一条 夫风之为病。当半身不遂。或但臂不遂者。此为痹。脉微而数。中风使然。
本经之中风。与伤寒论中之中风。其不同者有二。以伤寒论之所谓中风者。单是冬月之寒风。故其遗暑湿
燥火。而独入寒门者此也。寒风两袭经络。而交争于营卫。故立见发热等之表症。此则三时之风。以其不兼
寒气。故但觉营血微烦。而卫气不密。因循时日。而不即发者。一也。又伤寒所言之风寒。单是外邪。故外邪一
散。了无余事。本经所言者。又是三时之风。平素袭入。风气通于肝。因而外邪与肝脏之虚相结。及上焦之阳
一虚。不拘经络腑脏。随其虚处。而肝以阴脏之气。变动生风。且挟外邪而暴中之。如二条三条之症矣。是比
伤寒所言之风。多一肝脏之虚邪。二也。知此二者。则伤寒金匮。其中风之名同症异。并迟速微甚之机。俱洞
彻矣。此阳虚之人。外风中入经络。而营卫痿顿。未经勾结脏邪。而为中风之轻症者也。盖谓人身肢体。惟是
卫阳外密。营阴内主。故得干健坤顺之用。而轻便灵动者此也。若阳气原虚。外风中入。则风邪持阳而耗阴。
阳气受持。则失其健用而软弛。阴液渐耗。则失其顺正而硬强。此不遂之所由致也。但风属阳邪而善走。不
拘或左或右。中则从巅至末。而半边之身。俱不遂者势也。若或但见一臂不遂。则是痹着之病。另见痹门。不
可误认为阳邪善走之风因矣。下文又言不遂之脉以证之。夫风性疏洞而善汗。且属阳热之邪。善汗。则汗
泄而卫阳益虚。故脉微。阳热。则液伤而营阴自短。故脉微而且数也。言半身不遂之症。诊其脉又微数。则是
确为中风使然。而非痹病无疑矣。微数、就营阴卫阳而言。则知脉亦指寸口。与下文二条三条同一诊法。然
则主桂枝汤以散风。加人参、附子、以补其微。加当归、阿胶、以滋其数。或不失仲景之意乎。
二条 寸口脉浮而紧。紧则为寒。浮则为虚。寒虚相搏。邪在皮肤。浮者血虚。络脉空虚。贼邪不泻。
或左或右。邪气反缓。正气即急。正气引邪。 僻不遂。邪在于络。肌肤不仁。邪在于经。即重不胜。邪入于腑。
即不识人。邪入于脏。舌即难言。口吐涎。
此平时外风中入。而与肝脏之虚邪相结。于是皮肤经络腑脏。各随虚处。而外鼓上浮以暴中之者也。上条
是未经勾结脏邪之风。故直曰风之为病。又曰中风使然。此则已经内通肝气。变动而出。故但曰邪而已矣。
脉之寸口。在表。应皮肤经络。在上。应头目口鼻。在内。则腑应膻中。脏应心肺者也。今其脉举之得浮。按之
而紧。紧则寒气凝敛之象。浮则阴血空虚之象。寒虚两相搏于寸口。以寸口之在表者断之。则先是皮肤之
大血空虚而见浮。肝木之阴邪外鼓而见紧。故知邪在皮肤也。此时若主桂枝汤以走皮肤。外加补血之当
归。以平其浮。加祛寒之附子、麻黄。以缓其紧。则贼邪犹可泻也。夫浮者。分肉之大血虚也。大血既虚。则托于
皮肤中之络脉。其营血之虚更可知。彼皮肤猝暴之邪。如同流贼。经久不泻。则乘虚而贯入络脉。于是从络
而或左或右。各随所注而上头目。邪胜。则正不能束邪。故受病一边。反觉宽缓。正不胜。则邪反乘正。故不受
邪一边。便觉紧急。邪满正亏。常相侵犯。如正气之引邪以自就者然。则口鼻反向不受病一边而 僻。且莫
能自主而不遂矣。邪在于络四句。又补言浮者血虚一段。以申明首条当半身不遂之意。盖谓血虚而络虚
者。不特一 僻已也。或左则左俱病。或右则右俱病。小络少血。而以气通肌肉者。故受邪。则捍格而气不通。
此不仁所由见也。大经少气。而以血养筋骨者。故受邪。则迟谩而血不周。此重而不胜所由见也。盖善行数
变之风邪。病则半身不遂。有必至之势者、此耳。下文入腑入脏两段。又从浮紧之脉。推展而言其重症也。夫
即寸口而诊其内。左手之腑属膻中。膻中如政府。为心君出入之灵道。浮则心气上虚。紧则寒敛而神明内
闭。故邪入其腑。即不识人。右寸之脏属肺。肺金主声音。系灵机出纳之橐龠。浮则肺气内虚。紧则寒切而管
簧劲急。故邪入其脏。舌即难言。且此脏主游溢精汁之权。浮则有升无降。浮而紧。为寒液上泛之象。故口吐
涎。左寸不言心而独言其腑者。以入心则死。无症可言故也。门人问曰。中风为脏邪。各因虚处。而外鼓上
浮以中之者。既闻其义矣。夫入脏入腑之症。并见皮肤经络等候。是从下焦而上入腑脏。因而由腑脏之胸
分。溢出于经络皮肤之表。其理可以神会。每见皮肤经络之症。识人能言。则腑脏之未病。凿凿可据。若谓上
从太阳之胸分而外出者。则膻中及肺。一脏一腑。皆丽胸中。邪既从此经过。则腑脏安得不病。而独皮肤经
络乎、既不从胸分而外出。敢问何由而中于表。竟与腑脏不涉耶。答曰。太阳管皮肤经络。固矣。其阳明等五
经之气。各另开门而自出其经络。以附于太阳之表。此盖由本脏之经。而出之太阳者也。
三条 寸口脉迟而缓。迟则为寒。缓则为虚。营缓则为亡血。卫缓则为中风。邪气中经。则身痒而瘾疹。心气
不足。邪气入中。则胸满而短气。
迟、就至数之不及四五至而言。缓、就体状之懈弛松宽而言。阳气微。而鼓动之机不能贯珠连续。则迟。故曰
迟则为寒。精悍衰。而不能充满脉体。则缓。故曰缓则为虚也。夫寸口之外应者。则主营卫经络。今其部位见
缓。若系中取之而在营分。则精血衰而不能充于脉中。故为松宽不饱之象。则知缓为亡血所致矣。此句是
