论曰内经谓以春甲乙中风。为肝风。肝风之状。多汗恶风。善悲。嗌干善怒。时憎女子
者。有头目 、两胁痛。行常伛偻。嗜甘如阻妇状者。有但踞坐。不得低头。绕两目连额色
微青。唇青面黄者。治法宜灸肝俞。后以药治之。
治肝脏中风。筋脉拘挛。手足不遂。或缓或急。石膏汤方
石膏（碎一两） 麻黄（去根节煎掠去沫焙干一两半） 芎 芍药 桂（去粗皮） 黄
芩（去黑心） 甘草（炙） 人参 当归（切焙） 防风（去叉各半两） 杏仁（一十五枚
汤浸去皮尖双
上一十一味。粗捣筛。每服五钱匕。水一盏半。生姜半分切片。煎至八分。去滓服空心
。午时夜卧各一服。后吃热生姜葱薤稀粥。取微汗出。慎外风。
治肝脏中风。筋脉拘挛疼痛。排风羌活散方
羌活（去芦头一两半） 天麻（二两） 芎 （一两） 酸枣仁（炒一两半） 鹿角胶
（炙燥一
裂一两） 桂（去
浸炙用肉） 犀角（镑三分
生用）
上一十七味。捣罗为散。空腹以豆淋酒调下一钱匕。渐加至二钱匕。日三夜一。
治肝虚中风。头痛目眩。胸中客热。气壅冲心烦闷。升麻汤方
升麻 前胡（去芦头各一两半） 玄参 地骨皮（各一两） 羚羊角屑 葛根（各二两）
酸
上七味。粗捣筛。每服五钱匕。以水一盏半。煎至八分去滓。入竹沥半合。重煎三两沸
。放温食后服。如人行五六里。更进一服。
治肝虚中风。目眩视物不明。筋肉抽掣。白藓皮汤方
白藓皮 人参（各一分） 芍药 芎 （各三分） 知母（一两） 款冬花（二两） 百
合（一
黑心三分）
上一十一味。粗捣筛。每服五钱匕。以水一盏半。煎至八分去滓。入竹沥半合。重煎一
两沸。放温服。临卧再服。
治肝中风四肢挛急。身体强直。雄黄丸方
雄黄（别研一两） 天南星（生用一两） 续断（一两） 桂（去粗皮一两） 乌头（炮
去皮脐一两） 茵芋（去粗茎半两） 天雄（一半炮裂去皮脐一半生用一两半） 羌活（去
芦头一两）
上一十味。捣罗为末。炼蜜丸如梧桐子大。每服十五丸。温酒下。日三夜二。
治肝脏中风肢体拘急。头痛旋晕。犀角丸方
犀角（镑一两） 独活（去芦头） 芎 羚羊角（镑各一两半） 防风（去叉） 天
麻人参（各一两） 白僵蚕（微炒半两） 天南星（炮去皮脐半两） 干蝎（炒半两） 丹
砂（细研一两）
上一十三味。除研药三味外。捣罗为细末。入研药再罗。炼蜜和丸。如梧桐子大。每服
十五丸。嚼破以荆芥茶清下。食后临卧服。
治肝脏中风筋脉不利。四肢挛痹。天麻丸方
天麻（二两） 苦参（三两） 细辛（去苗叶二两） 菖蒲（二两） 牛膝（酒浸去苗
焙二两半） 赤箭（二两） 附子（炮裂去皮脐一两） 地榆（锉二两） 人参（二两） 芎
（一两） 桂（去
（去叉二两） 当归（切焙二
威灵仙（去土二两） 本（去土二
上二十味。捣罗为细末。炼蜜和丸。如梧桐子大。每服二十丸。温酒下。日二服。不
计时候。
治肝脏中风手足少力。筋脉拘急。骨痛项背强。皮肤瘙痒。口 目眩。羌活散方
羌活（去芦头） 独活（去芦头） 白芷（各一两） 防风（去叉一两半） 蔓荆实 藿
香叶
麻黄（去根
上一十四味。捣罗为散。每服二钱匕。温酒调下。不计时候。
治肝中风肢体不遂。头目昏眩。四肢无力。补虚损。益元阳。天雄散方
天雄（炮裂去皮脐） 山茱萸 桂（去粗皮） 附子（炮裂去皮脐） 秦艽（去苗土） 独
活（
叉）
上一十二味等分。捣罗为散。每服二钱匕。温酒调下。空心日午近晚三服。
治肝脏中风手足麻痹。筋脉拘挛。丹砂丸方
丹砂（别研） 芎 羌活（去芦头） 荆芥 半夏（汤洗去滑生姜汁制捣作饼子焙干
再为末各一两） 白附子（炮） 天南星（炮裂） 干蝎（去土炒各半两）
