中风者,风气中于人也。风是四时之气,分布八方,主长养万物。从其乡来者,人中少
死病;不从其乡来者,人中多死病。其为病者,藏于皮肤之间,内不得通,外不得泄。
其入经脉,行于五脏者,各随脏腑而生病焉。
心中风,但得偃卧,不得倾侧,汗出,若唇赤汗流者可治,急灸心俞百壮;若唇或青或黑
,或白或黄,此是心坏为水。面目亭亭,时悚动者,皆不可复治,五六日而死。
肝中风,但踞坐,不得低头,若绕两目连额上,色微有青,唇青面黄者可治,急灸肝俞
百壮;若大青黑,面一黄一白者,是肝已伤,不可复治,数日而死。
脾中风,踞而腹满,身通黄,吐咸汁出者可治,急灸脾俞百壮;若手足青者,不可复治
肾中风,踞而腰痛,视胁左右,未有黄色如饼粢大者可治,急灸肾俞百壮;若齿黄赤,
鬓发直,面土色者,不可复治。
肺中风,偃卧而胸满短气,冒闷汗出,视目下鼻上下两旁下行至口,色白者可治,急灸
肺俞百壮;若色黄者,为肺已伤,化为血,不可复治。其人当妄,掇空指地,或自拈衣寻缝
,如此数日而死。
诊其脉,虚弱者,亦风也;缓大者,亦风也;浮虚者,亦风也;滑散者,亦风也。
风邪之气,若先中于阴,病发于五脏者,其状奄忽不知人,喉里噫噫然有声,舌强不能
言。发汗身软者,可治;眼下及鼻人中左右上白者,可治;一黑一赤,吐沫者,不可治;汗
不出,体直者,七日死。
中风,是指风邪侵袭人体所致。风是四季的气候之气,分布于八方,主宰着万物的生长养育。从风所主的方向吹来的风(即当令之风),人感染后少患死病;不从其主方向吹来的风(即非时之邪风),人感染后多患死病。
风邪致病时,潜伏在皮肤之间,向内不能通达,向外不能宣泄。如果风邪侵入经脉,运行于五脏之中,就会随着各脏腑的特性而引发相应的疾病。
心中风:患者只能仰卧,不能侧身翻身,出汗。如果嘴唇红润且汗出,是可以治疗的,应立即灸心俞穴一百壮;如果嘴唇呈现青色、黑色、白色或黄色,这是心脏败坏、水气凌心的表现。如果面目神情呆滞,不时惊恐颤动,都不可再治,患者将在五六天内死亡。
肝中风:患者只能蹲坐,不能低头。如果环绕双眼连及额头部位,颜色微带青色,嘴唇青而面色黄,是可以治疗的,应立即灸肝俞穴一百壮;如果颜色深青发黑,面色一半黄一半白,这是肝脏已经损伤,不可再治,患者将在数日内死亡。
脾中风:患者蹲坐且腹部胀满,全身发黄,吐出咸味汁液,是可以治疗的,应立即灸脾俞穴一百壮;如果手脚发青,则不可再治。
肾中风:患者蹲坐且腰痛,观察胁肋左右两侧,如果没有出现像饼饵一样大的黄色斑块,是可以治疗的,应立即灸肾俞穴一百壮;如果牙齿黄赤,鬓发直立,面色如土,则不可再治。
肺中风:患者仰卧且胸部胀满、呼吸短促,头昏闷、出汗。观察眼下、鼻翼上下两旁向下延伸至口部的区域,如果颜色发白,是可以治疗的,应立即灸肺俞穴一百壮;如果颜色发黄,说明肺脏已经损伤,化为瘀血,不可再治。患者会出现胡言乱语,手在空中抓取东西指向地面,或者自己捻弄衣角寻找缝隙,如此数日后死亡。
诊察患者的脉象,脉虚弱者,也是风邪所致;脉缓大者,也是风邪所致;脉浮虚者,也是风邪所致;脉滑散者,也是风邪所致。
风邪之气,如果先中伤阴分,病变发生在五脏的,症状表现为突然昏迷不省人事,喉咙里发出噫噫的声音,舌体僵硬不能说话。如果发汗后身体柔软,是可以治疗的;如果眼下及鼻下人中穴左右上方发白,是可以治疗的;如果一眼黑一眼红,且吐沫,则不可治疗;如果不出汗,身体僵直,患者将在七天内死亡。
Zhongfeng (Wind Stroke) refers to the condition caused by Wind pathogen invading the human body. Wind is the Qi of the four seasons, distributed in the eight directions, governing the growth and nourishment of all things. When wind comes from its proper direction (seasonal wind), people infected with it rarely suffer fatal diseases; when wind comes from an improper direction (non-seasonal evil wind), people infected with it often suffer fatal diseases.
