风病之原头风病之种类，既如上述，而病风者或口噤、或舌强、或角弓反张、或不仁，其故何欤？
曰：凡病状之发现，必皆有其所以然之故，即以口噤一证论，人之诸阳经筋皆在于头，三阳之筋并络人颔颊夹于口，诸阳为风寒所客，则筋急，所以口噤不能开，此口噤之关系由乎阳经经脉也。
至于舌强一证，不由阳经而由乎阴经，盖太阴睥脉络胃夹咽，连于舌本，散乎舌下，而少阴心之别脉，系舌本，现在心脾二脏受了风邪，所以舌强不得语也，此舌强之关系由乎阴经经脉也。
角弓反张一证，太阳经行身之背，风邪伤人，令人腰背反折，不能俛仰，似角弓者，由邪入太阳故也。
搔在皮肤上，宛如隔衣一层，名曰不仁，不仁之由，在乎营卫，营气虚，卫气实，虚与实原是对待而言，营气既虚，卫气自实，此时风寒入于肌肉，使血气不得宣流，其状搔之皮肤如隔衣也，此不仁之故也。
风病善行而数变，袭于阳经则口噤，袭于阴经则舌强，袭于太阳则角弓反张，袭于营卫则肌肤不仁。
张仲景推原风病，其言曰“寸口脉浮而紧，紧则为寒，浮则为虚，虚寒相搏，邪在皮肤，浮为血虚，脉络空虚，贼邪不泻，或左或右，邪气反缓，正气即急，正气引邪，喁僻不遂。邪在于络，肌肤不仁；邪在于经，即重不胜；邪入于腑，即不识人；邪入于脏，舌即难言，口吐涎沫。寸口脉迟而缓。迟则为寒，缓则为虚，营缓则为亡血，卫缓则为中风，邪气中经，则身瘴而疹瘾，心气不足；邪气入中，则胸满而短气。
吾侪夙尚方术，每遇一病。必须反复推求，穷其原委，然见病知源之法，全在平脉辨证，而今之所谓新中医者，必欲舍古书而别辟途径，吾知其新辟之途，定是岐途，而于所学，果有丝毫利益否耶？
中风中风一证，西医称之曰脑冲血，据局部证象而论，西医之名，亦何尝不是，问血何以冲脑，曰血压过高之故。问血压何以过高，谁使之高，孰令之高，西医瞠目莫能对也。
只有中医知道血之所以冲脑，血压之所以过高，皆为风之故，风者善行而数变，此风名叫虚邪贼风，中人则病。
人身之气血，循常轨而周流不息，斯时之血压，既不过高，亦不过低，恰合适当之程度，是谓无病之躯。一中虚邪贼风，气血受风郛之鼓动，激荡沸腾而血压高矣，清静之脑海，亦被冲入而成所谓脑冲血证。
定病之后，吾中医称之曰中风，不称之曰脑冲血，此其故安在?曰脑冲血局部病状之称，不足概括中风全病，气血之流行于人身也，无一处不至。亦无一处不达，故吾中医分中风为四类：一曰风中于经，二曰风中于络，三曰风中于腑，四曰风中于脏，所中既有浅深，所病亦分轻重。
虚邪贼风伤人四肢躯体。中于经者，是谓风中于经病，其状筋骨重滞不用，左右不遂，脉弦而浮；或腰背反抑挛急，如角弓之状，其脉弦；或经脉闭滞，气促神昏不识人，无汗拘急一或其人脏寒者，必见四肢厥冷，六脉沉伏等证；其人腑热者，必见身热心烦，六脉浮数等证；其人素有痰饮者，必见痰涎涌盛之证。风中于经，其病为浅，风中于络，较之风中于经为深一层。
形气实者，见口眼㖞斜，肌肤不仁，四肢麻木，骨节疼痛等证，脉浮迟者吉，坚大急疾者凶。形气虛者，见半身不遂，口眼喁斜。其脉涩弱等证，此症延久不愈，必致变为瘫痪。
风中于腑，较之中络又深一层，腑者，六腑也。风邪中腑，则昏不识人，二便阻隔，腹胀满，脉来一息七八至，甚至痰涎上涌，胀闷而死。
风中于脏，最为重症，亦须分出虚实两种，一种形气俱实者，必见口闭舌瘖耳聋，鼻塞目瞀，痰涎壅塞，神次昏愦，不能言语，口眼㖞斜，两手握固，牙关紧急等症。一种形气具虚者，见面色萎黄，口开唇缓不收，手撒，舌短，目直视，遗尿，喘，汗。口吐涎沫，神昏不语等症，其变必至痰涎壅盛，脏气闭塞，呼吸窒滞而死，或呼吸之气，有出无入，喘汗如油，痰如拽锯，发估而直等证。
中医深知此症由于营卫失调，腠理不密，风邪乘虚深入，迥非外感伤风之比，原因复杂，治法繁琐，决非抽血打针及冰枕、戴冰帽简单方法所能疗治。
以简单之法，治复杂之症，不但刻舟求剑，难免张冠李戴，几乎无不轻病变重。重病变死耶!
