（凡八类）
（论二十五首）
岐伯曰∶中风大法有四，一曰偏枯，二曰风痱，三曰风懿，四曰风痹。夫诸急猝病多是
风，初得轻微，人所不悟，宜速与续命汤，根据 穴灸之。夫风者百病之长，岐伯所言四者说
，其最重也。
偏枯者，半身不遂，肌肉偏不用而痛，言不变智不乱，病在分腠之间。温卧取汗，益其
不足，损其有余，乃可复也。（《甲乙经》云∶温卧取汗则巨取之。）
风痱者，身无痛，四肢不收，智乱不甚。言微可知，则可治。甚则不能言，不可治。
风懿者，奄勿不知人，咽中塞窒窒然。（巢源作噫噫然有声。）舌强不能言，病在脏腑，
先
源作眼下及鼻人中左右白者可治，一黑一赤吐沫者不可治。）
风痹、湿痹、周痹、筋痹、脉痹、肌痹、皮痹、骨痹、胞痹，各有证候。形如风状，得
脉别也，脉微涩，其证身体不仁。
凡风多从背五脏俞入诸脏受病。肺病最急，肺主气息又冒诸脏故也。肺中风者，其人偃
卧而胸满短气冒闷汗出者，肺风之证也。视目下鼻上两边下行至口，色白者尚可治。急灸肺
俞百壮，服续命汤，小儿减之。若色黄者，此为肺已伤化为血矣，不可复治；其人当妄言、
掇空指地，或自拈衣寻缝，如此数日死。若为急风邪所中，便迷漠恍惚、狂言妄语，或少气
、不能复言；若不求师即治，宿昔而死。即觉便灸肺俞及膈俞、肝俞数十壮，急服续命
汤可救也。若涎唾出不收者，既灸当并与汤也。诸阳受风亦恍惚妄语，与肺病相似，然着缓
可经久而死。
肝中风者，其人但踞坐不得低头，绕两目连额上色微有青者，肝风之证也。若唇色青、
面黄尚可治，急灸肝俞百壮，服续命汤。若大青黑，面一黄一白者，此为肝已伤，不可复治
，数日而死。
心中风者，其人但得偃卧，不得倾侧，闷乱冒绝汗出者，心风之证也。若唇正赤尚可治，
急灸心俞百壮，服续命汤。若唇或青或白、或黄或黑者，此为心已坏为水，面目亭亭时悚动
者，不可复治，五六日死。（一云旬日死）
脾中风者，其人但踞坐而腹满，身通黄，吐咸汁出者，尚可治。急灸脾俞百壮，服续命
汤。若目下青、手足青者，不可复治。
肾中风者，其人踞坐而腰痛，视胁左右未有黄色如饼粢大者，尚可治。急灸肾俞百壮，
服续命汤。若齿黄、赤鬓、发直，面土色者，不可复治。
大肠中风者，卧而肠鸣不止。灸大肠俞百壮，可服续命汤。
贼风邪气所中则伤于阳，阳外先受之，客于皮肤，传入于孙脉。孙脉满则入传于络脉，
络脉满则输于大经中成病。归于六腑则为热，不时卧止为啼哭。其脉坚大为实，实者外坚，
充满不可按之，按之则痛也。经络诸脉旁支去者，皆为孙脉也。
凡风之伤人，或为寒中，或为热中，或为疠风，或为偏枯，或为贼风。故以春甲乙伤于
风者为肝风，以夏丙丁伤于风者为心风，以四季戊己伤于风者为脾风，以秋庚辛伤于风者为
肺风，以冬壬癸伤于风者为肾风。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。风气循风府而上，则为脑风。风入头则为目风眼寒。饮酒中风则为酒风。入房汗出中
风则为内风。新沐中风则为首风。久风入房中风则为肠风。外在腠理则为泄风。故曰∶风者
百病之长也。至其变化，乃为他病，无常方焉。是知风者，善行而数变，在人肌肤中，内不
得泄，外不得散，因人动静，乃变其性。有风遇寒则食不下，遇热则肌肉消而寒热。有风遇
阳盛则不得汗，遇阴盛则汗自出。肥人有风，肌肉浓则难泄，喜为热中目黄。瘦人有风，肌
肉薄则常外汗，身中寒目泪出。有风遇于虚，腠理开则外出，凄凄然如寒状，觉身中有水淋
状，时如竹管吹处，此是其证也。有风遇于实，腠理闭则内伏，令人热闷是其证也。
新食竟取风为胃风，其状恶风颈多汗，膈下塞不通，食饮不下，胀满形瘦，腹大失衣则
愤满，食寒即洞泄，新热食竟入水自渍及浴者，令人大腹，为水病。