客。若系浮取之而在卫分。则是悍气衰而不能令于脉外。故为懈弛不挺之象。则知缓为中风所致矣。此句
是主。以下文单言气而不言血故也。营卫属经表。是邪已中其经矣。于是经气自虚之因。则经大气小。而串
动如虫行皮中。故身痒。中风之因。风为阳邪而善化热。则伤其络血。而发为忽起忽落。半含半露之瘾疹矣。
又寸口之上应者。则主心肺胸膈。今其部见缓。则是心肺夹空之气不足。以致风邪入于其中。胸中为真气
氤氲之位。邪气乘之。则相犯而不容。故满。又胸中为息道游溢之乡。邪气入之。则机滞而艰涩。故短气也。
此承首节。而言阳虚之人。外风中入经络。而为未经勾结脏邪之症也。但细按本篇前后。共论九条。计方二
道。除下文等六条。俱论历节外。而论中风者。止此三条。又除第一条及第三条。言单中外风之外。其言兼中
脏邪者。仅有第二一条。且后文两方。俱确系历节治例。而中风一门。并无方药。残缺无疑。嗟乎、照妖之宝镜
失圆。垂世之鼎彝折足。真令人饮恨无穷也。海内藏仲景全书之古本。或原文具在。或论条方治。有坊本所
遗失而未经载刻者。倘能赐教示知。以广鄙陋。是有望于博雅之君子焉。
四条 寸口脉沉而弱。沉即主骨。弱即主筋。沉即为肾。弱即为肝。汗出入水中。如水伤心。历节痛。
黄汗出。故曰历节。
寸口。当指左心右肺而言。右寸之脉属肺。肺主气而配天。天者。高远之象也。故其脉常浮。今反浮为沉。是肺
气下郁之应。又肺肾为子母。肾藏精而主骨。肺脉下沉。是肺以金母之气。而下伏于肾子之骨间矣。故曰沉
即主骨。沉即为肾也。左寸之脉属心。心主血而应夏。夏者。开张之象也。故其脉常来盛去衰。今反盛为弱。是
心血内滞之应。又心肝为子母。心脉内弱。是心以火子之液。而内结于木母之筋脉矣。故曰弱即主筋。弱即
为肝也。夫诸筋皆属于节。节者。神气游行出入之所。又阳气者。柔则养筋。今神气内郁下伏。不能游行出入
以养筋。其故何也。惟是夏月及用力而汗出。则心肺之气血。正在发扬。若乘此入水。则水寒之气。束肺抑心
而下结。内伏于筋骨之节缝。故历节痛。黄汗出者。郁水寒而成湿。郁气血而生热。湿热交并于历节之外故
也。此言历节之成于寒湿者。
五条 趺阳脉浮而滑。滑则谷气实。浮则汗自出。
此即汗自出之脉。而概言受病之因。不提历节者。以汗自出之人。有成中风。如本篇之一条三条症者。有成
风湿。如湿门之五条八条症者。不止一历节。而历节亦在其中。故但言其脉症。以为受病之地而已。盖谓汗
出入水。其病历节。固如上条所云矣。但凡汗多之脉。便宜自防。不但不得入水。并亦不可被风也。倘若趺阳
之胃脉。浮而且滑。滑为津液完聚之象。滑见于胃。则胃中水谷所化之气自实可知。浮为在表。滑从浮断。则
其津液不输他脏别腑。而上蒸外泄以为表汗。又可知也。夫胃中之津液。自实而不输脏腑。则筋骨内失所
养。加之汗出。则卫气必衰。而风邪易犯。此与劳汗当风。及汗出入水。同具受病之地。虽中风、风湿、历节等候。
未辨所成。然皆不可不防微杜渐者也。按李氏旧注云。前节汗出。则腠理开而受风。入水。则寒气胜而透骨。
故湿流关节。历节而痛。是外因也。此节趺阳脉浮滑。胃中水谷湿热之气。蒸发于外。以致汗出受风。亦历节
而痛。是内因也。汗即是湿。汗出受风。是亦风湿相搏之症。全注中如此等议论。不可多得。但按本经第一篇。
仲景以从内出外者为外因。从外入内者为内因。李君倒置言之。未免从俗而失本经之旨。当分别观之耳。
六条 少阴脉浮而弱。弱则血不足。浮则为风。风血相搏。即疼痛如掣。
少阴。指尺部而言。谓足少阴肾经也。浮脉。即瞥瞥如羹上肥之谓。非蔼蔼如车盖者。盖少阴浮而有力。则当
浮出表分。不合见筋骨之历节痛故也。弱。如弱水不能载羽之象。掣痛。即掣肘之义。谓痛如把持而不得屈
伸也。足少阴肾脏。其所主在骨。其经脉则由本脏出脊。下行足内 之后侧。而终于涌泉。且是经气尝不足。
而血尝有余者也。其脉。如石投水中。泛泛而悠扬下沉者为正。今其脉如羹汤上之油珠。瞥瞥然而上浮。及
少按之。则如弱水之不能载羽而又见弱。夫脉之所以不弱者。以气能载脉。而血能载气故也。则气不足以
载脉而弱。谓非血不足以载气之所致乎。且弱从浮见。则知弱非脏中之精不足。而为本脏经脉中之血不
足无疑矣。风为阳邪。尝欲外洞。故浮。且浮从弱断。则是因经脉之血短。而风邪乘空入之。以致正气从邪而
上浮。故曰浮则为风也。以阳热之风。与不足之血。两相搏结于经脉。于是从少阴之经脉。而溢入骨节。则风
热烦疼。血虚干痛所必至矣。此历节之因于少阴血虚而风中之者也。
七条 盛人脉涩小。短气。自汗出。历节疼。不可屈伸。此皆饮酒汗出当风所致。
盛人。兼肢体魁梧。肌肉丰浓而言。盛人、当阴阳两足为合。乃其脉涩小。涩则血虚。小则气弱。是脉不充形矣。
且验其外症。呼吸孱而短气。则与脉小之气弱相应。自汗出而液伤。则与脉涩之血虚相应。合之历节疼而
不可屈伸。则因疑可以生悟矣。夫现是盛人。则脉症不该虚弱。现病虚弱。则其人不合尚盛。是知为饮酒汗
出当风所致之暴病矣。盖盛人原是烦热。加以浮热之酒性。两热相灼。则蒸出脾胃心肺之液而汗出。汗出
