治中风卒然昏愦，不省人事，痰涎壅盛，语言謇涩等证（李东垣曰∶中风非外来风邪，
乃本气自病也。凡人年逾四旬，气衰之际，或忧喜忿怒伤其气者，多有此证，壮岁之时无有
也，若
生南星（一两） 生川乌（去皮） 生附子（去皮。五钱） 木香（二钱。）每服一两。
加人参
此足太阴、阳明、厥阴、手少阳药也。南星辛烈，散风除痰；附子重峻，温脾逐寒；乌
头轻
所以扶其正气；少佐木香，所以行其逆气也（《医贯》曰∶观东垣之论，当以气虚为主，纵
有风邪，亦是乘虚而袭。经曰∶邪之所凑，其气必虚是也。当此之时，岂寻常药饵能通达于
上下哉。急以三生饮一两，加人参一两，煎服即苏。此乃行经治痰之剂，斩关擒王之将，必
用人参两许，驱驾其邪，而补助真气，否则不惟无益，适以取败，观先哲用 附、参附，其
义可见。若遗尿、手撒、口开、鼻鼾为不治，然服前药多有生者。喻嘉言曰∶脏为阴可胜纯
阳之药
（河间）
治中风舌喑不能言，足废不能行，此少阴气厥不至，名曰风痱（音肥），急当温之（风
痱，如瘫痪是也。刘河间曰∶中风瘫痪，非为肝木之风实甚，亦非外中于风，良由将息失宜，
心火暴甚，肾水虚衰，不能制之，则阴虚阳实，而热气怫郁，心神昏冒，筋骨不用，而卒倒
无知也，亦有因喜怒思悲恐五志过极而卒中者，皆为热甚，俗云风者言末而忘其本也。治宜
和脏腑、通经络，便是治风。昂按∶此即河间主乎火之说。盖西北风气刚劲，虚人感之，名
真中风，可用风药下药；南方卑湿，质弱气虚，虽有中证，而实不同，名类中风，宜兼补养
为治）。
熟地黄 巴戟（去心） 山茱萸 肉苁蓉（酒浸） 附子（炮） 官桂 石斛 茯苓 石
菖蒲
此手足少阴、太阴、足厥阴药也。熟地以滋根本之阴，巴戟、苁蓉、官桂、附子以返
真元之
味保肺以滋水源，使水火相交，精气渐旺，而风火自息矣（《医贯》曰∶观刘氏之论，则以
风为末而以火为本，殊不知火之有余、水之不足也。刘氏原以补肾为本，观其地黄饮子可见
矣，故治中风，又当以真阴虚为本。但阴虚有二。有阴中之水虚，有阴中之火虚，火虚者以
河间地黄饮子为主，水虚者当以六味地黄丸为主。果是水虚，辛热之药，与参 之品，俱不
可加。或曰风淫所胜，治以辛凉，何故反用桂附，使火盛制金，不能平木，而风不益甚耶。
曰∶此是肾虚真阴失守，孤阳飞越，若非桂附，何以追复其散失之元阳。其痰涎上涌者，水
不归元也；面赤烦渴者，火不归元也；惟桂附能引火归元，水火既归其元，则水能生木，木
不生风，而
治疗中风突然昏倒、不省人事，痰涎壅盛，言语不清等症状（李东垣说：中风并非外来的风邪所致，而是人体本气自身的病变。凡是年龄超过四十岁，处于气血衰退阶段的人，或者因忧愁、喜悦、愤怒等情绪损伤正气的人，大多会出现这种病症，而在壮年时期则没有这种情况）。
生南星（一两）、生川乌（去皮）、生附子（去皮，五钱）、木香（二钱）。每次服用一两药量，加入人参。
这是足太阴脾经、足阳明胃经、足厥阴肝经和手少阳三焦经的药物。南星辛烈，能疏散风邪、消除痰浊；附子性质沉重峻猛，能温补脾脏、驱逐寒邪；乌头质地较轻……（此处原文有缺漏，依上下文推断为乌头助阳或类似功效）……所以扶助人体的正气；少量佐以木香，是为了行散逆乱之气。（《医贯》说：看李东垣的论述，应当以气虚为主要病机，即使有风邪，也是乘虚而入。经文说：邪气聚集的地方，正气必然虚弱。在这个时候，难道寻常的药物能够通达上下吗？紧急时用三生饮一两，加入人参一两，煎服后病人即可苏醒。这是通行经络、治疗痰浊的方剂，如同斩关擒王的将领，必须用人参一两许，来驱赶邪气并补助真气，否则不仅无益，反而会导致失败，看先哲使用附子、人参附子汤，其中的道理就可见了。如果出现遗尿、手撒开、口张开、鼻鼾声，属于不治之症，然而服用前面的药物多有人存活。喻嘉言说：五脏属阴，可以承受纯阳的药物……）
（刘河间）
治疗中风舌强不能说话，脚废不能行走，这是少阴经气机厥逆不至，名叫风痱（音同“肥”），应当紧急温补（风痱，就像瘫痪一样。刘河间说：中风的瘫痪，并不是因为肝木之风过于实盛，也不是外感风邪，确实是因为调养失当，心火暴盛，肾水虚衰，不能制约心火，导致阴虚阳实，热气郁结，心神昏蒙冒昧，筋骨失去作用，从而突然倒下无知觉。也有因为喜怒思悲恐五种情志过度极端的而猝然中风的，都属于热盛，世俗所说的“风”只是末节而忘记了根本。治疗应当调和脏腑、疏通经络，这就是治风。汪昂按语：这就是刘河间主张以火为主的学说。大概西北地区风气刚劲，体虚之人感受它，名叫真中风，可以使用风药和下法；南方地势低洼潮湿，体质弱、气虚，即使有中风的证候，实际上不同，名叫类中风，治疗应当兼用补养之法）。
熟地黄、巴戟天（去心）、山茱萸、肉苁蓉（酒浸）、附子（炮制）、官桂、石斛、茯苓、石菖蒲。
这是手足少阴肾经、手足太阴肺脾经、足厥阴肝经的药物。熟地黄用来滋补肾的根本之阴，巴戟天、肉苁蓉、官桂、附子用来恢复真元之气……（此处原文有缺漏，依上下文推断为温阳益气）……五味子保肺以滋生源之水，使水火相交，精气逐渐旺盛，而风火自然平息了。（《医贯》说：看刘氏的论述，则是把风当作末节而把火当作根本，却不知道是火有余、水不足。刘氏原本以补肾为本，看他的地黄饮子就可以知道了，所以治疗中风，又应当以真阴虚为本。但是阴虚有两种。有阴中之水虚，有阴中之火虚，火虚者以刘河间的地黄饮子为主方，水虚者应当以六味地黄丸为主方。如果是水虚，辛热的药物，以及人参、白术之类的物品，都不可添加。有人说：风淫胜复，治疗应用辛凉，为什么反而使用桂枝、附子，使火势旺盛克制金气，不能平抑木气，从而使风邪更加严重呢？回答说：这是肾虚真阴失守，孤阳飞越，如果不是桂枝、附子，怎么能追回恢复散失的元阳。那些痰涎上涌的，是水不归元；面赤烦渴的，是火不归元；只有桂枝、附子能引火归元，水火既然回归其本源，那么水就能生木，木不生风，而……）
