典藏书目

If the Yang pulse is floating and slippery, and the Yin pulse is soggy and weak, and one is additionally affected by wind, it transforms into Wind-Warmth (this refers to a case where the previous heat has not subsided, and wind is contracted. The *Nan Jing* states: In stroke-wind, the Yang pulse is floating and slippery, while the Yin pulse is soggy and weak; when wind attacks heat, it transforms into Wind-Warmth).

If sweating therapy results in burning heat of the body, it is named Wind-Warmth. In Wind-Warmth disease, the pulses at all three positions (Cun, Guan, Chi) are floating, there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring in nasal breathing, and difficulty in speech. If purgation is incorrectly applied, it leads to difficult urination, fixed gaze, and incontinence of urine and feces. If fire therapy is incorrectly applied, mild cases present with slight yellowing of the skin, while severe cases resemble convulsive epilepsy with occasional spasms. If moxibustion or fumigation is used, this constitutes a therapeutic error ("Ni"); even one error may prolong the illness, but a second error will hasten death. (Cheng Wuji notes: After sweating therapy for Cold Damage, the body should be cool. If burning heat persists after sweating, it is not Cold Damage but Wind-Warmth. Wind pathogen affects the upper part, and Yang Qi is invaded by wind. When wind combines with warmth, it damages the Defensive Qi. Floating pulses at both Yin and Yang positions with spontaneous sweating indicate invasion of the Defensive Qi. The Defensive Qi belongs to Qi; wind damages the Defensive, and warmth damages the Qi. Heaviness and sleepiness occur because the Defensive Qi is confused by wind and warmth. Snoring and speech difficulties arise because external wind-warmth excess obstructs Qi flow. Incorrect purgation damages Zang-Fu Qi, particularly the Bladder meridian of Foot-Taiyang. The *Nei Jing* states: Impairment of bladder function leads to strangury (long), and loss of control leads to enuresis. Long refers to difficult urination. The Taiyang meridian originates from the inner canthus. The *Nei Jing* states: High pupils indicate deficiency of Taiyang Qi; upward deviation of eyes indicates exhaustion of Taiyang Qi. Difficult urination, fixed gaze, and incontinence result from purgation depleting fluids and damaging Zang Qi, allowing external wind-warmth to dominate and threaten the meridians; this is difficult to treat. Incorrect fire therapy aids wind-warmth to generate heat. Mildly, heat stasis causes jaundice; severely, extreme heat generates wind, resembling convulsive epilepsy with spasms. Previous fire therapy was one error; subsequent fumigation is a second error. One error prolongs the illness without cure; two errors lead to critical danger, hence "hastening the life period" means accelerating death).

Appendix:
The *Huo Ren Shu* discusses: In Wind-Warmth, the Cun and Chi pulses are both floating, accompanied by headache, fever, spontaneous sweating, heaviness of the body,必 panting in respiration, flaccidity of the four limbs, silence, and desire to sleep. Treatment should focus on the Shaoyin and Jueyin meridians; sweating must not be induced. If sweating is induced, it leads to delirium, muttering, internal irritability, and inability to lie down. If it resembles convulsive epilepsy with scattered gaze and lack of spirit, such death is caused by the physician's error. Wind-Warmth contraindicates sweating; Wei Yu Tang is suitable. For burning heat, Zhi Mu Gan Ge Tang is used. For severe thirst, Gua Lou Gen Tang is used. For sinking pulse, heaviness, and sweating, Han Fang Ji Tang is used.

Wei Yu Tang: Treats Wind-Warmth, and also Winter-Warmth and Wind-Cold-Damage in spring, presenting with fever, vertigo, headache, dry throat, stiff tongue, chest pain and fullness, and stiffness of the waist and back.
Ingredients: Gegen (Puerariae Radix), Baizhi (Angelicae Dahuricae Radix), Mahuang (Ephedrae Herba, soaked in boiling water), Xingren (Armeniacae Semen Amarum, remove tip and skin, use double kernels), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang), Weiyu (Polygonati Rhizoma, 7.5 qian), Shigao (Gypsum Fibrosum, crushed), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome, each 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 qian), Qingmuxiang (Aucklandiae Radix, 1 qian).
Usage: Coarsely powder the herbs. Take 5 qian per dose, add 1.5 cups of water, decoct to 0.5 cup. Take 3-4 times daily.

