大秦艽汤治血虚中风。及一切血虚风症。
川芎 川归 白芍药 羌活 独活 防风 黄芩 白术 白茯苓(各一钱) 细辛(五分) 白
芷生地黄 熟地黄(各八分) 秦艽 天麻(各一钱五分)
上作一服。姜三片。煎温服。如天阴雨。加姜七片。春夏加知母。(一钱)。
羌活愈风汤治中风。内外邪已除。宜服此药。以行导诸经。久服大风悉去。初觉风动。服此
不致倒仆。
羌活 甘草 蔓荆子 川芎 防风 细辛 枳壳 人参 麻黄 枸杞 甘菊花 薄荷 黄
前胡 地骨皮 黄芩 独活 川归 知母 浓朴 柴胡 半夏 杜仲 白芷 熟地 防己(
各一钱) 白茯苓 秦艽 白芍(各一钱五分) 石膏 生地黄 苍术(各二钱) 桂心(五分)
上作一服。水二钟。姜五片。煎空心服。吞下二丹丸。为之重剂。临卧时。服渣。吞下四白
丹。为之轻剂。动以安神。静以清肺。
假令一气之微汗。用愈风汤三两。麻黄一两。作四服。一服后。以粥投之。得微汗则佳。如一旬之通利。
用愈风汤三两。大黄一两。亦分四服。临卧时一服。得微利为妙。常服之药。不可失四时之
转运。如春初。大寒之后。加半夏(一钱)、木通(二钱)、柴胡、人参(各一钱)、此迎而夺少
阳之气也。夏加石膏、黄芩、知母(各一钱)此迎而夺阳明之气也。季夏。加防己、白术
(各一钱)、茯苓(一钱五分)以胜脾土之湿也。秋。加浓朴(一钱)、藿香(五分)、
桂(三分)此迎而夺太阴之气也。冬。加附子(五分)、桂(三分)、当归(一钱)以
胜少阴之气也。此四时加减之法也。
三化汤治中风。外有六经之形症。先以续命汤随症治之。内有便溺之阻隔。后以此汤导之。
浓朴(姜制) 大黄 枳实 羌活(各等分)
上每服一两。姜三片。煎服。
桃仁承气汤治血症。小腹急。胸胁胀痛。宜此下之。
桃仁(二十枚) 桂枝(一钱) 芍药(一钱五分) 甘草(五分) 大黄(三钱) 芒硝(七分)
上作一服。姜煎。先煎药熟。后入芒硝溶化服。
乌药顺气散治中中风。顺气疏风。
麻黄 陈皮 乌药(各一钱) 僵蚕 川芎 枳壳 甘草(炙) 白芷 桔梗(各八分) 干姜(
五分)
上用姜枣水一钟半。煎八分。食远温服。
瓜蒂散治中风。痰涎塞盛。以此吐之。
瓜蒂 赤小豆(各等分)
上各研为细末。合和再研匀。每服一钱。以香豉一合。水一钟。煎七分。调下。取吐为度。
苏合香丸治中风。顺气。化痰。并治传尸瘵疾。鬼疰瘴疟。泻痢赤白。小儿惊风等症。
沉香 丁香 诃梨勒(煨用皮) 麝香 青木香 安息香(另为末用无灰酒一升熬膏) 香附
子(炒) 荜茇 白术 白檀香(各二两) 薰陆香(另研) 苏合香油(和入安息香膏内) 龙脑
(另研各一两) 朱砂(另研飞过) 乌犀角(镑各一两)
上药和匀。用安息香膏。并炼蜜和丸。如芡实大。蜡包。每服大人一丸。小儿半丸。
随症调引下。
朱砂安神丸治心风失志。健忘。言语错乱。
朱砂(七钱另研) 黄连(胆汁炒一两) 当归(一两) 甘草(三钱)
上用淮生地黄二两。熬膏
。入少蜜为丸。金箔为衣。丸如绿豆大。每服三十丸。莲子汤下。
牛黄清心丸治风热惊风。
南星(制) 半夏曲(各一两) 甘草(五钱) 牛黄(一两另研) 辰砂(七钱另研) 雄黄(五钱
另研) 麝香(三钱另研) 人参(一两五钱) 白术(一两五钱) 白茯苓(一两五钱) 山药(四
两) 黄连(胆汁炒一两五钱) 当归 川芎 麦冬 防风 白芍药(各一两) 黄芩 柴胡 杏
仁桔梗(各八钱) 犀角末(七钱) 大枣(五十个) 干姜(五钱) 肉桂(五钱) 金银箔(各
五帖) 龙脑(一钱) 珍珠(五钱另研) 琥珀(五钱另研) 羚羊角末(七钱)
上药除另研外。余共为细末。薄荷二两。麻黄三两。熬膏。入炼蜜为丸。如芡实大。朱砂
金箔为根据。每服大人一丸。小儿半丸。随症调引下。
大秦艽汤用于治疗血虚导致的中风,以及一切因血虚引起的风证。
川芎、当归、白芍药、羌活、独活、防风、黄芩、白术、白茯苓(各一钱)、细辛(五分)、白芷、生地黄、熟地黄(各八分)、秦艽、天麻(各一钱五分)。
以上药材作为一剂服用,加生姜三片,煎煮后温服。如果遇到阴雨天气,增加生姜七片;春夏季节加入知母(一钱)。
羌活愈风汤用于治疗中风,当内外邪气已经清除时,适宜服用此药,以疏通引导十二经脉。长期服用可使大风之邪完全去除。初觉有风动之兆时,服用此药可防止突然跌倒仆倒。
羌活、甘草、蔓荆子、川芎、防风、细辛、枳壳、人参、麻黄、枸杞、甘菊花、薄荷、前胡、地骨皮、黄芩、独活、当归、知母、厚朴、柴胡、半夏、杜仲、白芷、熟地黄、防己(各一钱)、白茯苓、秦艽、白芍(各一钱五分)、石膏、生地黄、苍术(各二钱)、桂心(五分)。
以上药材作为一剂服用,加水两钟,生姜五片,空腹时煎服。同时吞服二丹丸,这属于重剂。临睡前服用药渣,并吞服四白丹,这属于轻剂。动则安神,静则清肺。
