论曰人身血气不足，则所养不周，风邪乘虚，偏中一边，荣卫滞涩，久不已，真气去，
邪气独留，遂致偏枯，其状或冷或痹或痿或不知痛，肌肉偏枯是也，治之以时，则真气可复
，治之后时，则废而不用矣，内经曰汗出偏沮，使人偏枯者以此。
治妇人中风偏枯，手足不随，或冷或痹，桂附汤方
桂（去粗皮） 附子（炮裂去皮脐） 当归（切焙） 人参 茯神（去木） 防风（去
叉） 细辛
活（去芦头各一
上一十二味，锉如麻豆，每服三钱匕，水一盏，入生姜三片，大枣二枚擘破，同煎七分
，去滓温服，空腹食前各一。
治妇人中风偏枯，冷痹无力，不任支持。羌活汤方
羌活（去芦头） 麻黄（去根节煎掠去沫焙） 杏仁（去皮尖双仁炒别研如膏入） 人
参桂
一两）
上一十味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣二枚擘破，同煎七分，去滓
温服日三。
治妇人中风偏枯，手足无力，皮肤冷痹，羚羊角散方
羚羊角屑 麻黄（去根节） 桂（去粗皮） 赤芍药 附子（炮裂去皮脐） 白僵蚕（炒
各一
上八味，捣罗为散，每服二钱匕，生姜薄荷汁化开，温酒调下，日二。
治妇人中风偏枯，肌肉枯瘦，熟干地黄丸方
熟干地黄（焙） 当归（切焙） 萆 防风（去叉） 桂（去粗皮） 干漆（捣碎炒
烟出） 附
两）
上九味，捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大，每服二十丸，食前温酒下。
治妇人半身不随，肌肉偏枯，或言语微涩，或口眼微 ，举动艰辛。椒附酒方
蜀椒（去目并闭口者） 附子（去皮脐） 生干地黄（焙） 当归 牛膝（去苗） 细
辛（去苗
沙羌活（去芦
上一十四味，并生用， 咀，用好酒二斗，浸五日后，不拘时温饮一盏，常觉醺醺为妙
，或病势急，其药即将酒煎沸，乘热投之，候冷即旋饮之，亦得。
治妇人偏枯，半身 痹，举动不随，或缓或急，虎骨丸方
虎胫骨（酥炙） 牛膝（酒浸切焙） 当归（去芦头切焙） 防风（去叉） 赤箭（各
二两） 威
桂（去粗皮） 石
上一十四味，捣罗为末，炼蜜为丸，梧桐子大，每服二十丸，加至三十丸，温酒下。空
腹食前日三。
治妇人偏枯，半身不收，或 痹不仁，或痿弱无力。乌头汤方
乌头（炮裂去皮脐） 细辛（去苗叶） 干姜（炮） 蜀椒（去目并闭口炒出汗各半两）
赤茯
活（去芦头）
上一十四味，锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服、日三。
治妇人偏枯，手足或冷或痛，或不知痛。天雄散方
天雄（炮裂去皮脐） 天麻（酒炙各三分） 天南星（炮裂半两） 桂（去粗皮） 麻
黄（去根
土炒） 白僵蚕
上一十味，捣罗为散，每服二钱匕，温酒调下，不拘时。
论述说：人身上的血气如果不足，那么对身体的滋养就不周全，风邪就会趁着虚弱侵袭身体，偏中一侧，导致营卫之气运行滞涩。如果长期不愈，真气耗散，只有邪气独自留存，于是导致半身不遂（偏枯）。其症状表现有的发冷，有的麻木疼痛，有的痿软无力，有的不知痛痒，这就是肌肉一侧枯萎的现象。如果在适当的时候治疗，真气就可以恢复；如果治疗太晚，肢体就会废用而不再能活动了。《内经》说：“出汗只限于身体的一侧，会导致人半身不遂”，就是这个道理。
治疗妇人中风导致的半身不遂，手足不能随意运动，或者发冷、麻木疼痛的桂附汤方：
桂枝（去除粗皮） 附子（炮制裂开，去除外皮和脐部） 当归（切片焙干） 人参 茯神（去除木质部分） 防风（去除叉状分枝） 细辛
以上十二味药，锉碎得像麻豆大小，每次服用三钱匕，用水一盏，加入生姜三片，大枣两枚掰破，一起煎煮至七分满，滤去药渣，温服，空腹及饭前各服一次。
治疗妇人中风导致的半身不遂，寒冷麻木无力，无法支撑身体的羌活汤方：
羌活（去除芦头） 麻黄（去除根节，煎煮时撇去浮沫，焙干） 杏仁（去皮尖，双仁者炒后单独研成膏状加入） 人参 桂枝
以上十味药，锉碎得像麻豆大小，每次服用三钱匕，用水一盏，生姜三片，大枣两枚掰破，一起煎煮至七分满，滤去药渣，温服，每日三次。
