令人不得虑虚。凡以风邪不得汗，则不能泄也，然此治中风无汗者为宜。若治自汗者更
用麻黄，则津液转使脱泄，反为大害。中风自汗，仲景虽处以桂枝汤，至于不住发搐，口
眼动，遍身汗出者，岂胜对治。当此之时，
独活汤、续命煮散，复荣卫，却风邪，不可阙也。
〔薛〕前证若腠理不固而自汗者，用桂枝汤或防风白术牡蛎汤。若过服风药而自汗
者，用白术防风汤。若阳气虚弱而自汗者，用 附汤。若兼盗汗，用补中益气汤送六味丸。
如不应，用当归六黄汤。
独活汤 治风虚昏愦，不自知觉，手足螈 ，坐卧不能，或发寒热，血虚不能服发
汗药，及中风自汗，尤宜服之。
川独活 羌活 人参 防风 当归（五味各去芦） 细辛（去苗） 茯神（去木）
半夏（汤洗七次，切片子） 桂心 白薇 远志（去心） 菖蒲 川芎（各半两）
甘草（七钱半，炙）
上 咀，每服八钱，水一盏半，姜五片，煎七分，去滓温服，不拘时候。
续命煮散 治风气留滞，心中昏愦，四肢无力，口眼 动，有时搐搦，亡失津液，渴
欲引饮。此能扶荣卫，去虚风，中风自汗及产后中风自汗，尤宜服之。
防风 独活 当归 人参 细辛 葛根 芍药 川芎 甘草 熟地黄 半夏 远志
（去心） 荆芥穗（各半两） 桂心（七钱半）
上 咀，每服五钱，水一盏，生姜三大片，煎至七分，去滓温服，不拘时。汗多不
止者，加牡蛎粉一分半。
补遗防风白术牡蛎散 治中风自汗不止。
白术 牡蛎（ ） 防风（各等分）
为末，酒调下，米饮亦可，日三服，汗即止。如不止，可服黄 建中汤。
〔贼风偏枯〕
药隐老人云∶偏枯者，其状半身不随，肌肉枯瘦，骨间疼痛，神智如常，名曰偏枯也。
原其疾之由，皆因阴阳偏亏，脏腑怯弱，经络空虚，血气不足，当风冲坐，风邪乘虚而
入。《内经》云∶汗出偏沮，使人偏枯。详其义理，如树木或有一边津液不荫注而先枯槁，
然后被风所害。人之身体，或有一边血气不能荣养而先枯槁，然后被风所苦，其理显然。
王子亨云∶舟行于水，人处于风，水能泛舟而亦能覆舟，风能养体而亦能害体。盖谓船
漏水入，体漏风伤。古人有云∶医风先医血，血行风自灭是也，治之先宜养血，然后驱风，
无不愈者。宜用大八风汤、增损茵芋酒、续断汤。
〔大〕贼风偏枯者，是体偏虚受风，风客于半身也。人有劳伤血气，半身偏虚者，风
乘虚入客于半体，名为偏风也。其风邪入深，真气去，邪气留，发为偏枯，此由血气衰损，
为风所客，令血气不相周荣于肌，故令偏枯也。
〔薛〕医风先医血，此论得之。大抵此证多因胎前产后，失于调养，以致精血干涸，
肝木枯槁，治法当滋其化源。考之《生气通天论》曰∶风客淫气，精乃亡，邪伤肝也。
《阴阳应象大论》曰∶风气通于肝，风搏则热盛，热盛则水干，水干则气不荣，故精乃亡。
此风病之所由作也。一妇人性善怒，常自汗，月经先期。余以为肝火血热，不信，乃
泛用降火之剂，反致月经过期；复因劳怒，口噤呻吟，肢体不遂，六脉洪大，面目赤色。用
八珍、麦门、五味子、山栀、丹皮，数剂渐愈。兼用逍遥散、六味丸各三十余剂全愈。
大八风汤 治中风偏枯、失音，半身不随，时复恍惚。
当归（去芦） 杏仁（麸炒） 甘草（炙） 桂心 干姜（炮，各二两） 五味子
升麻（各半两） 川乌头（炮，去皮脐） 黄芩 芍药 独活 防风（各去芦） 川芎
麻黄（去节） 秦艽 人参（各去芦） 石斛（去根切，酒浸炒） 茯神（去木） 石膏
黄（去芦） 紫菀（各一两） 大豆（三两，去皮炒）
上为 咀，每服五钱，水两盏，酒一合，煎至一盏，去滓温服。恍惚者，不用酒煎。
一方无茯神，有远志、赤茯苓。
增损茵芋酒 治半身不遂，肌肉干燥，渐
渐细瘦，或时 痛，病名偏枯。
茵芋叶 川乌头（炮，去皮尖） 石楠叶 防风 川椒（炒出汗） 女萎 附子（炮）
北细辛 独活 卷柏 肉桂 天雄（炮，去皮） 秦艽 防己（各一两） 踯躅花（炒） 当归
生干地黄（各二两） 芍药（一两）
上 咀，酒二斗渍之，冬七日、夏三日、春秋各五日，初服一合，渐增之，以知为度，
令酒气相续。
续断汤 治偏枯少血。
当归（三两，去芦） 陈皮（去白） 芍药 细辛（各一两，去苗） 生干地黄（二两）
上 咀，每服五钱，水二盏，煎至八分，去滓温服。脏寒多利者，入熟附子一两，和
前药服之。
