伤风之症乃风邪客于腠里。洒淅恶寒。喷嚏呵欠。头疼发热类于伤寒。但见风寒即怕。
亦不太甚者是也。
加味香苏饮
川芎 紫苏 羌活 防风 苍术 香附 甘草 荆芥 白芷（各三钱） 葛根 前胡（各
一钱）上加葱头十枚。生姜三片。煎服以被覆取汗为度。
若以为小疾而不治。日久则风入于肺。必成咳嗽。即费调理矣。凡感风邪。初起忌服茯
苓。以
其味淡。善干渗泄。有表症服之则引邪入于阴经也。如当用补。或消痰。或消食。以香苏饮
为主方。随症加减。不得一一细赘矣。
（附痫症）
夫人似乎无恙而卒然中风者。岂一朝一夕之故哉。盖内必先腐也。而后虫生之。土必先
溃也。而后水决之。木必先枯也。而后风摧之。夫物且然而况于人乎。
经曰。邪之所辏。其气必虚风岂能以自中乎人亦人之自受乎风耳。使其内气充足。精神
完固
。则荣卫调和。腠理缄密。虽有风将安入乎。惟其不戒暴怒。不节淫欲。或饥不暇于食。或
寒不暇于衣。或嗜酒而好色。或勤劳而忘身。或当风而沐浴。或大汗而行房或畏热而露卧。
或
冒雨而奔驰。以致真元耗亡气血消尽。大经细络。积虚弥年。平时无甚痛苦。而不知荣卫皆
空。徒存躯壳。正犹无心之木。将折未折。无基之墙。欲颓未颓。其势已不可支。而方且自
谓
无恙。遂迷而不知戒。一旦为贼风所袭。如剧冠操刃。直入无人之境。势若破竹。不移时而
皆溃。则杯酒谈笑之间。举步转移之顷。卒然颠仆顿为废人。不亦重可快哉。由是观之。虽由
外风之中。实因内气之虚也。然人之一身。表里上下未必皆虚。惟积虚之处。气多不贯而势
有偏重。故一为风所入。而肢体是乎废矣。若以脏腑言之。则又各有形症焉。中脏者。多滞
九窍。故有唇缓矢音。鼻塞耳聋。目瞀便秘之症。中腑者。多着四肢。故有半身不遂。手足
不随。左瘫右痪之形。又有中血脉者。则外无六经之形
症。内无便溺之阻涩。惟口眼歪斜。或左或右而已。而手足动静起居。食息故无恙也。其或
股不能举。口不能言。更无别症。乃中经也。比中脏腑则为轻。比之中血脉犹为重耳。然因
其病而药之。则中脏者。宜下。中腑者。宜汗。中经者。宜补血以养筋。中血脉者。宜养
血以通气。此皆可治之症也。而又有难易于其间。中脏为难而。中腑次之。中经又次之。其
或国中于血脉。药之而愈。苟不守禁忌。必复中而中必在于脏。中一次则虚一次。虚一次。
则重一次。故中腑虽可治也。由先中血脉与经。而后及于腑。则难治矣。中脏本难治也。由
先中腑而后及于脏。则不治矣。若中腑而兼中脏与伤寒两感者何异。其又可生耶。凡中风口
开者。为心绝。手撒者。为脾绝。眼合者。为肝绝。遗尿者。为肾绝。声如鼾睡者。为肺绝
。汗出如油者。为元气内绝。筋痛者。为无血。发直指而为头上窜面赤如妆。而汗缀如珠。
皆所不治之症也。其有一中即死者。何为而如此之急耶。盖人之五脏。以心为君。心也者。
所
以主宰乎一身者也。五脏之中。惟心最难死。故人死气绝一身尽冷。而心头独热者。以其难
死
故也中脏之人。不即死者。以四脏之气虽绝。而心犹未绝也。一中其心则杯酒未干。片言未
尽。而魂魄先亡矣。纵有起死回生之药。亦何所施乎。大法中风诸症。总属风痰。国中之时
。不论在表在里。必先以攻痰祛风为主。待其苏醒。然后审其经络。分其气血而治之。不可
因其
内气之虚。而骤用补剂。盖一中之间。道路以为痰阻绝。虽欲补之。孰从而补之。若其病的
系太虚口眼不 斜。手足不偏废。便溺不阻涩。但汗出不休。眩运不定。四肢软弱。气息短
促。方可用独参汤。而犹必佐之以橘红。加以姜汁。竹沥。始可服也。若无监制一时或可
全愈。而痰邪不泄。当为患他日。或发痈疽必无救药者矣。
伤风这一病症，是风邪侵袭停留在腠理（皮肤肌肉的纹理及间隙）。表现为战栗恶寒、打喷嚏、呵欠，头痛发热等症状类似伤寒。只是见到风寒就感到害怕，但症状并不太严重，就是这样。
加味香苏饮
川芎、紫苏、羌活、防风、苍术、香附、甘草、荆芥、白芷（各三钱），葛根、前胡（各一钱）。上方加入葱头十枚，生姜三片，煎煮服用，以盖被取汗为度。
如果认为这是小病而不治疗，日久则风邪进入肺脏，必然形成咳嗽，那时就需要花费精力调理了。凡是感受风邪，初起时忌服茯苓，因为它的味道淡，善于干燥渗泄。有表证时服用它，就会引邪气进入阴经。如果应当使用补法，或者消痰，或者消食，都以香苏饮为主方，根据症状加减，不得一一详细赘述。
（附痫症/中风症）
