凡非风口眼歪斜,半身不遂,及四肢无力,掉摇拘挛之属,皆筋骨之病也。夫肝主筋,
肾主骨,肝藏血,肾藏精。精血亏损,不能滋养百骸,故筋有缓急之病,骨有痿弱之病,总
由精血败伤而然。即如树木之衰,一枝津液不到,即一枝枯槁,人之偏废亦犹是也。经曰∶
足得血而能步,掌得血而能握。今其偏废如此,岂非血气衰败之故乎?临川陈先生曰∶医风
先医血,血行风自灭。盖谓肝邪之见,本由肝血之虚,肝血虚则燥气乘之,而木从金化,风
必随之,故治此者,只当养血以除燥,则真阴复而假风自散矣。若用风药,则风能胜湿,血
必愈燥,大非宜也。
一、偏枯拘急痿弱之类,本由阴虚,言之详矣。然血气本不相离,故阴中有气,阴中亦
有血。何以辨之?夫血非气不行,气非血不化。凡血中无气,则病为纵缓废弛;气中无血,
则病为抽掣拘挛。何也?盖气主动,无气则不能动,不能动则不能举矣;血主静,无血则不
能静,不能静则不能舒矣。故筋缓者,当责其无气;筋急者,当责其无血。无血者宜三阴煎
,或大营煎、小营煎之类主之。无气者宜五福饮、四君子汤、十全大补汤之类主之。其与痿
证之不动,痛风之不静者,义稍不同,详列本门。
凡非风证未有不因表里俱虚而病者也,外病者病在经。内病者,病在脏。治此之法,只
当以培补元气为主。若无兼证,亦不宜攻补兼施,徒致无益。盖其形体之坏,神志之乱,皆
根本伤败之病,何邪之有?能复其元,则庶乎可望其愈。
一、初病卒倒,危急不醒,但察其有无死证。如无死证,而形气不脱,又无痰气,但扶
定掐其人中,自当渐醒,或以白汤、姜汤徐徐灌之,亦可待其苏醒,然后察证治之。若无痰
无气,而息微色白,脉弱暴脱者,急以独参汤或淡姜汤灌之俱可。若其有痰甚者,以前治痰
法吐之;其痰不甚,或以白汤调抱龙丸一丸,以暂开其痰。无痰声者不可用。若因气厥昏沉
而气壅喘满,气闭不醒者,则用淡姜汤调苏合丸一丸,以暂开其气。若气不壅满者不可用。
其有久之不醒,或牙关不能开者,则以半夏或牙皂、细辛之类为末,少许吹入鼻中。有嚏者
可治,无嚏者不可治;或以皂荚为末,捻纸烧烟冲入鼻中亦可。
一、人于中年之后,多有此证,其衰可知。经云∶人年四十而阴气自半,正以阴虚为言
也。夫人生于阳而根于阴,根本衰则人必病,根本败则人必危矣。所谓根本者,即真阴也。
人知阴虚唯一,而不知阴虚有二∶如阴中之水虚,则多热多燥,而病在精血;阴中之火虚,
则多寒多滞,而病在神气。若水火俱伤,则形神俱弊,难为力矣。火虚者,宜大补元煎、右
归饮、右归丸、八味地黄丸之类主之,庶可以益火之源;水虚者,宜左归饮、左归丸、六味
地黄丸之类主之,庶可以壮水之主。若气血俱虚,速宜以大补元煎之类,悉力挽回,庶可疗
也。凡多热多火者忌辛温,及参术姜桂之类,皆不宜轻用;多寒多湿者忌清凉,如生地、芍
药、麦冬、石斛之类,皆非所宜。若气虚卒倒,别无痰火气实等证,而或者妄言中风,遽用
牛黄丸、苏合丸之类再散其气,则不可救矣。
一、非风有火盛而病者,即阳证也。火甚者,宜专治其火,以徙薪饮、抽薪饮、白虎汤
之类酌而用之。火微者,宜兼补其阴,以一阴煎、二阴煎、或加减一阴煎之类主之。凡治火
之法,但使火去六七,即当调治其本。然阳盛者阴必病,故治热必从血分。甚者用苦寒,微
者用甘凉,欲其从乎阴也。
一、非风有寒盛而病者,即阴证也,专宜益火。寒微者,宜温胃饮、八味地黄丸之类主
之。寒甚者宜右归饮、回阳饮、理中汤、四逆汤之类主之。然寒胜者阳必病,故治寒之法,
必从气分而从乎阳也。如阳脱寒甚者,仍宜灸关元、气海、神阙,以回其阳气。
一、非风眩运,掉摇惑乱者,总由气虚于上而然。经曰∶上气不足,脑为之不满,头为
之苦倾,目为之苦眩。又曰∶上虚则眩,此明训也。凡微觉此证,即当以五福饮之类培其中
气;虚甚者,即宜用大补元煎,或十全大补汤之类治之。否则,卒倒之渐所由至也。丹溪曰
∶无痰不作运。岂眩运者必皆痰证耶?此言最为不妥,别有详义,见眩运门。
一、非风麻木不仁等证,因其血气不至,所以不知痛痒。盖气虚则麻,血虚则木,麻木
不已,则偏枯痿废渐至日增,此魄虚之候也。经曰∶痱之为病,身无痛者,四肢不收,智乱
不甚。其言微知,可治;甚则不能言,不可治也。此即其类,而但有微甚之辨耳。又经曰∶
营气虚则不仁,卫气虚则不用,营卫俱虚,则不仁且不用,肉如故也。人身与志不相有曰死
,亦此类也。故凡遇此证,只宜培养血气,勿得误认为痰。
一、夏月卒倒,忽患非风抽搐等证,此火克金,热伤气而然。即今人之所谓暑风也。气
虚者宜用参 ,或十味香薷饮亦可。若水不制火而多烦渴者,宜生脉散,或人参竹叶石膏汤
。若火独盛者,宜瓜水绿豆饮,或用芩连之属,暂解其热。若单由伤气而无火者,宜独参汤
,或四君子汤。若伏阴在内,而阳虚气脱者,必用附子理中汤,或六味回阳饮之类,放胆用
之。勿谓夏月忌温热,此不达之言也。