因醉取风为漏风，其状恶风多汗少气，口干喜渴，近衣则身如火烧，临食则汗流如雨，
骨节懈情不欲自劳。
新沐浴竟取风为首风，其状恶风而汗多头痛。
新房室竟取风为纳风，其状恶风，汗流沾衣。
劳风之为病，法在肺下，使人强上而目脱；唾出若涕，恶风而振寒，候之三日及五日，
中不精明者是也；七、八日，微有青黄脓涕如弹丸大，从口鼻出为善，不出则伤肺。
风邪客于肌肤，虚痒成风疹瘙疮。风邪入深，寒热相搏则内枯。邪客半身入深，真气去
则偏枯。邪客关机中即挛，筋中亦然。邪淫于脏，梦脏大形小。淫于腑，梦脏小形大。邪随
目系入脑，则目转眩。邪中睛，则散视见两物。风邪入脏，寒气客于中，不能发则喑哑，喉
痹舌缓，不时服药针灸。风逐脉流入脏，使人猝喑缓纵噤痉致死。风入阳经则狂，入阴经则
癫。阳邪入阴，病则静。阴邪入阳，病则怒。
若因热食，汗浴通，腠理得开，其风自出则觉肉中如针刺，步行运力欲汗亦如此也。
凡觉肌肉中如刺，皆由腠理闭，邪气闭在肌中因欲出也，宜解肌汤则善。
夫目 动、口唇动偏 ，皆风入脉，故须急服小续命汤。将八风散摩神明白膏、丹参
膏根据经针灸之。
诸痹由风、寒、湿三气并客于分肉之间。迫切而为沫，得寒则聚，则排分肉；肉裂则痛
，痛则神归之；神归之则热，热则痛解；痛解则厥；厥则他痹发，发则如是。此内不在脏而
外未发于皮肤，居分肉之间，真气不能周，故为痹也。其风最多者，不仁则肿，为行痹，走
无常处。其寒多者，则为痛痹。其湿多者，则为着痹。冷汗濡，但随血脉上下不能左右去者
，则为周痹也。在肌中更发更止，左以应左，右以应右者，为偏痹也。
夫痹，其阳气少而阴气多者，故令身寒从中出。其阳气多而阴气少者，则痹且热也。
诸痹风胜者则易愈，在皮间亦易愈，在筋骨则难痊也。久痹入深，令营卫涩，经络时疏
则不知痛。
风痹病不可已者，足如履冰，时如入汤，腹中股 淫泺，烦心头痛。伤脾肾时呕眩，时
自汗出。伤心目眩。伤肝悲恐，短气不乐。伤肺不出三年死。（一云三日。）
太阳中风，重感于寒湿则变痉也。痉者，口噤不开，脊强而直，如发痫之状，摇头马鸣
，腰反折；须臾十发，气息如绝，汗出如雨，时有脱。易得之者，新产妇人及金疮血脉虚竭
。小儿脐风，大人凉湿得痉风者皆死。温病热盛入肾，小儿痫。热盛皆痉，痉、喑、厥，癫
皆相似。故久厥成癫，宜审察之。其重者，患耳中策策痛，皆风入肾经中也。不治流入肾，
则喜卒然体痉直如死，皆宜服小续命汤两三剂。若耳痛肿，生汁作痈疖者，乃无害也。惟风
宜防耳，针耳前动脉及风府神良。
（凡八类）
（论二十五首）
岐伯说：中风的大法有四种，一是偏枯，二是风痱，三是风懿，四是风痹。各种急骤发生的疾病多由风邪引起，初起时症状轻微，人们往往察觉不到，应当迅速给予续命汤治疗，并根据穴位进行艾灸。风是百病之首，岐伯所说的这四种情况，其中最为严重的是……
偏枯，表现为半身不遂，身体一侧肌肉无法正常活动且伴有疼痛，但言语清晰、神志不乱，病位在分腠之间（皮肤与肌肉之间的间隙）。应通过温暖卧床取汗的方法治疗，补益不足，削减有余，如此方可恢复。（《甲乙经》记载：温暖卧床取汗则需大量取之。）
风痱，身体无疼痛感，四肢无法收持运用，神志混乱程度尚轻。如果言语尚能勉强表达，尚可治疗；若严重到不能言语，则不可治疗。
风懿，突然昏迷不知人事，咽喉中有堵塞窒闷的感觉。（巢元方作“噫噫然有声”。）舌体僵硬不能言语，病位在脏腑，先……（原文此处似有缺漏或错简，据上下文推测为预后判断）……眼下及鼻人中左右色白者可治，一黑一赤且吐沫者不可治。）
风痹、湿痹、周痹、筋痹、脉痹、肌痹、皮痹、骨痹、胞痹，各有其证候表现。形态类似中风，需通过脉象来辨别，脉象微涩，其证候为身体麻木不仁。
