薄,雨乃后。(“客主之气,皆厥阴风木用事,故寒去物荣。以太阴湿土司天,故风湿相薄。风胜湿,故雨
乃后时而至。地气迁义见前。”)民病血溢,筋络拘强,关节不利,身重筋痿。(“风病在筋,湿病在肉,故
为此诸证。血溢者,风伤于肝也。”)二之气,大火正,物承化,民乃和。(“客主之气,皆少阴君火用事,
故大火气正,物承其化,民亦和也。”)其病温厉大行,远近咸若,湿蒸相薄,雨乃时降。(“火盛气热,
故民病温厉。以太阴司天,故湿蒸相薄。时雨应期,
故曰时降。”)三之气,天政布,湿气降,地气腾,雨乃时降,寒乃随之。(“太阴司天,湿土用事,故湿气
降,地气腾而为雨。三气之后,则太阳在泉,故寒乃随之。”)感于寒湿,则民病身重 肿,胸腹满,(“寒
凝湿滞,故其为病如此。”)四之气,畏火临,溽蒸化,地气腾,天气痞隔,寒风晓暮,蒸热相搏,草木凝
烟,湿化不流,则白露阴布,以成秋令。(“少阳相火用事,其气尤烈,故曰畏火,以后凡言畏火者,皆相火
也。客以相火,主以湿土,火土合气,溽蒸上腾,故天气痞隔。然太阳在泉,故寒风随发于朝暮。以湿遇火,
故湿化不流,惟白露阴布以成秋令也。”)民病腠理热,血暴溢,疟,心腹满热,胪胀,甚则 肿。(“湿
热并行,故为是病。胪,皮也,一曰腹前曰胪。 肿,肉浮肿也。胪,闾卢二音。 音附。”)五之气,惨令
已行,寒露下,霜乃早降,草木黄落。(“客主之气,皆阳明燥金用事,故其政令如此。”)寒气及体,君子
周密,民病皮腠。(“皮腠属金,气求同类也。”)终之气,寒大举,湿大化,霜乃积,阴乃凝,水坚冰,阳
光不治。(“在泉客主之气,皆太阳寒水用事,故其政令如此。”)感于寒,则病患关节禁固,腰 痛,(“关
节在骨,腰 属肾与膀胱,皆寒求同类为病。”)寒湿持于气交而为疾也,必折其郁气而取化源,(“以上十年,
上湿下寒,故寒湿持于气交。然太阴司天则水郁,太阳在泉则火郁,郁气化源,义详见前。又如补遗本病篇曰∶
丑未之岁,少阳升天,主窒天蓬,胜之不前。厥阴降地,主窒地晶,胜而不前。故刺法论于火欲升而天蓬窒抑
之,君火相火同刺包络之荣。木欲降而地晶窒抑之,当刺手太阴之所出,手阳明之所入。王氏曰∶化源九月
迎而取之,以补益也。是皆折郁气,取化源之义。”)益其岁气,无使邪胜,(“太阴司天,丑未不及之岁也,
故当益其岁气。”)食岁谷以全其真,食间谷以保其精。(“岁谷,即上文 玄谷也。间谷,义见前阳明之政。”)
故岁宜以苦燥之温之,甚者发之泄之,不发不泄,则湿气外溢,肉溃皮拆而水血交流。(“以苦燥之温之,
苦从火化,燥以治湿,温以治寒也。发之泄之,盖发散可以逐寒,渗泄可以去湿也。”)必赞其阳火,令御甚
寒,(“岁气阴寒,故当扶阳。”)从气异同,少多其判也,同寒者以热化,同湿者以燥化。(“以上十年,
运之与气,有与在泉同寒者,当多用热化之品以治之,如少商少羽岁是也。有与司天同湿者,当多用燥化之品
以治之,如少宫岁是也。其少角少征岁,当稍从和平以处之也。”)异者少之,同者多之,(“虽以热以燥,
各有分治,然或少或多,当因运气异同,随其宜而酌之。”)用凉远凉,用寒远寒,用温远温,用热远热,食
宜同法,假者反之,此其道也。反是者病也。
帝曰∶善!少阴之政奈何?岐伯曰∶子午之纪也。
壬子 壬午岁
上少阴火,中太角木运,下阳明金。
其运风鼓,其化鸣紊启拆,(“此壬年太角之正化。五常政大论云∶其德鸣靡启拆。”)其变振拉摧拔,
其病支满。(“肝木强也。”)
热化二,风化八,清化四,正化度也。
其化上咸寒,(“治司天之君火。”)中酸凉,(“酸从木化,太角宜凉也。”)下酸温,(“酸本从木,
以治阳明,何也?盖燥金在泉,金病在肺,脏气法时论曰∶‘肺欲收,急食酸以收之,用酸补之。’至真要大
论曰∶‘金位之主,其补以酸。’又曰∶‘阳明之客,以酸补之。’此以阳明居少阴之下,其气不足,故宜治
之如此。下文同。”)药食宜也。
太角(初) 少征 太宫 少商 太羽(终)
戊子(天符) 戊午岁(太乙天符)
上少阴火,中太征火运,下阳明金。
其运炎暑,其化暄曜郁燠,(“此戊年太征之正化。五常政大论曰∶‘其德暄暑郁蒸。’太征运遇太阳司
天曰热,少阳司天曰暑,少阴司天曰炎暑,皆兼司天之气而言运也。”)其变炎烈沸腾,其病上热血溢。(“阳
火盛也。”)
热化七,(“司天中运同。”)清化九,正化度也。
其化上咸寒,中甘寒,下酸温,药食宜也。(按∶以寒治火是也,而必兼甘者何故?盖太征为火之太过,纯
用苦寒则过激而火不行,故必用甘以佐之,使其和缓而无相激之患也。上下同前。)
太征 少宫 太商 少羽(终) 少角(初)
甲子 甲午岁
上少阴火,中太宫土运,下阳明金。
其运阴雨,其化柔润时雨,(“此甲年太宫之正化。五常政大论曰∶其德柔润重淖。”)其变震惊飘骤,
其病中满身重。(“土湿之滞也。”)
热化二,(“新校正云∶‘详对化从标成数,正化从本生数。甲子之年,热化七,燥化九。甲午之年,热化
二,燥化四。’其义未然,有愚按在后。”)雨化五,燥化四,所谓正化日也。
其化上咸寒,中苦热,下酸热,所谓药食宜也。(“中苦热,治太宫湿胜也。下酸热,与前后四运稍异。然
彼言温,此言热,亦不甚相远。玄珠云∶下苦热。”)
太宫 少商 太羽(终) 太角(初) 少征
庚子 庚午岁(俱同天符)
上少阴火,中太商金运,下阳明金,同正商。(“本年金运太过,而君火司天制之,则金得其平,所谓坚成之纪,上
征与正商同也。”)
其运凉劲,其化雾露萧 ,(“此庚年太商之正化。运与在泉同其气,故曰凉劲。”)其变肃杀凋零,其病
下清。(“下清,二便清泄及下体清冷也,金气之病。”)
热化七,清化九,燥化九,(按∶清与燥皆金化,中运与司天在泉同气,止言其一而已,而此独并言之也。)
所谓正化日也。
其化上咸寒,中辛温,下酸温,所谓药食宜也。(“中辛温,辛以从金,温以治寒也。上下同前。玄珠云∶
下苦热。”)
太商 少羽(终) 少角(初) 太征 少宫
丙子(岁会) 丙午岁
上少阴火,中太羽水运,下阳明金。
其运寒,其化凝惨凛冽,(“此丙年太羽之正化。五常政大论云;其德凝惨寒 。”)其变冰雪雹,其病
寒下。(“寒下,中寒下利,腹足清冷也。”)
热化二,寒化六,清化四,正化度也。
其化上咸寒,中咸热,下酸温,药食宜也。(“中太羽,故治宜咸热。上下同前。玄珠云∶下苦热。”)
太羽(终) 太角(初) 少征 太宫 少商
凡此少阴司天之政,气化营运先天。(“先天义见前。”)地气肃,天气明,寒交暑,热加燥,(“阳
明燥金在泉,故地气肃。少阴君火司天,故天气明。金寒而燥,火暑而热,以下临上曰交,以上临下曰加。”)
云驰雨府,湿化乃行,时雨乃降,(“此即阳明司天,燥极而泽之义。”)金火合德,上应荧惑太白。(“上火下金,
气合德,其星当明也。”)其政明,其令切,(“火明金切。”)其谷丹
白,(“丹应司天,白应在泉。”)水火寒热持于气交而为病始也,热病生于上,清病生于下,寒热凌犯而争
于中,(“上火下金,故水火寒热,持于气交之中,而为病如此。”)民病咳喘,血溢血泄,鼽嚏,目赤
疡,寒厥入胃,心痛,腰痛,腹大,嗌干,肿上,(“火为热,金为寒,故热病见于上,寒病见于下。”)
初之气,地气迁,燥将去,(“初气太阳用事,上年巳亥,少阳终之气至此已尽,当云热将去,燥字误也。
地气迁义见前。”)寒乃始,蛰复藏,水乃冰,霜复降,风乃至,阳气郁。(“寒水之气客于春前,故其为候
如此。”)民反周密,关节禁锢,腰 痛,炎暑将起,中外疮疡。(“此皆寒气之病。然少阴君火司天,又值
二之主气,故炎暑将起,中外疮疡。 音谁,尻臀也。”)二之气,阳气布,风乃行,春气以正,万物应荣,
寒气时至,民乃和。(“风木之客,加于君火之主,故阳布风行,春气正,万物荣也。司天君火未盛,故寒气
时至。木火应时,故民气和。”)其病淋,目瞑目赤,气郁于上而热。(“君火为病。”)三之气,天政布,
大火行,庶类蕃鲜,寒气时至。(“客气君火司天,加于相火之主,故大火行,庶类蕃鲜。火极水复,热极寒
生,故寒气时至。”)民病气厥心痛,寒热更作,咳喘目赤。(“二火交炽故也。”)四之气,溽暑至,大雨
时行,寒热互至。(“客主之气皆湿土用事,故为溽暑大雨等候。”)民病寒热,嗌干,黄瘅,鼽衄,饮发。
