轻重，刺制不得散漫，速为顺气疏风，燥湿舒筋，健脾补血，则气血和而风湿去矣。
如病者因其所患甚微，不以为意而医者又不明其证之暴烈， 然不觉，妄投补泻，致
风湿之毒遍流身体，遂致眼反唇翻，眉脱发落，手足痿痹，十指堕折，肌肉溃烂，斯
时也虽有轩岐再世，卢扁复生，何能施其术哉？可不痛乎！其十四五岁而发者，元
阳未充，天癸未至，肾元何由而伤，盖此非壮年而论，缘先天不足，气血俱亏，肤
腠虚疏，为父母者，不明其本源，失于护育，致感寒湿之邪入于筋骨，复受虚风搏
结而成，其发之速，其遍之易，非壮年可比，百不能全四五，何也？因其筋骨未坚，
肌肉脆嫩，毒易攻耳。其四五岁而发者，尤甚于此，盖人禀父精母血，得成一点真元，
然后生两肾，而肾生肝，肝生心，心生脾，脾生肺，五脏成而六腑就，百骸备而皮肉
生，完形全体而后生育，此证缘父母交媾之前，先有湿证，所怀之胎，岂无是疾，既
生之后，日积月累，遍溢周身，复感风邪，湿遇风而化热，熏蒸血脉肌肉，遂发此证，
故一发即遍，随成坏证，百不一救，皆由父母之故也。然麻疯以前诸家各论，只言
其风，不及其湿，因不能明其病之本源，亦非确论。且风属木肝也，而肝主筋，若无
湿以兼之，甚则成瘫痪，半身不遂，轻则为筋脉抽掣麻木，挛痹不仁，而麻疯因风
湿搏结于骨髓，久而化热，其势日甚，风随鼓动，湿热壅遏于肌肉之间，皮毛之分，
初作麻木，此风之病也，迨后皮穿肉腐，筋断骨折，非湿之为害，焉能至此。然湿久
则生虫，内食脏腑，外食肌肉，损筋坏骨，久则漫延无所不致矣。但毒发于五脏，亦
有可验之处，如毒盛于心，则喜怒不常，面带赤色，言语不快，眼生 肉，多发泡疹，
痛痒麻痹不常。毒盛于肝，善怒而色苍，嗌干多忿，上视面生小泡而浮肿。毒盛于肺，
多汗恶风，时嗽短气，浑身瘙痒，昼静夜剧，甚则眉发落也。毒盛于脾，身体怠惰，
四肢不收，身面黄而弱，遍身红癣，或生瘾疹。毒盛于肾，面目浮而腰脊痛，不能
正立，色惨怡颜，则脚底先穿。夫麻疯之证有五死五不治之说，一曰皮死，麻木不
仁；二曰肉死，则割切不痛；三曰血死，则肌肉溃烂；四曰筋死，指甲脱落；五曰骨
死，鼻梁崩塌，眼断唇翻；五死既现，故曰难治。一曰不能戒忌者不治；二曰酒色
不戒者不治；三曰不耐性而多怒者不治；四曰思虑多者不治；五曰大小不利者不治。又
曰∶男左脚起者难治，女右脚起者难治，此乃业医者之效略，不可不知也。（《医学要则》）
二十六种疯证歌诀
心经大麻蛇皮疯，脱根邪昧鱼鳞血。肝经鹅掌鼓槌疯，血痹 糕痛癫说。脾经半
肢软瘫疯，紫云刺干痒疯别。肺经白癜 毛疯，历节壁泥疹哑列。肾经冷麻漏蹄疯，
蛤蟆桃热与水决。胃经雁来疙瘩疯，蝼蝈 曳蛊疯捷。
（心经）
大麻疯 乃肾虚受湿，肝虚动风，风湿相搏，壅遏于血脉肌肉皮毛，初觉或头
面手足一点麻木，不知痛痒，不即医治，渐发遍身，久则眉落唇翻，十指堕脱，肌肉
溃烂，不能治矣。（宜麻疯丸、回生丸、还真丹、白花蛇丸、清肾愈风汤。）
蛇皮疯（兼肾经）。乃先发臀股间，皮肤迸裂，形如蛇腹之纹，或痛或痒，蔓延周
身，发极迅速，若不速治，则不救矣。宜火龙丹兼大补之。忌点刺熏蒸，犯则即死。（宜火龙丹、利疯丹、奇效丸。）
脱根疯（此证肾经俱多）。初发起于脚根，并两胯下起水泡，或破裂，或生小疮，或生
肿茧，或痛或痒，久则穿烂，沿至足底，俗呼草鞋疯，又名鱼腮疯，同一类也。（宜奇效丸、火龙丹、大消风散。）
鱼鳞疯（此证兼肺经）。初发起于遍身干白，浮痒麻木，渐生小疮，变成梅花片，如刀
刮鱼靥之皮，痒而搔之则痛，或出黄水，冷热俱怕。（宜一粒金丹、利疯丹、火龙丹，大消疯散。）
邪昧疯 初发忽然悲哭，如醉狂言，惊怖喜笑不语，梦昧多魇，或与鬼交，乍寒
乍热，心胸饱闷，闻气不食，古云气注。（宜珍宝三生丹、疏风散。）
血疯（此证兼肝脾肾三经）。病缘醉饱行房，
纵欲或斗狠，裸体入水，或忿怒饮食，或忍饥戮力，风湿内侵，久久邪毒攻冲，初
起周身肌肉红肿，形如被杖，遍身血泡，邪乘于阳则旦甚暮平，邪乘于阴则暮甚旦平，
或吐衄呕咯等血，或哕噫吞酸，喜怒不常，或生红片，麻木不仁，肿处穿烂，流水不
止，或血从大便中出，面目浮肿，头痛脑裂，手足挛痹，皆由风湿之邪，积久化热，
而风逞湿热之助，湿热仗风之威，攻冲泛溢，无所不至，攻伤于心肺，则致吐衄等
血，攻伤于肌肉皮毛，则致红肿麻木，穿漏溃烂之殃，而成不救之患，可不恤哉？初
觉之时，急用疏风散、正阳丹调治，尤可保勿死。
（肝经）
鹅掌疯（此证兼肺经）。始发起于手心并脚踝拐，生紫白癣，麻痒顽皮，搔之则起
白屑，痛痒不常，或生足面，称为鞋带疯，久则穿溃延及遍身。（宜大消疯散、二八济阳丹、小枣丹、黑光汤。）
鼓槌疯（此证系肾经而兼肝经）初起时膝间酸痛，怕见寒湿风冷，行步艰难，俗呼为
寒湿香港脚，久则肢胫虚弱，骨节大痛，大肉消去，膝盖踝骨渐大，脚趾酸麻，形如
鼓槌。（宜神仙换骨丹、枣灵丹、独圣散、洗浴药方。）
血痹疯（此属肾为重）。此因体虚而多劳苦，皮腠虚疏，易感风湿之邪，侵入血分，
积蓄既久，化热成虫，蠹食肌肉。初起疲倦汗出，卧寐不时，身体摇动如被风吹，久
则渐发紫块，痛极则痒，痒极则痛，遂致鼻塌挛跛而死。（宜正阳丹、乳香搜风丸。）
糕疯（此证兼脾肾二经）。此缘酒色过度，不避风湿，足三阴经受邪，气血凝滞，
久则化热成毒，热盛冲激，泛溢周身，初发于眉棱骨上，或面颊间，结成 ，久
变为疮，溃烂臭恶腥秽，脓流粘着之处，即变成疮，头足乖张，眼塌鼻倒，指折唇翻，
遂成不救而死。初发速用乳香搜风丸、苦参丸、大消风散，并大补气血，再用药汤洗浴，可保无虞。
痛疯 初发四肢骨节抽掣疼痛，昼夜不能屈伸，卧难转侧，久则遂成瘫痪，不
能起床。（宜乳香搜风丸、大定风丸、麻黄饮、愈风汤、芎术丹。）
癫疯（此证兼脾肾二经）。凡多怒则伤肝，多欲则伤肾，饮食不节则伤脾，然多怒则
肝动，肝动则风生，肾多欲则阳虚，阳既虚则阴寒盛矣，脾缘饮食不节而致伤，则
不能运化留积而成湿，不即调治，则气血乖张，腠理不固，而六淫之客邪入与主病
相合，乃成恶疾。是以初起寒热交作，或呕哕咳吐，皮肉肿胀，若不能驱邪辅正，遂
成狂妄叫号，筋挛手振，四肢牵引，甚至歌舞笑骂，毛瘁色败，变证百出而死。初
觉即宜（夺命还真丹、三生丹、四磨丹、驱邪安神丸。）
（脾经）
半肢疯（此证兼肾经）。是证或因先天不足，而受寒湿之邪，或因大醉行房，而酒
湿热之气乘虚入于筋骨，外又复感风邪，风木盛而土虚不能生金，肺肾无根，贼邪独
