（湿温 中湿 风湿）
湿温中湿并风湿。三者同名而异实。暑湿相搏成湿温。胸间多汗头如劈。两胫逆冷苦妄言。阳濡而弱阴小急。（以上
湿温证也。）第二中湿之为病。脉来沉缓其名的。一身尽痛兼发黄。大便反快小便涩。（仲景云。太阳病。关节疼痛而烦。
脉沉而缓者。此名中湿。其候令人小便不利。大便反快。但当利其小便。又云。湿家之为病。一身尽痛。发热。身色如
薰黄。湿家其人但头汗出背强。欲得覆被向火。若下之早。则成胸满。小便不利。舌上如苔者。以丹田有热。胸中有寒。
渴欲得水而不能饮。口燥烦也。又云。湿家病。身上疼痛。发热面黄而喘。头痛鼻塞而烦。其脉大。自能饮食。腹中无
病。病若头中寒湿。故鼻塞。纳药鼻中则愈。）本是风雨山泽气。中之令人成此疾。第三风湿脉但浮。肢体痛重难转侧。
额上微汗身微肿。不欲去被憎寒栗。（此论风湿也。风湿之证。仲景云。一身尽痛发热。日晡所剧。此名风湿。此病伤于
汗出当风。或久伤取冷所致也。故其脉浮。额上有微汗。不欲去被也。）发汗 欲润身。风湿俱去斯为得。仲景云。
风湿相搏。一身疼痛。法当汗出而解。值天阴雨不止。医云。此可发汗。汗之病不愈。何也。答曰。发其汗汗大出者。
但风气去。湿气在。是故不愈也。治风湿者。发汗微微出者。则是风湿俱去者也。防己黄 术附汤。对证用之医可必。（防
己黄 汤。术附汤。皆治风湿自汗。）
（湿温、中湿、风湿）
湿温、中湿与风湿，三者名称相同但实质不同。暑气与湿气相互搏结形成湿温证，表现为胸膈间多汗，头痛剧烈如被劈开，两小腿逆冷，痛苦地胡言乱语，脉象阳部濡弱而阴部细小急促。（以上是湿温证的描述。）第二种是中湿病，脉象沉缓为其特征，全身疼痛且伴有发黄，大便反而通畅，小便涩滞不利。（张仲景说：太阳病，关节疼痛且烦躁，脉象沉而缓的，这叫做中湿。其症状使人小便不利，大便反而通畅，应当通利小便。又说：患湿病的人，全身疼痛，发热，身体颜色像被烟熏过的黄色。患湿病的人只有头部出汗，背部僵硬，想要盖被子靠近火源。如果过早使用下法，就会造成胸满，小便不利，舌上像有苔状物，这是因为丹田有热，胸中有寒，口渴想喝水却喝不下去，口燥烦闷。又说：患湿病的人，身上疼痛，发热，面黄且气喘，头痛鼻塞且烦躁，脉象大，能正常饮食，腹部没有病痛。如果是头中感受寒湿，所以鼻塞，将药物纳入鼻中即可痊愈。）这原本是风雨山泽之气，人体受之便成此疾。第三种是风湿，脉象仅见浮象，肢体疼痛沉重，难以转动侧身，额头微微出汗，身体轻微浮肿，不想去掉被子，厌恶寒冷并出现战栗。（这是论述风湿证。风湿的病症，张仲景说：全身疼痛发热，在申时（下午3-5点）加重，这叫做风湿。这种病是因为出汗时当风，或久处寒冷环境所致。所以脉象浮，额头有微汗，不想去掉被子。）治疗风湿欲使身体润泽，风湿俱去才算得当。张仲景说：风湿相搏，一身疼痛，依法应当发汗而解。遇到天阴雨不停，医生说可以发汗。发汗后病未愈，为什么呢？回答说：发汗若大汗出，只去了风气，湿气仍在，所以不愈。治疗风湿者，微微出汗，则是风湿俱去的方法。防己黄芪术附汤，对症使用医生可必效。（防己黄芪汤、术附汤，都治疗风湿自汗。）
(Wet-Warmth, Middle-Dampness, Wind-Dampness)
Wet-warmness (Shiwen), middle-dampness (Zhongshi), and wind-dampness (Fengshi) share the same name but differ in substance. When summerheat (Shu) and dampness (Shi) struggle together, wet-warmness is formed. It presents with excessive sweating in the chest region, severe headache as if split open, cold reversal in both lower legs, delirious speech due to suffering, and a pulse that is soggy and weak at the cun position (Yang) and small and rapid at the chi position (Yin). (The above describes the syndrome of Wet-Warmness.) The second type is middle-dampness disease, characterized by a deep and slow pulse. It manifests as generalized body pain accompanied by jaundice, loose stools, and scanty or difficult urination. (Zhang Zhongjing stated: In Taiyang disease, joint pain with irritability and a deep, slow pulse is named middle-dampness. Its symptoms include difficulty in urination and loose stools; one should promote diuresis. He also stated: For patients with dampness diseases, there is generalized body pain, fever, and a yellowish skin color resembling smoked tobacco. Such patients may have only head sweating, stiffness in the back, and a desire to cover themselves and seek warmth. If purgatives are used prematurely, it leads to chest fullness, urinary difficulty, and a tongue coating resembling moss, caused by heat in the lower abdomen and cold in the chest, resulting in thirst for water but inability to drink, and dry mouth with irritability. He further stated: In dampness diseases, body pain, fever, yellow face, wheezing, headache, nasal congestion, and irritability occur with a large pulse. The patient can eat normally, and there is no abdominal pathology. If the head suffers from cold-dampness, causing nasal congestion, inserting medicine into the nose will cure it.) These originate from the qi of wind, rain, mountains, and marshes; contracting them causes this disease. The third type is wind-dampness, presenting with a floating pulse alone, painful and heavy limbs difficult to turn or side, slight sweating on the forehead, mild bodily edema, aversion to removing blankets, and aversion to cold with shivering. (This discusses wind-dampness. Regarding wind-dampness syndrome, Zhang Zhongjing stated: Generalized body pain and fever that worsens in the afternoon (Shi hour) is named wind-dampness. This disease results from sweating while exposed to wind or prolonged exposure to cold. Thus, the pulse is floating, there is slight sweating on the forehead, and an aversion to removing blankets.) To treat wind-dampness, one aims to moisten the body; only when both wind and dampness are expelled is the treatment correct. Zhang Zhongjing stated: When wind and dampness struggle, causing generalized body pain, the method requires sweating to resolve it. If it rains continuously and the physician suggests sweating, but the illness does not resolve after sweating, why? The answer is: If sweating is profuse, only the wind is expelled while dampness remains, hence it does not resolve. For treating wind-dampness, slight sweating indicates that both wind and dampness are expelled. Fangji Huangqi Shuzhu Fuzi Decoction (Aristolochia Root and Astragalus Root with Atractylodes Macrocephala and Prepared Aconite Root Decoction), when used correctly, ensures efficacy. (Fangji Huangqi Decoction and Shuzhu Fuzi Decoction both treat wind-dampness with spontaneous sweating.)