治中风痰涎潮塞。不省人事。服热不得者。
南星（三钱） 木香（半钱） 生姜（十片）
水煎。服无时。
省风汤（局方） 治卒中口噤不能言。口眼 斜。筋脉抽掣。风痰壅盛。
星香汤去木香。用陈胆星一钱五分。加防风一钱。生半夏、黄芩、生甘草各七分半。
大省风汤（局方） 治卒中痰逆呕泄。脉沉厥冷。
星香汤去木香。用陈胆星二钱。加防风、独活、生附子各一钱。全蝎、生甘草各五分。按此
即省风汤去半夏、黄芩。
加独活、附子、全蝎。二汤虽分寒热主治。并用生姜十片以开发风痰。不可减也。
三生饮（局方） 治中风卒倒。口眼 斜。半身不遂。寒闭不省人事。痰气上壅。
星香汤本方用生南星一两。木香三钱半。加生川乌、生附子各五钱。捣罗为散。每服五钱。
同生姜十片煎服。气虚卒倒。另加人参两许驾驭之。 三生饮。中风门中破的之方。虽本星香。
而实得大省风之妙用。与续命汤相为犄角。夺门革鼎。各有专功。贵在先声夺气。无容庸师拟议。
治寒湿体痛。自汗身寒。
白术（一两） 附子（半两）
上二味。水煎。去滓。放凉分三服。
参附汤 治脾肾阳虚。厥逆自汗。
术附汤去术加人参一两。
附汤 治元阳衰弱。虚风自汗。
术附汤去术加黄 一两（蜜酒炒） 三因治自汗。用 附、术附、参附三方。皆用附子五钱。
余俱一两。分三服服之。其卫外之阳不固。则用 附。脾中之阳不固。则用术附。肾脏之阳不固。则
用参附。凡属阳虚自汗。不能舍此三方。而 附可以治虚风。术附可以治寒湿。参附可以壮元神
。三方亦相因为用。只用二物。不杂他味。取力锐以擅专功也。其外麻附、桂附、姜附、椒附、
星附及大黄附子等。法度森森。分治九垓。各具转日回天之妙用。岂寻常可拟议乎。
桂枝附子汤（玉函） 治风湿身重烦疼。不能转侧。
术附汤去术。本方用附子一枚。加桂枝一两二钱。甘草六钱。生姜一两。大枣十二枚。分温
三服。
白术附子汤（玉函。即近效白术附子汤） 治风湿相搏。骨节烦疼。掣痛不得屈伸。近之则
痛剧。汗出短气。小便不利。恶风不欲去衣。或身微肿。
术附汤本方用术一两二钱。附六钱。加甘草六钱。生姜一两。大枣十二枚。分温三服。
甘草附子汤（玉函） 治风湿大便坚。小便自利。
术附汤本方用术、附各六钱。加桂枝一两二钱。甘草六钱。分温三服。 桂枝附子、白术附
子、甘草附子三方。皆本术附汤方而立。一加桂枝、甘草、姜、枣。以治身重烦疼。不能转侧。
其病全在躯壳。无关于里。故于本方除去白术。使桂、附专行躯壳。而振驱风遂湿之功。用甘草
以缓桂、附之性。不使其汗大泄。汗大泄。则风去而湿不去也。风在疾祛。湿在缓攻。故用生姜
之辛以散之。大枣之甘以缓之。则营卫之开阖有权。风湿无复入之虞矣。 一加甘草、姜、枣。
以治骨节烦疼掣痛等证。浑是湿流关节之患。故于本方但加甘草。以缓术、附之性。姜、枣以司
开阖之机。风之见证本轻。故无藉于桂枝也。 一加桂枝、甘草。以治风湿大便坚。小便自利。
以病气 内犯。故于本方加桂枝助附子以杜内贼之风湿。加甘草助白术以和二便之偏渗。故大
便虽坚。法无下夺之理。
附子汤（玉函） 治少阴病始得之。背恶寒。脉沉身体骨节痛。
术附汤加茯苓、白芍各一两。人参六钱。
真武汤（玉函 千金名玄武汤） 治少阴下利腹痛。或咳呕。小便不利。
术附汤本方白术六钱。附子一枚。（炮） 加茯苓、芍药、生姜各一两。 咳者。加五味子、
细辛、干姜。小便利者。去茯苓。
下利。去芍药加干姜。呕者。去附子加生姜。 详附子汤与真武汤二方。止差一味。一治少
阴病始得之。便背恶寒。口中和。知其人真阳素亏。故用人参以助附子之雄。茯苓以行白术之滞
。又恐生附性悍。伤犯真阴。故用芍药以护持营血。营血得安。而真阴受荫矣。 一以少阴病二
三日不已。至四五日腹痛自利。四肢沉重。或咳或呕。其人内外皆是水气。故用生姜佐茯苓、术
、附以利水为务。水去则真阳自复。当知此证皆由水气郁遏其阳。阳气原不
大虚。所以方中术、附。仅用附子汤之半。又恐辛燥。有伤其阴。因以芍药保其营血。与附子汤
之立法不殊。即过汗伤经。振振欲擗地者。亦不出是方也。
附子散 治阴痉。
术附汤本方二味各用一两。加桂心、川芎、独活各半两。为散。每服三四钱。姜、枣汤煎服。
治疗中风引起的痰涎涌塞。神志昏迷不省人事。服用热性药物后症状加重或不适者。
