要方第二卷所治如下∶
治头面风(论杂风状)诸方
治喉痛(喉痹)诸方
治暴厥似风诸方(待考)
治中风喑 不随痛肿诸方
治狂妄噤痉诸方
治脚弱诸方
上六件
说曰∶风者,四时五行之气也,分布八方,顺十二月,终三百六十日。各以时从其乡来
为正风,在天地为五行,在人为五脏之气也。万物生成之所顺,非毒厉之气也。人当触之过,
不胜其气,乃病之耳,虽病然有自瘥者也,加治则易愈。其风非时至者,则为毒风也,不治
则不能自瘥焉。今则列其证如下∶
春甲乙木,东方清风,伤之者为肝风,入头颈肝俞中。为病多汗,恶风,喜怒,两胁痛,
恶血在内,饮食不下,肢节时肿,颜色苍,泄,嗌干鼽衄。
夏丙丁火,南方汤风,伤之者为心风,入胸胁腑脏心俞中。为病多汗,恶风,憔悴,喜
悲,颜色赤,洞泄清谷。
仲夏戊己土,同南方汤风,伤之者为脾风,入背脊脾俞中。为病多汗,恶风,肌肉痛,
身体怠惰,四去不欲动,不嗜食,颜色黄, 因人虚实之变。阳气有余,阴气不足者,则内
外生热,在中者令人喜饥。若阳气不足,阴气有余者,则内如有寒从中出,肠鸣而痛。
秋庚辛金,西方凉风,伤之者为肺风,入肩背肺俞中。为病多汗,恶风,寒热,咳动肩
背,颜色白,霈然病疟,昼瘥夕甚。
冬壬癸水,北方寒风,伤之者为肾风,入腰股四肢肾俞中。为病多汗,恶风,腰脊骨肩
背颈项痛,不能久立,便出曲难不利,阴痹,按之不得小便,腹胀,面庞然有泽,肿,时眩,
颜
上四时正气之风,平人当触之过,得病证候如此。
四时风总名∶春九十日清风,夏九十日汤风,秋九十日凉风,冬九十日寒风,其气分布
八方,亦各异名也。太一之神,随节居其乡各四十五日,风云皆应之。今列其风名如下∶
东北方艮之气,立春王,为条风,一名凶风,王四十五日。
东方震之气,春分王,为明庶风,一名婴儿风,王四十五日。
东南方巽之气,立夏王,为清明风,一名弱风,王四十五日。
南方离之气,夏至王,为景风,一名大弱风,王二十七日,合仲夏也。
仲夏中央之气,主立八方之气,戊己王十八日,合夏至合四十五日,风名同。
西南方坤之气,立秋王,为凉风,一名谋风,王四十五日。
西方兑之气,秋分王,为阊阖风,一名刚风,王四十五日。
西北方干之气,立冬王,为不周之风,一名折风,王四十五日。
北方坎之气,冬至王,为广莫风,一名大刚风,王四十五日。
上八方之风,各从其乡来,主长养万物,民众少死病也。
八方风不从其乡来,而从冲后来者,为虚邪,贼害万物,则民众多死病也。故圣人说避
邪如避矢也。邪者,风也。今人寿夭多病,是不知避邪也。为病证候如下∶
凶风之气内舍大肠中,外在胁腋骨下四肢节解中,书本遗其病证,今无也。
婴儿风为病,令人筋纫湿。其气内舍肝中,外在筋中。
弱风为病,令人体重。其气内舍胃中,外在肉中。
大弱风为病,令人发热。其气内舍心中,外在脉中。
谋风为病,令人弱,四肢缓弱也。其气内舍脾中,外在肌中。
刚风为病,令人燥,燥者枯燥瘦瘠也。其气内舍肺中,外在皮中。
折风为病,则因人,脉绝时而泄利,脉闭时则结不通,喜暴死也。其气内舍小肠中,外
在右手太阳中。
大刚风为病,令人寒,寒者患冷,不能自温也。其气内舍肾中,外在骨中、脊膂筋中也。
上八风,从其冲后来者,为病如此。
新食竟取风为胃风,其状恶风,颈多汗,膈下塞不通,食饮不下,胀满,形瘦,腹大,
失衣
因醉起风为漏风,其状恶风,多汗,少气,口干渴,近衣则身热如火烧,临食则汗流如
雨,骨节解惰,不欲自营。
新沐浴竟取风为首风,其状恶风,面多汗,头痛。
新房室竟取风为泄风,其状恶风,汗流沾衣。
劳风之为病,喜在肺,使人强上,恶风,寒战,目脱,涕唾出,候之三日中及五日中,
不精明者是也。七八日则微有清黄脓涕如弹丸大,从口鼻中出为善也,若不出则伤肺。
风者其气喜行而数变,在人肌肤中,内不得泄,外不得散,因人动静乃变其性,其证如
下∶
有风遇寒则食不下,遇热则肌肉消,寒热。
有风遇阳盛则不得汗,遇阴盛则汗自出。
肥人有风,肌肉浓则难泄,喜为热中目黄。
瘦人有风,肌肉薄则恒外行,身中寒,目泪出。
有风遇实则腠理闭,则内伏,令人热闷;若因热食,汗欲通,腠理得开,其风自出,则
觉肉中如针刺,步行运力欲汗,亦如此。
有风遇虚,腠理开则外出,凄然如寒状,觉身中有如水淋,时如竹管吹处。
治口眼相引 僻者方。
以生鳖血涂之,以桑钩钩吻边挂着耳也。血干复涂之,用白酒胜血。
眼眶动,口唇动,偏 ,皆风入脉故也,急服小续命汤,摩神明膏。
The diseases treated in Volume 2 of *Xiaopin Fang* are as follows:
Formulas for treating wind affecting the head and face (discussing various manifestations of wind)
