。岁火不及，而金乘之，所以寒乃大行，寒病于是产生，治疗应当补心逐寒。火不及，生物不长，成实而稚，遇化已老。物之成实者，惟稚而短，及遇土化之令，而气已老矣。阳气屈伏，蛰虫早藏，阳不施于物也。百姓患病胸中痛，胁支满，两胁痛，脊背肩胛间及两臂内痛。凝惨栗烈，（水胜火。）豪雨霪霖，（土复水。）雷霆震惊，（火郁达之。）沉阴淫雨。（此皆湿复之变。）其主宰冰雪霜寒，水反胜也。其病症为昏惑悲忘，乃火不足，而心神溃也。对应的谷物是豆和稻，（豆为水谷，稻为金谷。二谷成。）对应的果实是栗和桃，（栗为水果，桃为金果。火不及，故二果成。）对应的牲畜是马和猪，（马为火畜，当衰；猪为水畜，当旺。）对应的虫类是羽虫和鳞虫。（羽属火，鳞属水。有盛衰。）盛复皆因于火，所以灾眚在九宫，南方离宫也。
Excess annual movements belong to innate constitution, representing years of excess. These correspond to Jia, Bing, Wu, Geng, and Ren. (These are five Yang-gang years.)
In the six Jia years: (Jia and Ji transform into Earth.) Jia is Yang-gang Earth. Excess Earth is called "Dun" (dense/thick) and "Fu" (high/mound). The transformation of all things relies on Earth to complete them. Earth is inherently high and dense; in nature, it manifests as misty dust over mountains and rivers, which is the Qi of Earth. Rain and dampness circulate. (When dampness generates, dryness retreats.) The transformation of Earth is dampness. When Earth overcomes Water, the Kidney is affected by pathogenic factors. Treatment should focus on draining dampness and tonifying the Kidney. The Spleen belongs to Earth. In severe cases, with excess Earth pathogen, the Spleen meridian suffers self-disease. The Spleen governs muscles and corresponds externally to the four limbs. Symptoms include muscle flaccidity, leg cramps during walking, (cramping/twitching,) and pain in the soles of the feet. Excess Spleen Qi causes inability to move the limbs. Spleen deficiency leads to abdominal borborygmus and undigested stool diarrhea (Sun Xie). Its virtue is dense and heavy, so its administration is quiet. Its movement is soft, moist, and muddy, (like wet mud.) Its changes involve shock and drifting accumulation, (thunderstorms and gales.) Collapse, (flood conflicts.) This represents the transformation where Earth reaches its extreme and is accompanied by Wood retaliation. The corresponding grains are Setaria italica (Ji) and Hemp (Ma). (Setaria is an Earth grain, Hemp is a Wood grain.) The corresponding fruits are Jujube (Zao) and Plum (Li). (Jujube is an Earth fruit, Plum is a Wood fruit.) The corresponding animals are Dog (Quan) and Ox (Niu). (Ox is an Earth animal, Dog is a Wood animal. Referring to orderly breeding.) The corresponding insects are Naked insects (Luo) and Hairy insects (Mao). (With excess Earth Qi, Naked and Hairy insects breed together.) Tai Xi (KI3) is the pulse point of the Kidney. When Earth Qi is hyperactive, Kidney Qi perishes; thus, death occurs and is untreatable.
In the six Bing years: (Bing and Xin transform into Water.) Bing is Yang-gang Water. Excess Water is known as the "Liu Yan" era. When Water overcomes, Yin Qi prevails greatly, heaven and earth close up, and all things are sealed and stored. Annual excess Water brings circulating Cold Qi, generating Cold diseases, and pathogens harm Heart Fire. The transformation of Water is Cold. When Water overcomes Fire, the Heart is affected. Treatment should focus on expelling Cold and tonifying the Heart. People suffer from fever, restlessness, palpitations, Yin-Jue (cold extremities), coldness throughout the upper, middle, and lower body, delirium, and heart pain. In severe cases, excess Water pathogen affects the Kidney meridian itself. Kidney disease presents as abdominal distension, calf swelling, asthma/cough, heavy body, and nocturnal sweating. Its virtue is condensed, bleak, and cold, (appearance of snow and rain.) Its movement involves floating, (floating upwards,) discharge/diarrhea, (discharging upwards,) irrigation, (pouring,) and surging/overflowing, (spilling.) Its changes (non-seasonal occurrences are called Bian) include ice, snow, frost, and hail. The disease is distension, (excess Water Qi.) Its image corresponds to Winter, its Qi is firm/hard. The corresponding grains are Soybean (Dou) and Setaria italica (Ji). (Soybean is a Water grain, Setaria is an Earth grain.) The corresponding fruits are Chestnut (Li) and Jujube (Zao). The corresponding animals are Pig (Zhi) and Ox (Niu). (Pig is a Water animal, Ox is an Earth animal.) The corresponding insects are Scaled insects (Lin) and Naked insects (Luo). (With excess Water, Scaled and Naked insects breed.) Shen Men (HT7) is the pulse point of the Heart. When Water Qi is hyperactive, Heart Qi perishes; thus, it is untreatable.
