论曰气血不足。腠理开疏。风湿客于分肉之间。久而不瘥。真气去邪气独留。乃为偏枯
之疾。其状肢体不遂。肌肉偏枯细小而痛。言语不变。神智不乱。乃可治也。宜温卧取汗。
益不足而损有余。诊其胃脉沉而大。心脉小而牢急。皆偏枯之脉也。
治中偏风。积年不瘥。手足枯细。口面 斜。精神不守。言语倒错。甘草汤方
甘草（炙锉） 侧子（炮裂去皮脐） 桂（去粗皮） 防己 附子（炮裂去皮脐） 芎
人参
土三分） 茯神（
辛（去苗叶微炒半两）
上一十七味。锉如麻豆。每服六钱匕。以水二盏。入生姜半分切。煎至一盏去滓。入竹
沥半合。更同煎沸温服。空心日晚近夜服。
治中风手足偏枯。口面 斜疼痛。一目不能合。当归汤方
当归（切焙） 白芷 防风（去叉） 白藓皮 白术 芎 杏仁（汤浸去皮尖双仁炒）
甘
上一十一味。锉如麻豆。每服五钱匕。以水二盏。入生姜半分切。煎至一盏。去滓温服
。日三夜一。与食相间服之。
治中风偏枯。骨酸无力。磁石汤方
磁石（烧赤醋淬七遍三两） 防风（去叉三两） 五味子（二两） 甘草（炙锉一两） 玄
参（
上七味。锉如麻豆。每用五钱匕。以水二盏。入黑豆三十五粒同煎。至一盏去滓。空心
日午夜卧服。
治中风偏枯。手足不遂。言语謇涩。心神恍惚。金箔丸方
金箔（研二钱） 丹砂（研一两） 阿胶（炙燥二两） 丁香（一两） 麝香（研一两）
龙脑（
上十味。除别研外。捣罗为细末。再将研药拌。研匀炼蜜。丸如梧桐子大。每服二丸
。细嚼温酒下。此药兼疗妇人血风。头目昏眩。胸膈诸疾。
治中风偏枯气痹。手足不能举动。没药丸方
没药（研一两） 乳香（研一两） 麻黄（去根节三两） 草乌头（锉炒黑存性一两） 自
然铜
白附子（
上九味。除别研外。捣罗为细末。再入研者拌匀。以酒磨浓墨汁和。先分作十块。每块
更分作二十丸。每服一丸。温酒磨下。日三五服。不拘时候。
治中风偏枯不遂。口不收涎。三灵丹方
丹砂（研三两） 雌黄（研一两半） 硫黄（研半两）
上三味。先将雌黄硫黄于锅中销成汁。后下丹砂末。搅令匀。候冷却下桑柴灰汁。煮三
日三夜。旋旋添暖灰汁。日足即住。刮入鼎子中。以文武火逼干。出阴气尽。入合子内固济。
以
水煮一日。出火毒了。更研令细。入枣肉和研为丸。如绿豆大。每日空心。以冷椒汤下三丸
。渐加至五丸服之。半月即瘥。
治中风手足偏枯不遂。或瘫或痪。香港脚攻头面浮肿。口眼 斜。语涩多涎。精神恍惚。
大便风秘。犀角煎方
犀角（镑屑捣细末二两） 威灵仙（十斤紫色者） 天麻（取细末二两） 附子（炮裂
去皮脐
上五味。先将威灵仙。用河水一石。煮至三斗。以绢滤去滓。只取清汁。更入醇酒一斗
。同在银石器中。熬至一斗。更澄去细尘滓。次入天麻附子末在药汁中。再以慢火煎成膏。
放令温冷后。入犀角屑末龙脑末。一处同搅匀。用瓷合子内盛之。如有患者。用薄荷汤化一
钱匕
治中风手足偏枯。跛蹇不遂。十圣天麻丸方
天麻（酒浸焙干三两） 地榆（净洗焙三两） 附子（以生姜半两枣四枚同煮一时辰去
皮脐切碎焙干炒三两） 白附子（米泔浸焙干三两） 丁香（半两） 木香（半两） 黄
（细锉三两以上七味同捣罗为末） 雄黄（研半两） 犀角（镑屑为细末半两） 真珠（研
半两） 牛黄（研一两）麝香（研一两）
上一十二味。除七味捣罗外。五味别研。然后同拌。和令匀后。炼蜜丸樱桃大。每服一
丸。温酒嚼下。移时更以热酒一盏投之。任加衣被盖复。空心食前临卧各一服。六十岁以下。
两月平复。四十岁以下。一月平复。十日后或汗出。或如虫行勿怪。如欲常服。每丸分为四
服。逐日一服。
治中风偏枯。手足不遂。漏芦散方
漏芦（去芦头） 地龙（去土炒） 当归（切焙） 附子（生用去皮脐各一两半） 天
麻（二两）
（细锉） 桑
麻黄（去根节） 羌活
僵蚕（炒各一两） 麝香（研二
上二十一味。除别研外。捣罗为细末。即入别研者。拌和令匀。每服半钱匕。研胡桃酒
调下。豆淋酒亦得。如急中风。手足挛拳。言语謇涩。服一钱匕。服了就所患痛处卧立应。
或有汗出、慎外风。
治中风偏枯。手足不遂。言语謇涩。口眼 斜。没药丸方
没药（研半两） 天麻（酒浸一宿细切片焙干二两） 乌头（炮裂去皮脐一两） 地龙
（去土
香（研半两） 丹
（半两）
上一十四味。捣研为细末。炼蜜和丸。樱桃大。每服一丸。温酒化下。食前服日二。重
病者服一月瘥。初患五七服。即愈。
治中风湿偏枯。缓纵不遂。五劳七伤。寒冷百病。赤车使者酒方
赤车使者 当归（切焙） 白茯苓（去黑皮各半两） 防风（去叉） 独活（去芦头） 细
辛（去苗叶） 人参（各一两） 附子（炮裂去皮脐十五枚）
上八味。锉如麻豆。用水一斗。黍米一斗。曲一斤五两造酒。内三斗罂中密封。以油袋