一、肥人多有非风之证,以肥人多气虚也。何以肥人反多气虚?盖人之形体,骨为君也
,肉为臣也。肥人者,柔胜于刚,阴胜于阳者也。且肉以血成,总皆阴类,故肥人多有气虚
之证。然肥人多湿多滞,故气道多有不利。若果痰气壅滞,则不得不先为清利,宜于前治痰
之法随宜暂用。若无痰而气脱卒倒者,必宜四君、六君、或十全大补汤、大补元煎之类主之
。
一、非风烦热自汗,小水不利者,不可以药利之。盖津液外泄,小水必少,若再用渗利
,则阴水愈竭,无以制火,而躁烦益甚,但使热退汗止,则小水自利也。况自汗者多属阳明
之证,亦忌利小便。宜生脉散、一阴煎之类主之,火甚者,宜加减一阴煎。
一、非风遗尿者,由肾气之虚脱也,最为危证。宜参、 、归、术之类补之是矣。然必
命门火衰,所以不能收摄,其有甚者,非加桂附,终无济也。
一、尸厥、酒厥、痰厥、气厥、血厥之属,今人皆谓之中风,而不知总属非风也,俱详
后厥逆本门。
凡是口眼歪斜、半身不遂,以及四肢无力、震颤摇动、拘挛抽搐等属于非风的病证,都是筋骨方面的疾病。肝主管筋,肾主管骨,肝藏血,肾藏精。精血亏损,不能滋养全身骨骼肌肉,所以筋会出现松弛或拘急的病症,骨会出现痿弱无力的病症,总归是由于精血败伤所致。就像树木衰败一样,如果一枝的津液不到达,那一枝就会枯槁;人的偏瘫废用也是同样的道理。《内经》说:“足得到血的滋养才能行走,手掌得到血的滋养才能握持。”现在出现偏瘫废用如此严重的情况,难道不是气血衰败的缘故吗?临川的陈先生说:“治疗风证要先调理血液,血液运行通畅,风邪自然消除。”这是因为肝邪的出现,本来是由肝血虚引起的,肝血虚则燥气乘虚而入,导致木从金化(金克木),风邪必然随之而来,所以治疗这类病证,只应当养血以去除燥气,那么真阴恢复,假风自然消散。如果使用祛风药,风能胜湿,血液必定更加干燥,非常不适宜。
一、偏枯、拘急、痿弱等类病证,本由阴虚引起,前面已经详细论述过。然而气血原本不相分离,所以在阴中有气,在阴中也有血。如何辨别呢?血没有气的推动就不能运行,气没有血的化生就不能发挥作用。凡是血中没有气,病症表现为纵缓废弛;气中没有血,病症表现为抽掣拘挛。为什么呢?因为气主动,没有气就不能运动,不能运动就不能举起重物;血主静,没有血就不能安宁,不能安宁就不能舒展。所以筋脉松弛者,应当责之于气虚;筋脉拘急者,应当责之于血虚。血虚的适宜用三阴煎,或者大营煎、小营煎之类为主治方。气虚的适宜用五福饮、四君子汤、十全大补汤之类为主治方。这与痿证的不活动、痛风的不安静,义理稍有不同,详见本门其他章节。
凡是非风证,没有不是因为表里俱虚而发病的,外部的病证病在经络,内部的病证病在脏腑。治疗此法,只应当以培补元气为主。如果没有兼夹证候,也不宜攻补兼施,只会徒劳无益。因为形体崩坏、神志混乱,都是根本损伤败坏的病证,哪里有什么邪气存在呢?能够恢复元气,或许有望痊愈。
一、初起突然昏倒,危急不醒,只要观察是否有死证。如果没有死证,且形气未脱,又没有痰气阻滞,只需扶正并掐人中穴,自然会逐渐苏醒,或者用白开水、姜汤慢慢灌服,也可以等待其苏醒,然后再辨证治疗。如果没有痰没有气滞,但气息微弱、面色苍白、脉象微弱暴脱的,急需用人参汤或淡姜汤灌服都可以。如果有痰很严重的,用前面治疗痰证的方法催吐;如果痰不严重,可以用白开水调服抱龙丸一丸,暂时开通痰窍。没有痰鸣声的不可用。如果是因气厥昏沉而气壅喘满、气闭不醒的,则用淡姜汤调服苏合丸一丸,暂时开通气机。如果气不壅满的不可用。那些久不苏醒,或者牙关紧闭不能张开的,可以用半夏或牙皂、细辛等研成粉末,少许吹入鼻中。有喷嚏的可以治,没有喷嚏的不可治;或者用皂荚研末,捻纸烧烟冲入鼻中也可以。
一、人在中年之后,多有此类病证,其衰退程度可想而知。《内经》说:“人年四十而阴气自半”,正是说的阴虚。人生于阳而根于阴,根本衰退则人必病,根本败坏则人必危。所谓根本,就是真阴。人们知道阴虚只有一种,却不知道阴虚有两种:如阴中之水虚,则多热多燥,病在精血;阴中之火虚,则多寒多滞,病在神气。如果水火都受伤,则形神都受损,难以救治了。火虚的,适宜用大补元煎、右归饮、右归丸、八味地黄丸之类为主治方,这样可以益火之源;水虚的,适宜用左归饮、左归丸、六味地黄丸之类为主治方,这样可以壮水之主。如果气血都虚,速宜用大补元煎之类,全力挽回,或许可以治愈。凡是多热多火的,忌用辛温及人参、白术、生姜、肉桂之类,都不宜轻用;多寒多湿的,忌用清凉之品,如生地、芍药、麦冬、石斛之类,都不是适宜的。如果气虚突然昏倒,别无痰火气实等证候,而有人妄言中风,急忙用牛黄丸、苏合丸之类再次耗散其气,那就不可救药了。