胜，故成偏风，或左或右，骨节抽掣，疼痛难忍，手足不能屈伸，营血凝滞，不能
行于经络，故筋挛而络纵，遂成瘫痪，呼疼号痛，日夜无休而死，或曰偏风，又曰
痿痹，其证一也。（宜乳香搜风丸、宝珍丹、正阳丹、芎术散、驱邪安神丸、救苦再生丹。）
软瘫疯 此证缘气血俱虚，肌肉疏缓，肤腠不固，致感风邪，乘虚入骨，久而化
热，壅遏于经络，气血不能营运，筋无血养，以致肢体日夜酸痛，手足无力，拘挛
不能伸，弛纵不能屈，身软如绵，或骨节举动有声，遂成瘫痪矣。（宜搜风顺气丸、宝珍丹、
正阳丹、神仙换骨丹、芎术散。）
紫云疯 此证素因气血虚而多火，动彻则汗雨淋漓，然气虚则腠理疏，而衣被
之湿易侵皮肤，随又复感风邪，风与湿搏，凝滞于皮肤之间，久则生虫，致起紫黑斑
点，延漫遍身，似霞如云，非癣非疥，时作痛痒，久则高肿，渐作麻木，以致丧身
害命者，百有四五。（宜清风饮、洗浴药方。）
干疯（此证属肝肾二经）。此缘肺气虚而感风邪，然金虚不能生水，肾之本源则津液
枯涸，以致肌肤干燥，且风邪入于皮肤既久，变热成湿，故身无痛处，渐生黑白斑
点，手足心底发热如烙，遍身发痒，而成调治不痊之证。（宜复元丹，并用药汤洗浴，避风取汗。）
刺疯 此系营虚多热，热盛则腠理不密，易于汗出，是以风邪乘虚而入，然汗
出多则血益虚，且风之性动，遂壅热横行于经络之间，如遇正争，气逆而不行，故
致有刀锥所刺之状，待寻摸时而邪正已分行矣，故痛无定处，譬诸明末流贼，如遇
富饶之处，尽情抢掳，及至官军知剿，则又不知去向矣。或肢节间如火烧熨，酸痛
难忍。（宜一粒金丹、小枣丹。）
痒疯（此证兼肺经） 此病缘卫气素虚，腠理不固，风邪易入，浮游于皮肤之间，故
浑身燥痒不息。（宜正阳丹、大消风散。）
（肺经）
白癜疯（兼脾经）。此证因脾积热，不能生金，肺虚受风，燥其津液，夫血赖脾摄
而行，今脾为邪热所困，不能统血而行，肺受风邪，壅滞于皮毛，气血不和，营运失
节，风邪所壅之处，渐变为白矣。然四肢为脾之本，皮毛乃肺之合，故起于手足者
居多。（宜枣灵丹、神效追疯丸、玉枢丹。）
毛疯（兼心肾二经）。此由乘汗入水，或肾虚而履霜坚冰，致受寒湿，久则化火成
毒，势盛攻冲，激动心火上炎克肺，而湿热之毒流注经络，故偶然搔触，悴然痛极，
如被 毛所螫之状，久则遍体走注，转侧动摇如被刀针剜刺，其体痛楚难忍，如走
注已遍，不能救矣。（宜大消风散、乳香搜风丸、大定风丸、利风丹、救苦回生丹、驱邪安神丸。）
历节疯（兼肝肾二经）。此证由纵欲伤肾，大怒传肝，兼且不能节避，下伤于湿，外感于风，而风湿之邪乘虚入于筋
骨，复又不明调治，蕴蓄既久，则化热成毒，有碍于营卫营运之道，是以肘膝肩膊之间，酸麻抽掣，筋挛节大，手足难
以举动，遂成瘫痪矣。（宜驱邪安神丸、救苦回生丹、大定风丸。）
壁泥疯（兼肝脾二经）。此证缘肝风气盛，克伤脾土，复又好食生冷动湿之物，致脾
虚而不能运化，湿滞于中，积久化热，然脾土肌肉，而风壅湿热之毒，遍行于肌肉
之间，气血不运则肉不荣矣。故肌肤变为灰白色，如陈壁泥之状，因湿重风轻，故
无痛痒，若延及遍身，则不救矣。（宜乳香搜风丸、芎术散。）
疹疯（兼心脾二经）。此证因脾经积湿，致土衰不能生金，肺虚易感风邪，蕴蓄既久，
变而为湿热之毒，蒸郁于肌肉之间，则虫生矣。故初起瘾疹如麻豆疥癣之状，或麻
痒而不疼，或疼而不麻痒，久则连片穿烂，以成不救之证。（宜小枣丹、玉枢丹。）
疯（兼肝脾二经）。凡多怒则伤肝，气有余便是火，致木动而风生矣。脾土受风木
之伤，艰于运化，留滞而成湿，且脾土既衰，不能输精于肺，肺亦衰矣。而肝木之
邪，乘胜己之脏衰，反挟脾之湿邪上乘于肺，然肺主声，金空则鸣，今被肝脾湿热
之邪干，窍塞而不通，故初则声嘶，久则声哑矣。（宜宝珍丹、夺命还真丹。）
（肾经）
冷疯（兼脾经）。此缘肾虚而感风湿之邪，然肾主骨，肾既虚则骨髓不充，而风
湿之邪乘虚入于肢节之间，日久邪甚，盈溢于肌肉之内，故初时为麻木不仁，或时
冷痛，或肢节酸疼，遇冬则伏床不起，久则气血不行，发泡穿烂而死。（宜奇效丹、正阳
丹、还真丹、乳香搜风丸、冷疯方。）
漏蹄疯 此证盖因色欲太过，肾经伤竭，兼又不善趋避，履霜蹈雪，足底受寒
湿之邪，积久化热成风，气血不行，故初起先于涌泉穴麻痒不仁，渐发水窠，穿破
则流黄水，久则游溢周身，生蠹秽烂，臭恶难闻，为不治之证。（宜奇效丹、火龙丹、乳香搜风丸。）
蛤蟆疯（兼肝经）。此缘肺虚而感风湿之
邪，蓄于皮肤，久而不散，化热成毒，营卫不行，故浑身发块似蛤蟆之状，破即成
疮，流脓出血，臭秽不堪。（宜还真丹、正阳丹、神效追风丸。）
核桃疯（兼脾经）。此证缘脾经素有湿痰，土衰不能生金，气虚则表不固，风邪
易感，风入交煽，积久之湿痰散漫于肌肉之间，故初起遍身块瘰，大者似栗，三五
串连，小者如豆，颗粒成行，其形色胡桃相似。（宜火龙丹、枣灵丹。）
又有一种手指挛擘，或足腕股腿腹肋之间，或项颊头面之上，发细黑小块，时
值阴雨则发，天气晴明则不见，或每日值阴分则发，阳分则不见，或晴明时其色鲜
明，阴雨时则变紫黑而痛者，名曰蠹痴疮。此因风湿之邪郁久不散，入于脏腑，必祛
风养血调气，清阳燥湿，若不速治，变成大疯，则难疗矣。
热疯（兼肺脾二经）。此证因阴虚而感湿，肺感风邪，风湿相煽而成热，邪气上冲，壅
塞肺窍，故鼻中常流臭黄浊涕，咳吐稠涎，然目属阳，今因气虚，邪得壅遏于阳道，则
轻重程度不同，针刺治疗时手法不得散漫无度，应当迅速采取顺气疏风、燥湿舒筋、健脾补血的方法，这样气血调和，风湿之邪即可去除。
如果患者因为患病初期症状轻微而不以为意，医生又不明了病情暴烈凶险的本质，没有察觉，胡乱使用补法或泻法，导致风湿毒邪流遍全身，于是出现眼睑外翻、嘴唇卷曲、眉毛脱落、头发掉光、手足痿软麻痹、十个手指断裂脱落、肌肉溃烂等症状。到了这个时候，即使有黄帝、岐伯再世，卢医、扁鹊重生，又能施展什么医术呢？这难道不令人痛心吗！
如果在十四五岁时发病，这是因为元阳尚未充盈，天癸（指肾中精气充盛到一定程度而产生的促进性发育的物质）尚未到来，肾元是如何受到损伤的呢？这并非壮年时期的病症，而是因为先天禀赋不足，气血都亏虚，皮肤腠理（皮肤纹理及汗孔）疏松。做父母的，不明白疾病的本源，在护理养育上有所疏忽，导致寒湿邪气侵入筋骨，又受到虚风的搏击结聚而形成。这种病发作迅速，蔓延容易，不是壮年时期发病能相比的，一百个人中不能保全四五人，为什么呢？因为他们的筋骨尚未坚固，肌肉脆嫩，毒邪容易侵袭。