盛罂。勿令水入。沉井底三宿。药成即置高燥处。停二日。平旦服半盏。日三。渐增之。
治八风十二痹。偏枯不遂。宿食虚冷。五劳七伤。凝水石酒方
凝水石 白石英 白石脂 代赭石 矾石 石 石膏 芒硝 石南 石苇 天雄（炮
裂去皮脐） 附子（炮裂去皮脐） 常山 续断 芫花 白术 防风（去叉） 黄芩（去黑
心）
双仁） 玄参 茹 野狼毒 半夏（汤洗七遍焙） 藜芦 菖蒲 前胡（去芦头） 蜈蚣（炒）
甘草（炙） 龙胆 桔梗（锉炒） 菟丝子（酒浸一宿焙） 秦艽（去苗土） 芍药 紫菀
（去苗） 白芷 远志（去心） 卷
上四十二味。各一两。锉如麻豆。盛以绢袋。用水三斗。七月七日曲三斤。黍米三升作
饭。根据和酒法。以药袋着酿中。春秋七日。冬十日。夏三日。酒成服半鸡子壳。日三。并暴
囊中药滓。更捣筛。酒服方寸匕。以体暖为度。
治中风手足偏枯挛 。不随屈伸。茵芋淋浸方
茵芋（去粗茎三两） 独活（去芦头六两） 防己（四两） 蒺藜子（去角生用三升） 椒
（去
上五味。粗捣筛。以清浆水三斗。煮取二斗。去滓内盐二两半。适寒温用淋浸所患手足
。水不温即止。
治偏风半身枯瘦。肢体细小而痛。山龙丸方
蜥蜴（一名山龙子酥炙二钱） 海蛤（一钱） 乌头（炮裂去皮脐半钱）
上三味。捣罗为细末。面糊丸。分作两粒。用葱白两枝。中心分开。入药在内。帛子系
向两脚心底。用暖水浸。以衣被复之。春夏浸至踝。秋冬浸至膝。自然汗出。
治风偏枯。肢体细小而痛。言语神智不乱。天南星丸方
天南星 半夏（汤洗七遍焙） 乌头（去皮脐） 草乌头 木鳖子（和壳） 自然铜 滑
石（各二两） 乳香（一分并生用）
上八味。捣研为细末。用醇酒煮面糊。和丸如梧桐子大。每服十丸温酒下。
论述说：气血亏虚，腠理（皮肤纹理及汗孔）疏松，风湿之邪侵袭于分肉（肌肉间隙）之间，日久不愈，导致真气耗散而邪气独留，从而形成偏枯（半身不遂）的疾病。其症状表现为肢体运动障碍，一侧肌肉萎缩细小且疼痛，但言语功能正常，神志清醒不乱，这种病情是可以治疗的。适宜采取温暖卧床以促使发汗的方法，通过补益不足的气血并祛除有余的邪气来治疗。诊察胃脉若见沉而大，心脉若见小而牢急，均为偏枯病的脉象。
治疗中偏风（风中经络所致半身不遂），病程多年不愈，手足枯瘦，口眼歪斜，精神不能守舍，言语错乱，使用甘草汤方：
甘草（炙后锉碎）、侧子（炮裂去皮脐）、桂枝（去除粗皮）、防己、附子（炮裂去皮脐）、川芎、人参、土茯苓（各三分）、茯神（去木心）、细辛（去除苗叶微炒，半两）。
以上十七味药，锉碎如麻豆大小。每次服用六钱匕，加水二盏，放入生姜半分（切块），煎煮至一盏，滤去药渣，加入竹沥半合，再一同煎沸，温服。空腹时、傍晚或近夜间服用。
治疗中风导致的手足偏枯，口眼歪斜疼痛，一只眼睛无法闭合，使用当归汤方：
当归（切后焙干）、白芷、防风（去除叉枝）、白鲜皮、白术、川芎、杏仁（热水浸泡去皮尖双仁炒制）、甘草（炙）。
以上十一味药，锉碎如麻豆大小。每次服用五钱匕，加水二盏，放入生姜半分（切块），煎煮至一盏，滤去药渣温服。每日三次，夜间一次，与进食间隔服用。
治疗中风偏枯，骨节酸痛无力，使用磁石汤方：
磁石（烧红后醋淬七遍，三两）、防风（去除叉枝，三两）、五味子（二两）、甘草（炙后锉碎，一两）、玄参（一两）。
以上七味药，锉碎如麻豆大小。每次用五钱匕，加水二盏，放入黑豆三十五粒同煎，煎至一盏，滤去药渣。空腹、日中、午夜或卧床时服用。
治疗中风偏枯，手足运动障碍，言语謇涩，心神恍惚，使用金箔丸方：
金箔（研细，二钱）、丹砂（研细，一两）、阿胶（炙燥，二两）、丁香（一两）、麝香（研细，一两）、龙脑（冰片，少许）。
以上十味药，除需单独研磨的药物外，其余捣罗成细末，再将研好的药物拌入其中，研匀，用炼蜜制成梧桐子大小的丸剂。每次服用二丸，细嚼后用温酒送下。此药兼治妇人血风病，头目昏眩，胸膈部各种疾病。
治疗中风偏枯气痹，手足不能举动，使用没药丸方：
没药（研细，一两）、乳香（研细，一两）、麻黄（去除根节，三两）、草乌头（锉碎炒黑存性，一两）、自然铜、白附子等九味药。
以上九味药，除需单独研磨的药物外，其余捣罗成细末，再加入研好的药物拌匀，用酒磨浓墨汁调和，先分成十块，每块再分为二十丸。每次服用一丸，用温酒磨化送下。每日三至五次，不拘时间。
治疗中风偏枯不遂，口角不收流涎，使用三灵丹方：
丹砂（研细，三两）、雌黄（研细，一两半）、硫黄（研细，半两）。
以上三味药，先将雌黄和硫黄在锅中熔化成为汁液，然后加入丹砂末，搅拌使其均匀。冷却后加入桑柴灰汁，煮三天三夜，随时添加温热的灰汁。时间到了就停止，刮入鼎器中，用文武火逼干，待阴气尽出，装入盒子内密封固济，用水煮一天以去火毒，再研细，加入枣肉调和研为丸，如绿豆大小。每天空腹时，用冷椒汤送服三丸，逐渐增加至五丸服用。半个月即可痊愈。
