用附子一个，重一两，切作八片，白术、干姜各五钱，木香二钱，同煎，先用葱
白一握，炒熟熨脐下，次候药冷，灌服，须臾又进一服。
有妇人先胸胁胀痛，后四肢不收，自汗如雨，小便自遗，大便不实，口紧目 ，饮
食懒进十余日，或以为中脏甚忧。立斋视之，曰∶非也。若风既中脏，真气既脱，恶
症既见，焉能延至十日，乃候其色面目俱赤而或青，诊其脉左三部洪数，惟肝尤甚，乃
知胸乳胀痛，肝经血虚，肝气否塞也。四肢不收，血虚不能养筋也。自汗不止，血热津
液妄泄也。小便自遗，肝经热甚，阴挺失职也。大便不实，肝木炽盛，克脾土也。连用
犀角散四剂，诸症顿愈。又用加味逍遥散调理而安，后因郁怒，前症复作，兼发热呕
吐，饮食少思，月经不止，此木盛克土而脾
不能摄血也。用加味归脾为主，佐以逍遥而愈，后每过怒或睡中手足搐搦，复用前药即
愈。
唐柳太后病风不能言，脉沉欲脱，群医束手相视，许胤宗曰∶此铒汤药无及矣。即
以黄 防风煮汤数十斛置床下，气腾腾如雾熏蒸之，是夕语，更药之而起。
有人平居无疾，忽如死人，身不动摇，默默不知人事，目闭不开，口噤不言，或微
知人恶闻人声但如眩冒，移时方寤，此由出汗过多，血少气并于血，阳独上而不下，气
壅塞而不行，故身如死，气过血还，阴阳复通，故移时方寤，名曰郁冒。冒亦名血厥，
妇人多有之。厥有阴阳，阳厥补阴，壮水之主，阴厥补阳，益火之源。
阳气衰之者。阴必凑之，令人五指至膝上皆寒，名曰寒厥，宜六物附子汤。阴气衰
于下，则阳凑之，令人足下热，热甚则循三阴而上逆，谓之热厥，宜六味地黄丸。肝藏
血而主怒，怒则火起于肝，载血上行，故令血菀于上。血气乱于胸中，相薄而厥逆，谓
之薄厥，宜蒲黄汤，诸动属阳，故烦劳则扰乎阳，而阳气张大，劳火亢矣。火炎则水干
精绝，是以迁延至夏，内外皆热，水益亏而火益亢，孤阳厥逆，如煎如熬，故曰煎厥，
宜人参固本丸。五尸之气，暴淫于人，乱人阴阳气血，形气相离，不相顺接，故令暴厥
如死，名曰尸厥，宜苏合香丸。寒痰迷闷，四肢逆冷，名曰痰厥。宜姜附汤。胃寒即吐
蛔虫，名曰蛔厥，宜乌梅丸加理中汤。气为人身之阳，一有拂郁则阳气不能四达，故令
手足厥冷，与中风相似，但中风身温，中气身冷，名曰气厥，宜八味顺气散。
人生负阴而抱阳，食味而被色，寒暑相荡，喜怒交侵，况斫削多端，气血精神耗竭。
乌得而无暴脱暴死之症？故中风之症，因贼风虚邪之触而发者，不过十之一二，多
属内为气血两虚。气虚则阴血不长，阴衰则热极生风，虚风内战。神气外驰，因而乃
发，发则诸气上逆而化火，诸热亢极而化风，诸液结聚而为痰，诸水潮涌而为涎，斯
时也，有升无降，有出无人，一如疾风暴，雷龙腾水涌之势，一时暴绝，出其不意，所
以绝无外感头疼身热畏风畏寒诸症，实因气虚为本，风痰为标，而外触者，不过标中之
兼症也。
凡牛黄丸与苏合丸所治有异，热阻关窍，宜牛黄丸∶寒阻关窍，宜苏合丸。若手
撒口开遗尿等死症，急用参附峻补，间有生者。若牛黄苏合入口即毙，盖寒热阻闭之
症，可作有形之症。若真元暴脱之症，必求无形有神之大药，方能力挽无虞，其用风药
以治风，热药以治热，毒药以攻毒，气药以行气，此用药之大法，盖同气相求，衰之以
属也。至于反佐逆从之变，因病别宜，变化无穷，法不能以定之。
用附子一枚，重量为一两，切成八片，白术、干姜各五钱，木香二钱，一同煎煮。先用葱白一把，炒熟后熨烫脐下部位，待药液冷却后灌服，片刻之后又进服一剂。
有一位妇人先出现胸胁胀痛，随后四肢无力无法收持，自汗如雨下，小便失禁，大便稀溏不成形，口紧眼合（目闭），饮食减少已十余日，有人认为是中脏风证而非常担忧。薛立斋诊治后说：“不对。如果风邪已经侵入脏腑，真气已经脱失，恶症已经显现，怎么能拖延到十天呢？”观察他的面色，面目都发红且有时发青，诊察其脉象，左三部脉洪大而数，其中肝脏脉象尤为明显，这才知道胸乳胀痛是肝经血虚、肝气郁结阻塞所致。四肢无力无法收持，是因为血虚不能滋养筋脉。自汗不止，是因为血热导致津液妄泄。小便失禁，是因为肝经热盛，阴器功能失职。大便不成形，是因为肝木炽盛，克制脾土。连续服用犀角散四剂，各种症状顿时痊愈。后来又用加味逍遥散调理而安定，后来因为郁怒，前面的病症复发，兼有发热呕吐，饮食少思，月经不止，这是木气过盛克制土气而脾不能统摄血液。使用加味归脾汤为主方，佐以逍遥散而治愈，后来每次大怒或睡梦中手足抽搐，再次服用前药即愈。