一、非风有因火盛而发病的,即阳证。火盛的,适宜专治其火,用徙薪饮、抽薪饮、白虎汤之类斟酌使用。火微的,适宜兼补其阴,用一阴煎、二阴煎、或加减一阴煎之类为主治方。凡治疗火的方法,只要使火去六七成,就应当调治其根本。然而阳盛者阴必病,所以治热必须从血分入手。重的用苦寒药,轻的用甘凉药,目的是使其归于阴。
一、非风有因寒盛而发病的,即阴证,专门适宜益火。寒微的,适宜用温胃饮、八味地黄丸之类为主治方。寒甚的适宜用右归饮、回阳饮、理中汤、四逆汤之类为主治方。然而寒胜者阳必病,所以治寒的方法,必须从气分而从乎阳。如阳气脱失、寒甚的,仍适宜灸关元、气海、神阙穴,以回其阳气。
一、非风眩晕、震颤摇动、惑乱不清的,总归是上部气虚所致。《内经》说:“上气不足,脑为之不满,头为之苦倾,目为之苦眩。”又说:“上虚则眩”,这是明确的训诫。凡是轻微感觉此证,就应当用五福饮之类培补其中气;虚甚的,就适宜用大补元煎,或十全大补汤之类治疗。否则,就是突然昏倒的开始。丹溪说:“无痰不作运”。难道眩晕一定都是痰证吗?这种说法最不妥当,另有详细义理,见眩晕门。
一、非风麻木不仁等证候,因为气血不能到达,所以不知痛痒。气虚则麻,血虚则木,麻木不止,则偏枯痿废逐渐日渐加重,这是魄虚的征候。《内经》说:“痱之为病,身无痛者,四肢不收,智乱不甚。其言微知,可治;甚则不能言,不可治也。”这即是此类病证,只是有轻重之分罢了。又《内经》说:“营气虚则不仁,卫气虚则不用,营卫俱虚,则不仁且不用,肉如故也。”人身与意志不相联系叫死,也是此类情况。所以凡是遇到此证,只宜培养气血,不要误认为是痰证。
一、夏季突然昏倒,忽患非风抽搐等证候,这是火克金,热伤气所致。就是今人所说的暑风。气虚的适宜用人参,或者十味香薷饮也可以。如果水不制火而多烦渴的,适宜用生脉散,或人参竹叶石膏汤。如果火独盛的,适宜用瓜水绿豆饮,或用黄芩、黄连之类,暂时解除其热。如果单由伤气而无火的,适宜用独参汤,或四君子汤。如果伏阴在内,而阳虚气脱的,必须用附子理中汤,或六味回阳饮之类,放手使用。不要说夏季忌讳温热药,这是不通达的说法。
一、肥胖的人多有非风证候,因为肥胖的人多气虚。为什么肥胖的人反而多气虚?因为人的形体,骨为君,肉为臣。肥胖的人,柔胜于刚,阴胜于阳。而且肉由血生成,总属阴类,所以肥胖的人多有气虚证候。然而肥胖的人多湿多滞,所以气道多有不利。如果确实痰气壅滞,则不得不先进行清利,适宜在前面治疗痰证的方法中随宜暂时使用。如果没有痰而气脱突然昏倒的,必宜用四君子汤、六君子汤,或十全大补汤、大补元煎之类为主治方。
一、非风烦热自汗,小便不利的,不可以药物利尿。因为津液外泄,小便必然减少,如果再使用渗利药物,则阴水更加枯竭,无法制约火,而躁烦更加严重,只要使热退汗止,则小便自然通利。况且自汗的多属阳明证候,也忌讳利小便。适宜用生脉散、一阴煎之类为主治方,火盛的,适宜用加减一阴煎。
一、非风遗尿的,由肾气虚脱所致,是最危险的证候。适宜用人参、黄芪、当归、白术之类补益是对的。然而必定是命门火衰,所以不能收摄,其有严重的,如果不加肉桂、附子,终究无济于事。
Any non-stroke conditions such as deviation of the mouth and eyes, hemiplegia, weakness of the four limbs, tremors, shaking, spasms, and contractures belong to diseases of the sinews and bones. The Liver governs the sinews, the Kidney governs the bones; the Liver stores Blood, and the Kidney stores Essence. When Essence and Blood are deficient and cannot nourish the entire body, sinews suffer from slackness or tension, and bones suffer from atrophy and weakness. This is fundamentally due to the damage of Essence and Blood. Just as a tree withers when sap fails to reach a branch, human hemiplegia is similar. The Classic states: "The feet can walk only when they receive Blood, and the palms can grasp only when they receive