丁巳 丁亥（俱天符）
上厥阴风木司天，中少角木运，下少阳相火在泉。运与气相同曰天符，运与气皆木。灾三宫，
三宫者，东方震宫也。木气不及，故灾及之。
癸巳 癸亥（俱同岁会）
上厥阴风木司天，中少征火运，下少阳相火在泉。天气生运曰顺化，木下生火也。顺化之年，
民舒病少。癸巳癸亥二年，阳明燥金欲降，火运承之，降而不下，
久则成金郁，发而为疫。药宜泄白散，煎汤量冷□□□五瘟丹送下。灾九宫，九为离宫，火运不
及，故灾及之。巳亥之岁，阳明降地，少阳当迁正在泉，而阳明燥金以上年司天之右间，当降为
今岁在泉之左间，故畏地彤，火气胜之也。如上年辰戌岁气有余，司天太阳不退位，则右间阳明
亦不能降下，遇火运以至癸巳癸亥年，火运承之，降而不下。金欲降而火承之，故清肃行而热反
作也。热伤肺气，故民病昏倦，夜卧不安，咽干引饮等症。金气久郁于上，故寒，白气起。民病
肝木受邪，故为掉眩，手足直而不仁，两胁作痛，满目KT KT 等症。
己巳 己亥（天刑之年）
上厥阴风木司天，中少宫土运，下少阳相火在泉。天刑之年，木下刻土，故曰不相得则病，
虽病无瘟。本年土运不及，风木司天胜之，则木兼土化，所谓卑监之纪。灾五宫，五，中宫也。
土运不及，故灾及之。
乙巳 乙亥
上厥阴风木司天，中少商金运，下少阳相火在泉。运克天气曰不和，金上克木。虽病甚而瘟
少。灾七宫，七，兑宫也。金运不及，故灾及之。
辛巳 辛亥
上厥阴风木司天，中少羽水运，下少阳相火在泉。运生天气曰小逆，水上生木也，故病亦微。
幸巳辛亥年，君火欲升而水运承之，则为火郁，发为火疫。药宜凉膈散导赤散，加竹叶，煎化五
瘟丹服。此年受瘟，必待火得位之年而发。灾一宫，一，坎宫也。水运不及，故灾及之。巳亥之
年，厥阴风木当迁正司天，而少阴君火以上年在泉之右间，当升新岁司天之左间，故畏天蓬，水
星胜之也。巳亥阴年，气多不及，司天厥阴不得迁正，而左间少阴亦不得其位，而阳年则不然也。
遇辛巳辛亥，阴年，水运不及，君火欲升天而中水运抑之。不及之年，以能制抑君火，则弱能制
弱，而中水运天蓬窒之。则水胜而君火不前也。火郁不升而为害。火郁之发，必待其得位之时而
后作。癸未年，火郁瘟疫发也，君火相火同。火郁不升，人病在心包络。升之不前，清寒复作，
冷生旦暮。民病伏阳而内生烦热，心神惊悸，
寒热间作。天蓬水胜，火升不前，故气候清寒，民病热郁不散。火郁之发，故暴热至而为疠疫温
疟等症。泄去其火热，病可止。天气扰，（风木司天。）地气正。（相火在泉，土得温养。）木在
上，故风生高远。火在下，故炎热从之。土气得温，故云雨作，湿化乃行。风燥火热，胜复更作，
蛰虫来见，流水不冰。
初之气，寒始肃，杀气方至，阳明燥金用事也。民病寒于右之下。金位西方，金旺则伤肝，
故寒于右之下。
二之气，寒不去，华雪水冰，杀气施行，霜乃降，名草上焦，寒雨数至，阳乃化。太阳寒水
用事，故其气候如此。然以寒水之客，加于君火之主，其气必应，故阳复化。民病热于中，（火应
则热于中。）客寒外加。
三之气，天政布，风乃时举，厥阴风木司天之气用事也。厥阴加于少阳相火，风火交加，民
病泣出，耳鸣掉眩，风木之气见症也。
四之气，溽暑湿热相薄，争左之上，以君火之客加于太阴之主。四气为天之左间，故湿热争
于左之上。民病黄瘅，而为浮肿。（湿热之病。）
五之气，燥湿更胜，沉阴乃布，寒气及体，风雨乃行。客以湿土，主以燥金，燥湿更胜，其
候若此。
终之气，畏火司令，阳乃大化，蛰虫出见，流水不冰，地气大发，草乃生，人乃舒。少阳在
泉，故候如此。其病温疠，时寒气热，故病温疠。本年厥阴司天则土郁，少阳在泉则金郁。（郁
气化源，义见前章。）
丁巳年和丁亥年（都属于天符之年）
上半年厥阴风木司天，中运为少角木运，下半年少阳相火在泉。中运与司天之气相同称为天符，因为运和气都属木。灾害发生在三宫，
三宫指的是东方的震宫。因为木气不足，所以灾害波及此处。
癸巳年和癸亥年（都属于同岁会之年）
上半年厥阴风木司天，中运为少征火运，下半年少阳相火在泉。天气生助中运称为顺化，即木生火。顺化之年，百姓舒展，疾病较少。癸巳和癸亥这两年，阳明燥金之气想要下降，但有火运承接克制，导致金气降不下去，
时间久了就会形成金郁结，发作时引发疫病。药物宜用泄白散，煎汤后量取适量冷服，并用五瘟丹送下。灾害发生在九宫，九是离宫，因为火运不足，所以灾害波及此处。在巳亥之年，阳明燥金之气应当下降入地，此时少阳相火应当迁正成为在泉之气，而上年司天之气的右间气（阳明燥金）应当下降成为今年在泉之气的左间气，但因为畏惧地下的彤火之气，火气胜过它所致。如果上一年辰戌年的客气有余，司天的太阳寒水不退位，那么右间的阳明燥金也不能下降，遇到火运直到癸巳癸亥年，火运承接克制，导致金气降而不入。金气欲降而被火气承接克制，所以清肃之气流行而热气反而发作。热气损伤肺气，所以百姓出现昏倦、夜间睡眠不安、咽干想喝水等症状。金气长时间郁结在上部，所以感到寒冷，白色雾气升起。百姓因肝木受邪，所以出现头晕目眩、手足僵硬麻木、两胁疼痛、满眼模糊不清等症状。
己巳年和己亥年（属于天刑之年）
上半年厥阴风木司天，中运为少宫土运，下半年少阳相火在泉。天刑之年，木气克制土气，所以称为不相得则病，
虽然生病但不会有瘟疫。本年土运不足，被司天的风木之气所胜，于是木气兼有土的气化特点，这被称为卑监之纪。灾害发生在五宫，五是中宫。因为土运不足，所以灾害波及此处。
乙巳年和乙亥年
上半年厥阴风木司天，中运为少商金运，下半年少阳相火在泉。中运克制司天之气称为不和，即金克木。虽然病情严重但瘟疫较少。灾害发生在七宫，七是兑宫。因为金运不足，所以灾害波及此处。
辛巳年和辛亥年
