侯氏黑散 治大风四肢烦重，心中恶寒不足者。《外台》治风癫。方论见前法中，然以菊花为君，亦恐风邪乘
虚，迸入心脏故也。 菊花（四十分） 白术（十分） 细辛 茯苓 牡蛎（各三分） 桔梗（八分） 防风（十分） 人
参矾石 黄芩 当归 干姜 芎 桂枝（各三分）
上十四味，杵为散，酒服方寸匕，日三服，初服二十日，用温酒调服。禁
一切鱼肉大蒜，常宜冷食六十日止。即药积在腹中不下也，热食即下矣，冷食自能助药力。
风引汤 除热瘫 ，方论见前法中。盖风者外司厥阴，内属肝木，上隶手经，下隶足经，中见少阳相火。所以
风自内发者，由火热而生也。风生必害中土，土主四肢，土病则四末不用，聚液成痰。瘫痪者，以风火挟痰注于四肢故
也。观《金匮》此方，可见非退火则风必不熄；非填窍则风复生。风火一炽，则五神无主，故其用药如是之周到也。 大
黄干姜 龙骨（各四两） 桂枝（三两） 甘草 牡蛎（各二两） 滑石 石膏 寒水石 赤石脂 白石脂 紫石英
（各六两）
上十二味，杵粗筛，以韦囊盛之。取三指撮，井花水三升煮三沸，温服一升。治大人风引，少小惊 螈 ，日数十
发，医所不疗。巢氏用此方治香港脚。
愈风丹 治诸风证，偏正头痛。
防风通圣散、四物汤、黄连解毒汤各一料，加 羌活 细辛 甘菊花 天麻 独活 薄荷 何
首乌（各一两） 上为细末，炼蜜丸如弹子大。每服一丸，细嚼茶清下，不拘时服。 按∶外风与身中之火热相合，以
阳从阳，必上攻于头。然风火盛，荣血必亏，故其药如是也。
胃风汤 治虚风证，能食，手足麻木，牙关急搐，目内蠕 ，胃风面肿。 升麻 白芷（各一钱二分） 麻黄
葛根（各一钱） 当归 苍术 甘草（炙） 柴胡 羌活 本 黄柏 草豆蔻 蔓荆子（各五分） 上水二盏，姜三
片，枣一枚，煎一盏，去滓服。 按∶风入胃中，何以反能食？盖风生其热，即《内经》瘅成为消中之理也。方中但去
其风，不去其热者，以热必随风外解，不必加治耳。
薏苡仁汤 治中风，手足流注疼痛，麻痹不仁，难以屈伸。 薏苡仁（三钱） 当归 芍药（各一钱二分） 麻
黄官桂（各五分） 苍术（米泔水浸锉炒一钱五分） 甘草（八分） 上水二盏，生姜七片，煎八分，去渣温服，食
前下。自汗减麻黄，有热减官桂。按∶此为风湿相搏，关节不利之证，故用药如是也。
排风汤 治风虚冷湿，邪气入脏，狂言妄语，精神错乱，及五脏风发等证。 防风 白术 当归 芍药 肉桂
杏仁 川芎 白藓皮 甘草（炙各一钱） 麻黄 茯苓 独活（各三钱） 上作二服，每服水二盏，姜三片，煎七分，
去渣服。
按∶虚风冷湿，虽已入脏，其治法必先宣之使从外散，故用药如是也。
人参补气汤 治手指麻木。人参 黄 （各二钱） 升麻 柴胡 芍药 生甘草 炙甘草 五味子（各五分）
上水一盏，煎至五分，食远临睡时服，渣再煎。
按∶诸阳起于指，手指麻木，风已见端。宜亟补其气，以御外入之风，故用此为绸缪计也。
舒筋保安散 治左瘫右痪，筋脉拘挛，身体不遂，脚腿少力，干湿香港脚，及湿滞经络，久不能去，宣导诸气。
木瓜（五两） 萆 五灵脂 牛膝（酒浸） 续断 白僵蚕（炒） 松节 白芍药 乌药 天麻 威灵仙 黄 当
归防风 虎骨（酒炙各一两） 上用无灰酒一斗，浸上药二七日，紧封扎。日足取药焙干，捣为细末。每服二钱，用
浸药酒调下，酒尽，用米汤调下。 按∶此治风湿搏结于筋脉之间，凝滞不散，阻遏正气，不得通行，故用药如是也。
解风散 治风成寒热，头目昏眩，肢体疼痛，手足麻痹，上膈壅滞。 人参（两半） 麻黄（二两） 川芎 独
活细辛 甘草（各一两）
上为细末，每服五钱，水盏半，生姜五片，薄荷叶少许，煎八分，不拘时服。 按∶风成为寒热，乃风入胃中，而
酿荣卫之偏胜。第四方胃风汤，正驱胃风使从外解之药。此因风入既久，胃气致虚，故以人参为君，臣以麻黄、川芎，
佐以独活、细辛，使以甘草，而和其荣卫，乃可收其外解之功也。若夫久风成为飧泄，则风已入于里，又当用人参为君，
桂枝、白术为臣，茯苓、甘草为佐使，而驱其风于内。此表里之权衡，《内经》之旨要也。本方虽用风成寒热四字，漫
无着落，今并及之。
搜风顺气丸 治风燥便秘，因致气闭不行，临时用之，以疏风润燥顺气，殊不可少。本方条下过于夸大，谓久
服百病皆除，老者还少，岂理也哉，然又云孕妇勿服，如服药觉脏腑微痛，以羊肚肺羹补之，则其药有偏峻，不可久服，
明矣。 车前子（一两半） 白槟榔 火麻仁（微炒去壳） 牛膝（酒浸） 郁李仁（汤泡去皮另研） 菟丝子（制） 干
山药（各二两） 枳壳（麸炒） 防风 独活（各一两） 大黄（五钱半生半熟） 上为末，炼蜜为丸，如梧桐子大，
每服二十丸，酒茶米饮任下，空心临卧各一服。去肠风宿滞，并肠风下血。
桂枝汤 治风从外来，入客于络，留而不去，此方主之。 桂枝 芍药 甘草 生姜（各三钱） 大枣（二枚）
上用水盏半，微火煎八分，温服。须臾啜热稀粥，以助药力。温复令一时许，遍身 微似有汗者益佳。详见《尚论》
太阳上编。 按∶此方为中风一证，群方之祖。不但风中入络，即中经、中府、中藏药中，皆当加入本方。以风从外入
者，究竟必驱，从外出故也。后人竞用续命汤为加减，此方置之不录，未免得流忘源矣。又况源流俱失者哉！
小续命汤 治中风不省人事，渐觉半身不遂，口眼歪斜，手足战掉，语言蹇涩，肢体麻痹，精神昏乱，头目眩
晕，痰火并多，筋脉拘急，不能屈伸，骨节烦疼，不得转侧，诸风服之皆验。香港脚缓弱，久服得瘥。久病风人，每遇天
色阴晦，节候变易，预宜服之，以防喑哑。 防风 桂心 黄芩 杏仁（去皮尖炒） 芍药 甘草 川芎 麻黄（去节）
人参（各一钱四分） 防己（二钱） 大附子（炮七分）
上为 咀，作二帖，每帖水一盏半，姜五片、枣一枚，煎八分服。 精神恍惚者，加茯神、远志；骨节烦疼，有热
者，去附子倍芍药；无热者，倍官桂、附子；心烦多惊，加犀角；呕逆腹胀，加半夏倍人参；烦躁大便涩，去
附子倍芍药、加竹沥；藏寒下利，去防己、黄芩，倍附子，加白术；自汗去麻黄、杏仁，加白术；脚膝弱、加牛膝、石
斛；身痛加秦艽；腰痛加桃仁、杜仲（姜汁炒）；失音加杏仁。
按∶此方无分经络，不辨虚实寒热，若不细辨加减，难以取效。今并录易老六经加减法为例，用方者师其意焉可矣。
易老六经加减法∶ 麻黄续命汤，治中风无汗恶寒，本方中麻黄、杏仁、防风各加一倍。桂枝续命汤，治中风有汗
恶风，本方中桂枝、芍药、杏仁各加一倍，二证皆太阳经中风也。白虎续命汤，治中风有汗，身热不恶寒，本方中加知
母、石膏各一钱四分，去附子。葛根续命汤，治中风身热有汗，不恶风，本方中加葛根、桂枝、黄芩各一倍，二证皆阳
明经中风也。附子续命汤，治中风无汗身凉，本方中加附子一倍，干姜、甘草各一钱，此证乃太阴经中风也。桂附续命
汤，治中风有汗无热，本方中加桂枝、附子、甘草各一倍，此少阴经中风也。羌活连翘续命汤，中风六证混淆，系之于
少阳厥阴，或肢节挛痛，或麻木不仁，本方中加羌活、连翘各一钱半。
防风通圣散 治诸风潮搐，手足螈 ，小儿急惊风，大便结，邪热暴甚，肌肉蠕动，一切风症。 防风 川芎
当归 芍药 大黄 芒硝 连翘 薄荷 麻黄 山栀子 石膏 桔梗 黄芩 白术 荆芥 甘草 滑石（各五分） 上
