当归。渴。加栝蒌根。身疼痛。加秦艽。喘急。加炒桑皮。
大秦艽汤(洁古) 治中经。邪在血脉中。口喑肢废。风邪散见。不拘一经者。
秦艽 石膏(各二两) 甘草 川芎 当归 芍药 羌活 独活 防风 黄芩 白术 白芷 茯苓 生地 熟地(各
一两) 细辛(五钱)
每服一两。水煎。
乌药顺气散 治男妇一切风气。攻注四肢。骨节疼痛。遍身顽痹。卒中瘫痪。言语蹇涩。先服此药。以疏气道。
乌药 橘红 麻黄(各二钱) 川芎(一钱) 枳壳(炒) 白芷 桔梗 僵蚕(炒各一钱) 干姜(五分) 甘
草(三分)
加姜枣。如一身俱麻。加人参、白术、当归、门冬。手足瘫痪。筋骨疼痛。加防风、羌活、天麻、当归、威灵仙、
乳香、没药。腰痛。加杜仲、小茴香。手足拘挛。加木瓜、石斛。手足浮肿。加牛膝、五加皮、独活。湿气。
加苍术、白术、槟榔。左瘫右痪。加当归、天麻。如二三年不能行。合和独活寄生汤。如妇人血风。加
防风、荆芥、薄荷。口眼 斜。加防风、荆芥、姜炒黄连、羌活、竹沥、姜汁。
活络丹 治中经。口眼歪斜。半身不遂。及风痹手足挛蜷。筋脉不舒。因风寒湿气。流滞经络。故周身疼痛。
或脚心腰腿一点作痛。邪气壅甚。诸轻剂不效者。用此。
南星(炮) 川乌 草乌 地龙(各六两) 乳香 没药(另研各三两)
为末。酒糊丸。梧子大。每服二十丸。空心酒下。
愚按。二乌虽走经络。然性太刚。不若用海风藤、灵仙等。为稳当也。(神效活络丹出心法可同看)
增补省风汤(和剂) 治口眼歪斜。痰涎壅塞。壮实人风邪盛者。
半夏 防风 全蝎 胆星 甘草 白附 川乌 木香
三一承气汤(宣明) 治膏粱之人。湿痰滞于脾经。四肢不举。属邪实症。
大黄 芒硝 浓朴 枳实(各五钱) 甘草(一两)
姜三片。煎后纳硝。煎二沸。服之。令微利。
愈风汤(洁古) 治中风后真气渐复。邪气未尽。用此以养正化邪。
羌活 甘草 防风 黄 蔓荆 川芎 骨皮 人参 知母 薄荷 甘菊 细辛
枳壳 大黄 白芷 枸杞 防己 当归 杜仲 秦艽 柴胡 半夏 浓朴 前胡(各二两)
茯苓 黄芩(各三两) 生地 苍术 石膏 芍药(各四两) 肉桂(一两)
每服一两。姜水煎。按此方从小续命汤变化而来。用药繁杂。学人不可执守。若病久正虚邪未去者。
当随人见症。以前药加减。或一气之微汗。或一旬之通利。渐次见功。诚不可出其范围者也。是在用之
得宜。姑录之以存其法。
正舌散(圣惠) 治中风舌本强硬。语言不正。
蝎梢(去毒二钱半) 茯苓 薄荷(各一两)
为末。每服一二钱。温酒调服。或擦牙颊间亦好。
转舌膏 治中风螈 。舌塞不语。
即凉膈散加石菖蒲、远志。为末。蜜丸如弹子大。朱砂为衣。每服一丸。薄荷汤化开。食后或临卧服。
史国公浸酒方 治四肢瘫痪。半身不遂。及风寒湿痹。麻木疼痛。
当归 虎骨(酒浸酥炙) 羌活 鳖甲(炙) 萆 防风 秦艽 牛膝(各二两) 枸杞(五两) 松节 蚕砂
(各二两) 茄根(八两蒸)
绢袋盛药。入酒内。蒸好窨服。
长春浸酒方
白术(炒一两) 白茯苓 人参 当归 虎胫骨 川椒 肉苁蓉 枸杞 砂仁(各五钱) 干姜(二钱) 陈皮 川
芎独活 麻黄(各一两) 五加皮(五钱) 牛膝(三钱) 浓朴 白芷 香附(各一两) 乌药(五钱) 枳壳(二
钱) 何首乌 川乌 草乌(各五钱) 生地 白芍 熟地 羌活 官桂 半夏 天门冬 麦门冬 苍术 破故纸 五
味茴香 防风 沉香 细辛 甘草(各一两) 酥油 红枣 蜂蜜 核桃仁(各八两)
上绢袋盛之。用烧酒一大缸。浸三日。放锅中重汤煮三个时取出。掘坑埋一二日。出火毒。每日清晨服
一二钟。饮酒将尽。渣晒干为末。烧酒打糊为丸。如梧子大。每服三十丸。空心酒下。
秦艽升麻汤(宝鉴) 治风寒客冒。口眼歪斜。恶见风寒。四肢拘急。脉浮而紧。
升麻 干葛 甘草(炙) 人参(各半两) 秦艽 白芷 防风 桂枝(各三钱) 芍药(半两)
水煎。加葱白三茎。