则血伤。故脉乍涩。又汗出则气泄。故脉乍小。且汗出而气血两虚。故当风而风得以袭之。而成历节耳。暴病
于盛人尚无所损。盛人非饮酒安能暴病。仲景之诊法。何细密至此哉。
八条 诸肢节疼痛。身体 羸。脚肿如脱。头眩。短气。温温欲吐。桂枝芍药知母汤主之。
桂枝芍药知母汤方
桂枝（四两） 芍药（三两） 知母（四两） 防风（四两） 麻黄（二两） 附子（二两炮） 白术（五两）
甘草（二两） 生姜（五两）
上九味。以水七升。煮取二升。温服七合。日三服。
此总承上文四五六七诸条。而言其症治。故不曰历节。而曰诸肢节疼者。犹云寒湿、风湿、中风。诸样肢节疼
痛之谓。 羸。肌肉瘦削也。六经之用。经络外走。骨节内通。然后使水中之壬上升。火中之丁下降。骨节病风
湿。则阳液不升。故身体 羸。阳气不降。故脚 如脱也。风淫巅疾。故头眩。湿淫气滞。故短气。温温欲吐者。风
湿交持。而阳明中土。有化雾上腾之象。主桂枝芍药知母汤者。真功极穷泉。用周天表者之所经营而得者
也。夫四条之汗出入水。是水寒抑其汗而成湿。以入骨节者。五条之胃实自汗。虽不言湿。而于言外。见自汗
者为风所袭。必将郁其汗而成种种之症者。七条之酒汗当风。是风邪蔽其汗而成湿。以入骨节者。则历节
之候。除六条血虚而单中风之外。余皆湿因。以肾为水脏而主骨与湿相召。故直入其所主之骨节。则治例
当注意在肾家矣。但肾中阴阳自足。则虽中风湿。势必外推于自汗。下推于小便。而令其邪自去。何得安然
遗于骨节。而成历节等候乎。则肾气之衰弱。已凿凿可据。虚则补其母。离桂枝芍药知母汤。将谁任乎。知母
色白。而味淡气薄。色白应西金。气味淡薄。则轻清应在天之象。故为肺家第一专药。此救肺之白虎汤用知
第一条 风邪致病，通常表现为半身不遂。如果仅仅是手臂不能活动，这属于痹证。脉象微而数，这是中风所致。
《金匮要略》中的“中风”与《伤寒论》中的“中风”，其不同之处有二。《伤寒论》所说的中风，专指冬季的寒风，因此它排除了暑、湿、燥、火，唯独侵入寒门。寒风侵袭经络，在营卫之间交争，所以立刻出现发热等表证。而本经（《金匮要略》）所说的是春、夏、秋三时的风，因为它不兼夹寒气，所以只感觉营血轻微烦热，而卫气不固密，拖延时日而不立即发作，这是一点不同。另外，《伤寒论》所言的风寒，仅仅是外邪，所以外邪一旦消散，就再无余患。本经所言则是三时之风，平时已经侵入，风气通于肝，因而外邪与肝脏的虚损相结合。等到上焦阳气一虚，不论在经络还是脏腑，随着其虚弱之处，肝作为阴脏之气，变动而生内风，并且挟带外邪突然中伤人体，就像第二条、第三条的症状那样。这比《伤寒论》所说的风，多了一个肝脏的虚邪，这是第二点不同。明白了这两点，那么《伤寒论》和《金匮要略》中，虽然都叫“中风”，但症状不同，以及发病快慢、轻重程度的机理，就能彻底明白了。这是阳气虚弱的人，外感风邪侵入经络，导致营卫功能痿顿，尚未勾结内脏邪气，属于中风的轻症。大概认为人身肢体，全靠卫阳在外固密，营阴在内主持，从而发挥乾健坤顺的作用，身体才能轻便灵动。如果阳气原本虚弱，外风侵入，风邪就会扶持阳气而耗伤阴液。阳气被风邪扶持，就失去了刚健的作用而变得软弱弛缓；阴液逐渐耗伤，就失去了柔顺的正性而变得僵硬强直。这就是半身不遂产生的原因。但风属于阳邪且善于游走，不管左边还是右边，一旦中邪，从头顶到四肢末端，半边身体的不遂是必然的趋势。如果仅仅看到一只手臂不遂，那就是痹着之病，另见痹证门类，不可误认为是阳邪善走的风邪所致。下文又通过不遂的脉象来验证。风性疏泄且容易出汗，且属于阳热之邪，容易出汗，则汗出后卫阳更加虚弱，所以脉微。阳热则损伤津液而营阴自然短少，所以脉微而且数。说半身不遂的症状，诊察其脉象又是微数，那么确实是中风所致，而不是痹病无疑了。微数，是从营阴和卫阳的角度来说的，那么脉象也指的是寸口脉，与下文第二条、第三条的诊法相同。那么主治用桂枝汤来疏散风邪，加入人参、附子来补益其微弱的阳气，加入当归、阿胶来滋润其不足的阴液，或许没有违背张仲景的本意吧。
第二条 寸口脉浮而紧，紧脉主寒，浮脉主虚。寒与虚相互搏结，邪气在皮肤。浮脉表示血虚，络脉空虚，贼邪不能排出。邪气或左或右，受邪的一侧反而松弛，正气一侧则紧急。正气牵引邪气，导致口眼歪斜、半身不遂。邪气在络脉，肌肤麻木不仁；邪气在经脉，肢体沉重难以抬举；邪气入腑，就不认识人；邪气入脏，舌强难言，口吐涎沫。
这是平时外风侵入，并与肝脏的虚邪相结合，于是皮肤、经络、腑脏，各自随着虚弱之处，向外鼓动上浮而突然中伤人体。上一条是未经勾结内脏邪气的风，所以直接说“风之为病”，又说“中风使然”。这里则是已经内通肝气，变动而出，所以只说“邪”而已。