补遗全生虎骨散 治半身不遂，肌肉干瘦。忌用麻黄发汗，恐津液枯竭，惟当润筋
养血消风。
当归（二两） 赤芍药 续断（酒浸，炒） 白术 本 虎骨（炙，各五两）
乌蛇肉（炙，半两）
上为末，每服二钱，酒调下。骨痛加生地一两，自利加天雄半两。
虎胫骨酒 治中风偏枯，四肢不随，一切风痹，筋脉挛拳。
石斛 石楠叶 防风 虎胫骨（炙） 当归 茵芋叶 杜仲（酒炒） 牛膝（酒浸，炒）
续断（酒浸，炒） 芎 巴戟（去心） 狗脊（去毛，各一两）
上以绢囊盛药，用酒一斗渍十日，每服一盏，温饮。
〔偏风口 〕
夫妇人偏风口 者，是体虚受风，风入于夹口之筋也。足阳明之筋，上夹于口，其
筋偏虚，风因虚而乘之，使其筋偏急不调，故令口 僻也。
〔薛〕一妇人怀抱郁结，筋挛骨痛，喉间似有一核，服乌药顺气等药，口眼歪斜，臂
难伸举，痰涎愈多，内热晡热，食少体倦。余以为郁火伤脾，血燥生风，用加味归脾汤二
十剂，形体渐健，饮食渐进。又用加味逍遥散十余剂，痰热少退，喉核少消。更用升阳
益胃汤数剂，诸证渐愈。但臂不能伸，此肝经血少而筋挛耳，用六味地黄丸以滋肾水，生
肝血而愈。
防风汤 治卒然口 斜，言语牵急。
防风（去芦，一两） 羌活（去芦，半两） 甘草（二钱半，炙）
上为 咀，每服五钱，水二盏，煎至一盏，去滓，入麝香研一字，温服。
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 防己 麻黄（去根节） 芍药 川芎 甘草 黄芩 白术（各半两）
桂心 附子（炮） 防风（各一两） 生姜（五两）
上切，以水一斗二升，煮取三升，分为三服，不瘥更作。忌海藻、菘菜、桃、李、葱、
生菜、雀肉、猪肉。
防风散 治妇人中风，言语謇涩，肢节疼痛，皮肤不仁。
防风 羌活（各去芦） 当归（去芦，炒） 天南星（炮） 天麻 桂心 芎 乌蛇肉（酒浸）
白僵蚕（炒） 桑螵蛸（炒，各半两） 麝香（研） 朱砂（细研化、飞，各二钱半） 麻黄（七
钱半，去根节）
为细末，入研药令匀，每服一钱，温酒调下，不拘时。
《千金方》
炒大豆三升令焦，以酒三升，淋取汁，顿服。
治口眼 斜
用蓖麻子七粒，去皮研细作饼子，安在手心，（右 安左手，左 安右手。）却用铜盂盛汤，
坐于药上，才正即洗去。（一用巴豆，不用蓖麻。出《本草》。）
告诫人们不要顾虑患者体质虚弱。凡是因风邪侵袭导致无汗，说明腠理闭塞，邪气无法通过汗液排出，此时治疗中风无汗证最为适宜。如果治疗自汗的患者却再用麻黄发汗，反而会使津液大量流失耗散，造成更大的危害。对于中风伴有自汗的情况，虽然张仲景曾使用桂枝汤治疗，但对于那些持续抽搐、口眼歪斜、全身出汗不止的患者，单靠常规方法难以应对。在这种情况下，独活汤和续命煮散能够恢复营卫之气，驱除风邪，是不可缺少的方剂。
〔薛己〕上述病症如果是由于腠理不固而导致的自汗，可使用桂枝汤或防风白术牡蛎汤。如果是因过服祛风药物导致的自汗，使用白术防风汤。如果是阳气虚弱导致的自汗，使用附子汤（原文“用 附汤”，据上下文及常见医案补全为附子汤）。如果兼有盗汗，使用补中益气汤送服六味丸。如果无效，使用当归六黄汤。
独活汤：治疗风虚引起的头昏神志不清，不知觉自身状况，手足抽搐痉挛，坐卧不安，或出现寒热症状。适用于血虚不能耐受发汗药，以及中风自汗者，尤其适宜服用。
药材：川独活、羌活、人参、防风、当归（五味药各去芦头）、细辛（去苗）、茯神（去木心）、半夏（汤洗七次，切片）、桂心、白薇、远志（去心）、石菖蒲、川芎（各半两）、甘草（七钱半，炙）。
制法与用法：将药材捣碎成粗末，每次服用八钱，加水一盏半，生姜五片，煎至七分，滤去药渣，温服，不限时间。
续命煮散：治疗风气留滞体内，心中昏沉混乱，四肢无力，口眼歪斜抽动，有时发生抽搐痉挛，津液耗失，口渴想喝水。此方能扶助营卫，祛除虚风，对于中风自汗及产后中风自汗尤为适宜。
药材：防风、独活、当归、人参、细辛、葛根、芍药、川芎、甘草、熟地黄、半夏、远志（去心）、荆芥穗（各半两）、桂心（七钱半）。
制法与用法：将药材捣碎成粗末，每次服用五钱，加水一盏，生姜三大片，煎至七分，滤去药渣，温服，不限时间。如果出汗过多不止，加入一分半的牡蛎粉。
