上为细末，炼蜜为丸，每两作十丸，临卧嚼一丸，分五、七次嚼，以愈风汤送下，上清肺气，下强骨髓。
愚按:此方多轻扬走窜之味，虽有参、术、茯苓、甘草之补益，而寡固不可以敌众也。若用之于风痰壅盛，昏 不
省人事者固宜；其为血气虚弱、神不守舍而昏迷者，则促其死耳。学人宜知此意。
二丹丹 治健忘，养精神，定志和血，内安心神，外华腠理。
丹参（一两五钱） 丹砂（五钱，另研） 远志（五钱，去心） 熟地黄（一两五钱） 茯神（一两） 人参（五
钱） 菖蒲（五钱） 炙甘草（一两） 天门冬（一两五钱） 麦门冬（一两去心）
上为细末，炼蜜丸如梧桐子大，每服五十丸至一百丸，空心以愈风汤送下。
防风通圣散（并加减法。） 治中风及诸风等证。
防风 川芎 川归 白芍药 大黄 芒硝 连翘 薄荷 麻黄（不用节，各四分） 石膏 桔梗 黄芩（去朽，各
八分） 白术 栀子 荆芥穗（各二分） 滑石（二钱四分） 甘草（炙，一钱）
上细切，作一服，加生姜三片，水二盏，煎至一盏，温服，日再服。劳汗当风，寒薄为 ，郁乃痤，去芒硝，倍加
芍药、当归。或生瘾疹，或赤或白，倍加去节麻黄、盐豉、葱白，发汗罢，根据前方加四物汤、黄连解毒，三药合而饮之，
日二服。小便淋 ，去麻黄，加滑石、连翘煎，调木香末一钱匕。腰胁走注疼痛，加硝石、当归、甘草煎，调车前子末、
海金砂末各一钱匕。破伤风者，如在表则辛以散之，在里则苦以泄之，用此以兼散之，汗下后通利血气，驱逐风邪，加
荆芥穗、大黄煎，调全蝎末一钱匕、羌活末一钱匕。诸风潮搐，小儿急慢惊风，大便秘结，邪热暴甚，肠胃干燥，寝汗
切牙，目睛上窜，睡寤不安，转筋惊悸，倍大黄、栀子煎，调茯苓末一钱匕；如肌肉蠕动者，调羌活末一钱匕。风伤于
肺，咳嗽喘急，加半夏、桔梗、紫菀。如打扑伤损，肢节疼痛，腰中恶血留滞不下，加当归、大黄煎，调乳香、没
药各一钱匕。解利四时伤寒，加益元散半两，加葱白、盐豉、生姜，水一大碗，煎至五、七沸，温服一半，以鹅翎探之
即吐，吐后更服一半，汗出立解。如饮酒中风，身热头痛如破，加黄连、葱白煎服立愈。头旋脑热，鼻塞浊涕时下，加
薄荷、黄连煎服。《内经》曰∶胆移热于脑，则辛 鼻渊。鼻渊者，浊涕下不已也。如气逆者，本方煎调木香末一钱匕。
此方最治痢后鹤膝风，良验。
大防风汤（局方） 去风顺气，活血壮筋。又治痢后脚弱缓痛，不能行履，名曰痢风。或两脚肿痛，足胫枯腊
名曰鹤膝风。一切麻痹痿软、风湿挟虚之候服之，其效如神。
熟地黄 防风（去芦） 当归（去芦，酒浸） 黄 白芍药（各一钱） 白术（一钱五分） 人参 羌活 川牛
膝（去芦，酒浸） 甘草（炙，各五分） 川芎 附子（各七分半，炮去皮） 杜仲（去粗皮细切，姜汁拌炒、丝断，
一钱）
上细切，作一服，水二盏，姜五片，枣一枚，煎至一盏，空心温服。
愚按∶此方用归、芎、芍药、熟地以补血，用参、 。白术、甘草以补气，用羌活、防风散风湿以利关节，用牛膝、
杜仲以补腰膝，用附子以行参、 之气而走周身脉络，盖治气血两虚、挟风湿而成痿痹不能行者之圣药也，观其治痢后
风可见矣。然可以治不足之痿弱，而不可以治有余之风痹也。
稀涎散（仲景方） 治中风，痰涎壅盛，口眼歪斜，膈塞不通等证。
明白矾（一两，半生用半枯） 猪牙皂角（四荚，去皮弦，炙黄）
上为细末，每服一、二钱，温水调下，以吐为度。
独圣散（子和方） 治诸风隔实痰盛，及诸痫痰饮壅溢等证。
甜瓜蒂（一两，炒黄色，瓜黄熟脱落者佳）
上为细末，每服半钱，量人虚实用之，以酸 汁调下，以吐为度。凡行吐法，宜于天气清明之日行之，晦日难得吐，
病暴急者不拘。先令病者隔宿不食，如服药不吐，再用热 水投之。如吐风痫病者，加全蝎半钱微炒。如有虫者，加猪
油五、七点，雄黄末一钱，甚者加芫花末五分，立吐其虫。如湿肿满者，加赤小豆一钱。故此药不可常用，大要辨其虚
实，实则可用，虚则不可用。吐罢，可服降火利气、安神定志之药。
附∶胃风
丹溪曰∶胃风为病，初饮食讫，乘风凉而致，其证饮食不下，形瘦腹大，恶风头多汗，膈塞不通，脉右关弦而缓带
浮，胃风汤主之。
胃风汤（机要）
人参 茯苓 川芎 川归 桂心 白术 白芍药（各等分）
上细切，每服八钱，入粟米一小撮，煎服。如腹痛，加木香五分。
（丹溪活套）
凡中风证，悉以二陈汤加姜汁、竹沥为主。风痰盛、声如拽锯者，加南星、枳壳、皂角、防风、栝蒌仁。如血虚者，
加川芎、川归、白芍药、生地黄。有瘀血，加桃仁、红花。如气虚，加人参、白术、黄 。自汗者，以黄 为君，少用
茯苓、半夏，或佐以附子。如风邪盛、自汗身体痛者，加防风、羌活、薄桂。头目不利或头痛如破，加川芎、白芷、荆
芥穗、细辛、蔓荆子。顶痛者，去川芎，加 本，或加酒炒片芩。如无汗，身体痛，脉浮缓有力，或浮紧，或浮弦，皆
风寒在表之证，本方加羌活、防风、川芎、白芷、苍术、秦艽之类，或只用小续命汤倍麻黄以表之。如大便秘结不行，
四物三化汤以微利之，三、五日一去可也。心血亏欠，致心神恍惚，本方加黄连、远志、石菖蒲。或心动摇惊悸者，更
加酸枣仁、茯神、侧柏叶、竹茹，连前共作一剂，煎服。凡中风小便不利者，不可利小便，热退自能利也。凡中风年老
虚弱者，不可吐。气虚卒倒者，不可吐。肥人中风，口 ，手足麻木，不分左右皆属痰，用贝母、栝蒌子、南星、半夏、
陈皮、白术、黄连、黄芩、黄柏、羌活、防风、荆芥、葳灵仙、薄桂、甘草、天花粉。因痰者，加附子、竹沥、姜汁，
入酒一匙，行经行火。瘦人中风，属阴虚火热，四物汤加牛膝、黄芩、黄柏。有痰加痰药，入竹沥、姜汁服。遗尿者，
属气虚，以参 大剂补之。右瘫者，酒芩、酒柏、酒连、防风各五钱，半夏一两，羌活五钱，人参、苍术各一两，川归、
川芎各五钱，麻黄三钱，甘草五钱，南星一两，附子三片，丸如弹子大，酒化下。肥人忧思气郁，右手瘫，口渴，补中
益气汤。有痰，加半夏、竹沥、姜汁。中风证，口眼歪斜，语言不正，口角流涎，半身不遂，或全体不能举动，因元气
虚弱，兼酒色之过，而更挟外邪，用人参、防风、麻黄、羌活、升麻、桔梗、石膏、黄芩、荆芥、天麻、南星、薄荷、
葛根、芍药、杏仁、川芎、川归、白术、细辛、皂角等分，加姜煎，更入竹沥半杯服，外以艾灸治风穴道，微汗而愈。
或有因寒而中，宜姜附汤，每服三钱。挟痰挟气攻刺，加芍药五分。手足不仁，加防风。挟湿，加白术。筋脉牵急，加
木瓜。肢节痛不可忍，加薄桂一钱，加姜枣，水煎服之。
（祖传方）
蠲风饮子 治中风瘫痪，口眼歪斜，及一切手足走注疼痛，肢节挛急，麻痹不仁等证。
