凡中风之人先服此药,顺气后进风药。
白术 白茯苓 青皮 陈皮 白芷 乌药 人参 甘草 上每服六钱,水一盏煎至半
盏,温服。仍以酒化苏合香丸间服。
治中风,外无六经之形证,内无便溺之阻膈,知为血虚,弱不能养于筋,故手足不能运
用,舌强不能言,宜养血而筋自荣。
秦艽 石膏(各三两) 甘草 川芎 当归 羌活 独活 防风 黄芩 白芍 白芷 白
术生地 熟地 白茯苓(各二两) 细辛(五钱)
治中风,外有六经之形证,先以加减续命汤随证治之。内有便溺之阻膈,复以此导之。
浓朴(姜制) 大黄 枳实 羌活(各等分)
上锉,每服三两,水三升煎至一升半,终日服之,以微利则已。如内邪已除外邪已尽,
当从愈风汤以行中道。久服大风悉去,纵有微邪,只从愈风汤加减治之。然治病之法不可失
于通塞,或一气之微汗,或一旬之通利,如此为常治之法也。久则清浊自分,荣卫自和。
治肝肾虚,筋骨弱,语言难,精神昏愦,及治风湿内弱,风热体重,或瘦而一肢偏枯,
或肥而半身不遂。心乱则百病生,静则万病息。此药能安心养神,调阴阳无偏胜。
羌活 甘草(炙) 防风(去芦) 黄 (去芦) 人参(去芦) 蔓荆子 川芎 细
辛(去芦土叶) 枳壳(去穣,麸炒) 地骨皮 麻黄(去节) 知母(去皮毛) 独活 白
芷杜仲(炒去丝) 秦艽(去芦) 柴胡(去苗) 半夏(汤洗,姜制) 浓朴(姜制)
熟地黄 防己 前胡(各二两) 芍药 黄芩(去腐) 白茯苓(各三两) 石膏 生地黄 苍
术(各四两) 桂(一两)
上锉,每服一两,水二盏煎至一盏,温服。如遇天阴,加生姜三片煎。空心服,临卧煎
渣常服之。药不可失于四时之辅,如春望大寒之后,加半夏、柴胡、人参各二两;望夏谷雨
之后,加石膏、黄芩、知母各二两;季夏之月,加防己、白术、茯苓各二两;望秋大暑之后,
加浓朴、藿香各二两、桂一两;望冬霜降之后,加附子、官桂各一两,当归二两。
白术、白茯苓、青皮、陈皮、白芷、乌药、人参、甘草。以上药材,每次服用六钱,用水一盏煎煮至半盏,温服。同时仍需用酒化开苏合香丸交替服用。
治疗中风,体表没有六经(太阳、阳明、少阳、太阴、少阴、厥阴)的症状表现,体内没有大小便不通的阻滞,确认为血虚,因虚弱不能濡养筋脉,所以手足不能活动,舌体僵硬不能言语,应当养血,则筋脉自然得到荣养。
秦艽、石膏(各三两)、甘草、川芎、当归、羌活、独活、防风、黄芩、白芍、白芷、白术、生地、熟地、白茯苓(各二两)、细辛(五钱)。
治疗中风,体表有六经的症状表现,先用加减续命汤根据具体证候进行治疗。如果体内有大小便不通的阻滞,再用此方来疏导。
浓朴(姜制)、大黄、枳实、羌活(各等分)。
以上药材切碎,每次服用三两,用水三升煎煮至一升半,全天服用,以轻微腹泻为度即可停止。如果内邪已清除、外邪已尽除,应当改用愈风汤来调理中道。长期服用可使大风邪气全部去除,即使有微弱的邪气,也只需根据愈风汤进行加减治疗。然而治病的方法不可偏离通与塞的原则,有时通过一次轻微的出汗,有时通过十天的通畅利下,这是常规的治疗方法。时间久了,清浊之气自然分明,营卫之气自然调和。
治疗肝肾虚弱,筋骨软弱,语言困难,精神昏沉迷糊,以及治疗风湿内侵导致身体虚弱,风热导致身体沉重,或者消瘦而一侧肢体偏枯,或者肥胖而半身不遂。心绪紊乱则百病丛生,心神宁静则万病平息。此药能安心养神,调节阴阳使其不偏盛。
羌活、甘草(炙)、防风(去芦头)、黄芪(去芦头)、人参(去芦头)、蔓荆子、川芎、细辛(去芦头、泥土、叶片)、枳壳(去瓤,麸炒)、地骨皮、麻黄(去节)、知母(去皮毛)、独活、白芷、杜仲(炒去丝)、秦艽(去芦头)、柴胡(去苗)、半夏(热水洗,姜制)、浓朴(姜制)、熟地黄、防己、前胡(各二两)、芍药、黄芩(去腐坏部分)、白茯苓(各三两)、石膏、生地黄、苍术(各四两)、桂枝(一两)。
以上药材切碎,每次服用一两,用水两盏煎煮至一盏,温服。如果遇到阴天,加生姜三片同煎。空腹服用,睡前煎煮药渣常服。用药不可违背四季的辅助原则,如在春分望日大寒之后,加半夏、柴胡、人参各二两;夏至望日谷雨之后,加石膏、黄芩、知母各二两;季夏之月,加防己、白术、茯苓各二两;秋分望日大暑之后,加浓朴、藿香各二两、桂枝一两;冬至望日霜降之后,加附子、官桂各一两,当归二两。
For patients suffering from stroke (Zhong Feng), this prescription should be administered first to regulate Qi. After the Qi is smoothed, wind-dispelling medicines should then be taken.
