病如不是当年气，看与何年运气同，只向某年求活法，方知都在至真中。扁鹊曰∶阴淫寒疾，阳淫热疾，风
淫末疾，雨淫腹疾，晦淫惑疾，明淫心疾。经曰∶必先岁气，毋伐天和。又曰∶不知年之所加，气之盛衰，不
可以为工。学人合而观之，更精于脉证，乃自得之。噫，儒之道，博约而已矣；医之道，运气而已矣。学人可
不由此入门，而求其蕴奥耶！
按运气之理，在在弗遗，虽有微 ，罔不由斯，至本年时疫，尤为吃紧，即七情不齐，亦皆默范。但奥理
微词，卒难解
悟，非累功探索，至灵慧者，莫之能解，况鲁钝 綮，宁敢窥其藩篱哉！是篇删其繁芜，为下学楷梯，以免
其浩汗之苦。高博者，有完义具于胸中，视兹筌蹄，几同咀雪，知我罪我，其在斯乎。
运气相同，名曰天符。
天气生运，名曰顺化。
天气克运，名曰天刑。
运生天气，名曰小逆。
运克天气，名曰不和。
六甲年土运∶甲子、甲午、甲寅、甲申，火下生土，顺化；甲辰、甲戌，土上克水，不和。
六己年土运∶己丑、己未，运气皆土，天符；己卯、己酉、土上生金，小逆；己巳、己亥，木下克土，天
刑。
六乙年金运∶乙丑、乙未，土下生金，顺化；乙卯、乙酉、运气皆金，天符；乙巳、乙亥，金上克木，
不和。
六庚年金运∶庚子、庚午，庚申，火下克金，天刑；庚辰、庚戌，金上生水，小逆。
六丙年水运∶丙子、丙午、丙寅、丙申，水上克火，不和；丙辰、丙戌，运气皆水，天符。
六辛年水运∶辛丑、辛未，土下克水，天刑；辛卯、辛酉，金下生水，顺化；辛巳、辛亥，水上生木，小
逆。
六丁年木运∶丁丑、丁未，木上克土，不和；丁卯、丁酉、金下克木，天刑；丁巳、丁亥，运气皆木，天
符。
六壬年木运∶壬子、壬午、壬寅、壬申、木上生火，小逆；壬辰、壬戌，水下生木，顺化。
六戊年火运∶戊子、戊午、戊寅、戊申，运气皆火，天符；戊辰、戊戌，水下克火，天刑。
六癸年火运∶癸丑、癸未，火上生土，小逆；癸卯、癸酉，火上克金，不和；癸巳、癸亥，木下生火，
顺化。
如果病症与当年的运气不符，就看看它与哪一年的运气相同，只向那一年寻求治病的法则，才知道道理都包含在《至真要大论》中。扁鹊说：阴气过盛导致寒性疾病，阳气过盛导致热性疾病，风气过盛导致四肢末端的疾病，雨湿之气过盛导致腹部的疾病，昏暗（指夜间房事过度）导致神志惑乱之疾，光明（指白天房事过度或耗散精气）导致心脏疾病。医经说：必须首先了解当年的岁气，不要损伤人体的自然和谐。又说：不了解每年天干的加临、五气的盛衰，就不能成为医生。学习者将这两方面结合起来观察，更加精通脉象和证候，就能自己有所心得。唉，儒家的道，不过是广博与简约罢了；医家的道，不过是运气学说罢了。学习者能不从此入门，去探求其中的深奥义理吗！
按运气学说的道理，无处不在，没有遗漏，虽然细微，无不由此产生，到了本年的时行疫病，尤为关键，即使是七情（喜、怒、忧、思、悲、恐、惊）失调，也都默默遵循这一规律。但是深奥的道理和微妙的言辞，突然之间难以理解领悟，不是积累功夫探索，达到灵慧境界的人，不能理解它，何况是愚钝之人，怎敢窥探它的门径呢！这篇文章删去了繁杂冗余的内容，作为初学者的阶梯，以避免浩繁汗牛之苦。高深博学的人，心中已有完整的义理，看待这些比喻性的工具，几乎如同咀嚼冰雪一样无味，了解我或怪罪我，大概就在这里吧。
运气相同，称为天符。
天气生运，称为顺化。
天气克运，称为天刑。
运生天气，称为小逆。
运克天气，称为不和。
六甲年土运：甲子、甲午、甲寅、甲申，火在下生土，为顺化；甲辰、甲戌，土在上克水，为不和。
六己年土运：己丑、己未，运气皆为土，为天符；己卯、己酉，土在上生金，为小逆；己巳、己亥，木在下克土，为天刑。
六乙年金运：乙丑、乙未，土在下生金，为顺化；乙卯、乙酉，运气皆为金，为天符；乙巳、乙亥，金在上克木，为不和。
六庚年金运：庚子、庚午、庚申，火在下克金，为天刑；庚辰、庚戌，金在上生水，为小逆。
六丙年水运：丙子、丙午、丙寅、丙申，水在上克火，为不和；丙辰、丙戌，运气皆为水，为天符。
六辛年水运：辛丑、辛未，土在下克水，为天刑；辛卯、辛酉，金在下生水，为顺化；辛巳、辛亥，水在上生木，为小逆。
六丁年木运：丁丑、丁未，木在上克土，为不和；丁卯、丁酉，金在下克木，为天刑；丁巳、丁亥，运气皆为木，为天符。
六壬年木运：壬子、壬午、壬寅、壬申，木在上生火，为小逆；壬辰、壬戌，水在下生木，为顺化。
六戊年火运：戊子、戊午、戊寅、戊申，运气皆为火，为天符；戊辰、戊戌，水在下克火，为天刑。
六癸年火运：癸丑、癸未，火在上生土，为小逆；癸卯、癸酉，火在上克金，为不和；癸巳、癸亥，木在下生火，为顺化。
If the disease does not correspond to the Qi of the current year, observe which year's Qi it resembles. Seek the therapeutic principles from that specific year, and you will realize that all truths are contained within the *Zhi Zhen Yao Da Lun* (Treatise on the Supreme Truth). Bian Que stated: "Excess Yin leads to cold diseases; excess Yang leads to heat diseases; excess Wind leads to diseases of the extremities; excess Rain/Dampness leads to abdominal diseases; excess darkness (referring to nocturnal indulgence) leads to confused mental states; excess brightness (referring to diurnal depletion or excessive activity) leads to heart diseases." The Classics state: "One must first ascertain the annual Sui Qi (Yearly Climate), and not violate the Tian He (Natural Harmony of Heaven and Humanity)." It also states: "He who does not understand the Jia Zi (Heavenly Stem additions) and the waxing and waning of the Qi cannot be a physician." Students should integrate these observations, refine their understanding of pulse and syndrome differentiation, and thereby attain personal insight. Alas, the Way of Confucianism lies in breadth and simplicity; the Way of Medicine lies in Yun Qi (Five Movements and Six Qi). How can students fail to enter through this gate and seek its profound mysteries?