今年之夏旬日中，民党要人胡展堂先生殁于广东，医界要人夏应堂先生殁于上海，皆以中风闻，余故特著此论。
看病法病之在于人身，或伏膜原，或发肌腠，或行营卫，或入脏腑，或走于经，或留于络，在不知医者看来，果极其隐微，极其变化，而在吾医者看去，则莫现乎隐，莫显乎微，无一病不显著于眼前。不庸敲打。已情情愿愿，自写供状。
吾中医用望问闻切四种方法。观测病情已无遁形，确有真知灼见，不象他人诊病，仪器虽精，对于病症，揣摹想象，如云中之捉月，雾里之看花，吾中医，对于爱克斯光、太阳灯及种种之化验仪器，皆不须用，以诊察既真，无需乎此，无藉乎此也。
或疑病情既极变幻，诊察又无仪器，疑似之际，稍有错误，难免不发生毫厘千里之谬，是则何如?曰无可虑。吾中医治病不重病名，独重病症，天下无一定不易之病，有一定不易之证，伤寒中风，病之名也；太阳少阳，病之证也，吾侪因证立方，不是见病投药。吾侪知以麻黄汤治太阳发热无汗证，不问其病之为伤寒为中风也；知以桂枝汤治太阳发热有汗证，不问其病之为中风为伤寒也。吾侪对证发药，因病撰方，每一方之成，总以病之环境为依归，断不敢以死方治活病，故疟疾一症论，在他人有所谓百治百验之特效药，而中医，则既分脏腑又判六经，又须分出风寒暑湿燥火，决不敢以一种药遍治诸疟，推之于痢疾，推之于霍乱，无不皆然。
此吾中医看病法，与西医不同，世人动辄以西医眼光观察吾中医，此则大谬也。
医药问答(四十四则)一、花××君函：士谔先生大鉴：削浮直陈者，敝人有孙日花屏如，任棲霞县政府第四科长，于去年本省黄灾时间，各县派有灾民工作，工作浩繁。操劳过甚，九月间，忽一日午后发热，晚间用姜汤发汗，未愈。该处良医无多，寒热杂投，以致发热、盗汗绵绵不已，腊月初，自按归家，身体虚弱，六脉虚数无力，盗汗之症略愈，而腹疼泄泻，服二加龙牡汤及健脾和胃药，盗汗泄利均有大效。后又添加咳嗽、发热，服黄芪建中汤加芩杏橘桔等药，而咳嗽不愈，但过午发热及脉数之证仍旧，而盗汗之症又作，退热止汗之药，服之不少，至令未愈。现服酸枣仁汤，初服有效，三四剂后即无效。发热在过午六点至八九点，热时呕恶或水或食，味酸，盗汗在先睡时即盗，刻下准在黎明，他时不盗，小便红色而浊有渣滓，胸前左边脐上皮肤略厚如手掌，按之不痛，六脉轻按虚数无力，左寸晚间短涩，右寸宽散。时已数越月，身体虚弱，卧床不起，惟胃气尚好。
久仰先生医学深湛，望重寰宇，而尤心存济世，有求必应，兹照润例奉上邮票四元。祈展国手，赐方施治，则感佩无极。花××上。复函：此伏暑证也，初秋酷热，暑气犹重，因公劳顿，感邪实深，天之气为暑，地之气为湿，北地高燥，素鲜湿邪，因黄灾而浊流泛滥，受日炙而湿气熏蒸，灾民结队而来，难免不挟有暑湿，指挥其间，口鼻能毋触冒？北医不解湿邪治法。难免错误，暑病类虚，最忌补涩，盗汗为应有之证，咳嗽乃新加之病，与暑湿无涉，脉数身热，伏暑显然，溲短赤浊，尤为铁证，所幸胃气尚存，犹能措手，总之此病治法，当注意其脉数身热，不当注意其盗汗。
宋半夏三钱焦枳实一钱陈皮一钱竹二青（当指竹茹）三钱赤茯苓三钱飞滑石(包)四钱青蒿梗三钱黄芩钱半生甘草五分加枇杷叶(去毛，包)三钱鲜竹叶三钱此方煎成药去渣，在身热前一小时服。
外治法，五倍子一枚，研细末，用童女口津和丸，如弹子大，夜卧时塞脐中，外覆薄贴(即淡膏药之最薄者)可止盗汗。
二、赵××函：敬启者，鄙人患足疾已近六载，因十九年赴滇旅行，冬月回沪，至农历元旦，印于左足踝骨左面发痛，初起时略觉酸强，隔日即不能下地，中间须经过二三日大痛。痛时不能伸缩移动，二三日后渐松，约十日后可下地步行，半月以后仍可步行四五里，一如无病时。自后每年一发或年发两次，大概都在冬日或季秋孟春之时，惟有一年，似在端午，则为例外。此症来时只须第一日觉酸强，第二日必不能起行，已成习惯。起初一二年，发必十馀日后始能下地，愈后尚能健步，虽四五里处之泰然，逮后一发即服西人药片，虽痛可减轻，亦可将病之时间缩短，一星期或五日后即能下地，但以后偶缓步一=里，即觉难支，第二日必须休息，方能无事，其趋势恐年甚一年，定至一年数发，以致步履维艰，若形同痹痪。则受累无穷矣，素仰贵报医林国手，提倡中国医学，不遗余力，又往往为病者解释疑难，故恳惠予同情，详示病源所在，及应采根治方法，则感激无尽矣。兹更将此病求治经过。及将发征兆，发后情状，胪列如下，以资参考。
1，求治经过(1>曹请伤科石医生打针，结果只能黑膏药涂足背用布包扎，兼服中药，石医生谓无需打针，余问此症有法预防否?曰无之。
(2)曾请证道居士按摩，按时手抵胸腹甚痛，故即中辍。
(3)北平孙医生(名忘)空针，孙医生为段芝老打针来沪，住霞飞坊，鄙人曾往求诊，打金针四五日后，因足已勉强可行，余因事离沪，遂未复针，但打针后第二年即未发，民国十九年后能不发者止此一年，(4)服西药亚陀方一类之药片数种，虽略可止痛，无补脚力。
2，症发征兆(1)天气寒冷之时。
(2)间为逢节。
(3)走路疲乏之后。
以上三种征兆，以第三种为最显著，因即天寒逢节，亦常借走路疲乏之为因也。
3，症发情状(1)第一二年在左足，第三年在右足，以后时左时右，每次以发一足为止，惟最近因随游侣走路稍急，两足受震，左足愈后，右是继发，虽一星期后，两足又能行走，(2)发时只在足之踝骨旁，渐牵动至足背，然后足底，乃已，踝骨以上从未有病，所患似在筋不在骨。
(3)疾作时足上不红不肿，按之不寒不热，与常无异。赵回万谨上。
复函：病在足胫，法当治肾。
制附块钱半怀牛膝三钱生薏仁三钱。三、雷××君函：士翁老先生鉴：顷阅报章，得悉老先生医道如神，不胜景仰，后生前患脑疾，经年未愈，欲来沪面恳诊治，苦乏川资，且因时感头晕，不能乘车，谨具芜笺，将病况详述干后，敬恳老先生鸿慈大施，拟赐药方，由航空寄交为祷，如蒙惠允，则感再造之恩，馨香顶祝于先生世世矣，临颖不胜翘企之至，肃此敬请福安，惟乞霭照。
雷××。
谨述病况如下：晚生供职法界二十有馀年，历任各职，又多系繁杂事件，在20馀岁时，虽经多劳，未觉有何疾病，不过偶患头晕或内燥而已，稍治即愈。过30岁后，亦是如此，至38岁下半年十一月间，偶一日因公务过忙，忽觉头上右边稍有疼痛(现时仍觉右边尤甚)，次早又觉脑后如坠重物状，一经动作，即如此，晚间休息，即稍减轻，在当时甚不注意，且因生计关系，不便请假旷废，遂力疾从公，至39岁正月问，即觉疼甚，脑后既如坠重物状。又如用绳束缚状，头左顾似坠物向右，头右顾似坠物向左，且脊骨内近肩处亦似有物在内流刺，有时又觉眩晕，此时仍带病服务，至二月间，意眩晕不能自主，始请假休养，并经中西医多方诊治，迄今未愈(右耳鸣甚，左耳稍轻，有时如蝉鸣，有时如水壶快开时之鸣)，发晕亦更甚，脑后束缚亦更紧。又觉腰间左边有一股气向上冲升(右边为轻)。有时觉左肩背处及左胳膊、左臀并肾囊下之肉颤动不已，腹内及胸内亦觉颤动，足下发热亦觉有股气在内走动，觉左足下尤甚，人身即站立不稳，夜眠亦不安，少睡即醒，或有时彻夜不眠，或梦遗并盗汗。再后生系一胆小谨慎之人，历任各职务，又多系繁难，故每遇事，必过思虑，甚至事必躬亲，以致造成此病。再，后生在青年时代，常患大小便燥热，且对于房事亦稍过，此后生患病之实在情形也。敬恳先生酌拟药方掷下，俾便配服治疗，不胜感激盼祷之至，鹄候回示。