上半年厥阴风木司天，中运为少羽水运，下半年少阳相火在泉。中运生助司天之气称为小逆，即水生木，所以病情也轻微。在辛巳辛亥年，君火之气想要上升但被水运承接克制，从而形成火郁结，发作时引发火疫。药物宜用凉膈散和导赤散，加入竹叶，煎煮后化开五瘟丹服用。这一年感染瘟疫，必须等到火气得位之年才会发作。灾害发生在一宫，一是坎宫。因为水运不足，所以灾害波及此处。在巳亥之年，厥阴风木应当迁正成为司天之气，而上年在泉之气的右间气（少阴君火）应当上升成为新岁司天之气的左间气，但因为畏惧天上的蓬水之气，水星胜过它所致。巳亥年是阴年，气候多表现为不足，司天的厥阴风木不能迁正，那么左间的少阴君火也不能得其位，而阳年则不是这样。遇到辛巳辛亥年，虽然是阴年，但水运不足，君火想要升天却被中间的水运抑制。在不足的年份，能够制约并抑制君火的，则是弱能制弱，中间的水运天蓬之气阻塞了它。于是水气胜而君火无法前进。火气郁结不升而产生危害。火郁结的发作，必须等到其得位的时节之后才发生。癸未年，火郁瘟疫发作，君火和相火一同作用。火郁结不升，人体会病在心包络。火气上升受阻，清寒之气再次发作，早晚产生冷气。百姓体内伏藏阳气而生内热烦闷，心神惊悸，
寒热交替发作。天蓬水气胜，火气上升受阻，所以气候清寒，百姓的热郁结不散。火郁结发作时，会出现突然高热以及疠疫、温疟等症状。泄去体内的火热，病就可以停止。天气扰乱，（风木司天。）地气正常。（相火在泉，土得到温养。）木气在上，所以风气高远而生。火气在下，所以炎热随之而来。土气得到温暖，所以云雨兴起，湿气得以施行。风、燥、火、热，胜负更替发作，冬眠的虫子出来活动，流水不结冰。
初之气，寒气开始肃杀，杀气刚刚到来，阳明燥金当令。百姓病发于身体右侧下部。金位对应西方，金旺则伤肝，
所以病发于右侧下部。
二之气，寒气未退，花雪融化成冰水，杀气施行，霜降下，名草枯萎焦黄，寒雨频繁到来，阳气才得以转化。太阳寒水当令，所以气候如此。然而以寒水作为客气，加临于君火主气之上，其气必然相应，所以阳气重新转化。百姓病发于体内发热，（火气相应则体内发热。）外部感受客寒。
三之气，天政布散，风按时而起，厥阴风木司天之气当令。厥阴加临于少阳相火之上，风火交加，百姓流泪，耳鸣头晕目眩，这是风木之气显现的症状。
四之气，湿热闷热相互迫近，争斗于左侧上方，以君火作为客气加临于太阴湿土主气之上。四之气是天之左间气，所以湿热争斗于左侧上方。百姓患黄疸，并出现浮肿。（这是湿热导致的疾病。）
五之气，燥湿互相胜负，深沉的阴气布散，寒气侵袭人体，风雨开始盛行。客气为湿土，主气为燥金，燥湿互相胜负，气候状况如此。
终之气，畏火当令，阳气大规模化育，冬眠的虫子出来活动，流水不结冰，地气大发，草木生长，人们感到舒适。少阳相火在泉，所以气候如此。其病为温疠，时而寒气时而热气，所以患温疠。本年厥阴司天则土气郁结，少阳在泉则金气郁结。（郁气化源的道理见前章。）
Ding Si and Ding Hai years (both are Tian Fu years)
The upper Jueyin Wind-Wood governs the Heaven, the central movement is Shaojiao Wood movement, and the lower Shaoyang Minister-Fire governs the Earth. When the movement and the Qi of Heaven are identical, it is called Tian Fu; here, both the movement and the Qi belong to Wood. The disaster occurs in the Third Palace,
which refers to the Zhen Palace in the East. Because the Wood Qi is insufficient, the disaster affects this area.
Gui Si and Gui Hai years (both are Tong Sui Hui years)
The upper Jueyin Wind-Wood governs the Heaven, the central movement is Shaozheng Fire movement, and the lower Shaoyang Minister-Fire governs the Earth. When the Heaven's Qi generates the movement, it is called Shun Hua (Smooth Transformation), i.e., Wood generates Fire. In years of Shun Hua, people feel comfortable and diseases are few. In the two years of Gui Si and Gui Hai, the Yangming Dry-Metal Qi desires to descend, but it is met by Fire movement, preventing its descent.
