论曰∶人之生也,负阴而抱阳。人居一气,道在其中矣。外有八邪之相荡,内有
喜怒之交侵,真气内弱,风邪袭之。风之伤人,或为寒热,或为疼痛,或为偏枯,或为拘挛
,其候不一。风者,善行而数变。此乃风者,百病之始,万病之长也。盖内不得通,外不得
泄,此谓之病生于变乱也。或失音而昏冒,或口目而 斜,可用三圣散吐之;或不知人事者
,或牙关紧急者,粥不能下、不能咽者,煎三圣散,鼻内灌之,吐出涎沫,口自开也;次服
无忧散、通解丸、通圣、凉膈、人参半夏丸、桂苓甘露散、消风,散热除湿润燥,养液之药
,排而用之。切忌鸡、猪、鱼、兔、油腻、酒醋、荞面动风之物及引痰之食。
大凡头风眩晕,手足麻痹,胃脘发痛,心酸满闷,按之有声,皆因风。风、寒、湿三气杂至,
合而为痹也。在上谓之停饮,可用独圣散吐之;吐讫,后服清上辛凉之药,通圣散加半夏之
辛。仲景云∶此痰结胸中而致也。
大凡风痫病发,项强直视,不省人事,此乃肝经有热也。或有切牙者,先用葶苈苦酒汤吐之;
吐后,可服泻青丸下之;次服加减通圣散。显切牙证,用导赤散治之则愈。如病发者,可
用轻粉、白矾、礞石、代赭石,发过米饮调之。《经》云∶重剂以镇之。
大凡人病雷头懒干,俗呼之谬名也。头痛昏眩,皆因浴发而得之,即为首风。此因邪风在于
胸中热甚,化而为痰,风之所致也。可以茶调散吐之;吐讫,次用藏用丸下之;后可服乌荆丸。
若是雷头者,上部多有赤肿结核,或面热无汗。《经》云∶火郁发之、开导之、决之。可用
针出血则愈。《灵枢经》云∶夺血者无汗,夺汗者无血。血
,岂不妙哉!衰老者,可用凉膈解毒,消风散热为治;年壮者,可以荡涤积热,大黄、牵牛
,气血宣通,便无壅滞而愈。
凡人患目肿,经年不瘥,俗言头风所注。更加头痛者,岂非头风者欤?此乃足厥阴肝之经,手
少阴心之经,兼五脏俱有大热也。可先用通解丸,通利大、小便,后用大黄越桃饮子。治肝热者
,羌活、决明散服之,大有神效矣!
凡目有泪出,俗言作冷泪者,非也。《内经》曰∶肝液不禁,此大热熏蒸于肝也。热极生
风,风冲于外,火发于内,风热相抟,此大泪出也。内外皆治,可以愈也。治外以贝母一枚,白腻
者,加胡椒七枚,不犯铜铁,细研,临卧点之;治内者,祛风散热之剂,可用当归饮子服之
;阳热极甚者,目睛发痛不可忍者,可用四物汤,加汉防己、草龙胆,送下神芎丸五、七十
丸,利三、五行则愈。
凡人病痰发者,其证不一,盖有五焉∶一曰风痰,二曰热痰,三曰湿痰,四曰酒痰,五曰食
痰。诸痰在于膈上,使头目不能清利,涕唾稠粘,或咳唾喘满,或时发潮热,可用独圣散吐
之,次服加减饮子,或疏风丸,间而服之。《内经》曰∶所谓流湿润燥之义也。
凡人但冒风邪温病,前三日在表,未入于里。其候头项强痛,身热恶风寒,有汗无汗,腰痛
不得俯仰,可用益元散五钱,通圣散五钱,相合服之,
名曰“双解散”。用水一大碗,生姜十余片,连须葱白五、七茎,豆豉一撮,煎至三、五沸
,去滓,先服大半;良久,以钗子探咽喉中,吐出痰涎,不可嗽口;次又服少半投之;如未汗出,更
用葱醋酸辣汤,再投之;衣被盖覆,汗出则愈矣。《气交变大论》云∶岁火太过,炎暑流行
,火气太剧,肺金受邪,上应荧惑,大而明现。其病热郁,可用辛凉之剂,万举万全。夫扰攘之
世,药宜辛凉以解火。治世民众安静,如用升麻葛根汤、败毒散,辛温之剂,亦无加害。亦可
加葱白、盐、豉,上而越之,表而解之。《内经》曰∶因其轻而扬之。扬者,发扬也。吐、
汗之后,宜大将息,旬日之后,不可犯之,犯之其病复作也。
凡伤寒疫疠一法∶若无药之处,可用酸齑汁一大碗,煎三、五沸,去菜叶,饮讫;候少时,用
钗子咽喉中探吐,如此三次;再煎葱醋汤投之;衣被盖覆,汗出而瘥。《内经》曰∶酸苦涌
泄为阴。伤寒三日,头痛身热,病在上,宜涌之,涌后以淡粥养之。
又一法∶用凤凰台散,嗅于鼻内,连嚏二、三十次。
嗅药时,坐于暖室中。嚏罢,以浆水粥投之,衣被盖之,汗出而愈。嚏法同吐法用之。
一法∶导引,若无药处用之。令人盘两足而坐,以两手交十指,攀头后风池、风府二穴,此风之门
也,向前仰首,数至于地,如此连折,点地一百二十数;急以酸醋白汤投之,汗出即解。
凡男子妇人小儿,手足麻痹,肌肉不仁者,风、寒、湿三气相杂至,合为痹。先用黄芩芍药汤吐之;吐讫,
次用通解丸,通经而泻之;泻讫,更用辛甘之剂汗之;汗泻之后,可用当归清凉饮子,兼
乌荆丸、除湿丹,和血行经之药则愈矣。
凡人病痰证发者,比前论更多,有三证显,证共成五也∶一曰风痰,二曰热痰,三曰湿痰,
四曰酒痰,五曰食痰。诸痰在口,上焦毒熏于头者,诸阳之会首也。故令病患头重目涩,涕
唾稠粘,或咳嗽喘满,时发寒热。可用赤小豆汤吐之;吐后,各随其证而治之。可服消风去
热。导湿化痰者,可服通圣加半夏导气之剂,岂不妙哉!如新暴风痰者,形寒饮冷;热痰者
,火盛制金;湿痰者,停饮不散。可服加减连翘饮子、除湿丹、无忧散。亦有酒痰者,解毒
三圣丸主之。五者食痰,可用汉防己丸,丹砂选而用之。若根据法服之,决有神效。
