风者百病之始也清静则肉腠闭拒虽有苛毒弗能害故病久则传化上下不并良医弗为
凡中风用续命排风风引竹沥诸汤及神精丹茵芋酒之类更加以艾无不愈者然此疾积习之久
非一
日所能致皆大剂久而取效唐书载王太后中风喑默不语医者蒸黄 数斛以熏之得瘥盖此类也令
人服三五盏便求效责医也亦速矣孟子曰七年之病三年之艾久而后知尔(本事方)
凡人中风脉无不大者非热也是风脉也中风有冷热阳病则热阴病则冷冷则用温风药热则用
凉风
药不可一概用也凡中风皆不可吐出涎人骨节中皆有涎所以转动滑利中风则涎上潮咽喉中衮响
以药压下涎再归骨节可也不可吐出若吐出涎时间快意非久枯了人手足不可不戒也小儿惊风亦
不可吐出涎其患与大人同方其发搐搦时不可捉住手足则涎不归手足当不随但宽松抱之可也(
医余)
头风多饶白屑毒风面上生疮刺风状如针刺腰痛如锥痫风急倒作声发搐急慢顽风不认痛痒
颈生斑剥暗风头旋眼黑不辩东西 风面生赤点肝风鼻闷眼 两睑赤烂偏风口眼 邪节风肢节
断续指甲断落脾风心多呕逆酒风行步不前肺风鼻塞项疼胆风令人不睡气风肉自虫行肾风耳内
蝉声阴间湿痒寒湿香港脚瘫风半身不遂痪风手足拳挛胃风不伏水土虚风风寒湿痹肠风脱肛泻血
脑风头旋偏痛贼风发声不响产风四肢疼痛骨风膝肿如槌膝风腿寒骨痛心风健忘多惊盛风语言
謇涩髓风臂膊酸疼脏风夜多盗汗血风阴囊湿痒乌风头面肿块皮风紫白癜癣肌风遍身燥痒体风
身生肿毒闭风大便燥涩软风四肢不举绿风瞳人开大青风吐极青盲虎风发吼羊叫大风成片烂疮
Wind is the beginning of all diseases. If one maintains tranquility, the flesh and pores will close and resist, so that even severe toxins cannot harm the body; thus, if a disease persists, it will transmit and transform, and if the qi of the upper and lower parts does not communicate, even a good physician cannot treat it.
Generally, for treating stroke (Zhong Feng), using decoctions such as Xuming Tang (Cordyceps Continuation Decoction), Paifeng Tang (Wind-Expelling Decoction), Fengyin Tang (Wind-Guiding Decoction), Zhuli Tang (Bamboo Sap Decoction), as well as Shenjing Dan (Divine Spirit Pill) and Yinyu Jiu (Ilex Wine), combined with moxibustion, can achieve cure. However, this illness accumulates over a long period and is not caused in a single day; it requires large doses administered over a long time to take effect. The *Book of Tang* records that Empress Dowager Wang suffered from stroke with aphasia and silence. Physicians steamed several hu (a unit of volume) of Huangqin (Scutellariae Radix, 黄芩) to fumigate her, and she recovered. This belongs to such treatments. Nowadays, people drink three or five cups of medicine and demand immediate results, blaming the physician; this is too hasty. Mencius said, "A disease of seven years requires three-year-old mugwort." Only through long accumulation does one understand this principle. (From *Ben Shi Fang*)
Generally, when people suffer from stroke, the pulse is mostly grand/surging. This is not a heat syndrome, but the pulse of wind disease. Stroke has cold and heat syndromes: Yang syndromes manifest as heat, Yin syndromes manifest as cold. Cold syndromes use warm wind-expelling herbs; heat syndromes use cool wind-expelling herbs. One cannot apply a uniform method. In all cases of stroke, phlegm-saliva (Xian) must not be forcibly vomited out. Phlegm-saliva exists in all bone joints, making movement smooth and flexible. In stroke, phlegm-saliva surges upward to the throat, producing gurgling sounds. It is acceptable to use medicine to suppress the upward surge so that the phlegm-saliva returns to the bone joints. However, if the phlegm-saliva is forcibly vomited out, although it brings temporary relief, it will eventually cause the body to wither and dry up, leading to dysfunction of the limbs and hands. This must be strictly guarded against. Pediatric convulsive wind (Jing Feng) also should not have phlegm-saliva vomited out; its harm is similar to that in adults. During the onset of spasms and convulsions, one must not hold the child's limbs tightly, otherwise the phlegm-saliva will not return to the limbs. One should simply hold the child loosely. (From *Yi Yu*)
Head wind often presents with abundant dandruff; toxic wind causes sores on the face; stinging wind feels like needle pricks; waist pain feels like a cone piercing; epilepsy wind involves sudden falling, vocalization, and convulsions; acute, chronic, and stubborn winds present as insensitivity to pain and itch; neck shows patchy exfoliation; vertigo and blurred vision where east and west cannot be distinguished; facial wind causes red spots; liver wind causes nasal stuffiness, eye swelling, and red/rotten eyelids; hemiplegic wind causes deviation of the mouth and eyes; evil joint wind causes intermittent joint pain and nail separation; spleen wind causes frequent vomiting and counterflow of qi; wine wind causes reluctance to walk; lung wind causes nasal congestion and neck pain; gallbladder wind causes insomnia; qi wind causes a sensation of insects crawling in the muscles; kidney wind causes cicada-like ringing in the ears and damp itching in the genital area; cold-damp gout (Hongxiangjiao), flaccid wind causing hemiplegia; spastic wind causing clenched fists and contracted limbs; stomach wind causing intolerance to local climate and food; deficiency wind causing bi-syndrome due to wind-cold-dampness; intestinal wind causing rectal prolapse and bloody stool; brain wind causing vertigo and unilateral headache; thief wind causing hoarseness; postpartum wind causing limb pain; bone wind causing knee swelling like a club; knee wind causing cold legs and bone pain; heart wind causing forgetfulness and fright; excessive wind causing slurred speech; marrow wind causing arm soreness; organ wind causing night sweats; blood wind causing damp itching of the scrotum; black head wind causing masses on the head and face; skin wind causing purpura, vitiligo, and tinea; muscle wind causing generalized dry itching; body wind causing general swelling and toxicity; closed wind causing dry and constipated stool; soft wind causing inability to lift limbs; green wind causing dilated pupils; cyan wind causing extreme visual impairment and blindness; tiger wind causing roaring and bleating sounds; major wind causing widespread ulcerative sores.