治中风初起不可便用风药宜先服此
白术 青木香 朱砂(研细水飞) 乌犀屑 沉香 麝香(研) 诃黎勒(煨取皮) 丁
香
安息香(另为末用无灰酒一升熬成膏子) 荜茇 白檀香 香附(各二两) 龙脑(研) 薰
陆香
(另研) 苏合香油(入安息香膏内各一两) 上为末研匀用安息香膏并炼蜜和剂每服时旋
丸如
桐子大取井水温冷任意下四丸老人小儿服一丸温酒化下
治中腑外有六经之形证
羌活 防风 甘草 蔓荆子 川芎 细辛 枳壳 秦艽 当归 独活 半夏 白芷 芍
药白茯苓 薄荷 本方原十五味其余随症加减于后 气虚加黄 人参 枸杞子 血虚加
生地黄 熟地黄 杜仲 发热加柴胡 前胡 黄芩 知母 地骨皮 湿多加防己 苍术 浓
朴无汗加麻黄 石膏 有汗加桂枝 甘菊花 姜三片煎服
治中脏内有便溺之阻滞宜服此导之
浓朴(姜制一钱) 羌活(一钱) 大黄(二钱) 枳实(炒一钱) 水二钟姜三片煎
八分食前
服
四物汤
当归 川芎 芍药 地黄
四君子汤
人参 白术 茯苓 甘草
治三十二种风七十二般气并中脏内有阻滞
白槟榔 郁李仁(去壳) 火麻子 牛膝(各二两) 车前子(一两) 菟丝子(一两
五钱酒煮)
十丸渐加至四五十丸任意酒茶送下
白术、青木香、朱砂(研磨细后用水飞法处理)、乌犀屑、沉香、麝香(研磨)、诃黎勒(煨制后取皮)、丁香、安息香(单独研为粉末,用一升无灰酒熬制成膏状)、荜茇、白檀香、香附(以上各二两)、龙脑(研磨)、薰陆香(单独研磨)、苏合香油(加入安息香膏内,以上各一两)。将上述药材研成细末并混合均匀,用安息香膏和炼蜜调和成药剂。每次服用时,随时将其制成如梧桐子大小的丸药。取井水,无论冷热,随意送服四丸;老人和儿童服用一丸,用温酒化开送下。
羌活、防风、甘草、蔓荆子、川芎、细辛、枳壳、秦艽、当归、独活、半夏、白芷、芍药、白茯苓、薄荷。本方原为十五味药,其余根据症状加减如下:气虚加黄芪、人参、枸杞子;血虚加生地黄、熟地黄、杜仲;发热加柴胡、前胡、黄芩、知母、地骨皮;湿重加防己、苍术、浓朴;无汗加麻黄、石膏;有汗加桂枝、甘菊花,煎服时加生姜三片。
治疗中脏证,内部有大便和小便的阻滞,宜服用此方以导泄通利。
浓朴(姜汁炮制,一钱)、羌活(一钱)、大黄(二钱)、枳实(炒制,一钱)。加水两钟,生姜三片,煎至八分,饭前服用。
治疗三十二种风邪和七十二般气病,以及中脏证内部有阻滞的情况。
白槟榔、郁李仁(去壳)、火麻子、牛膝(以上各二两)、车前子(一两)、菟丝子(一两五钱,用酒煮)。从十丸开始逐渐增加剂量至四五十丸,随意用酒或茶送服。
For the initial stage of stroke, wind-dispelling herbs should not be used immediately; instead, this formula should be administered first.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Qing Mu Xiang (Aucklandiae Radix), Zhu Sha (Cinnabar, finely ground and processed by water flotation), Wu Xi Xie (Rhinocerotis Cornu), Chen Xiang (Aquilariae Lignum Resinatum), She Xiang (Moschus, ground), He Li Le (Terminaliae Chebulae Fructus, roasted for peel extraction), Ding Xiang (Syzygii Aromatisati Flos), An Xi Xiang (Styrax, separately ground into powder and decocted with one sheng of unadulterated wine to form a paste), Bi Bo (Piperis Longi Fructus), Bai Tan Xiang (Santalum Album Lignum), Xiang Fu (Cyperi Rhizoma) [each two liang], Long Nao (Borneolum Syntheticum, ground), Xun Lu Xiang (Olibanum, separately ground), Su He Xiang You (Liquidambaris Resina Oleum, added to the An Xi Xiang paste) [each one liang]. Grind all ingredients into a fine powder and mix evenly. Combine with the An Xi Xiang paste and refined honey to prepare the pills. At the time of administration, roll into pills the size of paulownia seeds. Take well water, regardless of temperature, and swallow four pills freely. For the elderly and children, take one pill, dissolved in warm wine.
For middle fu-organ syndrome, presenting with external manifestations of the six meridians:
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Man Jing Zi (Vittaginis Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma), Zhi Ke (Aurantii Fructus Immaturus), Qin Jiao (Gentianae Macrophyllae Radix), Dang Gui (Angelicae Sinensis Radix), Du Huo (Angelicae Pubescentis Radix), Ban Xia (Pinelliae Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Shao Yao (Paeoniae Radix Alba), Bai Fu Ling (Poria), Bo He (Menthae Haplocalycis Herba). This original formula consists of fifteen herbs. Modifications based on symptoms are as follows: For Qi deficiency, add Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix et Rhizoma), Gou Qi Zi (Lycii Fructus); for Blood deficiency, add Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Du Zhong (Eucommiae Cortex); for fever, add Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Di Gu Pi (Lycii Cortex); for dampness excess, add Fang Ji (Stephaniae Tetrandrae Radix), Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex); for absence of sweating, add Ma Huang (Ephedrae Herba), Shi Gao (Gypsum Fibrosum); for presence of sweating, add Gui Zhi (Cinnamomi Ramulus), Gan Ju Hua (Chrysanthemi Indici Flos), with three slices of fresh ginger added during decoction.
For middle zang-organ syndrome, characterized by internal obstruction of defecation and urination, this formula is indicated to guide and unblock:
Nong Po (Magnoliae Officinalis Cortex, prepared with ginger juice, one qian), Qiang Huo (Notopterygii Rhizoma et Radix, one qian), Da Huang (Rhei Radix et Rhizoma, two qian), Zhi Shi (Aurantii Fructus Immaturus, stir-fried, one qian). Decoct with two zhong of water and three slices of ginger until reduced to eight fen. Administer before meals.
Si Wu Tang (Four Substances Decoction)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix Alba), Di Huang (Rehmanniae Radix).
Si Jun Zi Tang (Four Gentlemen Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma).
For thirty-two types of wind pathogens and seventy-two kinds of qi disorders, as well as middle zang-organ syndrome with internal obstruction:
Bai Bing Lang (Arecae Semen), Yu Li Ren (Pruni Semen), Huo Ma Zi (Hemp Seed), Niu Xi (Achyranthis Bidentatae Radix) [each two liang], Che Qian Zi (Plantaginis Semen, one liang), Tu Si Zi (Cuscutae Semen, one liang five qian, decocted in wine). Start with ten pills and gradually increase to forty or fifty pills. Administer freely with wine or tea.