有因饮酒过多而致。盖酒之为物,水形而火性,故 悍酷烈,湿热蕴积之久,则为饮,为痰,
渗以脏腑,流于关节为半身不遂,口眼 斜;更值醉甚,亦至昏愦、僵仆。治宜解酒除湿。
主方 葛根(葛花尤佳) 陈皮(各三钱) 砂仁 白豆蔻 猪芩 泽泻 白茯苓 人参 白术 干姜
(各一钱)水煎服。
因饮食倍常,不能运化,填塞胃气,升降不通,卒然倒仆,目瞑口噤,亦似中风。急宜多灌姜
盐汤探吐,吐出痰食自苏。万勿误服祛风药,重伤胃气,毙可立待。右关脉弦缓而浮──胃风。夏
月胃风证,乃伤食乘风而感亦此类也。
主方 白术(二钱) 陈皮 半夏 白茯苓 浓朴 山楂(各钱半) 人参 木香(磨) 砂仁(研
,各一钱) 甘草(五分)
上加姜、枣,水煎。调入香、砂,服。随证加减。
膏粱之士,肥甘醇酒,皆能助火生痰。痰生热,热生风,风火同阳,性并上行。致头目眩运,
痰盛
气虚,手足指节麻木、软弱,面如虫行,口眼牵掣,肌肉 动,臂膊、臀髀不仁,语言颠错,胸膈
迷闷,神思不清,口渴便秘,小便赤少,此皆中风阶梯,极当防微杜渐。脉多弦滑,虚软无力,左
脉不足,服四物汤(方见妇科)!右脉不足,服四君子汤(方见虚损);痰壅,导痰汤(方见痰门)!火盛
,防风通圣散,次服愈风汤、搜风顺气丸(三方见前)。
主方 天麻 荆芥 白术(各二钱) 胆星 半夏(制) 甘草(各五分) 水二钟,生姜二片,
黑枣二枚,煎八分,入竹沥半杯,姜汁五匙,食远服。
以此方加减,配合为末,竹沥(九分),姜汁(一分),叠丸如绿豆大,每服二钱,食远服,日二、三
次。忌鲜猪肉之类。
由于饮酒过量而导致。酒这种物质,外形属水而性质属火,因此其气性刚烈酷热。湿热蕴结积聚日久,就会形成饮邪、痰浊,渗透于脏腑,流注于关节,导致半身不遂、口眼歪斜;如果醉酒程度严重,甚至会导致神志昏乱、突然跌倒僵仆。治疗应当以解酒除湿为主。
主方:葛根(使用葛花效果更佳)三钱,陈皮三钱,砂仁一钱,白豆蔻一钱,猪苓一钱,泽泻一钱,白茯苓一钱,人参一钱,白术一钱,干姜一钱。用水煎煮后服用。
因为饮食量加倍,脾胃无法运化,导致胃气被填塞阻滞,升降功能不通畅,突然倒地昏仆,眼睛闭合、牙关紧闭,症状看起来也像中风。此时急需大量灌服姜盐汤来催吐,吐出痰食后患者自然苏醒。千万不要误服祛风药物,以免重伤胃气,死亡就在眼前。右关脉呈现弦缓而浮的脉象——这是胃风证。夏季的胃风证,也是因伤食后又感受风邪所致,也属于此类情况。
主方:白术二钱,陈皮一钱半,半夏一钱半,白茯苓一钱半,厚朴一钱半,山楂一钱半,人参一钱,木香一钱(磨汁),砂仁一钱(研末),甘草五分。
上方加入生姜、大枣,用水煎煮。调入沉香粉、砂仁粉,服用。根据具体证候进行加减。
食用精细膏粱厚味的人,肥腻甘甜的食物和醇厚的酒类,都能助长火热、滋生痰浊。痰产生热,热极生风,风与火同属阳,其性都向上行。导致头目眩晕,痰盛且气虚,手足指节麻木、软弱无力,面部感觉像有虫子爬行,口眼牵引抽搐,肌肉跳动,手臂、臀部和大腿感觉迟钝或麻木,言语错乱,胸膈部迷闷,神思不清,口渴便秘,小便短赤,这些都是中风的先兆阶段,极其应当防微杜渐。脉象多呈弦滑,或虚软无力,左脉不足者,服用四物汤(方剂见妇科章节);右脉不足者,服用四君子汤(方剂见虚损章节);痰壅盛者,服用导痰汤(方剂见痰门章节);火热旺盛者,服用防风通圣散,随后服用愈风汤、搜风顺气丸(三个方剂见前文)。
主方:天麻二钱,荆芥二钱,白术二钱,胆南星五分,制半夏五分,甘草五分。用水两钟,生姜两片,黑枣两枚,煎至八分,加入竹沥半杯,姜汁五匙,饭后服用。
以此方加减,配合制成粉末,用竹沥(九份)、姜汁(一份)作为粘合剂,叠制成如绿豆大小的药丸,每次服用二钱,饭后服用,每日二到三次。忌食鲜猪肉等食物。
Caused by excessive alcohol consumption. Alcohol, in its form, belongs to Water, but in its nature, it belongs to Fire; thus, its qi is fierce and intense. When damp-heat accumulates over a long period, it transforms into fluid retention (Yin) and phlegm (Tan), penetrating the Zang-Fu organs and flowing into the joints, leading to hemiplegia and deviation of the mouth and eyes. If intoxication is severe, it can result in confusion and sudden collapse. Treatment should focus on resolving alcohol toxicity and removing dampness.
