夫半身不遂者。因脾胃虚弱。血气偏虚。风邪所侵故也。脾胃为水谷之海。是水谷之精。
化
故半身不遂也。诊其脉。寸口沉细。名曰阳中之阴。病苦悲伤不乐。恶闻人声。少气。时时
汗出。臂偏不举。又寸口脉偏绝者。则臂偏不遂。其人两手脉尽绝者。不可治也。
治中风半身不遂。头目昏痛。心烦体热。宜服麻黄散方。
麻黄(二两去根节) 桂心(一两) 葛根(二两锉) 犀角屑(一两) 地骨皮(一
两) 丹参
(一
草(半两
炙微
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。忌油
腻毒
治中风半身不遂。肢节无力疼痛。宜服附子散方。
附子(一两炮裂去皮脐) 防风(一两去芦头) 五加皮(一两) 萆 (一两) 薏
苡仁(一
两)
皮炙微黄锉) 海
瓤)
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治中风半身不遂。身体筋脉挛急。肝心壅滞。宜服独活散方。
独活(二两) 黄 (二两锉) 防风(一两半去芦头) 白藓皮(一两半) 茯神〔一
(二)两)〕
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治中风半身不遂。筋脉拘急疼痛。宜服牛膝散方。
牛膝(二两去苗) 羚羊角屑〔二(一)两半〕 漏芦(二两) 败酱(二两) 茯苓
(二两) 酸
枣
上件药。捣粗罗为散。每服五钱。以水一中(大)盏。煎至六分。去滓。入荆沥一合。
更
煎一
治中风半身不遂。宜服天麻散方。
天麻(二两) 乌蛇(二两酒浸去皮骨炙微黄) 白附子(一两炮裂) 白僵蚕(一两
微炒)
防风
两) 羌
活(
当归
(一两
上件药。捣细罗为散。每服食前。以温酒调下二钱。忌生菜猪鸡肉油腻。
治中风半身不遂。筋脉挛急。行立艰难。宜服萆 丸方。
萆 〔二(三)两锉〕 牛膝(三两去苗) 杜仲(一两半去粗皮炙微黄锉) 酸枣仁
(二两
微炒)
心(一两)
石
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空心及晚食前。以暖酒下
三十
治中风半身不遂。身体顽麻。宜服乌犀丸方。
乌犀角屑(一两) 羚羊角屑(二两) 天南星(一两醋浸一宿炒令黄) 天雄(一两
炮裂去
皮脐)
两微炒)
干
两) 干
姜(一两炮裂锉) 川乌头(一两炮裂去皮脐) 白术(一两) 当归(一两) 白芷(一
两) 细辛
(一两) 牛膝(一两去苗) 槟榔(一两) 青橘皮(一两汤浸去白瓤焙) 白附子(一
两炮裂)
桑螵蛸(一两微炒) 阿胶(一两捣碎炒令黄燥) 牛黄(一分细研) 麝香(一分细研)
上件药。捣罗为末。入研了药令匀。炼蜜和捣五七百杵。丸如梧桐子大。每服食前。以
温酒
治中风半身不遂。或举体痹麻。宜服牛黄丸方。
牛黄〔一两(分)细研〕 麝香(一分细研) 赤箭(一两半) 白僵蚕(一两微炒) 白
附子
(
微炒)
上件药。捣罗为末。研入牛黄麝香令匀。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。
以
治肝肾久虚。外中风毒。半身不遂。肢节挛急。腰间酸疼。渐觉羸瘦。宜服赤箭丸
方。
赤箭(一两) 茯神(一两) 五加皮(一两) 鹿茸(二两去毛涂酥炙令黄) 防风
(一两去
芦头)
两酒浸三
日曝
裂去皮
脐)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治中风半身不遂。言语謇涩。肌肤顽痹。筋脉不利。骨节疼痛。宜服天雄丸方。
天雄(一两炮裂去皮脐) 羚羊角屑(半两) 牛黄(一分细研) 麝香(一分细研) 天
麻
(一两)
脐) 桂
心(半两)
(半两) 乌
蛇肉(二
蝎(半
两微炒)
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。以温酒下二十丸。渐加
至三
治中风半身不遂。肢节疼痛无力。宜服仙灵脾浸酒方。
仙灵脾(一两) 天麻(一两) 独活(一两) 天雄(一两炮裂去皮脐) 牛膝(一
两去苗)
桂心
芋(一两)
萆
两) 苍耳
子
上件药。细锉。以生绢袋盛。用好酒二斗浸之。密封。经七日后。每日不计时候。温服
一小
半身不遂这种病症,是由于脾胃虚弱,气血偏虚,风邪侵袭所致。脾胃是受纳水谷的器官,水谷的精微物质化生为气血,若气血不足,经络失养,就会导致半身不遂。诊察其脉象,寸口脉沉细,这称为“阳中之阴”。患者常感到悲伤不乐,厌恶听到人声,气短,时常出汗,一侧手臂无法抬起。如果寸口脉出现一侧断绝的情况,则会导致该侧手臂瘫痪不能活动。如果两手脉象全部断绝,则是不可治愈的死证。
治疗中风引起的半身不遂,伴有头目昏痛、心烦体热者,适宜服用麻黄散方。
药材:麻黄(二两,去除根和节)、桂心(一两)、葛根(二两,锉碎)、犀角屑(一两)、地骨皮(一两)、丹参(一两)、甘草(半两,炙至微黄)。
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,煎煮至六分,去渣滓。不分时候温服。忌食油腻及有毒食物。
