(余见头目眩 余论见风痫)
完骨、疗风眩项痛头强寒热。(明)当阳、临泣、疗卒不识人。风眩鼻塞。后顶、(
见头
风)玉枕、(见目痛。)颔厌、(见偏头痛。)疗风眩。(千)阳谷、主风眩惊手卷。(甲乙手卷
作手腕痛。)泄风汗出。腰项急。承光、治风眩头痛。呕吐心烦。申脉、治坐如在舟车
中。(见腰脚。)神庭、上星、囟会、主风头眩。(千)天牖等、前顶等、主风眩(见项风
。)攒竹、疗头目风眩。(见目眩。)
千金方载徐嗣伯之言曰、风眩之病。起于心气不足。胸上蓄热实。痰热相感而动风。风
心相
乱则闷瞀。故谓之风眩瞀。大人曰癫。小儿为痫。则是风眩癫痫本一疾也。不知后人何为析
而三之。予因分为三门。且从为之辞。以释世医之疑云。
天井、治惊悸螈 。风痹臂肘痛。捉物不得。(铜)肩贞、治风痹手臂不举。肩中热痛
。
尺泽、治风痹肘挛。手臂不举。消泺、治寒热风痹。项痛肩背急。(明云头痛项背急。)
膝关、治风痹。膝内痛引膑。不可屈伸。喉咽痛。付阳、治痿厥风痹。头重 痛。髀枢股
痛。螈 。风痹不仁。时有寒热。四肢不举。
阳辅(见膝痛。)阳关、(并见膝痛。)治风痹不仁。委中、(见腰脊。)治风痹。少海
、(
见瘰 。)疗风痹。(明)委中、(见脚弱。)下廉、疗风湿痹。(见身寒痹。)环跳、治冷
风湿痹。(见腰痛。)治卒病肉痹不知人。(见中风。)
岐伯曰、中风大法有四。四曰风痹。巢氏曰、风寒湿三气合而为痹。风多者为风痹。风
痹之
状。肌肤尽痛。而复手足不随也。医者当以此求之。速与续命汤。根据俞穴灸之云。(详见千
金。)
(相关内容参见“头目眩”章节,其余论述参见“风痫”章节。)
完骨穴:治疗风眩引起的项部疼痛、头部僵硬、恶寒发热。(出自《明堂经》)当阳穴、临泣穴:治疗突然神志不清。风眩导致的鼻塞。后顶穴:(参见“头风”章节)玉枕穴:(参见“目痛”章节)颔厌穴:(参见“偏头痛”章节)治疗风眩。(出自《千金方》)阳谷穴:主治风眩惊悸、手部抽搐卷缩。(《甲乙经》中“手卷”作“手腕痛”。)泄风汗出。腰部和颈部拘急。承光穴:治疗风眩头痛。呕吐、心烦。申脉穴:治疗感觉如同坐在船或车中般的眩晕。(参见“腰脚”章节)神庭穴、上星穴、囟会穴:主治头部眩晕。(出自《千金方》)天牖等穴、前顶等穴:主治风眩(参见“项风”章节)攒竹穴:治疗头目风眩。(参见“目眩”章节。)
《千金方》记载徐嗣伯的话说:风眩这种病,起于心气不足。胸膈之上蓄积热邪实证,痰与热相互感应而引动肝风。风邪与心气相乱则导致胸闷昏花。所以称之为风眩瞀。成人称为癫证,小儿称为痫证。那么风眩和癫痫原本是一种疾病。不知道后人为什么要将其分为三种。我因此将其分为三个门类,并且为之撰写辞章,以解释世俗医生的疑惑。
天井穴:治疗惊悸抽搐。风痹引起的臂肘疼痛。无法握持物体。(出自《铜人腧穴针灸图经》)肩贞穴:治疗风痹导致的手臂不能抬起。肩部中间热痛。尺泽穴:治疗风痹引起的肘部挛缩。手臂不能抬起。消泺穴:治疗寒热风痹。颈部疼痛、肩背部拘急。(《明堂经》说是头痛项背拘急。)膝关穴:治疗风痹。膝内侧疼痛牵引髌骨。不能屈伸。咽喉疼痛。付阳穴:治疗痿厥风痹。头部沉重疼痛。大腿枢轴及股部疼痛。抽搐。风痹导致的感觉迟钝。时常伴有寒热。四肢不能抬起。阳辅穴(参见“膝痛”章节)阳关穴:(并参见“膝痛”章节)治疗风痹导致的感觉迟钝。委中穴:(参见“腰脊”章节)治疗风痹。少海穴:(参见“瘰疬”章节)治疗风痹。(出自《明堂经》)委中穴:(参见“脚弱”章节)下廉穴:治疗风湿痹。(参见“身寒痹”章节)环跳穴:治疗冷风湿痹。(参见“腰痛”章节)治疗突发肉痹导致的神志不清。(参见“中风”章节。)
岐伯说:中风的大法有四种,第四种是风痹。巢元方说:风寒湿三气合而为痹。其中风邪偏盛的就叫风痹。风痹的症状是全身肌肤都疼痛,并且手足不能随意运动。医生应当据此来寻求病因,迅速给予续命汤,并根据俞穴进行艾灸。(详见《千金方》。)
(Related content can be found in the chapter on "Dizziness of Head and Eyes"; further discussion is seen in the chapter on "Wind Epilepsy".)
