伤风之病,本由外感,但邪甚而深者,遍传经络,即为伤寒;邪轻而浅者,止犯皮毛,
即为伤风。皮毛为肺之合而上通于鼻,故其在外则为鼻塞声重。甚者并连少阳、阳明之经,
而或为头痛,或为憎寒发热;其在内则多为咳嗽,甚则邪实在肺,而为痰为喘。有寒胜而受
风者,身必无汗而多咳嗽,以阴邪闭郁皮毛也。有热胜而受风者,身必多汗,恶风而咳嗽,
以阳邪开泄肌腠也。有气强者,虽见痰嗽,或五六日,或十余日,肺气疏则顽痰利,风邪渐
散而愈也。有气弱者,邪不易解而痰嗽日甚,或延绵数月,风邪犹在,非用辛温,必不散也
。有以衰老受邪,而不慎起居,则旧邪未去,新邪继之,多致终身受其累,此治之尤不易也
。盖凡风邪伤人,必在肩后颈根、大杼、风门、肺俞之间,由兹达肺,最近最捷,按而酸处
,即其径也。故凡气体薄弱,及中年以后血气渐衰者,邪必易犯,但知慎护此处,或昼坐则
常令微暖,或夜卧则以衣帛之类密护其处,勿使微凉,则可免终身伤风咳嗽之患。此余身验
切效之法,谨录之以告夫惜身同志者。
凡伤风咳嗽多痰,或喘急呕恶者,宜六安煎加减治之为最妙,二陈汤多加生姜亦可。若
外感风寒,咳嗽多痰,喘急而阴虚血气不足,痰有不活,气有不充,则托送无力,邪不易解
,宜金水六君煎,其效如神。若年衰胃弱者,尤宜用之。若伤风兼寒,而咳嗽发热者,宜柴
陈煎。若时行风邪在肺,咳嗽喘急多痰,而阴寒气甚,邪不易解者,宜小青龙汤,或消风百
解散,或金沸草散。若伤风初感,寒热往来,涕唾稠粘,胸膈不快,咳嗽多痰者,参苏饮。
若伤风头痛,鼻塞声重,咳嗽者,《局方》神术散,或川芎茶调散。若感风兼湿,而头目不
清,鼻塞声重者,宜冲和散。若风寒外闭,肢节烦疼,鼻塞声重,而内多伏火者,《局方》
羌活散。若太阳经伤风,发热,自汗,恶风者,桂枝汤。
Wind-cold injury (Shang Feng) is originally caused by external pathogenic factors. However, if the pathogen is severe and deep, spreading throughout the meridians, it transforms into Cold Damage (Shang Han); if the pathogen is mild and superficial, affecting only the skin and hair, it is termed Wind-cold injury (Shang Feng). The skin and hair are associated with the Lung and connect upward to the nose; therefore, when the pathology is at the exterior, symptoms such as nasal congestion and heavy voice occur. In severe cases, it may involve the Shaoyang and Yangming meridians, leading to headache, aversion to cold, or fever. Internally, it mostly manifests as coughing; in extreme cases, pathogenic excess in the Lung leads to phlegm production or wheezing. When cold predominates and wind is contracted, the body will likely have no sweat and frequent coughing, due to Yin pathogens closing and stagnating the skin and hair. When heat predominates and wind is contracted, the body will likely have excessive sweating, aversion to wind, and coughing, due to Yang pathogens opening and draining the muscle interstices. Those with strong Qi, even if presenting with phlegm and cough, may recover after five to six days or more than ten days, as the Lung Qi unblocks, stubborn phlegm is cleared, and wind pathogens gradually disperse. Those with weak Qi find it difficult to resolve the pathogen, with phlegm and cough worsening daily, potentially lingering for months while wind pathogens remain; without acrid-warm herbs, dispersion is impossible. For those suffering from weakness due to aging who neglect daily care, old pathogens may not be expelled before new ones arrive, often resulting in lifelong affliction, making treatment particularly difficult. Generally, when wind pathogens injure the person, they enter through the area behind the shoulders and at the root of the neck—specifically Dazhu (BL11), Fengmen (BL12), and Feishu (BL13)—reaching the Lung via the shortest and most direct route. Tenderness upon pressure indicates this pathway. Therefore, individuals with weak constitutions or declining Qi and Blood after middle age are prone to invasion; by carefully protecting these areas, keeping them slightly warm during daytime sitting, or covering them tightly with silk garments at night to prevent slight chilling, one can avoid lifelong issues of wind-cold injury and coughing. This is a method I have personally verified as effective, recorded here to advise those who cherish their health and share similar principles.
For wind-cold injury with cough, abundant phlegm, or wheezing and nausea, Liu'an Decoction (Liu'an Jian) modified is most appropriate; Erchen Tang (Two-Cured Decoction) with added fresh ginger is also suitable. If external cold-dwindle causes cough with abundant phlegm and wheezing, accompanied by Yin deficiency and insufficient Qi and Blood, where phlegm is inactive and Qi is deficient, lacking the strength to expel pathogens, Jinshui Liujun Decoction (Jinshui Liujun Jian) is indicated, with miraculous efficacy. It is especially suitable for the elderly with weak stomachs. For wind-cold injury combined with cold, causing cough and fever, Chaichen Decoction (Chai Chen Jian) is appropriate. For epidemic wind pathogens in the Lung, causing cough, wheezing, abundant phlegm, with severe Yin-cold and difficulty resolving pathogens, Xiao Qinglong Tang (Minor Blue Dragon Decoction), Xiaofeng Baijie San (Wind-Dispersing Hundred-Release Powder), or Jinfeicao San (Boiling Grass Powder) are suitable. For initial wind-cold injury with alternating chills and fever, thick sticky nasal discharge and sputum, chest discomfort, and cough with abundant phlegm, Shenru Yin (Ginseng and Perilla Infusion) is indicated. For wind-cold injury with headache, nasal congestion, heavy voice, and cough, Shenzhu San (Divine Efficacy Powder) from *Ju Fang* or Chuanxiong Chatiao San (Ligusticum Tea-Regulating Powder) are appropriate. For wind-pathogen combined with dampness, causing unclear head and eyes, nasal congestion, and heavy voice, Chonghe San (Harmonizing Powder) is suitable. For external closure by wind-cold, painful limbs and joints, nasal congestion, heavy voice, and internal latent fire, Qianghuo San (Notopterygium Powder) from *Ju Fang* is indicated. For Taiyang meridian wind-cold injury with fever, spontaneous sweating, and aversion to wind, Guizhi Tang (Cinnamon Twig Decoction) is appropriate.