令人不得虑虚。凡以风邪不得汗,则不能泄也,然此治中风无汗者为宜。若治自汗者更
用麻黄,则津液转使脱泄,反为大害。中风自汗,仲景虽处以桂枝汤,至于不住发搐,口
眼动,遍身汗出者,岂胜对治。当此之时,
独活汤、续命煮散,复荣卫,却风邪,不可阙也。
〔薛〕前证若腠理不固而自汗者,用桂枝汤或防风白术牡蛎汤。若过服风药而自汗
者,用白术防风汤。若阳气虚弱而自汗者,用 附汤。若兼盗汗,用补中益气汤送六味丸。
如不应,用当归六黄汤。
独活汤 治风虚昏愦,不自知觉,手足螈 ,坐卧不能,或发寒热,血虚不能服发
汗药,及中风自汗,尤宜服之。
川独活 羌活 人参 防风 当归(五味各去芦) 细辛(去苗) 茯神(去木)
半夏(汤洗七次,切片子) 桂心 白薇 远志(去心) 菖蒲 川芎(各半两)
甘草(七钱半,炙)
上 咀,每服八钱,水一盏半,姜五片,煎七分,去滓温服,不拘时候。
续命煮散 治风气留滞,心中昏愦,四肢无力,口眼 动,有时搐搦,亡失津液,渴
欲引饮。此能扶荣卫,去虚风,中风自汗及产后中风自汗,尤宜服之。
防风 独活 当归 人参 细辛 葛根 芍药 川芎 甘草 熟地黄 半夏 远志
(去心) 荆芥穗(各半两) 桂心(七钱半)
上 咀,每服五钱,水一盏,生姜三大片,煎至七分,去滓温服,不拘时。汗多不
止者,加牡蛎粉一分半。
补遗防风白术牡蛎散 治中风自汗不止。
白术 牡蛎( ) 防风(各等分)
为末,酒调下,米饮亦可,日三服,汗即止。如不止,可服黄 建中汤。
〔贼风偏枯〕
药隐老人云∶偏枯者,其状半身不随,肌肉枯瘦,骨间疼痛,神智如常,名曰偏枯也。
原其疾之由,皆因阴阳偏亏,脏腑怯弱,经络空虚,血气不足,当风冲坐,风邪乘虚而
入。《内经》云∶汗出偏沮,使人偏枯。详其义理,如树木或有一边津液不荫注而先枯槁,
然后被风所害。人之身体,或有一边血气不能荣养而先枯槁,然后被风所苦,其理显然。
王子亨云∶舟行于水,人处于风,水能泛舟而亦能覆舟,风能养体而亦能害体。盖谓船
漏水入,体漏风伤。古人有云∶医风先医血,血行风自灭是也,治之先宜养血,然后驱风,
无不愈者。宜用大八风汤、增损茵芋酒、续断汤。
〔大〕贼风偏枯者,是体偏虚受风,风客于半身也。人有劳伤血气,半身偏虚者,风
乘虚入客于半体,名为偏风也。其风邪入深,真气去,邪气留,发为偏枯,此由血气衰损,
为风所客,令血气不相周荣于肌,故令偏枯也。
〔薛〕医风先医血,此论得之。大抵此证多因胎前产后,失于调养,以致精血干涸,
肝木枯槁,治法当滋其化源。考之《生气通天论》曰∶风客淫气,精乃亡,邪伤肝也。
《阴阳应象大论》曰∶风气通于肝,风搏则热盛,热盛则水干,水干则气不荣,故精乃亡。
此风病之所由作也。一妇人性善怒,常自汗,月经先期。余以为肝火血热,不信,乃
泛用降火之剂,反致月经过期;复因劳怒,口噤呻吟,肢体不遂,六脉洪大,面目赤色。用
八珍、麦门、五味子、山栀、丹皮,数剂渐愈。兼用逍遥散、六味丸各三十余剂全愈。
大八风汤 治中风偏枯、失音,半身不随,时复恍惚。
当归(去芦) 杏仁(麸炒) 甘草(炙) 桂心 干姜(炮,各二两) 五味子
升麻(各半两) 川乌头(炮,去皮脐) 黄芩 芍药 独活 防风(各去芦) 川芎
麻黄(去节) 秦艽 人参(各去芦) 石斛(去根切,酒浸炒) 茯神(去木) 石膏
黄(去芦) 紫菀(各一两) 大豆(三两,去皮炒)
上为 咀,每服五钱,水两盏,酒一合,煎至一盏,去滓温服。恍惚者,不用酒煎。
一方无茯神,有远志、赤茯苓。
增损茵芋酒 治半身不遂,肌肉干燥,渐
渐细瘦,或时 痛,病名偏枯。
茵芋叶 川乌头(炮,去皮尖) 石楠叶 防风 川椒(炒出汗) 女萎 附子(炮)
北细辛 独活 卷柏 肉桂 天雄(炮,去皮) 秦艽 防己(各一两) 踯躅花(炒) 当归
生干地黄(各二两) 芍药(一两)
上 咀,酒二斗渍之,冬七日、夏三日、春秋各五日,初服一合,渐增之,以知为度,
令酒气相续。
续断汤 治偏枯少血。
当归(三两,去芦) 陈皮(去白) 芍药 细辛(各一两,去苗) 生干地黄(二两)
上 咀,每服五钱,水二盏,煎至八分,去滓温服。脏寒多利者,入熟附子一两,和
