〔《素》〕∶帝问曰∶风之伤人也,或为寒热,或为热中,或为寒中,或为疠风,或为偏枯
,或为风也,其病各异,其名不同,或内至五脏六腑,不知其解,愿闻其由?岐伯对曰∶风
气藏于皮肤之间,内不得通,外不得泄。风者善行而数变,腠理开则洒然寒,闭则热而闷,
其寒也则衰食饮,其热也则消肌肉,故使人 栗而不能食,名曰寒热(《风论》治
见寒热门” ,陀骨切,忽忘也。栗,惧也)。风气与阳明入胃,循脉而上至目内
,其人肥则风气不得外泄,则为热中而目黄;人瘦则外泄而寒,则为寒中而泣出(治热中
见黄胆门。治寒中见目泪门)。风气与太阳俱入,行诸脉俞,散于分肉之间,与卫
气相干,其道不利,故使肌肉愤 而有疡。卫气有所凝而不行,故其肉有不仁也(治见
痹门)。风寒客于脉而不去,名曰疠风,或名曰寒热(疠者,其荣卫热 肿,其气不
清,故使鼻柱坏而色败,皮肤疡溃)。以春甲乙伤于风者,为肝风。以夏丙丁伤于风者,为
心风。以季夏戊己伤于邪者,为脾风。以秋庚辛中于邪者,为肺风。以冬壬癸中于邪者,为
肾风。风中五脏六腑之俞,亦为脏腑之风。各入其门户所中,则为偏风(治见中风门)。
风气循风府而上,则为脑风(治见头痛)风入系头,则为目风眼寒(治见眼目)。饮酒
中风,则为漏风。(治见肝门)。入房汗出中风,则为内风(王注∶以劳风为内风。治见
门)。新沐中风,则为首风(治见头痛)。久风入中,则为肠风飧泄(治见下痢
)。外在腠理,则为泄风。故风者,百病之长也。至其变化乃为他病也,无常方然,致(《
甲乙经》作“故”字)有风气也。帝曰∶五脏风之形状不同者何?愿闻其诊及其病能。岐伯曰
∶肺风之状,多汗,恶风,色 然白,时咳短气,昼日则瘥,暮则甚,诊在眉上,其色
白( 字,普边切,白貌也。仲景云∶肺中风者口燥而唾,身晕而重,冒而肿胀)。心风
之状,多汗恶风,焦绝,善怒吓,赤色,病甚则言不可快,诊在舌,其色赤(“吓”字衍文
也。仲景云∶心中风者,翕翕发热不能起,心中饥,食则呕吐)。肝风之状,多汗恶风,善
悲色微苍,嗌干,善怒,时憎女子,诊在目下,其色青(仲景云∶肝中风者,头目 及胁痛
常呕,令人嗜甘)。脾风之状,多汗恶风,身体怠惰,四肢不欲动,色薄微黄,不嗜食,诊
在鼻上,其色黄(仲景云∶脾中风者,翕翕发热,形如醉人,腹中烦重,皮目 而短气)。
肾风之状,多汗恶风,面 然浮肿,脊痛不能正立,其色 ,隐曲不利,诊在肌上,
其色
黑(奇病论云∶有 然如有水状,切其脉大紧,身无痛处,形不瘦,不能食,食少
,名为何病?岐伯对曰∶病生在肾,名为肾风,肾风不能食善惊而心气痿者死。张子和治桑
惠民病风,面黑畏风,不敢出,爬搔不已,眉毛脱落作癞,医三年不痊,求治于戴人。戴人
曰∶非癞也,乃出《素问·风论》云∶肾风之状,多汗恶风,脊痛不能正立,其色 ,
面然浮肿。今公之病乃肾风也。宜先刺其面大出血,其血当如墨色,三刺血变色矣。
于是下针自额上下排针直至颐颔皆出血,果如墨色,遍肿处皆针之,惟不针目 外两傍,盖
此少阳经少血多气,隔日又针之血色乃紫,二日外又刺其血色变赤。初针时痒,再刺则额角
痛,三刺其痛不可任,盖邪退而然也。后二十日余又轻刺一遍方已。每刺必以冰水洗其面血
,十日黑色退,一月面稍赤,三月乃红白,但不服除下热之药,病又作。戴人在东方,无能
治者)。胃风之状,颈多汗,恶风,饮食不下,膈塞不通,腹善满,失衣,则 胀,食
寒则泄,诊形瘦而腹大。首风之状,头面多汗恶风,当先风一日,则病甚,头痛不可以出内
,至其风日则病少愈。漏风之状,或多汗,常不可单衣,食则汗出,甚则身汗,喘息恶风,
衣常濡,口干善渴,不能劳事。泄风之状,多汗,汗出泄衣上,口中干,上渍其风,不能劳
事,身体尽痛则寒。
上五脏风症,多汗恶风,其治法用仲景桂枝汤之类,孙真人皆灸本脏背 ,兼用续命汤
治之。
〔《灵》〕黄帝曰∶人之善病风厥漉汗者,何以候之?少俞答曰∶肉不坚,腠理疏,则善
病风。帝曰∶何以候肉之不坚也?少俞答曰∶ 肉不坚而无分理,理者粗理,粗理而皮不
致者,腠理疏,此言其浑然者。(五变论)
〔《素》〕暴厥而聋,偏闭塞不通,内气暴薄也。不从内外中风之病,故瘦留着也(通评
虚实论此条非风病。)汗出而身热者风也(全文见虚烦)。尺肤滑而淖泽者风也。尺肤滑
而泽脂者风也。(全文见诊法)
〔《脉》〕脉浮而大者曰风。病风以日夕死。(全文见诊生死)
【《素问》】黄帝问道:风邪侵袭人体,有的表现为寒热证,有的表现为热中证,有的表现为寒中证,有的表现为疠风(麻风病),有的表现为偏枯(半身不遂),有的表现为头风病。这些病症各不相同,名称也不同,有的深入五脏六腑,对此我不明白其中的道理,希望听听产生这些病症的原因?岐伯回答说:风邪潜伏在皮肤之间,向内不能通达,向外不能发泄。风性善动而多变,腠理开泄时则感到洒淅恶寒,腠理闭塞时则发热且胸闷。其表现为寒证时,食欲减退;其表现为热证时,肌肉消损,因此使人战栗而不能进食,这种病称为寒热(《风论》的治疗见“寒热门”)。
