病源风邪伤人。令腰背反折。不能俯仰。似角弓者。由邪入诸阳经故也。(出第一卷中)
肘后疗中风。无问男子妇人。中风脊急。身 如弓。紫汤方。
鸡屎(二升) 大豆(一升) 防风(三两切)
上三味。以水三升。先煮防风取三合汁。豆鸡屎二味 中熬之令黄赤色。用酒二升淋之
。去滓。然后用防风汁和。分为再服。相去如人行六七里。衣覆取汗忌风。(出第二卷中)
短剧大岩蜜汤。疗中风身如角弓反张。并生卒心腹绞痛方。
茯苓 芎 当归 甘草(各一两炙) 桂心(二两半) 栀子(十四枚掰) 吴茱萸
(三两) 细辛 干姜 干地黄(各二两)
上十味切。以水八升。煮取三升。分为三服。相去如行十里顷。若痛甚者。加羊脂三两
当归芍药人参各一两。心腹胀满坚急者。加大黄三两。忌酢生葱生菜海藻菘菜芜荑等。(出
第四卷中)
千金小岩蜜汤。主恶风。角弓反张。飞尸入腹。绞痛闷绝。往来有时。筋急少阴伤寒。
口噤不利方。
大黄(二两) 雄黄(一两) 青羊脂 干姜 桂心 芍药 甘草(炙) 细辛 干地
黄(各
四分) 吴茱萸(三两) 当归(四两)
上十一味切。以水二斗。煮取六升。分六服。重者加药。用水三斗。煮取九升。分十服
。忌海藻菘菜生葱生菜。(深师同)
又疗半身不随。手足拘急。不得屈伸。体冷。或智或痴。身强直。不语。或生或死。狂
言不可名状。角弓反张。或欲得食。或不用食。大小便不利方。
人参 桂心 当归 独活 黄芩 干姜(各三分) 甘草(二分炙) 石膏(六分碎绵
裹)
杏仁(四十枚去皮两仁尖碎)
上九味切。以井华水九升。煮取三升。分二服。日二。覆取汗。不汗更合服之。忌海藻
菘菜生葱等物。
又疗贼风口噤角弓反张 者方。
当归 防风(各三分) 独活(六分) 麻黄(去节五分) 附子(一枚炮) 细辛(二
分)
上六味切。以酒五升。水二升。煮取三升。服一升。口不开。尺 口下汤。一服当开。
二服小汗。三服大汗。又单服荆沥。忌猪肉冷水生菜。(并出第八卷中)
备急疗若身体角弓反张。四肢不随。烦乱欲死者方。
清酒(五升) 鸡屎白(一升熬)
上二味捣筛合和。扬之千遍。乃饮之。大人服一升。小儿服五合。更小者服三合良。(
肘后同出第二卷中)
必效疗风入耳。角弓反张。及妇人风方。
乌豆二升。熬令声绝。酒三升。纳铛中急搅以绢滤顿服取汗。不过三剂。极重者和鸡粪
合熬。若口不开者灌之良。(备急文仲同出第三卷中)
古今录验疗卒中风。身体直。角弓反张。口噤。西州续命汤方。
麻黄(去节) 干姜(各三两) 附子(一两炮) 防风 桂心 白术 人参 芎 当
归
甘草(炙各一两) 杏仁(四十枚去皮尖及两仁碎)
上十一味切。以水九升。煮取三升。未食分再服。覆令汗出。(文仲同出第一卷中)
病源:风邪侵袭人体,导致腰背部向后反折,不能前俯后仰,形状像角弓一样。这是由于邪气侵入诸阳经的缘故。(出自第一卷)
《肘后备急方》治疗中风:不分男女,凡是中风出现脊背拘急、身体弯曲如弓的,用紫汤方。
鸡屎(二升) 大豆(一升) 防风(三两,切碎)
以上三味药,用水三升,先煎煮防风,取汁液三合。将大豆和鸡屎两味药放入锅中炒至黄红色。用酒二升淋在炒好的药上。
滤去药渣,然后用之前煎好的防风汁调和药液。分两次服用。两次服药间隔的时间,相当于人行走六七里的路程。服药后要覆盖衣被以取得汗出,并忌讳受风。(出自第二卷)
《短剧方》中的大岩蜜汤:治疗中风身体像角弓一样反张,以及突然发作的心腹绞痛。
茯苓 川芎 当归 甘草(各一两,炙烤) 桂心(二两半) 栀子(十四枚,掰开) 吴茱萸
(三两) 细辛 干姜 干地黄(各二两)
