论曰中风伤寒,三阳三阴,候各不同,太阳中风,其脉阳浮阴弱,其证发热自汗,盖阳
浮热自发,阴弱汗自出,啬啬恶寒,淅淅恶风, 发热,鼻鸣干呕。又曰,太阳病,发热
汗出脉缓者,名为中风,不可燔灸,若以火发其汗,邪风为火热所劫,血气流溢,营卫失常,
两阳熏灼,其身发黄,阳盛即衄,阴虚即小便难,阴阳俱虚竭,则身体枯燥,但头汗出,齐
颈而还,腹满微喘,口干咽烂,或不大便,久则 语,甚者至哕,手足躁扰,循衣摸床,其
小便利者可治,阳明中风,即阳明病能食为中风,其证口苦咽干腹满,微热恶寒,脉浮若紧,
下之则腹满小便难,少阳中风,两耳无闻,目赤胸中满而烦,不可吐,吐之则悸而惊,太阴
中风,四肢烦疼,其脉阳微阴涩而长,为欲愈,少阴中风,其脉阳微阴浮为欲愈,厥阴中风
,其脉微浮为欲愈,不浮为未愈,凡此六经中风之病,其状虽异,大抵其脉皆浮,经所谓浮
为风是也。
治伤寒太阳中风,脉浮紧,发热恶寒,身痛不汗出而躁烦者。大青龙汤方
麻黄(去根节煮去沫六两) 桂(去粗皮) 甘草(炙锉各二两) 杏仁(去皮尖双仁
四十枚)
石
上五味, 咀,如麻豆大,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣二枚去核,
同煎至八分,去滓温服,取微汗,汗多者,以温粉粉之。
治中风伤寒,阳浮阴弱,阳浮者热自发,阴弱者汗自出,恶寒发热,鼻鸣干呕等疾。桂
枝汤方
桂(去粗皮) 芍药(各三分) 甘草(炙锉半两)
上三味,粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣二枚去核,同煎至一
盏,去滓温服,不拘时,以汗为度,未汗更服,仍作生姜稀粥投之,以助药力。
治中风伤寒。防风汤方
防风(去叉) 麦门冬(去心焙) 山芋 大黄(锉炒) 桂(去粗皮各一两) 白术 白
附子
(炮) 牛膝(去苗酒浸切焙) 半夏(汤洗七遍与生姜等分同捣焙) 芎 肉苁蓉(酒
浸切焙)
黄
上一十五味,粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣二枚去核,同煎
至八分,去滓温服,空心日午临卧各一。
治中风伤寒,头痛四肢 痛,身体沉重。石膏汤方
石膏 甘草(炙) 麻黄(去根节煎掠去沫焙) 桂(去粗皮) 芍药(各二分)
上五味,粗捣筛,每服五钱匕,水一盏半,入生姜一枣大拍碎,煎至八分,去滓空心温
服。
治伤寒巨阳中风,项背强,啬啬恶寒,汗不出。姜附汤方
附子(炮裂去皮脐一两) 干姜(炮) 葛根 甘草(炙锉) 桂(去粗皮各三分) 芍
药(半
两) 麻黄(去根节先煎掠去沫焙一两半)
上七味,锉如麻豆,每服三钱匕,水一盏,入枣二枚去核,同煎至七分,去滓食前温服
取汗,未汗再服。
治中风伤寒,头目四肢疼痛,恶寒干呕。桂附汤方
桂(去粗皮) 芍药(各一两半) 麻黄(去根节先煎掠去沫焙) 甘草(炙各一两) 附
子
(炮裂去皮脐三分)
上五味,锉如麻豆,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣二枚去核,同煎至
八分,去滓食前温服,以热粥投之,取汗避风。
治中风伤寒脉浮紧,发热恶寒,身体疼痛,汗不出而烦。麻黄桂心汤方
麻黄(去根节先煎掠去沫焙二两) 桂(去粗皮) 甘草(炙锉) 干姜(炮各一两) 石
膏
(一两半) 干薄荷叶 杏仁(去皮尖双仁各半两)
上七味,粗捣筛,每服五钱匕,水一盏半,入枣二枚去核,同煎至八分,去滓食前温服。
治中风伤寒,头痛沉重。麻黄汤方
麻黄(去根节先煎掠去沫焙二两) 附子(炮裂去皮脐一两) 细辛(去苗叶) 干姜
(炮各
三分) 甘草(炙锉)杏仁(去皮尖双仁各半两)
上六味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓食前温服,日三。
治中风伤寒,头痛发热,胸中气逆,恶寒呕哕,小便难,足冷。桂心汤方
桂(去粗皮一两) 芍药 附子(炮裂去皮脐) 麻黄(去根节先煎掠去沫焙各三分) 甘
草
(炙
上八味,锉如麻豆,每服三钱匕,水一盏,入葱白三寸,生姜一枣大拍碎,同煎至七分,
去滓食前温服,日三。
治中风伤寒初得,其外证头项疼,腰背强,壮热语涩,恍惚,涕唾稠粘,偏身拘急。桂
枝汤方 桂(去粗皮三分) 芎 半夏(汤洗七遍生姜等分同捣焙) 附子(炮裂去皮脐)
菖
蒲麻黄
上九味,锉如麻豆,每服三钱匕,水一盏,入生姜一枣大拍碎,煎至七分,去滓食前温
服,盖覆取汗。
治中风伤寒,身体反强,天麻汤方
天麻 麻黄(去根节煎掠去沫焙) 羌活(去芦头) 附子(炮裂去皮脐) 桂(去粗
皮各半
两) 杏仁(去皮尖双仁炒) 人参 细辛(去苗叶) 白术(各一分)
上九味,锉如麻豆,每服四钱匕,水一盏,酒半盏,入生姜一枣大拍碎,同煎至八分,
去滓食前温服。
治中风伤寒,头痛四肢烦疼,二附散方
附子(炮裂去皮脐) 白附子(炮) 半夏(汤洗七遍炒干各一分)
上三味,捣罗为散,每服半钱匕。浓煎生姜汤调下,不拘时,得汗即止。
治中风伤寒,头痛恶寒,四肢烦疼,心躁闷,麻黄细辛丸方
麻黄(去根节煎掠去沫焙一两) 细辛(去苗叶) 人参 白茯苓(去黑皮) 甘草(炙
锉)
白术(各半两) 栝蒌根(三分)
上七味,捣罗为末,炼蜜和捣;丸如鸡头大,每服一丸,食前薄荷蜜汤研下。
治中风伤寒初受病,一日至三日,头痛、肢体疼。烦躁恶风,身热憎寒。白术汤方