前药服之。
补遗全生虎骨散 治半身不遂,肌肉干瘦。忌用麻黄发汗,恐津液枯竭,惟当润筋
养血消风。
当归(二两) 赤芍药 续断(酒浸,炒) 白术 本 虎骨(炙,各五两)
乌蛇肉(炙,半两)
上为末,每服二钱,酒调下。骨痛加生地一两,自利加天雄半两。
虎胫骨酒 治中风偏枯,四肢不随,一切风痹,筋脉挛拳。
石斛 石楠叶 防风 虎胫骨(炙) 当归 茵芋叶 杜仲(酒炒) 牛膝(酒浸,炒)
续断(酒浸,炒) 芎 巴戟(去心) 狗脊(去毛,各一两)
上以绢囊盛药,用酒一斗渍十日,每服一盏,温饮。
〔偏风口 〕
夫妇人偏风口 者,是体虚受风,风入于夹口之筋也。足阳明之筋,上夹于口,其
筋偏虚,风因虚而乘之,使其筋偏急不调,故令口 僻也。
〔薛〕一妇人怀抱郁结,筋挛骨痛,喉间似有一核,服乌药顺气等药,口眼歪斜,臂
难伸举,痰涎愈多,内热晡热,食少体倦。余以为郁火伤脾,血燥生风,用加味归脾汤二
十剂,形体渐健,饮食渐进。又用加味逍遥散十余剂,痰热少退,喉核少消。更用升阳
益胃汤数剂,诸证渐愈。但臂不能伸,此肝经血少而筋挛耳,用六味地黄丸以滋肾水,生
肝血而愈。
防风汤 治卒然口 斜,言语牵急。
防风(去芦,一两) 羌活(去芦,半两) 甘草(二钱半,炙)
上为 咀,每服五钱,水二盏,煎至一盏,去滓,入麝香研一字,温服。
深师续命汤 疗中风口僻噤诸疾,卒死不知人。补虚起死神方。
人参 防己 麻黄(去根节) 芍药 川芎 甘草 黄芩 白术(各半两)
桂心 附子(炮) 防风(各一两) 生姜(五两)
上切,以水一斗二升,煮取三升,分为三服,不瘥更作。忌海藻、菘菜、桃、李、葱、
生菜、雀肉、猪肉。
防风散 治妇人中风,言语謇涩,肢节疼痛,皮肤不仁。
防风 羌活(各去芦) 当归(去芦,炒) 天南星(炮) 天麻 桂心 芎 乌蛇肉(酒浸)
白僵蚕(炒) 桑螵蛸(炒,各半两) 麝香(研) 朱砂(细研化、飞,各二钱半) 麻黄(七
钱半,去根节)
为细末,入研药令匀,每服一钱,温酒调下,不拘时。
《千金方》
炒大豆三升令焦,以酒三升,淋取汁,顿服。
治口眼 斜
用蓖麻子七粒,去皮研细作饼子,安在手心,(右 安左手,左 安右手。)却用铜盂盛汤,
坐于药上,才正即洗去。(一用巴豆,不用蓖麻。出《本草》。)
不要让人顾虑是否属于虚证。凡是因风邪侵袭导致无汗的,是因为腠理闭塞,邪气无法通过汗液排出,这种情况适合用发汗法治疗。但如果治疗自汗的患者却再用麻黄,就会导致津液进一步耗散流失,反而造成严重的危害。对于中风伴有自汗的情况,虽然张仲景使用桂枝汤治疗,但对于那些抽搐不止、口眼歪动、全身出汗的人,难道能靠逐一对症处理来治愈吗?在这种情况下,独活汤和续命煮散能够恢复营卫之气,驱除风邪,是不可缺少的方剂。
〔薛己〕上述病症如果是因为腠理不固而自汗的,使用桂枝汤或防风白术牡蛎汤。如果是过度服用祛风药而导致自汗的,使用白术防风汤。如果是阳气虚弱而自汗的,使用附子汤(原文漏字,据方名补)。如果兼有盗汗,使用补中益气汤送服六味丸。如果无效,使用当归六黄汤。
独活汤 治疗风虚引起的头昏神志不清,不知觉自身状况,手足抽搐,坐卧不安,或者出现寒热症状,以及血虚不能耐受发汗药,还有中风自汗者,尤其适宜服用此方。
川独活、羌活、人参、防风、当归(五味药材各去掉芦头)、细辛(去掉苗)、茯神(去掉木心)、半夏(用汤洗七次,切片)、桂心、白薇、远志(去掉心)、菖蒲、川芎(各半两)
甘草(七钱半,蜜炙)
以上药材切碎,每次服用八钱,加水一盏半,生姜五片,煎至七分,去渣温服,不限时间。
续命煮散 治疗风气留滞体内,心中昏沉混乱,四肢无力,口眼歪动,有时抽搐,津液亡失,口渴想喝水。此方能扶助营卫,去除虚风,对于中风自汗及产后中风自汗者,尤其适宜服用。
防风、独活、当归、人参、细辛、葛根、芍药、川芎、甘草、熟地黄、半夏、远志(去掉心)、荆芥穗(各半两)
桂心(七钱半)
以上药材切碎,每次服用五钱,加水一盏,生姜三大片,煎至七分,去渣温服,不限时间。如果汗多不止,加入一分半牡蛎粉。
