南星散 治妇人中风，牙关紧急，四肢强直，心胸痰涎，咽膈不利。
天南星（生姜制） 麻黄 半夏（汤洗七次，姜制） 赤箭（各半两） 川乌头（炮，去皮脐）
桂心 蝎梢（各二钱半，生用） 麝香（半钱，研）
为细末，入研麝香令匀，每服一钱，豆淋酒调下，日进二服，不拘时候。
木香煮散 治左瘫右痪，并素有风湿，诸药不效。常服调气进食宽中。
羌活 麻黄（去节，各一两） 防风（七钱半） 白术 陈皮 黑附子（炮） 南木香
槟榔 牛膝 大川乌（炮） 草豆蔻（连皮煨） 杏仁（去皮，麸炒） 人参 白茯苓 川芎
当归 甘草 桂心（各半两）
上 咀，每服四钱，水一大盏半，生姜五片，煎至八分，去滓热服。大便不通，加
大黄。心腹胀，加苦葶苈、滑石。膈上壅滞，咳嗽气促，加半夏、川升麻、天门冬、知母。
上古方专主妇人中风，故收之。率用麻黄、桂心，非真中外邪，不宜轻用。只以薛
氏法调之为善，其余证治方药，详见杂病本门，男妇初无二治也。
〔角弓反张〕
〔大〕夫妇人角弓反张者，是体虚受风，风入诸阳之经。人之阴阳经络，周环于身，风
乘虚入于诸阳之经，则腰背反折挛急，如角弓之状，宜服小续命汤。
〔薛〕仲景先生云∶太阳病发汗大多致痉，风病下之则痉。《三因方》云∶气血内虚，
风寒湿热所中则痉。以风能散气，故有汗而不恶寒曰柔痉，寒能涩血，故无汗而恶寒曰
刚痉。非专于风湿，因内虚发汗亡血，筋无
所荣而然，乃虚象也。窃谓伤寒汗下过度，与产妇溃疡等病，及因克伐之剂，伤损气血而
变。若金衰木旺，先用泻青丸，（幼科肝脏。）后用异功散；（幼科吐泻。）肾水虚，用六味丸；（杂
病虚劳。）肝火旺，先用加味小柴胡汤，（热入血室。）次用加味四物汤；发热，用加味逍遥散；
若木侮脾土，用补中益气汤（杂病伤劳倦。）加芍药、山栀；脾经郁结，用加味归脾汤；（杂病健
忘。）脾土湿热，用大承气汤。（伤寒胃实。）大凡病后气血虚弱，用参术浓煎，佐以姜汁、竹
沥，时时用之，如不应，用十全大补汤，（杂病虚劳。）更不应，加附子或用参附汤，缓则不救。
（人参一两，附子二钱，水煎服。）
白僵蚕散 治妇人中风，角弓反张，口噤不能言，皮肤顽麻，筋脉抽掣。
白僵蚕（一两，炒） 麝香（二钱半，另研） 乌蛇肉（炒令黄） 蝉壳（炒）
桑螵蛸（炒） 犀角屑 天麻 独活（去芦） 天南星（炮） 川乌头（炮去皮脐）
白附子（炮） 朱砂（另研，水飞） 防风（去芦，各半两）
上为细末，入研药令匀，每服二钱，温酒调下，不拘时，日三服。
羚羊角散 治妇人中风，角弓反张，筋脉拘急，言语謇涩，心神烦闷。
羚羊角（屑） 鹿角胶（捣碎，炒令黄燥） 赤箭 酸枣仁（炒） 薏苡仁（各一两）
白附子（炮） 芎 当归（炒去芦） 人参（去芦，各七钱半） 羌活（去芦） 白鲜皮
地骨皮 柏子仁 蔓荆子 犀角屑（各半两） 牛黄（另研） 麝香（各二钱半，另研）
上为细末，入研药令匀，每服一钱，煎薄荷汤调下，日进三服，无时。
紫汤 治妇人中风，腰脊反张如弓之状。
鸡粪白（一合，炒微黄） 大豆（二合，炒熟） 防风（一两，去芦）
上为粗末，每服五钱，酒水各一中盏，煎至六分，去滓温服，不拘时候。
乌蛇丸 治妇人中风，角弓反张，或身体强直，牙关紧急。
乌蛇肉（酒浸） 犀角屑 白附子（炮） 天麻（各一两） 半夏（汤洗七遍，生姜制）
天南星（炮） 麻黄（去节） 桂心 独活（去芦） 白僵蚕（炒） 晚蚕砂（炒）
干蝎（微炒，各半两） 麝香（二钱半，另细研）
上为细末，入研麝令匀，炼蜜和捣二三百下，丸如梧桐子大。每服三十丸，豆淋酒
送下，日二服，无时。
余并详杂病痉门。
〔口噤〕
夫妇人中风口噤者，是体虚受风，风入颔颊夹口之筋也。手三阳之筋结入于颔颊，足
阳明之筋上夹于口，而风挟冷乘虚入其筋，则筋挛，故引牙关急而口噤也。
〔薛〕前证若风邪客于手足阳明经，口眼 斜，用秦艽升麻汤。（杂病中风。）若风热伤
气，用省风汤。（杂病中风。）当与后方同用。一妇人因怒经事淋沥，半月方竭，遇怒其经
即至，甚则口噤筋挛，鼻衄头痛，痰痉搐搦，瞳子上视，此肝火炽甚，以小柴胡汤（伤寒少阳。）
加热地、山栀、钓藤治之，后不复发。一妇人素阴虚，患遍身瘙痒，误服祛风之药，口
噤抽搐，肝脉洪数。余曰∶肝血为阴为水，肝气为阳为火，此乃肝经血虚火盛耳，宜助阴
血、抑肝火，用四物、麦门、五味子、柴胡、山栀、生甘草，热搐顿止；又以八珍、黄 、
麦门、五味、钓藤、炙草调理而痊。
天南星散 治妇人中风口噤，四肢拘急，或痰气上壅。
天南星（姜汁炒黄） 白附子（炮） 黑附子（炮） 乌蛇肉（酒炙） 全蝎（炒，等分）
上为细末，每服半钱，以生姜汁、温酒调，不拘时，拗开口灌之。
走马散 治妇人中风口噤，四肢强直。
附子（炮，去皮脐） 天麻（各半两） 桂心 石膏（研如面） 麻黄（去节） 川乌头（炮，
去皮脐） 天南星（炮） 蝎梢（各二钱半） 麝（另细研，半钱）
上为细末，入麝香研令匀，每服二钱，豆淋酒调下，不拘时，斡开口灌之。
乌蛇散 治妇人中风口噤。
乌蛇肉（酒浸） 干蝎（炒） 白僵蚕（炒） 天南星（炮） 天麻（各半两）
腻粉（半钱，另研）
上为细末，入腻粉研匀，每服二钱，生姜酒调下，斡开口灌之。
白术酒 治妇人中风口噤，言语不得。
白术（锉） 黑豆（各三两，炒熟）
上以酒四升，煎至二升，去滓分四服，斡开口灌之。
治妇人中风口噤，舌本缩，语言难。
芥子（一升）细研，以醋三升，煎至一升，涂颊颔下效。
〔不语〕
巢氏论曰∶脾脉络胃，夹咽连舌本，散舌下，心之别脉系舌本。今心脾二脏受风邪，
故舌强不得语也。喉咙者，气之所以上下也，会厌者，音声之户，舌者声之机，唇者声之
扇，风寒客于会厌之间，故卒然无音，皆由风邪所伤，故谓之中风失音不语。经云∶醉
卧当风，使人发喑，不能言也。
〔薛〕前证若因痰迷心窍，当清心火。若因湿痰舌强，当清脾热。若因风热牙关紧
急，当清肝火。若因风痰塞喉，当导痰涎。若因虚火上炎，当壮水之主。若因气虚厥逆，当
益火之源。若因肾虚舌暗而不语，当补肾气。
一妇人因怒仆地，痰涌不语，灌牛黄清心丸稍苏，用神仙解语丹加山栀、柴胡、桔梗
渐愈。又用六君、柴胡、山栀、枳壳而痊。一妇人忽然不语半年矣，诸药不应，两尺浮
数，先用六味丸料加肉桂数剂，稍愈。乃以地黄饮子二十余剂而痊，男子多有此证，亦
