论曰藏真散于肝。肝藏筋膜之气。筋为肝所养。筋得其养。则俯仰屈伸。莫或乖戾。若
经络
正
数
治中风四肢拘挛。百节疼痛。心烦恶寒淅淅。不欲饮食。麻黄汤方
麻黄（去根节先煎掠去沫焙干一两半） 独活（去芦头一两） 细辛（去苗叶） 黄芩
（去黑
上四味。粗捣筛。每服五钱匕。以水二盏。煎至一盏去滓。空心温服。相去如人行五七
里再服。微汗即愈。病在四肢者并服。有热加大黄二分。锉如麻豆。用醋炒令紫色。腹满加
枳壳二分。去瓤麸炒。气逆加人参二分。胁下悸满加牡蛎灰二分。渴加栝蒌根二分。素有寒
加附子一枚。炮裂去皮脐。
治中风四肢拘挛。筋急浮肿。防己汤方
防己（一两半锉） 白茯苓（去黑皮） 桑根白皮（炙锉各二两） 桂（去粗皮） 芎
（各一
上八味。粗捣筛。每服五钱匕。水二盏。入大枣二枚劈破。煎至一盏。去滓温服。相去
如人
肢者
治中风四肢拘挛筋急。风行在皮肤。身体牢强。服之令人不虚。麻子仁汤方
麻子仁（一升捣研） 防风（去叉一两） 麻黄（去节先煎掠去沫焙干一两半） 陈橘
皮（汤
上七味。粗捣筛。每服五钱匕。水二盏。入竹叶七片。生姜半分切。葱白一寸。同煎至
一盏
吃
治中风四肢拘挛。舌强不能语。精神恍惚。人参汤方
人参（三分） 麻黄（去节先煎掠去沫焙干一两半） 石膏（二两半捣碎） 芍药（三
分） 芎
两） 杏仁（汤退
上一十味。锉如麻豆。每服五钱匕。水二盏。入生姜半分切。煎至一盏。去滓温服。空
心一
同煎
治中风四肢拘挛筋急。或缓纵不随。骨肉疼痛。羸瘦眩闷。或腰背强直。或心忪虚悸。
怵惕不安。服诸汤汗出后。又觉虚困。病仍未痊。急服羌活汤方
羌活（去芦头三两） 防风（去叉三分） 人参（三两） 白茯苓（去黑皮四两） 芎
（二两）
先煎掠去沫焙干） 桂（
加皮（二两半） 丹参（二两）
上一十六味。锉如麻豆。每服五钱匕。水二盏。枣二枚劈破。生姜半枣大切。同煎至一
盏。去滓温服。空心晚食前各一服。若病者有热。即去桂加葛根一两、锉。白藓皮一两炙锉
。四肢疼痛痿弱挛急。加当归切焙。细辛去苗叶。各二两。
治中风四肢拘挛。急强疼痛。口燥咽干。舌上白屑。兼理寒冷风湿风毒。肢节挛急。及
胸胁腰背心腹暴痛。不可转侧。防己麻黄汤方
防己（一两一分） 麻黄（去节先煎掠去沫焙干一两） 浓朴（去粗皮涂生姜汁炙五遍
一两半） 独活（去芦头一两） 芎 （三分） 石膏（一两一分捣） 秦艽（去苗土三分）
牛膝（酒浸
（炙锉三分）
上一十二味。粗捣筛。每服五钱匕。水二盏。煎至一盏。去滓温服。日三夜一服。不拘
时候。咳嗽者加杏仁一两。汤退去皮尖双仁同捣。
治中风筋脉挛急。腰膝无力。杜仲饮方
杜仲（去粗皮炙锉一两半） 芎 （一两） 附子（炮裂去皮脐半两）
上三味。锉如麻豆。每服五钱匕。水二盏。入生姜一枣大拍碎。煎至一盏。去滓空心温
服。如人行五里再服。汗出慎外风。
治中风四肢拘挛。屈伸不得。附子饮方
附子（两枚大者一枚炮裂去皮脐一枚生用） 桂（去粗皮二两） 麻黄（去节先煎掠去
沫焙
上五味。粗捣筛。每服五钱匕。以水二盏。煎至一盏。去滓温服。相去如人行五里再服
。以衣被盖之。通体有汗即愈。末汗用热生姜葱豉稀粥投之。常服空心临卧服三合甚佳。
治中风四肢挛急。屈伸俯仰甚难。杏仁饮方
杏仁（汤退去皮尖双仁炒半两） 附子（炮裂去皮脐三分） 蜀椒（去目并闭口者炒出
汗一分）
上三味。锉如麻豆。每用五钱匕。以水二盏。煎取一盏去滓。空心分温二服。相去如人
行五里再一服。以衣被盖之。取汗通身瘥。或只在夜并服亦佳。
治中风四肢筋脉拘挛。骨节疼痛少力。天麻丸方
天麻（半两） 蝎梢（微炒） 没药（各一分研） 麻黄（去根节） 地龙（去土炒各
半两） 丹
（研） 自然铜（ 醋
上一十二味。除安息香外。捣研为末。再同研匀。以安息香膏和剂。丸如梧桐子大。每
服不计时候。以薄荷酒下二十丸。忌羊血。有人患手臂不遂。又有患腿膝无力。行步辄倒。
服之并效。素有热人。减乌头一半。
治中风四肢拘挛。筋骨疼痛。乳香丸方
乳香（细研一两） 乌头（炮裂去皮脐半两） 羌活（去芦头一两） 雄黄（细研水飞
过半两）
防风（去叉） 乌蛇
香（细研各一分） 赤箭 牛
上一十七味。捣研为末。再同和匀。炼蜜丸如梧桐子大。每服用豆淋热酒下十丸。如人
行十里再服。
治中风手足筋急。拘挛疼痛。地龙饼子方
