。正北坎为中男，名曰水风。一曰面风，二曰瓦风，三曰敖风。偶着肌体，春秋生疮，淫淫
习，习类如虫行，游走无定，十年后毛堕落。西南坤为老母名曰穴风。一曰阴风，
二曰
胪风，三曰脑风。初受此风不知痛痒，亦不生疮，渐成白癞，十年后眉毛堕落。东南巽为
长女，名曰角风。一曰因风，二曰历节风，三曰膀胱风，此风有虫，三色，头赤，腹白，尾
黑，三
年后眉睫堕落，虫出可治。南方离为中女，名曰赤风，一曰大风，二曰摇风，三曰抖风，若
中此风，身体游游奕，奕心不安宁，肉色变异，十年后眉睫堕落。西方兑为少儿，名曰淫风
。一曰缺风，二曰明风，三曰清风。此风发时百日后，体肉蒸热，眉发堕落。皆由内伤七情
，真元失耗，气血衰弱者感之，如调养固密，何由致此哉?
先中于手太阳、足阳明胃经，其次延及手足太阴，不发病者何也?盖肺主皮毛，而
遇风寒，
足太阴脾主肌肉，而逢湿热，百骸流注。六经传遍，皆因三焦相火热甚制金，不能平肝木，
肝独胜而生风，故相克侮，以致肺金脾土皆亏，风热寒湿诸毒化生九虫，钻啮脏腑。手
阳明大肠之络，环交口，挟鼻孔，出于迎香，贯于齿缝，而下肺膈。足阳明胃之络，亦
在鼻
额，齿中而行，挟脐气冲，风气皆由出入，故先中焉。手太阴肺，其窍在鼻，主一身之皮毛
。
足太阴脾，其窍在唇，主一身之肌肉，亦风气之门户，故风病多见唇鼻烂坏也。是以金燥
而恶寒，土卑而忌湿，故寒热作也。风湿内扇，诸火皆动，金气有亏，木无所制，木旺而侮
土，脾乃受伤，而肺无滋养，子母俱弱，则风木独旺，心火炎，炎血热妄行，其所积秽恶
邪
毒，风湿火相扇，化生九虫，吃蚀脏腑，则为癞风。食肝毛脱，食肺鼻崩，食脾声变，食肾
耳鸣，食
筋节解，食肉痛痒，食皮顽裂，食脂起 ，食心而死。《内经》备言肠胃为市，无物不受
，无物
不包。饮食不谨，朝伤暮损，积久成热，湿热相积，诸般奇虫，各从五行之气而化生，亦如
腐
肉生蛆，腐草化萤之理。《外台秘要》载有九虫，食人脏腑∶一曰伏虫，长四寸许，为诸虫
之首。
二曰蛔虫，长尺许，人常生之，多则贯心杀人。三曰白虫，长四五尺，子母相生，情势转
大
，亦能杀人。四曰肉虫，食人之肉，令人烦闷。五曰肺虫，其状如蚕，令人咳嗽。六曰蛔虫
，状如蛤蟆，令人呕吐，逆善哕。七曰弱虫，又名肠虫，状如瓜瓣，令人多吐。八曰赤虫
，
状如生肉，令人肠鸣。九曰蛲虫，状如菜虫，形至微细，居广肠内，即胴肠也，多即为痔
，甚则为漏 ，剧则为风疠。因人疮处已发，痈疽癣 ， 疥龋蚀。若元气壮实，未为
大害，
稍有虚损，遂侵蚀随之。其虫动而变生多病，如嗝噎、痨瘵、癞风、蛊胀之类。又有 鼠、
应声虫奇怪之类，未易悉举，虫之为害大矣哉。
中于手少阴，面目舌赤，翕翕然发热，喑不能言，久乃生虫，蚀心则足底穿，膝虚肿，
浑身溃烂，涎脓腥秽者，荣血先死矣。
舌乃心之苗，君火妄动，必舌枯无津液也。火气燥金，故音哑而发热。虚火下流，热毒
注肾
，直出涌泉，故肿痛，循膝节而至足底穿烂，无可救疗。心主血，火炎内泛，则浑身肿腐，
皮肉伤残，不能聚敛。毒入于心，血泛无制，七年不治。中于足厥阴，面目多青，恶风
自汗，左胁偏痛，久乃生虫，蚀肝则眉发焦 ，满身生黑
斑。若指肿挛瘪堕折者，筋死矣。
木泛形色于外，肝气已败，湿土无制，故恶寒、自汗，其络循阴器，布胁肋，上入颃颡
，肝脉
见左关，故左胁偏痛，眉发焦脱者，血不滋养，气不充润，如木无水灌而枝萎叶落也。生
黑
斑者，乃肾水泛上也。指屈趾烂者，如木朽、根枝死也。瘪挛者，正谓肝木干枯也。肝病多
痒痛，风木动摇故也。三年成大患，筋死不荣，为病已剧。
中于足太阴，四肢怠惰，皮肉 动，身体虚黄，久乃生虫，蚀脾则音哑肤瘪。若麻木不
仁者，皮死矣。
脾络注心循臂，故四肢倦。土败不能安堵，故肉 动振跳也。气弱不磨谷食，故怠惰不
思食
味，或食息则四肢不收。血液阻涸，不能周济，故哑而瘪。脾属土恶湿，其气既败，不能运
动矣，故发麻木。然麻乃不仁与平常皮肉不同，按之如隔一纸。木乃肉内唧唧然，不知痛痒
而酸楚之至也。盖麻是气虚木是湿痰、死血为病。既麻又木，乃气虚湿聚，血络枯涸，昼夜
不行，绝不充润于皮肤也。经言湿生痰，痰生热，热生风。丹溪云∶湿热必生风，风甚则生
虫。正如腐草化萤，湿热之气乘风也病患于脾，则肿胀多水，非是湿热生风。因有湿热在
内，则风乘隙而入也。六载病成，十五年不治。中于手太阴，面颊浮白，口燥喘急，久
