治破伤后预防中风,或已中风而螈 ,或因伤后房事不戒以致中风。
生箭 (一两) 白术(八钱) 当归(六钱) 桂枝尖(钱半) 防风(钱半) 黄蜡
(三钱) 生白矾(一钱) 作汤服。
此方原为预防中风之药,故用黄 以固皮毛,白术以实肌肉,黄蜡、白矾以护膜原。犹恐破伤时微有感
冒,故又用当归、防风、桂枝以活血散风。其防风、桂枝之分量特轻者,诚以此方原为预防中风而设,故不欲
重用发汗之药以开腠理也。
盖《神农本草经》原谓黄 主大风,方中重用黄 一两,又有他药以为之佐使,宜其风证皆可治也。若
已中风抽掣者,宜加全蜈蚣两条。若更因房事不戒以致中风抽风者,宜再加真鹿角胶三钱
(另煎兑服),独活一钱半。若脉象有热者,用此汤时,知母、天冬皆可酌加。
自拟此方以来,凡破伤后恐中风者,俾服药一剂,永无意外之变,用之数十年矣。
表侄高××之族人,被人用枪弹击透手心,中风抽掣,牙关紧闭。自牙缝连灌药无效,势已垂危。从前,其
庄有因破伤预防中风,服此方者,高××见而录之。至此,高××将此方授族人,一剂而愈。
又一人,被伤后,因房事不戒,中风抽掣,服药不效。友人毛××治之,亦投以此汤而愈。夫愚拟此方,
原但为预防中风,而竟如此多效,此愚所不及料者也。
治疗破伤后预防中风,或者已经发生中风出现抽搐痉挛,或者因受伤后房事不节制而导致中风。
生黄芪(一两) 白术(八钱) 当归(六钱) 桂枝尖(一钱半) 防风(一钱半) 黄蜡(三钱) 生白矾(一钱) 煎汤服用。
这个方子原本是作为预防中风的药物,所以使用黄芪来固护皮毛,白术来充实肌肉,黄蜡和白矾来保护膜原(指胸腹间脂膜及脏腑间的组织)。还担心破伤时有轻微的感冒邪气入侵,所以又用当归、防风、桂枝来活血散风。其中防风、桂枝的用量特别轻,确实是因为这个方子原本是为预防中风而设的,所以不想重用发汗的药物来打开腠理(皮肤毛孔及其附属结构)。
大概《神农本草经》原本说黄芪主治大风(严重的风邪),方中重用黄芪一两,又有其他药物作为辅助和引导,适宜各种风证都可以治疗。如果已经中风出现抽搐掣动,应该加全蜈蚣两条。如果更是因为房事不节制导致中风抽搐,应该再加真鹿角胶三钱(单独煎煮兑入服用),独活一钱半。如果脉象显示有热,使用此汤时,知母、天冬都可以酌情加入。
自从拟定这个方子以来,凡是破伤后担心中风的人,让他们服用一剂药,永远没有意外的变故,使用了几十年了。
表侄高××的族人,被人用枪弹击透手心,中风抽搐,牙关紧闭。从牙缝里连续灌药无效,病情已经垂危。以前,他家庄上有人因破伤预防中风,服用过此方,高××看见后记录了下来。到了这时,高××把这个方子授给族人,服用一剂就好了。
又有一个人,受伤后,因为房事不节制,中风抽搐,服药无效。朋友毛××治疗他,也是投以此汤而痊愈。我拟定这个方子,原本只是为预防中风,竟然有这么多的疗效,这是我当初所没料到的。
To treat the prevention of wind-stroke (Zhong Feng, stroke-like syndrome) after traumatic injury, or to treat wind-stroke that has already occurred presenting with convulsions and spasms, or to treat wind-stroke caused by sexual indiscretion following an injury.
Raw Astragali Radix (Sheng Huangqi) [1 liang], Atractylodis Macrocephalae Rhizoma (Baizhu) [8 qian], Angelicae Sinensis Radix (Danggui) [6 qian], Cinnamomi Ramulus Apicem (Guizhi Jian) [1.5 qian], Saposhnikoviae Radix (Fangfeng) [1.5 qian], Beeswax (Huangla) [3 qian], Raw Alum (Sheng Baifan) [1 qian]. Decoct in water and take orally.
This prescription was originally designed as a medicine for preventing wind-stroke. Therefore, Huangqi is used to consolidate the exterior (skin and hair), Baizhu to strengthen the muscles, and Huangla combined with Baifan to protect the membrane source (Moyuan, referring to the fatty tissues between the chest/abdomen and organs). Furthermore, fearing that slight external pathogenic factors might invade during the traumatic injury, Danggui, Fangfeng, and Guizhi are added to invigorate blood circulation and disperse wind. The dosages of Fangfeng and Guizhi are specifically kept light because this prescription is originally intended for the prevention of wind-stroke; thus, heavy use of diaphoretic herbs to open the couli (pores) is avoided.
According to the *Shennong Bencao Jing*, Huangqi primarily treats severe wind pathogens. In this formula, a large dose of Huangqi (1 liang) is used, assisted and guided by other herbs, making it suitable for treating various wind-related syndromes. If wind-stroke has already occurred with convulsions and pulling sensations, add two whole Scolopendra (Quan Wugong). If the condition is further exacerbated by sexual indiscretion leading to wind-stroke and convulsions, additionally add genuine Cornu Cervi Solium Gelatinum (Zhen Lujiao Jiao) [3 qian] (decocted separately and mixed in) and Angelicae Pubescentis Radix (Duhuo) [1.5 qian]. If the pulse indicates heat, Rhizoma Anemarrhenae (Zhimu) and Asparagi Radix (Tiandong) may be added酌情 (at discretion) when using this decoction.
Since I devised this prescription, for anyone suffering from traumatic injury who fears wind-stroke, having them take one dose has prevented any unexpected complications. It has been used for decades without failure.
A clansman of my cousin's nephew, Mr. Gao XX, had his palm pierced through by a gunshot wound, resulting in wind-stroke with convulsions and lockjaw. Continuous administration of medicine via the teeth缝隙 proved ineffective, and the patient's condition became critical. Previously, someone in his village had taken this prescription for wind-stroke prevention after injury, which Mr. Gao XX observed and recorded. At this juncture, Mr. Gao XX administered this prescription to his clansman, who recovered after one dose.
Another individual, after sustaining an injury, contracted wind-stroke with convulsions due to sexual indiscretion, and previous medication was ineffective. His friend, Mr. Mao XX, treated him and also achieved recovery using this same decoction. I originally devised this prescription merely for the prevention of wind-stroke, yet it has yielded such numerous effective results, which was beyond my initial expectation.