即神光不圆也，非但尸鬼，即一切邪犯者，皆是神失守位故也。此谓得守者生，失守者死，得神者昌，失神者亡。
黄帝问曰∶五气交合，盈虚更作，余知之矣。六气分治，司天地者，其至何如？岐伯再拜对曰∶明乎哉
问也！天地之大纪，人神之通应也。帝曰∶愿闻上合昭昭，下合冥冥奈何？岐伯曰∶此道之所主，工之所疑
也。帝曰∶愿闻其道也。岐伯曰∶厥阴司天，其化以风；少阴司天，其化以热；太阴司天，其化以湿；少阳
司天，其化以火；阳明司天，其化以燥；太阳司天，其化以寒。以所临脏位，命其病
者也。帝曰∶地化奈何？岐伯曰∶司天同候，间气皆然。帝曰∶间气何谓？岐伯曰∶司左右者，是谓间气也
。帝曰∶何以异之？岐伯曰∶主岁者纪岁，间气者纪步也。帝曰∶善。岁主奈何？岐伯曰∶厥阴司天为风化，在
泉为酸化，司气为苍化，间气为动化。少阴司天为热化，在泉为苦化，不司气化，居气为灼化。太阴
司天为湿化，在泉为甘
化，司气为 化，间气为柔化。少阳司天为火化，在泉为苦化，司气为丹化，间气为明化。阳
明司天为燥化，在泉为辛化，司气为素化，间气为清化。太阳司天为寒化，在泉为咸化，司气为玄化，
间气为藏化。故治病者，必明六化分治，五
味五色所生，五脏所宜，乃可以言盈虚病生之绪也。帝曰∶厥阴在泉而酸化先，余知之矣。风化之行也何
如？岐伯曰∶风行于地，所谓本也，余气同法。本乎天者，天之气也，本乎地者，地之气也，天地合气，六节
分而万物化生矣。故曰∶谨候气宜，无失病机。此之谓也。帝曰∶其主病何如？岐伯曰∶司岁备物，则无遗主
矣。帝曰∶先岁物何也？岐伯曰∶天地之专精也。帝曰∶司气者何如？岐伯曰∶司气者主岁同，然有余不足
也。帝曰∶非司岁物何谓
也？岐伯曰∶散也，故质同而异等也，气味有薄浓，性用有躁静，治保有多少，力化有浅深，此之谓也。
帝曰∶岁主藏害何谓？岐伯曰∶以所不胜命之，则其要也。帝曰∶治之奈何？岐伯曰∶上淫于下，所胜平之，
外淫于内，所胜治之。帝曰∶善。平气何如？岐伯曰∶谨察阴阳所在而调之，以平为期，正者正治，反者反
治。帝曰∶夫子言察阴阳所在而调之，论言人迎与寸口相应，若引绳小大齐等，命曰平，阴之所在寸口何如？
岐伯曰∶视岁南北，可知之矣。
帝曰∶愿卒闻之。岐伯曰∶北政之岁，少阴在泉，则寸口不应；厥阴在泉，则右不应；太阴在泉，则左不
应。南政之岁，少阴司天，则寸口不应；厥阴司天，则右不应；太阴司天，则左不应。诸不应者，反其诊
则见矣。帝曰∶尺候何如？岐伯曰∶北政之岁，三阴在下，则寸不应；三阴在上，则尺不应。南政之岁，三
阴在天，则寸不应；三阴在泉，则尺不应。左右同。故曰∶知其要者，一言而终，不知其要，流散无穷。此之
谓也。
帝曰∶善。天地之气，内淫而病何如？岐伯曰∶岁厥阴在泉，风淫所胜，则地气不明，平野昧，草乃早
秀。民病洒洒振寒，善伸数欠，心痛支满，两胁里急，饮食不下，膈咽不通，食则呕，腹胀善噫，得后与气，则
快然如衰，身体皆重。岁少阴在泉，热淫所胜，则焰浮川泽，阴处反明。民病腹中常鸣，气上冲胸，喘不能
久立，寒热皮肤痛，目瞑齿痛 肿，恶寒发热如疟，少腹中痛腹大，蛰虫不藏。岁太阴在泉，草乃早荣，湿
淫所胜，则埃昏岩谷，黄反见黑，至阴之交。民病饮积，心痛，耳聋浑浑 ，嗌肿喉痹，阴病血见，少腹
痛肿，不得小便，病冲头痛，目似脱，项似拔，腰似折，髀不可以回， 如结， 如别。岁少阳在泉，火淫所
胜，则
焰明郊野，寒热更至。民病注泄赤白，少腹痛溺赤，甚则血便。少阴同候。岁阳明在泉，燥淫所胜，则
雾清暝。民病喜呕，呕有苦，善大息，心胁痛不能反侧，甚则嗌干面尘，身无膏泽，足外反热。岁太阳在泉，
寒淫所胜，则凝肃惨栗。民病少腹控睾，引腰脊，上冲心痛，血见，嗌痛颔肿。帝曰∶善。治之奈何？岐伯曰∶
诸气在泉，风淫于内，治以辛凉，佐以苦，以甘缓之，以辛散之。热淫于内，治以咸寒，佐以甘
苦，以酸收之，以苦发之。湿淫于内，治以苦热，佐以酸淡，以苦燥之，以淡泄之。火淫于内，治以咸冷，
佐以苦辛，以酸收之，以苦发之。燥淫于内，治以苦温，佐以甘辛，以苦下之。寒淫于内，治以甘热，佐以苦
辛，以咸泻之，以辛润之，以苦坚之。帝曰∶善。天气之变何如？岐伯曰∶厥阴司天，风淫所胜，则太虚埃昏，
云物以扰，寒生春气，流水不冰。民
病胃脘当心而痛，上支两胁，膈咽不通，饮食不下，舌本强，食则呕，冷泄腹胀，溏泄瘕水闭，蛰虫不去，病
本于脾。冲阳绝，死不治。少阴司天，热淫所胜，怫热至，火行其政。民病胸中烦热，嗌干，右 满，
皮肤痛，寒热咳喘，大雨且至，唾血血泄，鼽衄嚏呕，溺色变，甚则疮疡 肿，肩背臂 及缺盆中痛，心痛
肺，腹大满，膨膨而喘咳病本于肺。尺泽绝，死不治。
太阴司天，湿淫所胜，则沉阴且布，雨变枯槁， 肿骨痛阴痹，阴痹者按之不得，腰脊头项痛，时眩，大便难，
阴气不用，饥不欲食，咳唾则有血，心如悬，病本干肾。太溪绝，死不治。少阳司天，火淫所胜，则温
气流行，金政不平。民病头痛，发热恶寒而疟，热上皮肤痛，色变黄赤，传而为水，身面 肿，腹满仰息，
泄注赤白，疮疡咳唾血，烦心胸中热，甚则鼽衄，病本于肺。天府绝，死不治。阳明司天，燥淫所胜，则木乃
晚荣，草乃晚生，筋骨内变，民病左 胁痛，寒清于中，感而疟，大凉革候，咳，腹中鸣，注泄 溏，名木敛，
生菀于下，草焦上首，心胁暴痛，不可反侧，嗌干面尘腰痛，丈夫 疝，妇人少腹痛，目 ，疡疮痤痈，蛰虫
来见，病本于肝。太冲绝，死不治。太阳司天，寒淫所胜，则寒气反至，水且冰，血变于中，发为痈疡，民病
厥心痛，呕血血泄鼽衄，善悲时眩仆。运火炎烈，雨暴乃雹，胸腹满，手热肘挛掖肿，心澹澹大动，胸胁胃脘
不安，面赤目黄，善噫嗌干，甚则色 ，渴而欲饮，病本于心。神门绝，死不治。所谓动气，知其藏
也。帝曰∶善。治之奈何？岐伯曰∶司天之气，风淫所胜，平以辛凉，佐以苦甘，以甘缓之，以酸泻之。
热淫所胜，平以咸寒，佐以苦甘，以酸收之。湿淫所胜，平以苦热，佐以酸辛，以苦燥之，以淡泄之。湿上甚
而热，治以苦温，佐以甘辛，以汗为故而
止。火淫所胜，平以酸冷，佐以苦甘，以酸收之，以苦发之，以酸复之，热淫同。燥淫所胜，平以苦湿，
佐以酸辛，以苦下之。寒淫所胜，平以辛热，佐以甘苦，以咸泻之。帝曰∶善。邪气反胜，治之奈何？岐伯曰∶
风司于地，清反胜之，治以酸温，佐以苦甘，以辛平之。热司于地，寒反胜之，治以甘热，佐以苦辛，以咸
平之。湿司于地，热反胜之，治以苦冷，佐以咸甘，以苦平之。火司于地，寒反胜之，治以甘
热，佐以苦辛，以咸平之。燥司于地，热反胜之，治以平寒，佐以苦甘，以酸平之，以和为利。寒司于
地，热反胜之，治以咸冷，佐以甘辛，以苦平之。帝曰∶其司天邪胜何如？岐伯曰∶风化于天，清反胜之，
治以酸温，佐以甘苦。热化于天，寒反胜之，治以甘温，佐以苦酸辛。湿化于天，热反胜之，治以苦寒，佐以
苦酸。火化于天，寒反胜之，治以甘热，佐以苦辛。燥化于天，热反胜之，治以辛寒，佐以苦甘。寒化于天，
热反胜之，治以咸冷，佐以苦辛。
帝曰∶六气相胜奈何？岐伯曰∶厥阴之胜，耳鸣头眩，愦愦欲吐，胃膈如寒，大风数举， 虫不滋，
胁气并，化而为热，小便黄赤，胃脘当心而痛，上支两胁，肠鸣飧泄，少腹痛，注下赤白，甚则呕吐，膈咽不
通。少阴之胜，心下热善饥，脐下反动，气游三焦，炎暑至，木乃津，草乃萎，呕逆躁烦，腹满痛溏泄，
传为赤沃。太阴之胜，火气内郁，疮疡于中，流散于外，病在 胁，甚则心痛热格，头痛喉痹项强，独胜则湿
气内郁，寒迫下焦，痛留顶，互引眉间，胃满，雨数至，燥化乃见，少腹满，腰 重强，内不便，善注泄，足
下温，头重足胫 肿，饮发于中， 肿于上。少阳之胜，热客于胃，烦心心痛，目赤欲呕，呕酸善饥，耳痛溺
赤，善惊谵妄，暴热消烁，草萎水涸，介虫乃屈，少腹痛，下沃赤白。阳明之胜，清发于中，左 胁痛溏泄，
内为嗌塞，外发 疝，大凉肃杀，华英改容，毛虫乃殃，胸中不便，嗌塞而咳。太阳之胜，凝 且至，非时水冰，羽
乃后化，痔疟发，寒厥入胃，则内生心痛，阴中乃疡，隐曲不利，互引阴股，筋肉拘苛，血脉凝泣，络满色变，
或为血泄，皮肤痞肿，腹满食减，热反上行，头项囟顶脑户中痛，目如脱，寒入下焦，传为濡泻。帝曰∶治
之奈何？岐伯曰∶厥阴之胜，治以甘清，佐以苦辛，以酸泻之。少阴之胜，治以辛寒，佐以苦咸，以甘泻之。