如果在四五岁时发病，比上述情况更为严重。大概人禀受父亲的精气和母亲的血液，凝聚成一点真元，然后生出两肾，肾生肝，肝生心，心生脾，脾生肺，五脏形成而后六腑完备，百骸具备而后皮肉生长，形体完整之后才具备生育能力。这个病症是因为父母交合之前，先有湿证，所怀的胎儿，怎么可能没有这个疾病呢？出生后，日积月累，毒邪遍溢周身，又感受风邪，湿气遇到风邪化为热邪，熏蒸血脉肌肉，于是发生此病，所以一发即遍，随即成为坏证，一百个人中没有一个能救活，这都是由父母的原因造成的。然而麻疯病以前各家论述，只说风邪，不涉及湿邪，因为不能阐明疾病的本源，也不是确切的论断。况且风属木，对应肝脏，肝主筋，如果没有湿邪夹杂其中，严重时会导致瘫痪、半身不遂，轻则导致筋脉抽搐麻木、挛缩痹痛不知痛痒，而麻疯病是因为风湿搏结于骨髓，日久化热，势头日益加重，风随鼓动，湿热壅遏在肌肉之间、皮毛之分，初起时麻木，这是风邪致病；等到后来皮穿肉腐、筋断骨折，如果不是湿邪为害，怎么能达到这种地步？然而湿邪久了就会生虫，内食脏腑，外食肌肉，损伤筋骨，时间久了蔓延开来无所不至。
但是毒邪发于五脏，也有可以验证的地方：如毒邪盛于心，则喜怒无常，面色赤红，言语不利，眼睛长出息肉，多发泡疹，痛痒麻痹不定。毒邪盛于肝，易怒且面色青苍，咽喉干燥多愤恨，向上视物，面部生小泡且浮肿。毒邪盛于肺，多汗怕风，时常咳嗽气短，浑身瘙痒，白天安静晚上加剧，严重时眉毛头发脱落。毒邪盛于脾，身体怠惰，四肢无力收持，身面发黄虚弱，遍身长红癣，或者生瘾疹。毒邪盛于肾，面目浮肿且腰脊疼痛，不能直立，面色惨淡怡然，脚底先穿孔。
关于麻疯病有五死五不治的说法：一叫皮死，麻木不知痛痒；二叫肉死，切割不痛；三叫血死，肌肉溃烂；四叫筋死，指甲脱落；五叫骨死，鼻梁崩塌，眼睑断裂嘴唇卷曲。五死征象既已出现，所以说难治。一叫不能戒除禁忌的不治；二叫酒色不戒的不治；三叫不耐受性情而多怒的不治；四叫思虑过多的不治；五叫大小便不通利的不治。又说：男性左脚起病的难治，女性右脚起病的难治，这是从业医生的经验教训，不可不知道。（《医学要则》）
二十六种疯证歌诀
心经大麻蛇皮疯，脱根邪昧鱼鳞血。肝经鹅掌鼓槌疯，血痹糕痛癫说。脾经半肢软瘫疯，紫云刺干痒疯别。肺经白癜毛疯，历节壁泥疹哑列。肾经冷麻漏蹄疯，蛤蟆桃热与水决。胃经雁来疙瘩疯，蝼蝈曳蛊疯捷。
（心经）
大麻疯 是由于肾虚受湿，肝虚动风，风湿相搏，壅遏在血脉肌肉皮毛，初起觉得头面手足有一点麻木，不知痛痒，不及时医治，逐渐发作遍身，久了眉毛掉落嘴唇卷曲，十个手指脱落，肌肉溃烂，就不能治愈了。（适宜用麻疯丸、回生丸、还真丹、白花蛇丸、清肾愈风汤。）
蛇皮疯（兼肾经）。先发于臀股之间，皮肤迸裂，形状像蛇腹的纹路，或痛或痒，蔓延周身，发作极快，如果不迅速治疗，就无法救治了。适宜用火龙丹兼大补之法。忌用点刺熏蒸，犯了就会立即死亡。（适宜用火龙丹、利疯丹、奇效丸。）
脱根疯（此证在肾经很多）。初发起于脚跟，并两胯下起水泡，或破裂，或生小疮，或生肿茧，或痛或痒，久了穿烂，延至足底，俗称草鞋疯，又名鱼腮疯，属于同一类。（适宜用奇效丸、火龙丹、大消风散。）
鱼鳞疯（此证兼肺经）。初发起于遍身干白，浮痒麻木，渐生小疮，变成梅花片，像刀刮鱼皮的样子，痒而搔之则痛，或出黄水，冷热都怕。（适宜用一粒金丹、利疯丹、火龙丹，大消疯散。）
邪昧疯 初发忽然悲哭，像醉酒狂言，惊怖喜笑不语，梦多魇镇，或与鬼交，乍寒乍热，心胸饱闷，闻气味不想吃饭，古称气注。（适宜用珍宝三生丹、疏风散。）
血疯（此证兼肝脾肾三经）。病因醉饱行房，纵欲或斗狠，裸体入水，或忿怒饮食，或忍饥戮力，风湿内侵，久久邪毒攻冲，初起周身肌肉红肿，形状像被杖打，遍身血泡，邪气乘于阳分则早晨重傍晚轻，邪气乘于阴分则傍晚重早晨轻，或吐衄呕咯等出血，或哕噫吞酸，喜怒无常，或生红片，麻木不知痛痒，肿处穿烂，流水不止，或血从大便中出，面目浮肿，头痛脑裂，手足挛痹，都是由风湿之邪，积久化热，而风逞湿热之助，湿热仗风之威，攻冲泛溢，无所不至，攻伤于心肺，则致吐衄等血，攻伤于肌肉皮毛，则致红肿麻木，穿漏溃烂之殃，而成不救之患，能不怜悯吗？初觉之时，急用疏风散、正阳丹调治，尤其可保不死。
（肝经）
鹅掌疯（此证兼肺经）。始发起于手心并脚踝拐，生紫白癣，麻痒顽皮，搔之则起白屑，痛痒不定，或生足面，称为鞋带疯，久了穿溃延及遍身。（适宜用大消疯散、二八济阳丹、小枣丹、黑光汤。）
鼓槌疯（此证系肾经而兼肝经）初起时膝间酸痛，怕见寒湿风冷，行步艰难，俗呼为寒湿香港脚，久了肢胫虚弱，骨节大痛，大肉消去，膝盖踝骨渐大，脚趾酸麻，形状像鼓槌。（适宜用神仙换骨丹、枣灵丹、独圣散、洗浴药方。）
血痹疯（此属肾为重）。此因体虚而多劳苦，皮腠虚疏，易感风湿之邪，侵入血分，积蓄既久，化热成虫，蠹食肌肉。初起疲倦汗出，卧寐不时，身体摇动如被风吹，久了渐发紫块，痛极则痒，痒极则痛，遂致鼻塌挛跛而死。（适宜用正阳丹、乳香搜风丸。）
糕疯（此证兼脾肾二经）。此缘酒色过度，不避风湿，足三阴经受邪，气血凝滞，久了化热成毒，热盛冲激，泛溢周身，初发于眉棱骨上，或面颊间，结成肿块，久了变为疮，溃烂臭恶腥秽，脓流粘着之处，即变成疮，头足乖张，眼塌鼻倒，指折唇翻，遂成不救而死。初发速用乳香搜风丸、苦参丸、大消风散，并大补气血，再用药汤洗浴，可保无虞。
痛疯 初发四肢骨节抽掣疼痛，昼夜不能屈伸，卧难转侧，久了遂成瘫痪，不能起床。（适宜用乳香搜风丸、大定风丸、麻黄饮、愈风汤、芎术丹。）
癫疯（此证兼脾肾二经）。凡多怒则伤肝，多欲则伤肾，饮食不节则伤脾，然多怒则肝动，肝动则风生，肾多欲则阳虚，阳既虚则阴寒盛矣，脾缘饮食不节而致伤，则不能运化留积而成湿，不即调治，则气血乖张，腠理不固，而六淫之客邪入与主病相合，乃成恶疾。是以初起寒热交作，或呕哕咳吐，皮肉肿胀，若不能驱邪辅正，遂成狂妄叫号，筋挛手振，四肢牵引，甚至歌舞笑骂，毛瘁色败，变证百出而死。初觉即宜（夺命还真丹、三生丹、四磨丹、驱邪安神丸。）
（脾经）
半肢疯（此证兼肾经）。是证或因先天不足，而受寒湿之邪，或因大醉行房，而酒湿热之气乘虚入于筋骨，外又复感风邪，风木盛而土虚不能生金，肺肾无根，贼邪独胜，故成偏风，或左或右，骨节抽掣，疼痛难忍，手足不能屈伸，营血凝滞，不能行于经络，故筋挛而络纵，遂成瘫痪，呼疼号痛，日夜无休而死，或曰偏风，又曰痿痹，其证一也。（适宜用乳香搜风丸、宝珍丹、正阳丹、芎术散、驱邪安神丸、救苦再生丹。）