上八味。捣罗为细末。炼蜜和丸。如梧桐子大。空心食前温酒下十丸。日三服。
治肝风头目 动。筋络拘急。或肢体弛缓不收。天麻丸方
天麻（二两酒浸两宿焙干用） 防风（去叉） 甜瓜子 威灵仙（去苗土各半两） 玄
参（洗
各一钱）
上九味。捣研极细。用蜜四两。河水四盏同熬。及四两已来。将药末一两半。入在蜜内
。更熬三五沸。候冷入余药拌和。杵三五百下。丸如鸡头大。每服一丸。细嚼茶酒下。
论述说：《内经》记载，在春季甲乙日感受风邪，称为肝风。肝风的症状表现，是多汗、怕风，容易悲伤，咽喉干燥，易怒，有时厌恶女性；有的患者头部和眼睛疼痛，两胁疼痛，行走时常弯腰驼背，嗜好吃甜食且姿态像孕妇一样；有的患者只能蹲坐，不能低头，两眼周围及额头颜色微青，嘴唇发青而面色发黄。治疗方法适宜先灸肝俞穴，随后用药治疗。
治疗肝脏中风，筋脉拘挛，手足活动不利，或松弛或紧急的石膏汤方：
石膏（打碎一两） 麻黄（去掉根节，煎煮后撇去浮沫，焙干一两半） 川芎 芍药 桂枝（去掉粗皮） 黄芩（去掉黑心部分） 甘草（炙过） 人参 当归（切片焙干） 防风（去掉叉状分枝，各半两） 杏仁（十五枚，用热水浸泡去皮尖的双仁）
以上十一味药，捣碎筛粗末。每次服用五钱匕，加水一盏半，生姜半分切片，煎至八分满，去渣，空腹服用，中午和睡前各服一次。服药后喝热生姜葱薤稀粥，以微微出汗为宜。注意避免外风侵袭。
治疗肝脏中风，筋脉拘挛疼痛的排风羌活散方：
羌活（去掉芦头一两半） 天麻（二两） 川芎（一两） 酸枣仁（炒制一两半） 鹿角胶（炙燥裂开一两） 桂枝（去掉粗皮，浸炙后用肉） 犀角（镑成薄片三分，生用）
以上十七味药，捣碎过罗成散剂。空腹时用豆淋酒调服一钱匕，逐渐增加至二钱匕，每天三次，夜间一次。
治疗肝虚中风，头痛目眩，胸中客热，气机壅滞冲逆导致心烦闷乱的升麻汤方：
升麻 前胡（去掉芦头，各一两半） 玄参 地骨皮（各一两） 羚羊角屑 葛根（各二两） 酸枣仁
以上七味药，捣碎筛粗末。每次服用五钱匕，加水一盏半，煎至八分满去渣，加入竹沥半合，再煮沸三两次。放温后饭后服用。如果人行走五六里路的时间，再进服一次。
治疗肝虚中风，目眩视物不明，筋肉抽掣的白藓皮汤方：
白藓皮 人参（各一分） 芍药 川芎（各三分） 知母（一两） 款冬花（二两） 百合（去掉黑心部分三分）
以上十一味药，捣碎筛粗末。每次服用五钱匕，加水一盏半，煎至八分满去渣，加入竹沥半合，再煮沸一两滚。放温服用，临睡前再服一次。
治疗肝中风四肢挛急，身体强直的雄黄丸方：
雄黄（单独研磨一两） 天南星（生用一两） 续断（一两） 桂枝（去掉粗皮一两） 乌头（炮制，去掉皮脐一两） 茵芋（去掉粗茎半两） 天雄（一半炮裂去皮脐，一半生用一两半） 羌活（去掉芦头一两）
以上十味药，捣碎过罗成粉末，炼蜜制成梧桐子大小的丸药。每次服用十五丸，温酒送下，白天三次，夜间两次。
治疗肝脏中风肢体拘急，头痛眩晕的犀角丸方：
犀角（镑成薄片一两） 独活（去掉芦头） 川芎 羚羊角（镑成薄片，各一两半） 防风（去掉叉状分枝） 天麻 人参（各一两） 白僵蚕（微炒半两） 天南星（炮制，去掉皮脐半两） 干蝎（炒半两） 丹砂（细研一两）
以上十三味药，除了需要研磨的三种药外，其余捣碎过罗成细末，加入研磨好的药再次过罗。炼蜜和丸，制成梧桐子大小。每次服用十五丸，嚼碎后用荆芥茶清送下，饭后和临睡前服用。
治疗肝脏中风筋脉不利，四肢挛痹的天麻丸方：
