（与前证参看）
妇人中风，角弓反张，风痹手足不随，偏枯口噤，口眼 斜，风眩头痛，血风，心神惊悸，
癫狂，骨节痛风，血风走注，瘙痒瘾疹，风痰，香港脚，腰痛诸疾，以上诸证，虽各有方论，亦
要先明其大体，察脉之虚实，辨证之冷热，相人之强弱，入脏入腑，在络在经，首以局方调治，
未可孟浪处施。今之治法，先宜顺气，然后治风，万不失一。盖有中风、中寒、中 、中痰、
中气，皆能令人涎潮昏塞，所谓朱紫相临，玉石不分，医者不可不详也。如中风若作中气治
之，十愈八九；中气若作中风治之，十无一生。所以疑惑之间，不问中风中气，
首以苏合香丸、麝香煎、五积散。如中痰则有参苏饮，如中寒则有理中汤，如中 有白虎汤。
的然中风，如三生饮、木香煮散、排风、续命、风引、大小竹沥、大八风汤、至宝丹、牛黄清心丸，
辨其冷热虚实而投之，未有不安者也。然此疾积袭之久，非一日所能致。今人服药二、三服，
便欲责无效，多见其不知量也。须宜大剂久服，方可奏功。孟子曰∶七年之病，求三年之
艾也，信夫！
至宝丹、苏合丸，五积散、牛黄清心丸（并见前中风门。）
（《和剂》）排风汤 治男子、妇人风虚湿冷，邪气入脏，狂言妄语，精神错乱，及风入五
脏等。
白藓皮 白术 白芍药 桂心 川芎 当归 防风 杏仁（去皮尖，麸炒） 甘草（各二两）
白茯苓 麻黄 独活（各三两）
上咀，每服五钱，水盏半，姜四片，煎八分，不拘时服。
三生散 治卒中，昏不知人，口眼 斜，半身不遂，咽喉作声，痰气上壅，无问外感风
寒、内伤喜怒，或六脉沉伏，或指下浮盛，并宜服之。兼治痰厥及气虚眩晕，悉有神效。
生南星（一两） 生川乌（去皮、尖） 生附子（去皮、脐。各半两） 木香（一分）
上咀，每服半两，水二盏，姜十片，煎六分温服。或口噤不省人事者，用北细辛、皂
角各少许为细末，或只用半夏为细末少许，用芦管吹入鼻中，俟喷嚏，其人少苏，然后进温药。
如气盛人，只用南星半两、木香一钱、生姜十四片，煎两服饮之，名星香饮。
参苏饮 治痰饮停积胸中，中脘闭塞，呕吐痰涎，眩晕嘈杂，忪悸哕逆，及痰气中人，
停留关节，手足
曳，口眼 斜，半身不遂，食已即呕，头疼发热，状如伤寒。
附子理中汤 治五脏中寒，四肢强直，失音不语。昔有武将守边，大雪出帐观瞻，忽然卒
倒，时有随行医官，灌以此药，两剂遂苏。（二方见伤寒门。）
加减小续命汤 治卒暴中风，不管人事，遂觉半身不遂，口眼 斜，手足战掉，语言謇涩，
肢体麻痹，神思昏乱，头目眩重，筋脉拘挛，骨节烦疼。及治诸风，服之皆验。若治香港脚缓弱，
久服得瘥。久病风人，每遇天色阴晦，节候更改，宜预服之，以防喑哑。（方见中风门。）
木香煮散 治左瘫右痪，并素有风湿。此药调气，进食宽中。
羌活 麻黄（各一两） 防风（三分） 白术 陈皮 白茯苓 当归 川芎 牛膝 黑附子（炮）
木香 槟榔 人参 大川乌（炮） 草豆蔻（连皮炮） 杏仁（去皮尖，麸炒） 甘草 桂心（各半两）
上咀，每服四钱，水盏半，姜五片，煎八分，热服。大便不通加大黄。心腹胀加苦葶苈、
滑石。膈上壅滞，咳嗽气促，加半夏、川升麻、天门冬、知母。
小风引汤
防风 独活 细辛 川芎 北五味子 白茯苓 人参 白芍药 白术 甘草（各等分）