Main Formula: Ge Gen (Puerariae Lobatae Radix) 3 qian (Ge Hua is even better), Chen Pi (Citri Reticulatae Pericarpium) 3 qian, Sha Ren (Amomi Fructus) 1 qian, Bai Dou Kou (Tsaoko Fructus) 1 qian, Zhu Ling (Polyporus) 1 qian, Ze Xie (Alismatis Rhizoma) 1 qian, Bai Fu Ling (Poria) 1 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Gan Jiang (Zingiberis Rhizoma) 1 qian. Decoct in water and take orally.
Due to excessive food intake that the spleen and stomach cannot transform and transport, the Stomach Qi becomes obstructed, causing the ascending and descending mechanisms to fail. This leads to sudden collapse, closed eyes, and locked jaws, resembling stroke (Zhong Feng). Immediately administer large amounts of ginger-salt soup to induce vomiting; once the phlegm and food are expelled, the patient will recover. Do not mistakenly administer wind-dispelling medicines, as this will severely damage Stomach Qi, leading to imminent death. A wiry, slow, and floating pulse at the Right Guan position indicates Wind in the Stomach. Summer Wind in the Stomach syndrome, caused by food injury combined with wind invasion, falls into this category.
Main Formula: Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Chen Pi (Citri Reticulatae Pericarpium) 1.5 qian, Ban Xia (Pinelliae Rhizoma) 1.5 qian, Bai Fu Ling (Poria) 1.5 qian, Hou Po (Magnoliae Officinalis Cortex) 1.5 qian, Shan Zha (Crataegi Fructus) 1.5 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Mu Xiang (Aucklandiae Radix) 1 qian (prepared by grinding), Sha Ren (Amomi Fructus) 1 qian (prepared by crushing), Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian.
Add fresh ginger and Chinese dates, decoct in water. Mix in powder of Chen Xiang and Sha Ren before taking. Adjust according to specific symptoms.
Those who consume rich and refined foods, fatty and sweet substances, and strong wines all assist in generating fire and producing phlegm. Phlegm generates heat, and extreme heat generates wind. Wind and fire both belong to Yang and share an upward-moving nature. This results in dizziness and vertigo of the head and eyes. With abundant phlegm and deficient Qi, there is numbness and weakness in the finger joints of the hands and feet, a sensation of insects crawling on the face, traction and twitching of the mouth and eyes, muscle tremors, insensitivity in the arms, buttocks, and thighs, disordered speech, chest oppression, mental confusion, thirst, constipation, and scanty dark urine. These are all precursors or ladders to stroke (Zhong Feng) and must be prevented early. The pulse is often wiry and slippery, or deficient, soft, and weak. If the Left pulse is insufficient, take Si Wu Tang (Four Substances Decoction) (see Gynecology); if the Right pulse is insufficient, take Si Jun Zi Tang (Four Gentlemen Decoction) (see Deficiency Damage); if phlegm is obstructing, take Dao Tan Tang (Phlegm-Resolving Decoction) (see Phlegm Section); if fire is excessive, take Fang Feng Tong Sheng San, followed by Yu Feng Tang and Sou Feng Shun Qi Wan (see previous sections).
Main Formula: Tian Ma (Gastrodiae Rhizoma) 2 qian, Jing Jie (Schizonepetae Spica) 2 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Dan Xing (Arisaematis Cum Bile) 0.5 qian, Prepared Ban Xia (Pinelliae Rhizoma Preparatum) 0.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Use two zhong of water, two slices of fresh ginger, and two black dates. Decoct until eight fen remains. Add half a cup of Bamboo Sap (Zhu Li) and five spoons of Ginger Juice (Jiang Zhi). Take after meals.
Adjust this formula and process into powder. Use Bamboo Sap (9 parts) and Ginger Juice (1 part) as binders to form pills the size of mung beans. Take 2 qian per dose after meals, two to three times daily. Avoid fresh pork and similar foods.