【活命金丹】 治中风不语。半身不遂。肢节顽麻。痰涎上潮。咽嗌不利。饮食不下。牙
关紧急。口噤。及解一切酒毒、药毒、发热腹胀。大小便不利。胸膈痞满。上实下虚。气闭面赤。
汗后余热不退劳病。诸药不治。无问男女老幼。皆可服之。
贯众 甘草 板蓝根 干葛
甜硝(各一两) 川大黄(一两半) 牛黄(研) 珠子粉
生犀角 薄荷(各五钱) 辰砂(四钱研。一半为衣) 麝香(研)
桂青黛(各三钱) 龙脑(研二钱)
上十五味为末。与研药和匀。蜜和水浸蒸饼为剂。每两作十丸。朱砂为衣。就湿用真金箔四十
片为衣。腊月修合。瓷器收贮。多年不坏。如疗风毒。茶清化下。解药毒。新汲水化下。汗后余热
劳病。及小儿惊热。并用薄荷汤化下。以上并量大小加减服之。
【至宝丹】
辰砂 生犀 玳瑁 雄黄
琥珀 人参(六味。各五两) 牛黄(二两半) 麝香
龙脑(各一两二钱半) 天南星(二两半。水煮软。切片) 银箔(二百五十片入)
金箔(二百五十片。半入药。半为衣) 安息香(五两。用酒半升。熬成膏)
龙齿(二两。水飞)
上十三味为末。用安息香膏。重汤煮炀搜剂。旋丸梧子大。每服三丸至五丸。人参汤下。小儿一
两丸。
【至圣保命金丹】治中风口眼 斜。手足 拽。语言謇涩。四肢不举。精神昏愦。痰涎并
多。
贯众(一两) 生地黄(七钱) 大黄(半两) 青黛
板蓝根(各三钱) 朱砂(研) 蒲黄 薄荷(各二钱半)
珠子(研) 龙脑(研。各一钱半) 麝香(一钱。研) 牛黄(二钱半。研)
上十二味为末。入研药和匀。蜜丸鸡头大。每用一丸,细嚼。茶清送下。新汲水亦得。如病
人嚼不得。用薄
荷汤化下。无时。此药镇坠痰涎。大有神效。用金箔为衣。
【牛黄通膈汤】初觉中风一二日。实则急宜下之。
牛黄(研。三钱) 朴硝(三钱。研) 大黄 甘草(各一两。炙)
上四味。除研药为末。每服一两。水二盏。除牛黄、朴硝外。煎至一盏。去渣。入牛黄。朴硝
。一半调服。以利为度。须动三两行。未利再服。量虚实加减。
【诃子汤】治失音不语。
诃子(四两半生半炮) 桔梗(一两。半生半炒) 甘草(二寸。半生半炒)
上三味为末。每服五钱。用童子小便一盏。煎五七沸温服。甚者不过三服。
【正舌散】治中风舌强语涩。
雄黄(研) 荆芥穗(各等分)
上为末。每服二钱。豆淋酒调下。
【茯神散】治证同前。
茯神心(炒。一两) 薄荷(焙。二两) 蝎梢(去毒。二钱)
上为末。每服一二钱。温酒调下。
【胜金丹】治中风涎潮。卒中不语。合吐利者。当服此吐利风涎。
青薄荷(半两) 猪牙皂角(二两。同薄荷以水二升。挪取汁尽。用银石器内。慢火熬成膏)
瓜蒂末 朱砂(研。一两。留少许为衣) 粉霜(半两。研)
洛粉(一钱。水银重粉是)
上以上四物研匀。入前膏。纳入臼内。杵三二千杵。丸如樱桃大。以朱砂为衣。每服一丸。酒磨
下。急即研细。酒调灌之。瘫中前如觉有证状。每于四孟月服一丸。自愈。有病方可服。
【分涎散】治中风涎潮。作声不得。口噤。手足搐溺。
藿香 干蝎 白附子 南星(泡。四味各一两。同为末)
丹砂(原无此味据坊本补) 腻粉 粉霜(各一两)
上七味同为末。研匀。每服一钱。加至二钱。薄荷汤或茶清汤调下。未吐利。再服。
【活命金丹】治疗中风导致不能言语、半身不遂、肢体关节顽固性麻木、痰涎上涌、咽喉不利、饮食难下、牙关紧闭、口噤不开,以及解除各种酒毒、药毒、发热腹胀、大小便不通畅、胸膈部痞闷胀满、上实下虚、气机闭塞面色发红、发汗后余热不退的劳损病证。对于诸种药物无法治愈的情况,不分男女老少,均可服用。
药材包括:贯众、甘草、板蓝根、干葛(即葛根)、甜硝(各一两)、川大黄(一两半)、牛黄(研细)、珠子粉、生犀角、薄荷(各五钱)、辰砂(四钱,研细,其中一半作为丸剂外衣)、麝香(研细)、桂青黛(各三钱)、龙脑(研细,二钱)。
以上十五味药研成粉末,与需要单独研磨的药物混合均匀,用蜂蜜和水浸泡蒸饼制成丸剂。每两药粉制作十丸,以朱砂为外衣,若用于急救,可用真金箔四十片包裹。在腊月配制,用瓷器密封贮藏,多年不会变质。如果用于治疗风毒,用茶汁化开送服;如果用于解药毒,用新汲取的冷水化开送服;如果用于发汗后的余热劳病及小儿惊热,均用薄荷汤化开送服。以上用法均需根据患者年龄和体质大小酌情加减服用。
【至宝丹】
药材包括:辰砂、生犀、玳瑁、雄黄、琥珀、人参(以上六味,各五两)、牛黄(二两半)、麝香、龙脑(各一两二钱半)、天南星(二两半,用水煮软后切片)、银箔(二百五十片加入药中)、金箔(二百五十片,一半混入药中,一半作为外衣)、安息香(五两,用半升酒熬制成膏)、龙齿(二两,水飞法处理)。
