丁卯 丁酉
上阳明燥金司天，中少角木运，下少阴君火在泉。天刑之年，金下克木也，故曰不相得则病。
岁运不及而司天燥金胜之，则金兼木化，反得其政。所谓委和之纪，阳和委屈，发生少也。丁
卯年，运临本气之位曰岁会。木运临之，卯木位也。其病不死但执迟而缓。卯酉之年，太阴降地，
少阴当迁正在泉，而太阴湿土，以上年司天之右间，当降为今岁在泉之左间，故畏地仓，木胜窒
之也。如上年寅申岁气有余，司天少阳不退位，则右间太阴亦不能降下。遇木运以至丁卯丁酉年，
木运承之，降而不下，即黄云见而青霞彰，郁蒸作而大风雾翳埃盛，折损乃作，皆风木胜土之化。
久而不降，土气郁久，故天为黄气，地为湿蒸，人病在脾胃。故为四肢不
举，昏眩肢节痛，胸腹作满填臆等症。木运不及，故本方受灾。丁卯丁酉二年，太阴湿土，当降
在泉，岁运遇木，则太阴湿土降而不下，则为土郁，人病在脾。土郁欲发，必待得位之时而后作。
药宜泄黄散煎汤量冷，研服五瘟丹。
癸卯 癸酉
上阳明燥金司天，中少征火运，下少阴君火在泉。癸年阴火不及，上见燥金，则金得其政，
所谓伏明之纪。运克天气曰不和，火上克金也，故病甚。虽杂病多，无瘟疫症。不及之年，加地
气曰同岁会。此二年，运临司地曰君火。
己卯 己酉
上阳明燥金司天，中少宫土运，下少阴君火在泉。二年金与土运虽相得，然子临父位为逆。
运生天气曰小逆，土上生金也，故病亦微。卯酉年，阳明燥金当迁正司天，而太阳寒水，以上年
在泉之右间，当升新岁司天之左间，故畏天芮，土胜之也。卯酉阴年，气有不及，司天阳明未得
迁正，而左间太阳亦不得其位。水欲升
天，土运抑之。己卯己酉皆土运，为天芮之年，亦能制抑太阳寒水，升之不前。水郁不升，人病
在肾。水郁为害，待得位之时而发。升之不前，湿为热蒸，寒生两间，民病注下，食不及化。湿
胜于上，寒胜于下，故气令民病如此。久而成郁，冷来克热，冰雹卒至。药宜连翘青黛饮，煎汤
研化五瘟丹服。
乙卯 乙酉（岁会 太乙天符）
上阳明燥金司天，中为少商金运，下少阴君火在泉。运同天气曰天符，运与司天皆金。卯酉
年，运临本气之位曰岁会，金运临之。酉，金位也。其病危。乙年金运不及，得阳明司天之助，
所谓从革之纪。
辛卯 辛酉
上阳明燥金司天，中少羽水运，下少阴君火在泉。天气生运曰顺化，金下生水也。顺化之年，
民舒病少。
初之气，太阴用事。时寒气湿，故阴凝。燥金司天，故气肃。水冰者，气肃所成。寒雨者，
湿土所化。民病中热胀，面目浮肿，善眠鼽衄，嚏欠呕，小便黄赤，
甚则淋。主气风木，客气湿土。风为阳，湿为阴。风湿为患，脾肾受伤，故为此诸症。
二之气，阳乃布，民乃舒，物乃生荣。少阳相火用事于春分之后，故其应如此。疠大至，民
乃暴死。主君火，客相火，二火交炽，臣位于君故尔。
三之气，天政布。司天阳明燥金用事也，故凉乃行。然主气相火当令，故燥热交合。至三气
之末，以交四气，则主以太阴，客以太阳，故燥极而泽，民病寒热。（以阳胜之，时行金凉之气故尔。）
四之气，寒雨降。（太阳用事于湿土之时。）民病暴仆振栗，谵妄少气，嗌干引饮，及为心痛，
痈肿疮疡，寒疟骨痿便血。（四气之后，在泉君火所主，而太阳寒水临之，水火相犯，故为暴仆战
栗心痛等症。）
五之气，春令反行，草乃生荣。（厥阴风木用事，而得在泉君火之温。）民气和。
终之气，阳气布，候反温，蛰虫来见，流水不冰。少阴君火用事，故气候如此。民乃康平，
其病温。（君火之化。）然燥金司天，则岁半之前，气过于敛，故宜汗之
散之。君火在泉，则岁半之后，气过于热，故宜清之。
辰戌之岁（壬辰 壬戌 戊辰 戊戌 甲辰 庚辰 庚戌 丙辰 丙戌 甲戌）
太阳寒水司天，岁气寒化之候，天之气也。太阴湿土在泉，地之气也。太阳与少阴为表里，
属北方壬癸水，主冬旺七十二日。寒水胜，则邪乘心。太阳属水，其化以寒。凡阴凝冽栗，万物
闭藏，皆水之化。寒淫胜于上，故寒反至，水且冰。若乘火运，则水火相激，故雨暴乃雹。民病
寒水胜，则邪乘心。（水克火。）故为血变于中，（心主血。）发为痈疡疮疖等症。按经脉篇云∶
以手心热，臂肘挛急，腋肿，胸胁支满，心中澹澹大动，面赤目黄，为心包络病。盖火受寒伤，
故诸病皆本于心。神门，手少阴心脉也。在手掌后，锐骨之端，动脉应手。火不胜水，则心气竭
而神门绝，死不治。诸动气者，知其脏也。（察动脉之有无，则脏气之存亡可知。）鳞虫同天之