治疗妇人中风导致的半身不遂，手足无力，皮肤寒冷麻木的羚羊角散方：
羚羊角屑 麻黄（去除根节） 桂枝（去除粗皮） 赤芍药 附子（炮制裂开，去除外皮和脐部） 白僵蚕（炒）
以上八味药，捣碎过筛成散剂，每次服用二钱匕，用生姜和薄荷汁化开，温酒调服，每日两次。
治疗妇人中风导致的半身不遂，肌肉枯瘦的熟干地黄丸方：
熟干地黄（焙干） 当归（切片焙干） 萆薢 防风（去除叉状分枝） 桂枝（去除粗皮） 干漆（捣碎炒至烟出） 附子
以上九味药，捣碎过筛成粉末，用炼蜜调和并捣击三二百下，制成梧桐子大小的丸剂，每次服用二十丸，饭前用温酒送下。
治疗妇人半身不遂，肌肉一侧枯萎，或者言语轻微涩滞，或者口眼轻微歪斜，举动艰难。椒附酒方：
蜀椒（去除目及闭口者） 附子（去除皮和脐） 生干地黄（焙干） 当归 牛膝（去除苗） 细辛（去除苗叶） 沙参 羌活（去除芦头）
以上十四味药，全部生用，切碎，用好酒二斗浸泡五天后，不拘时候温饮一盏，常感到微醺为妙。如果病势急迫，可以将药物在酒中煮沸，趁热服用，等冷却后再随时饮用也可以。
治疗妇人半身不遂，半身麻木疼痛，举动不随，或者松弛或者拘急的虎骨丸方：
虎胫骨（酥炙） 牛膝（酒浸后切片焙干） 当归（去除芦头切片焙干） 防风（去除叉状分枝） 天麻（即赤箭，各二两） 威灵仙 桂枝（去除粗皮） 石楠叶
以上十四味药，捣碎过筛成粉末，用炼蜜制成丸剂，梧桐子大小，每次服用二十丸，加量至三十丸，温酒送下。空腹及饭前每日三次。
治疗妇人半身不遂，半身不收摄，或者麻木不仁，或者痿弱无力。乌头汤方：
乌头（炮制裂开，去除外皮和脐部） 细辛（去除苗叶） 干姜（炮制） 蜀椒（去除目及闭口，炒至出汗，各半两） 赤茯苓 羌活（去除芦头）
以上十四味药，锉碎得像麻豆大小，每次服用三钱匕，用水一盏，煎煮至七分满，滤去药渣，温服，每日三次。
治疗妇人半身不遂，手足或者发冷或者疼痛，或者不知痛觉。天雄散方：
天雄（炮制裂开，去除外皮和脐部） 天麻（酒炙，各三分） 天南星（炮制裂开，半两） 桂枝（去除粗皮） 麻黄（去除根节） 土炒白术 白僵蚕
以上十味药，捣碎过筛成散剂，每次服用二钱匕，温酒调服，不拘时候。
It is stated that when the blood and qi of the human body are insufficient, nourishment becomes inadequate. Wind-pathogen takes advantage of this deficiency to strike one side, causing stagnation and涩 (obstruction) in Ying (Nutritive) and Wei (Defensive) Qi. If left untreated for a long time, True Qi departs, leaving only the pathogenic factor, resulting in hemiplegia (Pian Ku). The manifestations may include coldness, numbness, flaccidity, or insensitivity to pain; this is known as unilateral muscle atrophy. If treated in due time, True Qi can be restored; if treatment is delayed, the limbs will become useless and immobile. The *Nei Jing* states: "Sweating on only one side leads to hemiplegia," which refers to this condition.