水二盏，姜三片，煎至八分服。涎嗽加半夏生姜制；开结加大黄二钱；破伤风加羌活、全蝎各五分；腰胁痛加芒硝、当
归各一钱。 按∶此方乃表里通治之轻剂，用川芎、当归、芍药、白术，以和血益脾。所以汗不伤表，下不伤里，可多
服也。
祛风至宝膏 治诸风热。 防风（一两半） 白术（一两半） 芍药（二两半） 芒硝（五钱） 石膏（一两）
滑石（三两） 当归（二两半） 黄芩（一两） 甘草（二两） 大黄（五钱） 连翘（五钱） 川芎（二两半） 麻
黄（五钱不去节） 天麻（一两） 荆芥（五钱） 山栀子（五钱） 熟地黄（一两） 黄柏（五钱） 桔梗（一两） 薄
荷（五钱） 羌活 人参（各一两） 全蝎 细辛 黄连（各五钱） 独活（一两） 上为细末，炼蜜丸弹子大。每服
一丸，细嚼茶酒任下，临卧服。 按∶此方亦表里通治，即前防风通圣散十七味，更加熟地黄益血，人参益气，黄柏、
黄连除热，羌活、独活、天麻、全蝎、细辛去风，乃中风门中不可移易之颛方。又非前通套泛用之方比也。
不换金丹 退风散热，治中风口 。 荆芥穗 僵蚕 天麻 甘草（炙各一两） 羌活 川芎 白附子 乌头
蝎梢 藿香叶（各半两） 薄荷叶（三两） 防风（一两） 上为末，炼蜜丸弹子大。每服一丸，细嚼茶酒任下，涂
处亦可。 按∶此方祛风之力颇大，至清火散热，殊未必然。大约风而挟寒，痰气窒闭者宜之。
三化汤 治中风外有六经之形证，先以加减续命汤主之，内有便溺之阻膈，此方主之。 浓朴 大黄 枳实 羌
活（各等分） 每服一两，水煎。 按∶此乃攻里之峻剂，非坚实之体，不可轻服。盖伤寒证胃热肠枯，不得不用大承
气以开其结。然且先之以小承气、调胃承气，恐误用不当，即伤人也。在中风证，多有虚气上逆，关隘阻闭之候，断无
用大承气之理。古方取药积腹中不下，以渐填其空窍，俾内风自熄，奈何今人每开窍以出其风，究竟窍空而风愈炽，长
此安穷也哉！
摄生饮调苏合丸 治一切卒中，不论中风、中寒、中暑、中湿、中气。及痰厥、饮厥之类，初作皆可用此。先
以皂角去皮弦，细辛、生南星、半夏为末，吹入鼻中，俟其喷嚏，即进前药。牙禁者，中指点南星、半夏、细辛末，并
乌梅肉频搽自开。 天南星（圆白者湿纸裹煨） 南木香 苍术 细辛 甘草（生用） 石菖蒲（各一钱） 半夏（百
沸汤泡少顷一钱半） 上七件，锉散。分二服，水一盏半，生姜七浓片，煎取其半，乘热调苏合香丸半丸灌下。痰盛者，
加全蝎二枚炙。 按∶此方治卒中，气闭痰迷，不得不用之剂。但正气素虚之人，不能当脑、麝、及辛香摧枯拉朽，随
势裁节，而用十之二三可也。其牛黄清心丸与苏合丸异治，热阻关窍，可用牛黄丸开之；寒阻关窍，可用苏合丸开之。
其口开、手撒、遗尿等死症，急用人参、附子峻补，间有得生者。若牛黄、苏合之药。入口即毙，此无异以千钧镇一丝
也。
乌药顺气散 治风气攻注四肢，骨节疼痛，遍身顽麻。及疗瘫痪，语言蹇涩，香港脚步履多艰，手足不遂，先宜
多服此药以疏气逆，然后随证投以风药。 麻黄（去节） 陈皮（去白） 乌药（去木各二两） 白僵蚕（炒去嘴） 川
芎白芷 甘草（炙） 枳谷（麸炒） 桔梗（各一两） 干姜（炮五钱） 上为末，每服三钱，水一盏，姜三片，枣
一枚煎。憎寒壮热，头痛，身体倦怠，加葱白三寸煎，并服出汗。或身体不能屈伸，温酒调服。 按∶中风证，多挟中
气，不但卒中急证为然。凡是中风证皆有之，严用和云∶人之元气强壮，荣卫和平，腠理致密，外邪焉能为害。
或因七情饮食劳役，致真气先虚，荣卫空疏，邪气乘虚而入，故致此疾。若内因七情而得者，法当调气，不当治风。外
因六淫而得者，亦当先调气，后根据外感六气治之，此良法也，宜八味顺风散。严氏此说，于理甚当，其用八味顺气散，
乃人参，白术、茯苓、甘草、陈皮，六君子汤中用其五，加乌药、青皮、白芷，共八味为剂。较前局方乌药顺气散，不
用麻黄、枳、桔、僵蚕等风药，正先治气后治风之妙旨。后人反惜其说有未备，且谓方中不当杂入白芷，吹毛责备。
讵知白芷香而不燥，正和荣卫之善药也。和剂合两方，取用干姜、人参、川芎、陈皮、桔梗、浓朴、白芷、甘草、白术、
麻黄，更加葛根，治感风头痛，鼻塞声重，尚为合宜，故知论方不可横以己见也。
匀气散 治中风中气，半身不遂，口眼 斜，先宜服此。 白术（二钱） 天麻（五分） 沉香 白芷 青皮
甘草（炙各五分） 人参（五分） 乌药（一钱半） 紫苏 木瓜（各三分） 上水二盏，姜三片，煎八分服。风气腰
痛，亦宜服之。 按∶匀气之说甚长。身内之气，有通无壅，外风自不能久居，而易于解散。故知匀气即调气之旨，非
有两也。
稀涎散 治风涎不下，喉中作声，状如牵锯，或中湿肿满。 半夏（大者十四枚） 猪牙皂角（一个炙） 上
侯氏黑散，治疗大风病导致四肢沉重烦扰，心中感觉寒冷且虚弱不足的症状。《外台秘要》用此方治疗风癫。方论见前方法中，但以此方以菊花为君药，也是担心风邪趁虚侵入心脏的缘故。菊花（四十分） 白术（十分） 细辛、茯苓、牡蛎（各三分） 桔梗（八分） 防风（十分） 人参、矾石、黄芩、当归、干姜、川芎、桂枝（各三分）。以上十四味药，捣碎成散剂，用酒送服一方寸匕，每日三次。初服二十天内，用温酒调服。禁止食用一切鱼肉和大蒜，平时宜冷食六十天。这是因为药物积聚在腹中不向下排泄，热食则会使药物下行，冷食自然能辅助药力。
风引汤，清除热邪引起的瘫痪。方论见前方法中。大概风邪在外主管厥阴经，在内属于肝木，上行隶属手经，下行隶属足经，中见少阳相火。所以风从内发，是由火热产生的。风产生必然伤害中土（脾胃），土主四肢，土生病则四肢不能运用，聚积津液形成痰。瘫痪，是因为风火挟带痰浊注于四肢的缘故。看《金匮要略》的这个方子，可见如果不退火则风必不熄灭；如果不填补空窍则风会再生。风火一旦炽盛，则五脏神志失去主宰，所以它的用药如此周到。大黄、干姜、龙骨（各四两） 桂枝（三两） 甘草、牡蛎（各二两） 滑石、石膏、寒水石、赤石脂、白石脂、紫石英（各六两）。以上十二味药，捣碎粗筛，用韦囊盛装。取三指撮的药量，用井花水三升煮三沸，温服一升。治疗成人风引症，小儿惊风抽搐，每天发作数十次，医生无法治疗的病症。巢元方用此方治疗脚气病。
愈风丹，治疗各种风证，偏头痛和正头痛。防风通圣散、四物汤、黄连解毒汤各一料，加羌活、细辛、甘菊花、天麻、独活、薄荷、何首乌（各一两）。以上药物研为细末，炼蜜制成如弹子大的丸药。每次服用一丸，细细咀嚼后用茶清送下，不拘时间服用。按：外风与身体中的火热相结合，以阳从阳，必然向上攻冲头部。然而风火旺盛，营血必然亏损，所以它的用药如此。
胃风汤，治疗虚风证，能进食，手足麻木，牙关紧急抽搐，眼球内部颤动，胃风面肿。升麻、白芷（各一钱二分） 麻黄、葛根（各一钱） 当归、苍术、炙甘草、柴胡、羌活、藁本、黄柏、草豆蔻、蔓荆子（各五分）。以上药物用水二盏，生姜三片，大枣一枚，煎至一盏，去渣服用。按：风进入胃中，为什么反而能进食？大概风产生热，就是《内经》所说的瘅成为消中的道理。方中只去除风邪，不去除热邪，是因为热必然随着风从外部解除，不必另外治疗罢了。
薏苡仁汤，治疗中风，手足流注疼痛，麻痹不仁，难以屈伸。薏苡仁（三钱） 当归、芍药（各一钱二分） 麻黄、官桂（各五分） 苍术（米泔水浸泡切碎炒制一钱五分） 甘草（八分）。以上药物用水二盏，生姜七片，煎至八分，去渣温服，饭前服用。自汗者减去麻黄，有热者减去官桂。按：这是风湿相互搏结，关节不利证的治法，所以用药如此。