气，故静。 虫同地之化，故育。
太阴湿土在泉，地之气也。草乃早荣，湿淫所胜，埃 岩谷，黄反见黑，（黄土色，黑水色。）
土胜湿淫也。民病积饮心痛，（寒湿乘心。）耳聋浑浑 ，嗌肿喉痹，（三焦病。）阴病见血，少
腹肿痛，不得小便。以邪湿下流为阴虚肾病。病冲头痛，目似脱，项似
拔，腰似折，髀不可以屈， 如结， 如别，为膀胱经病。此以土邪淫胜克水，故肾合三焦膀胱
病及焉。 虫属土，同其气故育。鳞虫属水，受其制故不成。湿在地中，土得位也，故其化淳，（浓。）
燥毒之物不生。
丁卯年、丁酉年：
上一年由阳明燥金主管天气（司天），中间年份的运行为少角木运，下一年由少阴君火主管地气（在泉）。这是“天刑”之年，因为金在下克制木，所以称为“不相得则病”。
岁运（木运）不及，而司天的燥金之气胜过它，那么金就兼有木的化气，反而掌握了主导权。这就是所谓的“委和之纪”，阳气温和委屈，生发之力不足。丁卯年，运临本气之位称为“岁会”。木运临于卯位，卯属木。其病症虽不致死，但病情迁延迟缓。在卯酉之年，太阴湿土之气应当下降入地，少阴君火应当迁正成为在泉之主，但太阴湿土作为上年司天之右间气，应当降为今年在泉之左间气，因此畏惧地仓（指地中湿土之气），被木气胜而窒塞。如果上年寅申岁气有余，司天的少阳相火不退位，那么右间的太阴湿土也不能降下。遇到木运至丁卯、丁酉年，木运承接其上，导致气降而不降，就会出现黄云显现、青霞彰显，郁热蒸腾，大风雾霭尘埃盛行的景象，折损随之发生，这都是风木胜土的表现。久降不下，土气郁结日久，所以天现黄气，地现湿蒸，人病在脾胃。因此出现四肢不能举动、昏眩、肢节疼痛、胸腹满闷填塞胸臆等症状。因木运不及，故本方受灾。丁卯、丁酉两年，太阴湿土当降为在泉，岁运遇木，则太阴湿土降而不下，形成土郁，人病在脾。土郁欲发，必须等待得位之时而后发作。用药宜用泄黄散煎汤放凉后服用，或研服五瘟丹。
癸卯年、癸酉年：
上一年由阳明燥金主管天气，中间年份的运行为少征火运，下一年由少阴君火主管地气。癸年为阴火不及，上见燥金，则金得其政，这就是所谓的“伏明之纪”。运克天气称为“不和”，火上克金，所以病情严重。虽然杂病多，但没有瘟疫症状。不及之年，加上地气称为“同岁会”。这两年，运临司地之位称为君火。
己卯年、己酉年：
上一年由阳明燥金主管天气，中间年份的运行为少宫土运，下一年由少阴君火主管地气。这两年金与土运虽然相得，但子临父位为逆。运生天气称为“小逆”，土上生金，所以病情也轻微。卯酉年，阳明燥金应当迁正司天，而太阳寒水作为上年在泉之右间，应当升为新岁司天之左间，因此畏惧天芮（指天中湿土之气），被土气胜。卯酉为阴年，气有不及，司天阳明未得迁正，而左间太阳也不得其位。水欲升天，被土运抑制。己卯、己酉皆为土运，为天芮之年，也能制抑太阳寒水，使其升之不前。水郁不升，人病在肾。水郁为害，待得位之时而发。升之不前，湿化为热蒸，寒生于两间，民众病注泻，食物来不及消化。湿胜于上，寒胜于下，所以气候令民众生病如此。久而成郁，冷来克热，冰雹突然到来。用药宜用连翘青黛饮煎汤，研化五瘟丹服用。
乙卯年、乙酉年（岁会、太乙天符）：
上一年由阳明燥金主管天气，中间年份的运行为少商金运，下一年由少阴君火主管地气。运同天气称为“天符”，运与司天皆属金。卯酉年，运临本气之位称为“岁会”，金运临之。酉为金位。其病情危重。乙年金运不及，得阳明司天之助，这就是所谓的“从革之纪”。
辛卯年、辛酉年：
上一年由阳明燥金主管天气，中间年份的运行为少羽水运，下一年由少阴君火主管地气。天气生运称为“顺化”，金下生水。顺化之年，民众舒适，疾病少。
初之气，太阴湿土主事。此时寒气湿气重，所以阴凝。燥金司天，所以气肃杀。水结冰，是气肃所致。寒雨，是湿土所化。民众病中热胀，面目浮肿，嗜睡、鼻塞流涕、打喷嚏、呵欠、呕吐，小便黄赤，甚则淋沥。主气为风木，客气为湿土。风为阳，湿为阴。风湿为患，脾肾受伤，所以出现这些症状。
二之气，阳气布散，民众舒畅，万物生长繁荣。少阳相火主事于春分之后，所以应验如此。疠气大至，民众暴死。主气为君火，客气为相火，二火交炽，臣位于君，所以如此。