太阴之胜，治以咸热，佐以辛甘，以苦泻之。少阳之胜，治以辛寒，佐以甘咸，以甘泻之。阳明之胜，治以酸
温，佐以辛甘，以苦泄之。太阳之胜，治以甘热，佐以辛酸，以咸泻之。帝曰∶六气之复何如？岐伯
曰∶悉乎哉问也！厥阴之复，少腹坚满，里急暴痛，偃木飞沙， 虫不荣，厥心痛，汗发呕吐，饮食不入，入
而复出，筋骨掉眩清厥，甚则入脾，食痹而吐。冲阳绝，死不治。少阴之复，燠热内作，烦躁鼽嚏，少腹
绞痛，火见燔 ，嗌燥，分注时止，气动于左，上行于右，咳，皮肤痛，暴喑心痛，郁冒不知人，乃
洒淅恶寒，振栗谵妄，寒已而热，渴而欲饮，少气骨痿，隔肠不便，外为浮肿哕噫，赤气后化，流水不冰，热
气大行，介虫不复，病 胗疮疡，痈疽痤痔，甚则入肺，咳而鼻渊。
天府绝，死不治。太阴之复，湿变乃举，体重中满，食饮不化，阴气上厥，胸中不便，饮发于中，咳喘有声，
大雨时行，鳞见于陆，头顶痛重，而掉螈尤甚，呕而密默，唾吐清液，甚则入肾，窍泻无度。太溪绝，死不
治。少阳之复，大热将至，枯燥燔 ，介虫乃耗，惊螈咳衄，心热烦躁，便数憎风，厥气上行，面如浮埃，
目乃 螈，火气内发，上为口糜呕逆，血溢血泄，发而为疟，恶寒鼓栗，寒极反热，嗌络焦槁，渴引水浆，色
变黄赤，少气脉萎，化而为水，传为 肿，甚则入肺，咳而血泄。尺泽绝，死不治。阳明之复，清气大举，森木
苍干，毛虫乃厉，病生 胁，气归于左，善太息，甚则心痛痞满，腹胀而泄，呕苦咳哕烦心，病在膈中头痛，
甚则入肝，惊骇筋挛。太冲绝，死不治。太阳之复，厥气上行，水凝雨冰，羽虫乃死，心胃生寒，胸膈不利，
心痛痞满，头痛善悲，时眩仆，食减，腰 反痛，屈伸不便，地裂冰坚，阳光不治，少腹控睾，引腰脊，上冲
心，唾出清水，及为哕噫，甚则入心，善忘善悲。神门绝，死不治。帝曰∶善。治之奈何？岐伯曰∶厥阴之复，
治以酸寒，佐以甘辛，以酸泻之，以甘缓之。少阴之复，治以咸寒，佐以苦辛，以甘泻之，以酸收之，辛苦
发之，以咸 之。太阴之复，治以苦热，佐以酸辛，以苦泻之，燥之，泄之。少阳之复，治以咸冷，佐
以苦辛，以咸 之，以酸收之，辛苦发之。发不远热，无犯温凉，少阴同法。阳明之复，治以辛温，佐以苦
甘，以苦泄之，以苦下之，以酸补之。太阳之复，治以咸热，佐以甘辛，以苦坚之。治诸胜复，寒者热
之，热者寒之，温者清之，清者温之，散者收之，抑者散之，燥者润之，急者缓之，坚者 之，脆者坚之，衰
者补之，强者泻之，各安其气，必清必静，则病气衰去，归其所宗，此治之大体也。
帝曰∶善。气之上下何谓也？岐伯曰∶身半以上，其气三矣，天之分也，天气主之。身半以下，其气
三矣，地之分也，地气主之。以名命气，以气命处，而言其病。半，所谓天枢也。故上胜而下俱病者，以地名
之。下胜而上俱病者，以天名之。所谓胜至，报气屈伏而未发也。复至则不以天地异名，皆如复气
为法也。帝曰∶胜复之动，时有常乎？气有必乎？岐伯曰∶时有常位，而气无必也。帝曰∶愿闻其道也。
岐伯曰∶初气终三气，天气主之，胜之常也。四气尽终气，地气主之，复之常也。有胜则复，无胜则否。帝曰∶
善。复已而胜何如？岐伯曰∶胜至则复，无常数也，衰乃止耳。复已而胜，不复则害，此伤生也。帝曰∶
复而反病何也？岐伯曰∶居非其位，不相得也。大复其胜则主胜之，故反病也。所谓火燥热也。帝曰∶治之
何如？岐伯曰∶夫气之胜也，微者随之，甚者制之。气之复也，和者平之，暴者夺之。皆随胜气，安其屈伏，
无问其数，以平为期，此其道也。
帝曰∶善。客主之胜复奈何？岐伯曰∶客主之气，胜而无复也。帝曰∶其逆从何如？岐伯曰∶主胜逆，客
这就是神光不能圆满的原因。不仅仅是尸鬼作祟，凡是各种邪气侵犯人体，都是因为神的守位功能丧失的缘故。这叫做：能够守住神气的就生存，失去神守的就死亡，得到神气的就昌盛，失去神气的就灭亡。
黄帝问道：五运之气相互交合，有盈满也有虚衰，交替发作，我已经知道了。六气分别主治，司掌天地之气的变化，它们到来的情况是怎样的呢？岐伯拜了两拜回答说：问得真明白啊！这是天地的大规律，也是人体精神与天地相通相应的道理。黄帝说：我希望听听上合于天象昭昭，下合于地象冥冥的道理是怎么回事？岐伯说：这是医道所主宰的，也是医生容易产生疑惑的地方。黄帝说：我希望听听这个医道。岐伯说：厥阴司天时，其气化表现为风；少阴司天时，其气化表现为热；太阴司天时，其气化表现为湿；少阳司天时，其气化表现为火；阳明司天时，其气化表现为燥；太阳司天时，其气化表现为寒。根据这些气所临应的脏腑部位，来命名由此产生的疾病。黄帝说：地气的气化情况怎样？岐伯说：地气的主候与司天相同，间气也都是这样。黄帝说：什么是间气？岐伯说：位于左右两侧的，称为间气。黄帝说：它们有什么不同？岐伯说：主岁之气记录一年的气候，间气记录每一步（六十日零八刻）的气候。黄帝说：好。岁主的情况怎样？岐伯说：厥阴司天为风化，在泉为酸化，司气为苍色之化，间气为动化。少阴司天为热化，在泉为苦味之化，不主司五行之气化，居气为灼化。太阴司天为湿化，在泉为甘味之化，司气为黄色之化，间气为柔化。少阳司天为火化，在泉为苦味之化，司气为丹色之化，间气为明化。阳明司天为燥化，在泉为辛味之化，司气为白色之化，间气为清化。太阳司天为寒化，在泉为咸味之化，司气为黑色之化，间气为藏化。所以治病的人，必须明了六气化分治的特点，五味、五色所生成的规律，以及五脏所适宜的性质，才可以谈论盈虚病变发生的头绪。黄帝说：厥阴在泉而酸化先至，我已经知道了。风气的运行是怎样的呢？岐伯说：风气行于地，这就是本气，其余客气也遵循同样的法则。源于天的，是天气；源于地的，是地气；天地之气相合，将一年分为六个节气，万物便化生出来了。所以说：谨慎地观察气候的适宜情况，不要违背病机。说的就是这个道理。黄帝说：主岁的运气致病情况怎样？岐伯说：按照岁气准备药物，就不会遗漏主治的药物了。黄帝说：为什么叫先岁物？岐伯说：因为那是天地精气专一凝聚而成的。黄帝说：司气者情况怎样？岐伯说：司气者主管岁气，与岁主相同，但有有余和不足的区别。黄帝说：不是司岁之气所生的药物叫什么？岐伯说：叫散气，所以虽然质地相同但等级不同，气味有浓淡之分，药性作用有躁静之别，治疗保养的效果有多少之差，效力转化的深浅也不同，说的就是这种情况。黄帝说：岁主藏害是什么意思？岐伯说：用克制它的脏气来命名它，这就是要点。黄帝说：治疗怎么办？岐伯说：上部的淫气侵入下部，用能胜它的药来平抑它；外部的淫气侵入内部，用能胜它的药来治疗它。黄帝说：好。平气的方法怎样？岐伯说：仔细察看病证阴阳所在的部位并加以调理，以平衡为准则，正病用正治法，反病用反治法。黄帝说：先生说要察阴阳所在而调之，医经上说人迎脉与寸口脉相应，像拉紧的绳子一样大小相等，称为平脉，那么阴气所在的寸口脉情况怎样？岐伯说：观察岁气是南政还是北政，就可以知道了。黄帝说：希望详细听听。岐伯说：北政之年，少阴在泉，则寸口脉不应指；厥阴在泉，则右寸不应指；太阴在泉，则左寸不应指。南政之年，少阴司天，则寸口脉不应指；厥阴司天，则右寸不应指；太阴司天，则左寸不应指。所有不应指的脉象，如果诊法反过来看就能显现出来。黄帝说：尺部候脉情况怎样？岐伯说：北政之年，三阴在下（在泉），则寸口不应；三阴在上（司天），则尺部不应。南政之年，三阴在天（司天），则寸口不应；三阴在泉，则尺部不应。左右两侧的情况相同。所以说：懂得要领的人，一句话就能说完；不懂得要领的人，就会流散无穷无尽。说的就是这个道理。
