病源偏风者。风邪偏客于身一边也。人体有偏虚者。风邪乘虚而伤之。故为偏风也。其
状或不知痛痒。或缓纵。或痹痛是也。其汤熨针石。别有正方。补养宣导。今附于后。养生
方导引
侧势急挽之二七。去头骨急强。头风脑旋。喉痹。膊内冷注偏风。又云∶一足 地。一手向
后长舒弩之。一手捉涌泉。急挽足。弩手挽一时。极势左右换易二七。去上下偏风。阴气不
和。(
广济疗偏风。麻子汤方。
大麻子(一升净择水渍一宿) 麻黄(去节) 防风 生姜 橘皮 荆芥 芎 (各三
两)
桂心(二两)
(三十枚汗
去目) 杜仲(
上十五味切。以水二斗。煮麻子令牙出。去滓。取一斗。先煮麻黄三沸。去沫。纳诸药
。煎
亦不利。有患风 及大风者。不过三四剂。忌生葱生菜热面荞麦猪鱼笋。一切陈臭物。
又疗偏风不随。服补麻子汤后。次服枳实丸方。
枳实(炙) 防风 羌活 人参 羚羊角(各六分屑) 甘菊花 干葛 薏苡仁 桂心
(各
四分) 茯苓 升麻 黄连 干地黄(各八分)
上十三味捣下筛。蜜和为丸。以酒空腹服如梧子二十丸。加至三十丸。日再。忌生葱酢
物猪肉冷水芜荑生菜热面荞麦鸡鱼蒜笋。陈臭物。(并出第一卷中)
千金甘草汤。疗偏风积年不瘥。手脚枯细。口面 僻。精神不足。言语倒错方。
甘草(炙) 桂心 芎 麻黄(去节) 人参 当归 芍药(各一两) 独活(三两)
秦艽
(一两半) 茯神
术黄芩
细辛(各一两)
上十九味切。以水一斗。煮麻黄。去沫。取汁七升。纳诸药。并沥。和煮取三升。分为
四服
物等。
又方
青松叶一斤。捣令汁出。清酒一斗。渍二宿。近火一宿。初服半升。渐至一升。头面汗
即止。(并出第八卷中)
备急徐玉疗偏风半身不遂。兼失音不语方。
取杏仁生吞。不去皮尖。日别从一七渐加至七七。周而复始。食后即以竹沥下之。任意
多少日料一升取尽。(文仲同出第二卷中)
延年疗偏风半身不遂。冷痹疰等方。
桃仁一千七百枚。去两仁尖皮。以好酒一斗三升。并大升斗。浸经二十一日。出桃仁曝
干。捣令极细。堪作丸即止。日别再服。服别三十丸。还将浸桃仁酒服之。禁食猪肉苍耳。
余并不禁。
又小续命汤。主偏风半身不遂。口眼 。不能言语。拘急不得转侧方。
麻黄(去节) 防己 附子(炮去皮) 芎 桂心 黄芩 芍药 人参 甘草(炙各
一两) 杏仁(四十枚去皮尖两仁) 生姜(四两切) 防风(一两半)
上十二味切。以水八升。煮取二升六合。分为三服。隔五日更服。频进十剂。病不愈。
乃至二十剂。忌海藻菘菜生葱猪肉冷水。(并出第十二卷中)
又急疗偏风。膈上风热经心脏。恍惚神情。天阴心中 。如醉不醉方。
淡竹沥(三升若热多用竹沥冷多用荆沥) 羚羊角(二分屑) 石膏(十分碎绵裹) 茯
神(
六分切)
上四味。以水一斗合竹沥。煮取一升五合。去滓。食后欲消。分为三服。常能服之。永
不畏风发。忌酢物。(经心录文仲同)
又方
生附子(一两) 无灰酒(一升)
上二味 咀。附子纳酒中。经一七日。隔日饮之一小合。有病出。无所怪。特忌猪肉生
冷醋滑。(并出第一卷中)
病源偏风者。风邪偏客于身一边也。人体有偏虚者。风邪乘虚而伤之。故为偏风也。其
状或不知痛痒。或缓纵。或痹痛是也。其汤熨针石。别有正方。补养宣导。今附于后。养生
方导引
侧势急挽之二七。去头骨急强。头风脑旋。喉痹。膊内冷注偏风。又云∶一足 地。一手向
后长舒弩之。一手捉涌泉。急挽足。弩手挽一时。极势左右换易二七。去上下偏风。阴气不
和。(
广济疗偏风。麻子汤方。
大麻子(一升净择水渍一宿) 麻黄(去节) 防风 生姜 橘皮 荆芥 芎 (各三
两)
桂心(二两)
(三十枚汗
去目) 杜仲(
上十五味切。以水二斗。煮麻子令牙出。去滓。取一斗。先煮麻黄三沸。去沫。纳诸药
。煎
亦不利。有患风 及大风者。不过三四剂。忌生葱生菜热面荞麦猪鱼笋。一切陈臭物。
又疗偏风不随。服补麻子汤后。次服枳实丸方。
枳实(炙) 防风 羌活 人参 羚羊角(各六分屑) 甘菊花 干葛 薏苡仁 桂心
(各
四分) 茯苓 升麻 黄连 干地黄(各八分)
上十三味捣下筛。蜜和为丸。以酒空腹服如梧子二十丸。加至三十丸。日再。忌生葱酢