Blood." Now that such severe hemiplegia occurs, is it not due to the decline and failure of Qi and Blood? Mr. Chen from Linchuan said: "To treat wind, first treat the Blood; when Blood flows, wind extinguishes itself." This implies that Liver pathogenic factors arise from Liver Blood deficiency. When Liver Blood is deficient, dryness Qi takes advantage, causing Wood to transform under Metal (Metal controls Wood), and Wind inevitably follows. Therefore, treatment should focus on nourishing Blood to eliminate dryness; once True Yin is restored, false Wind will dissipate naturally. Using wind-dispelling drugs would allow Wind to overcome Dampness, making the Blood even drier, which is highly inappropriate.
1. Conditions such as hemiplegia, spasms, atrophy, and weakness originate from Yin deficiency, as previously detailed. However, Qi and Blood are inseparable; thus, within Yin there is Qi, and within Yin there is Blood. How to differentiate them? Blood does not move without Qi, and Qi does not transform without Blood. If Blood lacks Qi, the disease manifests as flaccidity and paralysis; if Qi lacks Blood, the disease manifests as twitching and spasms. Why? Because Qi is active; without Qi, there is no movement, and without movement, lifting is impossible. Blood is static; without Blood, there is no calmness, and without calmness, relaxation is impossible. Therefore, for loose sinews, one should attribute it to Qi deficiency; for tight sinews, one should attribute it to Blood deficiency. For Blood deficiency, San Yin Jian (Three Yin Decoction), Da Ying Jian (Great Camp Decoction), or Xiao Ying Jian (Small Camp Decoction) are appropriate. For Qi deficiency, Wu Fu Yin (Five Blessings Drink), Si Jun Zi Tang (Four Gentlemen Decoction), or Shi Quan Da Bu Tang (Ten Complete Tonifying Decoction) are appropriate. This differs slightly in principle from the immobility of Atrophy Syndrome or the restlessness of Bi Syndrome; see those sections for details.