When causing disease, the pathogen lodges between the skin, unable to penetrate inward or be excreted outward. If it enters the meridians and circulates within the five Zang organs, it produces diseases corresponding to each organ.
Heart Zhongfeng: The patient can only lie on their back and cannot turn sideways, accompanied by sweating. If the lips are red and sweating occurs, it is treatable; moxibustion should be applied immediately to Xinshu (BL15, Heart Shu) for one hundred Zhu units. If the lips appear cyanotic, black, white, or yellow, this indicates heart failure with water qi overwhelming the heart. If the face and eyes appear vacant and there is occasional tremor or fright, it is untreatable, and death will occur within five to six days.
Liver Zhongfeng: The patient can only sit in a squatting position and cannot lower their head. If the area around both eyes extending to the forehead shows a slight cyanotic hue, and the lips are cyanotic while the face is yellow, it is treatable; moxibustion should be applied immediately to Ganshu (BL18, Liver Shu) for one hundred Zhu units. If the color is deeply cyanotic and black, and the face is half yellow and half white, the liver has been damaged, it is untreatable, and death will occur within a few days.
Spleen Zhongfeng: The patient sits in a squatting position with abdominal fullness, generalized jaundice, and vomiting of salty fluid. This is treatable; moxibustion should be applied immediately to Pishu (BL20, Spleen Shu) for one hundred Zhu units. If the hands and feet are cyanotic, it is untreatable.
Kidney Zhongfeng: The patient sits in a squatting position with lower back pain. If no yellow patches the size of a cake are observed on either side of the hypochondrium, it is treatable; moxibustion should be applied immediately to Shenshu (BL23, Kidney Shu) for one hundred Zhu units. If the teeth are yellowish-red, the hair at the temples stands erect, and the complexion is like earth, it is untreatable.
Lung Zhongfeng: The patient lies on their back with chest fullness, shortness of breath, dizziness, stifling sensation, and sweating. If the area below the eyes, on both sides of the nose extending down to the mouth, appears white, it is treatable; moxibustion should be applied immediately to Feishu (BL13, Lung Shu) for one hundred Zhu units. If the color is yellow, the lung has been damaged and transformed into blood stasis, making it untreatable. The patient will speak deliriously, grasp at empty air pointing to the ground, or pick at clothing seams. Such patients will die after several days.
Palpation of the pulse: A weak pulse also indicates wind; a slow and large pulse also indicates wind; a floating and deficient pulse also indicates wind; a slippery and scattered pulse also indicates wind.
If the Wind pathogen first invades the Yin aspect and the disease manifests in the five Zang organs, the symptoms include sudden unconsciousness, gurgling sounds in the throat, tongue stiffness, and inability to speak. If sweating occurs and the body becomes soft, it is treatable. If the area under the eyes and above the philtrum on both sides is white, it is treatable. If one eye is black and the other red, accompanied by foaming at the mouth, it is untreatable. If there is no sweating and the body is rigid, death will occur within seven days.