麻黄汤(散一) 桂枝汤(散九) 麻桂饮(新散七) 愈风汤(散五六) 排风汤(散百五)
五积散(散三九) 续命汤(散五一) 小续命汤(散五二) 大续命汤(散五三) 大秦艽汤(和
二四五)
二丹丸(补一五六 养阴血) 黄 丸(补一五五 虚风) 八风散(和二百四十 风邪上
盛) 省风汤(和二三九 风痰) 清心散(和二四九 风痰) 琥珀寿星丸(和百十三 风痰)
涤痰汤(和二四八 风痰) 四白丹(和二五四 清气消风) 顺风匀气散(和二四二 行气
疏风) 薏苡仁汤(和二四七 中风流注) 虎骨散(和二百五十 半身不遂) 防风通圣散(攻
十六 风热便结) 三化汤(攻二九 邪实中焦) 胃风汤(散五七 虚风面肿) 秦艽升麻汤(
散五五 阳明中风) 地黄散(散五八 阴虚中风) 续命煮散(散五四 补虚散风) 十味锉
散(热四九 血弱身痛) 养正丹(热一八九 痰涎上壅) 养血当归地黄汤(和二四六 血
少拘挛)
非风一证,实时人所谓中风证也。此证多见卒倒,卒倒多由昏愦。本皆内伤积损颓败而
然,原非外感风寒所致。而古今相传,咸以中风名之,其误甚矣。故余欲易去中风二字,而
拟名类风,又欲拟名属风。然类风、属风,仍与风字相近,恐后人不解,仍尔模糊,故单用
河间、东垣之意,竟以非风名之。庶乎使人易晓,而知其本非风证矣。
一、凡诊诸病,必先宜正名。观《内经》诸篇所言风证,各有浅深脏腑虚实寒热之不同
,前义已详,本皆历历可考也。若今人之所谓中风者,则以《内经》之厥逆,悉指为风矣,
延误至今,莫有辨者。虽丹溪云∶今世所谓风病,大率与痿证混同论治,此说固亦有之。然
何不云误以厥逆为风也。惟近代徐东皋有云∶ 厥类风,凡尸厥、痰厥、气厥、血厥、
酒厥等证,皆与中风相类。此言若乎近之,而殊亦未善也。使果风厥相类,则凡临是证者,
曰风可也,曰厥亦可也,疑似未决,将从风乎?将从厥乎?不知《经》所言者,风自风,厥自
厥也。风之与厥,一表证也,一里证也。岂得谓之相类耶?奈何后人不能详察经义,而悉以
厥证为风。既名为风,安得不从风治。既从风治,安得不用散风之药。以风药而散厥证,所
散者非元气乎?因致真阴愈伤,真气愈失,是速其死矣。若知为厥,则原非外感,自与风字
无涉,此名之不可不正,证之不可不辨也。但名得其正,又何至有误治之患。诸厥证义详后
厥逆本门,当与此门通阅。
麻黄汤(散剂类第一条) 桂枝汤(散剂类第九条) 麻桂饮(新方散剂类第七条) 愈风汤(散剂类第五十六条) 排风汤(散剂类第一百零五条)
五积散(散剂类第三十九条) 续命汤(散剂类第五十一条) 小续命汤(散剂类第五十二条) 大续命汤(散剂类第五十三条) 大秦艽汤(和解剂类第二百四十五条)
二丹丸(补益剂类第一百五十六条,用于滋养阴血) 地黄丸(此处原文缺字,据补益剂类第一百五十五条及“虚风”语境推测为某地黄丸,补益剂类第一百五十五条,用于虚风内动) 八风散(和解剂类第二百四十条,用于风邪上盛) 省风汤(和解剂类第二百三十九条,用于风痰) 清心散(和解剂类第二百四十九条,用于风痰) 琥珀寿星丸(和解剂类第一百一十三条,用于风痰)
涤痰汤(和解剂类第二百四十八条,用于风痰) 四白丹(和解剂类第二百五十四条,用于清气消风) 顺风匀气散(和解剂类第二百四十二条,用于行气疏风) 薏苡仁汤(和解剂类第二百四十七条,用于中风流注) 虎骨散(和解剂类第二百五十条,用于半身不遂) 防风通圣散(攻下剂类第十六条,用于风热便秘) 三化汤(攻下剂类第二十九条,用于邪实中焦) 胃风汤(散剂类第五十七条,用于虚风面肿) 秦艽升麻汤(散剂类第五十五条,用于阳明中风) 地黄散(散剂类第五十八条,用于阴虚中风) 续命煮散(散剂类第五十四条,用于补虚散风) 十味锉散(热证散剂类第四十九条,用于血虚身痛) 养正丹(热证剂类第一百八十九条,用于痰涎上壅) 养血当归地黄汤(和解剂类第二百四十六条,用于血少拘挛)
非风这一病证,就是当时人们所说的中风证。这个病证多见突然昏倒,突然昏倒多是因为神志昏迷、心智混乱。其根本原因都是由于内伤导致元气亏损、身体衰败所致,原本并不是由外感风寒引起的。然而古今相传,都把它称为中风,这种错误太严重了。所以我想要去掉“中风”这两个字,打算命名为“类风”,又想命名为“属风”。但是,“类风”、“属风”仍然与“风”字相近,恐怕后人不能理解,依然模糊不清,所以单独采用刘河间、李东垣的意思,干脆用“非风”来命名它。这样或许能让人容易明白,知道它本来就不是风证。
一、凡是诊断各种疾病,必须先端正名称。观察《黄帝内经》各篇中所说的风证,各有深浅、脏腑虚实寒热的不同,前面的论述已经详细说明了,这些内容本来都是可以清楚考证的。如果像今人所说的中风,则是把《黄帝内经》中的厥逆证,全部指认为风证,延误至今,没有人加以辨析。虽然朱丹溪说:“当今世上的所谓风病,大体上与痿证混同论治”,这种说法固然也有道理。然而为什么不说是误将厥逆当作风证呢?只有近代的徐东皋曾说:“厥证类似风证,凡是尸厥、痰厥、气厥、血厥、酒厥等证候,都与中风相似。”这话似乎接近真理,但也并不完善。如果真的风证和厥证相似,那么凡是遇到这种证候的人,说是风也可以,说是厥也可以,在疑似之间不能决断,是跟随风证治疗呢?还是跟随厥证治疗呢?不知道《黄帝内经》所说的,风自是风,厥自是厥。风属于表证,厥属于里证。怎么能说它们相似呢?为什么后人不能详细考察经文的义理,而把所有的厥证都当作风证。既然名为风,怎么能不从风证治疗。既然从风证治疗,怎么能不用疏散风邪的药物。用风药来治疗厥证,所消散的不是元气吗?因此导致真阴更加受伤,真气更加丧失,这是加速死亡啊。如果知道是厥证,那么原本就不是外感,自然与“风”字无关,这就是名称不可不正,证候不可不辨析的原因。只要名称得当,又怎么会有误治的祸患。各种厥证的义理详见后文“厥逆”门类,应当与此门通读。
Ma Huang Tang (San, Formula No. 1) Gui Zhi Tang (San, Formula No. 9) Ma Gui Yin (Xin San, Formula No. 7) Yu Feng Tang (San, Formula No. 56) Pai Feng Tang (San, Formula No. 105)
