历节风之状,短气,白汗出,历节疼痛不可忍,屈伸不得是也。由饮酒腠理开,汗出当
风所致也。亦有血气虚,受风邪而得之者。风历关节,与血气相搏交攻,故疼痛。血
气虚,则汗也。风冷搏于筋,则不可屈伸,为历节风也。
风身体疼痛者,风湿搏于阳气故也。阳气虚者,腠理易开,而为风湿所折,使阳气不得
发泄,而与风湿相搏于分肉之间,相击,故疼痛也。
诊其脉,浮而紧者,则身体疼痛。
风入腹拘急切痛者,是体虚受风冷,风冷客于三焦,经于脏腑,寒热交争,故心腹拘急
切痛。
五脏处于内,而气行于外。脏气实者,邪不能伤;虚则外气不足,风邪乘之。然五脏,
心为神,肝为魂,肺为魄,脾为意,肾为志。若风气经之,是邪干于正,故令恍惚。
刺风者,由体虚肤腠开,为风所侵也。其状,风邪走遍于身,而皮肤淫跃。邪气与正气
交争,风邪击搏,如锥刀所刺,故名刺风也。
《养生方》云∶触寒来者,寒未解,食热物,亦成刺风。
蛊风者,由体虚受风,其风在于皮肤,淫淫跃跃,若画若刺,一身尽痛,侵伤气血。其
动作状如蛊毒,故名蛊风也。
风冷者,由脏腑虚,血气不足,受风冷之气。血气得温则宜流,冷则凝涩,然风之伤人
,有冷有热。若挟冷者,冷折于气血,使人面青心闷,呕逆吐沫,四肢痛冷,故谓之风冷。
其汤熨针石,别有正方,补养宣导,今附于后。
《养生方·导引法》云∶一足踏地,足不动,一足向侧,如丁字样,转身倚势,并
手尽急回,左右迭互二七。去脊风冷、偏枯不通润。
又云∶蹲坐,身正头平,叉手安颏下,头不动,两肘向上振摇,上下来去七七。亦持手
三七,放纵身心。去乳房风冷肿闷、鱼寸不调、日日损。
又云∶坐,两足长舒,自纵身,纳气向下,使心内柔和适散,然始屈一足,安膝下,长
舒一足,仰足趾向上使急,仰眠,头不至席,两手急努前,头向上努挽,一时各各取势,
来去二七,迭互亦然。去脚疼,腰膊冷、血冷、风痹、日日渐损。
又云∶长舒足,肚腹着席,安徐看气向下,知有去处,然始着两手掌拓席,努使臂直,
散脊背气向下,渐渐尽势,来去二七。除脏腑内宿冷,脉急,腰膊风冷。
又云∶欲以闭气出汗,拳手屈膝侧卧,闭气自极,欲息气定,复闭气,如此汗出乃止。
复转卧,以下居上,复闭气如前,汗大出乃止。此主治身中有风寒。欲治股胫手臂痛法∶屈
一胫一臂,伸所病者,正偃卧,以鼻引气,令腹满,以意推之,想气行至上,温热,即愈。
又云∶肚腹着席,长舒一足向后,急努足指,一手舒向前尽势,将一手向背上挽足倒极
势,头仰蹙背,使急。先用手足斜长舒者,两向自相挽急,始屈手足共头,一时取势。常记
动手足,先后交番,上下来去二七,左右亦然。去背项腰膝膊井风冷疼闷、脊里倔强。
又云∶正坐,两手向后捉腕,反向拓席,尽势,使腹弦弦上下,七,左右换手亦然。损
腹肚冷风宿气积,胃口冷,食饮进退,吐逆不下。
又云∶凡学将息人,先须正坐,并膝头、足;初坐,先足趾相对,足跟外扒。坐上,欲
安稳,须两足跟向内相对,足指外扒,坐上。觉闷痛,渐渐举身似款便,坐上。待共两坐相
似不痛,始双竖足跟向上,坐上,足趾并反向外。每坐常学。去膀胱内冷,膝冷,两足冷疼
,上气、腰痛,尽自消适。
又云∶长舒一足,一脚屈,两手挽膝三里,努膝向前,身却挽,一时取势,气内散消,
如似骨解。迭互换足,各别三七,渐渐去膊脊冷风冷血,筋急。
又云∶两手向后,倒挽两足,极势。头仰,足指向外努之,缓急来去七,始手向前直舒
,足自摇,膝不动,手足各二七。去脊腰闷风冷。
又云∶身平正,舒两手向后,极势,屈肘向后空捺,四七。转腰,垂手向下,手掌四面
转之。去臂内筋急。
又云∶两手长舒,合掌向下,手高举与膊齐,极势,使膊闷痛,然始上下摇之
二七。手下至髀还,上下缓急。轻手前后散振,双手前拓,努手合掌向下,七。去膊内
风冷疼,日消散。
又云∶两手掌倒拓两膊井前,极势,上下傍两掖,急努振摇,来去三七,竟。手不
移处,努向两肘向上急热,上下振摇二七,欲得拳两手七,因相将三七。去项膊筋脉
急劳。一手屈拳向后左,一手捉肘头,向内挽之,上下一时尽势。屈手散放,舒指三,方转
手,皆极势四七。调肘膊骨筋急强。两手拓,向上极势,上下来去三七。手不动,将两
肘向上,极势七。不动手肘臂,侧身极势,左右回三七。去颈骨冷气风急。前一十二件有此
法,能使气人行之,须在疾中可量。
The manifestations of *Lijie Feng* (Joint-Traveling Wind) include: shortness of breath, profuse sweating with a white appearance (Baihan), severe pain in the joints that is unbearable, and inability to flex or extend the limbs. This condition is caused by alcohol consumption opening the *Couli* (pores/cutaneous interstices), followed by wind invasion while sweating. It may also result from deficiency of *Xueqi* (Blood and Qi) and subsequent contraction of wind pathogens. When wind traverses the joints and contends with Blood and Qi, it causes pain. Deficiency of Blood and Qi leads to sweating. When wind-cold contends with the sinews, it results in an inability to flex or extend, which constitutes *Lijie Feng*.
