《病源论》云∶诸阳经筋,皆在于头。三阳之筋,并络入于颔颊,夹于口,诸阳为风寒
所客
《葛氏方》治口噤不开者方∶
取大豆五升,熬令黄黑,以五升酒,渍取汁。奏强发口,以灌之。
又方∶独活四两,桂二两,以酒水各二升,合煮取一升半,分二服,温卧。
《千金方》治中风口噤方∶
术(四两) 酒(三升)
煮取一升,顿服之。
又方∶服淡竹沥一升。
《极要方》疗中风口噤不知人方∶
豉(五升) 茱萸(一升)
以水七升,煮三沸,饮之。(《千金方》同之。)
《广利方》理中风口噤不开方∶
独活一大两。切,以清酒二大升,煮取一升半。即大豆五大合,熬取煎酒热,投豆中,
密盖
《效验方》治人卒中风欲死口不开身不得着席大豆散方∶
大豆(二两,熬令焦) 姜(二两) 蜀椒(二两,去目,汗。)
凡三物,捣下筛,酒服一钱匕,日一愈。
《新录方》治口噤方∶
灸承浆穴,在颐前下,唇之下。
又方∶灸颐尖七壮。
《病源论》云∶风邪入于足阳明,手太阳之经,遇寒则筋急引颊,故使口 ,言语不
正,
《养生方》云∶夜卧当耳,勿令有孔,风入耳口喜 。
《太素经》云∶颊筋有寒,则急引颊移口;有热,则筋弛纵缓不胜,故 。
治之以马膏膏,其急者,以白酒和桂以涂;其缓者,以桑钩钩之,即以生桑炭置之坎中,
高
拊
《录验方》治口眼相引 僻者方∶
以生鳖血涂之,以桑钩钩吻边,挂着耳也。血干复涂之,用白酒胜血。(《短剧方》同之。)
《极要方》疗风口面 兼暴风半身不遂语不转方∶
以酒煮桂心,取汁湿故布,拓病上则止。左 拓右,右 拓左。秘不传,常用大效。
《僧深方》治风着人面引口偏着牙车急舌不得转方∶
竹沥(一升) 独活(三两) 生地黄汁(一升)
凡三物,合,煮取一升,顿服之。
又方∶翳风穴灸三壮,主耳聋,口眼为 不正;牙车引口噤不开,喑不能言。甚神良。
穴在
《短剧方》云∶眼 动,口唇动,偏 ,皆风入脉故也。
急服小续命汤,摩神明眼膏。
又方∶灸吻边横纹赤白际,逐左右风乘不收处,灸随年壮。日日报之,三报且息,三日
不效
《千金方》治中风口 方∶
炒大豆三升令焦,以酒三升淋取汁,顿服之,日一。(《令李方》同之。)
又方∶皂荚大者一枚,去皮、子,灸。一方一两下筛,三年苦酒和涂之,左 涂右,右
涂
《集验方》治中风口 不正方∶
取空青如桑者,着口中含咽之,即愈。(《千金方》云∶如豆一枚,含之。)
《葛氏方》治口 者方∶
衔奏灸口吻中横纹间,觉大热便去艾,即愈。勿尽艾,尽艾则大过,左 灸右,右 灸
左。
又方∶鳖血和乌头涂之,欲止即拭去。
《范汪方》治中风口 噤方∶
豉(五升) 茱萸(一升)
合煮三沸,去滓饮汁,神验。
又方∶两手叉于头上,随 左右,灸肘头三四壮。
《经心方》治口 方∶
青松叶一斤,捣令出汁。清酒一升,渍二宿,近火一宿。初服半升,渐至一升。头面汗
即止
又方∶取衣鱼摩发边,即正。
《诸病源候论》说:所有的阳经筋脉,都分布在头部。三阳经的筋脉,会合并络入下颌和面颊,夹持在口部,这些阳经受风寒邪气侵袭滞留。
《葛氏方》治疗口噤(牙关紧闭)不能张开的方子:
取大豆五升,炒至黄黑色,用五升酒浸泡提取汁液。强行撬开患者的嘴巴,将药汁灌入。
另一个方子:独活四两,桂枝二两,用酒和水各二升,混合煎煮取一升半药液,分两次服用,服药后温覆身体卧床休息。
《千金方》治疗中风口噤的方子:
白术(四两),酒(三升)。
煎煮取一升药液,一次性服下。
另一个方子:服用淡竹沥一升。
《极要方》治疗中风导致口噤且神志不清的方子:
豆豉(五升),吴茱萸(一升)。
用水七升,煮沸三次,让患者饮下。(《千金方》与此相同。)
《广利方》调理中风口噤不能张开的方子:
独活一大两。切碎,用清酒两大升,煎煮取一升半药液。随即取大豆五大合,炒制后倒入热煎酒中,紧密盖好容器。
《效验方》治疗人突然中风濒死、口不开身不能着床的大豆散方子:
