《内经》云∶春伤于风。谓当春厥阴行令,风木司权之候,伤乎风也。夫风邪之为病,有轻重之分焉,
轻则曰冒,重则曰伤,又重则曰中。如寒热有汗,是风伤卫分,名曰伤风病也;鼻塞咳嗽,是风冒于表,名曰
冒风病也;突然昏倒,不省人事,是风中于里,名曰中风病也,当分轻重浅深而治之。且风为六气
之领袖,能统诸气,如当春尚有余寒,则风中遂夹寒气,有感之者是为风寒;其或天气暴热,则风中遂夹热
气,有感之者是为风热;其或春雨连绵,地中潮湿上泛,则风中遂夹湿气,有感之者是为风湿;倘春应温
而反寒,非其时而有其气,有患寒热如伤寒者,是为寒疫。此七者皆春令所伤之新邪,感之即病,与
不即病之伏气,相去天渊,当细辨之。
伤风之病,即仲景书中风伤卫之证也,诸家已详,可毋细论耳。然其初起之大概,亦当述
之。夫风邪初客于卫,头痛发热,汗出恶风,脉象浮缓者,此宜解肌散表法治之。经曰∶伤
于风者,头先受之,故有头痛之证;风并于卫,营弱卫强,故有发热汗出之证;汗出则腠疏,故有恶风之证;
脉浮主表,缓主风,故用解肌散表之法,以祛卫外之风。倘脉浮紧发热汗不出者,不可与也,当须识此,勿
令误也。若误用之,必生他变,然则当按仲景法治之。世俗每见鼻塞咳嗽,遂谓伤风,而不知其
为冒风也。冒风之病,详在下编。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "In spring, injury by wind." This refers to the time when the Jueyin (Liver/Gallbladder channel system associated with Wood) governs the season, and Wind-Wood holds authority; at this time, one is injured by Wind pathogen. The diseases caused by Wind pathogen vary in severity: mild cases are termed "Mao" (Covering/Encountering), moderate cases "Shang" (Injuring), and severe cases "Zhong" (Striking). For instance, alternating chills and fever with sweating indicates that Wind has injured the Wei (Defensive) level, named "Wind-Injury Disease" (Shangfeng Bing); nasal congestion and cough indicate that Wind has covered the exterior, named "Wind-Covering Disease" (Maofeng Bing); sudden fainting and loss of consciousness indicate that Wind has struck the interior, named "Wind-Stroke Disease" (Zhongfeng Bing). Treatment should be differentiated according to the severity of the condition and the depth of the pathology. Furthermore, Wind is the leader among the Six Qi (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and can command other pathogens. If residual cold remains in spring, Wind may carry Cold qi; those contracting this are afflicted by "Wind-Cold." If the weather becomes suddenly hot, Wind may carry Heat qi; those contracting this are afflicted by "Wind-Heat." If continuous spring rains cause dampness from the earth to rise, Wind may carry Damp qi; those contracting this are afflicted by "Wind-Damp." If spring, which should be warm, turns cold instead, presenting a climate inappropriate for the season, and individuals suffer chills and fever resembling Taiyang disease (Shanghan), this is termed "Cold Plague" (Han Yi). These seven types are all new pathogens contracted during the Spring season; they manifest immediately upon contraction, differing vastly from "Latent Qi" (Fuqi) that does not manifest immediately. They must be carefully distinguished.
The Wind-Injury Disease corresponds to the syndrome of "Wind injuring the Defensive level" described in Zhang Zhongjing's works. Various schools have discussed this in detail, so there is no need for further elaboration here. However, the general presentation at its onset should be described. When Wind pathogen initially lodges in the Defensive level, symptoms include headache, fever, sweating, aversion to wind, and a floating and moderate pulse. In such cases, the method of resolving the muscle layer and dispersing the exterior should be employed. The classics state: "Those injured by Wind, the head receives it first," hence the symptom of headache; when Wind merges with the Defensive level, causing Ying (Nutritive) weakness and Wei strength, symptoms of fever and sweating occur; sweating leads to open pores (cou li), resulting in aversion to wind; a floating pulse indicates an exterior condition, and a moderate pulse indicates Wind, thus the method of resolving the muscle layer and dispersing the exterior is used to expel Wind from the defensive exterior. If the pulse is floating and tight, with fever but no sweating, this method must not be used; one must recognize this to avoid error. Misapplication will inevitably lead to other complications, at which point treatment should follow Zhang Zhongjing's methods. Laypeople often see nasal congestion and cough and assume it is Wind-Injury, failing to realize it is actually Wind-Covering. Details on Wind-Covering Disease are provided in the lower section.