黄帝说：好。天地之气，内侵人体而致病的情况怎样？岐伯说：岁气厥阴在泉，风气淫胜，则地气不明，原野昏暗，草木过早抽穗开花。百姓发病恶寒战栗，喜欢伸腰打哈欠，心痛肢体胀满，两胁里急，饮食不下，膈咽不通，进食则呕吐，腹胀喜欢嗳气，大便排气后，症状暂时减轻，身体沉重。岁气少阴在泉，热气淫胜，则山川沼泽热气上浮，阴暗处反而明亮。百姓发病腹中常鸣响，气向上冲胸，气喘不能久立，寒热交替皮肤痛，眼睛昏花牙齿痛腮肿，恶寒发热像疟疾，小腹痛腹部肿大，冬眠的虫子不藏伏。岁气太阴在泉，草木过早繁荣，湿气淫胜，则山谷埃尘昏暗，黄色中反现黑色，这是至阴之气交接的时候。百姓发病饮停积聚，心痛，耳聋听力模糊，咽喉肿痛喉痹，阴病见血，小腹痛肿，小便不通，病气上冲头痛，眼睛像要脱出，脖子像要折断，腰部像要折断，大腿不能转动，膝盖像被捆住，膝外侧像分离。岁气少阳在泉，火气淫胜，则郊野火光明显，寒热交替发作。百姓发病泄泻赤白痢，小腹痛尿赤，严重则便血。少阴的征候相同。岁气阳明在泉，燥气淫胜，则雾气清冷昏暗。百姓发病喜欢呕吐，呕吐有苦水，喜欢长叹气，心胁痛不能翻身侧卧，严重则咽喉干燥面色如蒙灰尘，身体没有光泽，足背外侧发热。岁气太阳在泉，寒气淫胜，则气候凝肃惨烈。百姓发病小腹牵引睾丸，牵连腰脊，气上冲心痛，出血，咽喉痛下颌肿。黄帝说：好。治疗怎么办？岐伯说：诸气在泉，风气淫于体内，用辛凉药治疗，佐以苦味，用甘味药缓急，用辛味药发散。热气淫于体内，用咸寒药治疗，佐以甘苦，用酸味药收敛，用苦味药发散。湿气淫于体内，用苦热药治疗，佐以酸淡，用苦味药燥湿，用淡味药渗泄。火气淫于体内，用咸冷药治疗，佐以苦辛，用酸味药收敛，用苦味药发散。燥气淫于体内，用苦温药治疗，佐以甘辛，用苦味药通下。寒气淫于体内，用甘热药治疗，佐以苦辛，用咸味药泻下，用辛味药润燥，用苦味药坚阴。黄帝说：好。天气的变化怎样？岐伯说：厥阴司天，风气淫胜，则天空埃尘昏暗，云物扰乱，寒气生出春气，流水不结冰。百姓发病胃脘当心而痛，向上支撑两胁，膈咽不通，饮食不下，舌根强硬，进食则呕吐，冷泄腹胀，溏泄瘕积水闭，冬眠虫子不离开洞穴，病本在脾。冲阳脉绝，死不治。少阴司天，热气淫胜，郁热将至，火气行使政令。百姓发病胸中烦热，咽喉干燥，右胁胀满，皮肤痛，寒热咳嗽气喘，大雨将至，唾血便血，鼻渊鼻塞打喷嚏呕吐，小便颜色改变，严重则疮疡肿胀，肩背手臂及缺盆中痛，心痛肺胀，腹部大满，膨隆而喘咳，病本在肺。尺泽脉绝，死不治。太阴司天，湿气淫胜，则沉阴布散，雨水导致枯槁，浮肿骨痛阴痹，阴痹是按摸不到的，腰痛脊强头项痛，时常眩晕，大便困难，阳气不用，饥饿但不想吃东西，咳唾带血，心像悬挂着，病本在肾。太溪脉绝，死不治。少阳司天，火气淫胜，则温气流行，金气政令不平。百姓发病头痛，发热恶寒像疟疾，热气上攻皮肤痛，面色黄赤，传变为水肿，身面浮肿，腹胀仰面呼吸，泄泻赤白痢，疮疡咳唾血，心烦胸中热，严重则鼻渊鼻塞，病本在肺。天府脉绝，死不治。阳明司天，燥气淫胜，则树木晚荣，草木晚生，筋骨内部变化，百姓发病左侧胁痛，寒凉在中，感邪发疟疾，大凉改变气候，咳嗽，腹中鸣响，泄泻稀溏，名木收敛，生机郁结在下，草焦枯在上，心胁突然疼痛，不能翻身侧卧，咽喉干燥面色如尘腰痛，男子疝气，妇人小腹痛，眼睛昏花，疡疮痤疮痈疽，冬眠虫子出现，病本在肝。太冲脉绝，死不治。太阳司天，寒气淫胜，则寒气反至，水结冰，血变于中，发为痈疡，百姓发病厥心痛，呕血便血鼻衄，容易悲伤时常眩晕跌倒。若运火炎烈，雨暴成雹，胸腹满，手热肘挛腋下肿，心跳剧烈，胸胁胃脘不安，面红目黄，喜欢嗳气咽喉干燥，严重则面色黑，口渴想喝水，病本在心。神门脉绝，死不治。所谓动气，可以知道是哪个脏受病。黄帝说：好。治疗怎么办？岐伯说：司天之气，风气淫胜，用辛凉药平抑，佐以苦甘，用甘味药缓急，用酸味药泻之。热气淫胜，用咸寒药平抑，佐以苦甘，用酸味药收敛。湿气淫胜，用苦热药平抑，佐以酸辛，用苦味药燥湿，用淡味药渗泄。湿在上且热，用苦温药治疗，佐以甘辛，以出汗为痊愈的标志。火气淫胜，用酸冷药平抑，佐以苦甘，用酸味药收敛，用苦味药发散，用酸味药恢复，热气淫胜同理。燥气淫胜，用苦湿药平抑（注：原文“苦湿”疑为“苦温”或笔误，此处依原文翻译），佐以酸辛，用苦味药通下。寒气淫胜，用辛热药平抑，佐以甘苦，用咸味药泻之。黄帝说：好。邪气反胜，治疗怎么办？岐伯说：风气司于地，清气反胜，用酸温药治疗，佐以苦甘，用辛味药平抑。热气司于地，寒气反胜，用甘热药治疗，佐以苦辛，用咸味药平抑。湿气司于地，热气反胜，用苦冷药治疗，佐以咸甘，用苦味药平抑。火气司于地，寒气反胜，用甘热药治疗，佐以苦辛，用咸味药平抑。燥气司于地，热气反胜，用平寒药治疗，佐以苦甘，用酸味药平抑，以调和为利。寒气司于地，热气反胜，用咸冷药治疗，佐以甘辛，用苦味药平抑。黄帝说：司天之邪气反胜怎样？岐伯说：风化于天，清气反胜，用酸温药治疗，佐以甘苦。热化于天，寒气反胜，用甘温药治疗，佐以苦酸辛。湿化于天，热气反胜，用苦寒药治疗，佐以苦酸。火化于天，寒气反胜，用甘热药治疗，佐以苦辛。燥化于天，热气反胜，用辛寒药治疗，佐以苦甘。寒化于天，热气反胜，用咸冷药治疗，佐以苦辛。
黄帝说：六气相胜怎样？岐伯说：厥阴之胜，耳鸣头晕，心中烦闷想吐，胃膈像寒冷，大风频繁刮起，昆虫不滋生，胁气合并，化而为热，小便黄赤，胃脘当心而痛，向上支撑两胁，肠鸣飧泄，小腹痛，注下赤白痢，严重则呕吐，膈咽不通。少阴之胜，心下热容易饿，脐下跳动，气游走在三焦，炎暑到来，树木津液枯竭，草木萎蔫，呕吐逆乱烦躁，腹部满痛溏泄，传变为赤沃（下血）。太阴之胜，火气内郁，疮疡生于中，流散于外，病在胁，严重则心痛热格，头痛喉痹项强，独胜则湿气内郁，寒气逼迫下焦，痛留头顶，互相牵引眉间，胃满，雨水多次到来，燥化显现，小腹胀满，腰重强直，内不便，喜欢泄泻，足下温热，头重足胫浮肿，饮邪发于中，浮肿见于上。少阳之胜，热气客于胃，心烦心痛，眼睛红想吐，吐酸水容易饿，耳痛尿赤，容易惊吓谵妄，暴热消烁，草木萎蔫水流干涸，介壳虫萎缩，小腹痛，下注赤白痢。阳明之胜，清气发于中，左侧胁痛溏泄，内部咽喉阻塞，外部发疝气，大凉肃杀，花草容颜改变，毛虫遭殃，胸中不便，咽喉阻塞而咳。太阳之胜，凝寒将至，非时水冰，羽鸟后来才化育，痔疟发作，寒厥入胃，则内生心痛，阴部生溃疡，隐曲不利，互相牵引大腿内侧，筋肉拘急苛刻，血脉凝涩，络脉满盛颜色改变，有的便血，皮肤痞肿，腹部满食减，热气反上行，头项囟顶脑户中痛，眼睛像脱出，寒气入下焦，传为濡泻。黄帝说：治疗怎么办？岐伯说：厥阴之胜，用甘清药治疗，佐以苦辛，用酸味药泻之。少阴之胜，用辛寒药治疗，佐以苦咸，用甘味药泻之。太阴之胜，用咸热药治疗，佐以辛甘，用苦味药泻之。少阳之胜，用辛寒药治疗，佐以甘咸，用甘味药泻之。阳明之胜，用酸温药治疗，佐以辛甘，用苦味药泄之。太阳之胜，用甘热药治疗，佐以辛酸，用咸味药泻之。黄帝说：六气之复怎样？岐伯说：问得真详尽啊！厥阴之复，小腹坚硬满闷，里急暴痛，树木倒下飞沙走石，昆虫不繁荣，厥心痛，汗出发热呕吐，饮食不入，入而复出，筋骨抖动眩晕清厥，严重则入脾，食痹而吐。冲阳脉绝，死不治。少阴之复，闷热内作，烦躁鼻渊打喷嚏，小腹绞痛，火象显现烧灼，咽喉干燥，腹泻有时停止，气动于左，上行于右，咳嗽，皮肤痛，突然失音心痛，郁冒不知人，然后恶寒战栗谵妄，寒去后发热，口渴想喝水，少气骨痿，隔肠不便，外部浮肿呃逆嗳气，赤气后化，流水不结冰，热气大行，介虫不复生，病发疹疮疡，痈疽痤疮痔疮，严重则入肺，咳嗽而鼻渊。天府脉绝，死不治。太阴之复，湿变兴起，身体沉重中满，饮食不化，阴气上逆，胸中不便，饮邪发于中，咳喘有声，大雨时行，鱼鳞动物出现在陆地，头顶痛重，且抽搐尤其严重，呕吐沉默寡言，唾吐清液，严重则入肾，二窍泄泻无度。太溪脉绝，死不治。少阳之复，大热将至，枯燥烧灼，介虫耗损，惊悸抽搐咳衄，心热烦躁，小便频数憎风，厥气上行，面色如浮埃，眼睛抽搐，火气内发，上为口糜呕吐逆乱，血溢血泄，发为疟疾，恶寒鼓栗，寒极反热，咽喉经络焦枯，口渴引饮水浆，面色黄赤，少气脉萎，化而为水，传为浮肿，严重则入肺，咳嗽而血泄。尺泽脉绝，死不治。阳明之复，清气大举，树木森苍干枯，毛虫厉行，病生胁，气归于左，喜欢长叹气，严重则心痛痞满，腹胀而泄，呕吐苦水咳嗽呃逆心烦，病在膈中头痛，严重则入肝，惊骇筋挛。太冲脉绝，死不治。太阳之复，厥气上行，水凝雨冰，羽虫乃死，心胃生寒，胸膈不利，心痛痞满，头痛喜欢悲伤，时常眩晕跌倒，食减，腰反痛，屈伸不便，地裂冰坚，阳光不治，小腹牵引睾丸，牵连腰脊，上冲心，唾出清水，及为呃逆嗳气，严重则入心，善忘善悲。神门脉绝，死不治。黄帝说：好。治疗怎么办？岐伯说：厥阴之复，用酸寒药治疗，佐以甘辛，用酸味药泻之，用甘味药缓之。少阴之复，用咸寒药治疗，佐以苦辛，用甘味药泻之，用酸味药收敛，辛苦发散，用咸味药软坚。太阴之复，用苦热药治疗，佐以酸辛，用苦味药泻之，燥之，泄之。少阳之复，用咸冷药治疗，佐以苦辛，用咸味药软坚，用酸味药收敛，辛苦发散。发散不远热，不要触犯温凉，少阴之复同此法。阳明之复，用辛温药治疗，佐以苦甘，用苦味药泄之，用苦味药下之，用酸味药补之。太阳之复，用咸热药治疗，佐以甘辛，用苦味药坚之。治疗各种胜复，寒的用热药，热的用寒药，温的用清药，清的用温药，散的用收药，郁的用散药，燥的用润药，急的用缓药，坚的用软药，脆的用坚药，虚的用补药，实的用泻药，各安其气，必清必静，则病气衰去，归其所宗，这是治疗的总纲。