(“湿热之病。”)五之气,畏火临,暑反至,阳乃化,万物乃生乃长乃荣,民乃康。(“畏火,相火也。时当
秋收而阳气化,故物荣民康。”按,秋收之时,以敛为政,复见暑热,似非所宜,而云生长荣康者,盖万物之
气,敛之太速,不无盈歉,若更得和气以养,则物充实而咸足矣。)其病温。终之气,燥令行,余火内格,肿
于上,咳喘,甚
则血溢,寒气数举,则雾 翳。(“燥金之客,加于寒水之主,金气收,故五气之余火内格而为病如此。格,
拒也。寒气举,雾 翳,皆金水之化。”)病生皮腠,内舍于胁,下连少腹,而作寒中,地将易也。(“病生
于皮腠,金之合也。内舍于胁,下连少腹,金乘木也。金性寒,故寒中。在泉气终,故地将易也。”)必抑其运气,
资其岁胜,(“以上子午十年,运气太过,必抑有余,欲复其平。岁有所胜,必资不足,无令伤害也。”)折其郁
发,先取化源,无使暴过而生其病也。(“本年少阴司天则金郁,阳明在泉则木郁。又如本病篇曰∶子午之岁,
太阴升天,主窒天冲,胜之不前。太阳降地,主窒地阜,胜之不入。故刺法论于土欲升而天冲窒抑之,当刺足
太阴之俞。水欲降而地阜窒抑之,当刺足太阴之所出,足阳明之所入。王氏曰∶先于年前十二月迎而取之。是
皆抑郁气取化源之义。”)食岁谷以全真气,食间谷以避虚邪,(“义俱见前。”)岁宜咸而 之,而调其上,
(“咸从水化,故能调在上之君火。”)甚则以苦发之,以酸收之,而安其下,(“苦发之可以散火,酸收之
可以补金,平其上之君火,则下之燥金得安矣。”)甚则以苦泄之,(“热燥甚者,非苦寒泄之不可。愚按五味
之属,如阴阳应象大论曰火生苦,金匮真言论曰其味苦,其类火,是分五行之味,苦从火化也,故在本篇如太
阳太阴阳明等政云以苦燥之温之及以苦发之者,皆用苦之阳也。又阴阳应象大论及至真要大论皆云酸苦涌泄为
阴,是言气味之效,苦从阴用也,故本节云以苦泄之,至真要大论云湿司于地,热反胜之,治以苦冷,湿化于
天,热反胜之,治以苦寒者,皆用苦之阴也。再如宣明五气篇及五味论俱云苦走骨,夫北方生寒,在体为骨,
是骨本属阴,而苦则走之,岂非阴乎。可见苦味一也,而有从阴从阳苦热苦寒之不同,何可不辨。今有谓苦属
火而讳其寒者,有但知苦寒而忘其热者,皆不明气味变通之理耳。举此一端,则五味之性可类见矣。又如脏气
法时论云粳米牛肉枣葵皆甘,麦羊肉杏薤皆苦之类,是于饮食常味之中,又各有辨。味变之理如此,不得其
精,不足以言气味也。”)适气同异而多少之,同天气者以寒清化,同地气者以温热化,(“言以上十年,运之
与气,有与司天同热者,当以寒清所化之品治之,如太角太征岁是也。有与在泉同寒者,当以温热所化之品治
之,如太羽太宫太商岁是也。宜各因其同异,而制为之多少耳。”)用热远热,用凉远凉,用温远温,用寒远
寒,食宜同法。有假则反,此其道也,反是者病作矣。(“义详前。”)
帝曰∶善∶厥阴之政奈何?岐伯曰∶巳亥之纪也。
丁巳 丁亥岁(俱天符)
上厥阴木,中少角木运,下少阳相火,同正角。(“本年木运不及,得司天厥阴之助,所谓委和之纪,上
角与正角同也。”)
其运风清热,(“风为中运少角之气,清为胜风之气,热为复清之气。”)清化热化胜复同,邪气化度也。
(“义详前。”)灾三宫。(“三,东方震宫也。木气不及,故灾及之。”)
风化三,(“司天与运同。”)火化七,正化度也。
其化上辛凉,(“辛凉从金化,治风木在上也。”)中辛和,(“木运不及,而得司天之助,故宜辛宜和。”)
下咸寒,(“咸从水化,治相火在下也。”)药食宜也。
少角(初正) 太征 少宫 太商 少羽(终)
(客气与主气均为厥阴风木当令,所以寒气消退,万物繁荣。因为太阴湿土司天,所以风与湿相互搏结。风胜则湿去,所以雨水延后时而到来。地气迁移的道理在前面已经讲过。)民众患病表现为血液溢出,筋脉拘急强直,关节活动不利,身体沉重,筋脉痿软。(“风病多在筋,湿病多在肉,所以出现这些病症。血液溢出,是因为风邪损伤了肝脏。”)二之气阶段,大火之气正当令,万物顺应其变化,民众也就平和安康。(“客气与主气均为少阴君火当令,所以大火之气正盛,万物顺应其化育,民众也处于平和状态。”)此时温疫厉气广泛流行,无论远近都如此,湿热之气相互搏结,雨水按时降落。(“火势旺盛,气候炎热,所以民众患温热疫病。因为太阴湿土司天,所以湿热相互搏结。雨水应期而至,所以说‘时降’。”)三之气阶段,天政布散,湿气下降,地气上升,雨水按时降落,寒气随之而来。(“太阴湿土司天,湿土当令,所以湿气下降,地气上升化为雨。三之气之后,太阳寒水在泉,所以寒气随之而来。”)感受寒湿之邪,民众就会患病,表现为身体沉重、浮肿,胸腹胀满。(“寒凝滞,湿阻滞,所以疾病表现如此。”)四之气阶段,畏火(相火)临位,湿热蒸腾,地气上升,天气痞塞不通,早晚寒风大作,蒸热与寒风相互搏结,草木笼罩在烟雾中,湿气不得流通,于是白露阴云密布,形成秋季的时令。(“少阳相火当令,其气尤其猛烈,所以称为‘畏火’,此后凡是提到‘畏火’的,都是指相火。客气为相火,主气为湿土,火土合气,湿热上腾,所以天气痞塞不通。然而太阳寒水在泉,所以寒风随时间在早晚发作。湿气遇到火,所以湿气不得流通,只有白露阴云密布以形成秋令。”)民众患病表现为腠理发热,血液突然溢出,疟疾,心腹满闷发热,皮肤或腹部肿胀,严重时甚至全身浮肿。(“湿热并行,所以产生这些疾病。胪,指皮肤;一说腹部前方称为胪。肿,指肌肉浮肿。胪,读音为闾、卢。附音。”)五之气阶段,严酷的秋令已经施行,寒露下降,霜冻早早降临,草木变黄凋落。(“客气与主气均为阳明燥金当令,所以政令气象如此。”)寒气侵袭人体,君子注意周密保暖,民众易患皮毛腠理方面的疾病。(“皮腠属金,气求同类相应。”)终之气阶段,寒气大举,湿气大发,霜雪积聚,阴气凝结,水结成坚冰,阳光不再照耀。(“在泉的客气与主气均为太阳寒水当令,所以政令气象如此。”)感受寒气,民众患病表现为关节僵硬固着,腰部疼痛,(“关节在骨,腰脊属于肾与膀胱,都是寒气寻求同类而致病。”)寒湿之气交争于气交之中而引发疾病,必须抑制其郁结之气并获取化源,(“以上十年,上湿下寒,所以寒湿之气交争于气交之中。然而太阴司天则导致水气郁结,太阳在泉则导致火气郁结,郁气化源的义理详见前文。又如《补遗·本病篇》所说:丑未之年,少阳相火欲升为天,被天蓬星所窒塞,克制而不能前行。厥阴风木欲降为地,被地晶星所窒塞,克制而不能下行。所以《刺法论》中说,若火欲升而被天蓬星窒抑,应针刺心包络的荣穴。若木欲降而被地晶星窒抑,应当针刺手太阴肺经的井穴,手阳明大肠经的合穴。王冰说:化源应在九月迎取而获取它,以起到补益作用。这些都是抑制郁结之气、获取化源的义理。”)补助当年的岁气,不让邪气战胜正气,(“太阴湿土司天,是丑未年不及的年份,所以应当补助岁气。”)食用当年对应的谷物以保全真气,食用间谷以保护精气。(“岁谷,就是上文提到的玄谷。间谷的义理见前文阳明之政部分。”)所以这一年适宜用苦味药燥湿、用温性药散寒,病情严重的用发汗法或泄下法治疗,如果不发汗不泄下,湿气就会外溢肌肤,肌肉溃烂,皮肤破裂,导致水液与血液混杂交流。(“用苦味燥湿、温性散寒,苦味从火化,燥可以治湿,温可以治寒。发汗和泄下,发散可以驱逐寒气,渗泄可以去除湿邪。”)必须赞助扶助阳气之火,使其抵御严寒,(“岁气阴寒,所以应当扶持阳气。”)根据运气异同的情况,适当调整用药的多寡,与寒气相同的用热性药化解,与湿气相同的用燥性药化解。(“以上十年,运与气,有与在泉同寒的,应当多用热性药来治疗,如少商、少羽年是这样。有与司天同湿的,应当多用燥性药来治疗,如少宫年是这样。至于少角、少征年,应当稍微顺应平和之道来处理。”)不同的情况用药少一些,相同的情况用药多一些,(“虽然分别用热药和燥药,各有侧重,但或多或少的用量,应当根据运气异同,酌情决定。”)使用凉药要避开凉气主令之时,使用寒药要避开寒气主令之时,使用温药要避开温气主令之时,使用热药要避开热气主令之时,饮食调理也应遵循同样的法则,如果是假象则相反,这就是规律。违背这个规律就会生病。
黄帝说:好!少阴君火执政是怎样的?岐伯说:这是子午年的纪法。
壬子年、壬午年
上为少阴君火,中为太角木运,下为阳明燥金。