南星（三钱） 木香（半钱） 生姜（十片）
用水煎煮。随时服用。
省风汤（出自《太平惠民和剂局方》） 治疗卒中导致牙关紧闭不能说话。口眼歪斜。筋脉抽搐牵引。风痰壅盛。
星香汤去掉木香。用陈胆星一钱五分。加防风一钱。生半夏、黄芩、生甘草各七分半。
大省风汤（出自《太平惠民和剂局方》） 治疗卒中导致的痰逆呕吐泄泻。脉象沉伏四肢厥冷。
星香汤去掉木香。用陈胆星二钱。加防风、独活、生附子各一钱。全蝎、生甘草各五分。按：此方即省风汤去掉半夏、黄芩。
加上独活、附子、全蝎。这两首汤药虽然分别主治寒证和热证，但都使用生姜十片来开发风痰，不可减少。
三生饮（出自《太平惠民和剂局方》） 治疗中风突然昏倒。口眼歪斜。半身不遂。寒邪闭阻导致神志昏迷。痰气上壅。
星香汤原方用生南星一两。木香三钱半。加生川乌、生附子各五钱。捣碎过筛制成散剂。每次服用五钱。
同生姜十片一起煎服。如果是气虚导致的突然昏倒，另外加入人参约一两以驾驭药力。 三生饮是中风门中对症的良方。虽然本于星香汤。
但实际上得出了大省风汤的妙用。与续命汤互为犄角之势。各有专攻。贵在先声夺人，气势压倒病邪，不容平庸医师随意议论。
治疗寒湿引起的身体疼痛。自汗出身体发冷。
白术（一两） 附子（半两）
以上两味药。用水煎煮。去渣滓。放凉后分三次服用。
参附汤 治疗脾肾阳虚。四肢厥逆。自汗出。
术附汤去掉白术加入人参一两。
附汤（此处指黄芪附子汤） 治疗元阳衰弱。虚风内动。自汗出。
术附汤去掉白术加入黄芪一两（用蜜酒炒制）。 《三因极一病证方论》治疗自汗。使用黄芪附子汤、术附汤、参附汤三方。都使用附子五钱。
其余药材均为一两。分三次服用。如果卫外之阳气不固。则用黄芪附子汤。脾中之阳气不固。则用术附汤。肾脏之阳气不固。则用参附汤。凡是属于阳虚自汗。不能离开这三方。而黄芪附子汤可以治疗虚风。术附汤可以治疗寒湿。参附汤可以壮元神。
这三方也相互为用。只用两味药。不混杂其他味道。取药力锐利以擅长专功。此外还有麻黄附子汤、桂枝附子汤、干姜附子汤、花椒附子汤、天南星附子及大黄附子等。法度严谨。分治天地四方。各具扭转乾坤的妙用。岂是寻常所能议论的呢。
桂枝附子汤（出自《金匮玉函经》） 治疗风湿导致身体沉重烦痛。不能翻身转动。
术附汤去掉白术。本方用附子一枚。加桂枝一两二钱。甘草六钱。生姜一两。大枣十二枚。分温三次服用。
白术附子汤（出自《金匮玉函经》。即近效白术附子汤） 治疗风湿相搏。骨节烦痛。牵掣疼痛不能屈伸。靠近则疼痛加剧。出汗短气。小便不利。怕风不想脱衣。或者身体轻微浮肿。
术附汤本方用白术一两二钱。附子六钱。加甘草六钱。生姜一两。大枣十二枚。分温三次服用。
甘草附子汤（出自《金匮玉函经》） 治疗风湿导致大便坚硬。小便通利。
术附汤本方用白术、附子各六钱。加桂枝一两二钱。甘草六钱。分温三次服用。 桂枝附子汤、白术附子汤、甘草附子汤三方。都是基于术附汤方而立。一方加桂枝、甘草、姜、枣。以治疗身体沉重烦痛。不能翻身转动。
其病位完全在躯壳体表。不关系到内脏。所以在原方中去掉白术。使桂枝、附子专门作用于躯壳。从而发挥驱风逐湿的功效。使用甘草来缓和桂枝、附子的药性。不让其大汗淋漓。如果大汗淋漓。则风邪去了而湿邪不去。风邪宜急祛。湿邪宜缓攻。所以用生姜的辛味来发散它。大枣的甘味来缓和它。那么营卫的开阖就有节制。风湿没有再次入侵的忧虑了。 另一方加甘草、姜、枣。以治疗骨节烦痛牵掣疼痛等症状。完全是湿邪流注关节的病患。所以在原方中只加甘草。以缓和白术、附子的药性。姜、枣来主持开阖的机制。风的见证本来轻微。所以不需要桂枝。 另一方加桂枝、甘草。以治疗风湿导致大便坚硬。小便通利。
因为病气由表入里侵犯内部。所以在原方中加桂枝帮助附子来杜绝内部的贼邪风湿。加甘草帮助白术来调和二便偏渗的不平衡。所以大便虽然坚硬。依法没有使用攻下法的道理。
附子汤（出自《金匮玉函经》） 治疗少阴病刚得病时。背部恶寒。脉象沉。身体骨节痛。
术附汤加茯苓、白芍各一两。人参六钱。
真武汤（出自《金匮玉函经》。《千金方》名为玄武汤） 治疗少阴病腹泻腹痛。或者咳嗽呕吐。小便不利。
