阆原观察多藏秘笈其鸡峰普济方一书又世所罕传于是重加刊刻既成属予为序予不知医其
将何
大者
速化
试之
观国
哉阳
济之
道光八年岁在戊子夏五月顾千里撰
刘子仪曰经有急风候又有卒中风候又有风 候夫急风与卒中理固无二指风而言则谓之急
风指
言如
左右
风痱者身无痛也病在脏四肢不收智不乱一旦臂不遂者风痱也能言微有知则可治不能言者
不可
病根据
经有风痉候又有风角弓反张候痉者身体强直口噤如发痫状角弓反张者腰背反折不能俯仰
二者
经称 腿风者为四肢不收身体疼痛肌肉虚满是也以风邪侵于肌肉之间流于血脉之内也既
云
变为水气
癫者精神不守言语错乱甚则登高骂詈或至狂走痫者发则仆地嚼舌吐沫手足搐搦或作六畜
之声
夫风眩之病起于心气不足胸中蓄热实故有高风面热之所为也痰热相感而动风风心相乱则
闷瞀
五脏
脑则
宜针
夫痹者为风寒湿三气共合而成痹也其状肌肉顽浓或则疼痛此由人体虚腠理开则受于风邪
也其
卧则惊
状心下
懈惰发
为骨痹骨
来急者为
阆原观察(官职名,指对官员的尊称)家中收藏了许多珍贵的医书秘籍,其中《鸡峰普济方》一书更是世间罕见流传。于是重新加以刊刻,书成之后,嘱托我为其作序。我不懂医术,对此又能有什么大的见解呢?姑且尝试着写几句以应景吧。道光八年,岁次戊子,夏五月,顾千里撰写。
刘子仪说:医经中有“急风”候,又有“卒中风”候,还有“风痱”候。所谓急风与卒中,道理上本来没有区别;但若从症状表现来看,则称为急风。
所谓风痱,是指身体没有疼痛感,病位在五脏,四肢不能收持运用,但神智清醒不乱。如果一旦手臂不能随意活动,就是风痱。如果能说话、稍微有知觉,就可以治疗;如果不能说话,就无法治愈。
医经中有“风痉”候,又有“风角弓反张”候。“痉”是指身体强直、牙关紧闭,像发癫痫的样子;“角弓反张”是指腰背向后弯曲,不能前俯后仰。这两种病症……
医经称“腿风”为四肢不能收持,身体疼痛,肌肉虚弱无力。这是因为风邪侵入肌肉之间,流注于血脉之内,进而变为水气……
“癫”症表现为精神不能守舍,言语错乱,严重时登高骂人,甚至疯狂奔跑。“痫”症发作时仆倒在地,咬舌吐沫,手足抽搐,有时发出六畜的声音……
至于“风眩”之病,起于心气不足,胸中蓄积热邪,所以会有高风面热的症状。痰热相互感应而引动肝风,风心相乱则导致胸闷昏蒙。对于脑部疾病,适宜采用针刺疗法……
所谓“痹”症,是由风、寒、湿三种邪气共同结合而成的。其症状表现为肌肉麻木厚重或疼痛。这是由于人体正气虚弱,腠理开泄,从而受到风邪侵袭所致。其状……卧则惊悸,状如心下……懈怠懒惰,发展为骨痹,来势急骤者为……
世间传说左边瘫痪叫“瘫”,右边瘫痪叫“痪”,这种说法尤其不正确。为什么呢?医经既然已有偏中半身不遂的候证,那么瘫痪的候证应当以左右都受累者命名。又……阳气……骨风。
医经中有“偏风”候,又有“半身不遂”候,还有“风偏枯”候。这三者大体相同,但古人分别列为不同的篇章标题。大概指风邪而言,则称为偏风……之精髓……肌肉……
The Inspector of Langyuan possessed many secret medical manuscripts, among which the *Jifeng Puji Fang* (Chicken Peak Universal Relief Formulas) was particularly rare in circulation. Therefore, it was reprinted. Upon completion, he commissioned me to write a preface. Lacking knowledge of medicine, what significant insights could I possibly offer? I shall merely attempt a few words to fulfill the request. Written by Gu Qianli in the fifth month of summer, in the year Wuzi (1828), during the Daoguang reign period.
Liu Ziyi stated: The classics mention the syndrome of "Ji Feng" (Acute Wind), the syndrome of "Cu Zhong Feng" (Sudden Stroke), and the syndrome of "Feng Fei" (Wind Paralysis). In principle, there is no distinction between Ji Feng and Cu Zhong Feng; however, when referring to the specific manifestation of wind, it is termed Ji Feng.
Feng Fei is characterized by the absence of body pain, with the pathology located in the Zang organs, resulting in the inability to control the four limbs while mental clarity remains intact. If one suddenly loses the ability to move an arm, it is diagnosed as Feng Fei. If the patient can speak and retains some sensation, treatment is feasible; if speech is lost, the condition is incurable.
The classics describe the syndrome of "Feng Jing" (Wind Spasm) and the syndrome of "Feng Jiao Gong Fan Zhang" (Wind-induced Opisthotonos). "Jing" refers to bodily rigidity and clenched jaws, resembling epilepsy. "Jiao Gong Fan Zhang" refers to the backward arching of the waist and back, preventing flexion or extension. These two conditions...
The classics refer to "Tui Feng" (Leg Wind) as a condition where the four limbs cannot be controlled, accompanied by body pain and muscle weakness. This arises because wind pathogens invade the muscles and flow into the blood vessels, subsequently transforming into water qi...
"Dian" (Mania/Depression) manifests as a loss of mental stability and disordered speech; in severe cases, patients may climb high places, curse, or run wildly. "Xian" (Epilepsy) involves sudden collapse, tongue biting, foaming at the mouth, and convulsions of the hands and feet, sometimes producing sounds resembling domestic animals...
As for "Feng Xuan" (Wind Vertigo), the disease originates from insufficiency of Heart Qi and accumulated heat in the chest, leading to symptoms such as facial heat induced by wind. Phlegm-heat interacts to stir internal wind, and the confusion of wind and Heart leads to chest stuffiness and dizziness. For brain-related disorders, acupuncture is appropriate...
"Bì" (Bi Syndrome) is formed by the combined invasion of wind, cold, and dampness. Its manifestations include numb, heavy muscles or pain. This occurs due to deficiency in the human body and open cou-li (pores/skin texture), allowing wind pathogens to invade. Its presentation... includes waking with fright, sensations in the epigastrium... lethargy, progressing to Bone Bi, with rapid onset indicating...
It is commonly believed that paralysis on the left is called "Tan" and on the right is called "Huan," but this view is particularly incorrect. Why? Since the classics already describe the syndrome of hemiplegia (partial half-body immobility), the syndrome of Tan-Huan should be named for cases affecting both sides. Furthermore... Yang Qi... Bone Wind.
The classics mention the syndromes of "Pian Feng" (Partial Wind), "Ban Shen Bu Sui" (Half-Body Immobility), and "Feng Pian Ku" (Wind Atrophy). These three are largely similar, yet ancient texts treated them as separate chapters. Generally, when referring to wind, it is called Pian Feng... essence... muscle...