If this persists, Metal becomes Yu (stagnant/depressed), and upon release, it causes epidemics. Medicines should include Xie Bai San (Drain White Powder), decocted and taken cold in measured amounts, followed by Wu Wen Dan (Five Plagues Pill). The disaster occurs in the Ninth Palace, which is the Li Palace. Because the Fire movement is insufficient, the disaster affects this area. In Si-Hai years, Yangming Dry-Metal Qi should descend into the Earth, while Shaoyang Minister-Fire should move forward to govern the Earth. However, the Right Intercalary Qi of the previous year's Heaven governance (Yangming Dry-Metal) should descend to become the Left Intercalary Qi of the current Earth governance, but it fears the Earthly Red Fire Qi, as Fire Qi overcomes it. If the previous year's Chen-Xu year had excess Qi, causing the Heaven-governing Taiyang Cold-Water to not retreat, then the Right Intercalary Yangming cannot descend either. Encountering Fire movement until Gui Si and Gui Hai years, Fire meets and suppresses it, preventing descent. Since Metal desires to descend but is met by Fire, the Clear and Restrictive Qi flows, yet Heat counteracts it. Heat damages Lung Qi, so people suffer from drowsiness, restless sleep at night, dry throat with desire for drinking, etc. Metal Qi stagnates long-term in the upper body, causing coldness and white Qi rising. People suffer from Liver-Wood pathogen invasion, leading to vertigo, stiff and numb hands and feet, pain in both hypochondria, and blurred vision.
Ji Si and Ji Hai years (Tian Xing years)
The upper Jueyin Wind-Wood governs the Heaven, the central movement is Shaogong Earth movement, and the lower Shaoyang Minister-Fire governs the Earth. In Tian Xing years, Wood controls Earth, hence it is called "Bu Xiang De" (Not Getting Along), leading to disease,
though no plague occurs. This year's Earth movement is insufficient, overcome by the Heaven-governing Wind-Wood, so Wood assumes Earth's transformation characteristics, known as Bei Jian Ji (Lowly Supervisor Era). The disaster occurs in the Fifth Palace, which is the Central Palace. Because the Earth movement is insufficient, the disaster affects this area.
Yi Si and Yi Hai years
The upper Jueyin Wind-Wood governs the Heaven, the central movement is Shaoshang Metal movement, and the lower Shaoyang Minister-Fire governs the Earth. When the movement overcomes the Heaven's Qi, it is called Bu He (Disorder), i.e., Metal overcomes Wood. Although the illness is severe, plagues are few. The disaster occurs in the Seventh Palace, which is the Dui Palace. Because the Metal movement is insufficient, the disaster affects this area.
