〔六气风淫为首,故风病最多,其浅而止在皮毛,则为伤风。其久而留于关节,则为痿
痹。
论中
名而
大有
一之
主气
为标
然岂
证于
气或
阳,尤
非阳虚
此惟离
六经加
肢不收
实,则
辅其
风邪
(金匮) 治大风,四肢烦重,心中恶寒不足者。(外台用治风癫。)
菊花(四十分) 白术 防风(十分) 桔梗(八分) 黄芩(五分) 人参 茯苓 当
归川芎
三,服二十日
即下矣,冷食
此为中风家挟寒而未变热者,治法之准则也。谓风从外入,挟寒作热,此为大风。证见
四肢
胜乎
参苓
肝,
驱内
身为
可不
中风证
行其堵
服之
食
不
耶
(金匮) 治大人风引瘫痪,小儿惊痫螈 ,日数十发。(巢氏用治香港脚。)
大黄 干姜 龙骨(四两) 牡蛎 甘草(二两) 桂枝(三两) 寒水石 滑石 赤
石脂 白石
升,煮三沸,
风邪内并,则火热内生。五脏亢盛,逆归于心,故以桂甘龙牡,通阳气安心肾为君。然
厥阴
流
为
石
热
相
成痰。
风复生
其风,
舍之
风病
郁,
外风
外风
亦
因
以风为阳邪,故热也。则知从亡血来,是热能生风,而外邪又助之也。从中风来,是风能生
热以滞津液,而痰涎壅膈也。(观风引药味,全是和脏腑,通经络,便是治风,不专治风也
。)是河间主热之论,仲景早引其端绪。但不专主于热,谓实有阳虚而外邪入之,为卒倒,
为偏枯,为筋急螈 者也。若诸痿全起于肺热,因而传入五脏,为昏惑螈 ,蝥闷暴喑,皆
属于火。为四肢不收,舌本强,足痿不收,痰涎有声,皆属于土。悉是湿热之病,与中风之
虚多风多寒多,皆为中风之理,全不相涉矣。按黑散风引二汤,喻氏以为仲景圣方,而程云
来金
之证
亦不
六气之中,风邪居于首位,因此风病最为多见。若风邪浅表,仅停留在皮毛,则称为伤风;若病程迁延,留滞于关节,则形成痿证和痹证。
(出自《金匮要略》)治疗大风病,症见四肢沉重烦扰,心中感觉寒冷、不足者。(《外台秘要》用此方治疗风癫。)
菊花(四十分) 白术 防风(十分) 桔梗(八分) 黄芩(五分) 人参 茯苓 当归 川芎
服用三次,二十日后
药渣即会排出,需忌冷食。
这是针对中风患者兼夹寒邪且尚未化热的情况,是治疗方法的准则。所谓风从外侵入,挟带寒邪而化热,这称为大风。症状表现为
四肢...
胜过参苓...
肝...
驱除内...
身体...
可以不...
中风证...
行其堵...
服用...
食...
不...
耶
(出自《金匮要略》)治疗成人风引瘫痪,小儿惊痫抽搐,每日发作数十次。(巢元方《诸病源候论》用此方治疗脚气病。)
大黄 干姜 龙骨(四两) 牡蛎 甘草(二两) 桂枝(三两) 寒水石 滑石 赤石脂 白石
升,煮三沸,
风邪向内并合,则火热内生。五脏功能亢盛,逆乱归于心,所以以桂枝、甘草、龙骨、牡蛎为君药,以通阳气、安心肾。然而
厥阴...
流...
为...
石...
热...
相...
成痰。
风复生...
其风...
舍之...
风病...
郁...
外风...
外风...
亦...
因...
以风为阳邪,所以会产生热。由此可知,若从亡血而来,是热能生风,而外邪又助长了它;若从中风而来,是风能生
热以阻滞津液,导致痰涎壅塞胸膈。(观察风引汤的药味,全是调和脏腑、疏通经络的,这就是治风,而不专门治风。)这说明刘河间主热的主张,张仲景早已开启了先河。但并不专门主治于热,如果确实有阳虚而外邪入侵,就会导致突然昏倒、半身不遂、筋脉拘急抽搐。如果各种痿证全起于肺热,进而传入五脏,导致神志昏惑、抽搐、闷乱暴喑,都归属于火。导致四肢不能收持、舌根僵硬、足部痿软不能行走、痰涎有声,都归属于土。这些都是湿热病,与中风证的虚多、风多、寒多,在道理上完全不相涉。按黑散和风引汤这两首方剂,喻嘉言认为它们是张仲景的圣方,而程云来...