其运风气鼓动,其化表现为万物鸣响、纷乱、开启、拆裂,(“这是壬年太角的正常化育。《五常政大论》说:‘其德表现为鸣响、柔和、开启、拆裂。’”)其变异表现为震动、拉折、摧残、拔起,其病表现为四肢胀满。(“肝木过强所致。”)
热化二,风化八,清化四,这是正化的度数。
其治疗用药性质上部宜咸寒,(“治疗司天的君火。”)中部宜酸凉,(“酸从木化,太角木运宜凉。”)下部宜酸温,(“酸本从木化,用来治疗阳明燥金,为什么呢?因为燥金在泉,金病在肺,《脏气法时论》说:‘肺欲收敛,急食酸味以收敛它,用酸味补它。’《至真要大论》说:‘金位之主,其补以酸。’又说:‘阳明之客,以酸补之。’这是因为阳明居于少阴之下,其气不足,所以适宜这样治疗。下文同理。”)药物和饮食适宜如此。
太角(初之气) 少徵 太宫 少商 太羽(终之气)
戊子年(天符)、戊午年(太乙天符)
上为少阴君火,中为太徵火运,下为阳明燥金。
其运炎暑,其化表现为温暖、照耀、郁热、闷热,(“这是戊年太徵的正常化育。《五常政大论》说:‘其德表现为温暖、暑热、郁蒸。’太徵运遇到太阳司天称为热,遇到少阳司天称为暑,遇到少阴司天称为炎暑,都是兼有司天之气的说法而言的运。”)其变异表现为炎热猛烈、沸腾,其病表现为上部热血溢出。(“阳火过盛所致。”)
热化七,(“司天与中运相同。”)清化九,这是正化的度数。
其治疗用药性质上部宜咸寒,中部宜甘寒,下部宜酸温,药物和饮食适宜如此。(按:用寒性药治火是对的,但为什么一定要兼用甘味呢?因为太徵是火运太过,如果纯用苦寒药则过于激烈而导致火气不行,所以必须用甘味来佐助,使其和缓而没有相互激荡的祸患。上下部治疗原则同上。)
太徵 少宫 太商 太羽(终之气) 少角(初之气)
甲子年、甲午年
上为少阴君火,中为太宫土运,下为阳明燥金。
其运阴雨,其化表现为柔润、适时降雨,(“这是甲年太宫的正常化育。《五常政大论》说:‘其德表现为柔润、厚重、泥泞。’”)其变异表现为震惊、飘忽、急骤,其病表现为中焦胀满、身体沉重。(“土湿停滞所致。”)
热化二,(“新校正说:‘详细考察对化依标成数,正化依本生数。甲子年,热化七,燥化九。甲午年,热化二,燥化四。’这种说法不对,我的见解在后面。”)雨化五,燥化四,这就是所谓的正化日数。
其治疗用药性质上部宜咸寒,中部宜苦热,下部宜酸热,这就是药物和饮食适宜的原则。(“中部用苦热,是为了治疗太宫湿胜。下部用酸热,与前四个运稍有不同的地方。但前面说温,这里说热,也不相差太远。《玄珠》说:下部用苦热。”)
太宫 少商 太羽(终之气) 太角(初之气) 少徵
庚子年、庚午年(俱为天符)
上为少阴君火,中为太商金运,下为阳明燥金,同正商。(“本年金运太过,而被君火司天所制约,则金气得其平,这就是所谓的坚成之纪,上与正商相同。”)
其运凉劲,其化表现为雾露萧瑟,(“这是庚年太商的正常化育。运与在泉同气,所以叫凉劲。”)其变异表现为肃杀、凋零,其病表现为下部清冷泄泻。(“下部清冷泄泻,指大小便清泄及下体清冷,是金气之病。”)
热化七,清化九,燥化九,(按:清与燥皆属金化,中运与司天在泉同气,只提其中一种即可,而这里却一并提及。)这就是所谓的正化日数。
其治疗用药性质上部宜咸寒,中部宜辛温,下部宜酸温,这就是药物和饮食适宜的原则。(“中部用辛温,辛味顺从金气,温性治疗寒气。上下部同上。《玄珠》说:下部用苦热。”)
太商 太羽(终之气) 少角(初之气) 太徵 少宫
丙子年(岁会)、丙午年
上为少阴君火,中为太羽水运,下为阳明燥金。
其运寒,其化表现为凝结、凄惨、凛冽,(“这是丙年太羽的正常化育。《五常政大论》说:‘其德表现为凝结、凄惨、寒冷。’”)其变异表现为冰雪、雹灾,其病表现为下部寒证。(“下部寒证,指中寒下利,腹部和足部清冷。”)
热化二,寒化六,清化四,这是正化的度数。
其治疗用药性质上部宜咸寒,中部宜咸热,下部宜酸温,药物和饮食适宜如此。(“中运为太羽,所以治疗宜咸热。上下部同上。《玄珠》说:下部用苦热。”)
太羽(终之气) 太角(初之气) 少徵 太宫 少商
凡是这些少阴君火司天的政令,气化运行先于天时。(“先天的义理见前文。”)地气肃杀,天气明朗,寒暑相交,热加燥气,(“阳明燥金在泉,所以地气肃杀。少阴君火司天,所以天气明朗。金寒而燥,火暑而热,以下临上叫交,以上临下叫加。”)云彩奔驰于雨府,湿气化行,雨水按时降落,(“这就是阳明司天,燥极而生泽的意思。”)金火合德,上应荧惑星和白金星。(“上火下金,气合德,其星应当明亮。”)其政令明朗,其命令急切,(“火明金切。”)其对应的谷物为丹色和白色,(“丹色对应司天,白色对在泉。”)水火寒热持于气交之中而开始发病,热病生于上部,清冷病生于下部,寒热相互侵犯争斗于中部,(“上火下金,所以水火寒热,持于气交之中,而疾病表现如此。”)民众患病咳嗽气喘,血液溢出或泄泻,鼻塞流涕或打喷嚏,眼睛红赤生疮疡,寒厥入胃,心痛,腰痛,腹部胀大,咽喉干燥,浮肿在上部,(“火为热,金为寒,所以热病见于上部,寒病见于下部。”)初之气阶段,地气迁移,燥气将去,(“初之气太阳寒水当令,上年巳亥年的少阳终之气至此已尽,应当说是热将去,‘燥’字是误写。地气迁移的道理见前文。”)寒气开始,蛰虫重新藏伏,水结冰,霜再次下降,风来到,阳气郁结。(“寒水之气客居在春季之前,所以气候现象如此。”)民众反而需要周密保暖,关节僵硬固着,腰部疼痛,炎热暑气将要兴起,内外疮疡。(“这些都是寒气之病。然而少阴君火司天,又值二之气的主气,所以炎热暑气将要兴起,内外疮疡。翳,读音为谁,指尻臀部位。”)二之气阶段,阳气布散,风乃通行,春气端正,万物应时繁荣,寒气不时到来,民众也就平和。(“风木之客气,加于君火之主气,所以阳气布散风行,春气正,万物繁荣。司天君火尚未盛大,所以寒气不时到来。木火应时,所以民众气和。”)其病表现为淋浊,眼睛闭合或发红,气郁于上部而发热。(“君火致病。”)三之气阶段,天政布散,大火运行,各类生物繁茂鲜艳,寒气不时到来。(“客气君火司天,加于相火之主气,所以大火运行,各类生物繁茂鲜艳。火极则水复,热极则寒生,所以寒气不时到来。”)民众患病气逆心痛,寒热交替发作,咳嗽气喘,眼睛红赤。(“二火交炽所致。”)四之气阶段,湿热暑气到来,大雨时常流行,寒热交替出现。(“客气与主气均为湿土当令,所以出现湿热暑雨等气候。”)民众患病寒热,咽喉干燥,黄疸,鼻塞鼻衄,饮邪发作。(“湿热之病。”)五之气阶段,畏火(相火)临位,暑气反而到来,阳气得以化育,万物生长繁荣,民众安康。(“畏火,指相火。时值秋收季节却阳气化育,所以万物繁荣民众安康。”按:秋收之时,以收敛为政令,又见到暑热,似乎不适宜,但说生长繁荣安康,是因为万物之气,收敛得太快,不免有盈缺,如果再得到和气以养育,则万物充实而充足。)其病为温病。终之气阶段,燥令施行,余火内格拒,浮肿在上部,咳嗽气喘,严重时血液溢出,寒气多次兴起,则雾气朦胧遮蔽。(“燥金之客气,加于寒水之主气,金气收敛,所以五气之余火内格拒而疾病表现如此。格,指拒斥。寒气兴起,雾气朦胧遮蔽,都是金水之化。”)疾病生于皮腠,内舍于胁肋,下连少腹,而产生寒中证,地气即将更替。(“病生于皮腠,是金的合象。内舍于胁肋,下连少腹,是金乘木。金性寒,所以寒中。在泉之气终结,所以地气即将更替。”)必须抑制其运气,资助其岁胜之气,(“以上子午十年,运气太过,必须抑制有余,想要恢复平衡。岁有所胜,必须资助不足,不让其造成伤害。”)抑制其郁结之气,先获取化源,不让暴烈过度而引发疾病。(“本年少阴司天则金气郁结,阳明在泉则木气郁结。又如《本病篇》所说:子午之年,太阴湿土欲升为天,被天冲星所窒塞,克制而不能前行。太阳寒水欲降为地,被地阜星所窒塞,克制而不能进入。所以《刺法论》中说,若土欲升而被天冲星窒抑,应当针刺足太阴脾经的俞穴。若水欲降而被地阜星窒抑,应当针刺足太阴脾经的井穴,足阳明胃经的合穴。王冰说:先在年前十二月迎取而获取它。这些都是抑郁之气取化源的义理。”)食用岁谷以保全真气,食用间谷以避开虚邪,(“义理均见前文。”)这一年适宜用咸味药并调治上部,(“咸从水化,所以能调节在上部的君火。”)病情严重的用苦味药发散,用酸味药收敛,从而安定下部,(“苦味发散可以散火,酸味收敛可以补金,平定上部的君火,则下部的燥金得以安宁。”)