症以证病，匪证则病状支离，而执刀圭者无从审其虚实，法将枉用矣。上古着七十二症，未为简。后人载一
百六十，未为滥。然按事近情，引理定律，皆不得其枢纽，所谓涉海亡指南之车，徒令人向若而惊也。是卷因十
二，症八十一，似因非症八，语约而详，意深不悔，燮理阴阳，至道存乎其间。良医良相，殆有合而为一者。
卢汀不尘子漫题
风兮风兮来无由，未解吾愠添吾愁。表虚引入肌肤去，不病肌肤病目系，有致惊搐与偏 ，或成上视死亡多。
若夫六经因风作，痛攻先在头巅着，洎而风变医无济，外症得来仍不治。血虚血热亦生风，昏痒痛泪不和同，热
盛风生祸较酷，一类凝脂一痘毒，君不见无风火不炎，病情虽逆药通参。
此章谓患风病患而病目也。盖风属木，木属肝，肝窍在目，本乎一气。久风多变热何也，木能生火也。火盛
则血遂而耗损矣。况久病气必郁，郁则亦生火。火炎而又生风，转转相生。内外障翳皆起于此。有日浅郁深为
斜者，有郁浅日深为翻睑者，有血虚筋急而振搐者，有火邪乘乱融和之
气成内障者，有风腾血涌 帏赤胜烂者、结为瘀肉如鸡冠者，再加服以香燥药物，概酒色不禁，致阴愈亏而火益
炽，火益炽而风弥烈，病变为花白、凝脂之重者。治当因上寻因，大抵调气为先，清火次之。不然，源既不绝，
流何能止，今虽暂退，后必复来，治之任至再至三。风不住而火不熄，目终无清宁之日矣。若夫中风之因，岐伯
谓大法有四∶曰偏枯，半身不遂而痛；曰风痱，身无疼痛，四肢不收；曰风 ，奄忽不知人；曰风痹，诸痹类风
状也。《金匮要略·中风篇》云∶寸口脉浮而紧，浮为虚，紧为寒，虚寒所搏，贼邪不泻，邪在皮肤， 僻不遂。
在经络，肌肤不仁，邪入腑，不识人。入脏，舌难言，口吐涎沫。治用大小续命、西州续命、排风、八风等汤。
东垣云∶有中风卒然昏愦，不省人事，痰涎壅盛，语言謇涩，此非外来风邪，乃本气自病也。凡人年逾四旬，忧
劳忿怒伤其气，多得此症。肥盛者，少壮间有之，亦是中气衰而使然。急以三生饮加人参一两，既苏。河间谓中
风瘫痪，非肝木之风实甚，亦非外中于风，良由将息失宜，心火暴盛，肾水衰不能制，则阴虚阳实，热气拂郁，
心神昏冒，筋骨不用而卒倒无知也。亦有因悲思等情志过极而致者，夫情志过极皆为热。俗云风者，言末而忘其
本也。须地黄饮子补其阴火，阴火治则阳火不难于折服矣。丹溪曰∶中风有气虚、有血虚，虚则会有湿痰。左手脉
不足及半身不遂者，以四物汤为主加姜汁、竹沥。右不足，以四君加之。气血两虚，总八物更加星、夏。之三子
者，各发人所未发，踵事增华，而中风无剩义矣。或谓三子一主乎火，一主乎气，一主乎湿，与风何相干涉？
《金匮》言邪不
言风，言虚寒所搏不言风中，而乃以中风名篇，亦欠圆到。要知因于中者，真中风也。因于火，于气，于湿，类
中风而非中风也。是在详辨施治耳。辨之为风，则从真中治之，辨之为火，为气，为湿，则治从类中。虽处方各
有不验，而立言实骊珠之夜照也。师谓真中风决不病目，类中风亦止有口眼 斜一症，皆读书见道之语。其小儿
率尔痰壅，眼翻牵掣，此水不荣筋，因而火燥木急，绝类中风，但治法迥别，且速瘥，故不收入。
通过症状来诊断疾病，如果没有明确的证候，疾病的表象就会支离破碎，执刀施治的医生就无法审察病情的虚实，治疗方法就会误用。上古时期记载了七十二种证候，并不算简略；后人记载了一百六十种，也不算泛滥。然而，如果按照事物的情理，引用医理制定法则，却抓不到关键枢纽，这就好比航海时丢失了指南的车子，只会让人对着大海感到惊恐罢了。这一卷书因为“风”这一主题，列出了八十一症，其中似因非风的有八种，语言简约而详尽，意蕴深远而不后悔，调理阴阳的道理都蕴含在其中。优秀的医生和宰相，大概是有合二为一之处的。卢汀不尘子漫题。
风啊风啊，来得没有缘由，未解我心中的愤懑，反而增添我的忧愁。表虚导致风邪侵入肌肤，如果不使肌肤生病，就会使目系（眼部经络）生病，有的导致惊厥抽搐和面部偏斜，或者形成上视的症状，死亡很多。至于六经因为风邪致病，疼痛攻击首先集中在头顶部位，等到风邪变化后医生无计可施，外来的症状得到但仍无法治愈。血虚和血热也会生风，昏沉、瘙痒、疼痛、流泪等症状各不相同，热盛而生风带来的祸害更为酷烈，一类是凝脂翳，一类是痘毒。君不见没有风火就不会燃烧，病情虽然逆乱，用药仍可以参酌。
