此症初生瘾疹形如麻豆疥癣之状,或痛或痒乃暴勇之时,或微醉之际,乘风露卧,
或浴
后肌肤疏畅,即被风邪所犯。复有邪毒不正之气并寒湿相乘,注于肌中,则邪热之气结于
腠理,逢阴雨即凶,睛暖少缓,屡瘥屡发,久则连片穿烂,使肺毒并心戕贼气血,以大消
风散、小枣丹、玉枢丹等方治之。又有一种面上风癣,初起 ,似疥非疮似癣,非癣多
感于春秋之时,或痒或痛,或作寒热,渐成细疮,黄脓腥秽,滋水滴流,粘处即变成疮,延
蔓倏息,名曰吹花疮,又曰吹花癣。妇女多生之,此乃肺受火炎,蕴积风热毒秽之气,阳邪
上
升,故发于面部。如在眉头间起者凶,但飘逸俏俐爱洁者。偏生之,或暴妄偏执骄傲者,或
阴毒固感戚者,或醉卧乘风御湿者,或恣食糕果油腻炙爆者,皆患之。倘又使阳火贼风冲激
,
则势愈盛,若不速治,被风火湿邪袭之,妄为疠风,延入发内,则不能治矣。急以清心顺气
,散肺火祛风解热,而止淫邪,方可除根,否则虽愈必发。
此症音哑无声,肺气者音声,五脏清明之气皆贯于窍而为五音,若温融和润则阳气
调匀
,真声通畅,若风湿阴邪抟于阳分,凝滞津液,使气道不调,清声闭塞。会厌是音声之门户
,悬壅为发音声之关节,若风邪触于关户,橐钥闭塞,激动痰火,轻则声嘶而喉破,重则语
哑而失音,五火皆动,肺金伤败。以救苦回生丹、夺命还真丹,兼以凉血生津,降火祛邪,
养气和肺之药服之则可。
其冷麻、漏蹄虾蟆、核桃、风水风、热风发于肾经。
这种病症初起时,皮肤出现类似麻子、豆粒或疥癣形状的瘾疹。在情绪暴怒之时,或微醉之际,如果乘风露宿,或者沐浴后肌肤毛孔疏畅,此时风邪容易侵袭人体。此外,还有不正的邪毒之气与寒湿之邪相互结合,侵入肌肉之中,导致邪热之气郁结在腠理(皮肤纹理及皮下组织)。遇到阴雨天气病情就会加重,晴朗温暖时稍有好转,但疾病反复发作,经久不愈则皮疹连成片并溃烂。这使得肺中积毒并损伤心气及气血,治疗可用大消风散、小枣丹、玉枢丹等方剂。
又有一种面部风癣,初起时似疥非疮、似癣非癣,多在春秋季节感染。症状表现为或痒或痛,或伴有寒热往来,逐渐形成细小的疮疡,流出黄色脓液且气味腥臭,滋水流淌,粘连处即变成疮口,蔓延迅速,名为“吹花疮”,又称“吹花癣”。此病多见于妇女,这是由于肺受火炎熏灼,蕴积了风热毒秽之气,阳邪向上上升,所以发于面部。如果在眉头间发作则预后不良,这通常发生在飘逸俊俏、爱干净的人身上;或者是暴躁妄为、偏执骄傲的人;或者有阴毒固疾的人;或者是醉酒后卧倒乘凉、抵御湿气的人;或者是恣意食用糕点、水果、油腻及炙烤爆炒食物的人,都会患此病。倘若再受到阳火和贼风的冲激,病情会更加严重。如果不迅速治疗,被风、火、湿邪侵袭,妄变为疠风(麻风病),蔓延至头发内部,则无法治愈了。急需采用清心顺气、疏散肺火、祛风解热以及制止淫邪的方法,才能除根,否则即使痊愈也必然复发。
另一种病症是声音嘶哑甚至无声。肺主声音,五脏清明之气都贯通于孔窍而表现为五音。如果身体温和滋润,则阳气调匀,真声通畅;如果风湿阴邪聚集于阳分,凝滞津液,导致气道不调,清亮的声音闭塞。会厌是声音的门户,悬雍垂(小舌头)是发音的关节。如果风邪触动关户,导致橐钥(比喻发声机关)闭塞,激动痰火,轻则声音嘶哑且喉咙破损,重则言语哑巴甚至失音,此时五脏之火皆动,肺金受损败坏。治疗可用救苦回生丹、夺命还真丹,兼用凉血生津、降火祛邪、养气和肺的药物服用,则可以治愈。
This condition initially presents with urticaria (urticaria) resembling mites, beans, or scabies and tinea. It may be painful or itchy, occurring during times of sudden anger or slight intoxication, when sleeping exposed to wind and dew, or after bathing when the skin pores are open and relaxed, allowing wind pathogens to invade. Additionally, improper evil toxins combined with cold-dampness penetrate into the muscles, causing evil heat to knot in the couli (pores and interstices). The prognosis is ominous during rainy weather, with slight relief during sunny and warm periods, but the disease recurs frequently. Over time, lesions merge into patches and ulcerate, causing lung toxicity and damaging heart qi and blood. Treatment involves formulas such as Da Xiao Feng San (Great Wind-Expelling Powder), Xiao Zao Dan (Small Jujube Pill), and Yu Shu Dan (Jade Pivot Pill).