治疗中风引起的半身不遂,肢体关节无力疼痛者,适宜服用附子散方。
药材:附子(一两,炮裂,去皮脐)、防风(一两,去芦头)、五加皮(一两)、萆薢(一两)、薏苡仁(一两)、白蒺藜(一两,炒去刺)、海桐皮(一两,炙微黄,锉碎)。
以上药物,捣碎过筛成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至六分,去渣滓。不分时候温服。
治疗中风引起的半身不遂,身体筋脉拘挛急迫,肝心气机壅滞者,适宜服用独活散方。
药材:独活(二两)、黄芪(二两,锉碎)、防风(一两半,去芦头)、白鲜皮(一两半)、茯神(一两)、当归(一两)。
以上药物,捣碎过粗罗筛成散剂。每次服用四钱,用水一中盏,煎煮至六分,去渣滓。不分时候温服。
治疗中风引起的半身不遂,筋脉拘急疼痛者,适宜服用牛膝散方。
药材:牛膝(二两,去苗)、羚羊角屑(一两半)、漏芦(二两)、败酱(二两)、茯苓(二两)、酸枣仁(一两,微炒)。
以上药物,捣碎过粗罗筛成散剂。每次服用五钱,用水一大盏,煎煮至六分,去渣滓,加入荆沥一合,再煎一二沸。
治疗中风引起的半身不遂,适宜服用天麻散方。
药材:天麻(二两)、乌蛇(二两,酒浸,去皮骨,炙微黄)、白附子(一两,炮裂)、白僵蚕(一两,微炒)、防风(一两)、羌活(一两)、当归(一两)。
以上药物,捣碎过细罗筛成散剂。每次在饭前,用温酒调服二钱。忌食生菜、猪鸡肉及油腻食物。
治疗中风引起的半身不遂,筋脉拘挛急迫,行走站立困难者,适宜服用萆薢丸方。
药材:萆薢(三两,锉碎)、牛膝(三两,去苗)、杜仲(一两半,去粗皮,炙微黄,锉碎)、酸枣仁(二两,微炒)、远志(一两,去心)、石南藤(一两)。
以上药物,捣碎过罗筛成末,炼蜜调和,捣三二百杵,制成梧桐子大小的丸药。每次空腹及晚饭前,用暖酒送下三十丸。
治疗中风引起的半身不遂,身体顽固性麻木者,适宜服用乌犀丸方。
药材:乌犀角屑(一两)、羚羊角屑(二两)、天南星(一两,醋浸一夜,炒至黄色)、天雄(一两,炮裂,去皮脐)、干姜(一两,炮裂,锉碎)、川乌头(一两,炮裂,去皮脐)、白术(一两)、当归(一两)、白芷(一两)、细辛(一两)、牛膝(一两,去苗)、槟榔(一两)、青橘皮(一两,汤浸,去白瓤,焙干)、白附子(一两,炮裂)、桑螵蛸(一两,微炒)、阿胶(一两,捣碎,炒至黄燥)、牛黄(一分,细研)、麝香(一分,细研)。
以上药物,捣碎过罗筛成末,加入已研匀的药物混合均匀,炼蜜调和,捣五七百杵,制成梧桐子大小的丸药。每次在饭前,用温酒送下。
治疗中风引起的半身不遂,或全身痹症麻木者,适宜服用牛黄丸方。
药材:牛黄(一分,细研)、麝香(一分,细研)、赤箭(即天麻,一两半)、白僵蚕(一两,微炒)、白附子(一两,炮裂)。
以上药物,捣碎过罗筛成末,加入研匀的牛黄、麝香混合均匀,炼蜜调和,捣三二百杵,制成梧桐子大小的丸药。每次在饭前,用温酒送下。
治疗因肝肾长期亏虚,外感中风毒邪,导致半身不遂,肢体关节拘挛急迫,腰部酸痛,逐渐消瘦者,适宜服用赤箭丸方。
药材:赤箭(即天麻,一两)、茯神(一两)、五加皮(一两)、鹿茸(二两,去毛,涂酥炙令黄色)、防风(一两,去芦头)、天雄(一两,炮裂,去皮脐)、牛膝(一两,酒浸三日,曝干)。
以上药物,捣碎过罗筛成末,炼蜜调和,捣三二百杵,制成梧桐子大小的丸药。每次在饭前,用温酒送下三十丸。
治疗中风引起的半身不遂,言语謇涩,肌肤顽固性麻痹,筋脉不利,骨节疼痛者,适宜服用天雄丸方。
药材:天雄(一两,炮裂,去皮脐)、羚羊角屑(半两)、牛黄(一分,细研)、麝香(一分,细研)、天麻(一两)、桂心(半两)、乌蛇肉(二两)、全蝎(半两,微炒)。
以上药物,捣碎过罗筛成末,炼蜜调和,捣五七百杵,制成梧桐子大小的丸药。每次服用,用温酒送下二十丸,逐渐增加至三十丸。
治疗中风引起的半身不遂,肢体关节疼痛无力者,适宜服用仙灵脾浸酒方。
药材:仙灵脾(即淫羊藿,一两)、天麻(一两)、独活(一两)、天雄(一两,炮裂,去皮脐)、牛膝(一两,去苗)、桂心(一两)、芋头(一两)、萆薢(一两)、苍耳子(一两)。
以上药物,细锉碎,用生绢袋盛装,用好酒二斗浸泡,密封。经过七日后,每日不分时候,温服一小盏。
Hemiplegia is caused by the deficiency of the Spleen and Stomach, leading to a bias in Qi and Blood deficiency, and invasion by Wind pathogen. The Spleen and Stomach are the sea of water and grain; the essence of water and grain transforms into Qi and Blood. If Qi and Blood are insufficient, the collaterals lose nourishment, resulting