小儿血气柔弱。肌肉 薄。若寒温失度。则肤腠开而为风邪所中。始着俞穴而行经脉。次随血气而入腑脏。
从其所着。即生病焉。其入腑脏者。唯心肺二脏居膈膜之上。空隙之处。又俞穴亦在于上。故风乃易中。而有患
者。其状昏困不省。手足抽掣。心胸满。气短多汗。此尤为急。大抵其余腑脏。皆居膈膜之下。叠实之处。又俞
穴亦在于下。故风乃难中。而无患者。其入于经脉者。为病甚多。今采其有患者具之。
风痉者(一云风 )风邪伤中阳经也。或因解脱。或脐疮未合。为风所伤。皆令发痉。其状口噤不开。项背
身体强直。耳中策策而痛。一向昏愦不省。其脉如弦。直上下也。虽与惊痫相似。然发而时醒身软者。惊痫
也。若发不时醒。身硬强直者。风痉也。其卒然身痉者死。
风角弓反张者。亦由风伤阳经也。故令腰背反折。不能俯屈。如角弓之状。此亦颇似痉病。然痉病身体强
直。此病身体反折。所以异也。
风口噤者。手三阳之筋入络颔颊。足阳明之筋上夹于口。风邪中于诸阳之筋。使机关挛急不利。故使口噤不
能开也。诊其脉迟者生。
风拘挛及不遂者。风邪寒热入于经络。搏于筋脉。筋脉受邪。冷
则四肢拘挛。热则缓纵不遂也。诊其脉。脉急细如弦者。筋急拘挛也。若脾脉缓弱者。四肢不遂也。
风口眼 斜者。由风邪入于颔颊之筋。其脉偏急。故令口眼 斜。目不能平视。语不能正也。诊其脉浮而
迟者可治。又云。夜卧当耳有隙。因风入耳。亦令人口 也。
风 不省者。由风邪先中于阴。病发于五脏。其状奄忽不知人事。喉中噫噫有声。舌强不能言。汗出身软。
眼下鼻两边人中左右有色白。可治。若一黑一赤吐沫者。难治。汗不出体直者死。
小儿的血气柔弱,肌肉薄弱。如果寒温调节失当,就会导致皮肤腠理开泄,从而被风邪侵袭。风邪首先停留在腧穴,然后沿着经脉运行,接着随着气血的运行进入腑脏。根据风邪停留的部位不同,就会引发相应的疾病。
那些侵入腑脏的风邪,只有心和肺两个脏器位于膈膜之上,处于空隙之处,而且腧穴也主要分布在上部,所以风邪容易侵袭这里,导致患病。其症状表现为神志昏沉困倦、不省人事,手足抽搐掣动,心胸胀满,气短且多汗。这些情况尤为危急。大抵其余的腑脏都位于膈膜之下,处于厚实重叠之处,而且腧穴也分布在下部,所以风邪难以侵袭,通常不会因此患病。至于侵入经脉的风邪,引发的病症非常多,现在选取其中确实有患者出现的病症列举如下。
风痉(一种以项背强直、角弓反张为特征的病证):这是风邪伤害中阳经所致。可能是因为肢体解脱(指关节脱臼或外伤),或者脐疮未愈合,被风邪所伤,都会导致发痉。其症状表现为牙关紧闭不能张开,颈项、背部及身体强直,耳中感到刺痛,一直神志昏乱不省人事。脉象如弦脉一般,直上下延伸。虽然这与惊痫(小儿惊风与癫痫)相似,但如果发作时有时清醒、身体柔软的是惊痫;如果发作时经常不醒、身体僵硬强直的是风痉。如果突然发生全身痉挛僵硬的,预后不良,会导致死亡。
风角弓反张(身体向后弯曲如弓状):也是由风邪损伤阳经所致。导致腰背向后反折,不能向前俯身屈曲,形状像角弓一样。这也颇似痉病,但痉病是身体强直,而这个病是身体向后反折,这就是两者的区别。
风口噤(牙关紧闭):手三阳经的筋络入连颔颊,足阳明经的筋上行夹于口旁。风邪侵袭诸阳经的筋脉,使关节机关挛急不利,从而导致牙关紧闭不能张开。诊察其脉象,若脉迟者,预后良好,可生。
风拘挛及不遂(肢体拘挛及运动障碍):风邪夹杂寒热侵入经络,搏结于筋脉。筋脉受邪,遇冷则四肢拘挛紧缩,遇热则筋脉松弛导致肢体运动不利。诊察其脉象,若脉急细如弦,是筋脉紧急拘挛的表现;若脾脉缓弱,则是四肢运动不利的表现。
风口眼歪斜:由于风邪侵入颔颊部位的筋脉,导致一侧脉象偏急,从而使口眼歪斜,眼睛不能平视,言语不正。诊察其脉象,若浮而迟者,可以治疗。又有说法称,夜间睡觉时耳朵若有缝隙进风,风邪入耳,也会导致口眼歪斜。
风不识人(中风昏迷):由于风邪先侵袭阴经,病发于五脏。其症状表现为突然不知人事,喉中有痰鸣声,舌体强硬不能言语,出汗后身体柔软。眼下及鼻翼两旁、人中穴左右出现白色色泽的,可以治疗。如果出现一黑一赤并吐白沫的,难治。若不出汗且身体僵直的,会导致死亡。
The blood and qi of infants are weak, and their muscles are thin. If the regulation of cold and warmth is improper, the skin pores will open, allowing wind pathogenic factors to invade. The wind pathogen first lodges in the Shu points (Acupoints for dispersing pathogenic factors) and travels along the meridians, then enters the Fu organs (Yang organs) and Zang organs (Yin organs) following the circulation of blood and qi. Depending on where it lodges, specific diseases arise.