治疗中风手足偏枯不遂，或瘫痪，脚气攻冲头面浮肿，口眼歪斜，语涩多涎，精神恍惚，大便风秘，使用犀角煎方：
犀角（镑屑捣细末，二两）、威灵仙（十斤紫色者）、天麻（取细末，二两）、附子（炮裂去皮脐）、龙脑等五味药。
先将威灵仙用河水一石，煮至三斗，用绢布滤去药渣，只取清汁。再加入醇酒一斗，同在银石器中熬至一斗，澄清去掉细尘渣。接着将天麻、附子末加入药汁中，再用慢火煎成膏状。放凉后，加入犀角屑末、龙脑末，一起搅匀，盛放在瓷盒子里。如有患者，用薄荷汤化开一钱匕服用。
治疗中风手足偏枯，跛行不便，使用十圣天麻丸方：
天麻（酒浸焙干，三两）、地榆（净洗焙干，三两）、附子（与生姜半两、枣四枚同煮一时辰，去皮脐切碎焙干炒，三两）、白附子（米泔水浸焙干，三两）、丁香（半两）、木香（半两）、黄芪（细锉，三两）以上七味同捣罗为末；雄黄（研细，半两）、犀角（镑屑为细末，半两）、真珠（研细，半两）、牛黄（研细，一两）、麝香（研细，一两）。
以上十二味药，除七味捣罗外，五味分别研磨，然后混合拌匀，用炼蜜制成樱桃大小的丸剂。每次服用一丸，温酒嚼服。过一段时间后，再饮热酒一盏，加盖衣被保暖。空腹、食前、临卧各服一次。六十岁以下患者，两个月可康复；四十岁以下患者，一个月可康复。服药十日后若出汗或感觉如虫行，不必惊慌。若想常服，每丸分为四次服用，每日一丸。
治疗中风偏枯，手足不遂，使用漏芦散方：
漏芦（去芦头）、地龙（去土炒）、当归（切焙）、附子（生用去皮脐，各一两半）、天麻（二两）、黄芪（细锉）、桑寄生、麻黄（去根节）、羌活、僵蚕（炒，各一两）、麝香（研，二钱）。
以上二十一味药，除需单独研磨的药物外，其余捣罗成细末，混入别研的药物，拌匀。每次服用半钱匕，用研碎的胡桃酒调下，豆淋酒也可以。如果是急中风，手足挛缩弯曲，言语謇涩，服用一钱匕，服后立即在患病痛处卧或立，应验迅速。若有出汗，注意避风寒。
治疗中风偏枯，手足不遂，言语謇涩，口眼歪斜，使用没药丸方：
没药（研细，半两）、天麻（酒浸一夜，细切片焙干，二两）、乌头（炮裂去皮脐，一两）、地龙（去土）、麝香（研细，半两）、丹砂（研细，半两）等十四味药。
以上十四味药，捣研成细末，炼蜜和丸，如樱桃大小。每次服用一丸，温酒化开服用，饭前服，每日两次。重病者服用一个月可愈，初患五到七次即可痊愈。
治疗中风湿偏枯，弛缓纵缓不遂，五劳七伤，寒冷百病，使用赤车使者酒方：
赤车使者、当归（切焙）、白茯苓（去黑皮，各半两）、防风（去叉）、独活（去芦头）、细辛（去苗叶）、人参（各一两）、附子（炮裂去皮脐，十五枚）。
以上八味药，锉碎如麻豆大小。用水一斗，黍米一斗，曲一斤五两酿酒。将药放入三斗罂中密封，用油袋包裹罂身，防止进水，沉入井底三宿。药成后置于高燥处，停放两天。清晨服用半盏，每日三次，逐渐增量。
治疗八风十二痹，偏枯不遂，宿食虚冷，五劳七伤，使用凝水石酒方：
凝水石、白石英、白石脂、代赭石、矾石、石钟乳、石膏、芒硝、石南藤、石苇、天雄（炮裂去皮脐）、附子（炮裂去皮脐）、常山、续断、芫花、白术、防风（去叉）、黄芩（去黑心）、杏仁（双仁）、玄参、茹草、野狼毒、半夏（汤洗七遍焙）、藜芦、菖蒲、前胡（去芦头）、蜈蚣（炒）、甘草（炙）、龙胆、桔梗（锉炒）、菟丝子（酒浸一夜焙）、秦艽（去苗土）、芍药、紫菀（去苗）、白芷、远志（去心）、卷耳等四十二味药，各一两。
锉碎如麻豆大小，装在绢袋里。用水三斗，七月七日制的曲三斤，黍米三升做饭，按照酿酒方法，将药袋放入酿制容器中。春秋七天，冬天十天，夏天三天。酒成后服用半鸡子壳量，每日三次。并将曝晒过的药渣再捣筛，用酒服一方寸匕，以身体暖和为度。
治疗中风手足偏枯挛急，不能屈伸，使用茵芋淋浸方：
茵芋（去粗茎，三两）、独活（去芦头，六两）、防己（四两）、蒺藜子（去角生用，三升）、花椒（去目及闭口者）等五味药。
粗捣筛，用清浆水三斗，煮取二斗，滤去药渣，加入盐二两半，调节温度适宜淋浸患侧手足。水不温热即停止。
治疗偏风半身枯瘦，肢体细小而痛，使用山龙丸方：
蜥蜴（一名山龙子，酥炙，二钱）、海蛤（一钱）、乌头（炮裂去皮脐，半钱）。
以上三味药，捣罗成细末，用面糊制丸，分为两粒。用葱白两枝，从中间分开，将药放入其中，用帛带系向双脚脚心，用暖水浸浴，加盖衣被保暖。春夏季浸至脚踝，秋冬季浸至膝盖，自然会出汗。
治疗风偏枯，肢体细小而痛，言语神智不乱，使用天南星丸方：
天南星、半夏（汤洗七遍焙）、乌头（去皮脐）、草乌头、木鳖子（带壳）、自然铜、滑石（各二两）、乳香（一分，均生用）。