In the six Wu years: (Wu and Gui transform into Fire.) Wu is Yang-gang Fire. Excess Fire is known as the "He Xi" era, characterized by intense sunlight and heat. Yang abundance means all things flourish; Yin Qi transforms internally, while Yang Qi nourishes externally. Yin descends below, Yang ascends above. People suffer from Yin injury due to Fire pathogen, alternating chills and fever, leading to Malaria. Fire overcomes Lung Metal, causing asthma and cough. Fire forces blood to flow recklessly upwards, causing bleeding from the mouth and nose. Downward discharge via urination and defecation results in watery diarrhea. Fire blazing in the Upper Jiao causes dry throat and deafness. Pain in the shoulders and back occurs. Its movement is scorching and chaotic disturbance, a harm of excessive Fire. Its virtue is warm, hot, and muggy, representing the propagation of Heat transformation, corresponding to Summer. Its changes are fierce boiling, a change of extreme heat due to excessive Fire Qi. Diseases include laughing malaria, sores/ulcers, bloody flow, mania, and red eyes, all due to Fire excess. If Fire fails to uphold its virtue and acts tyrannically, severe weather like rain, frost, and hail may occur, injuring Metal Qi. Water will then retaliate, causing such disasters. Conversely, Cold pathogen may harm the Heart. The corresponding grains are Wheat (Mai) and Soybean (Dou). (Wheat is a Fire grain, Soybean is a Water grain.) The corresponding fruits are Apricot (Xing) and Chestnut (Li). (Apricot is a Fire fruit, Chestnut is a Water fruit.) The corresponding animals are Sheep (Yang) and Pig (Zhi). (Sheep is a Fire animal, Pig is a Water animal. Referring to orderly breeding.) The corresponding insects are Feathered insects (Yu) and Scaled insects (Lin). (Feathered belong to Fire, Scaled belong to Water.) Tai Yuan (LU9) is the pulse point of the Lung. When Fire Qi is hyperactive, Lung Qi perishes; thus, death occurs and is untreatable.
In the six Geng years: (Yi and Geng transform into Metal.) Geng is Yang-gang Metal. Excess Metal is known as the "Jian Cheng" era, where all things contract, gather, and retreat. Annual excess Metal brings circulating Dryness Qi, generating Dryness diseases, and Liver Wood is affected. Treatment should focus on clearing dryness and tonifying the Liver. People suffer from pain in the hypochondrium and lower abdomen, red eyes, ulcers at the corners of the mouth, and hearing loss, all diseases of the Liver and Gallbladder meridians. Excessive Metal Qi causes severe desiccation, injuring the Liver meridian. If Liver Qi is insufficient, chest pain radiating to the back occurs, and downward distension in the hypochondrium makes turning difficult; this is Metal injuring the Liver. Excess Metal pathogen affects the Lung meridian itself, causing asthma, cough, rebellious Qi, and shoulder/back pain. Lung disease failing to generate Water leads to Kidney Yin pathology, causing pain in the sacrum, genitalia, thighs, knees, thighs, and feet. Its virtue is misty and dewy, representing clear and肃 (solemn) transformation. Its changes are desiccation and withering, executing killing orders. Its movement is violent fracture, (excess Metal Qi.) Ulcerative infections. (Skin diseases.) If Metal fails to uphold virtue and violently harms Wood, Fire will retaliate, injuring Metal. Diseases include wheezing and gasping, chest fullness requiring upright posture. Fire invading Lung Metal causes cough. The corresponding grains are Rice (Dao) and Foxtail millet (Shu). The corresponding fruits are Peach (Tao) and Apricot (Xing). The corresponding animals are Chicken (Ji) and Horse (Ma). The corresponding insects are Armored insects (Jie) and Feathered insects (Yu). Tai Chong (LR3) is the pulse point of the Liver. When Metal Qi is hyperactive, Liver Qi perishes; thus, death occurs and is untreatable.