假如需要微微发汗,使用愈风汤三两,麻黄一两,分为四剂服用。服用一剂后,用米粥送服,得到微微出汗效果最佳。假如需要通利大便,使用愈风汤三两,大黄一两,也分为四剂服用,临睡前服用一剂,得到轻微腹泻为妙。常服的药物,不可违背四季的气运变化。如春季初期,大寒之后,加入半夏(一钱)、木通(二钱)、柴胡、人参(各一钱),这是为了迎而夺少阳之气。夏季加入石膏、黄芩、知母(各一钱),这是为了迎而夺阳明之气。夏末秋初,加入防己、白术(各一钱)、茯苓(一钱五分),以胜脾土之湿。秋季加入厚朴(一钱)、藿香(五分)、桂枝(三分),这是为了迎而夺太阴之气。冬季加入附子(五分)、桂枝(三分)、当归(一钱),以胜少阴之气。这就是四季加减的方法。
三化汤用于治疗中风,如果外部有六经的症状表现,先用续命汤根据症状治疗;内部有大便小便阻隔不通的情况,后用此汤疏导。
厚朴(姜制)、大黄、枳实、羌活(各等分)。
每次服用一两,加生姜三片,煎服。
桃仁承气汤用于治疗血症,表现为小腹拘急,胸胁胀痛,适宜用此方攻下。
桃仁(二十枚)、桂枝(一钱)、芍药(一钱五分)、甘草(五分)、大黄(三钱)、芒硝(七分)。
以上药材作为一剂服用,加生姜煎煮。先煎煮其他药物至熟,然后加入芒硝使其溶化后服用。
乌药顺气散用于治疗中风,具有顺气疏风的作用。
麻黄、陈皮、乌药(各一钱)、僵蚕、川芎、枳壳、炙甘草、白芷、桔梗(各八分)、干姜(五分)。
以上药材用生姜和大枣的水一钟半,煎至八分,饭后稍远时间温服。
瓜蒂散用于治疗中风,痰涎壅盛,以此方催吐。
瓜蒂、赤小豆(各等分)。
以上药材分别研为细末,混合均匀再研磨。每次服用一钱,用香豉一合,水一钟,煎至七分,调匀服用,以吐出为度。
苏合香丸用于治疗中风,顺气化痰,并治疗传尸瘵疾(肺结核等慢性消耗性疾病)、鬼疰瘴疟(恶性疟疾等)、泻痢赤白(痢疾)、小儿惊风等症状。
沉香、丁香、诃梨勒(煨后只用皮)、麝香、青木香、安息香(另研为末,用无灰酒一升熬成膏)、香附子(炒)、荜茇、白术、白檀香(各二两)、薰陆香(另研)、苏合香油(混入安息香膏内)、龙脑(另研,各一两)、朱砂(另研飞过)、乌犀角(镑片,各一两)。
以上药材混合均匀,用安息香膏和炼蜜制成丸药,大小如芡实,用蜡包裹。每次成人服用一丸,小儿服用半丸,根据症状配合引经药送服。
朱砂安神丸用于治疗心风失志、健忘、言语错乱。
朱砂(七钱,另研)、黄连(胆汁炒一两)、当归(一两)、甘草(三钱)。
以上药材用淮地黄二两,熬成膏,加入少量蜂蜜制成丸药,用金箔包衣,丸药大小如绿豆。每次服用三十丸,用莲子汤送服。
牛黄清心丸用于治疗风热惊风。
南星(制)、半夏曲(各一两)、甘草(五钱)、牛黄(一两,另研)、辰砂(七钱,另研)、雄黄(五钱,另研)、麝香(三钱,另研)、人参(一两五钱)、白术(一两五钱)、白茯苓(一两五钱)、山药(四两)、黄连(胆汁炒一两五钱)、当归、川芎、麦冬、防风、白芍药(各一两)、黄芩、柴胡、杏仁、桔梗(各八钱)、犀角末(七钱)、大枣(五十个)、干姜(五钱)、肉桂(五钱)、金银箔(各五帖)、龙脑(一钱)、珍珠(五钱,另研)、琥珀(五钱,另研)、羚羊角末(七钱)。
以上药材除另研的以外,其余共研为细末。用薄荷二两、麻黄三两熬成膏,加入炼蜜制成丸药,大小如芡实,用朱砂和金箔包衣。每次成人服用一丸,小儿服用半丸,根据症状配合引经药送服。
Da Qin Jiao Tang (Great Qingjiao Decoction) is indicated for wind-stroke caused by blood deficiency, as well as all wind-patterns resulting from blood deficiency.
Chuanxiong Rhizome (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Alba Radix (Baishao), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Saposhnikoviae Radix (Fangfeng), Scutellariae Radix (Huangqin), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Baifuling) (each 1 qian); Asari Radix (Xixin) (0.5 qian); Angelicae Dahuricae Radix (Baizhi), Rehmanniae Radix Recens (Shengdihuang), Rehmanniae Radix Praeparata (Shudihuang) (each 0.8 qian); Gentianae Macrophyllae Radix (Qinjiao), Gastrodiae Rhizoma (Tianma) (each 1.5 qian).