补遗防风白术牡蛎散 治疗中风自汗不止。
白术、牡蛎(煅)、防风(各等分)
研为细末,用酒调服,米汤也可以,每日三次,汗即停止。如果仍不止,可服用黄芪建中汤。
〔贼风偏枯〕
药隐老人说:偏枯的症状是半身不能随意运动,肌肉枯瘦,骨间疼痛,神智清醒正常,这叫做偏枯。推究这种疾病的成因,都是因为阴阳偏颇亏损,脏腑怯弱,经络空虚,血气不足,坐在风口处受风吹,风邪乘虚而入。《内经》说:汗出偏沮(身体一侧出汗),使人发生偏枯。详细分析其义理,就像树木有一边的津液不能滋润灌注而先干枯,然后被风所害。人的身体,如果有一边的血气不能荣养而先干枯,然后被风邪所苦,道理是很明显的。
王子亨说:船行于水,人处于风中,水能浮起船也能翻覆船,风能滋养身体也能伤害身体。大概是指船漏水入内,人体漏风受伤。古人有句话说:治风先治血,血行风自灭,这是对的。治疗时先宜养血,然后驱风,没有不痊愈的。适宜使用大八风汤、增损茵芋酒、续断汤。
〔大论〕贼风偏枯,是身体偏侧虚弱受风,风邪客居在半身。人有劳伤血气的情况,半身偏虚的,风邪乘虚侵入客居于半体,名叫偏风。如果风邪深入,真气离去,邪气停留,发作成为偏枯,这是由于血气衰损,被风邪客居,使得血气不能在肌肤中相互周流荣养,所以导致偏枯。
〔薛己〕“治风先治血”,这个论点是对的。大体上此证多因为胎前产后,失于调养,导致精血干涸,肝木枯槁,治法应当滋生化之源。考证《生气通天论》说:风邪客居淫乱正气,精气乃亡,邪气伤肝。《阴阳应象大论》说:风气通于肝,风搏结则热盛,热盛则肾水干,肾水干则气不能荣养,所以精气乃亡。这就是风病产生的原因。有一位妇人性格易怒,经常自汗,月经提前。我认为她是肝火血热,她不信,于是泛用降火药物,反而导致月经延期;后来又因劳累愤怒,牙关紧闭呻吟,肢体不能随意运动,六脉洪大,面目赤色。我用八珍汤、麦门冬、五味子、山栀、丹皮,数剂后逐渐好转。又配合使用逍遥散、六味丸各三十余剂,完全痊愈。
大八风汤 治疗中风偏枯、失音,半身不随,时常恍惚。
当归(去掉芦头)、杏仁(麸炒)、甘草(蜜炙)、桂心、干姜(炮制,各二两)、五味子、升麻(各半两)、川乌头(炮制,去皮脐)、黄芩、芍药、独活、防风(各去掉芦头)、川芎、麻黄(去掉节)、秦艽、人参(各去掉芦头)、石斛(去掉根切段,酒浸炒)、茯神(去掉木心)、石膏、黄芪(去掉芦头)、紫菀(各一两)、大豆(三两,去皮炒)
以上药材切碎,每次服用五钱,加水两盏,酒一合,煎至一盏,去渣温服。恍惚严重者,不用酒煎。
另一版本没有茯神,有远志、赤茯苓。
增损茵芋酒 治疗半身不遂,肌肉干燥,渐渐细瘦,或者时而疼痛,病名叫偏枯。
茵芋叶、川乌头(炮制,去皮尖)、石楠叶、防风、川椒(炒出汗)、女萎、附子(炮制)、北细辛、独活、卷柏、肉桂、天雄(炮制,去皮)、秦艽、防己(各一两)、踯躅花(炒)、当归、生干地黄(各二两)、芍药(一两)
以上药材切碎,用酒二斗浸泡,冬天七日、夏天三日、春秋各五日,初服一合,逐渐增加,以见效为度,让酒气连续不断。
续断汤 治疗偏枯少血。
当归(三两,去掉芦头)、陈皮(去掉白)、芍药、细辛(各一两,去掉苗)、生干地黄(二两)
以上药材切碎,每次服用五钱,加水二盏,煎至八分,去渣温服。脏寒多腹泻者,加入熟附子一两,与前药同服。
补遗全生虎骨散 治疗半身不遂,肌肉干瘦。忌用麻黄发汗,恐怕津液枯竭,只应当润筋养血消风。
当归(二两)、赤芍药、续断(酒浸,炒)、白术、藁本、虎骨(炙,各五两)、乌蛇肉(炙,半两)
以上研为细末,每次服用二钱,用酒调服。骨痛加生地一两,自利(腹泻)加天雄半两。
虎胫骨酒 治疗中风偏枯,四肢不随,一切风痹,筋脉挛缩拳曲。
石斛、石楠叶、防风、虎胫骨(炙)、当归、茵芋叶、杜仲(酒炒)、牛膝(酒浸,炒)、续断(酒浸,炒)、川芎、巴戟天(去掉心)、狗脊(去毛,各一两)
以上用绢袋装药,用酒一斗浸泡十日,每次服用一盏,温饮。
〔偏风口眼歪斜〕
妇女偏风口眼歪斜,是身体虚弱受风,风邪进入夹口的筋脉。足阳明经的筋,上行夹于口旁,如果那部分筋脉偏虚,风邪便乘虚而入,使筋脉偏侧拘急不调,所以导致口眼歪斜。