白术 石膏(各二两) 干姜(炮半两) 五味子(炒) 甘草(炙锉) 人参 芎 麻
黄
(去根节煎掠去沫焙各一两)
上八味,粗捣筛,每服三钱匕。水一盏,生姜三片,枣二枚,同煎至七分,去滓稍热服。
治中风伤寒。壮热肢节疼痛。头目昏眩。咳嗽喘粗。石膏芍药汤方
石膏(碎) 芍药 前胡(去芦头) 葛根 柴胡(去苗各一两) 升麻(半两) 桑
根白皮
(锉) 荆芥穗 黄芩(各三分)
上九味,粗捣筛,每服三钱匕。水一盏,煎至八分。去滓稍热服
治中风伤寒,头目昏眩,壮热肩背拘急疼痛。前胡汤方
前胡(去芦头) 蔓荆实(去白皮) 芎 麻黄(去根节煎掠去沫焙) 甘菊花 防
风(去
叉) 羌活(去芦头) 白茯苓(去黑皮) 石膏(碎) 甘草(炙锉各三两) 枳壳(去
瓤麸炒四
两) 黄芩(一两半)
上一十二味,粗捣筛,每服三钱匕。水一大盏,入生姜二片,煎至七分,去滓温服。
治中风伤寒,头痛体疼,发热恶寒。石膏独活汤方
石膏(碎一两) 麻黄(去根节煎掠去沫焙) 羌活(去芦头) 独活(去芦头) 甘
草(炙锉)
天南星(炮) 青橘皮(去白麸炒) 枳壳(去瓤麸炒) 干姜(炮) 柴胡(去苗) 益
智(去皮)
桂(去粗皮)
上一十二味,粗捣筛,每服三钱匕。水一盏,葱白二寸,豉二七粒,煎至一分。去滓热
服,盖覆出汗。
治中风伤寒,头目昏眩,憎寒壮热,四肢烦倦。荆芥汤方
荆芥穗 木通(各四两) 羌活 芎 甘草(炙) 麻黄(去根节尖掠去沫) 独活
(各一
两)
上每服三钱,水煎温服。
治中风伤寒,百节酸疼。前胡白术汤方
前胡(去芦头) 白术 防风(去叉各二两) 柴胡(去苗) 薰草 白藓皮(各一两
半) 石
膏(
上九味,粗捣筛,每服三钱匕,水一盏。入薄荷五叶,同煎至七分,去滓温服,不拘时。
治中风伤寒,身热头痛;肢体烦疼。百解汤方
前胡(去芦头) 柴胡(去苗) 甜葶苈(微炒) 半夏(汤洗七遍去滑) 麻黄(去
根节汤煮
掠去沫焙) 羌活(去芦头) 独活(去芦头) 桔梗(炒) 人参 陈橘皮(汤浸去白焙)
白术
枳壳(去瓤麸炒) 甘草(炙锉) 白茯苓(去黑皮) 芎 石膏(碎) 杏仁(汤浸去
皮尖双仁
等分)
上一十七味,粗捣筛,每服三钱匕,水一盏,入生姜三片,同煎至七分,去滓温服,不
计时候。
论述说:中风与伤寒,涉及三阳经和三阴经,其脉候表现各不相同。太阳中风证,其脉象为寸部浮、尺部弱,症状表现为发热、自汗出。这是因为阳气浮越则热自发,阴气虚弱则汗自出,伴有怕冷、怕风、发热、鼻鸣、干呕等症状。又说,太阳病中,出现发热、汗出、脉象缓的,称为中风,不可使用燔灸疗法;如果用火法强行发汗,邪风被火热所劫持,导致血气流溢,营卫功能失常,两阳(风邪与火邪)相互熏灼,身体会发黄;阳气盛则发生鼻衄,阴液虚则小便困难;如果阴阳都虚竭,则身体干枯粗糙,仅头部出汗,齐颈而止,腹部胀满、轻微气喘,口干咽烂,或者大便不通,时间久了会出现谵语,严重的甚至出现呃逆,手足躁动不安,循衣摸床(无意识地抓摸衣物和床沿),如果小便通利的还可以治疗。
阳明中风,即阳明病中能进食的属于中风,其症状为口苦、咽干、腹部胀满,微热、恶寒,脉象浮或紧;如果使用下法,会导致腹部胀满、小便困难。
少阳中风,表现为两耳听不见,眼睛红赤,胸中满闷而烦躁,不可使用吐法;如果误用吐法,会导致心悸和惊骇。
太阴中风,表现为四肢烦疼,其脉象寸部微、尺部涩而长,这是将要痊愈的征象。
厥阴中风,其脉象微浮是快要痊愈,不浮则是未愈。大凡这六经的中风病,虽然症状各异,但大体上脉象都是浮的,正如经典所说“浮脉主风”。
治疗伤寒太阳中风证,脉象浮紧,发热恶寒,身体疼痛,无汗且烦躁的方剂:大青龙汤方。
麻黄(去根节,煮去沫,六两) 桂枝(去粗皮) 甘草(炙,锉碎,各二两) 杏仁(去皮尖,双仁者四十枚)
以上五味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,红枣二枚去核,同煎至八分,去渣温服,取微汗;如果汗出过多,用温粉扑身。
治疗中风伤寒,脉象阳浮阴弱,阳浮者热自发,阴弱者汗自出,恶寒发热,鼻鸣干呕等疾病的方剂:桂枝汤方。
桂枝(去粗皮) 芍药(各三分) 甘草(炙,锉碎,半两)
以上三味药,粗捣筛过,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,红枣二枚去核,同煎至一盏,去渣温服,不拘时间,以出汗为度;若未出汗可再服,并喝生姜稀粥以助药力。
治疗中风伤寒的方剂:防风汤方。
防风(去叉) 麦门冬(去心焙干) 山芋 大黄(锉炒) 桂枝(去粗皮,各一两) 白术 白附子(炮制) 牛膝(去苗,酒浸切焙) 半夏(汤洗七遍,与生姜等分同捣焙干) 川芎 肉苁蓉(酒浸切焙) 黄芪
以上十五味药,粗捣筛过,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,红枣二枚去核,同煎至八分,去渣温服,空腹、日中、临卧各服一次。
治疗中风伤寒,头痛四肢疼痛,身体沉重的方剂:石膏汤方。
石膏 甘草(炙) 麻黄(去根节,煎掠去沫焙干) 桂枝(去粗皮) 芍药(各二分)
以上五味药,粗捣筛过,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,煎至八分,去渣空腹温服。
治疗伤寒巨阳中风,项背强直,怕冷,无汗的方剂:姜附汤方。