这一章讲的是患风病进而导致眼病的道理。大凡风属木，木属肝，肝开窍于目，本源于一气。久风多变为热，为什么呢？因为木能生火。火盛则血液随之耗损。况且久病气机必然郁结，郁结则也会生火。火炎上又生风，辗转相生。内障和外障翳膜都起于此。有的病程短但郁结深导致斜视，有的郁结浅但病程长导致眼睑翻转，有的因血虚筋脉拘急而震颤抽搐，有的因火邪乘乱融和之气形成内障，有的因风腾血涌导致眼睑红赤溃烂，结为瘀肉如鸡冠者，再加上服用香燥药物，不禁戒酒色，导致阴液更加亏损而火势更加炽盛，火势越炽盛风邪越猛烈，病变发展为花白翳、凝脂翳等重症。治疗应当顺着上面的病因寻找根源，大抵以调气为先，清火次之。不然，源头既然不断绝，水流怎么能停止，现在虽然暂时消退，以后必定复发，治疗需要反复进行。风不止而火不灭，眼睛最终没有清宁的日子了。至于中风的成因，岐伯说大法有四种：一是偏枯，半身不遂且疼痛；二是风痱，身体无疼痛，四肢不能收持；三是风痖，突然不知人事；四是风痹，各种痹症类似风状。《金匮要略·中风篇》说：寸口脉浮而紧，浮代表虚，紧代表寒，虚寒相搏，贼邪不泄，邪在皮肤，则口眼歪斜不能自如；邪在经络，则肌肤麻木不仁；邪入腑，则不识人；邪入脏，则舌强难言，口吐涎沫。治疗使用大小续命汤、西州续命汤、排风汤、八风汤等方剂。李东垣说：有中风口突然昏愦，不省人事，痰涎壅盛，语言謇涩，这不是外来风邪，而是本气自病。凡人年过四十，忧劳忿怒损伤其气，多得此症。肥胖壮实的人，年轻力壮间也有得的，这也是中气衰弱所致。急忙用三生饮加人参一两，苏醒后。刘河间认为中风瘫痪，不是肝木之风实甚，也不是外中于风，确实是由于调养失宜，心火暴盛，肾水衰不能制约，则阴虚阳实，热气拂郁，心神昏冒，筋骨不用而突然倒下无知觉。也有因为悲伤思念等情志过极而导致的，大凡情志过极皆为热。俗话说的风，是说末节而忘记了根本。需要用地黄饮子补其阴火，阴火治好则阳火不难于折服。朱丹溪说：中风有气虚、有血虚，虚则会有湿痰。左手脉不足及半身不遂者，以四物汤为主加姜汁、竹沥。右脉不足，以四君子汤加之。气血两虚，总用八物汤更加天南星、半夏。这三位的论述，各自阐发了前人未发之言，继前人之事而增华，而中风病就没有剩余的含义了。有人说三位分别主乎火、主乎气、主乎湿，与风有什么关系呢？《金匮要略》讲邪不讲风，讲虚寒相搏不讲风中，却以中风名篇，也欠圆通周到。要知道因于中的，是真中风。因于火、因于气、因于湿的，是类中风而非中风。这在于详细辨别施治。辨之为风，则从真中风治疗；辨之为火、为气、为湿，则治疗从类中风。虽然处方各有不灵验的时候，但立言确实是黑夜中的明珠。老师说真中风绝不会病目，类中风也只有口眼歪斜一症，这都是读书见道的言论。那些小儿突然痰壅，眼翻牵掣，这是水不荣养筋脉，因而火燥木急，绝类似中风，但治法截然不同，而且痊愈迅速，所以不收入本书。
Symptoms are used to diagnose diseases. Without clear syndromes (Zheng), the manifestations of the disease become fragmented, and physicians wielding the scalpel cannot ascertain the deficiency or excess, leading to misapplied treatments. In ancient times, seventy-two syndromes were recorded, which was not considered too simple. Later generations