术附汤本方用白术六钱。附子一枚。（炮制） 加茯苓、芍药、生姜各一两。 咳嗽者。加五味子、细辛、干姜。小便利者。去掉茯苓。
腹泻。去掉芍药加干姜。呕吐者。去掉附子加生姜。 详细分析附子汤与真武汤两方。只差一味药。一方治疗少阴病刚得病时。出现背恶寒。口中平和。知道其人真阳素来亏虚。所以用人参来辅助附子的雄烈。茯苓来行散白术的滞涩。又恐怕生附子药性猛烈。伤害真阴。所以用芍药来护持营血。营血得到安宁。而真阴就受到荫蔽了。 另一方治疗少阴病两三天未愈。到四五日出现腹痛自利。四肢沉重。或者咳嗽或者呕吐。其人内外都是水气。所以用生姜配合茯苓、白术、附子以利水为主要任务。水气去除则真阳自然恢复。应当知道此证都是由水气郁遏阳气所致。阳气原本不是特别虚弱。所以方中白术、附子。仅用附子汤的一半剂量。又恐怕辛燥。有伤其阴。因此用芍药保护其营血。与附子汤的立法没有不同。即使是过汗损伤经络。出现身体震颤欲倒地者。也不超出这个方子的范围。
附子散 治疗阴部收缩痉挛（阴痉）。
术附汤本方两味药各用一两。加桂心、川芎、独活各半两。制成散剂。每次服用三四钱。用姜、枣汤煎服。
Treats stroke (Zhong Feng) with surging phlegm-saliva obstruction. Unconsciousness. Cases where administration of hot-natured medicines is not tolerated or exacerbates symptoms.
Arisaema Cum Bile (Nanxing), 3 qian; Costus Root (Muxiang), 0.5 qian; Fresh Ginger (Shengjiang), 10 slices.
Decoct in water. Take at any time.
Shengfeng Tang (Provincial Formulation) [Source: *Taiping Huimin Heji Jufang*] Treats apoplexy (Zhongfu) presenting with locked jaw unable to speak. Deviation of the mouth and eyes. Tendon vessel spasms and pulling. Excessive wind-phlegm congestion.
Xingxiang Tang, remove Muxiang. Use Chen Danxing (Aged Arisaema Cum Bile), 1.5 qian. Add Fangfeng, 1 qian. Sheng Banxia (Raw Pinellia Rhizome), Huangqin (Scutellaria Root), Sheng Gancao (Raw Licorice Root), each 0.75 qian.
Da Shengfeng Tang (Provincial Formulation) [Source: *Taiping Huimin Heji Jufang*] Treats apoplexy presenting with rebellious phlegm, vomiting, and diarrhea. Deep pulse. Cold extremities.
Xingxiang Tang, remove Muxiang. Use Chen Danxing, 2 qian. Add Fangfeng, Duhuo (Angelica Pubescens Root), Sheng Fuzi (Raw Aconite Lateralis Radix Praeparata), each 1 qian. Quanxie (Scorpion), Sheng Gancao, each 0.5 qian. Note: This formula is essentially Shengfeng Tang without Banxia and Huangqin.