以上十三味药研成粉末,使用安息香膏,隔水加热熔化后调和药粉制丸。随制随丸,大小如梧桐子大。每次服用三丸至五丸,用人参汤送服。小儿服用一至两丸。
【至圣保命金丹】治疗中风导致的口眼歪斜、手足牵引拘挛、语言謇涩不清、四肢不能抬举、精神昏沉迷糊、痰涎增多。
药材包括:贯众(一两)、生地黄(七钱)、大黄(半两)、青黛、板蓝根(各三钱)、朱砂(研细)、蒲黄、薄荷(各二钱半)、珠子(研细)、龙脑(研细,各一钱半)、麝香(一钱,研细)、牛黄(二钱半,研细)。
以上十二味药研成粉末,将需单独研磨的药物混匀,用蜂蜜制成鸡头大小的丸剂。每次取一丸,细细咀嚼,用茶汁送下,用新汲取的冷水也可以。如果病人无法咀嚼,可用薄荷汤化开后送服,不限时间。此药能镇坠痰涎,效果显著。外用金箔包裹。
【牛黄通膈汤】初觉中风症状的一两天内,若属实证,应当急用泻下法。
药材包括:牛黄(研细,三钱)、朴硝(三钱,研细)、大黄、甘草(各一两,炙烤)。
以上四味药,除需单独研磨的药外,其余研成粉末。每次服用一两,加水两盏,先煎煮大黄和甘草,除去牛黄和朴硝,煎至一盏时,去药渣,加入牛黄和朴硝。分两次调服,以大便通畅为度。通常需要排便二三行,若未通畅可再服。需根据患者虚实情况加减剂量。
药材包括:诃子(四两半,一半生用,一半炮制)、桔梗(一两,一半生用,一半炒制)、甘草(二寸,一半生用,一半炒制)。
以上三味药研成粉末。每次服用五钱,用童子小便一盏,煎煮五六沸后温服。病情严重者,不超过三次服药即可见效。
以上研成粉末。每次服用二钱,用豆淋酒调服。
药材包括:茯神心(炒,一两)、薄荷(焙干,二两)、蝎梢(去毒,二钱)。
以上研成粉末。每次服用一二钱,用温酒调服。
【胜金丹】治疗中风痰涎上涌、突然卒中不能言语,伴有呕吐腹泻症状者,应当服用此药以吐出或泻出风痰。
药材包括:青薄荷(半两)、猪牙皂角(二两,与薄荷一起用二升水揉搓取汁,尽数收集,放入银石器中,用慢火熬制成膏)、瓜蒂末、朱砂(研细,一两,留少许作为外衣)、粉霜(半两,研细)、洛粉(一钱,即水银重粉)。
以上四种药物研匀,加入前面的药膏,放入臼中,捣杵三千至两千次,制成樱桃大小的丸剂,以朱砂为外衣。每次服用一丸,用酒磨化送下。病情紧急时,研细后用酒调灌服。瘫痪患者在发病前若感觉有征兆,可在四季的第一个月(孟春、孟夏、孟秋、孟冬)各服用一丸,可自行痊愈。只有患病时才服用。
【分涎散】治疗中风痰涎上涌,发出声音但不能言语,口噤不开,手足抽搐。
药材包括:藿香、干蝎、白附子、南星(泡制,这四味各一两,共同研成粉末)、丹砂(原方无此味,据坊间版本补入)、腻粉、粉霜(各一两)。
以上七味药共同研成粉末,研匀。每次服用一钱,加量至二钱,用薄荷汤或茶清汤调服。若未出现呕吐或腹泻,可再次服用。
[Huoming Golden Pill] Treats stroke resulting in aphasia, hemiplegia, stubborn numbness of limbs and joints, upward rush of phlegm-saliva, dysphagia, difficulty in swallowing food and drink, trismus (lockjaw), inability to open the mouth, and resolves various alcohol and drug poisonings, fever with abdominal distension, difficulty in urination and defecation, chest and diaphragm stuffiness and fullness, excess above and deficiency below, qi obstruction with red face, lingering residual heat after sweating, and consumptive diseases. For conditions unresponsive to other medicines, it can be taken by people of any gender or age.