附子(炮裂去皮脐,一两) 干姜(炮制) 葛根 甘草(炙锉) 桂枝(去粗皮,各三分) 芍药(半两) 麻黄(去根节先煎掠去沫焙干,一两半)
以上七味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,放入红枣二枚去核,同煎至七分,去渣食前温服取汗,若未出汗再服。
治疗中风伤寒,头目四肢疼痛,恶寒干呕的方剂:桂附汤方。
桂枝(去粗皮) 芍药(各一两半) 麻黄(去根节先煎掠去沫焙干) 甘草(炙,各一两) 附子(炮裂去皮脐,三分)
以上五味药,锉碎如麻豆大小,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,红枣二枚去核,同煎至八分,去渣食前温服,喝热粥送服,取汗避风。
治疗中风伤寒脉象浮紧,发热恶寒,身体疼痛,无汗而烦躁的方剂:麻黄桂心汤方。
麻黄(去根节先煎掠去沫焙干,二两) 桂枝(去粗皮) 甘草(炙锉) 干姜(炮制,各一两) 石膏(一两半) 干薄荷叶 杏仁(去皮尖双仁,各半两)
以上七味药,粗捣筛过,每次服用五钱匕,加水一盏半,放入红枣二枚去核,同煎至八分,去渣食前温服。
治疗中风伤寒,头痛沉重的方剂:麻黄汤方。
麻黄(去根节先煎掠去沫焙干,二两) 附子(炮裂去皮脐,一两) 细辛(去苗叶) 干姜(炮制,各三分) 甘草(炙锉) 杏仁(去皮尖双仁,各半两)
以上六味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,煎至七分,去渣食前温服,每日三次。
治疗中风伤寒,头痛发热,胸中气逆,恶寒呕哕,小便难,足冷的方剂:桂心汤方。
桂枝(去粗皮,一两) 芍药 附子(炮裂去皮脐) 麻黄(去根节先煎掠去沫焙干,各三分) 甘草(炙)
以上八味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,放入葱白三寸,生姜一块如枣大拍碎,同煎至七分,去渣食前温服,每日三次。
治疗中风伤寒初得病,外证见头项疼痛,腰背强直,壮热谵语涩滞,神志恍惚,涕唾稠粘,全身拘急的方剂:桂枝汤方。
桂枝(去粗皮,三分) 川芎 半夏(汤洗七遍,与生姜等分同捣焙干) 附子(炮裂去皮脐) 石菖蒲 麻黄
以上九味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,放入生姜一块如枣大拍碎,煎至七分,去渣食前温服,盖被取汗。
治疗中风伤寒,身体反折强直的方剂:天麻汤方。
天麻 麻黄(去根节煎掠去沫焙干) 羌活(去芦头) 附子(炮裂去皮脐) 桂枝(去粗皮,各半两) 杏仁(去皮尖双仁炒) 人参 细辛(去苗叶) 白术(各一分)
以上九味药,锉碎如麻豆大小,每次服用四钱匕,加水一盏,酒半盏,放入生姜一块如枣大拍碎,同煎至八分,去渣食前温服。
治疗中风伤寒,头痛四肢烦疼的方剂:二附散方。
附子(炮裂去皮脐) 白附子(炮制) 半夏(汤洗七遍炒干,各一分)
以上三味药,捣罗成散剂,每次服用半钱匕,用浓煎的生姜汤调服,不拘时间,得汗即止。
治疗中风伤寒,头痛恶寒,四肢烦疼,心躁闷的方剂:麻黄细辛丸方。
麻黄(去根节煎掠去沫焙干,一两) 细辛(去苗叶) 人参 白茯苓(去黑皮) 甘草(炙锉) 白术(各半两) 栝蒌根(三分)
以上七味药,捣罗成末,炼蜜和药捣匀;制成如鸡头米大小的丸剂,每次服用一丸,食前用薄荷蜜汤研化送服。
治疗中风伤寒初受病,一日至三日,头痛、肢体疼痛,烦躁恶风,身热憎寒的方剂:白术汤方。
白术 石膏(各二两) 干姜(炮制,半两) 五味子(炒) 甘草(炙锉) 人参 川芎 麻黄(去根节煎掠去沫焙干,各一两)
以上八味药,粗捣筛过,每次服用三钱匕,加水一盏,生姜三片,红枣二枚,同煎至七分,去渣稍热服。
治疗中风伤寒,壮热肢节疼痛,头目昏眩,咳嗽喘粗的方剂:石膏芍药汤方。
石膏(碎) 芍药 前胡(去芦头) 葛根 柴胡(去苗,各一两) 升麻(半两) 桑根白皮(锉碎) 荆芥穗 黄芩(各三分)
以上九味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至八分,去渣稍热服。
治疗中风伤寒,头目昏眩,壮热肩背拘急疼痛的方剂:前胡汤方。
前胡(去芦头) 蔓荆实(去白皮) 川芎 麻黄(去根节煎掠去沫焙干) 甘菊花 防风(去叉) 羌活(去芦头) 白茯苓(去黑皮) 石膏(碎) 甘草(炙锉,各三两) 枳壳(去瓤麸炒,四两) 黄芩(一两半)
以上十二味药,粗捣筛过,每次服用三钱匕,加大盏水,放入生姜两片,煎至七分,去渣温服。
治疗中风伤寒,头痛体疼,发热恶寒的方剂:石膏独活汤方。
石膏(碎,一两) 麻黄(去根节煎掠去沫焙干) 羌活(去芦头) 独活(去芦头) 甘草(炙锉) 天南星(炮制) 青橘皮(去白麸炒) 枳壳(去瓤麸炒) 干姜(炮制) 柴胡(去苗) 益智(去皮) 桂枝(去粗皮)
以上十二味药,粗捣筛过,每次服用三钱匕,加水一盏,葱白二寸,豉二七粒,煎至一分,去渣热服,盖被出汗。
治疗中风伤寒,头目昏眩,憎寒壮热,四肢烦倦的方剂:荆芥汤方。
荆芥穗 木通(各四两) 羌活 川芎 甘草(炙) 麻黄(去根节尖掠去沫) 独活(各一两)
以上药物,每次服用三钱,加水煎温服。
治疗中风伤寒,百节酸疼的方剂:前胡白术汤方。
前胡(去芦头) 白术 防风(去叉,各二两) 柴胡(去苗) 薰草 白藓皮(各一两半) 石膏
以上九味药,粗捣筛过,每次服用三钱匕,加水一盏,放入薄荷五叶,同煎至七分,去渣温服,不拘时间。