Plus Duhuo, Fuzi, Quanxie. Although these two decoctions distinguish between cold and heat indications, both use 10 slices of Shengjiang to ventilate wind-phlegm; this amount must not be reduced.
Sansheng Yin (Provincial Formulation) [Source: *Taiping Huimin Heji Jufang*] Treats sudden collapse from stroke. Deviation of the mouth and eyes. Hemiplegia. Closure by cold pathogens leading to unconsciousness. Upward congestion of phlegm-qi.
The original Xingxiang Tang uses Sheng Nanxing, 1 liang. Muxiang, 3.5 qian. Add Sheng Chuanwu (Raw Aconitum Carlemanii Radix), Sheng Fuzi, each 5 qian. Pound and sieve into a powder. Take 5 qian per dose.
Decoct together with 10 slices of Shengjiang. For sudden collapse due to Qi deficiency, additionally add Renshen (Ginseng Radix et Rhizoma), approximately 1 liang, to guide/control the medicinal force. Sansheng Yin is a precise formula for the Stroke section. Although based on Xingxiang Tang,
it actually embodies the subtle application of Da Shengfeng Tang. It stands as a supporting force alongside Xuming Tang. Each has its specific merit. The key lies in seizing the initiative and overwhelming the pathogen; it allows no room for mediocre physicians to debate.
Treats body pain caused by cold-dampness. Spontaneous sweating. Cold sensation in the body.
Baizhu (Atractylodis Macrocephalae Rhizoma), 1 liang. Fuzi (Aconiti Lateralis Radix Praeparata), 0.5 liang.
These two ingredients. Decoct in water. Remove dregs. Allow to cool. Divide into three doses.
Shenfu Tang Treats Spleen-Kidney Yang Deficiency. Cold extremities (Jue Ni). Spontaneous sweating.
Shu Fu Tang, remove Baizhu, add Renshen, 1 liang.
Huangqi Fuzi Tang (Here referred to as "Fu Tang", implying Astragalus-Aconite Decoction) Treats Yuan Yang (Original Yang) weakness. Internal movement of deficient wind. Spontaneous sweating.
Shu Fu Tang, remove Baizhu, add Huangqi (Astragali Radix), 1 liang (stir-fried with honey and wine). *Sanyin Fang* treats spontaneous sweating using Huangqi Fuzi Tang, Shu Fu Tang, and Shenfu Tang. All three use Fuzi, 5 qian.
The remaining herbs are all 1 liang. Divide into three doses. If the defensive (Wei) Yang is insecure, use Huangqi Fuzi Tang. If the Spleen Yang is insecure, use Shu Fu Tang. If Kidney Yang is insecure, use Shenfu Tang. For all cases of spontaneous sweating due to Yang deficiency, one cannot depart from these three formulas. Huangqi Fuzi Tang can treat deficient wind. Shu Fu Tang can treat cold-dampness. Shenfu Tang can strengthen the Original Spirit (Yuan Shen).
These three formulas are also used interchangeably. They use only two herbs, without mixing other flavors, taking advantage of their sharp potency to achieve specialized effects. Additionally, there are Mahuang Fuzi Tang, Guizhi Fuzi Tang, Jiangtang Fuzi Tang, Jiaofu Tang, Xingfu, and Dahuang Fuzi Tang, etc. Their methods are rigorous, governing all directions, each possessing the miraculous ability to reverse critical conditions. How could they be subject to ordinary discussion?
Guizhi Fuzi Tang [Source: *Jinkui Yufan Jing*] Treats wind-dampness causing heavy body and vexing pain. Inability to turn over or move.
Shu Fu Tang, remove Baizhu. This formula uses one Fuzi. Add Guizhi (Cinnamomi Ramulus), 1.2 liang. Gancao (Licorice Root), 6 qian. Shengjiang, 1 liang. Dazao (Ziziphus Jujube Fruit), 12 pieces. Divide into three warm doses.
Baizhu Fuzi Tang [Source: *Jinkui Yufan Jing*. Also known as Jin Xiao Baizhu Fuzi Tang] Treats wind-dampness intermingling. Vexing pain in bone joints. Pulling pain preventing flexion and extension. Pain worsens upon touch. Sweating. Shortness of breath. Dysuria. Aversion to wind, reluctance to remove clothing. Or slight bodily edema.
Shu Fu Tang base uses Baizhu, 1.2 liang. Fuzi, 6 qian. Add Gancao, 6 qian. Shengjiang, 1 liang. Dazao, 12 pieces. Divide into three warm doses.