以上八味药，捣研成细末，用醇酒煮面糊，和丸如梧桐子大小。每次服用十丸，温酒送下。
Commentary states: When Qi and Blood are deficient, the Couli (pores and interstitial spaces of the skin) become loose and sparse. Wind-Dampness pathogens invade between the Fenrou (muscle intervals). If this condition persists without healing, the True Qi dissipates while the Pathogenic Qi remains alone, resulting in the disease of Pianku (hemiplegia). The manifestations include limb motor impairment, where one side of the muscles is atrophic, small, and painful, yet speech remains unchanged and mental clarity is preserved; such cases are treatable. It is advisable to lie warm to induce sweating, thereby replenishing the deficiency and reducing the excess. Palpation of the Stomach pulse revealing a deep and large quality, or the Heart pulse revealing a small, firm, and rapid quality, are both pulses associated with Pianku.
Treatment for Zhong Pianfeng (Wind-stroke affecting half the body), chronic for years without healing, with withered and thin hands and feet, facial deviation, loss of mental focus, and disordered speech, use Gancao Tang (Licorice Decoction):
Gancao (Zingiberis Rhizoma Preparatum, prepared and crushed), Cizu (Aconiti Lateralis Radix Preparata, roasted, peel and umbilicus removed), Guizhi (Cinnamomi Ramulus, outer bark removed), Fangji (Stephaniae Tetrandrae Radix), Fuzi (Aconiti Lateralis Radix Preparata, roasted, peel and umbilicus removed), Xiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Tufuling (Smilacis Glabrae Rhizoma, 3 fen), Fushen (Poria cum Radix Pini, heartwood removed), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, slightly stir-fried, 0.5 liang).
The above seventeen ingredients are crushed like hemp seeds. Each dose consists of 6 qianbi (approx. 18-24g depending on era/measure), boiled with 2 zhan (approx. 400ml) of water, adding 0.5 fen of sliced fresh ginger. Decoct until 1 zhan remains, filter dregs, add 0.5 he of Zhuli (Bambusae Caulis in Taeniam), boil again until boiling, and take warm. Take on an empty stomach, in the evening, or near night.
