（发于夏者俗名注夏）
痿者，手足软弱无力，纵缓不收也，（即俗所谓手摊脚软之意。）盖热而兼湿使然。观物
之寒而干者，必坚硬收引；热而湿者，必柔软弛长可见。湿属土，胃为水谷之海，
主润筋脉。胃病则不能营运水谷，湿停筋脉中，不为润而为涝，与热相合，故治痿
独取阳明也。五脏皆有热，热者，火也，火属心而伤肺。又制火者水，金为水之源，
源伤则流绝，重其源之伤，故总归于肺热也。然此证之有热无寒则然矣，其有湿与
否，则须细辨。若无湿而概用燥药以利水，则火益燥烈，筋脉反致枯干挛缩，求为
弛长缓纵而不可得矣。治者审之。（无湿亦有痿者。以津液为热所灼，尚未即干，虽不弛长，
亦未短缩，
但困弱柔软而不能行动也。观草木遇烈日而枝叶萎软，可见矣。）《内经》分五痿。
肺热叶焦，皮毛虚弱
急薄着，（皮干紧，与肉相搏，而着于肉也。）而生痿 ，（足不能行。）其证色白而毛败。
心热则下脉厥
而上，（三阴在下之脉，因心热而逆上。）上则下脉虚，虚则脉痿，枢折挈，（膝腕似折而不能
提挈也。）
胫纵而不任地，其证色赤而络脉溢。肝热则胆泄口苦，筋膜干，筋膜干则筋急而挛、
发为筋痿，其证色苍而爪枯。脾热则胃干而渴，肌肉不仁，发为肉痿，
其证色黄而肉蠕动。肾热则腰脊不举，骨枯髓减，发为骨痿，其证色黑而
齿槁。又论其致热之由，谓有所亡失，所求不得，则发肺鸣，（咳嗽也。）肺热叶焦。
五脏因肺热叶焦，发为痿 。悲哀太甚则胞脉绝，绝则阳气内动，心下崩，
数溲血，大经空虚，发为肌痹，传为脉痿。思想无穷，所愿不得，意淫于外，
入房太甚，宗筋弛纵，发为筋痿，及为白淫。筋痿者生于肝，使内有渐于湿，（渐渍也。）
以水为事，（如舟居者之习于水。）居处相湿，肌肉濡渍，痹而不仁，发为肉痿。得之
湿地，有所远行劳倦，逢大热而渴，渴则阳气内伐，内伐则热舍于肾，水不胜火，
骨枯髓虚，故足不任身，发为骨痿。细详《经》意，是言五脏各有自致之痿，有他
病传变之痿，（观肌痹传为脉痿句可知。）而总归于肺热所发也。至其致热之由，或言七情，
或言房色，或言伤湿，或言劳倦，乃互文以见。内外诸邪，皆足生病，未见有归重于湿之意。
但本证论治，谓阳明为脏腑之海，主润宗筋，束骨而利机关，与冲脉（冲脉又名血海。）合于宗
筋，属于带脉。阳明虚（冲脉无所禀则亦虚。）则宗筋纵，带脉不收，（所谓虚则不能行湿，
不为润而为涝
也，一切筋脉皆缓纵可知。）故足痿而不用，所以治痿独取阳明。又《生气通天论》云∶
湿热不攘，大筋 短，小筋弛长，（大筋亦有弛长，小筋亦有 短，勿泥。） 短为拘，
弛长为痿，是此证固以湿热言，不以干热言也。故古人方中多用术、苓、
泽泻，及诸风药。但此证属干热者毕竟多，然则滋阳明水谷之气，以润宗筋，壮
北方少阴之精，以沃涸泽，尚忧无济，反敢利其湿哉？
治法∶热者补阴丸。东垣取黄柏为君，以滋水清热。嵩崖谓∶风药及香燥温补
之剂，断不可用，童便一味最妙。清燥汤（详伤暑）用黄连、黄柏、麦冬、五味、生地、
当归，以清金滋水养血，人参、黄 、甘草以补肺气。有湿用二术、二苓、泽泻，
湿在下部者加升、柴，（升提以利之。）饮食少进，用陈皮、神曲。肺热，宜黄 、二冬、
石斛、百合、山药、犀角、桔梗、枯芩、栀子、杏仁之属，有湿加木通、秦艽。心
热，黄连、苦参、牛黄、龙齿、牡丹皮、地骨皮、犀角。肝热，生地、天冬、白芍、
柴胡、龙胆草、白蒺藜、黄芩、黄连。脾热痰湿，二术二陈、霞天膏等，甚则三化
汤（见中风）、调胃承气汤（见大便不通）下之，控涎丹（见痰）取之。肾热，六味（见虚损）
加知柏。湿热，
健步丸加黄柏、苍术、黄芩，或小胃丹（见痰饮）攻之。湿痰，二陈加苍术、黄柏、