地龙（炒） 海蛤 硫黄（研） 乌头（炮裂去皮脐各半两） 鲮鲤甲（炙一两）
上五味。捣研为末。醋煮面糊为丸。如鸡头大。捏作饼子曝干。每用一饼。以葱白裹。
安在
后看
风。
治中风四肢挛急。不得屈伸。身体沉重。行步艰难。骨节烦疼。附子汤方
附子（炮裂去皮脐） 桂（去粗皮） 白术（各二两） 甘草（炙一两）
上四味。 咀。每服三钱匕。水一盏。入枣二枚劈破。生姜三片。同煎至七分去滓。不
计时候稍热服。如有汗出为效。
治风邪客于机关。筋络缩急。肢体拘挛。生犀丸方
生犀（镑） 木香 赤箭 牛膝（去苗酒浸微炙） 芎 天麻（浆水煮一日切作片子
焙干）
仁（微炒） 补
泔浸五日竹刀子切焙）
朴（去粗皮生姜汁炙令香）
（微炮） 白芷 甘草（炙锉各一两）
上二十八味末。别入生龙脑五钱细研。于净盘中搅拌匀。再罗三五遍。须是匀细。炼蜜
搜和得所。入臼中杵约三千下取出。每一两分作三十丸。以麝香油涂手为丸。以瓷器内收盛
。身体昏沉。鼻塞气闷。煎人参汤嚼下二十丸。日三服。不以时候。上膈不利。痰涎忽多。
以龙脑木香汤嚼下二十丸。食后临卧。一日三服。常服茶酒任下。
治筋骨拘急。及软风疼痛。行履不得。酸枣仁煎方
酸枣仁（三两一半生一半炒） 虎骨（酒炙一两半） 海桐皮（锉） 羌活（去芦头各
二两）
石斛（去根）
地黄（焙） 酥（各一两）
上一十九味。捣罗十七味为末。再研匀。用清酒七斤。先煎桑枝令色黄。去桑枝后下药
末。
日三
治风邪客于机关。筋脉缩急。肢体拘挛。白花蛇丸方
白花蛇（酒浸去骨取肉炙一两） 人参 蝉壳（洗泥土） 干蝎（去土炒） 天麻 白
僵蚕（洗
子（炮裂去皮脐各半两） 野狼毒（三分炮） 生犀（锉末半两） 龙脑（三钱别研） 雄黄
（一两半细研水飞） 甘草
上一十八味。捣罗研匀。炼蜜和丸。如皂子大。每服不拘时候。茶酒任嚼下一粒。
治筋骨拘急。胁下痛不可转侧。天雄丸方
天雄（炮裂去皮脐一两） 桂（去粗皮） 羌活（去芦头） 当归（切焙） 白术（炒）
天麻（
茯苓（去黑皮） 干姜
上一十六味。捣罗为末。炼蜜和丸。如梧桐子大。每服三十丸。空心荆芥酒下。日二服
治筋络拘急。挛缩疼痛。白花蛇散方
白花蛇（酒浸去皮骨炙） 天南星（炮） 天雄（炮裂去皮脐） 白僵蚕（炒） 干蝎
（去土炒） 麻黄（去根节汤煮掠去沫焙各一两） 蜂子 甘草（炙） 干姜（炮各半两）
上九味。捣罗为散研匀。每服二钱匕。温酒调下。
治筋脉中风。四肢拘挛。不得屈伸。手足无力。舒筋丸方
乌头（去皮脐半生半炒一两） 牛膝（酒浸切焙一两） 地龙（去土炒一两） 赤小豆
（二合生为末） 乌药（锉一两）
上五味。捣罗为末。炼蜜和丸。梧桐子大。每服十五丸。盐汤下。不拘时候。
治风气四肢挛搐。乌荆丸方
乌头（炮裂去皮脐一两） 荆芥穗（二两）
上二味。捣罗为末。醋面糊丸。如梧桐子大。每服二十丸。酒或熟水下。有疾食空心日
三四服。无疾早晨一服。
论述说：脏气中的真元之气散布于肝脏。肝主管筋膜之气。筋由肝所滋养。筋得到滋养，就能正常地俯仰、屈伸，不会发生违背常理的僵硬或扭曲。
治疗中风导致四肢拘挛、关节疼痛、心烦怕冷、战栗不适、不想吃东西的方剂：麻黄汤方。
药材：麻黄（去掉根和节，先煎煮并撇去浮沫，焙干一两半）、独活（去掉芦头一两）、细辛（去掉苗叶）、黄芩（去掉黑皮）。
以上四味药，粗捣筛过。每次服用五钱匕，用水两盏，煎至一盏，去渣滓。空腹温服。间隔时间如同人行走五七里路再服一次，微微出汗即痊愈。病在四肢的都服用此方。如果有热象，加大黄二分，锉成麻豆大小，用醋炒至紫色。如果腹部胀满，加枳壳二分，去掉瓤麸炒。如果气逆，加人参二分。如果胁下悸动胀满，加牡蛎灰二分。如果口渴，加栝蒌根二分。素来有寒症的，加附子一枚，炮裂去皮脐。
治疗中风导致四肢拘挛、筋脉紧急浮肿的方剂：防己汤方。
药材：防己（一两半，锉碎）、白茯苓（去掉黑皮）、桑根白皮（炙后锉碎各二两）、桂枝（去掉粗皮）、川芎（各一两）。
以上八味药，粗捣筛过。每次服用五钱匕，水两盏，加入大枣二枚劈破，煎至一盏，去渣滓温服。间隔时间如同人行走……（原文此处残缺）……肢体的病症。
治疗中风导致四肢拘挛筋急，风邪流行在皮肤，身体僵硬强直，服用后使人不虚损的方剂：麻子仁汤方。
药材：麻子仁（一升，捣研）、防风（去掉叉刺一两）、麻黄（去掉节，先煎掠去沫焙干一两半）、陈皮（汤浸……）。