All non-stroke conditions arise from deficiency in both the exterior and interior. Exterior diseases affect the meridians, while interior diseases affect the Zang organs. The treatment method is primarily to tonify Yuan Qi. If there are no concurrent syndromes, one should not combine purging and tonifying, as this yields no benefit. Since physical collapse and mental confusion stem from the damage of the root, where is the pathogen? Only by restoring the original Qi can recovery be hoped for.
1. In the initial stage of sudden collapse and critical unconsciousness, observe whether death signs are present. If there are no death signs, and the form and Qi are intact without Phlegm-Qi obstruction, stabilize the patient and press Renzhong (GV26); they will gradually awaken. Alternatively, slowly administer warm water or ginger soup to await awakening, then diagnose and treat based on symptoms. If there is no Phlegm or Qi stagnation, but breath is faint, complexion is pale, and the pulse is weak indicating sudden collapse, urgently administer Du Shen Tang (Single Ginseng Decoction) or light ginger soup. If Phlegm is severe, use expectorant methods to induce vomiting; if Phlegm is mild, administer one Wan of Bao Long Wan (Embrace Dragon Pill) mixed with warm water to temporarily open the Phlegm orifice. Do not use if there is no Phlegm sound. If unconsciousness is due to Qi Jue (Qi Collapse) with Qi congestion, wheezing, fullness, and closure preventing awakening, administer one Wan of Su He Wan (Styrax Pill) mixed with light ginger soup to temporarily open the Qi mechanism. Do not use if Qi is not congested. For prolonged unconsciousness or locked jaw, powder Ban Xia (Pinelliae Rhizoma), Ya Zao (Gleditsiae Spina), or Xi Xin (Asari Radix), and insufflate a small amount into the nose. If sneezing occurs, it is treatable; if not, it is untreatable. Alternatively, insufflate smoke from burning paper dipped in Gleditsiae Sinensis powder into the nose.