〔薛己〕一位妇人怀抱郁结,筋挛骨痛,喉间似有一核(梅核气),服用乌药顺气等药后,出现口眼歪斜,手臂难以伸举,痰涎增多,内有热感且傍晚发热,食少体倦。我认为这是郁火伤脾,血燥生风,使用加味归脾汤二十剂,形体逐渐健壮,饮食逐渐增加。又使用加味逍遥散十余剂,痰热稍退,喉核稍消。更使用升阳益胃汤数剂,各种症状逐渐痊愈。但手臂不能伸展,这是肝经血少导致筋挛,使用六味地黄丸以滋补肾水,生养肝血而痊愈。
防风汤 治疗突然口眼歪斜,言语牵急。
防风(去掉芦头,一两)、羌活(去掉芦头,半两)、甘草(二钱半,蜜炙)
以上切碎,每次服用五钱,加水二盏,煎至一盏,去渣,加入麝香研细的一字量,温服。
深师续命汤 治疗中风口眼歪斜、牙关紧闭等各种疾病,突然昏迷不省人事。这是补虚起死神的良方。
人参、防己、麻黄(去掉根节)、芍药、川芎、甘草、黄芩、白术(各半两)、桂心、附子(炮制)、防风(各一两)、生姜(五两)
以上切碎,用水一斗二升,煮取三升,分为三次服用,如果不愈再制作。禁忌海藻、菘菜、桃、李、葱、生菜、雀肉、猪肉。
防风散 治疗妇人中风,言语謇涩,肢节疼痛,皮肤麻木不仁。
防风、羌活(各去掉芦头)、当归(去掉芦头,炒)、天南星(炮制)、天麻、桂心、川芎、乌蛇肉(酒浸)、白僵蚕(炒)、桑螵蛸(炒,各半两)、麝香(研)、朱砂(细研化、飞,各二钱半)、麻黄(七钱半,去掉根节)
研为细末,加入研好的药令均匀,每次服用一钱,用温酒调服,不限时间。
《千金方》
炒大豆三升使其焦黑,用酒三升淋取汁,一次性服下。
治疗口眼歪斜
用蓖麻子七粒,去皮研细做成饼状,放在手心,(右侧歪斜按在左手心,左侧歪斜按在右手心。)然后用铜盂盛热水,坐在药饼上方,待面部端正后即洗去。(另一种方法是用巴豆,不用蓖麻。出自《本草》。)
Do not let people worry about whether it is a deficiency syndrome. Whenever wind-pathogen invades and causes anhidrosis (absence of sweating), it is because the couli (pores) are closed, and the pathogen cannot be discharged through sweat; this situation is suitable for treatment with diaphoresis (sweating method). However, if Ephedrae Herba (Mahuang, 麻黄) is used to treat patients with spontaneous sweating, it will cause further depletion and loss of body fluids, resulting in severe harm. For stroke accompanied by spontaneous sweating, although Zhang Zhongjing used Guizhi Tang (Cinnamon Twig Decoction), how can one cure cases where convulsions do not stop, mouth and eyes twitch, and the whole body sweats merely by treating each symptom individually? At such times, Duhuo Tang (Angelica Pubescens Decoction) and Xuming Zhusan (Xuming Boiled Powder) are indispensable as they restore Ying-Wei (Nutritive and Defensive Qi) and expel wind-pathogen.