In the six Ren years: (Ding and Ren transform into Wood.) Ren is Yang-gang Wood, spreading Yang harmony, symbolizing the generation of all things. When Wood Qi is harmonious and mutually generating, Yang harmony spreads, Yang Qi advances daily while Yin Qi retreats. Annual excess Wood transforms into Wind. Circulating Wind Qi generates Wind diseases. Wood overcoming Earth affects the Spleen organ. Treatment should soothe Liver Wood and tonify Spleen Earth. Excess Wood insulting Earth causes Metal to retaliate, resulting in autumn disasters. Regarding pathology, the pathogen actually harms the Liver. People suffer from undigested stool diarrhea, reduced appetite, weight loss, vexation, borborygmus, and abdominal/hypochondriac fullness, all due to Spleen deficiency and Qi decline. Wood excess and strong Liver cause irritability, dizziness, and head disorders. In severe cases, flank pain and severe vomiting occur. (Wood pathogen harms Stomach.) Its movement involves tremors, dizziness, and head disorders, (excess Wind-Wood.) Its virtue includes sounds, (Wind-Wood sounds,) spreading/scattering, (scattering,) and opening/breaking, (meaning revealing old to make way for new.) Its changes involve shaking, (anger,) pulling, (decay/breaking,) and uprooting. The corresponding grains are Hemp (Ma) and Rice (Dao). (Hemp is a Wood grain, Rice is a Metal grain.) The corresponding fruits are Plum (Li) and Peach (Tao). (Plum is a Wood fruit, Peach is a Metal fruit.) The corresponding animals are Chicken (Ji) and Dog (Quan). (Chicken is a Metal animal, Dog is a Wood animal.) The corresponding insects are Hairy insects (Mao) and Armored insects (Jie). Chong Yang (ST42) is the pulse point of the Stomach. When Wood Qi is hyperactive, Stomach Qi perishes; thus, death occurs and is untreatable.
Deficient annual movements belong to acquired fortune, representing years of deficiency. These correspond to Yi, Ding, Ji, Xin, and Gui. (Five Yin years.)
In the six Ding years: (Ding and Ren transform into Wood.) Ding is Yin-soft Wood. Deficient Wood Qi is called the "Wei He" era. Yang harmony is constrained, and generative force is weak. Wood Qi declines, leaving Earth uncontrolled. Fire has nothing to generate, so Long Summer Qi remains flat. Wood deficiency allows Metal to overcome, so Contraction Qi arrives early. Annual Wood deficiency leads to massive Dryness Qi circulation, (Wood deficiency allows Metal to invade,) generating Dryness diseases. Generative Qi fails to administer, plants bloom but do not fruit, vegetation flowers late, cool rains fall frequently, wind and clouds arise. People suffer from central coldness, hypochondriac fullness, and lower abdominal pain. Metal Qi invading Wood is a Liver disease. Borborygmus and loose stools indicate Spleen cold due to Wood failing to generate Fire. Diseases include limb paralysis, carbuncles, sores, and ulcers. Wood injured by Metal affects Liver sinews; Wind pathogen causes terminal diseases, hence limb paralysis and skin lesions originate here. Its masters are flying pests, maggots, and pheasants. (Maggots turn into flies, preferring warmth, especially in Fire years. Pheasants are Fire birds; these reflect Fire retaliation principles.) Its Qi contracts, its function gathers, (Wood combines with Metal transformation, Contraction Qi prevails.) The corresponding grains are Setaria italica (Ji) and Rice (Dao). (Setaria is an Earth grain, Rice is a Metal grain. With Wood deficiency, both grains mature.) The corresponding fruits are Jujube (Zao) and Peach (Tao). (Jujube is an Earth fruit, Peach is a Metal fruit. With Wood deficiency, both fruits thrive.) The corresponding animals are Dog (Quan) and Chicken (Ji). (Dog is a Wood animal, Chicken is a Metal animal.) The corresponding insects are Hairy insects (Mao) and Armored insects (Jie). (Hairy are Wood insects, Armored are Metal insects.) Vegetation flowers late, (Wood deficiency.) Turns gray, dry, and withers. (Metal abundance.) Plants bloom and fill out, flesh becomes substantial. Although generative Qi is late, transformative Qi matures quickly. Yang Ming descends, Metal Qi clears and solemnizes, causing early white dew. Metal victory leads to Fire decline; Fire decline leads to Earth weakness. Insects eat sweet/yellow substances. Sweet/yellow belongs to Earth, eroded by Yin Qi, hence insects arise. (Observing that sunning removes worms shows worms are Yin entities.) Victory and retaliation stem from Wood, so disasters occur in Palace 3, East Zhen Palace.