防风（去芦） 杜仲（去粗皮，姜汁炒） 羌活 白芷 川归（去芦头，酒浸洗） 川芎 生地黄（酒浸洗） 白
芍药 川牛膝（去芦，酒洗） 秦艽（去芦） 何首乌 萆 苍术（米泔浸一、二宿） 白术 木通（去皮） 大
枫子肉 葳灵仙 血藤（即过山龙也） 防己 丁公藤（各一两） 荆芥穗 海桐皮（去粗皮） 五茄皮 天南星（煨
制） 半夏（汤泡七次） 橘红（去白） 赤茯苓（去皮） 桑寄生 天麻 僵蚕（炒） 钓钩藤（各五钱） 薄桂（去
粗皮） 草乌头（去皮尖） 甘草节 川乌（去皮脐，炮） 猪牙皂角（各二钱半） 两头尖 阴地蕨（一名地茶） 大
蓟小蓟 理省藤 桑络藤（各一两五钱） 生姜（一两另研细）
上各切细，用无灰好酒二斗五升，以瓷罐一个盛酒浸药，以皮纸十数重包封罐口，冬半月，夏七日，秋春十日，每
日清晨、午前、午后、临卧各服一大白盏，忌鸡猪鱼羊驴马飞禽虾蟹等肉味，及煎 油腻水果生冷荞麦热面一切动气发
风之物，其效如神，万举万全之药也。
如神救苦散 治瘫痪，手足走痛不止，非痛勿用。
御米壳（蜜炒，一钱） 陈皮（五钱） 壁虎（炙黄，即 蜓也） 乳香 没药 甘草（各二钱五分）
上为末，每服三钱，煎服。
（医案）
予长嫂何氏，年五十七，身肥白，春初得中风，暴仆不省人事，身僵直，口噤不语，喉如拽锯，水饮不能入，六脉
浮大弦滑，右甚于左。以藜芦末一钱，加麝香少许，灌入鼻窍，吐痰一升许，始知人事，身体略能举动。急煎小续命汤
倍麻黄，连进二服，复以衣被，得汗，渐苏省，能转侧，但右手足不遂，语言蹇涩。后以二陈汤加芎、归、芍药、防风、
羌活等药，合竹沥、姜汁，日进二、三服。若三、四日大便不去，则不能言语，即以东垣导滞丸或润肠丸微利之，则语
言复正。如此调理，至六十四岁，得他病而卒。
将药材研成细末，用炼蜜制成丸药，每两药粉做成十丸。临睡前嚼服一丸，分五到七次慢慢咀嚼，用愈风汤送服，以此上清肺气，下强骨髓。
我按语：此方多含有轻扬走窜的药物，虽然有人参、白术、茯苓、甘草的补益作用，但少量的补益之力无法抵挡众多的走窜之性。如果用于风痰壅盛、昏迷不省人事的患者是适宜的；但如果用于气血虚弱、神不守舍而昏迷的患者，则会加速其死亡。学习者应当明白这个道理。
二丹散 治疗健忘，滋养精神，安定志意，调和血液，内安心神，外润泽肌肤腠理。
丹参（一两五钱） 朱砂（五钱，单独研磨） 远志（五钱，去心） 熟地黄（一两五钱） 茯神（一两） 人参（五钱） 石菖蒲（五钱） 炙甘草（一两） 天门冬（一两五钱） 麦门冬（一两，去心）
将药材研成细末，用炼蜜制成梧桐子大小的丸药，每次服用五十丸至一百丸，空腹时用愈风汤送服。
防风通圣散（包括加减法）。治疗中风及各类风证。
防风 川芎 当归 白芍药 大黄 芒硝 连翘 薄荷 麻黄（不用节，各四分） 石膏 桔梗 黄芩（去朽坏部分，各八分） 白术 栀子 荆芥穗（各二分） 滑石（二钱四分） 甘草（炙，一钱）
将药材细切，作为一剂服用，加生姜三片，水两盏，煎至一盏，温服，每日两次。因劳作出汗时受风，寒气侵袭导致郁结而成痤疮，去掉芒硝，加倍使用芍药、当归。或者出现瘾疹，颜色或红或白，加倍使用去节的麻黄、盐豉、葱白，以发汗为度，之后根据前方加入四物汤、黄连解毒汤，三种药合在一起饮用，每日两次。小便淋沥涩痛，去掉麻黄，加滑石、连翘煎煮，调入木香末一钱匕。腰胁部游走性疼痛，加硝石、当归、甘草煎煮，调入车前子末、海金砂末各一钱匕。破伤风患者，病邪在表则用辛味药发散，在里则用苦味药泄下，用此方兼以发散，汗下之后通畅血气，驱逐风邪，加荆芥穗、大黄煎煮，调入全蝎末一钱匕、羌活末一钱匕。各类风证引起的抽搐，小儿急慢惊风，大便秘结，邪热突然加重，肠胃干燥，睡中出汗磨牙，眼球上翻，睡眠不安，筋脉拘挛惊悸，加倍使用大黄、栀子煎煮，调入茯苓末一钱匕；如果肌肉跳动，调入羌活末一钱匕。风邪伤肺，咳嗽气喘急促，加半夏、桔梗、紫菀。如被打扑受伤，肢节疼痛，腰部恶血滞留不下，加当归、大黄煎煮，调入乳香、没药各一钱匕。解除四季伤寒，加益元散半两，加葱白、盐豉、生姜，水一大碗，煎至五到七沸，温服一半，用鹅毛探喉催吐，吐后再服另一半，出汗后立刻痊愈。如饮酒后中风，身体发热头痛如裂，加黄连、葱白煎服立刻痊愈。头晕脑热，鼻塞流浊涕不时而下，加薄荷、黄连煎服。《内经》说：胆移热于脑，则鼻窍辛辣，形成鼻渊。鼻渊就是浊涕不断流出。如气逆者，本方煎煮调入木香末一钱匕。此方最擅长治疗痢疾后的鹤膝风，疗效显著。
大防风汤（局方）。祛风顺气，活血壮筋。又治疗痢疾后脚弱缓痛，不能行走，名为痢风。或者两脚肿痛，小腿枯瘦如腊，名为鹤膝风。一切麻痹痿软、风湿夹杂虚弱的症状服用它，效果如神。
熟地黄 防风（去芦头） 当归（去芦头，酒浸） 黄芪 白芍药（各一钱） 白术（一钱五分） 人参 羌活 川牛膝（去芦头，酒浸） 甘草（炙，各五分） 川芎 附子（各七分半，炮制去皮） 杜仲（去粗皮细切，姜汁拌炒至丝断，一钱）
将药材细切，作为一剂服用，水两盏，姜五片，枣一枚，煎至一盏，空腹温服。
我按语：此方用当归、川芎、芍药、熟地黄来补血，用人参、黄芪、白术、甘草来补气，用羌活、防风疏散风湿以利关节，用牛膝、杜仲补腰膝，用附子推动参、芪之气运行周身脉络，大概是治疗气血两虚、夹杂风湿而成痿痹不能行走的圣药，看它治疗痢后风证就知道了。然而它可以治疗不足的痿弱，不可以治疗有余的风痹。
稀涎散（仲景方）。治疗中风，痰涎壅盛，口眼歪斜，胸膈堵塞不通等证。
明矾（一两，一半生用一半枯矾） 猪牙皂角（四荚，去皮弦，炙黄）
将药材研成细末，每次服用一、二钱，温水调服，以吐出为度。
独圣散（子和方）。治疗各类风证隔实痰盛，以及各类痫证痰饮壅溢等证。
甜瓜蒂（一两，炒黄色，瓜黄熟脱落者佳）
将药材研成细末，每次服用半钱，根据病人虚实情况使用，用酸醋汁调服，以吐出为度。凡是进行吐法，适宜在天气清明之日进行，晦日难得吐出，病情暴急者不拘泥于此。先让病人在前一晚不进食，如果服药后不吐，再用热醋水灌服。如果是吐风痫病者，加全蝎半钱微炒。如果有虫者，加猪油五、七滴，雄黄末一钱，严重的加芫花末五分，立刻吐出虫子。如果是湿肿满闷者，加赤小豆一钱。所以此药不可常用，大体要辨别虚实，实证可用，虚证不可用。吐完后，可服用降火利气、安神定志的药物。
附：胃风
丹溪说：胃风致病，起初是在饮食完毕后，乘凉风吹拂所致，其症状是饮食不下，形体消瘦腹部胀大，恶风头多汗，胸膈堵塞不通，脉象右关弦而缓带浮，用胃风汤主治。