recorded one hundred and sixty, which was not considered excessive. However, if one follows the logic of events and principles to formulate laws but fails to grasp the key pivot, it is like losing a carriage with a south-pointing chariot while crossing the sea, causing people to merely gaze at the vastness in fear. This volume, focusing on "Wind" (Feng), lists eighty-one syndromes, eight of which are seemingly due to wind but are not truly so. The language is concise yet detailed, the meaning profound and unwavering, containing the ultimate Dao of balancing Yin and Yang. Excellent physicians and ministers may well be those who unite these roles. Lu Ting Buchen Zhi wrote this casually.
O Wind, O Wind, you come without cause, failing to resolve my resentment but adding to my sorrow. If the exterior is deficient, wind enters the skin and muscles; if it does not afflict the skin and muscles, it afflicts the Eye Meridians (Mu Xi). It may lead to convulsions and hemifacial paralysis, or upward gazing, often resulting in death. As for the Six Channels (Liu Jing) being affected by wind, pain attacks first settle at the vertex of the head. When wind transforms and medicine becomes ineffective, external symptoms remain untreatable. Blood deficiency and blood heat also generate wind, presenting with varying degrees of dizziness, itching, pain, and tearing. When heat is excessive and generates wind, the disaster is more severe, manifesting as either Nourishing Fat Pterygium (Ning Zhi) or pockmark toxins. Do you not see that fire does not burn without wind? Although the condition is adverse, medication can still be referenced.