Treatment for Zhongfeng causing hemiplegia of hands and feet, painful facial deviation, and inability to close one eye, use Danggui Tang (Angelica Decoction):
Danggui (Angelicae Sinensis Radix, cut and baked), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix, forked parts removed), Baixianpi (Dictamni Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Xingren (Armeniacae Semen Amarum, soaked in water, peel and tip removed, double-kernel stir-fried), Gancao (Licorice Root, prepared).
The above eleven ingredients are crushed like hemp seeds. Each dose consists of 5 qianbi, boiled with 2 zhan of water, adding 0.5 fen of sliced fresh ginger. Decoct until 1 zhan remains, filter dregs, and take warm. Take three times daily and once at night, alternating with meals.
Treatment for Zhongfeng Pianku with bone soreness and weakness, use Cishi Tang (Magnetite Decoction):
Cishi (Magnetitum, calcined red and quenched in vinegar seven times, 3 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed, 3 liang), Wuweizi (Schisandrae Chinensis Fructus, 2 liang), Gancao (Licorice Root, prepared and crushed, 1 liang), Xuanshen (Scrophulariae Radix, 1 liang).
The above seven ingredients are crushed like hemp seeds. Use 5 qianbi per dose, boiled with 2 zhan of water and 35 black beans. Decoct until 1 zhan remains, filter dregs. Take on an empty stomach, at noon, midnight, or before lying down.
Treatment for Zhongfeng Pianku with limb immobility, slurred speech, and mental vagueness, use Jinbo Wan (Gold Foil Pill):
Jinbo (Folium Aurum, ground, 2 qian), Dansha (Cinnabar, ground, 1 liang), Ejiao (Colla Corii Asini, dried by heat, 2 liang), Dingxiang (Caryophylli Flos, 1 liang), Shexiang (Moschus, ground, 1 liang), Longnao (Borneolum Syntheticum, small amount).
