金匮续命汤(千金名西州续命)治中风痱身不收口不能言冒昧不知痛处拘急不能转侧
麻黄(三两去节) 桂枝(去皮) 当归 人参 石膏(碎绵裹) 炙甘草(各二两) 川芎(
一两) 杏仁(去皮尖十四枚) 干姜(二两) 上咀水煎
按心肺脾胃肝之药也又太阳经血气药也
千金大续命汤比前方无人参有黄芩荆涩(元戎作竹沥) 局方小续命汤(出千金)治卒暴中
风不省人事半身不遂口眼 斜手足战掉语言謇涩神清气乱及治诸风(云云)
防己 肉桂(去粗皮) 杏仁(去皮尖炒黄) 黄芩 白芍 甘草(煨) 川芎 麻黄(去节)
人参(去芦各一两) 防风(两半) 附子(炮去皮脐半两)
上为粗末每三钱姜五片枣一枚煎
按心肺脾胃肝三焦命门药也
古今录验有白术无杏仁 救急无芎 杏仁只十味 延年无防风 机要春夏加石膏知母秋
冬加桂附芍药
麻黄续命汤 桂枝续命汤 白虎续命汤 葛根续命汤 附子续命汤 羌活连翘续命汤
按续命汤治太阳外感风邪之药然外感挟寒者多故用桂枝等辈千金等方所收此类之药甚多
无分经络不辨虚实寒热所谓虽多亦奚以为易老分六经庶乎活法也
丹溪曰局方比要略少当归石膏多防风附子防己果与仲景意合否也仲景谓汗出则止药局方
则曰久服瘥又曰治诸风似皆非仲景意然麻黄防己可久服乎诸风可通治乎
局方排风汤治风虚冷湿邪气入脏狂言妄语精神错乱及五脏风发等证(详见本方)
白鲜皮 当归(酒浸) 肉桂 白芍
杏仁 甘草(炒) 防风 芎
白术(各二两) 独活 麻黄(去根节) 茯苓(各三两)上粗末每服三钱姜四片水煎
丹溪曰此云治邪气入脏而又曰风发又似有内出之意夫病既在五脏道远而所感深用麻黄以
发其表宁不犯诛伐无过之戒乎
按此与小续命相类而无所发明因世俗用之故收入其余雷同发散风寒者并略去
宝鉴秦艽升麻汤治风寒客手足阳明经口眼 斜恶风寒四肢拘急脉浮紧
升麻 干葛 甘草 芍药 人参(各半两) 秦艽 白芷 防风 桂枝(各三钱)上咀每一
两连须葱白二根同煎
按此治风寒外入阳明经即小续命之变法也古人续命虽有加减之不同大抵多因太阳一经之
药今特留此方以见风邪所伤有六经之异也
宝鉴不换金丹退风散热
羌活 川芎 白附子 乌头 藿香叶 蝎梢(各半两) 荆芥穗 天麻 炙甘草 僵蚕(
各一两) 薄荷(三两) 防风(一两)
上为末炼蜜丸弹子大每一丸细嚼茶酒任下涂 处亦可
按古方治风解表多兼用热剂至守真开发凉剂始行然此等方极多姑存此以见意若防风通圣
散治风热虽佳则又表里之剂也
金匮续命汤（在《千金方》中称为西州续命汤）治疗中风痱证，表现为身体无法自主收持、口不能言语、神志昏蒙不知疼痛所在、肢体拘急不能翻身侧卧。
药材：麻黄（三两，去节）、桂枝（去皮）、当归、人参、石膏（打碎，用绵布包裹）、炙甘草（各二两）、川芎（一两）、杏仁（去皮尖，十四枚）、干姜（二两）。以上药物切碎，加水煎煮。
按语：这是针对心、肺、脾、胃、肝的药物，也是太阳经的血气药。
千金大续命汤比前方少了人参，多了黄芩和荆沥（元戎版作竹沥）。局方小续命汤（出自《千金方》）治疗突然暴发的中风，症见人事不省、半身不遂、口眼歪斜、手足颤抖、语言謇涩、神志清乱，以及治疗各种风病（云云）。
药材：防己、肉桂（去粗皮）、杏仁（去皮尖，炒至微黄）、黄芩、白芍、甘草（煨制）、川芎、麻黄（去节）、人参（去芦头，各一两）、防风（一两半）、附子（炮制，去皮脐，半两）。以上药物捣成粗末，每次取三钱，加生姜五片、大枣一枚，加水煎煮。
古今录验方中有白术而无杏仁；救急方中没有川芎和杏仁，只有十味药；延年方中没有防风。机要方春夏季节加石膏、知母，秋冬季节加桂枝、附子、芍药。
麻黄续命汤、桂枝续命汤、白虎续命汤、葛根续命汤、附子续命汤、羌活连翘续命汤。
按语：续命汤是治疗太阳经外感风邪的药物，然而外感挟寒的情况较多，所以使用桂枝等类药物。《千金方》等书中收录的此类药物很多，不分经络，不辨虚实寒热，所谓“虽然多又有什么用呢？”易老（张元素）将其分为六经加减法，才算是灵活运用的方法。
丹溪说：局方小续命汤相比《金匮要略》少了当归、石膏，多了防风、附子、防己。这真的符合仲景的本意吗？仲景说“汗出则止”，而局方却说“久服痊愈”；又说治疗各种风病，似乎都不符合仲景的本意。然而，麻黄、防己可以长期服用吗？各种风病可以通治吗？
局方排风汤治疗风虚冷湿邪气入脏，症见狂言妄语、精神错乱，以及五脏风发等证候（详见本方）。
药材：白鲜皮、当归（酒浸）、肉桂、白芍、杏仁、甘草（炒制）、防风、川芎、白术（各二两）、独活、麻黄（去根节）、茯苓（各三两）。以上药物捣成粗末，每次服用三钱，加生姜四片，加水煎煮。
丹溪说：这里说治疗邪气入脏，而又说风发，似乎又有内出的意思。既然病在五脏，病位深远且感受深重，使用麻黄来发散表邪，难道不犯下诛伐无过的戒律吗？
按语：此方与小续命汤相似但没有新的发明，因为世俗常用它，所以收入其中。其余雷同的发散风寒的药物一并略去。
宝鉴秦艽升麻汤治疗风寒客于手足阳明经，症见口眼歪斜、恶风寒、四肢拘急、脉浮紧。
药材：升麻、干葛（葛根）、甘草、芍药、人参（各半两）、秦艽、白芷、防风、桂枝（各三钱）。以上药物切碎，每取一两，连同带须葱白两根一起煎煮。
按语：此方治疗风寒外入阳明经，即小续命汤的变法。古人续命汤虽有加减不同，但大体多基于太阳一经的药物。今天特意保留此方，以显示风邪所伤有六经的差异。
药材：羌活、川芎、白附子、乌头、藿香叶、蝎梢（各半两）、荆芥穗、天麻、炙甘草、僵蚕（各一两）、薄荷（三两）、防风（一两）。以上药物研为细末，炼蜜制成梧桐子大的丸药，每次一丸，细细咀嚼，茶或酒送下，也可涂敷患处。
按语：古方治疗风病解表多兼用热剂，直到守真（刘完素）开发凉剂才开始流行。然而此类方剂极多，姑且保存此方以见其意。若像防风通圣散治疗风热虽好，则属于表里双解之剂了。
