体内感到烦热，这是因为热气偏盛所致。因此，即使是在清晨和傍晚天气凉爽的时候，火气的喧扰依然会重新发作。如果这种压抑状态持续很久而终不能下降，那么伏藏之气就会转化为郁结。
金气郁结而发散时，天空会变得清澈且带有轻微的寒意，远处生出白色的雾气。此时金气旺盛而木气虚弱，所以民众容易患掉摇眩晕、手足僵硬麻木不仁、两胁疼痛、满眼昏花等症状，这些都是肝气虚弱的病证。
所以在子年和午年，太阳寒水之气应当降入地中，但受到大地土阜的阻滞，或者被胜气所克制，导致其下降而不能进入。又或者遇到土运太过，在时令未到之前先至，土运承接并制约它，导致水气下降而不能进入。这时天象显现出黑气，昏暗凄惨，刚出现黄色的尘埃，便布散湿寒的化令，湿气蒸腾，湿气反复出现。如果长时间不能下降，伏藏之气就会转化为郁结，民众易患大厥证，四肢沉重倦怠，阳痿无力。天时呈现阴沉之象，湿热交替发作。
在子午之年，少阴君火司天，则卯酉之年阳明燥金在泉，太阳寒水之气成为地之左间气（即从司天到在泉的第三步）。由于受到大地土阜的阻滞，这是土克水的表现，被土所胜，则水气下降而不能进入。又或者遇到甲午年或甲子年，土运太过，在时令未到之前先至，土运承接并制约它，水气下降而不能进入。这时天象显现出黑色，而水气想要舒展，却显得昏暗不明。
Internal heat and vexation occur due to the predominance of hot qi. Therefore, even during the cool morning and evening hours, the clamor of fire qi re-emerges. If this suppression persists for a long time without descending, the latent qi transforms into stagnation (Yu).
When metal qi is stagnant and subsequently releases, the sky becomes clear with thin cold, and white mist arises in the distance. With metal being strong and wood deficient, the people suffer from tremors and dizziness, stiffness and numbness of the hands and feet, pain in both hypochondriac regions, and blurred vision. These are all diseases resulting from liver deficiency.
Thus, in the years of Zi and Wu, the Taiyang (Greater Yang) water qi should descend into the earth but is obstructed by the earth's mounds or suppressed by winning qi, preventing its descent and entry. Alternatively, if the Earth transport (Tu Yun) is excessive and arrives prematurely, the Earth transport receives and controls it, causing the water qi to descend but not enter. The sky then displays black qi, appearing dark and desolate. As yellow dust appears, it spreads the transformational command of damp-cold, with steamy moisture recurring. If it fails to descend for a long time, the latent qi transforms into stagnation. The people suffer from Great Jue syndrome, characterized by heavy and lethargic limbs, impotence, and lack of strength. The heavens present a gloomy yin atmosphere, with steaming dampness alternating with other conditions.
In the years of Zi and Wu, when Shaoyin (Lesser Yin) governs the Heaven, Mingyang (Yangming) governs the Earth in the years of Mao and You. The Taiyang water qi serves as the left interstitial qi of the earth. It is obstructed by the earth's mounds, representing Earth overcoming Water. Being overcome by Earth, the water qi descends but does not enter. Alternatively, in the years of Jia-Wu or Jia-Zi, where Earth transport is excessive and arrives prematurely, the Earth transport receives and controls it, causing the water qi to descend but not enter. The sky displays black color, while the water qi attempts to expand but remains dark and obscure.