帝曰∶劳风为病何如?岐伯曰∶劳风法在肺下,其为病也,使人强上冥视,唾出若涕,恶风而振寒,此为
劳风之病。帝曰∶治之奈何?岐伯曰∶以救俯仰。巨阳引精者三日,中年者五日,不精者七日,咳出青黄涕,
其状如浓,大如弹丸,从口中若鼻中出,不出则伤肺,伤肺则死也。
太阳经浅在皮毛,而皮毛为肺之合,平日劳伤肺气,太阳风邪乘虚入肺,肺气主降,邪随走于肺下。太阳
经脉为目上纲,风邪伤之,故目不能正视,勉强上视,即冥无所见;肺下之邪,与津液胶结,故唾出稠痰如涕;
表邪仍在,故恶风而振寒,此因劳伤而感风邪,故名劳风。太阳经脉行于背,故背强不能俯仰,治之当先救其
俯仰,用针法引太阳经之精气三日,若中年及精衰之人,须引五日七日,精气生发,则内陷之邪得以渐出,咳
出青黄涕如浓,大如弹丸,或从口或从鼻而出,病方可愈。若邪不出,则伤肺,伤肺将成失音、肺痈等病而死
也。引太阳精气,如用药当开提肺气,疏利太阳经脉也。
《素问·病能篇》帝曰∶有病身热解堕,汗出如
浴,恶风少气,此为何病?岐伯曰∶病名酒风。治之以泽泻、术各十分,麋衔五分,合以三撮,为后饭。
酒热伤风,腠理疏豁,外风易入,内多湿气,故汗出如浴,恶风少气,身热懈惰,病名酒风。即上《风论》
所云饮酒中风,则为漏风是也。治之以泽泻、术健脾去湿,麋衔草祛风邪,合为散,服三撮,后以饭压之。
黄帝问道:劳风病是怎样的?岐伯回答说:劳风病的病位通常在肺下,这种病使人颈项强直、视物模糊,咳唾出像鼻涕一样的稠痰,怕风且伴有寒战,这就是劳风病。
黄帝问道:如何治疗它?岐伯回答说:治疗的关键在于缓解俯仰困难的症状。对于太阳经精气充盛的人,三日可愈;中年人五日可愈;精气不充盛的人七日可愈。期间会咳出青黄色的涕状痰,其性状像浓痰,大小如弹丸,从口中或鼻中排出,如果排不出来就会损伤肺部,损伤肺部就会导致死亡。
(注释部分)太阳经浅表于皮毛,而皮毛是肺的合应部位。平日劳伤肺气,太阳风邪便乘虚侵入肺脏。肺气主降,邪气随之走窜到肺下。太阳经脉是眼睑的上纲,风邪侵袭此脉,所以眼睛不能正视,只能勉强向上看,即视物昏暗不明;肺下的邪气与津液胶结,所以咳唾出稠痰如鼻涕;表邪仍在,所以怕风且寒战,这是因为劳伤后感受风邪,所以名叫劳风。太阳经脉行于背部,所以背部强直不能俯仰,治疗时应当先解决俯仰困难的问题。如果用针法,引导太阳经的精气,精气充盛者三日见效,若中年及精气衰退的人,需引导五日或七日,待精气生发,内陷的邪气便能逐渐排出,咳出青黄如脓的涕状痰,大如弹丸,或从口或从鼻而出,病方可痊愈。如果邪气不能排出,就会损伤肺部,损伤肺部将导致失音、肺痈等疾病而死亡。所谓引导太阳精气,如果用药物治疗,就当开提肺气,疏利太阳经脉。
《素问·病能篇》记载:黄帝问道:有人患病身体发热、肢体懈怠无力,汗出如洗澡一般,怕风且气短,这是什么病?岐伯回答说:这个病名叫酒风。用泽泻、白术各十分,麋衔草五分,混合在一起,每次取三撮,饭后服用。
(注释部分)酒热伤风,腠理疏松敞开,外风容易侵入,体内多有湿气,所以汗出如浴,怕风且气短,身体发热且懈怠懒惰,病名叫酒风。这就是前面《风论》中所说的饮酒后中风,也就是所谓的漏风。治疗用泽泻、白术健脾祛湿,麋衔草祛除风邪,混合为散剂,每次服用三撮,饭后以饭送服压之。
Yellow Emperor asked: What is the nature of the disease known as Labor Wind (Laofeng)? Qibo replied: The location of Labor Wind is typically below the Lung. This disease causes stiffness in the neck and upper back, blurred vision, expectoration of thick sputum resembling mucus, aversion to wind, and chills. This constitutes the disease of Labor Wind.