胃风汤（机要）
人参 茯苓 川芎 当归 桂心 白术 白芍药（各等分）
将药材细切，每次服用八钱，放入粟米一小撮，煎服。如果腹痛，加木香五分。
（丹溪活套）
凡中风证，都以二陈汤加姜汁、竹沥为主。风痰盛、声音像拉锯一样的，加天南星、枳壳、皂角、防风、栝蒌仁。如血虚者，加川芎、当归、白芍药、生地黄。有瘀血，加桃仁、红花。如气虚，加人参、白术、黄芪。自汗者，以黄芪为君药，少用茯苓、半夏，或者佐以附子。如风邪盛、自汗身体痛者，加防风、羌活、薄桂。头目不利或头痛如裂，加川芎、白芷、荆芥穗、细辛、蔓荆子。头顶痛者，去掉川芎，加藁本，或者加酒炒的黄芩。如无汗，身体痛，脉浮缓有力，或浮紧，或浮弦，都是风寒在表的证候，本方加羌活、防风、川芎、白芷、苍术、秦艽之类，或者只用小续命汤倍用麻黄来解表。如大便秘结不行，用四物三化汤轻微通便，三、五天一次即可。心血亏欠，导致心神恍惚，本方加黄连、远志、石菖蒲。或者心动摇惊悸者，再加酸枣仁、茯神、侧柏叶、竹茹，连同前面的药共作一剂，煎服。凡中风小便不利者，不可利尿，热退自然能通利。凡中风年老虚弱者，不可吐。气虚卒倒者，不可吐。肥胖人中风，口眼歪斜，手足麻木，不分左右都属于痰，用贝母、栝蒌子、天南星、半夏、陈皮、白术、黄连、黄芩、黄柏、羌活、防风、荆芥、威灵仙、薄桂、甘草、天花粉。因痰者，加附子、竹沥、姜汁，入酒一匙，行经行火。瘦人中风，属阴虚火热，用四物汤加牛膝、黄芩、黄柏。有痰加化痰药，入竹沥、姜汁服。遗尿者，属气虚，用参芪大剂补之。右侧瘫痪者，酒芩、酒柏、酒连、防风各五钱，半夏一两，羌活五钱，人参、苍术各一两，当归、川芎各五钱，麻黄三钱，甘草五钱，天南星一两，附子三片，丸如弹子大，酒化下。肥胖人忧思气郁，右手瘫，口渴，用补中益气汤。有痰，加半夏、竹沥、姜汁。中风证，口眼歪斜，语言不正，口角流涎，半身不遂，或全身不能举动，因元气虚弱，兼酒色过度，而更挟外邪，用人参、防风、麻黄、羌活、升麻、桔梗、石膏、黄芩、荆芥、天麻、天南星、薄荷、葛根、芍药、杏仁、川芎、当归、白术、细辛、皂角等分，加姜煎，再入竹沥半杯服，外用艾灸治疗风穴道，微汗而愈。
或者有因寒而中的，宜用姜附汤，每服三钱。挟痰挟气攻刺，加芍药五分。手足不仁，加防风。挟湿，加白术。筋脉牵急，加木瓜。肢节痛不可忍，加薄桂一钱，加姜枣，水煎服之。
（祖传方）
蠲风饮子 治疗中风瘫痪，口眼歪斜，及一切手足游走性疼痛，肢节挛急，麻痹不仁等证。
防风（去芦头） 杜仲（去粗皮，姜汁炒） 羌活 白芷 当归（去芦头，酒浸洗） 川芎 生地黄（酒浸洗） 白芍药 川牛膝（去芦，酒洗） 秦艽（去芦） 何首乌 萆薢 苍术（米泔浸一、二宿） 白术 木通（去皮） 大枫子肉 威灵仙 血藤（即过山龙也） 防己 丁公藤（各一两） 荆芥穗 海桐皮（去粗皮） 五茄皮 天南星（煨制） 半夏（汤泡七次） 橘红（去白） 赤茯苓（去皮） 桑寄生 天麻 僵蚕（炒） 钩藤（各五钱） 薄桂（去粗皮） 草乌头（去皮尖） 甘草节 川乌（去皮脐，炮） 猪牙皂角（各二钱半） 两头尖 阴地蕨（一名地茶） 大蓟小蓟 理省藤 桑络藤（各一两五钱） 生姜（一两另研细）
将各药切细，用无灰好酒二斗五升，用一个瓷罐盛酒浸泡药材，用皮纸十几重包封罐口，冬天半个月，夏天七日，春秋十日，每天清晨、午前、午后、临卧各服一大白盏，忌食鸡猪鱼羊驴马飞禽虾蟹等肉类，以及煎炸油腻水果生冷荞麦热面一切动气发风之物，其效果如神，是万举万全的药。
如神救苦散 治疗瘫痪，手足游走性疼痛不止，不是疼痛不要用。
御米壳（蜜炒，一钱） 陈皮（五钱） 壁虎（炙黄，即蛤蚧也） 乳香 没药 甘草（各二钱五分）
将药材研成末，每次服用三钱，煎服。
（医案）
我的长嫂何氏，五十七岁，身体肥胖面白，春初得了中风，突然仆倒不省人事，身体僵硬挺直，口噤不语，喉咙声音像拉锯，水饮不能入口，六脉浮大弦滑，右侧比左侧严重。用藜芦末一钱，加少许麝香，灌入鼻窍，吐出痰液约一升，才开始恢复意识，身体略微能动。急忙煎小续命汤倍用麻黄，连续服用两剂，盖上衣被，出汗后，逐渐苏醒，能翻身转动，但右手足不遂，语言蹇涩。后来用二陈汤加川芎、当归、芍药、防风、羌活等药，合竹沥、姜汁，每天进二、三服。如果三、四天大便不去，就不能言语，就用东垣导滞丸或润肠丸轻微通便，则语言恢复正常。如此调理，直到六十四岁，得其他病去世。
Grind the herbs into a fine powder, and make pills with refined honey. Each liang (approx. 37g) of powder makes ten pills. Chew one pill before bedtime, dividing it into five to seven small chews, and swallow with Yufeng Decoction (Wind-Expelling Decoction). This clears Lung Qi from above and strengthens Marrow from below.
My commentary: This formula contains many light, ascending, and penetrating ingredients. Although it has the tonifying effects of Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Gancao (Licorice Root), the scant tonification cannot withstand the multitude of penetrating actions. If used for patients with abundant Wind-Phlegm obstructing the orifices and unconsciousness, it is appropriate; however, if used for patients with deficient Qi and Blood and unsettled Spirit leading to coma, it will hasten death. Students should understand this principle.