治疗中风伤寒,身热头痛,肢体烦疼的方剂:百解汤方。
前胡(去芦头) 柴胡(去苗) 甜葶苈(微炒) 半夏(汤洗七遍去滑) 麻黄(去根节汤煮掠去沫焙干) 羌活(去芦头) 独活(去芦头) 桔梗(炒) 人参 陈橘皮(汤浸去白焙干) 白术 枳壳(去瓤麸炒) 甘草(炙锉) 白茯苓(去黑皮) 川芎 石膏(碎) 杏仁(汤浸去皮尖双仁,等分)
以上十七味药,粗捣筛过,每次服用三钱匕,加水一盏,放入生姜三片,同煎至七分,去渣温服,不计时候。
Discussion states: Wind-stroke (Zhongfeng) and Cold damage (Shanghan) involve the three Yang meridians and the three Yin meridians, with distinct pulse patterns and symptoms. In Taiyang wind-stroke, the pulse is floating at the cun position and weak at the chi position; symptoms include fever and spontaneous sweating. This occurs because yang qi floating leads to spontaneous heat generation, while yin qi weakness leads to spontaneous sweating. Accompanying symptoms include aversion to cold, aversion to wind, fever, nasal congestion with roaring sound (Biming), and dry retching. It is also stated that in Taiyang disease, if there is fever, sweating, and a slow pulse, it is named wind-stroke. Moxibustion by burning (Fanjiu) should not be used. If fire therapy is employed to force sweating, the pathogenic wind is coerced by fire-heat, causing blood and qi to overflow, and the nutritive (Ying) and defensive (Wei) functions to become abnormal. The mutual scorching of two yangs (wind and fire) causes jaundice; excess yang leads to epistaxis, while yin deficiency leads to difficult urination. If both yin and yang are depleted, the body becomes dry and rough, with sweating only on the head up to the neck, abdominal fullness, slight wheezing, dry mouth, and rotting throat. There may be constipation; over time, delirium (Yuyu) may occur. Severe cases may present with hiccups (Hui), restlessness of hands and feet, and unconscious grasping at clothes and bed rails (Xunyimochuang). If urination is free, the condition is treatable.
Yangming wind-stroke refers to Yangming disease where the patient can eat. Symptoms include bitter taste in the mouth, dry throat, abdominal fullness, slight fever, aversion to cold, and a floating or tight pulse. If purgation is used, it leads to abdominal fullness and difficult urination.
Shaoyang wind-stroke presents with deafness, red eyes, chest fullness with irritability. Emesis should not be induced; if done, it causes palpitations and fright.
