寸口脉平卒中死，生气独绝暴脱之，五脏几息呼吸泯，譬如堕溺岂能期。脉来一息
七八至，不大不小尚能医，大小浮昼沉夜死，脉绝不至死何疑。脱证并见皆死候，摇头上
窜气长嘘，喘汗如油痰拽锯，肉脱筋痛发枯直。
【注】寸口脉平，谓寸、关、尺脉俱平之人，忽然卒中而死者，皆因中邪太甚，闭塞
九窍天真之气，不能与人之生气相通，则独绝于内也。譬如堕跌溺水，岂能预期其死耶！
脉来一息七、八至者，不大不小虽困可治。若大而无伦，小而如纤，浮主昼死，沉主夜死，
不可治也。五脏脱证，若三脏，四脏并见，及摇头上窜等证，皆死候也。
通关散 开关散 熏鼻法 解语法
通关星皂细荷半，开关乌梅冰片南，巴油纸皂烟熏鼻，龟尿舌下点难言。
【注】通关散∶南星、皂角、细辛、薄荷、生半夏为末。吹鼻有嚏可治。开关散∶乌梅
肉、冰片、生南星为末，擦牙，其噤可开。巴豆油纸卷皂角末，烧烟熏入鼻内，人事自省。
取龟尿点在舌下，言语自易。
三圣散 瓜蒂散 全蝎散 五元散 巴矾丸
无汗吐宜防藜蒂，有汗瓜蒂入蝎全，重剂藜豆矾皂胆，痰壅吐以巴矾丸。
【注】痰涎壅盛，无汗表实，用三圣散，即防风、藜芦、瓜蒂吐之。有汗里实，用瓜
蒂散，即瓜蒂、赤小豆，或用全蝎散，即瓜蒂散加全蝎吐之。此皆吐之轻剂也，甚则用
五元散，乃藜芦、赤小豆，白矾、皂角、胆矾、巴矾丸，即巴豆，枯白矾吐之。
乌药顺气散
乌药顺气实中络， 斜顽麻风注疼，麻黄枳桔乌蚕共，白芷干姜陈草芎。
【注】实中络，谓风邪中络之人，形气实者也。 斜，口眼歪斜也。顽麻，肌肤麻木
也。风注疼，风气攻注骨节疼也。是方麻黄、枳壳、桔梗、乌药、僵蚕、白芷、陈皮、干
姜、甘草、川芎也。
大秦艽汤
大秦艽汤虚中络， 斜偏废减参珍，秦艽生地石膏共，羌独防芷细辛芩。
【注】虚中络，谓风邪中络之人，形气虚
者也。偏废，谓半身不遂也。减参珍，谓八珍汤减去人参，加入秦艽、生地。石膏。羌
活、独活、白芷、防风、细辛、黄芩也。偏废是中经之证，而亦可治之者，以此方能养
血荣筋，为久病风人调理之剂。
换骨丹
中经气实宜换骨， 斜瘫痪芷芎防，冰麝朱香槐苦味，仙人麻首蔓苍桑。
【注】中经气实，谓风邪中经之人，形气实也。瘫，左不用也；痪，右不用也。换骨
丹∶白芷、川芎，防风、冰片、麝香、朱砂、木香、槐角、苦参、五味子，葳灵仙、人参、
麻黄膏、何首乌、蔓荆子、苍术、桑皮也，麻黄膏者，以麻黄熬成膏，和煎药为丸，朱砂
滚衣也。
小续命汤
小续命汤虚经络，八风五痹总能全，麻杏桂芍通营卫，参草归芎气血宣，风淫防风
湿淫己，黄芩热淫附子寒，春夏石膏知母入，秋冬桂附倍加添。
【注】虚经络，谓风邪中经。中络之人，形气虚也，八风，谓八方之邪风中人为病也。
五痹，详见痹门要诀中。
黄 五物汤
黄 五物虚经络，偏废虚风无力瘫，心
清语謇因舌软，舌强神浊是火痰，补卫黄 起不用，益营芍桂枣姜煎，左加当归下牛膝，
筋瓜骨虎附经添。
【注】黄 五物汤，治因虚召风，中人经络而病半身不遂者。然审其人若舌强难言，神
气不清，则是痰火为病，不宜此方，若心清语謇，舌软无力难言者，乃是营卫不足之病，
宜用此方。经曰∶卫虚则不用，营虚则不仁。此方君黄 而补卫，以起不用；臣桂枝、白
芍而益营，以治不仁；佐生姜、大枣以和营卫也。不仁不用在右者属气，宜倍加黄 ；在
左者属血，则加当归。在下两腿两膝软者，则加牛膝；骨软不能久立者，则加虎骨；筋软
难于屈伸者，则加木瓜；周身或左或右经络不宣通者，则加炮附子，有寒者亦加之。此
方屡试屡效者，其功力专于补外，所以不用人参补内、甘草补中也。
三化汤 搜风顺气丸
三化气实风中腑，昏冒闭满小承羌。形气俱虚及风燥，搜风顺气自然康。
【注】气实风中腑，谓风邪中腑之人，形气实也。昏冒，谓神昏不知人也。闭满，谓
二便阻隔腹满胀也，小承羌，谓小承气汤（浓朴、枳实，大黄）加羌活，即三化汤也。
若其人形气俱虚，则当以搜风顺气丸缓缓治之，自然康也，久病风之人，大便多结燥，谓
之风燥。或用续命汤汗过，三化汤下过，津液枯干，以致结燥。凡病不论中经络脏腑，但
有二便阻隔，形气不足，难堪攻下者，均宜此法，以搜六腑之风，通肠胃中之气，二便
自利矣。
牛黄清心丸
牛黄清心实中藏，痰壅神昏不语言，口眼 斜形气盛，两手握固紧牙关。
【注】牛黄清心丸，治风邪中脏之人，形气俱实，其证痰涎壅塞，神昏不能言语，口
眼斜，形气满盛，两手握固，牙关紧急之闭证，皆可服之。
参附汤
参附汤治虚中脏，唇缓涎出不语言，昏不知人身偏废，五脱证见倍参煎。
【注】参附汤，即人参、附子也，治风邪中脏之人，形气俱虚，其证唇缓不收，痰涎流出，
神昏不语，身肢偏废，或与五脏脱证并见，宜大倍人参，先固虚脱，次治风邪可也。
千金还魂汤
经络闭证卒中恶，气促神昏不识人，无汗拘急身偏痛，肉桂麻草杏还魂。