Er Dan San (Two Cinnabar Powder) treats forgetfulness, nourishes Spirit, stabilizes Will, harmonizes Blood, internally calms the Heart Spirit, and externally beautifies the skin and interstices.
Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 1 liang 5 qian) Zhusha (Cinnabar, 5 qian, separately ground) Yuanzhi (Polygalae Radix, 5 qian, heart removed) Shudihuang (Rehmanniae Radix Praeparata, 1 liang 5 qian) Fushen (Poria with Hostwood, 1 liang) Renshen (Ginseng Radix et Rhizoma, 5 qian) Changpu (Acori Tatarinowii Rhizoma, 5 qian) Zhigancao (Prepared Licorice Root, 1 liang) Tianmendong (Asparagi Radix, 1 liang 5 qian) Maidong (Ophiopogonis Radix, 1 liang, heart removed)
Grind into a fine powder, make pills the size of paulownia seeds. Take 50 to 100 pills per dose, on an empty stomach, swallowed with Yufeng Decoction.
Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Heroic Path) (including modification methods). Treats Stroke and various Wind syndromes.
Fangfeng (Saposhnikoviae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Chuangui (Angelicae Sinensis Radix) Baishao (Paeoniae Radix Alba) Dahuang (Rhei Radix et Rhizoma) Mangxiao (Natrii Sulfas) Lianqiao (Forsythiae Fructus) Bohe (Menthae Haplocalycis Herba) Mahuang (Ephedrae Herba - do not use nodes, each 4 fen) Shigao (Gypsum Fibrosum) Jiegeng (Platycodonis Radix) Huangqin (Scutellariae Radix - remove rotten parts, each 8 fen) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhizi (Gardeniae Fructus) Jingjiesui (Schizonepetae Spica, each 2 fen) Huashi (Talcum, 2 qian 4 fen) Gancao (Prepared Licorice Root, 1 qian)
Cut finely, as one dose. Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 2 cups of water, decoct to 1 cup, take warm. Twice daily. If caused by wind exposure after labor sweating, where cold condenses causing acne, remove Mangxiao, double Baishao and Danggui. If Urticaria appears, red or white, double Mahuang (nodes removed), Yanchi (Salted Soybean), and Congbai (Allii Fistulosi Bulbus) to induce sweating. Afterwards, based on the previous formula, add Siwu Tang (Four Substances Decoction) and Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity), drink all three together, twice daily. For dysuria, remove Mahuang, add Huashi and Lianqiao, decoct, and mix in Muxiang (Aucklandiae Radix) powder, 1 qian bi. For wandering pain in waist and hypochondrium, add Xiaoshi (Natrii Nitras), Danggui, and Gancao, decoct, and mix in Cheqianzi (Plantaginis Semen) and Haijinsha (Lygodii Spora) powders, 1 qian bi each. For Tetanus, if pathogen is in the exterior, disperse with acrid flavors; if in the interior, purge