病源诸阳经筋皆在于头。三阳之筋。并络入于颔颊。夹于口。诸阳为风寒所客则筋急。
故口噤不开。诊其脉迟者生。(出第一卷中)
深师竹沥汤。疗卒中恶风噎倒闷。口噤不能语。肝厥方。
淡竹沥(一斗) 防风 葛根(各一两) 菊花 细辛 芍药 白术 当归 桂心 通
草
防己 人参(各一两) 甘草(炙) 附子(炮) 茯苓 玄参(各一两) 秦艽 生姜(各
二两)
枫寄生(三两)
上十九味切。以淡竹沥一斗。煮药取四升。分为四服。忌海藻菘菜猪肉生菜生葱醋桃李
雀肉等物。
又甘竹沥汤。疗卒中恶风噎倒闷。口噤不能语。肝厥。尸蹶死不识人。闭目。灸针不知
痛。风狂。宜服此汤方。
甘竹沥(一斗) 生姜(三两) 防风 甘草(炙各三两) 防己 麻黄(去节) 人
参黄芩
上十四味 咀。以汤渍药令赤。合竹沥煮取四升。分为四服。忌海藻菘菜桃李雀肉生葱
生菜猪肉冷水。(并出第十九卷中)
千金排风汤。主诸毒风气邪风所中。口噤闷绝不识人。身体疼烦。面目暴肿手足肿方。
犀角末 羚羊角 贝齿末 升麻末
上四味。各一两和匀。以方寸匕为一分水二升半纳四匕。煮取一升。去滓。服五合。杀
药者以意增之。若肿和鸡子敷上。日三。老小以意。亦可多合用之。(深师同)
又疗中风口噤不能言者方。
防己(二两) 葛根(三两) 桂心 麻黄(去节各二两) 甘草(炙) 防风 芍药
(各一两) 生姜(四两)
上八味切。以水六升。煮取二升。分为三服。喑不能言皆疗。忌海藻菘菜生葱。
又方
服淡竹沥一斗。
又方
白术(四两切) 酒(二升)
上二味合煮取一升。顿服之。忌桃李雀肉。
又方
服荆沥一升。
又方
豉(五升绵裹) 吴茱萸(一升)
上二味以水七升。同煮取三升。渐渐饮之。(并出第八卷中)
备急陶隐居效验方。疗人卒中风。口不开。身不着席。大豆散方。
大豆(二升熬令焦) 干姜 椒(汗各三两)
上三味为散。酒服一钱匕。日一。汗出即瘥。大良。(文仲同)
又方
若口噤不开。大豆五升。熬令黄黑。以五升酒渍。开口灌之取汗。肘后同。(并出第二
卷中)
病源:所有阳经的筋脉都汇聚于头部。三阳经(太阳、阳明、少阳)的筋脉,交织络入下颌和面颊部位,夹持于口部周围。当诸阳经受风寒邪气侵袭时,会导致筋脉拘急痉挛。因此出现牙关紧闭、口不能张开的症状。诊察其脉象若见迟脉,则预后良好。(出自第一卷中)
深师竹沥汤:治疗突然遭受恶风邪气侵袭导致咽喉阻塞昏倒、意识闷乱。症状表现为牙关紧闭、不能言语。此证属肝厥方证。
药材组成:淡竹沥(一斗)、防风、葛根(各一两)、菊花、细辛、芍药、白术、当归、桂心、通草、防己、人参(各一两)、甘草(炙)、附子(炮制)、茯苓、玄参(各一两)、秦艽、生姜(各二两)、枫寄生(三两)。
煎服法:以上十九味药材切碎,用淡竹沥一斗,煎煮药物至剩余四升药液。分为四次服用。忌食海藻、菘菜(白菜类)、猪肉、生菜、生葱、醋、李子、桃子、雀肉等食物。
又方:甘竹沥汤:治疗突然遭受恶风邪气侵袭导致咽喉阻塞昏倒、意识闷乱。症状表现为牙关紧闭、不能言语。此证属肝厥、尸厥(假死状态)、神志昏迷不识人、闭目、艾灸针刺不知疼痛、风狂躁动。适宜服用此汤方。
药材组成:甘竹沥(一斗)、生姜(三两)、防风、甘草(炙,各三两)、防己、麻黄(去节)、人参、黄芩。
煎服法:以上十四味药材切碎(咀),先用热水浸泡药材至水色变红,再加入竹沥一起煎煮至剩余四升药液。分为四次服用。忌食海藻、菘菜、李子、桃子、雀肉、生葱、生菜、猪肉、冷水。(均出自第十九卷中)
千金排风汤:主治各种毒气、风气、邪风所中。症状表现为牙关紧闭、胸闷窒息、神志昏迷不识人。身体疼痛烦躁。面目突然肿胀,手足肿胀。
药材组成:犀角末、羚羊角、贝齿末(海蛤壳或类似贝壳类磨粉)、升麻末。
煎服法:以上四味药材,每味各一两,混合均匀。每次取一方寸匕的药量,加入二升半的水,放入四匕药粉,煎煮至剩余一升药液。滤去药渣。每次服用五合。若服药后病情加重,可根据情况增加药量。若伴有肿胀,可将药渣与鸡蛋清调和敷于患处,每日三次。老人小孩用量酌情增减。也可以多合用之。(深师方与此相同)
又方:治疗中风口噤不能说话的症状。
药材组成:防己(二两)、葛根(三两)、桂心、麻黄(去节,各二两)、甘草(炙)、防风、芍药(各一两)、生姜(四两)。
煎服法:以上八味药材切碎,用水六升,煎煮至剩余二升药液。分为三次服用。凡失音不能言语者皆有效。忌食海藻、菘菜、生葱。
又方:服用淡竹沥一斗。
又方:白术(四两,切碎)、酒(二升)。
煎服法:以上两味合煮至剩余一升药液,一次性顿服。忌食李子、桃子、雀肉。
又方:服用荆沥一升。
又方:豆豉(五升,用绵布包裹)、吴茱萸(一升)。