Treats sudden collapse and unconsciousness due to stroke (Zhong Feng), with excessive phlegm-saliva, and slurred speech (Li Dongyuan stated: Stroke is not caused by exogenous wind pathogen, but is a disease of the body's own Qi. People over forty years old, during periods of declining Qi, or those whose Qi is damaged by emotions such as worry, joy, or anger, often suffer from this condition; it does not occur in their vigorous youth).
Sheng Nan Xing (Arisaema Cum Bile, 1 liang), Sheng Chuan Wu (Sichuan Aconite Root, peeled, raw), Sheng Fu Zi (Prepared Aconite Lateral Root, peeled, 5 qian), Mu Xiang (Vladimiria Root, 2 qian). Take 1 liang per dose. Add Ren Shen (Ginseng Root).
This formula acts on the Foot-Taiyin Spleen channel, Foot-Yangming Stomach channel, Foot-Jueyin Liver channel, and Hand-Shaoyang Sanjiao channel. Nan Xing is acrid and fierce, dispersing wind and eliminating phlegm; Fu Zi is heavy and峻猛 (pungent and hot), warming the Spleen and driving out cold; Chuan Wu (Aconite) is light... [text missing] ...thereby supporting the body's righteous Qi; a small amount of Mu Xiang is added to circulate rebellious Qi. (Yi Guan states: Observing Li Dongyuan’s theory, one should focus on Qi deficiency as the primary pathology. Even if wind pathogens are present, they invade due to deficiency. The Classic says: Where pathogenic factors gather, righteous Qi must be deficient. At this time, how can ordinary medicines penetrate the upper and lower? Urgently administer 1 liang of Sansheng Yin with 1 liang of Ren Shen, decocted and taken orally, and the patient will regain consciousness. This is a formula that unblocks channels and treats phlegm, like a general who breaks through gates to capture kings. One must use about 1 liang of Ren Shen to drive away pathogens and supplement true Qi; otherwise, it will not only be ineffective but lead to failure. Observing ancient physicians' use of Fu Zi and Renshen Fuzi Tang reveals this principle. If symptoms include enuresis, open hands, open mouth, or snoring, it is considered incurable; however, many survive after taking the aforementioned medicine. Yu Jiayan stated: The Zang organs are Yin and can withstand pure Yang medicines...)