三之气，天政布散。司天阳明燥金主事，所以凉气流行。然而主气相火当令，所以燥热交合。到三气之末，交接四气时，则主气为太阴，客气为太阳，所以燥极而泽，民众病寒热。（因为阳胜，时令行金凉之气所致。）
四之气，寒雨降下。（太阳主事于湿土之时。）民众病突然仆倒、战栗、谵语妄言、少气、咽干引饮，以及心痛、痈肿疮疡、寒疟、骨痿、便血。（四气之后，在泉君火所主，而太阳寒水临之，水火相犯，所以出现突然仆倒、战栗、心痛等症状。）
五之气，春令反行，草木生长繁荣。（厥阴风木主事，而得在泉君火之温。）民众气和。
终之气，阳气布散，气候反温，冬眠虫类出来，流水不结冰。少阴君火主事，所以气候如此。民众安康平和，其病为温病。（君火之化。）然而燥金司天，则岁半之前，气过于收敛，所以宜用汗法发散。君火在泉，则岁半之后，气过于热，所以宜用清法。
辰戌之年（壬辰、壬戌、戊辰、戊戌、甲辰、庚辰、庚戌、丙辰、丙戌、甲戌）：
太阳寒水司天，岁气寒化之候，是天之气。太阴湿土在泉，是地之气。太阳与少阴为表里，属北方壬癸水，主冬季旺七十二日。寒水胜，则邪气乘心。太阳属水，其化以寒。凡是阴凝凛冽，万物闭藏，都是水的化气。寒淫胜于上，所以寒气反至，水且结冰。若乘火运，则水火相激，所以雨暴乃冰雹。民众病寒水胜，则邪乘心。（水克火。）所以血液在中发生变化，（心主血。）发为痈疡疮疖等症。按《经脉篇》说：手心热，臂肘挛急，腋肿，胸胁支满，心中澹澹大动，面赤目黄，为心包络病。大概火受寒伤，所以诸病皆本于心。神门穴，是手少阴心脉所在。在手掌后，锐骨之端，动脉应手。火不胜水，则心气竭而神门绝，死不治。凡是有动气的地方，可以知道是哪一脏。（观察动脉之有无，则脏气之存亡可知。）鳞虫同天之气，所以静。介虫同地之化，所以育。
太阴湿土在泉，是地之气。草木早荣，湿淫所胜，埃尘弥漫岩谷，黄色反见黑色，（黄土色，黑水色。）土胜湿淫。民众病积饮心痛，（寒湿乘心。）耳聋浑浑，咽喉肿痛喉痹，（三焦病。）阴病见血，少腹肿痛，不得小便。以邪湿下流为阴虚肾病。病冲头痛，目似脱，项似拔，腰似折，大腿不能屈，腘窝如结，小腿如别，为膀胱经病。这是因为土邪淫胜克水，所以肾合三焦膀胱病及于此。介虫属土，同其气所以育。鳞虫属水，受其制所以不成。湿在地中，土得位，所以其化淳厚，燥毒之物不生。
Ding-Mao and Ding-You Years:
The upper heaven is governed by Yangming Dryness Metal (Yangming Zaojin Si Tian), the middle movement is Shaojue Wood (Shaojiao Yun), and the lower earth is governed by Shaoyin Ministerial Fire (Shaoyin Junhuo Zai Quan). This is a year of "Heavenly Punishment" (Tianxing), where Metal below controls Wood, hence it is said that "when they are not in harmony, disease occurs."
Since the annual movement (Wood) is insufficient, and the governing Dryness Metal of the upper heaven overcomes it, Metal assumes the transformation of Wood and takes control. This is referred to as the "Weihe Era" (Weihe Zhi Ji), where yang warmth is constrained, and the generating force is diminished. In Ding-Mao years, the movement aligns with its proper position, known as "Suihui" (Year Meeting). Wood movement aligns with Mao, which belongs to