It is stated: Human life exists by bearing Yin and embracing Yang. Humans are generated from a single Qi, and the Dao resides within this Qi. Externally, the Eight Evils (Eight Pathogenic Factors) agitate each other; internally, emotions of joy and anger invade one another. When the True Qi (Vital Energy) becomes weak inside, Wind Evil (Pathogenic Wind) attacks. Wind injuring the body may manifest as alternating chills and fever, pain, hemiplegia (partial paralysis), or muscle spasms and contractures; its manifestations vary. Wind is characterized by its ability to move swiftly and change frequently. Thus, Wind is regarded as the beginning of all diseases and the leader of myriad diseases. Generally, when internal flow is obstructed and external release is blocked, this is called disease arising from chaos. Some present with aphonia and mental confusion, or facial deviation of the mouth and eyes; these can be treated with San Sheng San (Three Holy Decoction) via emesis. For those unconscious or with locked jaws, unable to swallow porridge or fluids, decocted San Sheng San should be instilled into the nose; once phlegm and saliva are vomited out, the mouth will naturally open. Subsequently, Wu You San (Worry-Free Powder), Tong Jie Wan (Unblocking Pill), Fang Feng Tong Sheng San (Saposhnikovia-Perilla Decoction for Unblocking the Exterior and Interior), Liang Ge San (Cooling the Diaphragm Powder), Ren Shen Ban Xia Wan (Ginseng and Pinellia Pill), Gui Ling Gan Lu San (Cassia Seed and Polyporus Decoction), and Xiao Feng San (Wind-Expelling Powder) should be administered in sequence to clear heat, remove dampness, moisten dryness, and nourish fluids. One must strictly avoid foods that stir wind and induce phlegm, such as chicken, pork, fish, rabbit, greasy foods, wine, vinegar, and buckwheat.
Generally, vertigo due to Head Wind, numbness and paralysis of the hands and feet, epigastric pain, sourness and fullness in the heart region with audible sounds upon palpation, are all caused by Wind. The combination of Wind, Cold, and Dampness pathogens results in Bi Syndrome (Obstruction Syndrome). When pathogenic factors linger in the Upper Jiao (Upper Burner), it is called Fluid Retention (Stagnant Fluid); this can be treated with Du Sheng San (Single Holy Decoction) via emesis. After vomiting, administer acrid-cool herbs to clear the upper burner, such as Tong Sheng San added with the acridity of Ban Xia (Pinelliae Rhizoma). Zhang Zhongjing stated: This is caused by Phlegm knotting in the chest.
