木运∶诸风掉眩，皆属肝木。掉摇也，眩昏乱眩晕也。风而头目眩晕，风木旺必是金衰不能制木，木复生
火，风属阳，阳主乎动，两动相搏为眩晕。春夏风火相搏，多起旋风，或乘舟、跃马、登车、环舞而眩晕，其
动不止，左右纡曲，曲直动摇，风之用也。
火运∶诸痛痒疮疡，皆属心火。
土运∶诸湿肿满，皆属脾土。诸湿者，地之体也。土湿极盛者，则痞湿肿满之候生焉，故无湿亦然。
金运∶诸气 郁病痿，皆属肺金。 郁， 满奔迫也。肺主气，气为阳，主轻清而升，故肺主上部，则 满
奔迫，不能上升也。痿者，手足痿弱，无力以运动也，由肺金本燥，燥之为疾，血液衰少，不能荣养百体，故
秋金旺，雾气 育，而草木萎落也。
水运∶诸寒收引，皆属肾水。收敛引急，寒之用也，故冬寒则拘缩。
厥阴风木∶诸暴强直、肢痛、里急、筋缩、软戾，属风木之气。
少阴君火∶诸病喘、呕、吐酸、暴注下迫、转筋、小便混浊、腹胀如鼓之有声、痈、疽、痨、疹、瘤、气、
结核、吐下霍乱、瞀郁、肿胀、鼻寒鼽衄、血溢、血泄、淋闭、身热、恶寒、战 、惊或悲哭、谵妄、衄 血
污，皆属君火之气。
太阴湿土∶诸痉强直、积饮、痞隔、吐下霍乱、痿、厥、中满、体重、 肿肉如泥，按之不起，属湿土之
气。
少阳相火∶诸热瞀螈、筋惕惕悸动、搐搦、螈 、暴 、冒昧、躁扰狂越、骂詈惊骇、 肿、酸疼、气逆
上冲、禁 、如丧神守、嚏、呕、疮疡、喉痹、耳鸣及聋、呕涌、溢食不下、目昧不明、暴注 螈、暴病暴死，
皆属相火之气。
阳明燥金∶诸涩枯涸、干劲皱揭，属燥金之气。
太阳寒水∶诸病上下水液出，澄彻清冷，不利清白、吐利腥秽、 瘕、坚痞、 疝、腹满急痛、食已不饥、
屈伸不便、厥逆禁固，皆属寒水之气也。
凡有余不足之气，至而不至，与未至而至者，皆因初之气早迟各十三日也。其余五气，皆因之早迟俱同。
六气分主定期，但以大、分、小三字记。以盖大寒、暑为初、四之气，春、秋分为二、五之气，小满、寒
为三、终之气也。是一气管六十日有奇。
诀云∶病如不是当年气，看与何年运气同。便向某年寻活法，方知都在至真中。
人犯邪气，发之早迟不同，故当看其病与何年运气相同，斯
治之无不得也。
木运：各种风证引起的摇动和眩晕，都归属于肝木。掉，指摇动；眩，指昏乱、眩晕。因风导致头目眩晕，是因为风木过旺，必然是金气衰弱不能制约木气，木气进而生火。风属于阳，阳主动，两种动势相互搏击就会引发眩晕。春夏季节风与火相搏，常产生旋风，或者乘船、骑马、坐车、旋转舞蹈时出现眩晕，这种动感不止，身体左右弯曲，曲直动摇，这是风的作用。
土运：各种湿邪引起的肿胀和痞满，都归属于脾土。所谓的“诸湿”，是指大地的本体属性。当土湿极盛时，就会产生痞闷、湿阻、肿胀、痞满的症状，所以没有湿气（的情况）也是类似的道理（意指湿为土之本）。
金运：各种气机郁滞、病痿，都归属于肺金。郁，指胀满、奔迫感。肺主气，气属阳，性质轻清而上升，所以肺主管上部，若出现胀满、奔迫感，是因为气不能上升。痿，指手足痿弱无力，无法运动。这是由于肺金本性燥，燥邪致病，会导致血液衰少，不能滋养全身，所以当秋季金气旺盛时，雾气朦胧，草木枯萎凋落。
水运：各种寒证引起的收缩牵引，都归属于肾水。收敛和引急，是寒的特性，所以冬季寒冷时身体会拘挛收缩。
厥阴风木：各种突然发生的强直、肢体疼痛、腹中拘急、筋脉痉挛、肢体屈伸不利，都属于风木之气。
少阴君火：各种疾病如气喘、呕吐、吐酸水、急性腹泻且肛门紧迫、肌肉抽搐、小便浑浊、腹部胀大如鼓且有声响、痈疽、劳损、皮疹、肿瘤、气病、结核、上吐下泻的霍乱、神志昏乱郁闷、肿胀、鼻部受寒流涕或鼻出血、血液溢出、便血、淋证闭涩、身体发热、恶寒、战栗、惊恐或悲伤哭泣、胡言乱语、鼻出血污秽，都属于君火之气。
太阴湿土：各种痉病强直、停饮、痞塞阻隔、上吐下泻的霍乱、痿证、厥逆、胸腹痞满、身体沉重、水肿按之不起如泥状，都属于湿土之气。