以此药治之。（诸方并见杂证中风。）
神仙解语丹 治心脾经受风，言语謇涩，舌强不转，涎唾溢盛，及疗淫邪搏阴，神内
郁塞，心脉闭滞，暴不能言。
白附子（炮） 石菖蒲（去毛） 远志（去心） 甘草（水煮十沸） 天麻
全蝎（酒炒） 羌活 白僵蚕（炒） 南星（牛胆酿，如无只煨，各一两） 木香（半两）
上为细末，水煮曲糊丸如梧桐子大，量入辰砂为衣。每服二十丸至三十丸，生薄荷
汤吞下，无时。
防风汤 治中风内虚，脚弱语謇。
石斛（一两半，酒炒） 干地黄 杜仲（去粗皮，切，姜汁炒） 丹参（各一两二钱半）
防风 川芎 麦门冬（去心） 桂心 川独活（各一两）
上 咀，每服五钱，水一盏半，枣二枚，煎至八分，去滓温服。
竹沥汤 治中风入肝脾，经年四肢不遂，舌强语謇。
威灵仙 附子（炮） 苦梗 蔓荆子 防风 枳壳（去幅，麸炒） 川芎
当归（各等分）
上 咀，每服四钱，水一盏，竹沥半盏，姜三片，煎至八分，温服，一日四服，忌茶。
地黄饮子等方，详杂病本门。
〔风痹手足不随〕
夫妇人风痹者，由风寒湿三气合而为痹。风多者为风痹，其状肌肤尽痛。诸阳之经皆
起于手足而循行于身体，风寒之气客于肌肤，始为痹，复伤阳经，随其虚处而停滞，与血
气相搏，血气行则迟缓，故风痹而复手足不随也。
〔薛〕经云∶邪之所凑，其气必虚。前证若风邪淫旺，或怒动肝火，血燥筋挛，用
加味逍遥散。脾肺气虚，肌肤不仁，手足麻木，用三痹汤。若肾水亏损，不能滋养筋骨，
或肝脾血虚而筋痿痹，用六味丸。服燥药而筋挛者，用四物、生甘草。气血俱虚，用八
珍汤。何《医林集要》等方，新刊《丹溪心法·附录》云∶若人大拇指麻木不仁，或手
足少力，或肌肉微掣，三年内必有大风之证，宜先服八风汤、天麻丸、防风通圣散以预防
之。殊不知河间云∶风者病之末也。所以中风有瘫痪者，非谓肝木之风内中，亦非六淫
风邪外袭，良由五志过极，心火炽盛，肾水虚衰，不能制之，则阴虚阳实而热气怫郁，心
神昏愦，筋骨无用而卒倒无知也。治当以固元气为主。若遽服八风等药，则反伤元气，适
足以招风取中。一妇人因怒，吐痰胸满，服二陈、顺气、化痰之剂，半身不遂，内热口
干，形气殊倦。余视之，乃肝火炽盛而侮脾土也，用逍遥散、补中益气汤、六味地黄丸。
喜其慎疾，年余而愈。一孀妇胸胁胀痛，内热晡热，月经不调，肢体酸麻，不时吐痰，或
用清气化痰药，喉间不利，白带腹胀，又用清热理气药，胸膈不宽，肢体时麻。余曰∶此
本郁怒伤肝脾，前药伤甚耳。朝用归脾汤以解郁结，生脾气，夕用加味逍遥散以生肝血，
清肝火，百余剂而愈，后因怒肢体复麻，用补中益气加山栀、茯苓、半夏而痊。后复怒，
病再作，月经如注，脉浮洪而数，此肝火伤脾不能摄血所致也，用六君、芎、归、炮姜，
一剂而血止。用补中益气加炮姜、茯苓、半夏，四剂而胃醒。更用归脾汤、逍遥散调理
而痊。一妇人头晕吐痰，用化痰理气药，肢体或麻，服祛风化痰药，肢体常麻，手足或
冷或热，此脾土虚而不能生肺金，用补中益气加茯苓、半夏、炮姜，二十余剂，脾气渐
复，诸证稍愈。更用加味逍遥散三十余剂而愈。后因怒吐痰，自服清气化痰丸，饮食不
进，吐痰甚多，胸胁胀满。余用六君子倍加参术，少加木香，数剂而康。
三痹汤 治血气凝滞，手足拘挛，风痹、气痹等疾。
川续断 杜仲（锉，姜汁炒去丝） 防风（去芦） 桂心 华阴细辛 人参（去芦）
白茯苓（去皮） 当归（去芦） 白芍药 甘草（各一两，炙） 秦艽（去芦） 生地黄
川芎 川独活（各半两，去芦） 黄 （去芦） 川牛膝（酒浸，各一两）
上 咀，或为末，每服八钱，水二盏，生姜五片，枣一枚，煎至一盏，去滓热服，无
时候，但腹稍空服。有人病左臂不随，后已痊平而手指不便无力，试诸药不效，服此药
一料而愈。
独活汤 治妇人风痹，手足不随，身体疼痛，言语謇涩，筋脉拘急，并宜服之。
独活（去芦） 桑寄生 牛膝（酒浸） 秦艽（去芦） 赤茯苓（去皮） 桂心 防风（去芦）
附子（炮，去皮脐） 当归（炒，去芦） 生干地黄（各一两） 杜仲（锉，炒去丝） 细辛（去苗）
芎 赤芍药（各七钱半） 甘草（炙，半两）
上为 咀，每服八钱，水一中盏半，煎至一大盏，去滓温服，无时。
乌蛇散 治妇人风痹，手足顽麻，筋脉搐搦，口眼不正，言语謇涩。
乌蛇肉（酒拌炒） 土蜂儿（炒） 天南星（炮） 天雄（炮，去皮脐） 赤箭
麻黄（去节） 薏苡仁 芎 （各一两） 羚羊角屑 干蝎（微炒） 桑螵蛸（微炒）
桂心 朱砂（研，水飞，各半两） 当归（炒，去芦） 酸枣仁（炒） 柏子仁（各七钱半）
为细末，入朱砂药研匀，每服一钱，食前温酒调下。
东垣羌活汤 治湿热身重，或眩晕麻木，小便赤涩，下焦痿软，不能行履。
羌活 防风 柴胡（各一钱） 本 独活 茯苓 泽泻 猪苓 黄 （炒） 甘草（炙）
陈皮 黄柏（酒炒黑） 黄连（炒） 苍术 升麻 川芎（各五分）
上水煎服。
甘草附子汤 治风湿相搏，骨节烦疼，不时抽痛，不能伸屈，抑之则痛剧，汗出短气，
小便不利，恶风不欲去衣，或微肿痛，
甘草（炙，一两） 附子（一枚，重一两三四钱者方是。炮，去皮尖，不真不效）
白术（炒，一两） 桂枝（二两）
上每服五钱，水煎。
八珍汤 治肝脾气血俱虚，不能养筋，以致筋挛骨痛，或不能行履，或发热晡热，寒
热往来等证。
加味逍遥散 治肝经风热，血燥筋挛，肢体不遂，内热晡热等证。（八珍方见杂病虚劳，本
方见本科调经。）
〔自汗〕
药隐老人云∶寻古治中风方，续命、排风、越婢等悉能除去，而《千金》多用麻黄，
南星散：治疗妇人中风，症见牙关紧闭、四肢强直、心胸部位有痰涎积聚、咽喉膈部气机不畅。
天南星（用生姜炮制） 麻黄 半夏（用水煮洗七次，再用姜汁炮制） 赤箭（即防风根，各半两） 川乌头（炮制，去皮和脐）
桂心 蝎梢（即全蝎尾部，各二钱半，生用） 麝香（半钱，研磨）
将上述药物研成细末，加入研磨好的麝香混合均匀。每次服用一钱，用豆淋酒调服，每日两次，不限定具体时间。
木香煮散：治疗左侧或右侧肢体瘫痪，以及素有风湿之邪、其他药物治疗无效者。常服可调理气机、增进食欲、宽中消胀。
羌活 麻黄（去节，各一两） 防风（七钱半） 白术 陈皮 黑附子（炮制） 南木香
槟榔 牛膝 大川乌（炮制） 草豆蔻（连皮煨制） 杏仁（去皮，麸炒） 人参 白茯苓 川芎
