治刚 无汗,小便少,气上冲胸,口噤不能语主之。
葛根(四两) 麻黄(去节,三两) 桂心 白芍药 甘草
上锉散。每服四大钱,水盏半,姜五片,枣三枚,煎七分,去滓,食前服。
治刚 。胸满口噤,卧不着席,脚挛急, 齿主之方。
大黄(四两,蒸) 浓朴(八两,姜制) 枳壳(二两,麸炒去瓤)
上锉散,每服四大钱,水盏半,煎七分,去滓,入芒硝二钱匕,煎熔服,得利,止后服
。此以阳明养宗筋,阳明者,胃也,风湿寒入于胃则热甚,宗筋无以养故急,直利阳明以治其能养也。
治卒半身不遂,手足拘急,不得屈伸,身体冷,或智或痴,或身强直,不语,
或生或死,狂言不可名状,角弓反张,或欲得食,或不用食,或大小便不利,悉主之。
人参 桂心 当归 独活 黄芩 干姜(炮) 甘草(炙,各一分) 石膏(一两半) 杏仁(一百
六十个,麸炒,去皮尖)
上锉散。每服四大钱,水一盏半,煎七分,去滓服。无汗,加麻黄去节三分。
主贼风口噤,角弓反张 者。
当归 防风(各三分) 独活(一两半) 麻黄(去节,一两一分) 细辛(去苗,半两) 附子(一个,
六钱重,炮去皮脐)
上为锉散。每服四钱,水、酒各半盏,同煎七分,去滓;口不开者,抉开口,纳汤一服
苏,二服少汗,三服大汗愈。
治疗刚痉(以项背强直、角弓反张为特征,伴有发热恶寒者),症见无汗、小便量少、气上冲胸、牙关紧闭不能言语,用本方主治。
葛根(四两) 麻黄(去节,三两) 桂心 白芍药 甘草
以上药材切碎成散剂。每次服用四大钱,加水一盏半,生姜五片,大枣三枚,煎至七分满,滤去药渣,饭前服用。
治疗刚痉,症见胸中胀满、牙关紧闭、仰卧时背部不能着席(角弓反张)、小腿抽筋拘急、牙齿咬合紧急,用本方主治。
大黄(四两,蒸制) 浓朴(八两,姜汁制) 枳壳(二两,麸炒去瓤)
以上药材切碎成散剂,每次服用四大钱,加水一盏半,煎至七分满,滤去药渣,加入芒硝二钱匕,再煎至熔化后服用,若大便通利,则停止后续服药。这是因为阳明经滋养宗筋,阳明经即胃经,风湿寒邪侵入胃经则导致热势炽盛,宗筋失去滋养故而拘急,直接通利阳明经以恢复其滋养功能从而治疗此证。
治疗突然发生的半身不遂,手足拘挛紧急,不能屈伸,身体发冷,或神志昏迷或痴呆,或身体强直、不能言语,
或生或死,胡言乱语不可名状,角弓反张,或想吃东西,或不想吃东西,或大小便不通畅,均用本方主治。
人参 桂心 当归 独活 黄芩 干姜(炮制) 甘草(炙,各一分) 石膏(一两半) 杏仁(一百六十个,麸炒,去皮尖)
以上药材切碎成散剂。每次服用四大钱,加水一盏半,煎至七分满,滤去药渣服用。若无汗,加去节麻黄三分。
主治贼风(外感风邪)引起的牙关紧闭、角弓反张等症状。
当归 防风(各三分) 独活(一两半) 麻黄(去节,一两一分) 细辛(去苗,半两) 附子(一个,重六钱,炮制去皮脐)
以上药材切碎成散剂。每次服用四钱,用水和酒各半盏,一同煎至七分满,滤去药渣;若患者口不开,撬开嘴巴,灌入一服药后苏醒,两服药后微微出汗,三服药后大汗出而痊愈。
Treats Gang Jing (Stiff Spasm, characterized by rigidity of the neck and back, opisthotonos) with no sweating, scanty urination, Qi rushing up to the chest, trismus (lockjaw) inability to speak.
Ge Gen (Puerariae Radix, 4 liang) Ma Huang (Ephedrae Herba, de-segmented, 3 liang) Gui Xin (Cinnamomi Ramulus et Cortex, heartwood) Bai Shao Yao (Paeoniae Radix Alba) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Crush the above herbs into a powder. Take 4 qian per dose, add 1.5 zhan of water, 5 slices of fresh ginger, and 3 dates. Decoct until reduced to 70% volume, strain, and take before meals.
Treats Gang Jing with chest fullness, trismus, inability to lie flat on the back (opisthotonos), calf cramping and spasm, and teeth grinding/jaw clenching.
Da Huang (Rhei Radix et Rhizoma, 4 liang, steamed) Hou Po (Magnoliae Officinalis Cortex, 8 liang, processed with ginger juice) Zhi Ke (Aurantii Fructus, 2 liang, stir-fried with bran, pith removed)
Crush the above herbs into a powder. Take 4 qian per dose, add 1.5 zhan of water. Decoct until reduced to 70% volume, strain, add Mang Xiao (Natrii Sulfas, 2 qian bi), and decoct until dissolved. Take orally. If bowel movement is achieved, stop taking subsequent doses. This is because the Yangming channel nourishes the Zong Jin (general tendons). The Yangming channel corresponds to the Stomach. When wind-dampness-cold enters the Stomach, heat becomes excessive, causing the Zong Jin to lose nourishment and become spasmodic. Directly purging the Yangming channel restores its nourishing function to treat this condition.
Treats sudden hemiplegia, spasticity and stiffness of hands and feet preventing flexion and extension, cold body, coma or dementia, body rigidity, aphasia,
either survival or death, incoherent speech, opisthotonos, desire or aversion for food, difficulty in urination or defecation.
Ren Shen (Ginseng Radix et Rhizoma) Gui Xin (Cinnamomi Ramulus et Cortex, heartwood) Dang Gui (Angelicae Sinensis Radix) Du Huo (Angelicae Pubescentis Radix) Huang Qin (Scutellariae Radix) Gan Jiang (Zingiberis Rhizoma, processed) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen) Shi Gao (Gypsum Fibrosum, 1.5 liang) Xing Ren (Armeniacae Semen Amarum, 160 seeds, stir-fried with bran, skin and tips removed)
Crush the above herbs into a powder. Take 4 qian per dose, add 1.5 zhan of water. Decoct until reduced to 70% volume, strain, and take orally. If there is no sweating, add 3 fen of de-segmented Ma Huang.
Mainly treats Trismus and Opisthotonos caused by Zei Feng (Robber Wind, an external pathogenic factor).
Dang Gui (Angelicae Sinensis Radix) Fang Feng (Saposhnikoviae Radix, each 3 fen) Du Huo (Angelicae Pubescentis Radix, 1.5 liang) Ma Huang (Ephedrae Herba, de-segmented, 1 liang 1 fen) Xi Xin (Asari Radix et Rhizoma, de-radicle, 0.5 liang) Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, weighing 6 qian, processed, skin and navel removed)
Crush the above herbs into a powder. Take 4 qian per dose, add half a zhan of water and half a zhan of wine. Decoct together until reduced to 70% volume, strain. If the mouth cannot open, pry it open and administer one dose; the patient will regain consciousness. After two doses, slight sweating occurs. After three doses, profuse sweating occurs, leading to recovery.