防风 独活 细辛 川芎 北五味子 白茯苓 人参 白芍药 白术 甘草(等分)
上 咀,第服三钱。水一盏,姜三片,杏仁五个,去皮尖捶碎,同煎至七分,去滓温服
。如加麻黄、苁蓉、附子、当归、羚羊角六味等分,即大风引汤。
《千金》竹沥汤 大治热即生风。
竹沥(二升) 生葛汁(一升) 生姜汁(三合)
上三味相和,温暖,分三服。朝、晡、夜各一服。
《必效》竹沥汤 治中风涎潮,谵语昏塞,四肢缓纵。
秦艽 防风 独活 附子(各一分)
上 咀,以水四盏,煎至二盏。入生地黄汁、淡竹沥各半盏,再煎四、五沸,去滓,分
作四服,无时热服。病势去,以他药扶持,未愈再作。近世贵人用之,多有神效。
烧竹沥法 新竹截尺许长,去节,作两边用。两砖对立,相去八寸,置竹仰在砖上,急
着焰火烧之;砖外两头以碗盛沥,沥尽,以绢澄清。夏、秋须沉冷水中,以防沥酸。凡大热
、有风人亦可单服。冷暖随人,勿过度。荆沥亦然。
夫妇人角弓反张者,是体虚受风,风入诸阳之经也。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,宜用小续命汤。(方见前)
《活人书》论曰∶妇人产后血虚多汗出,喜中风,身体强直,口噤,背反张作痉,治之
属太阳经。先因伤风,又感寒湿而致然也。古人谓之 病,外证发热恶寒,与伤寒相似,但
其脉沉迟、弦细,而项背反张、强硬如发痫之状,此为异耳(新产血虚多汗出,喜中风,亦
有此证)。当察有汗、无汗,以分刚柔二 (无汗恶寒,名刚 ;有汗不恶寒,名柔 。阳
痉属刚 ,阴痉属柔 。无汗,葛根汤主之;有汗,桂枝加葛根汤主之。凡刚、柔二 ,小
续命汤并可与之。有汗者去麻黄,加葛根。若审知刚 者,胸满口噤,其人卧不着席,脚挛
急,咬齿,当行大承气汤。(《外台》注云∶热而痉者死。热病痉者,反折螈 ,齿噤 也)。
附术汤、桂心白术散、附子防风汤、八物白术汤、桂枝煮散,可选而用之。(《解惑论》云
∶合面而卧为阴 ;仰目者为阳 。又云∶或因湿寒,发汗多,则发 也)
防风、独活、细辛、川芎、北五味子、白茯苓、人参、白芍药、白术、甘草(各等分)。
以上药材切碎,每次服用三钱。用水一盏,生姜三片,杏仁五个(去皮尖并捣碎),一同煎煮至七分满,滤去药渣,温服。
如果加入麻黄、肉苁蓉、附子、当归、羚羊角这六味药材且剂量相等,即称为大风引汤。
《千金方》中的竹沥汤,主要用于治疗因热极而生风证。
竹沥(二升)、生葛汁(一升)、生姜汁(三合)。
以上三味药混合,温热后,分三次服用。早晨、傍晚、夜间各服一次。
《必效方》中的竹沥汤,用于治疗中风引起的痰涎上涌、胡言乱语、神志昏塞、四肢松弛无力。
秦艽、防风、独活、附子(各一分)。
以上药材切碎,用水四盏,煎煮至两盏。加入生地黄汁、淡竹沥各半盏,再煮沸四到五次,滤去药渣,分四次服用,不拘时候,趁热服用。病势减退后,用其他药物调理扶持;若未痊愈,可再次制作服用。近代权贵使用此方,多有神奇疗效。
烧制竹沥的方法:选取长约一尺的新竹,去掉节,切成两段使用。两块砖对立放置,相距八寸,将竹子仰放在砖上,迅速用火焰焚烧;在砖外侧的两头用碗承接流出的汁液,汁液流尽后,用绢布过滤澄清。夏、秋季需将竹沥沉入冷水中,以防止汁液变酸。凡是患有大热症、有风证的人也可以单独服用。冷热程度随个人喜好而定,不要过量。荆沥的制作和用法也是如此。
至于妇女出现角弓反张症状的,是因为体质虚弱感受风邪,风邪侵入诸阳经所致。人体的阴阳经络环绕全身,风邪乘虚侵入诸阳经,就会导致腰背向后反折、拘挛紧急,形状像角弓一样,适宜使用小续命汤。(方剂见前文)
《活人书》论述道:妇女产后血虚多汗出,容易感受风邪,导致身体强直、口噤不开、背部反张形成痉病,治疗属于太阳经范畴。起初因伤风,又感受寒湿而导致此症。古人称之为痓病,外证表现为发热恶寒,与伤寒相似,但其脉象沉迟、弦细,且伴有项背反张、强硬如癫痫发作的状态,这是不同的地方(新产妇产后血虚多汗出,易感风邪,也有这种证候)。应当观察有汗或无汗,以区分刚痓和柔痓两种类型(无汗恶寒,称为刚痓;有汗不恶寒,称为柔痓。阳痓属于刚痓,阴痓属于柔痓。无汗者,主用葛根汤;有汗者,主用桂枝加葛根汤。凡是刚痓、柔痓,小续命汤均可使用。有汗者去掉麻黄,加入葛根。如果确知是刚痓,出现胸满、口噤、患者卧时背部不着席、脚部拘挛紧急、咬齿等症状,应当使用大承气汤。(《外台秘要》注释说:热病并发痉死的。热病发痉,表现为身体反折抽搐,牙齿紧闭)。附术汤、桂心白术散、附子防风汤、八物白术汤、桂枝煮散,可以选择使用。(《解惑论》说:脸朝下卧为阴痓;眼睛向上翻为阳痓。又说:或因湿寒,发汗过多,则引发痓病)
Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bei Wuweizi (Schisandrae Chinensis Fructus), Baifuling (Poria), Renshen (Ginseng Radix), Baishao Yao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) [equal parts].