归脾汤(济生) 治心脾两虚。不能调气摄血。健忘盗汗。不寐惊悸。食少体倦。心脾作痛。
人参 白术 茯神 枣仁(炒各二钱半) 远志(一钱) 当归(一钱) 木香 甘草(炙各五分) 黄 桂圆
(各二钱半) 生姜(五片)
水煎。薛立斋加丹皮、山栀各一钱。名加味归脾汤。
加味逍遥散(立斋) 治肝脾两虚。血少火旺。
当归 白芍(酒炒) 茯苓 白术(炒各一钱) 柴胡(五分) 丹皮 甘草(炙) 山栀(炒各八分)
水煎服。
人参养荣汤(和剂) 治脾肺气虚。发热恶寒。面黄肌瘦。倦怠少食。作泄泻者。
人参(一两) 白芍(钱半) 陈皮 黄 (蜜炙) 桂心 当归 白术 炙草(各一钱) 熟地 茯苓 五味(各
七分半) 远志(五分) 姜、枣煎。
六味地黄丸(仲景) 治肾水不足。发热伤渴。咳嗽痰喘。溺淋癃闭。燥结头眩。耳聋齿痛舌痛。腰膝痿软。足
跟作痛。自汗盗汗。失血烦躁。
熟地(八两) 萸肉 山药(各四两) 丹皮 泽泻 茯苓(各三两)
蜜丸。加门冬、五味。名凉八味丸。能保肺滋肾。
七味地黄丸 治肾水不足。虚火上炎。发热作渴。口舌生疮。或牙龈溃烂。喉咽作痛。或形体憔悴。寝汗发热。
即六味地黄丸加肉桂。
八味丸(仲景) 治命门火衰。不能生土。以致脾胃虚衰。饮食少思。大便不通。脐腹疼痛。夜多漩溺。或阴极
格阳。内真寒而外假热。
即七味地黄丸加附子一两。
还少丹(杨氏) 治脾肾虚寒。饮食少思。发热盗汗。遗精白浊。真气衰损。肌体瘦弱。
怀熟地 甘枸杞(各二两) 苁蓉(酒净) 远志 茴香 巴戟(酒浸去心)
山药(各一两五钱) 菖蒲 山萸 牛膝(酒浸) 杜仲(姜汁酒炒) 楮实 五味子 茯苓(各一两)
为末。枣肉和蜜为丸。温酒或盐汤下。
虎潜丸(丹溪) 治肾阴不足。筋骨痿软。不能步履。
黄柏(四两) 知母 熟地(各二两) 虎骨(酥炙) 锁阳 当归(各一两) 陈皮(七钱半) 白芍(一两半)
牛膝(三两半) 龟板(四两)
为末。煮羯羊肉丸。盐汤下。冬月加干姜半两。
天王补心丹 治心血不足。神志不宁。津液枯竭。健忘怔忡。大便不利。口舌生疮。
人参 茯苓 玄参 丹麦 远志 桔梗(各五钱) 五味 当归 麦门冬 天门冬 枣仁 柏子仁(各一两) 生
地(四两)
为末。炼蜜丸。朱砂为衣。一方。加黄连二两酒洗。
四物汤 治血虚。风中血脉。及偏枯在左者。
熟地 当归 白芍 川芎
挟瘀血。加桃仁、红花、竹沥、姜汁。煎服。
参附汤 治中脏脱症。手撒气喘。遗尿不禁。(方见泄泻)
二陈汤 治中风痰盛。顺气化痰。此方生之。随症加减。(方见痰症)
四君子汤 治气虚卒中自汗。及偏枯在右者。
人参 白术 茯苓 甘草
六君子汤 即四君子汤加半夏、陈皮。
虚甚者。加黄 、钩藤。痰多。加竹沥、姜汁。
八珍汤 治气血两虚。恶寒发热。烦燥作渴。大便不实。饮食少进。小腹胀病。眩晕昏愦。及气血虚。
即四君四物合方。薛院使于四君四物中。加竹沥、姜汁、钩藤。流行经络。取效颇捷。
十全大补汤 治虚羸之人。血气不充。四肢不举。属正虚者。
即八珍汤加黄 、肉桂。
补中益气汤(东垣) 调理脾胃。升举下陷。病后扶元胜邪。功难尽述。
黄 人参 甘草 当归 橘皮 升麻 柴胡 白术
加生姜、大枣。水煎。
当归。若口渴,加栝蒌根(天花粉)。身体疼痛,加秦艽。气喘急促,加炒桑白皮。
大秦艽汤(李东垣/洁古方):治疗中经证。病邪在血脉之中,出现口眼歪斜、肢体废用。风邪散见,不局限于某一经络者适用。
药材:秦艽、石膏(各二两)、甘草、川芎、当归、芍药、羌活、独活、防风、黄芩、白术、白芷、茯苓、生地、熟地(各一两)、细辛(五钱)。
用法:每次服用一两,水煎服。
乌药顺气散:治疗男女各种风气,攻注四肢,骨节疼痛,全身顽痹麻木,卒中瘫痪,言语蹇涩。先服用此药,以疏通气道。
药材:乌药、橘红、麻黄(各二钱)、川芎(一钱)、枳壳(炒)、白芷、桔梗、僵蚕(炒,各一钱)、干姜(五分)、甘草(三分)。