凡是风邪多从背部五脏俞穴进入，导致各脏腑受病。肺病最为紧急，因为肺主气息又覆盖诸脏的缘故。肺中风的人，其人仰卧而胸部胀满、呼吸短促、头昏闷、出汗，这是肺风的证候。观察目下鼻上两边下行至口处的肤色，色白者尚可治疗。紧急灸肺俞穴一百壮，服用续命汤，小儿剂量减半。如果肤色发黄，这说明肺已受伤化为瘀血，不可再治；其人将会胡言乱语、虚空抓物指地，或者自己抓取衣缝，如此数日后死亡。如果被急风邪气所中，便出现迷漠恍惚、狂言妄语，或者少气、不能再说话；如果不寻求医生立即治疗，过一夜就会死亡。刚觉察时就灸肺俞及膈俞、肝俞数十壮，紧急服用续命汤可以挽救。如果涎唾流出无法收回，在艾灸的同时应当给予汤药。诸阳经受风也会出现恍惚妄语，与肺病相似，但如果脉象缓弱，可经久不死而死。
肝中风的人，其人只能蹲坐不能低头，环绕双眼连额头上的颜色微青，这是肝风的证候。如果嘴唇色青、面色黄尚可治疗，紧急灸肝俞穴一百壮，服用续命汤。如果颜色大青黑，面色一半黄一半白，这说明肝已受伤，不可再治，数日后死亡。
心中风的人，其人只能仰卧，不能侧身，胸闷混乱、头昏晕厥、冷汗出，这是心风的证候。如果嘴唇正红尚可治疗，紧急灸心俞穴一百壮，服用续命汤。如果嘴唇或青或白、或黄或黑，这说明心已坏化为水饮，面目神情呆滞时常惊动抽搐的，不可再治，五到六天后死亡。（另一种说法是十天后死亡）
脾中风的人，其人只能蹲坐且腹部胀满，全身发黄，吐出咸味汁液，尚可治疗。紧急灸脾俞穴一百壮，服用续命汤。如果眼下发青、手足发青，不可再治。
肾中风的人，其人蹲坐且腰痛，观察胁肋左右没有黄色如饼状大小的斑块，尚可治疗。紧急灸肾俞穴一百壮，服用续命汤。如果牙齿黄、鬓角赤、头发直竖，面色如土，不可再治。
大肠中风的人，卧位时肠鸣不止。灸大肠俞穴一百壮，可服用续命汤。
贼风邪气所中则损伤阳气，阳气在外先受邪，客居于皮肤，传入孙脉。孙脉充满则传入络脉，络脉充满则输注于大经中形成疾病。归于六腑则为热症，不时躺卧停止则啼哭。其脉象坚大为实，实证表现为外坚，充满不可按压，按压则疼痛。经络诸脉旁支远去的，都称为孙脉。
凡是风邪伤人，有的成为寒中，有的成为热中，有的成为疠风，有的成为偏枯，有的成为贼风。所以春季甲乙日伤于风者为肝风，夏季丙丁日伤于风者为心风，四季戊己日伤于风者为脾风，秋季庚辛日伤于风者为肺风，冬季壬癸日伤于风者为肾风。风邪侵入五脏六腑的俞穴也成为脏腑之风。各自进入其门户所中，则成为偏风。风气循风府穴而上行，则成为脑风。风入头部则为目风眼寒。饮酒后中风则为酒风。房事后出汗中风则为内风。刚洗头后中风则为首风。久风入房中风则为肠风。外在腠理则为泄风。所以说：风是百病之首。至于其变化，乃成为其他疾病，没有固定的规律。因此知道风邪，善于行走且变化多端，在人肌肤中，内不得宣泄，外不得散发，随人的动静，从而改变其性质。有风遇到寒冷则饮食不下，遇到热则肌肉消瘦且寒热交替。有风遇到阳气盛则不能出汗，遇到阴气盛则汗自出。肥人患风，肌肉浓厚则难宣泄，喜欢成为热中且目黄。瘦人患风，肌肉薄则常外汗，身中寒且目泪出。有风遇到虚证，腠理开则外出，凄凄然像寒冷的样子，感觉身上有水淋状，时而像竹管吹处，这是它的证候。有风遇到实证，腠理闭则内伏，令人热闷是其证候。
刚吃完饭就受风为胃风，其症状为恶风颈部多汗，膈下堵塞不通，饮食不下，胀满形体消瘦，腹部增大，失衣则愤满，吃寒食即洞泄，刚吃完热食就入水浸泡及洗澡的，使人腹部增大，成为水病。
醉酒受风为漏风，其症状为恶风多汗少气，口干喜渴，靠近衣物则身如火烧，临进食则汗流如雨，骨节懈怠情不愿自我劳累。
刚沐浴完受风为首风，其症状为恶风且汗多头痛。
刚行房事受风为纳风，其症状为恶风，汗流沾衣。