Wood. The disease may not be fatal but will be prolonged and slow. In Mao-You years, Taiyin Damp Earth (Taiyin Shitu) qi should descend into the earth; Shaoyin Ministerial Fire should move into position to govern the lower heaven. However, Taiyin Damp Earth, as the right intercalary qi of the previous year's governing heaven, should descend to become the left intercalary qi of the current year's governing earth. Thus, it fears the Earth Granary (Dicang), being obstructed by Wood superiority. If the previous year's Yin-Shen qi was excessive, causing Shaoyang Ministerial Fire to remain in position without retreating, then the right intercalary Taiyin Damp Earth also cannot descend. When Wood movement arrives at Ding-Mao or Ding-You years, Wood movement supports it from above, preventing descent. Yellow clouds appear, green mist shines, heat and dampness stagnate, causing strong winds, fog, and heavy dust. Damage ensues, all due to Wind-Wood overcoming Earth. Prolonged failure to descend leads to long-term stagnation of Earth qi, resulting in yellow qi in the sky and damp evaporation on the ground. Humans suffer diseases in the Spleen and Stomach. Symptoms include inability to move limbs, dizziness, joint pain, chest and abdominal fullness filling the chest. Due to insufficient Wood movement, this sector suffers. In Ding-Mao and Ding-You years, Taiyin Damp Earth should descend to govern the lower heaven, but encountering Wood movement causes it to fail to descend, forming Earth Stagnation (Tu Yu), leading to Spleen disease. Earth stagnation desires to erupt but must wait for the appropriate time. Medication should use Xiehuang San (Yellow-Draining Powder) decocted in water, cooled, and taken orally, or Wuwendan (Five Plagues Pill) ground and taken.