with bitter flavors. Use this formula to disperse both. After sweating and purging to unblock Qi and Blood and expel Wind, add Jingjiesui and Dahuang, decoct, and mix in Quanxie (Scorpio) and Qianghuo (Notopterygii Rhizoma et Radix) powders, 1 qian bi each. For various Wind-induced spasms, pediatric acute/chronic convulsive disorders, constipation, sudden severe pathogenic heat, dry intestines/stomach, nocturnal bruxism, upward deviation of eyes, restlessness, tendon cramping and palpitations, double Dahuang and Zhizi, decoct, and mix in Fuling powder, 1 qian bi; if muscle twitching occurs, mix in Qianghuo powder, 1 qian bi. For Wind injuring Lung causing cough and asthma, add Banxia (Pinelliae Rhizoma), Jiegeng, and Ziwan (Asturi Flos). For trauma injuries, joint pain, and stagnant evil blood in the waist, add Danggui and Dahuang, decoct, and mix in Ruxiang (Olibanum) and Moyao (Myrrha), 1 qian bi each. To resolve seasonal Cold Damage, add YiYuan San (Benefit Origin Powder), 0.5 liang, plus Congbai, Yanchi, and Shengjiang. Decoct 1 large bowl of water until boiling 5-7 times, take half warm, induce vomiting with goose feather, then take the remaining half. Sweating leads to immediate resolution. For Stroke after drinking alcohol, with fever and splitting headache, add Huanglian (Coptidis Rhizoma) and Congbai, decoct and take for immediate cure. For dizziness and brain heat, nasal congestion with turbid discharge, add Bohe and Huanglian, decoct and take. *Neijing* states: "When Gallbladder heat transfers to the Brain, the nose feels pungent, forming Biyuan (Nasal Sinusitis)." Biyuan is continuous turbid nasal discharge. For rebellious Qi, decoct the base formula and mix in Muxiang powder, 1 qian bi. This formula is most effective for He Xi Feng (Crane Knee Wind) following Dysentery, with excellent results.
Da Fangfeng Tang (Great Saposhnikovia Decoction) (Bureau Formula). Expels Wind, regulates Qi, invigorates Blood, and strengthens sinews. Also treats leg weakness and dragging pain after Dysentery, inability to walk, named Li Feng (Dysentery Wind). Or swelling and pain in both legs, with emaciated calves named He Xi Feng (Crane Knee Wind). It is taken for all conditions of numbness, flaccidity, softness, and Wind-Dampness complicated by deficiency, with miraculous efficacy.