劳风这种病，法度在肺下，使人项强且目脱；唾出像鼻涕一样，恶风且振寒，观察三日及五日，中间不精明的是它；七、八天，微有青黄脓涕如弹丸大，从口鼻出为好转，不出则伤肺。
风邪客居肌肤，虚痒成风疹瘙疮。风邪入深，寒热相搏则内部干枯。邪客居半身入深，真气离去则偏枯。邪客居机关中即挛缩，筋中亦然。邪淫于脏，梦到脏器大形体小。淫于腑，梦到脏器小形体大。邪随目系入脑，则眼球转动眩晕。邪中睛，则散视见两物。风邪入脏，寒气客居其中，不能发散则喑哑，喉痹舌缓，不时服药针灸。风逐脉流入脏，使人猝然喑哑缓纵噤痉致死。风入阳经则狂，入阴经则癫。阳邪入阴，病则静。阴邪入阳，病则怒。
如果因热食，汗浴通畅，腠理得开，其风自然出来则感觉肉中如针刺，步行运力想出汗也是如此。
凡是感觉肌肉中如刺，都是由腠理闭，邪气闭在肌中因欲出也，宜用解肌汤则好。
凡是眼睛跳动、口唇动偏斜，都是风入脉，所以须紧急服用小续命汤。将八风散摩神明白膏、丹参膏根据经络针灸治疗。
各种痹症由风、寒、湿三气并客居分肉之间。迫切而为沫，得寒则聚，则排挤分肉；肉裂则痛，痛则神归之；神归之则热，热则痛解；痛解则厥；厥则他痹发，发则如是。此内不在脏而外未发于皮肤，居分肉之间，真气不能周遍，故为痹也。其中风最多者，不仁则肿，为行痹，走无常处。其中寒多者，则为痛痹。其中湿多者，则为着痹。冷汗濡，但随血脉上下不能左右去者，则为周痹也。在肌中更发更止，左以应左，右以应右者，为偏痹也。
夫痹，其阳气少而阴气多者，故令身寒从中出。其阳气多而阴气少者，则痹且热也。
各种痹症风胜者则易愈，在皮间亦易愈，在筋骨则难痊愈也。久痹入深，令营卫涩，经络时疏则不知痛。
风痹病不可已者，足如履冰，时如入汤，腹中股部淫泺，烦心头痛。伤脾肾时呕眩，时自汗出。伤心目眩。伤肝悲恐，短气不乐。伤肺不出三年死。（一种说法是三日。）
太阳中风，重感于寒湿则变痉也。痉者，口噤不开，脊强而直，如发痫之状，摇头马鸣，腰反折；须臾十发，气息如绝，汗出如雨，时有脱。易得之者，新产妇人及金疮血脉虚竭。小儿脐风，大人凉湿得痉风者皆死。温病热盛入肾，小儿痫。热盛皆痉，痉、喑、厥，癫皆相似。故久厥成癫，宜审察之。其重者，患耳中策策痛，皆风入肾经中也。不治流入肾，则喜卒然体痉直如死，皆宜服小续命汤两三剂。若耳痛肿，生汁作痈疖者，乃无害也。惟风宜防耳，针耳前动脉及风府神良。
(All eight categories)
(Discussion on twenty-five cases)
Qibo stated: The general principles of stroke (Zhong Feng, 中风) include four types: first is Piaku (Pian Ku, 偏枯), second is Fengfei (Feng Fei, 风痱), third is Fengyi (Feng Yi, 风懿), and fourth is Fengbi (Feng Bi, 风痹). Various acute diseases are mostly caused by Wind pathogen. When initially slight, people often fail to realize it; one should quickly administer Xuming Tang (Cure Life Decoction) and perform moxibustion according to acupoints. Wind is the chief of all diseases; among the four mentioned by Qibo, the most severe ones are...