软瘫疯 此证缘气血俱虚，肌肉疏缓，肤腠不固，致感风邪，乘虚入骨，久了化热，壅遏于经络，气血不能营运，筋无血养，以致肢体日夜酸痛，手足无力，拘挛不能伸，弛纵不能屈，身软如绵，或骨节举动有声，遂成瘫痪矣。（适宜用搜风顺气丸、宝珍丹、正阳丹、神仙换骨丹、芎术散。）
紫云疯 此证素因气血虚而多火，动彻则汗雨淋漓，然气虚则腠理疏，而衣被之湿易侵皮肤，随又复感风邪，风与湿搏，凝滞于皮肤之间，久了生虫，致起紫黑斑点，延漫遍身，似霞如云，非癣非疥，时作痛痒，久了高肿，渐作麻木，以致丧身害命者，百有四五。（适宜用清风饮、洗浴药方。）
干疯（此证属肝肾二经）。此缘肺气虚而感风邪，然金虚不能生水，肾之本源则津液枯涸，以致肌肤干燥，且风邪入于皮肤既久，变热成湿，故身无痛处，渐生黑白斑点，手足心底发热如烙，遍身发痒，而成调治不痊之证。（适宜用复元丹，并用药汤洗浴，避风取汗。）
刺疯 此系营虚多热，热盛则腠理不密，易于汗出，是以风邪乘虚而入，然汗出多则血益虚，且风之性动，遂壅热横行于经络之间，如遇正争，气逆而不行，故致有刀锥所刺之状，待寻摸时而邪正已分行矣，故痛无定处，譬诸明末流贼，如遇富饶之处，尽情抢掳，及至官军知剿，则又不知去向矣。或肢节间如火烧熨，酸痛难忍。（适宜用一粒金丹、小枣丹。）
痒疯（此证兼肺经） 此病缘卫气素虚，腠理不固，风邪易入，浮游于皮肤之间，故浑身燥痒不息。（适宜用正阳丹、大消风散。）
（肺经）
白癜疯（兼脾经）。此证因脾积热，不能生金，肺虚受风，燥其津液，夫血赖脾摄而行，今脾为邪热所困，不能统血而行，肺受风邪，壅滞于皮毛，气血不和，营运失节，风邪所壅之处，渐变为白矣。然四肢为脾之本，皮毛乃肺之合，故起于手足者居多。（适宜用枣灵丹、神效追疯丸、玉枢丹。）
毛疯（兼心肾二经）。此由乘汗入水，或肾虚而履霜坚冰，致受寒湿，久了化火成毒，势盛攻冲，激动心火上炎克肺，而湿热之毒流注经络，故偶然搔触，悴然痛极，如被毛所螫之状，久了遍体走注，转侧动摇如被刀针剜刺，其体痛楚难忍，如走注已遍，不能救矣。（适宜用大消风散、乳香搜风丸、大定风丸、利风丹、救苦回生丹、驱邪安神丸。）
历节疯（兼肝肾二经）。此证由纵欲伤肾，大怒传肝，兼且不能节避，下伤于湿，外感于风，而风湿之邪乘虚入于筋骨，复又不明调治，蕴蓄既久，则化热成毒，有碍于营卫营运之道，是以肘膝肩膊之间，酸麻抽掣，筋挛节大，手足难以举动，遂成瘫痪矣。（适宜用驱邪安神丸、救苦回生丹、大定风丸。）
壁泥疯（兼肝脾二经）。此证缘肝风气盛，克伤脾土，复又好食生冷动湿之物，致脾虚而不能运化，湿滞于中，积久化热，然脾土肌肉，而风壅湿热之毒，遍行于肌肉之间，气血不运则肉不荣矣。故肌肤变为灰白色，如陈壁泥之状，因湿重风轻，故无痛痒，若延及遍身，则不救矣。（适宜用乳香搜风丸、芎术散。）
疹疯（兼心脾二经）。此证因脾经积湿，致土衰不能生金，肺虚易感风邪，蕴蓄既久，变而为湿热之毒，蒸郁于肌肉之间，则虫生矣。故初起瘾疹如麻豆疥癣之状，或麻痒而不疼，或疼而不麻痒，久了连片穿烂，以成不救之证。（适宜用小枣丹、玉枢丹。）
哑疯（兼肝脾二经）。凡多怒则伤肝，气有余便是火，致木动而风生矣。脾土受风木之伤，艰于运化，留滞而成湿，且脾土既衰，不能输精于肺，肺亦衰矣。而肝木之邪，乘胜己之脏衰，反挟脾之湿邪上乘于肺，然肺主声，金空则鸣，今被肝脾湿热之邪干，窍塞而不通，故初则声嘶，久了声哑矣。（适宜用宝珍丹、夺命还真丹。）
（肾经）
冷疯（兼脾经）。此缘肾虚而感风湿之邪，然肾主骨，肾既虚则骨髓不充，而风湿之邪乘虚入于肢节之间，日久邪甚，盈溢于肌肉之内，故初时为麻木不仁，或时冷痛，或肢节酸疼，遇冬则伏床不起，久了气血不行，发泡穿烂而死。（适宜用奇效丹、正阳丹、还真丹、乳香搜风丸、冷疯方。）
漏蹄疯 此证盖因色欲太过，肾经伤竭，兼又不善趋避，履霜蹈雪，足底受寒湿之邪，积久化热成风，气血不行，故初起先于涌泉穴麻痒不仁，渐发水窠，穿破则流黄水，久了游溢周身，生蠹秽烂，臭恶难闻，为不治之证。（适宜用奇效丹、火龙丹、乳香搜风丸。）
蛤蟆疯（兼肝经）。此缘肺虚而感风湿之邪，蓄于皮肤，久而不散，化热成毒，营卫不行，故浑身发块似蛤蟆之状，破即成疮，流脓出血，臭秽不堪。（适宜用还真丹、正阳丹、神效追风丸。）
核桃疯（兼脾经）。此证缘脾经素有湿痰，土衰不能生金，气虚则表不固，风邪易感，风入交煽，积久之湿痰散漫于肌肉之间，故初起遍身块瘰，大者似栗，三五串连，小者如豆，颗粒成行，其形色胡桃相似。（适宜用火龙丹、枣灵丹。）
又有一种手指挛擘，或足腕股腿腹肋之间，或项颊头面之上，发细黑小块，时值阴雨则发，天气晴明则不见，或每日值阴分则发，阳分则不见，或晴明时其色鲜明，阴雨时则变紫黑而痛者，名曰蠹痴疮。此因风湿之邪郁久不散，入于脏腑，必祛风养血调气，清阳燥湿，若不速治，变成大疯，则难疗矣。
热疯（兼肺脾二经）。此证因阴虚而感湿，肺感风邪，风湿相煽而成热，邪气上冲，壅塞肺窍，故鼻中常流臭黄浊涕，咳吐稠涎，然目属阳，今因气虚，邪得壅遏于阳道，则
Depending on the severity, acupuncture techniques must not be scattered or indiscriminate. One should promptly employ methods to regulate Qi and disperse wind, dry dampness and relax sinews, strengthen the Spleen and nourish Blood. When Qi and Blood are harmonized, Wind-Dampness will be eliminated.