病情严重的用苦味药泄下,(“热燥严重的,非苦寒泄下不可。我认为五味属性,如《阴阳应象大论》说火生苦,《金匮真言论》说其味苦,其类火,这是分五行之味,苦从火化,所以在本篇如太阳、太阴、阳明等政令中说用苦燥之、温之及用苦发之者,都是用苦的阳性。又《阴阳应象大论》及《至真要大论》都说酸苦涌泄为阴,这是言气味之效,苦从阴用,所以本节说用苦泄之,《至真要大论》说湿司于地,热反胜之,治以苦冷;湿化于天,热反胜之,治以苦寒者,都是用苦的阴性。再如《宣明五气篇》及《五味论》都说苦走骨,北方生寒,在体为骨,骨本属阴,而苦则走之,难道不是阴吗。可见苦味一种,却有从阴从阳、苦热苦寒的不同,怎么可以不辨别。现在有认为苦属火而忌讳其寒性的,有只知道苦寒而忘记其热性的,都不明白气味变通的道理。举此一端,五味之性可类推了。又如《脏气法时论》说粳米、牛肉、枣、葵皆甘,麦、羊肉、杏、薤皆苦之类,这是在饮食常味之中,又各有辨别。味变的道理如此,不得其精微,不足以谈论气味。”)根据气味的同异而调整多少,与天气同热的用寒清药化解,与地气同寒的用温热药化解,(“说以上十年,运与气,有与司天同热的,应当用寒清所化的药品治疗,如太角、太徵年是这样。有与在泉同寒的,应当用温热所化的药品治疗,如太羽、太宫、太商年是这样。应当各自根据其同异,而制定其多少。”)使用热药要避开热气主令之时,使用凉药要避开凉气主令之时,使用温药要避开温气主令之时,使用寒药要避开寒气主令之时,饮食调理也应遵循同样的法则。如果有假象则相反,这就是规律,违背这个规律疾病就会发作。(“义理详见前文。”)
黄帝说:好!厥阴风木执政是怎样的?岐伯说:这是巳亥年的纪法。
丁巳年、丁亥年(俱为天符)
上为厥阴风木,中为少角木运,下为少阳相火,同正角。(“本年木运不及,得司天厥阴之助,这就是所谓的委和之纪,上与正角相同。”)
其运风清热,(“风是中运少角之气,清是胜风之气,热是复清之气。”)清化热化胜复相同,这是邪气化的度数。(“义理详见前文。”)灾害在三宫。(“三,指东方震宫。木气不及,所以灾害波及于此。”)
风化三,(“司天与运同。”)火化七,这是正化的度数。
其治疗用药性质上部宜辛凉,(“辛凉从金化,治疗风木在上。”)中部宜辛和,(“木运不及,而得司天之助,所以宜辛宜和。”)下部宜咸寒,(“咸从水化,治疗相火在下。”)药物和饮食适宜如此。
少角(初之气、正之气) 太徵 少宫 太商 太羽(终之气)
(When both the guest and host qi are Jueyin Wind-Wood in operation, cold recedes and flora flourishes. Since Taiyin Damp-Earth governs the Heaven (Si Tian), wind and dampness contend with each other. Wind overcoming dampness causes rain to arrive late. The principle of Earth Qi migration has been explained previously.) The people suffer from hemorrhage, tendon constriction and rigidity, joint stiffness, heavy body, and tendon flaccidity ("Wind diseases affect tendons, damp diseases affect flesh, hence these symptoms. Hemorrhage occurs because wind damages the Liver.") During the Second Qi phase, the Great Fire qi is dominant, objects follow its transformation, and the people are harmonious ("Both guest and host qi are Shaoyin Sovereign Fire in operation, so the Great Fire qi is strong, objects undergo its transformation, and the people are harmonious.") Warm epidemics prevail widely, near and far alike; dampness steams and contends, and rain falls on time ("Excessive fire and hot climate cause warm epidemics. Since Taiyin Damp-Earth governs the Heaven, dampness steams and contends. Rain falls on schedule, hence 'falls on time'.") During the Third Qi phase, Heavenly Administration spreads, damp qi descends, Earth Qi rises, rain falls on time, and cold follows ("Taiyin Damp-Earth governs the Heaven, Damp-Earth is in operation, so damp qi descends and Earth Qi rises to form rain. After the Third Qi, Taiyang Cold-Water is in the泉 (Quan/Underground) position, so cold follows.") Contracting cold-damp leads to heavy body and edema, chest and abdominal fullness ("Cold congeals and stagnates, damp obstructs, hence such diseases.") During the Fourth Qi phase, Feared Fire (Ministerial Fire) arrives, humid heat transforms, Earth Qi rises, Heaven Qi becomes blocked, cold wind blows at dawn and dusk, steaming heat and cold contend, grass and trees are shrouded in mist, damp transformation does not flow, thus white dew and yin clouds spread, forming the Autumn season ("Shaoyang Ministerial Fire is in operation, its qi is particularly fierce, hence called 'Feared Fire'; thereafter, 'Feared Fire' always refers to Ministerial Fire. Guest qi is Ministerial Fire, Host qi is Damp-Earth; Fire and Earth combine, humid heat surges upward, so Heaven Qi is blocked. However, Taiyang Cold-Water is in the Quan position, so cold wind arises at dawn and dusk. When damp meets