风中有五者。谓肝心脾肺肾也。五脏之中。其言生死状各不同心。风之状(一作候。)汗自出。而好偃仰。卧不可
转侧。言语狂妄。若唇正赤者生。宜于心俞灸之。若唇面或青。或黄。或白。或黑。其色不定。眼 动不休者。心
绝也。不可救。过五六日即死耳。肝风之状。青色围目。连额上。但坐不得倨偻者。可治。若喘而目直视唇面
俱青者死。肝风宜于肝俞灸之。脾风状。一身通黄。腹大而满。不嗜食。四肢不收持。若手足未青而面黄者
可治。不然即死。脾风宜于脾俞灸之。肾风之状。但踞坐。而腰脚重痛也。视其胁下。未生黄点者可治。不然
即死矣。肾风宜灸肾俞穴也。肺风之状。胸中气满。冒昧汗出。鼻不闻香臭。喘而不得卧者。可治。若失血及
妄语者。不可治。七八日死。肺风宜于肺俞灸之。凡诊其脉。滑而散者风也。缓而大。浮而紧(一作虚。)软而弱。皆
属风也。中风之病。鼻下赤黑相兼。吐沫而身直者。七日死也。又中风之病。口噤筋急。脉迟者生。脉急而数
者死。又心脾俱中风。则舌强不能言也。肝肾俱中风。则手足不遂也。风之厥。皆由于四时不从之气。故为
病焉。有瘾疹者。有偏枯者。有失音者。有历节者。有颠厥者。有疼痛者。有聋瞽者。有疮癞者。有胀满者。有喘
乏者。有赤白者。有青黑者。有瘙痒者。有狂妄者。皆起于风也。其脉浮虚者。自虚而得之。实大者自实而得
之。弦紧者汗出而得之。喘乏者饮酒而得之。癫厥者自劳而得之。手足不中者。言语謇涩者。房中而得之。
瘾疹者。自痹(一作卑。)湿而得之。历节疼痛者。因醉犯房而得之。聋瞽疮癞者。自五味饮食冒犯禁忌而得之。
千端万状。莫离于五脏六腑而生矣。所使之候配以此耳。
风中邪气可影响五脏,即肝、心、脾、肺、肾。在五脏受风邪侵袭中,其生死征象各不相同。
心受风邪的证候:汗自出,喜欢仰卧,躺卧时不能翻身侧转,言语狂妄。如果嘴唇颜色正红,说明有生机,适宜在心俞穴进行艾灸治疗。如果嘴唇和面色呈现青色、黄色、白色或黑色,且颜色不定,眼睛不停转动,这是心气绝的表现,无法救治,过了五六天就会死亡。
肝受风邪的证候:青色环绕双眼,延伸至额头,只能端坐而不能弯腰曲背的,可以治愈。如果出现气喘、两眼直视、嘴唇和面色都发青的,则死亡。肝受风邪适宜在肝俞穴进行艾灸治疗。
脾受风邪的证候:全身发黄,腹部胀大且满闷,没有食欲,四肢无力支撑。如果手脚未发青而面色黄的,可以治愈;否则就会死亡。脾受风邪适宜在脾俞穴进行艾灸治疗。
肾受风邪的证候:只能蹲坐,腰部和脚部沉重疼痛。观察其胁下部位,如果没有出现黄点的,可以治愈;否则就会死亡。肾受风邪适宜在肾俞穴进行艾灸治疗。
肺受风邪的证候:胸中气满,头目昏蒙,出汗,鼻子闻不到香味和臭味,气喘且不能平卧的,可以治愈。如果出现失血和胡言乱语的,则无法治愈,七八天后会死亡。肺受风邪适宜在肺俞穴进行艾灸治疗。
凡是诊察患者的脉象,滑而散的属于风邪;缓而大、浮而紧(一说为虚)、软而弱的,也都属于风邪范畴。
患中风病的,鼻下红色与黑色相间,吐口水沫且身体僵直的,七天后会死亡。又患中风病的,口噤筋急,脉象迟缓的有生机;脉象紧急而数快的则死亡。
如果心和脾同时遭受风邪侵袭,就会出现舌体僵硬不能说话的症状。如果肝和肾同时遭受风邪侵袭,就会出现手足瘫痪不遂的症状。
风的厥逆病,都是由于四时气候失常之气所致,因此产生各种疾病。有的表现为瘾疹(荨麻疹),有的表现为偏枯(半身不遂),有的表现为失音,有的表现为历节(关节疼痛),有的表现为颠厥(突然昏倒),有的表现为疼痛,有的表现为聋瞽(耳聋目盲),有的表现为疮癞(皮肤恶疮),有的表现为胀满,有的表现为喘乏,有的表现为赤白(痢疾等),有的表现为青黑(瘀血或寒凝),有的表现为瘙痒,有的表现为狂妄。这些病症都起因于风邪。
脉象浮虚的,是由于正气虚弱而感受风邪;脉象实大的,是由于邪气实盛而感受风邪;脉象弦紧的,是由于出汗后感受风邪;脉象喘乏相关的,是由于饮酒过度而感受风邪;脉象癫厥相关的,是由于劳累过度而感受风邪;手足不遂、言语謇涩的,是由于房事不节而感受风邪;瘾疹的,是由于痹湿之邪而感受风邪;历节疼痛的,是由于醉酒行房而感受风邪;聋瞽、疮癞的,是由于五味饮食不当、冒犯禁忌而感受风邪。
Wind pathogenic factors can affect the five Zang organs, namely the Liver, Heart, Spleen, Lung, and Kidney. Among the conditions where the five Zang organs are invaded by wind, the signs of life and death differ for each.