人看起来似乎没有生病而突然发生中风的，难道是一朝一夕的原因吗？大概内部必须先腐败，然后虫子才会产生；土地必须先溃决，然后水才会决堤；树木必须先枯死，然后风才会摧毁它。事物尚且如此，何况是人呢？
经典说：邪气聚集的地方，正气必定虚弱。风怎么能自己使人中风呢？也是人自己受风罢了。如果体内正气充足，精神完固，那么营卫调和，腠理密闭，虽然有风，又能进入哪里呢？只因为不戒除暴怒，不节制淫欲，或者饥饿时来不及进食，或者寒冷时来不及穿衣，或者嗜好饮酒和女色，或者勤劳而忘记身体，或者对着风洗澡，或者大汗淋漓时行房事，或者怕热而露天睡觉，或者冒着雨奔跑，导致真元耗亡，气血消尽，大经细络，积虚多年。平时没有什么痛苦，却不知道营卫都已空虚，徒留躯壳。正像没有心的木头，将要折断却还未折断；没有基础的墙，将要倒塌却还未倒塌。形势已经不可支撑，却还自认为没事，于是迷惑而不知道戒备。一旦受到贼风侵袭，就像戴着帽子拿着刀，直入无人之境，势如破竹，不到一顿饭的功夫，全部溃败。那么在举杯喝酒谈笑之间，迈步转移之际，突然跌倒顿成废人，不也是很可悲的吗？由此看来，虽然是由外风所致，实际上是因为内气虚弱。然而人的一身，表里上下未必都虚。只有积虚的地方，气多不通贯而形势有偏重，所以一旦风邪侵入，肢体就因此废用了。如果从脏腑来说，又各有形症。中脏的，多阻滞九窍，所以有口唇松弛流涎、鼻塞耳聋、视物模糊便秘的症状。中腑的，多附着四肢，所以有半身不遂、手足不能随意活动、左瘫右痪的形态。又有中血脉的，则外在没有六经的形症，内在没有大小便的阻涩，只有口眼歪斜，或左或右而已。而手足动静起居，饮食呼吸故而无恙。那些大腿不能抬起，口不能说话，更没有其他症状的，乃是中经。比中脏腑要轻，比中血脉还要重一些。然而根据病情用药，中脏的，宜用下法；中腑的，宜用汗法；中经的，宜补血以养筋；中血脉的，宜养血以通气。这些都是可以治疗的病症。其中又有难易之分。中脏最难治，中腑次之，中经又次之。那些中于血脉的，用药可以痊愈。如果不遵守禁忌，必然再次中风，而且必中于脏。中一次就虚一次，虚一次就重一次。所以中腑虽然可治，但如果先中血脉与经，而后波及于腑，就难治了。中脏本来难治，如果先中腑而后波及于脏，就不治了。如果中腑兼中脏，与伤寒两感有什么区别？又怎能存活呢？凡中风者，口开的，是心气绝；手撒的，是脾气绝；眼合的，是肝气绝；遗尿的，是肾气绝；声音像打鼾睡的，是肺气绝；汗出如油的，是元气内绝；筋痛的，是无血；头发上指且向上窜动，面赤如妆，汗珠如串，都是不治之症。有一种一中即死的，为什么这么急呢？大概人的五脏，以心为君主。心，是用来主宰全身的。五脏之中，只有心最难死。所以人死后气息断绝，全身冰冷，唯独心头还热，因为它最难死。中脏的人，不立即死亡的，是因为四脏之气虽绝，而心还没有绝。一旦中心，那么酒还没喝完，话还没说完，魂魄就先亡了。纵然有起死回生的药，又有什么用处呢？大法规定中风诸症，总属风痰。中风的当时，不论在表在里，必先以攻痰祛风为主。待其苏醒，然后审察经络，分辨气血而治疗。不能因为其内气虚弱，而骤然使用补剂。大概在中风之间，道路被痰阻塞隔绝，虽然想补，从哪里补进去呢？如果确实属于太虚，口眼不歪斜，手足不偏废，大小便不阻涩，只是汗出不止，眩晕不定，四肢软弱，气息短促，才可以用独参汤，而且必须佐以橘红，加入姜汁、竹沥，才可以服用。如果没有监制，一时或许可以痊愈，但痰邪不泄，日后必生祸患，或者发痈疽，必无救药了。
Wind-stroke (Shangfeng) is a condition where wind pathogen lodges in the Couli (interstices of skin and muscle). It presents with shivering and aversion to cold, sneezing, yawning, headache, and fever, resembling Cold Damage (Shanghan). The patient fears wind and cold upon exposure, but the symptoms are not severe. This is the nature of the condition.
