病源风邪入于足阳明。手太阳之经。遇寒则筋急引颊。故使口 僻。言语不正。而目不
能平视。诊其脉浮而迟者可疗。养生方云∶夜卧当耳勿得有孔。风入耳中。喜口 。(出第
一卷中)
广济疗风着口面 语不多转方。
生地黄汁(一升) 竹沥(一升) 独活(三两切)
上三味相和煎取一升。顿服之。未正更进药一剂。无所忌。(出第一卷中)
深师续命汤。疗中风口僻噤诸疾。卒死不知人。补虚起死神方。
人参 木防己 麻黄(去节) 芍药 芎 甘草(炙) 黄芩 白术(各一两) 桂
心防
风(各二两) 大附子(一枚炮) 生姜(五两)
上十二味切。以水一斗二升。煮取三升。分为三服。不瘥复作。忌海藻菘菜猪肉生葱桃
李雀肉。
又疗中风面目相引偏僻。牙车疼急。舌不得转方。
牡蛎(熬) 矾石(烧令汁尽) 附子(炮) 灶中黄土
上四味分等捣筛。以三岁雄鸡冠血和药。敷其急上。预持鉴及水着边照。才欲复故便洗
去血。不速去便过不复还也。(肘后范汪同出第九卷中)
千金附子散。主中风手臂不仁口面僻方。
附子(炮) 桂心(各五两) 细辛 防风 人参 干姜(各六两)
上六味捣下筛。酒服方寸匕。日三。稍稍增之。忌猪肉冷水生葱生菜。
又口 不正方。
取空青如豆一枚含之即愈。(范汪同)
又疗卒中风口 方。
以苇筒长五寸。以一头刺耳孔中。四畔以面密塞之勿令泄气。一头纳大豆一颗。并艾烧
之令燃。灸七壮即瘥。患右灸左。患左灸右。(千金不传)
又方
灸手交脉三壮。左灸右。右灸左。其烟如鼠屎形。横安之。两头放火也。
又方
炒大豆三升令焦。以酒三升淋取汁。顿服之。
又方
大皂荚五两去皮子下筛。以三年大醋和。右 涂左。左 涂右。干更涂。(并出第八卷
中)
病源:风邪侵入足阳明经和手太阳经。遇到寒气则筋脉拘急,牵引脸颊,从而导致口眼歪斜(口僻)。表现为言语不清,眼睛不能平视。诊察其脉象浮而迟缓的,可以治疗。《养生方》说:睡觉时耳朵部位不应有孔洞,否则风邪容易进入耳中,容易导致口眼歪斜。(出自第一卷)
广济方:治疗风邪侵袭口面部,导致言语不利、转动不灵的方法。
生地黄汁(一升) 竹沥(一升) 独活(三两,切碎)
以上三味药混合煎煮,取药液一升,一次性服用。如果症状未缓解,再服用一剂。服药期间没有饮食禁忌。(出自第一卷)
深师续命汤:治疗中风引起的口眼歪斜、牙关紧闭等各种疾病,以及突然昏死不知人事的情况。这是补虚起神的良方。
人参 木防己 麻黄(去节) 芍药 川芎 甘草(炙) 黄芩 白术(各一两) 桂心 防风(各二两) 大附子(一枚,炮制) 生姜(五两)
以上十二味药切碎,用水一斗二升,煎煮至剩余三升药液。分三次服用。如果病愈,可再次制作服用。忌食海藻、菘菜(白菜类)、猪肉、生葱、桃肉、李肉、雀肉。
又方:治疗中风导致面目牵引歪斜,牙车骨疼痛拘急,舌头不能转动的方法。
牡蛎(煅烧) 矾石(烧至汁液流尽) 附子(炮制) 灶中黄土
以上四味药等量捣碎过筛。用三岁雄鸡的冠血调和药粉,敷在拘急的一侧。预先准备好镜子和水放在旁边观察,一旦恢复常态就立即洗去血迹。如果不迅速去除,就会过度治疗而无法挽回。(《肘后方》和范汪的书也记载了此方,出自第九卷)
千金附子散:主治中风导致手臂麻木不仁、口眼歪斜的方法。
附子(炮制) 桂心(各五两) 细辛 防风 人参 干姜(各六两)
以上六味药捣碎过筛。用酒送服一方寸匕的药粉,每日三次,逐渐增加剂量。忌食猪肉、冷水、生葱、生菜。
又方:治疗口眼歪斜不正的方法。
取如豆子大小的一枚空青含在口中,即可痊愈。(范汪的书也有记载)
又方:治疗猝然中风导致口眼歪斜的方法。
取长五寸的芦苇管,一头插入患侧耳孔中,四周用面粉严密堵塞以防漏气。另一头放入一颗大豆,并放置艾绒点燃施灸,灸七壮即可痊愈。患右侧灸左侧,患左侧灸右侧。(《千金方》未收录此法)
又方
灸手部交叉脉穴三壮。左病灸右,右病灸左。产生的烟像老鼠屎的形状,横着放置。两头点火。
又方
炒大豆三升至焦黑,用酒三升淋浇取汁,一次性服用。
又方
大皂荚五两,去皮去籽后过筛。用陈年醋调和,右侧歪斜涂左侧,左侧歪斜涂右侧,干了之后再涂。(均出自第八卷)
Etiology: Wind pathogen invades the Foot-Yangming Meridian and Hand-Taiyang Meridian. Upon encountering cold, the sinews become tense and pull on the cheek, resulting in facial paralysis (Koupi). Symptoms include slurred speech and the inability to gaze straight ahead. If the pulse is floating and slow, the condition is treatable. The *Yangsheng Fang* states: When sleeping, there should be no openings near the ears; otherwise, wind may enter the ear, predisposing one to facial paralysis. (From Volume I)
Guangji Formula: A prescription for treating wind affecting the mouth and face, causing speech impediments and limited mobility.
Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice, 1 Sheng)
Zhuli (Bamboo Sap, 1 Sheng)
Duhuo (Angelicae Pubescentis Radix, 3 Liang, sliced)
Mix the above three ingredients and decoct to obtain 1 Sheng of liquid. Take it all at once. If symptoms persist, administer another dose. No dietary restrictions apply. (From Volume I)
Shenshi Xuming Tang: Treats various conditions caused by stroke, including facial paralysis, trismus (lockjaw), sudden death with loss of consciousness. It is a divine formula for tonifying deficiency and restoring spirit.
Renshen (Ginseng Radix)
Mufangji (Stephaniae Tetrandrae Radix)
Mahuang (Ephedrae Herba, nodes removed)
Shaoyao (Paeoniae Radix)
Xiong (Chuanxiong Rhizoma)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Huangqin (Scutellariae Radix)
Baizhu (Atractylodis Macrocephalae Rhizoma) [Each: 1 Liang]
Guixin (Cinnamomi Cortex)
Fangfeng (Saposhnikoviae Radix) [Each: 2 Liang]
Da Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed)
Shengjiang (Zingiberis Rhizoma Recens, 5 Liang)
Cut the above twelve herbs. Decoct in 1 Dou 2 Sheng of water until 3 Sheng remains. Divide into three doses. If not cured, prepare again. Avoid consuming Haizao (Sargassum), Songcai (Brassica vegetables), pork, raw Cong (Allium fistulosum), Tao (peach meat), Li (plum meat), and Que (sparrow meat).
Another Prescription: For stroke causing facial deviation, pain and tension in the mandible (Yache), and inability to move the tongue.
Muli (Ostreae Concha, calcined)
Fanshi (Alumen, burned until juice is exhausted)
Fuzi (Aconiti Lateralis Radix Praeparata, processed)
Zaozhong Huangtu (Yellow Earth from the Hearth)
Grind the above four ingredients in equal parts into powder. Mix with the comb blood of a three-year-old male rooster and apply to the affected side. Keep a mirror and water nearby to monitor. Wash off the blood immediately once symmetry is restored. Failure to remove it promptly will lead to excessive treatment that cannot be reversed. (Also recorded in *Zhouhou Beiji Fang* and Fan Wang's works, From Volume IX)
Qianjin Fuzi San: Mainly treats stroke-induced numbness in the arms and facial paralysis.
Fuzi (Aconiti Lateralis Radix Praeparata, processed)
Guixin (Cinnamomi Cortex) [Each: 5 Liang]
Xixin (Asari Radix et Rhizoma)
Fangfeng (Saposhnikoviae Radix)
Renshen (Ginseng Radix)
Ganjiang (Zingiberis Rhizoma) [Each: 6 Liang]
Grind the above six herbs into powder. Administer 1 Fangcunbi with wine, three times daily. Gradually increase the dosage. Avoid pork, cold water, raw Cong (Allium fistulosum), and raw vegetables.
Another Prescription: For correcting facial deviation.
Take one bean-sized piece of Kongqing (Azurite) and hold it in the mouth; the condition will heal. (Also in Fan Wang's work)
Another Prescription: For sudden stroke causing facial paralysis.
Take a reed tube 5 Cun long. Insert one end into the ear canal of the healthy side. Seal the surrounding area tightly with flour paste to prevent air leakage. Place one soybean at the other end along with moxa, ignite, and moxa for 7 Zhuans (moxa cones). The condition will heal. If the right side is affected, moxa the left; if the left side is affected, moxa the right. (Not transmitted in *Qianjin Fang*)
Another Prescription
Moxa the crossing vessels on the hand for 3 Zhuans. Moxa the right for left-sided disease, and the left for right-sided disease. The smoke should resemble rat droppings, placed horizontally. Ignite both ends.
Another Prescription
Stir-fry 3 Sheng of soybeans until charred. Pour 3 Sheng of wine over them to extract the juice. Take in one dose.
Another Prescription
Take 5 Liang of large Zaojia (Gleditsiae Fructus), remove skin and seeds, and sieve. Mix with 3-year-old mature vinegar. Apply to the unaffected side (if the right side deviates, apply to the left; if the left deviates, apply to the right). Reapply when dry. (All from Volume VIII)