以上十味药切碎,用水八升,煎煮取汁三升。分三次服用。两次服药间隔的时间,相当于人行走十里地的时间。如果疼痛剧烈的,加羊脂三两、当归一两、芍药一两、人参一两。如果心腹胀满且坚硬紧急的,加大黄三两。忌食醋、生葱、生菜、海藻、菘菜(白菜)、芜荑等。(出自第四卷)
《千金方》中的小岩蜜汤:主治恶风、角弓反张、飞尸入腹、绞痛闷绝、发作有时、筋脉拘急、少阴伤寒、口噤不开不利。
大黄(二两) 雄黄(一两) 青羊脂 干姜 桂心 芍药 甘草(炙烤) 细辛 干地
黄(各四分) 吴茱萸(三两) 当归(四两)
以上十一味药切碎,用水二斗,煎煮取汁六升。分六次服用。病情重的增加药量,用水三斗,煎煮取汁九升,分十次服
用。忌食海藻、菘菜、生葱、生菜。(《深师方》相同)
又方治疗半身不遂、手足拘挛紧急、不能屈伸、身体发冷、或神志清醒或痴呆、身体强直、不能说话、或生或死、胡言乱语不可名状、角弓反张、或想吃东西、或不想吃东西、大小便不通利。
人参 桂心 当归 独活 黄芩 干姜(各三分) 甘草(二分,炙烤) 石膏(六分,打碎后用绵布包裹)
杏仁(四十枚,去皮,双仁尖部打碎)
以上九味药切碎,用井华水(清晨第一次打的井水)九升,煎煮取汁三升。分两次服用,每天两次。服药后覆盖衣被以取得汗出。如果没有出汗,再煎服一次。忌食海藻、菘菜、生葱等物。
又方治疗贼风引起的口噤、角弓反张。
当归 防风(各三分) 独活(六分) 麻黄(去节五分) 附子(一枚,炮制) 细辛(二
分)
以上六味药切碎,用酒五升、水二升,煎煮取汁三升。每次服用一升。如果嘴巴张不开,将药汤从尺泽穴下方灌入。服用一次应当能张开嘴。服用两次微微出汗,服用三次大汗出。另外单服荆沥。忌食猪肉、冷水、生菜。(均出自第八卷)
《备急方》治疗身体角弓反张、四肢不能随意活动、烦躁混乱欲死。
清酒(五升) 鸡屎白(一升,炒制)
以上两味药捣碎过筛混合均匀,反复扬起千遍。然后让患者饮用。成人服用一升,小儿服用五合,更小的婴儿服用三合效果良好。(与《肘后备急方》相同,出自第二卷)
《必效方》治疗风邪入耳、角弓反张,以及妇人中风。
乌豆二升,炒至声音消失。酒三升,倒入铛中快速搅拌后用绢布过滤,一次性服用以取得汗出。不超过三剂。极重的病症配合鸡粪一起炒制。如果嘴巴张不开的,灌服效果良好。(与《备急文仲方》相同,出自第三卷)
《古今录验方》治疗突然中风、身体挺直、角弓反张、口噤不开。西州续命汤方。
麻黄(去节) 干姜(各三两) 附子(一两,炮制) 防风 桂心 白术 人参 川芎 当
归
甘草(炙烤,各一两) 杏仁(四十枚,去皮尖及双仁尖部打碎)
以上十一味药切碎,用水九升,煎煮取汁三升。饭前分两次服用。服药后覆盖衣被令其出汗。(与《文仲方》相同,出自第一卷)
Pathogenesis: Wind-pathogen invades the human body, causing the waist and back to arch backward, making it impossible to bend forward or backward, resembling a horn bow. This is due to the pathogen entering the Yang meridians. (From Volume I)
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) treats wind-stroke: regardless of gender, for wind-stroke presenting with spinal stiffness and body curvature like a bow, use the Zi Tang Decoction.