The above herbs are chopped. Take 3 qian per dose. Add one cup of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and five Xingren (Armeniacae Semen Amarum, peeled, cored, and crushed). Decoct together until the volume reduces to 70%. Strain and take warm.
If Mahuang (Ephedrae Herba), Congrong (Cistanche Deserticola), Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), and Lingyangjiao (Saigae Tataricae Cornu) are added in equal parts, it is called Dafeng Yin Tang (Great Wind Drawing Decoction).
Zhuli Tang (Bamboo Juice Decoction) from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) is mainly used to treat wind generated by extreme heat.
Zhuli (Bamboo Juice, 2 sheng), Shengge Zhi (Polygoni Cuspidati Juice, 1 sheng), Shengjiang Zhi (Zingiberis Rhizoma Recens Juice, 3 he).
Mix the above three ingredients, warm them, and divide into three doses. Take one dose each in the morning, evening, and night.
Zhuli Tang (Bamboo Juice Decoction) from *Bixiao Fang* (Effective Prescriptions) is used to treat stroke with phlegm-turbidity surging upward, delirium, coma, and flaccid paralysis of the four limbs.
Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Fuzi (Aconiti Lateralis Radix Praeparata) [each 1 fen].
Chop the above herbs. Add four cups of water and decoct until two cups remain. Add Banxia (Pinelliae Rhizoma) juice and Danzhuli (Light Bamboo Juice), half a cup each. Boil for four or five more boils. Strain and divide into four doses. Take hot at any time. When the disease severity subsides, support with other medicines. If not cured, prepare again. In recent times, nobles have used this formula with many miraculous effects.
Method for roasting bamboo juice: Cut fresh bamboo into lengths of about one chi. Remove the nodes and use both ends. Place two bricks opposite each other, eight cun apart. Place the bamboo upright on the bricks. Quickly apply flame to burn it; place bowls outside the bricks at both ends to catch the dripping juice. Once the juice is exhausted, clarify it with silk gauze. In summer and autumn, submerge the juice in cold water to prevent sourness. Anyone with severe heat or wind syndrome can also take it alone. Adjust temperature according to preference; do not overconsume. Jingli (Bambusa Tuloides Juice) is prepared similarly.
Regarding women suffering from opisthotonos (back arching like a bow), it is due to body deficiency allowing wind pathogen invasion into the Yang meridians. The human Yin and Yang meridians circulate around the body. When wind enters the Yang meridians via deficiency, it causes the waist and back to arch backward and spasm tightly, resembling an angle bow. Xiao Xuming Tang (Minor Continuation of Life Decoction) should be used. (Formula seen previously).
*Huoren Shu* (Book of Human Survival) states: Postpartum women often have blood deficiency and excessive sweating, making them prone to wind strike. This leads to body stiffness, trismus (lockjaw), and back arching forming spasms (Jing Bing). Treatment belongs to the Taiyang Meridian. Initially caused by wind injury, followed by cold-dampness. Ancients called this Chi Bing (Spasm Disease). External symptoms include fever and aversion to cold, similar to Shanghan (Cold Damage), but the pulse is deep, slow, wiry, and thin, accompanied by neck and back arching and stiffness resembling epilepsy. This is the difference. (Postpartum blood deficiency and sweating also lead to this pattern). Observe whether there is sweating or no sweating to distinguish Gang Chi (Stiff Spasm) and Rou Chi (Soft Spasm). No sweating with aversion to cold is named Gang Chi; sweating without aversion to cold is named Rou Chi. Yang Jing belongs to Gang Chi, Yin Jing belongs to Rou Chi. For no sweating, Gegen Tang (Kudzu Root Decoction) is primary; for sweating, Guizhi Jia Gegen Tang (Cinnamon Twig plus Kudzu Root Decoction) is primary. For both Gang Chi and Rou Chi, Xiao Xuming Tang can be used. For sweating cases, remove Mahuang and add Gegen. If confirmed as Gang Chi, presenting with chest fullness, trismus, inability to lie flat (back does not touch the bed), leg cramps, and teeth grinding, Da Chengqi Tang (Major Order the Qi Decoction) should be administered. (*Waitai Mi Yao* notes: Heat combined with Jing leads to death. Heat disease Jing involves back arching, convulsions, and locked jaw). Fushu Tang, Guixin Baizhu San, Fuzi Fangfeng Tang, Bawu Baizhu Tang, Guizhi Zhusan can be selected for use. (*Huoju Lun* states: Lying face down is Yin Chi; looking up is Yang Chi. Also says: Due to cold-dampness, excessive sweating can trigger Chi Bing.)