In the six Yi years: (Yi and Geng transform into Metal.) Yi is Yin-soft Metal. Deficient Metal Qi is called the "Cong Ge" era. Annual Metal deficiency allows Fire Qi to prevail, causing major disasters and Heat diseases. Treatment should clear Lungs and descend Fire. People suffer from shoulder/back oppression/heaviness, nasal congestion/sneezing, (runny nose,) bloody stools/diarrhea. Metal receiving Fire pathogen causes these symptoms. Metal deficiency and Fire hyperactivity lead to Water retaliation, causing sudden cold rain, hail, frost, and snow, damaging all things—a Cold change. This is called "Fire without root," causing headache extending to the neck, fever, mouth ulcers, and heart pain. Intense flames bring ice/snow/hail, indicating Fire excess and Metal deficiency. Diseases include cough/asthma, nasal congestion/epistaxis. Fire excess harms the Lung. The corresponding grains are Hemp (Ma) and Wheat (Mai). (Hemp is a Wood grain, Wheat is a Fire grain. Both mature.) The corresponding fruits are Apricot (Xing) and Plum (Li). (Plum is a Wood fruit, Apricot is a Fire fruit. Metal deficiency allows both fruits to mature.) The corresponding animals are Chicken (Ji) and Sheep (Yang). (Chicken is a Metal animal, should be weak; Sheep is a Fire animal, should be strong.) The corresponding insects are Armored insects (Jie) and Feathered insects (Yu). (Armored are Metal insects, Feathered are Fire insects.) Victory and retaliation stem from Metal, so disasters occur in Palace 7, West Dui Palace.
In the six Ji years: (Jia and Ji transform into Earth.) Ji is Yin-soft Earth. Deficient Earth Qi is called the "Bei Jian" era. Wood Qi prevails, causing rampant Wind. Treatment should tonify Spleen and soothe Liver. Transformative Qi loses command; Wood monopolizes governance, making vegetation lush. Generation occurs in Wood, completion in Earth. Earth Qi does not surge, so plants bloom but do not fruit, form but do not mature. Earth virtue declines, causing delayed rains. Metal has nothing to generate, so Contraction Qi is balanced. People suffer from undigested stool diarrhea, cholera, heavy body, abdominal pain, trembling/repeated shaking of bones/joints, muscle soreness, and irritability. Hibernating insects attach early. All these diarrhea symptoms result from Spleen weakness and Liver strength. Earth deficiency and Wood excess cause Metal retaliation. (Son avenges mother's wrong.) Sudden chest/hypochondriac pain radiating to lower abdomen indicates Liver/Gallbladder disease. Earth organ disease presents as bubbling/foaming; tissue disease presents as ulcerated sores/carbuncles. Chest fullness/stuffiness indicates insufficient Earth Qi and Spleen failure to transport. Undigested stool diarrhea indicates Earth deficiency and Wind excess. The corresponding grains are Soybean (Dou) and Hemp (Ma). (Soybean is a Water grain, Hemp is a Wood grain. Both mature.) The corresponding fruits are Plum (Li) and Chestnut (Li). (Plum is a Wood fruit, Chestnut is a Water fruit. Earth deficiency allows both fruits to mature.) The corresponding animals are Ox (Niu) and Dog (Quan). (Ox is an Earth animal, should be weak; Dog is a Wood animal, should be strong.) The corresponding insects are Naked insects (Luo) and Hairy insects (Mao). (Naked belong to Earth, Hairy belong to Wood.) Victory and retaliation stem from Earth, so disasters appear in the Four Corners. Earth occupies the Central Palace but thrives in the four corners: Chen, Xu, Chou, Wei Earth.