1. After middle age, many people suffer from these conditions, indicating their decline. The Classic states: "At forty, Yin Qi is halved," referring to Yin deficiency. Humans are born from Yang but rooted in Yin; if the root declines, illness ensues; if the root fails, danger arises. The root refers to True Yin. People know Yin deficiency as a single entity, but do not realize there are two types: Water deficiency within Yin leads to heat and dryness, affecting Essence and Blood; Fire deficiency within Yin leads to cold and stagnation, affecting Spirit and Qi. If both Water and Fire are injured, both Form and Spirit are damaged, making treatment difficult. For Fire deficiency, Da Bu Yuan Jian (Great Supplement to the Source Decoction), You Gui Yin (Right Restoration Drink), You Gui Wan (Right Restoration Pill), or Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) are suitable to replenish the source of Fire. For Water deficiency, Zuo Gui Yin (Left Restoration Drink), Zuo Gui Wan (Left Restoration Pill), or Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) are suitable to strengthen the master of Water. If both Qi and Blood are deficient, urgently use Da Bu Yuan Jian to reverse the condition. Avoid pungent-warm herbs like Ginseng, Atractylodes, Ginger, and Cinnamon in cases of excess heat and fire; avoid cooling herbs like Shu Di Huang (Rehmanniae Radix Preparata), Bai Shao (Paeoniae Radix Alba), Mai Dong (Ophiopogonis Tuber), and Shi Hu (Dendrobii Caulis) in cases of excess cold and dampness. If Qi deficiency causes sudden collapse without Phlegm, Fire, or Qi excess, and one mistakenly diagnoses stroke, using Niu Huang Wan (Calculus Bovis Pill) or Su He Wan again to scatter Qi is incurable.
1. Non-stroke caused by excessive Fire is a Yang syndrome. For severe Fire, treat the Fire directly using Xi Xin Yin (Remove Fuel Drink), Chou Xin Yin (Draw Out Fuel Drink), or Bai Hu Tang (White Tiger Decoction). For mild Fire, tonify Yin concurrently using Yi Yin Jian (One Yin Decoction), Er Yin Jian (Two Yins Decoction), or Jia Jian Yi Yin Jian (Modified One Yin Decoction). When treating Fire, once it is reduced by 60-70%, treat the root. Since Yang excess injures Yin, treating heat must address the Blood level. Severe cases use bitter-cold herbs; mild cases use sweet-cool herbs, aiming to return to Yin.
1. Non-stroke caused by excessive Cold is a Yin syndrome, requiring warming of Fire. For mild Cold, Wen Wei Yin (Warm Stomach Drink) or Ba Wei Di Huang Wan is appropriate. For severe Cold, You Gui Yin, Hui Yang Yin (Restore Yang Drink), Li Zhong Tang (Regulate the Middle Decoction), or Si Ni Tang (Frigid Extremities Decoction) are appropriate. Since Cold excess injures Yang, treating cold must address the Qi level and align with Yang. In cases of Yang collapse with severe Cold, moxa Guanyuan (CV4), Qihai (CV6), and Shenque (CV8) to restore Yang Qi.
