治男子、妇人风虚湿冷，邪气入脏，狂言妄语，精神错乱，及风入五脏等证。（详见《和
剂方》）
白藓皮 白术 白芍药 桂心 川芎 当归 防风 杏仁（去皮尖，麸炒） 甘草（各
二两） 白茯苓 麻黄（去节） 独活（各三两）
上 咀，每服三钱。水一盏半，生姜四片，煎成八分，去滓温服，无时候。
癸丑春，有一妇人，年四十四、五，其证说话气短，足弱，行得数步则口若含霜。七十
日内三次经行，遇行则口冷，头目眩晕，足冷则透心冷痛。每行则口中冷，气不相续，有时
鼻中热，面赤翕然而热。身体不仁，不能行步，手足不随，不能俯仰，冷痹骨痛，有时悲伤
；梦与前夫相随，则上气奄然而极，心惊、志意不定，恍惚多忘，却能食，如此仅一年许。
医者投热药则面翕然而热，气满胸中，咽中窒塞，闷厥；投冷药则泻。又一医者以十全汤服
之，则发烦躁，心惊而跳。一医者以双和汤服之，觉得面上与腹中甚如火 ，心愈惊，欲吐
不吐，大便秘，里急后重。求仆诊之，六脉弦缓，喜见于春，此是可治之疾。未供药间，忽
然吐泻，泻后觉肛门如火，虽泻六次、却不多。仆一时识证未尽，且与俞山人降气汤八服。
次日诊之，脉差有力，云服药之后，觉鼻中热，心烦闷绝，齿噤。与参苏饮八服，黄连丸二
两许。越三日，云服药之后，其疾如故。与茯苓补心汤服之，皆无效。仆以脉证详之，只有
排风汤甚对此证。或曰∶何以见得是此证？一、能食饮，此风饥也；二、七十日三次经行，
此是荣经有风，血得风散也；三、头目眩晕，此肝风也；四、面赤翕然而热，悲伤，此心风
也；五、身体不仁，不能行步，梦与前夫相随，此脾风也；六、手足不随，腰痛难以俯仰，
冷痹骨疼，此肾风也。诸有此疾，令人心惊，志意不定，恍惚多忘，真排风汤证也。或曰风
脉当浮，今脉弦缓微弱，恐非风也。答曰∶风无一定之脉，大抵此证虚极生风。然排风汤
所用之药有十全大补汤料，亦有平补之意，却不僭燥。共十服。越三日，云服之有效。脉亦
差胜，只是心中如烟生，似有微热，大便尚秘。此真是风证，再与排风汤十服，兼牛黄清心
丸、皂角丸助之。越三日，云服前药一、二日，大烦躁，于热诸证悉除。只是足弱不能支持
，脉亦弱，予秘传降气汤十服。又越三日云诸证悉退，只是梦里虚惊，大便滑泄，如食伤相
似，奏厕频数，脉尚弱。与五积散数服，加人参、盐煎，兼感应丸即愈。自后云，皆无恙矣
。但上重而头眩，不能久立久坐，服与排风汤，则脱然安矣。以此方之药根据上法，不可杜撰
、臆度处方。
治疗男子、妇人因风虚湿冷，邪气侵入脏腑，出现胡言乱语、精神错乱，以及风邪侵入五脏等证候。（详见《和剂局方》）
白鲜皮、白术、白芍药、桂心、川芎、当归、防风、杏仁（去皮尖，麸炒）、甘草（各二两）、白茯苓、麻黄（去节）、独活（各三两）。
将药材切碎，每次服用三钱。加水一盏半，生姜四片，煎至八分满，滤去药渣，温服，不拘时候。
癸丑年春天，有一位妇女，年龄四十四、五岁，其症状为说话气短，双腿无力，行走几步后口中感觉像含着霜一样寒冷。七十天内月经来了三次，每次行经时感到口冷，头目眩晕，脚冷则导致心痛透心。每次行经时口中发冷，气息不接续，有时鼻中发热，面色红赤且突然发热。身体麻木不仁，无法行走，手足不能随意活动，不能俯身或仰身，冷痹骨痛，有时感到悲伤；梦见与前夫在一起，则气逆上冲极其严重，心惊胆战，意志不定，恍惚健忘，但能进食，这种情况持续了一年多。
医生投用热药，则面色红赤突然发热，胸中气满，咽喉窒塞，胸闷昏厥；投用冷药则腹泻。另一位医生用十全汤服用，则引发烦躁，心惊跳动。又一位医生用双和汤服用，觉得面部和腹中如火烧一般，心中更加惊恐，想吐却吐不出来，大便秘结，里急后重。请求我诊治，六脉弦缓，在春季见到这种脉象是吉兆，这是可治的疾病。在未用药期间，忽然呕吐腹泻，泻后感觉肛门如火烧，虽然泻了六次，但量不多。我一时未能完全识别证候，暂且给予俞山人降气汤八服。次日诊察，脉象稍有力，患者说服药后，感觉鼻中发热，心烦闷绝，牙齿紧闭。给予参苏饮八服，黄连丸约二两。过了三天，患者说服药后，病情如故。给予茯苓补心汤服用，均无效。我仔细分析脉证，只有排风汤非常对症此证。有人问：凭什么认为是此证？一、能饮食，这是风饥；二、七十天三次行经，这是荣经有风，血得风而散；三、头目眩晕，这是肝风；四、面赤突然发热，悲伤，这是心风；五、身体麻木不仁，不能行走，梦见与前夫在一起，这是脾风；六、手足不能随意活动，腰痛难以俯仰，冷痹骨疼，这是肾风。凡是患有这些疾病的人，都会让人心惊，意志不定，恍惚健忘，这确实是排风汤的适应证。有人问：风脉应当浮，现在脉弦缓微弱，恐怕不是风吧？回答说：风没有固定的脉象，大体上此证是极度虚弱而生风。然而排风汤所用的药物含有十全大补汤的成分，也有平补的意思，却不燥烈。共服十服。过了三天，患者说服药有效。脉象也稍好，只是心中如烟生，似有微热，大便仍然秘结。这确实是风证，再给排风汤十服，兼用牛黄清心丸、皂角丸辅助。过了三天，患者说服用前药一、二日，大烦躁，上述热证全部消除。只是双腿无力不能支撑，脉象也弱，给予秘传降气汤十服。又过了三天，患者说诸证全部消退，只是梦中虚惊，大便滑泄，像伤食相似，上厕所频繁，脉象尚弱。给予五积散数服，加人参、盐煎，兼用感应丸即愈。此后说，都无事了。但上部沉重而头眩，不能久立久坐，服用排风汤，则安然无恙。以此方的药物根据上述方法，不可杜撰、臆度处方。