天麻（二两） 苦参（三两） 细辛（去掉苗叶二两） 石菖蒲（二两） 牛膝（酒浸泡，去掉苗焙干二两半） 赤箭（二两） 附子（炮裂，去掉皮脐一两） 地榆（锉碎二两） 人参（二两） 川芎（一两） 桂枝（去掉粗皮） 防风（去掉叉状分枝二两） 当归（切片焙干二两） 威灵仙（去土二两） 藁本（去土二两）
以上二十味药，捣碎过罗成细末，炼蜜和丸，制成梧桐子大小。每次服用二十丸，温酒送下，每天两次，不限时候。
治疗肝脏中风手足无力，筋脉拘急，骨痛项背强直，皮肤瘙痒，口眼歪斜目眩的羌活散方：
羌活（去掉芦头） 独活（去掉芦头） 白芷（各一两） 防风（去掉叉状分枝一两半） 蔓荆实 藿香叶 麻黄（去掉根节）
以上十四味药，捣碎过罗成散剂。每次服用二钱匕，温酒调下，不限时候。
治疗肝中风肢体活动不利，头目昏眩，四肢无力，补虚损，益元阳的天雄散方：
天雄（炮裂，去掉皮脐） 山茱萸 桂枝（去掉粗皮） 附子（炮裂，去掉皮脐） 秦艽（去掉苗土） 独活（去掉叉状分枝）
以上十二味药等分，捣碎过罗成散剂。每次服用二钱匕，温酒调下，空腹、中午、近晚三次服用。
治疗肝脏中风手足麻痹，筋脉拘挛的丹砂丸方：
丹砂（单独研磨） 川芎 羌活（去掉芦头） 荆芥 半夏（热水洗去滑腻，生姜汁制，捣作饼子焙干再为末，各一两） 白附子（炮制） 天南星（炮裂） 干蝎（去土炒，各半两）
以上八味药，捣碎过罗成细末，炼蜜和丸，制成梧桐子大小。空腹饭前用温酒送服十丸，每天三次。
治疗肝风头目跳动，筋络拘急，或肢体弛缓不收的天麻丸方：
天麻（二两，酒浸泡两宿焙干使用） 防风（去掉叉状分枝） 甜瓜子 威灵仙（去苗土，各半两） 玄参（洗净）
以上九味药，捣研极细。用蜂蜜四两，河水四盏一同熬煮。等到剩下四两时，将药末一两半放入蜜中。再煮沸三五次。冷却后加入剩余药物拌和，杵捣三五百下。制成鸡头米大小的丸药。每次服用一丸，细细咀嚼后用茶酒送下。
It is stated: The *Neijing* records that contracting wind pathogen on the Jia and Yi days in spring is termed Liver Wind. The manifestations of Liver Wind include excessive sweating, aversion to wind, propensity to sadness, dryness of the throat, irritability, and occasionally an aversion to women; some patients experience pain in the head and eyes, pain in the hypochondrium, a stooping gait, a craving for sweet foods, and a posture resembling that of a pregnant woman; others can only squat, unable to bow their heads, with slightly bluish discoloration around the eyes and forehead, cyanotic lips, and sallow complexion. The treatment method should involve moxibustion at Ganshu (BL18, Liver Shu), followed by herbal medication.