Wind-induced body pain occurs because wind-dampness contends with Yang Qi. In cases of Yang Qi deficiency, the *Couli* easily open, allowing wind-dampness to constrain it, preventing the normal venting of Yang Qi. Consequently, Yang Qi contends with wind-dampness between the *Fenrou* (muscle intervals), striking each other and causing pain.
Upon pulse diagnosis, if the pulse is floating and tight, body pain will manifest.
Wind invading the abdomen causing spasmodic and cutting pain indicates that due to constitutional weakness, wind-cold has invaded. The wind-cold lodges in the *Sanjiao* (Triple Burner) and flows through the Zang-Fu organs. The contention between cold and heat leads to spasmodic and severe pain in the heart and abdomen.
The Five Zang organs reside internally, while Wei Qi (Defensive Qi) circulates externally. If the organ Qi is substantial, pathogens cannot harm it; if deficient, external Qi is insufficient, and wind pathogens take advantage. Specifically, the Heart houses the Shen (Spirit), the Liver houses the Hun (Ethereal Soul), the Lungs house the Po (Corporeal Soul), the Spleen houses the Yi (Intellect), and the Kidneys house the Zhi (Willpower). If wind pathogens invade these organs, it represents pathogenic interference with righteous Qi, leading to mental confusion or trance-like states.
*Cifeng* (Stabbing Wind) arises from constitutional weakness and open skin pores, allowing wind invasion. Its symptoms involve wind pathogens spreading throughout the body, causing itching or crawling sensations on the skin. As pathogenic Qi contends with righteous Qi, the wind strikes the skin, creating a sensation as if pierced by awls or knives; hence it is named *Cifeng*.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: For those who have contracted cold, if one consumes hot foods before the cold has resolved, *Cifeng* may develop.
*Gufeng* (Gu Poison Wind) results from constitutional weakness and wind invasion, where wind pathogens remain in the skin. It presents with wandering discomfort on the skin, feeling like drawing or stabbing, accompanied by whole-body pain, thereby damaging Blood and Qi. Its movements resemble those of someone poisoned by Gu, hence the name *Gufeng*.
*Fengleng* (Wind-Cold) occurs due to Zang-Fu weakness and insufficiency of Blood and Qi, leading to the contraction of wind-cold. Blood and Qi flow smoothly when warm but become stagnant and obstructed when cold. Wind pathogens injuring the body can be either cold or hot. If accompanied by cold, the cold damages Blood and Qi, causing bluish complexion, chest oppression, regurgitation, vomiting of saliva, and painful, cold limbs; thus it is termed *Fengleng*. Decoctions, moxibustion, acupuncture, and stone therapies for this condition are detailed in separate formulas. Methods of nourishment and Daoyin (guiding and pulling) are appended below.
The *Yangsheng Fang · Daoyin Fa* (Guiding and Pulling Method) states: Stand with one foot flat on the ground, keeping it still, while extending the other foot to the side in a 'T' shape. Turn the body using momentum, and quickly retract both hands. Repeat alternately left and right fourteen times (2 × 7). This removes wind-cold from the spine, hemiplegia, and lack of lubrication.
It further states: Squat-sit, keeping the body upright and head level. Cross hands under the chin, keep the head still, and shake both elbows upward. Move up and down forty-nine times (7 × 7). Alternatively, cross hands twenty-one times (3 × 7) to relax the mind and body. This alleviates wind-cold swelling and oppression in the breasts, menstrual irregularities, and gradual deterioration.