补遗防风白术牡蛎散：治疗中风自汗不止。
药材：白术、牡蛎（煅）、防风（各等分）。
制法与用法：研为细末，用酒调服，米汤也可，每日三次，汗即停止。如果汗仍不止，可服用黄芪建中汤。
〔贼风偏枯〕
药隐老人说：偏枯的症状是半身不能随意运动，肌肉枯瘦，骨间疼痛，但神智清醒，这叫做偏枯。探究其病因，都是因为阴阳偏颇亏损，脏腑怯弱，经络空虚，气血不足，坐在风口处受风，风邪乘虚而入。《内经》说：“汗出偏沮（指身体一侧出汗），使人偏枯。”详细分析其义理，就像树木有一边的津液不能滋润灌注而先干枯，然后被风所害一样。人的身体，如果有一边气血不能荣养而先干枯，然后被风邪所苦，道理是很明显的。
王子亨说：船行于水，人处于风中，水能浮起船也能翻覆船，风能滋养身体也能伤害身体。大概是指船漏水进水，人体漏风受伤。古人有句话说：“治风先治血，血行风自灭”，治疗时先宜养血，然后驱风，没有不痊愈的。适宜使用大八风汤、增损茵芋酒、续断汤。
〔大论〕贼风偏枯，是因为身体偏侧虚弱受风，风邪客居于半身。人有劳损伤及气血，导致半身偏虚的，风邪乘虚侵入客居在半侧身体，这叫做偏风。如果风邪入里较深，真气离去，邪气停留，发作成为偏枯，这是由于气血衰损，被风邪客居，使得气血不能在肌肤中相互周流荣养，所以导致偏枯。
〔薛己〕“治风先治血”这一论点是正确的。大体上此证多因胎前产后，失于调养，导致精血干涸，肝木枯槁，治疗方法应当滋生化之源。考察《生气通天论》说：“风客淫气，精乃亡，邪伤肝也。”《阴阳应象大论》说：“风气通于肝，风搏则热盛，热盛则水干，水干则气不荣，故精乃亡。”这是风病产生的原因。有一位妇人性格易怒，经常自汗，月经提前。我认为她是肝火血热，她不信，于是滥用降火药物，反而导致月经延期；后来又因劳累和愤怒，出现牙关紧闭呻吟，肢体不能随意运动，六脉洪大，面目赤红。我使用八珍汤、麦门冬、五味子、山栀、丹皮，数剂后逐渐好转。又配合使用逍遥散、六味丸各三十余剂，完全痊愈。
大八风汤：治疗中风偏枯、失音，半身不随，时常精神恍惚。
药材：当归（去芦）、杏仁（麸炒）、甘草（炙）、桂心、干姜（炮，各二两）、五味子、升麻（各半两）、川乌头（炮，去皮脐）、黄芩、芍药、独活、防风（各去芦）、川芎、麻黄（去节）、秦艽、人参（各去芦）、石斛（去根切，酒浸炒）、茯神（去木）、石膏、黄芪（去芦）、紫菀（各一两）、大豆（三两，去皮炒）。
制法与用法：将药材捣碎成粗末，每次服用五钱，加水两盏，酒一合，煎至一盏，滤去药渣温服。精神恍惚者，不用酒煎。另一版本无茯神，有远志、赤茯苓。
增损茵芋酒：治疗半身不遂，肌肉干燥，渐渐变细瘦，或时而疼痛，病名偏枯。
药材：茵芋叶、川乌头（炮，去皮尖）、石楠叶、防风、川椒（炒出汗）、女萎、附子（炮）、北细辛、独活、卷柏、肉桂、天雄（炮，去皮）、秦艽、防己（各一两）、踯躅花（炒）、当归、生干地黄（各二两）、芍药（一两）。
制法与用法：将药材捣碎，用酒二斗浸泡，冬季七日、夏季三日、春秋各五日，初次服用一合，逐渐增加剂量，以见效为度，令酒气连续不断。
续断汤：治疗偏枯少血。
药材：当归（三两，去芦）、陈皮（去白）、芍药、细辛（各一两，去苗）、生干地黄（二两）。
制法与用法：将药材捣碎成粗末，每次服用五钱，加水二盏，煎至八分，滤去药渣温服。如果脏寒腹泻多的，加入熟附子一两，与前药同服。
补遗全生虎骨散：治疗半身不遂，肌肉干瘦。忌用麻黄发汗，恐怕津液枯竭，只应当润筋养血消风。
药材：当归（二两）、赤芍药、续断（酒浸，炒）、白术、藁本、虎骨（炙，各五两）、乌蛇肉（炙，半两）。
制法与用法：研为细末，每次服用二钱，用酒调服。骨痛加生地一两，自利（腹泻）加天雄半两。
虎胫骨酒：治疗中风偏枯，四肢不能随意运动，一切风痹，筋脉挛缩拳曲。
药材：石斛、石楠叶、防风、虎胫骨（炙）、当归、茵芋叶、杜仲（酒炒）、牛膝（酒浸，炒）、续断（酒浸，炒）、川芎、巴戟天（去心）、狗脊（去毛，各一两）。
制法与用法：用绢袋装好药材，用酒一斗浸泡十日，每次服用一盏，温饮。
〔偏风口僻〕
妇女偏风口僻，是因为身体虚弱受风，风邪进入夹持口部的筋脉。足阳明经的筋，上行夹持于口，如果该处筋脉偏虚，风邪便乘虚而入，使筋脉偏侧拘急不调，从而导致口眼歪斜。
