治中风入脏，热势极盛，闭结不通，便溺阻隔不行，乃风火相搏而为热风者
本方主之。设内有寒气，大便反硬，名曰阴结。阴结者，得和气暖日，寒冰自化，不可误
用攻药，误即不能复救，慎之慎之。
浓朴（姜汁炒） 大黄（酒蒸） 枳实（面炒） 羌活（各一钱五分
水煎服。
（见中寒）
治寒风中脏，阴冷极盛，脱证随见，此风水相遭而为寒风者
急服此药，犹可得生。夫病属脱证，设误用疏通开窍之药，如人既入井而又加之以石也，
必须参、附大剂饮之，方为合法。
治寒风中脏，六脉沉细，痰壅喉响，不省人事，乃寒痰厥逆之候。
生南星 生乌头（去皮尖） 生附子（各一钱五分） 生姜（五片） 生木香（五分）
水煎服。
薛立斋云∶三生饮，乃行经络，治寒痰之良药，斩关夺旗之神剂，每服必用人参两许
驾驭而行，庶可驱外邪而补真气，否则不惟无益，适以取败。观先哲用 附、术附、参附等
汤，其义可见。
治风中经络，口眼歪斜，半身不遂，或语言謇涩，乃血弱不能养于筋，宜
用养血疏风之剂，经云∶治风先治血，血行风自灭是也。
秦艽（一钱五分） 甘草（炙） 川芎 当归 芍药 生地 熟地（自制） 茯苓 羌活 独活
白术 防风 白芷 黄芩（酒炒，各八分） 细辛（二分）
水煎服。
如或烦躁口渴，加石膏一钱五分；阴雨，加生姜三片；春夏，加知母八分。
窃谓本方，初时宜用，若日久，则以四物、四君为主，而以风药佐之，庶收全功。
四物汤、四君子汤、八珍汤 （俱见虚证。
虎骨胶丸 （见痹证。
小续命汤 （见伤寒发痉）
治疗中风邪气侵入脏腑，热势极其旺盛，导致大便闭塞不通，小便排尿受阻，这是风邪与火邪相互搏结而形成的热风证。
本方主治此证。如果体内有寒气，大便反而干硬，这叫做阴结。患有阴结的人，得到温和之气和阳光照射，像寒冰一样自然融化，不可误用攻下泻实的药物，一旦误用就无法挽救，务必谨慎再谨慎。
浓朴（用姜汁炒制） 大黄（用酒蒸制） 枳实（用面粉炒制） 羌活（以上各一钱五分）
加水煎煮后服用。
（参见中寒章节）
治疗寒风侵袭脏腑，阴冷之气极盛，随即出现脱证（元气虚脱的危重证候），这是风邪与水湿相遭遇而形成的寒风证。
急服此药，还可以求得生机。因为病属脱证，如果误用疏通经络、开窍醒神的药物，就像人已经掉进井里，又往里面扔石头一样危险，必须大剂量服用人参、附子等药物，才符合治疗法则。
治疗寒风侵袭脏腑，六脉沉细，痰液壅塞喉咙发出声响，神志不清不省人事，这是寒痰厥逆的征候。
生南星 生乌头（去皮尖） 生附子（以上各一钱五分） 生姜（五片） 生木香（五分）
加水煎煮后服用。
薛立斋说：三生饮，是通行经络、治疗寒痰的良药，是斩关夺旗般效力强大的方剂，每次服用必须加入人参一两左右来驾驭药力，这样才能驱除外邪并补益真气，否则不仅没有益处，反而会招致失败。观察先哲使用附子汤、白术附子汤、参附汤等方剂，其中的道理就可以明白了。
治疗风邪侵袭经络，出现口眼歪斜，半身不遂，或者语言謇涩不利，这是因为血虚不能滋养筋脉，应当使用养血疏风的方剂。《内经》说：治疗风病首先要治血，血液运行通畅，风邪自然消除，就是这个道理。
秦艽（一钱五分） 甘草（炙烤） 川芎 当归 芍药 生地 熟地（自行炮制） 茯苓 羌活 独活
白术 防风 白芷 黄芩（用酒炒制，以上各八分） 细辛（二分）
加水煎煮后服用。
如果出现烦躁口渴，加石膏一钱五分；阴雨天气，加生姜三片；春夏季节，加知母八分。
我认为本方在初期适宜使用，如果病程日久，则以四物汤、四君子汤为主方，辅以祛风药物，才能取得全面疗效。
四物汤、四君子汤、八珍汤 （均见虚证章节）
虎骨胶丸 （见痹证章节）
小续命汤 （见伤寒发痉章节）
For the treatment of wind-stroke where pathogenic factors have entered the Zang organs, with extreme heat intensity, closure and constipation, obstruction in urination and defecation, this is a case of hot-wind caused by the struggle between wind and fire.