少阳相火：各种热证导致的昏乱抽搐、筋肉跳动悸动、抽搦、抽搐、突然昏冒、烦躁扰乱、狂乱越礼、骂人惊骇、肿胀、酸痛、气逆上冲、口噤不开、如同失魂守舍、打喷嚏、呕吐、疮疡、喉痹、耳鸣及耳聋、呕吐涌出、饮食不下、眼睛昏暗不明、急性腹泻伴抽搐、突发疾病突然死亡，都属于相火之气。
阳明燥金：各种干涩、枯涸、皮肤干燥起皱揭裂，都属于燥金之气。
太阳寒水：各种疾病表现为上下排泄物清澈透明、冷冽不温、小便清白不利、呕吐下利物气味腥臭、瘕聚、坚硬痞块、疝气、腹部胀满急痛、进食后不觉饥饿、屈伸不便、厥逆口噤肢体僵硬，都属于寒水之气。
凡是有余或不足的运气，该来不来，或未到先到的，都是因为初之气早晚各相差十三天。其余五气的早晚差异也都相同。六气分主定期，但用大、分、小三个字来记录。大概是大寒、暑为初气和四气，春分、秋分为二气和五气，小满、寒露为三气和终气。这样每一气管辖六十多天。
口诀说：病情如果不是当年的运气所致，就看它与哪一年的运气相同。便向那一年寻找治疗方法，才知道都在《至真要大论》的道理之中。
人感染邪气，发病有早有晚，所以应当看他的病症与哪一年的运气相同，这样治疗就没有不得当的。
Wood Phase: All wind-induced tremors and dizziness belong to Liver Wood. "Diao" refers to trembling; "Xuan" refers to vertigo and confusion. Wind causing head and eye dizziness occurs because Wood Qi is excessive, implying that Metal Qi is deficient and fails to control Wood, allowing Wood to generate Fire. Wind belongs to Yang, and Yang governs movement; the interaction of two movements results in dizziness. In spring and summer, when Wind and Fire interact, whirlwinds often arise, or dizziness may occur while boating, riding horses, traveling by carriage, or dancing in circles, with continuous motion, bending left and right, and wavering between straight and curved, which is the function of Wind.
Fire Phase: All pain, itching, sores, and ulcers belong to Heart Fire.
Earth Phase: All dampness-induced swelling and fullness belong to Spleen Earth. The term "all dampness" refers to the physical nature of the earth. When Earth dampness is extremely abundant, symptoms of stagnation, damp obstruction, swelling, and fullness arise; thus, even without external dampness, the internal principle remains similar (referring to dampness as the inherent nature of Earth).
