内经曰。疠者。有荣气热 。其气不清。故使其鼻柱坏而色败。皮肤疡溃。风寒客于脉而不去。名曰疠风。
又曰。脉风成为疠。俗云癞病也。故治法云。病大风骨节重。须眉堕。名曰大风。刺肌肉为故。汗出百日。王
注曰。泄卫气之怫热。刺骨髓汗出百日。泄荣气之怫热。凡二百日。须眉生而止针。怫热屏退。阴气内复。故
多汗出须眉生也。先桦皮散。从少至多。服五七日后。灸承浆穴七壮。灸疮轻再灸。疮愈再灸。后服二圣散泄热
祛血之风邪。戒房室三年。针灸药止述类象形。此治肺风之法也。然非止肺脏有之。俗云鼻属肺。而病发于肺。
端而言之不然。如此者。既鼻准肿赤胀。但为疮之类。乃谓血随气化。既气不施化。则血聚矣。然血既聚。
使肉腐烂而生虫也。谓厥阴主生五虫。厥阴为风木。故木主生五虫。盖三焦相火热甚而制金。金衰故木来克侮。
经曰侮胜也。宜泻火热利气之剂。虫自不生也。法云流水不腐。户枢不蠹。此之谓也。故此疾血热明矣。当以
药缓疏泄之。煎局方内升麻汤。下钱氏内泻青丸。余各随经言之。故病风者。阳气先受伤也。
桦皮散 治肺脏风毒。遍身疮疥。及瘾疹瘙痒。搔之成疮。又治面风刺。及妇人粉刺。
桦皮(四两烧灰) 荆芥穗(二两) 甘草(半两炙) 杏仁(二两去皮尖用水一碗于银器内熬去水一半
放令干) 枳壳(四两去芦用炭火烧欲灰于湿纸上令冷)
上件除杏子外。余药为末。将杏子别研令细。次同诸药令匀。瓷盒内放之。每服三钱。食后温酒调下。
二圣散 治大风疠疾。
大黄(半两) 皂角刺(三钱烧灰)
上将皂角刺一二斤。烧灰研细。煎大黄半两。汤调下二钱。早服桦皮散。中煎升麻汤下泻青丸。晚服二圣
散。此数等之药。皆为缓疏泄血中之风热也。
七圣丸 郁李仁(去皮) 大黄(蒸焙各一两) 肉桂(去粗皮) 羌活(去芦) 槟榔(生)
木香(生) 川芎(各半两)
七宣丸 诃黎勒皮 柴胡(去苗洗) 枳实( ) 木香(各五两) 桃仁(去皮尖 六两) 大黄(面
裹煨十五两) 甘草( 六两)
皆治风壅邪热。润利大肠。中风风痫疠风。大便秘涩。皆可服之。此方局方中治法曰。虽诃子味苦涩。而
能止脏腑。此利药中用诃子。令大黄枳实缓缓而推陈。泄去邪气。若年老风秘涩者。乃津液内亡也。故不可用
峻剂攻之。内经曰。年四十而阴气自半也。起居衰矣。年五十体重耳目不聪明矣。年六十阴痿气大衰。九窍不
利。下虚上实。涕泣出矣。故曰知之则强。不知则老。举世皆言。年老之人。无热俱虚。岂不明年四十而阴气
自半。故阴虚阳盛明矣。是以阴虚其下。阳甚于上。故上实下虚。此理明矣。
The *Neijing* states: Leprosy (Lifeng, leprosy) arises from heat in the Ying (Nutrient) Qi, causing the Qi to become turbid. Consequently, the nasal bridge collapses and the complexion deteriorates, with skin ulcers and sores appearing. When Wind-Cold pathogens lodge in the meridians and do not depart, it is named Lifeng.