当归 甘草 桂心（各半两）
以上药物切碎，每次取四钱，加水一大盏半，生姜五片，煎至八分满，滤去药渣，趁热服用。若大便不通，加加大黄；若心腹胀满，加入苦葶苈、滑石；若胸膈部壅滞、咳嗽气促，加入半夏、川升麻、天门冬、知母。
古代方剂专门针对妇人中风，因此收录于此。这些方剂大多使用麻黄、桂心，若非真正的中外风邪侵袭，不宜轻易使用。最好采用薛己的方法进行调理，其余证治方药，详见杂病本门，男女初起治疗并无二致。
〔角弓反张〕
〔丹溪〕妇女出现角弓反张症状，是因为体质虚弱感受风邪，风邪侵入诸阳经。人体的阴阳经络周环于身体，风邪乘虚侵入诸阳经，导致腰背反折挛急，形状像角弓一样，适宜服用小续命汤。
〔薛己〕张仲景先生说：太阳病发汗过多会导致痉病，风病误用下法也会导致痉病。《三因方》说：气血内虚，被风寒湿热所中则发生痉病。因为风能散气，所以有汗且不恶寒的称为柔痉；寒能涩血，所以无汗且恶寒的称为刚痉。这并非专指风湿，而是因为内虚、发汗亡血，筋脉失去濡养所致，属于虚象。我认为伤寒汗下过度，以及产妇溃疡等疾病，或因攻伐药物损伤气血而变生此证。若金衰木旺，先用泻青丸（儿科肝脏病），后用异功散（儿科吐泻）；肾水虚，用六味丸（杂病虚劳）；肝火旺，先用加味小柴胡汤（热入血室），后用加味四物汤；发热，用加味逍遥散；若木侮脾土，用补中益气汤（杂病伤劳倦）加芍药、山栀；脾经郁结，用加味归脾汤（杂病健忘）；脾土湿热，用大承气汤（伤寒胃实）。大凡病后气血虚弱，用人参、白术浓煎，佐以姜汁、竹沥，时时服用，如果无效，用十全大补汤（杂病虚劳），再无效，加附子或用参附汤，缓则无法救治。（人参一两，附子二钱，水煎服。）
白僵蚕散：治疗妇人中风，角弓反张，口噤不能说话，皮肤顽麻，筋脉抽掣。
白僵蚕（一两，炒） 麝香（二钱半，另研） 乌蛇肉（炒至微黄） 蝉壳（炒）
桑螵蛸（炒） 犀角屑 天麻 独活（去芦头） 天南星（炮制） 川乌头（炮制去皮脐）
白附子（炮制） 朱砂（另研，水飞） 防风（去芦头，各半两）
以上药物研成细末，加入研磨好的药物混合均匀。每次服用二钱，温酒调服，不限时间，每日三次。
羚羊角散：治疗妇人中风，角弓反张，筋脉拘急，言语謇涩，心神烦闷。
羚羊角（屑） 鹿角胶（捣碎，炒至微黄干燥） 赤箭 酸枣仁（炒） 薏苡仁（各一两）
白附子（炮制） 川芎 当归（炒去芦头） 人参（去芦头，各七钱半） 羌活（去芦头） 白鲜皮
地骨皮 柏子仁 蔓荆子 犀角屑（各半两） 牛黄（另研） 麝香（各二钱半，另研）
以上药物研成细末，加入研磨好的药物混合均匀。每次服用一钱，煎薄荷汤调服，每日三次，不限时间。
紫汤：治疗妇人中风，腰脊反张如弓状。
鸡粪白（一合，炒至微黄） 大豆（二合，炒熟） 防风（一两，去芦头）
以上药物研成粗末，每次取五钱，酒水各一中盏，煎至六分，滤去药渣，温服，不限时间。
乌蛇丸：治疗妇人中风，角弓反张，或身体强直，牙关紧急。
乌蛇肉（酒浸） 犀角屑 白附子（炮制） 天麻（各一两） 半夏（水煮洗七遍，生姜炮制）
天南星（炮制） 麻黄（去节） 桂心 独活（去芦头） 白僵蚕（炒） 晚蚕砂（炒）
干蝎（微炒，各半两） 麝香（二钱半，另细研）
以上药物研成细末，加入研磨好的麝香混合均匀，用炼蜜和药捣二三百下，制成梧桐子大小的丸药。每次服用三十丸，豆淋酒送下，每日两次，不限时间。
其余详细情况参见杂病痉门。
〔口噤〕
妇女中风口噤，是因为体质虚弱受风，风邪侵入下颌颊部夹口之筋。手三阳之筋结入于颔颊，足阳明之筋上夹于口，风挟冷邪乘虚侵入其筋，导致筋脉挛缩，牵引牙关紧急而口噤。
〔薛己〕前证若风邪客于手足阳明经，口眼歪斜，用秦艽升麻汤（杂病中风）。若风热伤气，用省风汤（杂病中风）。应当与后方同用。一妇人因愤怒导致月经淋漓不尽，半月才结束，遇怒月经即来，严重时口噤筋挛，鼻衄头痛，痰痉搐搦，瞳子上视，这是肝火炽盛，用小柴胡汤（伤寒少阳）加热地黄、山栀、钓藤治疗，之后未再复发。一妇人素体阴虚，患遍身瘙痒，误服祛风药物，导致口噤抽搐，肝脉洪数。我说：肝血为阴为水，肝气为阳为火，这是肝经血虚火盛，宜助阴血、抑肝火，用四物汤、麦门冬、五味子、柴胡、山栀、生甘草，热搐顿止；后又用八珍汤、黄芪、麦门冬、五味子、钓藤、炙甘草调理而痊愈。
天南星散：治疗妇人中风口噤，四肢拘急，或痰气上壅。
天南星（姜汁炒黄） 白附子（炮制） 黑附子（炮制） 乌蛇肉（酒炙） 全蝎（炒，等分）
以上药物研成细末，每次服用半钱，用生姜汁、温酒调服，不限时间，撬开口灌服。
走马散：治疗妇人中风口噤，四肢强直。
附子（炮制，去皮脐） 天麻（各半两） 桂心 石膏（研如面粉） 麻黄（去节） 川乌头（炮制，去皮脐） 天南星（炮制） 蝎梢（各二钱半） 麝（另细研，半钱）
以上药物研成细末，加入麝香研磨均匀。每次服用二钱，豆淋酒调服，不限时间，撬开口灌服。
乌蛇散：治疗妇人中风口噤。
乌蛇肉（酒浸） 干蝎（炒） 白僵蚕（炒） 天南星（炮制） 天麻（各半两）
腻粉（半钱，另研）
以上药物研成细末，加入腻粉研磨均匀。每次服用二钱，生姜酒调服，撬开口灌服。
白术酒：治疗妇人中风口噤，言语不能。
白术（锉碎） 黑豆（各三两，炒熟）
以上用酒四升，煎至二升，滤去药渣，分四次服用，撬开口灌服。
治疗妇人中风口噤，舌本收缩，语言困难。
芥子（一升）细研，用醋三升，煎至一升，涂于脸颊和下颌处有效。
〔不语〕
巢元方论述说：脾脉络胃，夹咽连舌本，散于舌下，心的别脉系于舌本。现在心脾两脏受风邪侵袭，所以舌强不能说话。喉咙是气上下通行的地方，会厌是声音的门户，舌是发声的关键，唇是声音的扇动器，风寒客于会厌之间，所以突然失音，这都是由风邪损伤所致，所以称为中风失音不语。经书说：醉卧当风，使人发喑，不能说话。
〔薛己〕前证若因痰迷心窍，当清心火。若因湿痰舌强，当清脾热。若因风热牙关紧急，当清肝火。若因风痰塞喉，当导痰涎。若因虚火上炎，当壮水之主。若因气虚厥逆，当益火之源。若因肾虚舌暗而不语，当补肾气。