以上七味药，粗捣筛过。每次服用五钱匕，水两盏，加入竹叶七片，生姜半分切段，葱白一寸，同煎至一盏……（原文此处残缺）……吃。
治疗中风导致四肢拘挛、舌体强硬不能说话、精神恍惚的方剂：人参汤方。
药材：人参（三分）、麻黄（去掉节，先煎掠去沫焙干一两半）、石膏（二两半，捣碎）、芍药（三分）、川芎（……两）、杏仁（汤退……）。
以上十味药，锉成麻豆大小。每次服用五钱匕，水两盏，加入生姜半分切段，煎至一盏，去渣滓温服。空腹……（原文此处残缺）……同煎。
治疗中风导致四肢拘挛筋急，或者弛缓无力不能随意运动，骨肉疼痛，消瘦头晕闷乱，或者腰背强直，或者心慌虚悸，恐惧不安。服用各种汤药发汗后，又觉得虚弱困倦，病仍未痊愈，急需服用的方剂：羌活汤方。
药材：羌活（去掉芦头三两）、防风（去掉叉刺三分）、人参（三两）、白茯苓（去掉黑皮四两）、川芎（二两）、……（先煎掠去沫焙干）、桂枝（……加皮二两半）、丹参（二两）。
以上十六味药，锉成麻豆大小。每次服用五钱匕，水两盏，枣二枚劈破，生姜半枣大切，同煎至一盏，去渣滓温服。空腹和晚饭前各服一次。如果病人有热，就去掉桂枝加葛根一两，锉碎；加白藓皮一两，炙后锉碎。如果四肢疼痛痿弱挛急，加当归切后焙干，细辛去掉苗叶，各二两。
治疗中风导致四肢拘挛，紧急强直疼痛，口燥咽干，舌上有白屑，兼治寒冷风湿风毒引起的肢节挛急，以及胸胁腰背心腹突发疼痛，不可转侧的方剂：防己麻黄汤方。
药材：防己（一两一分）、麻黄（去掉节，先煎掠去沫焙干一两）、厚朴（去掉粗皮涂生姜汁炙五遍一两半）、独活（去掉芦头一两）、川芎（三分）、石膏（一两一分，捣碎）、秦艽（去掉苗土三分）、牛膝（酒浸……）、……（炙锉三分）。
以上十二味药，粗捣筛过。每次服用五钱匕，水两盏，煎至一盏，去渣滓温服。白天三次，夜间一次服药，不拘时候。咳嗽者加杏仁一两，汤退去皮尖双仁同捣。
治疗中风导致筋脉挛急，腰膝无力的方剂：杜仲饮方。
药材：杜仲（去掉粗皮炙后锉碎一两半）、川芎（一两）、附子（炮裂去皮脐半两）。
以上三味药，锉成麻豆大小。每次服用五钱匕，水两盏，加入生姜一块如枣大拍碎，煎至一盏，去渣滓空腹温服。如同人行走五里路再服一次。出汗后要慎避外风。
治疗中风导致四肢拘挛，屈伸不得的方剂：附子饮方。
药材：附子（两枚，大的那枚炮裂去皮脐，小的那枚生用）、桂枝（去掉粗皮二两）、麻黄（去掉节，先煎掠去沫焙……）。
以上五味药，粗捣筛过。每次服用五钱匕，水两盏，煎至一盏，去渣滓温服。间隔如同人行走五里路再服一次。用衣被盖住全身，通体出汗即愈。如果没有出汗，用热生姜、葱豉稀粥送服。经常服用时，空腹和睡前各服三合效果很好。
治疗中风导致四肢挛急，屈伸俯仰非常困难的方剂：杏仁饮方。
药材：杏仁（汤退去皮尖双仁炒半两）、附子（炮裂去皮脐三分）、蜀椒（去掉目并闭口的，炒出汗水一分）。
以上三味药，锉成麻豆大小。每次用五钱匕，水两盏，煎取一盏去渣滓。空腹分两次温服。间隔如同人行走五里路再服一次。用衣被盖住，取全身出汗则病愈。或者只在夜间一起服用也很好。
治疗中风导致四肢筋脉拘挛，骨节疼痛少力气的方剂：天麻丸方。
药材：天麻（半两）、蝎梢（微炒）、没药（各一分，研碎）、麻黄（去掉根节）、地龙（去掉土炒各半两）、丹……（研碎）、自然铜（……醋……）。
以上十二味药，除了安息香以外，捣研为末，再同研均匀。用安息香膏调和，制成梧桐子大小的丸子。每次服用不限时候，用薄荷酒送下二十丸。忌食羊血。有人患手臂不遂，还有人患腿膝无力，走路就摔倒，服用此方都有效。素来有热的人，减少乌头用量的一半。
治疗中风导致四肢拘挛，筋骨疼痛的方剂：乳香丸方。
药材：乳香（细研一两）、乌头（炮裂去皮脐半两）、羌活（去掉芦头一两）、雄黄（细研水飞过半两）、防风（去掉叉刺）、乌蛇……香（细研各一分）、赤箭、牛……
以上十七味药，捣研为末，再同和均匀。炼蜜制成梧桐子大小的丸子。每次服用用豆淋热酒送下十丸。如同人行走十里路再服一次。
治疗中风导致手足筋急，拘挛疼痛的方剂：地龙饼子方。
药材：地龙（炒）、海蛤、硫黄（研碎）、乌头（炮裂去皮脐各半两）、鲮鲤甲（炙一两）。
以上五味药，捣研为末，用醋煮面糊做成丸子，如鸡头大，捏成饼子晒干。每次用一饼，用葱白包裹……（原文此处残缺）……后看……风。
