上除附子、杏仁外，捣为粗末。后入二味令匀，每服五钱，水二盏半，生姜五片，煎至
一盏，去渣，稍热服，食前。如无汗恶寒者，加麻黄、防风、杏仁，上根据本方加一倍，宜针
太阳经至阴出血。如有汗恶风者，加桂枝、芍药、杏仁，上根据本方加一倍，宜针风府。以上
二证，太阳中风也。如身热无汗不恶寒者，加知母、石膏、甘草；如身热有汗不恶寒者，加
葛根、桂枝、黄芩，上根据本方加一倍，宜针陷谷，刺厉兑。针陷谷者，去阳明之贼也。刺厉
兑者，泻阳明之实也。以上二证，阳明中风也。如无汗身凉者，加附子、干姜、甘草，宜针
隐白，去太阴之贼也。此一证，太阴中风也。如有汗无热，加桂枝、附子、甘草，若根据本方
加一倍，宜针太溪。此一证，少阴中风也。
如无此四证，六经混淆，系于少阳厥阴，或肢节挛痛，或麻木不仁，宜羌活连翘续命汤
。
小续命汤（八两） 羌活（四两） 连翘（六两）
上古之续命，混淆无经，今立分经治疗，又各分经针刺，无不愈也。治法，宜刺厥
阴之井大敦以通其经，灸少阳之经绝骨以引其热。是针灸同象，治法之大体也。
附云岐子加减法∶如精神恍惚，加茯苓、远志；如心烦多惊者，加犀角半两；如骨节间
烦痛有热者，去附子，倍芍药；骨间冷痛者，倍用桂枝、附子；如躁闷小便涩者，去附子，
倍芍药，入竹沥一合，煎服；如脏寒下痢者，去防己、黄芩，倍附子，白术一两，（热痢不可
用附子）；如脚弱，加牛膝、石斛各一两；如身疼痛，加秦艽一两；如腰痛，加桃仁、杜仲
各半两；如失音，加杏仁一两；如或歌笑语无所不及者，用麻黄三两，人参、桂枝、白术各
二两，无附子、防风、生姜，有当归一两；自汗者，去麻黄、杏仁，加白术；春加麻黄一
两；夏加黄芩七钱；秋加当归四两；冬加附子半两。
内有便溺之阻隔，复以三化汤导之。
浓朴（姜制） 大黄 枳实 羌活（各等分）
上锉，如麻豆大。每服三两，水三升，煎至一升半，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，此为常治之法也。久则清浊自分，荣卫
自和矣。
羌活愈风汤 疗肝肾虚，筋骨弱，语言难，精神昏愦，及治风湿内弱者，是风热体重也
。或瘦而一枝偏枯，或肥而半身不遂，或恐而健忘，喜而多思，思忘之道，皆精不足也。故
心乱则百病生，静则万病息，是以此药能安心养神，调阴阳，无偏胜。（《保命集》云∶内
邪已除，外邪已尽，当服此药以行中道诸经。久服大风悉去，纵有微邪。只从此药加减服之
。如觉风动，服此不致倒仆）
羌活 甘草（炙） 防风（去芦） 黄 （去芦） 蔓荆子 川芎 细辛（去苗） 枳壳（炒）
人参（去芦） 地骨皮 麻黄（去根） 知母（去皮） 甘菊 薄荷 枸杞 当归（去芦） 独活
白芷 杜仲（炒，去丝） 秦艽（去芦） 芍药（去皮） 黄芩 白茯苓（各三两） 石膏（三两） 生地
苍术（各四两） 肉桂（一两）
上锉。每服一两，水二盏，煎至一盏，去渣温服。如遇天阴，加生姜三片煎，空心一服
，临卧再煎渣服，俱要食远服。空心咽下二丹丸，谓之重剂；临卧咽下四白丹，谓之轻剂。
是动以安神，静以清肺。假令一气之微汗，用愈风汤三两，加麻黄一两，匀作四服，每服加
生姜五七片，空心服，以粥投之，得微汗则住。如一旬之通利，用愈风汤三两，大黄一两，
亦匀作四服，如前煎，临卧服之，得利为妙。常服之药，不可失四时之辅，如望春大寒后，
加半夏、柴胡、人参各二两，木通四两，此迎而夺少阳之气也；望夏，加石膏、黄芩、知母
各二两，此迎而夺阳明之气也；季夏之月，加防己、白术、茯苓各二两，此胜脾土之湿也；
秋初大暑后，加浓朴、藿香各二两，桂一两，此迎而夺太阴之气也；望冬霜降后，加附子、
官桂各一两，当归二两，此胜少阴之气也。如得春，减冬所加药，四时类此。此药治七情六
欲四气，无使五脏偏胜，及不动于荣卫。如风秘服之，永不燥结。如久泻服之，能自调适。
初觉风气，便服此药。与《局方》天麻丸一料，相为表里，乃治未病之圣药也。不问男子妇
人小儿风痫急慢风等病，服之神效。
四白丹 能清肺气养魄，为中风者多昏冒，气不清利也。
白术 白茯苓 人参 砂仁 香附 甘草 防风 川芎（各半两） 白芷（一两） 白檀（一钱半）
知母（二钱） 羌活 薄荷 独活（各二钱半） 细辛（二钱） 麝香（一钱，另研） 牛黄（一钱） 龙脑（半
钱，俱另研） 藿香（一钱半） 甜竹叶（二两）
上为细末，炼蜜丸，如桐子大。每两作十丸，临卧嚼一丸，用愈风汤送下。能上清肺气，下强骨髓。
二丹丸 治健忘养神，定志和血，内以安神，外华腠理。
熟地 天冬 丹参（各一两半） 茯神 甘草（各一两） 菖蒲（半两） 远志（半两，去心） 人参（半
两） 麦冬（一两，去心） 朱砂（二钱，为衣）
上为细末，炼蜜丸，如桐子大。空心用愈风汤送下至六十丸。
中风外无六经之形证，内无便溺之阻格，知为血弱不能养筋，故手足不能运动，舌强不
能言语。宜养血而筋自荣也，当以秦艽汤主之。
秦艽 石膏 甘草 川芎 当归 羌活 独活 防风 黄芩 白芍药 白芷 白术 生
地熟地 白茯苓（各一两） 细辛（半两）
上锉。每服一两，水二钟，煎至一钟，去滓，温服无时。如遇天阴，加生姜七八片；如
心下痞，每服一两，加枳实一钱同煎。
天麻丸 行荣卫，壮筋骨。
天麻（六两，酒浸三日，晒干） 玄参（六两） 牛膝（六两，酒浸三日，焙干） 萆 （六两，另为
末） 杜仲（七两，锉，炒去丝） 当归（十两，全用） 羌活（十两） 生地（六两） 附子（一两，炮） 独
活（五两，一方无）
上为细末，炼蜜丸，如桐子大。每服五、七十丸，病大至百丸，空心食前，温酒或白汤
服。忌壅塞，失于通利。故服药半月，稍觉壅塞，微以七宣丸轻疏之，使药可为用也。
如素有痰，久病中风，津液涌溢在胸中，气不得利者，用独圣散吐之，吐后用利气泻火之剂。
独圣散 治诸风隔痰，诸痫，痰涎，津液涌溢。
用瓜蒂一两，炒黄色为末。每服量虚实久新。或二钱药末，茶一钱，酸齑汁一钟调下。
若用吐法，须天气晴明，阴晦无用。如病卒暴者，不拘此法。吐时宜辰卯二时，故《内经》
云∶平旦至日中，天之阳，阳中之阳也。若论四时之气，仲景大法，春宜吐，是天气在上，
人气亦在上，一日之气辰卯，是其候也，故宜早不宜夜。先令病患隔夜不食，如服药不吐，
用热HT 水投之。如吐风痫者，加全蝎五分微炒。如有虫者，加狗油五七点，雄黄末一钱；甚
者加芫花五分，立吐虫出。如湿肿满者，加赤小豆末一钱，此药不可常用，大要辨其虚实。
实则瓜蒂散；虚则栀子豉汤，满加浓朴，不可一概用之。吐罢，可服降火利气安神定志之剂。
〔洁〕泻清丸 治中风自汗，昏冒发热，不恶风寒，不能安卧，此是风热烦躁。（方见治虚实法）
〔丹〕一妇人年六十，左瘫手足，不语涎痰。
防风 荆芥 羌活 南星 没药 乳香 木通 茯苓 浓朴 桔梗 甘草 麻黄 金蝎 红花
上作末。酒汤下，不拘时。春脉渐伏，以淡盐汤、HT 汁每早一碗。吐五日，仍以白术、
甘草、陈皮、浓朴、菖蒲一日二帖；后以川芎、山栀、豆豉、瓜蒂、绿豆粉、HT 汤吐了，用
苍术、南星、生姜、牛膝、茯苓，酒糊丸。服十日后，夜间微汗，手足动而能言。
〔《千》〕竹沥汤 治风痱四肢不收，心神恍惚，不知人，不能言，方患热风者，必先用此以制热毒。
竹沥（二升） 生葛汁（一升） 生姜汁（五合）
上三味相和温服。分三服，平旦、日晡、夜各一服。服讫，觉四肢有力，次进后汤方。