寸口脉在体表，对应皮肤经络；在上部，对应头目口鼻；在内，腑对应膻中，脏对应心肺。现在脉象举之得浮，按之而紧。紧是寒气凝敛的象，浮是阴血空虚的象。寒与虚两相搏结于寸口，以寸口在表来判断，先是皮肤的大血空虚而见浮脉，肝木的阴邪外鼓而见紧脉，所以知道邪气在皮肤。此时如果主治用桂枝汤来走皮肤，外加补血的当归来平复其浮脉，加祛寒的附子、麻黄来缓解其紧脉，那么贼邪还可以排出。所谓浮，是指分肉间的大血虚。大血既已虚，那么托于皮肤中的络脉，其营血的虚更可以知道了。那些皮肤突然暴发的邪气，如同流寇，经久不除，就会乘虚贯入络脉，于是从络脉或左或右，各自随着注注之处而上到头目。邪气胜，则正气不能约束邪气，所以受病的一边反而觉得宽缓；正气不胜，则邪气反乘正气，所以不受邪的一边便觉得紧急。邪气满盈，正气亏虚，常常相互侵犯，就像正气牵引邪气让它自己靠近一样，那么口鼻就会反向不受病的一边而歪斜，并且不能自主而不能活动。关于“邪在于络”的四句话，又补充说明了“浮者血虚”这一段，以申明第一条当有半身不遂的意思。大概意思是血虚而络虚的人，不仅仅是口眼歪斜。或者左边病则左边全病，或者右边病则右边全病。小络脉血少，而以气通达肌肉，所以受邪后，格拒而气不通，这就是麻木不仁产生的原因。大经脉气少，而以血滋养筋骨，所以受邪后，迟缓而血不周遍，这就是沉重难以抬举产生的原因。大概风邪善于行走变化，生病则半身不遂，有必然的趋势，就是这个道理。下文入腑、入脏两段，又从浮紧的脉象推展而言其重症。
夫即寸口而诊察内部，左手之腑属膻中，膻中如政府，是心君出入的灵道。浮则心气上虚，紧则寒敛而神明内闭，所以邪入其腑，就不认识人。右寸之脏属肺，肺金主声音，系灵机出纳的橐龠。浮则肺气内虚，紧则寒切而管簧劲急，所以邪入其脏，舌即难言。而且此脏主管游溢精汁的权力，浮则有升无降，浮而紧，是寒液上泛的象，所以口吐涎沫。左寸不言心而独言其腑的，是因为邪入心则死，没有症状可说，所以如此。门人问：中风为脏邪，各因虚处，而外鼓上浮以中伤的，已经听到它的义理了。至于入脏入脏的症状，并见皮肤经络的候象，是从下焦而上入腑脏，因而由腑脏的胸分，溢出于经络皮肤的表面，其理可以神会。每见皮肤经络的症状，人能识认，能言语，则腑脏未病，确凿有据。如果说从上从太阳的胸分而外出，那么膻中和肺，一脏一腑，都依附于胸中，邪既然从此经过，那么腑脏怎能不病，而只有皮肤经络呢？既然不从胸分而外出，敢问如何而中于表，竟然与腑脏不相关涉呢？回答：太阳主管皮肤经络，固然如此。阳明等五经的气，各自另开门而自出其经络，以依附于太阳之表。这大概是由本脏之经，而出于太阳的缘故。
第三条 寸口脉迟而缓，迟则为寒，缓则为虚。营缓则为亡血，卫缓则为中风。邪气中经，则身痒而发瘾疹。心气不足，邪气入中，则胸满而短气。
迟，就至数不及四五至而言；缓，就体状之懈弛松宽而言。阳气微弱，而鼓动的机制不能连贯如珠，则脉迟，所以说迟则为寒。精悍衰败，而不能充满脉体，则脉缓，所以说缓则为虚。夫寸口之外应者，主营卫经络。现在其部位见缓，若系中取而在营分，则精血衰败而不能充于脉中，所以为松宽不饱满的象，则知缓为亡血所致。这句是客位。若系浮取而在卫分，则是悍气衰败而不能令行于脉外，所以为懈弛不挺拔的象，则知缓为中风所致。这句是主位。以下文单言气而不言血的原因。营卫属经表，是邪气已经中其经了。于是经气自虚的原因，则经大气小，而串动如虫行皮中，所以身痒。中风的成因，风为阳邪而善于化热，则伤其络血，而发为忽起忽落、半含半露的瘾疹。
又寸口之上应者，主心肺胸膈。现在其部见缓，则是心肺夹空之气不足，以致风邪入于其中。胸中为真气氤氲之位，邪气乘之，则相犯而不容，所以胸满。又胸中为息道游溢之乡，邪气入之，则机滞而艰涩，所以短气。
这是承接首节，而言阳气虚弱的人，外风中入经络，而为未经勾结脏邪的症状。但细按本篇前后，共论九条，计方二道。除下文等六条，都论历节外，而论中风的，只有这三条。又除第一条及第三条，言单纯中外风的之外，其言兼中脏邪的，仅有第二条一条。且后文两方，都确切是历节治例，而中风一门，并无方药，残缺无疑。唉！照妖之宝镜失圆，垂世之鼎彝折足，真令人饮恨无穷也。海内存有张仲景全书的古本，或原文具在，或论条方治，有坊本所遗失而未经载刻的，倘若能赐教示知，以广鄙陋，是有望于博雅之君子焉。
第四条 寸口脉沉而弱，沉即主骨，弱即主筋。沉即为肾，弱即为肝。汗出入水中，如水伤心，历节痛，黄汗出，故曰历节。
寸口，应当指左心右肺而言。右寸之脉属肺，肺主气而配天，天者，高远之象也。所以其脉常浮。现在反浮为沉，是肺气下郁的应验。又肺肾为子母，肾藏精而主骨，肺脉下沉，是肺以金母之气，而下伏于肾子之骨间矣。所以说沉即主骨，沉即为肾。左寸之脉属心，心主血而应夏，夏者，开张之象也。所以其脉常来盛去衰。现在反盛为弱，是心血内滞的应验。又心肝为子母，心脉内弱，是心以火子之液，而内结于木母之筋脉矣。所以说弱即主筋，弱即为肝。
夫诸筋皆属于节，节者，神气游行出入之所。又阳气者，柔则养筋。现在神气内郁下伏，不能游行出入以养筋，其原因何在？只是夏季及用力而汗出，则心肺之气血，正在发扬，若乘此入水，则水寒之气，束肺抑心而下结，内伏于筋骨之节缝，所以历节痛。黄汗出者，郁水寒而成湿，郁气血而生热，湿热交并于历节之外故也。此言历节之成于寒湿者。