The above ten ingredients: except those requiring separate grinding, all others are pounded and sifted into fine powder. Mix with the ground drugs, blend evenly, and bind with refined honey into pills the size of Sophora seeds. Take 2 pills per dose, chew thoroughly, and swallow with warm wine. This medicine also treats women's Blood-Wind disease, dizziness of head and eyes, and various chest/diaphragm disorders.
Treatment for Zhongfeng Pianku with Qi obstruction, where hands and feet cannot move, use Moyao Wan (Myrrh Pill):
Moyao (Myrrha, ground, 1 liang), Ruxiang (Olibanum, ground, 1 liang), Mahuang (Ephedrae Herba, roots and joints removed, 3 liang), Caowutou (Aconiti Kusnezoffii Radix, crushed, stir-fried until black but retaining nature, 1 liang), Ziran Tong (Chalcocitum), Baifuzi (Hydrastis Rhizoma), etc., nine ingredients in total.
The above nine ingredients: except those requiring separate grinding, all others are pounded and sifted into fine powder. Add the ground drugs and mix well. Bind with thick ink juice made from wine. Divide into ten blocks, each block further divided into twenty pills. Take one pill per dose, dissolved in warm wine. Take 3-5 times daily, at any time.
Treatment for Zhongfeng Pianku with immobility and drooling, use Sanling Dan (Three Spirits Elixir):
Dansha (Cinnabar, ground, 3 liang), Cihuang (Orpiment, ground, 1.5 liang), Liuhuang (Sulfur, ground, 0.5 liang).
The above three ingredients: first melt Cihuang and Liuhuang in a pot until liquid. Then add Dansha powder and stir evenly. Cool, then add Sangcha Hui Zhi (Ash juice from mulberry branches). Boil for three days and nights, adding warm ash juice as needed. When time is up, stop. Scrape into a ding vessel, dry using mild and strong fire until Yin Qi is exhausted. Seal in a container, and boil in water for one day to remove Fire Toxicity. Grind finely, mix with Jujube flesh, and form pills the size of mung beans. Take 3 pills on an empty stomach daily with cold pepper soup, gradually increasing to 5 pills. Healing occurs within half a month.
Treatment for Zhongfeng hemiplegia, paralysis, edema of head and face due to Hongxiangjiao (Gout attacking head/face), facial deviation, slurred speech with excessive saliva, mental vagueness, and wind-constipation, use Xijiao Jian (Rhinoceros Horn Decoction/Syrup):
Xijiao (Rhinocerotis Cornu, shaved and ground to fine powder, 2 liang), Weilingxian (Pedicularis Resupinatae Herba, 10 jin purple ones), Tianma (Gastrodiae Rhizoma, fine powder, 2 liang), Fuzi (Aconiti Lateralis Radix Preparata, peeled and umbilicus removed), Longnao (Borneolum Syntheticum), five ingredients in total.
First, boil Weilingxian in 1 shi (approx. 100 liters) of river water until reduced to 3 dou (approx. 30 liters). Filter through silk cloth to retain only clear juice. Add 1 dou of pure wine. Simmer in a silver or earthenware vessel until reduced to 1 dou. Clarify to remove fine sediment. Add Tianma and Fuzi powders to the medicinal juice. Simmer slowly over low heat until it becomes a paste. Allow to cool. Add Xijiao powder and Longnao powder, mix evenly. Store in a porcelain jar. For patients, dissolve 1 qianbi in Bohe Tang (Mint Decoction) and take.
Treatment for Zhongfeng hemiplegia and limping, use Shisheng Tianma Wan (Ten-Sage Gastrodia Pill):
Tianma (Gastrodiae Rhizoma, soaked in wine, baked dry, 3 liang), Diyu (Sanguisorbae Radix, washed clean, baked, 3 liang), Fuzi (Aconiti Lateralis Radix Preparata, boiled with 0.5 liang fresh ginger and 4 jujubes for one shichen, peeled, chopped, baked, stir-fried, 3 liang), Baifuzi (Hydrastis Rhizoma, soaked in rice wash water, baked dry, 3 liang), Dingxiang (Caryophylli Flos, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Huangqi (Astragali Membranacei Radix, finely crushed, 3 liang) — these seven are pounded and sifted together; Xionghuang (Realgar, ground, 0.5 liang), Xijiao (Rhinocerotis Cornu, shaved to fine powder, 0.5 liang), Zhenzhu (Pearl, ground, 0.5 liang), Niuhuang (Calculus Bovis, ground, 1 liang), Shexiang (Moschus, ground, 1 liang).