加减法:加生姜、大枣。如果全身都麻木,加人参、白术、当归、麦冬。手足瘫痪,筋骨疼痛,加防风、羌活、天麻、当归、威灵仙、乳香、没药。腰痛,加杜仲、小茴香。手足拘挛,加木瓜、石斛。手足浮肿,加牛膝、五加皮、独活。湿气重,加苍术、白术、槟榔。左瘫右痪,加当归、天麻。如果两三年不能行走,合用独活寄生汤。如果是妇人血风,加防风、荆芥、薄荷。口眼歪斜,加防风、荆芥、姜炒黄连、羌活、竹沥、姜汁。
活络丹:治疗中经证,口眼歪斜,半身不遂,以及风痹导致的手足挛缩蜷曲,筋脉不舒展。因风寒湿气流滞经络,导致周身疼痛,或者脚心、腰腿某一点作痛,邪气壅盛,其他轻剂无效时,使用此方。
药材:南星(炮制)、川乌、草乌、地龙(各六两)、乳香、没药(另研,各三两)。
用法:研为末,酒糊为丸,如梧桐子大。每次服用二十丸,空腹时酒送下。
按语:川乌、草乌虽然能走窜经络,但药性太刚烈,不如使用海风藤、威灵仙等药稳妥。(神效活络丹出自《医宗心法》,可参考同看)
增补省风汤(《太平惠民和剂局方》):治疗口眼歪斜,痰涎壅塞,体质壮实且风邪盛者。
药材:半夏、防风、全蝎、胆南星、甘草、白附子、川乌、木香。
三一承气汤(张元素/宣明方):治疗喜食膏粱厚味之人,湿痰停滞于脾经,四肢不能举动,属于邪实之症。
药材:大黄、芒硝、浓朴、枳实(各五钱)、甘草(一两)。
用法:生姜三片,煎煮后纳入芒硝,再煮沸两次。服用后令其轻微腹泻。
愈风汤(李东垣/洁古方):治疗中风后真气逐渐恢复,但邪气未尽,用此方以扶正祛邪。
药材:羌活、甘草、防风、黄芪、蔓荆子、川芎、地骨皮、人参、知母、薄荷、甘菊、细辛、枳壳、大黄、白芷、枸杞、防己、当归、杜仲、秦艽、柴胡、半夏、浓朴、前胡(各二两)、茯苓、黄芩(各三两)、生地、苍术、石膏、芍药(各四两)、肉桂(一两)。
用法:每次服用一两,姜水煎服。按:此方由小续命汤变化而来,用药繁杂,学习者不可固执守旧。如果病久正气虚弱而邪气未去,应当根据患者具体症状,以前方为基础进行加减。或取一气之微汗,或取一旬之通利,渐次见效。确实不可超出这个范围。关键在于使用得当。姑且记录此方以保存其法度。
正舌散(《圣惠方》):治疗中风舌本强硬,语言不正。
药材:蝎梢(去毒,二钱半)、茯苓、薄荷(各一两)。
用法:研为末。每次服用一二钱,温酒调服。或者擦牙颊间也好。
转舌膏:治疗中风抽搐,舌强塞不语。
即凉膈散加石菖蒲、远志。研为末,蜜丸如弹子大,朱砂为衣。每次服用一丸,薄荷汤化开。饭后或临睡前服用。
史国公浸酒方:治疗四肢瘫痪,半身不遂,以及风寒湿痹,麻木疼痛。
药材:当归、虎骨(酒浸酥炙)、羌活、鳖甲(炙)、萆薢、防风、秦艽、牛膝(各二两)、枸杞(五两)、松节、蚕砂(各二两)、茄根(八两蒸)。
用法:绢袋盛药,放入酒内,蒸好后密封浸泡服用。
长春浸酒方
药材:白术(炒,一两)、白茯苓、人参、当归、虎胫骨、川椒、肉苁蓉、枸杞、砂仁(各五钱)、干姜(二钱)、陈皮、川芎、独活、麻黄(各一两)、五加皮(五钱)、牛膝(三钱)、浓朴、白芷、香附(各一两)、乌药(五钱)、枳壳(二钱)、何首乌、川乌、草乌(各五钱)、生地、白芍、熟地、羌活、官桂、半夏、天门冬、麦门冬、苍术、破故纸、五味子、茴香、防风、沉香、细辛、甘草(各一两)、酥油、红枣、蜂蜜、核桃仁(各八两)。
用法:绢袋盛药,用烧酒一大缸,浸泡三日。放入锅中隔水炖煮三个时辰取出。挖坑埋藏一二日,以出火毒。每日清晨服用一二钟。饮酒将尽时,药渣晒干研为末,用烧酒打糊为丸,如梧桐子大。每次服用三十丸,空腹酒送下。
秦艽升麻汤(《宝鉴》):治疗风寒客冒,口眼歪斜,恶见风寒,四肢拘急,脉浮而紧。
药材:升麻、干葛、甘草(炙)、人参(各半两)、秦艽、白芷、防风、桂枝(各三钱)、芍药(半两)。
用法:水煎,加葱白三茎。
归脾汤(严用和/济生方):治疗心脾两虚,不能调气摄血,健忘盗汗,失眠惊悸,食少体倦,心脾作痛。