唐代柳太后患风病不能说话，脉象沉微欲绝，众医生束手无策相对无言，许胤宗说：“这依靠口服汤药已经来不及了。”于是用黄芪、防风煮成汤几十斛放在床下，热气腾腾如雾般熏蒸她，当天晚上就能说话了，再服药而起身康复。
有人平时没有疾病，忽然像死人一样，身体不动，沉默不知人事，眼睛闭合不睁开，牙关紧闭不说话，或者稍微知觉人声但厌恶听到声音，只是像眩晕昏冒，过了一会儿才苏醒，这是由于出汗过多，血少气并聚于血中，阳气独上而不下降，气机壅塞而不能运行，所以身体像死了一样，气过血还，阴阳重新通畅，所以过了一会儿才苏醒，名叫郁冒。冒也叫做血厥，妇女多有此症。厥分阴阳，阳厥补阴，壮水之主；阴厥补阳，益火之源。
阳气衰弱的，阴气必定凑合它，使人从五指到膝盖以上都寒冷，名叫寒厥，适宜用六物附子汤。阴气在下部衰弱，则阳气凑合它，使人足下发热，热甚则沿着三阴经向上逆行，叫做热厥，适宜用六味地黄丸。肝藏血而主怒，怒则火起于肝，载血上行，所以使血郁积于上部。血气在胸中混乱，相互搏击而导致厥逆，叫做薄厥，适宜用蒲黄汤。所有的动症属于阳，所以烦劳就会扰动阳气，而使阳气张大，劳火亢盛。火炎则水干精绝，因此拖延到夏天，内外皆热，水更加亏损而火更加亢盛，孤阳厥逆，如同煎熬，所以叫做煎厥，适宜用人参固本丸。五尸之气，突然淫乱于人，扰乱人的阴阳气血，形气分离，不相顺接，所以使人暴厥像死了一样，名叫尸厥，适宜用苏合香丸。寒痰迷闷，四肢逆冷，名叫痰厥，适宜用姜附汤。胃寒即吐出蛔虫，名叫蛔厥，适宜用乌梅丸加理中汤。气是人身的阳气，一旦有拂郁则阳气不能通达四方，所以使人手足厥冷，与中风相似，但中风身温，中气身冷，名叫气厥，适宜用八味顺气散。
人生来背负阴而怀抱阳，进食味道而享受女色，寒暑相互激荡，喜怒交替侵犯，何况斫削多端，气血精神耗竭。怎么能没有暴脱暴死的病症呢？所以中风的病症，因贼风虚邪触动而发作的，不过十分之一二，大多属于内因为气血两虚。气虚则阴血不长，阴衰则热极生风，虚风内战。神气外驰，因而发作，发作时诸气上逆而化火，诸热亢极而化风，诸液结聚而为痰，诸水潮涌而为涎，这个时候，只有升没有降，只有出没有入，一如疾风暴至，雷龙腾跃水涌之势，一时暴绝，出其不意，所以绝无外感头疼身热畏风畏寒诸症，实因气虚为本，风痰为标，而外触者，不过是标中的兼症罢了。
凡是牛黄丸与苏合丸所治有所不同，热阻关窍，适宜用牛黄丸；寒阻关窍，适宜用苏合丸。如果出现手撒口开遗尿等死症，急用参附峻补，间或有生还者。如果牛黄苏合入口即毙，盖因寒热阻闭之症，可作有形之症论治。若真元暴脱之症，必求无形有神之大药，方能力挽狂澜无虞，其用风药以治风，热药以治热，毒药以攻毒，气药以行气，这是用药的大法，盖同气相求，衰之以属也。至于反佐逆从的变化，因病别宜，变化无穷，法不能以定之。
Using one *Fuzi* (Aconite Lateralis Radix Preparata), weighing one tael, sliced into eight pieces, along with five qian of *Baizhu* (Atractylodis Macrocephalae Rhizoma) and *Ganjiang* (Zingiberis Rhizoma), and two qian of *Muxiang* (Aucklandiae Radix), decocted together. First, take a handful of scallion white (*Congbai*), stir-fry until cooked, and apply it as a hot compress to the area below the navel. Wait for the herbal medicine to cool, then administer by灌服 (force-feeding). After a short while, administer another dose.