竹沥（一升） 生葛汁（五合） 芎 防己 附子 人参（各一两） 羚羊角（三两） 芍药 黄芩
甘草 桂心（各一两） 生姜（四两） 石膏（六两） 杏仁（四十枚） 麻黄 防风（各一两半）
上十六味， 咀。以水七升，煎减半，纳沥再煮，取二升五合，分三服，取汗。间
五日更服一剂，频服三剂，渐觉少损，仍进后方。
竹沥（三升） 防风 升麻 羚羊角 防己 桂心 芎 （各二两） 麻黄（三两）
上八味， 咀。以水四升，合竹沥煮取二升半，分三服，两日服一剂。常用加独活
三两，此方神良。频进三剂，苦手足冷者，加生姜五两，白术二两。若未除，更进后服。
竹沥（一升） 甘草（二两） 人参 芎 独活 升麻（各二两） 防风 麻黄 芍药（各一两半）
羚羊角 生姜 石膏 附子（一作杏仁） 防己 桂心 黄芩 白术（各二两）
上十七味， 咀。以水八升，煮减半，纳沥煮取二升半。分三服，相去如行人十里
久，更服。若有气者，加陈皮、牛膝、五加皮各一两。
凡风痱，服前汤得瘥讫，可常服煮散 除余风方。
防己 防风 独活 秦艽 黄 芎 芍药 人参 白术 茯神 羚羊角 远志 升
麻石斛 牛膝 五加皮 丹参 甘草 浓朴 天门冬 陈皮 地骨皮 黄芩 桂心（各一两）
干地黄 杜仲 生姜 麻黄 槟榔 本 乌犀角（各二两） 薏苡仁（一升） 石膏（六两）
上三十三味，捣筛为粗散，和搅匀。每服以水三升，药三两，煮取一升，绵滤去渣，顿
服之。取汗，日服。若觉心中热烦，以竹沥代水煮之。
〔世〕治卒中风不语，桂枝薄辣者去皮一两，怀中藏三个时辰，分三服。水煎，并进，神效。
上解表诸方，治中风全不能语，经所谓甚则不能言者是也。
〔罗〕犀角防风汤 治一切诸风，口眼 斜，手足 拽，言语謇涩，四肢麻木，皆治之。
犀角 防风 甘草（炙） 天麻 羌活（各一两） 滑石（三两） 石膏（一两半） 麻黄（七钱半，不
去节） 独活 山栀（各七钱） 荆芥 连翘 当归 黄芩 全蝎 薄荷 大黄（各半两） 桔梗
白术 细辛（各四钱）
上 咀。每服五钱，水二盏，生姜十片，煎至一盏，去渣，稍热服。未汗再一服。
如病患脏气虚，则全减大黄。
轻骨丹 治风瘫痪，四肢不随。
苦参 桑白皮 白芷 苍术 甘松 川芎（各四两） 麻黄（去节，五升河水五升，煮去
渣，再熬成膏至半碗）
上为末。入前麻黄膏和丸，如弹子大。每服一丸，温酒研化服之，卧取汗。五七日间，
再服，手足当即轻快。卒中涎潮，分利后用之。（一方有浮萍四两）
风药圣饼子 治半身不遂，手足顽麻，口眼 斜，痰涎壅盛，及一切风，他药不效
者。小儿惊风，大人头风，妇人血风，并治之。
川乌（生） 草乌 麻黄（去节，各二两） 苍术 何首乌 白附子 白僵蚕 川芎（各五钱）
防风 干姜（各二钱半） 雄黄（四钱六分） 藿香 荆芥（各二钱半）
上为末。醋糊丸，如桐子大。捏作饼子。嚼碎，茶汤送下，食后。
〔世〕采浮萍草法并方
不在山兮不在岸，采我之时七月半。一任瘫风与痪风，些少微风都不算。豆淋酒内下三
钱，钱 头上也出汗。
〔《本》〕治风半身不遂，此方甚妙。
穿山甲（左瘫用左脚，右瘫用右脚） 川乌头 红海蛤（各二两）
上为末。每用半两，生葱自然汁调成膏，作饼子，约一寸半。左患贴左脚，右患贴右脚
，贴在足掌心内，用旧绢片紧扎定，于密房中无风处椅子上坐，用汤一盆，将有药脚浸于汤
中，用小心人扶病患，恐汗出不能支持。候汗出，急去药。如汗欲出时，身必麻木，以汗周
遍为妙。如未效，半月后再用一次，神妙。
〔世〕治卒中手足不遂。用麦 五升，入乌头尖一升，连翘半升，同甑炊令大热
，辅在席下，以手足不遂处卧之，令热气熏蒸，候出汗为度。日用三次，丸药再蒸用之。候
两日外，别用新药。如无乌头尖，只用草乌头半升，不去皮尖，研作粗末亦可。
〔《千》〕治半身不遂。用蚕砂两石，分作三袋，每袋可七斗，蒸热一袋，着患处。如冷
再换一袋，根据前法数数换易。百不禁，瘥止。须羊肚酿、粳米、葱白、姜、椒、豉等，煮烂
熟吃，日食一具，十日止，此方千金不传。
上解表方，治中风语言謇涩，经所谓志乱不甚，其言微知者是也。
〔罗〕中脏治验 真定府临济寺赵僧判，于至元八月间，患中风半身不遂，精神昏愦，面
红颊赤，耳聋鼻塞，语言不出。诊其两手，六脉弦数。常记洁古有云∶中脏者多滞九窍，中
脏者多着四肢。今语言不出，耳聋鼻塞，精神昏愦，是中脏也。半身不遂，是中腑也。此脏
除去附子、杏仁之外，将其他药材捣碎成粗颗粒。随后加入这两味药混合均匀，每次服用五钱，加水二盏半、生姜五片，煎煮至一盏，滤去药渣，趁稍热时服用，饭前服下。如果无汗且恶寒的，加麻黄、防风、杏仁，上述药物根据原方剂量加倍，适宜针刺太阳经的至阴穴使其出血。如果有汗且恶风的，加桂枝、芍药、杏仁，上述药物根据原方剂量加倍，适宜针刺风府穴。以上两种证候，属于太阳中风。如果身体发热、无汗且不恶寒的，加知母、石膏、甘草；如果身体发热、有汗且不恶寒的，加葛根、桂枝、黄芩，上述药物根据原方剂量加倍，适宜针刺陷谷穴，刺厉兑穴。针刺陷谷穴，是为了祛除阳明经的邪气。刺厉兑穴，是为了泻除阳明经的实邪。以上两种证候，属于阳明中风。如果没有汗且身体发凉的，加附子、干姜、甘草，适宜针刺隐白穴，以祛除太阴经的邪气。这一种证候，属于太阴中风。如果有汗且无发热，加桂枝、附子、甘草，如果根据原方剂量加倍，适宜针刺太溪穴。这一种证候，属于少阴中风。
如果不是上述四种证候，而是六经症状混淆，病位涉及少阳和厥阴，或者出现肢体关节拘挛疼痛，或者麻木不仁，适宜使用羌活连翘续命汤。
上古时期的续命汤，不分经络，如今确立分经治疗的方法，并配合各经的针刺，没有治不好的。治疗方法，适宜针刺厥阴经的井穴大敦以疏通经络，灸少阳经的绝骨穴以引导热邪外出。这是针灸同治的道理，是治疗的大体原则。
附带云岐子的加减法：如果精神恍惚，加茯苓、远志；如果心烦易惊的，加犀角半两；如果骨节间烦痛且有热的，去掉附子，加倍芍药；骨间冷痛的，加倍使用桂枝、附子；如果烦躁胸闷、小便涩滞的，去掉附子，加倍芍药，加入竹沥一合，煎服；如果脏腑虚寒导致腹泻痢疾的，去掉防己、黄芩，加倍附子，加白术一两（热痢不可用附子）；如果脚部软弱无力，加牛膝、石斛各一两；如果身体疼痛，加秦艽一两；如果腰痛，加桃仁、杜仲各半两；如果失音，加杏仁一两；如果或歌或笑、言行失控的，用麻黄三两，人参、桂枝、白术各二两，不用附子、防风、生姜，加当归一两；自汗的，去掉麻黄、杏仁，加白术；春季加麻黄一两；夏季加黄芩七钱；秋季加当归四两；冬季加附子半两。
切碎，如麻豆大小。每次服用三两，加水三升，煎煮至一升半，服用直到轻微通利即可停止。如果内邪已除，外邪已尽，应当改用愈风汤来调理中道。长期服用可使大风邪气完全去除，即使有微邪，也只从愈风汤加减治疗。然而治病的方法，不能失去通与塞的平衡，有时通过一气之微汗，有时通过一旬的通利，这是常规的治疗方法。时间久了，清浊自然分开，营卫自然调和。
羌活愈风汤 治疗肝肾虚弱，筋骨软弱，语言困难，精神昏沉，以及治疗风湿内弱者，表现为风热体重。或者瘦弱而一侧肢体偏枯，或者肥胖而半身不遂，或者恐惧而健忘，喜悦而多思，思虑遗忘之道，都是因为精气不足。所以心乱则百病生，心静则万病息，因此此药能安心养神，调和阴阳，没有偏胜。（《保命集》说：内邪已除，外邪已尽，应当服用此药以行中道诸经。长期服用大风悉去，纵有微邪，只从此药加减服用。如果觉得风动，服用此药不至于跌倒）