Shudihuang (Rehmanniae Radix Praeparata) Fangfeng (Saposhnikoviae Radix, remove rhizome) Danggui (Angelicae Sinensis Radix, remove rhizome, wine-soaked) Huangqi (Astragali Radix) Baishao (Paeoniae Radix Alba, each 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian 5 fen) Renshen (Ginseng Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Chuan Niuxi (Cyathulae Radix, remove rhizome, wine-soaked) Zhigancao (Prepared Licorice Root, each 5 fen) Chuanxiong (Ligustici Chuanxiong Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, each 7.5 fen, processed, peel removed) Duzhong (Eucommiae Cortex, remove rough bark, cut finely, stir-fried with ginger juice until fibers break, 1 qian)
Cut finely, as one dose. Add 2 cups of water, 5 slices of ginger, 1 jujube. Decoct to 1 cup, take warm on an empty stomach.
My commentary: This formula uses Danggui, Chuanxiong, Baishao, and Shudihuang to tonify Blood; Renshen, Huangqi, Baizhu, and Gancao to tonify Qi; Qianghuo and Fangfeng to scatter Wind-Dampness and benefit joints; Niuxi and Duzhong to tonify lower back and knees; and Fuzi to propel the Qi of Renshen and Huangqi through the meridians. It is a holy medicine for treating Wei Bi (Flaccidity Obstruction) due to dual deficiency of Qi and Blood complicated by Wind-Dampness, preventing walking. Its treatment of post-dysentery Wind demonstrates this. However, it treats deficiency-type Wei (flaccidity) but not excess-type Feng Bi (Wind Obstruction).
Xi Xian San (Thin Saliva Powder) (Zhongjing Formula). Treats Stroke with abundant Phlegm-Saliva, facial paralysis, and chest diaphragm obstruction.
Mingfan (Alumen, 1 liang, half raw, half calcined) Zhuya Zaojiao (Gleditsiae Sinensis Fructus, 4 pods, remove skin and strings, roast yellow)
Grind into fine powder. Take 1-2 qian per dose, mixed with warm water, until vomiting occurs.
Du Sheng San (Single Sage Powder) (Hezi Formula). Treats various Wind syndromes with solid obstruction and abundant Phlegm, and various Epilepsy syndromes with overflowing Phlegm-Fluid.
Tianguadi (Cucumeritis Fructus, 1 liang, roasted yellow, best when naturally fallen ripe)
Grind into fine powder. Take 0.5 qian per dose, adjusted for patient's deficiency/excess, mixed with sour vinegar juice, until vomiting occurs. Vomiting therapy should be performed on clear weather days; difficult on dark moon days, unless emergency. Fast overnight before treatment. If no vomiting after medication, administer hot vinegar water. For Wind-Epilepsy vomiting, add slightly roasted Quanxie (Scorpio), 0.5 qian. If parasites are present, add 5-7 drops of pig fat, 1 qian Xionghuang (Realgar) powder; severe cases add 0.5 qian Yuanhua (Kadsurae Flos) powder to immediately expel worms. For damp edema/fullness, add 1 qian Chixiaodou (Adzuki Bean). Thus, this drug should not be used frequently; primarily distinguish deficiency/excess. Use for excess, not for deficiency. After vomiting, administer drugs that descend fire, promote Qi, calm Spirit, and stabilize Will.