黄帝说：好。气的上下是什么意思？岐伯说：身半以上，其气有三，属于天的部分，由天气主导。身半以下，其气有三，属于地的部分，由地气主导。用名称来命名气，用气来命名部位，从而论述疾病。半，所说的就是天枢穴。所以上部胜而下部都病的，用地名来称呼。下部胜而上部都病的，用天名来称呼。所谓胜至，是报复之气屈伏而未发的状态。复气到来则不以天地异名区分，都按照复气的法则来处理。黄帝说：胜复的变动，时间有常规吗？气有必然的吗？岐伯说：时间有固定的位置，但气没有必然的。黄帝说：希望听听这个道理。岐伯说：初气到三气，天气主导，这是胜的常态。四气到终气，地气主导，这是复的常态。有胜则有复，无胜则无复。黄帝说：好。复气结束后又有胜气怎样？岐伯说：胜气到来就有复气，没有固定的次数，衰退就停止了。复气结束又有胜气，如果不复则有害，这会伤害生命。黄帝说：复气反而生病是什么？岐伯说：是因为居于非其位，不相得。大复其胜则主气胜之，所以反而生病。说的是火燥热的情况。黄帝说：治疗怎样？岐伯说：气的胜，轻微的顺随它，严重的制约它。气的复，平和的平抑它，暴烈的夺其势。都要顺随胜气，安抚其屈伏，不问次数，以平衡为准则，这就是其道。
黄帝说：好。客主之胜复怎样？岐伯说：客主之气，只有胜而没有复。黄帝说：其逆从怎样？岐伯说：主气胜为逆，客
This is called the imperfection of Shen Guang (Spiritual Light). Not only do corpse ghosts cause harm, but all evil invasions occur because the Spirit has lost its proper position. This is referred to as: those who retain their Spirit live; those who lose their Spirit die; those who obtain the Spirit flourish; those who lose the Spirit perish.
The Yellow Emperor asked: The five Qi (Five Phases energies) intermingle, and their abundance and deficiency alternate. I understand this. Regarding the six Qi (Six Climatic Factors) governing separately, and those managing Heaven and Earth, what is their arrival like? Qibo bowed twice and replied: How enlightened your question is! This concerns the great laws of Heaven and Earth, and the universal correspondence between humanity and the Divine. The Emperor said: I wish to hear how this corresponds to the manifest phenomena above and the obscure realities below. Qibo said: This is the domain of the Dao, where practitioners often harbor doubts. The Emperor said: I wish to hear about this Dao. Qibo said: When Jueyin governs Heaven, its transformation is Wind; Shaoyin governs Heaven, its transformation is Heat; Taiyin governs Heaven, its transformation is Dampness; Shaoyang governs Heaven, its transformation is Fire; Yangming governs Heaven, its transformation is Dryness; Taiyang governs Heaven, its transformation is Cold. Based on the zang-fu positions influenced, the diseases are named accordingly. The Emperor said: What about the transformations of Earth? Qibo said: They follow the same patterns as Heaven's governance, and the Interstitial Qi (Jianqi) operates similarly. The Emperor said: What is meant by Interstitial Qi? Qibo said: Those situated on the left and right are called Interstitial Qi. The Emperor said: How do they differ? Qibo said: The Master of the Year records the annual climate, while Interstitial Qi records the six steps (periods) of the year. The Emperor said: Excellent. How does the Master of the Year function? Qibo said: When Jueyin governs Heaven, it transforms into Wind; when in Spring (Di Quan), it transforms into Sourness; when managing Qi, it transforms into Green/Cyan; as Interstitial Qi, it transforms into Movement. When Shaoyin governs Heaven, it transforms into Heat; when in Spring, it transforms into Bitterness; it does not independently manage Qi transformation, but as Resident Qi, it transforms into Scorching. When Taiyin governs Heaven, it transforms into Dampness; when in Spring, it transforms into Sweetness; when managing