此证方书多不载，人莫能辨，或先富后贫，先贵后贱，及暴忧暴怒，皆伤人五脏。多思则伤脾，多忧则伤
肺，多怒则伤肝，多欲则伤心，至于忧时加食则伤胃。方书虽载内因，不立方法，后人遇此皆如虚证治之，损
人性命。其证若伤肝脾则泄泻不止，伤胃则昏不省人事，伤肾则成痨瘵，伤肝则失血筋挛，伤肺则咯血吐痰，
伤心则颠冒，当先服姜附汤以散邪，后服金液丹以保脾胃，再详其证而灸之。若脾虚灸中府穴各二百壮，肾虚
灸关元穴三百壮，二经若实，自然
不死。后服延寿丹，或多服金液丹而愈，凉药服多，重损元气则死。（此证皆因七情所伤，五志之过，审其所
因而调治之，庶无失误。）
治验
一人年十五，因大忧大恼，却转脾虚，庸医用五苓散及青皮、枳壳等药，遂致饮食不进，胸中作闷。余
令灸命关二百壮，饮食渐进，灸关元五百壮，服姜附汤一二剂，金液丹二斤方愈，方书混作劳损，用温平小药
误人不少，悲夫！（大忧恼而得脾泄，医用五苓、青皮、枳壳，变尚如此，近有六脉虚脱，脾肾败坏，犹云不
妨而用此药者，又庸医中之 隶也。）
此证因冷痰聚于脑，又感风寒，故积而不散，令人头旋眼晕，呕吐痰涎，老年人宜服附子半夏汤，少壮人
宜服半夏生姜汤。若用凉剂则临时有效，痰愈凝而愈固，难以速效矣。（此即所谓头风证，故有冷痰聚脑，又
感风寒之说，若头晕则纯属于虚，盖肝虚则血不上荣，肺虚则清阳不运，肾虚则厥成颠疾，心虚则火炎浮越。
夫风虚痰火，间或有之，至于头风虚证不少，不可不知。）
治验
一人头风，发则旋晕呕吐，数日不食。余为针风府穴，向左耳入三寸，去来留十三呼，病患头内觉麻热，
方令吸气出针，服附子半夏汤永不发。华佗针曹操头风，亦针此穴立愈。但此穴入针，人即昏倒，其法向左耳
横下针，则不伤大筋，而无晕，乃《千金》妙法也。（此针法奇妙，须与高手针家议之，方得无误。）
一人起居如常，但时发头痛，此宿食在胃脘也，服丁香
丸十粒而愈。
这种病症在医书中大多没有记载，人们无法辨别。无论是先富裕后贫穷、先尊贵后卑微，还是突然的忧愁或暴怒，都会损伤五脏。思虑过多会伤脾，忧愁过多会伤肺，愤怒过多会伤肝，欲望过多会伤心，如果在忧愁时进食则会伤胃。医书中虽然记载了内因致病，但没有确立治疗方法，后人遇到这种情况都按照虚证来治疗，从而损害人性命。
如果病症损伤肝脾，则会出现腹泻不止；损伤胃，则会出现昏迷不省人事；损伤肾，则形成痨瘵（消耗性疾病）；损伤肝，则出现失血和筋脉拘挛；损伤肺，则出现咯血和吐痰；损伤心，则出现头昏目眩甚至昏厥。应当先服用姜附汤（干姜、附子组成的方剂）以驱散邪气，随后服用金液丹（主要成分为硫黄）以保护脾胃，再详细审视病情进行艾灸。如果是脾虚，艾灸中府穴各二百壮；如果是肾虚，艾灸关元穴三百壮。这两条经络如果得到充实，自然就不会死亡。之后服用延寿丹，或者多服用金液丹即可痊愈。如果服用凉性药物过多，严重损伤元气，就会导致死亡。（此病皆因七情所伤，五志过极所致，审察其病因并加以调治，才不会有失误。）
治疗案例：
有一人十五岁，因为极度忧愁恼怒，转而导致脾虚。庸医使用五苓散以及青皮、枳壳等药物，致使饮食不进，胸中感到闷胀。我让他艾灸命关穴二百壮，饮食逐渐恢复；又艾灸关元穴五百壮，服用姜附汤一两剂，金液丹两斤，这才痊愈。医书将此病混同为劳损，使用温平的小药，误人不浅，可悲啊！（因大忧恼而得脾泄，医生使用五苓散、青皮、枳壳，病情变化尚且如此，近来有人六脉虚脱，脾肾败坏，还说不要紧而使用这些药物的，又是庸医中的奴仆之类。）
这种病症是因为冷痰积聚在脑部，又感受风寒，所以积滞不散，令人头晕眼花，呕吐痰涎。老年人适宜服用附子半夏汤，年轻力壮的人适宜服用半夏生姜汤。如果使用凉性药剂，虽然暂时有效，但痰液会更加凝结牢固，难以迅速见效。（这就是所谓的头风证，所以有冷痰聚脑、又感风寒的说法。如果是单纯的头晕，则纯粹属于虚证，因为肝虚则血液不能上荣头部，肺虚则清阳之气不能运化，肾虚则厥逆成颠疾，心虚则火炎浮越。风、虚、痰、火，间或有之，至于头风的虚证不少，不可不知道。）
治疗案例：
有一人头风病，发作时眩晕呕吐，数日不进食。我为他针刺风府穴，向左耳方向进针三寸，留针十三呼，病人感觉头脑内部发麻发热，才令其吸气时出针，随后服用附子半夏汤，从此不再复发。华佗针刺曹操的头风病，也是针刺此穴立即痊愈。但是此穴进针，人就会昏倒，其方法是向左耳横下进针，这样就不伤到大筋，也不会晕厥，这是《千金方》中的妙法。（此针法奇妙，必须与高明的针灸专家商议，才能无误。）
This condition is rarely recorded in medical texts, and people are unable to distinguish it. Whether one goes from wealth to poverty, from nobility to lowliness, or experiences sudden sorrow or violent anger, all these factors damage the five Zang organs. Excessive thinking damages the Spleen (Pi), excessive worry damages the Lung (Fei), excessive anger damages the Liver (Gan), excessive desire damages the Heart (Xin), and eating while worried damages the Stomach (Wei). Although medical texts record internal causes of disease, they do not establish treatment methods. Later practitioners treated such cases as deficiency syndromes, which often proved fatal.