这是即汗自出的脉象，而概言受病的成因，不提历节，是因为汗自出之人，有成中风，如本篇之一条三条症状者；有成风湿，如湿门之五条八条症状者；不止一历节，而历节亦在其中。所以只言其脉症，以为受病之地而已。大概说汗出入水，其病历节，固如上条所云。但凡汗多之脉，便宜自防，不但不得入水，并亦不可被风也。倘若趺阳之胃脉，浮而且滑，滑为津液完聚之象，滑见于胃，则胃中水谷所化之气自实可知。浮为在表，滑从浮断，则其津液不输他脏别腑，而上蒸外泄以为表汗，又可知也。夫胃中之津液，自实而不输脏腑，则筋骨内失所养，加之汗出，则卫气必衰，而风邪易犯。此与劳汗当风，及汗出入水，同具受病之地，虽中风、风湿、历节等候，未辨所成，然皆不可不防微杜渐者也。按李氏旧注云：前节汗出，则腠理开而受风，入水，则寒气胜而透骨，故湿流关节，历节而痛，是外因也。此节趺阳脉浮滑，胃中水谷湿热之气，蒸发于外，以致汗出受风，亦历节而痛，是内因也。汗即是湿，汗出受风，是亦风湿相搏之症。全注中如此等议论，不可多得。但按本经第一篇，仲景以从内出外者为外因，从外入内者为内因，李君倒置言之，未免从俗而失本经之旨，当分别观之耳。
第六条 少阴脉浮而弱，弱则血不足，浮则为风。风血相搏，即疼痛如掣。
少阴，指尺部而言，谓足少阴肾经也。浮脉，即瞥瞥如羹上肥之谓，非蔼蔼如车盖者。盖少阴浮而有力，则当浮出表分，不合见筋骨之历节痛故也。弱，如弱水不能载羽之象。掣痛，即掣肘之义，谓痛如把持而不得屈伸也。足少阴肾脏，其所主在骨，其经脉则由本脏出脊，下行足内踝之后侧，而终于涌泉。且是经气尝不足，而血尝有余者也。其脉，如石投水中，泛泛而悠扬下沉者为正。今其脉如羹汤上之油珠，瞥瞥然而上浮，及少按之，则如弱水之不能载羽而又见弱。夫脉之所以不弱者，以气能载脉，而血能载气故也。则气不足以载脉而弱，谓非血不足以载气之所致乎。且弱从浮见，则知弱非脏中之精不足，而为本脏经脉中之血不足无疑矣。风为阳邪，尝欲外洞，故浮。且浮从弱断，则是因经脉之血短，而风邪乘空入之，以致正气从邪而上浮，故曰浮则为风也。以阳热之风，与不足之血，两相搏结于经脉，于是从少阴之经脉，而溢入骨节，则风热烦疼，血虚干痛所必至矣。此历节之因于少阴血虚而风中之者也。
第七条 盛人脉涩小，短气，自汗出，历节疼，不可屈伸。此皆饮酒汗出当风所致。
盛人，兼肢体魁梧，肌肉丰浓而言。盛人，当阴阳两足为合，乃其脉涩小。涩则血虚，小则气弱，是脉不充形矣。且验其外症，呼吸孱而短气，则与脉小之气弱相应。自汗出而液伤，则与脉涩之血虚相应。合之历节疼而不可屈伸，则因疑可以生悟矣。夫现是盛人，则脉症不该虚弱。现病虚弱，则其人不合尚盛。是知为饮酒汗出当风所致之暴病矣。盖盛人原是烦热，加以浮热之酒性，两热相灼，则蒸出脾胃心肺之液而汗出。汗出则血伤，故脉乍涩。又汗出则气泄，故脉乍小。且汗出而气血两虚，故当风而风得以袭之，而成历节耳。暴病于盛人尚无所损，盛人非饮酒安能暴病。仲景之诊法，何细密至此哉。
第八条 诸肢节疼痛，身体羸瘦，脚肿如脱，头眩，短气，温温欲吐。桂枝芍药知母汤主之。
桂枝芍药知母汤方
桂枝（四两） 芍药（三两） 知母（四两） 防风（四两） 麻黄（二两） 附子（二两炮） 白术（五两）
甘草（二两） 生姜（五两）
上九味，以水七升，煮取二升，温服七合，日三服。
此总承上文四五六七诸条，而言其症治，故不曰历节，而曰诸肢节疼者，犹云寒湿、风湿、中风，诸样肢节疼痛之谓。羸，肌肉瘦削也。六经之用，经络外走，骨节内通，然后使水中之壬上升，火中之丁下降。骨节病风湿，则阳液不升，故身体羸。阳气不降，故脚肿如脱也。风淫巅疾，故头眩。湿淫气滞，故短气。温温欲吐者，风湿交持，而阳明中土，有化雾上腾之象。主桂枝芍药知母汤者，真功极穷泉，用周天表者之所经营而得者也。夫四条之汗出入水，是水寒抑其汗而成湿，以入骨节者。五条之胃实自汗，虽不言湿，而于言外，见自汗者为风所袭，必将郁其汗而成种种之症者。七条之酒汗当风，是风邪蔽其汗而成湿，以入骨节者。则历节之候，除六条血虚而单中风之外，余皆湿因。以肾为水脏而主骨，与湿相召，故直入其所主之骨节，则治例当注意在肾家矣。但肾中阴阳自足，则虽中风湿，势必外推于自汗，下推于小便，而令其邪自去，何得安然遗于骨节，而成历节等候乎。则肾气之衰弱，已凿凿可据。虚则补其母，离桂枝芍药知母汤，将谁任乎。知母色白，而味淡气薄，色白应西金，气味淡薄，则轻清应在天之象，故为肺家第一专药。此救肺之白虎汤用知
Article 1 When wind pathogen causes disease, it typically presents with hemiplegia (paralysis of one side of the body). If only the arm is unable to move, this belongs to Bi syndrome (obstruction syndrome). The pulse is faint and rapid; this is caused by Wind-stroke (Zhongfeng).