Taiyin wind-stroke presents with painful heaviness in the four limbs. The pulse is faint at the cun position, choppy yet long at the chi position, indicating impending recovery.
Shaoyin wind-stroke has a faint pulse at the cun position and a floating pulse at the chi position, also indicating impending recovery.
Jueyin wind-stroke has a slightly floating pulse indicating impending recovery; if not floating, it indicates non-recovery. Generally, for these six-meridian wind-stroke diseases, although symptoms vary, the pulse is predominantly floating, as the classics state "floating indicates wind."
Formula for treating Taiyang wind-stroke in Cold damage, with floating-tight pulse, fever, aversion to cold, body pain, anhidrosis, and irritability: Da Qinglong Tang (Major Blue Green Dragon Decoction).
Ephedrae Herba (Mahuang, 麻黄) [6 liang, roots and joints removed, boiled to remove foam]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [2 liang, roasted and cut]
Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [40 seeds, skin and tips removed, double-kernel]
The above five herbs are chopped like hemp or bean grains. Take 5 qianbi per dose. Add 1.5 sheng of water, one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed, and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 8/10 volume, strain, and take warm. Aim for mild sweating. If sweating is excessive, apply warm powder to the body.
Formula for treating wind-stroke and Cold damage with floating-yang/weak-yin pulse, spontaneous heat and sweating, aversion to cold and fever, nasal roaring, and dry retching: Guizhi Tang (Cinnamon Twig Decoction).
Cinnamomi Ramulus (Guizhi, 桂枝) [3 fen, bark removed]
Paeoniae Radix Alba (Baishao, 芍药) [3 fen]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [0.5 liang, roasted and cut]
The above three herbs are coarsely pounded and sieved. Take 5 qianbi per dose. Add 1.5 sheng of water, one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed, and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 1 sheng, strain, and take warm. Time is not restricted; stop when sweating occurs. If no sweat, administer again. Drink thin ginger congee to assist the medicinal power.
Formula for treating wind-stroke and Cold damage: Fangfeng Tang (Saposhnikovia Decoction).