Qi, it transforms into Yellow; as Interstitial Qi, it transforms into Softness. When Shaoyang governs Heaven, it transforms into Fire; when in Spring, it transforms into Bitterness; when managing Qi, it transforms into Cinnabar Red; as Interstitial Qi, it transforms into Brilliance. When Yangming governs Heaven, it transforms into Dryness; when in Spring, it transforms into Pungency; when managing Qi, it transforms into White; as Interstitial Qi, it transforms into Clarity. When Taiyang governs Heaven, it transforms into Cold; when in Spring, it transforms into Salinity; when managing Qi, it transforms into Black; as Interstitial Qi, it transforms into Storage. Therefore, one who treats diseases must clearly understand the separate governance of the Six Transformations, the generation of the Five Flavors and Five Colors, and the suitability for the Five Zang Organs, before discussing the threads of disease arising from abundance and deficiency. The Emperor said: When Jueyin is in Spring, Sourness arrives first; I know this. How does the movement of Wind proceed? Qibo said: Wind moves upon the Earth; this is the Root (Ben). The other Qi follow the same method. That which originates from Heaven is the Qi of Heaven; that which originates from Earth is the Qi of Earth. When Heaven and Earth combine their Qi, divided into six solar terms, all things are generated. Thus it is said: Carefully observe the appropriateness of Qi, and do not miss the pathogenesis. This is what is meant. The Emperor said: What is the condition of the diseases governed? Qibo said: If you prepare substances according to the Yearly Qi, there will be no omission of the primary treatments. The Emperor said: Why are they called "First-Year Substances"? Qibo said: Because they are the concentrated essence of Heaven and Earth. The Emperor said: What about those managing Qi? Qibo said: Those managing Qi correspond to the Yearly Master, yet there are differences in excess and deficiency. The Emperor said: What are non-Yearly Qi substances called? Qibo said: They are called Scattered Qi. Thus, although their substance may be similar, their grades differ. Their flavors and aromas vary in thinness or thickness; their natures and functions vary in agitation or stillness; their therapeutic preservation effects vary in quantity; their power of transformation varies in depth. This is what is meant. The Emperor said: What is meant by "Yearly Master Harming the Zang"? Qibo said: It is named by the Zang that overcomes it; this is the key point. The Emperor said: How to treat it? Qibo said: If Yin (excess) invades from above downwards, use what overcomes it to level it; if external Yin invades internally, use what overcomes it to treat it. The Emperor said: Excellent. What is Leveling Qi? Qibo said: Carefully examine the location of Yin and Yang and regulate them, aiming for balance. Regular conditions are treated with regular methods; contrary conditions are treated with contrary methods. The Emperor said: You mentioned examining the location of Yin and Yang to regulate them. The classics state that the Renying (Carotid) and Cun Kou (Radial) pulses should correspond, like a taut rope of equal size, called Ping (Balance). What is the situation with the Yin located at Cun Kou? Qibo said: By observing whether it is a North or South Polarity Year, this can be known.
