治身形软弱，肢体渐觉不遂，或头重目眩，或神昏健忘，或觉脑际紧缩作疼。甚或昏仆移时苏醒致成偏枯，
或全身痿废，脉象迟弱，内中风证之偏虚寒者（肝过盛生风，肝虚极亦可生风），此即西人所谓脑贫血病也。
久服此汤当愈。
生箭 （一两） 当归（五钱） 龙眼肉（五钱） 真鹿角胶（三钱，另炖同服） 丹参（三钱） 明乳香
（三钱） 明没药（三钱） 甘松（二钱）
服之觉热者，酌加天花粉、天冬各数钱。觉发闷者，加生鸡内金钱半或二钱。服数剂后，若不甚见效，
可用所煎药汤送服麝香二厘或真冰片半分亦可。若服后仍无甚效，可用药汤，送制好马钱子二分。
脑充血者，其脑中之血过多，固能伤其脑髓神经。脑贫血者其脑中之血过少，又无以养其脑髓神经。是
以究其终极，皆可使神经失其所司也。古方有补血汤，其方黄 、当归同用，而黄 之分量，竟四倍于当归，
诚以阴阳互为之根，人之气壮旺者，其血分自易充长。况人之脑髓神经，虽赖血以养之，尤赖胸中大气上升以
斡旋之。是以《内经》谓“上气不足，脑为之不满，耳为之苦鸣，头为之倾，目为之眩。”所谓上气者，即胸
中大气上升于脑中者也。因上气不足，血之随气而注于脑者必少，而脑为之不满，其脑中贫血可知。且因上气
不足，不能斡旋其神经，血之注于脑者少，无以养其神经，于是而耳鸣、头倾、目眩，其人可忽至昏仆可知。
由此知因脑部贫血以成内中风证者，原当峻补其胸中大气，俾大气充足，自能助血上升，且能斡旋其脑部，使
不至耳鸣、头倾、目眩也。是以此方不以当归为主药，而以黄 为主药也。用龙眼肉者，因其味甘色赤，多含
津液，最能助当归以生血也。用鹿角胶者，因鹿之角原生于头顶督脉之上，督脉为脑髓之来源，故鹿角胶之性
善补脑髓。凡脑中血虚者，其脑髓亦必虚，用之以补脑髓，实可与补血之药相助为理也。用丹参、乳香、没药
者，因气血虚者，其经络多瘀滞，此于偏枯痿废亦颇有关系，加此通气活血之品，以化其经络之瘀滞，则偏枯
痿废者自易愈也。用甘松者，为其能助心房运动有力，以多输血于脑，且又为调养神经之要品，能引诸药至脑
以调养其神经也。用麝香、梅
片者，取其香能通窍以开闭也。用制过马钱子者，取其能 动脑髓神经使之灵活也。
甘松，即西药中之缬草，其气香，味微酸。《神农本草经》谓其治暴热、火疮、赤气、疥瘙、疽痔、马鞍、
热气。《名医别录》谓其治痈肿、浮肿、结热、风痹、不足、产后痛。甄权谓其治毒风， 痹，破多年凝血，
能化脓为水，产后诸病，止腹痛、余疹、烦渴。大明谓其除血气心腹痛、破 结、催生、落胞、血晕、鼻血、
吐血、赤白带下、眼障膜、丹毒、排脓、补痿。西人则以为兴奋之品，善治心脏麻痹、霍乱转筋。东人又以为
镇静神经之特效药，用治癫狂、痫痉诸病。盖为其气香，故善兴奋心脏，使不至于麻痹，而其馨香透窍之力，
亦自能开痹通瘀也。为其味酸，故能保安神经，使不至于妄行，而酸化软坚之力，又自能化多年之 结，使尽
消融也。至于其能补痿，能治霍乱转筋者，即心脏不麻痹，神经不妄行之功效外着者也。孰谓中西医理不相贯通哉？
高姓臾，年过六旬，渐觉两腿乏力，浸至时欲眩仆，神昏健忘。恐成痿废，求为延医。其脉微弱无力。为
制此方服之，连进十剂，两腿较前有力，健忘亦见愈，而仍有眩晕之时。再诊其脉，虽有起色，而仍不任重按。
遂于方中加野台参、天门冬各五钱，威灵仙一钱，连服二十余剂始愈。用威灵仙者，欲其运化参、 之补力，
使之灵活也。
门人张××曾治一人，年三十余。于季冬负重贸易，日行百余里，歇息时，又屡坐寒地。后觉腿疼，不能
行步，浸至卧床不能动转，周身筋骨似皆痿废，服诸药皆不效。张××治以加味补血汤，将方中乳香、没药皆
改用六钱，又加净萸肉一两。数剂后，腿即不疼。又服十余剂，遂全愈。
按∶加味补血汤，原治内中风之气血两亏者，而略为变通，
即治腿疼如此效验，可谓善用成方者矣。
治疗身体软弱无力，肢体逐渐感觉活动不灵活，或者头部沉重、眼睛眩晕，或者神志昏迷、记忆力减退，或者感觉脑部紧缩疼痛。甚至出现突然昏倒，过一段时间苏醒后导致半身不遂，或者全身痿软废用，脉象迟缓微弱，属于内中风证中偏向虚寒类型的（肝气过盛会生风，但肝气极度虚弱也会生风），这就是西医所说的脑贫血病。长期服用此汤应当痊愈。
生黄芪（一两） 当归（五钱） 龙眼肉（五钱） 真鹿角胶（三钱，单独炖煮后混合服用） 丹参（三钱） 明乳香（三钱） 明没药（三钱） 甘松（二钱）
如果服药后感觉发热，酌情加入天花粉、天冬各数钱。如果服药后感觉胸闷，加入生鸡内金半钱或二钱。服用几剂后，如果效果不明显，可以用煎好的药汤送服麝香二厘或真冰片半分也可以。如果服用后仍然没有明显效果，可以用药汤送服制好的马钱子二分。
脑充血的人，脑中血液过多，固然会损伤脑髓神经。脑贫血的人，脑中血液过少，又无法滋养脑髓神经。因此究其最终结果，都会导致神经失去其正常功能。古方中有补血汤，该方将黄芪与当归同用，而黄芪的分量，竟然达到当归的四倍，确实是因为阴阳互为根本，人的元气壮旺，其血分自然容易充盛增长。况且人的脑髓神经，虽然依赖血液来滋养，尤其依赖胸中大气上升来斡旋调节。所以《内经》说“上气不足，脑为之不满，耳为之苦鸣，头为之倾，目为之眩。”所谓上气，就是胸中大气上升于脑中的部分。因为上气不足，随着气注入脑中的血液必然减少，而脑部就会感到空虚不足，由此可知脑中贫血。而且因为上气不足，不能斡旋调节神经，注入脑中的血液少，无法滋养神经，于是出现耳鸣、头部倾斜、眼睛眩晕，这个人可能会突然昏倒，这是可以预见的。由此可知，因脑部贫血而导致内中风证的，原本应当峻补胸中大气，使大气充足，自然能辅助血液上升，并且能斡旋调节脑部，使不至于出现耳鸣、头部倾斜、眼睛眩晕等症状。因此这个方子不以当归为主药，而以黄芪为主药。使用龙眼肉，是因为它味甘色赤，多含津液，最能帮助当归生成血液。使用鹿角胶，是因为鹿角原生于头顶督脉之上，督脉是脑髓的来源，所以鹿角胶的性质善于补益脑髓。凡是脑中血虚的人，其脑髓也必然虚弱，用它来补益脑髓，实在可以与补血药物相互协助。使用丹参、乳香、没药，是因为气血虚弱的人，经络多有瘀滞，这对于半身不遂和痿软废用也有很大关系，加入这些通气活血的药物，以化解经络中的瘀滞，那么半身不遂和痿软废用的人自然容易痊愈。使用甘松，是因为它能帮助心脏运动有力，从而向脑部输送更多血液，而且它又是调养神经的重要物品，能引导诸药到达脑部以调养神经。使用麝香、冰片，是取其香气能通窍以开闭阻。使用经过炮制的马钱子，是取其能动摇脑髓神经使其灵活。
