足阳明之脉;夹口还唇;足太阳之脉,起于目内 。胃有痰火,又风从太阳而来,兼扰阳明,故筋脉牵掣,而
口眼 斜也,消风返正汤主之。
消风返正汤(自制)
羌活(一钱) 天麻(八分) 蝎尾(五支) 僵蚕(一钱五分炒) 贝母(二钱)
羚羊角(一钱五分) 石斛(三钱) 花粉(二钱) 麦冬(二钱) 黄荆叶(五张)
气虚者,手足弛纵,食少神疲,不能步履,黄 九物汤主之。
黄 九物汤(自制)
黄 (二钱) 防风(一钱) 党参(五钱) 茯苓(二钱) 白术(一钱)
鹿胶(一钱五分角霜炒) 牛膝(二钱) 独活(一钱酒炒) 甘草(五分) 大枣(二枚) 姜(三片)
血虚者,筋节拘挛,手指屈而不伸,不能步履,舒筋通络汤主之。
舒筋通络汤(自制)
生地(四钱) 当归(二钱) 楮实子(二钱) 川芎(一钱) 枸杞(三钱)
川断(二钱) 金毛脊(二钱去毛切片) 宣木瓜(一钱酒炒) 白芍(一钱五分酒炒) 独活(一钱酒炒)
牛膝(二钱) 秦艽(一钱) 红枣(十枚) 姜(三片) 桑枝(一尺)
气血皆虚,手不能举,足不能行,语言謇涩,补真汤主之。
补真汤(自制)
紫河车(二钱干切) 熟地(五钱) 附子(一钱) 山萸肉(一钱五分) 当归(二钱)
茯神(二钱) 白芍(一钱五分酒炒) 远志(五分甘草水炒) 独活(一钱酒炒) 丹参(二钱)
石斛(二钱) 麦冬(二钱) 牛膝(二钱) 红枣(十枚) 姜(三片)
足阳明胃经的经脉,环绕口唇;足太阳膀胱经的经脉,起始于目内眦。若胃中有痰火,加之风邪从太阳经传来,同时扰动阳明经,导致筋脉被牵拉拘急,从而出现口眼歪斜的症状,主治方剂为消风返正汤。
消风返正汤(自制方)
羌活(一钱) 天麻(八分) 全蝎尾(五支) 僵蚕(一钱五分,炒制) 贝母(二钱)
羚羊角(一钱五分) 石斛(三钱) 天花粉(二钱) 麦冬(二钱) 黄荆叶(五张)
对于气虚的患者,表现为手足松弛无力,食欲减退,精神疲乏,无法行走,主治方剂为黄芪九物汤。
黄芪九物汤(自制方)
黄芪(二钱) 防风(一钱) 党参(五钱) 茯苓(二钱) 白术(一钱)
鹿角胶(一钱五分,用鹿角霜炒制) 牛膝(二钱) 独活(一钱,酒炒) 甘草(五分) 大枣(两枚) 生姜(三片)
对于血虚的患者,表现为筋节拘挛收缩,手指弯曲不能伸直,无法行走,主治方剂为舒筋通络汤。
舒筋通络汤(自制方)
生地黄(四钱) 当归(二钱) 楮实子(二钱) 川芎(一钱) 枸杞子(三钱)
续断(二钱) 狗脊(二钱,去毛切片) 宣木瓜(一钱,酒炒) 白芍(一钱五分,酒炒) 独活(一钱,酒炒)
牛膝(二钱) 秦艽(一钱) 红枣(十枚) 生姜(三片) 桑枝(一尺)
对于气血皆虚的患者,表现为手不能抬起,脚不能行走,语言謇涩不利,主治方剂为补真汤。
补真汤(自制方)
紫河车(二钱,干切) 熟地黄(五钱) 附子(一钱) 山茱萸肉(一钱五分) 当归(二钱)
茯神(二钱) 白芍(一钱五分,酒炒) 远志(五分,用甘草水炒制) 独活(一钱,酒炒) 丹参(二钱)
石斛(二钱) 麦冬(二钱) 牛膝(二钱) 红枣(十枚) 生姜(三片)
The meridian of Foot-Yangming (Stomach Meridian) surrounds the mouth and lips; the meridian of Foot-Taiyang (Bladder Meridian) originates from the inner canthus of the eye. If there is phlegm-fire in the Stomach, combined with wind pathogen coming from the Taiyang meridian and disturbing the Yangming meridian, the sinews and vessels are pulled and cramped, resulting in deviation of the mouth and eyes. The primary treatment formula is Xiaofeng Fanzheng Tang (Wind-Dispersing and Rectification Decoction).