The pulse is floating on the Yang position and weak on the Yin position. Generally, a floating pulse in the Lung region serves as a key differentiator.
Modified Xiangsu Decoction (Jiawei Xiangsu Yin)
Chuanxiong Rhizome (Chuanxiong), Perilla Leaf (Zisu), Notopterygium Rhizome and Root (Qianghuo), Saposhnikovia Root (Fangfeng), Atractodes Rhizome (Cangzhu), Cyperus Rhizome (Xiangfu), Licorice Root (Gancao), Schizonepeta Spike (Jingjie), Angelica Dahurica Root (Baizhi) (each 3 qian); Pueraria Root (Gegen), Peucedanum Root (Qianhu) (each 1 qian). Add ten scallion heads and three slices of fresh ginger to the above ingredients. Decoct and take orally. Cover with blankets until sweating is achieved.
If this is considered a minor ailment and left untreated, the wind pathogen will enter the Lungs over time, inevitably leading to cough. At that stage, treatment and regulation will require considerable effort. When initially contracting wind pathogen, Poria Sclerotium (Fuling) should be avoided because its flavor is bland and it promotes drying and leaching out. Administering it when exterior signs are present may guide the pathogen into the Yin meridians. If tonification, phlegm resolution, or food stagnation resolution is indicated, Modified Xiangsu Decoction should serve as the principal formula, modified according to specific symptoms. Detailed elaboration on every variation is unnecessary.
(Attached: Stroke Syndrome)
A person who appears healthy but suddenly suffers from stroke—could this be due to causes arising overnight? Fundamentally, internal corruption must occur first before worms can breed; soil must collapse first before water can breach it; wood must wither first before wind can destroy it. How much more so for humans!