Treats men and women suffering from wind deficiency, dampness, and cold, where pathogenic factors enter the zang organs, causing delirious speech, mental confusion, as well as syndromes of wind invading the five zang organs. (See detailed description in *Heji Jufang*)
*Dictamni Amurensis Cortex* (Baixianpi), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Paeoniae Radix Alba* (Baishaoyao), *Cinnamomi Cortex* (Guixin), *Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Saposhnikoviae Radix* (Fangfeng), *Prunus Armeniaca Semen* (Xingren, peeled and tip removed, stir-fried with bran), *Glycyrrhizae Radix et Rhizoma* (Gancao) (each 2 liang); *Poria* (Baifuling), *Ephedrae Herba* (Mahuang, nodes removed), *Angelicae Pubescentis Radix* (Duohuo) (each 3 liang).
Crush the herbs. For each dose, take 3 qian. Add 1.5 sheng of water and 4 slices of fresh ginger. Decoct until reduced to 0.8 sheng. Strain and take warm, at any time.
In the spring of the Guichou year, a woman aged forty-four or forty-five presented with symptoms of shortness of breath when speaking and weakness in the legs; after walking a few steps, her mouth felt as if holding frost. Within seventy days, she menstruated three times. During menstruation, she experienced coldness in the mouth, dizziness of the head and eyes, and cold feet leading to penetrating heart pain. Each time menstruating, her mouth felt cold, and her qi failed to continue. Occasionally, she had heat in the nose, flushed face, and sudden fever. Her body was numb and insensible, unable to walk, with hands and feet unresponsive, unable to bend or stretch. She suffered from cold bi syndrome and bone pain, and occasionally felt sorrowful; dreaming of accompanying her former husband caused severe upward rushing of qi, palpitations, instability of will, mental vagueness, and forgetfulness, yet she could eat. This condition persisted for about a year.