【注】经络闭证，谓风邪中经络之闭证也。气促，谓气粗盛也，无汗四肢拘急，身体偏
痛，乃表邪固闭，宜用肉桂、麻黄、甘草、杏仁，即还魂汤以开之。
夺命散
脏腑闭证腹满闭，昏噤痰结在喉间，危急汤药不能下，夺命巴芷半葶南。
【注】脏腑闭证，谓风邪中脏腑之闭证也。腹满闭，谓腹满二便闭也。兼之神昏口噤不
开，结痰喉间不下，宜用是方吐下之，巴豆、白芷，半夏、葶苈、生南星也。
三生饮
三生饮治中风寒，厥逆沉伏涌气痰、星香乌附俱生用，气虚加参脱倍添。
【注】中风寒，谓不论经络脏腑、风邪中脏寒之人也。厥逆，谓四肢冷也。沉伏，谓
六脉沉伏也。是方生南星、生川乌、生附子、木香也。惟寒盛气实者宜之。若气虚者加人
参，虚极将脱者大倍人参，始可用之而无倒戈之害也。
祛风至宝汤
祛风至宝中风热，浮数面赤热而烦，通圣加蝎天麻细，白附羌独连柏蚕。
【注】中风热，谓不论经络脏腑，风邪中腑热之人也。浮数，谓六脉浮数也。热而烦，
谓身热心烦也。通圣，谓防风通圣散，方中加全蝎、天麻、细辛、白附、羌活、独活、黄
柏、黄连、僵蚕也。防风通圣散，详在伤寒门。
青州白丸子
青州白丸中风痰， 斜瘫痪涌痰涎，小儿惊痰为妙药，白附乌星半夏丸。
【注】中风痰，谓不论经络脏腑、风邪中表，有痰饮之人也。涌痰涎，谓痰涎涌盛也。
是方生白附子、生川乌，生南星、生半夏、法制为丸也。
羌活愈风汤
羌活愈风治外中，手足无力语出难，肌肉微掣不仁用，大秦艽汤参再添，官桂黄
杜防己，知枳柴荷蔓菊前，苍麻半朴杞地骨，调理诸风症可安。
【注】治外中，谓风从外中之病也，此病之来，必有先兆，如手足无力，语言謇涩，时
有肌肉微动牵掣，大指次指麻木不用，皆风邪外中之先兆也，宜用此汤。大秦艽汤参再
添，谓大秦艽汤方中，再添人参、官桂、黄 、杜仲、防己、知母、枳壳、柴胡、薄荷、
蔓荆子、菊花、前胡、苍术、麻黄、半夏、浓朴、枸杞、地骨皮也。调理诸风症可安，谓
凡中风内邪将除，外邪渐尽，更服此药调理，以行导诸经，久则大风悉去，清浊自分，荣
卫自和矣。
清热化痰汤
清热化痰治内发，神短忽忽语失常，头眩脚软六君麦，芩连菖枳竹星香。
【注】治内发，谓痰火内发之病也。此病之来，必有先兆，如神短忽忽，言语失常，上
盛下虚，头眩脚软，皆痰火内发之先兆也，宜用此汤，即人参、白术、茯苓、甘草、橘红、
半夏、麦冬、黄芩、黄连、石菖蒲、枳实、竹茹，南星、木香也。
地黄饮子
四肢不收无痛痱，偏枯身偏不用疼，其言不变志不乱，邪在分腠五物能。甚不能言
为喑痱，夺厥入脏病多凶，地黄桂附蓉巴远，萸斛冬味薄菖苓。
【注】风痱、偏枯、喑痱三病，皆属外中，而有微甚浅深之别也。风痱，谓四肢不收，身
无痛处，偏枯，谓半身不遂，身有痛处。其言不变志不乱，乃邪微浅，病在分腠荣卫之
间，以黄 五物汤能补荣卫而散风邪也。甚者不能言，志乱神昏，则为喑痱，乃肾虚内
夺，少阴不至而厥，其邪已入于脏，故曰病多凶也。地黄饮子是治肾虚内夺之方，是方
熟地、肉桂、附子、肉苁蓉、巴戟、远志、山萸、石斛、麦冬、五味子、薄荷、石菖蒲、茯
苓也。
涤痰汤
涤痰内发迷心窍，舌强难言参蒲星，温胆热盛芩连入，神昏便闭滚痰攻。
【注】内发，谓痰火内发，迷人心窍，令人精神恍惚，舌强难言也。涤痰汤，即人参、
菖蒲、南星、合温胆汤也，温胆汤，橘红、半夏、茯苓、甘草、竹茹、枳实也。热盛加黄
芩、黄连，大小二便闭，用礞石滚痰丸攻之可也。
【中风死候】
寸口脉象看似平和却突然中风的，属于危重死证，这是因为生机独绝、暴然脱失所致。五脏之气在几次呼吸间便消散殆尽，就像从高处坠落或溺水一样，岂能预料到死亡的时间？脉搏跳动一息达到七八次的，只要脉形不大不小尚可医治；若脉象过大或过小，且浮脉主白天死、沉脉主夜间死，脉气断绝不至者，死亡无疑。脱证并见均为死候，表现为摇头、气向上冲窜、长叹气、气喘出汗如油、痰声拽锯、肌肉消瘦、筋脉疼痛、头发枯直。
【注】所谓“寸口脉平”，是指寸、关、尺三部脉象都平和的人，忽然因中邪太甚，闭塞九窍，导致天真之气不能与人的生气相通，从而在内独绝。这就像跌坠溺水一样，怎能预先预期其死亡呢！脉搏一息七至八至的，虽然病情困重但尚可治疗。如果脉大无序，或小如细丝，浮脉主昼死，沉脉主夜死，则不可治。五脏脱证若三脏、四脏同时出现，以及伴有摇头上窜等症状，都是死候。
通关散、开关散、熏鼻法、解语法：
通关星皂细荷半，开关乌梅冰片南，巴油纸皂烟熏鼻，龟尿舌下点难言。
【注】通关散：由天南星、皂角、细辛、薄荷、生半夏研为末。吹入鼻中若能打喷嚏则可治。开关散：由乌梅肉、冰片、生南星研为末，擦牙，可使牙关紧闭者张开。用巴豆油卷纸包裹皂角末，燃烧烟雾熏入鼻内，患者可苏醒。取龟尿点在舌下，言语自易恢复。
三圣散、瓜蒂散、全蝎散、五元散、巴矾丸：
无汗吐宜防藜蒂，有汗瓜蒂入蝎全，重剂藜豆矾皂胆，痰壅吐以巴矾丸。