If a patient considers their initial mild symptoms insignificant and neglects them, while the physician fails to recognize the violent and fierce nature of the disease, leading to careless administration of tonifying or purgative treatments, the toxic pathogenic factors of Wind-Dampness will flow throughout the body. This results in everted eyelids and lips, loss of eyebrows and hair, flaccid paralysis of the limbs, detachment or fracture of the ten fingers, and ulceration of muscles. At this stage, even if Huangdi (Yellow Emperor) and Qibo were reborn, or Luque and Bianque returned to life, what medical skill could they possibly apply? Is this not heartbreaking!
When the disease manifests at age fourteen or fifteen, the Primordial Yang (Yuan Yang) is not yet fully developed, and Tian Gui (the substance derived from Kidney essence that promotes sexual maturity) has not arrived. How can the Kidney Yuan be injured? This is not a condition of adulthood but stems from congenital insufficiency, with both Qi and Blood being deficient. The skin and interstices (Cou Li) are loose and sparse. Parents, unaware of the root cause, fail in proper care and nurturing, allowing Cold-Damp pathogens to invade the sinews and bones, compounded by the attack of Deficient Wind, forming the disease. Its rapid onset and easy spread cannot be compared to adult-onset cases; out of every hundred patients, only four or five may survive. Why? Because their sinews and bones are not yet firm, and their muscles are tender and fragile, making them susceptible to toxins.
When the disease manifests at age four or five, it is even more severe than the above. Generally, humans inherit Father's Essence and Mother's Blood to form a point of True Yuan (Primordial Origin). Then two Kidneys are formed; from Kidneys comes Liver, from Liver comes Heart, from Heart comes Spleen, from Spleen comes Lung. Once the Five Zang organs are complete, the Six Fu organs follow; once the skeletal framework is ready, skin and flesh grow. Only when the physical form is complete does reproduction become possible. This condition arises because before conception, the parents already had Dampness pathology; how could the conceived fetus be free of this disease? After birth, day by day and month by month, the toxin spreads throughout the body. Upon contracting Wind pathogens, Dampness transforms into Heat upon encountering Wind. This steams and burns the blood vessels and muscles, causing the disease to erupt. Thus, it spreads immediately upon onset, quickly becoming an incurable degenerative state. Out of every hundred, none can be saved. All is due to parental causes. However, previous discussions on Leprosy (Ma Feng) only mentioned Wind, omitting Dampness, failing to clarify the root origin of the disease; thus, these are not definitive theories.
