(《素问·骨空论》《长刺节论》《灵枢四时气论》《热病论》)
黄帝问曰∶余闻风者百病之始也,以针治之奈何?
(《素问·骨空论》。风之中人,必先皮毛而后及于经络脏腑,由浅入深,自微而甚,善行数变,所以为百病之始。
故圣人之避风,如避矢石者,正以防其微也。)岐伯对曰∶风从外入,令人振寒,汗出头痛,身重恶寒,(风邪外袭,阳
气内拒,邪正分争,故振寒。风伤卫,故汗出。邪客三阳,故头痛身重。卫伤则表怯,故恶寒。)治在风府,调其阴阳,
不足则补,有余则泻。(风府,督脉穴。察其正气不足则补之,邪气有余则泻之。)大风颈项痛,刺风府,风府在上椎。(上
椎,谓项骨椎上,入发际一寸也。)大风汗出,灸 , 在背下侠脊旁三寸所,厌之令病者呼 , 应手。(
,足太阳经穴。厌之,以指按其穴也。乃令病患呼 之声,则应手而动,故即以为名。)从风憎风,刺眉头。(病由
于风则憎风。刺眉头者,足太阳之攒竹穴也。憎,早登切。)
病风且寒且热,炅汗出,一日数过,先刺诸分理络脉;
(《素问·长刺节论》。《风论》曰∶风之伤人也,或为寒热,或为热中,或为寒中,或为疠风,或为偏枯,或为风也。
即此之谓。炅汗,热汗也。刺诸分理络脉者,贵乎多也。炅,居永切。)汗出且寒且热,三日一刺,百日而已。(既汗而
复寒热者,邪盛患深,非可以旦夕除也,故当三日一刺,百日始已。)
病大风,骨节重,须眉堕,名曰大风,刺肌肉为故,汗出百日,(大风,即风论及四时气篇之所谓疠也。其浅者遍腠
理,故当刺肌肉为故,所以泄阳分之毒,风从汗散也。)刺骨髓,汗出百日,(刺深者须取骨髓,所以泄阴分之风毒也。)
凡二百日,须眉生而止针。(风毒去尽,然后营卫气复,眉发重生,是病已愈,方可止针矣。)
疠风者,素刺其肿上,已刺,以锐针针其处,按出其恶气,肿尽乃止,
(《灵枢·四时气篇》。疠,大风也。风论曰∶疠者,有营气热 ,其气不清,故使鼻柱坏而色败,皮肤疡溃,风寒
客于脉而不去,名曰疠风也。其治法,当于常素刺其肿上,已刺之后,又必数以锐针针其患处,仍用手按出其恶毒之气,
必待肿尽,乃可止针。盖毒深气甚,非多刺不可也。疠,癞同,又音利。)常食方食,无食他食。(食得其法,谓之方食。
无食他食,忌动风发毒等物也。)
偏枯,身偏不用而痛,言不变,志不乱,病在分腠之间,巨针取之,益其不足,损其有余,乃可复也(《灵枢·热病
篇》。偏枯者,半身不随,风之类也,其身偏不用而痛。若言不变、志不乱,则病不在脏而在于分肉腠理之间,可用巨针
取之,即第九针也。察其虚实以施补泻,其元可复矣。)
痱之为病也,身无痛者,四肢不收,(痱亦风属,犹言废也。上节言身偏不用而痛,此言身不知痛而四肢不收,是偏
枯痱病之辨也。痱,肥、沸二音。)智乱不甚,其言微知,可治,甚则不能言,不可治也。(智乱不甚,其言微有知者,
神气未为全去,犹可治也;神失,则无能为矣。)病先起于阳,后入于阴者,先取其阳,后取其阴,浮而取之。(此治必
先其本也。病先起于阳分,故当先刺其表,浮而取之,而后取其阴。此下不言先起于阴者,盖病始于阴,直中脏也,多
不可治,故不复言之。)
风痉,身反折,先取足太阳及 中及血络出血;中有寒,取三里。(痉,强直也。身反折,反张向后也。此风证之在
膀胱经者,故当取足太阳经穴。 中,委中穴也。血络,浮浅之络也。皆当刺出其血。若中气有寒,仍当取足阳明之三
里,温补胃气而风寒可除也。痉,求影切,中原韵音敬。)
(From *Suwen: Gukong Lun*, *Chang Cijie Lun*, *Lingjiu: Sishiqi Lun*, *Rebing Lun*)
The Yellow Emperor asked, "I have heard that wind is the beginning of all diseases. How should acupuncture be used to treat wind-related conditions?"