The "Wind-stroke" in *Jingui Yaolue* differs from that in *Shanghan Lun* in two aspects. What *Shanghan Lun* calls Wind-stroke refers specifically to cold wind in winter; thus, it excludes summerheat, dampness, dryness, and fire, invading only the Cold category. Cold wind attacks the meridians and contends between Ying (Nutritive) and Wei (Defensive) Qi, so symptoms such as fever appear immediately as exterior signs. In contrast, the wind mentioned in this treatise (*Jingui Yaolue*) occurs in spring, summer, and autumn. Since it does not combine with cold, one only feels slight vexation in Ying blood and lack of security in Wei Qi. It lingers over time without immediate onset; this is the first difference. Furthermore, the wind-cold discussed in *Shanghan Lun* is merely an external pathogen; once dispersed, there are no residual issues. However, the wind in this treatise enters during normal times. Wind Qi connects with the Liver; thus, the external pathogen combines with Liver deficiency. When Upper Jiao Yang Qi becomes deficient, regardless of whether it is in meridians or zang-fu organs, following the site of deficiency, the Liver (a Yin organ) generates internal wind through its Qi changes, carrying the external pathogen to suddenly strike the body, as seen in Articles 2 and 3. This adds a factor of Liver deficiency and pathogenicity compared to the wind in *Shanghan Lun*; this is the second difference. Understanding these two points allows one to thoroughly comprehend why "Wind-stroke" has different names but varied symptoms, as well as the mechanisms of speed and severity in *Shanghan Lun* and *Jingui Yaolue*. This describes a mild case of Wind-stroke where a person with deficient Yang suffers external wind invading the meridians, causing Ying and Wei dysfunction, without yet combining with internal organ pathogens. Generally, the limbs rely on Wei Yang securing the exterior and Ying Yin managing the interior to achieve the functions of Qian (Heaven/Strength) and Kun (Earth/Yielding), resulting in agility. If Yang Qi is originally deficient and external wind invades, the wind pathogen supports Yang while consuming Yin. Supported by wind, Yang loses its robust function and becomes flaccid; as Yin fluids are consumed, they lose their yielding nature and become stiff. This leads to paralysis. Wind is a Yang pathogen that moves swiftly; whether on the left or right, once struck, the entire half of the body from head to extremities becomes paralyzed due to momentum. If only one arm is paralyzed, it is a Bi obstruction disease, detailed elsewhere under Bi syndromes, and should not be mistaken for the swift-moving Yang pathogen wind. The following text uses the pulse of paralysis to verify this. Wind nature is porous and prone to sweating; being a Yang-Heat pathogen, it causes sweating, which further depletes Wei Yang, hence the faint pulse. Heat damages fluids and shortens Ying Yin, hence the faint and rapid pulse. Diagnosing a faint and rapid pulse in a patient with hemiplegia confirms it is Wind-stroke, not Bi syndrome. "Faint and rapid" refers to Ying Yin and Wei Yang; thus, the pulse refers to the Cun Kou (radial artery at the wrist), consistent with the diagnostic method in Articles 2 and 3. Therefore, treating with Guizhi Tang (Cinnamon Twig Decoction) to disperse wind, adding Renshen (Ginseng Root) and Fuzi (Prepared Aconite Root) to tonify the faint Yang, and adding Danggui (Angelica Sinensis Root) and Ejiao (Donkey-hide Gelatin) to nourish the deficient Yin, would likely align with Zhang Zhongjing's intent.
Article 2 The Cun Kou pulse is floating and tight. Tight indicates Cold; floating indicates Deficiency. Cold and Deficiency contend, placing the pathogen in the skin. Floating indicates Blood deficiency and empty collaterals; the thief pathogen cannot be expelled. The pathogen affects either the left or right side. The affected side becomes relaxed/slow, while the healthy side becomes tense. The healthy Qi pulls the pathogen, causing deviation and paralysis. If the pathogen is in the collaterals, the skin and muscles feel numb. If in the meridians, the limbs feel heavy and difficult to lift. If entering the Fu organs, the person loses consciousness/recognition. If entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.
This occurs when external wind enters normally and combines with Liver deficiency pathogen. Consequently, the skin, meridians, Fu, and Zang organs each follow their respective sites of deficiency, bulging outward and upward to strike suddenly. The previous article described wind that had not combined with internal organ pathogens, stating directly "wind causes disease" and "caused by Wind-stroke." Here, since it has internally connected with Liver Qi and moved out, it is simply called "pathogen."
The Cun Kou pulse is superficial, corresponding to skin and meridians; superiorly, it corresponds to head, eyes, mouth, and nose; internally, Fu corresponds to Danzhong (Pericardium area), and Zang corresponds to Heart and Lung. Currently, the pulse is floating upon lifting and tight upon pressing. Tightness is the image of Cold condensing; floating is the image of Yin Blood emptiness. Cold and Deficiency contend at Cun Kou. Judging by the superficial aspect of Cun Kou, initially, the large blood in the skin was empty, showing floating; the Yin pathogen of Liver Wood bulged outward, showing tightness. Thus, we know the pathogen is in the skin. At this time, if treated primarily with Guizhi Tang (Cinnamon Twig Decoction) to reach the skin, plus Danggui (Angelica Sinensis Root) to tonify Blood and calm the floating, plus Fuzi (Prepared Aconite Root) and Mahuang (Ephedra Herb) to dispel Cold and ease the tightness, the thief pathogen could still be expelled. "Floating" refers to deficiency of large blood in the muscle intervals. Once this blood is deficient, the collaterals supporting the skin must also have deficient Ying Blood. The sudden violent pathogen in the skin is like a bandit; if not expelled for a long time, it penetrates the collaterals due to deficiency. From the collaterals, it goes left or right, ascending to the head and eyes depending on where it settles. When the pathogen wins, Zheng Qi cannot restrain it, so the affected side feels loose. When Zheng Qi is insufficient, the pathogen attacks it, so the unaffected side feels tense. Pathogen fullness and Zheng Qi deficiency constantly invade each other, as if Zheng Qi is pulling the pathogen toward itself. Thus, the mouth and nose deviate toward the unaffected side, becoming paralyzed and uncontrollable. The four sentences "Pathogen in collaterals..." supplement the section on "floating indicates Blood deficiency" to clarify the meaning of hemiplegia in Article 1. It means that those with Blood and collateral deficiency suffer more than just deviation. If left is diseased, the whole left is diseased; if right, the whole right. Small collaterals have little Blood and connect Qi to muscles; when attacked, obstruction prevents Qi flow, causing numbness. Large meridians have little Qi and nourish sinews and bones with Blood; when attacked, sluggishness prevents Blood circulation, causing heaviness and inability to lift. Wind pathogen, good at moving and changing, inevitably leads to hemiplegia. The sections on entering Fu and Zang below expand on severe symptoms derived from the floating-tight pulse.