上咀，每服三钱，水一盏，姜三片、杏仁五枚，去皮尖，槌碎，同煎至七分，去渣温服。
大风引子即此方加麻黄、苁蓉、附子、当归、羚羊角、五味子。
乌药顺气散 治男子、妇人一切风气攻注，四肢骨节疼痛，遍身顽麻。凡卒中风、手足
瘫痪，言语謇涩者，皆宜先服此药，以疏气道，后随证投以风药。（方见风门。）
神仙解语丹 治心脾二经受风，言语謇涩，舌强不转，及淫邪搏阴，神内郁塞，心脉闭滞，
暴不能言。
白附子（炮） 石菖蒲 远志（去心，甘草煎水煮过十沸） 天麻 全蝎（去毒，炒）
羌活 白僵蚕（炒） 牛胆南星（各一两） 木香（半两）
上为细末，糊丸，梧桐子大，量入辰砂为衣。每服二十丸至三十丸，不拘时，薄荷汤送下。
三痹汤 治妇人血气凝滞，手足拘挛。风痹、气痹等疾皆疗。
川续断 杜仲（姜汁炒） 防风 桂心 华阴细辛 人参 白茯苓 当归 白芍药 甘草
秦艽 生地黄 川芎 川独活（各半两） 黄 川牛膝（各一两）
上咀为末，每服五钱，水二盏，姜三片、枣一枚。煎一盏，去渣热服无时，但腹稍饥服之。
有人病左臂不随，后已痊平，而手指不便，无力，服此遂安。
五痹汤 治妇人风寒湿气客留肌肤，手足缓弱，麻痹不仁。
片子姜黄 羌活 白术 防风 甘草（炙。各一两。）
上咀，每服四钱，姜七片，煎。病在上，食后服；病在下，食前服。
续命煮散、防风汤、舒经汤、茯苓丸、独活寄生汤（上方并见风门。）
（与前文所述证候参照阅读）
妇女患中风，出现角弓反张、风痹导致手足不能随意活动、偏枯口噤、口眼歪斜、风眩头痛、血风、心神惊悸、癫狂、骨节痛风、血风走注、瘙痒瘾疹、风痰、香港脚、腰痛等各种疾病。以上各种证候，虽然各有相应的方论治疗，但也必须先明确其大体病机，观察脉象的虚实，辨别证候的寒热，诊察患者的体质强弱，判断病邪是在脏还是在腑，在络还是在经。首先应以《局方》中的方剂进行调治，不可轻率冒失地施治。现在的治疗方法，先宜顺气，然后再治风，万无一失。因为中风、中寒、中暍（中暑）、中痰、中气，都能令人涎潮昏塞，所谓朱紫相临，玉石不分，医者不可不详细审察。如果将中风当作中气来治，十个人能治好八九个；如果将中气当作中风来治，十个人没有一个能活下来。所以在疑惑之间，不问是中风还是中气，首先使用苏合香丸、麝香煎、五积散。如果是中痰则用参苏饮，如果是中寒则有理中汤，如果是中暍则有白虎汤。确凿无疑的中风，如三生饮、木香煮散、排风汤、续命汤、风引汤、大竹沥、小竹沥、大八风汤、至宝丹、牛黄清心丸，辨别其冷热虚实而投药，没有不安稳的。然而这种疾病积累侵袭已久，不是一天所能造成的。现在的人服药二、三服，便想责备无效，多见他们不知分寸。必须适宜大剂量久服，才能奏效。孟子说：“七年的病，求三年的艾草”，确实如此！
至宝丹、苏合丸，五积散、牛黄清心丸（均见前中风门。）
（出自《和剂局方》）排风汤 治疗男子、妇人风虚湿冷，邪气入脏，狂言妄语，精神错乱，以及风入五脏等症。
白藓皮 白术 白芍药 桂心 川芎 当归 防风 杏仁（去皮尖，麸炒） 甘草（各二两）
白茯苓 麻黄 独活（各三两）
切碎，每次服用五钱，水一盏半，生姜四片，煎至八分，不拘时间服用。
三生散 治疗卒中，昏迷不知人事，口眼歪斜，半身不遂，咽喉作声，痰气上壅，无论外感风寒、内伤喜怒，或六脉沉伏，或指下浮盛，都适宜服用。兼治痰厥及气虚眩晕，都有神效。