Yellow Emperor asked: How should it be treated? Qibo replied: The treatment aims to relieve difficulty in bending and extending the body. For individuals with abundant essence and qi in the Taiyang Meridian (Greater Yang Meridian), recovery occurs in three days; for middle-aged individuals, five days; and for those with deficient essence and qi, seven days. During this process, they will cough up greenish-yellow nasal discharge or sputum, which resembles thick pus and is as large as a bullet. It is expelled from the mouth or nose. If not expelled, it damages the Lung, and damage to the Lung leads to death.
(Commentary) The Taiyang Meridian lies superficially in the skin and hair, and the skin and hair are the exterior correspondence of the Lung. Chronic labor injures Lung Qi, allowing Wind pathogen of the Taiyang to enter the Lung via deficiency. Lung Qi governs descent, so the pathogen moves downward to below the Lung. The Taiyang Meridian serves as the upper margin of the eyelids; when Wind pathogen attacks this meridian, the eyes cannot look straight ahead, forcing an upward gaze, resulting in dim or unclear vision. The pathogen below the Lung binds with body fluids, causing the expectoration of thick sputum like mucus. Since the exterior pathogen remains, there is aversion to wind and chills. Because this arises from injury due to labor followed by Wind invasion, it is named Labor Wind. The Taiyang Meridian runs along the back, causing back stiffness and inability to bend or extend. Treatment should first address the difficulty in movement. If using acupuncture to guide the essence and qi of the Taiyang Meridian, it takes three days for those with robust essence; for middle-aged or declining individuals, five to seven days are needed. Once essence and qi regenerate, the internalized pathogen gradually exits, manifested as coughing up greenish-yellow sputum resembling pus, large as a bullet, expelled from the mouth or nose, leading to recovery. If the pathogen does not exit, it damages the Lung, potentially leading to loss of voice or Lung Abscess (Feiyong), resulting in death. Guiding Taiyang essence and qi pharmacologically involves uplifting Lung Qi and unblocking the Taiyang Meridian.
In *Suwen*, Chapter "Disease Capabilities": Yellow Emperor asked: There is a patient with fever, limb flaccidity and weakness, profuse sweating as if bathing, aversion to wind, and shortness of breath. What disease is this? Qibo replied: This disease is named Wine Wind (Jiufeng). Treat it with Zexie (Rhizoma Alismatis) and Baizhu (Radix Atractylodis Macrocephalae), each ten parts, and Muxian (Herba Siegesbeckiae), five parts. Mix them, take three tuas per dose, and administer after meals.
(Commentary) Heat from wine injures the surface, causing Wind pathogen to invade while pores are open. Internal dampness prevails, leading to profuse sweating, aversion to wind, shortness of breath, fever, and physical lassitude. Hence, it is named Wine Wind. This corresponds to the "Leakage Wind" (Loufeng) mentioned in the previous chapter "Wind Diseases," referring to contracting Wind after drinking alcohol. Treatment uses Zexie and Baizhu to strengthen the Spleen and remove dampness, and Muxian grass to dispel Wind pathogen. Mixed into a powder, three tuas are taken, followed by rice to aid absorption.