The Emperor said: I wish to hear this completely. Qibo said: In a North Polarity Year, if Shaoyin is in Spring, the Cun Kou pulse will not respond; if Jueyin is in Spring, the Right side will not respond; if Taiyin is in Spring, the Left side will not respond. In a South Polarity Year, if Shaoyin governs Heaven, the Cun Kou pulse will not respond; if Jueyin governs Heaven, the Right side will not respond; if Taiyin governs Heaven, the Left side will not respond. For all non-responding cases, reversing the diagnostic method will reveal them. The Emperor said: What about the Chi (Calf) pulse indications? Qibo said: In a North Polarity Year, if the Three Yin are below (in Spring), the Cun Kou pulse will not respond; if the Three Yin are above (governing Heaven), the Chi pulse will not respond. In a South Polarity Year, if the Three Yin are in Heaven (governing Heaven), the Cun Kou pulse will not respond; if the Three Yin are in Spring, the Chi pulse will not respond. The Left and Right are the same. Thus it is said: He who knows the essentials finishes in one word; he who does not know the essentials scatters infinitely. This is what is meant.
The Emperor said: Excellent. How do Heaven and Earth Qi invade internally causing disease? Qibo said: In a year where Jueyin is in Spring, if Wind is excessive and prevails, the earthly Qi becomes unclear, the plains grow dim, and grasses flower early. The people suffer from shivering chills, frequent stretching and yawning, heart pain with limb distension, tightness in both hypochondria, inability to swallow food, obstruction in the diaphragm and throat, vomiting after eating, abdominal distension with frequent belching. After defecation and passing gas, they feel relieved as if the illness has subsided, but the body feels heavy. In a year where Shaoyin is in Spring, if Heat is excessive and prevails, flames float on rivers and marshes, and shady places appear bright. The people suffer from borborygmus in the abdomen, Qi rushing up to the chest, asthma unable to stand for long, alternating cold and heat with skin pain, blurred vision and tooth swelling/pain, aversion to cold and fever resembling malaria, pain in the lower abdomen with abdominal enlargement, and hibernating insects failing to hide. In a year where Taiyin is in Spring, grasses flourish early. If Dampness is excessive and prevails, dust dims the rocks and valleys, yellow appears mixed with black, marking the intersection of Extreme Yin. The people suffer from fluid accumulation, heart pain, deafness with muffled hearing, swollen throat and bi-syndrome, bleeding from yin disorders, lower abdominal pain and swelling, inability to urinate, disease rushing to the head causing pain, eyes feeling as if popping out, neck feeling as if pulled, waist feeling as if broken, thighs unable to turn, knees feeling knotted, joints feeling separated. In a year where Shaoyang is in Spring, if Fire is excessive and prevails, flames illuminate the suburbs, and cold and heat alternate. The people suffer from profuse diarrhea with red and white discharge, lower abdominal pain with red urine, and severely, bloody stools. The manifestations are similar to Shaoyin. In a year where Yangming is in Spring, if Dryness is excessive and prevails, mist is clear and dark. The people suffer from frequent vomiting, bitter vomit, frequent sighing, heart and hypochondriac pain preventing turning over, severely dry throat and dusty face, lack of luster on the body, and reverse heat on the outer foot. In a year where Taiyang is in Spring, if Cold is excessive and prevails, condensation and solemnity prevail. The people suffer from lower abdominal pain radiating to the testicles, pulling the waist and spine, upward rushing heart pain, bleeding, sore throat, and submandibular swelling.
The Emperor said: Excellent. How to treat? Qibo said: For Qi in Spring, if Wind invades internally, treat with Acrid-Cool herbs, assist with Bitter, soothe with Sweet, and disperse with Acrid. If Heat invades internally, treat with Salty-Cold herbs, assist with Sweet-Bitter, astringe with Sour, and vent with Bitter. If Dampness invades internally, treat with Bitter-Hot herbs, assist with Sour-Light, dry with Bitter, and drain with Light. If Fire invades internally, treat with Salty-Cold herbs, assist with Bitter-Acrid, astringe with Sour, and vent with Bitter. If Dryness invades internally, treat with Bitter-Warm herbs, assist with Sweet-Acrid, and purge with Bitter. If Cold invades internally, treat with Sweet-Hot herbs, assist with Bitter-Acrid, purge with Salty, moisten with Acrid, and fortify with Bitter.
The Emperor said: Excellent. How do changes in Heavenly Qi manifest? Qibo said: When Jueyin governs Heaven, if Wind is excessive and prevails, the sky becomes dusty and dim, clouds and objects are disturbed, cold generates spring Qi, and flowing water does not freeze. The people suffer from epigastric pain at the heart center, supporting upwards to both hypochondria, obstruction in the diaphragm and throat, inability to swallow food, stiffness of the tongue root, vomiting after eating, cold diarrhea with abdominal distension, loose stools, masses, water retention, and hibernating insects remaining active. The disease root is in the Spleen. If the Chongyang pulse vanishes, death is incurable. When Shaoyin governs Heaven, if Heat is excessive and prevails, stifling heat arrives, and Fire policies execute. The people suffer from vexation and heat in the chest, dry throat, fullness in the right hypochondrium, skin pain, alternating cold and heat with cough and wheezing, heavy rain approaching, hemoptysis, bloody diarrhea, nasal congestion and epistaxis, sneezing and vomiting, change in urine color, severely sores and swelling, pain in the shoulder, back, arm, elbow, and clavicular fossa, heart pain, lung distension, large abdominal fullness, bloating with cough and wheezing. The disease root is in the Lung. If the Chize pulse vanishes, death is incurable.