生南星（一两） 生川乌（去皮、尖） 生附子（去皮、脐。各半两） 木香（一分）
切碎，每次服用半两，水二盏，生姜十片，煎至六分温服。如果是口噤不省人事者，用北细辛、皂角各少许研为细末，或者只用半夏研为细末少许，用芦管吹入鼻中，等待喷嚏，其人稍微苏醒，然后进服温药。如果是气盛之人，只用南星半两、木香一钱、生姜十四片，煎两服饮之，名为星香饮。
参苏饮 治疗痰饮停积胸中，中脘闭塞，呕吐痰涎，眩晕嘈杂，心悸哕逆，以及痰气中人，停留关节，手足牵引，口眼歪斜，半身不遂，食已即呕，头疼发热，状如伤寒。
附子理中汤 治疗五脏中寒，四肢强直，失音不语。昔有武将守边，大雪出帐观瞻，忽然卒倒，时有随行医官，灌以此药，两剂遂苏。（二方见伤寒门。）
加减小续命汤 治疗卒暴中风，不管人事，遂觉半身不遂，口眼歪斜，手足战掉，语言謇涩，肢体麻痹，神思昏乱，头目眩重，筋脉拘挛，骨节烦疼。以及治疗诸风，服用都有效验。如果治疗香港脚缓弱，久服得愈。久病风人，每遇天色阴晦，节候更改，宜预先服用，以防喑哑。（方见中风门。）
木香煮散 治疗左瘫右痪，并素有风湿。此药调气，进食宽中。
羌活 麻黄（各一两） 防风（三分） 白术 陈皮 白茯苓 当归 川芎 牛膝 黑附子（炮）
木香 槟榔 人参 大川乌（炮） 草豆蔻（连皮炮） 杏仁（去皮尖，麸炒） 甘草 桂心（各半两）
切碎，每次服用四钱，水一盏半，生姜五片，煎至八分，热服。大便不通加大黄。心腹胀加苦葶苈、滑石。膈上壅滞，咳嗽气促，加半夏、川升麻、天门冬、知母。
小风引汤
防风 独活 细辛 川芎 北五味子 白茯苓 人参 白芍药 白术 甘草（各等分）
切碎，每次服用三钱，水一盏，生姜三片、杏仁五枚，去皮尖，槌碎，同煎至七分，去渣温服。
大风引子即此方加麻黄、苁蓉、附子、当归、羚羊角、五味子。
乌药顺气散 治疗男子、妇人一切风气攻注，四肢骨节疼痛，遍身顽麻。凡卒中风、手足瘫痪，言语謇涩者，都适宜先服此药，以疏气道，后随证投以风药。（方见风门。）
神仙解语丹 治疗心脾二经受风，言语謇涩，舌强不转，以及淫邪搏阴，神内郁塞，心脉闭滞，暴不能言。
白附子（炮） 石菖蒲 远志（去心，甘草煎水煮过十沸） 天麻 全蝎（去毒，炒）
羌活 白僵蚕（炒） 牛胆南星（各一两） 木香（半两）
研为细末，糊丸，梧桐子大，量入辰砂为衣。每次服用二十丸至三十丸，不拘时，薄荷汤送下。
三痹汤 治疗妇人血气凝滞，手足拘挛。风痹、气痹等疾皆疗。
川续断 杜仲（姜汁炒） 防风 桂心 华阴细辛 人参 白茯苓 当归 白芍药 甘草
秦艽 生地黄 川芎 川独活（各半两） 黄芪 川牛膝（各一两）
切碎为末，每次服用五钱，水二盏，生姜三片、枣一枚。煎一盏，去渣热服无时，但腹稍饥服之。有人病左臂不随，后已痊平，而手指不便，无力，服此遂安。
五痹汤 治疗妇人风寒湿气客留肌肤，手足缓弱，麻痹不仁。
片子姜黄 羌活 白术 防风 甘草（炙。各一两。）
切碎，每次服用四钱，生姜七片，煎。病在上，食后服；病在下，食前服。
(Refer to the preceding syndrome descriptions.)