Wind corresponds to Wood and the Liver; the Liver governs the sinews. Without Dampness accompanying it, severe cases lead to paralysis or hemiplegia, while mild cases cause sinus spasms, numbness, contracture, bi-syndrome, and insensitivity. In Leprosy, however, Wind and Dampness knot together in the bone marrow, transforming into Heat over time, with the momentum increasing daily. Wind drives this process, and Damp-Heat obstructs between the muscles and the layer of skin and hair. Initially, there is numbness, which is a Wind pathology. Later, skin perforates, flesh rots, sinews break, and bones fracture. If not for the harm caused by Dampness, how could it reach such a state? Furthermore, prolonged Dampness generates parasites (worms), which consume internal Zang organs and external muscles, damaging sinews and bones. Over time, it spreads extensively without limit.
However, toxicity manifesting in the Five Zang organs has observable signs:
- Toxicity excess in the Heart: Mood swings (excessive joy or anger), reddish complexion, slurred speech, growth of polyps in the eyes, frequent vesicles, and irregular pain, itching, or numbness.
- Toxicity excess in the Liver: Irritability, bluish-green complexion, dry throat, frequent resentment, upward gaze, small vesicles on the face with edema.
- Toxicity excess in the Lungs: Profuse sweating, aversion to wind, frequent coughing, shortness of breath, generalized itching, quiet during the day but worse at night, and eventually loss of eyebrows and hair.
- Toxicity excess in the Spleen: Lethargy, inability to control the limbs, yellowish and weak complexion, red tinea corporis all over the body, or urticaria.
- Toxicity excess in the Kidneys: Edema of the face and eyes, lower back and spine pain, inability to stand upright, pale and dull complexion, with perforation starting on the soles of the feet.
There is a theory of "Five Deaths and Five Incurables" regarding Leprosy:
1. Skin Death: Numbness and insensitivity.
2. Flesh Death: Insensitivity to cutting.
3. Blood Death: Ulceration of muscles.
4. Sinew Death: Shedding of fingernails.
5. Bone Death: Collapse of the nasal bridge, severed eyelids, and everted lips.
Once these five death signs appear, it is said to be difficult to treat.
The five incurable conditions are:
1. Inability to observe dietary and behavioral taboos.
2. Failure to abstain from alcohol and sexual indulgence.
3. Intolerance of temperament and excessive anger.
4. Excessive worry and overthinking.
5. Obstruction of urination and defecation.
It is also said: Male patients with onset on the left foot are difficult to treat; female patients with onset on the right foot are difficult to treat. These are empirical lessons for practitioners and must not be ignored. (From *Medical Essentials*)
**Song Verse of Twenty-Six Types of Feng Syndromes:**
Heart Meridian: Big Ma Feng, Snake Skin Feng, Tuo Gen Feng, Xie Mei Feng, Fish Scale Feng, Blood Feng.
Liver Meridian: Goose Palm Feng, Drumstick Feng, Blood Bi Feng, Gao Feng, Tong Feng, Dian Feng.
Spleen Meridian: Ban Zhi Feng, Ruan Tan Feng, Zi Yun Feng, Gan Feng, Ci Feng, Yang Feng.
Lung Meridian: Bai Dian Feng, Mao Feng, Li Jie Feng, Bi Ni Feng, Zhen Feng, Ya Feng.
Kidney Meridian: Leng Feng, Lou Ti Feng, Ha Ma Feng, Tao He Feng, Re Feng.
Stomach Meridian: Yan Lai Ge Da Feng, Lou Gu Ye Gu Feng.
**(Heart Meridian)**
**Big Ma Feng (Leprosy):** Caused by Kidney deficiency leading to Dampness retention, and Liver deficiency stirring Wind. Wind and Dampness interact, obstructing the blood vessels, muscles, skin, and interstices. Initially, one feels numbness in a spot on the head, face, hands, or feet, with no sensation of pain or itch. If not treated promptly, it gradually spreads over the whole body. Long-term effects include loss of eyebrows, everted lips, detachment of ten fingers, and muscle ulceration, rendering it untreatable. (Suitable for: Ma Feng Wan, Hui Sheng Wan, Hai Zhen Dan, Bai Hua She Wan, Qing Shen Yu Feng Tang.)
**Snake Skin Feng (Involved Kidney Meridian):** Begins between the buttocks and thighs. The skin cracks open, resembling the pattern of a snake's belly. It may be painful or itchy, spreading rapidly over the body. If not treated urgently, it is incurable. Suitable for: Huo Long Dan combined with major tonification. Avoid puncturing, needling, or fumigation; violation leads to immediate death. (Suitable for: Huo Long Dan, Li Feng Dan, Qi Xiao Wan.)
**Tuo Gen Feng (Common in Kidney Meridian):** Initially appears on the heels and under the groin as blisters. These may rupture, form small sores, or develop into swollen calluses. They may be painful or itchy. Over time, they perforate and rot, extending to the soles of the feet. Commonly known as "Straw Sandal Feng" or "Fish Cheek Feng," belonging to the same category. (Suitable for: Qi Xiao Wan, Huo Long Dan, Da Xiao Feng San.)
**Fish Scale Feng (Involved Lung Meridian):** Initially presents as dry, white patches all over the body with floating itch and numbness. Small sores gradually form, turning into plum-blossom-like scales, resembling skin scraped off a fish. Scratching causes pain. Yellow fluid may exude. The patient fears both cold and heat. (Suitable for: Yi Li Jin Dan, Li Feng Dan, Huo Long Dan, Da Xiao Feng San.)
**Xie Mei Feng:** Initially manifests as sudden weeping, drunken-like rambling, fear mixed with laughter or silence, frequent nightmares, or hallucinations of intercourse with spirits. Alternating chills and fever, chest fullness, anorexia due to smell sensitivity. Ancient texts call this "Qi Zhu." (Suitable for: Zhen Bao San Sheng Dan, Shu Feng San.)
**Blood Feng (Involved Liver, Spleen, and Kidney Meridians):** Etiology includes sexual activity after heavy drinking or eating, excessive lust, fighting, bathing naked in water, angry eating, or enduring hunger while exerting force. Wind-Dampness invades internally. Over time, evil toxins attack. Initially, muscles swell and turn red all over the body, resembling beatings. Blood blisters appear everywhere. If pathogens affect Yang meridians, symptoms worsen in the morning and improve in the evening; if affecting Yin meridians, they worsen in the evening and improve in the morning. Hematemesis, epistaxis, vomiting blood, hiccups, belching, acid regurgitation, mood swings, red patches, numbness, ulceration of swollen areas with continuous fluid leakage, hematochezia, facial edema, headache feeling like splitting, and limb contracture/paralysis occur. All result from Wind-Dampness accumulating and transforming into Heat. Wind exacerbates Damp-Heat, and Damp-Heat empowers Wind. They attack and overflow everywhere. Attack on Heart/Lungs causes bleeding; attack on muscles/skin causes swelling, numbness, perforation, and ulceration, leading to incurable states. Can one not pity this? At the first sign, urgently use Shu Feng San and Zheng Yang Dan for treatment to ensure survival.