一妇人因愤怒跌倒，痰涌不语，灌服牛黄清心丸稍苏醒，用神仙解语丹加山栀、柴胡、桔梗逐渐痊愈。又用六君子汤、柴胡、山栀、枳壳而痊愈。一妇人忽然不语半年了，各种药物无效，两尺脉浮数，先用六味丸料加肉桂数剂，稍愈。然后用地黄饮子二十余剂而痊愈，男子多有此证，也用此药治疗。（各方并见杂证中风。）
神仙解语丹：治疗心脾经受风，言语謇涩，舌强不转，涎唾溢盛，以及治疗淫邪搏阴，神内郁塞，心脉闭滞，突然不能说话。
白附子（炮制） 石菖蒲（去毛） 远志（去心） 甘草（水煮十沸） 天麻
全蝎（酒炒） 羌活 白僵蚕（炒） 南星（牛胆酿，如无只煨，各一两） 木香（半两）
以上药物研成细末，用水煮曲糊制成梧桐子大小的丸药，适量加入辰砂为衣。每次服用二十丸至三十丸，生薄荷汤吞下，不限时间。
防风汤：治疗中风内虚，脚弱语謇。
石斛（一两半，酒炒） 干地黄 杜仲（去粗皮，切，姜汁炒） 丹参（各一两二钱半）
防风 川芎 麦门冬（去心） 桂心 川独活（各一两）
以上药物切碎，每次取五钱，水一盏半，枣二枚，煎至八分，滤去药渣温服。
竹沥汤：治疗中风入肝脾，经年四肢不遂，舌强语謇。
威灵仙 附子（炮制） 苦梗 蔓荆子 防风 枳壳（去瓤，麸炒） 川芎
当归（各等分）
以上药物切碎，每次取四钱，水一盏，竹沥半盏，姜三片，煎至八分，温服，一日四次，忌茶。
地黄饮子等方，详见杂病本门。
〔风痹手足不随〕
妇女风痹，是由风寒湿三气合而为痹。风多者为风痹，症状是肌肤尽痛。诸阳之经都起于手足而循行于身体，风寒之气客于肌肤，开始为痹，又伤阳经，随其虚处而停滞，与血气相搏，血气运行则迟缓，所以风痹而手足不随。
〔薛己〕经书说：邪之所凑，其气必虚。前证若风邪淫旺，或怒动肝火，血燥筋挛，用加味逍遥散。脾肺气虚，肌肤不仁，手足麻木，用三痹汤。若肾水亏损，不能滋养筋骨，或肝脾血虚而筋痿痹，用六味丸。服燥药而筋挛者，用四物汤、生甘草。气血俱虚，用八珍汤。何《医林集要》等方，新刊《丹溪心法·附录》说：若人大拇指麻木不仁，或手足少力，或肌肉微掣，三年内必有大风之证，宜先服八风汤、天麻丸、防风通圣散以预防之。殊不知河间说：风者病之末也。所以中风有瘫痪者，非谓肝木之风内中，亦非六淫风邪外袭，良由五志过极，心火炽盛，肾水虚衰，不能制之，则阴虚阳实而热气怫郁，心神昏愦，筋骨无用而卒倒无知也。治疗应当以固元气为主。若遽服八风等药，则反伤元气，适足以招风取中。一妇人因愤怒，吐痰胸满，服二陈汤、顺气、化痰之剂，半身不遂，内热口干，形气殊倦。我看诊后，认为是肝火炽盛而侮脾土，用逍遥散、补中益气汤、六味地黄丸。庆幸她谨慎治病，年余而愈。一寡妇胸胁胀痛，内热晡热，月经不调，肢体酸麻，不时吐痰，或用清气化痰药，喉间不利，白带腹胀，又用清热理气药，胸膈不宽，肢体时麻。我说：这本来是郁怒伤肝脾，前药伤甚耳。早晨用归脾汤以解郁结，生脾气，晚上用加味逍遥散以生肝血，清肝火，百余剂而愈，后因怒肢体复麻，用补中益气加山栀、茯苓、半夏而痊愈。后复怒，病再作，月经如注，脉浮洪而数，这是肝火伤脾不能摄血所致，用六君子汤、川芎、当归、炮姜，一剂而血止。用补中益气加炮姜、茯苓、半夏，四剂而胃醒。更用归脾汤、逍遥散调理而痊愈。一妇人头晕吐痰，用化痰理气药，肢体或麻，服祛风化痰药，肢体常麻，手足或冷或热，这是脾土虚而不能生肺金，用补中益气加茯苓、半夏、炮姜，二十余剂，脾气渐复，诸证稍愈。更用加味逍遥散三十余剂而愈。后因怒吐痰，自服清气化痰丸，饮食不进，吐痰甚多，胸胁胀满。我用六君子汤倍加参术，少加木香，数剂而康。
三痹汤：治疗血气凝滞，手足拘挛，风痹、气痹等疾。
川续断 杜仲（锉，姜汁炒去丝） 防风（去芦头） 桂心 华阴细辛 人参（去芦头）
白茯苓（去皮） 当归（去芦头） 白芍药 甘草（各一两，炙） 秦艽（去芦头） 生地黄
川芎 川独活（各半两，去芦头） 黄芪（去芦头） 川牛膝（酒浸，各一两）
以上药物切碎，或为末，每次取八钱，水二盏，生姜五片，枣一枚，煎至一盏，滤去药渣热服，不限时间，只要腹部稍空时服用。有人病左臂不随，后来已痊愈但手指不便无力，试诸药无效，服此药一料而愈。
独活汤：治疗妇人风痹，手足不随，身体疼痛，言语謇涩，筋脉拘急，并宜服之。
独活（去芦头） 桑寄生 牛膝（酒浸） 秦艽（去芦头） 赤茯苓（去皮） 桂心 防风（去芦头）
附子（炮制，去皮脐） 当归（炒，去芦头） 生干地黄（各一两） 杜仲（锉，炒去丝） 细辛（去苗）
川芎 赤芍药（各七钱半） 甘草（炙，半两）
以上药物切碎，每次取八钱，水一中盏半，煎至一大盏，滤去药渣温服，不限时间。
乌蛇散：治疗妇人风痹，手足顽麻，筋脉搐搦，口眼不正，言语謇涩。
乌蛇肉（酒拌炒） 土蜂儿（炒） 天南星（炮制） 天雄（炮制，去皮脐） 赤箭
麻黄（去节） 薏苡仁 川芎（各一两） 羚羊角屑 干蝎（微炒） 桑螵蛸（微炒）
桂心 朱砂（研，水飞，各半两） 当归（炒，去芦头） 酸枣仁（炒） 柏子仁（各七钱半）
研成细末，加入朱砂药研磨均匀。每次服用一钱，食前温酒调服。
东垣羌活汤：治疗湿热身重，或眩晕麻木，小便赤涩，下焦痿软，不能行履。
羌活 防风 柴胡（各一钱） 藁本 独活 茯苓 泽泻 猪苓 黄芪（炒） 甘草（炙）
陈皮 黄柏（酒炒黑） 黄连（炒） 苍术 升麻 川芎（各五分）
以上用水煎服。
甘草附子汤：治疗风湿相搏，骨节烦疼，不时抽痛，不能伸屈，抑之则痛剧，汗出短气，小便不利，恶风不欲去衣，或微肿痛。
甘草（炙，一两） 附子（一枚，重一两三四钱者方是。炮制，去皮尖，不真不效）
白术（炒，一两） 桂枝（二两）
以上每次取五钱，水煎。
八珍汤：治疗肝脾气血俱虚，不能养筋，以致筋挛骨痛，或不能行履，或发热晡热，寒热往来等证。
加味逍遥散：治疗肝经风热，血燥筋挛，肢体不遂，内热晡热等证。（八珍方见杂病虚劳，本方见本科调经。）
Nanxing San (Arisaema Powder): Treats wind-stroke in women, presenting with locked jaw, rigidity of the four limbs, phlegm-fluid accumulation in the chest and heart region, and obstruction in the throat and diaphragm.