This chapter discusses patients suffering from wind diseases that subsequently affect the eyes. Generally, wind belongs to Wood, Wood belongs to the Liver, and the Liver opens into the eyes, originating from a single Qi. Long-standing wind often transforms into heat because Wood generates Fire. Excessive Fire consumes the blood. Moreover, long-term illness causes Qi stagnation, and stagnation generates Fire. Rising Fire generates Wind, creating a cycle of mutual generation. Both internal and external cataracts (Zhang Yi) arise from this. Some have short duration but deep stagnation leading to strabismus; some have shallow stagnation but long duration leading to entropion/ectropion; some have tremors due to blood deficiency and tendon tension; some have internal cataracts formed when Fire pathogens disrupt harmonious Qi; some have red, rotting eyelids due to surging wind and blood, forming瘀肉 (fleshy growths) like chicken combs. Additionally, taking aromatic and drying drugs, and indulging in alcohol and sex, cause further Yin depletion and intensified Fire. As Fire intensifies, Wind becomes fiercer, leading to severe conditions like Hua Bai (flower-white cataract) and Ning Zhi. Treatment should trace the cause upwards. Generally, regulating Qi comes first, clearing Fire second. Otherwise, if the source is not cut off, how can the flow stop? Though temporarily receding now, it will surely return later, requiring repeated treatments. If Wind does not cease and Fire does not extinguish, the eyes will never know peace. Regarding the causes of Stroke (Zhong Feng), Qibo stated there are four major methods: 1. Pian Ku (Hemiplegia): hemiplegia with pain; 2. Feng Fei: no body pain, limbs unable to hold; 3. Feng Ya: sudden loss of consciousness; 4. Feng Bi: various Bi syndromes resembling wind. *Jin Gui Yao Lue · Stroke Chapter* states: The pulse at Cun Kou is floating and tight. Floating indicates deficiency, Tight indicates cold. Deficiency and Cold contend, pathogenic factors do not discharge. If pathogens are in the skin, there is facial deviation and inability to move freely. If in the meridians, there is numbness of skin and muscles. If entering the Fu organs, there is disorientation. If entering the Zang organs, there is difficulty speaking and drooling. Treatments include Da Xiao Xu Ming Tang, Xi Zhou Xu Ming Tang, Pai Feng Tang, and Ba Feng Tang. Li Dongyuan said: Sudden stroke with coma, unconsciousness, abundant phlegm-saliva, and slurred speech is not external wind but a disease of the original Qi. People over forty who suffer from worry, labor, anger, and indignation damaging their Qi often get this syndrome. Obese individuals may occasionally get it even in youth, due to weakness of Middle Qi. Urgently use San Sheng Yin plus one liang of Ren Shen to restore consciousness. Liu Hejian believed that stroke paralysis is not due to excessive Liver Wood wind nor external wind invasion, but indeed due to improper care, sudden surge of Heart Fire, and decline of Kidney Water failing to control it, leading to Yin deficiency and Yang excess, stifled heat, confused spirit, and sudden collapse without awareness. It can also be caused by extreme emotional distress like grief or anxiety, as all extreme emotions generate heat. The common term "wind" refers to the branch while forgetting the root. One must use Di Huang Yin Zi to tonify Yin Fire; once Yin Fire is treated, Yang Fire is easy to subdue. Zhu Danxi said: Stroke involves Qi deficiency or Blood deficiency, where deficiency leads to damp-phlegm. For insufficient pulse on the left side and hemiplegia, use Si Wu Tang as the base with ginger juice and bamboo sap. For insufficient pulse on the right, add Si Jun Zi Tang. For both Qi and Blood deficiency, use Ba Wu Tang plus Tian Nan Xing and Ban Xia. These three masters each revealed what others had not, enhancing previous works, leaving no unexplored aspects of stroke. Some ask how these three, focusing on Fire, Qi, and Dampness respectively, relate to Wind? *Jin Gui* speaks of pathogens, not wind, and of deficiency-cold contention, not wind invasion, yet titles the chapter "Stroke," which is somewhat imprecise. Know that those caused by internal factors are True Stroke (Zhen Zhong Feng). Those caused by Fire, Qi, or Dampness are Similar Stroke (Lei Zhong Feng) rather than true stroke. This requires detailed differentiation for treatment. Differentiated as wind, treat as True Stroke; differentiated as Fire, Qi, or Dampness, treat as Similar Stroke. Although prescriptions may vary in efficacy, these statements are pearls illuminating the night. The teacher said True Stroke never affects the eyes; Similar Stroke only presents with facial deviation. These are words of one who has studied deeply and perceived the Dao. Children's sudden phlegm obstruction, eye rolling, and twitching are due to Water failing to nourish tendons, causing Fire dryness and Wood tension, resembling stroke but with completely different treatment and rapid recovery, so they are not included here.