药材:人参、白术、茯神、枣仁(炒,各二钱半)、远志(一钱)、当归(一钱)、木香、甘草(炙,各五分)、黄芪、桂圆肉(各二钱半)、生姜(五片)。
用法:水煎服。薛立斋加丹皮、山栀各一钱,名加味归脾汤。
加味逍遥散(薛立斋/立斋方):治疗肝脾两虚,血少火旺。
药材:当归、白芍(酒炒)、茯苓、白术(炒,各一钱)、柴胡(五分)、丹皮、甘草(炙)、山栀(炒,各八分)。
用法:水煎服。
人参养荣汤(《和剂局方》):治疗脾肺气虚,发热恶寒,面黄肌瘦,倦怠少食,作泄泻者。
药材:人参(一两)、白芍(钱半)、陈皮、黄芪(蜜炙)、桂心、当归、白术、炙甘草(各一钱)、熟地、茯苓、五味子(各七分半)、远志(五分)。
用法:姜、枣煎服。
六味地黄丸(张仲景/仲景方):治疗肾水不足,发热伤渴,咳嗽痰喘,溺淋癃闭,燥结头眩,耳聋齿痛舌痛,腰膝痿软,足跟作痛,自汗盗汗,失血烦躁。
药材:熟地(八两)、山茱萸、山药(各四两)、丹皮、泽泻、茯苓(各三两)。
用法:蜜丸。加麦冬、五味子,名凉八味丸。能保肺滋肾。
七味地黄丸:治疗肾水不足,虚火上炎,发热作渴,口舌生疮,或牙龈溃烂,喉咽作痛,或形体憔悴,寝汗发热。
即六味地黄丸加肉桂。
八味丸(张仲景/仲景方):治疗命门火衰,不能生土,以致脾胃虚衰,饮食少思,大便不通,脐腹疼痛,夜多小便,或阴极格阳,内真寒而外假热。
即七味地黄丸加附子一两。
还少丹(杨氏):治疗脾肾虚寒,饮食少思,发热盗汗,遗精白浊,真气衰损,肌体瘦弱。
药材:怀熟地、甘枸杞(各二两)、肉苁蓉(酒净)、远志、茴香、巴戟天(酒浸去心)、山药(各一两五钱)、石菖蒲、山茱萸、牛膝(酒浸)、杜仲(姜汁酒炒)、楮实、五味子、茯苓(各一两)。
用法:研为末,枣肉和蜜为丸。温酒或盐汤送下。
虎潜丸(朱丹溪/丹溪方):治疗肾阴不足,筋骨痿软,不能步履。
药材:黄柏(四两)、知母、熟地(各二两)、虎骨(酥炙)、锁阳、当归(各一两)、陈皮(七钱半)、白芍(一两半)、牛膝(三两半)、龟板(四两)。
用法:研为末,煮羯羊肉为丸。盐汤送下。冬季加干姜半两。
天王补心丹:治疗心血不足,神志不宁,津液枯竭,健忘怔忡,大便不利,口舌生疮。
药材:人参、茯苓、玄参、丹麦参(丹参)、远志、桔梗(各五钱)、五味子、当归、麦门冬、天门冬、枣仁、柏子仁(各一两)、生地(四两)。
用法:研为末,炼蜜为丸,朱砂为衣。一方,加黄连二两酒洗。
四物汤:治疗血虚,风中血脉,及偏枯在左者。
药材:熟地、当归、白芍、川芎。
挟瘀血者,加桃仁、红花、竹沥、姜汁,煎服。
二陈汤:治疗中风痰盛,顺气化痰。此方为生发之方,随症加减。(方见痰症篇)
四君子汤:治疗气虚卒中自汗,及偏枯在右者。
药材:人参、白术、茯苓、甘草。
六君子汤:即四君子汤加半夏、陈皮。
虚甚者,加黄芪、钩藤。痰多,加竹沥、姜汁。
八珍汤:治疗气血两虚,恶寒发热,烦燥作渴,大便不实,饮食少进,小腹胀病,眩晕昏愦,及气血虚。
即四君子汤与四物汤合方。薛院使在四君四物中,加竹沥、姜汁、钩藤,流行经络,取效颇捷。
十全大补汤:治疗虚羸之人,血气不充,四肢不举,属正虚者。
即八珍汤加黄芪、肉桂。
补中益气汤(李东垣/东垣方):调理脾胃,升举下陷。病后扶元胜邪,功难尽述。
药材:黄芪、人参、甘草、当归、橘皮、升麻、柴胡、白术。
加生姜、大枣,水煎服。
Angelicae Sinensis Radix (Danggui). If thirst occurs, add Trichosanthis Radix (Gualougen). If body pain occurs, add Gentianae Macrophyllae Radix (Qin Jiao). If panting and urgency occur, add fried Morus Albae Cortex (Sangbai Pi).
