中风伤卫脉浮缓,头项强痛恶寒风,病即发热汗自出,鼻鸣干呕桂枝功。
【注】中风,病名也。伤卫,谓风伤卫也。脉浮缓,谓中风脉也。头痛项强,恶寒恶风,
发热汗自出,鼻鸣干呕,谓中风证也。桂枝功,谓桂枝汤功能治中风虚邪也。详太阳上
篇。
伤寒伤营脉浮紧,头疼身痛恶寒风,无汗而喘已未热,呕逆麻黄汤发灵。
【注】伤寒,病名也。伤营,谓寒伤营也。脉浮紧,谓伤寒脉也。头疼身痛,恶寒恶风,
无汗而喘,或已发热,或未发热,呕逆,谓伤寒证也。麻黄汤发,谓伤寒实邪,当与麻
黄汤发汗最灵也。详太阳中篇。
中风浮紧遍身痛,头疼发热恶寒风,千呕无汗兼烦躁;伤寒身重乍时轻,浮缓呕逆
无汗喘,头疼发热恶寒风,烦躁而无少阴证,营卫同病大青龙。
【注】中风谓风伤卫之病也。头疼发热,恶风恶寒,干呕,中风之证也。浮紧,寒伤
营之脉也。身疼痛,寒伤营之证也。今以中风之病而得伤寒之脉与证,更兼不汗出之表
实、内热之烦躁也。伤寒,谓寒伤营之病也。
身重不痛,乍有轻时,风伤卫之证也。浮缓,风伤卫之脉也。呕逆无汗而喘,头疼发热,恶
寒恶风,寒伤营之证也。是以伤寒之病而得中风之脉与证,更兼太阳无汗内热之烦躁也。
而无少阴证,谓无身重但欲寐之证也。营卫同病,谓风寒中伤营卫同病也。二证皆无汗
实邪,故均以大青龙汤发之。详太阳下编。
中风伤及卫分,脉象浮缓,出现头项强痛、恶风恶寒的症状;疾病随即发热,汗自流出,伴有鼻鸣和干呕,此时桂枝汤功效显著。
【注】中风,是病名。伤卫,指风邪损伤卫气。脉浮缓,是指中风的脉象。头痛项强,恶寒恶风,发热汗自出,鼻鸣干呕,是指中风的证候。桂枝功,指桂枝汤的功能是治疗中风虚邪的。详见太阳篇上篇。
伤寒伤及营分,脉象浮紧,出现头疼身痛、恶风恶寒的症状;无汗且气喘,或者已经发热,或者尚未发热,伴有呕吐逆气,麻黄汤发汗疗效灵验。
【注】伤寒,是病名。伤营,指寒邪损伤营气。脉浮紧,是指伤寒的脉象。头疼身痛,恶寒恶风,无汗而喘,或已发热,或未发热,呕逆,是指伤寒的证候。麻黄汤发,指对于伤寒实邪,应当给予麻黄汤发汗,最为灵验。详见太阳篇中篇。
中风见浮紧脉,遍身疼痛,头疼发热,恶风恶寒,千呕无汗兼有烦躁;伤寒见身重乍时轻,脉浮缓,呕逆无汗而喘,头疼发热,恶风恶寒,烦躁而无少阴证,此为营卫同病,宜用大青龙汤。
【注】中风,指风邪损伤卫气的病证。头疼发热,恶风恶寒,干呕,是中风的证候。浮紧,是寒邪损伤营气的脉象。身疼痛,是寒邪损伤营气的证候。现在以中风的病证却得到伤寒的脉象与证候,更兼有不汗出的表实证和内热的烦躁证。伤寒,指寒邪损伤营气的病证。身重不痛,乍有轻时,是风邪损伤卫气的证候。浮缓,是风邪损伤卫气的脉象。呕逆无汗而喘,头疼发热,恶寒恶风,是寒邪损伤营气的证候。因此以伤寒的病证却得到中风的脉象与证候,更兼有太阳无汗内热的烦躁证。而无少阴证,指没有身重但欲寐的证候。营卫同病,指风寒同时损伤营卫。这两种证候皆属于无汗实邪,所以均使用大青龙汤发汗治疗。详见太阳篇下编。
Wind-stroke injuring the Wei (Defensive) level presents with a floating and moderate pulse, accompanied by stiffness and pain in the head and nape, aversion to wind and cold. The disease quickly develops fever, spontaneous sweating, nasal congestion (rhonchus), and dry retching; Guizhi Tang (Cinnamon Twig Decoction) is effective here.
[Note] Wind-stroke is the name of the disease. Injuring the Wei refers to wind injuring the Defensive Qi. A floating and moderate pulse refers to the pulse of wind-stroke. Headache, neck stiffness, aversion to cold and wind, fever with spontaneous sweating, nasal congestion, and dry retching refer to the syndrome of wind-stroke. "Guizhi Gong" means that Guizhi Tang functions to treat the deficiency pathogen of wind-stroke. See the Upper Chapter of Taiyang.
Cold damage injuring the Ying (Nutritive) level presents with a floating and tight pulse, accompanied by headache, body pain, aversion to wind and cold. There is no sweating and there is wheezing; fever may or may not have appeared yet, accompanied by vomiting and counterflow qi; Mahuang Tang (Ephedra Decoction) for inducing sweating is highly effective.
[Note] Cold damage is the name of the disease. Injuring the Ying refers to cold injuring the Nutritive Qi. A floating and tight pulse refers to the pulse of cold damage. Headache, body pain, aversion to cold and wind, no sweating with wheezing, either already febrile or not yet febrile, vomiting and counterflow qi refer to the syndrome of cold damage. "Mahuang Tang Fa" means that for the excess pathogen of cold damage, one should administer Mahuang Tang to induce sweating, which is most effective. See the Middle Chapter of Taiyang.
Wind-stroke presenting with a floating and tight pulse, generalized body pain, headache, fever, aversion to wind and cold, severe retching, no sweating, and irritability; Cold damage presenting with heaviness of the body that occasionally lightens, a floating and moderate pulse, vomiting and counterflow qi, no sweating with wheezing, headache, fever, aversion to wind and cold, irritability without Shaoyin syndrome, this is simultaneous disease of Ying and Wei, treated with Da Qinglong Tang (Great Blue Dragon Decoction).
[Note] Wind-stroke refers to the disease where wind injures the Wei. Headache, fever, aversion to wind and cold, dry retching are symptoms of wind-stroke. Floating and tight is the pulse of cold injuring the Ying. Body pain is the syndrome of cold injuring the Ying. Here, the disease of wind-stroke presents with the pulse and syndrome of cold damage, further complicated by exterior excess due to no sweating and internal heat causing irritability. Cold damage refers to the disease where cold injures the Ying. Heaviness of the body without pain, occasionally feeling lighter, is the syndrome of wind injuring the Wei. Floating and moderate is the pulse of wind injuring the Wei. Vomiting and counterflow qi, no sweating with wheezing, headache, fever, aversion to cold and wind are the syndrome of cold injuring the Ying. Thus, the disease of cold damage presents with the pulse and syndrome of wind-stroke, further complicated by Taiyang interior heat due to no sweating causing irritability. "Without Shaoyin syndrome" means absence of the syndrome of body heaviness and desire to sleep. Simultaneous disease of Ying and Wei refers to wind and cold simultaneously injuring both Ying and Wei. Both syndromes involve excess pathogens without sweating, therefore both are treated with Da Qinglong Tang to induce sweating. See the Lower Chapter of Taiyang.