偏风 脑风 目风 漏风 内风 首风 肠风 泄风
子和云诸风掉眩乃厥阴肝才之用也治以汗吐下三法是以木郁达之之义
卢砥镜曰神伤于思则内脱意伤于忧愁则肢废魂伤于悲哀则筋挛魄伤于喜乐则皮枯志伤于
恐则腰脊难以俯仰皆中风之候也
丹溪云中风半身不遂大率多痰中在左属血虚中在右属气虚
经曰风之中人大要有四一曰偏枯谓血气偏虚半身不遂肌肉枯瘦骨间疼痛二曰风痱谓神志
不乱身无痛处四肢不举一臂不遂三曰风懿谓忽然迷仆舌强不语喉中窒塞噫噫有声四曰风痹谓
风寒湿三气合而为痹身顽肉浓不知痛痒风多则走注寒多则疼痛湿多则重着在筋则筋屈而不伸
在脉则血凝而不流在肉则不仁在骨则隆重是也
东垣云中腑者多着四肢有表证而脉浮恶风寒拘急不仁或肢废不举治当宜汗中脏者多不利
九窍唇缓失音大便秘结热盛涎潮治当宜下若中血脉之分则口眼歪斜言语謇涩此邪中于经也盖
风本为热热盛则风动宜静胜其燥以养阴血阴既旺则风热自潜消矣乃致有失音闷乱痰涎壅盛阻
塞咽喉者治当宜吐
戴云今人有患暴病猝然仆倒昏迷涎潮痰鸣拽锯证类中风多致不救此非外受风邪之中也由
于人之不谨调护素以肥甘悦其口而热郁内生妄以色欲无度而肾水衰亏适因怒动肝火火寡于畏
得以上升是水无以降其火也火载其痰胶住喉膈遂致不救而为病之暴也
外感风邪与内生风邪,以及血虚、气虚、有痰、有湿、挟火等病因。
张子和说:各种风证引起的动摇眩晕,是厥阴肝经的功能表现,治疗应采用汗、吐、下三种方法,这是运用“木郁达之”(疏泄肝木郁结)的意义。
卢砥镜说:神志因思虑过度而受损,则意念内脱;意志因忧愁损伤,则肢体废用;魂因悲哀损伤,则筋脉拘挛;魄因喜乐过极损伤,则皮肤枯槁;志因恐惧损伤,则腰脊难以俯仰。这些都是中风的征候。
朱丹溪说:中风导致半身不遂,大多是因为痰湿阻滞。病位在左侧多属血虚,病位在右侧多属气虚。
经典医籍记载:风邪侵入人体,大体上有四种情况:一是偏枯,指气血偏虚,半身不遂,肌肉枯瘦,骨节间疼痛;二是风痱,指神志不乱,身体无疼痛处,但四肢不能举动,或一臂不能活动;三是风懿,指突然昏倒迷乱,舌强不语,喉中窒塞,发出噫噫的声音;四是风痹,指风寒湿三气合而为痹,身体麻木沉重,不知痛痒。风邪多则走注疼痛,寒邪多则疼痛剧烈,湿邪多则沉重着滞。在筋则筋屈曲不能伸展,在脉则血液凝滞不流动,在肉则感觉迟钝,在骨则沉重隆起。
李东垣说:中腑证多侵犯四肢,有表证且脉浮,恶风寒,肢体拘急麻木,或肢体废用不能举起,治疗应当采用发汗法。中脏证多表现为九窍不通利,口唇松弛失音,大便秘结,热盛涎潮,治疗应当采用泻下法。如果是中血脉之分,则出现口眼歪斜,言语謇涩,这是邪气中于经络的表现。盖因风本为热,热盛则风动,宜用静胜其燥以滋养阴血,阴血既旺则风热自然潜消。然而也有导致失音闷乱、痰涎壅盛阻塞咽喉的情况,治疗应当采用催吐法。
戴元礼说:如今有人患暴病,突然仆倒昏迷,涎潮痰鸣,症状类似中风,大多导致不治。这并非外受风邪所致,而是因为人们不谨慎调护,平时喜好肥甘厚味滋润口腹,导致热郁内生;又妄行色欲无度,致使肾水衰亏。恰逢愤怒触动肝火,火性亢盛无所畏惧,得以向上上升,而肾水不足以制约降伏其火。火携带痰浊胶结停留在喉膈之间,遂致不治,从而发病迅猛。
Exogenous wind pathogens and endogenous wind, as well as pathological factors such as Blood Deficiency (Xue Xu), Qi Deficiency (Qi Xu), Phlegm (Tan), Dampness (Shi), and Fire (Huo).