Da Qin Jiao Tang (Jiegu Formula): Treats Zhong Jing syndrome. Pathogenic factors are in the blood vessels, presenting with aphasia and limb paralysis. Applicable when wind pathogens appear scatteredly and do not confine to a single meridian.
Ingredients: Gentianae Macrophyllae Radix (Qin Jiao), Gypsum Fibrosum (Shigao) (each 2 liang); Licorice Root (Gancao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Dahuricae Radix (Bai Zhi), Saposhnikoviae Radix (Fangfeng), Scutellariae Radix (Huangqin), Atractylodis Macrocephalae Rhizoma (Baizhu), Bupleuri Radix (Chaihu - *Note: Text says Bai Zhi but context implies standard formula components, sticking to text: Bai Zhi*), Poria (Fuling), Rehmanniae Radix Recens (Shengdi), Rehmanniae Radix Praeparata (Shudi) (each 1 liang); Asari Radix et Rhizoma (Xixin) (5 qian).
Usage: Take 1 liang per dose, decoct in water.
Wu Yao Shun Qi San: Treats various wind conditions in men and women, attacking the four limbs, causing bone and joint pain, generalized numbness and bi-syndrome, apoplexy with paralysis, and slurred speech. Take this medicine first to unblock the qi mechanism.
Ingredients: Linderae Radix (Wuyao), Exocarpium Citri Reticulatae Pericarpium (Juhong), Ephedrae Herba (Mahuang) (each 2 qian); Ligusticum Chuanxiong Rhizome (Chuanxiong) (1 qian), Aurantii Fructus Immaturus (Zhike, stir-fried), Angelicae Dahuricae Radix (Baizhi), Platycodonis Radix (Jiegeng), Bombyx Batryticatus (Jiangcan, stir-fried) (each 1 qian); Zingiberis Rhizoma Recens (Ganjiang) (5 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen).
Modifications: Add fresh ginger and jujube. If the whole body is numb, add Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui), Ophiopogonis Radix (Mendong). For limb paralysis and bone/tendon pain, add Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Gastrodiae Rhizoma (Tianma), Angelicae Sinensis Radix (Danggui), Spirit of Notopterygii (Weilingxian), Frankincense (Ruxiang), Myrrh (Moyao). For lower back pain, add Eucommiae Cortex (Duzhong), Foeniculum Vulgare (Xiaohuixiang). For limb spasms, add Chaenomelis Fructus (Mugua), Dendrobii Caulis (Shihu). For limb edema, add Achyranthis Bidentatae Radix (Niuxi), Acanthopanacis Cortex (Wujiapi), Angelicae Dahuricae Radix (*Text says Du Huo here, likely Angelicae Pubescentis Radix* - Du Huo). For dampness, add Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Arecae Semen (Binglang). For left hemiplegia and right paralysis, add Angelicae Sinensis Radix (Danggui), Gastrodiae Rhizoma (Tianma). If unable to walk for two or three years, combine with Du Huo Ji Sheng Tang. For women's blood wind, add Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Menthae Haplocalycis Herba (Bohe). For facial paralysis (mouth and eye deviation), add Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Coptidis Rhizoma (Huanglian, stir-fried with ginger), Notopterygii Rhizoma et Radix (Qianghuo), Bamboo Juice (Zhuli), Ginger Juice (Jiangzhi).
Huo Luo Dan: Treats Zhong Jing syndrome, facial paralysis, hemiplegia, and wind-bi causing limb spasms and curling, with stiff meridians and collaterals. Caused by wind-cold-dampness stagnating in the meridians, leading to general body pain, or pinpoint pain in the soles of feet, waist, or legs. When pathogenic factors are severe and mild agents are ineffective, use this formula.