1. Non-stroke vertigo, tremors, and confusion result from Qi deficiency in the upper body. The Classic states: "When Upper Qi is insufficient, the brain feels empty, the head tilts painfully, and the eyes feel dizzy." It also says: "Upper deficiency causes vertigo." Upon slight onset, tonify Middle Qi with Wu Fu Yin. For severe deficiency, use Da Bu Yuan Jian or Shi Quan Da Bu Tang. Otherwise, sudden collapse may follow. Danxi said: "No Phlegm, no vertigo." Is vertigo always Phlegm? This view is flawed; see the Vertigo section for details.
1. Non-stroke numbness and insensitivity occur because Qi and Blood do not reach the area. Qi deficiency causes numbness; Blood deficiency causes woodiness. Persistent numbness leads to worsening hemiplegia and atrophy, indicating Po (Corporeal Soul) deficiency. The Classic states: "Fei disease involves no pain, inability to control limbs, and mild mental confusion. If speech is possible, it is treatable; if speech is lost, it is untreatable." This is similar, differing only in severity. Also: "Ying Qi deficiency causes insensitivity; Wei Qi deficiency causes immobility; both deficient cause insensitivity and immobility, though flesh remains normal." Disconnection between body and will indicates death. Treat by nourishing Qi and Blood; do not mistake it for Phlegm.
1. Summer sudden collapse with non-stroke convulsions results from Fire controlling Metal and Heat injuring Qi, known as Summer-Wind. For Qi deficiency, use Renshen (Ginseng Radix) or Shi Wei Xiang Ru Yin (Ten-Ingredient Elsholtzia Drink). If Water fails to control Fire causing irritability and thirst, use Sheng Mai San (Generate Pulse Powder) or Renshen Zhu Ye Shi Gao Tang (Ginseng, Bamboo Leaf, and Gypsum Decoction). If Fire alone is excessive, use Melon Water Mung Bean Drink or Huang Qin (Scutellariae Radix) and Lian Zi (Nelumbinis Semen) to clear heat temporarily. If solely Qi injury without Fire, use Du Shen Tang or Si Jun Zi Tang. If latent Yin is internal with Yang deficiency and Qi collapse, use Fu Zi Li Zhong Tang (Aconite Regulate Middle Decoction) or Liu Wei Hui Yang Yin (Six-Ingredient Restore Yang Drink) boldly. Do not claim summer contraindicates warm-hot herbs; this is ignorance.
1. Obese people often suffer non-stroke due to Qi deficiency. Why? Bone is ruler, flesh is minister. Obesity means softness overcomes hardness, Yin overcomes Yang. Flesh forms from Blood, belonging to Yin; thus, obese people have Qi deficiency. However, obesity brings Dampness and stagnation, obstructing Qi flow. If Phlegm-Qi congestion exists, clear and drain temporarily using Phlegm treatments. If no Phlegm but Qi collapse and sudden fall, use Si Jun Zi Tang, Liu Jun Zi Tang (Six Gentlemen Decoction), Shi Quan Da Bu Tang, or Da Bu Yuan Jian.
1. Non-stroke with irritability, heat, spontaneous sweating, and dysuria should not be treated with diuretics. External loss of fluids reduces urine; further diuresis depletes Yin Water, failing to control Fire, worsening irritability. Once heat recedes and sweating stops, urination returns naturally. Spontaneous sweating often relates to Yangming syndrome; diuretics are contraindicated. Use Sheng Mai San or Yi Yin Jian. For severe Fire, use Jia Jian Yi Yin Jian.
1. Non-stroke enuresis results from Kidney Qi collapse, a critical condition. Tonify with Renshen, Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), and Bai Zhu (Atractodis Rhizoma). However, Ming Men (Gate of Life) Fire decline prevents retention. Severe cases require Rou Gui (Cinnamomi Cortex) and Fu Zi (Aconiti Lateralis Radix Preparata).
1. Corpse Jue, Wine Jue, Phlegm Jue, Qi Jue, and Blood Jue are all considered stroke by laypeople but actually belong to non-stroke. See the Jue Ni (Jue Collapse) section for details.