风有真风、类风,不可不辨。凡风寒之中于外者,乃为风邪。如《九宫八风篇》之风占
病候,《岁露论》之虚风实风,《金匮真言论》之四时风证,《风论》之脏腑中风,《玉机
真脏论》之风痹、风瘅、痹论,《贼风篇》之风邪为痹,《疟论》《岁露论》之疟生于风,
《评热病论》之风厥、劳风,《骨空论》之大风,《热病篇》之风痉,《病能论》之酒风,
《咳论》之感寒咳嗽,是皆外感风邪之病也。其有不由外感而亦各为风者。如病机所云∶诸
暴强直,皆属于风;诸风掉眩,皆属于肝之类。是皆属风而实非外中之风也。
何以见之?盖有所中者谓之中,无所中者谓之属。夫既无所中,何谓之属?此以五运之气
,各有所主。如诸湿肿满,皆属于脾;诸寒收引,皆属于肾,是皆以所属为言,而风之属于
肝者,即此谓也。盖肝为东方之脏,其藏血,其主风,肝病则血病而筋失所养。筋病则掉眩
强直之类无所不至,而属风之证百出,此所谓皆属于肝,亦皆属于风也。夫中于风者,即真
风也;属于风者,即木邪也。真风者,外感之表证也;属风者,内伤之里证也,即厥逆内夺
之属也。
夫曰中曰属,此在《内经》固已显然,各有所谓。即如年辰之属鼠属牛,岂即为牛为鼠
乎?而后世不能明辨,遂致方论混传,表里误治。千古之弊,莫此为甚。第在《内经》则原
无真中、类中之分,而王安道始有此论,予甚善之。第惜其辨有未尽,故复述之,以详其说
。凡欲明此义者,但当于中风、属风、表证、里证四者之间。默而思之,当自见其真矣。
Wind can be categorized as "True Wind" (Zhen Feng) or "Resembling Wind" (Lei Feng), and the distinction between them must not be overlooked. When wind-cold pathogens invade from the exterior, they are termed Wind Pathogens (Feng Xie). For instance, the disease patterns related to wind in the *Jiu Gong Ba Feng* Chapter, the concepts of Deficient Wind (Xu Feng) and Excess Wind (Shi Feng) in the *Sui Lu* Chapter, the four-season wind syndromes in the *Jin Gui Zhen Yan Lun*, organ-specific wind strokes in the *Feng Lun*, wind-bi and wind-dan syndromes in the *Yu Ji Zhen Zang Lun*, wind-induced bi-syndromes in the *Zeifeng* Chapter, malaria arising from wind in the *Nue Lun* and *Sui Lu* Chapters, wind-jue and lao-feng in the *Ping Re Bing Lun*, great wind in the *Gu Kong Lun*, wind-spasm in the *Re Bing* Chapter, wine-wind in the *Bing Neng Lun*, and cold-induced coughs in the *Ke Lun*—all these refer to diseases caused by exogenous wind pathogens.
However, some conditions manifest as wind without being caused by external invasion. As stated in the *Suwen: Zhi Zhen Yao Da Lun* (Basic Questions: Essential Meaning of Disease Mechanisms): "All sudden spasms and rigidity belong to wind; all wind-related tremors and vertigo belong to the Liver." These are classified under wind but are not actually exogenous wind pathogens.
Why is this distinction made? That which is invaded by an external pathogen is called "Zhong" (Stroke/Invasion); that which lacks such invasion but presents with wind-like symptoms is called "Shu" (Belongs to/Associated with). If there is no external invasion, why use the term "Shu"? This refers to the dominance of the Five Movements (Wu Yun) over specific organs. For example, "All dampness-related swelling and fullness belong to the Spleen; all cold-related contraction and pulling belong to the Kidney." These descriptions emphasize the associative relationship. Similarly, wind is associated with the Liver. The Liver is the zang-organ of the East, it stores blood, and it governs wind. When the Liver is diseased, blood pathology occurs, leading to a loss of nourishment for the sinews. Sinew pathology results in various manifestations such as tremors, vertigo, and rigidity, giving rise to numerous wind-associated syndromes. Thus, it is said that "they all belong to the Liver," which also means "they all belong to wind."
Pathogens invading from the outside constitute True Wind (Zhen Feng); internal wind manifestations constitute Wood Evil (Mu Xie, referring to Liver Wood pathogenicity). True Wind represents an exterior syndrome due to exogenous factors; Resembling Wind represents an interior syndrome due to endogenous injury, falling under categories such as jue-ni (reversal cold/heat) and nei-duo (internal depletion).
The terms "Zhong" and "Shu" are clearly distinguished in the *Neijing* (*Huangdi Neijing*), each having its specific meaning. Just as a year may be associated with the Rat or the Ox, it does not mean the year itself is a rat or an ox. However, later generations failed to distinguish them clearly, leading to confusion in formulas and theories, and resulting in misdiagnosis regarding exterior and interior syndromes. No error in medical history has been more detrimental than this. Although the *Neijing* did not originally distinguish between True Stroke and Resembling Stroke, Wang Andao was the first to propose this theory, which I greatly approve of. However, his analysis was not exhaustive; therefore, I restate it to elaborate on the argument. To truly understand this principle, one should silently contemplate the distinctions among Four Concepts: Wind Stroke (Zhong Feng), Resembling Wind (Shu Feng), Exterior Syndromes (Biao Zheng), and Interior Syndromes (Li Zheng), and the truth will become apparent.