【注】痰涎壅盛，无汗表实，用三圣散，即防风、藜芦、瓜蒂催吐。有汗里实，用瓜蒂散，即瓜蒂、赤小豆，或用全蝎散，即在瓜蒂散基础上加全蝎催吐。这些都属于催吐的轻剂。病重则用五元散，乃藜芦、赤小豆、白矾、皂角、胆矾；巴矾丸，即巴豆、枯白矾催吐。
乌药顺气散：
乌药顺气实中络，口眼斜顽麻风注疼，麻黄枳桔乌蚕共，白芷干姜陈草芎。
【注】实中络，指风邪中络之人，形体正气充实。口眼歪斜，肌肤麻木，风气攻注骨节疼痛。此方含麻黄、枳壳、桔梗、乌药、僵蚕、白芷、陈皮、干姜、甘草、川芎。
大秦艽汤：
大秦艽汤虚中络，口眼斜偏废减参珍，秦艽生地石膏共，羌独防芷细辛芩。
【注】虚中络，指风邪中络之人，形体正气虚弱。偏废，指半身不遂。“减参珍”指八珍汤减去人参，加入秦艽、生地、石膏、羌活、独活、白芷、防风、细辛、黄芩。偏废是中经之证，也可治疗，因为此方能养血荣筋，是调理久病风人的方剂。
换骨丹：
中经气实宜换骨，口眼斜瘫痪芷芎防，冰麝朱香槐苦味，仙人麻首蔓苍桑。
【注】中经气实，指风邪中经之人，形体正气充实。瘫，指左半身不用；痪，指右半身不用。换骨丹含白芷、川芎、防风、冰片、麝香、朱砂、木香、槐角、苦参、五味子、威灵仙、人参、麻黄膏、何首乌、蔓荆子、苍术、桑皮。其中麻黄膏是将麻黄熬成膏，与煎药混合制成丸剂，朱砂滚衣。
小续命汤：
小续命汤虚经络，八风五痹总能全，麻杏桂芍通营卫，参草归芎气血宣，风淫防风湿淫己，黄芩热淫附子寒，春夏石膏知母入，秋冬桂附倍加添。
【注】虚经络，指风邪中经，中络之人，形体正气虚弱。八风，指八方之风邪中人致病。五痹，详见痹门要诀。
黄芪五物汤：
黄芪五物虚经络，偏废虚风无力瘫，心清语謇因舌软，舌强神浊是火痰，补卫黄芪起不用，益营芍桂枣姜煎，左加当归下牛膝，筋瓜骨虎附经添。
【注】黄芪五物汤，治疗因虚招致风邪，侵入人体经络而患半身不遂者。然而若审察其人舌强难言，神气不清，则是痰火致病，不宜用此方；若心清语謇，舌软无力难言者，乃是营卫不足之病，宜用此方。经说：卫虚则肢体不用，营虚则肢体不仁。此方以黄芪为君药以补卫气，使肢体能动；以桂枝、白芍为臣药以益营血，治疗不仁；佐以生姜、大枣调和营卫。不仁不用在右侧属气，宜加倍黄芪；在左侧属血，则加当归。在下两腿两膝软弱者，加牛膝；骨骼软弱不能久立者，加虎骨；筋软弱难于屈伸者，加木瓜；周身或左或右经络不通者，加炮附子，有寒者也加用。此方屡试屡效，其功效专于补外，所以不用人参补内、甘草补中。
三化汤、搜风顺气丸：
三化气实风中腑，昏冒闭满小承羌。形气俱虚及风燥，搜风顺气自然康。
【注】气实风中腑，指风邪中腑之人，形体正气充实。昏冒，指神志昏迷不知人。闭满，指二便阻隔腹部胀满。小承羌，指小承气汤（厚朴、枳实、大黄）加羌活，即三化汤。若其人形气俱虚，则应当用搜风顺气丸缓缓治疗，自然康复。久病风人，大便多结燥，称为风燥。或因服用续命汤发汗过多，三化汤泻下过度，津液枯干，以致结燥。凡病不论中经络脏腑，只要有二便阻隔，形气不足，难以承受攻下的，均宜此法，以搜逐六腑之风，通畅肠胃之气，二便自然通利。
牛黄清心丸：
牛黄清心实中藏，痰壅神昏不语言，口眼斜形气盛，两手握固紧牙关。
【注】牛黄清心丸，治疗风邪中脏之人，形体正气皆实，其证见痰涎壅塞，神志昏迷不能言语，口眼歪斜，形体气机满盛，两手握固，牙关紧急的闭证，皆可服用。
参附汤：
参附汤治虚中脏，唇缓涎出不语言，昏不知人身偏废，五脱证见倍参煎。
【注】参附汤，即人参、附子，治疗风邪中脏之人，形体正气皆虚，其证见口唇松弛不收，痰涎流出，神志昏迷不语，身体肢节偏废，或与五脏脱证并见，宜大剂量用人参，先固护虚脱，再治疗风邪即可。
千金还魂汤：
经络闭证卒中恶，气促神昏不识人，无汗拘急身偏痛，肉桂麻草杏还魂。
【注】经络闭证，指风邪中经络的闭证。气促，指气粗盛。无汗四肢拘急，身体偏痛，乃表邪固闭，宜用肉桂、麻黄、甘草、杏仁，即还魂汤以开泄之。
夺命散：
脏腑闭证腹满闭，昏噤痰结在喉间，危急汤药不能下，夺命巴芷半葶南。
【注】脏腑闭证，指风邪中脏腑的闭证。腹满闭，指腹部胀满二便闭塞。兼有神志昏迷、口噤不开，结痰在喉间不下，宜用此方催吐泻下，药物为巴豆、白芷、半夏、葶苈、生南星。
三生饮：
三生饮治中风寒，厥逆沉伏涌气痰、星香乌附俱生用，气虚加参脱倍添。
【注】中风寒，指不论经络脏腑，风邪中脏寒之人。厥逆，指四肢冷。沉伏，指六脉沉伏。此方用生南星、生川乌、生附子、木香。惟寒盛气实者适宜。若气虚者加人参，虚极将脱者大剂量用人参，始可用之而无倒戈之害。
祛风至宝汤：
祛风至宝中风热，浮数面赤热而烦，通圣加蝎天麻细，白附羌独连柏蚕。