**Shigao Tang (Gypsum Decoction)** for treating Liver Wind affecting the liver organ, characterized by tendon constriction and spasm, paralysis or dysfunction of the hands and feet, which may be flaccid or tense.
Ingredients: Shigao (Gypsum Fibrosum, 1 liang, crushed); Mahuang (Ephedrae Herba, 1.5 liang, roots and nodes removed, decocted, scum skimmed off, dried); Xiong (Ligustici Chuanxiong Rhizoma); Shaoyao (Paeoniae Radix Alba); Guizhi (Cinnamomi Ramulus, 1 liang, bark removed); Huangqin (Scutellariae Radix, 1 liang, black heart removed); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried); Renshen (Panacis Ginseng Radix); Danggui (Angelicae Sinensis Radix, sliced and dried); Fangfeng (Saposhnikoviae Radix, 0.5 liang, forked parts removed); Xingren (Armeniacae Semen Amarum, 15 kernels, soaked in hot water, skin and tips removed, double-kernel).
Preparation: The above eleven ingredients are coarsely crushed and sieved. For administration, take 5 qianbi (approx. 5-7g) per dose, add 1.5 zhan (approx. 300ml) of water, add 0.5 fen (approx. 1.5g) of sliced fresh ginger. Decoct until reduced to 0.8 zhan. Strain and take on an empty stomach, once at noon and once before sleep. After taking the medicine, drink warm porridge made with ginger, green onion, and leek to induce slight sweating. Avoid exposure to external wind.
**Paifeng Qianghuo San (Wind-Expelling Notopterygium Powder)** for treating Liver Wind affecting the liver organ, characterized by tendon constriction and pain.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, 1.5 liang, rhizome removed); Tianma (Gastrodiae Rhizoma, 2 liang); Xiong (Ligustici Chuanxiong Rhizoma, 1 liang); Suanzaoren (Ziziphi Spinosae Semen, stir-fried, 1.5 liang); Lujiaojiao (Corpus Cervi Cornus Colla, roasted until dry and cracked, 1 liang); Guizhi (Cinnamomi Ramulus, 1 liang, bark removed, soaked and roasted, meat used); Xijiao (Rhinocerotis Cornu, shaved into slices, 3 fen, raw use).
Preparation: The above seventeen ingredients are crushed and sifted into a powder. Take 1 qianbi (approx. 1-2g) mixed with Doulinjiu (wine filtered through soybeans) on an empty stomach. Gradually increase the dose to 2 qianbi. Take three times daily and once at night.
**Shengma Tang (Cimicifugae Decoction)** for treating Liver deficiency with Wind invasion, characterized by headache, vertigo, guest heat in the chest, qi stagnation and counterflow causing vexation and stifling sensation.
Ingredients: Shengma (Cimicifugae Rhizoma); Qianhu (Peucedani Radix, 1.5 liang each, rhizome removed); Xuanshen (Scrophulariae Radix); Digupi (Lycii Cortex, 1 liang each); Lingyangjiaoxie (Saigae Tataricae Cornu, shaved flakes); Gegen (Puerariae Lobatae Radix, 2 liang each); Suanzaoren (Ziziphi Spinosae Semen).