When Taiyin governs Heaven, if Dampness is excessive and prevails, deep Yin spreads, rain causes drought-like withering, edema, bone pain, and Yin Bi syndrome. Yin Bi is characterized by tenderness that cannot be pinpointed by pressure, pain in the waist, spine, head, and neck, occasional dizziness, difficulty in defecation, dysfunction of Yin Qi, hunger without desire to eat, blood in sputum, heart feeling suspended. The disease root is in the Kidney. If the Taixi pulse vanishes, death is incurable. When Shaoyang governs Heaven, if Fire is excessive and prevails, warm Qi circulates, and Metal policies are unbalanced. The people suffer from headache, fever with aversion to cold resembling malaria, heat attacking the skin causing pain, yellow-red complexion changes, transmission to water retention, facial and bodily edema, abdominal fullness with仰息 (breathing with raised chest), profuse red and white diarrhea, sores, hemoptysis, vexation and heat in the chest, severely nasal congestion and epistaxis. The disease root is in the Lung. If the Tianfu pulse vanishes, death is incurable. When Yangming governs Heaven, if Dryness is excessive and prevails, trees flourish late, grasses grow late, internal changes occur in sinews and bones. The people suffer from left hypochondriac pain, cold within, malaria upon contraction, drastic cooling changing the climate, cough, borborygmus, profuse loose stools, gathering of famous trees, stagnation of life force below, scorched grass tops, sudden heart and hypochondriac pain preventing turning over, dry throat, dusty face, lower back pain, hernia in men, lower abdominal pain in women, blurred vision, sores, acne, carbuncles, and appearance of hibernating insects. The disease root is in the Liver. If the Taichong pulse vanishes, death is incurable. When Taiyang governs Heaven, if Cold is excessive and prevails, cold Qi returns, water freezes, blood changes internally, developing into abscesses. The people suffer from jue-type heart pain, hematemesis, bloody diarrhea, nasal congestion and epistaxis, frequent sadness, and occasional dizziness and collapse. If the transport Fire burns fiercely, violent rain brings hail, chest and abdominal fullness, hot hands with contracted elbows and swollen axillae, palpitations, restlessness in the chest, hypochondrium, and epigastrium, red face and yellow eyes, frequent belching, dry throat, severely blackish complexion, thirst with desire to drink. The disease root is in the Heart. If the Shenmen pulse vanishes, death is incurable. The moving Qi indicates the affected Zang.
The Emperor said: Excellent. How to treat? Qibo said: For Qi governing Heaven, if Wind is excessive and prevails, level with Acrid-Cool, assist with Bitter-Sweet, soothe with Sweet, and purge with Sour. If Heat is excessive and prevails, level with Salty-Cold, assist with Bitter-Sweet, and astringe with Sour. If Dampness is excessive and prevails, level with Bitter-Hot, assist with Sour-Acrid, dry with Bitter, and drain with Light. If Dampness is severe above and accompanied by Heat, treat with Bitter-Warm, assist with Sweet-Acrid, and stop when sweating occurs. If Fire is excessive and prevails, level with Acid-Cold, assist with Bitter-Sweet, astringe with Sour, vent with Bitter, and restore with Sour. Heat excess follows the same method. If Dryness is excessive and prevails, level with Bitter-Warm (text says "Bitter-Damp", likely error for Warm), assist with Sour-Acrid, and purge with Bitter. If Cold is excessive and prevails, level with Acrid-Hot, assist with Sweet-Bitter, and purge with Salty.
The Emperor said: Excellent. How to treat when Evil Qi counter-wins? Qibo said: If Wind governs the Earth and Clearness counter-wins, treat with Acid-Warm, assist with Bitter-Sweet, and level with Acrid. If Heat governs the Earth and Cold counter-wins, treat with Sweet-Hot, assist with Bitter-Acrid, and level with Salty. If Dampness governs the Earth and Heat counter-wins, treat with Bitter-Cold, assist with Salty-Sweet, and level with Bitter. If Fire governs the Earth and Cold counter-wins, treat with Sweet-Hot, assist with Bitter-Acrid, and level with Salty. If Dryness governs the Earth and Heat counter-wins, treat with Neutral-Cold, assist with Bitter-Sweet, level with Acid, and harmonize for benefit. If Cold governs the Earth and Heat counter-wins, treat with Salty-Cold, assist with Sweet-Acrid, and level with Bitter.
The Emperor said: How is Counter-winning by Evil Qi governing Heaven? Qibo said: If Wind transformation is in Heaven and Clearness counter-wins, treat with Acid-Warm, assist with Sweet-Bitter. If Heat transformation is in Heaven and Cold counter-wins, treat with Sweet-Warm, assist with Bitter-Acid-Acrid. If Dampness transformation is in Heaven and Heat counter-wins, treat with Bitter-Cold, assist with Bitter-Acid. If Fire transformation is in Heaven and Cold counter-wins, treat with Sweet-Hot, assist with Bitter-Acrid. If Dryness transformation is in Heaven and Heat counter-wins, treat with Acrid-Cold, assist with Bitter-Sweet. If Cold transformation is in Heaven and Heat counter-wins, treat with Salty-Cold, assist with Bitter-Acrid.
The Emperor said: How do the Six Qi overcome each other? Qibo said: Victory of Jueyin: Tinnitus and vertigo, mental confusion with desire to vomit, stomach and diaphragm feeling cold, frequent strong winds, insects failing to multiply, Qi merging in the hypochondrium transforming into Heat, yellow-red urine, epigastric pain at the heart center, supporting upwards to both hypochondria, borborygmus with undigested stool diarrhea, lower abdominal pain, profuse red and white diarrhea, severely vomiting with obstruction in the diaphragm and throat. Victory of Shaoyin: Heat under the heart with easy hunger, reactive movement below the umbilicus, Qi wandering through the San Jiao, arrival of sultry heat causing tree sap depletion and grass withering, vomiting, reversal, restlessness, abdominal fullness and pain with loose stools, transmitting to red discharge. Victory of Taiyin: Fire Qi郁 (stagnant) internally, sores within, spreading externally, disease in the hypochondrium, severely heart pain with heat blockage, headache, throat bi, neck stiffness. Independent victory causes internal Dampness stagnation, Cold pressing the Lower Jiao, pain lingering at the vertex, radiating to the glabella, stomach fullness, frequent rains, Dryness transformation appearing, lower abdominal fullness, heavy and stiff waist, internal difficulty, frequent profuse diarrhea, warm soles, heavy head with swollen calves, fluid accumulation internally, edema externally. Victory of Shaoyang: Heat lodging in the Stomach, vexation and heart pain, red eyes with desire to vomit, sour vomiting with easy hunger, ear pain with red urine, fright and delirium, sudden heat consuming fluids, grass withering and water drying, shell creatures shrinking, lower abdominal pain, profuse red and white discharge. Victory of Yangming: Clearness emerging internally, left hypochondriac pain with loose stools, internal throat obstruction, external hernia, drastic cooling and肃杀 (killing energy), flowers and leaves changing appearance, hair-bearing creatures suffering, chest discomfort, throat obstruction with cough. Victory of Taiyang: Condensed Cold arriving, ice forming out of season, feathered creatures delaying development, hemorrhoidal malaria, Cold jue entering the Stomach causing internal heart pain, ulcers in the Yin region, difficulty in secret functions, mutual牵引 (pulling) of the inner thighs, muscle cramping, coagulation of blood vessels, full collaterals with color changes, possibly bloody diarrhea, skin emphysema and swelling, abdominal fullness with reduced appetite, Heat rising upwards, pain in the head, neck, fontanelle, and brain, eyes feeling as if popping out, Cold entering the Lower Jiao transmitting to damp diarrhea.