[Xue Ji] If the aforementioned symptoms involve spontaneous sweating due to insecure couli, use Guizhi Tang (Cinnamon Twig Decoction) or Fangfeng Baizhu Muli San (Saposhnikovia, Atractylodes Macrocephala and Oyster Shell Powder). If spontaneous sweating results from excessive use of wind-expelling drugs, use Baizhu Fangfeng Tang (Atractylodes Macrocephala and Saposhnikovia Decoction). If it is caused by deficient Yang Qi, use Fuzi Tang (Aconite Root Decoction). If accompanied by night sweating, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) taken with Liuwei Wan (Six-Ingredient Pill with Rehmannia). If ineffective, use Danggui Liuhuang Tang (Angelica Sinensis and Rhizoma Chuanbeimu Decoction).
Duhuo Tang (Angelica Pubescens Decoction) treats dizziness and confusion due to wind-deficiency, unawareness of one's own condition, spasms of hands and feet, inability to sit or lie comfortably, alternating chills and fever, blood deficiency that cannot tolerate diaphoretic drugs, and spontaneous sweating in stroke; it is especially suitable for these conditions.
Chuan Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma et Radix Notopterygii), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis) [remove rhizomes from five herbs], Xixin (Herba Asari), Fushen (Poria cum Radix Pini) [remove wood], Banxia (Rhizoma Pinelliae) [wash seven times in hot water, slice], Guixin (Cortex Cinnamomi), Baiwei (Radix Cynanchi Atrati), Yuanzhi (Radix Polygalae) [remove heart], Shichangpu (Rhizoma Acori Tatarinowii), Chuanxiong (Rhizoma Chuanxiong) [each half liang].
Gancao (Radix Glycyrrhizae) [seven qian half, honey-fried].
Crush the above ingredients. Take eight qian per dose, add one and a half zhan of water and five slices of fresh ginger, decoct until七分 remains, remove dregs, and take warm at any time.
Xuming Zhusan (Xuming Boiled Powder) treats stagnation of wind-qi causing mental confusion, weakness in four limbs, deviation of mouth and eyes, occasional convulsions, loss of body fluids, thirst, and desire to drink. This formula supports Ying-Wei (Nutritive and Defensive Qi) and dispels empty wind; it is especially suitable for spontaneous sweating in stroke and postpartum stroke with spontaneous sweating.
Fangfeng (Radix Saposhnikoviae), Duhuo (Radix Angelicae Pubescentis), Danggui (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Xixin (Herba Asari), Gegen (Puerariae Lobatae Radix), Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae), Shudihuang (Radix Rehmanniae Preparata), Banxia (Rhizoma Pinelliae), Yuanzhi (Radix Polygalae) [remove heart], Jingjiesui (Cacumen Schizonepetae) [each half liang].
Guixin (Cortex Cinnamomi) [seven qian half].
Crush the above ingredients. Take five qian per dose, add one zhan of water and three large slices of fresh ginger, decoct until七分 remains, remove dregs, and take warm at any time. If sweating is profuse and unceasing, add one and a half fen of Muli Fen (Oyster Shell Powder).
Biyi Fangfeng Baizhu Muli San (Supplementary Saposhnikovia, Atractylodes Macrocephala and Oyster Shell Powder) treats unceasing spontaneous sweating in stroke.
