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中风历节病脉证并治第五
Chapter 5,
Zhongfeng, Lijie, their sysmptoms, pulse and treatment.
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。
If the body is attacked by a Wind Xieqi, the person should have
half body paralysis. If it is only an arm failing to move or
loses feeling, it is called Bi syndrome[1].
寸口脉浮而缓,浮则为寒,缓为为虚;荣缓则为亡血,卫缓则为中风;邪气中经,
浮者血风,络脉空虚,贼邪不泻,或左或右,邪气反缓,正气即急,正气引邪,喎僻不遂。邪在于络,肌肤不仁;邪在于经,即重不胜;邪入于府,即不识人;邪入于藏,舌则难言,口吐涎。
If the pulse is floating and not so frequent on the Chun position,
the floating pluse indicates the Cold invasion, the less
frequent pulse is Weakness. Rongqi not frequent suggests
depletion of blood; Weiqi not frequent suggests Wind invasion.
If the Xieqi invades the meridian, the floating pulse also
indicates Wind in the blood. The blood vescle branches is empty,
the out-coming Xieqi remains, either in the left side or in the
right side. The Xieqi is not so aggrisave, but the defense
system is urgent to remove the Xieqi out. The defense Qi directs
the Xieqi to cause the block of the meridian. If the Xieqi is in
the branches, the skin loses its feeling ability to feel numb;
if it is in the meridian stems, the body feels heaviness; if the
Xieqi comes into the hollow organs, the person loses ability to
recognize person; if it moves into the fullness organ, the
person will have difficulty in speaking, and have running of
saliva out of the mouth.
寸口脉浮而紧,紧则为寒,浮则为虚,寒风相抟,邪在皮肤,则身痒而瘾疹;心气不足,邪气入中,则胸满而气短。
The pulse is floating and tight on the Chun position. The tight
pulse suggests Cold; floating suggests weakness condition. The
combination of the Cold and the Weakness makes the Xieqi ramins
in the skin. The body will have itch and skin rash. If the
person has weakness in the Heart, now the Xieqi will cause
fullness in the chest and short of breath.
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,历节黄汗出,故曰历节。
The pulse on the Chun position is deep and weak. The deep means
bone, and the weak means tendons. In another way, it can also be
understand that the deep means the Kidney and the weak means the
Liver. When a person has sweat but he jumps or contacts with
water, the water damages the Heart[2], causing
joint has yellow sweat. This condition is called Lijie disease.
[3]
味酸则伤筋,筋伤则缓,名曰泄,咸则伤骨,骨伤则痿,名曰枯;枯泄相搏,名曰断绝。荣气不通,卫不独行,荣卫俱微,三焦无所御,四属断绝,身体羸瘦,独足肿大,黄汗出,胫冷,假令发热,便为历节也。病历节,不可屈伸,疼痛,乌头汤主之。(注:本段提示湿气为痹症原因之一)
Sour taste damages the tendon, the tendon becomes weak so as hard
to contract, after damage. This condition is called
depletion/relief. Salty taste damages the bone. The bone becomes
atrophy after damage. This condition is called withered
condition. When both the relief and the withered conditions are
in the body, it is called Duanjue. If the Rongqi is blocked, the
Weiqi can not move by itself. If both the Weiqi and Rongqi are
weak, there is no defense system to defense the three Jao
Cavity, and no more nutrition to nourish the arms and legs, the
body becomes skinny and weakness with only the feet swelling and
big. The body has yellow sweat[4], cold legs[5]. If the
person feels hot[6], it
belongs to Lijie disease. In this case, the joints feel pain,
and hard to bend or to stretch. Use Wutou Tang for the
treatment.[7]
乌头汤方
Wutou Tang
麻黄,芍药,黄耆各三两,甘草,川乌(咀,以蜜二升,煎取一升,即出乌头)五枚
Mahuang 45 gram, Shaoyao 45 gram, Huangqi 45 gram, Gancao 15
gram, Chuangwu (cut into small pieces, cook in honey 500 ml,
until there is about 250 ml honey left. Collect the Wutou) five
badges.
右五味,咀四味,以水三升,煮取一升,去滓,内蜜煎中,更煎之,服七合;不知,尽服之。
Add the herbs into 750 ml water. Bring to boil and keep in mild
boiling until there is about 250 ml liquid left. Remove the
residue, collect the herbal tea, mix it with honey continue to
cook for a while. Drink 70% of the collected tea. If the person
feels nothing special[8], drink all
the remaining tea.
诸肢节疼痛,身体尪羸,脚肿如脱,头眩短气,温温欲吐,桂枝芍药知母汤主之。(注:本段提示寒为痹症原因之一)
If the person feels pain in various small joints, and his body
is very thin/slim[9], his feet
is very swelling, he feels dizzy and short of breath[10], has
willing to vomit[11], use
Guizhi Shaoyao Zhimu Tang for the treatment.