甘松，即西药中的缬草，气味芳香，味道微酸。《神农本草经》说它治疗暴热、火疮、赤气、疥瘙、疽痔、马鞍痈、热气。《名医别录》说它治疗痈肿、浮肿、结热、风痹、不足、产后痛。甄权说它治疗毒风、痹症，破除多年凝血，能将脓化为水，治疗产后各种疾病，止腹痛、余疹、烦渴。李时珍（大明）说它消除血气心腹痛，破除积结，催生，落胞，血晕，鼻血，吐血，赤白带下，眼障膜，丹毒，排脓，补痿。西方人则认为它是兴奋剂，善于治疗心脏麻痹、霍乱转筋。日本人又认为它是镇静神经的特效药，用于治疗癫狂、痫痉等疾病。大概因为其气香，所以善于兴奋心脏，使其不至于麻痹，而其馨香透窍的力量，自然也能开通痹阻、疏通瘀滞。因为其味酸，所以能保护神经，使其不至于妄行，而酸化软坚的力量，自然也能化解多年的积结，使其完全消融。至于它能补痿，能治疗霍乱转筋，就是心脏不麻痹、神经不妄行的功效外在表现罢了。谁说中西医理不能贯通呢？
高姓老人，年过六十，逐渐觉得双腿乏力，进而时常想要眩晕跌倒，神志昏迷、记忆力减退。担心形成痿废，请求延医诊治。他的脉象微弱无力。为他配制此方服用，连续进服十剂，双腿比以前有力，健忘也有所好转，但仍然有时眩晕。再次诊脉，虽然有起色，但仍然不耐重按。于是在方中加入野台参、天门冬各五钱，威灵仙一钱，连续服用二十多剂才痊愈。使用威灵仙，是想让它运化人参、黄芪的补力，使其灵活发挥作用。
门人张××曾治疗一个人，三十多岁。在深冬时节背负重物经商，每天行走百余里，休息时，又多次坐在寒冷地上。后来觉得腿疼，不能行走，进而卧床不能动弹，周身筋骨似乎都痿废了，服用各种药物都没有效果。张××用加味补血汤治疗，将方中的乳香、没药都改为六钱，又加入净山茱萸一两。服用几剂后，腿就不疼了。又服用十余剂，于是完全痊愈。
Treats physical weakness, limbs gradually feeling impaired in movement, or heavy head and dizzy eyes, or unconsciousness and forgetfulness, or a sensation of tightness and pain in the brain. In severe cases, sudden collapse followed by recovery after some time leading to hemiplegia (hemiplegia), or general flaccid paralysis, with a slow and weak pulse; this belongs to the internal wind-stroke syndrome偏虚寒者 (internal wind-stroke syndrome of deficiency-cold type) (excessive liver qi generates wind, but extreme liver deficiency can also generate wind); this is what Western medicine calls cerebral anemia. Long-term consumption of this decoction should lead to recovery.
Raw Astragali Radix (Huangqi, 黄芪) (1 liang)
Angelicae Sinensis Radix (Danggui, 当归) (5 qian)
Longan Aril (Longyanrou, 龙眼肉) (5 qian)
True Cervi Cornus Colla (Lujiaojiao, 鹿角胶) (3 qian, stewed separately and taken mixed)
Salviae Miltiorrhizae Radix et Rhizoma (Danshen, 丹参) (3 qian)
Frankincense (Ruxiang, 乳香) (3 qian)
Myrrh (Moyao, 没药) (3 qian)
Nardostachys Chinensis Radix et Rhizoma (Gansong, 甘松) (2 qian)
If heat is felt after taking the medicine, add Tianhuafen (Trichosanthis Radix) and Tiandong (Asparagi Radix) by several qian as appropriate. If chest stuffiness is felt, add raw Giji Nei-Jin (Gallus Gallus Domesticus Brisson Gizzard Lining) half or 2 qian. After taking several doses, if there is not much effect, Musk (Shexiang, 麝香) 2 li or real Borneol (Bingpian, 冰片) 0.5 fen may be taken with the decoction. If there is still no significant effect after taking it, prepared Strychnos Nux-vomica Seed (Maqianzi, 马钱子) 2 fen may be taken with the decoction.
In cerebral hyperemia, excessive blood in the brain naturally damages the brain marrow and nerves. In cerebral anemia, insufficient blood in the brain fails to nourish the brain marrow and nerves. Therefore, ultimately, both conditions can cause the nerves to lose their control. The ancient formula Blood-Nourishing Decoction uses Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix) together, with the dosage of Huangqi