Baizhu (Rhizoma Atractylodis Macrocephalae), Muli (Concha Ostreae) [calcined], Fangfeng (Radix Saposhnikoviae) [equal parts].
Grind into fine powder. Take with wine or rice broth, three times daily; sweating will stop. If it does not stop, Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) may be taken.
[Wind of Thieves and Hemiplegia]
The Old Man Yaoyin said: The manifestation of hemiplegia (piangu) is paralysis of half the body, emaciation of muscles, pain between bones, while mental clarity remains normal; this is called hemiplegia. Investigating the origin of this disease, it is all due to imbalance and deficiency of Yin and Yang, weakness of Zang-Fu organs, emptiness of meridians, and insufficiency of Blood and Qi. Sitting in the wind allows the wind-pathogen to enter via deficiency. The *Neijing* states: "Sweating on only one side leads to hemiplegia." Analyzing its meaning, it is like a tree where one side lacks fluid nourishment and dries up first, then suffers damage from wind. Similarly, in the human body, if one side lacks Blood and Qi nourishment and dries up first, it then suffers from wind-pathogen; the principle is clear.
Wang Ziheng said: A boat floats on water but can also capsize; wind nourishes the body but can also harm it. This means just as water leaks into a boat, wind enters a leaking body. The ancients said: "To treat wind, first treat Blood; when Blood flows, wind extinguishes itself." Treatment should first nourish Blood, then expel wind, ensuring recovery. Suitable formulas include Da Bafeng Tang (Great Eight-Wind Decoction), Zengsun Yinyu Jiu (Modified Yinyu Wine), and Xuduan Tang (Dipsacus Decoction).
[Grand Theory] Wind of thieves and hemiplegia occurs when one side of the body is deficient and receives wind, with wind lodging in half the body. People who have injured their Blood and Qi through labor, leaving one side deficient, allow wind-pathogen to enter that half-body, named Pi Feng (Half-Body Wind). If the wind-pathogen penetrates deeply, True Qi departs, and Evil Qi remains, developing into hemiplegia. This is due to decline and damage of Blood and Qi, allowing wind to lodge, preventing Blood and Qi from circulating and nourishing the muscles, thus causing hemiplegia.
[Xue Ji] "To treat wind, first treat Blood" is correct. Generally, this syndrome often arises from poor care during pregnancy or postpartum, leading to exhaustion of Essence and Blood, and desiccation of Liver Wood. The treatment method should nourish the source of transformation. Referencing the *Shengqi Tongtian Lun*: "Wind lodges and disrupts Qi, Essence is lost, and Evil injures the Liver." The *Yinyang Yingxiang Dalun* states: "Wind Qi connects with the Liver; wind constraint causes Heat excess; Heat excess dries Water; dried Water fails to nourish Qi, so Essence is lost." This is how wind diseases arise. A woman prone to anger had frequent spontaneous sweating and early menstruation. I diagnosed Liver Fire and Blood Heat. She did not believe me and indiscriminately used cooling-draining agents, which instead caused delayed menstruation. Later, due to fatigue and anger, she developed trismus (lockjaw), groaning, limb immobility, surging pulses, and red face. I used Bazhen Tang (Eight-Treasure Decoction), Maidong (Ophiopogonis Radix), Wuweizi (Fructus Schisandrae), Zhizi (Fructus Gardeniae), and Danpi (Cortex Moutan). After several doses, she gradually improved. Combined with Xiaoyao San (Free and Easy Wanderer Powder) and Liuwei Wan (Six-Ingredient Pill with Rehmannia), each taken for over thirty doses, she fully recovered.
Da Bafeng Tang (Great Eight-Wind Decoction) treats stroke hemiplegia, aphonia, hemiplegia, and occasional mental confusion.
Danggui (Radix Angelicae Sinensis) [remove rhizome], Xingren (Semen Armeniacae Amarum) [bran-fried], Gancao (Radix Glycyrrhizae) [honey-fried], Guixin (Cortex Cinnamomi), Ganjiang (Rhizoma Zingiberis Recens) [processed, each two liang], Wuweizi (Fructus Schisandrae), Shengma (Rhizoma Cimicifugae) [each half liang], Chuan Wutou (Radix Aconiti Coreanae) [processed, peel and remove umbilical scar], Huangqin (Radix Scutellariae), Shaoyao (Radix Paeoniae Alba), Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae) [remove rhizomes], Chuanxiong (Rhizoma Chuanxiong), Mahuang (Herba Ephedrae) [remove joints], Qinjiao (Radix Gentianae Macrophyllae), Renshen (Radix Ginseng) [remove rhizomes], Shihu (Caulis Dendrobii) [remove roots, cut, wine-soaked and fried], Fushen (Poria cum Radix Pini) [remove wood], Shigao (Gypsum Fibrosum), Huangqi (Radix Astragali) [remove rhizomes], Ziwan (Radix Asteris) [each one liang], Dadou (Sojae Semen Preparatum) [three liang, peel and fry].