〔薛己〕一位妇人怀抱郁结，筋挛骨痛，喉间似有异物感，服用乌药顺气等药后，出现口眼歪斜，手臂难以伸展举起，痰涎增多，内热及傍晚发热，食少体倦。我认为这是郁火伤脾，血燥生风，使用加味归脾汤二十剂，形体逐渐健壮，饮食逐渐增加。又使用加味逍遥散十余剂，痰热稍退，喉间异物感稍消。更使用升阳益胃汤数剂，各种症状逐渐痊愈。但手臂仍不能伸展，这是肝经血少导致筋脉挛缩，使用六味地黄丸以滋补肾水，生养肝血而痊愈。
防风汤：治疗突然口眼歪斜，言语牵急。
药材：防风（去芦，一两）、羌活（去芦，半两）、甘草（二钱半，炙）。
制法与用法：将药材捣碎成粗末，每次服用五钱，加水二盏，煎至一盏，滤去药渣，加入麝香研细的一字量，温服。
深师续命汤：治疗中风口眼歪斜、牙关紧闭等各种疾病，突然昏迷不省人事。这是补虚起死的神方。
药材：人参、防己、麻黄（去根节）、芍药、川芎、甘草、黄芩、白术（各半两）、桂心、附子（炮）、防风（各一两）、生姜（五两）。
制法与用法：将药材切碎，用水一斗二升，煮取三升，分为三次服用，未愈再煮。忌食海藻、菘菜、桃、李、葱、生菜、雀肉、猪肉。
防风散：治疗妇人中风，言语謇涩，肢节疼痛，皮肤麻木不仁。
药材：防风、羌活（各去芦）、当归（去芦，炒）、天南星（炮）、天麻、桂心、川芎、乌蛇肉（酒浸）、白僵蚕（炒）、桑螵蛸（炒，各半两）、麝香（研）、朱砂（细研化、飞，各二钱半）、麻黄（七钱半，去根节）。
制法与用法：研为细末，加入研好的药混合均匀，每次服用一钱，用温酒调服，不限时间。
《千金方》
炒大豆三升炒焦，用酒三升淋取汁，一次性服下。
治疗口眼歪斜
用蓖麻子七粒，去皮研细做成饼状，敷在手心。（右侧歪斜敷左手，左侧歪斜敷右手。）然后用铜盆盛热水，坐在药饼上方，待面部端正后即洗去。（另一种方法用巴豆，不用蓖麻。出自《本草》。）
Do not worry about the patient's deficiency. When wind-pathogen invades and causes anhidrosis (absence of sweating), it indicates that the interstices are closed, preventing the pathogen from being expelled through sweat; thus, treating wind-stroke with anhidrosis is appropriate. However, if Ephedra Decoction (Mahuang Tang) is used for patients with spontaneous sweating, it will cause excessive loss of body fluids, resulting in greater harm. Although Zhang Zhongjing prescribed Guizhi Tang (Cinnamon Twig Decoction) for wind-stroke with spontaneous sweating, for those who suffer from continuous convulsions, deviation of the mouth and eyes, and profuse sweating all over the body, conventional treatments are insufficient. In such cases, Duhuo Tang (Angelica Pubescens Decoction) and Xuming Zhusan (Xuming Boiled Powder) are indispensable as they restore Ying-Wei (Nutritive and Defensive Qi) and expel wind-pathogens.