则生虫，蚀肺则鼻梁崩塌，若眼断、唇翻、失音者不
治，乃骨死矣。
金性燥，故口干。火热 之，故发声喘急。其窍在鼻，虫蚀肺，故山根崩折，剧则鼻柱
烂落
。金败不能生水，肾气必虚，故目暗干枯，皮急棚而吐。痰气泛漫于脾中，故唇浓而翻。热
气聚于会厌，故失音声也。如金器碎，则无音律。骨属金，故髓枯而骨死。病入肺经，皮枯
不仁。三年之后难治。
中于足少阴，面耳黧晦，腰脊引痛，小腹隐隐不利，久则生虫蚀肾，则耳鸣啾啾，沿HT
生疮，或痒或痛。若割切不知痛者，肉死矣。
肾水泛上，故变色，或灰或黑。耳乃肾之窍，水枯精乏，故耳热生疮。腰脊引痛者，虚
极也。津液既绝，为病酸麻不知痛痒。肾邪最速，一年即成大患矣。
中于足阳明，额多汗，膈塞不通，餐寒则 啖(音噎儋)，久乃生虫蚀胃，散蠹周身，则
皮痒浮游。若欷 蒙 ，食减倦惫者，气死矣。
胃络循于目之上下，故额多汗。脾胃气弱，五谷不消，膈臆填满，上逆呕吐。气血不通
，皮
肤自痒。神魂离散，臆满则欷 不爽，肠气既败，疲倦恶食也。经云肠胃为市，无不包藏
，热积于中，必泛形于外，胃腑受毒，势由虫瘴，肤体胀肿虚浮，二十年不治。
癞风之害根于六淫中，于六部发为六邪，部各六种，症名三十有六。
六淫，即风、寒、暑、湿、燥、火，乃天地六欲不正之气也。六部，即心、肝、脾、肺
、肾、胃也。六邪，即痛、痒、麻、烂、胀、惫之六病也。胃居脾之下，为受盛之司，藏纳
五味，故多受毒与五脏同。风癞异名，六部每各六种，故有六六三十六件，由八八有六十四
卦也。
天时毒瓦斯，脏腑混淆，互伤舛疰，变症源当。然肺病则痛，胃病则痒，肾病则麻，心
病则烂，肝病则挛，脾病则脓。
金之气燥，故作痛。土之气湿，遇阳乘之，则为沙尘，故痒。遇阴乘之为泥淤，则软水
之气
寒，阳荡之则麻，阴凝之则木，皆不知痛痒也。君相二火，能败诸物溃烂。风木之性，
动摇牵引，缩伸为挛，其五脏六腑，荣卫肺络，充贯人身，联系相继，淫邪中人，则周身沿
蠹
，岂有止于一脏而别经不伤之理?其先中之经络与后中者，在轻重之间耳，但一脏受病则
余脏难免其伤。且如麻木、肾病也，殊不知麻乃风气乘之，木乃湿兼寒也。外虽不知痛痒，
而骨肉间反知痛痒者，乃肾病重而肺病轻也。麻而软痿无力者，脾肾相殊也。麻而足长短手
挛者，水不滋木肝受病也。麻而溃烂者，水火不相济，上犯于心也。又痛乃肺病，如痛久
而瘫者，母不能顾子，脾气害也。痛而麻木者，母弱难扶其子，肾气亏而受毒也。痛而觉痒
，搔之则痛极难忍者，胃气虚而毒瓦斯入深也。痛而溃烂者，肺不能生水以制火，而金火相刑
也。余可以此例推。
感于不测，贮于无稽，曰癞曰风，异种类聚。
心主血，肝脏之毒伤血分，则心肝发病肺主气凡风疠皆因气闷而生。肾藏精，色
欲房
劳为害。脾胃通连而藏谷气，其醉饱、五味之伤在此。故风之为病，惟在心、肝、脾、肺、
肾、胃之六经
受邪，其余六经不能容受，不被所伤，无所干犯，故风疠不由此而起。手少阳三焦乃无
形之腑，厥阴包络乃附系之经，阳明大肠、太阳小肠，为出入之门户，足太阳膀胱，僻居
下元，少阳胆乃清净幽闲之司，邪毒之气皆不伤犯而藏蓄。况肺之窍在鼻，气从而入，脾
之窍在唇，味从而入病始之由多是气味之感，故先见于皮毛之间。《病源》曰∶六部各有风
病六种，共三十六种，皆由六欲七情、寒湿风热邪毒之气传疰肤体，周流百节丝络交错
。
凡中伤者，非在一经，非发一症，故治法方药浩汗弥常，取效者惟灵宝大药，名平分家产
方，最为王道，治三十六种风皆有全功。其次止东华玉髓水制黄香丸，又名黄龙丸，小还
丹等数方而已。亦能治诸风，其余一方止治一症，若以他治，如水浇石，罕有取效者。而大
风之外，又有癞疮十四种，后世因其病势颜色之多端而巧立名色以惑人，上古止言风癞，
并无奇异繁名。凡言脏腑如此，特其先惑之由耳。若病一发，譬诸风水，随处充满，流荡百
骸，各经传遍，无不至焉。
正北方坎卦代表中男，其病名为水风。又称面风、瓦风、敖风。这种风邪偶然侵袭肌体，在春秋季容易生疮，皮肤感觉如虫爬行般游走不定，十年后毛发脱落。西南方坤卦代表老母，其病名为穴风。又称阴风、胪风、脑风。初受此风时不知痛痒，也不生疮，逐渐形成白癞，十年后眉毛脱落。东南方巽卦代表长女，其病名为角风。又称因风、历节风、膀胱风，此风带有虫邪，虫体有三种颜色：头赤、腹白、尾黑，三年后眉睫脱落，若虫排出则可治愈。南方离卦代表中女，其病名为赤风。又称大风、摇风、抖风，若中此风，身体游移不定，心中不安宁，肤色变异，十年后眉睫脱落。西方兑卦代表少儿，其病名为淫风。又称缺风、明风、清风。此风发作百日后，体内蒸热，眉毛头发脱落。这些病症皆因内伤七情，真元耗损，气血衰弱之人感受外邪所致；若能调养固密，怎么会得这种病呢？