being four times that of Danggui. This is indeed because yin and yang are mutually rooted; when human qi is vigorous, the blood component naturally becomes easier to fill and grow. Moreover, although the brain marrow and nerves rely on blood for nourishment, they especially rely on the great qi in the chest rising to facilitate circulation. Thus, *Neijing* states: "Insufficiency of upper qi leads to incomplete filling of the brain, bitter ringing in the ears, tilting of the head, and dizziness." The so-called upper qi refers to the great qi in the chest rising into the brain. Due to insufficiency of upper qi, the blood following the qi to flow into the brain must be scarce, resulting in an empty feeling in the brain, indicating cerebral anemia. Furthermore, due to insufficiency of upper qi, it cannot facilitate the nerves; with less blood flowing into the brain to nourish the nerves, tinnitus, head tilting, and dizziness occur, and sudden collapse becomes foreseeable. From this, we know that for internal wind-stroke caused by cerebral anemia, one should vigorously tonify the great qi in the chest. When the great qi is sufficient, it naturally assists blood in rising and facilitates circulation in the brain, preventing tinnitus, head tilting, and dizziness. Therefore, this formula does not use Danggui as the main drug, but uses Huangqi (Astragali Radix) as the main drug. Longan aril is used because its sweet taste and red color, along with its rich fluid content, best assist Danggui in generating blood. Cervi Cornus Colla is used because deer horns originally grow on the Du Meridian at the top of the head, and the Du Meridian is the source of brain marrow; thus, the nature of Cervi Cornus Colla is good at tonifying brain marrow. For those with blood deficiency in the brain, their brain marrow must also be deficient; using it to tonify brain marrow truly assists blood-nourishing medicines. Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Ruxiang (Frankincense), and Moyao (Myrrh) are used because people with qi and blood deficiency often have stagnant meridians, which is closely related to hemiplegia and flaccid paralysis; adding these qi-moving and blood-invigorating agents resolves meridian stagnation, making hemiplegia and flaccid paralysis easier to cure. Nardostachys Chinensis Radix et Rhizoma is used because it strengthens heart movement to transfuse more blood to the brain, and it is also a key item for nourishing nerves, guiding other drugs to the brain to nourish them. Musk and Borneol are used for their aromatic properties to open orifices and relieve obstruction. Prepared Strychnos Nux-vomica Seed is used for its ability to stimulate brain marrow and nerves to make them flexible.