Another Formula:
Ingredients: Weiyu, Baiwei (Clerodendri Radix), Mahuang, Duhuo (Angelicae Pubescentis Radix), Xingren, Chuanxiong, Qingmuxiang, Gancao (each 1 liang), Shigao (3 liang).
Usage: Coarsely powder. Decoct in 8 sheng of water to obtain 3 sheng. Strain and divide into three doses. Induce sweating. If alternating chills and fever occur, add Poxiao (Mirabilitum, 2.5 qian) and Dahuang (Rhei Radix et Rhizoma, 3 liang) to purge. If Qingmuxiang is unavailable, use Shexiang (Moschus, 1 fen) instead. The *Duan Ju Fang* states Wei Yu Tang treats Winter-Warmth and Spring Wind-Cold-Damage, with symptoms of head pain, dry throat, stiff tongue, muscle pain, chest fullness, and back stiffness.

Zhi Mu Gan Ge Tang: Treats severe burning heat in Wind-Warmth.
Ingredients: Zhi Mu (Anemarrhenae Rhizoma), Weiyu (each 3 qian), Tiannanxing (Arisomatis Rhizoma, raw), Mahuang (remove roots and joints), Fangfeng (Saposhnikoviae Radix), Xingren, Qianghuo (each 2 qian), Gancao, Huangqin (Scutellariae Radix), Muxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma), Renshen (Ginseng Radix), Chuanxiong (each 1 qian), Shigao (6 qian), Gegen (8 qian).
Usage: Coarsely powder. Take 5 qian per dose, add 1.5 cups of water, decoct to 1 cup. Strain and take.

Fang Ji Tang: Treats Wind-Warmth with floating pulse, heaviness, and sweating. (Another version lacks Renshen).
Ingredients: Fangji (Stephaniae Tetrandrae Radix, 4 liang), Gancao (honey-fried), Huangqi (Astragali Radix, honey-fried), Renshen (each 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang).
Usage: Coarsely powder. Take 5 qian per dose, add 1.5 cups of water, decoct to 1 cup. Strain and drink. After drinking, sit wrapped in blankets until sweat emerges as if insects are crawling, or lie down to induce sweating. (Xu Xueshi stated: If Wind-Warmth is mistakenly treated with sweating, Fang Ji Huang Qi Tang is used to rescue).

Gua Lou Gen Tang: Treats Wind-Warmth with burning heat and extreme thirst.
Ingredients: Shigao, Renshen, Gan Ge (Ge Gen, each 2 qian), Gualougen (Trichosanthis Radix, 3 qian), Fangfeng, Zhi Mu (each 1.5 qian), Gancao (1 qian).
Usage: Prepare as one dose. Add 2 zhong of water, decoct to 1 zhong. Drink thoroughly. Re-decoct the dregs.

Gegen Longdan Tang: Treats Wind-Warmth with weak pulse, heaviness, and sweating.
Ingredients: Shigao (5 fen), Gancao (7 fen), Longdancao (Gentianae Radix), Guizhi (Cinnamomi Ramulus, each 1 qian; omit if no sweating), Baishao (Paeoniae Radix Alba), Daqing (Isatidis Folium, each 1.5 qian), Gegen, Shengma (each 2 qian), Weiyu (3 qian), Shengjiang (3 slices).
Usage: Decoct and take as before.

Haizang's Commentary: To treat Wind-Warmth, based on the *Huo Ren Shu* formula Wei Yu Tang, Mahuang is avoided due to its diaphoretic nature; therefore, Baizhu Tang is primarily used (see formula under Taiyang Fever section earlier). If vertigo, sweating, and muscle twitching occur, add Muli (Concha Ostreae). If waist and back stiffness occur, add Qianghuo. If dry tongue and thirst occur, add Renshen. If severe burning heat occurs, add Zhi Mu. If heavy body and profuse sweating occur, add Huangqi. If there is internal cold injury, do not add [specific warming herbs implied by context, likely referring to avoiding cooling herbs or adjusting base].