[Xue Ji] For the aforementioned conditions involving spontaneous sweating due to insecure interstices, use Guizhi Tang (Cinnamon Twig Decoction) or Fangfeng Baizhu Muli Tang (Saposhnikovia, Atractylodes Macrocephala, and Oyster Shell Decoction). If spontaneous sweating results from the overuse of wind-expelling drugs, use Baizhu Fangfeng Tang (Atractylodes Macrocephala and Saposhnikovia Decoction). If caused by Yang-Qi deficiency, use Fuzi Tang (Aconite Decoction). If accompanied by night sweats, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) administered with Liuwei Wan (Six-Ingredient Pill with Rehmannia). If ineffective, use Danggui Liuhuang Tang (Angelica Sinensis and Rhizoma Chuanxiong Hexa-Huang Decoction).
Duhuo Tang: Treats dizziness and confusion due to wind-deficiency, loss of bodily awareness, spasms of the hands and feet, restlessness in sitting and lying, or alternating chills and fever. It is particularly suitable for patients with blood deficiency who cannot tolerate diaphoretic herbs, and for wind-stroke with spontaneous sweating.
Ingredients: Chuan Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma et Radix Notopterygii), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis) - remove rhizomes from five ingredients; Xixin (Herba Asari), Fushen (Poria with Hostwood) - remove wood; Banxia (Rhizoma Pinelliae) - washed seven times in hot water, sliced; Guixin (Cortex Cinnamomi); Baiwei (Radix Cynanchi Atrati); Yuanzhi (Radix Polygalae) - remove heart; Shichangpu (Rhizoma Acori Tatarinowii); Chuanxiong (Rhizoma Chuanxiong) - each half liang; Gancao (Radix Glycyrrhizae) - seven qian half, roasted.
Preparation and Administration: Coarsely crush the herbs. Take eight qian per dose, add one and a half zhan of water and five slices of fresh ginger, decoct until reduced to seven tenths, strain, and take warm at any time.
Xuming Zhusan: Treats stagnation of wind-qi causing mental confusion, weakness in the four limbs, deviation and twitching of the mouth and eyes, occasional convulsions, loss of body fluids, thirst, and desire to drink. This formula supports Ying-Wei and dispels deficient wind, being especially suitable for wind-stroke with spontaneous sweating and postpartum wind-stroke with spontaneous sweating.
Ingredients: Fangfeng (Radix Saposhnikoviae), Duhuo (Radix Angelicae Pubescentis), Danggui (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Xixin (Herba Asari), Gegen (Puerariae Lobatae Radix), Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae), Shudihuang (Radix Rehmanniae Preparata), Banxia (Rhizoma Pinelliae), Yuanzhi (Radix Polygalae) - remove heart; Jingjiesui (Perilla Frutescens Inflorescence) - each half liang; Guixin (Cortex Cinnamomi) - seven qian half.
Preparation and Administration: Coarsely crush the herbs. Take five qian per dose, add one zhan of water and three large slices of fresh ginger, decoct until reduced to seven tenths, strain, and take warm at any time. If sweating is excessive and unceasing, add one and a half fen of Muli Fen (Oyster Shell Powder).