Combine the above ingredients as one dose. Add three slices of Zingiberis Rhizoma Recens (Fresh Ginger), decoct with water, and take warm. On cloudy or rainy days, add seven slices of ginger. In spring and summer, add Anemarrhenae Rhizoma (Zhimu) (1 qian).
Qianghuo Yufeng Tang (Notopterygium Wind-Relieving Decoction) is indicated for wind-stroke when external and internal pathogenic factors have been eliminated. It is suitable for taking this medicine to unblock and guide the meridians. Long-term use can eliminate severe wind pathogens completely. When initial signs of wind movement are perceived, taking this medicine prevents sudden collapse.
Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Viticis Fructus (Manjingzi), Chuanxiong Rhizome (Chuanxiong), Saposhnikoviae Radix (Fangfeng), Asari Radix (Xixin), Aurantii Fructus Immaturus (Zhike), Ginseng Radix et Rhizoma (Renshen), Ephedrae Herba (Mahuang), Lycii Fructus (Gouqi), Chrysanthemi Flos (Juhua), Menthae Haplocalycis Herba (Bohe), Peucedani Radix (Qianhu), Cortex Lycii (Digupi), Scutellariae Radix (Huangqin), Angelicae Pubescentis Radix (Duhuo), Angelicae Sinensis Radix (Danggui), Anemarrhenae Rhizoma (Zhimu), Magnoliae Officinalis Cortex (Houpo), Bupleuri Radix (Chaihu), Pinelliae Rhizoma (Banxia), Eucommiae Cortex (Duzhong), Angelicae Dahuricae Radix (Baizhi), Rehmanniae Radix Praeparata (Shudi), Podocarpii Fructus (Fangji) (each 1 qian); Poria (Baifuling), Gentianae Macrophyllae Radix (Qinjiao), Paeoniae Radix Rubra (Baishao) (each 1.5 qian); Gypsum Fibrosum (Shigao), Rehmanniae Radix Recens (Shengdihuang), Atractylodis Rhizoma (Cangzhu) (each 2 qian); Cinnamomi Cortex (Guixin) (0.5 qian).
Combine the above ingredients as one dose. Add two zhong of water and five slices of Zingiberis Rhizoma Recens (Fresh Ginger). Decoct and take on an empty stomach. Swallow Er Dan Wan (Two Cinnabar Pills) concurrently; this is considered a heavy dose. At bedtime, decoct the dregs and take them, swallowing Sibai Dan (Four White Pills); this is considered a light dose. Movement calms the spirit, stillness clears the lungs.