Tian Nan Xing (Arisaematis Rhizoma Preparatum, processed with fresh ginger juice) Mahuang (Ephedrae Herba) Banxia (Pinelliae Rhizoma, washed seven times in water, processed with ginger juice) Chi Jian (Saposhnikoviae Radix, equivalent to Fangfeng root), each half tael Chuan Wu Tou (Sichuan Aconiti Radix, prepared, skin and umbilicus removed) Guixin (Cinnamomi Cortex) Xie Shao (Scorpio tail end), each two qian and half mace, used raw She Xiang (Moschus, half qian, ground)
Grind the above herbs into a fine powder, mix in the ground Moschus evenly. Take one qian per dose, mixed with Dou Lin Jiu (wine soaked with beans). Take twice daily, at any time.
Muxiang Zhu San (Costus Decoction Powder): Treats hemiplegia on either side, and chronic rheumatism where other medicines have failed. Regular use regulates Qi, promotes appetite, and relaxes the middle jiao.
Qianghuo (Notopterygii Rhizoma et Radix) Mahuang (Ephedrae Herba, joints removed, each one tael) Fangfeng (Saposhnikoviae Radix, seven qian and half bai Zhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Hei Fu Zi (Prepared Aconiti Lateralis Radix) Nan Mu Xiang (Aquilariae Lignum) Bing Lang (Arecae Semen) Niuxi (Achyranthis Bidentatae Radix) Da Chuan Wu (Large Sichuan Aconiti Radix, prepared) Cao Dou Kou (Cardamomi Fructus, roasted with skin) Xing Ren (Armeniacae Semen Amarum, skin removed, stir-fried with bran) Renshen (Ginseng Radix) Bai Fu Ling (Poria) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Guixin (Cinnamomi Cortex, each half tael)
Cut the above herbs into small pieces. Take four qian per dose, add one large bowl and a half of water, five slices of fresh ginger. Decoct until reduced to eight-tenths. Strain and take hot. If constipation, add Dahuang (Rhei Radix et Rhizoma). If abdominal distension, add Kutingli (Descurainiae Semen et Herba) and Huashi (Talcum). If stagnation in the upper jiao with cough and shortness of breath, add Banxia (Pinelliae Rhizoma), Chuan Shengma (Bupleuri Radix), Tianmendong (Asparagi Radix), and Zhimu (Anemarrhenae Rhizoma).
Ancient formulas specifically for wind-stroke in women are collected here. They mostly use Mahuang (Ephedrae Herba) and Guixin (Cinnamomi Cortex); if it is not truly an invasion of external pathogenic factors, they should not be used lightly. It is better to regulate according to the method of Xue Ji. For other syndrome treatments and prescriptions, see the miscellaneous diseases section; there is no difference in initial treatment between men and women.
[Opisthotonos]
[Danjixi] Women suffering from opisthotonos are due to body deficiency receiving wind pathogens, which enter the Yang meridians. The Yin and Yang meridians circulate around the body. When wind enters the Yang meridians due to deficiency, the waist and back reverse and spasm, resembling a horn bow. Xiao Xuming Tang (Minor Continuation Decoction) is suitable.
[Xue Ji] Master Zhang Zhongjing said: Excessive sweating in Taiyang disease often leads to spasms; purging wind disease leads to spasms. *San Yin Fang* states: Internal deficiency of Qi and Blood, invaded by Wind-Cold-Damp-Heat, leads to spasms. Since Wind disperses Qi, sweating without aversion to cold is called Soft Spasm; Cold congeals Blood, so no sweating with aversion to cold is called Hard Spasm. This is not solely due to Wind-Damp, but arises from internal deficiency, excessive sweating causing blood loss, and tendons losing nourishment; it is a deficiency pattern. I believe that excessive sweating and purging in Shanghan, as well as conditions like postpartum ulcers, or damage to Qi and Blood by harsh medications, can transform into this. If Metal is weak and Wood is hyperactive, first use Xie Qing Wan (Drain Green Pill) [Pediatrics Liver Disease], then use Yi Gong San (Yi Palace Powder) [Pediatrics Vomiting/Diarrhea]; if Kidney Water is deficient, use Liu Wei Wan (Six-Ingredient Pill) [Miscellaneous Deficiency Consumption]; if Liver Fire is hyperactive, first use Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) [Heat Entering Blood Chamber], then use Jia Wei Si Wu Tang (Modified Four Substances Decoction); for fever, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder); if Wood insults Spleen Earth, use Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) [Miscellaneous Fatigue Injury] plus Shaoyao (Paeoniae Radix Alba) and Shanzhi (Gardeniae Fructus); for Spleen Meridian depression, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) [Miscellaneous Forgetfulness]; for Spleen Earth Damp-Heat, use Da Cheng Qi Tang (Major Order the Qi Decoction) [Shanghan Stomach Excess]. Generally, after illness when Qi and Blood are weak, decoct Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) thickly, assist with Jiangzhi (Fresh Ginger Juice) and Zhuli (Bamboo Sap), use frequently. If ineffective, use Shiquan Dabu Tang (Complete Great Tonifying Decoction) [Miscellaneous Deficiency Consumption]; if still ineffective, add Fuzi (Prepared Aconiti Lateralis Radix) or use Shenfu Tang (Ginseng and Aconite Decoction); if slow, rescue is impossible. (Renshen one tael, Fuzi two qian, decoct in water and take.)
Bai Jiangcan San (White Silkworm Powder): Treats wind-stroke in women with opisthotonos, locked jaw unable to speak, skin numbness and hardness, and tendon spasms.
Bai Jiangcan (Bombyx Batryticatus), one tael, stir-fried She Xiang (Moschus, two qian and half mace, ground separately) Wushe Rou (Daboina Swinhonis Flesh, stir-fried until yellow) Chan Qiao (Cicadae Periostracum, stir-fried) Sangpiaoxiao (Mantis Ootheca, stir-fried) Xi Jiao Xie (Rhinocerotis Cornu) Tianma (Gastrodiae Rhizoma) Duhuo (Angelicae Pubescentis Radix, rhizome removed) Tian Nan Xing (Arisaematis Rhizoma, prepared) Chuan Wu Tou (Sichuan Aconiti Radix, prepared, skin and umbilicus removed) Bai Fu Zi (Fuzi Prepared with Arisaema, prepared) Zhusha (Cinnabar, ground separately, water levigated) Fangfeng (Saposhnikoviae Radix, rhizome removed, each half tael)
Grind the above into a fine powder, mix in the ground medicines evenly. Take two qian per dose, mixed with warm wine, at any time, three times daily.
Lingyangjiao San (Antelope Horn Powder): Treats wind-stroke in women with opisthotonos, tendon spasm and contraction, slurred speech, and mental restlessness.
