太阴湿土司天。太阳寒水在泉。中见少微。大运岁火不及气化运化。后天。太阴在上左少阳。右少阴。故地气上腾。
阴专其政。其政肃太阳在下。左厥阴。石阳明。故天气下降。阳气退辟。其令寂。大风时起。原野昏露。白埃四起。云
奔南极。寒雨数至物成于差。夏湿寒合德。黄黑埃昏。流行气交。上应镇星。其谷 玄。用谷命大角之 。寒化雨化胜
复同。是谓和气化度也。阴凝于上寒积于下。水胜火则为冰雹。阳光不治。杀气乃行。裸虫静。鳞虫育。是为岁物所宜
羽虫耗。热毒不生。是谓地气所制。有余宜高。不及宜下。有余宜晚。不及宜早。有余吐之。利气之化也。民病亦从之。
其病寒温腹满。身慎愤肘肿。病逆寒厥拘急。是岁湿土在上寒水在下。土能制水。天气盈。地气虚。宜取化源。以平土
气。益气岁气。无使邪食 黄之谷。以令其食间气之谷。以保其精。岁宜以苦燥之湿之。甚者严之泄之。不发不泄。则
湿气外溢内渍。皮拆而水血交流。必赞其阳火令御。其寒运异寒湿燥湿热宜少。故药食之。宜其化上。若湿中寒温。下
热。
〔初之气〕自壬子年大寒日巳初。至是岁春分日卯初。凡六十日八十七刻。半主位火。角水火营运风不得位。地气
迁寒。乃去春气正风乃来。生布万物以荣。民气条舒。风湿血溢。经络拘强。关节不利。身重筋痿。宜调厥阴之客。以
辛补之理中汤四逆汤。以酸泻之。（大柴胡汤之类）以甘缓之。（桂。苓。甘露。竹叶。石膏汤之类是也。）岁谷宜 。间
谷宜稻。〔二之气〕自春分日卯正。至小满日丑正凡六十日有奇。主位少微。火客气。少阳火中居其位。下司气化是谓灼
化火。火正物承化。民乃和。其病湿属盛行。以咸补之。（五苓散也。）以甘泻之。（白虎汤。益元散之类。）以酸收之。
（建中汤之类。）岁谷宜 。间谷宜豆。则热气不能为害。〔三之气〕自小满日寅初。至大暑日子初。凡六十日有奇。主
少微火客。气火绝中。土见火运。岁火当位。湿化郁之。天政而湿降。地气腾满雨。其时降寒乃随之。感于寒湿。则民
病身重。肘胸腹满。宜治太阴之客。以甘补之。（四君子。桂枝甘露之类。）以苦泻之。（大柴胡。大小承气之类）以甘缓
之。（平胃散之类。）岁谷宜 。间谷宜麻。则湿气不能为害。〔四之气〕自大暑子正。至秋分日戌正。凡六十日有奇。主
位大宫土。客气少阳火。中见火运。气与运同位。火临溽蒸。化地气。腾天气。痞膈客气。晚暮蒸热。相搏。草木凝
烟。湿化下流。则白露阴布。以成秋令。民病腠理热。血暴溢疟。心腹满热虚胀。甚则肘肿。宜治少阳之客。以咸补之。
（五苓散之类。）岁谷宜 。间谷宜宣。则火气不能为害。是气也无犯司气之热。〔五之气〕自秋分亥初。至小雪日酉初。
凡六十日有奇主位少商金。客气阳明。金中见火。运气与位同。燥令已随行。寒露下。霜乃早降。草木黄落。寒风及体。
君子周密。民病皮腠。以调阳明之客。以酸补之。（平胃建中汤之类。）以辛泻之。（麻黄汤。川芎石膏汤之类。）以苦泻
之。（神芎丸。桔梗枳实汤之类。）岁谷宜 。间谷宜禾黍。则燥气不能为害。〔终之气〕自小雪日酉正至大寒日未初。凡
六十日有奇。主位大羽水。客气太阳。水中见火运。永当其位。而能胜火。寒火举。湿火化霜乃积。阴乃凝冰。阳光不
治。感于寒。则病患关节同。腰脚痛。寒湿持于气交而为疾也。宜调太阳之客。以苦补之。（黄连解毒汤之类。）以苦坚
之。（大小柴胡汤。大小承气汤之类。）以咸泻之。（凉隔散。通圣散之类。）以辛润之。（小青龙汤。五积散之类。）岁谷
宜。间谷宜稷。则寒气不能为害。
此六节之气。其气交之化。天气盛者。则为厥阴之复。地气盛者。则为太阴之复。各以其法治之。
逐年病日是司天。前进三辰为在泉。阳前阴后加人命。顺到司天起病源。
子午少阴君火心。丑未脾土太阴存。寅申相火少阳位。卯酉阳明只是金。
辰戌太阳居水位。巳亥肝木足厥阴。医师若会如此例。便是神仙生世尘。
日月治钤上太阳。日七月六各分张。便有日千看日月。以此相随作雁行。
甲日为头乙为二。丙三丁四请参详。以上规模皆效此。便知几证可寻方。
贪巨禄文廉武破。六十七证属中央。震离兑坎五十九。次第分为下太阳。
阳明卯酉属金水。四十四法五行藏。若属少阳只一证。太阴三证母身傍。
天地人分少阴证。□□□□□□□乾坤厥阴十九证。霍乱大证守心王。
日辰月巳太阳光。贪巳巨午禄至未。文申康酉武为戌。破军亥上正相当。
亥巽胸兑坎寅地。东方卯上居 乡。阳明卯酉木先数。火龙土巳金马乡。
水位法方四十四。若至申中霍乱方。寅为劳复阳明证。少阴四号没底傍。
丑寅卯辰第一证。巳午未申第二章。酉戌亥子第一证。太阴为母合三堂。
子丑寅卯天字号。辰巳午未是人良。申酉戌亥传于地。少阴病证话行藏。
亥上起干厥阴证。至辰六位可推详。巳上起坤至于戌。干十坤九不须张。
仲景却来多少证。二百二十零三章。法分三百九十七。药有一百十二方。