病邪先侵犯手太阳经和足阳明胃经，其次延及手足太阴经。为什么不发病呢？因为肺主皮毛，遇到风寒；足太阴脾主肌肉，遇到湿热，导致百骸流注。六经传遍，皆因三焦相火过盛克制肺金，不能平抑肝木，导致肝气独旺而生风，从而产生相克侮的关系，致使肺金和脾土都亏损，风热寒湿诸毒化生九虫，钻啮脏腑。手阳明大肠的络脉，环绕口唇，挟持鼻孔，出于迎香穴，贯穿齿缝，向下连接肺膈。足阳明胃的络脉，也在鼻额部，行于齿中，挟脐和气冲穴，风气皆由此出入，所以先被侵犯。手太阴肺，其窍在鼻，主管一身之皮毛。足太阴脾，其窍在唇，主管一身之肌肉，也是风气入侵的门户，所以风病多见唇鼻溃烂。因此，金性燥而恶寒，土性卑下而忌湿，所以会出现寒热症状。风湿内侵，诸火皆动，金气有亏，木无所制，木旺而侮土，脾乃受伤，而肺无滋养，子母俱弱，则风木独旺，心火炎上，灼烧血液致血热妄行，其所积秽恶邪毒，与风湿火相互煽动，化生九虫，吃蚀脏腑，就形成了癞风。虫食肝脏则毛发脱落，食肺则鼻梁崩塌，食脾则声音改变，食肾则耳鸣，食筋则关节解离，食肉则痛痒，食皮则顽固开裂，食脂则起疹，食心则死亡。《内经》详尽论述肠胃如集市，无物不受，无物不包。饮食不慎，朝伤暮损，积久成热，湿热相积，各种奇虫各从五行之气而化生，也如同腐肉生蛆、腐草化萤的道理。《外台秘要》记载有九虫，食人脏腑：一曰伏虫，长约四寸，为诸虫之首。二曰蛔虫，长约一尺，人常生之，多则贯心杀人。三曰白虫，长四五尺，子母相生，情势转大，亦能杀人。四曰肉虫，食人之肉，令人烦闷。五曰肺虫，状如蚕，令人咳嗽。六曰蛲虫（原文误作蛔虫，据义修正或保留原意，此处依原文“状如蛤蟆”实指另一种虫，通常第六种为蛲虫或类似，但原文写的是“蛔虫...状如蛤蟆”，此处按原文翻译），状如蛤蟆，令人呕吐，逆气善哕。七曰弱虫，又名肠虫，状如瓜瓣，令人多吐。八曰赤虫，状如生肉，令人肠鸣。九曰蛲虫，状如菜虫，形至微细，居广肠内，即胴肠也，多即为痔，甚则为漏，剧则为风疠。因人疮处已发，痈疽癣疥龋蚀。若元气壮实，未为大害，稍有虚损，遂侵蚀随之。其虫动而变生多病，如嗝噎、痨瘵、癞风、蛊胀之类。又有鼠、应声虫奇怪之类，未易悉举，虫之为害大矣哉。
病邪中于手少阴心经，面目舌红，翕翕然发热，喑哑不能言，久则生虫，蚀心则足底穿孔，膝部虚肿，浑身溃烂，涎脓腥秽者，荣血先死矣。
舌乃心之苗，君火妄动，必舌枯无津液也。火气燥金，故音哑而发热。虚火下流，热毒注肾，直出涌泉，故肿痛，循膝节而至足底穿烂，无可救疗。心主血，火炎内泛，则浑身肿腐，皮肉伤残，不能聚敛。毒入于心，血泛无制，七年不治。
病邪中于足厥阴肝经，面目多青，恶风自汗，左胁偏痛，久则生虫，蚀肝则眉发焦枯，满身生黑斑。若指肿挛瘪堕折者，筋死矣。
木泛形色于外，肝气已败，湿土无制，故恶寒、自汗，其络循阴器，布胁肋，上入颃颡，肝脉见左关，故左胁偏痛，眉发焦脱者，血不滋养，气不充润，如木无水灌而枝萎叶落也。生黑斑者，乃肾水泛上也。指屈趾烂者，如木朽、根枝死也。瘪挛者，正谓肝木干枯也。肝病多痒痛，风木动摇故也。三年成大患，筋死不荣，为病已剧。
病邪中于足太阴脾经，四肢怠惰，皮肉跳动，身体虚黄，久则生虫，蚀脾则音哑肤瘪。若麻木不仁者，皮死矣。
脾络注心循臂，故四肢倦。土败不能安堵，故肉跳动振跳也。气弱不磨谷食，故怠惰不思食味，或食息则四肢不收。血液阻涸，不能周济，故哑而瘪。脾属土恶湿，其气既败，不能运动矣，故发麻木。然麻乃不仁与平常皮肉不同，按之如隔一纸。木乃肉内唧唧然，不知痛痒而酸楚之至也。盖麻是气虚木是湿痰、死血为病。既麻又木，乃气虚湿聚，血络枯涸，昼夜不行，绝不充润于皮肤也。经言湿生痰，痰生热，热生风。丹溪云∶湿热必生风，风甚则生虫。正如腐草化萤，湿热之气乘风也病患于脾，则肿胀多水，非是湿热生风。因有湿热在内，则风乘隙而入也。六载病成，十五年不治。
病邪中于手太阴肺经，面颊浮白，口燥喘急，久则生虫，蚀肺则鼻梁崩塌，若眼断、唇翻、失音者不治，乃骨死矣。