Diagnosing internally via Cun Kou: The left hand's Fu belongs to Danzhong. Danzhong is like a government center, the spiritual pathway for the Heart Monarch. Floating indicates Heart Qi deficiency above; tight indicates Cold constriction closing the Spirit inward. Thus, pathogen entering the Fu causes loss of recognition. The right hand's Zang belongs to Lung. Metal governs voice and is the bellows of spiritual mechanism. Floating indicates Lung Qi deficiency inside; tight indicates Cold cutting making the tube/tongue stiff. Thus, pathogen entering the Zang causes difficulty speaking. This Zang also controls the free flow of essence fluids. Floating indicates ascent without descent; floating and tight indicate upward flooding of cold fluids, hence drooling saliva. The left Cun does not mention Heart but mentions its Fu because entering the Heart leads to death, leaving no symptoms to describe. A student asked: Wind-stroke is a Zang pathogen, striking via deficiency sites. I understand this. But symptoms of entering Zang/Fu appear alongside skin/meridian signs. Does this mean rising from Lower Jiao to enter Fu/Zang, then overflowing from chest division to skin/meridian surface? This logic can be appreciated spiritually. Often, seeing skin/meridian symptoms where the patient recognizes people and speaks proves Fu/Zang are not diseased. If saying it exits from Taiyang's chest division, then Danzhong and Lung, one Zang one Fu, both attach to the chest. If pathogen passes here, how can Fu/Zang not be diseased, leaving only skin/meridian? If not exiting from chest division, how does it strike the exterior, unrelated to Fu/Zang? Answer: Taiyang governs skin and meridians, indeed. But Qi of Yangming and the other five meridians open separate doors to exit their meridians, attaching to Taiyang's exterior. This likely originates from the meridian of the original Zang, emerging through Taiyang.
Article 3 The Cun Kou pulse is slow and moderate. Slow indicates Cold; moderate indicates Deficiency. Moderate Ying indicates loss of Blood; moderate Wei indicates Wind-strike. Pathogen strikes the Meridian, causing body itching and urticaria (net-like rash). Heart Qi deficiency, pathogen enters the center, causing chest fullness and shortness of breath.
"Slow" refers to frequency less than 4-5 beats per breath. "Moderate" refers to texture of relaxation and looseness. Yang Qi is weak, and the driving mechanism cannot flow continuously like pearls, hence slow; thus, slow indicates Cold. Jing-Essence is declining, unable to fill the pulse vessel, hence moderate; thus, moderate indicates Deficiency. The external correspondence of Cun Kou governs Ying, Wei, and meridians. Now the position shows moderation. If middle pressure reveals Ying level, Jing-Blood is declining and cannot fill the vessel, appearing loose and unsaturated, indicating moderate pulse is caused by Blood loss. This is the secondary aspect. If light pressure reveals Wei level, Hao Qi (Pivotal Qi) is declining and cannot command outside the vessel, appearing slack and unupright, indicating moderate pulse is caused by Wind-strike. This is the primary aspect, as the following text discusses Qi alone, not Blood. Ying and Wei belong to the exterior of meridians; the pathogen has already struck the Meridian. Due to self-deficiency of Meridian Qi, the great Qi is small, moving like insects crawling under the skin, causing itching. Wind-strike cause: Wind is Yang pathogen, good at transforming into Heat, damaging Luo Blood, causing urticaria that rises and falls suddenly, half-hidden.
Superiorly, Cun Kou corresponds to Heart, Lung, and Chest/Diaphragm. Now the position shows moderation, indicating insufficiency of empty Qi in Heart and Lung, allowing Wind pathogen to enter. The chest is the seat of swirling True Qi; pathogen intrudes, conflicting and intolerable, causing fullness. The chest is also the region where breath flows freely; pathogen enters, stagnating the mechanism and making breathing difficult, causing shortness of breath.
This continues the first section, discussing Yang-deficient persons suffering external wind in meridians without combining with Zang pathogens. Carefully reviewing this chapter, there are nine articles total, counting two formulas. Excluding the next six articles which all discuss Li-Jie (Lichow/Joint Pain), only three discuss Wind-stroke. Excluding Article 1 and 3 which mention only external wind, only Article 2 mentions combining with Zang pathogens. Moreover, the two formulas later are clearly for Li-Jie treatment, while the Wind-stroke category lacks any formula, undoubtedly incomplete. Alas! The mirror that exposes demons is cracked; the tripod handed down to generations has a broken leg. Truly makes one regret endlessly. Those in the world possessing ancient editions of Zhang Zhongjing's complete works, where original text exists or discussions/articles/formulas were lost in commercial editions, if you could inform me to broaden my ignorance, I look forward to learned gentlemen.
Article 4 The Cun Kou pulse is deep and weak. Deep governs bone; weak governs sinew. Deep indicates Kidney; weak indicates Liver. Sweating and entering water, water hurting the Heart, Li-Jie pain, yellow sweat, hence called Li-Jie.
"Cun Kou" here refers to Left Heart and Right Lung. Right Cun pulse belongs to Lung. Lung governs Qi and matches Heaven. Heaven implies height and distance; thus, its pulse is usually floating. Now it is instead deep, indicating depression of Lung Qi descending. Lung and Kidney are mother and son. Kidney stores Essence and governs bone. Lung pulse sinking deep indicates Lung Metal Mother Qi sinking into Kidney Son's bones. Hence, deep governs bone and indicates Kidney. Left Cun pulse belongs to Heart. Heart governs Blood and matches Summer. Summer implies opening and expansion; thus, its pulse usually comes strong and departs weak. Now strength becomes weakness, indicating stagnation of Heart Blood inside. Heart and Liver are mother and son. Heart pulse internally weak indicates Heart Fire Son Fluid knotting internally into Wood Mother's sinews. Hence, weak governs sinews and indicates Liver.
All sinews attach to joints. Joints are places where Shen-Qi travels in and out. Yang Qi softens and nourishes sinews. Now Shen-Qi is depressed and sunk internally, unable to travel and nourish sinews. Why? Only in summer or after exertion when sweating, Heart and Lung Qi and Blood are flourishing. If entering water then, cold water Qi binds Lung and suppresses Heart, knotting downward and sinking internally into the gaps of sinews and bones, causing Li-Jie pain. Yellow sweat results from stagnant cold water forming Dampness, and stagnant Qi/Blood generating Heat. Damp-Heat combines externally at Li-Jie. This explains Li-Jie caused by Cold-Dampness.
Article 5 The Fu Yang pulse is floating and slippery. Slippery indicates substantial Grain Qi; floating indicates spontaneous sweating.