Wangu (GB12): Treats neck pain, head stiffness, aversion to cold, and fever caused by Wind Dizziness (Feng Xuan). (*Ming Tang Jing*)
Dangyang (EX-HN4), Linqi (GB15): Treat sudden loss of consciousness. Nasal congestion due to Wind Dizziness.
Houding (GV19): (See "Head Wind" chapter.)
Yuzhen (BL9): (See "Eye Pain" chapter.)
Hanyan (GB7): (See "Hemicrania" chapter.) Treats Wind Dizziness. (*Qian Jin Fang*)
Yanggu (SI5): Governs Wind Dizziness with palpitations and hand spasms/clenching. (*Jia Yi Jing* renders "hand clenching" as "wrist pain"). Expels wind with sweating. Stiffness of the waist and neck.
Chenguang (BL7): Treats headache due to Wind Dizziness. Vomiting, irritability.
Shenmai (BL62): Treats vertigo sensation as if sitting in a boat or carriage. (See "Waist and Feet" chapter.)
Shenting (GV24), Shangxing (GV23), Xinhui (GV22): Govern dizziness of the head. (*Qian Jin Fang*)
Tianyou (TE16) etc., Qian Ding (GV21) etc.: Govern Wind Dizziness. (See "Neck Wind" chapter.)
Canzhu (BL2): Treats dizziness of the head and eyes due to wind. (See "Eye Dizziness" chapter.)
The *Qian Jin Fang* records the words of Xu Sibai: The disease of Wind Dizziness arises from insufficiency of Heart Qi. There is an accumulation of heat and excess in the upper chest. Phlegm and heat interact to stir up internal wind. When wind and Heart Qi are chaotic, it leads to mental confusion and dizziness. Hence it is called Wind Dizziness with Confusion (Feng Xuan Mao). In adults, it is called Dian (Manic-Depressive Psychosis); in children, it is called Xian (Epilepsy). Thus, Wind Dizziness and Epilepsy were originally one disease. It is unknown why later generations split them into three categories. I therefore divided them into three sections and wrote explanations to clarify the doubts of contemporary physicians.
Tianjing (SJ10): Treats palpitations and convulsions. Arm and elbow pain due to Wind Bi (Obstruction Syndrome). Inability to grasp objects. (*Tong Ren Shu*)
Jianzhen (SI9): Treats inability to raise the arm due to Wind Bi. Heat and pain in the center of the shoulder.
Chi Ze (LU5): Treats elbow contracture due to Wind Bi. Inability to raise the arm.
Xiao Luo (GB9): Treats Cold-Wind Bi. Neck pain and stiffness of the shoulder and back. (*Ming Tang Jing* states headache, neck, and back stiffness.)
Xi Guan (Extra point): Treats Wind Bi. Pain in the medial knee radiating to the patella. Inability to flex or extend. Sore throat.
Fuyang (BL59): Treats Wei Jue (Flaccidity and Cold Extremities) and Wind Bi. Heavy head and pain. Pain in the hip joint and thigh. Convulsions. Numbness due to Wind Bi. Intermittent chills and fever. Inability to lift the four limbs.
Yang Fu (GB38) (See "Knee Pain" chapter.)
Yang Guan (Extra point) (Also see "Knee Pain" chapter.): Treats numbness due to Wind Bi.
Wei Zhong (BL40) (See "Lumbar Spine" chapter.): Treats Wind Bi.
Shao Hai (HT3) (See "Scrofula" chapter.): Treats Wind Bi. (*Ming Tang Jing*)
Wei Zhong (BL40) (See "Weak Legs" chapter.)
Xia Lian (LI8): Treats Wind-Damp Bi. (See "Body Cold Bi" chapter.)
Huan Tiao (GB30): Treats Cold-Wind-Damp Bi. (See "Lumbar Pain" chapter.) Treats sudden Rou Bi (Flesh Bi) leading to unconsciousness. (See "Wind Stroke" chapter.)
Qi Bo said: There are four major categories of Wind Stroke; the fourth is Wind Bi. Chao Yuanfang said: Wind, Cold, and Dampness combine to form Bi syndrome. When Wind is predominant, it is called Wind Bi. The manifestation of Wind Bi involves complete pain in the skin and muscles, accompanied by paralysis of the hands and feet. Physicians should investigate based on these signs and promptly administer Xu Ming Tang (Life-Sustaining Decoction), applying moxibustion according to the Shu points. (See *Qian Jin Fang* for details.)