Among the Zang organs that receive the wind pathogen, only the Heart and Lung reside above the diaphragm, in hollow spaces, and their corresponding Shu points are also located superiorly. Therefore, wind easily invades these areas, causing illness. Symptoms include mental confusion and lethargy, loss of consciousness, twitching and spasms of the limbs, chest and heart fullness, shortness of breath, and excessive sweating. These conditions are particularly critical. Generally, the remaining Fu organs reside below the diaphragm in dense, overlapping areas, and their Shu points are located inferiorly; thus, wind rarely invades them, and they seldom suffer from such afflictions. Regarding wind invading the meridians, it causes numerous diseases. Here, we list those with documented cases.
Wind Spasm: This occurs when wind pathogenic factors damage the Yang meridians. It may result from joint dislocation or trauma, or an unhealed umbilical wound being exposed to wind, all leading to spasm. Symptoms include trismus (lockjaw) where the mouth cannot open, rigidity of the neck, back, and body, stabbing pain in the ears, and persistent mental confusion with loss of consciousness. The pulse is wiry (Xian), extending straight up and down. Although similar to Startle Epilepsy (Jing Xian), if the patient regains consciousness intermittently and the body becomes soft during episodes, it is Startle Epilepsy; if the patient remains unconscious frequently and the body is stiff and rigid, it is Wind Spasm. Sudden onset of generalized spasm indicates a fatal prognosis.
Wind Opisthotonos (Body bent backward like a bow): This is also caused by wind damaging the Yang meridians, resulting in hyperextension of the waist and back, preventing forward flexion, resembling a bowstring. While similar to Spasm disease, Spasm involves general rigidity, whereas this condition involves backward hyperextension, which distinguishes the two.
Wind Trismus (Lockjaw): The tendons of the Hand-Yang meridians connect to the jaw and cheeks, and the tendons of the Foot-Yangming Meridian ascend alongside the mouth. When wind pathogenic factors invade the tendons of the Yang meridians, causing joint stiffness and dysfunction, it results in an inability to open the mouth. Diagnosis reveals that a slow pulse indicates survival.
Wind Contracture and Paralysis: Wind pathogens mixed with cold and heat enter the meridians and bind to the tendons and vessels. When the tendons and vessels are affected by cold, the limbs contract and cramp; when affected by heat, the tendons relax, leading to motor impairment. Diagnosis shows that an urgent, fine, wiry pulse indicates tendon tension and contracture, while a slow and weak Spleen pulse indicates limb paralysis.
Wind Facial Paralysis (Deviation of Mouth and Eyes): Caused by wind pathogenic factors entering the tendons of the jaw and cheeks, leading to uneven tension in the meridians. This causes deviation of the mouth and eyes, inability to look straight ahead, and slurred speech. A floating and slow pulse indicates treatability. Another theory suggests that wind entering the ear through gaps during sleep can also cause facial deviation.
Wind Unconsciousness (Stroke Coma): Occurs when wind pathogenic factors first invade the Yin meridians, affecting the Zang organs. Symptoms include sudden loss of consciousness, gurgling sounds in the throat, tongue stiffness preventing speech, sweating followed by a soft body, and white discoloration under the eyes, beside the nose, and around the Renzhong point. These signs indicate treatability. If one side is black and the other red with foaming vomit, it is difficult to treat. If there is no sweating and the body is rigid, it leads to death.