Lingyangjiao (Saiga Tataricae Cornu, shaved) Lu Jiao Jiao (Cervi Cornu Colla, crushed, stir-fried until dry and yellow) Chi Jian (Saposhnikoviae Radix) Suanzaoren (Zizyphi Semen, stir-fried) Yiyiren (Coicis Semen, each one tael) Bai Fu Zi (Fuzi Prepared with Arisaema, prepared) Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, stir-fried, rhizome removed) Renshen (Ginseng Radix, rhizome removed, each seven qian and half mace) Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed) Baixianpi (Dictamni Cortex) Digupi (Lycii Cortex) Baiziren (Biota Semen) Manjingzi (Vittariae Fructus) Xi Jiao Xie (Rhinocerotis Cornu, each half tael) Niuhuang (Calculus Bovis, ground separately) She Xiang (Moschus, each two qian and half mace, ground separately)
Grind the above into a fine powder, mix in the ground medicines evenly. Take one qian per dose, mixed with Mint Decoction, three times daily, at any time.
ZiTang (Purple Decoction): Treats wind-stroke in women with lumbar spine reversing like a bow.
Jifenbai (Chicken Droppings White, one he, stir-fried until slightly yellow) Dadou (Sojae Semen Preparatum, two he, stir-fried cooked) Fangfeng (Saposhnikoviae Radix, one tael, rhizome removed)
Grind the above into coarse powder. Take five qian per dose, add one medium bowl of wine and one medium bowl of water. Decoct until reduced to six-tenths. Strain and take warm, at any time.
Wushe Wan (Black Snake Pill): Treats wind-stroke in women with opisthotonos, or body rigidity, and locked jaw.
Wushe Rou (Daboina Swinhonis Flesh, soaked in wine) Xi Jiao Xie (Rhinocerotis Cornu) Bai Fu Zi (Fuzi Prepared with Arisaema, prepared) Tianma (Gastrodiae Rhizoma, each one tael) Banxia (Pinelliae Rhizoma, washed seven times in water, processed with ginger juice) Tian Nan Xing (Arisaematis Rhizoma, prepared) Mahuang (Ephedrae Herba, joints removed) Guixin (Cinnamomi Cortex) Duhuo (Angelicae Pubescentis Radix, rhizome removed) Bai Jiangcan (Bombyx Batryticatus, stir-fried) Wancansha (Bombyx Faeces, stir-fried) Ganxie (Dry Scorpio, slightly stir-fried, each half tael) She Xiang (Moschus, two qian and half mace, finely ground separately)
Grind the above into a fine powder, mix in the ground Moschus evenly. Mix with refined honey and pound two or three hundred times. Form pills the size of paulownia seeds. Take thirty pills per dose, sent down with Dou Lin Jiu (wine soaked with beans), twice daily, at any time.
For others, refer to the Spasm section of Miscellaneous Diseases.
[Locked Jaw]
Women with wind-stroke and locked jaw are due to body deficiency receiving wind, which enters the tendons connecting the jaw and cheeks around the mouth. The tendons of the Three Yang Hand Meridians knot into the jaw and cheeks; the tendon of the Foot Yangming Meridian goes up along the mouth. Wind carrying cold enters these tendons due to deficiency, causing tendon contraction, thus pulling the jaw tight and locking the mouth.
[Xue Ji] If the previous symptoms are due to Wind Pathogens lodging in the Hand and Foot Yangming Meridians, causing facial deviation, use Qin Jiao Sheng Ma Tang (Gentian and Cimicifuga Decoction) [Miscellaneous Wind Stroke]. If Wind-Heat damages Qi, use Sheng Feng Tang (Wind-Prohibiting Decoction) [Miscellaneous Wind Stroke]. These should be used together with the following formula. One woman, due to anger, had dripping menstruation lasting half a month before stopping; upon anger, menstruation would return immediately. Severe cases involved locked jaw, tendon spasm, epistaxis, headache, phlegm-spasm, convulsions, and upward staring of pupils. This was extreme Liver Fire. Treat with Xiao Chai Hu Tang (Minor Bupleurum Decoction) [Shanghan Shaoyang] plus Re Di Huang (Prepared Rehmanniae Radix), Shanzhi (Gardeniae Fructus), and Gouteng (Uncariae Ramulus cum Uncis). It did not recur afterwards. Another woman, constitutionally Yin deficient, suffered generalized itching. Mistakenly taking wind-dispelling drugs led to locked jaw and convulsions; Liver pulse was surging and rapid. I said: Liver Blood is Yin/Water, Liver Qi is Yang/Fire. This is Liver Meridian Blood deficiency with Fire excess. Assist Yin/Blood and suppress Liver Fire using Si Wu Tang (Four Substances Decoction), Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma). Heat and convulsions stopped suddenly. Then regulate with Bazhen Tang (Eight Treasures Decoction), Huangqi (Astragali Radix), Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Gouteng (Uncariae Ramulus cum Uncis), and Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) to recover.
Tian Nanxing San (Arisaema Powder): Treats wind-stroke in women with locked jaw, limb spasm, or phlegm-Qi rising to obstruct.
Tian Nan Xing (Arisaematis Rhizoma, stir-fried with ginger juice until yellow) Bai Fu Zi (Fuzi Prepared with Arisaema, prepared) Hei Fu Zi (Prepared Aconiti Lateralis Radix, prepared) Wushe Rou (Daboina Swinhonis Flesh, wine-roasted) Quanxie (Full Scorpio, stir-fried, equal parts)
Grind the above into a fine powder. Take half a qian per dose, mixed with Fresh Ginger Juice and warm wine, at any time. Pry open the mouth and administer.
Zouma San (Running Horse Powder): Treats wind-stroke in women with locked jaw and limb rigidity.
Fuzi (Prepared Aconiti Lateralis Radix, prepared, skin and umbilicus removed) Tianma (Gastrodiae Rhizoma, each half tael) Guixin (Cinnamomi Cortex) Shigao (Gypsum Fibrosum, ground like flour) Mahuang (Ephedrae Herba, joints removed) Chuan Wu Tou (Sichuan Aconiti Radix, prepared, skin and umbilicus removed) Tian Nan Xing (Arisaematis Rhizoma, prepared) Xie Shao (Scorpio tail end, each two qian and half mace) She (Moschus, finely ground separately, half qian)
Grind the above into a fine powder, mix in the ground Moschus evenly. Take two qian per dose, mixed with Dou Lin Jiu (wine soaked with beans), at any time. Pry open the mouth and administer.
Wushe San (Black Snake Powder): Treats wind-stroke in women with locked jaw.
Wushe Rou (Daboina Swinhonis Flesh, soaked in wine) Ganxie (Dry Scorpio, stir-fried) Bai Jiangcan (Bombyx Batryticatus, stir-fried) Tian Nan Xing (Arisaematis Rhizoma, prepared) Tianma (Gastrodiae Rhizoma, each half tael) Nifen (Calomel, half qian, ground separately)
Grind the above into a fine powder, mix in the Calomel evenly. Take two qian per dose, mixed with Ginger Wine. Pry open the mouth and administer.
Baizhu Jiu (Atractylodes Wine): Treats wind-stroke in women with locked jaw and inability to speak.
Baizhu (Atractylodis Macrocephalae Rhizoma, sliced) Heidou (Sojae Semen Nigrum, each three taels, stir-fried cooked)
Add four sheng of wine, decoct until two sheng remain. Strain and divide into four doses. Pry open the mouth and administer.
Treating wind-stroke in women with locked jaw, retracted tongue base, and difficulty speaking.
Jiezi (Brassicae Semenis Mustardae, one sheng) finely ground. Add three sheng of vinegar, decoct until one sheng remains. Apply to cheeks and under the jaw. Effective.
[Aphasia]
Chao Yuanfang discussed: The Spleen meridian connects to the stomach, runs alongside the throat, connects to the tongue base, and spreads under the tongue. The divergent channel of the Heart ties to the tongue base. Now, the Heart and Spleen organs receive Wind Pathogens, causing tongue stiffness and inability to speak. The throat is where Qi ascends and descends; the epiglottis is the door of sound; the tongue is the mechanism of sound; the lips are the fan of sound. Wind-Cold lodging between the epiglottis causes sudden loss of voice. All are caused by Wind Pathogen injury, hence called Wind-Stroke Aphasia. Classics say: Sleeping drunk facing the wind causes aphasia and inability to speak.