Saposhnikoviae Radix (Fangfeng, 防风) [forks removed]
Ophiopogonis Tuber (Mendong, 麦门冬) [heart removed, roasted]
Dioscoreae Rhizoma (Shanyu, 山芋)
Rhei Radix et Rhizoma (Dahuang, 大黄) [cut and stir-fried]
Cinnamomi Ramulus (Guizhi, 桂枝) [1 liang, bark removed]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Aconiti Kusnezoffii Radix (Baifuzi, 白附子) [processed]
Achyranthis Bidentatae Radix (Niuxi, 牛膝) [roots removed, wine-soaked, cut, roasted]
Pinelliae Tuber (Banxia, 半夏) [washed in hot water seven times, pounded with equal amount of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and roasted]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Cynomorii Herba (Roucongrou, 肉苁蓉) [wine-soaked, cut, roasted]
Astragali Radix (Huangqi, 黄芪)
The above fifteen herbs are coarsely pounded and sieved. Take 5 qianbi per dose. Add 1.5 sheng of water, one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed, and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 8/10 volume, strain, and take warm. Doses taken on an empty stomach, at noon, and before sleep.
Formula for treating wind-stroke and Cold damage with headache, limb pain, and heavy body: Shigao Tang (Gypsum Decoction).
Gypsum Fibrosum (Shigao, 石膏)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted]
Ephedrae Herba (Mahuang, 麻黄) [roots/joints removed, boiled to remove foam, roasted]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
Paeoniae Radix Alba (Baishao, 芍药) [2 fen each]
The above five herbs are coarsely pounded and sieved. Take 5 qianbi per dose. Add 1.5 sheng of water, one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed. Decoct to 8/10 volume, strain, and take warm on an empty stomach.
Formula for treating Taiyang wind-stroke in Cold damage with stiff neck/back, aversion to cold, and anhidrosis: Jiangfu Tang (Ginger and Aconite Decoction).
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [1 liang, processed, peeled, umbilical part removed]
Zingiberis Rhizoma (Ganjiang, 干姜) [processed]
Puerariae Radix (Gegen, 葛根)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Cinnamomi Ramulus (Guizhi, 桂枝) [3 fen, bark removed]
Paeoniae Radix Alba (Baishao, 芍药) [0.5 liang]
Ephedrae Herba (Mahuang, 麻黄) [1.5 liang, roots/joints removed, boiled to remove foam, roasted]
The above seven herbs are cut like hemp or bean grains. Take 3 qianbi per dose. Add 1 sheng of water and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 7/10 volume, strain, and take warm before meals to induce sweating. If no sweat, administer again.
Formula for treating wind-stroke and Cold damage with headache, eye/limb pain, aversion to cold, and dry retching: Guifu Tang (Cinnamon and Aconite Decoction).
Cinnamomi Ramulus (Guizhi, 桂枝) [1.5 liang, bark removed]
Paeoniae Radix Alba (Baishao, 芍药) [1.5 liang]
Ephedrae Herba (Mahuang, 麻黄) [roots/joints removed, boiled to remove foam, roasted]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [1 liang, roasted]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [3 fen, processed, peeled, umbilical part removed]
The above five herbs are cut like hemp or bean grains. Take 5 qianbi per dose. Add 1.5 sheng of water, one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed, and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 8/10 volume, strain, and take warm before meals. Drink hot porridge to induce sweating and avoid wind.
Formula for treating wind-stroke and Cold damage with floating-tight pulse, fever, aversion to cold, body pain, anhidrosis, and irritability: Mahuang Guixin Tang (Ephedra and Cinnamon Heart Decoction).
Ephedrae Herba (Mahuang, 麻黄) [2 liang, roots/joints removed, boiled to remove foam, roasted]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Zingiberis Rhizoma (Ganjiang, 干姜) [1 liang, processed]
Gypsum Fibrosum (Shigao, 石膏) [1.5 liang]
Menthae Haplocalycis Folium (Boheye, 干薄荷叶) [dried]
Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [0.5 liang, skin and tips removed, double-kernel]
The above seven herbs are coarsely pounded and sieved. Take 5 qianbi per dose. Add 1.5 sheng of water and two Jujubae Fructus (Dazao, 大枣) pitted. Decoct to 8/10 volume, strain, and take warm before meals.
Formula for treating wind-stroke and Cold damage with heavy headache: Mahuang Tang (Ephedra Decoction).
Ephedrae Herba (Mahuang, 麻黄) [2 liang, roots/joints removed, boiled to remove foam, roasted]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [1 liang, processed, peeled, umbilical part removed]
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
Zingiberis Rhizoma (Ganjiang, 干姜) [3 fen, processed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [0.5 liang, skin and tips removed, double-kernel]
The above six herbs are cut like hemp or bean grains. Take 3 qianbi per dose. Add 1 sheng of water. Decoct to 7/10 volume, strain, and take warm before meals. Three times daily.
Formula for treating wind-stroke and Cold damage with headache, fever, chest qi rebellion, aversion to cold, vomiting/hiccups, difficult urination, and cold feet: Guixin Tang (Cinnamon Heart Decoction).