If slight sweating is desired, use 3 liang of Yufeng Tang and 1 liang of Ephedrae Herba (Mahuang), divided into four doses. After one dose, administer congee. Slight sweating is desirable. If bowel unblocking is desired, use 3 liang of Yufeng Tang and 1 liang of Rhei Radix et Rhizoma (Dahuang), also divided into four doses. Take one dose at bedtime. Slight diarrhea is ideal. For chronic administration, one must not disregard the seasonal qi transitions. In early spring, after severe cold, add Pinelliae Rhizoma (Banxia) (1 qian), Akebiae Caulis (Mutong), Bupleuri Radix (Chaihu), and Ginseng Radix et Rhizoma (Renshen) (each 1 qian); this is to intercept and drain Shaoyang Qi. In summer, add Gypsum Fibrosum (Shigao), Scutellariae Radix (Huangqin), and Anemarrhenae Rhizoma (Zhimu) (each 1 qian); this is to intercept and drain Yangming Qi. In late summer, add Podocarpii Fructus (Fangji) and Atractylodis Macrocephalae Rhizoma (Baizhu) (each 1 qian), and Poria (Baifuling) (1.5 qian) to overcome dampness in the Spleen Earth. In autumn, add Magnoliae Officinalis Cortex (Houpo) (1 qian), Agastaches Herba (Huoxiang), and Cinnamomi Ramulus (Guizhi) (0.3 qian); this is to intercept and drain Taiyin Qi. In winter, add Aconiti Lateralis Radix Praeparata (Fuzi) (0.5 qian), Cinnamomi Ramulus (Guizhi) (0.3 qian), and Angelicae Sinensis Radix (Danggui) (1 qian) to overcome Shaoyin Qi. These are the methods for seasonal modifications.
San Hua Tang (Three Transformations Decoction) is indicated for wind-stroke. If there are exterior symptoms corresponding to the Six Meridians, first treat with Xuming Tang according to the symptoms. If there is interior obstruction of defecation and urination, subsequently use this decoction to guide and resolve it.
Magnoliae Officinalis Cortex (Houpo, processed with ginger), Rhei Radix et Rhizoma (Dahuang), Aurantii Fructus Immaturus (Zhishi), Notopterygii Rhizoma et Radix (Qianghuo) (equal parts).
Take 1 liang per dose each time. Add three slices of Zingiberis Rhizoma Recens (Fresh Ginger), decoct, and take.
Taoren Chengqi Tang (Peach Kernel Descending Qi Decoction) is indicated for blood patterns, presenting with urgency in the lower abdomen and distending pain in the chest and hypochondrium. This formula should be used to purge.
Persicae Semen (Taoren) (20 seeds), Cinnamomi Ramulus (Guizhi) (1 qian), Paeoniae Radix (Shaoyao) (1.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 qian), Rhei Radix et Rhizoma (Dahuang) (3 qian), Natrii Sulfas (Mangxiao) (0.7 qian).
Combine the above ingredients as one dose. Decoct with Zingiberis Rhizoma Recens (Fresh Ginger). First decoct the other herbs until cooked, then add Natrii Sulfas (Mangxiao) to dissolve before taking.
Wuyao Shunqi San (Aucklandia Regulating Qi Powder) is indicated for wind-stroke, functioning to regulate qi and disperse wind.
Ephedrae Herba (Mahuang), Citri Reticulatae Pericarpium (Chenpi), Aucklandiae Radix (Wuyao) (each 1 qian); Bombyx Batryticatus (Jiangcan), Chuanxiong Rhizome (Chuanxiong), Aurantii Frystus Immaturus (Zhike), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Angelicae Dahuricae Radix (Baizhi), Platycodonis Radix (Jiegeng) (each 0.8 qian); Zingiberis Rhizoma (Ganjiang) (0.5 qian).
Decoct the above ingredients with water containing Zingiberis Rhizoma Recens (Fresh Ginger) and Ziziphi Jujubae Fructus (Jujube) (1.5 zhong), reduce to 0.8 zhong, and take warm after meals.
Gua Di San (Melon Tip Powder) is indicated for wind-stroke with excessive phlegm-saliva accumulation, used to induce vomiting.
Cucumeris Fructus (Gua Di), Phaseoli Vulgaris Semens Rubrum (Chixiaodou) (equal parts).
Grind each ingredient into fine powder separately, mix thoroughly, and grind again uniformly. Take 1 qian per dose. Decoct Viciae Arvensis Semen Fermentatum (Xiangchi) (1 he) with one zhong of water to 0.7 zhong, mix with the powder, and take. Induce vomiting as the limit.