Another method: Sit with legs fully extended. Relax the body and sink the Qi downward until the heart feels soft and comfortable. Then bend one knee under the thigh, extend the other leg fully, and point the toes upward with force. Lie supine with the head not touching the mat. Push hands forward forcefully and pull the head upward simultaneously. Hold the posture, moving back and forth fourteen times (2 × 7), alternating sides. This treats foot pain, coldness in the waist and shoulders, blood cold, wind-bi, and progressive decline.
Another method: Extend legs fully, press the abdomen against the mat. Observe the Qi descending consciously. Place palms flat on the mat and straighten arms with force to disperse Qi down the back. Move back and forth fourteen times (2 × 7). This eliminates internal residual cold in the Zang-Fu, urgent pulses, and wind-cold in the waist and shoulders.
To induce sweating by holding breath: Curl fists, bend knees, and lie on the side. Hold breath to the limit. When the urge to breathe arises, let the breath settle, then hold breath again. Continue until sweating occurs, then stop. Turn over, placing the lower body above, and repeat the breath-holding process until heavy sweating occurs. This primarily treats wind-cold in the body. To treat pain in the thighs, shins, and arms: Bend one shin and one arm, extend the affected limb, and lie supine. Inhale through the nose to fill the abdomen. Use intention to push the Qi upward, imagining it becoming warm; the condition will resolve.
Another method: Press abdomen against the mat. Extend one leg backward, curl toes forcefully. Extend one hand forward to the limit, and use the other hand to pull the foot backward to the extreme. Tilt the head back and arch the back tightly. Initially, stretch limbs diagonally and pull against each other. Then bend limbs and head together, taking the posture simultaneously. Alternate hands and feet, moving up and down fourteen times (2 × 7), repeating on both sides. This relieves wind-cold pain and stiffness in the neck, back, waist, knees, and shoulders, and spinal rigidity.
Another method: Sit upright. Reach hands backward to grasp wrists, pressing palms against the mat in reverse. Use full force to make the abdomen tense and move up and down seven times. Switch hands and repeat. This dissipates accumulated cold wind and residual Qi in the abdomen, cold stomach, difficulty in eating/drinking, and vomiting.
For practitioners of self-care: First sit upright with knees and feet together. Upon sitting, place toes facing each other and heels outward. To sit stably, bring heels inward to face each other and toes outward. If feeling stuffy or painful, gradually lift the body slightly while seated. Once the position is stable and pain-free, raise heels vertically while seated, with toes pointing outward. Practice this every time you sit. This removes cold from the bladder, cold knees, cold and painful feet, rising Qi, and waist pain, promoting comfort.
Extend one leg fully, bend the other. Grasp the knees at the *Sanli* area with both hands, push knees forward, and pull the body backward simultaneously. Allow Qi to dissipate internally, feeling as if bones are separating. Switch legs, performing twenty-one times (3 × 7) each. This gradually removes cold wind and blood stagnation from the shoulders and spine, and tendon tension.
Reach hands backward and pull feet backward to the limit. Tilt head back and push toes outward. Move slowly and quickly seven times. Then extend hands forward straight, shake feet naturally without moving knees. Perform fourteen times (2 × 7) for hands and feet. This removes wind-cold oppression in the spine and waist.
Keep the body upright. Extend hands backward to the limit. Bend elbows and press backward into empty space fourteen times (4 × 7). Rotate the waist, drop hands downward, and rotate palms in all directions. This releases tension in the tendons of the inner arms.
Extend hands fully, join palms downward. Raise hands high to shoulder level, using full force to create shoulder oppression/pain. Then shake up and down fourteen times (2 × 7). Lower hands to the thighs and return, varying speed. Gently shake hands front and back. Push hands forward, join palms, and press downward seven times. This disperses wind-cold pain in the shoulders daily.
Place palms inverted against the arms and front chest, using full force. Shake vigorously up and down along the lateral aspects of the armpits twenty-one times (3 × 7). Without moving hands, push upward toward the elbows to generate heat, shaking up and down fourteen times (2 × 7). Make fists seven times, then proceed with twenty-one times (3 × 7). This treats tendon strain and urgency in the neck and shoulders. Bend one fist backward to the left, grasp the elbow with the other hand, and pull inward. Move up and down using full force. Release the bent hand, extend fingers three times, then turn hands, using full force fourteen times (4 × 7). This regulates stiff tendons and bones of the elbows and shoulders. Push hands upward with full force, moving up and down twenty-one times (3 × 7). Keep hands still, raise elbows upward with full force seven times. Without moving hands or elbows, turn the body sideways with full force, rotating left and right twenty-one times (3 × 7). This removes cold wind urgency from cervical bones. These twelve methods allow Qi to circulate; they must be applied judiciously according to the disease.