治疗中风导致四肢挛急，不得屈伸，身体沉重，行走艰难，骨节烦疼的方剂：附子汤方。
药材：附子（炮裂去皮脐）、桂枝（去掉粗皮）、白术（各二两）、甘草（炙一两）。
以上四味药，咀碎。每次服用三钱匕，水一盏，加入枣二枚劈破，生姜三片，同煎至七分，去渣滓。不限时候，稍热服用。如果有汗出即为见效。
治疗风邪客居于机关（关节），筋络收缩紧急，肢体拘挛的方剂：生犀丸方。
药材：生犀（镑片）、木香、赤箭、牛膝（去掉苗酒浸微炙）、川芎、天麻（浆水煮一日切作片子焙干）、……仁（微炒）、补……（泔浸五日竹刀子切焙）、厚朴（去掉粗皮生姜汁炙令香）、……（微炮）、白芷、甘草（炙锉各一两）。
以上二十八味药研为末，另外加入生龙脑五钱细研，在干净的盘中搅拌均匀，再筛三五遍，必须均匀细腻。炼蜜调和得当，放入臼中杵约三千下取出。每一两分成三十丸，用麝香油涂手搓丸，放在瓷器内收盛。身体昏沉，鼻塞气闷，用人参汤嚼下二十丸，每天三次，不限时候。上膈不利，痰涎忽然增多，用龙脑木香汤嚼下二十丸，食后临卧，一天三次。经常服用茶酒任下。
治疗筋骨拘急，以及软风疼痛，行走不得的方剂：酸枣仁煎方。
药材：酸枣仁（三两一半，一半生一半炒）、虎骨（酒炙一两半）、海桐皮（锉碎）、羌活（去掉芦头各二两）、石斛（去掉根）、……地黄（焙）、酥（各一两）。
以上十九味药，捣罗十七味为末，再研均匀。用清酒七斤，先煎桑枝令颜色变黄，去掉桑枝后下药末……（原文此处残缺）……日三次。
治疗风邪客居于机关，筋脉缩急，肢体拘挛的方剂：白花蛇丸方。
药材：白花蛇（酒浸去骨取肉炙一两）、人参、蝉壳（洗去泥土）、干蝎（去土炒）、天麻、白僵蚕（洗……）、子（炮裂去皮脐各半两）、野狼毒（三分炮）、生犀（锉末半两）、龙脑（三钱别研）、雄黄（一两半细研水飞）、甘草……
以上十八味药，捣罗研匀，炼蜜和丸，如皂子大。每次服用不限时候，茶酒任嚼下一粒。
治疗筋骨拘急，胁下痛不可转侧的方剂：天雄丸方。
药材：天雄（炮裂去皮脐一两）、桂枝（去掉粗皮）、羌活（去掉芦头）、当归（切焙）、白术（炒）、天麻（……）、茯苓（去掉黑皮）、干姜……
以上十六味药，捣罗为末，炼蜜和丸，如梧桐子大。每次服用三十丸，空腹荆芥酒送下，每天两次。
治疗筋络拘急，挛缩疼痛的方剂：白花蛇散方。
药材：白花蛇（酒浸去皮骨炙）、天南星（炮）、天雄（炮裂去皮脐）、白僵蚕（炒）、干蝎（去土炒）、麻黄（去掉根节汤煮掠去沫焙各一两）、蜂子、甘草（炙）、干姜（炮各半两）。
以上九味药，捣罗为散研匀。每次服用二钱匕，温酒调下。
治疗筋脉中风，四肢拘挛，不得屈伸，手足无力的方剂：舒筋丸方。
药材：乌头（去皮脐半生半炒一两）、牛膝（酒浸切焙一两）、地龙（去土炒一两）、赤小豆（二合生为末）、乌药（锉一两）。
以上五味药，捣罗为末，炼蜜和丸，梧桐子大。每次服用十五丸，盐汤送下，不限时候。
治疗风气导致四肢挛搐的方剂：乌荆丸方。
药材：乌头（炮裂去皮脐一两）、荆芥穗（二两）。
以上二味药，捣罗为末，醋面糊丸，如梧桐子大。每次服用二十丸，酒或熟水送下。有病时空腹每天三四次服用，无病时早晨服用一次。
Commentary states: The true qi of the zang organs scatters into the Liver. The Liver stores the qi of the sinews (tendons). Sinews are nourished by the Liver. When sinews receive nourishment, they can flex and extend normally without deviation or stiffness.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, accompanied by pain in all joints, irritability, aversion to cold, shivering, and loss of appetite: Mahuang Tang (Ephedra Decoction).