**(Liver Meridian)**
**Goose Palm Feng (Involved Lung Meridian):** Begins on the palms and ankle joints. Purple or white tinea develops, causing numbness, itchiness, and thickened skin. Scratching produces white flakes. Pain and itch vary. May appear on the dorsum of the foot, called "Shoe Strap Feng." Over time, it perforates and spreads. (Suitable for: Da Xiao Feng San, Er Ba Ji Yang Dan, Xiao Zao Dan, Hei Guang Tang.)
**Drumstick Feng (Kidney Meridian involving Liver):** Initially, soreness and pain behind the knees, aversion to cold, dampness, and wind. Difficulty walking. Commonly known as "Cold-Damp Hong Kong Foot." Over time, calves weaken, joint pain intensifies, muscle mass decreases, knees and ankles enlarge, toes become sore and numb. Shape resembles a drumstick. (Suitable for: Shen Xian Huan Gu Dan, Zao Ling Dan, Du Sheng San, Bathing Prescription.)
**Blood Bi Feng (Primarily Kidney):** Due to bodily weakness and excessive labor, Cou Li are loose, easily inviting Wind-Dampness. Pathogens enter the Blood level. Accumulating over time, they transform into Heat and generate worms that consume muscles. Initially, fatigue and sweating occur. Sleep is restless. Body shakes as if blown by wind. Over time, purple patches appear. Extreme pain turns to itch, extreme itch to pain. Eventually, nasal collapse, contracture, and limping lead to death. (Suitable for: Zheng Yang Dan, Ru Xiang Sou Feng Wan.)
**Gao Feng (Involved Spleen and Kidney Meridians):** Caused by excessive alcohol and sex, failure to avoid Wind-Dampness. The Three Yin Meridians of the Foot are affected. Qi and Blood stagnate. Over time, Heat and toxins form. Intense Heat surges and overflows. Initially appears on the brow ridge or cheeks as nodules. Later becomes ulcers with foul, fishy odor. Pus flows and adheres, causing further ulceration. Head and feet become distorted, eyes sink, nose collapses, fingers break, lips evert, leading to death. Early treatment with Ru Xiang Sou Feng Wan, Ku Shen Wan, Da Xiao Feng San, along with major Qi and Blood tonification, and medicinal baths, can ensure safety.
**Tong Feng:** Initially, spasmodic pain in limb joints, unable to flex or extend day or night. Difficulty turning over in bed. Eventually leads to paralysis and inability to rise. (Suitable for: Ru Xiang Sou Feng Wan, Da Ding Feng Wan, Ma Huang Yin, Yu Feng Tang, Xiong Zhu San.)
**Dian Feng (Involved Spleen and Kidney Meridians):** Anger injures the Liver; desire injures the Kidneys; irregular diet injures the Spleen. Excessive anger stirs the Liver, generating Wind. Excessive desire depletes Kidney Yang, leading to Yin-Cold excess. Irregular diet damages Spleen transport, causing Dampness accumulation. Without prompt treatment, Qi and Blood become disordered, Cou Li become insecure, and Six Excess pathogens invade and combine with the primary disease, forming a malignant illness. Initially, alternating chills and fever, vomiting, coughing, swelling of skin and flesh. If pathogens are not expelled and Righteous Qi supported, it leads to madness, shouting, sinus contracture, hand tremors, limb traction, singing, dancing, laughing, scolding, hair loss, poor complexion, and various complications leading to death. At the first sign, suitable for: Duo Ming Hai Zhen Dan, San Sheng Dan, Si Mo Dan, Qu Xie An Shen Wan.
**(Spleen Meridian)**
**Ban Zhi Feng (Half-Limb Feng) (Involved Kidney Meridian):** Due to congenital insufficiency and Cold-Damp invasion, or sexual activity after heavy drinking, allowing Wine-Damp-Heat to enter sinews and bones via deficiency. External Wind contraction occurs. Wood (Liver) becomes excessive while Earth (Spleen) is deficient, failing to generate Metal (Lung). Lung and Kidney lack roots. Evil pathogens dominate. This forms Pian Feng (Hemiplegia), affecting either left or right side. Joint spasms, unbearable pain, inability to flex/extend limbs. Ying Blood stagnates, unable to flow through collaterals. Sinews contract while collaterals slacken, leading to paralysis. Crying out in pain day and night until death. Also called Pian Feng or Wei Bi; the syndrome is the same. (Suitable for: Ru Xiang Sou Feng Wan, Bao Zhen Dan, Zheng Yang Dan, Xiong Zhu San, Qu Xie An Shen Wan, Jiu Ku Zai Sheng Dan.)
**Ruan Tan Feng (Soft Paralysis Feng):** Due to dual deficiency of Qi and Blood, loose muscles, and insecure Cou Li. Wind pathogens invade bones via deficiency. Over time, Heat forms, obstructing collaterals. Qi and Blood cannot circulate. Sinews lack Blood nourishment. Limbs ache day and night, limbs are weak, contracture prevents extension, laxity prevents flexion. Body soft as cotton. Joints make sounds when moving. Leads to paralysis. (Suitable for: Sou Feng Shun Qi Wan, Bao Zhen Dan, Zheng Yang Dan, Shen Xian Huan Gu Dan, Xiong Zhu San.)
**Zi Yun Feng (Purple Cloud Feng):** Constitutionally deficient in Qi and Blood with excess Fire. Movement causes profuse sweating. Qi deficiency makes Cou Li loose, allowing moisture from clothes/bedding to invade skin. Wind pathogens contract subsequently. Wind and Dampness struggle, stagnating in the skin. Over time, worms generate, causing purple-black spots spreading over the body, resembling clouds or sunset glow. Not tinea nor scabies. Intermittent pain and itch. Over time, high swelling, gradual numbness, leading to death in 40-50% of cases. (Suitable for: Qing Feng Yin, Bathing Prescription.)
**Gan Feng (Dry Feng) (Involved Liver and Kidney Meridians):** Lung Qi deficiency invites Wind. Metal deficiency fails to generate Water. Kidney source dries up, causing skin dryness. Wind lingers in skin, transforming into Heat and Dampness. No specific painful areas. Gradual appearance of black and white spots. Heat in palms, soles, and bottoms of feet like branding. Generalized itching. Incurable with standard treatment. (Suitable for: Fu Yuan Dan, medicinal baths, avoiding wind to induce sweating.)
**Ci Feng (Thorn Feng):** Ying deficiency with excess Heat. Heat makes Cou Li porous, facilitating sweating. Wind enters via deficiency. Excessive sweating further depletes Blood. Wind's dynamic nature causes Heat to surge horizontally through collaterals. When Righteous Qi struggles against pathogens, Qi reverses and stagnates, causing stabbing pain like knife or awl pricks. Pain moves around as pathogens and Righteous Qi separate. Like bandits in late Ming Dynasty: looting rich areas, then disappearing when troops arrive. Burning, aching pain in joints. (Suitable for: Yi Li Jin Dan, Xiao Zao Dan.)