This is the pulse of spontaneous sweating, generally discussing the cause of disease, not mentioning Li-Jie, because those with spontaneous sweating may develop Wind-stroke (like Articles 1 & 3), Rheumatism (like Wetness Chapter Articles 5 & 8), or Li-Jie. Thus, only stating pulse/symptoms as the site of disease. Sweating and entering water causes Li-Jie as stated before. But for pulses with much sweat, one must guard against it oneself, not only avoiding water but also wind. If Fu Yang (Stomach) pulse is floating and slippery: Slippery indicates gathered fluids; seen in Stomach, Qi transformed from grain/water in Stomach is substantial. Floating indicates exterior; slipperiness judged from floating, indicating fluids do not distribute to other organs but steam upward and leak outward as surface sweat. Stomach fluids are substantial but not distributed to Zang-Fu, so sinews/bones lose nourishment internally. Plus sweating, Wei Qi declines, making Wind attack easy. This shares the same disease-prone site as labor-sweat exposed to wind or sweat-water entry. Whether Wind-stroke, Rheumatism, or Li-Jie forms, one must prevent subtle beginnings. According to Mr. Li's old commentary: Previous section sweating opens pores inviting Wind; entering water lets Cold overcome and penetrate bone, so Damp flows to joints causing Li-Jie pain—this is External Cause. This section Fu Yang floating-slippery pulse, Stomach Grain Damp-Heat evaporates outward causing sweat/Wind exposure leading to Li-Jie pain—this is Internal Cause. Sweat is Damp; sweat-Wind exposure is Wind-Damp contending. Such discussions in the whole commentary are rare. But according to Chapter 1 of this classic, Zhongjing considers internal-to-external as External Cause, and external-to-internal as Internal Cause. Mr. Li reversed this, following custom and losing the classic's intent. They should be viewed separately.
Article 6 Shao Yin pulse is floating and weak. Weak indicates Blood insufficiency; floating indicates Wind. Wind and Blood contend, causing pain like pulling/tugging.
"Shao Yin" refers to Chi position, Foot Shao Yin Kidney Meridian. Floating pulse here means fleeting like fat on soup, not vast like a chariot canopy. If Shao Yin floating was forceful, it would float to exterior, inconsistent with bone/joint Li-Jie pain. Weak is like weak water unable to carry a feather. Tugging pain means pain holding back flexion/extension. Foot Shao Yin Kidney governs bone. Its meridian exits spine, descends behind inner ankle, ends at Yongquan. Meridian Qi is often insufficient, Blood often abundant. Normal pulse sinks slowly like stone in water. Now pulse floats fleetingly like oil on soup; slight pressure shows weakness like weak water. Pulse is not weak because Qi carries Pulse, and Blood carries Qi. Qi insufficient to carry pulse causes weakness; isn't this due to Blood insufficient to carry Qi? Weakness seen with floating indicates deficiency is not Zang Essence but Blood in the Zang meridian. Wind is Yang pathogen, wanting to exit outward, hence floating. Floating judged from weakness, meaning meridian Blood is short, Wind pathogen enters void, causing Zheng Qi to float up with pathogen. Hence, floating indicates Wind. Yang-Heat Wind and deficient Blood contend in meridians, overflowing from Shao Yin meridian to bone joints, causing wind-heat painful distension and Blood-deficiency dry pain. This is Li-Jie caused by Shao Yin Blood deficiency and Wind strike.
Article 7 Robust person's pulse is choppy and small. Shortness of breath, spontaneous sweating, Li-Jie pain, inability to flex/extend. All caused by sweating from alcohol and exposing to wind.
"Robust person" implies tall stature and thick muscles. Robust people should have sufficient Yin and Yang, yet pulse is choppy and small. Choppy indicates Blood deficiency; small indicates Qi weakness. Pulse does not match form. External symptoms: panting breathing and shortness of breath correspond to small pulse/Qi weakness. Spontaneous sweating and fluid injury correspond to choppy pulse/Blood deficiency. Combined with Li-Jie pain and immobility, doubt leads to realization. A robust person should not have weak pulse/symptoms. Present weakness means the person is not truly robust. Thus, knowing this is acute illness caused by alcohol-sweat-wind exposure. Robust people are originally hot; adding floating heat of wine, two heats scorch, steaming fluids from Spleen/Stomach/Heart/Lung into sweat. Sweating injures Blood, hence choppy pulse. Sweating leaks Qi, hence small pulse. With Qi/Blood deficiency, wind attacks, causing Li-Jie. Acute illness in robust person causes little damage; how else could a robust person get acute illness except drinking? How meticulous is Zhongjing's diagnosis!
Article 8 Pain in all limb joints, emaciated body, swollen feet feeling detached, dizziness, shortness of breath, nausea. Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) governs.
Formula:
Gui Zhi (Cinnamon Twig) 4 liang, Shao Yao (Peony Root) 3 liang, Zhi Mu (Anemarrhena Rhizome) 4 liang, Fang Feng (Saposhnikovia Root) 4 liang, Mahuang (Ephedra Herb) 2 liang, Fuzi (Prepared Aconite Root) 2 liang (processed), Bai Zhu (Atractylodes Macrocephala Rhizome) 5 liang, Gan Cao (Licorice Root) 2 liang, Sheng Jiang (Fresh Ginger) 5 liang.
Nine ingredients. Boil in 7 sheng water, reduce to 2 sheng. Warm drink 7 ge, three times daily.
This summarizes Articles 4-7, discussing symptoms and treatment. Not calling it Li-Jie but "pain in all limb joints" covers Cold-Damp, Wind-Damp, and Wind-stroke joint pains. Emaciation means muscle wasting. Six Meridians' function: meridians go outward, joints connect inward, allowing Water Ren to ascend and Fire Ding to descend. Joint disease Wind-Damp stops Yang fluid ascent (causing emaciation) and Yang Qi descent (causing swollen feet). Wind harassing top causes dizziness. Damp harassing Qi stagnation causes shortness of breath. Nausea indicates Wind-Damp contention, with Yangming Earth having mist-upward tendency. Treating with Gui Zhi Shao Yao Zhi Mu Tang utilizes profound power and universal exterior regulation. Article 4 sweat-water entry: cold water suppresses sweat forming Damp entering joints. Article 5 stomach excess spontaneous sweat: though not mentioning Damp, implies wind attacking sweat will stagnate it forming various symptoms. Article 7 wine-sweat-wind: wind blocks sweat forming Damp entering joints. Except Article 6 Blood-deficiency Wind-strike, others are Damp causes. Kidney is Water Zang governing bone, attracting Damp, entering bone joints directly. Treatment must focus on Kidney. If Kidney Yin/Yang sufficient, even if struck by Wind-Damp, it pushes out via sweat or urine, eliminating pathogen. How could it stay in joints? Kidney Qi weakness is evident. Tonify mother when deficient. Without Gui Zhi Shao Yao Zhi Mu Tang, who else can handle it? Zhi Mu is white, pale taste, thin Qi. White corresponds to West Metal; thin/pale Qi corresponds to Heaven's light/clear image. Thus, it is the premier medicine for Lung. This Bai Hu Tang (White Tiger Decoction) for saving Lung uses Zhi...