治外无六经之形证内无便溺之阻滞血弱不能养筋手足不能运用
秦艽 川芎 石膏 甘草 当归 羌活 独活 防风 黄芩 芍药 白术 生地黄 熟
地黄 白茯苓 细辛 又一方去石膏 加威灵仙 每贴用水二钟姜三片煎八分食远服
治手足酸麻及指麻膊足无力举动不便预防偏枯痿 之患
橘红 半夏 秦艽 白茯苓 枳壳 白术 当归 川芎 威灵仙 薏苡仁 甘草 黄芩
(酒炒) 上部甚加防风 羌活 气虚加人参 下部甚加牛膝 木瓜 水二钟姜三片煎八分
不
拘时服
治痰涎壅盛口眼歪斜不能言语
瓜蒂 赤小豆(等分) 上为细末吹入鼻中或水煎服如不吐徐加以吐快为度
三圣散 吐药
瓜蒂 黎芦 防风 为细末用滚白汤调服即吐水煎亦可。
治中风舌强不语半身不遂
防风 天麻 酸枣仁(去壳各一钱) 羚羊角(六分) 羌活(一钱) 甘草(二分) 官
桂(二分) 附子(炮去皮) 又一方无附子有半夏 杏仁 石菖蒲 枳实 水二钟姜三片
煎八分服时加竹沥二匙
治疗外无六经形证、内无大小便阻滞,血虚不能濡养筋脉,导致手足不能活动的病证:
秦艽、川芎、石膏、甘草、当归、羌活、独活、防风、黄芩、芍药、白术、生地黄、熟地黄、白茯苓、细辛。
另一配方:去掉石膏,加入威灵仙。每剂用水二钟(约400-500毫升),生姜三片,煎至八分(约300-400毫升),饭后服用。
治疗手足酸麻,手指麻木,手臂和腿部无力,动作不便,以预防偏枯(半身不遂)和痿证(肌肉萎缩无力)的患害:
橘红、半夏、秦艽、白茯苓、枳壳、白术、当归、川芎、威灵仙、薏苡仁、甘草、黄芩(酒炒)。
症状集中在上部者,加防风、羌活;气虚者,加人参;症状集中在下部者,加牛膝、木瓜。用水二钟,生姜三片,煎至八分,不拘时间服用。
治疗痰涎壅盛,口眼歪斜,不能言语:
瓜蒂、赤小豆(等量)。将上述药物研为细末,吹入鼻中,或用水煎服。如果不呕吐,可逐渐增加剂量,以吐出为度。
三圣散(一种催吐方剂):
瓜蒂、藜芦、防风。研为细末,用滚开的白水调服,即可引起呕吐;用水煎服也可以。
治疗中风导致的舌强不语、半身不遂:
防风、天麻、酸枣仁(去壳,各一钱)、羚羊角(六分)、羌活(一钱)、甘草(二分)、官桂(二分)、附子(炮制去皮)。
另一配方:没有附子,有半夏、杏仁、石菖蒲、枳实。用水二钟,生姜三片,煎至八分服用。服药时加入竹沥两匙。
治疗中风失音、不能言语:
秦艽、防风、白附子、独活、竹沥。用水二钟,生姜自然汁一杯,煎至八分,不拘时间服用。
治疗中风抽搐、舌强不语:使用凉膈散(见后文)。在凉膈散中加入石菖蒲、远志、胆南星,研为细末,炼蜜调和制成如弹丸大小的药丸。每次服用一丸,以朱砂为衣,用薄荷煎汤送服化下。
Treatment for conditions presenting with no exterior manifestations of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) and no internal obstruction of urination or defecation, where blood deficiency fails to nourish the sinews, resulting in the inability to move the hands and feet:
Qinjiao (Gentianae Macrophyllae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata), Bai Fuling (Poria), Xixin (Asari Radix et Rhizoma).
Alternative prescription: Remove Shigao, add Weilingxian (Clematidis Radix). For each dose, use two zhong (approx. 400-500 ml) of water and three slices of fresh ginger, decoct until reduced to eight-tenths (approx. 300-400 ml), and take after meals.
Treatment for soreness and numbness of the hands and feet, numbness of the fingers, weakness of the arms and legs, and difficulty in movement, to prevent hemiplegia (Biangu) and flaccidity syndrome (Wei):
Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Bai Fuling (Poria), Zhike (Aurantii Fructus Immaturus), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Weilingxian (Clematidis Radix), Yiyiren (Coicis Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (stir-fried with wine).
If symptoms are predominant in the upper body, add Fangfeng (Saposhnikoviae Radix) and Qianghuo (Notopterygii Rhizoma et Radix); if there is Qi deficiency, add Renshen (Ginseng Radix); if symptoms are predominant in the lower body, add Niuxi (Achyranthis Bidentatae Radix) and Mugua (Chaenomelis Fructus). Use two zhong of water and three slices of fresh ginger, decoct until reduced to eight-tenths, and take at any time.
Treatment for copious phlegm-saliva, deviation of the mouth and eyes, and inability to speak:
Gouti (Thermopsidis Seed), Chi Xiaodou (Phaseoli Angularis Semen) (equal parts). Grind into a fine powder and insufflate into the nose, or decoct in water and take orally. If vomiting does not occur, gradually increase the dosage until vomiting is achieved as the limit.
Sansheng San (Three Holy Powders - an emetic formula):
Gouti (Thermopsidis Seed), Lilu (Veratri Radix), Fangfeng (Saposhnikoviae Radix). Grind into a fine powder, mix with boiling plain water, and take orally to induce vomiting; decoction in water is also acceptable.
Treatment for stroke manifesting as stiff tongue with inability to speak and hemiplegia:
Fangfeng (Saposhnikoviae Radix), Tianma (Gastrodiae Rhizoma), Suanzaoren (Ziziphi Spinosae Semen) (dehusked, one qian each), Lingyangjiao (Saigae Tataricae Cornu) (six fen), Qianghuo (Notopterygii Rhizoma et Radix) (one qian), Gancao (Glycyrrhizae Radix et Rhizoma) (two fen), Guigui (Cinnamomi Ramulus) (two fen), Fuzi (Aconiti Lateralis Radix Preparata) (processed, peeled).
Alternative prescription: Without Fuzi, include Banxia (Pinelliae Rhizoma), Xingren (Armeniacae Semen Amarum), Shichangpu (Acori Tatarinowii Rhizoma), Zhishi (Aurantii Fructus Immaturus). Use two zhong of water and three slices of fresh ginger, decoct until reduced to eight-tenths, and take. When taking, add two spoons of Zhuli (Bambusa Textilis var. Multiplex Caulis Succus).
Treatment for stroke manifesting as aphonia and inability to speak:
Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Baifuzi (Aconiti Kusnezoffii Radix), Duhuo (Angelicae Pubescentis Radix), Zhuli (Bambusa Textilis var. Multiplex Caulis Succus). Use two zhong of water and one cup of natural juice of fresh ginger, decoct until reduced to eight-tenths, and take at any time.
Treatment for stroke manifesting as convulsions, stiff tongue, and inability to speak: Use Liangge San (Cooling the Diaphragm Powder - see below). Add Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix), and Dansheng (Arisaematis Cum Bile Radix) to Liangge San, grind into a fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, coated with Zhusha (Cinnabaris), and dissolve using mint decoction.