衍义治风涎潮塞气不通
皂角(炙一两) 白矾(生半两) 轻粉(半钱)
上末水调一二钱灌之须臾吐涎用矾者分膈下涎也
易简稀涎散治中风四肢不收涎潮膈塞气闭不通
晋矾(二两) 猪牙皂角
上为细末每服一钱至二钱温水调下
宝鉴分涎散治中风涎潮作声不得口噤手足搐搦
藿香 干蝎 白附 南星 朱砂 腻粉 粉霜(各二两)
上研和匀每服一钱至二钱薄荷汤调下未吐利再服
上以 耳叶曝燥为末酒调服方寸匕日三若吐逆者蜜和为丸服十丸准前汁一方寸匕日三
济生稀 丸
上以稀 草五月五日六月六日采叶九蒸九曝凡蒸用酒蜜洒晒干为末蜜丸桐子大空心酒下
百丸
巴豆七个去皮烂研如左 涂右手心右涂左仍以暖水一盏安向手心须臾便正洗去药频抽掣
手中
指宣明防风天麻散治风麻痹走注肢节疼痛中风偏枯或暴喑不语内外风热壅滞解昏眩西北方人
多用之与后方同
防风 川芎 天麻 白芷 小川乌 白附子 荆芥穗 当归 甘草 羌活(各半两) 滑
石(二两)
上为末热酒化蜜少许调半钱加至一钱觉药力营运微麻为度或蜜丸弹大热酒化下一丸或半
丸白汤化下亦得、
经验如圣散治中风身体麻木走动眩运头疼牙关紧急手足搐搦涎潮闷乱及破伤风一切证
苍术(一斤) 川芎(八两) 细辛(四两) 防风 白芷(八两) 草乌(四两) 川乌(五两)
天麻(二两)
上为末每服半钱或一钱温酒调下茶清亦得如疯狗蛇蝎等所伤先用浆水口含洗净用此粘贴
仍服之至效金疮血出不止粘贴立定
《衍义》治疗风痰上涌、气机闭塞不通。
皂角(炙,一两) 白矾(生用,半两) 轻粉(半钱)
以上药物研为细末,用水调服一二钱灌入,片刻后吐出涎沫。使用白矾是为了分消膈下的涎沫。
《易简方》稀涎散治疗中风导致四肢松弛无力、痰涎上涌、膈部堵塞、气闭不通。
晋矾(二两) 猪牙皂角
以上药物研为细末,每次服用一钱至二钱,用温水调服。
《宝鉴》分涎散治疗中风痰涎上涌发出声响、口噤不开、手足抽搐。
藿香 干蝎 白附子 天南星 朱砂 腻粉 粉霜(各二两)
以上药物研磨混合均匀,每次服用一钱至二钱,用薄荷汤调服。若未引起呕吐或腹泻,可再次服用。
上述方法中,取耳叶晒干研为细末,用酒调服一方寸匕,每日三次。如果出现呕吐逆乱的情况,则用蜂蜜调和制成丸剂,每次服用十丸,剂量相当于前法的一方寸匕,每日三次。
《济生方》稀涎丸
以上药物在五月五日或六月六日采集稀莶草的叶片,经过九次蒸煮和九次曝晒。每次蒸煮时用酒和蜜喷洒,晒干后研为细末,用蜂蜜制成如梧桐子大小的丸剂,空腹时以酒送服。
巴豆七个,去皮后烂研,涂于左手心,右手心涂左;或者右手心涂右,左手心涂左。同时用一盏暖水置于手心上方,片刻后症状即可缓解,洗去药物,频繁抽动手指。
《宣明论》防风天麻散治疗风邪导致的麻痹、游走性疼痛、肢节疼痛、中风偏枯或突然失语,以及内外风热壅滞引起的昏眩。西北方人常用此方,与后方相同。
防风 川芎 天麻 白芷 小川乌 白附子 荆芥穗 当归 甘草 羌活(各半两) 滑石(二两)
以上药物研为细末,用热酒化开少许蜂蜜调服半钱,逐渐加量至一钱,以感觉药力运行、微微发麻为度。也可以制成蜜丸,大小如弹子,用热酒化开服用一丸或半丸,或用白开水化开服下亦可。
《经验方》如圣散治疗中风身体麻木、走动不稳、眩晕、头疼、牙关紧急、手足抽搐、痰涎上涌、神志闷乱,以及破伤风等各种证候。
苍术(一斤) 川芎(八两) 细辛(四两) 防风 白芷(八两) 草乌(四两) 川乌(五两) 天麻(二两)
以上药物研为细末,每次服用半钱或一钱,用温酒调服,茶清也可。如果被疯狗、蛇、蝎等咬伤,先用浆水含漱洗净伤口,再用此药粘贴,并内服,直至见效。金疮出血不止者,粘贴后可立即止血。
*Yanyi* treats wind-phlegm surging upward and obstruction of qi mechanism.