Piaku manifests as hemiplegia, where one side of the body cannot move normally and is accompanied by pain, but speech remains clear and consciousness is unconfused. The disease location is between the fenli (skin and muscle interstices). Treatment should involve warming the bed to induce sweating, tonifying deficiency, and reducing excess, so recovery is possible. (The *Jia Yi Jing* records: Warming the bed to induce sweating requires a substantial amount.)
Fengfei presents with no body pain, inability to control the four limbs, and mild confusion of mind. If speech can still be barely expressed, it is treatable; if severe enough to prevent speech, it is untreatable.
Fengyi involves sudden coma and loss of consciousness, with a sensation of blockage and suffocation in the throat. (Chao Yuanfang describes it as "making yawning sounds.") Tongue stiffness prevents speech; the disease is located in the Zang-Fu organs. Prognosis depends on color: white around the eyes and nose tip indicates treatability; black on one side and red on the other with foaming saliva indicates untreatability.
Fengbi, Shibi, Zhoubi, Jinbi, Maibi, Jibi, Pibi, Gubi, and Baobi each have their specific manifestations. The appearance resembles wind-stroke, but differentiation relies on pulse diagnosis: a faint and choppy pulse indicates numbness and insensitivity of the body.
Wind pathogens usually enter from the Back-Shu points of the five Zang organs, causing disease in respective organs. Lung disease is most urgent because the Lung governs Qi and respiration and covers the other organs. In Lung wind-stroke, the patient lies supine with chest fullness, shortness of breath, dizziness, and sweating. This is the syndrome of Lung wind. Observing the skin color from below the eyes and above the nose down to the mouth: white color indicates treatability. Urgently moxa the Feishu (BL13) point for one hundred burns and administer Xuming Tang, with reduced dosage for children. If the skin turns yellow, it indicates lung injury and blood stasis, which is untreatable; the patient will speak nonsense, grasp at empty air or point at the ground, or pick at clothing seams, dying after several days. If struck by acute wind pathogen, leading to delirium, hallucinations, shortness of breath, and inability to speak, immediate medical treatment is required, otherwise death occurs within a night. Upon early detection, moxa Feishu, Geshu (BL17), and Ganshu (BL18) for dozens of burns and urgently administer Xuming Tang to save the patient. If saliva flows uncontrollably, decoction should be given alongside moxibustion. Wind affecting Yang meridians also causes delirium, similar to Lung disease, but if the pulse is slow and weak, the patient may survive for a long time before dying.
In Liver wind-stroke, the patient can only squat and cannot lower the head; the area around both eyes and forehead shows a slight bluish tint. This is the syndrome of Liver wind. If lips are blue and face yellow, it is treatable; urgently moxa Ganshu (BL18) for one hundred burns and administer Xuming Tang. If the color is deeply blue-black, and the face is half yellow and half white, liver injury has occurred, making it untreatable, with death occurring in a few days.
In Heart wind-stroke, the patient can only lie supine, unable to turn sideways, experiencing chest oppression, mental chaos, dizziness, syncope, and cold sweat. This is the syndrome of Heart wind. If lips are bright red, it is treatable; urgently moxa Xinshu (BL15) for one hundred burns and administer Xuming Tang. If lips are blue, white, yellow, or black, heart damage has occurred transforming into water retention; if the face appears dull with frequent tremors, it is untreatable, with death in five to six days (or ten days according to another source).