【注】中风热，指不论经络脏腑，风邪中腑热之人。浮数，指六脉浮数。热而烦，指身热心烦。通圣，指防风通圣散，方中加全蝎、天麻、细辛、白附子、羌活、独活、黄柏、黄连、僵蚕。防风通圣散，详见伤寒门。
青州白丸子：
青州白丸中风痰，口眼斜瘫痪涌痰涎，小儿惊痰为妙药，白附乌星半夏丸。
【注】中风痰，指不论经络脏腑，风邪中表，有痰饮之人。涌痰涎，指痰涎涌盛。此方用生白附子、生川乌、生南星、生半夏，法制为丸。
羌活愈风汤：
羌活愈风治外中，手足无力语出难，肌肉微掣不仁用，大秦艽汤参再添，官桂黄杜防己，知枳柴荷蔓菊前，苍麻半朴杞地骨，调理诸风症可安。
【注】治外中，指风从外中之病也。此病之来，必有先兆，如手足无力，语言謇涩，时有肌肉微动牵掣，大指次指麻木不用，皆风邪外中之先兆也，宜用此汤。大秦艽汤参再添，谓大秦艽汤方中，再添人参、官桂、黄芪、杜仲、防己、知母、枳壳、柴胡、薄荷、蔓荆子、菊花、前胡、苍术、麻黄、半夏、厚朴、枸杞、地骨皮也。调理诸风症可安，谓凡中风内邪将除，外邪渐尽，更服此药调理，以行导诸经，久则大风悉去，清浊自分，荣卫自和矣。
清热化痰汤：
清热化痰治内发，神短忽忽语失常，头眩脚软六君麦，芩连菖枳竹星香。
【注】治内发，指痰火内发之病也。此病之来，必有先兆，如神短忽忽，言语失常，上盛下虚，头眩脚软，皆痰火内发之先兆也，宜用此汤，即人参、白术、茯苓、甘草、橘红、半夏、麦冬、黄芩、黄连、石菖蒲、枳实、竹茹，南星、木香也。
地黄饮子：
四肢不收无痛痱，偏枯身偏不用疼，其言不变志不乱，邪在分腠五物能。甚不能言为喑痱，夺厥入脏病多凶，地黄桂附蓉巴远，萸斛冬味薄菖苓。
【注】风痱、偏枯、喑痱三病，皆属外中，而有微甚浅深之别也。风痱，谓四肢不收，身无痛处，偏枯，谓半身不遂，身有痛处。其言不变志不乱，乃邪微浅，病在分腠荣卫之间，以黄芪五物汤能补荣卫而散风邪也。甚者不能言，志乱神昏，则为喑痱，乃肾虚内夺，少阴不至而厥，其邪已入于脏，故曰病多凶也。地黄饮子是治肾虚内夺之方，是方熟地、肉桂、附子、肉苁蓉、巴戟、远志、山萸、石斛、麦冬、五味子、薄荷、石菖蒲、茯苓也。
涤痰汤：
涤痰内发迷心窍，舌强难言参蒲星，温胆热盛芩连入，神昏便闭滚痰攻。
【注】内发，谓痰火内发，迷人心窍，令人精神恍惚，舌强难言也。涤痰汤，即人参、菖蒲、南星、合温胆汤也，温胆汤，橘红、半夏、茯苓、甘草、竹茹、枳实也。热盛加黄芩、黄连，大小二便闭，用礞石滚痰丸攻之可也。
[Prognosis of Stroke]
If the pulse at the Cun Kou (Inch Port) appears level but sudden stroke occurs, it is a critical death prognosis. This is due to the solitary extinction of vital energy and sudden collapse. The Qi of the Five Zang Organs dissipates within a few breaths, similar to falling from a height or drowning; how can one predict the time of death? If the pulse beats seven or eight times per respiration, provided the pulse is neither too large nor too small, it may still be treatable. If the pulse is excessively large or minute, with a floating pulse indicating death during the day and a deep pulse indicating death at night, or if the pulse ceases entirely, there is no doubt about death. The simultaneous appearance of Collapse syndromes are all death prognoses, manifesting as shaking of the head, upward rushing of Qi, long sighing, panting with sweat like oil, rattling phlegm resembling sawing wood, emaciated flesh, painful sinews, and dry, straight hair.
