（湿温 中湿 风湿）
湿温中湿并风湿。三者同名而异实。暑湿相搏成湿温。胸间多汗头如劈。两胫逆冷苦妄言。阳濡而弱阴小急。（以上
湿温证也。）第二中湿之为病。脉来沉缓其名的。一身尽痛兼发黄。大便反快小便涩。（仲景云。太阳病。关节疼痛而烦。
脉沉而缓者。此名中湿。其候令人小便不利。大便反快。但当利其小便。又云。湿家之为病。一身尽痛。发热。身色如
薰黄。湿家其人但头汗出背强。欲得覆被向火。若下之早。则成胸满。小便不利。舌上如苔者。以丹田有热。胸中有寒。
渴欲得水而不能饮。口燥烦也。又云。湿家病。身上疼痛。发热面黄而喘。头痛鼻塞而烦。其脉大。自能饮食。腹中无
病。病若头中寒湿。故鼻塞。纳药鼻中则愈。）本是风雨山泽气。中之令人成此疾。第三风湿脉但浮。肢体痛重难转侧。
额上微汗身微肿。不欲去被憎寒栗。（此论风湿也。风湿之证。仲景云。一身尽痛发热。日晡所剧。此名风湿。此病伤于
汗出当风。或久伤取冷所致也。故其脉浮。额上有微汗。不欲去被也。）发汗 欲润身。风湿俱去斯为得。仲景云。
风湿相搏。一身疼痛。法当汗出而解。值天阴雨不止。医云。此可发汗。汗之病不愈。何也。答曰。发其汗汗大出者。
但风气去。湿气在。是故不愈也。治风湿者。发汗微微出者。则是风湿俱去者也。防己黄 术附汤。对证用之医可必。（防
己黄 汤。术附汤。皆治风湿自汗。）
(Wet-Warmth, Middle-Dampness, Wind-Dampness)
Wet-warmness (Shiwen), middle-dampness (Zhongshi), and wind-dampness (Fengshi) share the same name but differ in substance. When summerheat (Shu) and dampness (Shi) struggle together, wet-warmness is formed. It presents with excessive sweating in the chest region, severe headache as if split open, cold reversal in both lower legs, delirious speech due to suffering, and a pulse that is soggy and weak at the cun position (Yang) and small and rapid at the chi position (Yin). (The above describes the syndrome of Wet-Warmness.) The second type is middle-dampness disease, characterized by a deep and slow pulse. It manifests as generalized body pain accompanied by jaundice, loose stools, and scanty or difficult urination. (Zhang Zhongjing stated: In Taiyang disease, joint pain with irritability and a deep, slow pulse is named middle-dampness. Its symptoms include difficulty in urination and loose stools; one should promote diuresis. He also stated: For patients with dampness diseases, there is generalized body pain, fever, and a yellowish skin color resembling smoked tobacco. Such patients may have only head sweating, stiffness in the back, and a desire to cover themselves and seek warmth. If purgatives are used prematurely, it leads to chest fullness, urinary difficulty, and a tongue coating resembling moss, caused by heat in the lower abdomen and cold in the chest, resulting in thirst for water but inability to drink, and dry mouth with irritability. He further stated: In dampness diseases, body pain, fever, yellow face, wheezing, headache, nasal congestion, and irritability occur with a large pulse. The patient can eat normally, and there is no abdominal pathology. If the head suffers from cold-dampness, causing nasal congestion, inserting medicine into the nose will cure it.) These originate from the qi of wind, rain, mountains, and marshes; contracting them causes this disease. The third type is wind-dampness, presenting with a floating pulse alone, painful and heavy limbs difficult to turn or side, slight sweating on the forehead, mild bodily edema, aversion to removing blankets, and aversion to cold with shivering. (This discusses wind-dampness. Regarding wind-dampness syndrome, Zhang Zhongjing stated: Generalized body pain and fever that worsens in the afternoon (Shi hour) is named wind-dampness. This disease results from sweating while exposed to wind or prolonged exposure to cold. Thus, the pulse is floating, there is slight sweating on the forehead, and an aversion to removing blankets.) To treat wind-dampness, one aims to moisten the body; only when both wind and dampness are expelled is the treatment correct. Zhang Zhongjing stated: When wind and dampness struggle, causing generalized body pain, the method requires sweating to resolve it. If it rains continuously and the physician suggests sweating, but the illness does not resolve after sweating, why? The answer is: If sweating is profuse, only the wind is expelled while dampness remains, hence it does not resolve. For treating wind-dampness, slight sweating indicates that both wind and dampness are expelled. Fangji Huangqi Shuzhu Fuzi Decoction (Aristolochia Root and Astragalus Root with Atractylodes Macrocephala and Prepared Aconite Root Decoction), when used correctly, ensures efficacy. (Fangji Huangqi Decoction and Shuzhu Fuzi Decoction both treat wind-dampness with spontaneous sweating.)