A woman first experienced distending pain in the chest and hypochondrium, followed by flaccidity of the four limbs unable to hold themselves, profuse spontaneous sweating like rain, urinary incontinence, loose stools, tight mouth, closed eyes, and loss of appetite for more than ten days. Some considered it a severe case of Wind striking the Zang organs and were very worried. Xue Lizhai examined her and said, "Incorrect. If Wind had already struck the Zang organs, if True Qi had already collapsed, and if malignant symptoms were already present, how could it have lasted for ten days?" Observing her complexion, her face and eyes were red and sometimes blue/purple. Palpating her pulse, the left three positions were flooding and rapid, with the Liver pulse being particularly pronounced. Thus, it was known that the chest and breast distending pain was due to Blood deficiency in the Liver channel and stagnation/blockage of Liver Qi. The flaccidity of the four limbs was due to Blood deficiency failing to nourish the sinews. The continuous spontaneous sweating was due to Heat in the Blood causing fluids to leak recklessly. The urinary incontinence was due to excessive Heat in the Liver channel causing dysfunction of the Yin organ. The loose stools were due to exuberant Liver Wood overacting on Spleen Earth. After administering four doses of *Xijiao San* (Rhinoceros Horn Powder), all symptoms suddenly resolved. Subsequently, she was regulated and stabilized using *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder). Later, due to depression and anger, the previous symptoms recurred, accompanied by fever, vomiting, poor appetite, and continuous menstruation. This was Wood exuberance overacting on Earth, with the Spleen failing to control the Blood. Using *Jiawei Guipi Tang* (Modified Restore the Spleen Decoction) as the main formula, assisted by *Xiaoyao San*, she recovered. Later, whenever she became extremely angry or experienced convulsions of the hands and feet during sleep, re-administering the previous medicine cured her.
Empress Dowager Liu of the Tang Dynasty suffered from Wind disease and could not speak. Her pulse was deep and nearly vanished. All physicians were at a loss, looking at each other helplessly. Xu Yinzong said, "Oral decoctions are no longer effective here." He immediately boiled dozens of hu of soup using *Huangqi* (Astragali Radix) and *Fangfeng* (Saposhnikoviae Radix), placed it under the bed, and let the steaming vapor envelop her like fog. That evening, she could speak again. After further medication, she rose and recovered.
Someone who was healthy at ordinary times suddenly appeared dead: body motionless, silent, unaware of people, eyes closed and unopenable, jaw clenched and unable to speak. Or perhaps slightly aware of people but hating sound, feeling only like dizziness and faintness, waking up after a period of time. This is caused by excessive sweating, leading to little Blood and Qi merging into the Blood, with Yang rising alone without descending. Qi becomes congested and fails to circulate, so the body appears dead. When Qi passes and Blood returns, Yin and Yang reconnect, hence waking up after a while. This is named Yu Mao (Depression and Dizziness). Mao is also called Xue Jue (Blood Jue). It is common in women. Jue is divided into Yin and Yang. For Yang Jue, tonify Yin by strengthening the source of Water. For Yin Jue, tonify Yang by benefiting the source of Fire.