The above twelve ingredients: seven are pounded/sifted, five are ground separately. Mix them uniformly. Bind with refined honey into pills the size of cherries. Take one pill per dose, chew with warm wine. After some time, drink another cup of hot wine. Cover with blankets to induce warmth. Take once on an empty stomach, before meals, and before bed. Patients under 60 recover in two months; under 40 in one month. After ten days, sweating or sensation of insects crawling may occur; do not be alarmed. For long-term use, divide one pill into four doses, taking one daily.
Treatment for Zhongfeng Pianku with limb immobility, use Loulu San (Rhododendron Powder):
Loulu (Rhododendri Daurici Radix, remove root head), Dilong (Pheretima, earth removed, stir-fried), Danggui (Angelicae Sinensis Radix, cut and baked), Fuzi (Aconiti Lateralis Radix Preparata, raw use, peeled and umbilicus removed, 1.5 liang each), Tianma (Gastrodiae Rhizoma, 2 liang), Huangqi (Astragali Membranacei Radix, finely crushed), Sangjisheng (Taxilli Cacuminis), Mahuang (Ephedrae Herba, roots/joints removed), Qianghuo (Notopterygii Rhizoma et Radix), Jiangcan (Bombyx Batryticatus, stir-fried, 1 liang each), Shexiang (Moschus, ground, 2 qian).
The above twenty-one ingredients: except those requiring separate grinding, all others are pounded and sifted into fine powder. Mix with the separately ground drugs. Take 0.5 qianbi per dose, mixed with walnut wine or Doulin Jiu (Bean Dripping Wine). In acute Zhongfeng with limb spasms and slurred speech, take 1 qianbi. Immediately after taking, lie or stand at the site of pain; relief should be immediate. If sweating occurs, avoid external wind.
Treatment for Zhongfeng Pianku with limb immobility, slurred speech, and facial deviation, use Moyao Wan (Myrrh Pill):
Moyao (Myrrha, ground, 0.5 liang), Tianma (Gastrodiae Rhizoma, soaked in wine overnight, sliced thin, baked dry, 2 liang), Wutou (Aconiti Radix, roasted, peeled, umbilicus removed, 1 liang), Dilong (Pheretima, earth removed), Shexiang (Moschus, ground, 0.5 liang), Dansha (Cinnabar, ground, 0.5 liang), fourteen ingredients in total.
The above fourteen ingredients are pounded and ground into fine powder. Bind with refined honey into pills the size of cherries. Take one pill per dose, dissolve in warm wine, take before meals, twice daily. Severe cases heal after one month of use; early stages heal after 5-7 doses.
Treatment for Zhongfeng Wind-Damp Pianku with flaccidity, Wu Lao Qi Shang (Five Exhaustions and Seven Injuries), and cold diseases, use Chiche Shizhe Jiu (Red Carriage Envoy Wine):
Chiche Shizhe (Plantago asiatica or similar herb), Danggui (Angelicae Sinensis Radix, cut and baked), Baifuling (Poria Cocos, black skin removed, 0.5 liang each), Fangfeng (Saposhnikoviae Radix, forked parts removed), Duhuo (Angelicae Pubescentis Radix, root head removed), Xixin (Asari Radix et Rhizoma, seedlings/leaves removed), Renshen (Ginseng Radix et Rhizoma, 1 liang each), Fuzi (Aconiti Lateralis Radix Preparata, roasted, peeled, umbilicus removed, 15 pieces).
The above eight ingredients are crushed like hemp seeds. Use 1 dou of water, 1 dou of millet, and 1 jin 5 liang of Qu (yeast) to brew wine. Place in a 3-dou jar, seal tightly, wrap in oil bag to prevent water entry, and submerge in a well for three nights. Remove, place in a high/dry area, let rest for two days. Take 0.5 zhan at dawn, three times daily, gradually increasing dosage.