Crush the above. Take five qian per dose, add two zhan of water and one he of wine, decoct until one zhan remains, remove dregs, and take warm. For mental confusion, do not use wine for decoction.
Another prescription omits Fushen and includes Yuanzhi (Radix Polygalae) and Chifuling (Poria Cum Rubrum).
Zengsun Yinyu Jiu (Modified Yinyu Wine) treats hemiplegia, dry skin, gradual emaciation, or intermittent pain, named hemiplegia.
Yinyuye (Folium Berberidis), Chuan Wutou (Radix Aconiti Coreanae) [processed, peel and remove tip], Shinanye (Folium Photinianae), Fangfeng (Radix Saposhnikoviae), Chuanjiao (Pericarpium Zanthoxyli) [stir-fry until oil appears], Niwei (Herba Polygoni Avicularis), Fuzi (Radix Aconiti Lateralis Preparata), Beixixin (Herba Asari), Duhuo (Radix Angelicae Pubescentis), Juanbai (Herba Selaginellae), Rougui (Cortex Cinnamomi Cassiae), Tianxiong (Radix Aconiti Kusnezoffii) [processed, peel], Qinjiao (Radix Gentianae Macrophyllae), Fangji (Radix Stephaniae Tetrandrae) [each one liang], Zhizhuhua (Flos Daphnes Genkwa) [fried], Danggui (Radix Angelicae Sinensis), Shenggandihuang (Radix Rehmanniae Recens) [each two liang], Shaoyao (Radix Paeoniae Alba) [one liang].
Crush the above, soak in two dou of wine. Winter: seven days; Summer: three days; Spring/Autumn: five days. Initial dose: one he, gradually increase until effective, maintaining continuous alcohol effect.
Xuduan Tang (Dipsacus Decoction) treats hemiplegia with blood deficiency.
Danggui (Radix Angelicae Sinensis) [three liang, remove rhizome], Chenpi (Pericarpium Citri Reticulatae) [remove white pith], Shaoyao (Radix Paeoniae Alba), Xixin (Herba Asari) [each one liang, remove seedlings], Shenggandihuang (Radix Rehmanniae Recens) [two liang].
Crush the above. Take five qian per dose, add two zhan of water, decoct until eight fen remains, remove dregs, and take warm. For cold viscera with frequent diarrhea, add one liang of Shufuzi (Radix Aconiti Lateralis Preparata) and mix with the other herbs.
Biyi Quansheng Hugugu San (Supplementary Complete-Life Tiger Bone Powder) treats hemiplegia and dry emaciation of muscles. Avoid using Mahuang (Herba Ephedrae) for diaphoresis, lest body fluids be exhausted; only moisten tendons, nourish Blood, and eliminate wind.
Danggui (Radix Angelicae Sinensis) [two liang], Chishaoyao (Radix Paeoniae Rubra), Xuduan (Radix Dipsaci) [wine-soaked, fried], Baizhu (Rhizoma Atractylodis Macrocephalae), Bencao (Radix Ligustici Chuanxiong), Hugugu (Os Tigridis) [roasted, each five liang], Wushe (Corpora Elapidis) [roasted, half liang].
Grind into powder. Take two qian per dose, mix with wine. For bone pain, add one liang of Shengdi Huang (Radix Rehmanniae); for diarrhea, add half liang of Tianxiong (Radix Aconiti Kusnezoffii).
Hujinggu Jiu (Tiger Tibia Wine) treats stroke hemiplegia, limb immobility, all types of wind-bi, and tendon contraction/curling.
Shihu (Caulis Dendrobii), Shinanye (Folium Photinianae), Fangfeng (Radix Saposhnikoviae), Hujinggu (Tibia Os Tigridis) [roasted], Danggui (Radix Angelicae Sinensis), Yinyuye (Folium Berberidis), Duzhong (Cortex Eucommiae) [wine-fried], Niuxi (Radix Achyranthis Bidentatae) [wine-soaked, fried], Xuduan (Radix Dipsaci) [wine-soaked, fried], Xiong (Rhizoma Chuanxiong), Bajitian (Radix Morinda Officinalis) [remove heart], Gouji (Os Spinae Cervi) [remove hair, each one liang].