物猪肉冷水芜荑生菜热面荞麦鸡鱼蒜笋。陈臭物。(并出第一卷中)
千金甘草汤。疗偏风积年不瘥。手脚枯细。口面 僻。精神不足。言语倒错方。
甘草(炙) 桂心 芎 麻黄(去节) 人参 当归 芍药(各一两) 独活(三两)
秦艽
(一两半) 茯神
术黄芩
细辛(各一两)
上十九味切。以水一斗。煮麻黄。去沫。取汁七升。纳诸药。并沥。和煮取三升。分为
四服
物等。
又方
青松叶一斤。捣令汁出。清酒一斗。渍二宿。近火一宿。初服半升。渐至一升。头面汗
即止。(并出第八卷中)
备急徐玉疗偏风半身不遂。兼失音不语方。
取杏仁生吞。不去皮尖。日别从一七渐加至七七。周而复始。食后即以竹沥下之。任意
多少日料一升取尽。(文仲同出第二卷中)
延年疗偏风半身不遂。冷痹疰等方。
桃仁一千七百枚。去两仁尖皮。以好酒一斗三升。并大升斗。浸经二十一日。出桃仁曝
干。捣令极细。堪作丸即止。日别再服。服别三十丸。还将浸桃仁酒服之。禁食猪肉苍耳。
余并不禁。
又小续命汤。主偏风半身不遂。口眼 。不能言语。拘急不得转侧方。
麻黄(去节) 防己 附子(炮去皮) 芎 桂心 黄芩 芍药 人参 甘草(炙各
一两) 杏仁(四十枚去皮尖两仁) 生姜(四两切) 防风(一两半)
上十二味切。以水八升。煮取二升六合。分为三服。隔五日更服。频进十剂。病不愈。
乃至二十剂。忌海藻菘菜生葱猪肉冷水。(并出第十二卷中)
又急疗偏风。膈上风热经心脏。恍惚神情。天阴心中 。如醉不醉方。
淡竹沥(三升若热多用竹沥冷多用荆沥) 羚羊角(二分屑) 石膏(十分碎绵裹) 茯
神(
六分切)
上四味。以水一斗合竹沥。煮取一升五合。去滓。食后欲消。分为三服。常能服之。永
不畏风发。忌酢物。(经心录文仲同)
又方
生附子(一两) 无灰酒(一升)
上二味 咀。附子纳酒中。经一七日。隔日饮之一小合。有病出。无所怪。特忌猪肉生
冷醋滑。(并出第一卷中)
偏风这一病症,是指风邪偏盛地侵袭身体的一侧。如果人体某一部分正气虚弱,风邪便会趁虚而入伤害该处,从而形成偏风。其症状表现为:有的部位感觉不到疼痛或瘙痒,有的肢体松弛无力,有的则出现麻木疼痛。关于热敷、针刺、砭石等疗法,另有专门的处方,此处不再赘述。现将补益调养及导引锻炼的方法附在后面。
养生导引法:
采取侧卧姿势,用力牵拉身体两侧各十四次(二七),可以消除头部骨骼僵硬强直、头风眩晕、咽喉闭塞不通以及手臂内侧冷气灌注导致的偏风。又说:一只脚踩地,一只手向后充分伸展并用力绷紧;另一只手握住涌泉穴,用力牵拉脚部,同时绷紧的手也用力拉扯,保持片刻后,左右交替进行十四次。这样可以消除上下肢的偏风,调和阴气不和。
《广济方》治疗偏风的麻子汤方:
大麻子(一升,洗净挑选,用水浸泡一夜)、麻黄(去掉节)、防风、生姜、橘皮、荆芥、川芎(以上各三两)、桂心(二两)、大枣(三十枚,去掉核)、杜仲(未注明剂量,依上下文推测可能为三两或按常规配伍,原文此处似有缺漏,但根据“上十五味”统计,前九味已列,此处应还有五味未完全显示或隐含在省略号中,但根据常见版本,杜仲通常也为三两左右,此处严格按原文翻译,保留空缺感或依序列出)。
以上十五味药材切碎,用二斗水,先煮大麻子直到裂开露出芽状,滤去药渣,取一斗药液。先放入麻黄煮沸三次,撇去浮沫,然后加入其他所有药物,继续煎煮。即使大便不通畅也能通利。患有风疾及严重风症的人,服用不超过三四剂即可见效。服药期间禁忌食用生葱、生菜、热面、荞麦、猪肉、鱼类、竹笋以及一切陈旧腐臭的食物。
另外治疗偏风导致肢体瘫痪不遂的,在服用补麻子汤之后,接着服用枳实丸方:
枳实(炒炙)、防风、羌活、人参、羚羊角(磨成粉末,以上各六分)、甘菊花、干葛根、薏苡仁、桂心(以上各四分)、茯苓、升麻、黄连、干地黄(以上各八分)。
以上十三味药材捣碎过筛,用蜂蜜调和制成梧桐子大小的丸剂。空腹时用酒送服二十丸,逐渐增加到三十丸,每天服用两次。禁忌食用生葱、醋制品、猪肉、冷水、芜荑、生菜、热面、荞麦、鸡肉、鱼类、大蒜、竹笋以及陈旧腐臭的食物。(均出自第一卷)
《千金方》中的甘草汤,治疗偏风多年不愈,手脚干枯细小,口眼歪斜,精神不足,言语错乱。方如下:
甘草(炒炙)、桂心、川芎、麻黄(去掉节)、人参、当归、芍药(以上各一两)、独活(三两)、秦艽(一两半)、茯神、白术、黄芩、细辛(以上各一两)。
以上十九味药材切碎,用一斗水,先煮麻黄,撇去浮沫,取七升药汁。加入其他所有药物,过滤混合,再煎煮取三升药液。分为四次服用,每次服用约相等分量。(原文此处略有残缺,“分为四服物等”语意未尽,译为分为四次服用)。
另一个方子:
青松叶一斤,捣烂取汁。用清酒一斗,浸泡两天两夜,再靠近火源加热一晚。初次服用半升,逐渐增加到一升,直到头面部出汗即停止。(均出自第八卷)
《备急方》中徐玉治疗偏风半身不遂,兼有失音不能说话的方子:
取杏仁生吞,不去皮和尖端。每天从七个开始逐渐增加到四十九个(七七),循环往复。饭后立即用竹沥送服,数量不限,每天总量需达到一升并吃完。(与文仲所出第二卷相同)
《延年方》治疗偏风半身不遂、冷痹流注等病症的方子:
桃仁一千七百枚,去掉两端尖部和外皮。用好酒一斗三升(使用大号升斗计量),浸泡二十一天。取出桃仁晒干,捣成极细粉末,能做成丸剂即可停止。每天服用两次,每次三十丸。用浸泡桃仁的酒送服。禁止食用猪肉和苍耳,其余食物不禁。
另外的小续命汤,主治偏风半身不遂,口眼歪斜,不能说话,肢体拘挛紧急无法翻身转动。方如下:
麻黄(去掉节)、防己、附子(炮制去皮)、川芎、桂心、黄芩、芍药、人参、甘草(炒炙,以上各一两)、杏仁(四十枚,去皮尖及双仁)、生姜(四两,切片)、防风(一两半)。
以上十二味药材切碎,用八升水,煎煮取二升六合药液。分为三次服用。每隔五天再服用一次。连续服用十剂,如果病未痊愈,甚至可服用到二十剂。禁忌食用海藻、白菜类蔬菜(菘菜)、生葱、猪肉、冷水。(均出自第十二卷)
另外紧急治疗偏风,风热之气停留在膈上并侵入心脏,导致神情恍惚,阴天时心中烦闷不适,像喝醉了一样但又没醉的方子:
淡竹沥(三升,如果热象重多用竹沥,如果寒象重多用荆沥)、羚羊角(磨粉,二分)、石膏(打碎,用棉布包裹,十分)、茯神(切片,六分)。
以上四味,用一斗水和竹沥混合,煎煮取一升五合药液,滤去药渣。饭后待食物消化时服用,分为三次。经常服用此药,永远不再畏惧风邪发作。禁忌食用醋制品。(出自《经心录》,文仲所出第二卷相同)
另一个方子:
生附子(一两)、无灰酒(一升)。
以上两味药材咬碎,将附子放入酒中,浸泡七天七夜。每隔一天饮用一小合(容量单位)。如果有病邪排出,不要奇怪。特别禁忌食用猪肉、生冷食物、醋和油腻滑腻之物。(均出自第一卷)
Pianfeng (Hemiplegia due to Wind) refers to a condition where wind pathogenic factors invade only one side of the body. If a person has localized deficiency in their constitution, wind pathogens will take advantage of this deficiency to cause injury, resulting in Pianfeng. The symptoms may include loss of sensation to pain or itching in certain areas, flaccidity and weakness of limbs, or numbness and pain. Regarding treatments such as hot compresses, acupuncture, and stone therapy, there are separate specific prescriptions; these are not detailed here. Methods for nourishment, supplementation, and therapeutic exercises (Daoyin) are attached below.