排风汤，治疗风虚冷湿，邪气入脏，胡言乱语，精神错乱，以及五脏风发等证。防风、白术、当归、芍药、肉桂、杏仁、川芎、白鲜皮、炙甘草（各一钱） 麻黄、茯苓、独活（各三钱）。以上药物分为两服，每服药用水二盏，生姜三片，煎至七分，去渣服用。按：虚风冷湿，虽然已经入脏，但其治法必须先宣散使其从外部消散，所以用药如此。
人参补气汤，治疗手指麻木。人参、黄芪（各二钱） 升麻、柴胡、芍药、生甘草、炙甘草、五味子（各五分）。以上药物用水一盏，煎至五分，饭后及临睡时服用，药渣再煎。按：诸阳经起于手指，手指麻木，风邪已露端倪。应当赶快补益其气，以抵御外入的风邪，所以用此方作为未雨绸缪之计。
舒筋保安散，治疗左瘫右痪，筋脉拘挛，身体不能随意运动，腿脚无力，干湿脚气，以及湿气阻滞经络，长久不能去除，宣导各种气机。木瓜（五两） 萆薢、五灵脂、酒浸牛膝、续断、炒白僵蚕、松节、白芍药、乌药、天麻、威灵仙、黄芪、当归、防风、酒炙虎骨（各一两）。以上药物用无灰酒一斗，浸泡上述药物两个七日，紧紧密封扎口。到期取出药物焙干，捣为细末。每次服用二钱，用浸药酒调下，酒喝完，用米汤调下。按：这是治疗风湿搏结于筋脉之间，凝滞不散，阻遏正气，不得通行，所以用药如此。
解风散，治疗风邪导致寒热交替，头目昏眩，肢体疼痛，手足麻痹，上膈壅滞。人参（半两） 麻黄（二两） 川芎、独活、细辛、甘草（各一两）。以上药物研为细末，每次服用五钱，用水一盏半，生姜五片，少许薄荷叶，煎至八分，不拘时间服用。按：风邪导致寒热交替，是风进入胃中，酿成荣卫的偏胜。第四方胃风汤，正是驱除胃中风邪使其从外部解除的药物。这里因为风邪入侵已久，胃气导致虚弱，所以以人参为君药，臣药以麻黄、川芎，佐药以独活、细辛，使药以甘草，调和荣卫，才能收到外部解除的功效。如果久风导致飧泄，则风已进入里，又当用人参为君药，桂枝、白术为臣药，茯苓、甘草为佐使药，将风邪从内部驱除。这是表里权衡的关键，《内经》的要旨。本方虽然用了“风成寒热”四个字，漫无着落，现在一并提及。
搜风顺气丸，治疗风燥便秘，因此导致气闭不行，临时使用，以疏风润燥顺气，非常不可少。本方条下过于夸大，说久服百病皆除，老者还少，这哪里是道理呢？但又说孕妇勿服，如果服药觉得脏腑微痛，用羊肚肺羹补之，那么说明其药性偏峻烈，不可久服，这是明显的。车前子（一两半） 白槟榔、微炒去壳火麻仁、酒浸牛膝、汤泡去皮另研郁李仁、制菟丝子、干山药（各二两） 麸炒枳壳、防风、独活（各一两） 大黄（五钱半，生熟各半）。以上药物研为末，炼蜜制成梧桐子大小的丸药，每次服用二十丸，酒、茶、米饮任下，空腹和临卧各服一次。去除肠风宿滞，以及肠风下血。
桂枝汤，治疗风从外来，客居于络脉，停留不去，此方主治。桂枝、芍药、甘草、生姜（各三钱） 大枣（二枚）。以上药物用水盏半，微火煎至八分，温服。须臾后喝热稀粥，以助药力。温覆令大约一小时，遍身微微似有汗出的最好。详见《尚论》太阳上编。按：此方是中风一证，群方之祖。不但风中入络，即使是中经、中府、中藏，药中也应当加入本方。因为风从外入，终究必须驱除，让它从外出故也。后人竞相用续命汤进行加减，将此方置之不录，未免得流忘源了。更何况连源流都丢失的人呢！
小续命汤，治疗中风不省人事，渐渐觉得半身不遂，口眼歪斜，手足颤抖，语言蹇涩，肢体麻痹，精神昏乱，头目眩晕，痰火并多，筋脉拘急，不能屈伸，骨节烦疼，不能转侧，各种风症服用都有效。脚气缓弱，久服得以痊愈。久患风病的人，每逢天气阴晦，节候变易，预先适宜服用，以防失音。防风、桂心、黄芩、去皮尖炒杏仁、芍药、甘草、川芎、去节麻黄、人参（各一钱四分） 防己（二钱） 炮附子（七分）。以上药物锉成咀，分为两帖，每帖用水一盏半，生姜五片、大枣一枚，煎至八分服用。精神恍惚者，加茯神、远志；骨节烦疼，有热者，去掉附子加倍芍药；无热者，加倍官桂、附子；心烦多惊，加犀角；呕逆腹胀，加半夏加倍人参；烦躁大便涩，去掉附子加倍芍药、加竹沥；脏寒下利，去掉防己、黄芩，加倍附子，加白术；自汗去掉麻黄、杏仁，加白术；脚膝弱，加牛膝、石斛；身痛加秦艽；腰痛加桃仁、杜仲（姜汁炒）；失音加杏仁。按：此方不分经络，不辨虚实寒热，若不仔细辨别加减，难以取得疗效。现在一并记录易老六经加减法作为例子，用方者学习其意即可。易老六经加减法：麻黄续命汤，治疗中风无汗恶寒，本方中麻黄、杏仁、防风各加一倍。桂枝续命汤，治疗中风有汗恶风，本方中桂枝、芍药、杏仁各加一倍，二证皆属太阳经中风。白虎续命汤，治疗中风有汗，身热不恶寒，本方中加知母、石膏各一钱四分，去掉附子。葛根续命汤，治疗中风身热有汗，不恶风，本方中加葛根、桂枝、黄芩各一倍，二证皆属阳明经中风。附子续命汤，治疗中风无汗身凉，本方中加附子一倍，干姜、甘草各一钱，此证乃太阴经中风。桂附续命汤，治疗中风有汗无热，本方中加桂枝、附子、甘草各一倍，此属少阴经中风。羌活连翘续命汤，中风六证混淆，系之于少阳厥阴，或肢节挛痛，或麻木不仁，本方中加羌活、连翘各一钱半。
防风通圣散，治疗各种风症潮搐，手足抽搐，小儿急惊风，大便结，邪热暴甚，肌肉蠕动，一切风症。防风、川芎、当归、芍药、大黄、芒硝、连翘、薄荷、麻黄、山栀子、石膏、桔梗、黄芩、白术、荆芥、甘草、滑石（各五分）。以上药物用水二盏，生姜三片，煎至八分服用。涎嗽加半夏生姜制；开结加大黄二钱；破伤风加羌活、全蝎各五分；腰胁痛加芒硝、当归各一钱。按：此方是表里通治的轻剂，用川芎、当归、芍药、白术，来和血益脾。所以发汗不伤表，泻下不伤里，可以多服。
祛风至宝膏，治疗各种风热。防风（一两半） 白术（一两半） 芍药（二两半） 芒硝（五钱） 石膏（一两） 滑石（三两） 当归（二两半） 黄芩（一两） 甘草（二两） 大黄（五钱） 连翘（五钱） 川芎（二两半） 麻黄（五钱不去节） 天麻（一两） 荆芥（五钱） 山栀子（五钱） 熟地黄（一两） 黄柏（五钱） 桔梗（一两） 薄荷（五钱） 羌活、人参（各一两） 全蝎、细辛、黄连（各五钱） 独活（一两）。以上药物研为细末，炼蜜制成弹子大小的丸药。每次服用一丸，细细咀嚼后茶酒任下，临卧服用。按：此方也是表里通治，即前防风通圣散的十七味药，更加熟地黄益血，人参益气，黄柏、黄连除热，羌活、独活、天麻、全蝎、细辛去风，是中风门中不可移易的专方。又不是前通套泛用的方子可比。
不换金丹，退风散热，治疗中风口噤。荆芥穗、僵蚕、天麻、炙甘草（各一两） 羌活、川芎、白附子、乌头、蝎梢、藿香叶（各半两） 薄荷叶（三两） 防风（一两）。以上药物研为末，炼蜜制成弹子大小的丸药。每次服用一丸，细细咀嚼后茶酒任下，涂患处也可以。按：此方祛风之力颇大，至于清火散热，未必确实。大概是风挟寒，痰气窒闭者适宜。
三化汤，治疗中风外有六经形证，先以加减续命汤主治，内有便溺之阻膈，此方主治。浓朴、大黄、枳实、羌活（各等分）。每服一两，水煎。按：这是攻里的峻剂，不是体质坚实的人，不可轻服。大概伤寒证胃热肠枯，不得不使用大承气汤来开其结。然而且先用小承气、调胃承气，恐怕误用不当，就伤人。在中风证，多有虚气上逆，关隘阻闭的征候，断没有使用大承气汤的道理。古方取药积腹中不下，以渐填其空窍，使内风自熄，奈何今人每每开窍以出其风，究竟窍空而风更炽，长此以往怎么得了呢！