The Emperor said: How to treat? Qibo said: For Victory of Jueyin, treat with Sweet-Clear, assist with Bitter-Acrid, and purge with Sour. For Victory of Shaoyin, treat with Acrid-Cold, assist with Bitter-Salty, and purge with Sweet. For Victory of Taiyin, treat with Salty-Hot, assist with Acrid-Sweet, and purge with Bitter. For Victory of Shaoyang, treat with Acrid-Cold, assist with Sweet-Salty, and purge with Sweet. For Victory of Yangming, treat with Acid-Warm, assist with Acrid-Sweet, and drain with Bitter. For Victory of Taiyang, treat with Sweet-Hot, assist with Acrid-Salty, and purge with Salty.
The Emperor said: How do the Six Qi rebound (Fu)? Qibo said: You ask thoroughly! Rebound of Jueyin: Hardness and fullness in the lower abdomen, internal urgency and sudden pain, trees bending and sand flying, insects failing to thrive, jue-type heart pain, sweating and vomiting, inability to keep food down, sinew and bone trembling and vertigo with cold extremities, severely entering the Spleen causing food obstruction and vomiting. If Chongyang pulse vanishes, death is incurable. Rebound of Shaoyin: Internal warmth and heat, vexation, nasal congestion and sneezing, severe lower abdominal colic, Fire appearing burning, dry throat, intermittent profuse discharge, Qi moving on the left ascending to the right, cough, skin pain, sudden aphonia and heart pain, depression and fainting losing consciousness, then shivering with aversion to cold, tremors and delirium, followed by heat, thirst with desire to drink, shortness of Qi and bone weakness, intestinal obstruction, external edema, hiccup and belching, Red Qi transformation later, flowing water not freezing, Heat Qi dominating, shell creatures not returning, disease presenting as rashes, sores, carbuncles, hemorrhoids, severely entering the Lung causing cough and nasal sinusitis. If Tianfu pulse vanishes, death is incurable. Rebound of Taiyin: Dampness transformation arises, heavy body and central fullness, undigested food/drink, Yin Qi rebelling upwards, chest discomfort, fluid accumulation internally, cough and wheezing with sound, heavy rains occurring, scale creatures appearing on land, heavy head pain with severe tremors, vomiting and silent muteness, spitting clear fluid, severely entering the Kidney causing unlimited orifice leakage. If Taixi pulse vanishes, death is incurable. Rebound of Shaoyang: Great Heat approaching, dryness and burning, shell creatures wasting, fright, tremors, cough, and epistaxis, heart heat and vexation, frequent urination with wind aversion, Jue Qi ascending, face like floating dust, eye twitching, Fire Qi issuing internally, upper mouth ulcers and vomiting, blood overflow and hemorrhage, developing into malaria with chills and rigors, extreme cold reversing to heat, scorched throat collaterals, thirst drawing fluids, yellow-red complexion, shortness of Qi and atrophic pulses, transforming into water, transmitting to edema, severely entering the Lung causing cough and bloody discharge. If Chize pulse vanishes, death is incurable. Rebound of Yangming: Clear Qi greatly increases, dense trees wither, hair-bearing creatures suffer, disease arises in the hypochondrium, Qi returns to the left, frequent sighing, severely heart pain and痞满 (fullness), abdominal distension with diarrhea, bitter vomiting, cough, hiccup, vexation, disease in the diaphragm with headache, severely entering the Liver causing fright and tendon contraction. If Taichong pulse vanishes, death is incurable. Rebound of Taiyang: Jue Qi ascends, water freezes and rains ice, feathered creatures die, Cold generates in Heart and Stomach, chest and diaphragm obstruction, heart pain and fullness, headache with frequent sadness, occasional dizziness and collapse, reduced food intake, reverse lower back pain, difficulty bending and extending, ground cracking and ice hardening, sunlight suppressed, lower abdominal pain pulling to testicles, waist and spine, rushing up to the heart, spitting clear fluid, hiccup and belching, severely entering the Heart causing forgetfulness and sadness. If Shenmen pulse vanishes, death is incurable.
The Emperor said: Excellent. How to treat? Qibo said: For Rebound of Jueyin, treat with Acid-Cold, assist with Sweet-Acrid, purge with Sour, and soothe with Sweet. For Rebound of Shaoyin, treat with Salty-Cold, assist with Bitter-Acrid, purge with Sweet, astringe with Sour, vent with Bitter-Acrid, and soften with Salty. For Rebound of Taiyin, treat with Bitter-Hot, assist with Acid-Acrid, purge with Bitter, dry, and drain. For Rebound of Shaoyang, treat with Salty-Cold, assist with Bitter-Acrid, soften with Salty, astringe with Sour, vent with Bitter-Acrid. Venting should not avoid Heat, do not violate Warm/Cool distinctions; Rebound of Shaoyin follows the same method. For Rebound of Yangming, treat with Acrid-Warm, assist with Bitter-Sweet, drain with Bitter, purge with Bitter, and tonify with Acid. For Rebound of Taiyang, treat with Salty-Hot, assist with Sweet-Acrid, and fortify with Bitter. To treat all victories and rebounds: Cold is treated with Heat, Heat with Cold, Warm with Cool, Cool with Warm, Scattered with Astringent, Suppressed with Dispersing, Dry with Moistening, Urgent with Soothing, Hard with Softening, Brittle with Fortifying, Deficient with Tonifying, Excess with Draining. Calm each Qi, ensure clarity and stillness, then the pathogenic Qi will decline and return to its source. This is the general principle of treatment.
The Emperor said: Excellent. What is meant by Qi Above and Below? Qibo said: The upper half of the body has three Qi, belonging to Heaven, governed by Heavenly Qi. The lower half of the body has three Qi, belonging to Earth, governed by Earthly Qi. Name the Qi by its designation, designate the location by the Qi, and describe the disease. The midpoint is called Tianshu. Thus, if Superior wins and Inferior suffers, name it by Earth. If Inferior wins and Superior suffers, name it by Heaven. When Victory arrives, it is the Repaying Qi that is suppressed and not yet emitted. When Rebound arrives, it does not use different names for Heaven and Earth, but follows the rules of Rebounding Qi.
The Emperor said: Do the movements of Victory and Rebound have constant timing? Is the Qi inevitable? Qibo said: The timing has constant positions, but the Qi is not inevitable. The Emperor said: I wish to hear the principle. Qibo said: From the First Qi to the Third Qi, Heavenly Qi governs; this is the norm for Victory. From the Fourth Qi to the Final Qi, Earthly Qi governs; this is the norm for Rebound. There is Rebound if there is Victory; there is no Rebound if there is no Victory. The Emperor said: Excellent. What happens if Rebound ends and Victory begins again? Qibo said: When Victory arrives, Rebound follows, with no fixed number, stopping only when the Qi declines. If Rebound ends and Victory begins again, and there is no Rebound, it causes harm, injuring life. The Emperor said: Why does Rebound cause contrary disease? Qibo said: Because it occupies the wrong position and is incompatible. If Rebound greatly overcomes Victory, the Master Qi overcomes it, thus causing contrary disease. This refers to Fire, Dryness, and Heat. The Emperor said: How to treat? Qibo said: For Victory of Qi, mild cases follow it, severe cases control it. For Rebound of Qi, harmonious cases level it, violent cases deplete it. Follow the Victorious Qi, calm the suppressed Qi, regardless of number, aiming for balance. This is the Way.
The Emperor said: Excellent. How is Victory and Rebound between Guest and Host Qi? Qibo said: Between Guest and Host Qi, there is Victory but no Rebound. The Emperor said: How does their deviation arise? Qibo said: Host Victory is contrary, Guest...