Ingredients: Pinelliae Tuber Preparatum (Nanxing, processed), Aconiti Lateralis Radix Praeparata (Chuanwu), Aconiti Kusnezoffii Radix (Caowu), Pheretima (Dilong) (each 6 liang); Boswelliae Resina (Ruxiang), Myrrha (Moyao) (separately ground, each 3 liang).
Usage: Grind into powder, make pills with wine paste, size of wutong seeds. Take 20 pills per dose, swallow with wine on an empty stomach.
Commentary: Although Chuanwu and Caowu can travel through the meridians, their nature is too harsh. It is more prudent to use Sargentodoxae Caulis (Haifengteng) and Saposhnikoviae Radix (Weilingxian) instead. (Shen Xiao Huo Luo Dan from Xin Fa Ke Tong can be consulted similarly).
Zeng Bu Sheng Feng Tang (Heji Formula): Treats facial paralysis, phlegm-fluid retention, in robust individuals with excessive wind pathogens.
Ingredients: Pinelliae Tuber (Banxia), Saposhnikoviae Radix (Fangfeng), Scorpio (Quanxie), Arisaematis Cum Bile (Danning), Glycyrrhizae Radix et Rhizoma (Gancao), Bryoniae Radix (Baifu), Aconiti Lateralis Radix Praeparata (Chuanwu), Aquilariae Lignum Resinatum (Muxiang).
San Yi Cheng Qi Tang (Xuanming Formula): Treats individuals accustomed to rich foods where damp-phlegm stagnates in the Spleen meridian, causing inability to move the four limbs, belonging to excess pathogen syndromes.
Ingredients: Rheum Palmatum Radix et Rhizoma (Dahuang), Natrii Sulfas (Mangxiao), Magnoliae Officinalis Cortex (Nongpo), Aurantii Fructus Immaturus (Zhishi) (each 5 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (1 liang).
Usage: Three slices of fresh ginger. Decoct, then add Mangxiao, boil twice. Take it to induce mild diarrhea.
Yu Feng Tang (Jiegu Formula): Treats post-apoplexy where true qi gradually recovers but pathogens remain. Use this to nourish righteousness and resolve pathogens.
Ingredients: Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Saposhnikoviae Radix (Fangfeng), Astragali Membranacei Radix (Huangqi), Viticis Fructus (Manjing), Ligusticum Chuanxiong Rhizome (Chuanxiong), Lycii Cortex (Gupi), Ginseng Radix (Renshen), Anemarrhenae Rhizoma (Zhimu), Menthae Haplocalycis Herba (Bohe), Chrysanthemi Indici Flos (Ganju), Asari Radix et Rhizoma (Xixin), Aurantii Fructus Immaturus (Zhike), Rheum Palmatum Radix et Rhizoma (Dahuang), Angelicae Dahuricae Radix (Baizhi), Lycii Fructus (Gouqi), Polygalae Radix (Fangji), Angelicae Sinensis Radix (Danggui), Eucommiae Cortex (Duzhong), Gentianae Macrophyllae Radix (Qinjiao), Bupleuri Radix (Chaihu), Pinelliae Tuber (Banxia), Magnoliae Officinalis Cortex (Nongpo), Peucedani Radix (Qianhu) (each 2 liang); Poria (Fuling), Scutellariae Radix (Huangqin) (each 3 liang); Rehmanniae Radix Recens (Shengdi), Atractylodis Rhizoma (Cangzhu), Gypsum Fibrosum (Shigao), Paeoniae Radix (Shaoyao) (each 4 liang); Cinnamomi Cortex (Rougui) (1 liang).
Usage: Take 1 liang per dose, decoct with ginger water. Note: This formula evolved from Xiao Xu Ming Tang. The medication is complex; students should not adhere rigidly to it. If the disease is chronic with deficiency of righteous qi and lingering pathogens, modify based on specific symptoms using previous formulas. Either induce slight sweating over one breath cycle or promote bowel movement over ten days, showing gradual effect. It truly cannot go beyond this scope. It depends on appropriate application. Recorded here merely to preserve the method.
Zheng She San (Shenghui Formula): Treats stroke with stiff tongue root and abnormal speech.
Ingredients: Scorpio Cauda (Xeshao, detoxified, 2.5 qian), Poria (Fuling), Menthae Haplocalycis Herba (Bohe) (each 1 liang).
Usage: Grind into powder. Take 1-2 qian per dose, mix with warm wine. Alternatively, rub between teeth and cheeks.
Zhuan She Gao: Treats stroke with convulsions, tongue stiffness, and muteness.
It is Liang Ge San plus Acori Tatarinowii Rhizoma (Shichangpu) and Polygalae Radix (Yuanzhi). Grind into powder, make honey pills the size of bullet seeds, coat with Cinnabar (Zhusha). Take one pill per dose, dissolve in mint tea. Take after meals or before bed.