Pian Feng (Biased Wind), Nao Feng (Brain Wind), Mu Feng (Eye Wind), Lou Feng (Leaking Wind), Nei Feng (Internal Wind), Shou Feng (Head Wind), Chang Feng (Intestinal Wind), Xie Feng (Sweating Wind).
Zhang Hezi stated: Various wind syndromes causing tremors and vertigo are manifestations of the Jueyin Liver Channel (Jueyin Gan Jing). Treatment should employ the three methods of sweating, vomiting, and purging, which embodies the principle of "Shu Yu Da Zhi" (dispersing and unblocking Liver Wood stagnation).
Lu Dijing said: When Shen (Spirit) is damaged by excessive thinking, Yi (Intent) becomes internally depleted; when Zhi (Will) is damaged by sorrow and worry, limbs become paralyzed; when Hun (Ethereal Soul) is damaged by grief, sinews contract; when Po (Corporeal Soul) is damaged by excessive joy, skin becomes withered; when Zhi (Willpower) is damaged by fear, the waist and spine become difficult to bend or extend. All these are signs of Zhong Feng (Wind Stroke).
Zhu Danxi said: Zhong Feng (Wind Stroke) resulting in hemiplegia is largely due to Tan (Phlegm). Lesions on the left side generally belong to Blood Deficiency (Xue Xu), while lesions on the right side generally belong to Qi Deficiency (Qi Xu).
The Classics state: Wind pathogens invading the human body generally present in four major forms: First is Pian Ku (Hemiplegia/Atrophy), characterized by uneven deficiency of Qi and Blood, hemiplegia, emaciation of muscles, and pain in the bone joints. Second is Feng Fei (Wind Paraplegia), characterized by clear consciousness, absence of body pain, but inability to move the four limbs or one arm. Third is Feng Yi (Wind Stupor), characterized by sudden collapse and confusion, stiff tongue with inability to speak, throat obstruction, and gurgling sounds. Fourth is Feng Bi (Wind Bi Syndrome), where Wind, Cold, and Dampness combine to form Bi syndrome. The body feels numb and heavy, lacking sensation of pain or itch. Excess Wind causes wandering pain; excess Cold causes severe pain; excess Dampness causes heaviness and sticking. In the sinews, they flex but cannot extend; in the vessels, blood coagulates and fails to flow; in the flesh, there is insensibility; in the bones, there is heaviness and swelling.
Li Dongyuan said: Zhong Fu (Middle Fu Organs) syndromes often affect the four limbs, presenting with exterior symptoms, floating pulse, aversion to wind and cold, limb stiffness and numbness, or limb paralysis and inability to lift. Treatment should employ diaphoresis (sweating method). Zhong Zang (Middle Zang Organs) syndromes often involve dysfunction of the nine orifices, flaccid lips, loss of voice, constipation, heat excess with salivary flooding. Treatment should employ purgation. If the pathogen strikes the Mai Jing (Vessels and Collaterals), it manifests as facial deviation and slurred speech; this is the pathogen striking the meridians. Fundamentally, Wind is Heat; when Heat is excessive, Wind moves. One should use stillness to overcome dryness and nourish Yin Blood; once Yin is abundant, Wind-Heat will naturally subside. However, there are cases leading to loss of voice, mental confusion, and excessive Phlegm-Saliva obstructing the throat; treatment should employ emesis (vomiting method).
Dai Yuanli said: Nowadays, some people suffer from acute illness, suddenly collapsing into unconsciousness with salivary flooding and phlegmatic rales, resembling Zhong Feng (Wind Stroke), often resulting in death. This is not caused by exogenous Wind pathogens, but by negligence in self-care. People indulge in rich and sweet foods, causing internal Heat stagnation; they engage in excessive sexual activity, depleting Kidney Water. Anger stirs Liver Fire, which rises uncontrollably because Kidney Water is insufficient to control it. The Fire carries Phlegm, which adheres to the throat and diaphragm, leading to untreatable conditions and rapid onset of disease.