Blood circulation, the wind comes out by itself, how to treat the wind?

"Treating wind first cures blood, and blood circulation extinguishes itself" comes from Ten Bi (a statement first appeared in Song Chen Ziming's A Woman's Good Prescription: On Three Thieves' Wind Losing Prescription). When expounding the treatment of arthralgia syndrome, he said: "The main way to treat arthralgia syndrome is to dispel wind, but we still can't abandon it to keep out the cold and promote diuresis, and generally take blood tonic." Blood plays an important role in the occurrence, development and prognosis of wind syndrome. Blood deficiency, blood heat, blood cold, blood stasis and blood dryness can all cause wind syndrome. Because of its catchy words, profound implications and practical clinical guidance, it has been widely valued, applied, enriched and developed by doctors. Take dermatosis as an example, there are many famous prescriptions for treating dermatosis with wind syndrome in past dynasties. Careful analysis of its composition drugs shows that each local chronicle contains the method of "treating blood", especially the prescription of nourishing blood and promoting blood circulation, cooling blood and treating wind. According to Li's original intention, the idea of treating exogenous wind is to treat it from blood. By enriching blood, nourishing blood and activating blood, various pathogenic factors and pathological products, especially pathogenic wind, are released with blood circulation. For example, Fangfeng Decoction, Ruyi Tongsheng Powder, Guixin Powder, Shishengdan, Jindan and so on. Under the title of "Wind-arthralgia"-arthralgia-relieving, angelica sinensis was used, and some even added Polygonum multiflorum Thunb. As early as before Li, there was a usage of treating exogenous wind and treating blood first. They treat exogenous wind by activating qi and activating blood, warming meridians and activating blood, and cooling blood and activating blood. Based on Huoluo Dan in Hejiju Prescription, the book "Medical Prescription" analyzes: "Wind evil enters limbs, but coagulation doesn't work for a long time, so frankincense and myrrh are used to remove blood stasis." If warm milk is not used to promote blood circulation, dredge collaterals and remove blood stasis, the wind and the cold and dampness contained in it will no longer stay "; Daqinggutang, a high medical invention, is used to treat true apoplexy caused by exogenous wind entering the midvein. Radix Rehmanniae, Radix Angelicae Sinensis and Radix Paeoniae Alba are used to nourish blood and promote blood circulation, while Rhizoma Chuanxiong enters the blood to promote qi and promote blood circulation, which has been seen in Li Zhongzi's understanding of true apoplexy. Authentic Surgery, written by Chen Shigong, a Ming Dynasty physician earlier than Li, created Xiaofeng Powder to treat wind and poison invading human body and fight damp heat. Rubella and eczema, confined to the skin, combined with heat and poison. Rehmannia glutinosa, Fructus Cannabis and Radix Angelicae Sinensis are used to cool blood and promote blood circulation, and also to treat wind first. It can be seen that the wind in Li's sentence belongs to the "external wind", which is obvious. Treating blood not only enriches blood, nourishes blood and promotes blood circulation, but also contains the legal meaning of treating blood by sages, warming meridians and promoting blood circulation, cooling blood and promoting blood circulation, thus making the connotation of this sentence more substantial. Furthermore, the wind in "treating wind and treating blood first" also refers to "internal wind", and the blood treated here actually refers to blood stasis or vaginal fluid. As we all know, there are many records about internal wind syndrome caused by blood stasis in ancient Chinese medicine books. Drugs for promoting blood circulation and removing blood stasis are commonly used in modern clinic to treat various internal wind diseases, and clinical reports have satisfactory effects. Blood stasis wind can be caused by many reasons. Blood stasis caused by qi deficiency, qi stagnation, yin deficiency, blood cold, blood heat, bleeding, emotional excess, traumatic injury, etc. When it is aggravated, it can produce internal wind to block meridians and affect the function of meridians. Therefore, the fundamental pathogenesis of blood stasis causing wind is that blood stasis blocks meridians, tendons and veins lose their nourishment, and contracture is stiff. Because of "blood stasis in the elderly", "blood stasis due to long-term illness" and "blood stasis due to long-term illness entering collaterals", blood stasis is more common in elderly patients and various chronic diseases. Modern medical research has proved that hypertension, cerebral arteriosclerosis, brain