[Xue Ji] If the previous symptoms are due to Phlegm confusing the Heart Orifice, clear Heart Fire. If due to Damp-Phlegm tongue stiffness, clear Spleen Heat. If due to Wind-Heat locked jaw, clear Liver Fire. If due to Wind-Phlegm blocking the throat, guide out Phlegm-Fluid. If due to Deficiency Fire flaming upward, strengthen the Master of Water. If due to Qi deficiency and collapse, augment the Source of Fire. If due to Kidney deficiency with dark tongue and aphasia, tonify Kidney Qi.
One woman fell due to anger, with surging Phlegm and aphasia. Administered Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill) to regain slight consciousness. Used Shenxian Jieyu Dan (Immortal Unblocking Words Decoction) plus Shanzhi (Gardeniae Fructus), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix) to gradually improve. Then used Liujunzi Tang (Six Gentlemen Decoction), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Zhike (Aurantii Fructus) to recover. Another woman had sudden aphasia for half a year, unresponsive to various medicines. Both Chi pulses were floating and rapid. First used Liuwang Wan material plus Rougui (Cinnamomi Cortex) for several doses, slightly improved. Then used Dihuang Yinzi (Rehmannia Infusion) for over twenty doses to recover. Men often have this condition, also treated with this medicine. (All formulas see Miscellaneous Wind Stroke.)
Shenxian Jieyu Dan (Immortal Unblocking Words Decoction): Treats Wind affecting Heart and Spleen meridians, slurred speech, stiff tongue unable to turn, excessive saliva, and treats obscene pathogens attacking Yin, internal spiritual depression, blocked Heart pulse, sudden inability to speak.
Bai Fu Zi (Fuzi Prepared with Arisaema, prepared) Shichangpu (Acori Tatarinowii Rhizoma, hairs removed) Yuanzhi (Polygalae Radix, heart removed) Gancao (Glycyrrhizae Radix et Rhizoma, boiled ten times) Tianma (Gastrodiae Rhizoma)
Quanxie (Full Scorpio, wine stir-fried) Qianghuo (Notopterygii Rhizoma et Radix) Bai Jiangcan (Bombyx Batryticatus, stir-fried) Nanxing (Arisaematis Rhizoma, fermented with ox bile, if unavailable only roasted, each one tael) Muxiang (Aucklandiae Radix, half tael)
Grind the above into a fine powder. Use water-boiled Qu paste to form pills the size of paulownia seeds. Coat with appropriate amount of Chen Sha (Cinnabar). Take twenty to thirty pills per dose, swallowed with raw Mint Decoction, at any time.
Fangfeng Tang (Saposhnikovia Decoction): Treats internal deficiency in wind-stroke, weak legs and slurred speech.
Shihu (Dendrobii Caulis, one tael and half, wine stir-fried) Gan Dihuang (Rehmanniae Radix Preparata) Duzhong (Eucommiae Cortex, remove rough bark, slice, stir-fry with ginger juice) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, each one tael and two qian and half)
Fangfeng (Saposhnikoviae Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Maimendong (Ophiopogonis Radix, heart removed) Guixin (Cinnamomi Cortex) Chuan Duhuo (Angelicae Pubescentis Radix, each one tael)
Cut the above into small pieces. Take five qian per dose, one bowl of water, two dates. Decoct until eight-tenths remain. Strain and take warm.
Zhuli Tang (Bamboo Sap Decoction): Treats wind-stroke entering Liver and Spleen, years of limb paralysis, stiff tongue and slurred speech.
Weilingxian (Clematidis Radix et Rhizoma) Fuzi (Prepared Aconiti Lateralis Radix, prepared) Kugeng (Platycodonis Radix) Manjingzi (Vittariae Fructus) Fangfeng (Saposhnikoviae Radix) Zhike (Aurantii Fructus, pith removed, bran stir-fried) Chuan Xiong (Ligustici Chuanxiong Rhizoma)
Danggui (Angelicae Sinensis Radix, equal parts)
Cut the above into small pieces. Take four qian per dose, one bowl of water, half bowl of Bamboo Sap, three slices of ginger. Decoct until eight-tenths remain. Take warm, four times daily. Avoid tea.
Dihuang Yinzi (Rehmannia Infusion) and other formulas, see Miscellaneous Diseases section.
[Wind-Bi Limb Paralysis]
Women's Wind-Bi is caused by the combination of Wind, Cold, and Damp pathogens forming Bi. Predominance of Wind makes it Wind-Bi, characterized by pain throughout the skin and muscles. All Yang meridians originate from the hands and feet and circulate through the body. Wind-Cold lodges in the skin and muscles, initially forming Bi. Further injuring Yang meridians, it stagnates in deficient areas, fighting with Qi and Blood. As Qi and Blood flow slowly, Wind-Bi results in limb paralysis.
[Xue Ji] Classics say: Where pathogens gather, Qi must be deficient. If the previous symptoms are due to rampant Wind Pathogens, or anger stirring Liver Fire, dry Blood and contracting tendons, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If Spleen and Lung Qi are deficient, insensitivity of skin and muscles, numbness of hands and feet, use Sanbi Tang (Three Bi Decoction). If Kidney Water is depleted, failing to nourish sinews and bones, or Liver/Spleen Blood deficiency causing flaccid Bi, use Liuwei Wan (Six-Ingredient Pill). If sinew contraction occurs after taking drying medicines, use Siwu Tang (Four Substances Decoction) and Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma). If both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction). He's *Yilin Jiyao* and other formulas, newly published *Danxi Xinfa Appendix* says: If a person has numbness and insensitivity in the thumb, or weakness in hands/feet, or slight muscle twitching, severe Wind disease will occur within three years. Preventively take Bafeng Tang (Eight Winds Decoction), Tianma Wan (Gastrodia Pill), and Fangtong Sheng San (Saposhnikovia and Magnolia Powder). Little do they know Hejian said: Wind is the end of disease. Therefore, stroke with paralysis is not due to internal Liver Wood Wind, nor external Six Evils Wind invading. It is truly due to extreme Five Emotions, blazing Heart Fire, depleted Kidney Water unable to control it, leading to Yin deficiency and Yang excess, stagnant heat, confused spirit, useless sinews and bones, and sudden collapse without consciousness. Treatment should focus on consolidating Yuan Qi. If one hastily takes Bafeng etc., it damages Yuan Qi, inviting Wind and Stroke. One woman, due to anger, vomited Phlegm with chest fullness. Took Erchen Tang (Two Aged Decoction), Shunqi (Regulating Qi), Huatan (Resolving Phlegm) agents, resulting in hemiplegia, internal heat, dry mouth, extreme fatigue. I examined her and found blazing Liver Fire insulting Spleen Earth. Used Xiaoyao San (Free and Easy Wanderer Powder), Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Fortunately she was cautious about illness, recovered in over a year. A widow had chest/hypochondriac distension/pain, internal heat and afternoon fever, irregular menstruation, sore/numb limbs, frequent Phlegm vomiting. Using Qingqi Huatan (Clear Qi Resolve Phlegm) meds caused throat discomfort, leukorrhea, abdominal distension. Using Qingre Liqi (Clear Heat Regulate Qi) meds caused chest oppression, intermittent limb numbness. I said: This is originally Depression/Anger injuring Liver/Spleen, previous meds damaged severely. Morning use Guipi Tang (Restore the Spleen Decoction) to resolve depression, generate Spleen Qi. Evening use Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder) to generate Liver Blood, clear Liver Fire. Over a hundred doses to recover. Later, anger caused limb numbness again. Used Bu Zhong Yi Qi Tang plus Shanzhi (Gardeniae Fructus), Fuling (Poria), Banxia (Pinelliae Rhizoma) to cure. Later anger caused relapse, menstruation like pouring, pulse floating/surging/rapid. This is Liver Fire injuring Spleen failing to control blood. Used Liujunzi Tang (Six Gentlemen Decoction), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Paojiang (Roasted Ginger). One dose stopped bleeding. Used Bu Zhong Yi Qi Tang plus Paojiang (Roasted Ginger), Fuling (Poria), Banxia (Pinelliae Rhizoma). Four doses woke the Stomach. More use of Guipi Tang (Restore the Spleen Decoction), Xiaoyao San (Free and Easy Wanderer Powder) to regulate and recover. Another woman had dizziness and Phlegm vomiting. Using Huatan Liqi (Resolve Phlegm Regulate Qi) meds, limbs sometimes numb. Taking Qufeng Huatan (Dispel Wind Resolve Phlegm) meds, limbs constantly numb, hands/feet alternately cold/hot. This is Spleen Earth deficiency failing to generate Lung Metal. Used Bu Zhong Yi Qi Tang plus Fuling (Poria), Banxia (Pinelliae Rhizoma), Paojiang (Roasted Ginger). Over twenty doses, Spleen Qi gradually recovered, symptoms slightly improved. More use of Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder) over thirty doses to recover. Later anger caused Phlegm vomiting. Self-administered Qingqi Huatan Wan (Clear Qi Resolve Phlegm Pill). No appetite, much Phlegm vomiting, chest/hypochondriac distension. I used Liujunzi Tang (Six Gentlemen Decoction) doubling Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma), adding little Muxiang (Aucklandiae Radix). Several doses to health.