煎服法:以上两味用水七升,共同煎煮至剩余三升药液,慢慢分次饮用。(均出自第八卷中)
备急陶隐居效验方:治疗人突然中风。症状表现为口不能张开,身体僵硬无法着床。大豆散方。
药材组成:大豆(二升,炒至焦黑)、干姜、椒(花椒,汗出处理,各三两)。
煎服法:以上三味研为散剂。用酒送服一方寸匕,每日一次。出汗后病症即愈。效果极佳。(文仲方与此相同)
又方:若牙关紧闭不能张开,取大豆五升,炒至黄黑色,用五升酒浸泡。撬开患者嘴巴灌服,以出汗为度。肘后备急方与此相同。(均出自第二卷中)
Disease Origin: The meridians of all Yang channels converge in the head. The tendons of the Three Yang channels (Taiyang, Yangming, Shaoyang) interlace and enter the mandible and cheeks, flanking the mouth. When the various Yang channels are invaded by Wind-Cold pathogens, it leads to tendon spasm and stiffness. Consequently, trismus (lockjaw) occurs, where the mouth cannot open. If the pulse is found to be slow (Chi), the prognosis is favorable. (From Volume I)
Shenshi Zhuli Decoction: Treats sudden attack by malignant Wind causing throat obstruction, collapse, and mental confusion. Symptoms include trismus and inability to speak. This condition belongs to Liver Jue syndrome.
Ingredients: Danzhuli (Bamboo Sap, 1 dou); Fangfeng (Saposhnikovia Root), Gegen (Pueraria Root) (each 1 liang); Juhua (Chrysanthemum Flower); Xixin (Asarum Root); Shaoyao (Peony Root); Baizhu (Atractylodes Macrocephala Rhizome); Danggui (Angelica Sinensis Root); Guixin (Cinnamon Twig); Tongcao (Tetrapanax Pith); Fangji (Stephania Root); Renshen (Ginseng Root) (each 1 liang); Gancao (Licorice Root, honey-fried); Fuzi (Aconite Lateral Root, processed); Fuling (Poria); Xuanshen (Scrophularia Root) (each 1 liang); Qinjiao (Gentiana Macrophylla Root); Shengjiang (Fresh Ginger Root) (each 2 liang); Fengjisheng (Taxillus Chinensis Stem) (3 liang).
Preparation and Administration: The above nineteen ingredients are cut. Boil with 1 dou of Bamboo Sap until reduced to 4 sheng. Divide into four doses. Avoid consuming Haizao (Seaweed), Songcai (Chinese Cabbage), Zhu Rou (Pork), raw vegetables, raw Scallions, Vinegar, Li Zi (Plums), Tao Zi (Peaches), Que Rou (Sparrow Meat), etc.