atrophy, cervical spondylosis, tremor paralysis and other diseases related to internal movement of the atmosphere are more common in the elderly, and their blood is in a state of high viscosity, coagulation and aggregation, which conforms to the theory of blood stasis in traditional Chinese medicine. Especially in acute cerebrovascular diseases, brain tissue damage and brain function defect caused by cerebral ischemia or cerebral hemorrhage, as well as acute cerebral circulation disorders such as cerebral edema, cerebral ischemia and hypoxia are all related to blood stasis. Stroke should be treated from blood, so that blood vessels can run and meridians can be unblocked, so as not to catch the wind. Abnormal blood circulation, different manifestations, or qi and blood flow together, or blood stasis, or blood stagnation, blood phlegm pulsation, blood moving with the wind, blood hyperactivity with yang, or yin blood loss, meridian dystrophy, etc. Because the meridians or zang-fu organs are in the wind. In addition, the blood here also means vaginal fluid. There are four reasons for endogenous wind: liver yang transforming wind, extreme heat generating wind, yin deficiency moving wind and blood deficiency generating wind, all of which have the pathological basis of insufficient blood and body fluid, so it is established to treat endogenous wind by nourishing yin and nourishing blood and increasing yin liquid. The practice of clinicians has proved that nourishing yin and promoting fluid production has achieved the purpose of calming wind, such as Dihuang Yinzi in Liu Jin Su Wan's Huangdi Su Wen Yuan Ming Lun Fang. Qing Yu Genchu's "Popular Treatise on Febrile Diseases" Jiao Ling Gouteng Decoction treats heat-induced wind, and Paeonia lactiflora, Glycyrrhiza uralensis and Radix Rehmanniae taste sour and sweet, which can promote fluid production and relax tendons; Qing Wu Tang's Treatise on Epidemic Febrile Diseases determined that the size of wind beads should be used to treat prolonged stagnation of temperature, burn true yin and wind deficiency, nourish yin and reduce yang with flesh and blood donkey-hide gelatin, black-bone chicken, tortoise shell and oyster, sour peony, licorice and Schisandra chinensis, nourish lung and kidney yin and extinguish wind with Radix Rehmanniae, Radix Ophiopogonis and Fructus Cannabis. Later generations used Ejiao Chicken Yellow Decoction to treat blood deficiency and wind. Zhang Qing, Xi Chun, Chuang Zhen, Gan Xi Feng Tang and Jian Ling Tang treat liver yang with the upper hand, while Tortoise Shell, Radix Scrophulariae, Radix Ophiopogonis, Radix Paeoniae Alba and Achyranthis Radix nourish yin to control yang, and the liver wind extinguishes itself. The "Tianma Gouteng Drink" of later generations seems to be it; According to Jiao Shude's case of treating tongue wind (mild chorea in western medicine), it is estimated that Guiwei and Radix Paeoniae Alba should be used to nourish blood and soften the liver for those with liver depression and heat, which fully proves the correctness of the viewpoint of treating internal wind first, nourishing yin and nourishing body fluid and quenching internal wind itself. Therefore, in a broad sense, the wind in "treating wind first treating blood" should contain the meaning of "internal wind", which can be described as the development of later generations. Treating blood is treating yin fluid, and there are various methods of nourishing yin, nourishing yin, nourishing yin and astringing yin. Yin and blood are the first line, and the internal wind is self-calming. In short, the "wind" referred to in the prescription should include "external wind" and "internal wind", and the blood treated refers to vaginal fluid or blood stasis. The method of treating wind is to dispel wind and disperse wind as the direct therapy, and the indirect therapy includes: expelling wind, nourishing blood and promoting blood circulation, activating qi and promoting blood circulation, warming meridians and promoting blood circulation, cooling blood and promoting blood circulation, etc. , so that the blood circulation disappears; Internal wind can be treated by nourishing, nourishing, nourishing, astringing yin, collecting blood and body fluid. Use alone or in combination with multiple methods to collect body fluid to increase wind and calm wind. It is not difficult to see that with the development of history, the clinical practice of doctors in past dynasties has continuously enriched and enriched the connotation of "treating wind first to treat blood, and blood circulation will extinguish itself", which also has stronger generalization and greater guiding significance, indicating that "treating wind first to treat blood, and blood circulation will extinguish itself" is a therapeutic criterion that can withstand clinical tests and has strong vitality.