初之气,地气迁,燥将去,寒乃始,蛰复藏,水乃冰,霜复降,风乃至,阳气郁,民反周密,关节禁固,腰
痛,炎暑将起,中外疮疡。二之气,阳气布,风乃行,春气以正,万物应荣,寒气时至,民乃和。其病淋,目
瞑目赤,气郁于上而热。三之气,天政布,大火行,庶类番鲜,寒气时至。民病气厥心痛,寒热更作,咳喘目
赤。四之气,溽暑至,大雨时行,寒热互至。民病寒热,嗌干黄瘅,鼽衄饮发。五之气,畏火临,暑反至,阳
乃化,万物乃生乃长荣,民乃康,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,病生皮腠,内舍于胁,下连少腹而作寒中,地将易也。必抑其运气,资其岁胜,折其郁发,
先取化源,无使暴过而生其病也。食岁谷以全真气,食间谷以辟虚邪。岁宜咸以 之,而调其上,甚则以苦发
之;以酸收之,而安其下,甚则以苦泄之。适气同异而多少之,同天气者以寒清化,同地气者以温热化,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。
帝曰∶善。厥阴之政奈何?岐伯曰∶巳亥之纪也。
初之气,地气迁移,燥气即将退去,寒气开始盛行,冬眠的动物重新藏伏,水结成冰,霜再次降落,风刮起,阳气被郁遏,民众反而感到身体严密拘束,关节僵硬固着,腰痛,炎热暑气将要升起时,内外都会发生疮疡。二之气,阳气布散,风气流行,春天的正气确立,万物应时繁荣,寒气不时到来,民众得以调和。其病症为淋证,眼睛闭合或发红,气机郁结于上部而发热。三之气,天令政令布散,大火星(心火)运行,各类生物繁盛鲜艳,寒气不时到来。民众患病气逆心痛,寒热交替发作,咳嗽气喘,眼睛发红。四之气,湿热暑气到来,大雨时常流行,寒热交替出现。民众患寒热病,咽喉干燥,黄疸,鼻塞流涕或鼻出血,痰饮发作。五之气,畏火(少阳相火)临照,暑气反而到来,阳气得以化生,万物生长繁荣,民众安康,其病症为温病。终之气,燥气令行,残余的火气在内格拒,肿胀发生在上部,咳嗽气喘,严重时吐血溢血。寒气多次兴起,则产生雾气和目翳,疾病生于皮肤腠理,内舍于胁部,下连少腹而产生中焦虚寒,这是地气更替的缘故。必须抑制其运气,资助岁胜之气,折解其郁发之气,先取化源,不要使暴烈之气过度而发生疾病。食用当年当令的谷物以保全真气,食用间谷以避开虚邪。岁运适宜用咸味药物来疏泄它,并调理上部;病情严重的,用苦味药发散它;用酸味药收敛它,并安固下部;病情严重的,用苦味药泄降它。根据气候的同异来调整用药多少,与天气相同的用寒凉之法化解,与地气相同的用温热之法化解,使用热药要避开热令,使用凉药要避开凉令,使用温药要避开温令,使用寒药要避开寒令,饮食宜遵循同样的法则。如果有假象则相反,这就是规律,违背这个规律就会发病。
黄帝说:好。厥阴的政令是怎样的?岐伯说:是巳年和亥年的纪年。
In the first Qi, the earthly Qi migrates; the dryness is about to depart, and cold begins. Hibernating creatures re-enter hiding, water freezes, and frost descends again. Wind arrives, causing the Yang Qi to be depressed. The people feel a sense of tightness and constraint, joint stiffness and fixation, and lower back pain. As the intense heat and summer are about to rise, sores and ulcers occur both internally and externally. In the second Qi, Yang Qi spreads, wind circulates, the spring Qi becomes correct, and all things flourish in response. Cold Qi arrives from time to time, and the people are harmonious. Their diseases include strangury (Lin syndrome), eyes closing or becoming red, with Qi stagnating above causing heat. In the third Qi, the heavenly administration is distributed, the Great Fire (Heart Fire) prevails, myriad species become vibrant and fresh, and cold Qi arrives from time to time. The people suffer from Qi reversal and heart pain, alternating cold and heat, coughing, wheezing, and red eyes. In the fourth Qi, muggy heat arrives, heavy rain occurs frequently, and cold and heat alternate. The people suffer from cold and heat disorders, dry throat, jaundice, nasal congestion with epistaxis, and the onset of fluid retention (phlegm-fluid). In the fifth Qi, the Feared Fire (Shao-Yang Ministerial Fire) descends, summer heat returns, Yang transforms, and all things grow and flourish. The people are healthy, but their disease is warm pathogen (Wen Bing). In the final Qi, the dry command prevails, residual fire is blocked internally, swelling occurs above, accompanied by coughing and wheezing, and in severe cases, blood extravasation. When cold Qi rises frequently, fog and visual obscurations arise. Diseases arise in the skin and interstices, lodge internally in the hypochondrium, connect downward to the lower abdomen, and cause middle-jiao deficiency cold; this is due to the changing of the earthly Qi. One must suppress the influencing Qi, nourish the year's victorious Qi, resolve the stagnant Qi, and first access the source of transformation, so as not to allow excessive violent Qi to generate disease. Eat the grain of the year to preserve true Qi, and eat the interstitial grain to ward off empty evil. For the year, it is suitable to use salty flavor to drain and regulate the upper part; if severe, use bitter flavor to disperse. Use sour flavor to astringe and stabilize the lower part; if severe, use bitter flavor to purge. Adjust according to the similarity and difference of the Qi; when similar to heavenly Qi, transform with cold and clear methods; when similar to earthly Qi, transform with warm and hot methods. Avoid using hot remedies during hot periods, cool remedies during cool periods, warm remedies during warm periods, and cold remedies during cold periods. Dietary choices should follow the same principles. If there is a counterfeiting phenomenon, act oppositely; this is the way. Those who reverse this will have disease arise.
The Yellow Emperor said: Excellent. How is the administration of Jueyin? Qibo said: It is the record of Si and Hai years.