(*Suwen: Gukong Lun*. When wind pathogen invades the human body, it first affects the skin and hair (mao pi), then spreads to the meridians and zang-fu organs. It moves from superficial to deep levels, progressing from mild to severe. Wind is agile and variable, thus becoming the origin of myriad diseases.
Therefore, sages avoid wind as they would avoid arrows and stones, precisely to prevent disease at its nascent stage.) The Grand Master Qi Bo replied, "When wind enters from the exterior, it causes chills (zhen han), sweating, headache, heaviness of the body, and aversion to cold. (Wind pathogen attacks from outside, while yang qi resists internally; the struggle between pathogen and healthy qi results in chills. Wind damages the Wei qi (Defensive Qi), leading to sweating. Pathogen lodges in the Three Yang meridians, causing headache and body heaviness. Damage to Wei qi leads to surface weakness, hence aversion to cold.) Treatment should focus on Fengfu (GV16) to regulate Yin and Yang. If there is deficiency, apply tonification; if there is excess, apply sedation. (Fengfu (GV16) is an acupoint of the Du Meridian. Observe if healthy qi is deficient and tonify it; observe if pathogenic qi is excessive and sedate it.) In severe wind cases causing neck and nape pain, puncture Fengfu (GV16). Fengfu (GV16) is located at the upper vertebra. (Upper vertebra refers to the cervical vertebrae above, one cun above the hairline.) In severe wind cases with sweating, moxa the [missing character] point, located three cun lateral to the lower spine on the back. Press this point and ask the patient to shout [missing character]; the hand will feel a pulsation. ([Missing character] is an acupoint of the Foot-Taiyang Bladder Meridian. 'Press' means to press the acupoint with fingers. The patient shouts the sound '[missing character]', causing the area to pulse under the finger, hence the name.) For wind-induced aversion to drafts, puncture the eyebrow region. (Disease caused by wind leads to aversion to wind. Puncturing the eyebrow region refers to Zanzhu (BL2), an acupoint of the Foot-Taiyang Bladder Meridian. 'Zeng' is pronounced 'zao deng qie'.)
For wind disease presenting with both cold and heat, accompanied by hot sweats occurring multiple times a day, first puncture the collateral vessels in various flesh compartments;
(*Suwen: Chang Cijie Lun*. *Feng Lun* states: "When wind pathogen injures people, it may manifest as alternating cold and heat, or internal heat, or internal cold, or leprosy (Li Feng), or hemiplegia, or wind bi. This refers to such cases." Jiong sweat refers to hot sweat. Puncturing collateral vessels in flesh compartments emphasizes frequent needling. 'Jiong' is pronounced 'ju yong'.) If sweating occurs with alternating cold and heat, needle once every three days until recovery after one hundred days. (If sweating recurs with cold and heat, it indicates strong pathogen and deep illness, which cannot be resolved overnight. Thus, needle every three days for one hundred days before cessation.)