风气侵入阳明经并进入胃中,沿经脉上行至目内眦,如果其人形体肥胖,则风气不得外泄,就会形成热中证而出现目黄;如果其人形体消瘦,则风气随汗外泄而感到寒冷,就会形成寒中证而流泪(治疗热中证见“黄疸门”,治疗寒中证见“目泪门”)。风气与太阳经一同侵入,运行于各经脉的腧穴,散布于分肉之间,与卫气相互干扰,导致经络通道不利,因此使肌肉肿胀并形成疮疡。卫气凝滞而不行,所以肌肉出现麻木不仁(治疗见“痹门”)。风寒之邪客居脉中而不离去,称为疠风,或称为寒热(疠风,是指其营卫之气热盛肿胀,气血不清,因而导致鼻梁塌陷、面色败坏、皮肤溃疡)。在春季甲乙日受风邪的,称为肝风;在夏季丙丁日受风邪的,称为心风;在长夏戊己日受邪气的,称为脾风;在秋季庚辛日受邪气的,称为肺风;在冬季壬癸日受邪气的,称为肾风。风邪侵入五脏六腑的腧穴,也会成为脏腑之风。风邪从各个门户侵入,就称为偏风(治疗见“中风门”)。风气顺着风府穴上行,就称为脑风(治疗见“头痛”)。风邪侵入头部系连之处,就称为目风眼寒(治疗见“眼目”)。饮酒后受风,就称为漏风(治疗见“肝门”)。房事后出汗受风,就称为内风(王冰注:将劳风称为内风。治疗见某门)。刚洗头后受风,就称为首风(治疗见“头痛”)。久风入里,就称为肠风飧泄(治疗见“下痢”)。风邪停留在体表腠理,就称为泄风。所以风是百病的先导。至于它变化而成其他疾病,没有固定的规律,但都是由风邪引起的。
黄帝说:五脏受风的症状表现不同,为什么呢?希望听听它们的诊断方法及病情特点。岐伯说:肺风的症状,多汗,怕风,面色苍白,时常咳嗽、气短,白天减轻,晚上加重,诊察部位在眉毛上方,其色白(“㿠”字,音普边切,指白色貌。张仲景说:肺中风者,口燥而唾,身体昏晕沉重,头目昏蒙而肿胀)。心风的症状,多汗怕风,咽喉干燥,容易发怒惊恐,面色红赤,病情严重时说话不利索,诊察部位在舌,其色赤(“吓”字为衍文。张仲景说:心中风者,翕翕发热不能起身,心中饥饿,进食则呕吐)。肝风的症状,多汗怕风,容易悲伤,面色微青,咽干,易怒,有时厌恶女性,诊察部位在目下,其色青(张仲景说:肝中风者,头目眩晕及胁痛,经常呕吐,使人嗜食甘味)。脾风的症状,多汗怕风,身体倦怠懒惰,四肢不想活动,面色淡黄,食欲不振,诊察部位在鼻上,其色黄(张仲景说:脾中风者,翕翕发热,形态像醉酒的人,腹部烦闷沉重,眼皮跳动而气短)。肾风的症状,多汗怕风,面部浮肿如水肿状,脊痛不能直立,面色黑,小便不利,诊察部位在肌肤,其色黑(《奇病论》说:有一种人面色㿠白好像有水状,切其脉大紧,身体无疼痛处,形体不瘦,不能进食,吃得少,这是什么病?岐伯回答说:病生在肾,名为肾风,肾风不能进食、容易惊恐且心气衰竭的会死亡。张子和治疗桑惠民的风病,面黑怕风,不敢出门,抓挠不停,眉毛脱落变成癞疾,医治三年未愈,求治于戴人。戴人说:这不是癞疾,而是出自《素问·风论》所说的:肾风的症状,多汗怕风,脊痛不能直立,面色黑,面部浮肿。现在您的病就是肾风。应该先刺面部使其大量出血,血色应当像墨色一样,刺三次后血色改变。于是下针,从额头上下排针直至下巴全部放血,果然血色如墨,遍肿处都针刺了,唯独没有针刺目外眦两旁,因为此处少阳经血少气多。隔日又针刺,血色变为紫色,两天后又刺,血色变为红色。初次针刺时痒,再刺则额角痛,三刺时疼痛难忍,这是邪气退去的表现。二十多天后又轻刺一遍才停止。每次针刺必用冰水洗去面上的血,十日黑色消退,一月后面稍红,三月后变红白,但如果不服用清除下焦热邪的药物,病又会发作。戴人在东方,没有人能治好这个病)。胃风的症状,颈部多汗,怕风,饮食不下,胸膈堵塞不通,腹部容易胀满,穿衣单薄则腹胀,吃冷食则泄泻,诊察形体消瘦而腹部膨大。首风的症状,头面多汗怕风,在起风的前一天,病情加重,头痛不能出屋,到了有风的日子则病情稍好。漏风的症状,或多汗,常不能穿单衣,进食则汗出,严重则全身出汗,喘息怕风,衣服常常湿透,口干喜欢喝水,不能从事劳累的工作。泄风的症状,多汗,汗水流出浸湿衣服,口中干燥,风邪在上部浸渍,不能从事劳累工作,全身疼痛则畏寒。
以上五脏风症,大多多汗怕风,其治疗方法使用张仲景的桂枝汤之类,孙思邈都灸本脏的背俞穴,兼用续命汤治疗。
【《灵枢》】黄帝说:人容易患风厥、淋漓汗出的病,如何诊察?少俞回答说:肌肉不坚实,腠理疏松,就容易患风病。黄帝说:如何诊察肌肉不坚实呢?少俞回答说:肌肉不坚实且没有纹理,纹理粗糙,纹理粗糙且皮肤不致密的,就是腠理疏松,这是说的整体情况。(《五变论》)