Ingredients: Guanzhong (Cyathulae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Banlangen (Isatidis Radix), Gange (Puerariae Radix), Tianxiao (Sal Nitri), Chuan Dahuang (Rhei Radix et Rhizoma) [1.5 liang], Niuhuang (Bovis Calculus, ground), Zhuzifen (Pearl Powder), Sheng Xijiao (Rhino Horn, raw), Bohe (Menthae Haplocalycis Herba) [each 5 qian], Chencha (Cinnabaris, 4 qian, ground; half used as coating), Shexiang (Moschus, ground), Gui Qingdai (Indigo Naturalis mixed with Cinnamon powder) [each 3 qian], Longnao (Borneolum Syntheticum, ground, 2 qian).
Grind the above fifteen ingredients into powder, mix evenly with the separately ground drugs. Moisten steamed wheat dough with honey and water to form pills. Each liang of powder makes ten pills. Coat with Cinnabar. For emergency use, wrap with forty sheets of real gold foil. Prepare in the twelfth lunar month, store in porcelain vessels, and it will not spoil for many years. To treat wind toxicity, dissolve in tea decoction. To resolve drug toxicity, dissolve in fresh cold water. For lingering residual heat after sweating, consumptive disease, and pediatric convulsive fever, dissolve in Mentha decoction. Dosage should be adjusted according to the patient's size and constitution.
[Zhibao Dan]
Ingredients: Chencha (Cinnabaris), Sheng Xi (Rhino Horn, raw), Daimao (Trionycis Carapax), Xionghuang (Realgar), Hupo (Succinum), Renshen (Ginseng Radix et Rhizoma) [these six ingredients, each 5 liang], Niuhuang (Bovis Calculus, 2.5 liang), Shexiang (Moschus), Longnao (Borneolum Syntheticum) [each 1.25 qian], Tiannanxing (Arisaematis Cum Bile Radix, 2.5 liang, boiled until soft, sliced), Yinbo (Folium Argenti, 250 sheets added to medicine), Jinbo (Folium Aureum, 250 sheets; half mixed into medicine, half used as coating), Anshixiang (Styrax, 5 liang, boiled with half sheng of wine into a paste), Longchi (Dentis Mammothi, 2 liang, processed by water levigation).
Grind the above thirteen ingredients into powder. Use the Styrax paste, melt over double boiler, and knead with the powder to form pills. Roll immediately into pills the size of Sophora seeds. Take 3 to 5 pills per dose, washed down with Ginseng decoction. Pediatric dose is 1 to 2 pills.
[ZhiSheng Baoming Golden Pill] Treats stroke symptoms including facial paralysis (deviation of mouth and eyes), limb traction and spasm, dysarthria, inability to move limbs, mental confusion, and excessive phlegm-saliva.
Ingredients: Guanzhong (Cyathulae Radix, 1 liang), Sheng Dihuang (Rehmanniae Radix, 7 qian), Dahuang (Rhei Radix et Rhizoma, 0.5 liang), Qingdai (Indigo Naturalis), Banlangen (Isatidis Radix) [each 3 qian], Zhusha (Cinnabaris, ground), Puhuang (Typhae Pollen), Bohe (Menthae Haplocalycis Herba) [each 2.5 qian], Zhuzi (Seed of Prunus mume, ground), Longnao (Borneolum Syntheticum, ground) [each 1.5 qian], Shexiang (Moschus, 1 qian, ground), Niuhuang (Bovis Calculus, 2.5 qian, ground).
