治风虚湿冷,邪气入脏,狂言妄语,精神错乱。肝风发则面青心闷,吐逆呕
沫,胁满头眩,不闻人声,偏枯筋急,曲蜷而卧;心风发则面赤,翕然而热,悲伤嗔
怒,目张呼唤;脾风发则面黄,身体不仁,不能行步,饮食失味,梦寐颠倒,与亡人相随;
肺风发则面白,咳逆,唾脓血,上气,奄然而极;肾风发则面黑,手足不随,腰痛,难以俯
仰,冷痹骨疼。诸有此证,令人心惊,志意不定,恍惚多忘。服此汤安心定志,聪耳明目,
通脏腑。诸风疾悉主之。
白鲜皮 白术 芍药 桂心 芎 当归 杏仁(汤去皮尖) 防风(去叉) 甘草(炙,各
二两) 独活 麻黄(去节,汤) 茯苓(各三两)
上锉散。每服四钱,水盏半,姜七片,枣二枚,煎七分,去滓服。
治卒中风欲死,身体缓急,口目不正,舌强不能语,奄奄忽忽,神情闷死。
诸风服之皆验,不令人虚。
麻黄(去节汤) 防己(崔氏《外台》不用) 人参 黄芩 桂心 甘草(炙) 白芍药
芎(各一两) 杏仁(一两,汤去皮尖,炒) 附子(一枚,炮去皮脐) 防风(半两)
上为锉散。每服四大钱,水一盏半,姜七片,枣二个,煎七分,去滓,不以时服取汗,
随人虚实,与所中轻重。有人脚弱,服此六七剂得瘥。有风疹家,天阴节变,辄合服之,可
以防喑。一云恍惚,加茯神、远志;骨节疼,有热,去附子、芍药。《古今录验》有白术
,无杏仁;《救急》无芎 、杏仁,止十味;《延年》无防风。一云遗失便利产后失血,并
老人小儿,用麻黄、桂心、甘草各二两。一法,治或歌哭,或笑语,无所不及,用麻黄三两
,人参、桂枝、白术各二两,无防风、附子、生姜,有当归一两。
治疗风虚、湿冷,邪气侵入脏腑,导致胡言乱语、精神错乱。肝风发作时,面色发青,心中闷痛,呕吐逆气并吐出泡沫,胁肋胀痛且头晕目眩,听不见人声,半身不遂且筋脉拘急,身体弯曲蜷缩而卧;心风发作时,面色发红,突然发热,悲伤易怒,眼睛睁大并大声呼叫;脾风发作时,面色发黄,身体麻木不仁,无法行走,饮食失去味觉,梦境颠倒混乱,仿佛与死人相随;肺风发作时,面色苍白,咳嗽气逆,咳吐脓血,气机上冲,气息奄奄直至危急;肾风发作时,面色发黑,手足不能随意运动,腰部疼痛,难以弯腰和仰身,寒冷痹痛且骨骼疼痛。凡是有上述症状的,都会令人心惊胆战,意志不定,神志恍惚且多忘事。服用此汤可以安心定志,使耳聪目明,疏通脏腑经络。各种风疾都主治。
白鲜皮、白术、芍药、桂心、川芎、当归、杏仁(用热水烫后去皮尖)、防风(去叉枝)、甘草(炙,各二两)、独活、麻黄(去节,用热水烫)、茯苓(各三两)。
以上药材切碎成散剂。每次服用四钱,用水一盏半,生姜七片,大枣二枚,煎煮至七分满,滤去药渣后服用。
治疗突然中风濒临死亡,身体或松弛或僵硬,口眼歪斜,舌强直不能说话,气息微弱忽隐忽现,神情昏闷欲死。各种风疾服用此方都有验证,且不使人虚弱。
麻黄(去节,用热水烫)、防己(崔氏《外台秘要》中不用)、人参、黄芩、桂心、甘草(炙)、白芍药、川芎(各一两)、杏仁(一两,用热水烫去皮尖,炒制)、附子(一枚,炮制后去皮脐)、防风(半两)。
以上药材切碎成散剂。每次服用四大钱,用水一盏半,生姜七片,大枣二枚,煎煮至七分满,滤去药渣,不拘时候服用以取汗出,根据患者体质的虚实和中风的轻重程度调整。有人因脚弱,服用此方六七剂后痊愈。有风疹的患者,在天气阴冷节气变化时,应当合宜服用,可以预防失音。另一种说法是:若出现神志恍惚,加用茯神、远志;若骨节疼痛且有热象,去掉附子、芍药。《古今录验》中有白术,无杏仁;《救急方》中无川芎、杏仁,仅十味药;《延年方》中无防风。另一种说法是:对于大小便失禁、产后失血者,以及老人小儿,使用麻黄、桂心、甘草各二两。还有一种方法,治疗时而唱歌哭泣,时而笑语不止,无所不及的症状,使用麻黄三两,人参、桂枝、白术各二两,无防风、附子、生姜,但有当归一两。
Treats wind deficiency, dampness and cold, where pathogenic factors enter the Zang organs, causing delirious speech,妄语 (delirium), and mental confusion. When Liver Wind manifests, the face turns cyan, the heart feels stifled, there is vomiting with frothy saliva, hypochondriac fullness and pain accompanied by dizziness, inability to hear sounds, hemiplegia with tendon contraction, and a curled-up posture; when Heart Wind manifests, the face becomes red, sudden heat occurs, sadness and anger arise, eyes are wide open and shouting ensues; when Spleen Wind manifests, the face turns yellow, the body feels numb and insensible, walking becomes impossible, taste in food is lost, dreams are inverted and chaotic, as if following the dead; when Lung Wind manifests, the face is pale, there is coughing with rebellious Qi, expectoration of pus and blood, upward rushing of Qi, and breath becoming faint and critical; when Kidney Wind manifests, the face turns black, hands and feet become uncoordinated, lower back pain occurs, bending and extending are difficult, cold Bi syndrome causes bone pain. All these symptoms cause fright, instability of will, mental trance, and forgetfulness. Taking this decoction calms the mind, stabilizes the spirit, sharpens hearing and vision, and unblocks the Zang-Fu organs. It treats all wind diseases.