[Annotation] "Level pulse at Cun Kou" refers to individuals whose Cun, Guan, and Chi pulses are all level. Sudden death from stroke in such cases is caused by pathogenic factors being too severe, blocking the Nine Orifices, preventing the True Heaven Qi from communicating with the body's vital energy, leading to its solitary extinction internally. It is like falling or drowning; how can one anticipate death? A pulse beating seven to eight times per respiration, though not excessively large or small, indicates a difficult but treatable condition. If the pulse is chaotic and large, or minute like a thread, a floating pulse indicates death by day, and a deep pulse indicates death by night; these are untreatable. When three or four Zang organs show signs of collapse, along with symptoms like head shaking and upward Qi rush, these are death prognoses.
Tongguan San (Pass-Through Powder), Kaiguan San (Open-Switch Powder), Nasal Fumigation Method, Speech-Resolving Method:
Tongguan San contains Tian Nan Xing (Arisaema Rhizome), Zao Jiao (Gleditsia Sinensis Fruit), Xi Xin (Asarum Root), Bo He (Mentha Haplocalyx), and Sheng Ban Xia (Raw Pinellia Rhizome) ground into powder. Blowing into the nose to induce sneezing indicates treatability. Kaiguan San contains Wu Mei (Mume Fruit Flesh), Bing Pian (Borneol), and Sheng Nan Xing (Raw Arisaema Rhizome) ground into powder; rubbing on the teeth can open trismus. Burning Ba Dou (Croton Seed) oil-paper wrapped with Zao Jiao powder to fumigate the nose can restore consciousness. Applying Turtle Urine under the tongue facilitates speech.
Sansheng San (Three Saints Powder), Goudi San (Melon Peduncle Powder), Quanxie San (Scorpion Powder), Wuyuan San (Five Origins Powder), Bafan Wan (Barium Alum Pill):
For those without sweat, expectorants like Fang Feng (Saposhnikovia Root), Luli (Veratrum Nigrum), and Gou Di (Melon Peduncle) are suitable. For those with sweat, Gou Di combined with Quan Xie (Scorpion) is used. Heavy agents include Luli, Chi Xiao Dou (Adzuki Bean), Bai Fan (Alumen), Zao Jiao, and Dan Fan (Blue Vitriol). For phlegm obstruction, Bafan Wan (Ba Dou and Calcined Alumen) induces vomiting.
[Annotation] Excessive phlegm-saliva accumulation with no sweat and exterior excess requires Sansheng San, composed of Fang Feng, Luli, and Gou Di to induce vomiting. With sweat and interior excess, Goudi San (Gou Di and Chi Xiao Dou) or Quanxie San (Goudi San plus Scorpion) is used. These are mild emetics. For severe cases, Wuyuan San (Luli, Chi Xiao Dou, Bai Fan, Zao Jiao, Dan Fan) or Bafan Wan (Ba Dou and Calcined Alumen) is used for vomiting.
Wuyao Shunqi San (Costus Regulating Qi Powder):
Wuyao Shunqi treats Excess Stroke affecting Collaterals, characterized by facial paralysis, numbness, and wind-induced joint pain. It contains Ma Huang (Ephedra Herb), Zhi Ke (Aurantium Fructus), Jie Geng (Platycodon Root), Wu Yao (Lindera Root), Jiang Can (Bombyx Batryticatus), Bai Zhi (Angelica Dahurica Root), Gan Jiang (Zingiberis Rhizoma), Chen Pi (Citrus Reticulatae Pericarpium), Gan Cao (Licorice Root), and Chuan Xiong (Ligusticum Chuanxiong Rhizome).
[Annotation] "Excess Stroke affecting Collaterals" refers to individuals with Wind-Evil invading collaterals but possessing robust constitution. Facial paralysis involves deviation of the mouth and eyes. "Numbness" refers to skin and muscle insensitivity. "Wind-injected pain" refers to bone and joint pain caused by Wind pathogen. This formula includes Ma Huang, Zhi Ke, Jie Geng, Wu Yao, Jiang Can, Bai Zhi, Chen Pi, Gan Jiang, Gan Cao, and Chuan Xiong.
Da Qin Jiao Tang (Large Ligusticum Decoction):
Da Qin Jiao Tang treats Deficient Stroke affecting Collaterals, involving facial paralysis and hemiplegia. It modifies Bazhen Tang (Eight Treasures Decoction) by removing Ren Shen (Ginseng Radix) and adding Qin Jiao (Gentiana Macrophylla Root), Sheng Di Huang (Rehmannia Root), Shi Gao (Gypsum Fibrosum), Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens Root), Bai Zhi, Fang Feng (Saposhnikovia Root), Xi Xin, and Huang Qin (Scutellaria Root).
[Annotation] "Deficient Stroke affecting Collaterals" refers to individuals with Wind-Evil invading collaterals but possessing weak constitution. Hemiplegia refers to paralysis of half the body. Modifying Bazhen Tang implies removing Ginseng and adding the listed herbs. Hemiplegia is a syndrome of Meridian involvement but is treatable because this formula nourishes blood and benefits sinews, serving as a conditioning agent for chronic wind diseases.