in hemiplegia. Upon pulse diagnosis, if the Cun Kou (radial artery at the wrist) pulse is deep and fine, it is termed "Yin within Yang." Patients often feel sorrowful and unhappy, dislike hearing human voices, suffer from shortness of breath, sweat frequently, and cannot lift one arm. If the Cun Kou pulse is absent on one side, that arm will become paralyzed and unable to move. If the pulses of both hands are completely absent, the condition is incurable.
For hemiplegia caused by stroke, accompanied by dizziness and pain in the head and eyes, mental restlessness, and body heat, Mahuang San (Ephedra Powder) is suitable.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) two liang, removed roots and joints; Cinnamomi Ramulus (Guixin, 桂心) one liang; Puerariae Radix (Gegen, 葛根) two liang, chopped; Rhinocerotis Cornu (Xijiao, 犀角) one liang, sliced; Lycii Cortex (Digupi, 地骨皮) one liang; Salviae Miltiorrhizae Radix et Rhizoma (Danshen, 丹参) one liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) half liang, honey-fried until slightly yellow.
The above ingredients are coarsely ground into powder. Take four qian per dose, decoct with one zhong of water until reduced to six parts, remove the dregs, and take warm at any time. Avoid greasy and toxic foods.
For hemiplegia caused by stroke, with weakness and pain in limbs and joints, Fuzi San (Aconite Powder) is suitable.
Ingredients: Aconiti Lateralis Radix Praeparata (Fuzi, 附子) one liang, processed until cracked, skin and umbilicus removed; Saposhnikoviae Radix (Fangfeng, 防风) one liang, radicle removed; Acanthopanacis Senticosi Cortex (Wujiapi, 五加皮) one liang; Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) one liang; Coicis Semen (Yiyiren, 薏苡仁) one liang; Tribuli Fructus (Bajili, 白蒺藜) one liang, stir-fried to remove spines; Santali Cortex (Haitongpi, 海桐皮) one liang, fried until slightly yellow and chopped.
The above ingredients are finely sifted into powder. Take three qian per dose, decoct with one zhong of water plus half a piece of fresh ginger until reduced to six parts, remove the dregs, and take warm at any time.