Wu Ji San (San, Formula No. 39) Xu Ming Tang (San, Formula No. 51) Xiao Xu Ming Tang (San, Formula No. 52) Da Xu Ming Tang (San, Formula No. 53) Da Qin Jiao Tang (He, Formula No. 245)
Er Dan Wan (Bu, Formula No. 156; Nourishing Yin and Blood) Di Huang Wan (Bu, Formula No. 155; Deficient Wind) Ba Feng San (He, Formula No. 240; Excess Wind Pathogen Rising Up) Sheng Feng Tang (He, Formula No. 239; Wind-Phlegm) Qing Xin San (He, Formula No. 249; Wind-Phlegm) Hu Po Shou Xing Wan (He, Formula No. 113; Wind-Phlegm)
Di Tan Tang (He, Formula No. 248; Wind-Phlegm) Si Bai Dan (He, Formula No. 254; Clearing Qi and Dispelling Wind) Shun Feng Yun Qi San (He, Formula No. 242; Moving Qi and Dispersing Wind) Yi Yi Ren Tang (He, Formula No. 247; Stroke with Flowing Obstruction) Hu Gu San (He, Formula No. 250; Hemiplegia) Fang Feng Tong Sheng San (Gong, Formula No. 16; Wind-Heat with Constipation) San Hua Tang (Gong, Formula No. 29; Pathogenic Excess in the Middle Jiao) Wei Feng Tang (San, Formula No. 57; Deficient Wind with Facial Edema) Qin Jiao Sheng Ma Tang (San, Formula No. 55; Yangming Wind Strike) Di Huang San (San, Formula No. 58; Yin Deficiency Wind Strike) Xu Ming Zhu San (San, Formula No. 54; Tonifying Deficiency and Dispersing Wind) Shi Wei Cuo San (Re, Formula No. 49; Blood Deficiency with Body Pain) Yang Zheng Dan (Re, Formula No. 189; Phlegm-Saliva Rising Up) Yang Xue Dang Gui Di Huang Tang (He, Formula No. 246; Blood Scarcity with Cramping)
The syndrome of "Fei Feng" (Non-Wind) is what people at present call the syndrome of "Zhong Feng" (Wind Strike). This syndrome often presents with sudden collapse; sudden collapse is mostly due to loss of consciousness and mental confusion. Its root cause lies in internal injury leading to accumulated depletion and physical decline, and originally it is not caused by external contraction of wind-cold. However, through transmission from ancient times to the present, everyone has named it Zhong Feng (Wind Strike), which is a great error. Therefore, I wish to remove the term Zhong Feng (Wind Strike) and propose naming it Lei Feng (Resembling Wind), or even Shu Feng (Belonging to Wind). Yet, both Lei Feng (Resembling Wind) and Shu Feng (Belonging to Wind) are still close to the character Feng (Wind), fearing that later generations will not understand and remain confused. Thus, adopting solely the intent of Liu He Jian (Liu Wansu) and Li Dong Yuan (Li Gao), I simply name it Fei Feng (Non-Wind). This may make it easier for people to comprehend and realize that it is fundamentally not a Wind syndrome.