This formula is the primary treatment. If there is cold qi inside the body, and the stool is conversely hard, it is named Yin-Jie (Yin Constipation). For those with Yin-Jie, upon receiving harmonious qi and sunlight, the ice-like condition will naturally melt; one must not mistakenly use purgative drugs. A mistake here leads to irrecoverable conditions, so be extremely cautious.
Magnoliae Officinalis Cortex (stir-fried with ginger juice) Rhubarb (steamed with wine) Immature Bitter Orange (stir-fried with flour) Notopterygii Rhizoma et Radix (each 1.5 qian)
Decoct in water and take orally.
(See section on Cold Stroke)
For the treatment of cold-wind invading the Zang organs, where extreme cold predominates and collapse syndrome (Tuo Zheng) appears subsequently, this is a case of cold-wind caused by the encounter of wind and water-dampness.
Taking this medicine urgently can still save life. Since the disease belongs to collapse syndrome, if one mistakenly uses drugs for dredging collaterals and opening orifices, it is like adding stones to someone who has already fallen into a well. One must administer large doses of Ginseng and Aconite to comply with the legal treatment method.
For the treatment of cold-wind invading the Zang organs, with six pulses being deep and fine, phlegm obstructing the throat causing roaring sounds, and loss of consciousness, this is a sign of cold-phlegm Jue-ni (reversal cold).
Arisaema Cum Bile (raw) Aconitum Carmichaelii Radix Preparata (raw, skin and tip removed) Aconitum Carmichaelii Radix Preparata (raw) Fresh Ginger (five slices) Costus Root (raw) (0.5 qian)
Decoct in water and take orally.
Xue Lizhai said: Sansheng Yin (Three Raw Decoction) is a good medicine for circulating meridians and treating cold-phlegm, a divine agent that breaks through barriers and captures flags. Each dose must include about one liang of Ginseng to control its movement, thereby driving out external pathogens and supplementing true Qi. Otherwise, it brings no benefit but instead leads to defeat. Observing the ancients' use of formulas such as Fuzi Tang, Baizhu Fuzi Tang, and Shenfu Tang reveals their meaning.
For the treatment of wind striking the meridians and collaterals, presenting with deviation of the mouth and eyes, hemiplegia, or speech impediment, this is due to blood deficiency failing to nourish the sinews. One should use agents that nourish blood and disperse wind. The Classic says: "To treat wind, first treat the blood; when blood flows, wind extinguishes itself."
Gentianae Macrophyllae Radix (1.5 qian) Licorice Root (roasted) Ligusticum Chuanxiong Rhizome Angelica Sinensis Radix Paeoniae Radix Rubra Rehmanniae Radix Preparata (self-made) Poria Coctus Schizonepetae Spica Saussureae Involucratae Radix et Rhizoma Atractylodis Macrocephalae Rhizome Saposhnikoviae Radix Angelicae Dahuricae Radix Scutellariae Radix (wine-fried, each 0.8 qian) Asari Radix et Rhizoma (0.2 qian)
Decoct in water and take orally.
If irritability and thirst occur, add Gypsum Fibrosum (1.5 qian); during rainy weather, add Fresh Ginger (three slices); in spring and summer, add Anemarrhenae Rhizoma (0.8 qian).
I believe this formula is suitable for the initial stage. If the illness persists for a long time, Siwu Tang (Four Substances Decoction) and Sijunzi Tang (Four Gentlemen Decoction) should be used as the main base, assisted by wind-dispersing herbs, to achieve complete success.
Siwu Tang, Sijunzi Tang, Bazhen Tang (All see Deficiency Syndromes section)
Horn Tigris Gelatin Pills (See Bi Syndrome section)
Xiaoxuming Tang (Small Continuation Life Decoction) (See Cold Damage with Spasm section)