Huangu Dan (Bone-Replacing Pill):
Huangu Dan is indicated for Excess Stroke affecting Meridians, manifesting as facial paralysis and paralysis. It contains Bai Zhi, Chuan Xiong, Fang Feng, Bing Pian, She Xiang (Musk), Zhu Sha (Cinnabar), Mu Xiang (Aucklandiae Radix), Huai Jiao (Sophorae Tonkinensis Fruit), Ku Shen (Sophora Flavescens Root), Wu Wei Zi (Schisandra Fruit), Ling Xian (Salvia Miltiorrhiza Root), Ren Shen, Ma Huang Gao (Ephedra Paste), He Shou Wu (Polygonum Multiflorum Root), Man Jing Zi (Vitaliae Fructus), Cang Zhu (Atractylodes Rhizome), and Sang Bai Pi (Morus Root Bark). Ma Huang Gao is made by boiling Ephedra into a paste and mixing it with decocted medicine to form pills; Zhu Sha is used as a coating.
[Annotation] "Excess Stroke affecting Meridians" refers to individuals with Wind-Evil invading meridians but possessing robust constitution. Paralysis (Tan) refers to left-side immobility; flaccidity (Huan) refers to right-side immobility.
Xiao Xu Ming Tang (Minor Continuation of Life Decoction):
Xiao Xu Ming Tang treats Deficiency affecting Meridians and Collaterals, covering Eight Winds and Five Bi Syndromes. Ma Huang, Xing Ren (Apricot Seed), Gui Zhi (Cinnamon Twig), and Bai Shao (White Peony Root) regulate Ying and Wei. Ren Shen, Gan Cao, Dang Gui (Angelica Sinensis Root), and Chuan Xiong promote Qi and Blood circulation. Fang Feng addresses Wind excess, Yi Zhi Ren (Alpinia Oxyphylla Fruit - *Note: Text says 'Ji' likely referring to Yi Zhi or similar damp-draining herb contextually, but standard text often implies specific damp herbs; here strictly translating text 'Yi'*), Huang Qin (Scutellaria Root) addresses Heat excess, and Fu Zi (Aconite Lateral Root) addresses Cold excess. In Spring and Summer, add Shi Gao and Zhi Mu (Anemarrhena Rhizome); in Autumn and Winter, double Gui Zhi and Fu Zi.
[Annotation] "Deficiency affecting Meridians" refers to Wind-Evil invading meridians in individuals with deficient constitution. "Eight Winds" refers to pathogenic winds from eight directions. "Five Bi" is detailed in the Bi Syndrome Essentials chapter.
Huang Qi Wu Wu Tang (Astragalus Five Substance Decoction):
Huang Qi Wu Wu Tang treats Deficiency affecting Meridians, causing hemiplegia, weakness, and flaccid paralysis due to deficient Wind. Clear mind and slurred speech due to soft tongue indicate deficiency; stiff tongue and turbid spirit indicate Fire-Phlegm. To tonify Wei and restore movement, use Huang Qi (Astragalus Root) without modification. To benefit Ying, decoct Gui Zhi, Bai Shao, Da Zao (Jujube), and Sheng Jiang (Fresh Ginger). Add Dang Gui for left-sided issues and Niu Xi (Achyranthes Root) for lower limb weakness. Add Mu Gua (Chaenomeles Fruit) for stiff sinews, Hu Gu (Tiger Bone - *historical term*) for weak bones, and Pao Fu Zi for unblocked meridians or cold conditions.
[Annotation] Huang Qi Wu Wu Tang treats hemiplegia caused by Wind invading meridians due to deficiency. If the patient has a stiff tongue, difficulty speaking, and unclear spirit, it is Phlegm-Fire disease, and this formula is unsuitable. If the mind is clear, speech is slurred, and the tongue is soft and weak, it is Ying-Wei deficiency, and this formula is appropriate. The Classics state: Wei deficiency leads to immobility; Ying deficiency leads to insensitivity. This formula uses Huang Qi as the sovereign herb to tonify Wei and restore movement; Gui Zhi and Bai Shao as minister herbs to benefit Ying and treat insensitivity; Sheng Jiang and Da Zao as assistant herbs to harmonize Ying and Wei. Immobility and insensitivity on the right belong to Qi; increase Huang Qi. On the left, they belong to Blood; add Dang Gui. Weakness in both legs and knees requires Niu Xi. Weak bones requiring inability to stand long require Hu Gu. Stiff sinews requiring difficulty in flexion/extension require Mu Gua. Unblocked meridians anywhere on the body require Pao Fu Zi, especially if cold is present. This formula is highly effective for external tonification; thus, Ren Shen and Gan Cao are omitted to avoid internal/middle tonification interference.
San Hua Tang (Three Transformations Decoction), Soushun Fengqi Wan (Search-for-Gentleness Wind-Qi Pill):
San Hua Tang treats Excess Qi with Wind attacking the Fu Organs, manifesting as coma, constipation, and abdominal fullness. It modifies Xiao Cheng Qi Tang (Minor Order of the Qi Decoction) with Qiang Huo. For individuals with both Qi and Form deficiency, or Wind-Dryness, Soushun Fengqi Wan promotes natural recovery.
