偏风 脑风 目风 漏风 内风 首风 肠风 泄风
子和云诸风掉眩乃厥阴肝才之用也治以汗吐下三法是以木郁达之之义
卢砥镜曰神伤于思则内脱意伤于忧愁则肢废魂伤于悲哀则筋挛魄伤于喜乐则皮枯志伤于
恐则腰脊难以俯仰皆中风之候也
丹溪云中风半身不遂大率多痰中在左属血虚中在右属气虚
经曰风之中人大要有四一曰偏枯谓血气偏虚半身不遂肌肉枯瘦骨间疼痛二曰风痱谓神志
不乱身无痛处四肢不举一臂不遂三曰风懿谓忽然迷仆舌强不语喉中窒塞噫噫有声四曰风痹谓
风寒湿三气合而为痹身顽肉浓不知痛痒风多则走注寒多则疼痛湿多则重着在筋则筋屈而不伸
在脉则血凝而不流在肉则不仁在骨则隆重是也
东垣云中腑者多着四肢有表证而脉浮恶风寒拘急不仁或肢废不举治当宜汗中脏者多不利
九窍唇缓失音大便秘结热盛涎潮治当宜下若中血脉之分则口眼歪斜言语謇涩此邪中于经也盖
风本为热热盛则风动宜静胜其燥以养阴血阴既旺则风热自潜消矣乃致有失音闷乱痰涎壅盛阻
塞咽喉者治当宜吐
戴云今人有患暴病猝然仆倒昏迷涎潮痰鸣拽锯证类中风多致不救此非外受风邪之中也由
于人之不谨调护素以肥甘悦其口而热郁内生妄以色欲无度而肾水衰亏适因怒动肝火火寡于畏
得以上升是水无以降其火也火载其痰胶住喉膈遂致不救而为病之暴也
Exogenous wind pathogens and endogenous wind, as well as pathological factors such as Blood Deficiency (Xue Xu), Qi Deficiency (Qi Xu), Phlegm (Tan), Dampness (Shi), and Fire (Huo).
Pian Feng (Biased Wind), Nao Feng (Brain Wind), Mu Feng (Eye Wind), Lou Feng (Leaking Wind), Nei Feng (Internal Wind), Shou Feng (Head Wind), Chang Feng (Intestinal Wind), Xie Feng (Sweating Wind).
Zhang Hezi stated: Various wind syndromes causing tremors and vertigo are manifestations of the Jueyin Liver Channel (Jueyin Gan Jing). Treatment should employ the three methods of sweating, vomiting, and purging, which embodies the principle of "Shu Yu Da Zhi" (dispersing and unblocking Liver Wood stagnation).
Lu Dijing said: When Shen (Spirit) is damaged by excessive thinking, Yi (Intent) becomes internally depleted; when Zhi (Will) is damaged by sorrow and worry, limbs become paralyzed; when Hun (Ethereal Soul) is damaged by grief, sinews contract; when Po (Corporeal Soul) is damaged by excessive joy, skin becomes withered; when Zhi (Willpower) is damaged by fear, the waist and spine become difficult to bend or extend. All these are signs of Zhong Feng (Wind Stroke).
Zhu Danxi said: Zhong Feng (Wind Stroke) resulting in hemiplegia is largely due to Tan (Phlegm). Lesions on the left side generally belong to Blood Deficiency (Xue Xu), while lesions on the right side generally belong to Qi Deficiency (Qi Xu).
The Classics state: Wind pathogens invading the human body generally present in four major forms: First is Pian Ku (Hemiplegia/Atrophy), characterized by uneven deficiency of Qi and Blood, hemiplegia, emaciation of muscles, and pain in the bone joints. Second is Feng Fei (Wind Paraplegia), characterized by clear consciousness, absence of body pain, but inability to move the four limbs or one arm. Third is Feng Yi (Wind Stupor), characterized by sudden collapse and confusion, stiff tongue with inability to speak, throat obstruction, and gurgling sounds. Fourth is Feng Bi (Wind Bi Syndrome), where Wind, Cold, and Dampness combine to form Bi syndrome. The body feels numb and heavy, lacking sensation of pain or itch. Excess Wind causes wandering pain; excess Cold causes severe pain; excess Dampness causes heaviness and sticking. In the sinews, they flex but cannot extend; in the vessels, blood coagulates and fails to flow; in the flesh, there is insensibility; in the bones, there is heaviness and swelling.
Li Dongyuan said: Zhong Fu (Middle Fu Organs) syndromes often affect the four limbs, presenting with exterior symptoms, floating pulse, aversion to wind and cold, limb stiffness and numbness, or limb paralysis and inability to lift. Treatment should employ diaphoresis (sweating method). Zhong Zang (Middle Zang Organs) syndromes often involve dysfunction of the nine orifices, flaccid lips, loss of voice, constipation, heat excess with salivary flooding. Treatment should employ purgation. If the pathogen strikes the Mai Jing (Vessels and Collaterals), it manifests as facial deviation and slurred speech; this is the pathogen striking the meridians. Fundamentally, Wind is Heat; when Heat is excessive, Wind moves. One should use stillness to overcome dryness and nourish Yin Blood; once Yin is abundant, Wind-Heat will naturally subside. However, there are cases leading to loss of voice, mental confusion, and excessive Phlegm-Saliva obstructing the throat; treatment should employ emesis (vomiting method).
Dai Yuanli said: Nowadays, some people suffer from acute illness, suddenly collapsing into unconsciousness with salivary flooding and phlegmatic rales, resembling Zhong Feng (Wind Stroke), often resulting in death. This is not caused by exogenous Wind pathogens, but by negligence in self-care. People indulge in rich and sweet foods, causing internal Heat stagnation; they engage in excessive sexual activity, depleting Kidney Water. Anger stirs Liver Fire, which rises uncontrollably because Kidney Water is insufficient to control it. The Fire carries Phlegm, which adheres to the throat and diaphragm, leading to untreatable conditions and rapid onset of disease.