复函：此肝阳有馀，肾阴不足也。平素劳心，思虑不毋太过，治法当分标本两图，治标从肝胆，治本从肝肾，今先治标，以不眠故。
宋半夏三钱竹二青三钱石决明八钱焦枳实一钱生甘草四分活磁石八钱陈皮一钱左牡蛎八钱紫石英八钱朱茯苓三钱苍龙骨八钱炙龟板八钱加白滁菊三钱制女贞三钱四、张××君函：士谔先生道鉴：久慕仁誉，钦佩弥深，敬启者，小儿三岁，体质尚健，惟弥月内，水误入耳，去年春间，耳内淌脓发臭，经用虎耳草及螃蟹水滴治无效，嗣已自然而愈。
今春又复思发，脓多而是，据人传方用核桃油成蛋卤滴治，又据医云“用红棉散搽敷”，均属无效，惟恐久患成聋。素仰先生大名，敬恳赐以良方，则受惠匪浅，并乞于尊辑《医林》示答，是所至祷，此颂道安。
张××。
风病的根源与头风的种类，如上所述。患风病的人，有的口噤（牙关紧闭）、有的舌强（舌体僵硬、言语不清）、有的角弓反张（身体向后弯曲如弓状）、有的不仁（肌肤麻木无知觉），这是什么原因呢？
回答说：凡是病症的表现，必然有其产生的原因。就以口噤这一证候来说，人体的诸阳经的筋脉都分布于头部，三阳经的筋脉汇聚联络于下颌脸颊并夹持于口部，如果诸阳经被风寒邪气侵袭，就会导致筋脉拘急，所以出现口噤不能张开的症状，这是口噤与阳经经脉的关系。
至于舌强这一证候，不是由阳经引起，而是由阴经引起。因为足太阴脾经的脉络连接胃，夹行于咽喉，连系于舌根，散布在舌下；而足少阴心经的别络，也系连于舌根。现在心、脾两脏受到风邪侵袭，所以导致舌体僵硬而不能言语，这是舌强与阴经经脉的关系。
角弓反张这一证候，是因为足太阳膀胱经循行于人体背部，风邪伤人，导致腰背反折，不能俯仰，形状像角弓一样，这是由于邪气侵入太阳经的缘故。
“不仁”表现为搔抓皮肤时，感觉仿佛隔着一层衣服，这是因为营卫失调所致。营气虚弱，卫气相对亢盛（虚与实是相对而言的，营气既虚，卫气自然显得充实）。此时风寒邪气侵入肌肉，使气血运行不畅，所以搔抓皮肤时感觉像隔着一层衣服，这就是不仁的原因。
风病具有善行数变的特点，侵袭阳经则导致口噤，侵袭阴经则导致舌强，侵袭太阳经则导致角弓反张，侵袭营卫则导致肌肤不仁。
张仲景追溯风病的本源，他说：“寸口脉浮而紧，紧脉主寒，浮脉主虚，虚寒相搏，邪气在皮肤。浮脉表示血虚，脉络空虚，贼邪不得宣泄，或偏左或偏右，邪气所在的一侧筋脉弛缓，正气所在的一侧筋脉拘急，正气牵引邪气一侧，导致口眼歪斜、肢体瘫痪。邪气在于络脉，肌肤麻木不仁；邪气在于经脉，即肢体沉重难以抬举；邪气进入腑，即神志昏迷不识人；邪气进入脏，舌即僵硬难言，口吐涎沫。寸口脉迟而缓，迟脉主寒，缓脉主虚，营脉缓则表示亡血，卫脉缓则表示中风。邪气中于经脉，则身体麻痹且出现皮疹瘾疹，心气不足；邪气深入体内，则胸满短气。”
我们向来崇尚医术，每当遇到一种疾病，必须反复推求，穷究其原委。然而，见病知源的方法，全在于平脉辨证。而现在所谓的“新中医”，一定要舍弃古书而另辟蹊径，我知道他们新开辟的道路，必定是歧途，这对他们的学习究竟有丝毫利益吗？
关于中风这一证候，西医称之为脑充血。仅从局部症状来看，西医的名称也未尝没有道理。问血液为何冲入脑部？回答说：是因为血压过高。问血压为何过高？是谁让它高的？谁令它高的？西医瞪着眼睛无法回答。
只有中医知道血液之所以冲脑、血压之所以过高，都是由于“风”的缘故。风性善行而数变，这种风叫做虚邪贼风，中人则致病。
人身的气血，按照正常轨道周流不息，此时的血压既不过高也不过低，恰处于合适的程度，这称为无病之躯。一旦遭受虚邪贼风侵袭，气血受风邪鼓动，激荡沸腾而导致血压升高，清静的脑海也被冲激而成所谓脑充血证。
确诊之后，我们中医称之为中风，而不称之为脑充血，这是什么缘故呢？回答说：脑充血只是对局部病状的称呼，不足以概括中风的全貌。气血在人身中的流行，无处不到，无处不达。所以我们中医将中风分为四类：一是风中于经，二是风中于络，三是风中于腑，四是风中于脏。所中之部位既有深浅之分，所患之病也有轻重之别。
虚邪贼风伤人四肢躯体。中于经者，称为风中于经病，其症状为筋骨沉重滞涩、活动不利，左右肢体瘫痪不用，脉象弦而浮；或者腰背反折挛急，像角弓的形状，脉象弦；或者经脉闭滞，气促神昏不识人，无汗拘急；如果其人脏腑偏寒，必见四肢厥冷、六脉沉伏等证候；如果其人脏腑偏热，必见身热心烦、六脉浮数等证候；如果其人素有痰饮，必见痰涎涌盛之证。风中于经，病位较浅；风中于络，比风中于经深一层。
形气实证者，可见口眼歪斜、肌肤不仁、四肢麻木、骨节疼痛等症状，脉象浮迟者为吉，脉象坚大急疾者为凶。形气虚证者，可见半身不遂、口眼歪斜，脉象涩弱等症状，此症拖延日久不愈，必致变为瘫痪。
风中于腑，比风中于络又深一层。腑指六腑。风邪中腑，则神志昏迷不识人，二便不通，腹胀满，脉搏一息七八至，甚至痰涎上涌，胀闷而死。
风中于脏，是最严重的重症，也必须分出虚实两种情况。一种是形气俱实者，必见口闭舌瘖、耳聋、鼻塞、目眩、痰涎壅塞、神志昏愦、不能言语、口眼歪斜、两手握固、牙关紧急等症状。另一种是形气俱虚者，见面色萎黄、口开唇缓不收、手撒、舌短、目直视、遗尿、喘、汗、口吐涎沫、神昏不语等症状，其变化必至痰涎壅盛，脏气闭塞，呼吸窒滞而死，或者呼吸之气有出无入，喘汗如油，痰声如拽锯，头发竖起而直等症状。
中医深知此症是由于营卫失调，腠理不密，风邪乘虚深入，绝非普通外感伤风可比。病因复杂，治法繁琐，决非抽血打针及冰枕、戴冰帽等简单方法所能治疗。
用简单的方法治疗复杂的病症，不仅是刻舟求剑，难免张冠李戴，几乎无不轻病变重，重病变死！
今年夏天旬日之中，国民党要人胡展堂先生殁于广东，医界要人夏应堂先生殁于上海，皆因中风去世，所以我特意撰写这篇论述。
看病的方法：病在人身，或潜伏于膜原，或发于肌腠，或行于营卫，或入脏腑，或走于经脉，或留于络脉。在不知医的人看来，确实极其隐微、极其变化莫测；但在我们医者看来，则没有比隐蔽更明显的，没有比细微更显著的，没有一种病不在眼前显著呈现，不需要敲打逼迫，病情就心甘情愿地自写供状。