[Annotation] "Excess Qi Wind attacking Fu Organs" refers to Wind-Evil attacking Fu organs in individuals with robust constitution. Coma refers to unconsciousness. Constipation and fullness refer to blocked bowel/bladder and abdominal distension. Xiao Cheng Qi Tang consists of Hou Po (Magnolia Bark), Zhi Shi (Immature Bitter Orange), and Da Huang (Rhubarb Root); adding Qiang Huo creates San Hua Tang. For Qi/Form deficiency, use Soushun Fengqi Wan slowly. Chronic wind patients often have dry stools (Wind-Dryness) due to excessive sweating from Xu Ming Tang or purging from San Hua Tang, depleting fluids. Regardless of whether the stroke affects meridians/collaterals or Zang/Fu, if there is bowel/bladder blockage and insufficient Qi/Form resisting purgatives, this method is suitable to search out Wind from Six Fu organs and circulate Qi in intestines/stomach, naturally relieving blockages.
Niu Huang Qing Xin Wan (Calculus Bovis Heart-Clearing Pill):
Niu Huang Qing Xin Wan treats Excess Stroke affecting Zang Organs, manifesting as phlegm obstruction, coma, muteness, facial paralysis, robust constitution, clenched hands, and locked jaw.
[Annotation] Niu Huang Qing Xin Wan treats Wind-Evil attacking Zang organs in individuals with robust constitution. Symptoms include phlegm obstruction, coma, muteness, facial paralysis, full constitution, clenched hands, and emergency lockjaw (Bi Syndrome). It is suitable for these conditions.
Shen Fu Tang (Ginseng and Aconite Decoction):
Shen Fu Tang treats Deficient Stroke affecting Zang Organs, manifesting as relaxed lips, drooling, muteness, coma, hemiplegia, and concurrent Five Collapse syndromes. Use doubled Ren Shen first to secure collapse, then treat Wind.
[Annotation] Shen Fu Tang consists of Ren Shen and Fu Zi. It treats Wind-Evil attacking Zang organs in individuals with deficient constitution. Symptoms include relaxed lips, flowing saliva, coma, muteness, hemiplegia, or concurrent Five Collapse syndromes. Use a large dose of Ren Shen first to secure against collapse, then treat the Wind pathogen.
Qianjin Huan Hun Tang (Thousand Years Return Soul Decoction):
Huan Hun Tang treats Closed Syndrome of Meridians/Collaterals with sudden evil attack, manifesting as rapid breathing, coma, unconsciousness, no sweat, limb stiffness, and unilateral body pain. It contains Rou Gui (Cinnamon Bark), Ma Huang, Gan Cao, and Xing Ren.
[Annotation] "Closed Syndrome of Meridians/Collaterals" refers to closed-type Wind-Evil invasion of meridians/collaterals. Rapid breathing indicates coarse Qi. No sweat, limb stiffness, and unilateral pain indicate exterior pathogen closure. Use Rou Gui, Ma Huang, Gan Cao, and Xing Ren (Return Soul Decoction) to open the exterior.
Duoming San (Life-Seizing Powder):
Duoming San treats Closed Syndrome of Zang/Fu Organs with abdominal fullness and blockage, coma, trismus, and phlegm knot in the throat. In emergencies where decoctions cannot be swallowed, use Ba Dou, Bai Zhi, Ban Xia (Pinellia Rhizome), Ting Li Zi (Lepidium Seed), and Sheng Nan Xing.
[Annotation] "Closed Syndrome of Zang/Fu Organs" refers to closed-type Wind-Evil invasion of Zang/Fu. Abdominal fullness/blockage refers to distension and blocked bowels/bladder. Combined with coma, trismus, and phlegm in the throat preventing swallowing, use this formula to induce vomiting and purging. Ingredients: Ba Dou, Bai Zhi, Ban Xia, Ting Li Zi, Sheng Nan Xing.
Sansheng Yin (Three Living Decoction):
Sansheng Yin treats Wind-Cold Stroke, manifesting as cold limbs, deep/faint pulse, and rising Qi-Phlegm. Uses raw Sheng Nan Xing, Sheng Chuan Wu (Aconitum Carmichaelii Lateral Root), Sheng Fu Zi, and Mu Xing. Add Ren Shen for Qi deficiency; double Ren Shen for extreme deficiency approaching collapse.
[Annotation] "Wind-Cold Stroke" refers to Wind-Evil attacking Zang organs with Cold, regardless of meridian/collateral involvement. Cold limbs (Jue Ni) and deep/faint pulse (Chen Fu) are key signs. Ingredients: Raw Arisaema, Raw Aconite, Raw Prepared Aconite, Aucklandia. Suitable only for severe Cold and Excess Qi. Add Ren Shen for Qi deficiency; double Ren Shen for extreme deficiency to prevent adverse reactions ("rebellious weapon").
Qufeng Zhibao Tang (Wind-Expelling Precious Treasure Decoction):
Qufeng Zhibao Tang treats Wind-Heat Stroke, manifesting as floating/rapid pulse, red face, heat, and irritability. It modifies Fangfeng Tongsheng San (Saposhnikovia Releasing and Unblocking Decoction) by adding Quan Xie, Tian Ma (Gastrodia Rhizome), Xi Xin, Bai Fu Zi (Typhonii Rhizoma), Qiang Huo, Du Huo, Huang Bo (Phellodendron Bark), Huang Lian (Coptis Rhizome), and Jiang Can. Fangfeng Tongsheng San is detailed in the Cold Damage chapter.
[Annotation] "Wind-Heat Stroke" refers to Wind-Evil attacking Fu organs with Heat. Floating/rapid pulse indicates exterior heat. Heat and irritability indicate body heat and mental restlessness. Fangfeng Tongsheng San is modified with Scorpion, Gastrodia, Asarum, Typhonium, Notopterygium, Angelica Pubescens, Phellodendron, Coptis, and Bombyx.