When physicians administered hot medicines, her face flushed suddenly with heat, chest became distended with qi, throat felt obstructed, and she experienced stifling syncope. When administering cold medicines, she suffered from diarrhea. Another physician prescribed *Shiquan Tang* (Complete Ten Decoction), which induced irritability and jumping palpitations. A third physician prescribed *Shuanghe Tang* (Double Harmony Decoction), causing feelings of fire burning on the face and in the abdomen, increased heart palpitations, desire to vomit without success, constipation, tenesmus. I was consulted for diagnosis. The six pulses were wiry and moderate. Seeing this pulse in spring is auspicious; this is a treatable disease. Before medication, she suddenly vomited and had diarrhea. After diarrhea, her anus felt like fire. Although she defecated six times, the volume was not large. At that moment, my understanding of the syndrome was incomplete, so I temporarily prescribed *Jiangqi Tang* (Descending Qi Decoction) by Scholar Yu for eight doses.
The next day, upon diagnosis, the pulse was slightly stronger. She reported that after taking the medicine, she felt heat in the nose, extreme mental restlessness and stifling sensation, and lockjaw. I prescribed *Rensu Yin* (Ginseng and Perilla Drink) for eight doses and approximately 2 liang of *Huanglian Wan* (Coptis Pill). Three days later, she reported that the illness remained unchanged despite the medication. I prescribed *Fuling Buxin Tang* (Poria Tonifying Heart Decoction), but it was ineffective. Upon detailed analysis of the pulse and symptoms, only *Paifeng Tang* (Wind-Expelling Decoction) seemed highly appropriate for this syndrome. Someone asked: How do you know it is this syndrome? First, ability to eat and drink indicates "wind hunger"; second, menstruating three times in seventy days indicates wind in the Ying (Nutrient) channel, causing blood to scatter due to wind; third, dizziness of head and eyes indicates Liver Wind; fourth, flushed face with sudden heat and sadness indicates Heart Wind; fifth, body numbness, inability to walk, and dreaming of the former husband indicate Spleen Wind; sixth, unresponsive hands and feet, lower back pain difficult to bend or stretch, cold bi bone pain indicate Kidney Wind. All these diseases cause heart palpitations, instability of will, mental vagueness, and forgetfulness; this is truly a *Paifeng Tang* syndrome. Someone asked: Wind pulses should be floating. Now the pulse is wiry, moderate, weak, and faint; perhaps it is not wind? I replied: Wind has no fixed pulse. Generally, this syndrome arises from extreme deficiency generating wind. However, the herbs in *Paifeng Tang* contain ingredients similar to *Shiquan Dabu Tang* (Complete Ten Great Tonifying Decoction), possessing a mild tonifying nature without being overly acrid or drying. After ten doses, she reported effectiveness. The pulse improved somewhat, but she still felt smoke-like sensations in the heart, slight heat, and constipation. This is indeed a wind syndrome. I prescribed another ten doses of *Paifeng Tang*, supplemented with *Niuhuang Qingxin Wan* (Calculus Bovis Clearing Heart Pill) and *Zaojiao Wan* (Gleditsia Sinensis Pill). Three days later, she reported that after one or two doses of the previous medicine, severe irritability occurred, and all aforementioned heat symptoms disappeared. Only leg weakness preventing support remained, and the pulse was weak. I prescribed *Mizhuan Jiangqi Tang* (Secret Transmission Descending Qi Decoction) for ten doses. Three days later, she reported that all symptoms receded, except for false fright in dreams, loose stools resembling food stagnation, frequent urination/defecation, and a still weak pulse. I prescribed *Wuji San* (Five Accumulations Powder) for several doses, added Ginseng and salt-fried preparation, combined with *Ganying Wan* (Responsive Pill), and she recovered. Afterwards, she stated she was fine. However, due to heaviness in the upper body and dizziness, she could not stand or sit for long periods. Taking *Paifeng Tang* brought complete relief. Therefore, based on the herbs of this formula and the above methods, one must not fabricate or guess prescriptions arbitrarily.