Suhe Xiang Wan (Styrax Pill) is indicated for wind-stroke, regulating qi, resolving phlegm, and also treating chuan shi zhai ji (consumptive disease such as tuberculosis), gui zhu zhang nue (ghostly malarial fevers), dysentery with red and white discharge, and pediatric convulsions.
Aquilariae Lignum Resinatum (Chenxiang), Syzygdii Flos (Dingxiang), Terminalia Chebulae Fructus (Helile, roasted, peel only), Moschus (Shexiang), Aquilariae Lignum (Qingmuxiang), Styrax (Anshixiang, prepared separately as powder, boiled with 1 sheng of pure wine into paste), Cyperi Rhizoma (Xiangfu, stir-fried), Piperis Kadsurae Fructus (Bibo), Atractylodis Macrocephalae Rhizoma (Baizhu), Santali Albi Lignum (Bantanxiang) (each 2 liang); Frankincense (Xunluxiang, ground separately); Styrax Liquidum (Suhe Xiang You, mixed into Anshixiang paste); Borneolum Syntheticum (Longnao, ground separately, each 1 liang); Cinnabaris (Zhusha, ground separately and washed), Rhinocerotis Cornu (Wuxijiao, shaved, each 1 liang).
Mix the above herbs uniformly. Use the Anshixiang paste and refined honey to form pills, size similar to Euphorbiae Seed (Qianshi), wrapped in wax. Adults take one pill, children take half a pill. Administer according to symptoms with appropriate guiding agents.
Zhusha Anshen Wan (Cinnabar Calming Spirit Pill) is indicated for heart wind causing loss of willpower, forgetfulness, and confused speech.
Cinnabaris (Zhusha) (7 qian, ground separately), Coptidis Rhizoma (Huanglian, fried with bile, 1 liang), Angelicae Sinensis Radix (Danggui) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (3 qian).
Decoct Huai Sheng Dihuang (Rehmanniae Radix Recens from Huai region, 2 liang) into a paste. Add a little honey to form pills. Coat with Gold Folium (Jinbo). Pills should be size of Mung Bean (Lvdou). Take 30 pills per dose with Nelumbinis Plumula (Lianzi) soup.
Niuhuang Qingxin Wan (Calves' Gallbladder Clearing Heart Pill) is indicated for wind-heat pediatric convulsions.
Arisaematis Cum Bile (Nanxing, processed), Pinelliae Fermentatum (Banxia Qu) (each 1 liang); Glycyrrhizae Radix et Rhizoma (Gancao) (5 qian); Calves' Gallbladder (Niuhuang) (1 liang, ground separately); Cinnabaris (Chensha) (7 qian, ground separately); Realgar (Xionghuang) (5 qian, ground separately); Moschus (Shexiang) (3 qian, ground separately); Ginseng Radix et Rhizoma (Renshen) (1.5 liang); Atractylodis Macrocephalae Rhizoma (Baizhu) (1.5 liang); Poria (Baifuling) (1.5 liang); Dioscoreae Rhizoma (Shanyao) (4 liang); Coptidis Rhizoma (Huanglian, fried with bile, 1.5 liang); Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizome (Chuanxiong), Ophiopogonis Tuber (Maidong), Saposhnikoviae Radix (Fangfeng), Paeoniae Alba Radix (Baishaoyao) (each 1 liang); Scutellariae Radix (Huangqin), Bupleuri Radix (Chaihu), Armeniacae Semen Amarum (Xingren), Platycodonis Radix (Jiegeng) (each 0.8 qian); Rhinocerotis Cornu Pulvis (Xijiao Mo) (7 qian); Ziziphi Jujubae Fructus (Dazao) (50 fruits); Zingiberis Rhizoma (Ganjiang) (5 qian); Cinnamomi Cortex Rougui (Rougui) (5 qian); Aurum et Argentum Folium (Jinyinbo) (5 sheets each); Borneolum Syntheticum (Longnao) (1 qian); Margarita (Zhenzhu, ground separately, 5 qian); Succinum (Hupo, ground separately, 5 qian); Saiga Tataricae Cornu Pulvis (Lingyangjiao Mo) (7 qian).
Except for those ground separately, grind the remaining herbs into fine powder. Decoct Bohe Herba (Mint, 2 liang) and Ephedrae Herba (Mahuang, 3 liang) into a paste. Mix with refined honey to form pills, size similar to Euphorbiae Seed (Qianshi). Coat with Cinnabaris (Zhusha) and Gold Folium (Jinbo). Adults take one pill, children take half a pill. Administer according to symptoms with appropriate guiding agents.