Another Formula: Ganh Zhuli Decoction: Treats sudden attack by malignant Wind causing throat obstruction, collapse, and mental confusion. Symptoms include trismus, inability to speak, Liver Jue, Shi Jue (Corpse-like coma), unconsciousness, closed eyes, insensitivity to moxibustion and acupuncture pain, and wind-induced mania. This decoction is suitable.
Ingredients: Ganh Zhuli (Sweet Bamboo Sap, 1 dou); Shengjiang (Fresh Ginger Root, 3 liang); Fangfeng (Saposhnikovia Root); Gancao (Licorice Root, honey-fried, each 3 liang); Fangji (Stephania Root); Mahuang (Ephedra Stem, nodes removed); Renshen (Ginseng Root); Huangqin (Scutellaria Root).
Preparation and Administration: The above fourteen ingredients are crushed. Soak in hot water until the liquid turns reddish, then add Bamboo Sap and boil until reduced to 4 sheng. Divide into four doses. Avoid consuming Haizao (Seaweed), Songcai (Chinese Cabbage), Li Zi (Plums), Tao Zi (Peaches), Que Rou (Sparrow Meat), raw Scallions, raw vegetables, Zhu Rou (Pork), and cold water. (All from Volume XIX)
Qianjin Paifeng Decoction: Mainly treats attacks by various toxins, Wind Qi, and evil winds. Symptoms include trismus, chest tightness, suffocation, unconsciousness, body pain and restlessness, sudden swelling of the face and eyes, and swelling of hands and feet.
Ingredients: Xijiao Mo (Rhinoceros Horn Powder); Lingyangjiao (Antelope Horn); Beichi Mo (Shell Powder); Shengma (Cimicifuga Rhizome) Powder.
Preparation and Administration: The above four ingredients, each 1 liang, are mixed evenly. Take one Fangcunbi (a spoon measure) of powder per dose. Add 2.5 sheng of water, place four Fangcunbi of powder, boil until reduced to 1 sheng. Strain the dregs. Take 5 he as a single dose. If the medicine causes adverse reactions, increase the dosage according to judgment. If swelling is present, mix the dregs with egg white and apply externally three times a day. Adjust dosage for elderly and children. Can also be used in larger quantities. (Same as Shenshi formula)
Another Formula: For treating stroke with trismus and aphasia.
Ingredients: Fangji (Stephania Root, 2 liang); Gegen (Pueraria Root, 3 liang); Guixin (Cinnamon Twig); Mahuang (Ephedra Stem, nodes removed, each 2 liang); Gancao (Licorice Root, honey-fried); Fangfeng (Saposhnikovia Root); Shaoyao (Peony Root, each 1 liang); Shengjiang (Fresh Ginger Root, 4 liang).
Preparation and Administration: The above eight ingredients are cut. Boil with 6 sheng of water until reduced to 2 sheng. Divide into three doses. Effective for aphasia and inability to speak. Avoid Haizao (Seaweed), Songcai (Chinese Cabbage), and raw Scallions.
Another Formula: Take 1 dou of Danzhuli (Bamboo Sap).
Another Formula: Baizhu (Atractylodes Macrocephala Rhizome, 4 liang, cut); Jiu (Wine, 2 sheng).
Preparation and Administration: Boil the two ingredients together until reduced to 1 sheng. Take in one dose. Avoid Li Zi (Plums), Tao Zi (Peaches), and Que Rou (Sparrow Meat).
Another Formula: Take 1 sheng of Jingli (Vitex Leaf Sap).
Another Formula: Chi (Fermented Soybean, 5 sheng, wrapped in silk); Wuzhuyu (Evodia Fruit, 1 sheng).
Preparation and Administration: Boil the two ingredients in 7 sheng of water until reduced to 3 sheng. Drink slowly in small amounts. (All from Volume VIII)
Beiji Tao Yingjun Efficacy Formula: Treats sudden stroke in humans. Symptoms include inability to open the mouth and rigidity preventing lying down. Douda San (Soybean Powder) Formula.
Ingredients: Doudou (Soybean, 2 sheng, roasted until charred); Ganjiang (Dried Ginger); Jiao (Zanthoxylum Fruit, sweated, each 3 liang).
Preparation and Administration: Grind the above three ingredients into powder. Take one Fangcunbi with wine, once daily. Recovery occurs upon sweating. Highly effective. (Same as Wenzhong formula)
Another Formula: If trismus prevents opening the mouth, take 5 sheng of Soybeans, roast until yellow-black, soak in 5 sheng of wine. Force open the mouth and administer to induce sweating. Same as Zhouhou formula. (All from Volume II)