羌活 甘草（炙） 防风（去芦头） 黄芪（去芦头） 蔓荆子 川芎 细辛（去苗头） 枳壳（炒） 人参（去芦头） 地骨皮 麻黄（去根部） 知母（去皮） 甘菊 薄荷 枸杞 当归（去芦头） 独活 白芷 杜仲（炒，去丝） 秦艽（去芦头） 芍药（去皮） 黄芩 白茯苓（各三两） 石膏（三两） 生地 苍术（各四两） 肉桂（一两）
切碎。每次服用一两，加水二盏，煎煮至一盏，滤去药渣温服。如果遇到阴天，加生姜三片煎煮，空腹服一次，临睡前再煎药渣服用，都要在饭后较远的时间服用。空腹咽下二丹丸，称为重剂；临睡前咽下四白丹，称为轻剂。动以安神，静以清肺。假如通过一气之微汗，用愈风汤三两，加麻黄一两，平均分成四服，每服加生姜五到七片，空腹服用，用粥送服，得到微汗就停止。如果是一旬的通利，用愈风汤三两，大黄一两，也平均分成四服，像前面那样煎煮，临睡前服用，得利为妙。常服的药物，不可忽视四季的辅助，如在立春大寒后，加半夏、柴胡、人参各二两，木通四两，这是迎而夺少阳之气；立夏，加石膏、黄芩、知母各二两，这是迎而夺阳明之气；季夏月份，加防己、白术、茯苓各二两，这是胜脾土之湿；秋初大暑后，加浓朴、藿香各二两，桂一两，这是迎而夺太阴之气；立冬霜降后，加附子、官桂各一两，当归二两，这是胜少阴之气。如得春令，减去冬季所加的药物，四季以此类推。此药治疗七情六欲四气，不让五脏偏胜，也不扰动营卫。如果是风秘服用它，永不燥结。如果是久泻服用它，能自我调适。刚觉得有风气，就服用此药。与《局方》的天麻丸一料，互为表里，是治未病的圣药。不问男子妇人小儿的风痫急慢风等疾病，服用后神效。
白术 白茯苓 人参 砂仁 香附 甘草 防风 川芎（各半两） 白芷（一两） 白檀（一钱半） 知母（二钱） 羌活 薄荷 独活（各二钱半） 细辛（二钱） 麝香（一钱，另研） 牛黄（一钱） 龙脑（半钱，俱另研） 藿香（一钱半） 甜竹叶（二两）
制成细末，炼蜜为丸，如梧桐子大。每两做成十丸，临睡前嚼服一丸，用愈风汤送下。能上清肺气，下强骨髓。
熟地黄 天冬 丹参（各一两半） 茯神 甘草（各一两） 石菖蒲（半两） 远志（半两，去心） 人参（半两） 麦冬（一两，去心） 朱砂（二钱，为衣）
制成细末，炼蜜为丸，如梧桐子大。空腹用愈风汤送下至六十丸。
中风外无六经的症状表现，内无大小便的阻隔，知道是血弱不能滋养筋脉，所以手足不能运动，舌强不能言语。适宜养血而筋脉自然荣润，当以秦艽汤为主治。
秦艽 石膏 甘草 川芎 当归 羌活 独活 防风 黄芩 白芍药 白芷 白术 生地 熟地 白茯苓（各一两） 细辛（半两）
切碎。每次服用一两，加水二钟，煎煮至一钟，滤去药渣，随时温服。如果遇到阴天，加生姜七八片；如果心下痞满，每服一两，加枳实一钱同煎。
天麻（六两，酒浸三日，晒干） 玄参（六两） 牛膝（六两，酒浸三日，焙干） 萆薢（六两，另为末） 杜仲（七两，切碎，炒去丝） 当归（十两，全用） 羌活（十两） 生地（六两） 附子（一两，炮制） 独活（五两，一方无此药）
制成细末，炼蜜为丸，如梧桐子大。每次服用五七十丸，病重至一百丸，空腹食前，用温酒或白开水送服。忌壅塞，失于通利。所以服药半月，稍微觉得壅塞，轻微用七宣丸轻疏一下，使药力能为所用。
如果素有痰，久病中风，津液涌溢在胸中，气不得利的，用独圣散吐之，吐后用利气泻火的药剂。
用瓜蒂一两，炒黄色为末。每次服用量虚实新旧。或者二钱药末，茶一钱，酸醋汁一钟调下。
如果用吐法，必须天气晴明，阴晦无用。如果病卒暴发的，不拘泥此法。吐时适宜在辰卯两个时辰，所以《内经》说：平旦至日中，天之阳，阳中之阳也。如果论四时之气，张仲景的大法，春季适宜吐，是天气在上，人气亦在上，一日之气辰卯，是其候也，所以宜早不宜夜。先让病患隔夜不进食，如果服药不吐，用热水投之。如果吐风痫的，加全蝎五分微炒。如果有虫的，加狗油五七点，雄黄末一钱；严重的加芫花五分，立刻吐出虫子。如果湿肿满的，加赤小豆末一钱，此药不可常用，大体要辨别虚实。实证用瓜蒂散；虚证用栀子豉汤，胀满加浓朴，不可一概用之。吐罢，可服降火利气安神定志的药剂。
〔李东垣〕泻清丸 治疗中风自汗，昏冒发热，不恶风寒，不能安卧，这是风热烦躁。（方剂见治虚实法）
〔朱丹溪〕一个六十岁的妇人，左侧瘫痪，手足不动，不语，有涎痰。
防风 荆芥 羌活 南星 没药 乳香 木通 茯苓 浓朴 桔梗 甘草 麻黄 金蝎 红花
制成末。酒汤送下，不拘时间。春季脉象渐伏，以淡盐汤、热汤每早一碗。吐五日，仍以白术、甘草、陈皮、浓朴、菖蒲一日二帖；后来用川芎、山栀、豆豉、瓜蒂、绿豆粉、热汤吐了，用苍术、南星、生姜、牛膝、茯苓，酒糊丸。服用十日后，夜间微汗，手足动而能言。
〔《千金方》〕竹沥汤 治疗风痱四肢不收，心神恍惚，不知人，不能言，方患热风者，必先用此以制热毒。
以上三味相和温服。分三服，平旦、日晡、夜各一服。服完，觉得四肢有力，接着进后面的汤方。
竹沥（一升） 生葛汁（五合） 川芎 防己 附子 人参（各一两） 羚羊角（三两） 芍药 黄芩 甘草 桂心（各一两） 生姜（四两） 石膏（六两） 杏仁（四十枚） 麻黄 防风（各一两半）
以上十六味，切碎。用水七升，煎减半，纳竹沥再煮，取二升五合，分三服，取汗。间隔五日再服一剂，频服三剂，渐渐觉得少损，仍进后方。
竹沥（三升） 防风 升麻 羚羊角 防己 桂心 川芎（各二两） 麻黄（三两）
以上八味，切碎。用水四升，合竹沥煮取二升半，分三服，两日服一剂。常用加独活三两，此方神良。频进三剂，苦手足冷的，加生姜五两，白术二两。若未除，更进后服。
竹沥（一升） 甘草（二两） 人参 川芎 独活 升麻（各二两） 防风 麻黄 芍药（各一两半） 羚羊角 生姜 石膏 附子（一作杏仁） 防己 桂心 黄芩 白术（各二两）
以上十七味，切碎。用水八升，煮减半，纳竹沥煮取二升半。分三服，相隔如行人十里久，再服。若有气的，加陈皮、牛膝、五加皮各一两。
防己 防风 独活 秦艽 黄芪 川芎 芍药 人参 白术 茯神 羚羊角 远志 升麻 石斛 牛膝 五加皮 丹参 甘草 浓朴 天门冬 陈皮 地骨皮 黄芩 桂心（各一两） 干地黄 杜仲 生姜 麻黄 槟榔 本 乌犀角（各二两） 薏苡仁（一升） 石膏（六两）
以上三十三味，捣筛为粗散，和搅匀。每次用水三升，药三两，煮取一升，绵滤去渣，顿服之。取汗，日服。如果觉心中热烦，以竹沥代水煮之。
〔世传〕治疗卒中中风不语，桂枝薄辣者去皮一两，怀中藏三个时辰，分三服。水煎，并进，神效。
上面的解表诸方，治疗中风全不能语，经所谓甚则不能言的是这样的。
〔罗天益〕犀角防风汤 治疗一切诸风，口眼歪斜，手足牵引，言语謇涩，四肢麻木，都治疗。
犀角 防风 甘草（炙） 天麻 羌活（各一两） 滑石（三两） 石膏（一两半） 麻黄（七钱半，不去节） 独活 山栀（各七钱） 荆芥 连翘 当归 黄芩 全蝎 薄荷 大黄（各半两） 桔梗 白术 细辛（各四钱）
切碎。每次服用五钱，加水二盏，生姜十片，煎至一盏，滤去药渣，稍热服。未出汗再服一次。
如果病患脏气虚，则全减大黄。
苦参 桑白皮 白芷 苍术 甘松 川芎（各四两） 麻黄（去节，五升河水五升，煮去渣，再熬成膏至半碗）
制成末。入前麻黄膏和丸，如弹子大。每次服用一丸，温酒研化服之，卧取汗。五七日间，再服，手足当即轻快。卒中涎潮，分利后用之。（一方有浮萍四两）