When Yang Qi declines, Yin must encroach upon it, causing coldness from the fingertips to above the knees, named Han Jue (Cold Jue). *Liuyi Fuzi Tang* (Six-Ingredient Aconite Decoction) is suitable. When Yin Qi declines below, Yang encroaches upon it, causing heat in the soles of the feet. If heat is severe, it follows the Three Yin channels upward and reverses, called Re Jue (Heat Jue). *Liuwei Dihuang Wan* (Six-Ingredient Rehmannia Pill) is suitable. The Liver stores Blood and governs anger. Anger causes Fire to rise from the Liver, carrying Blood upward, causing Blood to stagnate in the upper part. Blood and Qi become chaotic in the chest, clashing and causing reversal, called Bo Jue (Thin/Clashing Jue). *Puhuang Tang* (Cattail Pollen Decoction) is suitable. All movement belongs to Yang; thus, fatigue disturbs Yang, causing Yang to expand excessively and Labor-Fire to become hyperactive. Fire blazing dries Water and exhausts Essence. Therefore, delaying until summer, both internal and external heat prevail, Water declines further and Fire becomes more hyperactive. Solitary Yang reverses, like frying and boiling, hence called Jian Jue (Frying Jue). *Renshen Guben Wan* (Ginseng Root-Solidifying Pill) is suitable. The Qi of the Five Corpses suddenly invades humans, disrupting Yin and Yang and Blood and Qi. Form and Qi separate, failing to connect smoothly, causing sudden Jue resembling death, named Shi Jue (Corpse Jue). *Suhe Xiang Wan* (Styrax Pill) is suitable. Cold Phlegm confusing and stifling, with cold extremities, is named Tan Jue (Phlegm Jue). *Jiangfu Tang* (Ginger and Aconite Decoction) is suitable. Stomach Cold causing vomiting of roundworms is named Hui Jue (Roundworm Jue). *Wumei Wan* (Mume Pill) added with *Lizhong Tang* (Regulate the Middle Decoction) is suitable. Qi is the Yang of the human body. Once obstructed, Yang Qi cannot reach the four extremities, causing cold hands and feet, similar to Stroke. However, Stroke patients have warm bodies, while those with Qi Strike have cold bodies. This is named Qi Jue (Qi Jue). *Bawei Shunqi San* (Eight-Ingredient Smooth Qi Powder) is suitable.
Humans carry Yin and embrace Yang, consume flavors, and indulge in sexuality. Cold and heat interact, joy and anger invade alternately. Moreover, with various forms of depletion, Blood, Qi, Jing, and Shen are exhausted. How can there be no symptoms of sudden collapse and sudden death? Therefore, Stroke cases triggered by thief-Wind and empty evils account for only one or two out of ten. Most belong to internal deficiency of both Qi and Blood. Qi deficiency leads to insufficient growth of Yin Blood; Yin decline leads to extreme Heat generating Wind, with empty-Winner fighting internally. Spirit and Qi rush outward, leading to onset. Upon onset, all Qi reverses upward transforming into Fire, all Heat becomes hyperactive transforming into Wind, all fluids coalesce into Phlegm, and all waters surge into Saliva. At this time, there is ascending without descending, exiting without entering, like a violent storm, thunder dragons leaping, and water surging. Suddenly cut off unexpectedly. Thus, there are absolutely no symptoms of external contraction such as headache, body heat, aversion to wind, and aversion to cold. The root is truly Qi deficiency, with Wind and Phlegm as the branch. External triggers are merely concurrent symptoms of the branch.
*Niu Huang Wan* (Calculus Bovis Pill) and *Suhe Xiang Wan* treat different conditions. Heat blocking the orifices suits *Niu Huang Wan*; Cold blocking the orifices suits *Suhe Xiang Wan*. If symptoms of hand laxity, open mouth, and urinary incontinence appear (signs of death), urgently use *Shenfu* (Ginseng and Aconite) for vigorous tonification; occasionally survival occurs. If *Niu Huang* or *Suhe Xiang* enters the mouth and causes immediate death, it is because Cold-Heat blockage of orifices can be treated as tangible pathology. For sudden collapse of True Yuan, one must seek great medicines that are formless yet spiritual, to turn the tide safely. Using Wind drugs to treat Wind, Heat drugs to treat Heat, Poisonous drugs to attack Toxins, and Qi drugs to move Qi—this is the major principle of medication, based on seeking similarity in nature and treating decline with its corresponding category. As for variations of counter-assistance and reverse compliance, they vary according to the disease, with infinite changes, impossible to fix by rigid rules.