Shi Guo Gong Infused Wine Prescription: Treats limb paralysis, hemiplegia, and wind-cold-damp bi-syndrome with numbness and pain.
Ingredients: Angelicae Sinensis Radix (Danggui), Panthera tigris Bone (Hu Gu, soaked in wine,酥 roasted), Notopterygii Rhizoma et Radix (Qianghuo), Testudinis et Plastrum (Biejia, roasted), Dioscoreae Hypoglaucae Rhizoma (Bixie), Saposhnikoviae Radix (Fangfeng), Gentianae Macrophyllae Radix (Qinjiao), Achyranthis Bidentatae Radix (Niuxi) (each 2 liang); Lycii Fructus (Gouqi) (5 liang); Pinus Massoniana Joint (Songjie), Bombyx Batryticatus (Can Sha) (each 2 liang); Solani Tuberosi Radix (Qiegen, steamed, 8 liang).
Usage: Place herbs in a silk bag, immerse in wine, steam, seal, and store before drinking.
Chang Chun Infused Wine Prescription
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried, 1 liang), Poria (Baifuling), Ginseng Radix (Renshen), Angelicae Sinensis Radix (Danggui), Panthera tigris Tibia Bone (Hu Jinggu), Zanthoxyli Fructus (Chuanjiao), Cynomorii Herba (Roucongrou), Lycii Fructus (Gouqi), Amomi Fructus Rotundus (Sharen) (each 5 qian); Zingiberis Rhizoma Recens (Ganjiang) (2 qian); Citri Reticulatae Pericarpium (Chenpi), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelicae Pubescentis Radix (Du Huo), Ephedrae Herba (Mahuang) (each 1 liang); Acanthopanacis Cortex (Wujiapi) (5 qian), Achyranthis Bidentatae Radix (Niuxi) (3 qian), Magnoliae Officinalis Cortex (Nongpo), Angelicae Dahuricae Radix (Baizhi), Cyperi Rhizoma (Xiangfu) (each 1 liang); Linderae Radix (Wuyao) (5 qian), Aurantii Fructus Immaturus (Zhike) (2 qian); Polygoni Multiflori Caulis (Heshouwu), Aconiti Lateralis Radix Praeparata (Chuanwu), Aconiti Kusnezoffii Radix (Caowu) (each 5 qian); Rehmanniae Radix Recens (Shengdi), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Praeparata (Shudi), Notopterygii Rhizoma et Radix (Qianghu), Cinnamomi Ramulus (Guangui), Pinelliae Tuber (Banxia), Asparagi Radix (Tianmendong), Ophiopogonis Radix (Maimendong), Atractylodis Rhizoma (Cangzhu), Psoraleae Fructus (Poguzhi), Schisandrae Chinensis Fructus (Wuweizi), Foeniculum Vulgare (Huixiang), Saposhnikoviae Radix (Fangfeng), Aquilariae Lignum Resinatum (Chenxiang), Asari Radix et Rhizoma (Xixin), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang); Butter (Suyou), Red Date (Hongzao), Honey (Fengmi), Walnut Kernel (Hetaoren) (each 8 liang).
Usage: Place herbs in a silk bag. Immerse in one large jar of distilled spirits for three days. Place in a pot and simmer over double heat for three shichen (6 hours), then remove. Dig a pit and bury for one to two days to eliminate fire toxicity. Take one or two cups every morning. When the wine is nearly finished, dry the dregs, grind into powder, make pills with distilled spirits paste, size of wutong seeds. Take 30 pills per dose, swallow with wine on an empty stomach.
Qin Jiao Sheng Ma Tang (Baojian Formula): Treats invasion by wind-cold, facial paralysis, aversion to wind and cold, limb spasms, floating and tight pulse.
Ingredients: Cimicifugae Rhizoma (Shengma), Puerariae Lobatae Radix (Gange), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Ginseng Radix (Renshen) (each half liang); Gentianae Macrophyllae Radix (Qinjiao), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng), Cinnamomi Ramulus (Guizhi) (each 3 qian); Paeoniae Radix (Shaoyao) (half liang).
Usage: Decoct in water, add three stalks of Allium Fistulosum Bulb (Congbai).
Gui Pi Tang (Jisheng Formula): Treats Heart and Spleen dual deficiency, inability to regulate qi and control blood, forgetfulness, night sweats, insomnia, palpitations, poor appetite, fatigue, Heart and Spleen pain.
Ingredients: Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria cum Pinodia (Fushen), Ziziphi Spinosae Semen (Zaoren, stir-fried) (each 2.5 qian); Polygalae Radix (Yuanzhi) (1 qian), Angelicae Sinensis Radix (Danggui) (1 qian), Aquilariae Lignum Resinatum (Muxiang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted) (each 5 fen); Astragali Membranacei Radix (Huangqi), Longan Arillus (Guiyuan) (each 2.5 qian); Fresh Ginger (Shengjiang) (5 slices).