风药圣饼子 治疗半身不遂，手足顽麻，口眼歪斜，痰涎壅盛，及一切风，他药不效者。小儿惊风，大人头风，妇人血风，并治疗。
川乌（生） 草乌 麻黄（去节，各二两） 苍术 何首乌 白附子 白僵蚕 川芎（各五钱） 防风 干姜（各二钱半） 雄黄（四钱六分） 藿香 荆芥（各二钱半）
制成末。醋糊丸，如梧桐子大。捏作饼子。嚼碎，茶汤送下，食后。
〔世传〕采浮萍草法并方
不在山兮不在岸，采我之时七月半。一任瘫风与痪风，些少微风都不算。豆淋酒内下三钱，钱 头上也出汗。
制成末。每次用半两，生葱自然汁调成膏，作饼子，约一寸半。左患贴左脚，右患贴右脚，贴在足掌心内，用旧绢片紧扎定，于密房中无风处椅子上坐，用汤一盆，将有药脚浸于汤中，用小心人扶病患，恐汗出不能支持。候汗出，急去药。如汗欲出时，身必麻木，以汗周遍为妙。如未效，半月后再用一次，神妙。
〔世传〕治疗卒中手足不遂。用麦麸五升，入乌头尖一升，连翘半升，同甑蒸令大热，铺在席下，以手足不遂处卧之，令热气熏蒸，候出汗为度。日用三次，丸药再蒸用之。候两日外，别用新药。如无乌头尖，只用草乌头半升，不去皮尖，研作粗末亦可。
〔《千金方》〕治疗半身不遂。用蚕砂两石，分作三袋，每袋可七斗，蒸热一袋，着患处。如冷再换一袋，根据前法数数换易。百不禁，瘥止。须羊肚酿、粳米、葱白、姜、椒、豉等，煮烂熟吃，日食一具，十日止，此方千金不传。
上面的解表方，治疗中风语言謇涩，经所谓志乱不甚，其言微知的是这样的。
〔罗天益〕中脏治验 真定府临济寺赵僧判，于至元八月间，患中风半身不遂，精神昏愦，面红颊赤，耳聋鼻塞，语言不出。诊其两手，六脉弦数。常记洁古有云：中脏者多滞九窍，中脏者多着四肢。今语言不出，耳聋鼻塞，精神昏愦，是中脏也。半身不遂，是中腑也。此脏
Remove Fuzi (Prepared Aconite Root) and Xingren (Apricot Seed), and pound the remaining herbs into coarse powder. Then add these two ingredients and mix evenly. Take five qian per dose, with two and a half zhan of water and five slices of Shengjiang (Fresh Ginger). Decoct until one zhan remains, remove the dregs, and take it slightly warm before meals. If there is no sweating and aversion to cold, add Mahuang (Ephedra Herb), Fangfeng (Saposhnikovia Root), and Xingren (Apricot Seed); increase the dosage of the aforementioned ingredients by double according to the base formula. It is appropriate to puncture Zhiyin (BL67) of the Taiyang Bladder Meridian to induce bleeding. If there is sweating and aversion to wind, add Guizhi (Cinnamon Twig), Shaoyao (Peony Root), and Xingren (Apricot Seed); increase the dosage of the aforementioned ingredients by double according to the base formula. It is appropriate to puncture Fengfu (GV16). The above two syndromes belong to Wind-Stroke of the Taiyang Bladder Meridian. If the body is hot, there is no sweating, and no aversion to cold, add Zhimu (Anemarrhena Rhizome), Shigao (Gypsum Fibrosum), and Gancao (Licorice Root). If the body is hot, there is sweating, and no aversion to cold, add Gegen (Pueraria Root), Guizhi (Cinnamon Twig), and Huangqin (Scutellaria Root); increase the dosage of the aforementioned ingredients by double according to the base formula. It is appropriate to puncture Xianggu (ST41) and prick Liding (ST45). Puncturing Xianggu (ST41) removes the pathogen from the Yangming Stomach Meridian. Pricking Liding (ST45) drains excess from the Yangming Stomach Meridian. The above two syndromes belong to Wind-Stroke of the Yangming Stomach Meridian. If there is no sweating and the body feels cool, add Fuzi (Prepared Aconite Root), Ganjiang (Dried Ginger), and Gancao (Licorice Root). It is appropriate to puncture Yinbai (SP1) to remove the pathogen from the Taiyin Spleen Meridian. This syndrome belongs to Wind-Stroke of the Taiyin Spleen Meridian. If there is sweating but no fever, add Guizhi (Cinnamon Twig), Fuzi (Prepared Aconite Root), and Gancao (Licorice Root); if the dosage is doubled according to the base formula, it is appropriate to puncture Taixi (KI3). This syndrome belongs to Wind-Stroke of the Shaoyin Kidney Meridian.
