夫风为天地浩荡之气,正顺则能生长万物,偏邪则伤害品类,人或中邪风,鲜有不致毙
者。故入脏则难愈,如其经络空虚而中伤者,为半身不遂,手脚瘫痪,涎潮昏塞,口眼 斜
,肌肤不仁,痹瘁挛僻。随其脏气,所为不同,或左或右,邪气反缓,正气反急,正气引邪
,僻不遂。盖风性紧暴,善行数变,其中人也卒,其眩人也晕,激人涎浮,昏人神乱,故
推为百病长。圣人先此以示教,太医编集,所以首论中风也。然四气皆能中人,在证亦有缓
纵、挛急、搐搦、痹瘁、奄忽不知人者,不可不以脉别。故论曰∶寒热诸痹所有证候,皆如
风状,须得脉别可也。要知脉浮则为风,紧则为寒,细则为湿,数则为热;外证走注自汗则
为风,疼痛无汗则为寒,缓弱热顽则为暑,停着肿满则为湿。随其并合,尤宜历辨,唯详其
所因,合以脉诊,在络在经,入腑入脏,根据而调之,乃可为治。
肝中风者,人迎并左关上脉浮而弦。在天为风,在地为木,在人脏为肝。肝虚,喜中风
,为类相从,故脉应在左关。肝风之状,多汗恶风,色微苍,头目 ,左胁偏痛,嗜甘
,如阻妇状,筋急挛痹不伸,诊在目,其色青。
心中风者,人迎与左寸口脉洪而浮。在天为热,在地为火,在人脏为心。心虚,因中邪
风,乃子母相因,故脉应在左寸口。心风之状,多汗恶风,色微赤,翕翕发热,喑不能言,欲
饮食,食则呕,诊在舌,其色赤焦。
脾中风者,人迎与右关上脉浮而微迟。在天为湿,在地为土,在人脏为脾。脾虚,因中
风邪为胜克,故脉应在右关上。脾风之状,多汗恶风,薄黄,四肢怠堕,皮肉 动
,发热短气,不欲饮食,嗜卧如醉人,诊在唇,其色黄。
肺中风者,人迎与右寸口脉浮涩而短。在天为燥,在地为金,在人脏为肺。肺虚,因中
邪风为乘克,故脉应在右手寸口。肺风之状,多汗恶风,色皓然而白,口燥而喘,逆气肩息
,身重背痛,面胀肿,昼瘥暮甚,诊在鼻,其色白。
肾中风者,人迎与左尺中脉浮而滑。在天为寒,在地为水,在人脏为肾。肾虚,因中邪
风,为母子相感,故脉应在左尺中。肾风之状,多汗恶风,色如 ,面庞然浮肿,腰脊
痛引小腹,隐曲不利,昏寝汗愈多,志意惶惑,诊在耳,其色黑。
胃中风者,人迎与两关上脉并浮而大。六腑无中风论,惟胃有者,以胃为脏海,纳五味
以滋养五脏,虚而中邪风。故其状,额多汗,食饮不下,隔塞不通,腹善满,失衣则
胀,张口肩息,心下淡淡,食寒则泄。
风是天地间浩荡的气,顺应正气则能生长万物,偏邪之气则会伤害各类生物。人如果中了邪风,很少有不导致死亡的。所以邪气进入脏腑就难以治愈;如果是经络空虚而受到中伤,就会表现为半身不遂、手脚瘫痪、涎液上涌昏闷堵塞、口眼歪斜、肌肤麻木不仁、肢体麻痹痉挛畸形。随着不同脏腑之气的差异,症状表现各不相同,或左侧或右侧,邪气所在的一侧肌肉松弛无力,正气所在的一侧肌肉拘急紧张,正气牵引着邪气一侧,导致身体歪斜不能随意运动。大概因为风的性质紧急暴烈,善于游走变化迅速,它中人突然发作,使人眩晕,激惹痰涎上浮,扰乱神志,所以被推崇为“百病之长”。圣人预先以此示教,太医编纂医书,所以首先论述中风病。然而寒热暑湿四气都能中人,在证候上也有缓纵、挛急、抽搐、麻痹、突然不知人事等情况,不可不通过脉象来辨别。所以说:寒热等各种痹症所出现的证候,都像风病的样子,必须依靠脉象来区分。要知道脉浮主风,脉紧主寒,脉细主湿,脉数主热;外证方面,疼痛走窜且自汗的是风,疼痛无汗的是寒,弛缓虚弱且皮肤灼热的是暑,停滞肿胀满闷的是湿。随着各种邪气的合并,尤其应当逐一辨别,只有详细探究病因,结合脉诊,判断病位在络还是在经,在腑还是在脏,根据这些情况来调理,才能进行治疗。
肝中风的人,人迎穴与左手关部脉象浮而弦。在天对应风,在地对应木,在人对应肝脏。肝气虚弱,容易感受风邪,因为同类相从,所以脉象应验在左关。肝风的症状,多汗怕风,面色微青,头目眩晕,左侧胁肋偏痛,喜欢吃甘甜食物,像孕妇一样(指腹部不适或情绪波动),筋脉拘急痉挛痹阻不能伸展,诊察眼睛,其色青。
心中风的人,人迎穴与左手寸口脉象洪大而浮。在天对应热,在地对应火,在人对应心脏。心气虚弱,因感受邪风,因为是母子相生关系(肝木生心火),所以脉象应验在左寸口。心风的症状,多汗怕风,面色微赤,微微发热,声音嘶哑不能说话,想吃东西,但进食则呕吐,诊察舌头,其色红焦。
脾中风的人,人迎穴与右手关部脉象浮而微迟。在天对应湿,在地对应土,在人对应脾脏。脾气虚弱,因感受风邪而被克制(木克土),所以脉象应验在右关。脾风的症状,多汗怕风,面色薄黄,四肢倦怠无力,皮肉跳动,发热短气,不想吃东西,嗜睡像醉酒的人,诊察嘴唇,其色黄。
肺中风的人,人迎穴与右手寸口脉象浮涩而短。在天对应燥,在地对应金,在人对应肺脏。肺气虚弱,因感受邪风而被乘克(火克金),所以脉象应验在右手寸口。肺风的症状,多汗怕风,面色洁白,口干气喘,气逆肩息,身体沉重背痛,面部浮肿,白天病情稍减晚上加重,诊察鼻子,其色白。
肾中风的人,人迎穴与左手尺部脉象浮而滑。在天对应寒,在地对应水,在人对应肾脏。肾气虚弱,因感受邪风,因为是母子相感关系(金生水),所以脉象应验在左尺中。肾风的症状,多汗怕风,面色如黑灰,面部庞然浮肿,腰脊疼痛牵引小腹,大小便不利,睡眠时出汗更多,意志惶惑不安,诊察耳朵,其色黑。
胃中风的人,人迎穴与两手关部脉象都浮大。六腑中没有专门的中风论述,只有胃有,是因为胃为五脏之海,受纳五味以滋养五脏,胃虚而中邪风。所以它的症状是,额头多汗,饮食不下,膈塞不通,腹部容易胀满,脱衣受凉则腹胀更甚,张口肩息,心下悸动不安,吃寒凉食物则泄泻。