Bai Xian Pi (Dictamni Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Shao Yao (Paeoniae Radix), Gui Xin (Cinnamomi Ramulus interior), Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amarum, blanched and skin/seed removed), Fang Feng (Saposhnikoviae Radix, twigs removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 liang), Du Huo (Angelicae Pubescentis Radix), Ma Huang (Ephedrae Herba, joints removed, blanched), Fu Ling (Poria, each 3 liang).
Crush into a powder. Take 4 qian per dose, with 1.5 cups of water, 7 slices of fresh ginger, and 2 dates. Decoct until reduced to 0.7 parts, strain, and take.
Treats sudden stroke approaching death, body flaccidity or stiffness, deviation of mouth and eyes, stiff tongue unable to speak, faint and fluctuating respiration, and mental stupor. It is effective for various wind diseases without causing deficiency.
Ma Huang (Ephedrae Herba, joints removed, blanched), Fang Ji (Stephaniae Tetrandrae Radix - not used in Cui Shi's *Waitai*), Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Gui Xin (Cinnamomi Ramulus interior), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Bai Shao Yao (Paeoniae Radix Alba), Xiong (Chuanxiong Rhizoma, each 1 liang), Xing Ren (Armeniacae Semen Amarum, 1 liang, blanched, skin/seed removed, stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, processed, skin and navel removed), Fang Feng (Saposhnikoviae Radix, 0.5 liang).
Crush into a powder. Take 4 da qian per dose, with 1.5 cups of water, 7 slices of fresh ginger, and 2 dates. Decoct until reduced to 0.7 parts, strain, and take at any time to induce sweating, adjusting according to the patient's deficiency/excess and severity of wind invasion. Some patients with weak legs recovered after taking 6-7 doses. Patients with wind rash should take it during cloudy weather and seasonal changes to prevent aphonia. Another version adds Fu Shen (Poria cum Radice) and Yuan Zhi (Polygalae Radix) for mental trance; removes Fu Zi and Shao Yao if there is joint pain with heat. *Gu Jin Lu Yan* contains Bai Zhu but no Xing Ren; *Jiu Ji* lacks Xiong and Xing Ren, having only ten ingredients; *Yan Nian* lacks Fang Feng. Another prescription for urinary/fecal incontinence, postpartum blood loss, elderly, and children uses Ma Huang, Gui Xin, and Gan Cao, each 2 liang. Another method for singing/crying or laughing uncontrollably uses Ma Huang 3 liang, Ren Shen, Gui Zhi, and Bai Zhu, each 2 liang; excludes Fang Feng, Fu Zi, and Sheng Jiang, but includes Dang Gui 1 liang.