First, in diagnosing any disease, one must first correct the nomenclature. Observing the various discussions on Wind syndromes in the chapters of Nei Jing (Inner Canon of the Yellow Emperor), there are differences in depth, organ involvement, deficiency/excess, and cold/heat. The previous arguments have detailed this, and these points are clearly verifiable. If we consider what contemporary people call Zhong Feng (Wind Strike), they mistakenly identify all cases of Jue Ni (Jue Syndrome/Collapse) described in Nei Jing (Inner Canon of the Yellow Emperor) as Wind. This error has persisted until today without anyone distinguishing them. Although Dan Xi (Zhu Zhenheng) stated: "The so-called Wind diseases in the current world are largely treated similarly to Wei Zheng (Atrophy Syndromes)," this view has its merits. However, why not say that it is an error to mistake Jue Ni (Jue Syndrome/Collapse) for Wind? Only recently, Xu Dong Gao (Xu Ke) said: "Jue Syndromes resemble Wind syndromes; all conditions such as Shi Jue (Corpse-like Collapse), Tan Jue (Phlegm Collapse), Qi Jue (Qi Collapse), Xue Jue (Blood Collapse), and Jiu Jue (Alcohol Collapse) are similar to Zhong Feng (Wind Strike)." This statement seems plausible but is not entirely sound. If Wind and Jue were truly similar, then whenever encountering such a syndrome, one could call it Wind or Jue. With uncertainty remaining, would one follow Wind treatment or Jue treatment? One should know that what the Classics refer to, Wind is Wind, and Jue is Jue. Wind is a exterior syndrome, while Jue is an interior syndrome. How can they be called similar? Why do later generations fail to carefully examine the meaning of the Classics and treat all Jue syndromes as Wind? Since it is named Wind, how can one not treat it according to Wind principles? Since treating according to Wind principles, how can one avoid using Wind-dispelling herbs? Using Wind-dispelling herbs to treat Jue syndromes dissipates not the pathogen, but the Yuan Qi (Primary Qi)? Consequently, the True Yin is further injured, and the True Qi is further lost, thereby hastening death. If one recognizes it as Jue, it is originally not an external contraction, and thus has no relation to the concept of Wind. This illustrates why nomenclature must be corrected and syndromes must be distinguished. Once the name is correct, how could there be the danger of mis-treatment? The principles of various Jue syndromes are detailed in the subsequent section on Jue Ni (Jue Syndrome/Collapse); this section should be read in conjunction with that section.