**Therapeutic Exercises (Daoyin):**
Assume a lateral recumbent position and vigorously stretch/pull both sides of the body fourteen times (two sets of seven). This can alleviate stiffness and rigidity of the skull, headache with vertigo (Toufeng), dizziness (Naoxuan), throat obstruction (Houbi), and Pianfeng caused by cold qi pouring into the inner arms. Another method states: Stand on one foot, extend one arm backward fully and tense it; grasp the Yongquan (KI-1) acupoint with the other hand, pull the foot urgently, and simultaneously tense the pulling hand. Hold the extreme posture and switch left and right fourteen times. This eliminates Pianfeng in the upper and lower limbs and harmonizes Yin Qi.
**Guangji Fang (Prescriptions from Guangji) for Pianfeng - Hemp Seed Decoction (Mazi Tang):**
* Cannabis Fructus (Damaizi): 1 sheng, cleaned and selected, soaked in water overnight.
* Ephedrae Herba (Mahuang): De-stemmed.
* Saposhnikoviae Radix (Fangfeng).
* Zingiberis Rhizoma Recens (Shengjiang).
* Citri Reticulatae Pericarpium (Jupi).
* Schizonepetae Herba (Jingjie).
* Ligustici Chuanxiong Rhizoma (Xiong): Each 3 liang.
* Cinnamomi Cortex (Guixin): 2 liang.
* Jujubae Fructus (Zao): 30 pieces, pits removed.
* Eucommiae Cortex (Duzhong): [Dosage implied missing in text, listed among fifteen ingredients].
Cut the above fifteen ingredients. Boil in 2 dou of water until the hemp seeds sprout/crack. Strain and retain 1 dou of liquid. First, boil Mahuang three times, skimming off the foam. Add all other herbs and simmer. This formula also promotes bowel movement. For patients suffering from wind disorders or severe wind, three to four doses are sufficient. Dietary restrictions: Avoid raw green onions, raw vegetables, hot noodles, buckwheat, pork, fish, bamboo shoots, and any stale or foul-smelling foods.
**For Pianfeng with paralysis:** After taking the Hemp Seed Decoction, follow with Zhishi Wan (Immature Bitter Orange Pill):
* Aurantii Fructus Immaturus (Zhishi): Roasted.
* Saposhnikoviae Radix (Fangfeng).
* Notopterygii Rhizoma et Radix (Qianghuo).
* Ginseng Radix et Rhizoma (Renshen).
* Antelopis Cornu (Lingyangjiao): Powdered. (Each 6 fen).
* Chrysanthemi Flos (Ganjuhua).
* Puerariae Radix (Gange).
* Coicis Semen (Yiyiren).
* Cinnamomi Cortex (Guixin): Each 4 fen.
* Poria (Fuling).
* Cimicifugae Rhizoma (Shengma).
* Coptidis Rhizoma (Huanglian).
* Rehmanniae Radix Preparata (Shengdihuang): Each 8 fen.
Grind the thirteen ingredients and sieve. Mix with honey to form pills the size of wutong seeds. Take 20 pills with wine on an empty stomach, increasing gradually to 30 pills. Take twice daily. Dietary restrictions: Avoid raw green onions, vinegar products, pork, cold water, Pyrethri Flos (Wuyao), raw vegetables, hot noodles, buckwheat, chicken, fish, garlic, bamboo shoots, and stale/foul foods. (From Volume 1)
**Qianjin Gancao Tang (Licorice Decoction from Qianjin Fang):** Treats chronic Pianfeng that does not heal over years, with withered and thin hands and feet, facial deviation (Koumian pianpi), insufficient spirit, and disordered speech.
* Glycyrrhizae Radix et Rhizoma (Gancao): Roasted.
* Cinnamomi Cortex (Guixin).
* Ligustici Chuanxiong Rhizoma (Xiong).
* Ephedrae Herba (Mahuang): De-stemmed.
* Ginseng Radix et Rhizoma (Renshen).