It further states: Wind entering the pulse leads to Lifeng, commonly known as "Lei disease" (leprosy). Therefore, the treatment principle states: In cases of severe Wind disease characterized by heavy joints and loss of eyebrows and beard, termed "Da Feng" (Great Wind), needling should target the muscle layer to induce sweating for one hundred days. Wang Bing's commentary notes: This drains the stagnation-heat of the Wei (Defensive) Qi. Needling the bone marrow layer induces sweating for another hundred days, draining the stagnation-heat of the Ying (Nutrient) Qi. After a total of two hundred days, when eyebrows and beard regrow, needling should cease. As the stagnation-heat dissipates and Yin Qi recovers internally, profuse sweating occurs and hair grows back. First, administer Huapi San (Birch Bark Powder), gradually increasing the dose. After five to seven days, moxa-convulsions are applied to Chengjiang (CV24) acupoint—seven moxa cones. If the moxa blisters are mild, repeat moxibustion; once healed, moxa again. Subsequently, administer Ersheng San (Two Sages Powder) to clear heat and expel Wind pathogens from the blood. Abstain from sexual intercourse for three years. The aforementioned acupuncture, moxibustion, and herbal methods merely illustrate symbolic treatments. This is the method for treating Lung Wind. However, this condition is not limited to the Lung organ. Commonly, it is said that the nose belongs to the Lung and diseases originate there, but strictly speaking, this is incorrect. In such cases, since the nasal tip is swollen, red, and distended, it falls under the category of sores/ulcers. This is because Blood follows Qi transformation; if Qi fails to transform properly, Blood accumulates. Once Blood accumulates, it causes flesh to rot and parasites to generate. It is believed that the Jueyin channel governs the generation of five types of parasites; since Jueyin corresponds to Wind-Wood, Wood governs the generation of these parasites. Generally, excessive Fire of the Triple Burner Shaoyang controls Metal (Lung); due to Metal deficiency, Wood overacts upon Metal. The Classic states: "This is an abnormal counter-restriction" (Wu Sheng). One should use formulas that drain Heat/Fire and promote Qi flow. Parasites will naturally cease to exist. Medical principles state: "Flowing water does not rot; a door pivot does not worm." This applies here. Thus, the pathology clearly involves Blood Heat. Medication should be used to gently vent and drain. Decoct Shengma Tang (Cimicifuga Decoction) from the *Formulas of the Imperial Medical Bureau*, and administer Xieqing Wan (Draining Green Pills) from Qian Yi’s works. Other points follow meridian discussions. Therefore, in Wind diseases, Yang Qi is injured first.
Huapi San (Birch Bark Powder): Treats Wind-Toxin in the Lung, widespread skin sores and scabies, urticaria with itching that becomes ulcerated upon scratching. Also treats facial acne and comedones in women.
Ingredients: Birch bark (Si Liang [4 liang], burnt to ash), Jingjie Sui (Schizonepeta Spike, 2 liang), Gancao (Licorice Root, 0.5 liang, honey-fried), Xingren (Apricot Seed, 2 liang, peeled and crushed, boiled in one bowl of water in a silver vessel until half remains, then dried), Zhike (Bitter Orange Fruit, 4 liang, calyx removed, charred with charcoal until nearly ash, cooled on wet paper).
Process: Except for Apricot Seeds, grind the remaining herbs into powder. Separate the Apricot Seeds, grind finely, then mix uniformly with other powders. Store in a porcelain jar. Dosage: 3 Qian per administration, taken after meals with warm wine.
Ersheng San (Two Sages Powder): Treats Great Wind and Leprosy.
Ingredients: Dahuang (Rhubarb Root, 0.5 liang), Zaojiao Ci (Gleditsia Spine, 3 Qian, burnt to ash).
Process: Burn 1–2 Jin of Gleditsia Spines to ash and grind fine. Decoct 0.5 Liang of Rhubarb. Take 2 Qian mixed with decoction. Morning: Huapi San. Noon: Shengma Tang with Xieqing Wan. Evening: Ersheng San. These preparations aim to gently vent and drain Wind-Heat from the Blood.
Qisheng Wan (Seven Sages Pills): Yuliren (Bush Cherry Kernel, peeled), Dahuang (Rhubarb Root, steamed and baked, 1 Liang each), Rougui (Cinnamon Bark, peeled), Qianghuo (Notopterygium Rhizome, calyx removed), Binglang (Areca Seed, raw), Muxiang (Aucklandia Root, raw), Chuanxiong (Sichuan Lovage Rhizome, 0.5 Liang each).
Qixuan Wan (Seven Ventilation Pills): Helile Pi (Pericarpium Chebulae), Chaihu (Bupleurum Root, weed-free and washed), Zhishi (Immature Bitter Orange Fruit, unspecified processing), Muxiang (Aucklandia Root, 5 Liang each), Taoren (Peach Kernel, peeled and crushed, 6 Liang), Dahuang (Rhubarb Root, wrapped in flour and baked, 15 Liang), Gancao (Licorice Root, unspecified processing, 6 Liang).
These treat Wind obstruction with pathogenic Heat, moistening and purging the Large Intestine. Suitable for Stroke, Wind-Seizures, Leprosy, and constipation. The *Ju Fang* treatment principle states: Although Hezi (Chebulic Myrobalan) is astringent and bitter, it stabilizes the Zang-Fu. Used here with purgatives like Dahuang and Zhishi to slowly push out stagnation and drain pathogens. For elderly patients with Wind-induced constipation due to internal depletion of Body Fluids, harsh purgatives must be avoided. The *Neijing* states: At forty, Yin Qi naturally halves, and daily activities decline. At fifty, the body feels heavy, and hearing/vision dim. At sixty, impotence occurs, Qi severely declines, orifices become obstructed, lower deficiency and upper excess manifest, with runny nose and tears. Thus, understanding this brings strength; ignorance brings aging. The world claims the elderly have no Heat and are purely deficient, ignoring that at forty, Yin halves, making Yin Deficiency and Yang Excess evident. Therefore, lower Yin deficiency and upper Yang excess result in Upper Excess and Lower Deficiency. This logic is clear.