《内经》论中风浅谈

中风的最早记载首推《内经》。中风部位在脑。中风症状，中经络者以口眼喁斜，语言不利，半身不遂为主症；中脏腑者以突然昏仆，不省人事，呕血，二便失禁为主症。中风病因病机为外风侵扰，饮食不节，情志失宜，心胃两虚，肝肾阴虚，气血虚弱，以致气血运行受阻，肌肤筋脉失于濡养或阴亏于下，肝阳暴张，阳化风动，血随气逆，挟痰挟火，横窜经络，蒙蔽清窍，而成中风。中风预后，中经络者可以治疗；中脏腑能言语者可以治疗，不能言语者预后较差。

Briefing on Apoplexy in Huangdi's Internal Classics

Apoplexy was first recorded in the Huangdi's Internal Classics and affects the brain. Those with channels and collaterals affected mainly manifest distortion of mouth and eyes, dysphasia, and paralysis. Those with zang and fu organs affected have faint and unconsciousness, spitting blood, and incontinence in urination and defecation as chief symptoms. Apoplexy is caused by invasion of exogenous wind, improper diet, emotional disorder, deficiency of heart and stomach, yin deficiency of liver and kidney, and deficiency of qi and blood. These in turn lead to obstructed flow of qi and blood, malnutrition of skin and tendons, or yin deficiency in the lower body, hyperactivity of liver yang, yang transformation intowind. Consequently reverse flow of blood and qi will cause phlegm and fire to invade channels and collateral, and affect the seven orifices. Apoplexy affecting the channels and collaterals can be treated. In the case of apoplexy affecting zang and fu organs, those able to speak could be treated, but those unable to speak have unfavorable prognosis.