如果症状没有解除,就针刺风池穴和风府穴,再给予桂枝汤服用而痊愈。阳明经中风证,针刺后病情稍有好转,但如果表证仍未解除,脉象呈现弦而浮的,给予小柴胡汤;如果脉象只是浮而没有其他症状的,给予麻黄汤。所以我常说:张仲景的治疗方法,完全依据《黄帝内经》,古代圣人和后世圣人,其道理是一致的。
张仲景的方剂具备了“十剂”的分类法则:轻扬之剂可以祛除实邪,如麻黄汤、葛根汤等就是这类;宣通之剂可以破除壅塞,如栀子豉汤、瓜蒂散这两首方剂就是这类;通利之剂可以运行滞气,如五苓散、十枣汤之类就是这类;泄下之剂可以去除闭塞,如陷胸汤、承气汤、抵当汤就是这类;滑利之剂可以去除粘着(燥屎),如猪胆汁导法、蜜煎导法就是这类;固涩之剂可以巩固脱失,如赤石脂禹余粮汤、桃花汤就是这类;补益之剂可以扶持虚弱,如附子汤、理中丸就是这类;重镇之剂可以平定惊恐,如禹余粮、代赭石(用于镇逆)就是这类;湿润之剂可以滋润干燥,如黄连阿胶汤就是这类;燥湿之剂可以去除湿气,如麻黄连翘赤小豆汤就是这类;寒凉之剂能够战胜热邪,如白虎汤、黄连汤就是这类;温热之剂能够制约寒邪,如白通汤、四逆汤等就是这类。
If the condition does not resolve, puncture Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang (Cinnamon Twig Decoction), resulting in recovery. In cases of Yangming channel wind-strike, if acupuncture provides slight relief but exterior symptoms persist, and the pulse is wiry and floating, administer Xiaochaihu Tang (Minor Bupleurum Decoction); if the pulse is merely floating without other symptoms, administer Mahuang Tang (Ephedra Decoction). Therefore, I say: Zhang Zhongjing’s treatment methods are entirely based on the *Huangdi Neijing* (Yellow Emperor’s Inner Canon); the principles of ancient sages and later sages are identical.
Zhang Zhongjing’s formulas encompass the methods of the "Ten Categories" (Shi Ji): Light agents can dispel excess, such as Mahuang Tang (Ephedra Decoction) and Gegen Tang (Pueraria Decoction); Expectorating/Dispersing agents can resolve obstruction, such as Zhizi Chidao Tang (Gardenia and Fermented Soybean Decoction) and Gouti San (Melon Seed Powder); Unblocking agents can promote the movement of stagnation, such as Wuling San (Five-Ling Powder) and Shizao Tang (Ten-Date Decoction); Purging agents can remove closure, such as Xianxiong Tang (Chest-Sinking Decoction), Chengqi Tang (Descending Qi Decoction), and Didang Tang (Abiding Place Decoction); Slippery agents can eliminate adherence (such as dry stool), such as Pig Gallbladder Suppository and Honey Suppository; Astringent agents can consolidate collapse, such as Chishizhi Yuyuliang Tang (Red Halloysite and Hematite Decoction) and Taohua Tang (Peach Blossom Decoction); Tonifying agents can support weakness, such as Fuzi Tang (Aconite Decoction) and Lizhong Wan (Regulate the Middle Pill); Heavy agents can calm fright, such as Yuyuliang (Halloysitum Rubrum) and Daizheshi (Haematitum); Moistening agents can nourish dryness, such as Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction); Drying agents can dispel dampness, such as Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia, and Red Bean Decoction); Cold agents can overcome heat, such as Baihu Tang (White Tiger Decoction) and Huanglian Tang (Coptis Decoction); Hot agents can control cold, such as Baitong Tang (Bai Tong Decoction) and Sini Tang (Frigid Extremities Decoction).