fire, damp transformation does not flow; only white dew and yin clouds spread to form the Autumn season.") The people suffer from heat in the interstices, sudden hemorrhage, malaria, heart and abdominal fullness with heat, skin or abdominal distension, and severe cases even general swelling ("Damp-heat proceeding together causes these diseases. Lu refers to skin; alternatively, the front of the abdomen is called Lu. Swelling refers to fleshy edema. Lu is pronounced Lü and Lu. Attached pronunciation.") During the Fifth Qi phase, harsh commands have been implemented, cold dew descends, frost falls early, grass and trees turn yellow and fall ("Both guest and host qi are Yangming Dry-Metal in operation, hence such administration and phenomena.") Cold air reaches the body; gentlemen dress carefully, and the people suffer from skin and interstice diseases ("Skin and interstices belong to Metal; Qi seeks similar categories.") In the Final Qi phase, cold rises massively, damp transforms massively, frost accumulates, Yin condenses, water hardens into ice, and sunlight ceases to shine ("In the Quan position, both guest and host qi are Taiyang Cold-Water in operation, hence such administration and phenomena.") Contracting cold leads to patients suffering from joint stiffness and immobility, and lower back pain ("Joints are in bones; the lower back belongs to Kidney and Bladder; all seek similar categories for disease.") Cold-damp persists in the Qi intersection causing illness; one must suppress the stagnant qi and access the source of transformation ("For the past ten years, upper damp and lower cold mean cold-damp persists in the Qi intersection. However, Taiyin governing the Heaven causes Water stagnation, and Taiyang in the Quan position causes Fire stagnation; the meaning of stagnant qi and source of transformation is detailed previously. As stated in the Supplement to Benbing Chapter: In Chou and Wei years, Shaoyang [Ministerial Fire] wishes to ascend to Heaven but is blocked by Tianpeng Star, unable to advance due to overcoming. Jueyin [Wind-Wood] wishes to descend to Earth but is blocked by Dijing Star, unable to advance due to overcoming. Thus, in Cifa Lun, if Fire wishes to ascend but is suppressed by Tianpeng, one should needle the Ying-Spring point of the Pericardium Meridian. If Wood wishes to descend but is suppressed by Dijing, one should needle the Jing-River point of Hand-Taiyin Lung Meridian and the He-Sea point of Hand-Yangming Large Intestine Meridian. Wang Bing says: Access the source of transformation in the ninth month to tonify. These are all meanings of suppressing stagnant qi and accessing the source of transformation.") Benefit the year's qi, do not let evil overcome ("Taiyin Damp-Earth governs the Heaven; it is a deficient year of Chou and Wei, so one should benefit the year's qi.") Eat grain of the year to preserve true qi, eat interstitial grain to protect essence ("Year grain is the Xuan grain mentioned above. The meaning of interstitial grain is seen in the Yangming section previously.") Therefore, for this year, it is suitable to use bitter herbs to dry dampness and warm herbs to dispel cold; for severe cases, use diaphoresis or purgation. If not diaphoresed or purged, dampness will overflow externally, muscles will ulcerate, skin will split, and water and blood will mix ("Using bitter to dry and warm to treat cold: Bitter transforms via