In Spleen wind-stroke, the patient can only squat with abdominal fullness, whole-body jaundice, and vomiting of salty fluid; this is treatable. Urgently moxa Pishu (BL20) for one hundred burns and administer Xuming Tang. If the area under the eyes and hands/feet are blue, it is untreatable.
In Kidney wind-stroke, the patient squats with lower back pain; if there are no yellow patches like cakes on either side of the flanks, it is treatable. Urgently moxa Shenshu (BL23) for one hundred burns and administer Xuming Tang. If teeth are yellow, temples reddish, hair stands straight, and face looks earthy, it is untreatable.
In Large Intestine wind-stroke, bowel sounds continue incessantly while lying down. Moxa Dachangshu (BL25) for one hundred burns and administer Xuming Tang.
When attacked by Thief Wind pathogen, Yang is injured. Yang is affected externally first, lodging in the skin, then transmitting to Sun vessels (fine collateral vessels). When Sun vessels are full, it transmits to Luo vessels; when Luo vessels are full, it transfers to the main meridians to form disease. Returning to the Six Fu organs results in Heat syndromes; restlessness leads to crying. The pulse is firm and large indicating Excess; Excess manifests as external hardness, fullness, and tenderness upon pressure. Collateral branches far from the main meridians are called Sun vessels.
When Wind pathogen injures the body, it may become Cold-internal, Heat-internal, Leprosy, Piaku, or Thief Wind. Thus, Wind contracted on Jia/Yi days in Spring affects the Liver (Liver Wind); Bing/Ding days in Summer affect the Heart (Heart Wind); Wu/Ji days in the four seasons affect the Spleen (Spleen Wind); Geng/Xin days in Autumn affect the Lung (Lung Wind); Ren/Gui days in Winter affect the Kidney (Kidney Wind). Wind entering the Back-Shu points of Zang-Fu organs becomes Zang-Fu Wind. Entering through various gates becomes Pianfeng (Partial Wind). Wind ascending along Fengfu (GV16) becomes Naofeng (Brain Wind). Wind entering the head becomes Mufeng (Eye Wind/Cold Eyes). Wind after drinking wine becomes Jiufeng (Wine Wind). Wind after intercourse with sweating becomes Neifeng (Internal Wind). Wind after washing hair becomes Shoufeng (Head Wind). Long-term wind entering during intercourse becomes Changfeng (Intestinal Wind). Wind at the exterior fenli becomes Xiefeng (Leaking Wind). Therefore, it is said: Wind is the chief of all diseases. Its changes lead to other diseases without fixed patterns. Wind moves swiftly and changes frequently; trapped in the skin and muscles, unable to vent internally or dissipate externally, its nature changes with human activity. Wind meeting cold causes poor appetite; meeting heat causes muscle wasting and alternating chills and fever. Wind meeting excessive Yang prevents sweating; meeting excessive Yin causes spontaneous sweating. Obese people with wind have thick muscles that hinder ventilation, prone to Heat-internal and yellow eyes. Thin people with wind have thin muscles causing frequent external sweating, internal cold, and tearing. Wind encountering Deficiency opens fenli, causing outward movement, feeling chilly like cold, with a sensation of water dripping on the body or blowing through bamboo tubes. Wind encountering Excess closes fenli, causing internal stagnation and heat oppression.
Wind contracted immediately after eating is Weifeng (Stomach Wind), characterized by aversion to wind, excessive neck sweating, sub-diaphragmatic blockage, difficulty swallowing, abdominal distension, emaciated body but enlarged abdomen, worsening upon exposure to cold, and watery diarrhea after cold food. Drinking cold water or bathing after hot meals causes abdominal enlargement and edema.
Wind contracted after drunkenness is Loufeng (Leaking Wind), characterized by aversion to wind, excessive sweating, shortness of breath, dry mouth with thirst, feeling like burning when near clothes, profuse sweating before meals, and joint laxity avoiding exertion.
Wind contracted after bathing is Shoufeng (Head Wind), characterized by aversion to wind, excessive sweating, and headache.
Wind contracted after intercourse is Nafeng (Receiving Wind), characterized by aversion to wind and sweat soaking clothes.
Laofeng (Labor Wind) pathology lies below the Lung, causing neck stiffness and eye protrusion; expectoration of thick sputum, aversion to wind, and chills. Observation over three to five days reveals lack of clarity; by seven to eight days, small amounts of green-yellow purulent sputum like pellets appear from mouth/nose, indicating improvement; if not expelled, Lung injury occurs.
