帝曰∶升降之刺以知要，愿闻司天未得迁正，使司化之失其常政，即万化之或其皆妄
。然
与民为病，可得先除，欲济群生，愿闻其说。岐伯曰∶悉乎哉问，言其至理，圣念慈悯，欲
济群生，臣乃尽陈斯道，可申洞微。太阳复布，即厥阴不迁正，不迁正气塞于上，当泻足厥
阴之所流。厥阴复布，少阴不迁正，不迁正即气塞于上，当刺心包络脉之所流。少阴复布，
太阴不迁正，不迁正即气留于上，当刺足太阴之所流。太阴复布，少阳不迁正，不迁正则气
塞未通，当刺手少阳之所流。少阳复布，则阳明不迁正，不迁正则气未通上，当刺手太阴之
所流。阳明复布，太阳不迁正，不迁正则复塞其气，当刺足少阴之所流。
帝曰∶迁正不前，心通其要。愿闻不退，欲折其余，无令过失，可得明乎？岐伯曰∶气
过有
余，复作布政，是名不过位也。使地气不得后化，新司天未得迁正，故复布化，令如故也。
己亥之岁，天数有余，故厥阴不退位也。风行于上，木化布天，当刺足厥阴之所入。子午之
岁，天数有余，故少阴不退位也。热行于上，火余化布天，当刺手厥阴之所入。丑未之岁，
天数有余，故太阴不退位也。湿行于上，雨化布天，当刺足太阴之所入。寅申之岁，天数有
余，故少阳不退位也。热行于上，火化布天，当刺手少阳之所入。卯酉之岁，天数有余，故
阳明不退位也。金行于上，燥化布天，当刺手太阴之所入。辰戌之岁，天数有余，故太阳不
退位也。寒行于上，凛水化布天，当刺足少阴之所入。故天地气逆，化成民病，以法刺之，
预可平 。（刘温舒曰∶或者谓岁运大角，木王土衰，迎取之当使泻肝经而益其脾胃，人人
如此，何病之有，此非通论也。何哉？岂有人人脏腑皆同者？假如肝元素虚，脾土素盛，遇此
大角之运，肝木稍实，脾气得平，方获安和。若便泻肝补脾，此所谓实实虚虚，损不足，益
有余，余气同法。针之治病，病对穴，可谓工也）。
黄帝说：升降之刺法的关键在于知晓其要领，我希望了解当司天之气未能按时迁正，导致主持化育的运气失去常规政令，从而使得万物化生出现妄乱。然而这种气机变化与民众疾病相关，是否可以预先加以消除，以救济众生？我希望听听您的见解。
岐伯回答说：问得真详细啊！您说的是至深之理，圣人的意念充满慈悯，想要救济众生，臣于是详尽陈述这一道理，可以阐明精微奥妙之处。
如果太阳寒水之气再次布散（即上一年的司天之气未退），那么厥阴风木之气就不能按时迁正。不能迁正，则正气壅塞于上，应当泻足厥阴肝经的“所流”穴。
如果厥阴风木之气再次布散，那么少阴君火之气就不能按时迁正。不能迁正，则气机壅塞于上，应当刺手厥阴心包络脉的“所流”穴。
如果少阴君火之气再次布散，那么太阴湿土之气就不能按时迁正。不能迁正，则气机留滞于上，应当刺足太阴脾经的“所流”穴。
如果太阴湿土之气再次布散，那么少阳相火之气就不能按时迁正。不能迁正，则气机壅塞不通，应当刺手少阳三焦经的“所流”穴。
如果少阳相火之气再次布散，那么阳明燥金之气就不能按时迁正。不能迁正，则气机未能通达于上，应当刺手太阴肺经的“所流”穴。
如果阳明燥金之气再次布散，那么太阳寒水之气就不能按时迁正。不能迁正，则再次壅塞其气机，应当刺足少阴肾经的“所流”穴。
黄帝说：迁正不前，我已经通晓其关键。我还希望了解不退位的情况，想要折损其有余之气，不让其造成过失，能做到明白吗？
岐伯回答说：气运有过剩有余，再次作为政令布散，这就叫做没有离开本位。这使得地气不能随后进行化生，新的司天之气无法迁正，所以旧气再次布散，情况如同以前一样。
在己亥年，天数有余，所以厥阴风木之气不退位。风气行于上，木气化布于天，应当刺足厥阴肝经的“所入”穴。
在子午年，天数有余，所以少阴君火之气不退位。热气行于上，火之余气化布于天，应当刺手厥阴心包络脉的“所入”穴。
在丑未年，天数有余，所以太阴湿土之气不退位。湿气行于上，雨气化布于天，应当刺足太阴脾经的“所入”穴。
在寅申年，天数有余，所以少阳相火之气不退位。热气行于上，火气化布于天，应当刺手少阳三焦经的“所入”穴。
在卯酉年，天数有余，所以阳明燥金之气不退位。金气行于上，燥气化布于天，应当刺手太阴肺经的“所入”穴。
在辰戌年，天数有余，所以太阳寒水之气不退位。寒气行于上，凛冽水气化布于天，应当刺足少阴肾经的“所入”穴。
因此，天地气机逆乱，化成民众的疾病，按照这种方法针刺，预先可以平息疾病。（刘温舒说：有人岁运为大角之年，木旺土衰，迎取之法应当泻肝经而补益脾胃，人人都这样做，会有什么病呢？这不是通论。为什么呢？难道人的脏腑都一样吗？假如肝元素虚，脾土素盛，遇到这个大角之运，肝木稍微充实，脾气得以平和，方才获得安和。如果就泻肝补脾，这叫做实实虚虚，损伤不足的，增益有余的，其余气运同理。针刺治病，病对穴位，可称为高明医生了）。
Huangdi said: The key to acupuncture for ascending and descending lies in understanding the essentials. I wish to hear about the method when the Si Tian (Heavenly Ruler) Qi fails to migrate to its proper position, causing the governing Qi of transformation to lose its regular administration, thereby leading to chaotic transformations of all things. However, since this Qi variation causes diseases among the people, can it be prevented beforehand? To save the masses, I wish to hear your explanation.
