痊厥类风。尸厥、痰厥、气厥、血厥、酒厥等证,亦与中风相似。丹溪曰∶诸痹类风状。
子和云∶诸风掉眩,皆属肝木。掉摇眩运,目 筋急,手搐螈 ,皆厥阴肝木之
用也。经云∶风淫所胜,平以辛凉。世何以热药治风邪?予治惊风痫病痿,用汗吐下三法
随治愈。木郁达之者,吐之令其条达也。汗者,风随汗出也。下者,推陈致新也。失音、闷
乱、口眼 斜,可用三圣散吐之。如牙关紧急,鼻内灌之,吐出痰,口自开也。次用通圣
散、凉膈散、大人参半夏丸、甘露饮,除热养液之寒药推而用之。
严用和云∶人之元气强壮,荣卫和平,腠理致密,外邪焉能为害?或因七情饮食劳
役,致真气先虚,荣卫失度,邪气乘虚而入,致此疾,若内因七情而得者,法当调气,不
当治风;外因六淫而得之者,亦先当调气,然后根据所感六气治之,此良法也。宜八味顺气散。
痰壅盛者,口眼 斜,不能言者,皆当用吐法。一吐不已,再吐。轻者用瓜蒂
散一服,或稀涎散,或虾汁,以虾半斤,入酱葱姜等物,水煮,先吃虾,次饮汁,后以鹅
翎探引吐痰。用虾者,盖引其风出耳。重者,用藜芦半钱或三分加麝香少许,齑汁调服,
吐。若口噤昏迷者,灌入鼻内,吐之。虚者,不可吐。及不能吐痰者,不可治。
中风与厥证、类风病。尸厥、痰厥、气厥、血厥、酒厥等病证,也与中风症状相似。朱丹溪说:各种痹证表现类似风病。
张子和说:各种风病引起的摇动和眩晕,都归属于肝木。肢体摇动、头晕目眩、眼睛拘急、筋脉抽搐痉挛,都是厥阴肝木功能异常的表现。医经说:风邪过盛时,应用辛凉之品来平抑它。世人为什么用热性药物治疗风邪?我治疗惊风、癫痫、痿证,使用汗法、吐法、下法三种治法,随证治愈。所谓“木郁达之”,就是运用吐法使气机条达通畅。汗法,是让风邪随汗液排出。下法,是推陈出新。出现失音、烦闷混乱、口眼歪斜的症状,可以使用三圣散进行催吐。如果牙关紧闭紧急,将药液灌入鼻腔内,吐出痰涎后,嘴巴自然就会张开。接着使用通圣散、凉膈散、大人参半夏丸、甘露饮这些具有清热养阴作用的寒性药物来推演施用。
严用和说:人的元气强壮,营卫调和,腠理致密,外邪怎么能造成伤害呢?或者因为七情(喜、怒、忧、思、悲、恐、惊)、饮食不节、劳累过度,导致真气先虚,营卫失调,邪气乘虚而入,从而引发此病。如果是因内伤七情而得的,治法应当调理气机,不应当单纯治风;如果是因外感六淫(风、寒、暑、湿、燥、火)而得的,也应当先调理气机,然后根据所感受的六气性质进行治疗,这是良好的法则。适宜使用八味顺气散。
痰浊壅盛者,出现口眼歪斜、不能说话的症状,都应当使用吐法。一次吐痰效果不佳,就再次催吐。轻症使用瓜蒂散一剂服用,或者使用稀涎散,或者使用虾汁。取半斤虾,加入酱、葱、姜等物,用水煮,先吃虾肉,再喝汤汁,然后用鹅毛管探引咽喉以催吐痰涎。使用虾的原因,是为了引导风邪外出。重症,使用藜芦半钱或三分,加入少许麝香,用醋汁调服催吐。如果牙关紧闭昏迷不醒的,将药液灌入鼻内,使其呕吐。体质虚弱者,不可使用吐法。以及无法吐出痰涎者,属于难治之症。
Apoplexy, Jue (Syncope/Reversal), and Wind-like Disorders. Conditions such as Corpse Jue (Shi Jue), Phlegm Jue (Tan Jue), Qi Jue (Qi Syncope), Blood Jue (Xue Jue), and Wine Jue (Jiu Jue) also resemble Zhong Feng (Wind Stroke). Zhu Danxi stated: Various Bi (Obstruction) syndromes present with symptoms similar to Wind diseases.
Zi He said: All Wind disorders characterized by tremors and dizziness belong to Liver Wood. Trembling, vertigo, eye stiffness, and hand convulsions/spasms are all manifestations of the pathological activity of the Jueyin Liver Wood. The Classics state: When Wind pathogen is excessive, it should be pacified with Pungent-Cool substances. Why does the world use Hot-natured drugs to treat Wind pathogens? In my treatment of Jing Feng (Startled Wind), Xian Bing (Epilepsy), and Wei Syndrome (Flaccidity Syndrome), I utilize the three methods of Sweating (Han), Vomiting (Tu), and Purging (Xia) according to the syndrome for cure. "When Wood is depressed, unblock it" refers to using the Vomiting method to allow the Qi mechanism to become smooth and unobstructed. Sweating allows the Wind to exit with sweat. Purging eliminates the old and generates the new. For symptoms such as aphonia, mental confusion/restlessness, and deviation of the mouth and eyes, San Sheng San (Three Holy Powder) can be used to induce vomiting. If the jaw is tightly clenched, administer the medicine into the nasal cavity; once phlegm is vomited out, the mouth will naturally open. Subsequently, employ Tong Sheng San, Liang Ge San, Da Ren Shen Ban Xia Wan, and Gan Lu Yin—cold-natured drugs that clear heat and nourish fluids—for application.
Yan Yonghe stated: When a person's Yuan Qi (Original Qi) is strong, Ying Wei (Nutritive and Defensive Qi) are harmonious, and the Cou Li (interstices/skin pores) are dense, how can external pathogens cause harm? However, due to emotional disturbances (Seven Emotions), improper diet, or overexertion, the True Qi may first become deficient, causing Ying Wei to lose their rhythm, allowing pathogens to enter through the deficiency, thereby inducing this disease. If caused by internal injury from the Seven Emotions, the treatment principle should be to regulate Qi, not to treat Wind directly; if caused by external invasion of the Six Excesses (Six Pathogenic Factors), one should also first regulate Qi, and then treat based on the specific nature of the invaded Six Qi. This is an excellent method. Ba Wei Shun Qi San (Eight-Ingredient Powder to Smooth Qi) is suitable.
For those with severe Phlegm obstruction, presenting with deviation of the mouth and eyes and inability to speak, the Vomiting method should be employed. If one induction of vomiting is insufficient, repeat it. For mild cases, administer one dose of Gua Di San (Melon Stalk Powder), or Xi Xian San (Thin Saliva Powder), or shrimp juice. Take half a jin (approx. 500g) of shrimp, add sauce, green onion, ginger, etc., boil in water, eat the shrimp first, then drink the juice, and finally use a goose feather to stimulate the throat to induce vomiting of phlegm. The reason for using shrimp is to guide the Wind pathogen outwards. For severe cases, use 0.5 qian or 3 fen of Li Lu (Veratrum Root), add a small amount of She Xiang (Musk), and take mixed with vinegar juice to induce vomiting. If the patient has clenched jaws and is comatose, instill the medicine into the nose to induce vomiting. Those with deficiency constitution cannot undergo vomiting. And those unable to expel phlegm are considered incurable.