内有五丸并八散。除却十一俱是阳。阳证一百一十六。阴病五十七篇章。
晓得阴阳活法例。为医天下自名扬。
太阴湿土之气主管司天，太阳寒水之气主管在泉。中见少阳（此处原文作“少微”，据运气学说及下文语境，实指少阳相火或相关气化，但依字面保留并注：少微/少阳）。大运岁火不足，气化运行滞后于天时（后天）。太阴湿土在上，左侧为少阳，右侧为少阴，因此地气上升。
阴气专权其政令，政令肃杀。太阳寒水在下，左侧为厥阴，右侧为阳明（原文作“石阳明”，疑为衍文或异写，按六气配属应为阳明），因此天气下降。阳气退避，其命令寂静无声。大风时常兴起，原野昏暗潮湿，白色尘埃四处飞扬，云层奔向南极方向，寒冷雨水频繁降临，万物生长出现差异。夏季湿气与寒气共同作用，黄黑尘埃昏暗不明，气候流行于气交之中，上应镇星（土星）。对应的谷物颜色为玄色（黑色）。用谷物的命名遵循大角（木运）的规律。寒化与雨化的胜复变化相同，这被称为和气化的度数。
阴气凝结于上，寒气积聚于下，水气胜过火气则产生冰雹。阳光不能正常发挥作用，肃杀之气于是盛行。裸体动物（人类及无毛兽类）安静不动，鳞甲动物繁衍生长，这是当年适宜的生物现象。羽虫消耗减少，热毒不生，这是地气制约的结果。
有余（太过）之年宜在高处，不及（不足）之年宜在低处；有余之年发病较晚，不及之年发病较早；有余之证可用吐法，这是利气化的治疗方法。民众的疾病也随之变化。
当年的病症包括寒温、腹部胀满、身体沉重、愤懑、肘部肿胀。病势逆乱，出现寒厥、拘挛、筋脉紧急。这一年是湿土在上，寒水在下，土能制约水。天气充盈，地气虚弱，应当取化源以平抑土气，补益岁气。不要食用被邪气侵蚀的黄色谷物，而应食用间气所主的谷物，以保全精气。
岁气适宜用苦味药燥湿，或用淡渗利湿之法。病情严重的，应用严密的治法或泄法。如果不发汗也不泄下，湿气就会外溢肌肤，内渍脏腑，导致皮肤破裂，水血交流。必须资助阳火，使其抵御寒运。异于寒湿燥热的情况较少，所以药物和饮食应顺应其气化特点。如果湿中夹寒温，下部有热……
〔初之气〕从壬子年大寒日的巳初开始，到本年春分日的卯初结束，共六十日八十七刻半。主位为火，角音对应水火营运，风不得位。地气迁移，寒气离去，春天的正风到来，生机布散，万物繁荣。民气条达舒畅。若患风湿、血溢、经络拘强、关节不利、身体沉重、筋脉痿软之症，适宜调理厥阴之客邪。用辛味药补之（理中汤、四逆汤等），用酸味药泻之（大柴胡汤之类），用甘味药缓之（桂苓甘露饮、竹叶石膏汤之类）。岁谷宜玄色，间谷宜稻。
〔二之气〕从春分日的卯正开始，到小满日的丑正结束，共六十多天。主位为少阳（原文作“少微”），客气为少阳火居中位，下临气化，这称为灼化之火。火气正盛，万物承受其化育，民众平和。若湿邪盛行，用咸味药补之（五苓散等），用甘味药泻之（白虎汤、益元散之类），用酸味药收之（建中汤之类）。岁谷宜玄色，间谷宜豆，这样热气就不能为害。
〔三之气〕从小满日的寅初开始，到大暑日的子初结束，共六十多天。主气为少阳火，客气亦为火，绝于中，土见火运，岁火当位。湿气郁遏，天政湿降，地气腾满降雨，此时寒气随之降临。感受寒湿，民众患病身体沉重，肘、胸、腹部胀满。适宜治疗太阴之客邪，用甘味药补之（四君子汤、桂枝甘露饮之类），用苦味药泻之（大柴胡汤、大小承气汤之类），用甘味药缓之（平胃散之类）。岁谷宜玄色，间谷宜麻，这样湿气就不能为害。
〔四之气〕自大暑日的子正开始，到秋分日的戌正结束，共六十多天。主位为大宫土，客气为少阳火，中见火运，气与运同位。火临溽蒸，化生地气，天气上升，痞膈客气，傍晚闷热，相互搏结，草木如烟凝滞，湿气下行，白露阴布，成就秋令。民众患病腠理发热，血液暴溢，疟疾，心腹满闷，虚热胀满，严重时肘部肿胀。适宜治疗少阳之客邪，用咸味药补之（五苓散之类）。岁谷宜玄色，间谷宜宣（疑为某种谷物或泛指），这样火气就不能为害。此阶段的气运不要侵犯司天之气的热性。
〔五之气〕从秋分日的亥初开始，到小雪日的酉初结束，共六十多天。主位为少商金，客气为阳明金，金中见火运，运气与位同。燥令已随行之，寒露下降，霜早降，草木黄落，寒风及体，君子应周密防护。民众患病皮毛腠理不适，以调治阳明之客邪。用酸味药补之（平胃散、建中汤之类），用辛味药泻之（麻黄汤、川芎石膏汤之类），用苦味药泻之（神芎丸、桔梗枳实汤之类）。岁谷宜玄色，间谷宜禾黍，这样燥气就不能为害。
〔终之气〕从小雪日的酉正开始，到大寒日的未初结束，共六十多天。主位为大羽水，客气为太阳水，水中见火运，水当其位而能胜火。寒火并举，湿火化为霜积，阴气凝结成冰，阳光不能正常发挥作用。感受寒气，则病患关节疼痛，腰脚痛。寒湿持留于气交之中而致病。适宜调理太阳之客邪，用苦味药补之（黄连解毒汤之类），用苦味药坚之（大小柴胡汤、大小承气汤之类），用咸味药泻之（凉膈散、通圣散之类），用辛味药润之（小青龙汤、五积散之类）。岁谷宜玄色，间谷宜稷，这样寒气就不能为害。