摄生饮调苏合丸，治疗一切卒中，不论中风、中寒、中暑、中湿、中气。以及痰厥、饮厥之类，初作皆可用此。先用皂角去皮弦，细辛、生南星、半夏为末，吹入鼻中，等到其喷嚏，即进前药。牙关紧闭者，用中指蘸南星、半夏、细辛末，并乌梅肉频繁搽擦自开。天南星（圆白者湿纸裹煨） 南木香、苍术、细辛、生甘草、石菖蒲（各一钱） 半夏（百沸汤泡少顷一钱半）。以上七件，锉散。分两服，用水一盏半，生姜七浓片，煎取其半，乘热调苏合香丸半丸灌下。痰盛者，加炙全蝎二枚。按：此方治疗卒中，气闭痰迷，不得不使用的药剂。但正气素虚之人，不能承受脑、麝、及辛香摧枯拉朽之力，随势裁节，只用十之二三即可。其牛黄清心丸与苏合丸治法不同，热阻关窍，可用牛黄丸开之；寒阻关窍，可用苏合丸开之。其口开、手撒、遗尿等死症，急用人参、附子峻补，间或有得生者。若牛黄、苏合之药，入口即毙，这无异于用千钧重物压一丝线。
乌药顺气散，治疗风气攻注四肢，骨节疼痛，遍身顽麻。以及治疗瘫痪，语言蹇涩，脚气步履多艰，手足不遂，先宜多服此药以疏气逆，然后随证投以风药。去节麻黄、去白陈皮、去木乌药（各二两） 炒去嘴白僵蚕、川芎、白芷、炙甘草、麸炒枳谷、桔梗（各一两） 炮干姜（五钱）。以上药物研为末，每次服用三钱，用水一盏，生姜三片，大枣一枚煎。憎寒壮热，头痛，身体倦怠，加葱白三寸煎，并服出汗。或身体不能屈伸，温酒调服。按：中风证，多挟中气，不但卒中急证是这样。凡是中风证都有这种情况，严用和说：人的元气强壮，荣卫和平，腠理致密，外邪怎么能成为危害。或者因七情饮食劳役，导致真气先虚，荣卫空疏，邪气乘虚而入，所以导致此疾。若内因七情而得的，法当调气，不当治风。外因六淫而得的，也应当先调气，后根据外感六气治之，这是良法，宜用八味顺风散。严氏此说，于理甚当，其用八味顺气散，乃人参、白术、茯苓、甘草、陈皮，六君子汤中用其五，加乌药、青皮、白芷，共八味为剂。较之前局方乌药顺气散，不用麻黄、枳、桔、僵蚕等风药，正是先治气后治风的妙旨。后人反惜其说有未备，且谓方中不当杂入白芷，吹毛责备。岂知白芷香而不燥，正是调和荣卫的善药。和剂局合两方，取用干姜、人参、川芎、陈皮、桔梗、浓朴、白芷、甘草、白术、麻黄，更加葛根，治疗感风头痛，鼻塞声重，尚为合宜，所以知道论方不可横以己见。
匀气散，治疗中风中气，半身不遂，口眼歪斜，先宜服此。白术（二钱） 天麻（五分） 沉香、白芷、青皮、炙甘草（各五分） 人参（五分） 乌药（一钱半） 紫苏、木瓜（各三分）。以上药物用水二盏，生姜三片，煎八分服用。风气腰痛，也适宜服用。按：匀气的说法很长。身内之气，有通无壅，外风自然不能久居，而易于解散。所以知道匀气即调气的旨意，并没有两样。
Houji Heisan (Marquis Hou's Black Powder) treats severe wind disease causing heaviness and restlessness in the four limbs, and a sensation of coldness and insufficiency in the heart. The *Waitai* (External Cabinet) uses this formula for wind epilepsy. The discussion of the formula is found in the preceding methods; however, using Chrysanthemi Flos (Chrysanthemum Flower) as the sovereign drug is likely to prevent pathogenic wind from entering the Heart due to deficiency. Chrysanthemi Flos (40 fen), Atractylodis Rhizoma (10 fen), Asari Radix, Poria, Ostrea Concha (each 3 fen), Platycodonis Radix (8 fen), Saposhnikoviae Radix (10 fen), Ginseng Radix et Rhizoma, Alum, Scutellariae Radix, Angelicae Sinensis Radix, Zingiberis Rhizoma, Ligustici Chuanxiong Rhizoma, Cinnamomi Ramulus (each 3 fen). These fourteen ingredients are pounded into a powder. Take one fangcun bi (a measure roughly equivalent to a square inch) with wine, three times daily. For the first twenty days of treatment, take it mixed with warm wine. Avoid all fish, meat, and garlic. It is advisable to consume cold food for sixty days. This is because the medicine accumulates in the abdomen without descending; hot food causes it to descend immediately, whereas cold food naturally assists the medicinal power.
Fengyin Tang (Wind-Driving Decoction) clears heat-induced paralysis. The discussion of the formula is found in the preceding methods. Generally, wind externally governs the Jueyin meridian, internally belongs to Liver Wood, ascends to the Hand meridians, descends to the Foot meridians, and manifests Shaoyang Ministerial Fire. Therefore, wind originating internally arises from fire and heat. When wind arises, it inevitably damages the Earth