Generally, during an attack of Wind Epilepsy, symptoms include neck stiffness, fixed gaze, and loss of consciousness, indicating Heat in the Liver Channel. If teeth grinding occurs, first use Ting Li Ku Jiu Tang (Descurainia Vinegar Decoction) for emesis. After vomiting, administer Xie Qing Wan (Draining Green Pill) to purge downward, followed by Jia Jian Tong Sheng San (Modified Unblocking Decoction). For prominent teeth-grinding symptoms, Dao Chi San (Guide Out Red Powder) cures the condition. If the disease flares up, use Qian Fen (Calomel), Bai Fan (Alumen), Meng Shi (Limonite), and Dai Zhe Shi (Hematitum), taken with rice water after the episode subsides. The Classics state: Use heavy agents to anchor it.
The condition commonly known as "Lei Tou Lan Gan" (Thunder-Head Lethargy) is a vulgar misnomer. Headache and dizziness resulting from bathing hair constitute Shou Feng (Head Wind). This arises because pathogenic wind causes intense heat in the chest, transforming into Phlegm, driven by Wind. Cha Tiao San (Tea-Regulating Powder) can be used for emesis; after vomiting, Cang Yong Wan (Hidden Use Pill) purges downward, followed by Wu Jing Wan (Evodia and Saposhnikovia Pill). In cases of Thunder-Head Wind, there are often red swellings and nodules on the upper head, or facial heat without sweat. The Classics state: For Fire Stagnation, disperse it, guide it, and drain it. Acupuncture bleeding can cure it. The *Ling Shu* states: Those who have lost blood should not undergo sweating; those who have sweated profusely should not undergo bloodletting. Blood, is it not precious! For the elderly, treat with Liang Ge Jie Du (Cooling Diaphragm Detoxification) and Xiao Feng San Re (Wind-Expelling Heat-Clearing) methods. For the young and strong, use Da Huang (Rhei Radix et Rhizoma) and Qian Niu (Pharbitidis Semen) to purge accumulated heat, promoting Qi and Blood circulation to resolve stagnation and achieve recovery.
When eyes swell and fail to heal for years, vulgarly attributed to Head Wind pouring into the eyes, accompanied by headache, is this not Head Wind? This indicates excessive Heat in the Foot Jueyin Liver Channel and Hand Shaoyin Heart Channel, combined with excessive Heat in all five Zang organs. First use Tong Jie Wan to unblock urination and defecation, then administer Da Huang Yue Tao Yin Zi (Rhubarb and Peach Drink). For treating Liver Heat, Qiang Huo Jue Ming San (Notopterygium and Cassia Powder) is highly effective.
Eye tearing, vulgarly called "Cold Tears," is incorrect. The *Nei Jing* states: Inability to control Liver fluid indicates severe Heat steaming the Liver. Extreme Heat generates Wind; Wind rushes outward, Fire erupts inward; Wind and Heat struggle, causing profuse tearing. Treating both interior and exterior can cure it. For external treatment, grind one Be Mu (Fritillariae Bulbus, white and fine) with seven Hu Jiao (Piperis Longi Fructus) finely, avoiding copper and iron, and apply before sleep. For internal treatment, use Wind-expelling and Heat-clearing formulas like Dang Gui Yin Zi (Angelica Decoction). For extreme Yang Heat causing unbearable eye pain, use Si Wu Tang (Four Substance Decoction) added with Han Fang Ji (Stephaniae Tetrandrae Radix) and Cao Long Dan (Gentianae Radix), taking 50-70 Shen Xiong Wan (Shenxiong Pill) with water; recovery follows after three to five bowel movements.
Phlegm disorders manifest in various ways, generally categorized into five types: Wind Phlegm, Heat Phlegm, Damp Phlegm, Wine Phlegm, and Food Phlegm. When Phlegm accumulates above the diaphragm, it clouds the head and eyes, causing thick nasal discharge and saliva, coughing, wheezing, chest fullness, or tidal fevers. Du Sheng San can be used for emesis, followed by alternating administration of Jia Jian Yin Zi (Modified Drink) or Shu Feng Wan (Wind-Dispersing Pill). The *Nei Jing* explains this as the principle of draining dampness and moistening dryness.