Appendix: Wei Feng (Stomach Wind)
Danxi said: Wei Feng disease begins after eating, exposed to cool wind. Symptoms include inability to eat, emaciation with abdominal distension, aversion to wind with profuse sweating, chest obstruction, and pulse at Right Guan is wiry, slow, and floating. Treat with Weifeng Tang.
Weifeng Tang (Jiyao)
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Chuanxiong (Ligustici Chuanxiong Rhizoma) Chuangui (Angelicae Sinensis Radix) Guixin (Cinnamomi Ramulus) Baizhu (Atractylodis Macrocephalae Rhizoma) Baishao (Paeoniae Radix Alba, equal parts)
Cut finely. Take 8 qian per dose, add a small pinch of Sumi (Setaria Italica Grain), decoct and take. If abdominal pain, add Muxiang (Aucklandiae Radix), 5 fen.
(Danxi Flexible Protocol)
For all Stroke syndromums, use Erchen Tang (Two Aged Decoction) with Jiangzhi (Ginger Juice) and Zhuli (Bamboo Sap) as the main basis. For abundant Wind-Phlegm with sawing-like sound, add Nanxing (Arisaematis Rhizoma), Zhike (Aurantii Fructus), Zaojiao (Gleditsiae Fructus), Fangfeng (Saposhnikoviae Radix), Gualouren (Trichosanthis Semen). For Blood deficiency, add Chuanxiong, Chuangui, Baishao, Shengdi Huang (Rehmanniae Radix). For Blood stasis, add Taoren (Persicae Semen) and Honghua (Carthami Flos). For Qi deficiency, add Renshen, Baizhu, Huangqi (Astragali Radix). For spontaneous sweating, use Huangqi as Sovereign, with small amounts of Fuling and Banxia, or assist with Fuzi. For abundant Wind pathogen with spontaneous sweating and body pain, add Fangfeng, Qianghuo, Bao Gui (Cinnamomi Ramulus). For head/eye obstruction or splitting headache, add Chuanxiong, Baizhi (Angelicae Dahuricae Radix), Jingjiesui, Xixin (Asari Radix et Rhizoma), Manjingzi (Viticis Semen). For vertex pain, remove Chuanxiong, add Gaoben (Ligustici Wallichii Rhizoma), or add wine-fried Huangqin. For no sweating, body pain, floating-slow-strong, floating-tight, or floating-wiry pulses (all Exterior Wind-Cold), add Qianghuo, Fangfeng, Chuanxiong, Baizhi, Cangzhu (Atractylodis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix) to the base formula, or use Xiao Xuming Tang (Minor Continuation Life Decoction) with doubled Mahuang to release the exterior. For constipation, use Siwu Sanhua Tang (Four Substances Three Transformations Decoction) to mildly purge, once every 3-5 days. For Heart Blood deficiency causing vague Spirit, add Huanglian, Yuanzhi, Shichangpu (Acori Tatarinowii Rhizoma). For palpitations/fright, add Suanzaoren (Ziziphi Spinosae Semen), Fushen, Ce Bai Ye (Biota Top Leaf), Zhuru (Bambusae Caulis in Taenia), decoct all together. For Stroke with difficult urination, do not promote urination; it will resolve spontaneously after heat subsides. For elderly/weak Stroke patients, do not vomit. For sudden collapse due to Qi deficiency, do not vomit. For obese Stroke patients with facial paralysis and limb numbness (regardless of side), it belongs to Phlegm. Use Beimu (Fritillariae Cirrhosae Bulbus), Gualouzi (Trichosanthis Semen), Nanxing, Banxia, Chenpi (Citri Reticulatae Pericarpium), Baizhu, Huanglian, Huangqin, Huangbai (Phellodendri Cortex), Qianghuo, Fangfeng, Jingjie (Schizonepetae Herba), Weilingxian (Syneilesis Rhizoma), Bao Gui, Gancao, Tianhuafen (Trichosanthis Radix). For Phlegm origin, add Fuzi, Zhuli, Jiangzhi, and 1 spoon of wine to move meridians and fire. For thin Stroke patients, belonging to Yin deficiency with Fire hyperactivity, use Siwu Tang with Niuxi, Huangqin, Huangbai. If Phlegm exists, add Phlegm-resolving drugs with Zhuli and Jiangzhi. For enuresis, belonging to Qi deficiency, tonify heavily with Renshen and Huangqi. For right-sided hemiplegia, use Jiuhuangqin, Jiuhuangbai, Jiuhuanglian, Fangfeng (each 5 qian), Banxia (1 liang), Qianghuo (5 qian), Renshen, Cangzhu (each 1 liang), Chuangui, Chuanxiong (each 5 qian), Mahuang (3 qian), Gancao (5 qian), Nanxing (1 liang), Fuzi (3 slices). Make pills like bullet sizes, dissolve in wine. For obese patients with worry/thought Qi stagnation, right hemiplegia, thirst, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If Phlegm, add Banxia, Zhuli, Jiangzhi. For Stroke with facial paralysis, speech disturbance, drooling, hemiplegia, or total immobility, due to weak Yuan Qi, excessive alcohol/sex, and external pathogens, use Renshen, Fangfeng, Mahuang, Qianghuo, Shengma (Cimicifugae Rhizoma), Jiegeng, Shigao, Huangqin, Jingjie, Tianma (Gastrodiae Rhizoma), Nanxing, Bohe, Gegen (Puerariae Lobatae Radix), Shaoyao, Xingren (Armeniacae Semen Amarum), Chuanxiong, Chuangui, Baizhu, Xixin, Zaojiao in equal parts. Decoct with ginger, add half cup Zhuli, take. External moxibustion on Wind points until slight sweating cures.