Qibo replied: Your question is indeed thorough! You speak of profound principles. The Sage’s mind is filled with compassion, desiring to save the living beings. I will then fully expound upon this Way, which can elucidate the subtle mysteries.
If Tai Yang (Sun) Cold Water Qi spreads again, Jue Yin (Liver) Wind Wood Qi cannot migrate to its proper position. If it does not migrate, the Zheng Qi (Upright Qi) becomes blocked above; one should drain the "Liu" (Flowing) points of the Foot Jue Yin Liver Meridian.
If Jue Yin Wind Wood Qi spreads again, Shao Yin (Ministerial Fire)君 Fire Qi cannot migrate to its proper position. If it does not migrate, the Qi becomes blocked above; one should puncture the "Liu" (Flowing) points of the Hand Jue Yin Pericardium Meridian.
If Shao Yin君 Fire Qi spreads again, Tai Yin (Spleen) Damp Earth Qi cannot migrate to its proper position. If it does not migrate, the Qi stagnates above; one should puncture the "Liu" (Flowing) points of the Foot Tai Yin Spleen Meridian.
If Tai Yin Damp Earth Qi spreads again, Shao Yang (San Jiao) Ministerial Fire Qi cannot migrate to its proper position. If it does not migrate, the Qi remains blocked and uncommunicating; one should puncture the "Liu" (Flowing) points of the Hand Shao Yang San Jiao Meridian.
If Shao Yang Ministerial Fire Qi spreads again, Yang Ming (Large Intestine) Dry Metal Qi cannot migrate to its proper position. If it does not migrate, the Qi fails to communicate upward; one should puncture the "Liu" (Flowing) points of the Hand Tai Yin Lung Meridian.
If Yang Ming Dry Metal Qi spreads again, Tai Yang (Bladder) Cold Water Qi cannot migrate to its proper position. If it does not migrate, the Qi is once again blocked; one should puncture the "Liu" (Flowing) points of the Foot Shao Yin Kidney Meridian.
Huangdi said: Regarding the failure to migrate properly, I have understood the essentials. I now wish to hear about the condition of failing to retreat. How can we curb the excess so as to prevent errors? Can this be made clear?
Qibo replied: When Qi is excessive and spreads again as a governing force, it is called "not leaving its position." This prevents the Di Qi (Earth Qi) from following with transformation, so the new Si Tian Qi cannot migrate properly, and the old Qi spreads again as before.
In the years of Ji Hai, due to surplus in the Heavenly Numbers, Jue Yin Wind Wood Qi does not retreat. Wind moves above, and Wood transformation spreads across the sky; one should puncture the "Ru" (Entering) points of the Foot Jue Yin Liver Meridian.
In the years of Zi Wu, due to surplus in the Heavenly Numbers, Shao Yin君 Fire Qi does not retreat. Heat moves above, and the residual transformation of Fire spreads across the sky; one should puncture the "Ru" (Entering) points of the Hand Jue Yin Pericardium Meridian.
In the years of Chou Wei, due to surplus in the Heavenly Numbers, Tai Yin Damp Earth Qi does not retreat. Dampness moves above, and Rain transformation spreads across the sky; one should puncture the "Ru" (Entering) points of the Foot Tai Yin Spleen Meridian.
In the years of Yin Shen, due to surplus in the Heavenly Numbers, Shao Yang Ministerial Fire Qi does not retreat. Heat moves above, and Fire transformation spreads across the sky; one should puncture the "Ru" (Entering) points of the Hand Shao Yang San Jiao Meridian.
In the years of Mao You, due to surplus in the Heavenly Numbers, Yang Ming Dry Metal Qi does not retreat. Metal moves above, and Dryness transformation spreads across the sky; one should puncture the "Ru" (Entering) points of the Hand Tai Yin Lung Meridian.
In the years of Chen Xu, due to surplus in the Heavenly Numbers, Tai Yang Cold Water Qi does not retreat. Cold moves above, and Cold Water transformation spreads across the sky; one should puncture the "Ru" (Entering) points of the Foot Shao Yin Kidney Meridian.
Thus, when Heaven and Earth Qi are reversed, they transform into diseases among the people. By applying these methods of acupuncture, one can preemptively pacify the disease. (Liu Wenshu said: Some argue that in years with the Great Jue (Wood) Yun (Great Movement), Wood is prosperous and Earth is weak. The preventive method should involve draining the Liver Meridian and tonifying the Spleen and Stomach. If everyone does this, what disease would there be? This is not a universal principle. Why? Do all people have identical Zang-Fu organs? Suppose a person's Liver element is deficient and Spleen Earth is inherently strong. Encountering this Great Jue movement, the Liver Wood becomes slightly substantial, and the Spleen Qi becomes balanced, thus achieving harmony. If one merely drains the Liver and tonifies the Spleen, this is called "reinforcing excess and depleting deficiency," damaging what is insufficient and adding to what is already excessive. The same applies to other Qi movements. In acupuncture treatment, matching the disease with the correct point can be considered the work of a skilled physician).