Herbs: Ephedrae Herba (Mahuang, 麻黄) [1.5 liang, roots and nodes removed, decocted first, foam skimmed, dried], Radix Angelicae Pubescentis (Duhuo, 独活) [1 liang, radix removed], Radix Asari (Xixin, 细辛) [herbs and leaves removed], Radix Scutellariae (Huangqin, 黄芩) [black skin removed].
The above four herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm on an empty stomach. Administer again after a time equivalent to walking five to seven li. Recovery occurs with slight sweating. This formula is taken for diseases located in the four limbs. If there is heat, add 2 fen of Rhizoma Rhei (Dahuang, 大黄), cut like hemp seeds, stir-fried with vinegar until purple. If abdominal fullness exists, add 2 fen of Pericarpium Citri Reticulatae (Zhike, 枳壳), pith removed, stir-fried with bran. If qi rebellion exists, add 3 fen of Radix Ginseng (Renshen, 人参). If palpitations and fullness under the ribs exist, add 2 fen of Concha Ostreae (Muli, 牡蛎). If thirst exists, add 2 fen of Radix Trichosanthis (Gualougen, 栝楼根). For those with chronic cold, add 1 Rhizoma Aconiti Preparatum (Fuzi, 附子), cracked by processing, skin and navel removed.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, urgent sinews, and edema: Fangji Tang (Stephania Decoction).
Herbs: Radix Stephaniae Tetrandrae (Fangji, 防己) [1.5 liang, cut], Sclerotium Poriae Cocos (Baifuling, 白茯苓) [black skin removed], Cortex Morus Radicis (Sangbaipipi, 桑根白皮) [processed and cut, 2 liang each], Ramulus Cinnamomi (Guizhi, 桂枝) [bark removed], Radix Chuanxiong (Chuanxiong, 川芎) [1 liang each].
The above eight herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 zhan of water, include 2 Jujubae Fructus (Dazao, 大枣) split open, decoct until 1 zhan remains, remove dregs, and take warm. The interval... [text missing] ...limbs.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, wind pathogen circulating in the skin, body stiff and strong, which prevents deficiency after taking: Maziren Tang (Cannabis Seed Decoction).
Herbs: Semen Cannabis (Maziren, 麻子仁) [1 sheng, pounded and ground], Ramulus Saposhnikoviae (Fangfeng, 防风) [prickles removed, 1 liang], Ephedrae Herba (Mahuang, 麻黄) [nodes removed, decocted first, foam skimmed, dried, 1.5 liang], Pericarpium Citri Reticulatae (Chenpi, 陈皮) [water-soaked...].
The above seven herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 zhan of water, include 7 leaves of Bambusa Leaves (Zhuye, 竹叶), 0.5 fen of Zingiberis Rhizoma Recens (Shengjiang, 生姜) cut, 1 cun of Allii Fistulosi Bulbus (Congbai, 葱白), decoct together until 1 zhan... [text missing] ...eat.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, tongue stiffness preventing speech, and mental confusion: Renshen Tang (Ginseng Decoction).
Herbs: Radix Ginseng (Renshen, 人参) [3 fen], Ephedrae Herba (Mahuang, 麻黄) [nodes removed, decocted first, foam skimmed, dried, 1.5 liang], Gypsum Fibrosum (Shigao, 石膏) [2.5 liang, crushed], Radix Paeoniae Alba (Shaoyao, 芍药) [3 fen], Radix Chuanxiong (Chuanxiong, 川芎) [... liang], Semen Pruni Armeniacae (Xingren, 杏仁) [water-treated...].
The above ten herbs are cut like hemp seeds. Take 5 qianbi per dose, add 2 zhan of water, include 0.5 fen of Zingiberis Rhizoma Recens (Shengjiang, 生姜) cut, decoct until 1 zhan remains, remove dregs, and take warm. Empty stomach... [text missing] ...decoct together.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, or flaccidity and inability to move voluntarily, bone and muscle pain, emaciation, dizziness and stuffiness, or stiffness of the waist and back, or palpitations and fearfulness. After taking various decoctions and sweating, if one feels weak and fatigued but the disease persists, urgently take this formula: Qianghuo Tang (Notopterygium Decoction).
Herbs: Rhizoma Notopterygii (Qianghuo, 羌活) [radix removed, 3 liang], Ramulus Saposhnikoviae (Fangfeng, 防风) [prickles removed, 3 fen], Radix Ginseng (Renshen, 人参) [3 liang], Sclerotium Poriae Cocos (Baifuling, 白茯苓) [black skin removed, 4 liang], Radix Chuanxiong (Chuanxiong, 川芎) [2 liang], ... [decocted first, foam skimmed, dried], Ramulus Cinnamomi (Guizhi, 桂枝) [cortex added, 2.5 liang], Radix Salviae Miltiorrhizae (Danshen, 丹参) [2 liang].
