此症初起目脱、恶风、寒战,鼻中常流黄浊涕,或咳吐脓血,鼻崩、眼坍、耳塞,而气
闭不通,
救迟则死又《水疰》云∶热风,即湿风体黄发落两目失明,三年身大,水盛生虫内蚀
五脏
津液,由劳役太过肾水枯竭,肌肤不固,暑湿、风热、暴火之气先从毛皮而入,后伤气道
,
肺液受亏,五火乘邪而起,此等正谓保养失节所致也。以搜风顺气丸、枣灵丹、神效追风丸
等方治之,兼服大补元阳之剂。
其雁来、疙瘙、鸡爪、蝼蝈、泄蛊风发于胃经。
此症每起于七八月间,作时则手足乖癞、燥痒,形如蚀癣,或白或紫,或顽浓如牛领之
皮,搔
破则血水流出,疼痛无时,交春则愈,交秋则发,按年如是,故曰雁来风,感受非时也。然
疠之邪毒蠹肺金,五火交作,风湿乘之则发矣,若雁去时不愈,四季皆然则成大风矣。以
奇效丹、六神辅圣丹、升天脑麝散治之。南人呼此曰社风疮,盖雁乃春社去而秋社来也。又
有一种湿癣,名历疡疮,亦于春二月秋八月雁去来时发于四肢,软而渐大热痛,亦名雁疮
,荆汉人多患之,与雁风同治。另有一种,每至秋冬则手指或遍身发红点作痒,乃寒气攻
于腠理,阳气闭绝不能发越,拂郁而作,亦名雁风,治以人参败毒散解其表,补中益气汤
实其里则愈。又有一种每于二三月乃手足生疥癣之类,名痹疮,形如雁风,交秋风变则
愈,名曰燕疮或发于颈项之上与雁风同治。
This syndrome initially presents with proptosis (eye protrusion), aversion to wind, and chills. There is often a discharge of yellow, turbid nasal mucus, or coughing up of pus and blood, along with nasal collapse, ptosis (drooping eyelids), and ear blockage, resulting in blocked qi flow. If rescue is delayed, death ensues.
Furthermore, *Shui Zhu* (Water Malaria) states: "Re Wind" (Hot Wind), also known as Damp Wind, manifests as yellowish body complexion, hair loss, blindness in both eyes, and after three years, significant bodily swelling. Excessive dampness generates parasites that erode the five zang organs and body fluids internally. This arises from excessive labor leading to the depletion of Kidney Water, insecure skin and muscles, allowing summer heat-dampness, wind-heat, and sudden fire qi to enter first through the pores and skin, then damaging the qi mechanism. Lung fluid becomes deficient, and the Five Fires rise upon the pathogenic factor. Such conditions are precisely attributed to improper maintenance and regulation of life. Treatment involves formulas such as Sousun Fengqi Wan (Search for Wind and Regulate Qi Pill), Zaoling Dan (Jujube Spirit Pill), and Shenxiao Zhuifeng Wan (Divine Efficacy Chasing Wind Pill), combined with decoctions that greatly tonify Yuan Yang (Primordial Yang).
Yanlai Feng (Goose-Coming Wind), Gesao Feng (Scab Wind), Jizhua Feng (Chicken Claw Wind), Louguo Feng (Mole Cricket Wind), and Xiegu Feng (Leaking Gu Poison Wind) originate from the Stomach Meridian.
This syndrome typically begins between the seventh and eighth lunar months. During attacks, the hands and feet become rough like leprosy, dry and itchy, resembling erosive tinea. The lesions may be white or purple, or hard and thick like the skin of an ox's neck. Scratching causes blood and serum to flow out, accompanied by constant pain. It heals when spring arrives and recurs when autumn comes, repeating annually; hence it is called Yanlai Feng, caused by contracting non-seasonal qi. However, if the toxic pathogens of Leprosy (Li Qi) corrode Metal of the Lungs, and the Five Fires act together, Wind-Dampness takes advantage to cause outbreaks. If not healed when geese depart (autumn), and persists through all four seasons, it develops into Da Feng (Great Wind/Malignant Leprosy). Treatment utilizes Qixiao Dan (Miraculous Efficacy Pill), Liushen Fusheng Dan (Six Spirits Assisting Sage Pill), and Shengtian Nao She San (Ascending Heaven Camphor and Musk Powder). In southern regions, this is called Shefeng Chuang (Community Wind Sore), named so because geese leave during Spring She and return during Autumn She.
Another type of damp tinea is named Liyang Chuang (Chronical Ulcer Sore). It also appears on the limbs during the second month of spring and the eighth month of autumn, coinciding with the departure and arrival of geese. It is soft, gradually enlarges, and feels hot and painful. It is also called Yanchuang (Goose Sore), prevalent in the Jing-Han region, and treated identically to Yanfeng.
Yet another variation occurs every autumn and winter, where red spots appear on fingers or the entire body, causing itching. This results from cold qi attacking the Couli (pores/interstices), blocking Yang Qi so it cannot diffuse, leading to stagnation and manifestation. It is also named Yanfeng. Treatment employs Renshen Baidu San (Ginseng Detoxifying Powder) to resolve the exterior, and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to solidify the interior, leading to recovery.
Additionally, there is a condition occurring in the second and third lunar months, where scabies-like tinea appears on hands and feet, named Bicuang (Bi Sore). Its shape resembles Yanfeng, but heals with the change of autumn winds, and is also called Yanchuang (Swallow Sore). When it occurs on the neck and nape, it is treated the same as Yanfeng.