Formulas for treating sore throat (throat obstruction, Hou Bi)
Formulas for treating sudden syncope resembling stroke (to be verified)
Formulas for treating stroke with aphonia, paralysis, pain, and swelling
Formulas for treating mania, trismus, and spasms
Formulas for treating lower limb weakness
Total of six categories
Explanation: Wind is the Qi of the four seasons and five phases, distributed among the eight directions, following the twelve months, and completing a cycle of three hundred and sixty days. When coming from its native direction according to the season, it is called "regular wind" (Zheng Feng). In heaven and earth, it manifests as the five phases; in humans, it corresponds to the Qi of the five zang organs. It is the normal climate that facilitates the growth of all things, not a toxic or pestilential Qi. If humans are exposed to it excessively and their bodies cannot withstand it, illness occurs. Even if ill, there are cases of spontaneous recovery; with treatment, healing is easier. Wind that does not arrive at the proper time is "toxic wind" (Du Feng) or pathogenic wind. Without treatment, it will not heal spontaneously. The symptoms are listed below:
In spring, Jia-Yi Wood, the clear wind of the east, injuring the person results in Liver Wind, entering the head, neck, and Liver Shu points. Symptoms include excessive sweating, aversion to wind, emotional volatility (anger and joy), pain in both hypochondria, internal blood stasis, difficulty eating, intermittent swelling of joints, bluish complexion, diarrhea, dry throat, nasal congestion, and epistaxis.
In summer, Bing-Ding Fire, the hot wind of the south, injuring the person results in Heart Wind, entering the chest, hypochondria, viscera, and Heart Shu points. Symptoms include excessive sweating, aversion to wind, emaciation, propensity to sadness, red complexion, and watery diarrhea with undigested food.
