脉 人迎与右寸浮大而缓。两关尺。浮缓而涩。脉诀云。伤风之脉。阳浮而缓。阴濡而弱。
。恶风。又云。伤风则恶风。理必然也。盖风喜伤卫。卫者阳气也。风邪客之。则腠理反疏
。不能卫护。故自汗而恶风也。外症。头疼。肢热。咳嗽。鼻塞声重。或流清涕。或鼻塞不
闻香臭者。是也。
治 大抵伤风属肺者多。治法必以解表、清热、降气、行痰为主。先用解表清热。姜葱
紫苏叶黄芩葛根之类。次用消痰止嗽。杏仁贝母款冬花前胡之类。若汗出。HT 寒。而加头项
强痛者。桂枝葛根汤主之。若无汗。烦躁不解。无表症者。双解散主之。
方 芎芷葛苏散春夏伤风宜服。
川芎 白芷 干葛 苏叶 陈皮 半夏（各一钱） 桔梗 前胡 淡豆豉（各七分） 甘草（三分）
上用水一钟半。生姜三片。葱白三根。煎至八分。食后热服。微汗即解。
身热不退。加柴胡（一钱）、黄芩（八分）。
头疼甚。加石膏（一钱）、细辛（五分）、升麻（三分）。
巅顶痛。加羌活、 本（各八分）。
眉棱痛。加防风、蔓荆子（各七分）。
肩背痛。因风邪者。加防风、羌活、当归（各一钱）。
胸胁不利。加枳壳、香附（各八分）。
咳嗽生痰。加桑白皮、杏仁、知母、贝母、款冬花、金沸草（各八分）。
喘急气壅。加麻黄、石膏（各二钱五分）、杏仁、枳壳（各八分）。
鼻塞。或流清涕。加菊花、辛夷、苏梗（各八分）、细辛（五分）。
又方 参苏散秋冬秋冬伤风宜服。
人参 苏药 桔梗 葛根 前胡 淡豆豉 陈皮 半夏 茯苓 枳壳 甘草（减半） 金沸草
加黄芩（各等分） 桂枝（五分） 杏仁（七分）
上用姜三片。葱白三根。枣一枚。水一钟半。煎八分。食后热服。微汗即解。
咳嗽。加五味子（五分）、款冬花、贝母（各八分）、天门冬、栝蒌仁（各一钱）。
久嗽肺火。加桑白皮、杏仁、黄芩、石膏、麦门冬、五味子（各等分）。
喘急气壅。加苏子、麻黄、杏仁、石膏（各一钱）。
头疼。加川芎（一钱）、细辛（五分）。发热。加柴胡（一钱）、黄芩（八分）
潮热恶寒。加麻黄（一钱）、桂枝（七分）。
呕吐。加藿香（八分）、砂仁（七粒）、寒月再加干姜（五分）、丁香（三分）。
胸膈痞闷。加枳实、白术、香附（各八分）。
肩背痛。加羌活、当归、乌药（各八分）。
汗出HT 寒。加桂枝、葛根（各八分）。
无汗。烦躁不解。加麻黄（一钱五分）、杏仁（八分）、姜三片、葱三根。
挟食者。加白术、陈皮、枳实、山楂、麦芽（各八分）。
四肢疼痛。加防风、羌活、苍术（各八分）。
房劳伤风。加当归、白术（各一钱）。
痰多。嗽不止。加贝母、南星、栝蒌仁、杏仁（各八分）。
脉象：人迎穴处脉搏与右手寸口脉呈现浮大且缓的特征。两手关部与尺部脉搏，表现为浮缓而涩。《脉诀》记载：伤风的脉象，阳脉（指寸、关等上部脉位）浮而缓，阴脉（指尺部等下部脉位）濡弱。
症状：恶风。又说：伤风会导致恶风，这是必然的道理。因为风邪容易侵犯卫气，卫气属于阳气。风邪客居体内，导致腠理（皮肤毛孔及肌肉间隙）变得疏松，不能起到卫护作用，所以出现自汗和恶风的症状。外在症状包括：头痛，肢体发热，咳嗽，鼻塞声音沉重，或者流清鼻涕，或者鼻塞闻不到香味和臭味，这些都属于伤风的表现。