Sanbi Tang (Three Bi Decoction): Treats Qi and Blood stagnation, limb spasm, Wind-Bi, Qi-Bi and other diseases.
Chuan Xuduan (Dipsaci Radix) Duzhong (Eucommiae Cortex, sliced, stir-fry with ginger juice to remove fibers) Fangfeng (Saposhnikoviae Radix, rhizome removed) Guixin (Cinnamomi Cortex) Huayin Xixin (Asari Radix et Rhizoma from Huayin) Renshen (Ginseng Radix, rhizome removed)
Bai Fuling (Poria, peel removed) Danggui (Angelicae Sinensis Radix, rhizome removed) Baishaoyao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma, each one tael, honey-fried) Qin Jiao (Gentianae Macrophyllae Radix, rhizome removed) Sheng Dihuang (Rehmanniae Radix)
Chuan Xiong (Ligustici Chuanxiong Rhizoma) Chuan Duhuo (Angelicae Pubescentis Radix, each half tael, rhizome removed) Huangqi (Astragali Radix, rhizome removed) Chuan Niuxi (Achyranthis Bidentatae Radix, wine soaked, each one tael)
Cut the above into small pieces, or grind into powder. Take eight qian per dose, two bowls of water, five slices of ginger, one date. Decoct until one bowl remains. Strain and take hot, at any time, preferably when abdomen is slightly empty. Someone had left arm paralysis, later recovered but fingers were inconvenient and weak. Tried various medicines unsuccessfully. Took one dose of this medicine and cured.
Duhuo Tang (Angelica Pubescens Decoction): Treats women's Wind-Bi, limb paralysis, body pain, slurred speech, tendon spasm. Suitable for all.
Duhuo (Angelicae Pubescentis Radix, rhizome removed) Sangjisheng (Taxilli Cacumen) Niuxi (Achyranthis Bidentatae Radix, wine soaked) Qin Jiao (Gentianae Macrophyllae Radix, rhizome removed) Chi Fuling (Poria, peel removed) Guixin (Cinnamomi Cortex) Fangfeng (Saposhnikoviae Radix, rhizome removed)
Fuzi (Prepared Aconiti Lateralis Radix, prepared, skin and umbilicus removed) Danggui (Angelicae Sinensis Radix, stir-fried, rhizome removed) Sheng Gan Dihuang (Rehmanniae Radix Preparata, each one tael) Duzhong (Eucommiae Cortex, sliced, stir-fry to remove fibers) Xixin (Asari Radix et Rhizoma, seedlings removed)
Xiong (Ligustici Chuanxiong Rhizoma) Chi Shaoyao (Paeoniae Radix Rubra, each seven qian and half) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half tael)
Cut the above into small pieces. Take eight qian per dose, one and a half bowls of water. Decoct until one large bowl remains. Strain and take warm, at any time.
Wushe San (Black Snake Powder): Treats women's Wind-Bi, limb numbness, tendon spasms, facial deviation, slurred speech.
Wushe Rou (Daboina Swinhonis Flesh, wine stir-fried) Tu Feng'er (Ground Bee Larva, stir-fried) Tian Nan Xing (Arisaematis Rhizoma, prepared) Tianxiong (Aconiti Kusnezoffii Radix, prepared, skin and umbilicus removed) Chi Jian (Saposhnikoviae Radix)
Mahuang (Ephedrae Herba, joints removed) Yiyiren (Coicis Semen) Xiong (Ligustici Chuanxiong Rhizoma, each one tael) Lingyangjiao Xie (Saiga Tataricae Cornu) Ganxie (Dry Scorpio, slightly stir-fried) Sangpiaoxiao (Mantis Ootheca, slightly stir-fried)
Guixin (Cinnamomi Cortex) Zhusha (Cinnabar, ground, water levigated, each half tael) Danggui (Angelicae Sinensis Radix, stir-fried, rhizome removed) Suanzaoren (Zizyphi Semen, stir-fried) Baiziren (Biota Semen, each seven qian and half)
Grind into fine powder, mix in Cinnabar medicine evenly. Take one qian per dose, before meals, mixed with warm wine.
Dongyuan Qianghuo Tang (Dongyuan Notopterygium Decoction): Treats Damp-Heat heavy body, or dizziness/numbness, red/scanty urination, lower jiao flaccidity, inability to walk.
Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Chaihu (Bupleuri Radix, each one qian) Gaoben (Ligustici Wallichii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Fuling (Poria) Zexie (Alismatis Rhizoma) Zhuling (Polyporus) Huangqi (Astragali Radix, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Chenpi (Citri Reticulatae Pericarpium) Huangbo (Phellodendri Cortex, wine stir-fried black) Huanglian (Coptidis Rhizoma, stir-fried) Cangzhu (Atractylodis Rhizoma) Shengma (Cimicifugae Rhizoma) Chuan Xiong (Ligustici Chuanxiong Rhizoma, each five fen)
Decoct in water and take.
Gancao Fuzi Tang (Licorice and Aconite Decoction): Treats Wind-Damp clashing, bone/joint vexing pain, intermittent cramping pain, inability to extend/flex, pressing worsens pain, sweating, shortness of breath, difficult urination, aversion to wind desiring clothes, or slight swelling/pain.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one tael) Fuzi (Prepared Aconiti Lateralis Radix, one piece weighing one tael three or four qian is correct. Prepared, remove skin and tip, otherwise ineffective)
Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, one tael) Guizhi (Cinnamomi Ramulus, two taels)
Take five qian per dose, decoct in water.
Bazhen Tang (Eight Treasures Decoction): Treats Liver/Spleen Qi and Blood dual deficiency, failing to nourish tendons, causing tendon spasm/bone pain, or inability to walk, or afternoon fever, alternating chills/fever etc.
Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder): Treats Liver Meridian Wind-Heat, dry Blood contracting tendons, limb paralysis, internal heat/afternoon fever etc. (Bazhen Tang see Miscellaneous Deficiency Consumption, this formula see this subject Menstrual Regulation.)
[Spontaneous Sweating]
Yaoyin Laoren (Old Man Yaoyin) said: Seeking ancient formulas for treating wind-stroke, Xuming (Continuation), Paifeng (Expelling Wind), Yuebi (Crossing Slave) etc. can all eliminate it, but *Qianjin* mostly uses Mahuang (Ephedrae Herba),