Preparation: The above seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water. Decoct until reduced to 0.8 zhan, strain, add 0.5 he (approx. 10ml) of Zhulv (Bambusa Textilis Cacumen juice), and boil again for two or three boils. Take warm after meals. If five to six li (approx. 2.5-3 km) have been walked, take another dose.
**Baixianpi Tang (Dictamni Cortex Decoction)** for treating Liver deficiency with Wind invasion, characterized by vertigo, blurred vision, and muscle twitching.
Ingredients: Baixianpi (Dictamni Cortex); Renshen (Panacis Ginseng Radix, 1 fen each); Shaoyao (Paeoniae Radix Alba); Xiong (Ligustici Chuanxiong Rhizoma, 3 fen each); Zhimu (Anemarrhenae Rhizoma, 1 liang); Kuandonghua (Farfarae Flos, 2 liang); Baihe (Lilii Bulbus, 3 fen, black heart removed).
Preparation: The above eleven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water. Decoct until reduced to 0.8 zhan, strain, add 0.5 he of Zhulv, and boil for one or two boils. Take warm. Take another dose before sleep.
**Xionghuang Wan (Realgar Pill)** for treating Liver Wind affecting the limbs with cramping and urgency, and body stiffness.
Ingredients: Xionghuang (Realgar, 1 liang, separately ground); Tiannanxing (Arisaematis Rhizoma, 1 liang, raw use); Xuduan (Dipsaci Radix, 1 liang); Guizhi (Cinnamomi Ramulus, 1 liang, bark removed); Wutou (Aconiti Radix, 1 liang, processed, skin and umbilicus removed); Yinyu (Hyperici Japonici Herba, 0.5 liang, coarse stems removed); Tianxiong (Aconiti Kusnezoffii Radix, 1.5 liang total: half processed, skin and umbilicus removed; half raw); Qianghuo (Notopterygii Rhizoma et Radix, 1 liang, rhizome removed).
Preparation: The above ten ingredients are crushed and sifted into powder. Mix with refined honey to make pills the size of tung tree seeds. Take 15 pills per dose with warm wine. Take three times during the day and twice at night.
**Xijiao Wan (Rhinoceros Horn Pill)** for treating Liver Wind affecting the liver organ, characterized by limb tension and urgency, headache, and dizziness.
Ingredients: Xijiao (Rhinocerotis Cornu, 1 liang, shaved); Duhuo (Angelicae Pubescentis Radix, rhizome removed); Xiong (Ligustici Chuanxiong Rhizoma); Lingyangjiao (Saigae Tataricae Cornu, 1.5 liang each, shaved); Fangfeng (Saposhnikoviae Radix, forked parts removed); Tianma (Gastrodiae Rhizoma); Renshen (Panacis Ginseng Radix, 1 liang each); Baijiangcan (Bombyx Batryticatus, lightly stir-fried, 0.5 liang); Tiannanxing (Arisaematis Rhizoma, 0.5 liang, processed, skin and umbilicus removed); Ganxie (Scorpio, stir-fried, 0.5 liang); Dansha (Cinnabaris, finely ground, 1 liang).
Preparation: Of the above thirteen ingredients, exclude the three requiring grinding. Crush and sift the rest into fine powder. Add the ground medicines and sift again. Mix with refined honey to make pills the size of tung tree seeds. Take 15 pills per dose, chew thoroughly, and swallow with Jingjie tea clear. Take after meals and before sleep.
**Tianma Wan (Gastrodia Pill)** for treating Liver Wind affecting the liver organ, characterized by tendon and vessel dysfunction, limb cramping and bi-syndrome.
