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Chapter 72 of 78
黄帝内经·素问
Overall Paraphrase
The Yellow Emperor asked: I now understand the interweaving and alternation of surplus and deficiency in the Five Movements (five phases of climatic influence). But when the Six Qi (wind, heat, fire, dampness, dryness, cold — the six climatic factors) respectively govern heaven and earth, how do their arrivals manifest? Qibo respectfully replied: This constitutes the great order of heaven and earth and the crucial key by which the human spirit (divine qi) corresponds and communicates with heaven and earth.
The Yellow Emperor wished to understand the specific principles of how the upper realm conforms to heaven and the lower realm responds to earth. Qibo said: This is precisely the very root of medicine, and precisely where ordinary physicians easily become perplexed.
Qibo then elaborated in detail: When Jueyin Governs Heaven, climatic changes are dominated by wind; when Shaoyin Governs Heaven, dominated by heat; when Taiyin Governs Heaven, dominated by dampness; when Shaoyang Governs Heaven, dominated by fire; when Yangming Governs Heaven, dominated by dryness; when Taiyang Governs Heaven, dominated by cold. According to the zang-fu sites and regions that the six qi first affect, the corresponding diseases can be determined.
The Yellow Emperor further inquired into the changes of Qi in the Spring (earth qi/official qi operating below), the functions of Interstitial Qi (jian qi, the branches flanking both sides above and below axis ruling qi governing qi), and the correspondence between each year's six qi and the five flavors and five colors. Qibo addressed these one by one: When Jueyin governs heaven, this is Wind Transformation; when it is in the Abyss, it is Sour Transformation. When Shaoyin governs heaven: Heat Transformation; associated in the Abyss: Bitter Transformation. When Taiyin governs heaven: Dampness Transformation; in the Abyss: Sweet Transformation. When Shaoyang governs heaven: Fire Transformation; in the Abyss: Bitter Transformation. When Yangming governs heaven: Dryness Transformation; in the Abyss: Acrid Transformation. When Taiyang governs heaven: Cold Transformation; in the Abyss: Salty Transformation. Treating disease requires understanding the laws of change of the six qi and the correspondence relationships among the five flavors, five colors, and five viscera—only then can one grasp the full course of vacuity, repletion, decline, and excess in illness.
Next, the Yellow Emperor systematically questioned various disease signs and therapeutic principles caused by climatic abnormalities (Excess Insult/Dun Chen Disease). Qibo details them:
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Overall Paraphrase
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