竹沥、姜汁。血虚，四物（见血）。加减。气虚，（壮火食气。）补中益气（见气）加苍术、
黄柏。死血，桃仁、红花、归尾、赤芍之类。
若但两足痿软，病在下部，属肾、膀胱。《经》谓恐惧不解则伤精，（伤肾亦多
端矣，举恐惧以该其余，勿泥也。）精伤则骨酸痿厥，精时自下。（肾伤精脱，则水虚可知，
水虚则火炎，
热而筋弛可知。）又谓三阳（即膀胱太阳经）为病，发寒热，下为痈肿，（热胜可知。）及为痿厥是也，
又属脾湿。《经》云∶凡治痿厥，肥贵人（犹言富贵人）则膏粱之疾也。（浓酒浓味，积为湿热。）又
云∶秋伤于湿，（秋为燥令，而云伤湿者，以见秋亦有伤湿耳，勿泥。）发为痿
厥是也。东垣治粘合
公，三十二岁病此，尻阴皆冷，阴汗臊臭，精滑不固。此醇酒浓味滋火于内，逼阴
于外，医误作寒治，十旬不愈，脉沉数有力。以滋肾大苦寒之剂，制之以急，寒因
热用，再服而愈。（当是滋肾丸、神龟滋肾丸之类。）左经丸、续骨丹，治湿痰污血，阻碍经络
而致者。兼表邪，越婢加术汤。（见肿胀。）
痿证，是指手足软弱无力，松弛不能随意运动。（即民间所说的手瘫脚软的意思。）这大概是因为热邪兼夹湿邪所致。观察万物可知，寒冷而干燥的事物，必定坚硬收缩；炎热而潮湿的事物，必定柔软伸长。湿邪归属于土，胃是水谷之海，主管滋润筋脉。如果胃发生病变，就不能正常运化水谷，导致湿气停滞在筋脉中，不再起到滋润作用反而变成涝害，与热邪相结合，所以治疗痿证要专门选取阳明经。
五脏都有热邪，热就是火，火归属于心并损伤肺金。制约火的元素是水，金是水的源头，源头受损则水流断绝，加重源头的损伤，所以总归归结于肺热。然而此证只有热没有寒的情况确实如此，至于是否有湿邪，则需要仔细辨别。如果没有湿邪却一概使用燥性药物来利水，那么火邪会更加燥烈，筋脉反而会导致干枯挛缩，想要恢复松弛伸长的状态也不可能了。医者务必审慎。（没有湿邪也会产生痿证。因为津液被热邪灼烧，尚未立即干枯，虽然不表现为松弛伸长，也没有短缩，只是困倦虚弱、柔软而不能行动罢了。看草木遇到烈日时枝叶萎软，就可以明白了。）《内经》将痿证分为五种。
肺热导致叶焦枯，皮毛虚弱急薄附着，（皮肤干紧，与肌肉相搏结，从而附着在肌肉上。）从而产生痿躄，（足部不能行走。）其症状是面色白而毛发败坏。
心热则下部血脉厥逆而上行，（三条阴经在下部的脉气，因心热而逆乱上行。）上部脉气盛则下部脉气虚，虚则导致脉痿，膝关节和腕关节像折断一样提举不起，（膝部和腕部似折而不能提起支撑身体。）小腿纵缓不能站立承重，其症状是面色红赤且络脉充盈溢满。
肝热则胆汁外泄口苦，筋膜干燥，筋膜干燥则筋脉拘急挛缩，发展为筋痿，其症状是面色青苍且指甲枯槁。
脾热则胃干口渴，肌肉麻木不仁，发展为肉痿，其症状是面色黄而肌肉跳动蠕动。
肾热则腰脊不能挺举，骨骼枯槁骨髓减少，发展为骨痿，其症状是面色黑且牙齿枯槁。
又论述导致热邪的原因，说如果有丧失志向、愿望不得实现的情况，就会引发肺鸣，（咳嗽。）肺热叶焦。
五脏因肺热叶焦，发为痿躄。悲哀太过则胞脉闭塞不通，闭塞不通则阳气内动，导致心下出血，频繁小便带血，大经脉空虚，发为肌痹，传变为脉痿。
思虑无穷，愿望不得实现，意念淫逸于外，房事过度，宗筋弛缓纵散，发为筋痿，以及出现白淫（男子遗精或女子带下）。
筋痿生于肝，如果体内逐渐受湿邪浸渍，（浸渍也。）以涉水为业，（如居住在水边船上的居民习惯亲水。）居住环境潮湿，肌肉被雨水浸渍，麻痹而不感觉痛痒，发为肉痿。
由于居住在湿地，或者远行劳倦，逢到大热天气而口渴，口渴则阳气在内攻伐，内攻伐则热邪留舍于肾，水不胜火，骨骼枯槁骨髓虚空，所以足部不能支撑身体，发为骨痿。