If none of these four syndromes are present, and the symptoms of the Six Channels are confused, involving the Shaoyang Gallbladder and Jueyin Liver meridians, or presenting with limb joint spasms and pain, or numbness and insensitivity, Qianghuo Lianqiao Xuming Tang (Notopterygium and Forsythia Decoction for Reviving Life) is appropriate.
Xiao Xuming Tang (Minor Decoction for Reviving Life) (Total weight: 8 liang) Qianghuo (Notopterygium Rhizome and Root) (4 liang) Lianqiao (Forsythia Fruit) (6 liang)
In ancient times, Xuming Tangs were not differentiated by meridian. Now, treatment is established according to meridian differentiation, combined with acupuncture at specific meridians, ensuring recovery. The treatment method involves puncturing Dacun (LR1), the Jing-Well point of the Jueyin Liver Meridian, to unblock the meridian, and moxibustion on Jiegu (GB39) of the Shaoyang Gallbladder Meridian to draw out heat. This illustrates the principle of combining acupuncture and moxibustion, which is the general approach to treatment.
Attached are the modification methods from Yun Qizi: For mental confusion, add Fuling (Poria) and Yuanzhi (Polygala Root). For irritability and frequent fright, add Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*) 0.5 liang. For painful joints with heat, remove Fuzi (Prepared Aconite Root) and double Shaoyao (Peony Root). For cold pain in the bones, double Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root). For restlessness, chest oppression, and dysuria, remove Fuzi (Prepared Aconite Root), double Shaoyao (Peony Root), and add Zhuli (Bamboo Sap) 1 he. Decoct and take. For cold deficiency diarrhea/dysentery, remove Fangji (Stephania Root) and Huangqin (Scutellaria Root), double Fuzi (Prepared Aconite Root), and add Baizhu (Atractylodes Macrocephala Rhizome) 1 liang (*Note: Do not use Fuzi for heat-type dysentery*). For weak legs, add Niuxi (Achyranthes Root) and Shihu (Dendrobium Stem) each 1 liang. For body pain, add Qinjiao (Gentiana Macrophylla Root) 1 liang. For lower back pain, add Taoren (Peach Kernel) and Duzhong (Eucommia Bark) each 0.5 liang. For loss of voice, add Xingren (Apricot Seed) 1 liang. For manic behavior such as singing or laughing uncontrollably, use Mahuang (Ephedra Herb) 3 liang, Renshen (Ginseng Root) 2 liang, Guizhi (Cinnamon Twig) 2 liang, Baizhu (Atractylodes Macrocephala Rhizome) 2 liang; do not use Fuzi (Prepared Aconite Root), Fangfeng (Saposhnikovia Root), or Shengjiang (Fresh Ginger); add Danggui (Angelica Sinensis Root) 1 liang. For spontaneous sweating, remove Mahuang (Ephedra Herb) and Xingren (Apricot Seed), and add Baizhu (Atractylodes Macrocephala Rhizome). In spring, add Mahuang (Ephedra Herb) 1 liang. In summer, add Huangqin (Scutellaria Root) 7 qian. In autumn, add Danggui (Angelica Sinensis Root) 4 liang. In winter, add Fuzi (Prepared Aconite Root) 0.5 liang.
If there is obstruction of stool and urine internally, use Sanhua Tang (Three Transformations Decoction) to guide them out.
Houpo (Magnolia Bark, processed with ginger) Dahuang (Rhubarb Root and Rhizome) Zhishi (Immature Bitter Orange) Qianghuo (Notopterygium Rhizome and Root) (Equal parts)
Cut into pieces the size of hemp seeds. Take 3 liang per dose, with 3 sheng of water, decoct to 1.5 sheng. Stop when mild purgation occurs. Once internal pathogens are eliminated and external pathogens are exhausted, switch to Yufeng Tang (Wind-Nourishing Decoction) to regulate the middle pathway. Long-term use will eliminate severe wind pathogens; even if mild pathogens remain, treat by modifying Yufeng Tang (Wind-Nourishing Decoction). However, treatment must not neglect the balance of unblocking and obstructing. Sometimes induce slight sweating over one qi cycle, or promote bowel movement over ten days. This is the standard method. Over time, clear and turbid qi will separate naturally, and Ying and Wei (Nutritive and Defensive Qi) will harmonize.
Qianghuo Yufeng Tang (Notopterygium Wind-Nourishing Decoction) Treats Liver and Kidney deficiency, weak sinews and bones, difficulty speaking, mental confusion, and weakness due to internal Wind-Damp, manifesting as heaviness from Wind-Heat. Or emaciation with hemiplegia of one side, or obesity with hemiplegia, or fearfulness with amnesia, excessive joy with overthinking. These issues stem from insufficiency of Essence. Thus, when the Heart is chaotic, diseases arise; when calm, diseases cease. Therefore, this medicine calms the Heart and nourishes the Spirit, harmonizes Yin and Yang, preventing excess. (*Baoming Ji* states: When internal pathogens are eliminated and external pathogens are exhausted, take this medicine to circulate through the meridians. Long-term use eliminates severe wind; even if mild pathogens remain, modify and take this medicine. If wind sensations occur, taking this prevents falling.)