大豆(二两,炒至焦黑),生姜(二两),蜀椒(二两,去目,出汗处理)。
以上三味药,捣碎过筛,用酒送服一钱匕的药粉,每日一次即可痊愈。
《新录方》治疗口噤的方子:
灸承浆穴,该穴位于下巴前下方,嘴唇之下。
另一个方子:灸下巴尖端七壮。
《诸病源候论》说:风邪侵入足阳明经和手太阳经,遇到寒气则筋脉拘急牵引面颊,所以导致口眼歪斜,言语不正。
《养生方》说:夜间睡觉时应当侧卧掩耳,不要让耳朵有孔洞,否则风邪从耳口进入容易引发口眼歪斜。
《太素经》说:面颊部的筋脉受寒,则拘急牵引面颊使口角移位;若有热邪,则筋脉弛缓松弛无力,所以导致口眼歪斜。
治疗时,对于拘急的一侧,用马膏涂抹以舒缓筋脉;对于弛缓的一侧,用白酒调和桂枝末涂抹以振奋阳气;对于弛缓的一侧,还可以用桑木钩牵引嘴角,并将患者置于生桑炭火坑上方取暖。
《录验方》治疗口眼歪斜的方子:
用活鳖的血涂抹患处,用桑木钩牵引嘴角边缘,挂在耳朵上固定。血干后再涂抹,使用白酒调和血涂敷效果更佳。(《短剧方》与此相同。)
《极要方》治疗风口面瘫兼暴风半身不遂、言语障碍的方子:
用酒煮桂心,取汁液浸湿旧布,敷贴在患病部位即可停止歪斜。左侧歪斜敷贴右侧,右侧歪斜敷贴左侧。此法秘不传,但常用且效果显著。
《僧深方》治疗风邪侵袭面部牵引口角偏向牙齿、舌体转动不利的方子:
竹沥(一升),独活(三两),生地黄汁(一升)。
以上三味药,混合煎煮取一升药液,一次性服下。
另一个方子:灸翳风穴三壮,主治耳聋,口眼歪斜不正;以及牙关牵引口噤不开,失语不能言。效果非常神奇良效。穴位位于耳垂后方。
《短剧方》说:眼睛跳动,口唇抽动,口角歪斜,都是风邪侵入经脉的缘故。
紧急服用小续命汤,并外敷神明眼膏。
另一个方子:灸嘴角横纹红白交界处,根据左右两侧风邪乘袭导致无法收回的部位,按年龄岁数决定灸壮数。每天报告病情,连续三天若无效则暂停。
《千金方》治疗中风口眼歪斜的方子:
炒大豆三升至焦黑,用酒三升淋浇提取汁液,一次性服下,每日一次。(《令李方》与此相同。)
另一个方子:大皂荚一枚,去皮去子,灸烧。另一说法是一两研末,用三年陈醋调和涂抹,左侧歪斜涂右侧,右侧歪斜涂左侧。
《集验方》治疗中风口眼歪斜不正的方子:
取如桑叶大小的空青石,放入口中含化咽下,即刻痊愈。(《千金方》说:如豆子大小一枚,含服即可。)
《葛氏方》治疗口眼歪斜的方子:
衔艾条灸口吻中间横纹处,感觉大热时立即去掉艾草,即可痊愈。不要灸完所有艾草,灸完则过度,左侧歪斜灸右侧,右侧歪斜灸左侧。
另一个方子:用鳖血调和乌头粉末涂抹,想要停止药效时就擦掉。
《范汪方》治疗中风口噤的方子:
豆豉(五升),吴茱萸(一升)。
混合煮沸三次,滤去渣滓饮用汁液,神效验证。
另一个方子:双手交叉抱于头上,随歪斜方向左右移动,灸肘尖三四壮。
《经心方》治疗口眼歪斜的方子:
青松叶一斤,捣出汁液。清酒一升,浸泡两个晚上,靠近火源再浸泡一个晚上。初次服用半升,逐渐增加至一升。头面部出汗即停止服用。
另一个方子:取衣鱼(蠹虫)摩擦头发边缘,口眼即可恢复正常。
*The Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: All yang meridians and their sinews are located in the head. The sinews of the three yang meridians converge and network into the mandible and cheeks, flanking the mouth. These yang meridians are invaded and lodged by wind-cold pathogens.