Wind is the vast qi of heaven and earth; when it is upright and smooth, it can nourish all things, but when it is deviant and evil, it harms all living beings. If a person is struck by evil wind, few escape death. Therefore, if the pathogen enters the zang organs, it is difficult to cure; if the meridians are empty and injured, it results in hemiplegia, paralysis of the limbs, flooding of saliva with dizziness and obstruction, deviation of the mouth and eyes, insensitivity of the skin and flesh, and numbness, atrophy, spasms, and deformities. Depending on the qi of the affected organ, manifestations vary, occurring on either the left or right side. The side where the evil qi resides becomes relaxed and slack, while the side of the healthy qi becomes tense and contracted; the healthy qi pulls toward the diseased side, causing deviation and inability to move freely. Generally, wind is characterized by urgency and violence, moving swiftly and changing rapidly. It strikes people suddenly, causes dizziness, induces floating phlegm, and disrupts the spirit, thus being regarded as the "chief of a hundred diseases." The sages taught this beforehand, and imperial physicians compiled medical texts, hence discussing Wind Stroke (Zhong Feng) first. However, the four climatic factors (Cold, Heat, Summer-heat, Dampness) can all strike humans, presenting symptoms such as flaccidity, spasm, convulsions, numbness, or sudden loss of consciousness. These must be distinguished by pulse diagnosis. Thus it is said: The symptoms of various Bi syndromes caused by Cold and Heat resemble those of Wind; one must rely on pulse differentiation. It is essential to know that a floating pulse indicates Wind, a tight pulse indicates Cold, a fine pulse indicates Dampness, and a rapid pulse indicates Heat. Externally, wandering pain with spontaneous sweating indicates Wind; painful conditions without sweating indicate Cold; flaccidity, weakness, and burning skin indicate Summer-heat; stagnation, swelling, and fullness indicate Dampness. When these factors combine, careful differentiation is required. Only by thoroughly investigating the etiology, combining it with pulse diagnosis, and determining whether the pathology is in the collaterals or meridians, or in the fu or zang organs, can appropriate treatment be applied.