Jingui Xuming Tang (known as Xizhou Xuming Tang in *Qianjin Fang*) treats stroke fei syndrome, characterized by the inability to control the body, inability to speak, mental confusion with unawareness of pain locations, limb stiffness, and inability to turn or change position.
Herbs: Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove nodes), Cinnamomi Ramulus (Guizhi, 桂枝) (remove bark), Angelicae Sinensis Radix (Danggui, 当归), Ginseng Radix et Rhizoma (Renshen, 人参), Gypsum Fibrosum (Shigao, 石膏) (crushed, wrapped in cotton gauze), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (each 2 liang), Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin and tips, 14 seeds), Zingiberis Rhizoma Recens (Ganjiang, 干姜) (2 liang). The above herbs are cut into pieces and decocted in water.
Note: These are herbs for the Heart, Lung, Spleen, Stomach, and Liver; they are also blood and qi herbs for the Taiyang channel.
Qianjin Daxuming Tang lacks Renshen compared to the previous formula but adds Scutellariae Radix (Huangqin, 黄芩) and Jingjie Li (荆沥) (Yuanrong version uses Bamboo Sap, Zhuli, 竹沥). Jufang Xiaoxuming Tang (from *Qianjin Fang*) treats sudden acute stroke with loss of consciousness, hemiplegia, deviation of the mouth and eye, trembling of hands and feet, dysarthria, and chaotic spirit/clarity, as well as various wind disorders.
Herbs: Stephaniae Tetrandrae Radix (Fangji, 防己), Cinnamomi Cortex (Rougui, 肉桂) (remove rough bark), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin and tips, stir-fried until yellow), Scutellariae Radix (Huangqin, 黄芩), Paeoniae Radix Alba (Baishao, 白芍), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-baked), Chuanxiong Rhizoma (Chuanxiong, 川芎), Ephedrae Herba (Mahuang, 麻黄) (remove nodes), Ginseng Radix et Rhizoma (Renshen, 人参) (remove rhizome, each 1 liang), Saposhnikoviae Radix (Fangfeng, 防风) (1.5 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed, remove skin and navel, 0.5 liang). The above herbs are crushed into coarse powder. Each dose is 3 qian, decocted with 5 slices of fresh ginger and one jujube in water.
Note: These are herbs for the Heart, Lung, Spleen, Stomach, Liver, Sanjiao, and Mingmen.
Gujin Luyan contains Baizhu but lacks Xingren; Jiujie lacks Chuanxiong and Xingren, having only ten ingredients; Yannian lacks Fangfeng. Jiyao adds Shigao and Anemarrhenae Rhizoma (Zhimu, 知母) in spring and summer, and Guizhi, Fuzi, and Baishao in autumn and winter.