**Heart Wind:** The manifestation includes spontaneous sweating, a preference for lying on the back, inability to turn over in bed, and delirious speech. If the lips are distinctly red, there is hope for recovery; moxibustion should be applied to Xinshu (BL-15, Heart Shu). If the lips and face exhibit varying colors such as cyan, yellow, white, or black, and the eyes move incessantly, this indicates the exhaustion of Heart Qi, which is incurable, and death will occur within five to six days.
**Liver Wind:** The manifestation involves cyan coloration surrounding the eyes and extending to the forehead. If the patient can only sit upright and cannot bend or stoop, it is treatable. However, if there is panting, fixed staring eyes, and cyan discoloration of both lips and face, death ensues. Moxibustion should be applied to Ganshu (BL-18, Liver Shu) for Liver Wind.
**Spleen Wind:** The manifestation includes generalized yellowing of the body, abdominal distension and fullness, loss of appetite, and weakness of the four limbs preventing support. If the hands and feet are not cyan while the face is yellow, it is treatable; otherwise, death follows. Moxibustion should be applied to Pishu (BL-20, Spleen Shu) for Spleen Wind.
**Kidney Wind:** The manifestation is characterized by an inability to sit except in a squatting position, accompanied by heaviness and pain in the lower back and legs. If no yellow spots appear under the hypochondrium upon observation, it is treatable; otherwise, death occurs. Moxibustion should be applied to Shenshu (BL-23, Kidney Shu) for Kidney Wind.
**Lung Wind:** The manifestation includes chest fullness, dizziness, sweating, anosmia (loss of smell), panting with inability to lie flat, all of which are treatable. However, if there is hemoptysis/hemorrhage and delirious speech, it is incurable, and death will occur within seven to eight days. Moxibustion should be applied to Feishu (BL-13, Lung Shu) for Lung Wind.
Regarding pulse diagnosis: A slippery and scattered pulse indicates wind; a slow and large, floating and tight (or deficient), soft and weak pulse also belongs to wind patterns.
In cases of **Zhong Feng (Wind Stroke)**: If the area below the nose shows mixed red and black discoloration, with foaming at the mouth and rigid body posture, death occurs in seven days. In another presentation of Zhong Feng, if there is trismus (lockjaw) and tendon tension with a slow pulse, there is hope for survival; however, if the pulse is rapid and urgent, death ensues.
If both the Heart and Spleen are struck by wind, the tongue becomes stiff and speech is impaired. If both the Liver and Kidney are struck by wind, paralysis of the extremities occurs.
**Feng Jue (Wind-related Syncope/Jue Syndrome):** These arise from abnormal climatic qi of the four seasons, leading to various diseases. Manifestations include Yin Zhen (urticaria/pruritus), Pian Ku (hemiplegia), Shi Yin (aphonia), Li Jie (painful joints), Dian Jue (sudden collapse/syncope), pain, Long Gu (deafness and blindness), Chuang Lai (skin sores/leprosy-like lesions), Zhang Man (distension and fullness), Chan Fa (panting and fatigue), Chi Bai (red and white discharges/dysentery), Qing Hei (cyan and black discoloration), Sao Yang (itching), and Wang Kuang (delirium/madness). All these originate from wind.
Etiology based on pulse and symptoms:
- Floating and deficient pulses indicate acquisition due to deficiency.
- Excessively large pulses indicate acquisition due to excess.
- String-tight pulses indicate acquisition following sweating.
- Panting and fatigue indicate acquisition due to excessive alcohol consumption.
- Dian Jue (syncope/seizures) indicates acquisition due to overwork.
- Limb paralysis and slurred speech indicate acquisition due to sexual indiscretion.
- Yin Zhen (urticaria) indicates acquisition due to Bi Shi (obstructive dampness).
- Li Jie pain (joint pain) indicates acquisition due to intercourse while intoxicated.
- Deafness, blindness, sores, and skin lesions indicate acquisition due to improper diet violating dietary taboos.
Although manifestations are myriad, they do not deviate from the pathology of the Five Zang and Six Fu organs. The observed signs correspond to these principles.