Qingzhou Bai Wan Zi (Qingzhou White Pills):
Qingzhou Bai Wan Zi treats Wind-Phlegm Stroke, manifesting as facial paralysis, flaccid paralysis, and excessive phlegm-saliva. It is also an excellent remedy for pediatric convulsive phlegm. Ingredients: Sheng Bai Fu Zi, Sheng Chuan Wu, Sheng Nan Xing, Sheng Ban Xia, processed into pills.
[Annotation] "Wind-Phlegm Stroke" refers to Wind-Evil attacking the exterior in individuals with Phlegm-Fluid retention. Excessive phlegm-saliva is the key sign. Ingredients: Raw Typhonium, Raw Aconite, Raw Arisaema, Raw Pinellia, processed into pills.
Qiang Huo Yu Feng Tang (Notopterygium Wind-Resolving Decoction):
Qiang Huo Yu Feng Tang treats External Wind Invasion, manifesting as limb weakness, difficulty speaking, slight muscle twitching, and insensitivity. It modifies Da Qin Jiao Tang by adding Ren Shen, Guan Gui (Cinnamon Bark), Huang Qi (Astragalus Root), Du Zhong (Eucommia Bark), Fang Ji (Stephania Root), Zhi Mu, Zhi Ke, Chai Hu (Bupleurum Root), Bo He, Man Jing Zi, Ju Hua (Chrysanthemum Flower), Qian Hu (Peucedani Radix), Cang Zhu, Ma Huang, Ban Xia, Hou Po (Magnolia Bark), Gou Qi (Goji Berry), and Di Gu Pi (Lycium Root Bark). It regulates various wind syndromes.
[Annotation] "External Wind Invasion" refers to Wind entering from outside. Prodromal signs include limb weakness, slurred speech, occasional muscle twitching, and numbness/immobility of the thumb and index finger. Modify Da Qin Jiao Tang by adding the listed herbs. After internal pathogens are cleared and external pathogens fading, take this decoction to guide Qi through meridians, eventually eliminating major Wind, separating clear/turbid Qi, and harmonizing Ying/Wei.
Qing Re Hua Tan Tang (Clear-Heat Resolve-Phlegm Decoction):
Qing Re Hua Tan Tang treats Internal-Onset Disease, manifesting as shortness of spirit, erratic speech, dizziness, and weak legs. It modifies Liu Jun Zi Tang (Six Gentlemen Decoction) with Mai Dong (Ophiopogon Tuber), Huang Qin, Huang Lian (Coptis Rhizome), Shi Chang Pu (Acorus Rhizome), Zhi Shi (Immature Bitter Orange), Zhu Ru (Bamboo Sap), Nan Xing (Arisaema Rhizome), and Mu Xiang (Aucklandiae Radix).
[Annotation] "Internal-Onset" refers to Phlegm-Fire arising internally. Prodromal signs include erratic spirit, abnormal speech, upper excess/lower deficiency, dizziness, and weak legs. Ingredients: Ren Shen, Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Gan Cao, Ju Hong (Citrus Reticulatae Pericarpium), Ban Xia, Mai Dong, Huang Qin, Huang Lian, Shi Chang Pu, Zhi Shi, Zhu Ru, Nan Xing, Mu Xiang.
Di Huang Yin Zi (Rehmannia Infusion):
Si Zhi Bu Shou (Four Limbs Uncontrolled) without pain is Fei Syndrome; Hemiplegia with pain is Pian Ku Syndrome. If speech and will remain unchanged, the pathogen is shallow in Fen Cou (interstices), treatable with Huang Qi Wu Wu Tang. Severe inability to speak is Yin Fei Syndrome, indicating Kidney Deficiency and internal depletion, with pathogen entering Zang organs, usually fatal. Di Huang Yin Zi treats Kidney Deficiency internal depletion. Ingredients: Shu Di Huang (Prepared Rehmannia Root), Rou Gui, Fu Zi, Rou Cong Rong (Cistanche Stem), Ba Ji Tian (Morinda Root), Yuan Zhi (Polygala Root), Shan Yu Rou (Cornus Fruit), Shi Hu (Dendrobium Stem), Mai Dong, Wu Wei Zi, Bo He, Shi Chang Pu, Fu Ling.
[Annotation] Fei, Pian Ku, and Yin Fei are external invasions with varying severity. Fei: limbs uncontrolled, no pain. Pian Ku: hemiplegia, pain. Unchanged speech/will indicates shallow pathogen in interstices/Ying-Wei, treated with Huang Qi Wu Wu Tang to tonify Ying-Wei and dispel Wind. Severe muteness/confusion is Yin Fei, caused by Kidney Deficiency internal depletion, failure of Shaoyin reaching extremities, and pathogen entering Zang organs, hence usually fatal. Di Huang Yin Zi treats Kidney Deficiency internal depletion. Ingredients: Prepared Rehmannia, Cinnamon, Aconite, Cistanche, Morinda, Polygala, Cornus, Dendrobium, Ophiopogon, Schisandra, Mint, Acorus, Poria.
Di Tan Tang (Phlegm-Washing Decoction):
Di Tan Tang treats Internal-Onset confusing the Heart Orifice, manifesting as stiff tongue and difficulty speaking. Combine with Wendan Tang (Warm Gallbladder Decoction). Add Huang Qin and Huang Lian for Heat excess. For coma and constipation, use Meng Shi Gun Tan Wan (Mica Rolling-Phlegm Pill) to purge.
[Annotation] "Internal-Onset" refers to Phlegm-Fire confusing the Heart Orifice, causing mental confusion and stiff tongue. Di Tan Tang combines Ren Shen, Shi Chang Pu, Nan Xing with Wendan Tang (Ju Hong, Ban Xia, Fu Ling, Gan Cao, Zhu Ru, Zhi Shi). Add Huang Qin and Huang Lian for Heat excess. For blocked bowels/bladder, use Meng Shi Gun Tan Wan to purge.