The above sixteen herbs are cut like hemp seeds. Take 5 qianbi per dose, add 2 zhan of water, include 2 Jujubae Fructus (Dazao, 大枣) split open, half a date-sized piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) cut large, decoct together until 1 zhan remains, remove dregs, and take warm. Take one dose on an empty stomach and one before evening meal. If the patient has heat, remove Ramulus Cinnamomi (Guizhi, 桂枝) and add 1 liang of Radix Puerariae Lobatae (Gegen, 葛根), cut; add 1 liang of Cortex Dictamni (Baixianpi, 白鲜皮), processed and cut. If limbs are painful, atrophic, weak, cramped, and urgent, add Radix Angelicae Sinensis (Danggui, 当归) cut and dried, and Radix Asari (Xixin, 细辛) with herbs and leaves removed, 2 liang each.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs, urgent and strong pain, dry mouth and throat, white debris on the tongue, also managing cold-dampness, wind-cold, and wind-toxin causing joint cramping, as well as sudden pain in the chest, hypochondrium, waist, back, heart, and abdomen making turning difficult: Fangji Mahuang Tang (Stephania and Ephedra Decoction).
Herbs: Radix Stephaniae Tetrandrae (Fangji, 防己) [1 liang 1 fen], Ephedrae Herba (Mahuang, 麻黄) [nodes removed, decocted first, foam skimmed, dried, 1 liang], Cortex Magnoliae Officinalis (Houpo, 厚朴) [bark removed, coated with juice of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and roasted five times, 1.5 liang], Radix Angelicae Pubescentis (Duhuo, 独活) [radix removed, 1 liang], Radix Chuanxiong (Chuanxiong, 川芎) [3 fen], Gypsum Fibrosum (Shigao, 石膏) [1 liang 1 fen, crushed], Radix Gentianae Macrophyllae (Qinjiao, 秦艽) [herbs and soil removed, 3 fen], Radix Achyranthis Bidentatae (Niuxi, 牛膝) [wine-soaked...], ... [processed and cut, 3 fen].
The above twelve herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. Take three times during the day and once at night, regardless of time. If coughing exists, add 1 liang of Semen Pruni Armeniacae (Xingren, 杏仁), water-treated, skin and tips removed, double kernels pounded together.
Formula for treating stroke with sinew cramping, weakness of the waist and knees: Duzhong Yin (Eucommia Drink).
Herbs: Cortex Eucommiae Ulmoidis (Duzhong, 杜仲) [bark removed, processed and cut, 1.5 liang], Radix Chuanxiong (Chuanxiong, 川芎) [1 liang], Rhizoma Aconiti Preparatum (Fuzi, 附子) [cracked by processing, skin and navel removed, 0.5 liang].
The above three herbs are cut like hemp seeds. Take 5 qianbi per dose, add 2 zhan of water, include a piece of Zingiberis Rhizoma Recens (Shengjiang, 生姜) the size of a date smashed, decoct until 1 zhan remains, remove dregs, and take warm on an empty stomach. Administer again after a time equivalent to walking five li. Be cautious of external wind when sweating.
Formula for treating stroke with flaccid paralysis and inability to bend or extend the limbs: Fuzi Yin (Aconite Drink).
Herbs: Rhizoma Aconiti Preparatum (Fuzi, 附子) [two pieces, one large cracked by processing with skin and navel removed, one raw], Ramulus Cinnamomi (Guizhi, 桂枝) [bark removed, 2 liang], Ephedrae Herba (Mahuang, 麻黄) [nodes removed, decocted first, foam skimmed, dried...].
The above five herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. Administer again after a time equivalent to walking five li. Cover with blankets. Recovery occurs with whole-body sweating. If no sweat, administer hot Zingiberis Rhizoma Recens (Shengjiang, 生姜), Congbai (Scallion), and Jiangshi (Fermented Soybean) thin porridge. Regularly taking 3 he on an empty stomach and before sleep is excellent.
Formula for treating stroke with limb cramping, difficulty in bending, extending, flexing, and extending: Xingren Yin (Apricot Kernel Drink).
Herbs: Semen Pruni Armeniacae (Xingren, 杏仁) [water-treated, skin and tips removed, double kernels fried, 0.5 liang], Rhizoma Aconiti Preparatum (Fuzi, 附子) [cracked by processing, skin and navel removed, 3 fen], Fructus Zanthoxyli (Shujiao, 蜀椒) [eyes and closed-mouth ones removed, fried until sweat appears, 1 fen].
The above three herbs are cut like hemp seeds. Use 5 qianbi per dose, add 2 zhan of water, decoct to obtain 1 zhan, remove dregs. Divide warm into two doses on an empty stomach. Administer again after a time equivalent to walking five li. Cover with blankets. Recovery occurs with whole-body sweating. Taking it only at night is also good.
Formula for treating stroke with limb sinew cramping, bone joint pain, and weakness: Tianma Wan (Gastrodia Pill).
Herbs: Rhizoma Gastrodiae (Tianma, 天麻) [0.5 liang], Scorpion Tail (Xeshao, 蝎梢) [lightly fried], Resina Myrrhae (Moyao, 没药) [1 fen each, ground], Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed], Drilus (Dilong, 地龙) [soil removed, fried, 0.5 liang each], Dan... [ground], Pyritum (Ziran Tong, 自然铜) [vinegar...].