这六个节气的气化，其气交的变化：天气盛者，则为厥阴之复气；地气盛者，则为太阴之复气。各自用相应的法治之。
逐年病日是司天，前进三个辰位为在泉。阳前阴后加人命，顺行到司天起病源。
子午年少阴君火主心，丑未年太阴湿土主脾，寅申年少阳相火主位，卯酉年阳明燥金只是金。
辰戌年太阳寒水居水位，巳亥年足厥阴肝木主位。医师若能懂得这些规律，便是神仙在世尘。
日月治钤上太阳，日七月六各分张。便有日千看日月，以此相随作雁行。
甲日为头乙为二，丙三丁四请参详。以上规模皆效此，便知几证可寻方。
贪巨禄文廉武破，六十七证属中央。震离兑坎五十九，次第分为下太阳。
阳明卯酉属金水，四十四法五行藏。若属少阳只一证，太阴三证母身傍。
天地人分少阴证，□□□□□□□乾坤厥阴十九证，霍乱大证守心王。
日辰月巳太阳光，贪巳巨午禄至未，文申康酉武为戌，破军亥上正相当。
亥巽胸兑坎寅地，东方卯上居 乡。阳明卯酉木先数，火龙土巳金马乡。
水位法方四十四，若至申中霍乱方。寅为劳复阳明证，少阴四号没底傍。
丑寅卯辰第一证，巳午未申第二章。酉戌亥子第一证，太阴为母合三堂。
子丑寅卯天字号，辰巳午未是人良。申酉戌亥传于地，少阴病证话行藏。
亥上起干厥阴证，至辰六位可推详。巳上起坤至于戌，干十坤九不须张。
仲景却来多少证，二百二十零三章。法分三百九十七，药有一百十二方。
内有五丸并八散，除却十一俱是阳。阳证一百一十六，阴病五十七篇章。
晓得阴阳活法例，为医天下自名扬。
Taiyin Wet Earth governs the Si Tian (Heavenly Qi), and Taiyang Cold Water governs the Zai Quan (Earthly Qi). The middle manifestation is Shaoyang (Note: Text says "Shaowei", likely referring to Shaoyang or related Qi transformation based on context, but literal translation retained with note). The Great Movement of the year shows Fire insufficiency, causing Qi transformation to lag behind the natural timing (post-natural). With Taiyin Wet Earth above, the left is Shaoyang and the right is Shaoyin; thus, Earthly Qi ascends.
Yin Qi exclusively exercises its administration, which is solemn and肃杀 (killing/cold). Taiyang Cold Water is below, with Jueyin on the left and Yangming (Text says "Shi Yangming", likely a variant or error for Yangming) on the right; thus, Heavenly Qi descends. Yang Qi retreats, and its commands are silent. Strong winds rise frequently, the plains become dim and damp, white dust rises everywhere, clouds rush toward the South Pole, and cold rain arrives frequently. The completion of things varies. Summer combines wetness and cold virtue, yellow-black dust dims the air, Qi circulates in the intersection of Heaven and Earth, corresponding to the Zhenxing (Saturn). The corresponding grains are Xuan (black). The naming of grains follows the Da Jiao (Wood movement) rule. The victory and revenge of Cold Transformation and Rain Transformation are the same; this is called the degree of Harmonious Qi transformation.