治法：大体上伤风多归属于肺经病变，治疗方法必须以解表、清热、降气、行痰为主。先用解表清热的药物，如生姜、葱白、紫苏叶、黄芩、葛根之类。其次用消痰止咳的药物，如杏仁、贝母、款冬花、前胡之类。如果出汗后怕冷，并且伴有头项强痛，主方用桂枝葛根汤。如果没有汗，烦躁不安且症状不解，同时没有表证（指病邪在体表），主方用双解散。
方剂一：芎芷葛苏散，适用于春夏季节的伤风。
药材：川芎、白芷、干葛（葛根）、苏叶（紫苏叶）、陈皮、半夏（各一钱），桔梗、前胡、淡豆豉（各七分），甘草（三分）。
用法：以上药材用水一钟半，加入生姜三片，葱白三根，煎煮至八分水量，饭后热服，微微出汗即可痊愈。
加减法：
身体发热不退，加柴胡（一钱）、黄芩（八分）。
头痛剧烈，加石膏（一钱）、细辛（五分）、升麻（三分）。
头顶疼痛，加羌活、藁本（各八分）。
眉棱骨疼痛，加防风、蔓荆子（各七分）。
肩背疼痛，因风邪引起者，加防风、羌活、当归（各一钱）。
胸胁部位不利，加枳壳、香附（各八分）。
咳嗽生痰，加桑白皮、杏仁、知母、贝母、款冬花、金沸草（各八分）。
气喘急促，气机壅塞，加麻黄、石膏（各二钱五分）、杏仁、枳壳（各八分）。
鼻塞，或流清涕，加菊花、辛夷、苏梗（各八分）、细辛（五分）。
方剂二：参苏散，适用于秋冬季节的伤风。
药材：人参、苏药（紫苏叶）、桔梗、葛根、前胡、淡豆豉、陈皮、半夏、茯苓、枳壳、甘草（用量减半）、金沸草，加黄芩（各等分），桂枝（五分），杏仁（七分）。
用法：以上药材用姜三片，葱白三根，大枣一枚，水一钟半，煎煮至八分水量，饭后热服，微微出汗即可痊愈。
加减法：
咳嗽，加五味子（五分）、款冬花、贝母（各八分）、天门冬、栝蒌仁（各一钱）。
久咳导致肺火旺盛，加桑白皮、杏仁、黄芩、石膏、麦门冬、五味子（各等分）。
气喘急促，气机壅塞，加苏子、麻黄、杏仁、石膏（各一钱）。
头痛，加川芎（一钱）、细辛（五分）。发热，加柴胡（一钱）、黄芩（八分）。
潮热恶寒，加麻黄（一钱）、桂枝（七分）。
呕吐，加藿香（八分）、砂仁（七粒），寒冷月份再加干姜（五分）、丁香（三分）。
胸膈痞闷，加枳实、白术、香附（各八分）。
肩背疼痛，加羌活、当归、乌药（各八分）。
出汗后怕冷，加桂枝、葛根（各八分）。
无汗，烦躁不安，加麻黄（一钱五分）、杏仁（八分）、姜三片、葱三根。
夹杂食积者，加白术、陈皮、枳实、山楂、麦芽（各八分）。
四肢疼痛，加防风、羌活、苍术（各八分）。
房劳过度导致的伤风，加当归、白术（各一钱）。
痰多，咳嗽不止，加贝母、南星、栝蒌仁、杏仁（各八分）。
Pulse: The Renying (ST9) pulse and the Cun position of the right hand pulse present as floating, large, and slow. The Guan and Chi positions of both hands present as floating, slow, and choppy. *Mai Jue* (Classic of Pulses) states: "The pulse of wind-stroke is yang-floating and slow, yin-soft and weak."