详细推究《内经》的本意，是说五脏各有自己直接导致的痿证，也有其他疾病传变而来的痿证，（从肌痹传变为脉痿这句话可以知道。）但总归都归结于肺热所引发。至于导致热邪的原因，有的说是七情，有的说是房事色欲，有的说是伤湿，有的说是劳倦，这是互文见义的手法。内外各种邪气，都足以致病，并没有看到有特别重视湿邪的意思。
但在本证的论治中，说阳明经是脏腑之海，主管滋润宗筋，约束骨骼而利于关节活动，与冲脉（冲脉又名血海。）会合于宗筋，隶属于带脉。阳明经虚弱（冲脉无所禀受也就虚弱。）则宗筋弛缓，带脉不收摄，（所谓虚则不能运化水湿，不为滋润反而变成涝害，一切筋脉皆缓纵松弛可知。）所以足部痿废不能使用，因此治疗痿证要专门选取阳明经。
又《生气通天论》说：湿热不除，大筋缩短，小筋弛长，（大筋也有弛长的情况，小筋也有缩短的情况，不要拘泥。）缩短导致拘挛，弛长导致痿证，是这个病症确实是用湿热来说明的，而不是用干热来说明的。所以古人的方剂中多用白术、茯苓、泽泻，以及各类风药。但是此证属于干热的毕竟居多，既然如此，滋养阳明水谷之气，以滋润宗筋，壮补北方少阴之精，以灌溉枯竭之地，还担心没有帮助，怎敢再用利湿的药物呢？
治疗方法：热证用补阴丸。李东垣取黄柏作为君药，以滋水清热。嵩崖认为：风药及香燥温补的药剂，绝对不可用，童便一味最为奇妙。清燥汤（详见伤暑章节）用黄连、黄柏、麦冬、五味子、生地、当归，以清金滋水养血，人参、黄芪、甘草以补肺气。有湿邪用白术、苍术、茯苓、猪苓、泽泻，湿邪在下部的加升麻、柴胡，（升提以利导湿邪。）饮食少进，用陈皮、神曲。肺热，宜用黄芪、天冬、麦冬、石斛、百合、山药、犀角、桔梗、枯芩、栀子、杏仁之类，有湿邪加木通、秦艽。心热，用黄连、苦参、牛黄、龙齿、牡丹皮、地骨皮、犀角。肝热，用地黄、天冬、白芍、柴胡、龙胆草、白蒺藜、黄芩、黄连。脾热痰湿，用二术二陈汤、霞天膏等，严重时用三化汤（见中风章节）、调胃承气汤（见大便不通章节）攻下，控涎丹（见痰章节）祛除。肾热，用六味地黄丸（见虚损章节）加知母、黄柏。湿热，用健步丸加黄柏、苍术、黄芩，或小胃丹（见痰饮章节）攻逐。湿痰，用二陈汤加苍术、黄柏、竹沥、姜汁。血虚，用四物汤（见血章节）加减。气虚，（壮火食气。）用补中益气汤（见气章节）加苍术、黄柏。死血（瘀血），用桃仁、红花、归尾、赤芍之类。
如果只是两足痿软，病位在下部，归属于肾、膀胱。《内经》说恐惧不解则伤精，（伤肾也有很多方面，列举恐惧来概括其余情况，不要拘泥。）精伤则骨酸痿厥，精液时常自行滑出。（肾伤精脱，则水虚可知，水虚则火炎，热而筋弛可知。）又说三阳（即膀胱太阳经）发病，出现寒热，下部发生痈肿，（热胜可知。）以及发生痿厥，这也归属于脾湿。《内经》说：凡是治疗痿厥，肥胖贵人（犹言富贵人）则是膏粱厚味的疾病。（浓酒浓味，积滞化为湿热。）又说：秋季伤于湿，（秋季是燥令，却说伤湿，是为了说明秋天也有伤湿的情况，不要拘泥。）发为痿厥，也是如此。
李东垣治疗粘合公，三十二岁患此病，尻部和阴部皆冷，阴汗臊臭，精滑不固。这是因为醇酒浓味在内滋生火邪，逼迫阴液向外，医生误作寒证治疗，一百天未愈，脉象沉数有力。用滋肾的大苦寒药剂，采取急治的方法，寒因热用，再服后痊愈。（应当是滋肾丸、神龟滋肾丸之类。）左经丸、续骨丹，治疗因湿痰污血阻碍经络而导致的痿证。兼有表邪，用越婢加术汤。（见肿胀章节。）
(When occurring in summer, it is commonly known as "Zhu Xia" [Summer Malaise].)