Fire, drying treats damp, warming treats cold. Diaphoresis and purgation: dispersing can expel cold,渗泄 (permeating and draining) can remove damp.") Must assist Yang Fire to resist severe cold ("The year's qi is Yin-Cold, so one should support Yang.") According to the similarity or difference of qi, adjust the dosage accordingly; those same as cold are treated with heat transformation, those same as damp are treated with dryness transformation ("For the past ten years, among Yun and Qi, some are same as the Quan position in cold, requiring more heat-transforming herbs, e.g., Shaoshang and Shaoyu years. Some are same as the Si Tian position in damp, requiring more dryness-transforming herbs, e.g., Shaogong year. For Shaojue and Shaozheng years, one should handle them with slight peace/harmony.") Different ones use less, same ones use more ("Although using heat and dryness separately, the amount should be adjusted according to the similarity or difference of Yun and Qi.") Use cool away from cool times, use cold away from cold times, use warm away from warm times, use hot away from hot times; diet should follow the same method. If there is a false condition, reverse it; this is the way. Reversing this causes disease.
The Emperor said: Excellent! How is the administration of Shaoyin? Qibo said: It is the cycle of Zi and Wu years.
Ren-Zi and Ren-Wu Years
Upper: Shaoyin Fire; Middle: Taijue Wood Yun; Lower: Yangming Metal.
Its movement is wind stirring; its transformation is rustling, chaotic, opening, and splitting ("This is the normal transformation of Ren year Taijue. Wuchang Zheng Da Lun says: 'Its virtue is rustling, gentle, opening, splitting.'") Its change is shaking, tearing, destroying, and uprooting; its disease is limb fullness ("Liver Wood is excessive.")
Heat transformation 2, Wind transformation 8, Clear transformation 4; these are the degrees of normal transformation.
Its treatment properties: Upper salty-cold ("Treats Sovereign Fire of Si Tian"), Middle sour-cool ("Sour transforms via Wood, Taijue Wood Yun is suited to cool"), Lower sour-warm ("Sour originates from Wood; why treat Yangming? Because Dry-Metal is in the Quan position, Metal disease is in the Lung. Zangqi Fashi Lun says: 'Lung desires收敛 (astringency), urgently eat sour to astringe it, use sour to tonify it.' Zhizhen Yao Dalun says: 'Master of Metal position, tonify with sour.' Also: 'Guest of Yangming, tonify with sour.' This is because Yangming is below Shaoyin, its qi is insufficient, hence treated thus. Same for following text.) Medicine and food should be appropriate.
Taijue (1st) - Shaoshao Fire - Taigong - Shaoshang - Taiyu (End)
Wu-Zi (Heavenly Match) and Wu-Wu (Taiyi Heavenly Match) Years
Upper: Shaoyin Fire; Middle: Taisign Fire Yun; Lower: Yangming Metal.
Its movement is blazing heat; its transformation is warm, shining, stifling, sultry ("This is the normal transformation of Wu year Taisign. Wuchang Zheng Da Lun says: 'Its virtue is warm, sultry, stifling.' Taisign Yun meeting Taiyang Si Tian is called Heat, Shaoyang Si Tian is called Summer-heat, Shaoyin Si Tian is called Blazing Heat; all refer to Yun including Si Tian qi.") Its change is fiercely burning and boiling; its disease is upper heat and blood hemorrhage ("Yang Fire is excessive.")
Heat transformation 7 ("Si Tian and Middle Yun are same"), Clear transformation 9; these are the degrees of normal transformation.