金性燥，故口干。火热灼之，故发声喘急。其窍在鼻，虫蚀肺，故山根崩折，剧则鼻柱烂落。金败不能生水，肾气必虚，故目暗干枯，皮急棚而吐。痰气泛漫于脾中，故唇浓而翻。热气聚于会厌，故失音声也。如金器碎，则无音律。骨属金，故髓枯而骨死。病入肺经，皮枯不仁。三年之后难治。
病邪中于足少阴肾经，面耳黧晦，腰脊引痛，小腹隐隐不利，久则生虫蚀肾，则耳鸣啾啾，沿HT（此处疑为衍文或特定部位描述，依语境译为沿经络或局部）生疮，或痒或痛。若割切不知痛者，肉死矣。
肾水泛上，故变色，或灰或黑。耳乃肾之窍，水枯精乏，故耳热生疮。腰脊引痛者，虚极也。津液既绝，为病酸麻不知痛痒。肾邪最速，一年即成大患矣。
病邪中于足阳明胃经，额部多汗，膈塞不通，餐寒则噎，久则生虫蚀胃，散蠹周身，则皮痒浮游。若欷蒙，食减倦惫者，气死矣。
胃络循于目之上下，故额多汗。脾胃气弱，五谷不消，膈臆填满，上逆呕吐。气血不通，皮肤自痒。神魂离散，臆满则欷不爽，肠气既败，疲倦恶食也。经云肠胃为市，无不包藏，热积于中，必泛形于外，胃腑受毒，势由虫瘴，肤体胀肿虚浮，二十年不治。
癞风之害根于六淫中，于六部发为六邪，部各六种，症名三十有六。
六淫，即风、寒、暑、湿、燥、火，乃天地六欲不正之气也。六部，即心、肝、脾、肺、肾、胃也。六邪，即痛、痒、麻、烂、胀、惫之六病也。胃居脾之下，为受盛之司，藏纳五味，故多受毒与五脏同。风癞异名，六部每各六种，故有六六三十六件，由八八有六十四卦也。
天时毒瓦斯，脏腑混淆，互伤舛疰，变症源当。然肺病则痛，胃病则痒，肾病则麻，心病则烂，肝病则挛，脾病则脓。
金之气燥，故作痛。土之气湿，遇阳乘之，则为沙尘，故痒。遇阴乘之为泥淤，则软水之气寒，阳荡之则麻，阴凝之则木，皆不知痛痒也。君相二火，能败诸物溃烂。风木之性，动摇牵引，缩伸为挛，其五脏六腑，荣卫肺络，充贯人身，联系相继，淫邪中人，则周身沿蠹，岂有止于一脏而别经不伤之理?其先中之经络与后中者，在轻重之间耳，但一脏受病则余脏难免其伤。且如麻木、肾病也，殊不知麻乃风气乘之，木乃湿兼寒也。外虽不知痛痒，而骨肉间反知痛痒者，乃肾病重而肺病轻也。麻而软痿无力者，脾肾相殊也。麻而足长短手挛者，水不滋木肝受病也。麻而溃烂者，水火不相济，上犯于心也。又痛乃肺病，如痛久而瘫者，母不能顾子，脾气害也。痛而麻木者，母弱难扶其子，肾气亏而受毒也。痛而觉痒，搔之则痛极难忍者，胃气虚而毒瓦斯入深也。痛而溃烂者，肺不能生水以制火，而金火相刑也。余可以此例推。
感于不测，贮于无稽，曰癞曰风，异种类聚。
心主血，肝脏之毒伤血分，则心肝发病肺主气凡风疠皆因气闷而生。肾藏精，色欲房劳为害。脾胃通连而藏谷气，其醉饱、五味之伤在此。故风之为病，惟在心、肝、脾、肺、肾、胃之六经受邪，其余六经不能容受，不被所伤，无所干犯，故风疠不由此而起。手少阳三焦乃无形之腑，厥阴包络乃附系之经，阳明大肠、太阳小肠，为出入之门户，足太阳膀胱，僻居下元，少阳胆乃清净幽闲之司，邪毒之气皆不伤犯而藏蓄。况肺之窍在鼻，气从而入，脾之窍在唇，味从而入病始之由多是气味之感，故先见于皮毛之间。《病源》曰∶六部各有风病六种，共三十六种，皆由六欲七情、寒湿风热邪毒之气传疰肤体，周流百节丝络交错。
凡中伤者，非在一经，非发一症，故治法方药浩汗弥常，取效者惟灵宝大药，名平分家产方，最为王道，治三十六种风皆有全功。其次止东华玉髓水制黄香丸，又名黄龙丸，小还丹等数方而已。亦能治诸风，其余一方止治一症，若以他治，如水浇石，罕有取效者。而大风之外，又有癞疮十四种，后世因其病势颜色之多端而巧立名色以惑人，上古止言风癞，并无奇异繁名。凡言脏腑如此，特其先惑之由耳。若病一发，譬诸风水，随处充满，流荡百骸，各经传遍，无不至焉。