Cinnamomi Ramulus (Guizhi, 桂枝) [1 liang, bark removed]
Paeoniae Radix Alba (Baishao, 芍药)
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, peeled, umbilical part removed]
Ephedrae Herba (Mahuang, 麻黄) [3 fen, roots/joints removed, boiled to remove foam, roasted]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted]
(The text lists eight flavors but cuts off ingredients after Gancao, implying standard preparation follows).
The above eight herbs are cut like hemp or bean grains. Take 3 qianbi per dose. Add 1 sheng of water, 3 cun of Allii Fistulosi Bulbus (Congbai, 葱白), and one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed. Decoct to 7/10 volume, strain, and take warm before meals. Three times daily.
Formula for early-stage wind-stroke and Cold damage with external signs of headache/neck pain, stiff waist/back, high fever, slurred speech, mental confusion, thick sputum, and generalized stiffness: Guizhi Tang (Cinnamon Twig Decoction).
Cinnamomi Ramulus (Guizhi, 桂枝) [3 fen, bark removed]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Pinelliae Tuber (Banxia, 半夏) [washed in hot water seven times, pounded with equal amount of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and roasted]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, peeled, umbilical part removed]
Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲)
Ephedrae Herba (Mahuang, 麻黄)
The above nine herbs are cut like hemp or bean grains. Take 3 qianbi per dose. Add 1 sheng of water and one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed. Decoct to 7/10 volume, strain, and take warm before meals. Cover to induce sweating.
Formula for treating wind-stroke and Cold damage with opisthotonos/stiff body: Tianma Tang (Gastrodia Decoction).
Gastrodiae Rhizoma (Tianma, 天麻)
Ephedrae Herba (Mahuang, 麻黄) [roots/joints removed, boiled to remove foam, roasted]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, peeled, umbilical part removed]
Cinnamomi Ramulus (Guizhi, 桂枝) [0.5 liang, bark removed]
Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [stir-fried, skin/tips removed, double-kernel]
Panacis Ginseng Radix (Renshen, 人参)
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [1 fen each]
The above nine herbs are cut like hemp or bean grains. Take 4 qianbi per dose. Add 1 sheng of water and 0.5 sheng of wine. Add one date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) smashed. Decoct to 8/10 volume, strain, and take warm before meals.
Formula for treating wind-stroke and Cold damage with headache and painful limbs: Er Fu San (Two Aconites Powder).
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, peeled, umbilical part removed]
Aconiti Kusnezoffii Radix (Baifuzi, 白附子) [processed]
Pinelliae Tuber (Banxia, 半夏) [1 fen each, washed in hot water seven times, stir-fried dry]
The above three herbs are pounded into powder. Take half a qianbi per dose. Mix with strong ginger decoction and take orally. Time is not restricted; stop when sweating occurs.
Formula for treating wind-stroke and Cold damage with headache, aversion to cold, painful limbs, and mental restlessness: Mahuang Xixin Wan (Ephedra and Asari Pill).
Ephedrae Herba (Mahuang, 麻黄) [1 liang, roots/joints removed, boiled to remove foam, roasted]
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
Panacis Ginseng Radix (Renshen, 人参)
Poria (Fuling, 白茯苓) [black skin removed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [0.5 liang each]
Trichosanthis Radix (Gualougen, 栝蒌根) [3 fen]
The above seven herbs are pounded into fine powder, mixed with refined honey, and kneaded into pills the size of chicken heads. Take one pill per dose before meals, dissolved in mint-honey water.
Formula for early-stage wind-stroke and Cold damage (1-3 days) with headache, limb pain, irritability, aversion to wind, and fever/chills: Baizhu Tang (Atractylodes Decoction).
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Gypsum Fibrosum (Shigao, 石膏) [2 liang each]
Zingiberis Rhizoma (Ganjiang, 干姜) [0.5 liang, processed]
Schisandrae Fructus (Wuweizi, 五味子) [stir-fried]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Panacis Ginseng Radix (Renshen, 人参)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Ephedrae Herba (Mahuang, 麻黄) [1 liang each, roots/joints removed, boiled to remove foam, roasted]
The above eight herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add 1 sheng of water, three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and two Jujubae Fructus (Dazao, 大枣). Decoct to 7/10 volume, strain, and take slightly warm.
Formula for treating wind-stroke and Cold damage with high fever, joint pain, dizziness, cough, and coarse breathing: Shigao Shaoyao Tang (Gypsum and Peony Decoction).
Gypsum Fibrosum (Shigao, 石膏) [crushed]
Paeoniae Radix Alba (Baishao, 芍药)
Peucedani Radix (Qianhu, 前胡) [rhizome removed]
Puerariae Radix (Gegen, 葛根)
Bupleuri Radix (Chaihu, 柴胡) [1 liang each, seedlings removed]
Bupleuri Radix (Shengma, 升麻) [0.5 liang]
Morus Cortex (Sangbaipi, 桑根白皮) [cut]
Schizonepetae Spica (Jingjie, 荆芥穗)
Scutellariae Radix (Huangqin, 黄芩) [3 fen each]
The above nine herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add 1 sheng of water. Decoct to 8/10 volume, strain, and take slightly warm.