*Ge Shi Fang* (Prescriptions by Ge Hong) for treating trismus (lockjaw):
Take five sheng of soybeans, stir-fry until yellow-black, soak in five sheng of wine to extract the juice. Forcefully open the patient's mouth and pour the medicine in.
Another prescription: Duhuo (Radix Angelicae Pubescentis), four liang; Guizhi (Ramulus Cinnamomi), two liang. Boil with two sheng of wine and two sheng of water together until one and a half sheng remains. Divide into two doses. Take warm and lie down covered.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating stroke-induced trismus:
Baizhu (Rhizoma Atractylodis Macrocephalae), four liang; Wine, three sheng.
Boil until one sheng remains. Take in one dose.
Another prescription: Take Danzhuli (Sputum of Bamboo), one sheng.
*Ji Yao Fang* (Extremely Important Prescriptions) for treating stroke with trismus and unconsciousness:
Chishao (Fermented Soybean), five sheng; Zhuyu (Fructus Evodiae), one sheng.
Boil in seven sheng of water for three boils. Drink it. (*Qian Jin Fang* is identical.)
*Guang Li Fang* (Broad Benefit Prescriptions) for managing stroke-induced trismus:
Duhuo (Radix Angelicae Pubescentis), one da liang. Slice, boil in two da sheng of clear wine until one and a half sheng remains. Immediately take five he of soybeans, fry them, pour the hot decocted wine over the beans, and cover tightly.
*Xiao Yan Fang* (Effective Prescriptions) for Da Dou San (Great Soybean Powder) treating sudden severe stroke with lockjaw and inability to lie flat:
Da Dou (Fried Blackened Soybeans), two liang; Jiang (Fresh Ginger), two liang; Shujiao (Sichuan Pepper), two liang (remove eyes, sweat out).
Grind these three ingredients into powder and sift. Take one qian bi with wine. Once daily leads to cure.
*Xin Lu Fang* (Newly Recorded Prescriptions) for treating trismus:
Moxibustion at Chengjiang (CV24), located anterior to the chin, below the lower lip.
Another prescription: Moxibustion at the tip of the chin, seven moxa cones.
*The Zhu Bing Yuan Hou Lun* states: Wind pathogen enters the Foot-Yangming Meridian and Hand-Taiyang Meridian. Upon encountering cold, the sinews become tense and pull the cheek, causing facial paralysis (facial deviation) and slurred speech.
*Yang Sheng Fang* (Prescriptions for Health Preservation) states: When sleeping at night, cover the ears so no holes remain; otherwise, wind entering the ears and mouth may cause facial deviation.
*Tai Su Jing* (Supreme Classic of the Inner Canon) states: If the sinews of the cheek are cold, they contract and pull the cheek, shifting the mouth; if there is heat, the sinews relax and become flaccid, leading to facial deviation.