The above twelve herbs, except for Resina Benzoini (Anshixiang, 安息香), are pounded and ground into powder, then mixed evenly. Blend with Resina Benzoini paste to form pills the size of Sophora Seeds (Wutongzi, 梧桐子). Take twenty pills at any time, washed down with Bohe Wine (Mint Wine). Avoid sheep blood. It is effective for arm paralysis and leg/knee weakness causing falls. Reduce Rhizoma Aconiti (Wutou, 乌头) by half for those with chronic heat.
Formula for treating stroke with limb cramping and bone/joint pain: Ruxiang Wan (Frankincense Pill).
Herbs: Resina Olibani (Ruxiang, 乳香) [finely ground, 1 liang], Rhizoma Aconiti (Wutou, 乌头) [cracked by processing, skin and navel removed, 0.5 liang], Rhizoma Notopterygii (Qianghuo, 羌活) [radix removed, 1 liang], Realgar (Xionghuang, 雄黄) [finely ground, water-floted, over 0.5 liang], Ramulus Saposhnikoviae (Fangfeng, 防风) [prickles removed], Elap Carinatae (Wushe, 乌蛇)... Xiang (Finely ground, 1 fen each), Chi Jian (Red Arrow/Chi Jian, 赤箭), Niu...
The above seventeen herbs are pounded and ground into powder, then mixed evenly. Blend with refined honey to form pills the size of Sophora Seeds (Wutongzi, 梧桐子). Take ten pills per dose with Doulin Hot Wine (Bean-leavened Hot Wine). Administer again after a time equivalent to walking ten li.
Formula for treating stroke with hand and foot sinew urgency, cramping, and pain: Dilong Bingzi (Earthworm Cake).
Herbs: Drilus (Dilong, 地龙) [fried], Concha Arcae (Haige, 海蛤), Sulfur (Liuhuang, 硫黄) [ground], Rhizoma Aconiti (Wutou, 乌头) [cracked by processing, skin and navel removed, 0.5 liang each], Squama Manitis (Linglijia, 鲮鲤甲) [fried, 1 liang].
The above five herbs are pounded and ground into powder. Boil with vinegar and wheat paste to form pills the size of a cock's head, shaped into cakes, and sun-dried. Use one cake per dose, wrap in Congbai (Scallion White)... [text missing] ...look afterwards... Wind.
Formula for treating stroke with limb cramping, inability to bend or extend, heavy body, difficult walking, and vexatious bone joint pain: Fuzi Tang (Aconite Decoction).
Herbs: Rhizoma Aconiti Preparatum (Fuzi, 附子) [cracked by processing, skin and navel removed], Ramulus Cinnamomi (Guizhi, 桂枝) [bark removed], Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) [2 liang each], Radix Glycyrrhizae Uralensis (Gancao, 甘草) [fried, 1 liang].
The above four herbs are chewed/crushed. Take 3 qianbi per dose, add 1 zhan of water, include 2 Jujubae Fructus (Dazao, 大枣) split open, 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), decoct together until 0.7 zhan remains, remove dregs. Take slightly warm at any time. Sweating indicates efficacy.
Formula for treating wind pathogen lodging in the joints, sinew meridian contraction and urgency, and limb cramping: Shengxi Wan (Raw Rhinoceros Horn Pill).
Herbs: Cornu Rhinocerotis (Shengxi, 生犀) [sliced], Lignum Aquilariae Resinatum (Muxiang, 木香), Chi Jian (Red Arrow/Chi Jian, 赤箭), Radix Achyranthis Bidentatae (Niuxi, 牛膝) [herbs removed, wine-soaked, lightly fried], Radix Chuanxiong (Chuanxiong, 川芎), Rhizoma Gastrodiae (Tianma, 天麻) [boiled in rice wash water for one day, sliced, dried], ... Ren (Lightly fried), Bu... [soaked in rice wash water for five days, cut with bamboo knife, dried], Cortex Magnoliae Officinalis (Houpo, 厚朴) [bark removed, roasted with juice of Zingiberis Rhizoma Recens (Shengjiang, 生姜) until fragrant], ... (Lightly roasted), Radix Angelicae Dahuricae (Baizhi, 白芷), Radix Glycyrrhizae Uralensis (Gancao, 甘草) [fried and cut, 1 liang each].
The above twenty-eight herbs are powdered. Separately add 5 qian of Borneolum Syntheticum (Longnao, 龙脑), finely ground, stir evenly in a clean plate, sieve three to five times to ensure fine uniformity. Blend with refined honey properly, pound in a mortar about three thousand times, take out. Divide each liang into thirty pills. Moisten hands with Moschus Oil (Shexiang You, 麝香油) to shape pills, store in porcelain vessels. For heavy body, nasal congestion, and stifling qi, chew twenty pills with Renshen Tang (Ginseng Decoction), three times daily, regardless of time. For upper jiao obstruction and sudden excess of phlegm-saliva, chew twenty pills with Longnao Muxiang Tang (Borneol and Aquilaria Decoction) after meals and before sleep, three times daily. Regularly take with tea or wine.
Formula for treating sinew and bone urgency, soft wind pain, and inability to walk: Suanzaoren Jian (Sour Jujube Seed Decoction).