Metal Phase: All Qi stagnation and flaccidity syndromes belong to Lung Metal. "Yu" refers to distension and a sense of rushing pressure. The Lung governs Qi; Qi belongs to Yang, is light and clear, and ascends. Therefore, the Lung governs the upper body. If distension and rushing pressure occur, it is because Qi cannot ascend. "Wei" refers to weakness and inability to move the limbs. This arises because Lung Metal is inherently dry; dryness pathology leads to a decline in blood volume, failing to nourish the whole body. Thus, when Autumn Metal Qi is strong, mist prevails, and grass and trees wither and fall.
Water Phase: All cold-induced contraction and pulling belong to Kidney Water. Convergence and tension are the functions of Cold; therefore, in winter cold, the body becomes stiff and contracted.
Jueyin Wind-Wood: All sudden stiffness, limb pain, internal urgency, tendon spasms, and limb flexion/extension difficulties belong to Wind-Wood Qi.
Shaoyin Ministerial-Fire: All diseases such as wheezing, vomiting, acid regurgitation, acute diarrhea with tenesmus, muscle cramps, turbid urine, abdominal distension sounding like a drum, carbuncles, gangrene, consumptive disease, rashes, tumors, Qi disorders, tuberculosis, cholera with vomiting and diarrhea, mental confusion and depression, swelling, nasal congestion with rhinorrhea or epistaxis, hemorrhage, hematochezia, stranguria and retention, fever, aversion to cold, shivering, fright, or weeping, delirium, and bloody nasal discharge all belong to Ministerial-Fire Qi.
Taiyin Damp-Earth: All spastic stiffness, fluid retention, stagnation and obstruction, cholera with vomiting and diarrhea, flaccidity, reversal cold, chest and abdominal fullness, heavy body, and edema that does not rise upon pressing (like mud) belong to Damp-Earth Qi.
Shaoyang Ministerial-Fire: All heat-induced confusion and convulsions, twitching and palpitations, spasms, convulsions, sudden fainting, restlessness and agitation, mania and unruliness, cursing and fright, swelling, soreness and pain, rebellious Qi rushing upward, lockjaw, feeling as if losing one's spirit, sneezing, vomiting, sores and ulcers, pharyngeal obstruction, tinnitus and deafness, vomiting and gurgling, inability to swallow food, blurred vision, acute diarrhea with convulsions, and sudden death from acute illness all belong to Ministerial-Fire Qi.
Yangming Dry-Metal: All dryness, withered and dried-out states, dry skin, and wrinkled peeling belong to Dry-Metal Qi.
Taiyang Cold-Water: All diseases manifesting as clear and cold excretions from above and below, clear and profuse urination, vomit and diarrhea with fishy/foul odors, masses (jia), hard nodules, hernia, abdominal fullness and acute pain, lack of hunger after eating, difficulty in flexion and extension, reversal cold with lockjaw and rigidity all belong to Cold-Water Qi.
For any excess or deficiency in Qi, whether it arrives late or early, it is due to the First Qi being thirteen days early or late. The same applies to the other five Qi periods. The six Qi govern specific periods, recorded using the characters Da (Great), Fen (Divide), and Xiao (Small). Roughly, Great Cold and Heat correspond to the First and Fourth Qi; Spring and Autumn Equinoxes correspond to the Second and Fifth Qi; Grain Full and Cold Dew correspond to the Third and Final Qi. Each Qi governs slightly more than sixty days.
The verse says: If the illness does not match the current year's Qi, look for which year's Qi matches it. Seek the living method from that year, and you will know it all lies within the *Zhi Zhen Yao Da Lun* (Supreme Essentials).
When humans contract pathogenic Qi, the onset varies in timing. Therefore, one must determine which year's Qi pattern matches the patient's symptoms; only then can treatment be perfectly appropriate.