Bai Zhu (Atractylodis Rhizoma), Bai Fu Ling (Poria), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Bai Zhi (Angelicae Dahuricae Radix), Wu Yao (Linderae Radix), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma). For each dose of six qian, decoct with one cup of water until half a cup remains, and take warm. Simultaneously, dissolve Su He Xiang Wan (Styrax Pill) in wine and take it alternately.
To treat stroke where there are no exterior manifestations of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin), and no internal obstruction of urination or defecation, if it is known to be due to Blood deficiency, causing weakness that fails to nourish the sinews, resulting in inability to move the limbs and stiffness of the tongue preventing speech, one should nourish the Blood so that the sinews naturally become prosperous.
Qin Jiao (Gentianae Macrophyllae Radix), Shi Gao (Gypsum Fibrosum) (each 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Bai Shao (Paeoniae Radix Alba), Bai Zhi (Angelicae Dahuricae Radix), Bai Zhu (Atractylodis Rhizoma), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Bai Fu Ling (Poria) (each 2 liang), Xi Xin (Asari Radix et Rhizoma) (5 qian).
To treat stroke where there are exterior manifestations of the Six Channels, first treat according to the syndrome using Jia Jian Xu Ming Tang (Modified Life-Sustaining Decoction). If there is internal obstruction of urination or defecation, use this formula to guide and resolve it.
Nong Po (Magnoliae Officinalis Cortex) (prepared with ginger), Da Huang (Rhei Radix et Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Qiang Huo (Notopterygii Rhizoma et Radix) (equal parts).
Cut the herbs. For each dose of 3 liang, decoct with three sheng of water until one and a half sheng remains. Take throughout the day until slight diarrhea occurs, then stop. If the internal pathogenic factors have been cleared and the external pathogenic factors exhausted, one should switch to Yu Feng Tang (Wind-Dispelling Decoction) to regulate the middle pathway. Long-term consumption will eliminate major wind pathogens; even if minor pathogens remain, they can be treated by modifying Yu Feng Tang. However, the method of treatment must not deviate from the principles of unblocking and obstructing. Sometimes a slight sweat induced over one qi period, or unblocking purgation over ten days, constitutes the routine method. Over time, clear and turbid Qi will separate naturally, and Ying and Wei (Nutritive and Defensive Qi) will harmonize.
To treat deficiency of the Liver and Kidney, weakness of sinews and bones, difficulty in speech, and mental confusion; as well as to treat internal weakness due to Wind-Dampness, heaviness of the body due to Wind-Heat, emaciation with hemiplegia of one limb, or obesity with hemiplegia of half the body. When the Heart is disturbed, hundred diseases arise; when calm, ten thousand diseases cease. This medicine can calm the Heart and nourish the Spirit, regulating Yin and Yang without excess or deficiency.
Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted), Fang Feng (Saposhnikoviae Radix) (remove rhizome), Huang Qi (Astragali Membranacei Radix) (remove rhizome), Ren Shen (Ginseng Radix et Rhizoma) (remove rhizome), Man Jing Zi (Vittaginis Fructus), Chuan Xiong (Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma) (remove rhizome, soil, leaves), Zhi Ke (Aurantii Fructus) (remove pith, stir-fry with bran), Di Gu Pi (Lycii Cortex), Ma Huang (Ephedrae Herba) (remove joints), Zhi Mu (Anemarrhenae Rhizoma) (remove skin and hairs), Du Huo (Angelicae Pubescentis Radix), Bai Zhi (Angelicae Dahuricae Radix), Du Zhong (Eucommiae Cortex) (stir-fry to remove silk threads), Qin Jiao (Gentianae Macrophyllae Radix) (remove rhizome), Chai Hu (Bupleuri Radix) (remove seedlings), Ban Xia (Pinelliae Tuber) (wash with hot water, prepare with ginger), Nong Po (Magnoliae Officinalis Cortex) (prepare with ginger), Shu Di Huang (Rehmanniae Radix Preparata), Fang Ji (Stephaniae Tetrandrae Radix), Qian Hu (Peucedani Radix) (each 2 liang), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix) (remove decayed parts), Bai Fu Ling (Poria) (each 3 liang), Shi Gao (Gypsum Fibrosum), Sheng Di Huang (Rehmanniae Radix), Cang Zhu (Atractylodis Rhizoma) (each 4 liang), Gui (Cinnamomi Ramulus) (1 liang).
Cut the herbs. For each dose of 1 liang, decoct with two cups of water until one cup remains, and take warm. If the weather is cloudy, add three slices of fresh Ginger for decoction. Take on an empty stomach; decoct the dregs at bedtime for regular consumption. Medication must not neglect seasonal assistance: after the Great Cold following the Full Moon in Spring, add Ban Xia, Chai Hu, and Ren Shen (each 2 liang); after Grain Rain following the Full Moon in Summer, add Shi Gao, Huang Qin, and Zhi Mu (each 2 liang); in the late summer month, add Fang Ji, Bai Zhu, and Fu Ling (each 2 liang); after the Great Heat following the Autumn Equinox, add Nong Po and Huo Xiang (each 2 liang), and Gui (1 liang); after Frost Descent following the Winter Solstice, add Fu Zi (Aconiti Lateralis Radix Preparata) and Guan Gui (Cinnamomi Cortex) (each 1 liang), and Dang Gui (2 liang).