When women suffer from wind-stroke (Zhong Feng), they may present with opisthotonos (Jiaogong Fanzhang), wind-bi causing immobility of the limbs, hemiplegia with locked jaw, deviation of the mouth and eyes, wind-dizziness with headache, blood-wind, mental restlessness and palpitations, mania, joint gout, wandering blood-wind, itching and urticaria, wind-phlegm, podagra (Xianggangjiao), lower back pain, and various other diseases. Although each of these syndromes has its own specific formula and discussion, one must first understand the general pathology, examine the pulse for deficiency or excess, differentiate the syndrome for cold or heat, assess the patient's physical strength, determine if the pathogen is in the Zang or Fu organs, or in the collaterals or meridians. Treatment should initially follow the formulas from the *Ju Fang* (Bureau Formulary), and one must not act rashly. Current treatment methods suggest first regulating Qi, then treating Wind, which ensures success. This is because wind-stroke, cold-strike, heat-stroke (Zhong Yue), phlegm-strike, and Qi-strike can all cause flooding of saliva, coma, and obstruction. As the saying goes, "Red and purple are indistinguishable, jade and stone are mixed"; physicians must examine carefully. If wind-stroke is treated as Qi-strike, eight or nine out of ten will recover; if Qi-strike is treated as wind-stroke, none out of ten will survive. Therefore, in cases of uncertainty, regardless of whether it is wind-stroke or Qi-strike, one should initially use *Suhe Xiang Wan* (Styrax Pills), *Shexiang Jian* (Musk Decoction), or *Wu Ji San* (Five Accumulations Powder). If it is phlegm-strike, use *Rensu Yin*; if it is cold-strike, use *Lizhong Tang*; if it is heat-stroke, use *Baihu Tang*. For confirmed wind-stroke, formulas such as *Sansheng Yin*, *Muxiang Zhusan*, *Paifeng Tang*, *Xuming Tang*, *Fengyin Tang*, large and small *Zhuli* (Bamboo Sap), *Da Bafeng Tang*, *Zhibao Dan*, and *Niuhuang Qingxin Wan* should be used according to the differentiation of cold, heat, deficiency, and excess, ensuring safety. However, this disease accumulates over a long period and does not occur in a single day. Modern patients often complain of ineffectiveness after two or three doses, showing a lack of understanding. Large doses taken over a long period are necessary for efficacy. Mencius said, "For a seven-year illness, seek three-year-old mugwort," which is true!
*Zhibao Dan*, *Suhe Wan*, *Wu Ji San*, *Niuhuang Qingxin Wan* (See previous Wind-Stroke section.)
*(From Heji Ju Fang)* **Paifeng Tang** treats wind-deficiency, damp-cold in men and women, pathogenic factors entering the Zang organs, delirious speech, mental confusion, and wind invading the five Zang organs.
*Dictamni Cortex* (Baixianpi), *Atractylodis Rhizoma* (Baizhu), *Paeoniae Radix Alba* (Baishaoyao), *Cinnamomi Ramulus* (Guixin), *Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Saposhnikoviae Radix* (Fangfeng), *Prunus Armeniaca Semen* (Xingren, peeled and toasted with bran), *Glycyrrhizae Radix et Rhizoma* (Gancao) (each 2 liang);
*Poria* (Baifuling), *Ephedrae Herba* (Mahuang), *Angelicae Dahuricae Radix* (Duohuo) (each 3 liang).
Coarsely crush. Take 5 qian per dose, with 1.5 cups of water and 4 slices of ginger, decoct to 0.8 cup, take at any time.
**Sansheng San** treats apoplexy, coma with loss of consciousness, deviation of the mouth and eyes, hemiplegia, gurgling sounds in the throat, upward congestion of phlegm-Qi. It is suitable regardless of external contraction of wind-cold, internal injury from anger/joy, or deep/floating pulses. It also effectively treats phlegm-jue and Qi-deficiency dizziness.
*Aconiti Kusnezoffii Radix Cruda* (Sheng Nanxing, 1 liang);
*Aconiti Radix* (Sheng Chuanwu, peeled and tip removed);
*Aconiti Lateralis Radix Preparata* (Sheng Fuzi, peeled and navel removed, each 0.5 liang);
*Costi Rhizoma* (Muxiang, 1 fen).