In mid-summer, Wu-Ji Earth, sharing the hot wind of the south, injuring the person results in Spleen Wind, entering the back, spine, and Spleen Shu points. Symptoms include excessive sweating, aversion to wind, muscle pain, bodily lethargy, desire to remain inactive, anorexia, and yellowish complexion. Depending on the deficiency or excess of the individual: If Yang Qi is excessive and Yin Qi insufficient, heat generates internally and externally, causing hunger when located in the middle jiao. If Yang Qi is insufficient and Yin Qi excessive, cold arises from within, causing borborygmus and pain.
In autumn, Geng-Xin Metal, the cool wind of the west, injuring the person results in Lung Wind, entering the shoulders, back, and Lung Shu points. Symptoms include excessive sweating, aversion to wind, alternating chills and fever, coughing with shoulder and back movement, pale complexion, malaria-like symptoms that improve during the day and worsen at night.
In winter, Ren-Gui Water, the cold wind of the north, injuring the person results in Kidney Wind, entering the waist, thighs, limbs, and Kidney Shu points. Symptoms include excessive sweating, aversion to wind, pain in the lumbar spine, scapula, back, neck, and occiput, inability to stand for long periods, difficult and curved urination, Yin bi (obstruction/pain in the genital region), inability to urinate even upon pressure, abdominal distension, puffy and lustrous facial edema, swelling, and dizziness.
These winds of regular qi in the four seasons, if overexposed by healthy individuals, produce the aforementioned symptom complexes.
General names of winds in the four seasons: Ninety days of spring are Clear Wind; ninety days of summer are Hot Wind; ninety days of autumn are Cool Wind; ninety days of winter are Cold Wind. Their Qi distributes through the eight directions, each having different names. Taiyi Shen resides in its respective direction for forty-five days according to the solar terms, and wind and clouds respond accordingly. The names of these winds are listed below:
Qi of Gen (Northeast), prosperous at Start of Spring, called Tiao Feng, also known as Xiong Feng (Ominous Wind), prosperous for forty-five days.
Qi of Zhen (East), prosperous at Spring Equinox, called Ming Shu Feng, also known as Ying Er Feng (Infant Wind), prosperous for forty-five days.
Qi of Xun (Southeast), prosperous at Start of Summer, called Qing Ming Feng, also known as Ruo Feng (Weak Wind), prosperous for forty-five days.
Qi of Li (South), prosperous at Summer Solstice, called Jing Feng, also known as Da Ruo Feng (Great Weak Wind), prosperous for twenty-seven days, combining with mid-summer.
Central Qi of mid-summer governs the establishment of the eight directional Qi. Wu-Ji Earth is prosperous for eighteen days, combining with Summer Solstice to total forty-five days; the wind name is the same.
Qi of Kun (Southwest), prosperous at Start of Autumn, called Liang Feng, also known as Mou Feng (Strategizing Wind), prosperous for forty-five days.
Qi of Dui (West), prosperous at Autumn Equinox, called Chang He Feng, also known as Gang Feng (Rigid Wind), prosperous for forty-five days.
Qi of Qian (Northwest), prosperous at Start of Winter, called Bu Zhou Zhi Feng, also known as Zhe Feng (Breaking Wind), prosperous for forty-five days.
Qi of Kan (North), prosperous at Winter Solstice, called Guang Mo Feng, also known as Da Gang Feng (Great Rigid Wind), prosperous for forty-five days.
The above eight winds, coming from their native directions, primarily nourish all things, resulting in less death and disease among the people.
If the winds of the eight directions do not come from their native direction but blow from the opposite direction behind, they are called "Empty Evil" (Xu Xie). They harm all things, leading to increased death and disease among the people. Thus, sages teach avoiding evil as one avoids arrows. Evil refers to wind. The reason for varying lifespans and frequent illness today is ignorance of avoiding evil. The pathological manifestations are as follows:
Xiong Feng's Qi lodges internally in the Large Intestine and externally in the hypochondrium, under the armpit bones, and in the joints of the limbs. The original text omits its symptoms, which are now lost.