Yin condenses above, Cold accumulates below. When Water overcomes Fire, hail occurs. Sunlight fails to function properly, and killing Qi prevails. Naked creatures (humans and hairless animals) remain quiet, scaled creatures breed. This is what is suitable for the year's organisms. Feathered creatures diminish, heat toxins do not arise; this is due to the restriction of Earthly Qi.
Excess years suit high places, insufficient years suit low places; excess years have late onset, insufficient years have early onset; excess conditions may be treated with emesis, which is the method of promoting Qi transformation. People's diseases follow this pattern.
The diseases of the year include cold-heat disorders, abdominal fullness, heaviness of the body, restlessness, swelling of the elbows. Pathogenic reversal leads to cold jue (cold extremities), stiffness, and tendon tension. In this year, Wet Earth is above and Cold Water is below; Earth can control Water. Heavenly Qi is abundant, Earthly Qi is deficient. One should source the transformation to level Earth Qi and supplement the Year Qi. Do not eat yellow grains contaminated by pathogens; instead, eat grains associated with the interstitial Qi to preserve essence.
For the Year Qi, bitter flavors are suitable to dry dampness, or light flavors to drain dampness. For severe cases, strict methods or purgation are used. If neither sweating nor purging is applied, dampness will overflow externally and soak internally, causing skin rupture and mixing of water and blood. One must assist Yang Fire to resist the cold movement. Cases differing from cold-damp-dry-heat are rare; therefore, medicines and food should accord with their Qi transformation. If dampness contains cold-heat, and there is heat below...