element (Spleen/Stomach); Earth governs the four limbs, so when Earth is diseased, the extremities lose function, and accumulated fluids transform into phlegm. Paralysis occurs because wind and fire carry phlegm to deposit in the four limbs. Observing this formula in the *Jinkui Yaolue*, it is evident that unless fire is reduced, wind will not extinguish; unless the orifices are filled, wind will regenerate. Once wind and fire blaze fiercely, the Five Spirits lose their master; thus, its medication is so comprehensive. Rheae Fructus, Zingiberis Rhizoma, Longgu (each 4 liang), Cinnamomi Ramulus (3 liang), Glycyrrhizae Radix et Rhizoma, Ostrea Concha (each 2 liang), Talcum, Gypsum Fibrosum, Natronis Aquastone, Ferri Oxydum Rubrum, Ferri Oxydum Album, Purpureum (each 6 liang). These twelve ingredients are coarsely pounded and sifted, stored in a leather bag. Take a pinch held by three fingers, boil in three sheng of well water for three boils, and take one sheng warm. It treats adult wind-driving symptoms, pediatric convulsions and spasms occurring dozens of times daily, which physicians cannot treat. Chao Yuanfang used this formula for podagra.
Yufeng Dan (Wind-Curing Pill) treats various wind syndromes, including lateral and frontal headaches. Fangfeng Tongsheng San, Siwu Tang, Huanglian Jiedu Tang, each one portion, plus Notopterygii Rhizoma, Asari Radix, Chrysanthemi Flos, Gastrodiae Rhizoma, Angelicae Dahuricae Radix, Menthae Haplocalycis Herba, Polygoni Multiflori Caulis (each 1 liang). Pound these into a fine powder, refine honey to make pills the size of bullet seeds. Take one pill per dose, chew thoroughly, and swallow with clear tea infusion. Take at any time. Note: External wind combines with internal heat-fire, following yang to attack the head. However, when wind and fire are excessive, Ying blood must be deficient; hence, the medication is as such.
Weifeng Tang (Stomach-Wind Decoction) treats deficiency-wind syndrome, characterized by ability to eat, numbness in hands and feet, stiffness and twitching of the jaw, internal trembling of the eyes, and facial swelling due to stomach wind. Cimicifugae Rhizoma, Angelicae Dahuricae Radix (each 1 qian 2 fen), Ephedrae Herba, Puerariae Radix (each 1 qian), Angelicae Sinensis Radix, Atractylodis Macrocephalae Rhizoma, roasted Glycyrrhizae Radix et Rhizoma, Bupleuri Radix, Notopterygii Rhizoma, Ligustici Wallichii Rhizoma, Phellodendri Cortex, Alpiniae Katsumadai Semen, Viticis Fructus (each 5 fen). Take two zhan of water, three slices of fresh ginger, one jujube, decoct until one zhan remains, strain, and drink. Note: Why can one eat if wind enters the stomach? Generally, wind generates heat, which aligns with the principle in the *Neijing* where "damp-heat becomes Xiao Zhong" (excessive heat leading to consumption). The formula only dispels wind but does not clear heat, because heat will resolve externally along with the wind, requiring no separate treatment.
