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This condition is rarely recorded in medical texts, and people are unable to distinguish it. Whether one goes from wealth to poverty, from nobility to lowliness, or experiences sudden sorrow or violent anger, all these factors damage the five Zang organs. Excessive thinking damages the Spleen (Pi), excessive worry damages the Lung (Fei), excessive anger damages the Liver (Gan), excessive desire damages the Heart (Xin), and eating while worried damages the Stomach (Wei). Although medical texts record internal causes of disease, they do not establish treatment methods. Later practitioners treated such cases as deficiency syndromes, which often proved fatal.

If the Liver and Spleen are damaged, there will be incessant diarrhea; if the Stomach is damaged, there will be coma and loss of consciousness; if the Kidney (Shen) is damaged, it develops into Laozai (consumptive disease); if the Liver is damaged, there will be hemorrhage and tendon spasms; if the Lung is damaged, there will be hemoptysis and expectoration of phlegm; if the Heart is damaged, there will be dizziness and fainting. One should first administer Jiangfu Tang (Decoction of Ginger and Aconite) to disperse pathogenic factors, then administer Jinye Dan (Golden Elixir Pill) to protect the Spleen and Stomach, and finally perform moxibustion after a detailed examination of the symptoms. For Spleen deficiency, moxaize Zhongfu (LU-1) acupoint with 200 moxa cones on each side; for Kidney deficiency, moxaize Guanyuan (CV-4) with 300 moxa cones. If these two meridians are filled and strengthened, death can be avoided. Subsequently, administering Yanshou Dan (Longevity Pill) or taking more Jinye Dan will lead to recovery. However, excessive intake of cold-natured medicines severely damages Yuanqi (Original Qi), leading to death. (This condition is caused by injuries from the Seven Emotions and excesses of the Five Wills; treating it based on the specific cause ensures no errors.)

Case Record:
A fifteen-year-old patient developed Spleen deficiency due to extreme sorrow and annoyance. Quack doctors prescribed Wu Ling San (Five-Ling Powder) along with Qingpi (Tangerine Peel) and Zhike (Bitter Orange Fruit), resulting in an inability to eat and chest stuffiness. I instructed him to moxaize Mingguan (Life Gate) with 200 moxa cones, after which his appetite gradually returned. He was then moxaized at Guanyuan (CV-4) with 500 moxa cones, administered Jiangfu Tang for one or two doses, and took two jin of Jinye Dan, after which he recovered. Medical texts mistakenly classify this as Lao Sun (labor injury/consumption), using mild warm-and-neutral medicines, causing much harm. How tragic! (Spleen diarrhea caused by great sorrow and annoyance, treated with Wu Ling San, Qingpi, and Zhike, changes so drastically; recently, some patients with empty and collapsed pulses and ruined Spleen and Kidney were told it was harmless and given these drugs by quacks, who are but servants among quacks.)

This condition arises because cold-phlegm accumulates in the brain and is compounded by Wind-Cold invasion, causing stagnation that does not dissipate. This leads to vertigo, dizziness, and vomiting of phlegm-saliva. Elderly patients are suitable for Fuzi Banxia Tang (Aconite and Pinellia Decoction), while young and vigorous patients are suitable for Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction). If cold-natured prescriptions are used, although there may be temporary relief, the phlegm becomes more condensed and fixed, making rapid recovery difficult. (This is what is referred to as Toufeng (Head Wind) syndrome, hence the theory of cold-phlegm accumulating in the brain and Wind-Cold invasion. Pure dizziness, however, belongs entirely to deficiency: Liver deficiency means blood cannot nourish the head; Lung deficiency means clear Yang cannot circulate; Kidney deficiency leads to Jue Ni (rebellious Qi) and Dian Ji (epilepsy/fainting); Heart deficiency leads to flaming fire floating upward. Wind, deficiency, phlegm, and fire occur occasionally, but deficiency patterns in Head Wind are numerous and must be known.)

Case Record:
A patient suffered from Toufeng, experiencing vertigo and vomiting during attacks, refusing food for several days. I needled Fengfu (DU-16) acupoint, inserting the needle three cun towards the left ear, retaining the needle for thirteen breaths. The patient felt numbness and heat inside the head. I instructed him to inhale deeply before withdrawing the needle. He then took Fuzi Banxia Tang and never had a recurrence. Hua Tuo also cured Cao Cao’s Toufeng by needling this acupoint for immediate relief. However, needling this acupoint usually causes fainting. The method is to insert the needle horizontally downwards towards the left ear; this avoids damaging the large tendons and prevents fainting. This is a wonderful method from Qianjin Fang. (This acupuncture technique is subtle and must be discussed with expert acupuncturists to ensure accuracy.)

Another patient lived normally but occasionally suffered headaches. This was due to retained food in the Wei (Stomach) region. Taking ten pills of Dingxiang Wan (Clove Pill) led to recovery.