(Liu Hejian)
Treats stroke where the tongue is stiff and speech is impossible, and the legs are paralyzed and walking is impossible. This is called Feng Fei (Wind Paralysis) due to the failure of Shaoyin Qi to reach its destination. It requires urgent warming treatment (Feng Fei resembles paralysis. Liu Hejian said: Stroke paralysis is not due to excessive Liver Wind, nor exogenous wind invasion. It is truly caused by improper lifestyle management, leading to a violent surge of Heart Fire and depletion of Kidney Water, which fails to control the Fire. This results in Yin deficiency and Yang excess, with heat qi stagnating, causing mental confusion and loss of sensation, leading to sudden collapse. There are also cases of sudden stroke due to extreme excess of the Five Emotions (anger, joy, worry, sadness, fear), all belonging to severe heat. The common term "wind" refers only to the branch while forgetting the root. Treatment should harmonize the Zang-Fu organs and unblock the meridians; this constitutes treating wind.) Wang Ang adds: This reflects Liu Hejian’s theory emphasizing Fire. Generally, in the Northwest, the wind is harsh; when deficient individuals contract it, it is called True Stroke (Zhen Zhong Feng), and wind-dispersing or purgative drugs may be used. In the South, the climate is low and damp; individuals are weak and Qi-deficient. Even if they exhibit stroke symptoms, it is different in nature, called Similar Stroke (Lei Zhong Feng), and treatment should incorporate tonification.
Shu Di Huang (Prepared Rehmannia Root), Ba Ji Tian (Morinda Officinalis Root, heart removed), Shan Zhu Yu (Cornus Fruit), Rou Cong Rong (Cistanche Stem, wine-soaked), Fu Zi (Prepared Aconite Lateral Root, processed), Guan Gui (Cinnamon Bark), Shi Hu (Dendrobium Stem), Fu Ling (Poria), Shi Chang Pu (Acorus Rhizome).
This formula acts on the Hand and Foot Shaoyin Kidney/Heart channels, Hand and Foot Taiyin Lung/Spleen channels, and Foot Jueyin Liver channel. Shu Di Huang nourishes the fundamental Yin of the roots; Ba Ji Tian, Rou Cong Rong, Guan Gui, and Fu Zi restore the primordial Yuan Qi... [text missing] ...Wu Wei Zi (Schisandra Fruit) protects the Lung to nourish the source of Water, allowing Water and Fire to interact, Essence and Qi to gradually flourish, and Wind and Fire to subside naturally. (Yi Guan states: Observing Liu’s theory, he treats Wind as the branch and Fire as the root, unaware that it is actually Fire excess and Water deficiency. Liu originally focused on tonifying the Kidney as the root, as seen in his Dihuang Yinzi. Therefore, for stroke treatment, one must prioritize True Yin deficiency. However, Yin deficiency has two types: Yin-within-Water deficiency and Yin-within-Fire deficiency. For Fire deficiency, Liu Hejian’s Dihuang Yinzi is the primary formula; for Water deficiency, Liuwei Dihuang Wan is primary. If it is Water deficiency, pungent-hot medicines and tonics like Ren Shen and Bai Zhu must not be added. Some ask: When Wind pathogen prevails, treatment should use acrid-cool herbs. Why use Gui Zhi and Fu Zi, which might cause Fire to strengthen and suppress Metal, failing to pacify Wood, thus worsening Wind? The answer is: This is due to Kidney deficiency where True Yin is lost, and solitary Yang flies upward. Without Gui Zhi and Fu Zi, how can scattered Yuan Yang be recovered? Phlegm-saliva surging upward indicates Water not returning to its origin; red face and thirst indicate Fire not returning to its origin. Only Gui Zhi and Fu Zi can guide Fire back to its origin. Once Water and Fire return to their origins, Water generates Wood, Wood does not generate Wind, and...)