凡人猝中风,昏昏如醉,形体不收,或倒或不倒,或口角流涎,斯须不治,便成大病。
此证风涎潮于上,致胸痹气不通,用此吐之。皂荚末一两,生矾末五钱,腻粉五钱。水调一、
二钱,过咽即吐,用矾者,隔下涎也。
凡中风痰厥,癫痫惊风,痰涎上壅,牙关紧闭,上视搐搦,并宜治之。乌头尖、附子尖、
蝎梢各七十个,石绿(研几度,飞过)十两,为末,面糊丸芡实大。每用一丸,薄荷汁半盏
化下,更取温酒半合,须臾吐出痰涎为妙。小儿惊风,加白僵蚕等分。
庚生按∶此方惟实症中痰中风,及大人食闭、小儿痰闭可用(石绿即是铜绿)。
凡治上焦欲吐,而不能吐者。滚水凉水各一碗,加炒盐一撮,打百余下,起泡饮之,立
吐而愈。
(主下泻药也)
治邪热上攻,痰涎壅滞,翻胃吐食,十膈五噎,酒积、虫积、血积、气积诸般痞积,疮
热肿痛;或大小便不利,妇人女子面色痿黄,鬼胎症瘕,误吞铜铁银物,皆治之。五更冷茶
送下三钱,天明可看所下之物,此药有疾去疾,有虫去虫,不伤元气脏腑。小儿减半,孕妇
忌服。
白牵牛头末四两五钱(炒半生),白槟榔一两,茵陈五钱,蓬术五钱(醋煮),三棱五钱
(醋炙)
上药为末,醋糊为丸,如绿豆大。根据前数服行后,随以温粥补之,忌食他物。
凡是突然遭受中风的人,神志昏迷如同醉酒一般,身体无法自主控制,有的倒下有的不倒下,有的口角流涎,如果片刻之间不及时治疗,就会演变成严重的疾病。
这种证候是由于风痰涌向头部,导致胸中痹阻、气机不通,使用此方通过催吐来治疗。皂荚末一两,生矾末五钱,腻粉五钱。用水调服一、二钱,药液经过咽喉时即引发呕吐,使用矾石的目的,是为了隔断并排出下方的痰涎。
凡是中风导致的痰厥,癫痫及惊风,痰涎上壅阻塞气道,牙关紧闭,眼球上翻,抽搐痉挛,都适宜用此法治疗。乌头尖、附子尖、全蝎梢各七十枚,石绿(研磨多次,水飞处理)十两,研为细末,用面糊制成如芡实大小的丸剂。每次服用一丸,用半盏薄荷汁化开送服,再取温酒半合,不久后吐出痰涎为最佳效果。小儿惊风,加入等量的白僵蚕。
庚生按语:此方仅适用于实证中的痰迷心窍之中风,以及成人食闭、小儿痰闭的情况(石绿即是铜绿)。
凡是治疗上焦病证需要催吐,但患者无法自行呕吐的情况。准备滚开水和凉水各一碗,加入炒盐一撮,搅拌百余下,待产生泡沫后饮用,立即呕吐而痊愈。
(这是主治下泻的药物)
治疗邪热向上攻冲,痰涎壅滞,反胃吐食,十膈五噎,酒积、虫积、血积、气积等各种痞块积聚,疮疡热毒肿痛;或者大小便不利,妇女面色萎黄,鬼胎症瘕,误吞铜铁银器等异物,都能治疗。在五更天用冷茶送下三钱,天亮时可以观察排出的物质,此药有病去病,有虫驱虫,不损伤元气和脏腑。小儿减半剂量,孕妇忌服。
白牵牛头末四两五钱(一半炒制一半生用),白槟榔一两,茵陈五钱,蓬术五钱(醋煮),三棱五钱(醋炙)
以上药物研为细末,用醋糊制成丸剂,如绿豆大小。按照前述剂量服用后,随即用温粥调养,忌食其他食物。
When a person suddenly suffers from stroke, they may fall into a coma resembling drunkenness, lose control of their body, either falling or not, with saliva flowing from the corner of the mouth. If not treated promptly, it will develop into a severe illness.
This syndrome is caused by wind-phlegm surging upwards, leading to chest bi-syndrome (obstruction) and blocked qi mechanism. This formula induces vomiting to treat it. One tael of Gleditsiae Sinensis Fructus Powder (Zaojiao Mo), five qian of Alum Powder (Shengfan Mo), and five qian of Calomelas (Nifen). Mix one or two qian with water; once it passes the throat, vomiting occurs. Alum is used to separate and expel the phlegm below.
For stroke-induced phlegm syncope, epilepsy, and convulsions, where phlegm-fluids obstruct upwards, causing locked jaw, upward gaze, and spasms, this method is suitable. Seventy tips of Aconitum Carminelianum Radix Preparata (Wutou Jian), seventy tips of Aconitum Carminelianum Lateralis Radix Preparata (Fuzi Jian), and seventy tails of Scorpio (Xieshao), along with ten taels of Malachite (Shilü, ground multiple times and levigated), are processed into powder. Form pills with wheat paste, sized like Euryale Seed (Qianshi). Take one pill each time, dissolve in half a cup of Mint Juice (Bohe Zhi), and follow with half a he of warm wine. Vomiting out the phlegm-fluids shortly thereafter is ideal. For pediatric convulsions, add equal amounts of Bombyx Batryticatus (Bai Jiangcan).
Geng Sheng notes: This formula is only applicable for excess syndromes involving phlegm obstruction in stroke, as well as food blockage in adults and phlegm blockage in children (Malachite is Verdigris).
For treating upper jiao conditions requiring emesis but where the patient cannot vomit spontaneously. Prepare one bowl of boiling water and one bowl of cold water, add a pinch of fried salt, stir vigorously over a hundred times until foam forms, then drink. Vomiting will occur immediately, leading to recovery.
(This is a purgative primarily treating lower jiao diarrhea.)
It treats evil heat attacking upwards, phlegm-fluid stagnation, regurgitation and vomiting of food, ten types of diaphragmatic obstruction and five types of dysphagia, alcohol accumulation, parasitic accumulation, blood stasis accumulation, qi stagnation accumulation, various types of epigastric fullness masses, and hot swelling pain of sores. It also treats difficulty in urination and defecation, sallow complexion in women, ghost fetus and abdominal masses, and accidental ingestion of copper, iron, or silver objects. Administer three qian with cold tea at the third watch (5-7 AM). Observe the expelled material by dawn. This medicine removes disease when present, expels parasites when present, without damaging primordial qi and zang-fu organs. Reduce the dose by half for children. Pregnant women should avoid taking it.
Four taels and five qian of the first-grade powder of Ipomoeae Petiolus (Bai Qianniu Toumo), half stir-fried and half raw; one tael of Arecae Semen (Bai Binglang); five qian of Artemisiae Capillaris Herba (Yinchen); five qain of Curcumae Rhizoma (Penglan, boiled in vinegar); five qian of Sparganii Rhizoma (Sanleng, stir-fried in vinegar).
Process the above herbs into powder, form pills with vinegar paste, sized like mung beans. After administering according to the aforementioned dosage, nourish the body with warm porridge immediately after, and avoid other foods.