In the six Xin years: (Bing and Xin transform into Water.) Xin is Yin-soft Water. Deficient Water Qi is called the "He Liu" era, meaning dried-up streams. In Six Xin Yin Water years, Yang acts instead. Water deficiency allows Wet Earth to invade, generating Dampness diseases. Treatment should tonify Kidney and drain Dampness. Water decline leads to Fire and Earth co-transformation, so Qi acts inversely, transformations speed up, and frequent summer rains occur. People suffer from abdominal fullness, heavy body, damp diarrhea, cold sores with fluid leakage, waist/hip pain, foot flaccidity and cold Jue, (Cold Jue,) sole pain, and severe edema. (Fu is same as Fu/swollen.) Visceral Qi (Water Qi) fails to hold, Kidney Qi lacks balance, (balance. Failure to hold and balance indicates Water Qi decline.) Fire has no fear, so hibernating insects do not hide. Vegetation grows vigorously, flourishing and abundant, Long Transformation Qi is rich and dense. Dust storms and sudden rain, (Earth overcomes Water,) cause shaking, pulling, and uprooting. (Wood retaliates against Earth.) Diseases include stranguria/retention, Kidney Qi failure to transform. Water deficiency allows pathogens to harm the Kidney. The corresponding grains are Broomcorn millet (Shu) and Setaria italica (Ji). (Shu is a Fire grain; Ji is an Earth grain. Both should mature. Shu is Fire grain, though this text says Mai/Wheat.) The corresponding fruits are Jujube (Zao) and Apricot (Xing). (Jujube is an Earth fruit, Apricot is a Fire fruit. Water deficiency allows both fruits to mature.) The corresponding animals are Pig (Zhi) and Ox (Niu). (Pig is a Water animal, should be weak; Ox is an Earth animal, should be strong.) The corresponding insects are Scaled insects (Lin) and Naked insects (Luo). (Scaled are Water insects, Naked are Earth insects. Strength/weakness applies similarly.) Victory and retaliation stem from Water, so disasters occur in Palace 1, North Kan Palace.
In the six Gui years: (Wu and Gui transform into Fire.) Gui is Yin-soft Fire. Deficient Fire Qi is called the "Fu Ming" era. Yang virtue is not manifest, light is hidden. Annual Fire deficiency allows Metal to invade, causing massive Cold Qi circulation and Cold diseases. Treatment should tonify Heart and expel Cold. Fire deficiency means organisms do not grow well; they form reality but remain immature, aging upon encountering transformation. Mature objects remain small and short; by the time Earth transformation commands arrive, their Qi is already aged. Yang Qi is suppressed, hibernating insects hide early, Yang does not act upon things. People suffer from chest pain, hypochondriac fullness, bilateral flank pain, pain between spine/back/shoulder blades and inner arms. Condensed bleakness and shivering cold, (Water overcomes Fire.) Heavy continuous rain, (Earth retaliates against Water.) Thunder and shock, (Fire depression reaches release.) Deep Yin excessive rain. (All are Damp retaliation changes.) Masters include ice, snow, frost, and cold; Water counter-overcomes. Diseases include confusion, sorrow, and forgetfulness, due to insufficient Fire and disintegration of Heart Spirit. The corresponding grains are Soybean (Dou) and Rice (Dao). (Soybean is a Water grain, Rice is a Metal grain. Both mature.) The corresponding fruits are Chestnut (Li) and Peach (Tao). (Chestnut is a Water fruit, Peach is a Metal fruit. Fire deficiency allows both fruits to mature.) The corresponding animals are Horse (Ma) and Pig (Zhi). (Horse is a Fire animal, should be weak; Pig is a Water animal, should be strong.) The corresponding insects are Feathered insects (Yu) and Scaled insects (Lin). (Feathered belong to Fire, Scaled belong to Water. With strength/weakness.) Prosperity and retaliation stem from Fire, so disasters occur in Palace 9, South Li Palace.