According to the principles of Yun Qi, there is no place where they do not apply, and nothing is overlooked. Even subtle phenomena invariably stem from them. This is especially critical for seasonal epidemics in the current year. Even imbalances of the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) silently conform to these patterns. However, profound theories and subtle expressions are difficult to comprehend abruptly. Without accumulated effort and exploration reaching a state of spiritual acuity, one cannot grasp them. How much less could a dull-minded person dare to peek at its threshold! This chapter removes redundancy and serves as a ladder for beginners, sparing them the toil of overwhelming complexity. For those with broad and profound knowledge, whose chests already hold complete meanings, viewing these metaphorical tools (like fish traps and rabbit snares) is akin to chewing snow—tasteless. Whether I am understood or blamed, it lies here.
When Yun Qi (Movement Qi) and Tian Qi (Heavenly Qi) are identical, it is called **Tian Fu** (Heavenly符/Signature).
When Tian Qi generates Yun Qi, it is called **Shun Hua** (Smooth Transformation).
When Tian Qi controls Yun Qi, it is called **Tian Xing** (Heavenly Punishment).
When Yun Qi generates Tian Qi, it is called **Xiao Ni** (Minor Rebellion).
When Yun Qi controls Tian Qi, it is called **Bu He** (Disaccord).
**Earth Movement Years of the Six Jia (Jia Zi, Jia Wu, Jia Yin, Jia Shen):** Fire below generates Earth → Shun Hua; **Jia Chen, Jia Xu:** Earth above controls Water → Bu He.
**Earth Movement Years of the Six Ji (Ji Chou, Ji Wei):** Yun and Qi are both Earth → Tian Fu; **Ji Mao, Ji You:** Earth above generates Metal → Xiao Ni; **Ji Si, Ji Hai:** Wood below controls Earth → Tian Xing.
**Metal Movement Years of the Six Yi (Yi Chou, Yi Wei):** Earth below generates Metal → Shun Hua; **Yi Mao, Yi You:** Yun and Qi are both Metal → Tian Fu; **Yi Si, Yi Hai:** Metal above controls Wood → Bu He.
**Metal Movement Years of the Six Geng (Geng Zi, Geng Wu, Geng Shen):** Fire below controls Metal → Tian Xing; **Geng Chen, Geng Xu:** Metal above generates Water → Xiao Ni.
**Water Movement Years of the Six Bing (Bing Zi, Bing Wu, Bing Yin, Bing Shen):** Water above controls Fire → Bu He; **Bing Chen, Bing Xu:** Yun and Qi are both Water → Tian Fu.
**Water Movement Years of the Six Xin (Xin Chou, Xin Wei):** Earth below controls Water → Tian Xing; **Xin Mao, Xin You:** Metal below generates Water → Shun Hua; **Xin Si, Xin Hai:** Water above generates Wood → Xiao Ni.
**Wood Movement Years of the Six Ding (Ding Chou, Ding Wei):** Wood above controls Earth → Bu He; **Ding Mao, Ding You:** Metal below controls Wood → Tian Xing; **Ding Si, Ding Hai:** Yun and Qi are both Wood → Tian Fu.
**Wood Movement Years of the Six Ren (Ren Zi, Ren Wu, Ren Yin, Ren Shen):** Wood above generates Fire → Xiao Ni; **Ren Chen, Ren Xu:** Water below generates Wood → Shun Hua.
**Fire Movement Years of the Six Wu (Wu Zi, Wu Wu, Wu Yin, Wu Shen):** Yun and Qi are both Fire → Tian Fu; **Wu Chen, Wu Xu:** Water below controls Fire → Tian Xing.
**Fire Movement Years of the Six Gui (Gui Chou, Gui Wei):** Fire above generates Earth → Xiao Ni; **Gui Mao, Gui You:** Fire above controls Metal → Bu He; **Gui Si, Gui Hai:** Wood below generates Fire → Shun Hua.