Xin Si and Xin Hai years
The upper Jueyin Wind-Wood governs the Heaven, the central movement is Shaoyu Water movement, and the lower Shaoyang Minister-Fire governs the Earth. When the movement generates the Heaven's Qi, it is called Xiao Ni (Minor Reversal), i.e., Water generates Wood, so illnesses are also mild. In Xin Si and Xin Hai years, Jun Fire desires to ascend but is met by Water movement, forming Fire Yu (stagnation), which releases as Fire Epidemic. Medicines should include Liang Ge San (Cool the Diaphragm Powder) and Dao Chi San (Guide Out Redness Powder), added with Bamboo Leaves, decocted and mixed with Wu Wen Dan for consumption. Plague contracted this year will only manifest when Fire obtains its proper position. The disaster occurs in the First Palace, which is the Kan Palace. Because the Water movement is insufficient, the disaster affects this area. In Si-Hai years, Jueyin Wind-Wood should advance to govern Heaven, while the Right Intercalary Qi of the previous year's Earth governance (Shaoyin Jun Fire) should ascend to become the Left Intercalary Qi of the new year's Heaven governance, but it fears the Heavenly Peng Water Qi, as Mercury/Water overcomes it. Si-Hai are Yin years, where Qi is often insufficient; if the Heaven-governing Jueyin cannot advance, the Left Intercalary Shaoyin also cannot take its place, whereas Yang years are different. Encountering Xin Si and Xin Hai years, although Yin years, the Water movement is insufficient. Jun Fire desires to ascend to Heaven but is suppressed by the central Water movement. In insufficient years, what can control and suppress Jun Fire is that weakness controls weakness; the central Water movement, blocked by Tian Peng, causes Water to prevail and Jun Fire to halt. Fire stagnation without ascending causes harm. Fire stagnation manifests only after obtaining its proper season. In Gui Wei year, Fire stagnation plague erupts, involving both Jun Fire and Xiang Fire. Fire stagnation without ascending causes disease in the Pericardium Collateral. Ascent is blocked, clear cold returns, generating cold morning and evening. People suffer from latent Yang causing internal heat and irritability, mental palpitations,
and alternating chills and fever. Tian Peng Water prevails, hindering Fire ascent, resulting in cool and cold climate, with people suffering from unresolved heat stagnation. Upon Fire stagnation release, sudden high heat occurs, leading to epidemic fevers, warm malaria, etc. Draining the internal heat and fire can stop the disease. Heaven's Qi is disturbed (Wind-Wood governs Heaven). Earth's Qi is correct (Minister-Fire governs Earth, Earth receives warmth). Wood is above, so wind arises from afar. Fire is below, so heat follows. Earth Qi receives warmth, so clouds and rain form, and dampness transformation proceeds. Wind, Dryness, Fire, and Heat alternate in victory and defeat; hibernating insects appear, and flowing water does not freeze.
First Qi: Cold begins to肃 (solemnly kill/restrict), killing Qi arrives, Yangming Dry-Metal is in charge. People suffer from cold in the lower right side. Metal corresponds to the West; when Metal is prosperous, it harms Liver,
so cold manifests in the lower right.
Second Qi: Cold does not depart, flowers and snow melt into ice, killing Qi operates, frost descends, grass withers and scorches, cold rains come frequently, Yang Qi transforms. Taiyang Cold-Water is in charge, hence the climate is thus. However, with Cold-Water as Guest Qi added to Jun Fire as Host Qi, the Qi must respond, so Yang re-transforms. People suffer from heat in the middle (Fire response causes heat in the middle), with external guest cold.
Third Qi: Heaven's administration spreads, wind rises on time, Jueyin Wind-Wood governing Heaven Qi is in charge. Jueyin adds to Shaoyang Minister-Fire, wind and fire combine, people suffer from tearing, tinnitus, vertigo, symptoms of Wind-Wood Qi manifestation.
Fourth Qi: Humid heat and dampness clash, competing in the upper left, with Jun Fire as Guest Qi added to Taiyin Host Qi. Fourth Qi is Heaven's Left Intercalary, so damp-heat competes in the upper left. People suffer from jaundice and edema (diseases caused by damp-heat).
Fifth Qi: Dryness and dampness alternate in superiority, deep Yin spreads, cold air touches the body, wind and rain occur. Guest is Wet Earth, Host is Dry Metal, dryness and dampness alternate, the climate is thus.
Sixth Qi: Fearful Fire commands, Yang Qi greatly transforms, hibernating insects appear, flowing water does not freeze, Earth Qi erupts, grass grows, people feel comfortable. Shaoyang governs Earth, hence the climate is thus. Diseases are warm plagues, alternating cold and heat, hence warm plagues. This year, Jueyin governs Heaven so Earth Qi stagnates; Shaoyang governs Earth so Metal Qi stagnates. (The source of stagnation Qi transformation is explained in the previous chapter.)