[First Qi] From the start of Si hour on the Day of Great Cold in the Renzi year to the start of Mao hour on the Spring Equinox day of this year, totaling 60 days and 87.5 ke. The main position is Fire, Jue Yin corresponds to Water-Fire operation, Wind does not occupy its position. Earthly Qi migrates, Cold departs, the true wind of Spring arrives, life spreads, and all things flourish. People's Qi becomes smooth and comfortable. If suffering from wind-damp, blood溢 (overflowing), stiff meridians, difficult joints, heavy body, and flaccid tendons, it is appropriate to regulate the guest pathogen of Jueyin. Supplement with pungent flavors (Lizhong Tang, Sini Tang), drain with sour flavors (Da Chaihu Tang, etc.), and ease with sweet flavors (Guiling Ganlu Yin, Zhuye Shigao Tang, etc.). Year grains should be black, interstitial grains should be rice.
[Second Qi] From the exact Mao hour on the Spring Equinox to the exact Chou hour on the Grain Fullness day, totaling over 60 days. The main position is Shaoyang (Text says "Shaowei"), the guest qi is Shaoyang Fire occupying the central position, governing the Qi transformation below, known as scorching Fire. Fire is dominant, things receive its transformation, people are harmonious. If dampness prevails, supplement with salty flavors (Wuling San), drain with sweet flavors (Baihu Tang, Yiyuan San, etc.), and astringe with sour flavors (Jianzhong Tang, etc.). Year grains should be black, interstitial grains should be beans, so that heat Qi cannot cause harm.
[Third Qi] From the start of Yin hour on the Grain Fullness day to the start of Zi hour on the Great Heat day, totaling over 60 days. The main Qi is Shaoyang Fire, the guest Qi is also Fire, ending in the middle, Earth sees Fire movement, Year Fire occupies its position. Dampness is depressed, Heavenly governance brings down dampness, Earthly Qi rises and fills with rain. At this time, cold follows. Contracting cold-damp causes people to suffer from heavy bodies, swelling of elbows, chest, and abdomen. It is appropriate to treat the guest pathogen of Taiyin. Supplement with sweet flavors (Sijunzi Tang, Guizhi Ganlu Yin, etc.), drain with bitter flavors (Da Chaihu Tang, Da-Xiao Chengqi Tang, etc.), and ease with sweet flavors (Pingwei San, etc.). Year grains should be black, interstitial grains should be hemp, so that dampness cannot cause harm.
[Fourth Qi] From the exact Zi hour on the Great Heat day to the exact Xu hour on the Autumn Equinox day, totaling over 60 days. The main position is Da Gong Earth, the guest Qi is Shaoyang Fire, middle manifestation is Fire movement, Qi and movement share the same position. Fire approaches humid steaming, transforming Earthly Qi, Heavenly Qi rises, obstructing the guest Qi, evening heat steams, fighting each other, grass and trees condense smoke, dampness flows downward, white dew spreads yin, completing the Autumn command. People suffer from hot pores, sudden blood overflow, malaria, heart and abdominal fullness, false heat bloating, and severe elbow swelling. It is appropriate to treat the guest pathogen of Shaoyang. Supplement with salty flavors (Wuling San, etc.). Year grains should be black, interstitial grains should be Xuan (likely a specific grain or general term), so that Fire Qi cannot cause harm. In this Qi, do not violate the heat of the governing Qi.
[Fifth Qi] From the start of Hai hour on the Autumn Equinox to the start of You hour on the Light Snow day, totaling over 60 days. The main position is Shao Shang Metal, the guest Qi is Yangming Metal, Metal sees Fire movement within, Qi and movement are consistent. Dryness command has followed, cold dew descends, frost falls early, grass and trees turn yellow and fall, cold wind touches the body. Gentlemen should be meticulous. People suffer from skin and pore issues. Regulate the guest pathogen of Yangming. Supplement with sour flavors (Pingwei San, Jianzhong Tang, etc.), drain with pungent flavors (Mahuang Tang, Chuanxiong Shigao Tang, etc.), and drain with bitter flavors (Shenxiong Wan, Jiegeng Zhishi Tang, etc.). Year grains should be black, interstitial grains should be millet and sorghum, so that dryness Qi cannot cause harm.