**Guifu Tang (Cinnamon Twig and Aconite Decoction)** for treating women with stroke-induced hemiplegia, where hands and feet cannot move freely, accompanied by coldness or numbness:
*Cassiae Ramulus* (Guizhi, remove coarse bark), *Aconiti Lateralis Radix Praeparata* (Fuzi, processed until cracked, remove skin and umbilicus), *Angelicae Sinensis Radix* (Danggui, slice and dry-roast), *Ginseng Radix* (Renshen), *Poria Cum Radix Xylomi* (Fushen, remove wood), *Saposhnikoviae Radix* (Fangfeng, remove forked branches), *Asari Radix et Rhizoma* (Xixin).
Twelve ingredients above. Cleave into pieces the size of hemp seeds. Take three qianbi per dose. Add one sheng of water, three slices of fresh ginger, and two broken jujubes. Decoct until reduced to 70%. Strain and take warm. Administer once on an empty stomach and once before meals.
**Qianghuo Tang (Notopterygium Decoction)** for treating women with stroke-induced hemiplegia, cold numbness, weakness, and inability to support the body:
*Notopterygii Rhizoma et Radix* (Qianghuo, remove rhizome head), *Ephedrae Herba* (Mahuang, remove root and nodes, boil and skim foam, dry-roast), *Prunus Armeniaca Semen* (Xingren, remove skin and sharp end, stir-fry double-kernel varieties and grind separately into paste to add), *Ginseng Radix* (Renshen), *Cassiae Ramulus* (Guizhi).
Ten ingredients above. Cleave into pieces the size of hemp seeds. Take three qianbi per dose. Add one sheng of water, three slices of fresh ginger, and two broken jujubes. Decoct until reduced to 70%. Strain and take warm. Three times daily.
**Lingyangjiao San (Antelope Horn Powder)** for treating women with stroke-induced hemiplegia, weakness in hands and feet, and cold numbness of the skin:
*Saigae Tataricae Cornu* (Lingyangjiao xie), *Ephedrae Herba* (Mahuang, remove root and nodes), *Cassiae Ramulus* (Guizhi, remove coarse bark), *Paeve Radix Rubra* (Chishaoyao), *Aconiti Lateralis Radix Praeparata* (Fuzi, processed until cracked, remove skin and umbilicus), *Bombyx Batryticatus* (Baijiangcan, stir-fried).
Eight ingredients above. Pound and sieve into powder. Take two qianbi per dose. Dissolve in juice of fresh ginger and mint, mix with warm wine, and ingest. Twice daily.
**Shudihuang Wan (Prepared Rehmannia Pill)** for treating women with stroke-induced hemiplegia and emaciated muscles:
*Rehmanniae Radix Praeparata* (Shudihuang, dry-roast), *Angelicae Sinensis Radix* (Danggui, slice and dry-roast), *Dioscoreae Hypoglaucae Rhizoma* (Bixie), *Saposhnikoviae Radix* (Fangfeng, remove forked branches), *Cassiae Ramulus* (Guizhi, remove coarse bark), *Resina Taxilli* (Ganqi, crush and stir-fry until smoke appears), *Aconiti Lateralis Radix Praeparata* (Fuzi).