The Kan trigram in the due north represents the middle son, and its disease is named Water Wind (Shuifeng). It is also called Facial Wind (Mianfeng), Tile Wind (Wafeng), or Ao Wind. When this wind pathogen occasionally invades the muscle layer, sores may appear in spring and autumn; the skin feels as if insects are crawling, wandering without a fixed location, and after ten years, hair falls out. The Kun trigram in the southwest represents the old mother, and its disease is named Cave Wind (Xuefeng). It is also called Yin Wind (Yinfeng), Lu Wind (Lufeng), or Brain Wind (Naofeng). Initially contracting this wind causes no pain or itching, nor does it produce sores; gradually, white leprosy (Bailai) forms, and after ten years, eyebrows fall out. The Xun trigram in the southeast represents the eldest daughter, and its disease is named Horn Wind (Jiaofeng). It is also called Cause Wind (Yinfeng), Li Jie Wind (Lijiefeng), or Bladder Wind (Pangguangfeng). This wind involves parasites with three colors: red head, white abdomen, and black tail; after three years, eyebrows and eyelashes fall out, and if the parasites are expelled, it can be cured. The Li trigram in the south represents the middle daughter, and its disease is named Red Wind (Chifeng). It is also called Great Wind (Dafeng), Yao Wind (Yaofeng), or Shake Wind (Doufeng). If struck by this wind, the body feels restless and unsettled, skin color changes, and after ten years, eyebrows and eyelashes fall out. The Dui trigram in the west represents the young child, and its disease is named Indulgent Wind (Yinfeng). It is also called Deficient Wind (Quefeng), Bright Wind (Mingfeng), or Clear Wind (Qingfeng). One hundred days after onset of this wind, internal steaming heat occurs, and eyebrows and hair fall out. All these conditions arise from internal injury to the Seven Emotions (Qiqing), depletion of True Yuan (Zhenyuan), and weakened Qi and Blood; if one maintains careful regulation and consolidation, how could such diseases occur?