If the Liver and Spleen are damaged, there will be incessant diarrhea; if the Stomach is damaged, there will be coma and loss of consciousness; if the Kidney (Shen) is damaged, it develops into Laozai (consumptive disease); if the Liver is damaged, there will be hemorrhage and tendon spasms; if the Lung is damaged, there will be hemoptysis and expectoration of phlegm; if the Heart is damaged, there will be dizziness and fainting. One should first administer Jiangfu Tang (Decoction of Ginger and Aconite) to disperse pathogenic factors, then administer Jinye Dan (Golden Elixir Pill) to protect the Spleen and Stomach, and finally perform moxibustion after a detailed examination of the symptoms. For Spleen deficiency, moxaize Zhongfu (LU-1) acupoint with 200 moxa cones on each side; for Kidney deficiency, moxaize Guanyuan (CV-4) with 300 moxa cones. If these two meridians are filled and strengthened, death can be avoided. Subsequently, administering Yanshou Dan (Longevity Pill) or taking more Jinye Dan will lead to recovery. However, excessive intake of cold-natured medicines severely damages Yuanqi (Original Qi), leading to death. (This condition is caused by injuries from the Seven Emotions and excesses of the Five Wills; treating it based on the specific cause ensures no errors.)
Case Record:
A fifteen-year-old patient developed Spleen deficiency due to extreme sorrow and annoyance. Quack doctors prescribed Wu Ling San (Five-Ling Powder) along with Qingpi (Tangerine Peel) and Zhike (Bitter Orange Fruit), resulting in an inability to eat and chest stuffiness. I instructed him to moxaize Mingguan (Life Gate) with 200 moxa cones, after which his appetite gradually returned. He was then moxaized at Guanyuan (CV-4) with 500 moxa cones, administered Jiangfu Tang for one or two doses, and took two jin of Jinye Dan, after which he recovered. Medical texts mistakenly classify this as Lao Sun (labor injury/consumption), using mild warm-and-neutral medicines, causing much harm. How tragic! (Spleen diarrhea caused by great sorrow and annoyance, treated with Wu Ling San, Qingpi, and Zhike, changes so drastically; recently, some patients with empty and collapsed pulses and ruined Spleen and Kidney were told it was harmless and given these drugs by quacks, who are but servants among quacks.)
This condition arises because cold-phlegm accumulates in the brain and is compounded by Wind-Cold invasion, causing stagnation that does not dissipate. This leads to vertigo, dizziness, and vomiting of phlegm-saliva. Elderly patients are suitable for Fuzi Banxia Tang (Aconite and Pinellia Decoction), while young and vigorous patients are suitable for Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction). If cold-natured prescriptions are used, although there may be temporary relief, the phlegm becomes more condensed and fixed, making rapid recovery difficult. (This is what is referred to as Toufeng (Head Wind) syndrome, hence the theory of cold-phlegm accumulating in the brain and Wind-Cold invasion. Pure dizziness, however, belongs entirely to deficiency: Liver deficiency means blood cannot nourish the head; Lung deficiency means clear Yang cannot circulate; Kidney deficiency leads to Jue Ni (rebellious Qi) and Dian Ji (epilepsy/fainting); Heart deficiency leads to flaming fire floating upward. Wind, deficiency, phlegm, and fire occur occasionally, but deficiency patterns in Head Wind are numerous and must be known.)
Case Record:
A patient suffered from Toufeng, experiencing vertigo and vomiting during attacks, refusing food for several days. I needled Fengfu (DU-16) acupoint, inserting the needle three cun towards the left ear, retaining the needle for thirteen breaths. The patient felt numbness and heat inside the head. I instructed him to inhale deeply before withdrawing the needle. He then took Fuzi Banxia Tang and never had a recurrence. Hua Tuo also cured Cao Cao’s Toufeng by needling this acupoint for immediate relief. However, needling this acupoint usually causes fainting. The method is to insert the needle horizontally downwards towards the left ear; this avoids damaging the large tendons and prevents fainting. This is a wonderful method from Qianjin Fang. (This acupuncture technique is subtle and must be discussed with expert acupuncturists to ensure accuracy.)
Another patient lived normally but occasionally suffered headaches. This was due to retained food in the Wei (Stomach) region. Taking ten pills of Dingxiang Wan (Clove Pill) led to recovery.