治猝风中气忽然不省人事牙关紧急药不能入咽者
细辛 猪牙皂角(各等分) 上为细末吹入鼻孔中得嚏则可
治中风涎潮壅膈气闭不通
白明矾 猪牙皂角(等分) 上为细末用滚白汤调服取涎
治中风中气先用此药
陈皮 青皮 茯苓 乌药(各一钱) 白芷(八分) 白术(五分) 甘草 人参(各
二分)
水二钟煎八分食远服
治中风不省人事半身不遂口眼歪斜手足颤掉语言謇涩肢体麻痹头目昏眩
防风 防己 麻黄 芍药 川芎 黄芩(各一钱) 杏仁 桂枝 人参 甘草 附子(炮
去皮以上各五分) 姜三片黑枣一枚煎八分不拘时服
中风先审六经之形证宜续命汤随症加减治之
有热者去附子 有汗者去麻黄 有痰作逆者加半夏 无汗者减桂枝 血虚加当归 生地
黄
远志 骨节疼痛有热去附子 加秦艽 倍芍药 腹中闷胀者加枳壳 枳实 遍身疼痛加羌活
秦艽 脚软无力加牛膝 木瓜 石斛 烦而多惊去附子 加犀角 口干烦渴去附子 加麦
门冬 天花粉 大便干燥去附子 麻黄 加当归 枳壳 小便赤少去附子 加木通 栀子
脏寒下利去防己 黄芩 倍附子 加白术
治中风中气半身不遂口眼歪斜先宜服此
乌药 陈皮 川芎 枳壳 白芷(各一钱) 甘草 干姜 僵蚕(各二钱) 桔梗(六
分)
麻黄(八分) 每贴用水二钟姜三片煎八分不拘时服
治疗猝然中风或中气,突然神志昏迷、牙关紧闭、药物无法咽下的情况:
取细辛和猪牙皂角(各等份),研成细末,吹入鼻孔中,若能打喷嚏则病情可缓解。
治疗中风导致痰涎上涌、阻塞胸膈、气机闭塞不通的情况:
取白明矾和猪牙皂角(等份),研成细末,用滚开的白开水调服,以引出痰涎。
治疗中风或中气,先用此药:
陈皮、青皮、茯苓、乌药(各一钱),白芷(八分),白术(五分),甘草、人参(各二分)。
加水两钟,煎至八分,饭后服用。
治疗中风或中气,出现神志昏迷、半身不遂、口眼歪斜、手足颤抖、语言謇涩、肢体麻木、头目昏眩的症状:
防风、防己、麻黄、芍药、川芎、黄芩(各一钱),杏仁、桂枝、人参、甘草、附子(炮制去皮,以上各五分),生姜三片,黑枣一枚,煎至八分,不拘时候服用。
治疗中风,先要审察六经(太阳、阳明、少阳、太阴、少阴、厥阴)的证候表现,宜用续命汤随症状加减治疗。
有热象者去掉附子;有汗出者去掉麻黄;有痰且气逆者加半夏;无汗者减少桂枝用量;血虚者加当归、生地黄、远志;骨节疼痛且有热象者去掉附子,加秦艽,加倍芍药用量;腹部闷胀者加枳壳、枳实;全身疼痛者加羌活、秦艽;脚软无力者加牛膝、木瓜、石斛;烦躁且易受惊者去掉附子,加犀角;口干烦渴者去掉附子,加麦门冬、天花粉;大便干燥者去掉附子、麻黄,加当归、枳壳;小便赤少者去掉附子,加木通、栀子;脏腑虚寒导致下利者去掉防己、黄芩,加倍附子用量,加白术。
治疗中风或中气,出现半身不遂、口眼歪斜,先宜服用此药:
乌药、陈皮、川芎、枳壳、白芷(各一钱),甘草、干姜、僵蚕(各二钱),桔梗(六分),麻黄(八分)。每剂用水两钟,生姜三片,煎至八分,不拘时候服用。
Treatment for sudden wind-stroke or qi-stagnation, characterized by sudden loss of consciousness, locked jaw, and inability to swallow medicine:
Take Asari Radix (Xixin) and Gleditsiae Sinensis Fructus Spina (Zhuya Zaojiao) in equal parts. Grind into a fine powder and insufflate into the nostrils. Induction of sneezing indicates relief.