Mahuang Xuming Tang, Guizhi Xuming Tang, Baitu Xuming Tang, Gegen Xuming Tang, Fuzi Xuming Tang, Qianghuo Lianqiao Xuming Tang.
Note: Xuming Tangs are herbs for treating external wind pathogen affecting the Taiyang channel. However, external contraction often involves cold, hence the use of Guizhi and similar herbs. Formulas like those in *Qianjin Fang* collect many such herbs without distinguishing channels or differentiating deficiency/excess and cold/heat. As the saying goes, "What good is it if there are many?" Yi Lao (Zhang Yuansu) divided them according to the Six Channels, which represents a flexible method.
Danxi stated: Compared to *Jingui Yaolue*, Jufang Xiaoxuming Tang lacks Danggui and Shigao but adds Fangfeng, Fuzi, and Fangji. Does this truly align with Zhongjing's intent? Zhongjing said "stop medication when sweating occurs," whereas Jufang states "take for a long time until recovery." It also claims to treat all wind disorders, which seems inconsistent with Zhongjing's intent. Can Mahuang and Fangji be taken for a long time? Can all wind disorders be treated universally?
Jufang Paifeng Tang treats wind deficiency, cold-damp pathogenic factors entering the Zang organs, manifesting as delirious speech, hallucinations, mental confusion, and five-organ wind fa (wind flare-up) syndromes (see detailed formula below).
Herbs: Dictamni Cortex (Baixianpi, 白鲜皮), Angelicae Sinensis Radix (Danggui, 当归) (soaked in wine), Cinnamomi Cortex (Rougui, 肉桂), Paeoniae Radix Alba (Baishao, 白芍), Armeniacae Semen Amarum (Xingren, 杏仁), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-fried), Saposhnikoviae Radix (Fangfeng, 防风), Chuanxiong Rhizoma (Chuanxiong, 川芎), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each 2 liang), Angelicae Dahuricae Radix (Duohuo, 独活 - *Note: Duohuo usually refers to Peucedani Radix, but text says Duohuo*), Ephedrae Herba (Mahuang, 麻黄) (remove roots and nodes), Poria (Fuling, 茯苓) (each 3 liang). The above herbs are crushed into coarse powder. Each dose is 3 qian, decocted with 4 slices of fresh ginger in water.
Danxi stated: This claims to treat pathogenic factors entering the Zang organs, yet mentions "wind fa," implying an internal origin. If the disease is in the Five Zang organs, with deep-seated pathology, using Mahuang to release the exterior—does this not violate the warning against punishing the innocent (treating non-existent excess)?
Note: This formula is similar to Xiaoxuming Tang but offers no new insights. Because it is commonly used by the public, it is included here. Other redundant formulas for dispersing wind-cold have been omitted.
Baojian Qinjiao Shengma Tang treats wind-cold lodging in the Foot and Hand Yangming channels, manifesting as deviation of the mouth and eye, aversion to wind and cold, limb stiffness, and floating-tight pulse.
Herbs: Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Gegen, 干葛), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Paeoniae Radix (Shaoyao, 芍药), Ginseng Radix et Rhizoma (Renshen, 人参) (each 0.5 liang), Gentianae Macrophyllae Radix (Qinjiao, 秦艽), Angelicae Dahuricae Radix (Baizhi, 白芷), Saposhnikoviae Radix (Fangfeng, 防风), Cinnamomi Ramulus (Guizhi, 桂枝) (each 3 qian). The above herbs are cut into pieces. For every 1 liang of herbs, decoct together with two green onions including roots.
Note: This formula treats wind-cold externally invading the Yangming channel, representing a modification of Xiaoxuming Tang. Although ancient Xuming Tangs had various modifications, they were largely based on Taiyang channel herbs. This formula is retained here to demonstrate that wind pathogen injury varies across the Six Channels.
Baojian Buhuan Jin Dan dispels wind and clears heat.
Herbs: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Chuanxiong Rhizoma (Chuanxiong, 川芎), Bryoniae Radix (Baifu Zi, 白附子), Aconiti Radix (Wutou, 乌头), Agastaches Folium (Huoxiang Ye, 藿香叶), Scorpio (Xieshao, 蝎梢) (each 0.5 liang), Schizonepetae Spica (Jingjie Sui, 荆芥穗), Gastrodiae Rhizoma (Tianma, 天麻), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草), Bombyx Batryticatus (Jiangcan, 僵蚕) (each 1 liang), Menthae Haplocalycis Herba (Bohe, 薄荷) (3 liang), Saposhnikoviae Radix (Fangfeng, 防风) (1 liang). The above herbs are ground into fine powder and made into pills the size of a bullet with refined honey. Take one pill at a time, chew thoroughly, and swallow with tea or wine. It can also be applied topically.
Note: Ancient formulas for treating wind and releasing the exterior often combined hot-natured herbs. It was not until Shouzhen (Liu Wansu) developed cool-natured formulas that this practice became common. There are many such formulas; this one is preserved to illustrate the intent. While Fangfeng Tongsheng San is excellent for treating wind-heat, it is a formula for resolving both exterior and interior conditions.