Coarsely crush. Take 0.5 liang per dose, with 2 cups of water and 10 slices of ginger, decoct to 0.6 cup, take warm. If the patient has locked jaw and unconsciousness, use a small amount of *Asari Radix* (Beixixin) and *Gleditsiae Fructus* (Zaojiao) ground into fine powder, or just *Pinelliae Rhizoma* (Banxia) ground into fine powder, insufflate into the nose via a reed tube. Wait for sneezing until the patient slightly regains consciousness, then administer warm medicine. For those with strong Qi, use only 0.5 liang of Nanxing, 1 qian of Muxiang, and 14 slices of ginger, decoct and drink two doses, named *Xingxiang Yin*.
**Rensu Yin** treats phlegm-fluid retention in the chest, blockage of the middle jiao, vomiting of phlegm-saliva, dizziness, epigastric discomfort, palpitations, and hiccups. It also treats phlegm-Qi striking the person, stagnation in joints, limb traction, deviation of the mouth and eyes, hemiplegia, immediate vomiting after eating, headache, fever, resembling Taiyang disease.
**Fuzi Lizhong Tang** treats cold invasion of the five Zang organs, rigidity of the four limbs, aphasia. Historically, a general guarding the border collapsed suddenly while viewing the snow; an accompanying physician administered this medicine, and he recovered after two doses. (See Cold Damage section for both formulas.)
**Jiajian Xiaoxuming Tang** treats sudden severe wind-stroke, loss of consciousness, hemiplegia, deviation of the mouth and eyes, tremors of limbs, slurred speech, limb numbness, mental confusion, heavy vertigo, tendon spasm, and bone/joint pain. It is effective for various wind disorders. For flaccid podagra, long-term use leads to recovery. Patients with chronic wind disorders should take it preventively during cloudy weather or seasonal changes to avoid aphonia. (See Wind-Stroke section.)
**Muxiang Zhusan** treats left paralysis and right hemiplegia, and chronic wind-dampness. This formula regulates Qi, promotes appetite, and relaxes the middle jiao.
*Notopterygii Rhizoma et Radix* (Qianghuo), *Ephedrae Herba* (Mahuang) (each 1 liang);
*Saposhnikoviae Radix* (Fangfeng, 3 fen);
*Atractylodis Rhizoma* (Baizhu), *Citri Reticulatae Pericarpium* (Chenpi), *Poria* (Baifuling), *Angelicae Sinensis Radix* (Danggui), *Chuanxiong Rhizoma* (Chuanxiong), *Achyranthis Bidentatae Radix* (Niuxi), *Aconiti Radix Preparata* (Heifuzi, processed);
*Costi Rhizoma* (Muxiang), *Arecae Semen* (Binglang), *Ginseng Radix* (Renshen), *Aconiti Radix* (Da Chuanwu, processed);
*Alpiniae Katsumadai Semen* (Caodoukou, processed with skin);
*Prunus Armeniaca Semen* (Xingren, peeled and toasted with bran);
*Glycyrrhizae Radix et Rhizoma* (Gancao), *Cinnamomi Ramulus* (Guixin) (each 0.5 liang).
Coarsely crush. Take 4 qian per dose, with 1.5 cups of water and 5 slices of ginger, decoct to 0.8 cup, take hot. Add *Rhei Radix et Rhizoma* (Dahuang) for constipation. Add *Descurainiae Semen et Lepidii Semen* (Kutingli) and *Talcum* (Huashi) for abdominal distension. Add *Pinelliae Rhizoma* (Banxia), *Polyporus* (Chuan Shengma - note: likely Polyporus or similar, text says Chuan Shengma which is Cimicifugae Rhizoma but context suggests resolving phlegm/stagnation, keeping literal translation), *Asparagi Radix* (Tianmendong), *Anemarrhenae Rhizoma* (Zhimu) for upper jiao congestion, cough, and shortness of breath.
**Xiao Fengyin Tang**
*Saposhnikoviae Radix* (Fangfeng), *Angelicae Dahuricae Radix* (Duohuo), *Asari Radix* (Xixin), *Chuanxiong Rhizoma* (Chuanxiong), *Schisandrae Fructus* (Bei Wuweizi), *Poria* (Baifuling), *Ginseng Radix* (Renshen), *Paeoniae Radix Alba* (Baishaoyao), *Atractylodis Rhizoma* (Baizhu), *Glycyrrhizae Radix et Rhizoma* (Gancao) (equal parts).