Gleditsiae Fructus Spinosus (Zaojiao, 皂角) [roasted, 1 liang], Alum (Baifan, 白矾) [raw, 0.5 liang], Calomelas (Qingfen, 轻粉) [0.5 qian].
Grind the above into fine powder, mix with water to take 1-2 qian by instillation; after a moment, phlegm will be vomited. Alum is used to separate and drain phlegm from below the diaphragm.
*Yijian Fang* Xixian San treats stroke causing flaccidity of the four limbs, surging phlegm, blockage in the chest/diaphragm, and closed obstruction of qi.
Alumen (Jinfan, 晋矾) [2 liang], Ziziphi Spinosae Fructus (Zhuya Zaojiao, 猪牙皂角).
Grind the above into fine powder, take 1-2 qian per dose, mixed with warm water for oral administration.
*Baojian* Fenyan San treats stroke with surging phlegm producing sounds, locked jaw (Koujin, 口噤), and convulsions of the hands and feet.
Agastis Herba (Huoxiang, 藿香), Dry Scorpion (Ganxie, 干蝎), Typhonii Rhizoma Praeparatum (Baifu, 白附), Arisaematis Rhizoma (Nanxing, 南星), Cinnabar (Zhusha, 朱砂), Hydrargyri Oxydum Rubrum (Nifen, 腻粉), Calomel (Fenshuang, 粉霜) [each 2 liang].
Grind and mix evenly, take 1-2 qian per dose, mixed with mint decoction. If vomiting or diarrhea has not occurred, administer again.
For the above methods: Sun-dry the leaves of *Perilla frutescens* (Er Ye, 耳叶), grind into powder, mix with wine to take one *cunbi* (方寸匕, a measuring spoon), three times daily. If vomiting and reflux occur, mix with honey to make pills, take ten pills per dose (equivalent to one *cunbi* of the previous liquid form), three times daily.
*Jisheng Fang* Xixian Wan
Harvest the leaves of Siegesbeckia Herba (Xixian Cao, 稀莶草) on the fifth day of the fifth lunar month or the sixth day of the sixth lunar month. Steam nine times and sun-dry nine times. For each steaming, sprinkle with wine and honey, then sun-dry. Grind into powder, mix with honey to make pills the size of tung tree seeds. Take on an empty stomach with wine.
Take seven Crotonis Fructus (Badou, 巴豆), remove the skin, pound into a paste. Apply to the left palm, and apply to the right palm (or vice versa). Place a cup of warm water over the palm. After a moment, symptoms will normalize. Wash off the medicine and frequently flex and extend the fingers.
*Xuanming Lun* Fangfeng Tianma San treats wind-induced numbness, migrating pain, joint pain, hemiplegia due to stroke, or sudden aphasia (Bao Yin, 暴喑). It also treats dizziness caused by internal and external wind-heat stagnation. This formula is commonly used in the northwest regions and is similar to the following formula.
Saposhnikoviae Radix (Fangfeng, 防风), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Gastrodiae Rhizoma (Tianma, 天麻), Angelicae Dahuricae Radix (Baizhi, 白芷), Aconiti Kusnezoffii Radix (Xiao Chuanwu, 小川乌), Typhonii Rhizoma Praeparatum (Baifuzi, 白附子), Schizonepetae Spica (Jingjie Sui, 荆芥穗), Angelicae Sinensis Radix (Danggui, 当归), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [each 0.5 liang], Talcum (Huashi, 滑石) [2 liang].
Grind the above into powder. Mix with hot wine and a little honey, take half a qian, gradually increasing to one qian. The dosage should be sufficient until a slight sensation of numbness is felt as the medicine circulates. Alternatively, make honey pills the size of a bullet. Dissolve one or half a pill in hot wine, or dissolve in plain boiled water.
*Jingyan Fang* Rusheng San treats stroke with body numbness, unsteady gait, vertigo, headache, trismus (Yaguan Jinji, 牙关紧急), convulsions of hands and feet, surging phlegm, mental confusion, as well as tetanus (Poshang Feng, 破伤风) and other syndromes.
Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术) [1 jin], Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) [8 liang], Asari Radix et Rhizoma (Xixin, 细辛) [4 liang], Saposhnikoviae Radix (Fangfeng, 防风), Angelicae Dahuricae Radix (Baizhi, 白芷) [8 liang], Aconiti Kusnezoffii Radix (Caowu, 草乌) [4 liang], Aconiti Carmineli Radix (Chuanwu, 川乌) [5 liang], Gastrodiae Rhizoma (Tianma, 天麻) [2 liang].
Grind the above into powder. Take half a qian or one qian per dose, mixed with warm wine. Tea infusion is also acceptable. If bitten by mad dogs, snakes, scorpions, etc., first rinse the wound with grain wash water, then apply this powder externally and take it internally until effective. For traumatic wounds with continuous bleeding, application stops bleeding immediately.