我们中医运用望、问、闻、切四种方法观测病情，使病情已无遁形之处，确有真知灼见。不像他人诊病，仪器虽然精密，但对于病症却是揣摩想象，如同云中之捉月，雾里之看花。我们中医对于X光、太阳灯及种种化验仪器，都不需要使用，因为诊察既然真实，就不需要这些，也不依赖这些。
有人怀疑：病情既然极尽变幻，诊察又没有仪器，在疑似之际，稍有错误，难免不发生毫厘千里之谬，那该怎么办呢？回答说：无需担忧。我们中医治病不重病名，独重病症。天下没有一定不易的病，有一定不易的证。伤寒和中风是病名；太阳病和少阳病是病证。我们根据证候来制定方剂，不是见到病名就投药。我们知道用麻黄汤治疗太阳病发热无汗的证候，不问这个病是伤寒还是中风；知道用桂枝汤治疗太阳病发热有汗的证候，不问这个病是中风还是伤寒。我们对证发药，因病撰方，每一方剂的组成，总以病的环境为依据，绝不敢用死方的固定模式去治疗活病的动态变化。所以论疟疾一症，在别人那里有所谓百治百验的特效药，而中医，则既分脏腑又判六经，又须分出风寒暑湿燥火，绝不敢以一种药遍治所有疟疾。推之于痢疾，推之于霍乱，无不都是如此。
这是我们中医看病的方法，与西医不同。世人动辄以西医的眼光观察我们中医，这是大错特错的。
医药问答（四十四则）
一、花××君函：士谔先生大鉴：晚辈直陈如下：敝人有朋友孙日华，任栖霞县政府第四科长，在去年本省黄河水灾期间，各县派有灾民从事工作，工作浩繁，操劳过甚。九月间，忽一日午后发热，晚间用姜汤发汗，未愈。该处良医不多，寒热杂投，以致发热、盗汗绵绵不已。腊月初，自行按家归养，身体虚弱，六脉虚数无力，盗汗之症略愈，而腹疼泄泻，服二加龙骨牡蛎汤及健脾和胃药，盗汗泄利均有大效。后又添加咳嗽、发热，服黄芪建中汤加黄芩、杏仁、橘皮、桔梗等药，而咳嗽不愈，但过午发热及脉数之证仍旧，而盗汗之症又作。退热止汗之药，服之不少，至今未愈。现服酸枣仁汤，初服有效，三四剂后即无效。发热在过午六点至八九点，热时呕恶或水或食，味酸，盗汗在先睡时即盗，此刻准在黎明，他时不盗，小便红色而浊有渣滓，胸前左边脐上皮肤略厚如手掌，按之不痛，六脉轻按虚数无力，左寸晚间短涩，右寸宽散。时已数月，身体虚弱，卧床不起，惟胃气尚好。久仰先生医学深湛，望重寰宇，而尤心存济世，有求必应，兹照润例奉上邮票四元。祈展国手，赐方施治，则感佩无极。花××上。
复函：此为伏暑证也。初秋酷热，暑气犹重，因公劳顿，感邪实深。天之气为暑，地之气为湿，北方地势高燥，素来少见湿邪，因黄河水灾而浊流泛滥，受烈日炙烤而湿气熏蒸，灾民结队而来，难免不挟有暑湿，指挥其间，口鼻能毋触冒？北方医生不解湿邪治法，难免错误。暑病类虚，最忌补涩，盗汗为应有之证，咳嗽乃新加之病，与暑湿无涉。脉数身热，伏暑显然，溲短赤浊，尤为铁证。所幸胃气尚存，犹能措手。总之此病治法，当注意其脉数身热，不当注意其盗汗。
处方：宋半夏三钱，焦枳实一钱，陈皮一钱，竹二青（当指竹茹）三钱，赤茯苓三钱，飞滑石（包煎）四钱，青蒿梗三钱，黄芩钱半，生甘草五分，加枇杷叶（去毛，包煎）三钱，鲜竹叶三钱。此方煎成药去渣，在身热前一小时服。
外治法：五倍子一枚，研细末，用童女口津调和成丸，如弹子大，夜卧时塞入脐中，外覆薄贴（即淡膏药之最薄者），可止盗汗。
二、赵××函：敬启者：鄙人患足疾已近六载。因民国十九年赴滇旅行，冬月回沪，至农历元旦，发现左足踝骨左面发痛，初起时略觉酸强，隔日即不能下地，中间须经过二三日大痛。痛时不能伸缩移动，二三日后渐松，约十日后可下地步行，半月以后仍可步行四五里，一如无病时。自后每年一发或年发两次，大概都在冬日或季秋孟春之时，惟有一年，似在端午，则为例外。此症来时只须第一日觉酸强，第二日必不能起行，已成习惯。起初一二年，发必十馀日后始能下地，愈后尚能健步，虽四五里处亦泰然。逮后一发即服西人药片，虽痛可减轻，亦可将病之时间缩短，一星期或五日后即能下地，但以后偶缓步一二里，即觉难支，第二日必须休息，方能无事，其趋势恐年甚一年，定至一年数发，以致步履维艰，若形同痹痪，则受累无穷矣。素仰贵报医林国手，提倡中国医学，不遗余力，又往往为病者解释疑难，故恳惠予同情，详示病源所在，及应采根治方法，则感激无尽矣。兹更将此病求治经过，及将发征兆，发后情状，胪列如下，以资参考。
1. 求治经过：
(1) 曾请伤科石医生打针，结果只能黑膏药涂足背用布包扎，兼服中药。石医生谓无需打针。余问此症有法预防否？曰无之。
(2) 曾请证道居士按摩，按时手抵胸腹甚痛，故即中辍。
(3) 北平孙医生（名忘）空针。孙医生为段芝泉老将军打针来沪，住霞飞坊，鄙人曾往求诊，打金针四五日后，因足已勉强可行，余因事离沪，遂未复针，但打针后第二年即未发，民国十九年后能不发者止此一年。
(4) 服西药亚陀方一类之药片数种，虽略可止痛，无补脚力。
2. 症发征兆：
(1) 天气寒冷之时。
(2) 间为逢节。
(3) 走路疲乏之后。
以上三种征兆，以第三种为最显著，因即天寒逢节，亦常借走路疲乏之为因也。
3. 症发情状：
(1) 第一二年在左足，第三年在右足，以后时左时右，每次以发一足为止，惟最近因随游侣走路稍急，两足受震，左足愈后，右足继发，虽一星期后，两足又能行走。
(2) 发时只在足之踝骨旁，渐牵动至足背，然后足底，乃已，踝骨以上从未有病，所患似在筋不在骨。
(3) 疾作时足上不红不肿，按之不寒不热，与常无异。赵回万谨上。
复函：病在足胫，法当治肾。
处方：制附块（先煎）钱半，怀牛膝三钱，生薏仁三钱。
三、雷××君函：士翁老先生鉴：顷阅报章，得悉老先生医道如神，不胜景仰。后生前患脑疾，经年未愈，欲来沪面恳诊治，苦乏川资，且因时感头晕，不能乘车，谨具芜笺，将病况详述于后，敬恳老先生鸿慈大施，拟赐药方，由航空寄交为祷。如蒙惠允，则感再造之恩，馨香顶祝于先生世世矣。临颖不胜翘企之至，肃此敬请福安，惟乞霭照。雷××。
谨述病况如下：晚生供职法界二十有馀年，历任各职，又多系繁杂事件。在20馀岁时，虽经多劳，未觉有何疾病，不过偶患头晕或内燥而已，稍治即愈。过30岁后，亦是如此。至38岁下半年十一月间，偶一日因公务过忙，忽觉头上右边稍有疼痛（现时仍觉右边尤甚），次早又觉脑后如坠重物状，一经动作，即如此，晚间休息，即稍减轻，在当时甚不注意，且因生计关系，不便请假旷废，遂力疾从公。至39岁正月间，即觉疼甚，脑后既如坠重物状，又如用绳束缚状，头左顾似坠物向右，头右顾似坠物向左，且脊骨内近肩处亦似有物在内流刺，有时又觉眩晕，此时仍带病服务。至二月间，意眩晕不能自主，始请假休养，并经中西医多方诊治，迄今未愈（右耳鸣甚，左耳稍轻，有时如蝉鸣，有时如水壶快开时之鸣），发晕亦更甚，脑后束缚亦更紧。又觉腰间左边有一股气向上冲升（右边为轻）。有时觉左肩背处及左胳膊、左臀并肾囊下之肉颤动不已，腹内及胸内亦觉颤动，足下发热亦觉有股气在内走动，觉左足下尤甚，人身即站立不稳，夜眠亦不安，少睡即醒，或有时彻夜不眠，或梦遗并盗汗。再后生系一胆小谨慎之人，历任各职务，又多系繁难，故每遇事，必过思虑，甚至事必躬亲，以致造成此病。再，后生在青年时代，常患大小便燥热，且对于房事亦稍过，此后生患病之实在情形也。敬恳先生酌拟药方掷下，俾便配服治疗，不胜感激盼祷之至，鹄候回示。