Treatment for Ba Feng Shi Er Bi (Eight Winds and Twelve Obstructions), Pianku, retained food/cold deficiency, Wu Lao Qi Shang, use Ning Shui Shi Jiu (Halloysitum Wine):
Ningshui Shi (Halloysitum), Bai Shiying (Quartzum Album), Baishi Zhi (Kaolin), Daizhe Shi (Haematitum), Fanshi (Alumen), Shizhongru (Stalactitum), Shigao (Gypsum Fibrosum), Mangxiao (Natrii Sulfas), Shinan Teng (Anemarrhenae Rhizoma - *Note: Context suggests a stone/mineral or vine, likely Shinan Teng Anemarrhenae or similar local name*), Shiwei (Pyrosiae Folium), Tianxiong (Aconiti Radix Preparata, roasted, peeled, umbilicus removed), Fuzi (Aconiti Lateralis Radix Preparata, roasted, peeled, umbilicus removed), Changshan ( Dichroae Radix ), Xuduan (Dipsaci Radix), Yuanhua (Genkwa Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix, forked parts removed), Huangqin (Scutellariae Radix, black heart removed), Xingren (Armeniacae Semen Amarum, double kernel), Xuanshen (Scrophulariae Radix), Rucao (Plantaginis Herba), Yelangdu (Euphorbiae Pekinensis Radix), Banxia (Pinelliae Rhizoma, washed seven times in water, baked), Lilü (Veratrum Nigrum), Changpu (Acori Tatarinowii Rhizoma), Qianhu (Peucedani Radix, root head removed), Wugong (Centipedae), Gancao (Licorice Root, prepared), Longdan (Gentianae Radix), Jiegeng (Platycodonis Radix, crushed/stir-fried), Tusizi (Cuscutae Semen, soaked in wine overnight, baked), Qinjiao (Gentianae Macrophyllae Radix, seedlings/earth removed), Shaoyao (Paeoniae Radix Alba), Ziwan (Adenophorae Radix, seedlings removed), Baizhi (Angelicae Dahuricae Radix), Yuanzhi (Polygalae Radix, heart removed), Juaner (Sonchi Fructus), forty-two ingredients in total, 1 liang each.
Crush like hemp seeds, place in silk bags. Use 3 dou of water, 3 jin of Qu brewed on July 7th, and 3 sheng of millet cooked as rice. Follow brewing methods. Place medicine bags in the fermenting mixture. Spring/Autumn: 7 days; Winter: 10 days; Summer: 3 days. When wine is ready, take half an eggshell volume, three times daily. Also, sun-dry the medicinal dregs, grind, sieve, and take 1 cunbi with wine, stopping when the body feels warm.
Treatment for Zhongfeng hemiplegia with spasms and inability to flex/extend, use Yinyu Linjin (Inula Soaking/Lavage):
Yinyu (Inulae Japonicae Herba, coarse stems removed, 3 liang), Duhuo (Angelicae Pubescentis Radix, root head removed, 6 liang), Fangji (Stephaniae Tetrandrae Radix, 4 liang), JLizi (Tribuli Fructus, remove spines, raw use, 3 sheng), Jiaojiao (Zanthoxyli Pericarpium, remove eyes and closed ones), five ingredients in total.
Coarsely crush and sieve. Use 3 dou of Qingjiangshui (clear sour water), boil to obtain 2 dou. Filter dregs, add 2.5 liang of salt. Adjust temperature appropriately and soak/lavage the affected hands and feet. Stop if the water is not warm.
Treatment for Pianfeng with half-body emaciation, small/painful limbs, use Shanlong Wan (Mountain Dragon Pill):
Xiyi (Lacerta, alias Shanlongzi, fried in butter, 2 qian), Hai Ge (Concha Arcae, 1 qian), Wutou (Aconiti Radix, roasted, peeled, umbilicus removed, 0.5 qian).
The above three ingredients are pounded and sifted into fine powder. Bind with flour paste into two pills. Take two stalks of Congbai (Scallion white), split in the center, insert the medicine inside. Tie with cloth towards the soles of both feet. Soak in warm water, cover with blankets. Spring/Summer: soak to ankles; Autumn/Winter: soak to knees. Natural sweating will occur.
Treatment for Wind Pianku with small/painful limbs, normal speech and mind, use Tiannanxing Wan (Arisaema Pill):
Tiannanxing (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma, washed seven times in water, baked), Wutou (Aconiti Radix, peel/umbilicus removed), Caowutou (Aconiti Kusnezoffii Radix), Mugua Zi (Momordicae Semen, with shell), Ziran Tong (Chalcocitum), Huashi (Talcum, 2 liang each), Ruxiang (Olibanum, 1 fen, all raw use).
The above eight ingredients are pounded and ground into fine powder. Boil flour paste with pure wine. Bind into pills the size of Sophora seeds. Take 10 pills per dose with warm wine.