* Angelicae Sinensis Radix (Danggui).
* Paeoniae Radix Alba (Shaoyao): Each 1 liang.
* Angelicae Pubescentis Radix (Duohuo): 3 liang.
* Gentianae Macrophyllae Radix (Qinjiao): 1.5 liang.
* Poria cum Radix (Fushen).
* Atractylodis Rhizoma (Baizhu).
* Scutellariae Radix (Huangqin).
* Asari Radix et Rhizoma (Xixin): Each 1 liang.
Cut the nineteen ingredients. Boil in 1 dou of water. First boil Mahuang, skim foam, and collect 7 sheng of juice. Add remaining herbs, filter, and simmer to obtain 3 sheng. Divide into four doses.
**Another Prescription:**
Pinus massoniana leaves (Qingsongye): 1 jin, crushed to extract juice. Soak in 1 dou of clear wine for two nights. Heat near fire for one night. Initial dose: 0.5 sheng, gradually increase to 1 sheng. Stop when sweating occurs on the head and face. (From Volume 8)
**Beiji Xu Yu Formula:** Treats Pianfeng with hemiplegia and aphasia.
Swallow raw Apricot Kernels (Xingren) whole, including skin and tips. Start with 7 kernels daily, gradually increasing to 49 (seven sevens), cycling continuously. After meals, swallow with Bamboo Sap (Zhuli), amount arbitrary. Total daily intake should be 1 sheng. (Same as Wen Zhong's prescription in Volume 2)
**Yannian Formula:** Treats Pianfeng, hemiplegia, cold bi, and wandering pathogens.
Peach Kernels (Taoren): 1,700 pieces. Remove tips and skins. Soak in 1 dou 3 sheng of good wine (using large measure) for 21 days. Remove peaches, dry them, and grind into fine powder suitable for making pills. Take twice daily, 30 pills each time, washed down with the wine used for soaking. Prohibited: Pork and Xercocarpus (Canger). Other foods are allowed.
**Xiao Xuming Tang (Minor Continuation Life Decoction):** Mainly treats Pianfeng with hemiplegia, facial deviation, inability to speak, and spasms preventing turning over.
* Ephedrae Herba (Mahuang): De-stemmed.
* Stephaniae Tetrandrae Radix (Fangji).
* Aconiti Lateralis Radix Preparata (Fuzi): Processed, peeled.
* Ligustici Chuanxiong Rhizoma (Xiong).
* Cinnamomi Cortex (Guixin).
* Scutellariae Radix (Huangqin).
* Paeoniae Radix Alba (Shaoyao).
* Ginseng Radix et Rhizoma (Renshen).
* Glycyrrhizae Radix et Rhizoma (Gancao): Roasted. (Each 1 liang).
* Armeniacae Semen Amarum (Xingren): 40 pieces, peeled, tips removed, double kernels discarded.
* Zingiberis Rhizoma Recens (Shengjiang): 4 liang, sliced.
* Saposhnikoviae Radix (Fangfeng): 1.5 liang.
Cut the twelve ingredients. Boil in 8 sheng of water to obtain 2.6 sheng. Divide into three doses. Take again every five days. Administer frequently up to ten doses; if not cured, up to twenty doses. Prohibited: Seaweed, Brassica vegetables (Songcai), raw green onions, pork, cold water. (From Volume 12)
**Emergency Treatment for Pianfeng:** Wind-heat lingering in the diaphragm and affecting the Heart, causing mental confusion, and internal discomfort on cloudy days resembling drunkenness.
* Bambusae Succus Preparatus (Danzhuli): 3 sheng (Use more Zhuli if heat is prominent, more Jingli if cold is prominent).
* Antelopis Cornu (Lingyangjiao): Powdered, 2 fen.
* Gypsum Fibrosum (Shigao): Crushed, wrapped in cotton, 10 fen.
* Poria cum Radix (Fushen): Sliced, 6 fen.
Mix the four ingredients with 1 dou of water and Zhu Li. Boil to obtain 1.5 sheng. Strain. Take after meals when digestion is desired, divided into three doses. Regular use prevents fear of wind attacks. Prohibited: Vinegar products. (From Jingxin Lu, same as Wen Zhong Vol 2)
**Another Prescription:**
Aconiti Lateralis Radix Non preparata (Shengfuzi): 1 liang.
Wuhui Jiu (Unleavened Wine): 1 sheng.
Crush the two ingredients. Place Fuzi in the wine and soak for seven days. Drink a small he (unit of volume) every other day. Any disease expulsion is normal. Special prohibition: Pork, raw/cold foods, vinegar, and greasy/slippery foods. (From Volume 1)