Symptoms: Aversion to wind. It is also said that wind-strike causes aversion to wind, which is logically inevitable. This is because wind pathogen easily injures Wei Qi (Defensive Qi), which belongs to Yang Qi. When the wind pathogen lodges in the body, it causes the Cou Li (pores and interstices) to become loose, failing to provide protective functions, thus resulting in spontaneous sweating and aversion to wind. External symptoms include: headache, heat in the limbs, cough, nasal congestion with heavy voice, or runny clear nasal discharge, or nasal obstruction unable to smell odors; these are all manifestations of wind-strike.
Treatment: Generally, wind-strike mostly involves the Lung organ. The treatment method must focus on releasing the exterior, clearing heat, descending Qi, and resolving phlegm. Initially, use herbs for releasing the exterior and clearing heat, such as Sheng Jiang (Zingiberis Rhizoma), Cong Bai (Allii Fistulosi Bulbus), Zi Su Ye (Perillae Folium), Huang Qin (Scutellariae Radix), and Ge Gen (Puerariae Lobatae Radix). Subsequently, use herbs for resolving phlegm and stopping cough, such as Xing Ren (Armeniacae Semen Amarum), Bei Mu (Fritillariae Cirrhosae Bulbus), Kuan Dong Hua (Farfarae Flos), and Qian Hu (Peucedani Radix). If there is sweating accompanied by aversion to cold, along with stiffness and pain in the head and neck, Gui Zhi Ge Gen Tang (Cinnamon Twig and Kudzu Root Decoction) is the primary formula. If there is no sweating, restlessness persists, and there are no exterior syndrome signs, Shuang Jie San (Double Resolution Powder) is the primary formula.
Formula 1: Xiong Zhi Ge Su San (Ligusticum, Angelica Dahurica, Kudzu, and Perilla Powder), suitable for wind-strike in spring and summer.
Herbs: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Gan Ge (Kudzu Root), Su Ye (Perilla Leaf), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma Preparatum) (each 1 qian); Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Dan Dou Chi (Sojae Semen Preparatum) (each 7 fen); Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen).
Preparation: Take one and a half zhong of water, add three slices of fresh ginger and three stalks of green onion white. Decoct until eight parts remain. Take hot after meals. Slight sweating indicates resolution.
Modifications:
If body heat does not subside, add Chai Hu (Bupleuri Radix) (1 qian), Huang Qin (Scutellariae Radix) (8 fen).
If headache is severe, add Shi Gao (Gypsum Fibrosum) (1 qian), Xi Xin (Asari Radix et Rhizoma) (5 fen), Sheng Ma (Cimicifugae Rhizoma) (3 fen).
If vertex headache occurs, add Qiang Huo (Notopterygii Rhizoma et Radix), Gao Ben (Ligustici Wallichii Rhizoma et Radix) (each 8 fen).
If brow bone pain occurs, add Fang Feng (Saposhnikoviae Radix), Man Jing Zi (Viticis Fructus) (each 7 fen).
If shoulder and back pain occur due to wind pathogen, add Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Dang Gui (Angelicae Sinensis Radix) (each 1 qian).
If chest and hypochondrium feel obstructed, add Zhi Ke (Aurantii Fructus Immaturus), Xiang Fu (Cyperi Rhizoma) (each 8 fen).
If cough produces phlegm, add Sang Bai Pi (Mori Cortex), Xing Ren (Armeniacae Semen Amarum), Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Cirrhosae Bulbus), Kuan Dong Hua (Farfarae Flos), Jin Fei Cao (Boltoniae Herba) (each 8 fen).
If asthma is urgent and Qi is congested, add Ma Huang (Ephedrae Herba), Shi Gao (Gypsum Fibrosum) (each 2.5 qian), Xing Ren (Armeniacae Semen Amarum), Zhi Ke (Aurantii Fructus Immaturus) (each 8 fen).