Chicken Droppings (2 sheng) Soybeans (1 sheng) Fangfeng (3 liang, sliced)
Take the above three ingredients, add 3 sheng of water, and first decoct Fangfeng to obtain 3 he of juice. Stir-fry the Soybeans and Chicken Droppings until they turn yellowish-red. Pour 2 sheng of wine over the fried herbs.
Strain out the dregs, then mix with the previously decocted Fangfeng juice. Divide into two doses. The interval between doses should be equivalent to walking six or seven li. After taking the medicine, cover with clothing to induce sweating and avoid exposure to wind. (From Volume II)
Da Yanmi Tang from *Duanju Fang*: Treats wind-stroke with body arching like a horn bow, as well as sudden onset of severe heart and abdominal colic.
Fuling (Poria) Chuanxiong Danggui Gancao (Coptis Rhizoma? No, Licorice Root - each 1 liang, honey-fried) Guixin (Cinnamon Twig) Zhizi (Gardenia Fruit - 14 pieces, broken) Wuzhuyu (Evodia Fruit)
(3 liang) Xixin (Asarum) Ganjiang (Dried Ginger) Dihuang (Rehmannia Root - each 2 liang)
Slice the above ten ingredients, add 8 sheng of water, and decoct to obtain 3 sheng of liquid. Divide into three doses. The interval between doses should be equivalent to walking ten li. If pain is severe, add Yangzhi (Mutton Fat) 3 liang, Danggui 1 liang, Shaoyao (Peony Root) 1 liang, Renshen (Ginseng Root) 1 liang. If there is abdominal distension, fullness, hardness, and urgency, add Dahuang (Rhubarb Root) 3 liang. Avoid vinegar, raw green onions, raw vegetables, Haizao (Sargassum), Songcai (Chinese Cabbage), Wuyi (Hovenia Seed), etc. (From Volume IV)
Xiao Yanmi Tang from *Qianjin Fang*: Mainly treats aversion to wind, opisthotonos, Feishi (Flying Corpse disease) entering the abdomen, severe colic leading to fainting, intermittent attacks, tendon stiffness, Shaoyin cold damage, trismus, and difficulty speaking.
Dahuang (Rhubarb Root) (2 liang) Xionghuang (Realgar) (1 liang) Qingyangzhi (Green Ram Fat) Ganjiang (Dried Ginger) Guixin (Cinnamon Twig) Shaoyao (Peony Root) Gancao (Licorice Root, fried) Xixin (Asarum) Dihuang (Rehmannia Root) (each 4 fen) Wuzhuyu (Evodia Fruit) (3 liang) Danggui (Angelica Sinensis Root) (4 liang)
Slice the above eleven ingredients, add 2 dou of water, and decoct to obtain 6 sheng of liquid. Divide into six doses. For severe cases, increase the dosage: use 3 dou of water, decoct to obtain 9 sheng, and divide into ten doses. Avoid Haizao (Sargassum), Songcai (Chinese Cabbage), raw green onions, and raw vegetables. (Same as *Shenshi Fang*)
Another prescription treats hemiplegia, spasticity and stiffness of limbs preventing flexion and extension, cold body, confusion or dementia, rigid body, aphasia, critical condition, delirium, opisthotonos, desire or lack of desire for food, and difficulty with urination and defecation.