Supplementary Fangfeng Baizhu Muli San: Treats unceasing spontaneous sweating due to wind-stroke.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae), Muli (Concha Ostreae) - calcined, Fangfeng (Radix Saposhnikoviae) - equal parts.
Preparation and Administration: Grind into fine powder. Take with wine or rice broth, three times daily. Sweating will cease. If it does not stop, Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) may be taken.
[On Thief-Wind and Hemiplegia]
The Old Man Yaoyin stated: The manifestation of hemiplegia (Piangu) is paralysis of half the body, emaciation of muscles, pain in the bones, while consciousness remains normal. This is called Piangu. The origin of this disease lies in the imbalance and deficiency of Yin and Yang, weakness of the Zang-Fu organs, emptiness of the meridians, and insufficiency of Blood and Qi. Sitting in the wind allows the wind-pathogen to enter via the deficiency. The *Neijing* states: "Sweating on only one side leads to hemiplegia." Analyzing its principle, it is like a tree where one side lacks fluid nourishment and dries up first, then suffers damage from the wind. Similarly, if one side of the human body lacks Blood and Qi nourishment and dries up first, it becomes vulnerable to wind-pathogens.
Wang Ziheng stated: Just as water can float or capsize a boat, wind can nourish or harm the body. This implies that just as leaks let water into a boat, leaks in the body allow wind to cause injury. As the ancients said: "To treat wind, first treat the blood; when blood flows, wind extinguishes itself." Treatment should prioritize nourishing blood before expelling wind, ensuring recovery. Suitable formulas include Da Bafeng Tang (Great Eight-Wind Decoction), Zengsun Yinyu Jiu (Modified Yinyu Wine), and Xuduan Tang (Dipsacus Decoction).
[Grand Theory]
Thief-wind hemiplegia occurs when one side of the body is deficient and receives wind, which lodges in the half-body. Due to labor and injury depleting Blood and Qi, leaving one side weak, wind enters and lodges in the half-body, known as Pianfeng (Partial Wind). If the wind-pathogen penetrates deeply, true Qi departs, and evil Qi remains, resulting in hemiplegia. This arises from the depletion of Blood and Qi, allowing wind to lodge, preventing mutual circulation and nourishment in the muscles, thus causing hemiplegia.
[Xue Ji] The theory "to treat wind, first treat the blood" is correct. Generally, this condition results from improper care during pregnancy or postpartum, leading to dryness of Essence and Blood, and withering of Liver Wood. The treatment method should tonify the source of transformation. According to the *Shengqi Tongtian Lun*: "Wind lodging disturbs Qi, Essence is lost, and evil injures the Liver." The *Yinyang Yingxiang Dalun* states: "Wind Qi connects with the Liver; wind combats causing Heat excess, Heat excess dries Water, dried Water fails to nourish Qi, thus Essence is lost." This explains the genesis of wind diseases. A female patient prone to anger suffered frequent spontaneous sweating and early menstruation. I diagnosed Liver Fire and Blood Heat. She did not believe me and indiscriminately used heat-clearing drugs, causing delayed menstruation. Later, due to fatigue and anger, she developed trismus, groaning, limb paralysis, surging pulses, and red face. I prescribed Bazhen Tang (Eight-Treasure Decoction), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Zhizi (Gardeniae Fructus), and Danpi (Moutan Cortex). After several doses, she improved. Combined with Xiaoyao San (Free and Easy Wanderer Powder) and Liuwei Wan (Six-Ingredient Pill with Rehmannia) for over thirty doses each, she fully recovered.
Da Bafeng Tang: Treats wind-stroke hemiplegia, aphonia, hemiplegia, and occasional mental confusion.
Ingredients: Danggui (Radix Angelicae Sinensis) - remove rhizome; Xingren (Pruni Semen) - stir-fried with bran; Gancao (Radix Glycyrrhizae) - roasted; Guixin (Cortex Cinnamomi); Jiangjiang (Zingiberis Rhizoma) - roasted, each two liang; Wuweizi (Schisandrae Fructus); Shengma (Cimicifugae Rhizoma) - each half liang; Chuan Wutou (Aconiti Radix) - roasted, peel and navel removed; Huangqin (Scutellariae Radix); Shaoyao (Radix Paeoniae Alba); Duhuo (Radix Angelicae Pubescentis); Fangfeng (Radix Saposhnikoviae) - remove rhizomes; Chuanxiong (Rhizoma Chuanxiong); Mahuang (Ephedrae Herba) - remove joints; Qinjiao (Gentianae Macrophyllae Radix); Renshen (Radix Ginseng) - remove rhizomes; Shihu (Dendrobii Caulis) - remove roots, slice, soak in wine and roast; Fushen (Poria with Hostwood) - remove wood; Shigao (Gypsum Fibrosum); Huangqi (Astragali Radix); Ziwan (Astern Radix) - each one liang; Dadou (Sojae Semen Preparatum) - three liang, skin removed and roasted.
