伤寒见风者,其人初感于寒,续中于风是也。外症寒多热少,不烦躁,脉当浮而紧,今反浮而缓者,此
伤寒而见风脉,乃营?并伤之症也。
伤风见寒者,其人先中于风,而重感于寒者是也。外症恶风、发热、烦躁,脉当浮而缓,今反浮而紧者,
此伤风而见寒脉,亦营?并伤之症,俱用大青龙汤、或九味羌活汤加减治之。
病有伤湿,有中湿,有风湿。伤湿者,湿伤太阳膀胱经者是也。中湿者,湿中太阴脾经或肾经者是也。
风湿者,或先伤于湿,后伤于风,风湿相搏而为病者是也。盖东南窊下之地,水多聚焉,居其处多湿,
或中风雨雾露,是名中湿,此脾经与肾经受病也。其症一身尽疼,发热身黄,脉沈而缓,治宜燥胜可
也。或素有湿,又中于风,是为风湿。其症肢体疼痛,难以转侧,脉沈而涩,治宜微表以去其风行燥以
去其湿。大抵治湿之法,咸用羌防以胜之,二术以燥之,苓泽以渗之,或用附子以温之,看所挟风寒
湿热之有无,及上下微甚以治之,切不可大发汗,汗之则风气去而湿气存,又不可下,下之则额上
汗出微喘而死矣。
湿温者,其人素伤于湿,又中于暑者也。其症两胫逆冷,腹满多汗,头目痛,或妄言,切不可发汗,发汗
则使人不能言,耳聋,不知痛处,身青,面色变,名曰重暍,重暍宜白虎汤加苍术,去暑燥湿故也。
Shanghan Jian Feng (Cold Damage with Wind Manifestation) refers to a condition where the patient is initially affected by Cold Evil, followed subsequently by invasion of Wind Evil. The external symptoms present as severe chills with mild fever, without irritability. The pulse should be floating and tight; however, if it is instead floating and moderate, this indicates that while suffering from Shanghan (Cold Damage), the pulse reflects Wind manifestation. This is a syndrome of simultaneous injury to Ying (Nutritive Qi) and Wei (Defensive Qi).
Shangfeng Jian Han (Wind Injury with Cold Manifestation) refers to a condition where the patient is first affected by Wind Evil, and then severely re-exposed to Cold Evil. The external symptoms include aversion to wind, fever, and irritability. The pulse should be floating and moderate; however, if it is instead floating and tight, this indicates that while suffering from Shangfeng (Wind Injury), the pulse reflects Cold manifestation. This is also a syndrome of simultaneous injury to Ying (Nutritive Qi) and Wei (Defensive Qi). Both conditions are treated with Da Qing Long Tang (Major Green Dragon Decoction) or modified Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction).
Diseases involving dampness include Shang Shi (Injury by Dampness), Zhong Shi (Direct Invasion by Dampness), and Feng Shi (Wind-Dampness). Shang Shi refers to Dampness injuring the Foot-Taiyang Bladder Meridian. Zhong Shi refers to Dampness directly invading the Foot-Taiyin Spleen Meridian or Foot-Shaoyin Kidney Meridian. Feng Shi occurs when one is first injured by Dampness and later by Wind, causing Wind and Dampness to contend and cause disease. Generally, in the low-lying southeastern regions where water accumulates, residents are often exposed to dampness. If they are further struck by wind, rain, fog, or dew, it is named Zhong Shi (Direct Invasion by Dampness), affecting the Spleen and Kidney meridians. Symptoms include whole-body pain, fever, jaundice (yellowing of the body), and a deep, moderate pulse. Treatment should employ methods to dry and overcome dampness. Alternatively, if one has pre-existing dampness and is then struck by Wind, it is termed Feng Shi (Wind-Dampness). Symptoms include limb pain and difficulty in turning over, with a deep and choppy pulse. Treatment should use mild diaphoresis to dispel Wind and drying methods to remove Dampness.
Generally, the method for treating Dampness involves using Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix) to overcome it, Er Zhu (Atractylodis Rhizoma and Atractylodis Macrocephalae Rhizoma) to dry it, Ling Shen (Poria and Alisma) to leach it out, or Fu Zi (Aconiti Lateralis Radix Praeparata) to warm it. Treatment depends on the presence or absence of accompanying Wind, Cold, Damp, or Heat evils, and their location (upper or lower) and severity. One must absolutely avoid strong diaphoresis; sweating will expel Wind but leave Dampness behind. One must also avoid purgation; purging will lead to sweat on the forehead, slight panting, and death.
Shi Wen (Damp-Warmth) refers to a condition where the person has been chronically injured by Dampness and is then struck by Summerheat. Symptoms include coldness in both calves, abdominal fullness, excessive sweating, headache and eye pain, or delirious speech. Diaphoresis must absolutely be avoided; inducing sweating will cause muteness, deafness, inability to locate pain, cyanosis of the body, and changes in facial color. This is called Chong Ye (Severe Heatstroke). Chong Ye is suitable for treatment with Baihu Tang (White Tiger Decoction) plus Cang Zhu (Atractylodis Rhizoma), to clear Summerheat and dry Dampness.