Renshen (Ginseng Root) Guixin (Cinnamon Twig) Danggui (Angelica Sinensis Root) Duhuo (Angelica Pubescens Root) Huangqin (Scutellaria Root) Ganjiang (Dried Ginger) (each 3 fen) Gancao (Licorice Root, fried) (2 fen) Shigao (Gypsum Fibrosum) (6 fen, crushed and wrapped in cotton)
Xingren (Apricot Seed) (40 pieces, peeled, tips and double-kernel ends crushed)
Slice the above nine ingredients, add 9 sheng of Jinghua Shui (well water drawn at dawn), and decoct to obtain 3 sheng of liquid. Divide into two doses, taken twice daily. Cover with clothing to induce sweating. If no sweat occurs, decoct and take again. Avoid Haizao (Sargassum), Songcai (Chinese Cabbage), raw green onions, etc.
Another prescription treats Zefeng (robber wind) causing trismus and opisthotonos.
Danggui (Angelica Sinensis Root) Fangfeng (Saposhnikovia Root) (each 3 fen) Duhuo (Angelica Pubescens Root) (6 fen) Mahuang (Ephedra Herb, nodes removed) (5 fen) Fuzi (Aconite Lateral Root, processed) (1 piece) Xixin (Asarum) (2 fen)
Slice the above six ingredients, add 5 sheng of wine and 2 sheng of water, and decoct to obtain 3 sheng of liquid. Take 1 sheng per dose. If the mouth cannot open, pour the soup below the Chi Ze acupoint. One dose should allow the mouth to open. Two doses cause slight sweating; three doses cause profuse sweating. Alternatively, administer Jingli (Juice of Vitex Fruit) alone. Avoid pork, cold water, and raw vegetables. (All from Volume VIII)
*Beiji Fang* (Emergency Prescriptions for Urgent Cases) treats body opisthotonos, immobility of limbs, restlessness, and feeling of impending death.
Qingjiu (Clear Wine) (5 sheng) Jisibai (White part of Chicken Droppings, stir-fried) (1 sheng)
Crush and sieve the above two ingredients, mix thoroughly, and sift through agitation a thousand times. Then have the patient drink. Adults take 1 sheng, children take 5 he, and infants take 3 he for good effect. (Same as *Zhouhou Beiji Fang*, from Volume II)
*Bixiao Fang* treats wind entering the ear, opisthotonos, and wind-stroke in women.
Wudou (Black Soybeans) 2 sheng, stir-fried until sound ceases. Add 3 sheng of wine to a pan, stir quickly, filter through silk cloth, and take in one dose to induce sweating. Not more than three doses are needed. For extremely severe cases, stir-fry together with chicken manure. If the mouth cannot open, force-feed the mixture. (Same as *Beiji Wenzhong Fang*, from Volume III)
*Gujin Luyan Fang* treats sudden wind-stroke, straight body, opisthotonos, and trismus. Xizhou Xuming Tang Decoction.
Mahuang (Ephedra Herb, nodes removed) Ganjiang (Dried Ginger) (each 3 liang) Fuzi (Aconite Lateral Root, processed) (1 liang) Fangfeng (Saposhnikovia Root) Guixin (Cinnamon Twig) Baizhu (Atractylodes Macrocephala Rhizome) Renshen (Ginseng Root) Chuanxiong (Ligusticum Chuanxiong Rhizome) Danggui (Angelica Sinensis Root)
Gancao (Licorice Root, fried, each 1 liang) Xingren (Apricot Seed) (40 pieces, peeled, tips and double-kernel ends crushed)
Slice the above eleven ingredients, add 9 sheng of water, and decoct to obtain 3 sheng of liquid. Take before meals, divided into two doses. Cover with clothing to induce sweating. (Same as *Wenzhong Fang*, from Volume I)