Gui-Mao and Gui-You Years:
The upper heaven is governed by Yangming Dryness Metal, the middle movement is Shaosheng Fire (Shaozheng Yun), and the lower earth is governed by Shaoyin Ministerial Fire. Gui years feature insufficient Yin Fire. Seeing Dryness Metal above, Metal gains control, known as the "Fuming Era" (Fuming Zhi Ji). Movement overcoming Heaven Qi is called "Buhe" (Disorder); Fire above overcomes Metal, so the disease is severe. Although miscellaneous diseases are common, there are no plague symptoms. In years of insufficiency, adding Earth Qi is called "Tong Suhui" (Same Year Meeting). In these two years, the movement aligns with the governing Earth, termed Junhuo.
Ji-Mao and Ji-You Years:
The upper heaven is governed by Yangming Dryness Metal, the middle movement is Shaogong Earth (Shaogong Yun), and the lower earth is governed by Shaoyin Ministerial Fire. Although Metal and Earth movements are harmonious, the son occupying the father's position is adverse. Movement generating Heaven Qi is called "Xiaoni" (Minor Adversity); Earth above generates Metal, so the disease is mild. In Mao-You years, Yangming Dryness Metal should move into position to govern heaven, while Taiyang Cold Water, as the right intercalary qi of the previous year's governing earth, should ascend to become the left intercalary qi of the new year's governing heaven. Thus, it fears Tianrui (Tiann Rui), being overcome by Earth. Mao-You are Yin years with qi insufficiency. Yangming governing heaven fails to move into position, and the left intercalary Taiyang does not find its place. Water desires to ascend to heaven but is suppressed by Earth movement. Ji-Mao and Ji-You are both Earth movements, years of Tianrui, which can also suppress Taiyang Cold Water, preventing ascent. Water stagnation failing to ascend leads to Kidney disease. Water stagnation causes harm, erupting when in position. Failure to ascend turns dampness into steaming heat, cold arises between the two, people suffer diarrhea and indigestion. Dampness dominates above, cold dominates below, causing such climate-induced illnesses. Long-term stagnation leads to cold overcoming heat, resulting in sudden hail. Medication should use Lianqiao Qingdai Yin (Forsythia and Indigo Decoction) decocted, with Wuwendan dissolved and taken.
Yi-Mao and Yi-You Years (Suihui, Taiyi Tianfu):
The upper heaven is governed by Yangming Dryness Metal, the middle movement is Shaoshang Metal (Shaoshang Yun), and the lower earth is governed by Shaoyin Ministerial Fire. Movement identical to Heaven Qi is called "Tianfu" (Heavenly符); both movement and governing heaven are Metal. In Mao-You years, movement aligns with its proper position, called "Suihui"; Metal movement aligns here. You belongs to Metal. The disease is critical. Yi years have insufficient Metal movement, assisted by Yangming governing heaven, known as the "Congge Era" (Congge Zhi Ji).
Xin-Mao and Xin-You Years:
The upper heaven is governed by Yangming Dryness Metal, the middle movement is Shaoyu Water (Shaoyu Yun), and the lower earth is governed by Shaoyin Ministerial Fire. Heaven Qi generating Movement is called "Shunhua" (Smooth Transformation); Metal below generates Water. In Shunhua years, people are comfortable, and diseases are few.
First Qi: Taiyin governs. Cold and damp qi prevail, causing yin condensation. Dryness Metal governs heaven, so qi is肃 (solemn/restrictive). Ice forms due to restrictive qi. Cold rain is transformed from damp earth. People suffer internal heat and bloating, facial edema, somnolence, nasal congestion/epistaxis, yawning, vomiting, yellow-red urine, and severe cases of strangury. Primary qi is Wind-Wood; secondary qi is Damp-Earth. Wind is Yang, Damp is Yin. Wind-Damp pathology injures Spleen and Kidney, causing these symptoms.
Second Qi: Yang qi spreads, people feel comfortable, flora flourishes. Shaoyang Ministerial Fire governs after the Spring Equinox, fulfilling this. Epidemic qi arrives heavily, causing sudden death. Primary qi is Ruler Fire; secondary qi is Ministerial Fire. Two fires burn intensely, minister serving ruler, thus so.