Its treatment properties: Upper salty-cold, Middle sweet-cold, Lower sour-warm; medicine and food should be appropriate. (Note: Treating fire with cold is correct, but why include sweet? Because Taisign is excessive Fire; purely using bitter-cold is too激 (stimulating) and stops Fire flow, so one must use sweet to assist, making it mild without mutual agitation. Upper and lower are same as before.)
Taisign - Shaogong - Taishang - Taiyu (End) - Shaojue (Start)
Jia-Zi and Jia-Wu Years
Upper: Shaoyin Fire; Middle: Taigong Earth Yun; Lower: Yangming Metal.
Its movement is rainy; its transformation is soft, moist, timely rain ("This is the normal transformation of Jia year Taigong. Wuchang Zheng Da Lun says: 'Its virtue is soft, moist, heavy, muddy.'") Its change is shocking, drifting, sudden; its disease is middle fullness and heavy body ("Stagnation of Earth damp.")
Heat transformation 2 ("New Correction says: 'Carefully examine: Counter-transformation follows standard numbers, Normal transformation follows origin numbers. Jia-Zi year, Heat 7, Dryness 9. Jia-Wu year, Heat 2, Dryness 4.' This reasoning is incorrect; my view is later."), Rain transformation 5, Dryness transformation 4; this is what is called Normal Transformation Days.
Its treatment properties: Upper salty-cold, Middle bitter-hot, Lower sour-hot; this is what is called appropriate medicine and food. ("Middle bitter-hot treats Taigong damp excess. Lower sour-hot differs slightly from previous four Yuns. But they say warm, here hot, not very different. Xuanzhu says: Lower bitter-hot.")
Taigong - Shaoshang - Taiyu (End) - Taijue (Start) - Shaoshao Fire
Geng-Zi and Geng-Wu Years (Both Heavenly Matches)
Upper: Shaoyin Fire; Middle: Taishang Metal Yun; Lower: Yangming Metal, same as Zheng Shang ("This year Metal Yun is excessive, but controlled by Sovereign Fire Si Tian, so Metal achieves balance, called Jiancheng Ji, same as Zheng Shang.")
Its movement is cool and vigorous; its transformation is foggy and dewy, desolate ("This is the normal transformation of Geng year Taishang. Yun and Quan position share qi, hence Cool Vigorous.") Its change is solemn killing and withering; its disease is lower clear discharge ("Lower clear discharge refers to clear excretion of urine/stool and cold lower body, Metal qi disease.")
Heat transformation 7, Clear transformation 9, Dryness transformation 9, (Note: Clear and Dryness both transform via Metal; Middle Yun, Si Tian, and Quan position share qi, usually mention one, but here both are mentioned.) This is what is called Normal Transformation Days.
Its treatment properties: Upper salty-cold, Middle pungent-warm, Lower sour-warm; this is what is called appropriate medicine and food. ("Middle pungent-warm: Pungent follows Metal, Warm treats cold. Upper and lower same as before. Xuanzhu says: Lower bitter-hot.")
Taishang - Taiyu (End) - Shaojue (Start) - Taisign - Shaogong
Bing-Zi (Year Meeting) and Bing-Wu Years
Upper: Shaoyin Fire; Middle: Taiyu Water Yun; Lower: Yangming Metal.
Its movement is cold; its transformation is congealed, miserable, biting ("This is the normal transformation of Bing year Taiyu. Wuchang Zheng Da Lun says: 'Its virtue is congealed, miserable, cold.'") Its change is ice, snow, hail; its disease is lower cold ("Lower cold refers to middle cold diarrhea, abdominal and foot cold.")
Heat transformation 2, Cold transformation 6, Clear transformation 4; these are the degrees of normal transformation.
Its treatment properties: Upper salty-cold, Middle salty-hot, Lower sour-warm; medicine and food should be appropriate. ("Middle Taiyu, so treatment should be salty-hot. Upper and lower same as before. Xuanzhu says: Lower bitter-hot.")
Taiyu (End) - Taijue (Start) - Shaoshao Fire - Taigong - Shaoshang
All these administrations of Shaoyin governing the Heaven, Qi transformation and Yun operation precede Heaven ("Pre-heaven meaning seen previously.") Earth Qi is肃 (solemn/cleanse), Heaven Qi is bright, cold meets heat, heat adds dryness ("Yangming Dry-Metal in Quan, so Earth Qi is solemn. Shaoyin Sovereign Fire in Si Tian, so Heaven Qi is bright. Metal is cold and dry, Fire is summer-heat and hot; lower over upper is Jiao, upper over lower is Jia.") Clouds race to the Rain Mansion, damp transformation proceeds, timely rain falls ("This is the meaning of Yangming Si Tian: extreme dryness generates moisture.") Metal and Fire combine virtue, corresponding to Yinghuo (Mars) and太白 (Venus) ("Upper Fire, Lower Metal, Qi combines virtue, stars should be bright.") Its administration is bright, its command is sharp ("Fire bright, Metal sharp.") Its grains are red and white ("Red corresponds to Si Tian, White corresponds to Quan position.") Water, Fire, Cold, Heat persist in the Qi intersection as the start of disease; heat diseases arise above, clear diseases arise below, cold and heat invade and contend in the middle ("Upper Fire, Lower Metal, so Water/Fire/Cold/Heat persist in Qi intersection, causing such diseases.") The people suffer from cough and wheezing, hemorrhage and bleeding, nasal congestion and sneezing, red eyes and ulcers, cold jue entering stomach, heart pain, lower back pain, large abdomen, dry throat, swelling above ("Fire is heat, Metal is cold, so heat disease appears above, cold disease appears below.") First Qi phase: Earth Qi migrates, dryness is about to leave ("First Qi Taiyang operates; last year Si-Hai Shaoyang Final Qi ends here, should say Heat leaves, 'Dryness' is an error. Earth Qi migration meaning seen previously.") Cold begins, hibernating animals hide again, water freezes, frost descends again, wind arrives, Yang Qi is depressed ("Cold-Water Qi guests before Spring, hence such weather.") People instead need careful warmth, joints stiffen, lower back pain, scorching heat is about to rise, internal and external sores/ulcers ("All are cold diseases. However, Shaoyin Sovereign Fire Si Tian, and value Second Host Qi, so scorching heat rises, internal/external sores. Yi, pronounced Shui, refers to buttocks.") Second Qi phase: Yang Qi spreads, wind flows, Spring Qi is correct, all things respond with flourishing, cold air arrives at times, people are harmonious ("Wind-Wood guest adds to Sovereign Fire host, so Yang spreads, wind flows, Spring Qi correct, all things flourish. Si Tian Sovereign Fire not yet strong, so cold air arrives at times. Wood/Fire correspond to time, so people are harmonious.") Its disease is strangury, closed eyes or red eyes, Qi depression above with heat ("Sovereign Fire disease.") Third Qi phase: Heavenly Administration spreads, Great Fire moves, myriad species multiply and freshen, cold air arrives at times ("Guest Qi Sovereign Fire Si Tian adds to Ministerial Fire host, so Great Fire moves, myriad species multiply. Fire