Wei syndrome (Flaccidity Syndrome) refers to weakness and flaccidity of the hands and feet, where they relax and cannot be controlled voluntarily. (This is what is colloquially referred to as hand paralysis and leg softness.) This is generally caused by heat combined with dampness. Observing all things, cold and dry substances must be hard and contracting; hot and wet substances must be soft and elongated. Dampness belongs to Earth. The Stomach is the Sea of Water and Grain, and it governs the moistening of sinews and vessels. If the Stomach suffers disease, it cannot transport and transform water and grain, causing dampness to stagnate within the sinews and vessels. Instead of moistening, it becomes a flood. Combined with heat, this is why the treatment of Wei syndrome focuses exclusively on the Yangming channels.
Heat exists in all five Zang organs. Heat is Fire. Fire belongs to the Heart and injures Lung Metal. The element that controls Fire is Water. Metal is the source of Water. If the source is injured, the flow ceases. By aggravating the injury to the source, the condition is ultimately attributed to Lung Heat. However, while it is true that this syndrome involves heat without cold, whether dampness is present or not requires careful differentiation. If there is no dampness but drying agents are used indiscriminately to promote urination, the Fire will become even more scorching and dry. The sinews and vessels will instead suffer from withering, dryness, and contraction, making it impossible to achieve relaxation and elongation. Practitioners must exercise caution. (Wei syndrome can also occur without dampness. When body fluids are scorched by heat, they may not immediately dry up. Although not elongated, they are not shortened either; they are merely weak, soft, and unable to move. One can observe this in grass and trees whose leaves and branches wilt under the scorching sun.) *Neijing* divides Wei syndrome into five types.
Lung heat causes the lung leaves to become scorched and dry. The skin and hair become weak, tight, and thin, adhering to the flesh. (The skin becomes dry and tight, binding with the muscles and adhering to them.) This leads to Wei Bi (flaccidity of the legs), where the feet cannot walk. The signs include a pale complexion and deteriorated hair.
Heart heat causes the lower meridians to reverse and ascend. (The meridians of the three Yin channels located below reverse and ascend due to Heart heat.) Ascending excess leads to deficiency in the lower meridians. Deficiency results in Mai Wei (Vessel Flaccidity). The pivot breaks, and lifting is difficult. (The knees and wrists seem broken and cannot support lifting.) The calves are flaccid and cannot bear weight. The signs include a red complexion and overflowing collateral vessels.
Liver heat causes bile leakage and a bitter taste in the mouth. The fascia dries out. Dry fascia leads to tendon tension and contraction, developing into Jin Wei (Tendon Flaccidity). The signs include a bluish-green complexion and withered nails.
Spleen heat causes stomach dryness and thirst. The muscles become insensate, developing into Rou Wei (Muscle Flaccidity). The signs include a yellow complexion and twitching muscles.
Kidney heat causes inability to raise the waist and spine. The bones become withered and the marrow decreases, developing into Gu Wei (Bone Flaccidity). The signs include a black complexion and withered teeth.
Furthermore, regarding the causes of heat: if one experiences loss of aspirations or unfulfilled desires, it triggers Lung Ming (coughing). Lung heat causes the lung leaves to become scorched and dry.
Due to Lung heat and scorched lung leaves, all five Zang organs develop Wei Bi. Excessive grief severs the Bao Mai (uterine/corporeal vessels). Severance causes Yang Qi to move internally, leading to blood eruption from the heart region and frequent bloody urine. The major meridians become empty, developing into Ji Bi (Muscle Bi), which transmits to Mai Wei (Vessel Flaccidity).
