中风得之大病，死多生少。治痰先顺气，气顺痰自利；治风先治血，血行风自灭。
中脏者难治，中腑者易治，脉俱来而缓，口开遗尿，手撒发直，目吊喉鼾，肉脱头窜，
汗出如珠，皆难治也。卒然不知人事，心虽明而口舌不言，三四月不死，用皂角、生半夏末吹鼻
待其苏后，或半夏末、姜汁灌之，即吐痰涎，舌可动摇。大便不通，用蜜枣下行，其气自生
中风元气不足，保元加附子为主，血虚加补血药，气虚加补气药，痰甚加消痰药，随证
加减治之，或小续命汤亦可。
中风大抵自吐者不治，遗尿不治，脉弦滑洪大者，皆难治也。
中风后多烦躁，是气虚不生血，心无血养故耳。
似中风之证，其类不一。要皆阳气闭塞，浊火冒明所致。盖气行则脉行，脉行则五官正
，气
舌邪，滞于肾则耳邪，滞于肺则鼻邪，滞于脾则口邪。故初滞以七气汤之类以理其气，后则
随
半身不遂，须分左右，俱用十全大补汤。初起必加羌活、防风三五帖。在左用气中之血
药，
药，俱以此汤调理，丸、药用补中益气汤加减。
半身不遂，左为气中之血，盖左关肝木，为升生之气，肝木生心火，心主血，故曰气中
之血也。右为血中之气，盖右关脾土，为生血之
原，土生肺金，肺主气，故曰血中之气也。其所以不遂者，皆因肝血枯而生风动火也，宜养
中风是由严重疾病引发的，死亡多而存活少。治疗痰证首先要顺气，气机顺畅则痰自消；治疗风证首先要治血，血液运行通畅则风邪自灭。
病邪深入内脏的难以治疗，病邪在六腑的容易治疗。如果脉象来势缓弱，出现口开合不拢、遗尿、手松无力、头发直、眼睛上翻、喉间有鼾声、肌肉消瘦、头部后仰、汗出如珠等症状，都属于难治之症。突然神志不清，心里虽然明白但舌头僵硬不能说话，若三四月内不死，可用皂角、生半夏粉末吹入鼻腔，等待其苏醒后，或用半夏粉末、姜汁灌服，即可吐出痰涎，舌头可以活动。大便不通畅，用蜜枣通便，元气自然恢复。
中风因元气不足，以保元汤加附子为主方；血虚加补血药，气虚加补气药，痰盛加消痰药，根据症状加减治疗，或者用小续命汤也可以。
中风患者如果呕吐剧烈者不治，遗尿者不治，脉象弦滑洪大者，都属难治。
所谓“似中风”的证候，种类不一。总之都是阳气闭塞，浊火扰乱神明所致。气行则脉行，脉行则五官功能正常。气滞于肝则目疾，滞于肾则耳疾，滞于肺则鼻疾，滞于脾则口疾。所以初期气滞用七气汤之类调理气机，后期则随……（原文此处中断）
半身不遂，必须区分左右，均使用十全大补汤。初起时必加羌活、防风服用三五剂。左侧病变用理气中之血的药物，右侧病变用理血中之气的药物，均以此汤调理，丸药、散药用补中益气汤加减。
半身不遂，左侧属于气中之血，因为左关脉对应肝木，是升发生发之气，肝木生心火，心主血，所以称为气中之血。右侧属于血中之气，因为右关脉对应脾土，是生血的源头，土生肺金，肺主气，所以称为血中之气。之所以导致半身不遂，都是因为肝血枯竭而生风动火，适宜养……（原文此处中断）
Stroke resulting from severe illness has a high mortality rate and low survival rate. In treating phlegm, one must first regulate Qi; when Qi flows smoothly, phlegm dissipates spontaneously. In treating wind, one must first nourish Blood; when Blood circulates freely, wind extinguishes itself.
When the pathogen affects the Zang organs (Viscera), it is difficult to treat; when it affects the Fu organs (Hollow organs), it is easier to treat. If the pulse is slow and weak, accompanied by an open mouth, urinary incontinence, relaxed hands, stiff neck, upward rolling of eyes, snoring in the throat, emaciation, retroflexion of the head, and sweat droplets like pearls, these are all signs of difficult-to-treat conditions. Sudden loss of consciousness with mental clarity but inability to speak due to tongue stiffness: if the patient survives three to four months, blow powder made of Sichuan Bayberry Fruit (Glaucophyllum Fructus) and Raw Pinellia Rhizome into the nose. After regaining consciousness, administer Raw Pinellia Rhizome powder mixed with Ginger Juice to induce vomiting of phlegm and saliva, allowing the tongue to move again. For constipation, use honeyed dates to promote bowel movement, which will help restore Qi.
For stroke caused by deficiency of Yuan Qi (Original Qi), Baoyuan Decoction (Preserve Origin Decoction) with added Aconite Lateral Root (Prepared) is the main formula. Add blood-nourishing herbs for Blood deficiency, Qi-tonifying herbs for Qi deficiency, and phlegm-resolving herbs for excessive phlegm, modifying according to symptoms. Xiaoxuming Tang (Minor Continuation of Life Decoction) may also be used.
In stroke, patients who vomit profusely or suffer from urinary incontinence are considered untreatable. Those with wiry, slippery, forceful, or large pulses are also difficult to treat.
Restlessness after stroke is due to Qi deficiency failing to generate Blood, leaving the Heart without sufficient Blood nourishment.
The syndrome resembling stroke varies in type. Essentially, it is caused by the obstruction of Yang Qi and the disturbance of Ming (Spirit/Mind) by turbid fire. When Qi moves, vessels flow, and the five sense organs function correctly. Stagnation in the Liver causes eye disorders; stagnation in the Kidney causes ear disorders; stagnation in the Lung causes nasal disorders; stagnation in the Spleen causes oral disorders. Therefore, initially, Qi stagnation is regulated using formulas like Seven Qi Decoction (Seven-Air Decoction); subsequently... [Text cuts off]
Hemiplegia must be distinguished by left and right sides, generally treated with Shiquan Dabu Decoction (Ten Complete Tonification Decoction). At the onset, add Notopterygium Root (Qianghuo) and Saposhnikovia Root (Fangfeng) for three to five doses. For left-sided hemiplegia, use herbs that regulate Qi within Blood; for right-sided hemiplegia, use herbs that regulate Blood within Qi. All cases should be managed with this decoction, while pills and powders should be based on Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with modifications.
Left-sided hemiplegia is referred to as "Qi within Blood" because the Left Guan position corresponds to Liver Wood, which represents ascending and generating Qi. Liver Wood generates Heart Fire, and the Heart governs Blood, hence "Qi within Blood." Right-sided hemiplegia is referred to as "Blood within Qi" because the Right Guan position corresponds to Spleen Earth, the source of Blood generation. Earth generates Lung Metal, and the Lung governs Qi, hence "Blood within Qi." The cause of immobility is primarily Liver Blood exhaustion leading to internal wind and stirring of fire; treatment should focus on nourishing... [Text cuts off]