Xiaofeng Fanzheng Tang (Self-made Formula)
Qianghuo (Notopterygii Rhizoma et Radix, 1 qian)
Tianma (Gastrodiae Rhizoma, 8 fen)
Xiewei (Tail of Scorpio, 5 pieces)
Jiangcan (Bombyx Batryticatus, 1.5 qian, stir-fried)
Beimu (Fritillariae Bulbus, 2 qian)
Lingyangjiao (Saiga Tataricae Cornu, 1.5 qian)
Shihu (Dendrobii Caulis, 3 qian)
Huafen (Trichosanthis Radix, 2 qian)
Maidong (Ophiopogonis Radix, 2 qian)
Huangjingye (Vitex negundo Leaf, 5 leaves)
For patients with Qi deficiency, presenting with flaccidity and paralysis of the limbs, poor appetite, mental fatigue, and inability to walk, the primary treatment formula is Huangqi Jiuwu Tang (Astragalus Nine-Ingredient Decoction).
Huangqi Jiuwu Tang (Self-made Formula)
Huangqi (Astragali Radix, 2 qian)
Fangfeng (Saposhnikoviae Radix, 1 qian)
Dangshen (Codonopsis Radix, 5 qian)
Fuling (Poria, 2 qian)
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian)
Lujiao jiao (Colla Cornus Cervi, 1.5 qian, stir-fried with Lujiaoshuang/Cornus Cervi Cornu Carbonisatum)
Niuxi (Achyranthis Bidentatae Radix, 2 qian)
Duohuo (Angelicae Pubescentis Radix, 1 qian, wine-stir-fried)
Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Dazao (Ziziphi Jujubae Fructus, 2 pieces)
Shengjiang (Zingiberis Rhizoma Recens, 3 slices)
For patients with Blood deficiency, presenting with cramping and contraction of joints and sinews, fingers flexed and unable to extend, and inability to walk, the primary treatment formula is Shujin Tongluo Tang (Sinew-Relaxing and Collateral-Unblocking Decoction).
Shujin Tongluo Tang (Self-made Formula)
Shengdi Huang (Rehmanniae Radix, 4 qian)
Danggui (Angelicae Sinensis Radix, 2 qian)
Chushizi (Celtidis Fructus, 2 qian)
Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian)
Gouqi Zi (Lycii Fructus, 3 qian)
Chuduan (Dipsaci Radix, 2 qian)
Jinmaoji (Cynomorii Herba, 2 qian, de-haired and sliced) [Note: Text says Jinmaoji, likely referring to Gouji/Dogspine, usually Cynomorii or Cibotii, here interpreted as Dogspine based on context of bone/sinew] -> Correction: Text says "Jinmaoji" (Gold-haired spine), which is a common alias for Gouji (Cibotii Rhizoma or Cynomorii Herba depending on region, but often Cibotium barometz). I will use Cibotii Rhizoma.
Xuan Mugua (Chaenomelis Fructus, 1 qian, wine-stir-fried)
Baishao (Paeoniae Radix Alba, 1.5 qian, wine-stir-fried)
Duohuo (Angelicae Pubescentis Radix, 1 qian, wine-stir-fried)
Niuxi (Achyranthis Bidentatae Radix, 2 qian)
Qinjiao (Gentianae Macrophyllae Radix, 1 qian)
Hongzao (Ziziphi Jujubae Fructus, 10 pieces)
Shengjiang (Zingiberis Rhizoma Recens, 3 slices)
Sangzhi (Mori Ramulus, 1 chi)
For patients with both Qi and Blood deficiency, presenting with inability to raise the hands, inability to walk, and slurred speech, the primary treatment formula is Bazhen Tang (True-Nourishing Decoction).
Bazhen Tang (Self-made Formula)
Ziheche (Placenta Humana, 2 qian, dried and sliced)
Shudi Huang (Rehmanniae Radix Praeparata, 5 qian)
Fuzi (Aconiti Lateralis Radix Praeparata, 1 qian)
Shanzhuyu (Corni Fructus, 1.5 qian)
Danggui (Angelicae Sinensis Radix, 2 qian)
Fushen (Poria cum Radice, 2 qian)
Baishao (Paeoniae Radix Alba, 1.5 qian, wine-stir-fried)
Yuanzhi (Polygalae Radix, 0.5 qian, stir-fried with Gancao water)
Duohuo (Angelicae Pubescentis Radix, 1 qian, wine-stir-fried)
Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian)
Shihu (Dendrobii Caulis, 2 qian)
Maidong (Ophiopogonis Radix, 2 qian)
Niuxi (Achyranthis Bidentatae Radix, 2 qian)
Hongzao (Ziziphi Jujubae Fructus, 10 pieces)
Shengjiang (Zingiberis Rhizoma Recens, 3 slices)