病有外因,如六气之风寒暑湿燥热,八方之温热燥寒是也。有内因,如饮食饥饱、喜怒
哀乐、爱恶欲是也。凡此者,皆各有所及之经,有某经之脉象(如寸主阳经,尺主阴经之类),即
有某经之见症(如三阳有头痛,三阴有腹痛之类),且各有所应之脏,有某脏之脉象(心病则
六菽脉洪,肝病则十二菽脉弦之类),即有某脏之见症(心病多笑,肝病多怒之类),此皆确
有
要则固可知也。如见症虽不似初起,总必有一二未除;脉象虽与初起不同,而其可愈、不可
愈总必有胃气可据(脉以和缓为胃气)。此从古圣贤相传要诀,历试不爽者也。病之多门,不
及详论,今专以风门论之。
风为八邪之长,夫人而知之矣。至于伤寒之中风,与偏枯之中风,其所以判然不同之故
,则自晋迄今千百余年,竟无一人道及,可见历来诸家多愦愦也。殊不知出在《灵》、《素》,
特未许浅见窥及耳。夫伤寒之中风,乃六气之风,详在《素问》五营运大论篇,此系四时天
气与宗气相名(宗气即呼吸天气所生,领营血行于脉中者也),其感于人也,必入营中,故初
起必有恶风发热等症,且营血本左右递注,故病则左右俱病,断无偏枯之症。偏枯之中风,
乃八方之风,详见《灵枢》黄帝与岐伯论八风篇中,此是四方贼风与卫气相袭,其入于人也
,但在一隅,而不及营血,故起首无恶风发热等症,且卫气本左右分布,两边各出,故病左
者不及右,病右者不及左,此所以有偏枯之症也。知此则风之源头清矣。再专就八方风论之
。
Diseases have external causes, such as the wind, cold, summer-heat, dampness, dryness, and fire of the Six Qi (Six Climatic Factors), and the warm, hot, dry, and cold from the Eight Directions. They also have internal causes, such as dietary irregularities in hunger and fullness, emotional fluctuations of joy, anger, sorrow, and happiness, and desires of love and aversion. All these factors affect specific meridians, presenting with pulse characteristics of those meridians (e.g., the Cun position primarily reflects Yang meridians, while the Chi position primarily reflects Yin meridians), and consequently manifest symptoms of those meridians (e.g., headache is common in the Three Yang meridians, abdominal pain in the Three Yin meridians). Furthermore, each Zang organ has its corresponding reactions, exhibiting specific pulse patterns (e.g., a heart disease presents with a洪 [Hong] pulse at a depth of six bean-widths; liver disease presents with a弦 [Xian] pulse at a depth of twelve bean-widths) and corresponding symptoms (e.g., heart disease often involves excessive laughter, liver disease often involves irritability). These are established principles that can be understood. Even if symptoms differ from the initial onset, there will invariably be one or two remaining; although the pulse may change from the beginning, the determination of curability or incurability must always rely on the presence of Stomach Qi (a harmonious and moderate pulse indicates the presence of Stomach Qi). This is a crucial secret passed down from ancient sages, proven effective through repeated trials. Due to the multitude of disease categories, they will not be discussed in detail here; instead, we focus specifically on the category of Wind.
Wind is the leader among the Eight Evils (Eight Pathogenic Factors), a fact well known to all. However, the reason why "Zhong Feng" (Stroke/Wind Strike) in Shang Han (Cold Damage) differs fundamentally from "Zhong Feng" in Pian Ku (Hemiplegia) has not been addressed by anyone for over a thousand years since the Jin Dynasty, revealing that many past practitioners were confused. In fact, this knowledge originates from the *Ling Shu* and *Su Wen*, but was perhaps withheld from those with shallow understanding. The "Zhong Feng" in Shang Han refers to the Wind of the Six Qi, detailed in the *Su Wen: Treatise on the Five Movements and Six Operations*. This involves the interaction between seasonal climatic conditions and Zong Qi (Zong Qi is generated by breathing in natural air and guides Ying Blood within the vessels). When this pathogen invades the human body, it enters the Ying (Nutritive) level; therefore, initial symptoms necessarily include aversion to wind and fever. Since Ying Blood circulates alternately from left to right, illness affects both sides simultaneously, making hemiplegia impossible. Conversely, the "Zhong Feng" causing Pian Ku refers to the Wind of the Eight Directions, as detailed in the *Ling Shu: Chapter on the Discussion of Eight Winds between Huangdi and Qibo*. This involves hostile winds from the four directions attacking Wei (Defensive) Qi. Upon invasion, it remains localized in one corner of the body without affecting Ying Blood; thus, initial symptoms do not include aversion to wind or fever. Since Wei Qi distributes bilaterally outwardly, a disease on the left does not affect the right, and vice versa. This explains the occurrence of hemiplegia. Understanding this clarifies the origin of Wind. We shall now discuss the Eight Directional Winds in detail.