**Yang Feng (Itch Feng) (Involved Lung Meridian):** Wei Qi is inherently deficient, Cou Li insecure. Wind enters easily, floating in the skin. Whole body incessant dry itch. (Suitable for: Zheng Yang Dan, Da Xiao Feng San.)
**(Lung Meridian)**
**Bai Dian Feng (White Spot Feng) (Involved Spleen Meridian):** Spleen accumulates Heat, failing to generate Metal. Lung deficiency invites Wind, drying fluids. Blood relies on Spleen to move. Spleen trapped by evil Heat cannot control Blood. Lung invaded by Wind, obstruction in skin/hair. Qi and Blood disharmonious, circulation irregular. Areas obstructed by Wind gradually turn white. Limbs are root of Spleen; skin/hair match Lung. Hence, mostly starts on hands and feet. (Suitable for: Zao Ling Dan, Shen Xiao Zhui Feng Wan, Yu Shu Dan.)
**Mao Feng (Hair Feng) (Involved Heart and Kidney Meridians):** Entering water while sweating, or Kidney deficiency stepping on frost/ice, inviting Cold-Damp. Over time, transforms into Fire and Toxin. Intense attack stirs Heart Fire rising to overcome Lung. Damp-Heat toxin flows into collaterals. Occasional scratching causes extreme pain, like being stung by hairs. Spreads over body, movement feels like knife/needle piercing. Unbearable pain. Once spread, incurable. (Suitable for: Da Xiao Feng San, Ru Xiang Sou Feng Wan, Da Ding Feng Wan, Li Feng Dan, Jiu Ku Hui Sheng Dan, Qu Xie An Shen Wan.)
**Li Jie Feng (Joint Feng) (Involved Liver and Kidney Meridians):** Indulgence injures Kidneys; rage transmits to Liver. Failure to avoid Dampness below and Wind outside allows Wind-Damp to invade sinews/bones via deficiency. Unclear treatment leads to accumulation. Over time, transforms into Heat and Toxin, hindering Ying-Wei circulation. Soreness, numbness, spasms in elbows, knees, shoulders. Sinew contracture, enlarged joints. Difficulty moving limbs. Leads to paralysis. (Suitable for: Qu Xie An Shen Wan, Jiu Ku Hui Sheng Dan, Da Ding Feng Wan.)
**Bi Ni Feng (Wall Mud Feng) (Involved Liver and Spleen Meridians):** Liver Wind excessive, overcoming Spleen Earth. Preference for raw/cold/damp-producing foods damages Spleen transport. Dampness stagnates internally, transforming into Heat over time. Wind and Damp-Heat toxin spread through muscles. Qi and Blood stagnation means muscles do not receive nourishment. Skin turns gray-white, like old wall mud. Heavy Damp, light Wind, so no pain/itch. If spreading over whole body, incurable. (Suitable for: Ru Xiang Sou Feng Wan, Xiong Zhu San.)
**Zhen Feng (Rash Feng) (Involved Heart and Spleen Meridians):** Spleen accumulates Dampness, Earth declines, failing to generate Metal. Lung deficiency invites Wind. Accumulation transforms into Damp-Heat toxin, steaming muscles. Worms generate. Initially, rashes like millet beans or scabies. Itchy but not painful, or painful but not itchy. Over time, coalescing ulcers, incurable. (Suitable for: Xiao Zao Dan, Yu Shu Dan.)
**Ya Feng (Aphonia Feng) (Involved Liver and Spleen Meridians):** Anger injures Liver; excess Qi becomes Fire. Wood moves, generating Wind. Spleen Earth injured by Wood, struggling to transport, retaining Dampness. Spleen decline fails to send essence to Lung; Lung also declines. Liver Wood evil, taking advantage of declining organs, carries Spleen Dampness to attack Lung. Lung governs voice; Metal hollow resonates. Now obstructed by Liver/Spleen Damp-Heat, orifices blocked. Initially hoarse, later aphonic. (Suitable for: Bao Zhen Dan, Duo Ming Hai Zhen Dan.)
**(Kidney Meridian)**
**Leng Feng (Cold Feng) (Involved Spleen Meridian):** Kidney deficiency invites Wind-Dampness. Kidney governs bones; deficiency means marrow insufficient. Wind-Damp invades joints via deficiency. Pathogens intensify over time, overflowing into muscles. Initially numbness, sometimes cold pain, joint soreness. In winter, bedridden. Over time, Qi/Blood stagnation, blistering, perforation, death. (Suitable for: Qi Xiao Dan, Zheng Yang Dan, Hai Zhen Dan, Ru Xiang Sou Feng Wan, Leng Feng Fang.)
**Lou Ti Feng (Leaking Hoof Feng):** Excessive sexual desire exhausts Kidney Meridian. Failure to avoid frost/snow exposes soles to Cold-Damp. Accumulation transforms into Heat and Wind. Qi/Blood stagnation. Initially numbness/itch at Yongquan (KI1) acupoint. Gradually forms water pockets. Perforation releases yellow fluid. Spreads over body, generating decay and foul odor. Incurable. (Suitable for: Qi Xiao Dan, Huo Long Dan, Ru Xiang Sou Feng Wan.)
**Ha Ma Feng (Toad Feng) (Involved Liver Meridian):** Lung deficiency invites Wind-Dampness. Accumulates in skin, lingering long, transforming into Heat and Toxin. Ying-Wei stagnation. Body develops lumps resembling toads. Rupture causes ulcers, pus, blood, foul odor. (Suitable for: Hai Zhen Dan, Zheng Yang Dan, Shen Xiao Zhui Feng Wan.)
**Tao He Feng (Walnut Feng) (Involved Spleen Meridian):** Spleen has chronic Damp-Phlegm. Earth declines, failing to generate Metal. Qi deficiency makes exterior insecure, inviting Wind. Wind and Phlegm interact. Chronic Damp-Phlegm scatters in muscles. Initially, lumps all over body. Large ones like chestnuts, linked in groups of 3-5. Small ones like beans, in rows. Color/shape resembles walnuts. (Suitable for: Huo Long Dan, Zao Ling Dan.)
Another type: Contraction of fingers, or fine black small patches between ankles, thighs, abdomen, ribs, neck, cheeks, or head. Erupts during rainy weather, disappears in clear weather. Or erupts during Yin periods, disappears during Yang periods. Or bright color in clear weather, turns purple-black and painful in rain. Named **Du Chi Chuang**. Due to Wind-Damp stagnating long, entering Zang-Fu. Must dispel Wind, nourish Blood, regulate Qi, clear Yang, dry Dampness. If not treated urgently, becomes Big Feng, difficult to cure.
**Re Feng (Heat Feng) (Involved Lung and Spleen Meridians):** Yin deficiency invites Dampness. Lung invites Wind. Wind and Damp stir Heat. Pathogens surge upward, obstructing Lung orifices. Constant flow of foul, yellow, turbid nasal discharge. Coughing up thick saliva. Eyes belong to Yang; now due to Qi deficiency, pathogens obstruct Yang pathways...