If nasal congestion or runny clear nose occurs, add Ju Hua (Chrysanthemi Flos), Xin Yi (Magnoliae Flos), Su Geng (Perillae Caulis) (each 8 fen), Xi Xin (Asari Radix et Rhizoma) (5 fen).
Formula 2: Shen Su San (Ginseng and Perilla Powder), suitable for wind-strike in autumn and winter.
Herbs: Ren Shen (Ginseng Radix et Rhizoma), Su Yao (Perilla Leaf), Jie Geng (Platycodonis Radix), Ge Gen (Puerariae Lobatae Radix), Qian Hu (Peucedani Radix), Dan Dou Chi (Sojae Semen Preparatum), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma Preparatum), Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Gan Cao (Glycyrrhizae Radix et Rhizoma) (half dose), Jin Fei Cao (Boltoniae Herba); add Huang Qin (Scutellariae Radix) (equal parts); Gui Zhi (Cinnamomi Ramulus) (5 fen); Xing Ren (Armeniacae Semen Amarum) (7 fen).
Preparation: Use three slices of ginger, three stalks of green onion white, and one jujube. Add one and a half zhong of water. Decoct until eight parts remain. Take hot after meals. Slight sweating indicates resolution.
Modifications:
For cough, add Wu Wei Zi (Schisandrae Chinensis Fructus) (5 fen), Kuan Dong Hua (Farfarae Flos), Bei Mu (Fritillariae Cirrhosae Bulbus) (each 8 fen), Tian Men Dong (Asparagi Radix), Gua Lou Ren (Trichosanthis Semen) (each 1 qian).
For chronic cough with Lung fire, add Sang Bai Pi (Mori Cortex), Xing Ren (Armeniacae Semen Amarum), Huang Qin (Scutellariae Radix), Shi Gao (Gypsum Fibrosum), Mai Men Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus) (equal parts).
For urgent asthma and Qi congestion, add Su Zi (Perillae Fructus), Ma Huang (Ephedrae Herba), Xing Ren (Armeniacae Semen Amarum), Shi Gao (Gypsum Fibrosum) (each 1 qian).
For headache, add Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 qian), Xi Xin (Asari Radix et Rhizoma) (5 fen). For fever, add Chai Hu (Bupleuri Radix) (1 qian), Huang Qin (Scutellariae Radix) (8 fen).
For tidal fever and aversion to cold, add Ma Huang (Ephedrae Herba) (1 qian), Gui Zhi (Cinnamomi Ramulus) (7 fen).
For vomiting, add Huo Xiang (Agastaches Herba) (8 fen), Sha Ren (Amomi Fructus Rotundus) (7 seeds); in cold months, add Gan Jiang (Zingiberis Rhizoma) (5 fen), Ding Xiang (Caryophylli Flos) (3 fen).
For chest and diaphragm fullness and oppression, add Zhi Shi (Aurantii Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xiang Fu (Cyperi Rhizoma) (each 8 fen).
For shoulder and back pain, add Qiang Huo (Notopterygii Rhizoma et Radix), Dang Gui (Angelicae Sinensis Radix), Wu Yao (Linderae Radix) (each 8 fen).
For sweating with aversion to cold, add Gui Zhi (Cinnamomi Ramulus), Ge Gen (Puerariae Lobatae Radix) (each 8 fen).
For no sweating and persistent restlessness, add Ma Huang (Ephedrae Herba) (1.5 qian), Xing Ren (Armeniacae Semen Amarum) (8 fen), three slices of ginger, three stalks of green onion.
For cases complicated by food stagnation, add Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zhi Shi (Aurantii Fructus), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus) (each 8 fen).
For pain in the four limbs, add Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Cang Zhu (Atractylodis Rhizoma) (each 8 fen).
For wind-strike caused by sexual exhaustion, add Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 1 qian).
For excessive phlegm and incessant cough, add Bei Mu (Fritillariae Cirrhosae Bulbus), Nan Xing (Arisaematis Rhizoma Preparatum), Gua Lou Ren (Trichosanthis Semen), Xing Ren (Armeniacae Semen Amarum) (each 8 fen).