【《素问》】突然昏厥且耳聋,半身闭塞不通,是体内气机暴逆迫急所致。不是从内外感受风邪的病,所以形体消瘦且病邪留滞(《通评虚实论》此条非风病)。出汗且身热的,是风病(全文见“虚烦”)。尺肤滑润而有光泽的,是风病。尺肤滑润而有脂泽的,是风病。(全文见“诊法”)
[Suwen] The Yellow Emperor asked: When wind pathogen invades the human body, it may manifest as cold-heat syndrome (Han Re Zheng), heat-in-the-middle syndrome (Re Zhong Zheng), cold-in-the-middle syndrome (Han Zhong Zheng), li-feng (Leprosy/Mal Feng), or pian-ku (Hemiplegia). The diseases vary, and their names differ. Some penetrate internally to the five zang and six fu organs. I do not understand the explanation; I wish to hear the cause of these conditions? Qibo replied: Wind qi hides between the skin and hair follicles, unable to communicate internally nor discharge externally. Wind is agile and changes rapidly. When the couli (pores) open, one feels chilly and cold; when they close, one feels hot and stifled. In its cold manifestation, food and drink intake decline; in its hot manifestation, muscles are consumed. Thus, it causes shivering and inability to eat, named Cold-Heat Syndrome (The treatment for "Wind Lun" is seen in the "Cold-Heat Section", Tuo Gu means sudden forgetfulness; Li means fear). Wind qi entering the Yangming meridian and going into the stomach, follows the vessels upward to the inner canthus. If the person is obese, wind qi cannot be discharged externally, leading to Heat-in-the-Middle Syndrome with yellow eyes; if the person is thin, it discharges externally causing cold, leading to Cold-in-the-Middle Syndrome with tearing (Treatment for Heat-in-the-Middle is seen in the "Jaundice Section"; Treatment for Cold-in-the-Middle is seen in the "Tearing Section"). Wind qi enters together with the Taiyang meridian, travels through the acupoints of various vessels, and scatters between the flesh partitions. It interferes with Wei Qi (Defensive Qi), obstructing the pathways, thus causing muscle swelling and sores. If Wei Qi coagulates and fails to circulate, the flesh becomes insensible (Treatment is seen in the "Bi Syndrome Section"). If Wind-Cold lingers in the vessels without departing, it is called Li-Feng (Leprosy), also known as Cold-Heat. (Li refers to where Ying and Wei Qi are hot and swollen, the qi is impure, causing the nasal bridge to collapse, complexion to deteriorate, and skin to ulcerate). Wind contracted on Jia-Yi days in Spring affects the Liver, called Liver Wind. Wind contracted on Bing-Ding days in Summer affects the Heart, called Heart Wind. Pathogenic factors contracted on Wu-Ji days in Late Summer affect the Spleen, called Spleen Wind. Pathogenic factors contracted on Geng-Xin days in Autumn affect the Lung, called Lung Wind. Pathogenic factors contracted on Ren-Gui days in Winter affect the Kidney, called Kidney Wind. Wind invading the Shu points of the five zang and six fu organs also becomes Wind of the Zang-Fu. Entering through respective gates, it is called Pian-Feng (Partial Wind/Stroke-like symptoms) (Treatment is seen in the "Zhong Feng Section"). Wind qi ascending along the Fengfu point becomes Brain Wind (Treatment is seen in "Headache"). Wind entering the head connections becomes Eye Wind/Cold Eyes (Treatment is seen in "Eye Diseases"). Wind after drinking alcohol becomes Lou Feng (Leaking Wind) (Treatment is seen in the "Liver Section"). Wind during sweating after intercourse becomes Nei Feng (Internal Wind) (Wang Bing's commentary: considers Lao Feng as Internal Wind. Treatment is seen in a certain section). Wind after washing hair becomes Shou Feng (Head Wind) (Treatment is seen in "Headache"). Long-standing wind entering the interior becomes Chang Feng (Intestinal Wind) with Sund Xie (Dysentery with undigested food) (Treatment is seen in "Dysentery"). Wind remaining at the exterior couli becomes Xie Feng (Escaping Wind). Therefore, wind is the chief of all diseases. Its transformations lead to other diseases without fixed patterns, yet it always results from wind qi.