For hemiplegia caused by stroke, with spasms and tightness of muscles and tendons, and stagnation in the Liver and Heart, Duhuo San (Angelicae Pubescentis Root Powder) is suitable.
Ingredients: Angelicae Pubescentis Radix (Duhuo, 独活) two liang; Astragali Radix (Huangqi, 黄芪) two liang, chopped; Saposhnikoviae Radix (Fangfeng, 防风) one and a half liang, radicle removed; Dictamni Cortex (Baixianpi, 白鲜皮) one and a half liang; Poria (Fushen, 茯神) one liang; Angelicae Sinensis Radix (Danggui, 当归) one liang.
The above ingredients are coarsely ground into powder. Take four qian per dose, decoct with one zhong of water until reduced to six parts, remove the dregs, and take warm at any time.
For hemiplegia caused by stroke, with spasms and pain in muscles and tendons, Niuxi San (Achyranthes Bidentata Root Powder) is suitable.
Ingredients: Achyranthis Bidentatae Radix (Niuxi, 牛膝) two liang, tips removed; Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) one and a half liang, sliced; Euphorbiae Humifusae Radix (Loulu, 漏芦) two liang; Patriniae Radix (Baijiang, 败酱) two liang; Poria (Fuling, 茯苓) two liang; Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) one liang, lightly stir-fried.
The above ingredients are coarsely ground into powder. Take five qian per dose, decoct with one large zhong of water until reduced to six parts, remove the dregs, add one he of Jingshi (juice from bamboo leaves), and boil for one or two more boils.
For hemiplegia caused by stroke, Tianma San (Gastrodia Elata Root Powder) is suitable.
Ingredients: Gastrodiae Rhizoma (Tianma, 天麻) two liang; Naja atra (Wushe, 乌蛇) two liang, soaked in wine, skin and bones removed, fried until slightly yellow; Hohenbuehleria Peckii (Baifuzi, 白附子) one liang, processed until cracked; Bombyx Batryticatus (Baijiangcan, 白僵蚕) one liang, lightly stir-fried; Saposhnikoviae Radix (Fangfeng, 防风) one liang; Qianghuo (Qianghuo, 羌活) one liang; Angelicae Sinensis Radix (Danggui, 当归) one liang.
The above ingredients are finely ground into powder. Take two qian before meals, mixed with warm wine. Avoid raw vegetables, pork, chicken, and greasy foods.
For hemiplegia caused by stroke, with spasms and tightness of muscles and tendons, and difficulty walking and standing, Bixie Wan (Dioscorea Hypoglauca Pill) is suitable.
Ingredients: Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) three liang, chopped; Achyranthis Bidentatae Radix (Niuxi, 牛膝) three liang, tips removed; Eucommiae Cortex (Duzhong, 杜仲) one and a half liang, rough bark removed, fried until slightly yellow and chopped; Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) two liang, lightly stir-fried; Polygala Radix (Yuanzhi, 远志) one liang, heart removed; Nanthinae Ramulus (Shinanteng, 石南藤) one liang.
The above ingredients are ground into fine powder, mixed with refined honey, pounded 300-200 times, and formed into pills the size of sophora seeds. Take thirty pills on an empty stomach and before dinner, with warm wine.
For hemiplegia caused by stroke, with stubborn numbness of the body, Wuxi Wan (Black Rhino Horn Pill) is suitable.
Ingredients: Rhinocerotis Cornu (Wuxijiao, 乌犀角) one liang, sliced; Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) two liang, sliced; Arisaema Cum Bile (Tiannanxing, 天南星) one liang, soaked in vinegar overnight, fried until yellow; Aconiti Kusnezoffii Radix (Tianxiong, 天雄) one liang, processed until cracked, skin and umbilicus removed; Zingiberis Rhizoma Recens (Ganjiang, 干姜) one liang, processed until cracked and chopped; Aconiti Radix (Chuanwutou, 川乌头) one liang, processed until cracked, skin and umbilicus removed; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) one liang; Angelicae Sinensis Radix (Danggui, 当归) one liang; Angelicae Dahuricae Radix (Baizhi, 白芷) one liang; Asari Radix et Rhizoma (Xixin, 细辛) one liang; Achyranthis Bidentatae Radix (Niuxi, 牛膝) one liang, tips removed; Arecae Semen (Binglang, 槟榔) one liang; Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) one liang, soaked in water, white pith removed, dried; Hohenbuehleria Peckii (Baifuzi, 白附子) one liang, processed until cracked; Mantidis Oötheca (Sangpiaoxiao, 桑螵蛸) one liang, lightly stir-fried; Colla Corii Asini (Ejiao, 阿胶) one liang, crushed and fried until yellow and dry; Bovis Calculus (Niuhuang, 牛黄) one fen, finely ground; Moschus (Shexiang, 麝香) one fen, finely ground.