In severe wind disease (Big Wind) with heavy joints and loss of eyebrows and beard, known as Big Wind, treatment involves needling muscles to induce sweating for one hundred days. (Big Wind refers to Li Feng mentioned in *Feng Lun* and *Sishiqi Pian*. Superficial cases affect the interstices (cou li); thus, needling muscles to induce sweating is the principle to vent toxic heat from the Yang aspect, allowing wind to disperse via sweat.) If needling reaches the bone marrow, induce sweating for another one hundred days. (Deep needling targets bone marrow to vent wind-toxicity from the Yin aspect.) After a total of two hundred days, when eyebrows and beard regrow, stop needling. (Once wind-toxicity is fully eliminated, Ying (Nutritive) and Wei (Defensive) qi recover, and hair regrows, indicating cure; only then can needling cease.)
For patients with Leprosy (Li Feng), routinely needle the swollen areas. After initial needling, use a sharp needle to puncture the site again, pressing to expel foul qi until swelling subsides.
(*Lingjiu: Sishiqi Pian*. Li refers to Big Wind. *Feng Lun* states: "Li Feng arises from heat in Ying qi, causing turbid qi, leading to collapse of the nasal bridge, deterioration of complexion, and skin ulcers. Cold and wind pathogens lodge in the vessels and do not depart, termed Li Feng." The treatment method involves routinely needling swollen areas. After needling, repeatedly puncture the lesion with a sharp needle and press to expel toxic qi. Only stop when swelling completely resolves. Because toxicity is deep and pathogen is strong, frequent needling is required. 'Li' is synonymous with 'Lei' (leprosy/ulcer) and pronounced 'li'.) Diet should consist only of regular foods; avoid other foods. (Eating according to proper rules is called 'Fang Shi'. Avoiding other foods prevents triggering wind or aggravating toxins.)
Hemiplegia (Pian Ku) presents with unilateral immobility and pain, but speech remains unchanged and mental state is stable. The pathology lies between the muscle layers and interstices. Treat with large needles (Ju Zhen), tonifying deficiency and reducing excess, to restore function. (*Lingjiu: Rebing Pian*. Hemiplegia is unilateral paralysis, a type of wind disorder, characterized by unilateral immobility and pain. If speech and consciousness are intact, the disease is not in the Zang-Fu organs but in the muscles and interstices. Large needles (the ninth type of needle) can be used. Assess excess and deficiency to apply tonification or sedation; original vitality can be restored.)
Fei disease is characterized by absence of body pain and inability to control the limbs. (Fei also belongs to wind disorders, meaning 'useless' or 'paralyzed'. The previous section described unilateral immobility with pain; this section describes lack of pain sensation with limb flaccidity, distinguishing Pian Ku from Fei. 'Fei' is pronounced 'fei' or 'fei'.) If cognitive confusion is mild and speech is partially intelligible, it is treatable; if severe to the point of muteness, it is untreatable. (Mild confusion with partial intelligibility indicates that Shen Qi (Spirit Qi) is not entirely lost, so treatment is possible. If Spirit is lost, no action can be taken.) If the disease originates in the Yang aspect and later enters the Yin aspect, first treat the Yang aspect, then the Yin aspect, using shallow needling. (This follows the principle of treating the root first. Since the disease starts in the Yang aspect, initially needle the exterior superficially, then treat the Yin aspect. The text does not mention diseases starting in the Yin aspect because direct invasion of Zang organs from Yin onset is mostly untreatable, hence omitted.)
Wind-Jing (Spasm) presents with backward arching of the body. First, bleed the Foot-Taiyang meridian, Weizhong (BL40), and blood collaterals. If there is internal cold, select Zusanli (ST36). (Jing refers to stiffness. Backward arching is opisthotonos. This wind syndrome affects the Bladder Meridian, so select Foot-Taiyang acupoints. Weizhong (BL40) is the acupoint. Blood collaterals refer to superficial vessels. All should be pricked to release blood. If there is cold in the Middle Jiao/Stomach Qi, select Zusanli (ST36) of the Foot-Yangming Stomach Meridian to warm and tonify Stomach Qi, eliminating wind-cold. 'Jing' is pronounced 'qiu ying qie', rhyming with 'jing' in Central Plains dialect.)