Treatment for wind-stroke with phlegm-fluid flooding and obstructing the chest and diaphragm, causing qi closure and blockage:
Take Alum (Baimingfan) and Gleditsiae Sinensis Fructus Spina (Zhuya Zaojiao) in equal parts. Grind into a fine powder, mix with boiling clear water, and administer orally to induce expectoration of phlegm.
Treatment for wind-stroke or qi-stagnation, using this prescription first:
Tangerine Peel (Chenpi), Green Tangerine Peel (Qingpi), Poria (Fuling), and Lindera Root (Wuyao) (each 1 qian); Angelica Dahurica Root (Baizhi) (8 fen); Atractylodes Macrocephala Rhizome (Baizhu) (5 fen); Licorice Root (Gancao) and Ginseng Root (Renshen) (each 2 fen).
Add two zhong of water, decoct until eight fen remains. Take after meals.
Treatment for wind-stroke or qi-stagnation presenting with loss of consciousness, hemiplegia, deviation of the mouth and eye, tremors of hands and feet, dysarthria, limb numbness, dizziness, and vertigo:
Saposhnikovia Root (Fangfeng), Pyrethrum Root (Fangji), Ephedra Stem (Mahuang), Peony Root (Shaoyao), Szechuan Lovage Rhizome (Chuanxiong), Scutellaria Root (Huangqin) (each 1 qian); Apricot Seed (Xingren), Cinnamon Twig (Guizhi), Ginseng Root (Renshen), Licorice Root (Gancao), Prepared Aconite Lateral Root (Fuzi, processed and peeled) (each 5 fen); three slices of Ginger (Jiang) and one black date (Heizao). Decoct until eight fen remains. Take at any time.
When treating wind-stroke, first examine the syndromes of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin). It is appropriate to use Xuming Tang (Decoction for Continuing Life) with modifications based on symptoms.
If there is heat, remove Fuzi; if there is sweating, remove Mahuang; if there is phlegm with rebellious qi, add Pinellia Tuber (Banxia); if there is no sweating, reduce the dosage of Guizhi; if there is blood deficiency, add Danggui and Shengdihuang; add Yuanzhi. If there are painful joints with heat, remove Fuzi, add Gentian Macrophylla Root (Qinjiao), and double the dosage of Shaoyao. If there is abdominal fullness and distension, add Zhike and Zhishi. If there is pain throughout the body, add Qianghuo and Qinjiao. If the legs are weak and powerless, add Niuxi, Mugua, and Shihu. If there is irritability and frequent fright, remove Fuzi and add Rhinoceros Horn (Xijiao). If there is dry mouth and thirst, remove Fuzi and add Maidong and Tianguafen. If there is dry stool, remove Fuzi and Mahuang, and add Danggui and Zhike. If urine is scanty and red, remove Fuzi and add Mutong and Zhizi. If there is cold in the zang-organs with diarrhea, remove Fangji and Huangqin, double the dosage of Fuzi, and add Baizhu.
Treatment for wind-stroke or qi-stagnation presenting with hemiplegia and deviation of the mouth and eye, taking this prescription first:
Lindera Root (Wuyao), Tangerine Peel (Chenpi), Szechuan Lovage Rhizome (Chuanxiong), Aurantium Fruit (Zhike), and Angelica Dahurica Root (Baizhi) (each 1 qian); Licorice Root (Gancao), Dried Ginger (Ganjiang), and Silkworm (Jiangcan) (each 2 qian); Platycodon Root (Jiegeng) (6 fen); Ephedra Stem (Mahuang) (8 fen). For each dose, use two zhong of water and three slices of ginger. Decoct until eight fen remains. Take at any time.