复函：此肝阳有余，肾阴不足也。平素劳心，思虑不免太过，治法当分标本两图，治标从肝胆，治本从肝肾，今先治标，以不眠故。
处方：宋半夏三钱，竹二青三钱，石决明八钱，焦枳实一钱，生甘草四分，活磁石八钱，陈皮一钱，左牡蛎八钱，紫石英八钱，朱茯苓三钱，苍龙骨八钱，炙龟板八钱，加白滁菊三钱，制女贞三钱。
四、张××函：士谔先生道鉴：久慕仁誉，钦佩弥深。敬启者：小儿三岁，体质尚健，惟弥月内，水误入耳，去年春间，耳内淌脓发臭，经用虎耳草及螃蟹水滴治无效，嗣已自然而愈。今春又复思发，脓多而是，据人传方用核桃油成蛋卤滴治，又据医云“用红棉散搽敷”，均属无效，惟恐久患成聋。素仰先生大名，敬恳赐以良方，则受惠匪浅，并乞于尊辑《医林》示答，是所至祷，此颂道安。张××。
The origin of wind diseases and the types of head wind, as mentioned above. Those suffering from wind disease may present with trismus (lockjaw), tongue stiffness (stiffness of the tongue leading to dysarthria), opisthotonos (arching of the back like a bow), or anesthesia (numbness of the skin). What is the reason for this?
It is said: The manifestation of any symptom must have its underlying cause. Taking trismus as an example, the sinews of all Yang meridians are located in the head. The sinews of the three Yang meridians converge and connect to the mandible and cheeks, surrounding the mouth. When the Yang meridians are invaded by wind-cold pathogenic factors, the sinews become tense, resulting in trismus where the mouth cannot open. This relationship between trismus and the Yang meridians is due to the meridian channels.
As for tongue stiffness, it does not arise from the Yang meridians but from the Yin meridians. The Foot-Taiyin Spleen Meridian connects with the stomach, runs alongside the pharynx, attaches to the root of the tongue, and spreads beneath the tongue. The collateral branch of the Foot-Shaoyin Heart Meridian also attaches to the root of the tongue. Now, when the Heart and Spleen organs are invaded by wind pathogenic factors, it leads to tongue stiffness and inability to speak. This relationship between tongue stiffness and the Yin meridians is due to the meridian channels.
Regarding opisthotonos, the Foot-Taiyang Bladder Meridian runs along the back of the body. When wind pathogenic factors attack the person, causing the waist and back to arch backward so that flexion and extension are impossible, resembling a horned bow, this is because the pathogen has entered the Taiyang Meridian.
"Anesthesia" presents as a sensation of scratching the skin through a layer of clothing. The cause lies in the disharmony of Ying (Nutritive) and Wei (Defensive) Qi. When Ying Qi is deficient and Wei Qi is relatively excessive (deficiency and excess are relative terms; if Ying Qi is deficient, Wei Qi naturally appears excessive), wind-cold pathogenic factors enter the muscles, preventing the free flow of Blood and Qi. Thus, scratching the skin feels like scratching through a layer of clothing; this is the cause of anesthesia.