Qianghuo (Notopterygium Rhizome and Root) Gancao (Licorice Root, honey-fried) Fangfeng (Saposhnikovia Root, de-bristled) Huangqi (Astragalus Root, de-bristled) Manjingzi (Vittex Fruit) Chuanxiong (Ligusticum Rhizome) Xixin (Asarum Root) Zhike (Bitter Orange, stir-fried) Renshen (Ginseng Root, de-bristled) Digupi (Wolfberry Bark) Mahuang (Ephedra Herb, de-rooted) Zhimu (Anemarrhena Rhizome, peeled) Ganju (Chrysanthemum Flower) Bohe (Mint Herb) Gouqi (Goji Berry) Danggui (Angelica Sinensis Root, de-bristled) Duhuo (Angelica Pubescens Root) Baizhu (Atractylodes Macrocephala Rhizome) Duzhong (Eucommia Bark, stir-fried, de-silken) Qinjiao (Gentiana Macrophylla Root, de-bristled) Shaoyao (Peony Root, peeled) Huangqin (Scutellaria Root) Baifuling (White Poria) (Each 3 liang) Shigao (Gypsum Fibrosum) (3 liang) Shengdi (Rehmannia Root, fresh) Cangzhu (Atractylodes Lancea Rhizome) (Each 4 liang) Rougui (Cinnamon Bark) (1 liang)
Cut into pieces. Take 1 liang per dose, with 2 zhan of water, decoct to 1 zhan. Remove dregs and take warm. On cloudy days, add 3 slices of Shengjiang (Fresh Ginger). Take one dose on an empty stomach, and decoct the dregs again for a dose before sleep. Both should be taken well after meals. Swallow Er Dan Wan (Two Cinnabar Pills) on an empty stomach (Heavy Dose); swallow Sibai Dan (Four White Pills) before sleep (Light Dose). Movement calms the Spirit; stillness clears the Lungs. To induce slight sweating over one qi cycle, use 3 liang of Yufeng Tang (Wind-Nourishing Decoction) plus 1 liang of Mahuang (Ephedra Herb), divided into four doses. Add 5-7 slices of Shengjiang (Fresh Ginger) per dose, take on an empty stomach, and follow with congee. Stop when slight sweating occurs. To promote bowel movement over ten days, use 3 liang of Yufeng Tang (Wind-Nourishing Decoction) plus 1 liang of Dahuang (Rhubarb Root and Rhizome), divided into four doses, decoct as before, and take before sleep. Ideal outcome is bowel movement. For long-term use, do not neglect seasonal support: After Great Cold in Spring, add Banxia (Pinellia Tuber) 2 liang, Chaihu (Bupleurum Root) 2 liang, Renshen (Ginseng Root) 2 liang, Mutong (Akebia Stem) 4 liang (to overcome Shaoyang Qi). At Start of Summer, add Shigao (Gypsum Fibrosum) 2 liang, Huangqin (Scutellaria Root) 2 liang, Zhimu (Anemarrhena Rhizome) 2 liang (to overcome Yangming Qi). In Late Summer, add Fangji (Stephania Root) 2 liang, Baizhu (Atractylodes Macrocephala Rhizome) 2 liang, Fuling (Poria) 2 liang (to overcome Spleen Earth Dampness). After Great Heat in Early Autumn, add Houpo (Magnolia Bark) 2 liang, Huoxiang (Patchouli Herb) 2 liang, Rougui (Cinnamon Bark) 1 liang (to overcome Taiyin Qi). After Frost Descent in Winter, add Fuzi (Prepared Aconite Root) 1 liang, Guanzi Gui (Cinnamon Bark) 1 liang, Danggui (Angelica Sinensis Root) 2 liang (to overcome Shaoyin Qi). In Spring, reduce winter additions; apply similarly for other seasons. This medicine treats Seven Emotions, Six Desires, and Four Qi, preventing organ excess and protecting Ying and Wei (Nutritive and Defensive Qi). For Wind-Constipation, it prevents dryness. For chronic diarrhea, it aids self-regulation. Take at the first sign of wind. Combined with Tianma Wan (Gastrodia Pill) from *Ju Fang*, they form interior-exterior pairs, serving as holy medicines for preventive treatment. Effective for wind epilepsy, acute/chronic wind in men, women, and children.
Sibai Dan (Four White Pills) Clears Lung Qi and nourishes Po (Corporeal Soul), treating wind-stroke coma caused by turbid Qi.
Baizhu (Atractylodes Macrocephala Rhizome) Baifuling (White Poria) Renshen (Ginseng Root) Sharen (Amomum Fruit) Xiangfu (Cyperus Rhizome) Gancao (Licorice Root) Fangfeng (Saposhnikovia Root) Chuanxiong (Ligusticum Rhizome) (Each 0.5 liang) Baizhi (Angelica Dahurica Root) (1 liang) Baitan (White Sandalwood) (1.5 qian) Zhimu (Anemarrhena Rhizome) (2 qian) Qianghuo (Notopterygium Rhizome and Root) Bohe (Mint Herb) Duhuo (Angelica Pubescens Root) (Each 2.5 qian) Xixin (Asarum Root) (2 qian) Shexiang (Musk) (1 qian, separately ground) Niuhuang (Calculus Bovis) (1 qian) Longnao (Borneol) (0.5 qian, separately ground) Huoxiang (Patchouli Herb) (1.5 qian) Tianzhuye (Sweet Bamboo Leaf) (2 liang)
Make fine powder, mix with refined honey, and pill like paulownia seeds. Each liang makes 10 pills. Chew one pill before sleep, send down with Yufeng Tang (Wind-Nourishing Decoction). Clears Lung Qi upward, strengthens Marrow downward.
Er Dan Wan (Two Cinnabar Pills) Treats amnesia, nourishes Spirit, stabilizes Will, harmonizes Blood, calms Spirit internally, and beautifies skin externally.
Shudi (Prepared Rehmannia Root) Tiandong (Asparagus Tuber) Danshen (Salvia Root) (Each 1.5 liang) Fushen (Poria with Hostwood) Gancao (Licorice Root) (Each 1 liang) Changpu (Acorus Rhizome) (0.5 liang) Yuanzhi (Polygala Root, de-heart) (0.5 liang) Renshen (Ginseng Root) (0.5 liang) Maidong (Ophiopogon Tuber, de-heart) (1 liang) Zhusha (Cinnabar, 2 qian, used as coating)
Make fine powder, mix with refined honey, and pill like paulownia seeds. Take up to 60 pills on an empty stomach, sent down with Yufeng Tang (Wind-Nourishing Decoction).
If wind-stroke presents without Six Channel exterior signs and without internal obstruction of stool/urine, it is known that Blood deficiency fails to nourish sinews, causing immobility of limbs and stiff tongue preventing speech. Nourish Blood so sinews become prosperous. Use Qinjiao Tang (Gentiana Decoction) as the main prescription.
Qinjiao (Gentiana Macrophylla Root) Shigao (Gypsum Fibrosum) Gancao (Licorice Root) Chuanxiong (Ligusticum Rhizome) Danggui (Angelica Sinensis Root) Qianghuo (Notopterygium Rhizome and Root) Duhuo (Angelica Pubescens Root) Fangfeng (Saposhnikovia Root) Huangqin (Scutellaria Root) Baishaoyao (White Peony Root) Baizhi (Angelica Dahurica Root) Baizhu (Atractylodes Macrocephala Rhizome) Shengdi (Rehmannia Root, fresh) Shudi (Prepared Rehmannia Root) Baifuling (White Poria) (Each 1 liang) Xixin (Asarum Root) (0.5 liang)
Cut into pieces. Take 1 liang per dose, with 2 zhong of water, decoct to 1 zhong. Remove dregs and take warm at any time. On cloudy days, add 7-8 slices of Shengjiang (Fresh Ginger). For epigastric fullness, add Zhishi (Immature Bitter Orange) 1 qian per 1 liang dose.
Tianma Wan (Gastrodia Pill) Circulates Ying and Wei (Nutritive and Defensive Qi), strengthens sinews and bones.
Tianma (Gastrodia Rhizome) (6 liang, soaked in wine for 3 days, dried) Xuanshen (Scrophularia Root) (6 liang) Niuxi (Achyranthes Root) (6 liang, soaked in wine for 3 days, baked dry) Bixie (Dioscorea Hypoglauca Rhizome) (6 liang, made into powder separately) Duzhong (Eucommia Bark) (7 liang, cut, stir-fried, de-silken) Danggui (Angelica Sinensis Root) (10 liang, whole) Qianghuo (Notopterygium Rhizome and Root) (10 liang) Shengdi (Rehmannia Root, fresh) (6 liang) Fuzi (Prepared Aconite Root) (1 liang, processed) Duhuo (Angelica Pubescens Root) (5 liang, absent in some versions)
Make fine powder, mix with refined honey, and pill like paulownia seeds. Take 50-70 pills per dose, up to 100 for severe cases, on an empty stomach before meals, with warm wine or plain water. Avoid stagnation and lack of free flow. If feeling congested after half a month of medication, lightly disperse with Qixuan Wan (Seven Unblocking Pills) to facilitate drug action.