Endless thinking and unfulfilled wishes cause the mind to wander externally. Excessive sexual intercourse causes the Zong Jin (General Sinews) to relax and sag, developing into Jin Wei (Tendon Flaccidity) and Bai Yin (white discharge).
Jin Wei originates from the Liver. If the interior gradually becomes infused with dampness (infusion/maceration), and one works with water (such as boat dwellers accustomed to water), living in damp environments causes muscle maceration. Numbness and insensibility develop, resulting in Rou Wei (Muscle Flaccidity).
Contracted from living in damp places, or from long journeys and fatigue, encountering intense heat and thirst. Thirst causes Yang Qi to attack internally. Internal attack allows heat to lodge in the Kidney. Water fails to overcome Fire. Bones become withered and marrow deficient. Thus, the feet cannot support the body, developing into Gu Wei (Bone Flaccidity).
Carefully examining the meaning of the *Classic*, it states that each of the five Zang organs has its own directly induced Wei syndrome, as well as Wei syndromes transmitted from other diseases (as seen in the transmission from Ji Bi to Mai Wei). Ultimately, however, they all attribute to Lung Heat. Regarding the causes of heat, some mention Seven Emotions, some mention sexual indulgence, some mention dampness injury, and some mention fatigue. These are rhetorical devices using mutual text to reveal meaning. External and internal pathogens are sufficient to cause disease; there is no indication that dampness is emphasized above others.
However, in the discussion of treatment for this syndrome, it states that the Yangming channel is the Sea of the Fu and Zang organs. It governs the moistening of the Zong Jin, binds the bones, and facilitates joint movement. It converges with the Chong Mai (Chong Mai is also known as the Sea of Blood) at the Zong Jin and is connected to the Dai Mai. Yangming deficiency (the Chong Mai becomes deficient as it receives nothing from Yangming) causes the Zong Jin to relax, and the Dai Mai fails to hold firm. (As mentioned earlier, deficiency means failing to transport dampness, turning moisture into a flood; thus, all sinews and vessels become flaccid and relaxed.) Consequently, the feet become flaccid and unusable. Therefore, treating Wei syndrome focuses exclusively on Yangming.
Additionally, *Shengqi Tongtian Lun* states: If damp-heat is not removed, large sinews shorten, and small sinews elongate. (Large sinews can also elongate, and small sinews can shorten; do not be rigid.) Shortening leads to spasm; elongation leads to flaccidity. This confirms that this syndrome is discussed in terms of damp-heat, not dry-heat. Therefore, ancient formulas often use Atractylodis Rhizoma (Baizhu/Cangzhu), Poria (Fuling), Alisma (Zexie), and various wind-dispelling herbs. Yet, cases belonging to dry-heat are actually more common. In such cases, nourishing the Qi of water and grain from Yangming to moisten the Zong Jin, and strengthening the Essence of the Shaoyin of the North to irrigate the dried marshes, might still worry about insufficient effect. How could one dare to use diuretics to drain dampness?