Place herbs in a silk bag, soak in one dou of wine for ten days. Take one zhan per dose, drink warm.
[Mouth Deviation]
Women with mouth deviation due to wind suffer from body deficiency receiving wind, where wind enters the tendons flanking the mouth. The tendons of the Foot-Yangming Meridian ascend flanking the mouth; if these tendons are deficient on one side, wind enters via deficiency, causing unilateral tendon tension and irregularity, leading to mouth deviation.
[Xue Ji] A woman with emotional depression suffered tendon spasms and bone pain, feeling a lump in the throat. After taking Ushunqi San (Tsaoko Fruit Regulating Qi Powder), she developed facial paralysis, difficulty extending arms, increased phlegm-saliva, internal heat, afternoon fever, poor appetite, and fatigue. I diagnosed Depression-Fire injuring Spleen and Blood Dryness generating Wind. I used Jiawei Guipi Tang (Modified Restore the Spleen Decoction) for twenty doses, improving her physique and diet. Then Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) for over ten doses, reducing phlegm-heat and the throat lump. Further, Shengyang Yiewei Tang (Raise Yang and Benefit Stomach Decoction) for several doses, resolving most symptoms. However, arm extension remained impaired due to Liver Blood deficiency causing tendon spasm. I used Liuwei Wan (Six-Ingredient Pill with Rehmannia) to nourish Kidney Water and generate Liver Blood, resulting in recovery.
Fangfeng Tang (Saposhnikovia Decoction) treats sudden mouth deviation and speech urgency.
Fangfeng (Radix Saposhnikoviae) [remove rhizome, one liang], Qianghuo (Rhizoma et Radix Notopterygii) [remove rhizome, half liang], Gancao (Radix Glycyrrhizae) [two qian half, honey-fried].
Crush the above. Take five qian per dose, add two zhan of water, decoct until one zhan remains, remove dregs, add one zi of Mosiang (Musk), and take warm.
Shenshi Xuming Tang (Deep Master's Reviving Decoction) treats various stroke disorders including mouth deviation and trismus, sudden death-like unconsciousness. It is a miraculous formula for tonifying deficiency and reviving spirit.
Renshen (Radix Ginseng), Fangji (Radix Stephaniae Tetrandrae), Mahuang (Herba Ephedrae) [remove roots and joints], Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae), Huangqin (Radix Scutellariae), Baizhu (Rhizoma Atractylodis Macrocephalae) [each half liang], Guixin (Cortex Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), Fangfeng (Radix Saposhnikoviae) [each one liang], Shengjiang (Rhizoma Zingiberis Recens) [five liang].
Cut the above, boil in twelve sheng of water until three sheng remain. Divide into three doses. Repeat if not cured. Contraindications: Haizao (Sargassum), Songcai (Chinese Cabbage), Tao (Peach), Li (Plum), Cong (Scallion), Shengcai (Raw Vegetables), Que Rou (Sparrow Meat), Zhu Rou (Pork).
Fangfeng San (Saposhnikovia Powder) treats women with stroke, slurred speech, joint pain, and skin numbness.
Fangfeng (Radix Saposhnikoviae), Qianghuo (Rhizoma et Radix Notopterygii) [remove rhizomes], Danggui (Radix Angelicae Sinensis) [remove rhizome, stir-fry], Tiannanxing (Rhizoma Arisaematis), Tianma (Rhizoma Gastrodiae), Guixin (Cortex Cinnamomi), Xiong (Rhizoma Chuanxiong), Wushe (Corpora Elapidis) [wine-soaked], Baijiangcan (Bombyx Batryticatus) [fried], Sangpiaoxiao (Oötheca Mantidis) [fried, each half liang], Mosiang (Muscus) [ground], Zhusha (Cinnabaris) [fine ground, purified, each two qian half], Mahuang (Herba Ephedrae) [seven qian half, remove roots and joints].
Grind into fine powder, mix well. Take one qian per dose, mix with warm wine, at any time.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold)
Stir-fry three sheng of soybeans until charred, pour three sheng of wine over them, strain the juice, and take in one dose.
Treating Mouth Deviation
Use seven seeds of Bamiaz (Ricini Semen), peel, grind finely, and form into cakes. Place on the palm (right deviation on left hand, left deviation on right hand). Sit over a copper basin containing hot water, steaming the medicine. Wash off immediately once the face straightens. (Alternative: Use Badou (Crotonis Fructus) instead of Bamiaz. From *Bencao*).