Herbs: Semen Ziziphi Spinosae (Suanzaoren, 酸枣仁) [3.5 liang, half raw, half fried], Os Tigris (Hugu, 虎骨) [wine-fried, 1.5 liang], Cortex Semecarpis Anacardii (Haitongpi, 海桐皮) [cut], Rhizoma Notopterygii (Qianghuo, 羌活) [radix removed, 2 liang each], Radix Dendrobii (Shihu, 石斛) [roots removed], ... Dihuang (Fried), Su (Butter/Ghee) [1 liang each].
The above nineteen herbs, seventeen are pounded and sieved into powder, then ground evenly. Use 7 jin of clear wine, first decoct Sangzhi (Mulberry Twig) until yellow, remove mulberry twigs, then add herb powders... [text missing] ...three times daily.
Formula for treating wind pathogen lodging in the joints, sinew meridian contraction and urgency, and limb cramping: Baihuashe Wan (White Spotted Snake Pill).
Herbs: Bungarus multicinctus (Baihuashe, 白花蛇) [wine-soaked, bones removed, meat fried, 1 liang], Radix Ginseng (Renshen, 人参), Periostracum Cicadae (Chanqiao, 蝉壳) [washed clean], Dry Scorpion (Ganxie, 干蝎) [soil removed, fried], Rhizoma Gastrodiae (Tianma, 天麻), Bombyx Batryticatus (Baijiangcan, 白僵蚕) [washed...], Zi (Roasted, skin and navel removed, 0.5 liang each), Rhizoma Stellerae (Yelangdu, 野狼毒) [3 fen, roasted], Cornu Rhinocerotis (Shengxi, 生犀) [cut powder, 0.5 liang], Borneolum Syntheticum (Longnao, 龙脑) [3 qian, separately ground], Realgar (Xionghuang, 雄黄) [1.5 liang, finely ground, water-floted], Radix Glycyrrhizae Uralensis (Gancao, 甘草)...
The above eighteen herbs are pounded, sieved, and ground evenly. Blend with refined honey to form pills the size of soap beans. Take one pill at any time, chewed down with tea or wine.
Formula for treating sinew and bone urgency, hypochondriac pain making turning difficult: Tianxiong Wan (Tianxiong Pill).
Herbs: Rhizoma Aconiti Kusnezoffii (Tianxiong, 天雄) [cracked by processing, skin and navel removed, 1 liang], Ramulus Cinnamomi (Guizhi, 桂枝) [bark removed], Rhizoma Notopterygii (Qianghuo, 羌活) [radix removed], Radix Angelicae Sinensis (Danggui, 当归) [cut and fried], Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) [fried], Rhizoma Gastrodiae (Tianma, 天麻)... Sclerotium Poriae Cocos (Baifuling, 白茯苓) [black skin removed], Rhizoma Zingiberis Recens (Ganjiang, 干姜)...
The above sixteen herbs are pounded and sieved into powder. Blend with refined honey to form pills the size of Sophora Seeds (Wutongzi, 梧桐子). Take thirty pills per dose with Jingjie Wine (Schizonepeta Wine) on an empty stomach, twice daily.
Formula for treating sinew meridian urgency, cramping, contraction, and pain: Baihuashe San (White Spotted Snake Powder).
Herbs: Bungarus multicinctus (Baihuashe, 白花蛇) [wine-soaked, skin and bones removed, fried], Rhizoma Pinelliae Preparatum (Tiannanxing, 天南星) [roasted], Rhizoma Aconiti Kusnezoffii (Tianxiong, 天雄) [cracked by processing, skin and navel removed], Bombyx Batryticatus (Baijiangcan, 白僵蚕) [fried], Dry Scorpion (Ganxie, 干蝎) [soil removed, fried], Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed, boiled in water, foam skimmed, dried, 1 liang each], Bee Larva (Fengzi, 蜂子), Radix Glycyrrhizae Uralensis (Gancao, 甘草) [fried], Rhizoma Zingiberis Recens (Ganjiang, 干姜) [roasted, 0.5 liang each].
The above nine herbs are pounded, sieved, and ground into powder. Take 2 qianbi per dose, mixed with warm wine.
Formula for treating sinew meridian stroke, limb cramping, inability to bend or extend, and limb weakness: Shujin Wan (Relax Sinew Pill).
Herbs: Rhizoma Aconiti (Wutou, 乌头) [skin and navel removed, half raw half fried, 1 liang], Radix Achyranthis Bidentatae (Niuxi, 牛膝) [wine-soaked, cut, fried, 1 liang], Drilus (Dilong, 地龙) [soil removed, fried, 1 liang], Semen Phaseoli Angularis (Xiaochidou, 赤小豆) [2 he, raw, ground], Radix Stemonae (Wuyao, 乌药) [cut, 1 liang].
The above five herbs are pounded and sieved into powder. Blend with refined honey to form pills the size of Sophora Seeds (Wutongzi, 梧桐子). Take fifteen pills per dose with Yantang (Salt Water), regardless of time.
Formula for treating wind qi causing limb cramping and twitching: Wu Jing Wan (Aconite and Schizonepeta Pill).
Herbs: Rhizoma Aconiti (Wutou, 乌头) [cracked by processing, skin and navel removed, 1 liang], Flos Schizonepetae (Jingjiesui, 荆芥穗) [2 liang].
The above two herbs are pounded and sieved into powder. Form pills with vinegar-wheat paste, the size of Sophora Seeds (Wutongzi, 梧桐子). Take twenty pills per dose with wine or cooked water. If ill, take three to four times on an empty stomach daily. If healthy, take once in the morning.