Grind the above twelve ingredients into powder, mix evenly with the separately ground drugs. Form honey pills the size of a cock's head. Take one pill per dose, chew thoroughly, and swallow with tea decoction. Fresh cold water is also acceptable. If the patient cannot chew, dissolve in Mentha decoction. No specific timing required. This pill settles and sinks phlegm-saliva with great efficacy. Coat with gold foil.
[Niu Huang Tong Ge Tang] In the first one or two days of suspected stroke, if the condition is excess type, purgation should be urgently applied.
Ingredients: Niuhuang (Bovis Calculus, ground, 3 qian), Pu Xiao (Natrii Sulfas, ground, 3 qian), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted) [each 1 liang].
Grind the above four ingredients into powder, excluding those that need separate grinding. Take 1 liang per dose. Add two zhan of water. Decoct Da Huang and Gan Cao without Niu Huang and Pu Xiao until reduced to one zhan. Strain, then add Niu Huang and Pu Xiao. Mix and take in two halves. Stop when bowel movement occurs. Usually requires two or three bowel movements. If not effective, take again. Adjust dosage according to deficiency or excess.
[He Zi Tang] Treats aphonia and inability to speak.
Ingredients: Hezi (Terminalia Chebulae Fructus, 4.5 liang, half raw, half processed), Jiegeng (Platycodonis Radix, 1 liang, half raw, half stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 2 cun, half raw, half stir-fried).
Grind the above three ingredients into powder. Take 5 qian per dose. Add one zhan of urine from an uncircumcised boy. Boil for five or seven boils, then take warm. For severe cases, no more than three doses are needed.
[Zheng She San] Treats stroke-induced tongue stiffness and dysarthria.
Ingredients: Xionghuang (Realgar, ground), Jingjie Sui (Schizonepetae Spica) [equal parts].
Grind into powder. Take 2 qian per dose, mixed with Dou Lin Jiu (wine filtered through soybeans).
[Fu Shen San] Treats the same syndrome as above (tongue stiffness and dysarthria due to stroke).
Ingredients: Fu Shen Xin (Poria with Hostwood, stir-fried, 1 liang), Bohe (Menthae Haplocalycis Herba, dried, 2 liang), Xie Shao (Scorpio tail, detoxified, 2 qian).
Grind into powder. Take 1 to 2 qian per dose, mixed with warm wine.
[Sheng Jin Dan] Treats stroke with upward rush of phlegm-saliva, sudden apoplexy with aphasia, accompanied by vomiting and diarrhea. This formula induces vomiting and purging to expel wind-phlegm.
Ingredients: Qing Bohe (Menthae Haplocalycis Herba, 0.5 liang), Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus, 2 liang; rubbed with 2 sheng of water together with Bohe to extract juice completely, then slowly boiled in a silver or earthenware vessel into a paste), Gou Di Mo (Melonis Fructus Semen, powdered), Zhusha (Cinnabaris, ground, 1 liang; reserve a small amount for coating), Fen Shuang (Calomelas, 0.5 liang, ground), Luo Fen (1 qian, i.e., Hydrargyrum Subchloridum).
Grind the above four substances evenly, mix with the previous paste, place in a mortar, and pound three thousand to two thousand times. Form pills the size of cherries, coat with Zhusha. Take one pill per dose, dissolved in wine and swallowed. In emergencies, grind finely, mix with wine, and force-feed. For patients with paralysis, if prodromal symptoms are felt, take one pill in the first month of each season (Meng months) to recover spontaneously. Only take when ill.
[Fen Yan San] Treats stroke with upward rush of phlegm-saliva, inability to produce sound, trismus, and limb convulsions.
Ingredients: Huoxiang (Agastaches Herba), Gan Xie (Dry Scorpio), Bai Fuzi (Aconiti Kusnezoffii Radix), Nan Xing (Arisaematis Rhizoma, soaked) [these four ingredients, each 1 liang, ground together]; Dansha (Cinnabaris, added based on workshop editions), Ni Fen (Hydrargyrum Chloridum Compositum), Fen Shuang (Calomelas) [each 1 liang].
Grind the above seven ingredients together into powder, mix evenly. Take 1 qian per dose, increase to 2 qian if necessary. Mix with Mentha decoction or tea decoction. If vomiting or purging does not occur, take again.