Wind diseases are characterized by their migratory nature and rapid changes. If they invade the Yang meridians, they cause trismus; if they invade the Yin meridians, they cause tongue stiffness; if they invade the Taiyang Meridian, they cause opisthotonos; if they invade the Ying and Wei levels, they cause cutaneous anesthesia.
Zhang Zhongjing traced the origin of wind diseases, stating: "The pulse at the Cun Kou position is floating and tight. Tightness indicates cold, while floating indicates deficiency. The combination of deficiency and cold places the pathogen in the skin. Floating indicates Blood deficiency and emptiness of the vessel network. The thief pathogen cannot be expelled, affecting either the left or right side. The pathogen causes flaccidity on one side, while the healthy Qi causes tension on the other. The healthy Qi pulls towards the pathogen, resulting in facial paralysis and inability to move freely. If the pathogen is in the Luo (Collateral) vessels, there is cutaneous anesthesia; if in the Jing (Main) meridians, there is heaviness and inability to lift the limbs; if entering the Fu (Hollow) organs, there is loss of consciousness and inability to recognize people; if entering the Zang (Solid) organs, the tongue becomes stiff and speech is difficult, accompanied by drooling. The pulse at the Cun Kou position is slow and moderate. Slowness indicates cold, while moderation indicates deficiency. A moderate Ying pulse indicates blood loss, while a moderate Wei pulse indicates wind stroke. If the pathogen strikes the meridians, the body becomes numb and rashes appear, with insufficient Heart Qi; if the pathogen enters deeply, there is chest fullness and shortness of breath."
We have always valued medical arts. Whenever encountering a disease, we must repeatedly investigate and exhaustively explore its origins. However, the method of knowing the source upon seeing the disease lies entirely in balancing the pulse and differentiating syndromes. The so-called "New Traditional Chinese Medicine" today insists on abandoning ancient texts to forge new paths. I know that these newly forged paths will surely be divergent paths. What benefit do they truly bring to their studies?
Regarding the syndrome of Wind Stroke (Zhong Feng), Western medicine calls it cerebral hemorrhage. Judging solely from local symptoms, the Western name is not without merit. One might ask why blood rushes to the brain. The answer is high blood pressure. One might further ask what causes the high blood pressure and who makes it high. Western medicine stares blankly, unable to answer.
Only Traditional Chinese Medicine knows that the reason blood rushes to the brain and blood pressure rises is due to "Wind." Wind is migratory and rapidly changing. This type of wind is called "Empty Pathogenic Wind" or "Thief Wind," which attacks humans and causes disease.
When the Qi and Blood of the human body circulate continuously along normal pathways, the blood pressure is neither too high nor too low, but at an appropriate level, which constitutes a healthy state. Once attacked by Empty Pathogenic Wind, the Qi and Blood are agitated by the wind, boiling and surging, leading to elevated blood pressure. The clear and quiet brain is then impacted, resulting in the so-called cerebral hemorrhage syndrome.
After diagnosis, we TCM practitioners call it Wind Stroke, not cerebral hemorrhage. Why? Because cerebral hemorrhage is merely a description of local symptoms and cannot encompass the entirety of Wind Stroke. The circulation of Qi and Blood reaches every part of the body. Therefore, we divide Wind Stroke into four categories: 1. Wind striking the Meridians, 2. Wind striking the Collaterals, 3. Wind striking the Fu Organs, 4. Wind striking the Zang Organs. Since the depth of invasion varies, the severity of the disease also differs.
Empty Pathogenic Wind attacks the limbs and trunk. When it strikes the Meridians, it is called Wind striking the Meridians. Symptoms include heavy and stiff bones and sinews with limited movement, hemiplegia, and a string-taut and floating pulse. Or, the waist and back may arch and spasm like a bow, with a string-taut pulse. Or, the meridians may be blocked, causing shortness of breath, coma, and inability to recognize people, with no sweat and rigidity. If the person's internal organs are cold, symptoms must include cold limbs and deep, hidden pulses in all six positions. If the person's internal organs are hot, symptoms must include fever, restlessness, and floating, rapid pulses in all six positions. If the person has chronic phlegm-fluid retention, there must be abundant salivation and phlegm. Wind striking the Meridians is shallow; Wind striking the Collaterals is deeper than Wind striking the Meridians.
In cases of Excess Constitution and Qi, symptoms include facial paralysis, cutaneous anesthesia, limb numbness, and joint pain. A floating and slow pulse is auspicious, while a firm, large, and rapid pulse is ominous. In cases of Deficient Constitution and Qi, symptoms include hemiplegia, facial paralysis, and a choppy, weak pulse. If this condition persists without healing, it will inevitably develop into paralysis.
Wind striking the Fu Organs is deeper than Wind striking the Collaterals. Fu refers to the Six Fu Organs. When wind pathogenic factors strike the Fu Organs, there is coma and inability to recognize people, obstruction of urination and defecation, abdominal distension, and a pulse rate of seven to eight beats per breath, potentially leading to death from rising phlegm and suffocating distension.
Wind striking the Zang Organs is the most severe condition and must be divided into two types: Excess and Deficiency. In the Excess type, where both form and Qi are strong, symptoms include closed mouth, aphonia, deafness, nasal congestion, blurred vision, obstructed phlegm, profound coma, inability to speak, facial paralysis, clenched hands, and locked jaw. In the Deficiency type, where both form and Qi are weak, symptoms include sallow complexion, open mouth with relaxed lips, scattered hands, short tongue, fixed gaze, urinary incontinence, wheezing, sweating, drooling, coma with silence, eventually leading to abundant phlegm, blockage of Zang Qi, respiratory arrest, or breathing with only exhalation, oily sweat, sawing-sound phlegm, and erect hair.
TCM deeply understands that this disease arises from disharmony of Ying and Wei Qi, loose interstitial spaces, and wind pathogenic factors penetrating deeply due to deficiency. It is far more complex than common external wind-cold contraction. The etiology is complex, and treatment methods are intricate. It certainly cannot be treated by simple methods such as bloodletting, injections, ice pillows, or ice caps.
Using simple methods to treat complex diseases is not only digging in the wrong place (seeking the sword in the boat) but inevitably leads to misdiagnosis, turning mild diseases into severe ones and severe ones into fatal ones!
This summer, within ten days, Mr. Hu Hanmin, a prominent Kuomintang figure, died in Guangdong, and Mr. Xia Yingtang, a key figure in the medical community, died in Shanghai, both due to Wind Stroke. Therefore, I specially wrote this treatise.
**Methods of Diagnosis:** Diseases in the human body may lie dormant in the Membrane Source, erupt in the muscle tissue, circulate in Ying and Wei, enter the Zang and Fu organs, travel through the meridians, or remain in the collaterals. To those who do not understand medicine, it seems extremely subtle and changeable. But to us physicians, nothing is more manifest than the hidden, nothing more evident than the minute. No disease fails to reveal itself clearly before our eyes. Without needing forceful interrogation, the condition willingly confesses its own story.