Preparation and Administration: Coarsely crush. Take five qian per dose, add two zhan of water and one he of wine, decoct until one zhan remains, strain, and take warm. For mental confusion, do not use wine. Another version excludes Fushen and includes Yuanzhi (Radix Polygalae) and Chifuling (Poria cum Rosello).
Zengsun Yinyu Jiu: Treats hemiplegia, dry skin, gradual emaciation, or intermittent pain, named Piangu.
Ingredients: Yinyuye (Foliium Illicii Coriacei); Chuan Wutou (Aconiti Radix) - roasted, peel and tip removed; Shinanye (Folium Pieridis Nivis); Fangfeng (Radix Saposhnikoviae); Chuanjiao (Zanthoxyli Pericarpium) - stir-fried to release oil; Nuwei (Polygoni Multiflori Caulis); Fuzi (Aconiti Lateralis Radix Preparata) - roasted; Beixixin (Herba Asari) - each one liang; Duhuo (Radix Angelicae Pubescentis); Juanbai (Selaginellae Herba); Rougui (Cortex Cinnamomi); Tianxiong (Aconiti Radix) - roasted, peel removed; Qinjiao (Gentianae Macrophyllae Radix); Fangji (Stephaniae Tetrandrae Radix); Zhiyuhua (Flos Dabryanthi Indici) - stir-fried; Danggui (Radix Angelicae Sinensis); Sheng Dihuang (Radix Rehmanniae Recens) - each two liang; Shaoyao (Radix Paeoniae Alba) - one liang.
Preparation and Administration: Coarsely crush and soak in two dou of wine. Winter: 7 days; Summer: 3 days; Spring/Autumn: 5 days. Initial dose: one he, gradually increase until effective, maintaining continuous alcohol effect.
Xuduan Tang: Treats hemiplegia with blood deficiency.
Ingredients: Danggui (Radix Angelicae Sinensis) - three liang, remove rhizome; Chenpi (Citri Reticulatae Pericarpium) - remove white pith; Shaoyao (Radix Paeoniae Alba); Xixin (Herba Asari) - each one liang, remove seedlings; Sheng Dihuang (Radix Rehmanniae Recens) - two liang.
Preparation and Administration: Coarsely crush. Take five qian per dose, add two zhan of water, decoct until eight tenths remain, strain, and take warm. For cold viscera with diarrhea, add one liang of Shufuzi (Aconiti Lateralis Radix Preparata) and mix with other herbs.
Supplementary Quansheng Hugugu San: Treats hemiplegia and emaciated muscles. Avoid Mahuang (Ephedrae Herba) to prevent fluid exhaustion; instead, moisten tendons, nourish blood, and eliminate wind.
Ingredients: Danggui (Radix Angelicae Sinensis) - two liang; Chishaoyao (Radix Paeoniae Rubra); Xuduan (Radix Dipsaci) - soaked in wine and roasted; Baizhu (Rhizoma Atractylodis Macrocephalae); Bencao (Ligustici Rhizoma et Radix); Hugugu (Os Tigris) - roasted, each five liang; Wushe (Bungarus Parvus) - roasted, half liang.
Preparation and Administration: Grind into powder. Take two qian per dose with wine. For bone pain, add one liang of Dihuang (Radix Rehmanniae); for diarrhea, add half liang of Tianxiong (Aconiti Radix).
Hujinggu Jiu: Treats wind-stroke hemiplegia, immobility of four limbs, all types of wind-bi, and tendon contraction/curling.
Ingredients: Shihu (Dendrobii Caulis); Shinanye (Folium Pieridis Nivis); Fangfeng (Radix Saposhnikoviae); Hujinggu (Os Tigris) - roasted; Danggui (Radix Angelicae Sinensis); Yinyuye (Foliium Illicii Coriacei); Duzhong (Cortex Eucommiae) - wine-fried; Niuxi (Achyranthis Bidentatae Radix) - soaked in wine and roasted; Xuduan (Radix Dipsaci) - soaked in wine and roasted; Chuanxiong (Rhizoma Chuanxiong); Bajitian (Morinda Officinalis Radix) - remove heart; Gouji (Cibotii Rhizoma) - remove hairs, each one liang.
Preparation and Administration: Place herbs in a silk bag, soak in one dou of wine for ten days. Take one zhan per dose, warm.