Yiyiren Tang (Coix Seed Decoction) treats stroke with flowing pain in hands and feet, numbness and insensitivity, and difficulty in flexion and extension. Coicis Semen (3 qian), Angelicae Sinensis Radix, Paeoniae Radix Alba (each 1 qian 2 fen), Ephedrae Herba, Cinnamomi Ramulus (each 5 fen), Atractylodis Macrocephalae Rhizoma (soaked in rice wash water, cut, fried, 1 qian 5 fen), Glycyrrhizae Radix et Rhizoma (8 fen). Take two zhan of water, seven slices of fresh ginger, decoct until 8/10 remains, strain, and take warm before meals. Reduce Ephedrae Herba if spontaneous sweating; reduce Cinnamomi Ramulus if there is heat. Note: This treats the syndrome of wind-dampness battling, causing joint dysfunction; hence, the medication is as such.
Paifeng Tang (Wind-Expelling Decoction) treats wind-deficiency, cold-dampness, pathogenic qi entering the zang organs, delirious speech, mental confusion, and other syndromes of five-zang wind onset. Saposhnikoviae Radix, Atractylodis Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix Alba, Cinnamomi Cortex, Armeniacae Semen Amarum, Ligustici Chuanxiong Rhizoma, Dictamni Cortex, roasted Glycyrrhizae Radix et Rhizoma (each 1 qian), Ephedrae Herba, Poria, Angelicae Dahuricae Radix (each 3 qian). Divide into two doses. Each dose takes two zhan of water, three slices of fresh ginger, decoct until 7/10 remains, strain, and drink. Note: Although deficiency-wind, cold, and dampness have entered the zang, the treatment method must first disperse them to exit externally; hence, the medication is as such.
Renshen Buqi Tang (Ginseng Qi-Nourishing Decoction) treats numbness of the fingers. Ginseng Radix et Rhizoma, Astragali Radix (each 2 qian), Cimicifugae Rhizoma, Bupleuri Radix, Paeoniae Radix Alba, raw Glycyrrhizae Radix et Rhizoma, roasted Glycyrrhizae Radix et Rhizoma, Schisandrae Fructus (each 5 fen). Take one zhan of water, decoct until 5/10 remains. Take after meals and before sleep. Decoct the dregs again. Note: All Yang meridians originate in the fingers. Numbness indicates the beginning of wind. One should urgently tonify qi to resist external wind; thus, this formula is used as a precautionary measure.
Shujin Bao'an San (Tendon-Calming Security Powder) treats left hemiplegia and right paralysis, tendon and vessel spasm, body immobility, weak legs and feet, dry and wet podagra, and long-standing dampness obstructing collaterals. It promotes the circulation of various qi. Chaenomeli Fructus (5 liang), Dioscoreae Hypoglaucae Rhizoma, Panzeris Schizurae Carapax, wine-soaked Achyranthis Bidentatae Radix, Dipsaci Radix, fried white Bombyx Batryticatus, Pine Node, Paeoniae Radix Alba, Linderae Radix, Gastrodiae Rhizoma, Salviae Miltiorrhizae Radix, Astragali Radix, Angelicae Sinensis Radix, Saposhnikoviae Radix, tiger bone (wine-fried, each 1 liang). Soak these herbs in one dou of unadulterated wine for forty-two days, seal tightly. After the period, take the herbs, bake dry, pound into a fine powder. Take 2 qian per dose, mixed with the soaking wine. When the wine is finished, mix with rice soup. Note: This treats wind-dampness knotting between tendons and vessels, stagnating and not dispersing, obstructing healthy qi and preventing its smooth flow; hence, the medication is as such.
Jiefeng San (Wind-Resolving Powder) treats wind-induced alternating chills and fever, dizziness of head and eyes, limb pain, hand and foot numbness, and upper chest congestion. Ginseng Radix et Rhizoma (half tael), Ephedrae Herba (2 liang), Ligustici Chuanxiong Rhizoma, Angelicae Dahuricae Radix, Asari Radix, Glycyrrhizae Radix et Rhizoma (each 1 liang). Pound into a fine powder. Take 5 qian per dose, with one and a half zhan of water, five slices of fresh ginger, and a little mint leaf. Decoct until 8/10 remains. Take at any time. Note: Wind causing alternating chills and fever results from wind entering the stomach, brewing imbalance in Ying and Wei. The fourth formula, Weifeng Tang, is precisely a medicine to drive stomach wind out externally. Here, because wind has invaded for a long time, Stomach qi becomes deficient. Thus, Ginseng Radix et Rhizoma is the sovereign, Ephedrae Herba and Ligustici Chuanxiong Rhizoma are ministers, Angelicae Dahuricae Radix and Asari Radix are assistants, and Glycyrrhizae Radix et Rhizoma is the envoy, harmonizing Ying and Wei to achieve external resolution. If chronic wind leads to undigested stool diarrhea, wind has entered the interior; then Ginseng Radix et Rhizoma should be sovereign, Cinnamomi Ramulus and Atractylodis Rhizoma ministers, Poria and Glycyrrhizae Radix et Rhizoma assistants and envoys, to drive wind from within. This is the balance of exterior and interior, the essence of the *Neijing*. Although this formula uses the phrase "wind causing chills and fever," it lacks specific grounding, so I mention it here.
Soufeng Shunqi Wan (Wind-Searching and Qi-Smooth Pill) treats constipation due to wind-dryness, leading to qi closure. Use temporarily to disperse wind, moisten dryness, and smooth qi; it is indispensable. The original text exaggerates, claiming long-term use cures all diseases and rejuvenates the elderly, which is unreasonable. It also states pregnant women should not take it; if mild abdominal pain occurs during medication, supplement with lamb lung soup, indicating the medicine is harsh and should not be taken long-term. Plantaginis Semen (1.5 liang), Arecae Semen, toasted and husked Cannabis Fructus, wine-soaked Achyranthis Bidentatae Radix, Pruni Semen (soaked in boiling water, peeled, ground separately), Cuscutae Semen (processed), dried Dioscoreae Rhizoma (each 2 liang), bran-fried Aurantii Fructus, Saposhnikoviae Radix, Angelicae Dahuricae Radix (each 1 liang), Rheae Radix et Rhizoma (5.5 qian, half raw, half processed). Pound into powder, refine honey to make pills the size of paulownia seeds. Take 20 pills per dose, with wine, tea, or rice drink, on an empty stomach and before bed. Removes intestinal wind and old stagnation, and intestinal wind bleeding.
Guizhi Tang (Cinnamon Twig Decoction) treats wind coming from outside, lodging in the collaterals, remaining and not departing. This formula is indicated. Cinnamomi Ramulus, Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, Zingiberis Recens Rhizoma (each 3 qian), Jujubae Fructus (2 pieces). Take one and a half zhan of water, simmer gently until 8/10 remains. Take warm. Shortly after, drink hot thin porridge to assist medicinal power. Cover warmly for about an hour until slight general sweating occurs, which is best. See *Shanglun* Taiyang Upper Chapter. Note: This formula is the ancestor of all formulas for stroke. Not only for wind entering collaterals, but also for wind entering meridians, fu-organs, or zang-organs, this base formula should be added. Because wind enters from outside, it must ultimately be driven out via the exterior. Later generations compete to modify Xuming Tang, ignoring this formula, forgetting the source. How much more so those who have lost both source and lineage!