In warm diseases contracted from Wind exposure, the pathogen remains in the Exterior for the first three days. Symptoms include stiff neck and headache, fever with aversion to wind and cold, with or without sweat, and lower back pain preventing bending or stretching. Yi Yuan San (Benefiting Origin Powder) and Tong Sheng San can be mixed and taken together, named "Shuang Jie San" (Double Release Decoction). Boil one large bowl of water with over ten slices of Sheng Jiang (Zingiberis Rhizoma), five to seven stalks of Cong Bai (Allii Fistulosi Bulbus with roots), and a handful of Dou Chi (Sojae Preparata) for three to five boils. Strain, drink most of it; after a while, induce vomiting by probing the throat with a hairpin to expel phlegm and saliva; do not rinse the mouth. Then drink the remainder. If no sweat occurs, administer Cong Cu La Tang (Acidic Vinegar Soup) again. Cover with blankets until sweat appears, then recover. The *Su Wen: Qi Jiao Bian Da Lun* states: When Fire Qi is excessive, summer heat prevails, damaging Lung Metal, corresponding to the planet Mars. The disease involves Heat stagnation; acrid-cool agents are infallible. In turbulent times, acrid-cool herbs resolve Fire toxicity. In peaceful times, when people are calm, acrid-warm agents like Sheng Ma Ge Gen Tang (Ephedra and Kudzu Decoction) or Bai Du San (White Poria Powder) cause no harm. Adding Cong Bai, salt, and Dou Chi promotes upward expulsion and exterior release. The *Nei Jing* states: Disperse mild pathogens. Dispersion means uplifting. After emesis and sweating, careful nursing is required; avoid relapse triggers for ten days, otherwise the disease returns.
For typhoid epidemics, if medicines are unavailable, boil a large bowl of sour pickle juice for three to five boils, remove vegetables, and drink. After a short while, induce vomiting by probing the throat with a hairpin; repeat three times. Then administer Cong Cu Tang (Scallion Vinegar Soup) and cover with blankets until sweat appears and recovery ensues. The *Nei Jing* states: Sour and bitter agents induce vomiting and purging, belonging to Yin. On the third day of Shang Han (Cold Damage), with headache and fever indicating pathology in the upper body, emesis is appropriate, followed by nourishment with light congee.
Another method: Sniff Feng Huang Tai San (Phoenix Terrace Powder) into the nose to induce twenty to thirty sneezes. Perform this in a warm room. After sneezing, take Jiang Shui Zhou (Fermented Rice Water Porridge) and cover with blankets until sweat appears and recovery ensues. Sneezing therapy is applied similarly to emesis.
A manual therapy method (Daoyin): Sit cross-legged, interlace fingers, and grasp the Feng Chi (GB20) and Feng Fu (GV16) acupoints at the back of the head, the gates of Wind. Lean forward until touching the ground, repeating this motion one hundred and twenty times. Immediately drink acid vinegar white soup; sweat resolves the condition.
For men, women, and children suffering from numbness and paralysis of limbs and insensibility of muscles due to the mixture of Wind, Cold, and Dampness causing Bi Syndrome: First use Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) for emesis. After vomiting, use Tong Jie Wan to unblock meridians and purge downward. After purging, use acrid-sweet agents to induce sweating. Following sweating and purging, use Dang Gui Qing Liang Yin Zi (Angelica Cooling Drink), along with Wu Jing Wan and Chu Shi Dan (Dampness-Removing Pill), harmonizing blood and promoting meridian circulation to cure the disease.
Phlegm disorders present with more symptoms than previously discussed, primarily manifesting as five types: Wind Phlegm, Heat Phlegm, Damp Phlegm, Wine Phlegm, and Food Phlegm. When Phlegm accumulates in the mouth and Toxic Heat from the Upper Jiao steams the head (the meeting point of all Yang channels), patients experience heavy head, dry eyes, thick sputum, coughing, wheezing, and intermittent chills and fever. Chi Xiao Dou Tang (Red Bean Decoction) induces emesis; subsequently, treat according to specific patterns. Administer Xiao Feng Qu Re (Wind-Expelling Heat-Clearing) agents. To guide dampness and transform phlegm, use Tong Sheng San added with Ban Xia and Qi-guiding herbs. For new-onset Wind Phlegm due to cold exposure and cold drinks, Heat Phlegm due to Fire suppressing Metal, or Damp Phlegm due to stagnant fluids, administer Jia Jian Lian Qiao Yin Zi (Modified Forsythia Drink), Chu Shi Dan, or Wu You San. Wine Phlegm is treated with Jie Du San Sheng Wan (Detoxifying Three Holy Pill). Food Phlegm is treated with Han Fang Ji Wan (Stephania Pill) selected with Dan Sha (Cinnabar). Adhering to these methods yields miraculous effects.