Coarsely crush. Take 3 qian per dose, with 1 cup of water, 3 slices of ginger, and 5 peeled/crushed *Prunus Armeniaca Semina* (Xingren), decoct to 0.7 cup, strain and take warm.
**Da Fengyin Zi** is this formula plus *Ephedrae Herba* (Mahuang), *Cynomorii Herba* (Rongrong), *Aconiti Radix* (Fuzi), *Angelicae Sinensis Radix* (Danggui), *Saigae Tataricae Cornu* (Lingyangjiao), *Schisandrae Fructus* (Wuweizi).
**Wuyao Shunqi San** treats all types of wind-pathogen attack in men and women, pain in limbs and joints, and generalized numbness. For sudden wind-stroke, limb paralysis, and slurred speech, take this first to unblock Qi flow, then treat according to symptoms with wind-dispelling herbs. (See Wind section.)
**Shenxian Jieyu Dan** treats wind affecting Heart and Spleen meridians, slurred speech, stiff tongue, yin-perturbing pathogens causing internal depression, blocked Heart vessels, and sudden aphonia.
*Aconiti Kusnezoffii Radix Preparata* (Baifuzi, processed);
*Acori Tatarinowii Rhizoma* (Shichangpu);
*Polygalae Radix* (Yuanzhi, heart removed, boiled in Licorice water);
*Gastrodiae Rhizoma* (Tianma);
*Scorpio* (Quanxie, detoxified and fried);
*Notopterygii Rhizoma et Radix* (Qianghuo);
*Bombyx Batryticatus* (Baijiangcan, fried);
*Arisaema cum Bile* (Noudannanxing, each 1 liang);
*Costi Rhizoma* (Muxiang, 0.5 liang).
Grind into fine powder, make pills with paste, size of Sophora seeds. Coat with *Cinnabar* (Chensha). Take 20-30 pills at any time, washed down with Mint tea.
**Sanbi Tang** treats blood and Qi stagnation in women, limb spasms. It treats wind-bi, Qi-bi, etc.
*Cyathulae Radix* (Chuanxuduan);
*Eucommiae Cortex* (Duzhong, stir-fried with Ginger juice);
*Saposhnikoviae Radix* (Fangfeng);
*Cinnamomi Ramulus* (Guixin);
*Asari Radix* (Huayin Xixin);
*Ginseng Radix* (Renshen);
*Poria* (Baifuling);
*Angelicae Sinensis Radix* (Danggui);
*Paeoniae Radix Alba* (Baishaoyao);
*Glycyrrhizae Radix et Rhizoma* (Gancao);
*Gentianae Macrophytae Radix* (Qinjiao);
*Rehmanniae Radix* (Sheng Dihuang);
*Chuanxiong Rhizoma* (Chuanxiong);
*Angelicae Dahuricae Radix* (Chuan Duohuo) (each 0.5 liang);
*Astragali Radix* (Huangqi);
*Achyranthis Bidentatae Radix* (Chuan Niuxi) (each 1 liang).
Grind into powder. Take 5 qian per dose, with 2 cups of water, 3 slices of ginger, and 1 date. Decoct to 1 cup, strain and take hot at any time, preferably when slightly hungry. A case of left arm weakness resolved after full recovery, with finger mobility restored by this formula.
**Wubi Tang** treats wind-cold-dampness invading the skin and muscles in women, leading to limb flaccidity, numbness, and insensitivity.
*Curcumae Longae Rhizoma* (Pianzi Jianghuang);
*Notopterygii Rhizoma et Radix* (Qianghuo);
*Atractylodis Rhizoma* (Baizhu);
*Saposhnikoviae Radix* (Fangfeng);
*Glycyrrhizae Radix et Rhizoma Preparata* (Gancao, honey-fried) (each 1 liang).
Coarsely crush. Take 4 qian per dose, with 7 slices of ginger, decoct. Take after meals for upper body ailments; before meals for lower body ailments.
*Xuming Zhusan*, *Fangfeng Tang*, *Shujing Tang*, *Fuling Wan*, *Duhuo Jisheng Tang* (See Wind section for above formulas.)