For those with chronic phlegm and long-term wind-stroke, where fluids surge in the chest blocking Qi, use Dusheng San (Single Holy Powder) to induce vomiting, followed by Qi-moving and Fire-draining agents.
Dusheng San (Single Holy Powder) Treats various winds with phlegm obstruction, epilepsy, salivary overflow, and fluid surging.
Use Genti (Melon Peduncle) 1 liang, stir-fried yellow, made into powder. Dosage depends on deficiency/excess and duration. Mix 2 qian powder with 1 qian tea and 1 zhong sour vinegar juice.
Vomiting therapy requires clear weather; avoid cloudy days. Not applicable for sudden/critical cases. Vomiting should be done during Chen (7-9 AM) or Mao (5-7 AM) hours. As *Neijing* states: Dawn to noon is Heaven's Yang, Yang among Yang. According to Zhang Zhongjing's principles, Spring favors vomiting because Heaven's Qi is above and Human Qi is above; Chen/Mao hours correspond to this timing, hence morning is better than night. Fast overnight. If vomiting does not occur, give hot water. For wind-epilepsy vomiting, add Quanxie (Scorpion) 0.5 fen, lightly fried. If parasites are present, add Dog Oil 5-7 drops and Xionghuang (Realgar) powder 1 qian. For severe cases, add Yuanhua (Kerria Flower) 0.5 fen to expel worms immediately. For damp swelling/fullness, add Chixiaodou (Adzuki Bean) powder 1 qian. Do not use frequently; distinguish deficiency/excess. Excess uses Genti San (Melon Peduncle Powder); Deficiency uses Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction), adding Houpo (Magnolia Bark) for fullness. Do not use indiscriminately. After vomiting, take Fire-descending, Qi-promoting, Spirit-calming agents.
[Li Dongyuan] Xieqing Wan (Drain Clear Pill) Treats wind-stroke with spontaneous sweating, coma, fever, no aversion to cold/wind, inability to lie down, indicating Wind-Heat irritability. (Formula see Treatment of Deficiency/Excess Methods)
[Zhu Danxi] A 60-year-old woman presented with left-sided hemiplegia, aphasia, and salivary phlegm.
Fangfeng (Saposhnikovia Root) Jingjie (Schizonepeta Spike) Qianghuo (Notopterygium Rhizome and Root) Nanxing (Arisaema Cum Bile) Moyao (Myrrh) Rushi (Olibanum) Mutong (Akebia Stem) Fuling (Poria) Houpo (Magnolia Bark) Jiegeng (Platycodon Root) Gancao (Licorice Root) Mahuang (Ephedra Herb) Jinxie (Scorpion) Honghua (Safflower)
Make powder. Take with wine/water, anytime. In Spring, pulse becomes submerged; drink a bowl of light salt water/hot soup every morning. Vomit for 5 days. Then take Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root), Chenpi (Tangerine Peel), Houpo (Magnolia Bark), Changpu (Acorus Rhizome) twice daily. Later, vomit using Chuanxiong (Ligusticum Rhizome), Shanzhi (Gardenia Fruit), Douchi (Fermented Soybean), Genti (Melon Peduncle), Lvdoufen (Mung Bean Powder), hot soup. Then make pills with Cangzhu (Atractylodes Lancea Rhizome), Nanxing (Arisaema Cum Bile), Shengjiang (Fresh Ginger), Niuxi (Achyranthes Root), Fuling (Poria) using wine paste. After 10 days of intake, slight night sweating occurred, limbs moved, and speech returned.
[Qianjin Fang] Zhuli Tang (Bamboo Sap Decoction) Treats Fengfei (Wind Flaccidity) with limb immobility, mental confusion, unconsciousness, aphasia. For Heat-Wind, use this first to control Heat-Toxin.
Zhuli (Bamboo Sap) (2 sheng) Shengge Zhi (Raw Kudzuvine Juice) (1 sheng) Shengjiang Zhi (Fresh Ginger Juice) (0.5 he)
Mix three ingredients and take warm. Divide into three doses: Dawn, afternoon, night. After taking, when limbs feel strong, proceed to the next formula.
Zhuli (Bamboo Sap) (1 sheng) Shengge Zhi (Raw Kudzuvine Juice) (0.5 he) Chuanxiong (Ligusticum Rhizome) Fangji (Stephania Root) Fuzi (Prepared Aconite Root) Renshen (Ginseng Root) (Each 1 liang) Lingyangjiao (Antelope Horn) (3 liang) Shaoyao (Peony Root) Huangqin (Scutellaria Root) Gancao (Licorice Root) Guixin (Cinnamon Twig) (Each 1 liang) Shengjiang (Fresh Ginger) (4 liang) Shigao (Gypsum Fibrosum) (6 liang) Xingren (Apricot Seed) (40 seeds) Mahuang (Ephedra Herb) Fangfeng (Saposhnikovia Root) (Each 1.5 liang)
Crush 16 ingredients. Decoct 7 sheng water to half, add Zhuli (Bamboo Sap), boil again to obtain 2.5 sheng. Divide into three doses to induce sweating. Repeat every 5 days. Take 3 doses frequently; symptoms gradually improve, then proceed to the following formula.
Zhuli (Bamboo Sap) (3 sheng) Fangfeng (Saposhnikovia Root) Shengma (Cimicifuga Rhizome) Lingyangjiao (Antelope Horn) Fangji (Stephania Root) Guixin (Cinnamon Twig) Chuanxiong (Ligusticum Rhizome) (Each 2 liang) Mahuang (Ephedra Herb) (3 liang)
Crush 8 ingredients. Decoct 4 sheng water with Zhuli (Bamboo Sap) to obtain 2.5 sheng. Divide into three doses, one dose every two days. Commonly add Duhuo (Angelica Pubescens Root) 3 liang; this formula is miraculous. Take 3 doses frequently. If hands/feet are cold, add Shengjiang (Fresh Ginger) 5 liang, Baizhu (Atractylodes Macrocephala Rhizome) 2 liang. If unresolved, proceed to the next dose.
Zhuli (Bamboo Sap) (1 sheng) Gancao (Licorice Root) (2 liang) Renshen (Ginseng Root) Chuanxiong (Ligusticum Rhizome) Duhuo (Angelica Pubescens Root) Shengma (Cimicifuga Rhizome) (Each 2 liang) Fangfeng (Saposhnikovia Root) Mahuang (Ephedra Herb) Shaoyao (Peony Root) (Each 1.5 liang) Lingyangjiao (Antelope Horn) Shengjiang (Fresh Ginger) Shigao (Gypsum Fibrosum) Fuzi (Prepared Aconite Root, alternatively Xingren/Apricot Seed) Fangji (Stephania Root) Guixin (Cinnamon Twig) Huangqin (Scutellaria Root) Baizhu (Atractylodes Macrocephala Rhizome) (Each 2 liang)
Crush 17 ingredients. Decoct 8 sheng water to half, add Zhuli (Bamboo Sap), boil to obtain 2.5 sheng. Divide into three doses, wait the time it takes to walk 10 li, then take again. If Qi stagnation exists, add Chenpi (Tangerine Peel), Niuxi (Achyranthes Root), Wujapi (Five-Finger Pine Bark) each 1 liang.
After Fengfei (Wind Flaccidity) recovers from previous decoctions, regularly take Zhusan (Decoction Powder) to remove residual wind.