Formula for treating wind-stroke and Cold damage with dizziness, high fever, stiff/painful shoulders/back: Qianhu Tang (Peucedanum Decoction).
Peucedani Radix (Qianhu, 前胡) [rhizome removed]
Viticis Fructus (Manjingzi, 蔓荆实) [white skin removed]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Ephedrae Herba (Mahuang, 麻黄) [roots/joints removed, boiled to remove foam, roasted]
Chrysanthemi Flos (Juhua, 甘菊花)
Saposhnikoviae Radix (Fangfeng, 防风) [forks removed]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Poria (Fuling, 白茯苓) [black skin removed]
Gypsum Fibrosum (Shigao, 石膏) [crushed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [3 liang each, roasted and cut]
Aurantii Fructus Immaturus (Zhike, 枳壳) [4 liang, pulp removed, bran-roasted]
Scutellariae Radix (Huangqin, 黄芩) [1.5 liang]
The above twelve herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add one large sheng of water and two slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct to 7/10 volume, strain, and take warm.
Formula for treating wind-stroke and Cold damage with headache, body pain, fever, and aversion to cold: Shigao Duhuo Tang (Gypsum and Angelica Pubescens Decoction).
Gypsum Fibrosum (Shigao, 石膏) [1 liang, crushed]
Ephedrae Herba (Mahuang, 麻黄) [roots/joints removed, boiled to remove foam, roasted]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Angelicae Pubescentis Radix (Duhuo, 独活) [rhizome removed]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Arisaematis Rhizoma (Tiannanxing, 天南星) [processed]
Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) [white part removed, bran-roasted]
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, bran-roasted]
Zingiberis Rhizoma (Ganjiang, 干姜) [processed]
Bupleuri Radix (Chaihu, 柴胡) [seedlings removed]
Alpiniae Oxyphyllae Fructus (Yizhi, 益智) [skin removed]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
The above twelve herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add 1 sheng of water, 2 cun of Allii Fistulosi Bulbus (Congbai, 葱白), and 14 grains of Glycines Sojae Preparata (Chidou, 豉). Decoct to 1/10 volume, strain, and take hot. Cover to induce sweating.
Formula for treating wind-stroke and Cold damage with dizziness, chills/high fever, and limb fatigue: Jingjie Tang (Schizonepeta Decoction).
Schizonepetae Spica (Jingjie, 荆芥穗)
Akebiae Caulis (Mutong, 木通) [4 liang each]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted]
Ephedrae Herba (Mahuang, 麻黄) [tips removed, foam skimmed]
Angelicae Pubescentis Radix (Duhuo, 独活) [1 liang each]
Take 3 qian per dose, decoct in water, and take warm.
Formula for treating wind-stroke and Cold damage with soreness/pain in all joints: Qianhu Baizhu Tang (Peucedanum and Atractylodes Decoction).
Peucedani Radix (Qianhu, 前胡) [rhizome removed]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Saposhnikoviae Radix (Fangfeng, 防风) [2 liang each, forks removed]
Bupleuri Radix (Chaihu, 柴胡) [seedlings removed]
Agastachis Herba (Xuncao, 薰草)
Phellodendri Cortex (Baixianpi, 白藓皮) [1.5 liang each]
Gypsum Fibrosum (Shigao, 石膏)
The above nine herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add 1 sheng of water and five leaves of Menthae Haplocalycis Folium (Bohe, 薄荷). Decoct to 7/10 volume, strain, and take warm. Time is not restricted.
Formula for treating wind-stroke and Cold damage with fever, headache, and limb pain: Baijie Tang (Hundred Resolutions Decoction).
Peucedani Radix (Qianhu, 前胡) [rhizome removed]
Bupleuri Radix (Chaihu, 柴hu) [seedlings removed]
Descurainiae Semen Lepidii Semen (Tingli, 甜葶苈) [lightly stir-fried]
Pinelliae Tuber (Banxia, 半夏) [washed in hot water seven times, slime removed]
Ephedrae Herba (Mahuang, 麻黄) [boiled in water, foam skimmed, roasted]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Angelicae Pubescentis Radix (Duhuo, 独活) [rhizome removed]
Platycodonis Radix (Jiegeng, 桔梗) [stir-fried]
Panacis Ginseng Radix (Renshen, 人参)
Citri Reticulatae Pericarpium (Chenpi, 陈橘皮) [soaked in water, white part removed, roasted]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, bran-roasted]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and cut]
Poria (Fuling, 白茯苓) [black skin removed]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Gypsum Fibrosum (Shigao, 石膏) [crushed]
Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [soaked in water, skin/tips removed, double-kernel, equal parts]
The above seventeen herbs are coarsely pounded and sieved. Take 3 qianbi per dose. Add 1 sheng of water and three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct to 7/10 volume, strain, and take warm. Time is not restricted.