The pathogen first strikes the Hand Taiyang (Small Intestine) Meridian and Foot Yangming (Stomach) Meridian, then extends to the Hand Taiyin (Lung) and Foot Taiyin (Spleen) meridians. Why does it not manifest immediately? Because the Lung governs the skin and hair, encountering Wind-Cold; the Foot Taiyin Spleen governs muscles, encountering Damp-Heat, leading to flow and injection throughout the bones. As the Six Meridians transmit the pathogen, it is due to the Ministerial Fire (Xianghuo) of the Sanjiao being excessive, suppressing Metal (Lung), failing to control Wood (Liver), causing Liver Qi to dominate and generate Wind. This leads to mutual overacting and insulting, resulting in deficiency of both Lung Metal and Spleen Earth. Wind-Heat, Cold-Damp, and various toxins transform into Nine Worms (Jiu Chong), burrowing into and gnawing at the Zang-Fu organs. The collateral of the Hand Yangming Large Intestine circles the mouth, flanks the nostrils, emerges at Yingxiang (LI 20), penetrates the teeth gaps, and descends to connect with the Lung diaphragm. The collateral of the Foot Yangming Stomach also runs through the nose and forehead, among the teeth, flanking the umbilicus and Qichong (ST 30); Wind pathogens enter and exit here, hence they are affected first. The Hand Taiyin Lung has its orifice in the nose and governs the skin and hair of the whole body. The Foot Taiyin Spleen has its orifice in the lips and governs the muscles of the whole body; it is also the gateway for Wind pathogens. Therefore, Wind diseases often present with rotting and destruction of the lips and nose. Thus, Metal is dry and dislikes Cold; Earth is lowly and fears Dampness; hence, alternating cold and fever occur. Internal invasion of Wind-Damp stirs all Fires; with deficient Metal, Wood is uncontrolled, Wood dominates and insults Earth, injuring the Spleen, while the Lung lacks nourishment. With both mother and child weak, Wind-Wood dominates alone. Heart Fire blazes, burning blood causing reckless bleeding; accumulated filth and evil toxins, fanned by Wind-Damp and Fire, transform into Nine Worms that eat away the Zang-Fu, resulting in Leprosy Wind (Laifeng). Eating the Liver causes hair loss; eating the Lung causes nasal collapse; eating the Spleen alters voice; eating the Kidney causes tinnitus; eating tendons causes joint separation; eating flesh causes pain and itching; eating skin causes stubborn cracking; eating fat causes rashes; eating the Heart leads to death. *Neijing* states that the intestines and stomach are like a market, receiving and containing everything. Imprudent diet causes morning injury and evening damage; accumulation over time generates Heat. Damp-Heat accumulates, and various strange worms transform according to the Qi of the Five Elements, just as rotten meat breeds maggots and rotten grass transforms into fireflies. *Waitai Miyao* records Nine Worms that eat human Zang-Fu: 1. Fu Chong (Hidden Worm), about four cun long, leader of all worms. 2. Hui Chong (Roundworm), about one chi long, commonly found in humans; if numerous, it pierces the heart and kills. 3. Bai Chong (White Worm), four to five chi long, reproducing parent-to-child, growing larger, also capable of killing. 4. Rou Chong (Flesh Worm), eats human flesh, causing irritability. 5. Fei Chong (Lung Worm), shaped like a silkworm, causing cough. 6. Si Chong (Toad Worm - note: text says "Hui Chong" but describes toad shape, likely a typo in original for another worm type, translated as described), shaped like a toad, causing vomiting and hiccups. 7. Ruo Chong (Weak Worm), also called Chang Chong (Intestinal Worm), shaped like melon seeds, causing frequent vomiting. 8. Chi Chong (Red Worm), shaped like raw meat, causing borborygmus. 9. Tuo Chong (Pinworm), shaped like vegetable worms, extremely minute, residing in the large intestine (Tongchang); numerous cases lead to hemorrhoids, severe cases to fistulas, extreme cases to Wind Leprosy. Due to existing sores, carbuncles, tinea, scabies, and dental caries, if Yuan Qi is strong, it is not a major harm; slight deficiency leads to erosion following. Worm movement generates many diseases, such as dysphagia, consumption, Leprosy Wind, and Gu Distension. Strange types like Rat Worms and Echoing Worms are too numerous to list; the harm of worms is indeed great.
Striking the Hand Shaoyin Heart Meridian causes redness of face, eyes, and tongue,翕翕 (shixi) fever, aphonia inability to speak; long-term generation of worms, eating the Heart causes perforation of the soles, knee swelling, whole-body ulceration, and foul-smelling purulent saliva, indicating Ying Blood has died first.
The tongue is the sprout of the Heart; reckless movement of Sovereign Fire causes the tongue to wither without fluids. Fire dries Metal, causing hoarseness and fever. Deficient Fire flows downward, Heat-Toxin injects into the Kidney, exiting directly at Yongquan (KI 1), causing swelling and pain, spreading along the knee joints to perforate the sole, incurable. The Heart governs Blood; blazing Fire floods internally, causing whole-body swelling and putrefaction, skin and flesh damaged, unable to gather. Toxin entering the Heart, unrestrained blood flooding, if untreated for seven years, leads to death.
Striking the Foot Jueyin Liver Meridian causes blue-green complexion, aversion to wind and spontaneous sweating, pain on the left hypochondrium; long-term generation of worms, eating the Liver causes scorched eyebrows and hair, and black spots all over the body. If fingers swell, contract, shrink, drop, or break, the sinews have died.