The above ingredients are ground into fine powder, mixed thoroughly with the pre-ground medicines, mixed with refined honey, pounded 500-700 times, and formed into pills the size of sophora seeds. Take before meals with warm wine.
For hemiplegia caused by stroke, or general bi-syndrome numbness, Niuhuang Wan (Bovis Calculus Pill) is suitable.
Ingredients: Bovis Calculus (Niuhuang, 牛黄) one fen, finely ground; Moschus (Shexiang, 麝香) one fen, finely ground; Gastrodiae Rhizoma (Chijian/Tianma, 赤箭/天麻) one and a half liang; Bombyx Batryticatus (Baijiangcan, 白僵蚕) one liang, lightly stir-fried; Hohenbuehleria Peckii (Baifuzi, 白附子) one liang, processed until cracked.
The above ingredients are ground into fine powder, mixed thoroughly with the pre-ground Niuhuang and Shexiang, mixed with refined honey, pounded 300-200 times, and formed into pills the size of sophora seeds. Take before meals with warm wine.
For hemiplegia caused by long-term deficiency of Liver and Kidney, external invasion of wind-toxin, with spasms and tightness of limbs and joints, soreness and pain in the waist, and gradual emaciation, Chijian Wan (Gastrodia Pill) is suitable.
Ingredients: Gastrodiae Rhizoma (Chijian/Tianma, 赤箭/天麻) one liang; Poria (Fushen, 茯神) one liang; Acanthopanacis Senticosi Cortex (Wujiapi, 五加皮) one liang; Cervi Cornu Pantotrichum (Lurong, 鹿茸) two liang, hair removed, coated with butter and fried until yellow; Saposhnikoviae Radix (Fangfeng, 防风) one liang, radicle removed; Aconiti Kusnezoffii Radix (Tianxiong, 天雄) one liang, processed until cracked, skin and umbilicus removed; Achyranthis Bidentatae Radix (Niuxi, 牛膝) one liang, soaked in wine for three days, sun-dried.
The above ingredients are ground into fine powder, mixed with refined honey, pounded 300-200 times, and formed into pills the size of sophora seeds. Take thirty pills before meals with warm wine.
For hemiplegia caused by stroke, with slurred speech, stubborn numbness of skin and flesh, dysfunction of muscles and tendons, and pain in bone joints, Tianxiong Wan (Aconite Pill) is suitable.
Ingredients: Aconiti Kusnezoffii Radix (Tianxiong, 天雄) one liang, processed until cracked, skin and umbilicus removed; Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) half liang, sliced; Bovis Calculus (Niuhuang, 牛黄) one fen, finely ground; Moschus (Shexiang, 麝香) one fen, finely ground; Gastrodiae Rhizoma (Tianma, 天麻) one liang; Cinnamomi Ramulus (Guixin, 桂心) half liang; Naja atra meat (Wushe, 乌蛇肉) two liang; Scorpio (Quanxie, 全蝎) half liang, lightly stir-fried.
The above ingredients are ground into fine powder, mixed with refined honey, pounded 500-700 times, and formed into pills the size of sophora seeds. Take twenty pills with warm wine, gradually increasing to thirty pills.
For hemiplegia caused by stroke, with pain and weakness in limbs and joints, Xianlingpi Infused Wine (Epimedium Infusion) is suitable.
Ingredients: Epimedii Folium (Xianlingpi/Yinyanghuo, 仙灵脾/淫羊藿) one liang; Gastrodiae Rhizoma (Tianma, 天麻) one liang; Angelicae Pubescentis Radix (Duhuo, 独活) one liang; Aconiti Kusnezoffii Radix (Tianxiong, 天雄) one liang, processed until cracked, skin and umbilicus removed; Achyranthis Bidentatae Radix (Niuxi, 牛膝) one liang, tips removed; Cinnamomi Ramulus (Guixin, 桂心) one liang; Colocasia Esculenta (Yutou, 芋头) one liang; Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) one liang; Xanthii Fructus (Cangerzi, 苍耳子) one liang.
The above ingredients are finely chopped, placed in a raw silk bag, and soaked in two dou of good wine. Seal tightly. After seven days, take one small cup warm at any time each day.