Nine ingredients above. Pound and sieve into powder. Mix with refined honey, pound 200-300 times. Form pills the size of paulownia seeds. Take twenty pills per dose with warm wine before meals.
**Jiaofu Jiu (Pepper and Aconite Wine)** for treating women with hemiplegia, unilateral muscle atrophy, slight speech dysarthria, slight deviation of mouth and eyes, and difficulty in movement:
*Sichuan Pepper* (Shujiao, remove eyes and closed-mouth ones), *Aconiti Lateralis Radix Praeparata* (Fuzi, remove skin and umbilicus), *Rehmanniae Radix* (Shenggan Dihuang, dry-roast), *Angelicae Sinensis Radix* (Danggui), *Achyranthis Bidentatae Radix* (Niuxi, remove sprouts), *Asari Radix et Rhizoma* (Xixin, remove sprouts and leaves), *Adenophorae Radix* (Shashen), *Notopterygii Rhizoma et Radix* (Qianghuo, remove rhizome head).
Fourteen ingredients above. Use all raw materials. Chop coarsely. Soak in two dou of good wine for five days. Drink one zhan warm at any time; feeling slightly intoxicated is ideal. If the condition is acute, boil the medicine in the wine and drink while hot. Alternatively, let it cool and drink as needed.
**Hugu Wan (Tiger Bone Pill)** for treating women with hemiplegia, unilateral numbness and pain, immobility, either flaccid or spastic:
*Tigris Ossis Tibiae* (Hujinggu, roasted with butter), *Achyranthis Bidentatae Radix* (Niuxi, soaked in wine, sliced, and dry-roasted), *Angelicae Sinensis Radix* (Danggui, remove rhizome head, slice, and dry-roasted), *Saposhnikoviae Radix* (Fangfeng, remove forked branches), *Gastrodiae Rhizoma* (Tianma/Chijian, each two liang), *Clematidis Radix et Rhizoma* (Weilingxian), *Cassiae Ramulus* (Guizhi, remove coarse bark), *Nandinae Folium* (Shinanyeye).
Fourteen ingredients above. Pound and sieve into powder. Mix with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose, increasing to thirty pills, with warm wine. Three times daily on an empty stomach and before meals.
**Wutou Tang (Aconite Decoction)** for treating women with hemiplegia, loss of control over half the body, numbness and insensitivity, or flaccidity and weakness:
*Aconiti Radix* (Wutou, processed until cracked, remove skin and umbilicus), *Asari Radix et Rhizoma* (Xixin, remove sprouts and leaves), *Zingiberis Rhizoma* (Ganjiang, processed), *Sichuan Pepper* (Shujiao, remove eyes and closed-mouth ones, stir-fry until sweat appears, each half liang), *Poria* (Chifuling), *Notopterygii Rhizoma et Radix* (Qianghuo, remove rhizome head).
Fourteen ingredients above. Cleave into pieces the size of hemp seeds. Take three qianbi per dose. Add one sheng of water. Decoct until reduced to 70%. Strain and take warm. Three times daily.
**Tianxiong San (Tianxiong Powder)** for treating women with hemiplegia, cold or painful hands and feet, or insensitivity to pain:
*Aconiti Radix Lateralis* (Tianxiong, processed until cracked, remove skin and umbilicus), *Gastrodiae Rhizoma* (Tianma, wine-fried, each three fen), *Arisaematis Rhizoma* (Tian Nanxing, processed until cracked, half liang), *Cassiae Ramulus* (Guizhi, remove coarse bark), *Ephedrae Herba* (Mahuang, remove root and nodes), *Atractylodis Macrocephalae Rhizoma* (Baizhu, stir-fried with soil), *Bombyx Batryticatus* (Baijiangcan).
Ten ingredients above. Pound and sieve into powder. Take two qianbi per dose with warm wine. At any time.