[12]
桂枝芍药知母汤方
桂枝 四两,芍药 三两,甘草 二两,麻黄 二两,生姜 五两,白术 五两,知母 四两,防风 二两,附子(炮)二枚
Guizhi 60 gram, Shaoyao 45 gram, Gancao 30 gram, Mahuang 30
gram, Fresh ginger 78 gram, Baishu 78 gram, Zhimu 60 gram,
Fangfeng 30 gram, Fuzi (processed) 2 badges.
右九味,以水七升,煮取二升,温服七合,日三服。
Add the herbs and 1750 ml water into a herbal pot. Bring to boil
and keep in mild boiling until there is about 500 ml liquid
left. Collect the herbal tea. Drink one third of the tea each
time, three times a day.
趺阳脉浮而滑,滑则谷气实,浮则汗自出。
Fuyang pulse[13] is
floating and smooth. The smooth pulse suggests the stomach Qi is
strong, and the floating pulse suggests the body has self sweat.
[14]
少阴脉浮而弱,弱则血不足,浮则为风,风血相抟,即疼痛如掣。(注:本段提示血虚为痹症原因之一).
Shaoyin pulse[15] is
floating and weak. The weak pulse suggests deficiency in blood;
floating suggests the Wind. The Wind moves freely in the blood
vesicle that contains less blood, to cause severe pain in the
joints.
[16]
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。
For a person with big body size, if his pulse is harsh and
small, he has short of breath, sweat, pain the small joints so
hart to bend or to stretch, his condition is due to drinking
wine, had sweat and then exposed to wind.
[17]
[1] For Bi disease, the pulse is
usually deep and harsh.
[2] The Heart belongs to Fire. So the
Water damages the Fire.
[3] The Heart also is associated with
sweat. The Heart is weak, so the sweat is accumulated
into Shi Xieqi in the body, a condition called Shi
condition. The Liver is associated with Wind. The Liver
is weak, so the Wind is relatively strong, causing spasm
in the tendons around the joints, to cause the Lijie
disease. The Lijjie disease is similar to various
arthritis in the small joints.
[4] The Shi Xieqi evaporates from the
body inside.
[5] Cold accumulated in the lower part
of the body.
[6] If the body feels hot, it suggests
he has Wind in the body.
[7] Improper diet can damage the
Spleen, Stomach, Heart, Lung, Liver and Kidney to cause
the Lijie disease. Overall, it can be due to the
drinking of wine/liqor. After evaporation of the alcohol
from the wine, the Shi Qi in the wine remains in the
body. After long time accumulation, the Shi Qi creates
Fire in the body. The body with the combined Shi Qi and
Fire weaken the body Weiqi and Rongqi, so that the body
is easy to be attacked by Xieqi. In clinic, it can be a
combination of outside coming Wind with inside Shiqi;
outside Cold with inside Shiqi; inside Cold attracts
outside Shiqi; inside Fire attracts outside Shiqi, etc.
For the treatment, it is needed to verify if the
diseased joint is with more Fire, more Whiqi, or more
Cold, or more Wind, to decide the treatment principle to
evaporate body surface layer; to warm inside of the
body; to improve the Yangqi movement; to support the
weakness condition; to expel the Xieqi.
[8] Whenever there is the herb Wutou
in the formula, the mark for the healing effect is to
let the person feels kinds of slight dizzy, slight
nausea or slight hot feeling on the face.
Wutou is a special toxix herb that needs extreme
care in the preparation to remove the toxic effect but
keep the healing effect. Wutou and Fuzi come from the
same plant root. The Wutou is the main stem of the root,
and the Fuzi is the small branches of it.
[9] Body is too slim/thin: the body
Zhenqi is weak but Xieqi is too much.
[10] Dizzy and short of breath:
weakness of Yangqi.
[11] Willing to vomit: overwhelming of
Cold Xieqi in the body.
[12] Wutou Tang is used for
overwhelming of Shiqi in the body, the body has yellow
sweat. Here, the Guizhi Shaoyao Zhimu Tang is used for
overwhelming of Cold. In another words, support Yangqi
is the main function of the herb formula, depletion of
cold-shi is second. Fresh ginger is more in the formula,
since there is tendency to vomit.
[13] Fuyang pulse: the pulse is felt
on the front of feet. Usually the pulse is felt on the
wrist. Sometime doctor should also check the pulse in
front of the feet of patient. The Fuyang pulse mostly
indicates the condition of stomach system in the body.
[14] The sweat means yellow sweat in
the Lijie disease. This paragraph tells that the yellow
sweat condition can also be caused by Wind and Fire. The
Fire is in the stomach (the pulse is smooth), and the
Wind Xieqi is suggested by floating pulse.
[15] Shaoyin pulse is the Heart pulse.
It is felt on the Chun position of the left wrist. The
Heart is associated with blood. Weak pulse in this
position suggests the deficiency of blood in the Heart.
[16] This paragraph tells that blood
deficiency is one of the reasons causing the Lijie
disease. In this condition, supply more blood before
depleting the Wind.
[17] Over-weight person should have
stronger pulse, the pulse should not be small. His
breath should be long, not short. Now, small pulse and
short of breath do not match the body ship. This
paragraph tells another reason for the Lijie disease:
drink wine, has sweat and exposes to wind.
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