Wood manifests colors externally; Liver Qi is already ruined, Damp Earth is uncontrolled, causing aversion to cold and spontaneous sweating. Its collaterals circulate around the genitalia, spread along the hypochondrium, and ascend to the pharynx. The Liver pulse appears at the Left Guan position, hence left hypochondriac pain. Scorched and fallen eyebrows/hair indicate Blood fails to nourish and Qi fails to moisten, like wood without water irrigation causing branches to wither and leaves to fall. Black spots arise from Kidney Water flooding upward. Bent fingers and rotten toes are like rotten wood and dead roots/branches. Shrunken and contracted limbs signify Liver Wood drying up. Liver diseases often involve itching and pain due to the shaking nature of Wind-Wood. After three years, major illness develops; sinew death without nourishment means the disease is severe.
Striking the Foot Taiyin Spleen Meridian causes lethargy of the four limbs, twitching of skin and flesh, sallow yellow complexion; long-term generation of worms, eating the Spleen causes hoarseness and shriveled skin. If numb and insensible, the skin has died.
Spleen collaterals inject into the Heart and follow the arms, hence limb fatigue. Ruined Earth cannot settle, hence muscle twitching and jumping. Weak Qi cannot digest grain and food, hence lethargy and lack of desire for taste; upon eating or breathing, limbs fail to move. Blood vessels obstruct and dry up, unable to circulate, hence hoarseness and shrinking. Spleen belongs to Earth, dislikes Dampness; when its Qi is ruined, it cannot move, hence numbness. Numbness differs from normal skin/flesh; pressing feels like隔着 a paper. Tingling (Mu) is a buzzing sensation within the flesh, unaware of pain or itching but extremely sore. Numbness (Ma) is caused by Qi deficiency; tingling (Mu) is caused by Damp-Phlegm and Dead Blood. Both Ma and Mu together indicate Qi deficiency with Dampness accumulation, dried-up blood collaterals, non-circulation day and night, absolutely lacking nourishment to the skin. Classics state Dampness generates Phlegm, Phlegm generates Heat, Heat generates Wind. Danxi said: Damp-Heat must generate Wind, excessive Wind generates Worms. Just as rotten grass transforms into fireflies, Damp-Heat Qi rides the Wind. Patients with Spleen disease have swelling and excess water, not because Damp-Heat generates Wind, but because internal Damp-Heat allows Wind to enter through gaps. Disease forms in six years, untreatable after fifteen years.
Striking the Hand Taiyin Lung Meridian causes pale white cheeks, dry mouth and rapid panting; long-term generation of worms, eating the Lung causes nasal bridge collapse. If eyes are severed, lips everted, or aphonia occurs, it is untreatable, indicating Bone death.
Metal nature is dry, hence dry mouth. Heat/Fire burns it, hence loud voice and rapid panting. Its orifice is in the nose; worms eating the Lung cause collapse of the Shan Gen (root of nose); severely, the nasal pillar rots and falls. Ruined Metal cannot generate Water, Kidney Qi must be deficient, hence dark/dry eyes, tight skin, and vomiting. Phlegm-Qi floods the Spleen, hence thick and everted lips. Heat-Qi gathers at the epiglottis, hence loss of voice. Like a broken metal vessel losing tone, Bones belong to Metal, hence marrow withers and bone dies. Disease entering Lung Meridian causes withered, insensible skin. Difficult to treat after three years.
Striking the Foot Shaoyin Kidney Meridian causes darkened face and ears, pulling pain in waist and spine, vague discomfort in lower abdomen; long-term generation of worms eating the Kidney, causing buzzing tinnitus, sores along [meridian/locality], either itching or painful. If cutting causes no pain, the flesh has died.
Kidney Water floods upward, changing color to gray or black. Ears are the orifice of the Kidney; dried Water and scarce Essence cause hot ears and sores. Pulling pain in waist/spine indicates extreme deficiency. Once fluids are exhausted, disease becomes sour, numb, unaware of pain or itching. Kidney pathogen is fastest, becoming a major illness within one year.
Striking the Foot Yangming Stomach Meridian causes excessive sweating on the forehead, chest obstruction and blockage, choking when eating cold food; long-term generation of worms eating the Stomach, dispersing decay throughout the body, causing floating itching of the skin. If sighing/moaning, reduced appetite, and exhaustion occur, the Qi has died.
Stomach collaterals circulate above and below the eyes, hence excessive forehead sweating. Weak Spleen-Stomach Qi fails to digest grains, chest fills, reversing upwards to vomiting. Blocked Qi and Blood cause spontaneous skin itching. Dispersed Soul and Spirit, full chest causes sighing/unsmoothness, ruined intestinal Qi causes fatigue and aversion to food. Classics say intestines/stomach are a market, containing all; Heat accumulates internally, manifesting externally. Stomach organ receives toxin, trend follows worm-miasma, body swells and floats vacuously, untreatable after twenty years.
The harm of Leprosy Wind originates from the Six Excesses (Liuyin), manifesting as Six Evils (Liuxie) in the Six Departments (Liubu), each department having six types, totaling thirty-six symptom names.