Xiao Xuming Tang (Minor Continuation of Life Decoction) treats stroke with loss of consciousness, gradually developing hemiplegia, deviation of mouth and eyes, tremors of hands and feet, slurred speech, limb numbness, mental confusion, dizziness, excessive phlegm-fire, tendon spasm preventing flexion/extension, painful joints preventing turning, effective for various wind syndromes. Effective for podagra weakness; long-term use brings recovery. Patients with chronic wind should take this proactively during cloudy weather or seasonal changes to prevent aphonia. Saposhnikoviae Radix, Guixin (Cinnamon Bark), Scutellariae Radix, apricot kernels (peeled, tip removed, fried), Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, Ligustici Chuanxiong Rhizoma, Ephedrae Herba (nodes removed), Ginseng Radix et Rhizoma (each 1 qian 4 fen), Podagrici Radix (2 qian), prepared Fuzi (Aconiti Lateralis Radix Preparata, 7 fen). Pound into coarse pieces, divide into two packets. Each packet takes one and a half zhan of water, five slices of fresh ginger, one jujube, decoct until 8/10 remains. For mental vagueness, add Tianmae Rhizoma and Polygalae Radix. For painful joints with heat, remove Fuzi and double Paeoniae Radix Alba. Without heat, double Cinnamomi Ramulus and Fuzi. For vexation and frequent fright, add Cornu Bubali. For vomiting and abdominal distension, add Pinelliae Rhizoma and double Ginseng Radix et Rhizoma. For irritability and constipation, remove Fuzi, double Paeoniae Radix Alba, add Bamboo Juice. For cold-zang diarrhea, remove Podagrici Radix and Scutellariae Radix, double Fuzi, add Atractylodis Rhizoma. For spontaneous sweating, remove Ephedrae Herba and Armeniacae Semen Amarum, add Atractylodis Rhizoma. For weak ankles/knees, add Achyranthis Bidentatae Radix and Dendrobii Caulis. For body pain, add Gentianae Macrophyllae Radix. For lower back pain, add Persicae Semen and Eucommiae Cortex (fried with ginger juice). For aphonia, add Armeniacae Semen Amarum. Note: This formula does not distinguish meridians or excess/deficiency/cold/heat. Without careful differentiation and modification, efficacy is hard to achieve. I record Yi Lao’s Six-Meridian modification methods as examples. Practitioners should learn the intent. Yi Lao’s Six-Meridian Modifications: Mahuang Xuming Tang treats stroke with no sweat and aversion to cold; double Mahuang, Armeniacae Semen Amarum, and Saposhnikoviae Radix in this formula. Guizhi Xuming Tang treats stroke with sweat and aversion to wind; double Guizhi, Paeoniae Radix Alba, and Armeniacae Semen Amarum. Both are Taiyang wind-stroke. Baihu Xuming Tang treats stroke with sweat, body heat, no aversion to cold; add Shizhus Mu and Gypsum Fibrosum (1 qian 4 fen each), remove Fuzi. Gegen Xuming Tang treats stroke with body heat, sweat, no aversion to wind; add Puerariae Radix, Guizhi, and Scutellariae Radix (double amount). Both are Yangming wind-stroke. Fuzi Xuming Tang treats stroke with no sweat and cool body; add double Fuzi, Ganjiang and Glycyrrhizae Radix et Rhizoma (1 qian each). This is Taiyin wind-stroke. GuiFu Xuming Tang treats stroke with sweat and no heat; add double Guizhi, Fuzi, and Glycyrrhizae Radix et Rhizoma. This is Shaoyin wind-stroke. Qianghuo Lianqiao Xuming Tang handles confused six wind syndromes linked to Shaoyang/Jueyin, with joint spasms or numbness; add Qianghuo and Lonicerae Japonicae Flos (1.5 qian each).
Fangfeng Tongsheng San (Wind-Protecting Universal Rescue Powder) treats various wind convulsions, limb spasms, pediatric acute wind-stroke, constipation, sudden severe pathogenic heat, muscle twitching, and all wind syndromes. Saposhnikoviae Radix, Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix Alba, Rheae Radix et Rhizoma, Mirabilite, Forsythiae Fructus, Menthae Haplocalycis Herba, Ephedrae Herba, Gardeniae Fructus, Gypsum Fibrosum, Platycodonis Radix, Scutellariae Radix, Atractylodis Rhizoma, Schizonepetae Spica, Glycyrrhizae Radix et Rhizoma, Talcum (each 5 fen). Take two zhan of water, three slices of fresh ginger, decoct until 8/10 remains. For phlegm-cough, add Banxia processed with fresh ginger. For obstruction, add 2 qian Rheae Radix et Rhizoma. For broken-wind-stroke, add Qianghuo and Scorpio (each 5 fen). For waist/flank pain, add Mirabilite and Angelicae Sinensis Radix (each 1 qian). Note: This is a light formula treating both exterior and interior. Using Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix Alba, and Atractylodis Rhizoma harmonizes blood and benefits spleen. Thus, sweating does not damage the exterior, purging does not damage the interior, allowing multiple doses.
Qufeng Zhibao Gao (Wind-Expelling Precious Ointment/Pill) treats various wind-heat. Saposhnikoviae Radix (1.5 liang), Atractylodis Rhizoma (1.5 liang), Paeoniae Radix Alba (2.5 liang), Mirabilite (5 qian), Gypsum Fibrosum (1 liang), Talcum (3 liang), Angelicae Sinensis Radix (2.5 liang), Scutellariae Radix (1 liang), Glycyrrhizae Radix et Rhizoma (2 liang), Rheae Radix et Rhizoma (5 qian), Forsythiae Fructus (5 qian), Ligustici Chuanxiong Rhizoma (2.5 liang), Ephedrae Herba (5 qian, nodes not removed), Gastrodiae Rhizoma (1 liang), Schizonepetae Spica (5 qian), Gardeniae Fructus (5 qian), Rehmanniae Radix Preparata (1 liang), Phellodendri Cortex (5 qian), Platycodonis Radix (1 liang), Menthae Haplocalycis Herba (5 qian), Notopterygii Rhizoma, Ginseng Radix et Rhizoma (each 1 liang), Scorpio, Asari Radix, Coptidis Rhizoma (each 5 qian), Angelicae Dahuricae Radix (1 liang). Pound into fine powder, refine honey to make pills the size of bullet seeds. Take one pill per dose, chew thoroughly, swallow with tea or wine, before bed. Note: This formula also treats both exterior and interior. It consists of the seventeen ingredients of Fangfeng Tongsheng San, plus Rehmanniae Radix Preparata to nourish blood, Ginseng Radix et Rhizoma to boost qi, Phellodendri Cortex and Coptidis Rhizoma to clear heat, Notopterygii Rhizoma, Angelicae Dahuricae Radix, Gastrodiae Rhizoma, Scorpio, and Asari Radix to expel wind. It is an exclusive formula for the wind-stroke chapter, not comparable to generic formulas.
Buhuan Jin Dan (Unchanging Golden Pill) reduces wind and clears heat, treating stroke with locked jaw. Schizonepetae Spica, Bombyx Batryticatus, Gastrodiae Rhizoma, roasted Glycyrrhizae Radix et Rhizoma (each 1 liang), Qianghuo, Ligustici Chuanxiong Rhizoma, Bai Fu Zi (Typhonii Rhizoma), Wutou (Aconiti Radix), Scorpion Tail, Huoxiang Ye (Perillae Folium, each half tael), Menthae Haplocalycis Herba (3 liang), Saposhnikoviae Radix (1 liang). Pound into powder, refine honey to make pills the size of bullet seeds. Take one pill per dose, chew thoroughly, swallow with tea or wine. Can also be applied topically. Note: This formula has strong wind-expelling power, but its heat-clearing effect is uncertain. It is suitable mainly for wind combined with cold and phlegm-qi obstruction.