Our TCM practitioners use Observation, Inquiry, Auscultation/Olfaction, and Palpation (the Four Diagnostic Methods) to observe the disease condition, leaving no room for concealment, possessing true knowledge and insight. Unlike others who diagnose using instruments, guessing and imagining symptoms like catching the moon in clouds or viewing flowers in fog, we TCM practitioners do not need X-rays, sun lamps, or various laboratory instruments. Since our diagnosis is accurate, we do not need or rely on them.
Some may doubt: Since disease conditions are highly variable and diagnosis lacks instruments, even slight errors during ambiguous situations could lead to significant mistakes. What should be done? I say there is no need to worry. Our TCM treats based on Syndromes (Zheng), not just Disease Names (Bing). There is no unchangeable disease name, but there are unchangeable syndromes. Shanghan (Cold Damage) and Fengzhong (Wind Strike) are disease names; Taiyang and Shaoyang are syndrome patterns. We formulate prescriptions based on syndromes, not simply prescribing drugs upon seeing a disease name. We know to use Mahuang Tang for Taiyang syndrome characterized by fever and absence of sweating, regardless of whether the disease is named Shanghan or Fengzhong. We know to use Guizhi Tang for Taiyang syndrome characterized by fever and presence of sweating, regardless of whether the disease is named Fengzhong or Shanghan. We prescribe medicines according to syndromes and compose formulas according to the specific context of the disease. For every formula created, we always return to the environmental context of the disease. We dare not use rigid formulas to treat dynamic diseases. Therefore, regarding Malaria, others may claim to have a "hundred-percent effective" specific drug, whereas TCM distinguishes by Zang-Fu organs and Six Stages, and further categorizes by Wind, Cold, Summerheat, Dampness, Dryness, and Fire. We dare not use a single drug to treat all malaria cases. This applies equally to Dysentery and Cholera.
This is how we TCM practitioners diagnose, differing from Western medicine. People often observe our TCM through a Western lens, which is a major error.
**Medical Q&A (44 Items)**
**I. Letter from Mr. Hua XX:**
Respected Master Shie:
I write frankly. My friend Sun Rihua, Fourth Section Chief of Qixia County Government, suffered during the Yellow River flood disaster last year. He was assigned arduous work with refugees. In September, he suddenly developed afternoon fever. Ginger soup was used to induce sweating at night, but he did not recover. With few good doctors in the area, conflicting treatments were given, leading to continuous fever and night sweats. In early December, he returned home. His body was weak, with empty, rapid, and powerless pulses in all six positions. Night sweats slightly improved, but abdominal pain and diarrhea occurred. Erjia Longgu Muli Tang and spleen-strengthening/stomach-harmonizing herbs were taken, greatly improving night sweats and diarrhea. Later, cough and fever were added. Huangqi Jianzhong Tang plus Scutellaria, Apricot Kernel, Tangerine Peel, and Kummerowia Stem were taken, but the cough persisted. Afternoon fever and rapid pulse remained, and night sweats recurred. Many antipyretic and anti-diaphoretic drugs were taken without success. Currently taking Suanzaoren Tang; initially effective, but ineffective after three to four doses. Fever occurs between 6 PM and 9 PM. During fever, vomiting occurs, producing sour water or food. Night sweats occur immediately upon falling asleep, specifically around dawn. Urine is red, turbid, and sedimented. The skin above the navel on the left chest is slightly thick like a palm, non-tender to pressure. All six pulses are empty, rapid, and powerless on light palpation. The Left Cun pulse is short and choppy at night; the Right Cun pulse is wide and scattered. The illness has lasted several months. The patient is weak, bedridden, but stomach Qi remains good.
Having long admired your profound medical skills and universal reputation, especially your compassion, I enclose four yuan worth of stamps according to the fee schedule. Please exercise your national-level expertise and prescribe treatment. I would be infinitely grateful. Hua XX.
**Reply:**
This is a case of latent Summerheat Syndrome. Early autumn heat was intense, and summerheat qi was still heavy. Due to public service fatigue, the pathogenic invasion was deep. Heaven's qi is Summerheat, Earth's qi is Dampness. The North is high and dry, rarely experiencing dampness. However, the Yellow River floods caused muddy waters to overflow. Under the scorching sun, dampness steamed. Refugees came in groups, inevitably carrying summerheat-dampness. Directing them, how could their mouths and noses avoid exposure? Northern doctors do not understand the treatment of dampness, leading to inevitable errors. Summerheat diseases resemble deficiency, making tonification and astringency strictly contraindicated. Night sweats are an expected symptom. Cough is a new addition, unrelated to summerheat-dampness. Rapid pulse and body heat clearly indicate latent summerheat. Short, red, and turbid urine is ironclad evidence. Fortunately, stomach Qi remains, allowing for intervention. In summary, the treatment of this disease should focus on the rapid pulse and body heat, not on the night sweats.
**Prescription:**
Song Banxia (Pinellia Rhizome) 3 qian, Jiao Zhishi (Fried Immature Bitter Orange) 1 qian, Chenpi (Tangerine Peel) 1 qian, Zhu Ru (Bamboo Shavings) 3 qian, Chi Fuling (Red Poria) 3 qian, Fei Huashi (Prepared Talcum) 4 qian (wrapped), Qinghao Geng (Artemisia Annua Stem) 3 qian, Huangqin (Scutellaria Root) 1.5 qian, Sheng Gancao (Raw Licorice Root) 0.5 qian, add Pipaye (Loquat Leaf, de-haired, wrapped) 3 qian, Xian Zhuye (Fresh Bamboo Leaf) 3 qian. Decoct, remove dregs, and take one hour before the fever starts.
**External Treatment:**
Wubeizi (Galla Chinensis) 1 piece, ground into fine powder. Mix with saliva from a young girl to form pills the size of a bullet. Insert into the umbilicus at bedtime. Cover with a thin plaster (thinnest type of light plaster) to stop night sweats.
**II. Letter from Mr. Zhao XX:**
Respectfully stated: I have suffered from a foot ailment for nearly six years. In 1930, I traveled to Yunnan. Returning to Shanghai in winter, on the first day of the Lunar New Year, I found pain on the left side of the left ankle bone. Initially, it felt slightly sore and stiff. The next day, I could not put weight on it. Severe pain lasted two to three days. During pain, I could not extend, flex, or move. After two to three days, it gradually loosened. About ten days later, I could walk. After half a month, I could walk four or five li, feeling as if I were healthy. Since then, it recurs once or twice a year, usually in winter, late autumn, or early spring. One exception was around Dragon Boat Festival. The pattern is consistent: Day 1 soreness/stiffness, Day 2 inability to walk. Initially, recovery took over ten days, but walking was normal afterward. Later, I took Western medicine tablets. Pain decreased, and duration shortened to five to seven days. However, walking slowly for one or two li became difficult, requiring rest the next day. The trend worsens yearly, likely becoming frequent and debilitating, resembling paralysis. I admire your newspaper's promotion of Chinese medicine and your willingness to explain difficulties. Please kindly show sympathy, detail the disease source, and suggest radical cure methods. I am endlessly grateful. Below are the treatment history, prodromal signs, and manifestations.