Fangji (Stephania Root) Fangfeng (Saposhnikovia Root) Duhuo (Angelica Pubescens Root) Qinjiao (Gentiana Macrophylla Root) Huangqi (Astragalus Root) Chuanxiong (Ligusticum Rhizome) Shaoyao (Peony Root) Renshen (Ginseng Root) Baizhu (Atractylodes Macrocephala Rhizome) Fushen (Poria with Hostwood) Lingyangjiao (Antelope Horn) Yuanzhi (Polygala Root) Shengma (Cimicifuga Rhizome) Shihu (Dendrobium Stem) Niuxi (Achyranthes Root) Wujapi (Five-Finger Pine Bark) Danshen (Salvia Root) Gancao (Licorice Root) Houpo (Magnolia Bark) Tiandong (Asparagus Tuber) Chenpi (Tangerine Peel) Digupi (Wolfberry Bark) Huangqin (Scutellaria Root) Guixin (Cinnamon Twig) (Each 1 liang) Dihuang (Rehmannia Root, dried) Duzhong (Eucommia Bark) Shengjiang (Fresh Ginger) Mahuang (Ephedra Herb) Binglang (Areca Seed) Bencao (Ligusticum Chuanxiong Rhizome) Wuxijiao (Black Rhinoceros Horn) (Each 2 liang) Yiyiren (Coix Seed) (1 sheng) Shigao (Gypsum Fibrosum) (6 liang)
Pound and sieve 33 ingredients into coarse powder, mix evenly. Take 3 liang herb with 3 sheng water, boil to 1 sheng, filter through silk, remove dregs, and take in one go. Induce sweating, take daily. If heart heat/irritability occurs, use Zhuli (Bamboo Sap) instead of water for decoction.
[World Transmission] For sudden wind-stroke aphasia, use Guizhi (Cinnamon Twig) with thin pungency, peel off bark, 1 liang. Keep in bosom for 3 shichen (6 hours). Divide into 3 doses. Decoct in water, take together; miraculous effect.
The above exterior-releasing formulas treat wind-stroke complete aphasia, as described in classics: "Severe cases cannot speak."
[Luo Tianyi] Xijiao Fangfeng Tang (Rhinoceros Horn and Saposhnikovia Decoction) Treats all types of wind, facial paralysis, limb traction, aphasia, limb numbness.
Xijiao (Rhinoceros Horn - *Substitute Buffalo Horn*) Fangfeng (Saposhnikovia Root) Gancao (Licorice Root, honey-fried) Tianma (Gastrodia Rhizome) Qianghuo (Notopterygium Rhizome and Root) (Each 1 liang) Huashi (Talcum) (3 liang) Shigao (Gypsum Fibrosum) (1.5 liang) Mahuang (Ephedra Herb) (0.75 liang, nodes intact) Duhuo (Angelica Pubescens Root) Shanzhi (Gardenia Fruit) (Each 0.7 liang) Jingjie (Schizonepeta Spike) Lianqiao (Forsythia Fruit) Danggui (Angelica Sinensis Root) Huangqin (Scutellaria Root) Quanxie (Scorpion) Bohe (Mint Herb) Dahuang (Rhubarb Root and Rhizome) (Each 0.5 liang) Jiegeng (Platycodon Root) Baizhu (Atractylodes Macrocephala Rhizome) Xixin (Asarum Root) (Each 0.4 liang)
Crush. Take 5 qian per dose, with 2 zhan water and 10 slices Shengjiang (Fresh Ginger), decoct to 1 zhan. Remove dregs, take slightly warm. If no sweat, take another dose. If patient has deficient Zang Qi, completely remove Dahuang (Rhubarb Root and Rhizome).
Qinggu Dan (Light Bone Pill) Treats wind flaccidity, limb immobility.
Kushen (Sophora Root) Sangbaipi (Mulberry Bark) Baizhi (Angelica Dahurica Root) Cangzhu (Atractylodes Lancea Rhizome) Gansong (Nardostachys Root) Chuanxiong (Ligusticum Rhizome) (Each 4 liang) Mahuang (Ephedra Herb, nodes removed, boiled in 5 sheng river water, filtered, concentrated to half bowl paste)
Make powder. Mix with Mahuang paste, pill like bullet size. Take one pill per dose, dissolve in warm wine, take while lying down to induce sweating. Repeat in 5-7 days; limbs will feel light. Use after promoting fluid drainage for stroke with salivary flooding. (Some versions include Fu Ping (Floating Duckweed) 4 liang).
Feng Yao Sheng Bing Zi (Holy Cake of Wind Herbs) Treats hemiplegia, limb numbness, facial paralysis, phlegm accumulation, and all winds unresponsive to other drugs. Also treats pediatric convulsions, adult headache, female blood-wind.
Chuanwu (Aconite Lateral Root, raw) Caowu (Aconite Root, raw) Mahuang (Ephedra Herb, nodes removed) (Each 2 liang) Cangzhu (Atractylodes Lancea Rhizome) Heshouwu (Polygonum Multiflorum Root) Baifuzi (Typhonium Rhizome) Baijiangcan (Silkworm) Chuanxiong (Ligusticum Rhizome) (Each 0.5 liang) Fangfeng (Saposhnikovia Root) Ganjiang (Dried Ginger) (Each 0.25 liang) Xionghuang (Realgar) (0.46 liang) Huoxiang (Patchouli Herb) Jingjie (Schizonepeta Spike) (Each 0.25 liang)
Make powder. Pill with vinegar paste, size of paulownia seed. Shape into cakes. Chew thoroughly, send down with tea/water, after meals.
[World Transmission] Method and Formula for Gathering Floating Duckweed
Not in mountains, not on banks, gather me at mid-July. Let paralytic wind and flaccid wind pass; even slight wind is insignificant. Take 3 qian in Bean-Paste Wine; sweat will appear on the head.
[Ben Cao] For wind-induced hemiplegia, this formula is excellent.
Chuanshanjia (Pangolin Scale, left foot for left paralysis, right foot for right) Chuanwutou (Aconite Root) Hong Haige (Red Sea Clam Shell) (Each 2 liang)
Make powder. Use 0.5 liang per application. Mix with natural juice of raw scallion to form paste, shape into cake, approx 1.5 cun diameter. Apply left lesion to left foot, right lesion to right foot, on the sole. Bind tightly with old silk. Sit on a chair in a draft-free room. Place a basin of hot water, immerse the foot with the medicated cake. Have someone assist carefully to prevent collapse from sweating. Remove cake immediately when sweating occurs. Body may feel numb before sweating; uniform sweating is ideal. If ineffective, repeat after half a month; miraculous.
[World Transmission] For stroke limb immobility. Use Bran 5 sheng, Wutou Tip 1 sheng, Lianqiao (Forsythia Fruit) 0.5 sheng. Steam together until very hot. Spread under mat. Lie affected limbs on it to steam with heat. Continue until sweating occurs. Use 3 times daily. Re-steam pills for use. After two days, use new material. If Wutou Tip unavailable, use Caowu (Aconite Root) 0.5 sheng, unpeeled, coarsely powdered.
[Qianjin Fang] For hemiplegia. Use Silkworm Sand 2 dan, divide into 3 bags, 7 dou each. Steam one bag hot, apply to lesion. Replace when cold. Repeat frequently. Recovery ensues. Diet: Lamb stomach stuffed with glutinous rice, green onion, ginger, pepper, fermented soybean, cooked soft. Eat one set daily for 10 days. Secret thousand-gold formula.
The above exterior-releasing formulas treat wind-stroke aphasia, as described in classics: "Mind confused but not severely, speech faintly understood."
[Luo Tianyi] Internal Zang Treatment Case Zhao Monk Pan from Linji Temple, Zhengding Prefecture, suffered wind-stroke hemiplegia in August of Zhiyuan year. Mental confusion, red face/cheeks, deafness, nasal congestion, aphasia. Pulse both hands: String-taut and rapid. Remembering Jiegu's saying: Internal Zang blockage affects Nine Orifices; Internal Zang pathology affects Limbs. Aphasia, deafness, nasal congestion, mental confusion indicate Internal Zang involvement. Hemiplegia indicates Internal Fu involvement. This Zang...