Sanhua Tang (Three Transformations Decoction) treats stroke with exterior Six-Meridian symptoms; initially treat with modified Xuming Tang. If there is internal obstruction of urination/defecation, this formula is indicated. Magnoliae Officinalis Cortex, Rheae Radix et Rhizoma, Aurantii Fructus Immaturus, Notopterygii Rhizoma (equal parts). Take 1 liang per dose, decoct in water. Note: This is a harsh purgative for the interior. Do not take lightly unless constitution is solid. In cold damage, stomach heat and intestinal dryness require Dachengqi Tang to open blockage. Yet, Xiaochengqi Tang and Tiaowei Chengqi Tang are used first to avoid harm from misuse. In stroke, there is often upward reversal of deficient qi and obstruction of passages; there is absolutely no reason to use Dachengqi Tang. Ancient formulas sought to keep medicine in the abdomen to gradually fill empty orifices, extinguishing internal wind. Why do modern practitioners open orifices to expel wind, leaving orifices empty and wind fiercer? Where does this end?
Sheng Yin Tiao Suhewan (Life-Preserving Drink Adjusted with Suhewan) treats all apoplexy, whether wind-stroke, cold-stroke, summerheat-stroke, damp-stroke, or qi-stroke. Also applicable to phlegm-jue and fluid-jue at onset. First, take soap bean (destringed), Asari Radix, raw Arisaema Rhizoma, and Pinelliae Rhizoma as powder, blow into nose. Wait for sneezing, then administer the previous medicine. For locked jaw, dip middle finger in Arisaema Rhizoma, Pinelliae Rhizoma, and Asari Radix powder mixed with sour plum flesh, frequently apply to open mouth. Arisaema Rhizoma (round white ones, wrapped in wet paper and baked), Nanmuxiang (Aquilariae Lignum Resinatum), Atractylodis Rhizoma, Asari Radix, raw Glycyrrhizae Radix et Rhizoma, Changpu Rhizoma (each 1 qian), Pinelliae Rhizoma (soaked in boiling water briefly, 1.5 qian). Chop these seven items into pieces. Divide into two doses. Take one and a half zhan of water, seven thick slices of fresh ginger, decoct until half remains. Mix hot with half a pill of Suhexiang Wan and force down. For heavy phlegm, add two roasted Scorpios. Note: This formula is necessary for stroke with qi closure and phlegm confusion. However, those with inherent deficiency cannot tolerate Moschus, Bovaris Calculus, and pungent aromatics that destroy wood. Adjust dosage to 20-30%. Niuhuang Qingxin Wan and Suhewan have different treatments: for heat blocking orifices, use Niuhuang Wan; for cold blocking orifices, use Suhewan. For death signs like open mouth, scattered hands, and incontinence, urgently use large doses of Ginseng Radix et Rhizoma and Fuzi; survival is possible. If Niuhuang or Suhewan enter the mouth, death follows instantly, akin to crushing a thread with a thousand-weight stone.
Wuyao Shunqi San (Lindera Smooth-Qi Powder) treats wind qi attacking four limbs, joint pain, whole-body numbness. Also treats paralysis, slurred speech, difficult walking due to podagra, and limb immobility. First, take this medicine in large amounts to smooth rebellious qi, then prescribe wind-dispelling medicines according to symptoms. Ephedrae Herba (nodes removed), Chenpi (tangerine peel, pith removed), Wuyao (wood removed, each 2 liang), fried white Bombyx Batryticatus (mouth removed), Ligustici Chuanxiong Rhizoma, Angelicae Dahuricae Radix, roasted Glycyrrhizae Radix et Rhizoma, bran-fried Aurantii Fructus, Platycodonis Radix (each 1 liang), prepared Ganjiang (Dried Ginger, 5 qian). Pound into powder. Take 3 qian per dose, with one zhan of water, three slices of fresh ginger, one jujube, decoct. For aversion to cold, high fever, headache, and fatigue, add three cun of scallion white, decoct, and take to induce sweating. Or, if body cannot flex/extend, take with warm wine. Note: Stroke syndromes often involve qi-strike, not just acute cases. All stroke syndromes exhibit this. Yan Yonghe said: If vital qi is strong, Ying and Wei are peaceful, and pores are tight, how can external pathogens cause harm? If Seven Emotions, diet, or labor weaken true qi, making Ying and Wei sparse, pathogens enter via deficiency, causing disease. If caused internally by Seven Emotions, regulate qi, do not treat wind. If caused externally by Six Evils, first regulate qi, then treat based on external Six Qi. This is a good method; use Ba Wei Shun Feng San. Yan’s theory is sound. His Ba Wei Shun Qi San uses Ginseng Radix et Rhizoma, Atractylodis Rhizoma, Poria, Glycyrrhizae Radix et Rhizoma, Chenpi (five of the six ingredients of Liujunzi Tang), plus Wuyao, Qingpi, and Angelicae Dahuricae Radix, totaling eight ingredients. Compared to the Bureau Formula Wuyao Shunqi San, which excludes Ephedrae Herba, Aurantii Fructus, Platycodonis Radix, and Bombyx Batryticatus, it embodies the profound principle of treating qi first, then wind. Later critics claimed his theory was incomplete and objected to Angelicae Dahuricae Radix in the formula. They did not realize Angelicae Dahuricae Radix is fragrant but not drying, a good herb for harmonizing Ying and Wei. The Heji Ju combined both formulas, using Ganjiang, Ginseng Radix et Rhizoma, Ligustici Chuanxiong Rhizoma, Chenpi, Platycodonis Radix, Magnoliae Officinalis Cortex, Angelicae Dahuricae Radix, Glycyrrhizae Radix et Rhizoma, Atractylodis Rhizoma, Ephedrae Herba, plus Puerariae Radix, to treat wind-induced headache and nasal congestion, which is appropriate. Thus, one should not judge formulas with personal bias.
Yunqi San (Qi-Balancing Powder) treats stroke and qi-strike, hemiplegia, deviation of mouth and eyes. Take this first. Atractylodis Rhizoma (2 qian), Gastrodiae Rhizoma (5 fen), Chenxiang (Aquilariae Lignum Resinatum), Angelicae Dahuricae Radix, Qingpi (Citri Reticulatae Pericarpium Viride), roasted Glycyrrhizae Radix et Rhizoma (each 5 fen), Ginseng Radix et Rhizoma (5 fen), Wuyao (1.5 qian), Perillae Folium, Chaenomeli Fructus (each 3 fen). Take two zhan of water, three slices of fresh ginger, decoct until 8/10 remains. Suitable for wind-related lower back pain. Note: The concept of Yunqi is profound. Internal qi should be unobstructed; otherwise, external wind cannot stay long and easily disperses. Thus, Yunqi is synonymous with Tiaoqi, not two different things.
Xixian San (Phlegm-Saliva Dispersing Powder) treats wind-phlegm not descending, sounds in throat like sawing, or dampness-induced swelling/fullness. Pinelliae Rhizoma (14 large ones), roasted Zhu Ya Zao Jiao (Toothed Soap Bean, one piece). Above...