Treatment Methods:
For Heat syndrome: Buyin Wan (Nourish Yin Pill). Li Dongyuan uses Phellodendri Cortex (Huangbai) as the sovereign herb to nourish Water and clear Heat. Songya stated: Wind-dispelling herbs and aromatic, drying, warming, and tonifying agents must absolutely not be used. Child's urine alone is most excellent. Qingzao Tang (see Shangshu chapter) uses Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Ophiopogonis Radix (Maidong), Schisandrae Fructus (Wuweizi), Rehmanniae Radix (Shengdi), Angelicae Sinensis Radix (Danggui) to clear Metal, nourish Water, and nourish Blood; Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), and Glycyrrhizae Radix et Rhizoma (Gancao) to tonify Lung Qi. For dampness, use Atractylodis Rhizoma (Baizhu/Cangzhu), Poria (Fuling/Zhuling), and Alisma (Zexie). For dampness in the lower part, add Bupleuri Radix (Shengma/Chaihu) to lift and guide. For poor appetite, use Tangerine Peel (Chenpi) and Medicated Leaven (Shenqu). For Lung Heat, use Astragali Radix (Huangqi), Asparagi Radix (Tianmen/Dongmen), Dendrobii Caulis (Shihu), Lilii Bulbus (Baihe), Dioscoreae Rhizoma (Shanyao), Rhinocerotis Cornu (Xijiao), Platycodonis Radix (Jiegeng), Scutellariae Radix (Kuhuang), Gardeniae Fructus (Zhizi), and Apricot Seed (Xingren). Add Akebia Caulis (Mutong) and Gentianae Macrophyllae Radix (Qinjiao) if dampness is present. For Heart Heat, use Coptidis Rhizoma (Huanglian), Sophorae Flavescentis Radix (Kushen), Calculus Bovis (Niuhuang), Dragon Bone (Longgu), Moutan Cortex (Mudanpi), Lycii Cortex (Digupi), and Rhinocerotis Cornu (Xijiao). For Liver Heat, use Rehmanniae Radix (Shengdi), Asparagi Radix (Tiandong), Paeoniae Radix Alba (Baishao), Bupleuri Radix (Chaihu), Gentianae Radix (Longdancao), Tribuli Fructus (Bajili), Scutellariae Radix (Huangqin), and Coptidis Rhizoma (Huanglian). For Spleen Heat with Phlegm-Dampness, use Er Zhu Er Chen Tang, Xiatiang Gao, etc. In severe cases, use Sanhua Tang (see Fengzhong chapter) or Tiaowei Chengqi Tang (see Bianmi bitong chapter) to purge, or Kongxian Dan (see Tan chapter) to extract. For Kidney Heat, use Liuwei Dihuang Wan (see Xusun chapter) plus Anemarrhenae Rhizoma (Zhimu) and Phellodendri Cortex (Huangbai). For Damp-Heat, use Jianbu Wan plus Phellodendri Cortex (Huangbai), Atractylodis Rhizoma (Cangzhu), and Scutellariae Radix (Huangqin), or Xiaowei Dan (see Tanyin chapter) to attack. For Damp-Phlegm, use Erchen Tang plus Atractylodis Rhizoma (Cangzhu), Phellodendri Cortex (Huangbai), Bamboo Sap (Zhuli), and Ginger Juice (Jiangzhi). For Blood Deficiency, use Siwu Tang (see Xue chapter) with modifications. For Qi Deficiency (Strong Fire consumes Qi), use Buzhong Yiqi Tang (see Qi chapter) plus Atractylodis Rhizoma (Cangzhu) and Phellodendri Cortex (Huangbai). For Stasis Blood, use Peach Kernel (Taoren), Safflower (Honghua), Angelicae Sinensis Radix (Guiwei), and Red Peony Root (Chishao).
If only the two feet are flaccid, the disease is in the lower part, belonging to the Kidney and Bladder. *Neijing* states: Unresolved fear injures Jing (Essence). (Injury to the Kidney has many aspects; citing fear covers the rest; do not be rigid.) Jing injury leads to bone soreness, flaccidity, and coldness of the extremities, and spontaneous leakage of essence. (Kidney injury and Jing depletion mean Water deficiency is known. Water deficiency leads to Fire flaming upward. Heat causes sinew flaccidity, which is known.) It also states: Disease of the Three Yang (i.e., Bladder Taiyang Channel) manifests as chills and fever, sores and swellings below (indicating excess heat), and Wei Jue (flaccidity and coldness of extremities). This also belongs to Spleen Dampness. *Neijing* says: Generally, treating Wei Jue in fat nobles (meaning wealthy people) is a disease of rich foods and drinks. (Rich wine and heavy flavors accumulate into damp-heat.) It also says: Injury to dampness in autumn (Autumn is the command of Dryness, yet it mentions injury to dampness to show that Autumn can also involve dampness injury; do not be rigid), leading to Wei Jue, is also correct.
Li Dongyuan treated Hejian Gong, aged 32, who suffered from this disease. His buttocks and yin area were cold, with sweaty and foul-smelling yin, and insecure seminal emission. This was caused by rich wine and heavy flavors generating fire internally, forcing Yin outward. Doctors mistakenly treated it as Cold, and after 100 days it had not healed. The pulse was deep, rapid, and forceful. He used a strongly bitter-cold formula to nourish the Kidney, applied urgent treatment, and used "treating cold with cold" (Han yin re yong). After two doses, he recovered. (It should be something like Zishen Wan or Shengu Zishen Wan.) Zuojing Wan and Xugu Dan treat Wei syndrome caused by damp-phlegm and turbid blood obstructing the collaterals. If accompanied by exterior pathogen, use Yebip Jia Zhu Tang (see Zhangzhong chapter).