In Liver Wind Strike, the Renying point (ST9) and the left Guan position of the radial artery present a floating and wiry pulse. In Heaven, it corresponds to Wind; in Earth, to Wood; in the human body, to the Liver. Due to Liver deficiency, it is prone to Wind invasion because like attracts like; thus, the pulse manifests at the left Guan. Symptoms of Liver Wind include excessive sweating, aversion to wind, slightly bluish complexion, dizziness and vertigo, unilateral pain in the left hypochondrium, craving for sweet flavors, a sensation resembling pregnancy discomfort, tendon tension with spasms and bi-obstruction preventing extension. Diagnosis involves inspecting the eyes, which appear blue/green.
In Heart Wind Strike, the Renying point (ST9) and the left Cun Kou position of the radial artery present a surging and floating pulse. In Heaven, it corresponds to Heat; in Earth, to Fire; in the human body, to the Heart. Due to Heart deficiency, it is susceptible to evil wind due to the mother-child relationship (Wood generates Fire); thus, the pulse manifests at the left Cun Kou. Symptoms of Heart Wind include excessive sweating, aversion to wind, slightly reddish complexion, slight fever, aphonia (inability to speak), desire for food but vomiting after eating. Diagnosis involves inspecting the tongue, which appears red and scorched/dry.
In Spleen Wind Strike, the Renying point (ST9) and the right Guan position of the radial artery present a floating and slightly slow pulse. In Heaven, it corresponds to Dampness; in Earth, to Earth; in the human body, to the Spleen. Due to Spleen deficiency, it is overcome by Wind (Wood overacts on Earth); thus, the pulse manifests at the right Guan. Symptoms of Spleen Wind include excessive sweating, aversion to wind, pale yellow complexion, lethargy and heaviness of the four limbs, twitching of skin and muscles, fever, shortness of breath, anorexia, somnolence resembling drunkenness. Diagnosis involves inspecting the lips, which appear yellow.
In Lung Wind Strike, the Renying point (ST9) and the right Cun Kou position of the radial artery present a floating, choppy, and short pulse. In Heaven, it corresponds to Dryness; in Earth, to Metal; in the human body, to the Lungs. Due to Lung deficiency, it is attacked by Wind (Fire overacts on Metal); thus, the pulse manifests at the right Cun Kou. Symptoms of Lung Wind include excessive sweating, aversion to wind, bright white complexion, dry mouth, panting, rebellious qi with shoulder breathing, heavy body and back pain, facial edema, improvement during the day and worsening at night. Diagnosis involves inspecting the nose, which appears white.
In Kidney Wind Strike, the Renying point (ST9) and the left Chi position of the radial artery present a floating and slippery pulse. In Heaven, it corresponds to Cold; in Earth, to Water; in the human body, to the Kidneys. Due to Kidney deficiency, it is influenced by Wind due to the mother-child relationship (Metal generates Water); thus, the pulse manifests at the left Chi. Symptoms of Kidney Wind include excessive sweating, aversion to wind, dark/blackish complexion, puffy facial edema, lower back and spine pain radiating to the lower abdomen, difficulty with urination and defecation, increased sweating during sleep, mental confusion and anxiety. Diagnosis involves inspecting the ears, which appear black.
In Stomach Wind Strike, the Renying point (ST9) and both Guan positions of the radial artery present a floating and large pulse. There is no specific treatise on Wind Strike for the six Fu organs, except for the Stomach, because the Stomach is the sea of the five zang organs, receiving the five flavors to nourish them. When deficient, it is struck by evil wind. Symptoms include excessive sweating on the forehead, inability to swallow food and drink, chest and diaphragm obstruction, abdominal fullness, abdominal distension upon exposure to cold, open-mouthed shoulder breathing, palpitations in the epigastrium, and diarrhea after consuming cold foods.