1. **Treatment History:**
(1) Asked Traumatologist Dr. Shi for injections. Result: Black plaster on dorsum of foot with bandaging, plus Chinese herbs. Dr. Shi said injections were unnecessary. I asked about prevention; he said none.
(2) Asked Master Zhengdao for massage. Pressing on the chest/abdomen caused severe pain, so I stopped.
(3) Dr. Sun from Beijing (name forgotten) performed acupuncture. Dr. Sun came to Shanghai treating General Duan Zhiquan, staying at Xiafei Fang. I consulted him. After four to five days of gold needle acupuncture, my foot could barely walk. I left Shanghai for business and did not return for follow-up. However, the second year after injection, it did not recur. Among the years after 1930, only this one year had no recurrence.
(4) Took several types of Western medicine tablets similar to "Yatuo Fang." Slightly relieved pain but did not restore leg strength.
2. **Prodromal Signs:**
(1) Cold weather.
(2) Occasional festivals.
(3) After walking fatigue.
Among these, the third is most significant, as cold weather and festivals often coincide with walking fatigue.
3. **Manifestations:**
(1) First two years on left foot, third year on right foot. Afterwards, alternates left and right. Each episode affects one foot. Recently, walking quickly with companions caused vibration in both feet. After left foot healed, right foot was affected. Both feet could walk again after a week.
(2) Onset is only beside the ankle bone, gradually spreading to the dorsum, then sole. Never above the ankle. The pathology seems to be in the sinews, not the bone.
(3) During onset, the foot is not red or swollen. Not cold or hot to touch. Normal otherwise. Zhao Huiwan respectfully submits.
**Reply:**
The disease is in the lower leg/shin. The method should treat the Kidney.
**Prescription:**
Zhi Fuzi (Prepared Aconite Root) 1.5 qian, Huai Niuxi (Achyranthes Root) 3 qian, Sheng Yiren (Coix Seed) 3 qian.
**III. Letter from Mr. Lei XX:**
Respected Elder Master Shie:
I recently read in the newspaper of your divine medical skills and feel immense admiration. I have suffered from a brain ailment for years without cure. I wish to come to Shanghai for face-to-face treatment but lack travel funds. Also, frequent dizziness prevents me from taking trains. I humbly submit this letter detailing my condition. I respectfully request your great mercy to prescribe medication to be sent by air mail. If you grant this favor, I will feel gratitude for rebirth and pray for your blessings forever. I eagerly await your reply. Respectfully greeting your peace. Lei XX.
**Detailed Condition:**
I have worked in the French Concession judicial system for over twenty years, holding various positions involving complex matters. In my twenties, despite hard work, I felt no disease, only occasional dizziness or internal dryness, which resolved with minor treatment. This continued until age thirty. In November of the year I turned thirty-eight, due to busy official duties, I suddenly felt slight pain on the right side of my head (still feels worse on the right now). The next morning, I felt a heavy weight hanging at the back of my head. Movement exacerbated this; rest alleviated it slightly. I paid little attention then and, due to livelihood concerns, could not take leave. I forced myself to work. By January of the year I turned thirty-nine, the pain intensified. The back of my head felt like a heavy weight and like being bound by a rope. Turning left made the weight feel like it pulled right; turning right made it pull left. Also, near the shoulders inside the spine, I felt something moving and stabbing. Sometimes I felt dizzy. I continued working. By February, dizziness became uncontrollable, and I took leave for rest. Despite multiple TCM and Western treatments, it has not healed (Right ear tinnitus is severe, left is lighter; sometimes cicada-like, sometimes like a kettle boiling). Dizziness worsened, and the binding sensation tightened. I also felt a Qi rushing upward from the left waist (lighter on the right). Sometimes I felt trembling in the left shoulder/back, left arm, left buttock, and flesh below the scrotum. Trembling also occurred in the abdomen and chest. Heat in the feet felt like Qi moving inside, especially in the left foot. Standing became unstable. Sleep was restless, waking after short sleep, or insomnia all night, or nocturnal emissions and night sweats. Furthermore, I am timid and cautious. Given my complex duties, I overthought everything and did things personally, causing this disease. Additionally, in my youth, I often suffered from dry/hot urination and defecation, and excessive sexual activity. These are the real circumstances of my illness. I respectfully request you to prescribe medication for me to prepare and take. I am infinitely grateful and await your reply.
**Reply:**
This is Liver Yang Excess and Kidney Yin Deficiency. Daily mental labor and excessive thinking require treatment addressing both root and branch. Treat the branch via Liver and Gallbladder; treat the root via Liver and Kidney. Now, treat the branch first due to insomnia.
**Prescription:**
Song Banxia (Pinellia Rhizome) 3 qian, Zhu Ru (Bamboo Shavings) 3 qian, Shijueming (Halitosis Shell) 8 qian, Jiao Zhishi (Fried Immature Bitter Orange) 1 qian, Sheng Gancao (Raw Licorice Root) 0.4 qian, Huo Mishi (Live Magnetite) 8 qian, Chenpi (Tangerine Peel) 1 qian, Zuo Muli (Left Oyster Shell) 8 qian, Zi Shiyin (Purple Quartz) 8 qian, Zhu Fuling (Cinnabar-infused Poria) 3 qian, Cang Longgu (Cauldragon Bone) 8 qian, Zhi Guiban (Burned Turtle Shell) 8 qian, add Bai Ju (White Chrysanthemum) 3 qian, Zhi Nvzhen (Processed Ligustrum Fruit) 3 qian.
**IV. Letter from Mr. Zhang XX:**
Respected Master Shie:
I have long admired your benevolent reputation and hold you in deep respect. Respectfully stated: My son is three years old and generally healthy. However, water accidentally entered his ear within the first month of life. Last spring, pus flowed from his ear with a foul odor. Treatment with Goldenrod and Crab juice drops was ineffective, though it eventually healed spontaneously. This spring, it threatened to recur. There was abundant pus. Following a folk remedy, walnut oil and egg white were dropped into the ear. Another doctor suggested applying Hongmian San (Red Cotton Powder). All were ineffective. I fear long-term illness will cause deafness. Having long admired your fame, I respectfully request a good prescription. I would benefit greatly. Please also respond in your edited journal *Yilin*. This is my utmost prayer. Wishing you Daoan (Peace). Zhang XX.