小儿血气柔弱。肌肉 薄。若寒温失度。则肤腠开而为风邪所中。始着俞穴而行经脉。次随血气而入腑脏。
从其所着。即生病焉。其入腑脏者。唯心肺二脏居膈膜之上。空隙之处。又俞穴亦在于上。故风乃易中。而有患
者。其状昏困不省。手足抽掣。心胸满。气短多汗。此尤为急。大抵其余腑脏。皆居膈膜之下。叠实之处。又俞
穴亦在于下。故风乃难中。而无患者。其入于经脉者。为病甚多。今采其有患者具之。
风痉者(一云风 )风邪伤中阳经也。或因解脱。或脐疮未合。为风所伤。皆令发痉。其状口噤不开。项背
身体强直。耳中策策而痛。一向昏愦不省。其脉如弦。直上下也。虽与惊痫相似。然发而时醒身软者。惊痫
也。若发不时醒。身硬强直者。风痉也。其卒然身痉者死。
风角弓反张者。亦由风伤阳经也。故令腰背反折。不能俯屈。如角弓之状。此亦颇似痉病。然痉病身体强
直。此病身体反折。所以异也。
风口噤者。手三阳之筋入络颔颊。足阳明之筋上夹于口。风邪中于诸阳之筋。使机关挛急不利。故使口噤不
能开也。诊其脉迟者生。
风拘挛及不遂者。风邪寒热入于经络。搏于筋脉。筋脉受邪。冷
则四肢拘挛。热则缓纵不遂也。诊其脉。脉急细如弦者。筋急拘挛也。若脾脉缓弱者。四肢不遂也。
风口眼 斜者。由风邪入于颔颊之筋。其脉偏急。故令口眼 斜。目不能平视。语不能正也。诊其脉浮而
迟者可治。又云。夜卧当耳有隙。因风入耳。亦令人口 也。
风 不省者。由风邪先中于阴。病发于五脏。其状奄忽不知人事。喉中噫噫有声。舌强不能言。汗出身软。
眼下鼻两边人中左右有色白。可治。若一黑一赤吐沫者。难治。汗不出体直者死。
The blood and qi of infants are weak, and their muscles are thin. If the regulation of cold and warmth is improper, the skin pores will open, allowing wind pathogenic factors to invade. The wind pathogen first lodges in the Shu points (Acupoints for dispersing pathogenic factors) and travels along the meridians, then enters the Fu organs (Yang organs) and Zang organs (Yin organs) following the circulation of blood and qi. Depending on where it lodges, specific diseases arise.
Among the Zang organs that receive the wind pathogen, only the Heart and Lung reside above the diaphragm, in hollow spaces, and their corresponding Shu points are also located superiorly. Therefore, wind easily invades these areas, causing illness. Symptoms include mental confusion and lethargy, loss of consciousness, twitching and spasms of the limbs, chest and heart fullness, shortness of breath, and excessive sweating. These conditions are particularly critical. Generally, the remaining Fu organs reside below the diaphragm in dense, overlapping areas, and their Shu points are located inferiorly; thus, wind rarely invades them, and they seldom suffer from such afflictions. Regarding wind invading the meridians, it causes numerous diseases. Here, we list those with documented cases.
Wind Spasm: This occurs when wind pathogenic factors damage the Yang meridians. It may result from joint dislocation or trauma, or an unhealed umbilical wound being exposed to wind, all leading to spasm. Symptoms include trismus (lockjaw) where the mouth cannot open, rigidity of the neck, back, and body, stabbing pain in the ears, and persistent mental confusion with loss of consciousness. The pulse is wiry (Xian), extending straight up and down. Although similar to Startle Epilepsy (Jing Xian), if the patient regains consciousness intermittently and the body becomes soft during episodes, it is Startle Epilepsy; if the patient remains unconscious frequently and the body is stiff and rigid, it is Wind Spasm. Sudden onset of generalized spasm indicates a fatal prognosis.
Wind Opisthotonos (Body bent backward like a bow): This is also caused by wind damaging the Yang meridians, resulting in hyperextension of the waist and back, preventing forward flexion, resembling a bowstring. While similar to Spasm disease, Spasm involves general rigidity, whereas this condition involves backward hyperextension, which distinguishes the two.
Wind Trismus (Lockjaw): The tendons of the Hand-Yang meridians connect to the jaw and cheeks, and the tendons of the Foot-Yangming Meridian ascend alongside the mouth. When wind pathogenic factors invade the tendons of the Yang meridians, causing joint stiffness and dysfunction, it results in an inability to open the mouth. Diagnosis reveals that a slow pulse indicates survival.
Wind Contracture and Paralysis: Wind pathogens mixed with cold and heat enter the meridians and bind to the tendons and vessels. When the tendons and vessels are affected by cold, the limbs contract and cramp; when affected by heat, the tendons relax, leading to motor impairment. Diagnosis shows that an urgent, fine, wiry pulse indicates tendon tension and contracture, while a slow and weak Spleen pulse indicates limb paralysis.
Wind Facial Paralysis (Deviation of Mouth and Eyes): Caused by wind pathogenic factors entering the tendons of the jaw and cheeks, leading to uneven tension in the meridians. This causes deviation of the mouth and eyes, inability to look straight ahead, and slurred speech. A floating and slow pulse indicates treatability. Another theory suggests that wind entering the ear through gaps during sleep can also cause facial deviation.
Wind Unconsciousness (Stroke Coma): Occurs when wind pathogenic factors first invade the Yin meridians, affecting the Zang organs. Symptoms include sudden loss of consciousness, gurgling sounds in the throat, tongue stiffness preventing speech, sweating followed by a soft body, and white discoloration under the eyes, beside the nose, and around the Renzhong point. These signs indicate treatability. If one side is black and the other red with foaming vomit, it is difficult to treat. If there is no sweating and the body is rigid, it leads to death.