The Classics state: Where pathogenic factors gather, Qi must be deficient. How can wind strike a person independently? It is the person’s own deficiency that allows them to be affected by wind. If internal Qi is sufficient and spirit is consolidated, Ying and Wei (Nutritive and Defensive Qi) will be harmonious, and the Couli will be tightly closed. Even if wind exists, how could it enter? Only because one fails to guard against violent anger, fails to regulate sexual desire, eats without satiety when hungry, dresses inadequately when cold, indulges in alcohol and lust, works tirelessly neglecting the body, bathes while exposed to wind, engages in intercourse while profusely sweating, sleeps uncovered due to heat, or runs in the rain, the True Yuan (Original Qi) is exhausted, and Blood and Qi are depleted. The major and collateral meridians accumulate deficiency year after year. Usually, there is little pain, yet Ying and Wei are empty, leaving only the shell of the body. It is like a heartless tree, about to break but not yet broken; or a wall without foundation, about to collapse but not yet collapsed. The situation is already unsustainable, yet the person considers themselves well, remaining deluded and unguarded. Once attacked by treacherous wind, it is like wearing a helmet and wielding a blade, entering undefended territory. The momentum is like splitting bamboo; within moments, everything collapses. Thus, between sipping wine and chatting, or shifting steps, one suddenly falls and becomes disabled. Is this not deeply regrettable? From this perspective, although caused by external wind, the root cause is internal Qi deficiency. However, the entire body does not necessarily suffer from uniform deficiency in interior, exterior, upper, or lower regions. Deficiency accumulates in specific areas where Qi circulation is obstructed and pressure is uneven. Therefore, once wind enters, the limbs become paralyzed. Speaking of Zang-Fu organs, each has distinct manifestations. Stroke affecting the Zang organs often blocks the nine orifices, presenting with flaccid lips and drooling, nasal congestion, deafness, blurred vision, and constipation. Stroke affecting the Fu organs often impacts the four limbs, presenting with hemiplegia, inability to move hands and feet freely, and left-side paralysis or right-side flaccidity. Stroke affecting the collaterals (Blood-Vessels) presents without the six-meridian exterior signs or internal obstruction of urination and defecation, manifesting only as facial deviation to the left or right. Limb movement, daily activities, eating, and breathing remain normal. Cases where the thigh cannot be raised and speech is lost, without other symptoms, constitute Stroke affecting the Meridians. This is milder than Zang/Fu involvement but more severe than collateral involvement. Regarding treatment: For Zang involvement, purgation is suitable; for Fu involvement, diaphoresis is suitable; for Meridian involvement, tonifying Blood to nourish tendons is suitable; for collateral involvement, nourishing Blood to promote Qi circulation is suitable. These are all treatable conditions, though difficulty varies. Zang involvement is most difficult, followed by Fu, then Meridian. Collateral involvement can be cured with medication. However, if contraindications are ignored, recurrence is likely, and subsequent strikes will affect the Zang organs. Each strike increases deficiency and severity. Although Fu involvement is treatable, if it progresses from collateral/Meridian to Fu, it becomes difficult to treat. Zang involvement is inherently difficult; if it progresses from Fu to Zang, it is incurable. If Fu involvement combines with Zang involvement, what difference is there from Cold Damage with simultaneous exterior and interior involvement? Survival is unlikely. In stroke, an open mouth indicates Heart Qi exhaustion; relaxed hands indicate Spleen Qi exhaustion; closed eyes indicate Liver Qi exhaustion; urinary incontinence indicates Kidney Qi exhaustion; snoring-like sounds indicate Lung Qi exhaustion; oily sweat indicates internal exhaustion of Original Qi; tendon pain indicates lack of Blood; hair standing on end and moving upward, flushed face like makeup, and bead-like sweat are all signs of incurability. Some die immediately upon onset; why such urgency? The Five Zang organs regard the Heart as the Monarch. The Heart governs the whole body. Among the Five Zang, the Heart is the hardest to fail. Thus, after death, when Qi ceases and the body cools, the chest remains warm because the Heart dies last. Those with Zang stroke who do not die immediately do so because although the Qi of the four other Zang organs has failed, the Heart has not. Once the Heart is struck, before a cup of wine is finished or a few words spoken, the soul departs. Even with medicines capable of reviving the dead, they would be useless. The general principle for stroke states that all symptoms belong to Wind-Phlegm. Upon onset, regardless of whether the pathogen is in the exterior or interior, resolving Phlegm and expelling Wind must be the primary approach. Only after the patient regains consciousness should the meridians be examined and Blood/Qi differentiated for treatment. One must not abruptly use tonics simply because internal Qi is deficient. During stroke, pathways are blocked by Phlegm; even if tonification is desired, there is no route for it to enter. If the case truly involves extreme deficiency, characterized by no facial deviation, no limb paralysis, no urinary/fecal obstruction, but continuous sweating, dizziness, weakness in limbs, and shortness of breath, Ginseng Decoction (Dushen Tang) may be used, assisted by Citrus Reticulata Peel (Juhong), Ginger Juice (Jiangzhi), and Bamboo Sap (Zhuli). Without these moderating agents, temporary recovery might occur, but unresolved Phlegm will cause future harm, potentially leading to carbuncles and ulcers with no remedy.