金的证...
也不
Among the Six Qi (Six Climate Factors), Wind is primary; therefore, wind diseases are most numerous. If the pathogen is superficial and remains in the skin and hair, it is termed Shang Feng (Common Cold). If it lingers for a long time in the joints, it becomes Wei Bi (Flaccidity and Obstruction syndromes).
(From *Jin Gui Yao Lue*) Treats Da Feng (Great Wind), characterized by heavy and uncomfortable limbs, and a sensation of coldness and insufficiency in the heart. (*Wai Tai Mi Yao* uses this formula to treat Feng Dian [Wind Mania].)
Ju Hua (Chrysanthemi Flos, 40 fen) Bai Zhu (Atractylodis Rhizoma) Fang Feng (Saposhnikoviae Radix, 10 fen) Jie Geng (Platycodonis Radix, 8 fen) Huang Qin (Scutellariae Radix, 5 fen) Ren Shen (Ginseng Radix et Rhizoma) Fu Ling (Poria) Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma)
Take three doses; after twenty days,
the dregs will be expelled; avoid cold food.
This addresses Zhong Feng (Stroke) patients with concurrent cold pathogens that have not yet transformed into heat, serving as a standard for treatment methods. It refers to wind entering from the exterior, carrying cold which generates heat, termed Da Feng. Symptoms manifest as
limbs...
surpassing Shen Ling...
Liver...
expelling internal...
body...
can one not...
Zhong Feng syndrome...
circulate its blockage...
take...
food...
not...
ye?
(From *Jin Gui Yao Lue*) Treats adult Feng Yin Paralysis (Wind-induced Flaccid Paralysis) and pediatric Jing Xian Chou Chu (Convulsive Seizures), occurring dozens of times daily. (*Zhu Bing Yuan Hou Lun* uses this formula to treat Hong Kong Jiao [Foot Qi/Crural Palsy].)
Da Huang (Rhei Radix et Rhizoma) Gan Jiang (Zingiberis Rhizoma) Long Gu (Fossilia Ossis Mastodi et Scapulae, 4 liang) Mu Li (Concha Ostreae) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang) Gui Zhi (Cinnamomi Ramulus, 3 liang) Han Shui Shi (Halloysitum Rubrum) Hua Shi (Talcum) Chi Shi Zhi (Halloysitum Rubrum) Bai Shi...
Sheng, boil three times,
When wind pathogens merge internally, fire-heat arises within. When the Five Viscera become hyperactive and rebel towards the Heart, Gui Zhi, Gan Cao, Long Gu, and Mu Li are used as Sovereign herbs to unblock Yang Qi and calm the Heart and Kidney. However,
Jue Yin...
flow...
as...
Shi...
Heat...
mutually...
forming Phlegm.
Wind generates again...
its wind...
abandon...
Wind disease...
stagnation...
Exterior Wind...
Exterior Wind...
also...
due to...
Since Wind is a Yang pathogen, it generates Heat. Thus, we know that if arising from Blood loss, Heat generates Wind, aided by external pathogens; if arising from Zhong Feng, Wind generates
Heat which stagnates Body Fluids, causing Phlegm-Saliva to obstruct the chest and diaphragm. (Observing the ingredients of Feng Yin Tang, they all harmonize the Zang-Fu and unblock the Collaterals; this is treating Wind, not specifically targeting only Wind.) This indicates that Liu He Jian’s theory emphasizing Heat was foreshadowed by Zhang Zhong Jing. However, it does not exclusively focus on Heat. If there is genuine Yang Deficiency allowing external pathogens to invade, it leads to sudden collapse, Hemiplegia, and tendon spasm/chou Chu. If various Wei syndromes originate from Lung Heat, transmitting to the Five Viscera, leading to confusion, convulsions, oppression, and sudden aphonia, these belong to Fire. Causing limbs unable to hold, stiff tongue root, flaccid legs unable to walk, and audible phlegm-rattle, these belong to Earth. These are all Damp-Heat diseases, completely unrelated to the principles of Zhong Feng involving deficiency, excess wind, or excess cold. Regarding the two formulas, Hei San and Feng Yin Tang, Yu Jia Yan considered them Sage Formulas of Zhang Zhong Jing, while Cheng Yun Lai...
Jin's syndrome...
also not