Gancao Fuzi Tang [Source: *Jinkui Yufan Jing*] Treats wind-dampness presenting with hard stool. Free urination.
Shu Fu Tang base uses Baizhu and Fuzi, each 6 qian. Add Guizhi, 1.2 liang. Gancao, 6 qian. Divide into three warm doses. Guizhi Fuzi Tang, Baizhu Fuzi Tang, and Gancao Fuzi Tang are all established upon the Shu Fu Tang formula. One adds Guizhi, Gancao, Jiang, and Zao to treat heavy body, vexing pain, and inability to turn over.
The pathology is entirely in the exterior/body shell, not involving the interior. Therefore, Baizhu is removed from the base formula so that Guizhi and Fuzi act specifically on the body shell, exerting the effect of driving out wind and expelling dampness. Gancao is used to moderate the nature of Guizhi and Fuzi, preventing profuse sweating. Profuse sweating would expel wind but leave dampness behind. Wind should be expelled urgently; dampness should be attacked gradually. Thus, the pungency of Shengjiang is used to disperse it, and the sweetness of Dazao is used to moderate it. This ensures regulated opening and closing of Ying and Wei, eliminating the risk of wind-dampness re-entering. Another variant adds Gancao, Jiang, and Zao to treat vexing pain and pulling pain in bone joints. This is entirely a disorder of dampness flowing into joints. Therefore, only Gancao is added to the base formula to moderate Baizhu and Fuzi, while Jiang and Zao manage the mechanism of opening and closing. The wind manifestation is originally mild, so Guizhi is not needed. Another variant adds Guizhi and Gancao to treat wind-dampness with hard stool and free urination.
Because the pathogenic qi invades internally from the exterior, Guizhi is added to assist Fuzi in preventing internal invasion by wind-dampness ("thieves"). Gancao is added to assist Baizhu in harmonizing the biased leakage of the bowels and bladder. Thus, although the stool is hard, there is no rationale for using purgative methods.
Fuzi Tang [Source: *Jinkui Yufan Jing*] Treats Shaoyin disease just acquired. Aversion to cold in the back. Deep pulse. Body and joint pain.
Shu Fu Tang plus Fuling (Poria), Baishao (White Peony Root), each 1 liang. Renshen, 6 qian.
Zhenwu Tang [Source: *Jinkui Yufan Jing*. Named Xuanwu Tang in *Qianjin Fang*] Treats Shaoyin diarrhea and abdominal pain. Or cough and vomiting. Dysuria.
Shu Fu Tang base uses Baizhu, 6 qian. Fuzi, one piece (prepared). Add Fuling, Shaoyao (Peony Root), Shengjiang, each 1 liang. For cough, add Wuweizi (Schisandra Fruit), Xixin (Asarum Root), Ganjiang (Dried Ginger). For free urination, remove Fuling.
For diarrhea, remove Baishao, add Ganjiang. For vomiting, remove Fuzi, add Shengjiang. Detailed analysis of Fuzi Tang and Zhenwu Tang shows they differ by only one herb. One treats Shaoyin disease just acquired, presenting with back aversion to cold and a neutral mouth feel, indicating inherent deficiency of True Yang. Hence, Renshen is used to assist the potent action of Fuzi, and Fuling is used to promote the stagnation-relieving action of Baizhu. Furthermore, fearing that raw Fuzi’s harsh nature might damage True Yin, Baishao is used to protect Ying Blood. With Ying Blood secured, True Yin receives nourishment. The other treats Shaoyin disease persisting for two to three days, progressing to four to five days with abdominal pain, spontaneous diarrhea, heavy limbs, or cough/vomiting. The patient exhibits water-qig throughout the interior and exterior. Hence, Shengjiang assists Fuling, Baizhu, and Fuzi to prioritize draining water. Once water is removed, True Yang naturally recovers. It should be known that this syndrome is caused by water-qig suppressing Yang. Yang is originally not severely deficient. Therefore, the dosage of Baizhu and Fuzi in the formula is only half that of Fuzi Tang. Fearing that acrid-dryness might injure Yin, Baishao is used to preserve Ying Blood. Its legislative principle is similar to Fuzi Tang. Even in cases of excessive sweating damaging the meridians, presenting with trembling and desire to fall to the ground, this formula remains applicable.
Fuzi San Treats Yin contraction/spasm (Yin Jing).
Shu Fu Tang base uses both ingredients, 1 liang each. Add Guixin (Cinnamon Bark), Chuanxiong (Ligusticum Chuanxiong Rhizome), Duhuo, each 0.5 liang. Process into a powder. Take 3–4 qian per dose. Decoct with Jiang and Zao water.