If caused by Cold invasion, use Jiangfu Tang (Ginger and Aconite Decoction), 3 qian per dose. If complicated by Phlegm/Qi stabbing pain, add Baishao, 5 fen. For limb anesthesia, add Fangfeng. If complicated by Dampness, add Baizhu. For tendon/cramping urgency, add Mugua (Chaenomelis Fructus). For unbearable joint pain, add Bao Gui, 1 qian, with ginger/jujube, decoct and take.
(Ancestral Formula)
Juan Feng Yin Zi (Wind-Dispelling Decoction) Treats Stroke paralysis, facial paralysis, wandering pain in limbs, joint contracture, numbness/anesthesia.
Fangfeng (remove rhizome) Duzhong (remove rough bark, stir-fry with ginger juice) Qianghuo Baizhi Chuangui (remove rhizome, wash with wine) Chuanxiong Shengdihuang (wash with wine) Baishao Chuan Niuxi (wash with wine) Qinjiao (remove rhizome) Heshouwu (Polygoni Multiflori Radix) Bibo (Dioscoreae Hypoglaucae Rhizoma) Cangzhu (soak in rice water 1-2 nights) Baizhu Mutong (Akebiae Caulis, remove bark) Dafengzi Rou (Semencarpus Anacardium) Weilingxian Xuéteng (Spatholobi Caulis, also known as Guoshanlong) Fangji (Stephaniae Tetrandrae Radix) Dinggongteng (Thunberginae Caulis, each 1 liang) Jingjiesui Haitongpi (Cryptocoryri Cortex, remove rough bark) Wuqia Pi (Acanthopanacis Cortex) Tiannanxing (Roasted) Banxia (boiled 7 times) Juhong (Exocarpium Citri Reticulatae Rubrum, remove white pith) Chi Fuling (Poria, remove bark) Sangjisheng (Taxilli Herba) Tianma Gjiangcan (Silkworm, fried) Gouteng (Uncariae Ramulus cum Uncis, each 5 qian) Bao Gui Caowutou (Aconiti Kusnezoffii Radix, remove skin/tips) Gancao Jie (Licorice Knot) Chuanwu (Aconiti Radix, remove navel, process) Zhuya Zaojiao (each 2.5 qian) Liangtoujian (Rhizoma Smilacis Glabrae) Yindi Jue (Smilacis Glabrae Rhizoma, also called Di Cha) Daji/Xiaoji (Taraxaci Herba/Dentariae Rhizoma) Lisheng Teng (Callicarpa Caulis) Sangluo Teng (Mori Caulis, each 1 liang 5 qian) Shengjiang (1 liang, separately ground fine)
Cut finely. Soak in 2.5 dou 5 sheng of good non-fermented wine in a porcelain jar. Seal with 10+ layers of hide paper. Winter: half month; Summer: 7 days; Spring/Autumn: 10 days. Take one large white cup each morning, forenoon, afternoon, and before bed. Avoid chicken, pork, fish, mutton, donkey, horse, poultry, shrimp, crab meats, and fried/greasy foods, fruits, cold/raw items, buckwheat, hot noodles, and all Qi-moving/Wind-stirring substances. Efficacy is miraculous, a perfect remedy.
Rushen Jiuku San (Miraculous Salvation and Bitterness Powder) Treats paralysis, unremitting wandering limb pain. Do not use if not painful.
Yumiqiao (Papaveris Capsula, honey-roasted, 1 qian) Chenpi (Citri Reticulatae Pericarpium, 5 qian) Bihu (Gecko, roasted yellow, i.e., Gejie) Ruxiang Myao Gancao (each 2.5 qian)
Grind into powder. Take 3 qian, decoct and take.
(Medical Case)
My eldest brother's wife, He Shi, aged 57, was obese and fair-skinned. In early spring, she suffered Stroke, suddenly collapsed unconscious, body stiff and straight, mouth locked unable to speak, throat sound like sawing, unable to ingest fluids. Six pulses were floating, large, wiry, and slippery, right stronger than left. Administered 1 qian of Lilü (Veratri Viridis Rhizoma) powder with a little Shexiang (Moschus) into the nasal cavity. Vomited approx. 1 sheng of Phlegm, regained consciousness, body slightly movable. Urgently decocted Xiao Xuming Tang with doubled Mahuang, took two doses consecutively. Covered with blankets, sweated, gradually revived, able to turn over, but right hand/foot paralyzed, speech slurred. Later used Erchen Tang with Chuanxiong, Danggui, Baishao, Fangfeng, Qianghuo, combined with Zhuli and Jiangzhi, taking 2-3 doses daily. If stool not passed in 3-4 days, speech would fail; then used Dongyuan Daoshi Wan (Dongyuan Stagnation-Guiding Pill) or Runchang Wan (Moisten Intestine Pill) to mildly purge, restoring speech. Managed thus until age 64, when she died of another illness.