风中有五者,谓心肝脾肺肾,五脏之中,其言生死,各不同也。心风之状,汗自出而偃
仰卧,不可转侧,语言狂妄者生,宜于心俞灸之;若唇面青白黄黑赤,其色不足,眼眶动不
休,心绝者不可救,过五日即死。肝风之状,青色围目额,坐不得佝偻者可治;若喘目直,
唇面俱青者死,宜于肝俞灸之。脾风之证,一身通黄,腹大而满,不嗜食,四肢不收者,或
可治,宜于脾俞灸之。肾风者腰脚痛重,视胁下未生黄点者可治,不然则死,肾风宜于肾俞
灸之。肺风者,胸中气满,冒昧汗出,鼻不闻香臭,喘而不得卧者可治;若失血及妄言者不
可治,七八日死,肺风宜于肺俞灸之。凡诊其风脉,滑而散者风也;缓而大,浮而紧,软而
弱,皆属风也。又风之病,鼻下赤黑相兼,吐沫身直者七日死。又中风人口噤筋急,脉迟者
生;脉急而数者死。又心脾俱中风,则舌强而不能言;肝肾中风,则手足不遂。其外有瘾疹
者,有偏枯者,有失音者,有历节者,有癫厥者,有疼痛者,有聋瞽者,有疮癞者,有胀满
者,有喘乏者,有赤白者,有青黑者,有瘙痒者,有狂妄者,皆起于风也。其脉虚浮者,自
虚而得;实大者,自实而得之;强紧者,汗出而得之;喘乏者,饮酒而得之;癫厥者,自劳
而得之;手足不遂者,语言謇失者,房中而得之;瘾疹者,自痹湿而得之;历节疼痛者,因
醉犯房而得之;聋盲疮癞者,自五味饮食冒犯禁忌而得之;千端万状,要不离于五脏六腑所
生耳。
Wind pathogenic factors manifest in five patterns, corresponding to the Heart, Liver, Spleen, Lung, and Kidney. Within these five Zang organs, the prognoses of life and death differ for each.
Heart Wind presents with spontaneous sweating, where the patient lies supine and cannot turn or roll over, accompanied by delirious speech. If the spirit is preserved despite these symptoms, the prognosis is favorable (life); moxibustion should be applied to Xinshu (BL-15, Heart Shu). If the lips and complexion exhibit cyanosis, pallor, yellowing, blackening, or redness, appearing dull and lacking luster, with continuous twitching of the eye sockets, this indicates Heart Qi exhaustion and is incurable; death will occur within five days.
Liver Wind presents with a bluish hue surrounding the eyes and forehead, and stiffness preventing bending or stooping; this is treatable. However, if there is panting, fixed staring eyes, and cyanosis of both lips and face, it is a fatal sign; moxibustion should be applied to Ganshu (BL-18, Liver Shu).
Spleen Wind presents with generalized jaundice, abdominal distension and fullness, anorexia, and flaccidity of the four limbs. This may be treatable; moxibustion should be applied to Pishu (BL-20, Spleen Shu).
Kidney Wind presents with pain and heaviness in the lower back and legs. If no yellow spots appear under the hypochondrium, it is treatable; otherwise, it is fatal. Moxibustion should be applied to Shenshu (BL-23, Kidney Shu).
Lung Wind presents with chest fullness and qi stagnation, dizziness with sweating, anosmia (loss of smell), panting, and inability to lie flat; this is treatable. However, if hemoptysis or delirious speech occurs, it is incurable, and death will likely occur within seven to eight days. Moxibustion should be applied to Feishu (BL-13, Lung Shu).
In diagnosing wind diseases, a slippery and scattered pulse indicates wind; a slow and large pulse that is floating and tight, or a soft and weak pulse, also belong to wind patterns.
Furthermore, in wind diseases, if the area below the nose shows mixed red and black discoloration, with frothy saliva and a rigid body resembling a bow, death will occur in seven days.
Additionally, in stroke (Zhong Feng) presenting with locked jaws and tendon tension, a slow pulse indicates a favorable prognosis (life); a rapid and urgent pulse indicates a poor prognosis (death).
If both the Heart and Spleen are affected by wind, the tongue becomes stiff and speech is lost. If both the Liver and Kidney are affected by wind, the hands and feet become immobile.
Externally, wind pathogens can cause various manifestations: urticaria (Yin Zhen), hemiplegia (Pian Ku), aphonia, joint pain (Li Jie disease), mania and syncope (Dian Jue), pain, deafness and blindness, skin ulcers and leprosy-like conditions (Chuang Lai), distension and fullness, asthma and fatigue, bloody or white stools, cyanotic or black complexions, pruritus, and delirium. All these originate from wind.
A deficiency-floating pulse indicates wind contracted due to intrinsic deficiency. A excess-large pulse indicates wind contracted due to intrinsic excess. A strong-tight pulse indicates wind contracted after sweating. Asthma and fatigue indicate wind contracted after drinking alcohol. Mania and syncope indicate wind contracted due to overexertion. Immobility of hands and feet and slurred speech indicate wind contracted due to sexual indiscretion. Urticaria indicates wind contracted due to internal bi-syndrome with dampness. Joint pain indicates wind contracted due to sexual activity while intoxicated. Deafness, blindness, ulcers, and skin lesions indicate wind contracted due to improper diet violating dietary taboos.
Although wind diseases present in myriad forms, they ultimately do not depart from the pathological changes originating in the Five Zang and Six Fu organs.