得先春之气者也。草木得春气而生。人病感春气者死。)春阴阳皆绝。期在孟春。(阴阳之气。始于岁首。故交春而阴阳
皆绝。期在孟春而死。)春三月之病。曰阳杀。(春三月阳气正盛。病伤其气。故曰阳杀。倪仲玉曰。此杀字。照应前之
皆杀。皆者。谓阴阳之气皆杀也。)阴阳皆绝。斯在草干。(阴阳者。谓木火之阳。厥阴少阴之所主。皆绝者。无生长之
气也。故期在肃杀之时而死。)夏三月之病。至阴不过十日。(阴、谓岁半以下。阳气病伤。故交阴即死。)阴阳交。期在
濂水。(在夏之阴阳交病。病少阴之火也。濂水、水之清也。在三秋之时。)秋三月之病。三阳俱起。不治自已。(秋三月
乃阳明主令。阳明者。两阳合明。间于二阳之中。三阳俱起。是谓干刚中正。勿药有喜。)阴阳交合者。立不能坐。坐不
能起。(七月八月。乃太阴主气。九月十月。乃阳明主气。至秋令而阴阳交合者。太阴阳明之合病也。太阴欲开。而不能
胜阳明之阖。阳明欲阖。而不能止太阴之开。是以立不能坐。坐不能起。)三阳独至。期在石水。二阴独至。期在盛水。
(此总结太阳少阴为水火阴阳之主。标本互合。阴阳气交。如三阳独至。是有阳而无阴矣。二阴独至。是惟阴而无阳矣。
石水。坚冰之时。孤阳而无阴气之和。又值水性坚凝。故死。盛水、立春雨水之时。独阴而无阳气之和。又值春阳外泄。
故死也。)
这是禀受了先于春季的阳气的人。(草木得到春气而生长,人若患病且感受春气则死亡。)如果春季时阴阳之气都断绝,预计会在孟春(农历正月)死亡。(阴阳之气始于岁首,所以到了交春之时阴阳皆绝,预计在孟春死亡。)在春季三个月内患的病,称为“阳杀”(春季三月阳气正盛,病邪损伤了阳气,所以称为阳杀。倪仲玉说:这个“杀”字,呼应前文的“皆杀”。“皆”是指阴阳之气都被损伤/肃杀)。
如果阴阳之气都断绝,预计会在草木干枯的时候死亡。(这里的阴阳,指的是木火之阳,由厥阴和少阴所主。“皆绝”意味着没有生长的气息,所以预计在肃杀的季节死亡。)
在夏季三个月内患的病,如果是至阴证,不超过十天就会死亡。(“阴”指岁半以下的时间,此时阳气病伤,所以遇到阴气就死亡。)如果是阴阳交争的病,预计在水流清澈凉爽的时节(濂水,指秋水清冽之时,即秋季)死亡。(夏季的阴阳交争病,是少阴君火为病。濂水意为水之清冽,对应三秋之时。)
在秋季三个月内患的病,如果三阳经同时发病,不治疗也会自愈。(秋季三个月是阳明经主令。阳明被称为两阳合明,位于太阳和少阳之间。三阳经同时发病,这叫做干刚中正,不用服药就会有喜兆/痊愈。)
如果出现阴阳交合的症状,表现为站立不能坐下,坐下不能站起。(七月八月是太阴经主气,九月十月是阳明经主气。到了秋令出现阴阳交合症状,是太阴和阳明的合病。太阴想要开泄,但不能胜过阳明的阖闭;阳明想要阖闭,但不能阻止太阴的开泄,所以导致站立不能坐下,坐下不能站起。)
如果是三阳经单独发病,预计会在石水(坚冰凝结之时)死亡;如果是二阴经单独发病,预计会在盛水(立春雨水之时)死亡。(这是总结太阳和少阴分别为水和火的阴阳之主,标本互合,阴阳气交。如果三阳单独发病,是有阳而无阴;二阴单独发病,是只有阴而无阳。石水指坚冰之时,孤阳而没有阴气的调和,又正值水性坚凝,所以死亡。盛水指立春雨水之时,独阴而没有阳气的调和,又正值春阳外泄,所以死亡。)
This refers to one who has received the Qi of spring in advance. (Plants and trees grow when they receive the Qi of spring; if a person is ill and contracts the Qi of spring, they will die.) If both Yin and Yang Qi are exhausted in spring, death is expected in Mengchun (the first month of spring). (The Qi of Yin and Yang begins at the start of the year; thus, upon the arrival of spring, both Yin and Yang are exhausted, and death is expected in Mengchun.) Diseases occurring during the three months of spring are called "Yang Sha" (During the three months of spring, Yang Qi is abundant; disease damages this Qi, hence it is called Yang Sha. Ni Zhongyu states: The character "Sha" here corresponds to the previous "all Sha." "All" implies that both Yin and Yang Qi are damaged/extinguished.)
If both Yin and Yang Qi are exhausted, death is expected when grass and trees wither. (Here, Yin and Yang refer to the Yang of Wood and Fire, governed by Jueyin and Shaoyin. "Exhausted" means there is no Qi of growth; thus, death is expected during the season of desolation and killing.)
Diseases occurring during the three months of summer: if it is a Zhiyin (Extreme Yin) condition, death occurs within ten days. ("Yin" refers to the period after the middle of the year; Yang Qi is diseased and damaged, so upon encountering Yin, death ensues.) If it is a disease of Yin-Yang intersection, death is expected during Lianshui (clear, cool water, referring to the clear waters of early autumn). (Summer diseases involving Yin-Yang intersection involve the fire of Shaoyin. Lianshui denotes the clarity of water, corresponding to the time of early autumn.)
Diseases occurring during the three months of autumn: if the Three Yang channels rise simultaneously, the disease may resolve spontaneously without treatment. (The three months of autumn are governed by Yangming. Yangming is described as the convergence of two Yangs, situated between Taiyang and Shaoyang. When the Three Yang rise simultaneously, this is termed "Gan Gang Zhong Zheng" [upright and central], indicating recovery without medication.)
If there is an intersection of Yin and Yang manifesting as an inability to sit while standing, or an inability to stand while sitting: (From the seventh to eighth lunar months, Taiyin governs the Qi; from the ninth to tenth lunar months, Yangming governs the Qi. Upon the arrival of autumnal commands, the intersection of Yin and Yang represents a combined disease of Taiyin and Yangming. Taiyin desires to open but cannot overcome the closing action of Yangming; Yangming desires to close but cannot stop the opening action of Taiyin. Consequently, the patient cannot sit while standing, nor stand while sitting.)
If only the Three Yang channels are affected, death is expected during Shishui (time of hard ice); if only the Two Yin channels are affected, death is expected during Shengshui (time of abundant rain/spring equinox). (This summarizes Taiyang and Shaoyin as the masters of Water and Fire, respectively, representing the interplay of root and branch, and the intersection of Yin and Yang Qi. If only the Three Yang are present, there is Yang without Yin; if only the Two Yin are present, there is Yin without Yang. Shishui refers to the time of hard ice; isolated Yang without the harmonizing Yin, combined with the solidifying nature of water, leads to death. Shengshui refers to the time of abundant rain at the beginning of spring; isolated Yin without the harmonizing Yang, combined with the outward leakage of spring Yang, leads to death.)