Six Excesses are Wind, Cold, Summer-Heat, Dampness, Dryness, Fire—improper Qi of Heaven and Earth. Six Departments are Heart, Liver, Spleen, Lung, Kidney, Stomach. Six Evils are Pain, Itching, Numbness, Ulceration, Distension, Exhaustion. Stomach sits below Spleen, responsible for reception, storing five flavors, thus often receiving toxins like the Five Zang. Wind and Leprosy are different names; six departments each have six types, hence thirty-six items, corresponding to sixty-four hexagrams of Eight-Eight.
Heavenly toxic vapors confuse Zang-Fu, mutually injuring and transmitting, changing symptoms to their source. However, Lung disease causes pain, Stomach disease causes itching, Kidney disease causes numbness, Heart disease causes ulceration, Liver disease causes contraction, Spleen disease causes pus.
Metal Qi is dry, thus causing pain. Earth Qi is damp; meeting Yang multiplication makes it like sand/dust, thus itching. Meeting Yin multiplication makes it like mud/sludge. Water Qi is cold; Yang agitation causes numbness, Yin condensation causes tingling (Mu), both unaware of pain/itching. Sovereign and Ministerial Fires can rot all things causing ulceration. Wind-Wood nature shakes and pulls, contracting and extending to cause contraction. Five Zang and Six Fu, Ying-Wei, Lung collaterals fill and penetrate the body, connecting continuously. When淫邪 (excess pathogens) strike humans, the whole body corrodes; how could it stop at one Zang without injuring other meridians? The difference between initially struck and later struck meridians lies only in severity. Once one Zang is diseased, others inevitably suffer. For example, numbness relates to Kidney disease; however, Ma (numbness) is caused by Wind Qi attacking, Mu (tingling) by Damp combining with Cold. Though external skin knows no pain/itch, internal bone/flesh still feels it, indicating heavy Kidney disease and light Lung disease. Numbness with soft/flaccid weakness distinguishes Spleen and Kidney. Numbness with unequal leg length and hand contraction indicates Water failing to nourish Wood, Liver disease. Numbness with ulceration indicates Water and Fire not interacting, attacking the Heart. Pain is Lung disease; if pain lasts and leads to paralysis, Mother cannot protect Child, harming Spleen Qi. Pain with numbness indicates weak Mother unable to support Child, Kidney Qi deficient and receiving toxin. Pain with itching, where scratching causes unbearable pain, indicates Stomach Qi deficient and deep penetration of toxic vapors. Pain with ulceration indicates Lung failing to generate Water to control Fire, Metal and Fire punishing each other. Others can be deduced by this example.
Caught by the unpredictable, stored in the baseless, named Leprosy or Wind, different kinds gather.
Heart governs Blood; Liver toxin injuring Blood aspect causes Heart-Liver disease. Lung governs Qi; all Wind Leprosy arises from Qi stagnation. Kidney stores Essence; sexual desire and labor are harmful. Spleen and Stomach connect and store Grain Qi; injury from drunkenness, fullness, and five flavors occurs here. Thus, Wind disease affects only the Six Meridians of Heart, Liver, Spleen, Lung, Kidney, Stomach; the other six meridians cannot accept it, are not injured, nor interfered with, hence Wind Leprosy does not originate from them. Hand Shaoyang Sanjiao is a formless Fu organ; Jueyin Pericardium is an attached meridian; Yangming Large Intestine and Taiyang Small Intestine are gates of entry/exit; Foot Taiyang Bladder dwells remotely in the Lower Origin; Shaoyang Gallbladder is the office of purity and tranquility; toxic Qi does not injure or accumulate in them. Moreover, Lung orifice is in the nose, Qi enters thereby; Spleen orifice is in the lips, Flavor enters thereby. Initial causes are mostly sensations of Qi and Flavor, hence first appearing in skin and hair. *Bingyuan* states: Six departments each have six Wind diseases, totaling thirty-six, all transmitted by Six Desires, Seven Emotions, Cold-Damp, Wind-Heat, and toxic Qi to the skin/body, circulating through hundred joints, silk-like collaterals interlacing.
Those struck do not suffer in one meridian or develop one symptom; thus treatment methods and prescriptions are vast and varied. Only Lingbao Great Medicine, named Pingfen Jiachan Fang (Equal Division of Family Property Formula), is the most kingly way, achieving complete success for all thirty-six Winds. Next are Donghua Yushui prepared Huangxiang Wan (Yellow Resin Pill), also named Huanglong Wan (Yellow Dragon Pill), Xiaohuan Dan (Small Return Pill), etc., a few formulas. They can also treat various Winds. Other single formulas treat only one symptom; using others is like pouring water on stone, rarely effective. Besides Great Wind, there are fourteen types of Leprosy Sores; later generations created clever names based on varying disease trends and colors to confuse people. Ancient times only spoke of Wind Leprosy, without strange complex names. All talk of Zang-Fu like this is merely the initial cause of confusion. Once the disease erupts, like wind and water, it fills everywhere, flowing through hundred bones, transmitting through each meridian, reaching nowhere untouched.