Ying Er Feng causes tendons to become loose and damp. Its Qi lodges internally in the Liver and externally in the tendons.
Ruo Feng causes heaviness of the body. Its Qi lodges internally in the Stomach and externally in the flesh.
Da Ruo Feng causes fever. Its Qi lodges internally in the Heart and externally in the vessels.
Mou Feng causes weakness and flaccidity of the four limbs. Its Qi lodges internally in the Spleen and externally in the muscles.
Gang Feng causes dryness, characterized by emaciation and withered skin. Its Qi lodges internally in the Lungs and externally in the skin.
Zhe Feng varies by individual: when pulses cease, diarrhea occurs; when pulses are blocked, stagnation occurs. It predisposes to sudden death. Its Qi lodges internally in the Small Intestine and externally in the Right Hand Taiyang channel.
Da Gang Feng causes coldness, specifically cold disorders where self-warming is impossible. Its Qi lodges internally in the Kidneys and externally in the bones, spinal muscles, and tendons.
The above eight winds, blowing from the opposite direction, cause such diseases.
Wind taken immediately after eating is called Wei Feng (Stomach Wind). Symptoms include aversion to wind, excessive sweating on the neck, blockage below the diaphragm, inability to eat or drink, abdominal distension, emaciation of the body, and abdominal enlargement, caused by improper clothing.
Wind taken after rising from drunkenness is called Lou Feng (Leaking Wind). Symptoms include aversion to wind, excessive sweating, shortness of breath, dry mouth and thirst, sensation of burning heat when near clothing, profuse sweating like rain during meals, joint laxity, and reluctance to care for oneself.
Wind taken immediately after bathing is called Shou Feng (Head Wind). Symptoms include aversion to wind, excessive sweating on the face, and headache.
Wind taken immediately after sexual intercourse is called Xie Feng (Escaping Wind). Symptoms include aversion to wind and sweat soaking the clothes.
Lao Feng (Labor Wind) disease favors the Lungs, causing nuchal rigidity, aversion to wind, chills, protruding eyes, and discharge of saliva and mucus. Observing within three to five days, lack of mental clarity indicates this disease. After seven to eight days, small amounts of clear-yellow purulent sputum, size of a bullet, discharged from the mouth and nose, indicate improvement. If not discharged, it injures the Lungs.
The Qi of wind prefers movement and frequent change. Within the human skin and muscles, if it cannot vent internally or dissipate externally, its nature changes according to the body's state of activity or rest. The symptoms are as follows:
Wind encountering cold leads to inability to eat; encountering heat leads to muscle wasting and alternating chills and fever.
Wind encountering Yang excess leads to anhidrosis; encountering Yin excess leads to spontaneous sweating.
In obese persons with wind, thick muscles hinder venting, predisposing to Heat Zhong syndrome and jaundice.
In thin persons with wind, thin muscles allow it to move outward easily, causing internal cold and tearing.
Wind encountering Excess patterns closes the interstices (Cou Li), trapping the wind internally, causing heat and oppression. If hot food is consumed, sweat attempts to flow, interstices open, and wind exits, feeling like needle pricks in the muscles. Walking and exertion attempting to induce sweat present similarly.
Wind encountering Deficiency patterns opens the interstices, allowing wind to exit externally, feeling chilly like cold, with a sensation of water dripping on the body, sometimes like air blowing through a bamboo tube.
Formula for treating facial deviation (mouth and eyes pulling to one side).
Apply fresh softshell turtle blood to the affected area. Use a mulberry hook to pull the corner of the mouth and hang it on the ear. Reapply when the blood dries. Administer with white wine to enhance the effect of the blood.
Twitching of the eye orbit, twitching of the lips, and facial deviation are all due to wind entering the vessels. Immediately administer Xiao Xuming Tang (Minor Continuation of Life Decoction) and apply Shenming Gao (Divine Brightness Ointment).