[Final Qi] From the exact You hour on the Light Snow day to the start of Wei hour on the Great Cold day, totaling over 60 days. The main position is Da Yu Water, the guest Qi is Taiyang Water, Water sees Fire movement within. Water occupies its position and can overcome Fire. Cold and Fire rise together, damp-fire transforms into accumulated frost, Yin condenses into ice, sunlight fails to function. Contracting cold causes joint pain, waist and leg pain. Cold-damp persists in the Qi intersection causing disease. It is appropriate to regulate the guest pathogen of Taiyang. Supplement with bitter flavors (Huanglian Jiedu Tang, etc.), firm with bitter flavors (Da-Xiao Chaihu Tang, Da-Xiao Chengqi Tang, etc.), drain with salty flavors (Liangge San, Tongsheng San, etc.), and moisten with pungent flavors (Xiao Qinglong Tang, Wuji San, etc.). Year grains should be black, interstitial grains should be Ji (millet), so that cold Qi cannot cause harm.
These six Qi segments' transformations: when Heavenly Qi is excessive, it results in the counter-reaction of Jueyin; when Earthly Qi is excessive, it results in the counter-reaction of Taiyin. Treat each according to its method.
For each year, the disease day is determined by Si Tian. Advance three Chen positions to find Zai Quan. Yang advances, Yin retreats, adding to Life Command. Proceed clockwise from Si Tian to start the disease source.
Zi-Wu years: Shaoyin Jun Fire governs Heart.
Chou-Wei years: Taiyin Wet Earth governs Spleen.
Yin-Shen years: Shaoyang Minister Fire governs the position.
Mou-You years: Yangming Dry Metal is Metal.
Chen-Xu years: Taiyang Cold Water occupies the Water position.
Si-Hai years: Liver Wood of Foot Jueyin governs the position.
If physicians understand these examples, they are like immortals in the mortal world.
Sun and Moon Governance Bell on Taiyang, Sun seven months, Moon six, each divided. There are thousand days looking at Sun and Moon, following each other like wild geese.
Jia day is head, Yi is second, Bing three, Ding four, please examine. The above scale follows this, knowing how many syndromes to seek prescriptions.
Tan, Ju, Lu, Wen, Lian, Wu, Po, sixty-seven syndromes belong to the Center.
Zhen, Li, Dui, Kan, fifty-nine, sequentially divided under Taiyang.
Yangming Mou-You belongs to Metal and Water, forty-four methods hide in Five Elements.
If belonging to Shaoyang, only one syndrome; Taiyin three syndromes beside the mother.
Heaven, Earth, Man divide Shaoyin syndromes, [Missing Characters] Qian-Kun Jueyin nineteen syndromes. Cholera major syndrome guards Heart King.
Day-Chen Month-Si Sun Light, Tan Si Ju Wu Lu to Wei, Wen Shen Kang You Wu is Xu, Po Jun Hai up is correct.
Hai Xun Chest Dui Kan Yin Earth, East Mou up resides in [Missing Character] village. Yangming Mou-You Wood counts first, Fire Dragon Earth Si Jin Ma village.
Water position methods and formulas forty-four, if arriving at Shen middle cholera formula. Yin is labor recurrence Yangming syndrome, Shaoyin four numbers bottom beside.
Chou Yin Mao Chen First Syndrome, Si Wu Wei Shen Chapter Two. You Xu Hai Zi First Syndrome, Taiyin as mother combines three halls.
Zi Chou Yin Mao Heaven Number, Chen Si Wu Wei Human Good. Shen You Xu Hai transmit to Earth, Shaoyin disease syndromes speak of conduct.
Hai up starts Qian Jueyin syndrome, to Chen six positions can deduce. Si up starts Kun until Xu, Qian ten Kun nine no need to spread.
Zhongjing yet comes how many syndromes, two hundred twenty plus three chapters. Methods divided three hundred ninety-seven, medicines have one hundred twelve formulas.
Inside have five pills and eight powders, except eleven all are Yang. Yang syndromes one hundred sixteen, Yin diseases fifty-seven chapters.
Understanding Yin-Yang flexible methods, practicing medicine in the world naturally gains fame.