Treatment: For the tense side, apply Ma Gao (Horse Fat) as a plaster. For the flaccid side, apply Baijiu (White Wine) mixed with Guizhi (Cinnamon Twig) externally. For the flaccid side, use a mulberry hook to pull the corner of the mouth, and place the patient over a pit containing burning fresh mulberry charcoal for warmth.
*Lu Yan Fang* (Verified Records Prescriptions) for treating facial deviation:
Apply fresh blood of a soft-shelled turtle to the affected area. Use a mulberry hook to pull the corner of the mouth and hang it from the ear. Reapply when dry. Using white wine to mix with the blood enhances efficacy. (*Duan Ju Fang* is identical.)
*Ji Yao Fang* for treating wind-stroke facial paralysis accompanied by hemiplegia and aphasia:
Decoct Guixin (Cinnamon Heart) in wine, soak an old cloth in the juice, and apply to the affected side to stop deviation. Apply to the right side if the face deviates left, and to the left side if it deviates right. This method is secret but highly effective.
*Seng Shen Fang* (Monk Shen's Prescriptions) for wind affecting the face, pulling the mouth to the teeth, and restricting tongue movement:
Zhuli (Bamboo Sap), one sheng; Duhuo (Radix Angelicae Pubescentis), three liang; Sheng Dihuang Zhi (Fresh Juice of Rehmannia Root), one sheng.
Combine these three, boil until one sheng remains. Take in one dose.
Another prescription: Moxibustion at Yingfeng (TE17), three cones. It treats deafness, facial deviation, jaw tension with lockjaw, and aphonia. Highly effective. The acupoint is located behind the earlobe.
*Duan Ju Fang* states: Eye twitching, lip quivering, and facial deviation are all caused by wind entering the meridians.
Urgently administer Xiao Xuming Tang (Minor Continuation of Life Decoction) and rub Shen Ming Yan Gao (Divine Bright Eye Ointment).
Another prescription: Moxibustion at the junction of red and white skin along the horizontal wrinkle at the corner of the mouth. Treat the side where the wind prevents recovery according to the patient's age in moxa cones. Report daily; pause after three days if ineffective.
*Qian Jin Fang* for treating stroke-induced facial deviation:
Stir-fry three sheng of soybeans until charred. Pour three sheng of wine over them to extract the juice. Take in one dose, once daily. (*Ling Li Fang* is identical.)
Another prescription: One large Zaojiao (Gleditsia Sinensis Pod), remove skin and seeds, roast. Another version uses one liang powdered, mixed with three-year-old vinegar for application. Apply to the opposite side (left deviation treated on right, right on left).
*Ji Yan Fang* for treating stroke-induced facial deviation:
Take Kongqing (Azurite) the size of a mulberry leaf, hold in the mouth to dissolve and swallow. Immediate cure. (*Qian Jin Fang* says: one bean-sized piece, hold in mouth.)
*Ge Shi Fang* for treating facial deviation:
Place moxa at the horizontal wrinkle between the lips. Remove moxa when intense heat is felt. Do not exhaust all moxa, as excessive treatment causes harm. Treat contralaterally (left deviation on right, right on left).
Another prescription: Mix Bie Xue (Turtle Blood) with Wutou (Aconite Root) powder for topical application. Wipe off when desired effect is achieved.
*Fan Wang Fang* for treating stroke-induced trismus:
Chishao (Fermented Soybean), five sheng; Zhuyu (Fructus Evodiae), one sheng.
Boil together for three boils, strain, and drink the juice. Highly effective.
Another prescription: Cross hands behind the head, move laterally with the deviation, and moxibustion at the elbow tip, three to four cones.
*Jing Xin Fang* for treating facial deviation:
One jin of Qingsong Ye (Green Pine Needles), crush to extract juice. Soak in one sheng of clear wine for two nights, then near fire for one night. Initial dose: half sheng, gradually increase to one sheng. Stop when sweating occurs on the head and face.
Another prescription: Rub Yi Yu (Silverfish) along the hairline to restore normal alignment.