The Yellow Emperor said: Why do the manifestations of wind affecting the five zang organs differ? I wish to hear about their diagnosis and pathological characteristics. Qibo said: The signs of Lung Wind include profuse sweating, aversion to wind, pale complexion, frequent coughing, and shortness of breath. Symptoms improve during the day and worsen at night. Diagnosis is observed above the eyebrows, where the color is white ("Bai" pronunciation indicates whiteness. Zhang Zhongjing stated: Lung wind patients have dry mouth with saliva, dizziness and heaviness, and distension). The signs of Heart Wind include profuse sweating, aversion to wind, dry throat, irritability, and red complexion. Severe cases involve slurred speech. Diagnosis is on the tongue, where the color is red ("He" is a superfluous character. Zhang Zhongjing stated: Heart wind patients have mild fever, inability to rise, hunger sensations, and vomiting after eating). The signs of Liver Wind include profuse sweating, aversion to wind, sadness, bluish-green complexion, dry throat, irritability, and occasional aversion to women. Diagnosis is below the eyes, where the color is green (Zhang Zhongjing stated: Liver wind patients experience dizziness, hypochondriac pain, frequent vomiting, and craving for sweet foods). The signs of Spleen Wind include profuse sweating, aversion to wind, lethargy, reluctance to move limbs, sallow complexion, and anorexia. Diagnosis is on the nose, where the color is yellow (Zhang Zhongjing stated: Spleen wind patients have mild fever, appear intoxicated, abdominal heaviness, twitching eyelids, and shortness of breath). The signs of Kidney Wind include profuse sweating, aversion to wind, puffy face resembling edema, back pain preventing upright standing, dark complexion, and difficult urination. Diagnosis is on the muscles, where the color is black (Qibing Lun states: A condition where the face looks like water retention, pulse is large and tight, no body pain, not emaciated, but unable to eat or eats little. Qibo answered: This originates in the Kidney, named Kidney Wind. If Kidney Wind leads to inability to eat, fright, and heart qi failure, death ensues. Zhang Zihe treated Sang Huimin's wind disease: dark face, aversion to wind, itching, eyebrow loss resembling leprosy, untreated for three years. Zhang Zihe said: This is not leprosy but matches Suwen's description of Kidney Wind: sweating, aversion to wind, back pain, dark face, facial edema. He advised bleeding the face. The blood was initially ink-black. After three bleedings, the color changed. Needles were placed from forehead to chin, bleeding all swollen areas except near the outer canthus (Shaoyang channel has less blood and more qi). Two days later, blood turned purple; two days after that, red. Initial needling caused itching, second caused temple pain, third caused unbearable pain due to pathogen retreat. After 20+ days, light needling finished the cure. Ice water was used to wash blood after each session. Black faded in 10 days, slightly red in 1 month, red-white in 3 months. Without clearing lower jiao heat, relapse occurred. No one in the East could cure this). The signs of Stomach Wind include neck sweating, aversion to wind, dysphagia, chest obstruction, abdominal fullness, bloating when underdressed, diarrhea from cold food, emaciation with a distended abdomen. The signs of Head Wind include sweating and aversion to wind on the head and face. Symptoms worsen one day before windy weather, with headache preventing going out; symptoms improve on windy days. The signs of Leaking Wind include profuse sweating, inability to wear single clothes, sweating upon eating, severe whole-body sweating, panting, aversion to wind, wet clothes, dry mouth, thirst, and inability to perform labor. The signs of Escaping Wind include profuse sweating soaking clothes, dry mouth, wind stagnation above, inability to perform labor, and generalized body pain with chills.
For the above five zang wind syndromes, characterized by sweating and aversion to wind, the treatment method uses Zhang Zhongjing's Guizhi Tang (Cinnamon Twig Decoction) and similar formulas. Sun Simiao moxa-points on the back corresponding to the affected zang organ, combined with Xuming Tang (Continuing Life Decoction).
[LingShu] The Yellow Emperor asked: How can we predict who is prone to Feng Jue (Wind Jue) and dripping sweat? Shaoyu answered: Those with unfirm muscles and loose couli are prone to wind diseases. The Yellow Emperor asked: How to identify unfirm muscles? Shaoyu answered: Unfirm muscles lack distinct texture lines. Rough texture lines and non-tight skin indicate loose couli, describing the general constitution. (From "Wu Bian Lun")
[Suwen] Sudden jue (fainting) with deafness and unilateral blockage is due to violent internal qi pressure. It is not a disease from external/internal wind invasion, hence emaciation and lingering pathogens (From "Tong Ping Xu Shi Lun", this item is not a wind disease). Sweating with body heat indicates Wind (Full text in "Xu Fan"). Smooth and glossy skin on the chi position indicates Wind (Full text in "Zhen Fa"). Smooth and oily skin on the chi position indicates Wind (Full text in "Zhen Fa").
[Mai Jing] A floating and large pulse indicates Wind. Patients with Wind disease die at dusk or night (Full text in "Diagnosing Life and Death").