Nardostachys Chinensis Radix et Rhizoma (Gansong, 甘松) is Valeriana officinalis L. in Western medicine; it has an aromatic odor and a slightly sour taste. *Shennong Bencao Jing* states it treats acute heat, fire sores, redness, scabies, carbuncles, hemorrhoids, saddle sores, and hot qi. *Mingyi Bielu* states it treats abscesses, edema, accumulated heat, wind-bi, deficiency, and postpartum pain. Zhen Quan states it treats toxic wind, bi-syndrome, breaks up old coagulated blood, converts pus to water, treats various postpartum diseases, stops abdominal pain, residual rashes, and irritability/thirst. Li Shizhen (Li Dongyuan/Daming context implies later commentary) states it eliminates qi-blood heart/abdominal pain, breaks up accumulations, induces labor, expels retained placenta, treats syncope from blood loss, epistaxis, hematemesis, leukorrhea, eye cataracts, erysipelas, drains pus, and tonifies flaccidity. Westerners consider it an excitant, good for treating cardiac paralysis and cholera with muscle cramps. Japanese doctors consider it a specific remedy for calming nerves, used for epilepsy and spasms. Generally, because of its aromatic odor, it excites the heart, preventing paralysis, and its penetrating power opens blockages and unblocks stasis. Because of its sour taste, it protects nerves from erratic behavior, and its acidifying and softening-hardening power dissolves old accumulations. Its ability to tonify flaccidity and treat cholera cramps are external manifestations of the efficacy of non-paralyzed heart and non-erratic nerves. Who says Chinese and Western medical principles cannot be integrated?
An elderly man surnamed Gao, over sixty years old, gradually felt weakness in both legs, eventually experiencing frequent dizziness and near-collapse, unconsciousness, and forgetfulness. Fearing he would become paralyzed, he sought medical attention. His pulse was weak and forceless. A prescription of this formula was made for him. After ten doses, his legs were stronger than before, and forgetfulness improved, though dizziness persisted. On re-examination, the pulse showed improvement but still lacked strength upon deep pressure. Therefore, Yetaishen (Wild Codonopsis Radix) and Tiandong (Asparagi Radix) each 5 qian, and Weilingxian (Syringae Ramulus) 1 qian were added to the formula. After more than twenty doses, he recovered. Weilingxian was used to facilitate the tonifying effects of Shen (Codonopsis Radix/Codonopsis Pilosula) and Huangqi (Astragali Radix), making them flexible in action.
Disciple Zhang XX once treated a man in his thirties. In late winter, while carrying heavy loads for trade, he walked over a hundred li per day and rested frequently on cold ground. Later, he felt leg pain and could not walk, eventually becoming bedridden and immobile, with all bones and sinews seeming paralyzed. Various medicines failed. Zhang XX treated him with Modified Blood-Nourishing Decoction, changing the dosage of Ruxiang (Frankincense) and Moyao (Myrrh) to 6 qian each, and adding pure Cornus Officinalis Fruit (Yurou, 山茱萸) 1 liang. After several doses, the leg pain ceased. After another ten-plus doses, he fully recovered.
Note: Modified Blood-Nourishing Decoction originally treats internal wind-stroke with dual deficiency of qi and blood. With slight modification, it proves so effective for leg pain, demonstrating the skillful application of established formulas.