Third Qi: Heavenly administration spreads. Yangming Dryness Metal governs, so coolness prevails. However, Primary qi Ministerial Fire is in command, so dryness and heat mix. At the end of the third qi, transitioning to the fourth, Primary becomes Taiyin, Secondary becomes Taiyang, so extreme dryness yields moisture. People suffer alternating chills and fever. (Due to Yang victory, seasonal Metal-cool qi prevails.)
Fourth Qi: Cold rain descends. (Taiyang governs during Damp-Earth time.) People suffer sudden collapse, tremors, delirium, shortness of breath, dry throat with thirst, heart pain, carbuncles, sores, cold malaria, bone atrophy, and bloody stool. (After the fourth qi, Ruler Fire governs the lower heaven, but Taiyang Cold Water approaches, Water-Fire conflict causes sudden collapse, tremors, heart pain, etc.)
Fifth Qi: Spring commands reverse, grass and trees flourish. (Jueyin Wind-Wood governs, warmed by Ruler Fire of lower heaven.) People's qi is harmonious.
Final Qi: Yang qi spreads, climate warms unexpectedly, hibernating insects appear, flowing water does not freeze. Shaoyin Ruler Fire governs, hence the climate. People are healthy and peaceful, suffering warm diseases. (Transformation of Ruler Fire.) However, Dryness Metal governs heaven, so before mid-year, qi is overly收敛 (contracting), thus sweating/dispersing methods are suitable. Ruler Fire governs earth, so after mid-year, qi is overly hot, thus clearing methods are suitable.
Chen-Xu Years (Ren-Chen, Ren-Xu, Wu-Chen, Wu-Xu, Jia-Chen, Geng-Chen, Geng-Xu, Bing-Chen, Bing-Xu, Jia-Xu):
Taiyang Cold Water governs heaven, representing the cold transformation of annual qi, the qi of heaven. Taiyin Damp Earth governs earth, the qi of earth. Taiyang and Shaoyin are exterior-interior pairs, belonging to Northern Ren-Gui Water, dominating winter prosperity for 72 days. Cold Water victory allows evil to attack the Heart. Taiyang belongs to Water, transforming via cold. All yin condensation, shivering, and closure of all things are transformations of Water. Cold excess above causes cold to arrive, water freezing. If coinciding with Fire movement, Water-Fire clash causes violent rain and hail. People suffer Cold Water excess, allowing evil to attack the Heart. (Water overcomes Fire.) Thus, blood changes internally. (Heart governs blood.) Manifesting as carbuncles, sores, boils, etc. According to the *Meridian Chapter*: Heat in palms, spasm/tightness of arms/elbows, axillary swelling, chest/hypochondriac fullness, palpitations, red face, yellow eyes indicate Pericardium disease. Fire injured by cold, so all diseases originate from the Heart. Shenmen point is the hand Shaoyin Heart meridian. Located behind the palm, at the end of the sharp bone, pulsating artery felt. If Fire cannot overcome Water, Heart qi exhausts, Shenmen severs, death is incurable. Wherever pulsating qi exists, one knows the organ. (Observing presence/absence of arterial pulse reveals existence/death of organ qi.) Scale-scaled creatures share Heaven's qi, thus quiet. Shell-covered creatures share Earth's transformation, thus breeding.
Taiyin Damp Earth governs earth, the qi of earth. Grass and trees bloom early. Damp excess causes dust to fill valleys. Yellow appears black. (Yellow is Earth color, Black is Water color.) Earth wins Damp excess. People suffer fluid accumulation and heart pain. (Cold-Damp attacks Heart.) Deafness, hoarseness, swollen throat/pharynx obstruction. (Sanjiao disease.) Yin disease with bleeding, lower abdominal swelling/pain, inability to urinate. Evil damp flowing downward causes Yin deficiency Kidney disease. Disease strikes head like bursting, eyes like falling out, neck like pulling, waist like breaking, thighs unable to bend, popliteal fossa like knotted, calves like separated. Bladder Meridian disease. This is because Earth evil excess overcomes Water, so Kidney combining Sanjiao and Bladder diseases occur here. Shell-covered creatures belong to Earth, sharing its qi, thus breeding. Scale-scaled creatures belong to Water, controlled by it, thus failing to thrive. Damp in earth, Earth in position, thus transformation is pure/thick. Toxic dry substances do not grow.