extreme Water returns, heat extreme cold generates, so cold air arrives at times.") People suffer from Qi jue heart pain, alternating cold and heat, cough and wheezing, red eyes ("Two Fires blazing together.") Fourth Qi phase: Humid heat arrives, heavy rain often occurs, cold and heat alternate ("Guest and Host Qi both Damp-Earth operate, hence humid heat/heavy rain weather.") People suffer from cold and heat, dry throat, jaundice, nasal congestion/epistaxis, fluid retention ("Damp-heat diseases.") Fifth Qi phase: Feared Fire arrives, summer heat returns, Yang transforms, all things grow and flourish, people are healthy ("Feared Fire is Ministerial Fire. Time is Autumn harvest but Yang transforms, so things flourish and people are healthy." Note: At autumn harvest,收敛 is policy; seeing summer heat seems inappropriate, but saying growth/flourishing/health is because all things' Qi, if converged too fast, has盈歉 (surplus/deficit); if further nourished by harmonious Qi, things become full and sufficient.) Its disease is warm disease. Final Qi phase: Dryness command acts, residual fire is internally rejected, swelling above, cough and wheezing, severe cases hemorrhage, cold air frequently rises, then fog/mist obscures ("Dry-Metal guest adds to Cold-Water host, Metal Qi收敛, so residual fire of Five Qi is internally rejected causing such diseases. Ge means rejection. Cold air rises, fog/mist obscures, both Metal/Water transformations.") Disease arises in skin/interstices, internally resides in hypochondrium, connects downward to lower abdomen, causing cold-middle; Earth Qi is about to change ("Disease arises in skin/interstices, Metal combination. Internally resides in hypochondrium, connects to lower abdomen, Metal overcomes Wood. Metal nature is cold, hence cold-middle. Quan Qi ends, hence Earth Qi changes.") Must suppress its Yun Qi, subsidize its Year Victory ("Above Zi-Wu ten years, Yun Qi excessive, must suppress surplus, desire return to balance. Year has victory, must subsidize deficiency, no harm.") Suppress its郁 Fa (stagnant eruption), first access Source of Transformation, do not let violent excess generate disease ("This year Shaoyin Si Tian causes Metal stagnation, Yangming Quan causes Wood stagnation. As Benbing Chapter says: Zi-Wu year, Taiyin wishes to ascend to Heaven, blocked by Tianchong Star, unable to advance. Taiyang wishes to descend to Earth, blocked by Difou Star, unable to enter. Thus Cifa Lun says: If Earth wishes to ascend but suppressed by Tianchong, needle Foot-Taiyin Shu point. If Water wishes to descend but suppressed by Difou, needle Foot-Taiyin Jing-River point, Foot-Yangming He-Sea point. Wang Bing says: First access it twelve months prior to the year. These are all meanings of stagnant Qi accessing Source of Transformation.") Eat year grain to preserve True Qi, eat interstitial grain to avoid empty evil ("Meanings seen previously.") Year suitable for salty taste and調 (regulate) upper, ("Salty transforms via Water, so can regulate upper Sovereign Fire.") Severe cases use bitter to disperse, sour to astringe, thereby calming lower, ("Bitter dispersion can scatter fire, sour astringency can tonify Metal, calm upper Sovereign Fire, then lower Dry-Metal is safe.") Severe cases use bitter to drain, ("Heat/Dryness severe, non-bitter-cold drainage impossible. I believe Five Flavors attributes: Yinyang Yingxiang Dalun says Fire generates Bitter, Jin Kui Zhenyan Lun says its flavor is Bitter, class is Fire, this divides Five Elements flavors, Bitter transforms via Fire. So in this chapter like Taiyang/Taiyin/Yangming administrations say use bitter to dry/warm and bitter to disperse, all use Bitter Yang. Also Yinyang Yingxiang Dalun and Zhizhen Yao Dalun say Sour/Bitter surge/drain are Yin, this speaks of aroma/effect, Bitter uses Yin. So this section says use bitter to drain, Zhizhen Yao Dalun says Damp governs Earth, heat wins back, treat with bitter-cold; Damp transforms Heaven, heat wins back, treat with bitter-cold, all use Bitter Yin. Again Xuanming Wuqi Pian and Wuwei Lun say Bitter enters Bone, North generates Cold, in body is Bone, Bone originally Yin, but Bitter enters it, is it not Yin? Visible Bitter flavor one, but has Yin/Yang, Bitter-Heat/Bitter-Cold differences, how can one not distinguish. Now some say Bitter belongs to Fire and shy away from its cold; some only know Bitter-Cold and forget its heat, all do not understand aroma/either variation principles. Raise this one point, Five Flavors nature can be inferred. Again Zangqi Fashi Lun says Jingmi/Beef/Jujube/Kai all Sweet, Wheat/Lamb/Apricot/Xie all Bitter etc., this is within common dietary flavors, yet each has distinction. Flavor change principle is so, not getting its essence, insufficient to speak of aroma/either.") Adjust Qi similarity/difference and amount; same as Heaven Qi use cold/clear transformation, same as Earth Qi use warm/heat transformation, ("Say above ten years, Yun and Qi, some same as Si Tian in heat, should use cold/clear transformed products to treat, e.g., Taijue/Taisign years. Some same as Quan in cold, should use warm/heat transformed products to treat, e.g., Taiyu/Taigong/Taishang years. Should each follow their similarity/difference, and make their amounts.") Use hot away from hot times, use cool away from cool times, use warm away from warm times, use cold away from cold times; diet should follow same method. If fake, reverse; this is the way. Reverse this, disease arises. ("Meanings detailed previously.")
The Emperor said: Excellent! How is the administration of Jueyin? Qibo said: It is the cycle of Si and Hai years.
Ding-Si and Ding-Hai Years (Both Heavenly Matches)
Upper: Jueyin Wood; Middle: Shaojue Wood Yun; Lower: Shaoyang Ministerial Fire, same as Zheng Jue ("This year Wood Yun is deficient, aided by Si Tian Jueyin, called Weihe Ji, upper Jue same as Zheng Jue.")
Its movement is wind clearing heat, ("Wind is Middle Yun Shaojue Qi, Clear is Qi overcoming Wind, Heat is Qi restoring Clear.") Clear transformation and Heat transformation victory/restoration are same, this is Evil Qi transformation degree. ("Meanings detailed previously.") Disaster at Palace Three. ("Three, Eastern Zhen Palace. Wood Qi deficient, so disaster reaches it.")
Wind transformation 3, ("Si Tian and Yun same.") Fire transformation 7; these are degrees of normal transformation.
Its treatment properties: Upper pungent-cool, ("Pungent-cool transforms via Metal, treats Wind-Wood above.") Middle pungent-harmonious, ("Wood Yun deficient, aided by Si Tian, so suitable Pungent/Harmonious.") Lower salty-cold, ("Salty transforms via Water, treats Ministerial Fire below.") Medicine and food should be appropriate.
Shaojue (Start/Normal) - Taisign - Shaogong - Taishang - Shaoyu (End)