Another type is facial wind-tinea. Initially, it resembles scabies but is not a sore, and resembles tinea but is not typical tinea. It is often contracted in spring and autumn. Symptoms include itching, pain, or alternating chills and fever, gradually forming small sores that exude yellow pus with a foul odor. The discharge flows and sticks, turning the area into ulcers. The spread is rapid, named "Blowing Flower Sore" or "Blowing Flower Tinea." This condition mostly affects women. It arises because the lungs are scorched by fire, accumulating wind-heat, toxin, and filth. Yang pathogens ascend, manifesting on the face. If it appears between the eyebrows, the prognosis is poor. It tends to occur in those who are elegant, neat, and clean-loving; or in those who are irritable, stubborn, proud; or in those with latent yin-toxins; or in those who sleep drunk in the wind and dampness; or in those who indulge in pastries, fruits, greasy foods, and roasted or fried items. If further stimulated by yang-fire and thieving winds, the condition worsens. If not treated promptly, invasion by wind, fire, and dampness may transform it into leprosy (Li Feng), spreading into the scalp, becoming incurable. Urgent treatment requires clearing the heart, regulating qi, dispersing lung fire, expelling wind, resolving heat, and stopping pathogenic excess to eradicate the root cause; otherwise, recurrence is inevitable even if cured temporarily.
Another symptom is hoarseness or aphonia (loss of voice). The Lung governs sound, and the clear qi of the five zang organs penetrates the orifices to produce the five tones. When the body is warm and moist, yang qi is balanced, and the true voice flows smoothly. However, if wind-damp yin pathogens congregate in the yang divisions, stagnating body fluids and disrupting the airway, clear sound becomes blocked. The epiglottis serves as the gate of sound, and the uvula acts as the joint for phonation. If wind pathogens obstruct these gates, closing the mechanism (tuoyue), stirring up phlegm-fire, mild cases result in hoarseness and throat damage, while severe cases lead to muteness or aphonia. At this point, the fires of the five zang organs activate, and the Metal of the Lung is damaged and ruined. Treatment involves administering Jiuku Huisheng Dan (Bitter-Saving Life-Restoring Pill) and Duoming Huanzhen Dan (Life-Seizing True-Origin Pill), combined with herbs that cool blood, generate fluids, descend fire, dispel pathogens, nourish qi, and harmonize the lungs.
Conditions such as cold numbness, leaking hoof, toad-like swelling, walnut-shaped lumps, wind-water wind, and wind-heat eruption originate from the Kidney meridian.