[On Deviation of Mouth and Eye]
Women suffering from deviation of the mouth and eye due to wind have a deficient constitution allowing wind to enter the tendons flanking the mouth. The tendons of the Foot-Yangming Meridian ascend flanking the mouth; if these tendons are deficient, wind enters via the deficiency, causing unilateral tendon tension and misalignment, resulting in facial deviation.
[Xue Ji] A female patient with emotional depression suffered tendon spasms, bone pain, and a sensation of a lump in the throat. After taking Youyao Shunqi Tang, she developed facial deviation, difficulty extending arms, increased phlegm-saliva, internal heat, afternoon fever, poor appetite, and fatigue. I diagnosed Depression-Fire injuring the Spleen and Blood Dryness generating Wind. I prescribed Jiawei Guipi Tang (Modified Restore the Spleen Decoction) for twenty doses, improving her physique and diet. Then Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) for over ten doses, reducing phlegm-heat and the throat lump. Further, Shengyang Yiewei Tang (Raise Yang and Benefit Stomach Decoction) cured most symptoms. However, arm extension remained impaired due to Liver Blood deficiency causing tendon spasm. I prescribed Liuwei Wan (Six-Ingredient Pill with Rehmannia) to nourish Kidney Water and generate Liver Blood, achieving cure.
Fangfeng Tang: Treats sudden facial deviation and speech tension.
Ingredients: Fangfeng (Radix Saposhnikoviae) - remove rhizome, one liang; Qianghuo (Rhizoma et Radix Notopterygii) - remove rhizome, half liang; Gancao (Radix Glycyrrhizae) - two qian half, roasted.
Preparation and Administration: Coarsely crush. Take five qian per dose, add two zhan of water, decoct until one zhan remains, strain, add one zi of Moschus (Muschi), and take warm.
Shenshi Xuming Tang: Treats various wind-stroke disorders including facial deviation and trismus, sudden coma. A divine formula for tonifying deficiency and reviving the spirit.
Ingredients: Renshen (Radix Ginseng); Fangji (Stephaniae Tetrandrae Radix); Mahuang (Ephedrae Herba) - remove roots and joints; Shaoyao (Radix Paeoniae Alba); Chuanxiong (Rhizoma Chuanxiong); Gancao (Radix Glycyrrhizae); Huangqin (Scutellariae Radix); Baizhu (Rhizoma Atractylodis Macrocephalae) - each half liang; Guixin (Cortex Cinnamomi); Fuzi (Aconiti Lateralis Radix Preparata) - roasted; Fangfeng (Radix Saposhnikoviae) - each one liang; Shengjiang (Zingiberis Rhizoma Recens) - five liang.
Preparation and Administration: Chop and decoct in twelve sheng of water until three sheng remain. Divide into three doses. Repeat if ineffective. Avoid Hijiao (Algae), Songcai (Brassica chinensis), Tao (Prunus persica), Li (Prunus salicina), Cong (Allium fistulosum), raw vegetables, Que (Sparrow), and Zhu (Pork).
Fangfeng San: Treats women with wind-stroke presenting with slurred speech, joint pain, and skin numbness.
Ingredients: Fangfeng (Radix Saposhnikoviae); Qianghuo (Rhizoma et Radix Notopterygii) - remove rhizomes; Danggui (Radix Angelicae Sinensis) - remove rhizome and stir-fry; Tiannanxing (Rhizoma Arisaematis) - roasted; Tianma (Gastrodiae Rhizoma); Guixin (Cortex Cinnamomi); Chuanxiong (Rhizoma Chuanxiong); Wushe (Bungarus Parvus) - soaked in wine; Baijiangcan (Bombyx Batryticatus) - stir-fried; Sangpiaoxiao (Ootheca Mantidis) - stir-fried, each half liang; Moschus (Muschi) - ground; Zhusha (Cinnabar) - finely ground, purified, each two qian half; Mahuang (Ephedrae Herba) - seven qian half, remove roots and joints.
Preparation and Administration: Grind into fine powder, mix well. Take one qian per dose with warm wine at any time.
*Qianjin Fang*
Stir-fry three sheng of soybeans until charred, pour three sheng of wine over them to extract juice, and take in one dose.
Treatment for Facial Deviation
Use seven seeds of Ricinus Communis (Bimazi), remove skins, grind into fine paste, form into cakes, and apply to the palm. (Apply to left hand for right-sided deviation, right hand for left-sided deviation.) Then sit over a copper basin of hot steam. Wash off immediately once the face aligns. (Alternative: Use Croton Seed [Badou] instead of Ricinus. From *Bencao*.)