Wind pathogen lodging in skin/muscle causes itching, wind-rash, and scabies. Deep invasion with cold-heat conflict causes internal drying. Pathogen lodging deeply in half the body depletes True Qi, causing Piaku. Pathogen lodging in joints causes spasms; similarly in tendons. Pathogen invading Zang organs causes dreams of large organs and small bodies; invading Fu organs causes dreams of small organs and large bodies. Pathogen entering brain via optic nerve causes vertigo. Pathogen striking the eye causes diplopia. Wind entering Zang with cold qi blocking dispersion causes aphonia, throat obstruction, tongue relaxation, requiring timely acupuncture and herbal medicine. Wind flowing into Zang via meridians causes sudden aphonia, flaccidity, lockjaw, and spasm leading to death. Wind entering Yang meridians causes mania; entering Yin meridians causes depression. Yang pathogen entering Yin causes quietness; Yin pathogen entering Yang causes anger.
If due to hot food, sweating/bathing opens fenli, allowing wind to exit, causing needle-like sensations in flesh; walking and exertion inducing sweat feels similar. Any sensation of needles in muscles is due to closed fenli trapping pathogen trying to exit; Jieji Tang (Release Muscle Decoction) is appropriate.
Eye twitching, lip deviation, and facial asymmetry indicate Wind entering meridians; urgently administer Xiao Xuming Tang (Minor Cure Life Decoction). Apply Bafeng San (Eight Winds Powder), Shenming Bai Gao (Divine Clarity White Ointment), and Danshen Gao (Salvia Ointment) combined with meridian-based acupuncture.
Bi Syndrome (Arthralgia) results from Wind, Cold, and Dampness lodging in fenli. Pressure forms phlegm-fluid; Cold causes aggregation, squeezing muscles; muscle tearing causes pain. Pain gathers Shen (Spirit); Shen gathering generates heat; heat resolves pain; resolution leads to Qi reversal; reversal triggers other Bi syndromes. Internal to Zang but external to skin, lodged in fenli, preventing circulation of True Qi, thus forming Bi. Predominant Wind causes numbness and swelling, termed Xingbi (Wandering Bi), moving unpredictably. Predominant Cold causes Tongbi (Painful Bi). Predominant Dampness causes Zhuobi (Fixed Bi). Cold sweat with vertical/horizontal flow along meridians is Zhoubi (Circular Bi). Alternating left/right symptoms in muscles is Pianbi (Hemi-Bi).
Bi with less Yang and more Yin causes internal cold. Bi with more Yang and less Yin causes heat. Bi dominated by Wind heals easily; superficial skin Bi heals easily; deep tendon/bone Bi is difficult to cure. Chronic Bi penetrates deeply, obstructing Ying-Wei, causing sparse meridians and loss of pain sensation.
Incurable Fengbi presents with feet feeling like walking on ice or boiling water, leg weakness, irritability, headache. Injury to Spleen/Kidney causes vomiting and dizziness, spontaneous sweating. Injury to Heart/Eyes causes dizziness. Injury to Liver causes sadness and fear, shortness of breath, and unhappiness. Injury to Lung leads to death within three years (or three days).
Taiyang Wind-stroke compounded by Cold-Damp transforms into Jing (Spasm). Jing features locked jaw, stiff straight spine, epilepsy-like symptoms, head shaking, horse-like neighing, opisthotonos; ten attacks in an instant, breathless, profuse sweating, occasional collapse. New mothers and those with open wounds and depleted blood are susceptible. Neonatal tetanus and adults contracting cold-damp spasm wind are fatal. Warm disease with intense heat entering Kidney causes pediatric epilepsy. High heat causes spasm; spasm, aphonia, syncope, and epilepsy are similar. Prolonged syncope leads to epilepsy; careful examination is needed. Severe cases involve stabbing ear pain from Wind entering Kidney meridian. Untreated, it flows into Kidney, causing sudden rigid spasm resembling death; Xiao Xuming Tang (two to three doses) is indicated. Ear pain/swelling with pus formation is harmless. Prevention of Wind in ears via acupuncture at Erqian Dongmai (Artery before Ear) and Fengfu (GV16) is excellent.