Ingredients: Tianma (Gastrodiae Rhizoma, 2 liang); Kushen (Sophorae Flavescentis Radix, 3 liang); Xixin (Asari Radix et Rhizoma, 2 liang, seedlings and leaves removed); Changpu (Acori Tatarinowii Rhizoma, 2 liang); Niuxi (Achyranthis Bidentatae Radix, 2.5 liang, soaked in wine, seedlings removed, dried); Chijian (Ligustici Chuanxiong Rhizoma, 2 liang); Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and umbilicus removed); Diyu (Sanguisorbae Radix, 2 liang, chopped); Renshen (Panacis Ginseng Radix, 2 liang); Xiong (Ligustici Chuanxiong Rhizoma, 1 liang); Guizhi (Cinnamomi Ramulus, bark removed); Fangfeng (Saposhnikoviae Radix, 2 liang, forked parts removed); Danggui (Angelicae Sinensis Radix, 2 liang, sliced and dried); Weilingxian (Clematidis Radix et Rhizoma, 2 liang, soil removed); Ben (Ligustici Wallichii Rhizoma, 2 liang, soil removed).
Preparation: The above twenty ingredients are crushed and sifted into fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 20 pills per dose with warm wine. Take twice daily, at any time.
**Qianghuo San (Notopterygium Powder)** for treating Liver Wind affecting the liver organ, characterized by weakness in hands and feet, tendon tension and urgency, bone pain, neck and back stiffness, skin itching, facial deviation, and vertigo.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed); Duhuo (Angelicae Pubescentis Radix, rhizome removed); Baizhi (Angelicae Dahuricae Radix, 1 liang each); Fangfeng (Saposhnikoviae Radix, 1.5 liang, forked parts removed); Manjingzi (Viticis Fructus); Huoxiangye (Pogostemonis Herba); Mahuang (Ephedrae Herba, roots and nodes removed).
Preparation: The above fourteen ingredients are crushed and sifted into powder. Take 2 qianbi per dose mixed with warm wine. Take at any time.
**Tianxiong San (Aconitum Kusnezoffii Root Powder)** for treating Liver Wind affecting the limbs with paralysis, head and eye dizziness, limb weakness, tonifying deficiency, and benefiting primordial yang.
Ingredients: Tianxiong (Aconiti Kusnezoffii Radix, processed, skin and umbilicus removed); Shanzhuyu (Corni Fructus); Guizhi (Cinnamomi Ramulus, bark removed); Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed); Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed); Duhuo (Angelicae Pubescentis Radix, forked parts removed).
Preparation: The above twelve ingredients are equal parts, crushed and sifted into powder. Take 2 qianbi per dose mixed with warm wine. Take three times: on an empty stomach, at noon, and near evening.
**Dansha Wan (Cinnabar Pill)** for treating Liver Wind affecting the liver organ, characterized by numbness in hands and feet, and tendon constriction.
Ingredients: Dansha (Cinnabaris, separately ground); Xiong (Ligustici Chuanxiong Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix, 1 liang each, rhizome removed); Jingjie (Schizonepetae Herba); Banxia (Pinelliae Rhizoma, 1 liang each, washed in water to remove slipperiness, processed with fresh ginger juice, pounded into cakes, dried, and powdered); Baifuzi (Typhonii Rhizoma, processed); Tiannanxing (Arisaematis Rhizoma, processed); Ganxie (Scorpio, 0.5 liang each, soil removed, stir-fried).
Preparation: The above eight ingredients are crushed and sifted into fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 10 pills per dose with warm wine on an empty stomach before meals. Take three times daily.
**Tianma Wan (Gastrodia Pill)** for treating Liver Wind affecting the head and eyes with pulsation, tendon and collateral tension, or limb flaccidity and inability to hold.
Ingredients: Tianma (Gastrodiae Rhizoma, 2 liang, soaked in wine for two nights, dried); Fangfeng (Saposhnikoviae Radix, forked parts removed); Tianguazi (Melonis Semen); Weilingxian (Clematidis Radix et Rhizoma, 0.5 liang each, seedlings and soil removed); Xuanshen (Scrophulariae Radix, washed).
Preparation: The above nine ingredients are pounded and ground extremely fine. Use 4 liang of honey and 4 zhan of river water, boil together. When reduced to 4 liang, add 1.5 liang of the medicinal powder. Boil for three to five more boils. Cool, mix with remaining herbs, pound 300-500 times. Make pills the size of a cock's head. Take one pill per dose, chew thoroughly, and swallow with tea and wine.