Usage: Decoct in water. Xue Lizhai added Moutan Cortex (Danpi) and Gardeniae Fructus (Shanzhi) each 1 qian, named Jiawei Gui Pi Tang.
Jiawei Xiaoyao San (Lizhai Formula): Treats Liver and Spleen dual deficiency, blood deficiency with hyperactive fire.
Ingredients: Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao, wine-fried), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried) (each 1 qian); Bupleuri Radix (Chaihu) (5 fen); Moutan Cortex (Danpi), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Gardeniae Fructus (Shanzhi, stir-fried) (each 8 fen).
Usage: Decoct in water and take.
Renshen Yangrong Tang (Heji Formula): Treats Spleen and Lung qi deficiency, fever with aversion to cold, sallow complexion and emaciation, fatigue, poor appetite, diarrhea.
Ingredients: Ginseng Radix (Renshen) (1 liang), Paeoniae Radix (Shaoyao) (1.5 qian), Citri Reticulatae Pericarpium (Chenpi), Astragali Membranacei Radix (Huangqi, honey-roasted), Cinnamomi Cortex (Guixin), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu), Roasted Licorice (Zhicao) (each 1 qian), Rehmanniae Radix Praeparata (Shudi), Poria (Fuling), Schisandrae Chinensis Fructus (Wuweizi) (each 7.5 fen); Polygalae Radix (Yuanzhi) (5 fen).
Usage: Decoct with fresh ginger and jujube.
Liuwei Dihuang Wan (Zhongjing Formula): Treats Kidney water insufficiency, fever with injury to fluids and thirst, cough with phlegm and wheezing, stranguria and urinary retention, dryness and constipation, vertigo, deafness, toothache, tongue pain, weak waist and knees, heel pain, spontaneous sweating, night sweats, blood loss, irritability.
Ingredients: Rehmanniae Radix Praeparata (Shudi) (8 liang), Corni Fructus (Yurou), Dioscoreae oppositae Rhizoma (Shanyao) (each 4 liang); Moutan Cortex (Danpi), Alismatis Rhizoma (Zexie), Poria (Fuling) (each 3 liang).
Usage: Honey pills. Add Ophiopogonis Radix (Mendong) and Schisandrae Chinensis Fructus (Wuweizi), named Liang Bawei Wan. Can protect lungs and nourish kidneys.
Qiwei Dihuang Wan: Treats Kidney water insufficiency, defluxion of deficient fire upward, fever with thirst, mouth and tongue ulcers, or gum ulceration, throat pain, emaciation, night sweats with fever.
It is Liuwei Dihuang Wan plus Cinnamomi Cortex (Rougui).
Bawei Wan (Zhongjing Formula): Treats decline of Mingmen fire, failure to generate Earth, leading to Spleen and Stomach deficiency and decline, poor appetite, constipation, umbilical and abdominal pain, frequent nocturnal urination, or Yin extreme repelling Yang, internal true cold and external false heat.
It is Qiwei Dihuang Wan plus Aconiti Lateralis Radix Praeparata (Fuzi) 1 liang.
Huanshao Dan (Yangshi Formula): Treats Spleen and Kidney deficiency-cold, poor appetite, fever with night sweats, spermatorrhea and white turbidity, depletion of true qi, emaciation.
Ingredients: Prepared Rehmanniae Radix (Huai Shudi), Lycii Fructus (Gan Gouqi) (each 2 liang), Cynomorii Herba (Rongrou, wine-cleaned), Polygalae Radix (Yuanzhi), Foeniculum Vulgare (Huixiang), Morinda Officinalis Radix (Baji, wine-soaked, heart removed), Dioscoreae oppositae Rhizoma (Shanyao) (each 1.5 liang), Acori Tatarinowii Rhizoma (Changpu), Corni Fructus (Shanyu), Achyranthis Bidentatae Radix (Niuxi, wine-soaked), Eucommiae Cortex (Duzhong, stir-fried with ginger juice and wine), Cassiae Semen (Chushi), Schisandrae Chinensis Fructus (Wuweizi), Poria (Fuling) (each 1 liang).
Usage: Grind into powder, mix with date flesh and honey to make pills. Take with warm wine or salt water.
Hujian Wan (Danxi Formula): Treats Kidney yin insufficiency, flaccidity of tendons and bones, inability to walk.
Ingredients: Phellodendri Cortex (Huangbo) (4 liang), Anemarrhenae Rhizoma (Zhimu), Rehmanniae Radix Praeparata (Shudi) (each 2 liang), Panthera tigris Bone (Hu Gu,酥 roasted), Cynomorii Herba (Suoyang), Angelicae Sinensis Radix (Danggui) (each 1 liang), Citri Reticulatae Pericarpium (Chenpi) (7.5 qian), Paeoniae Radix (Baishao) (1.5 liang), Achyranthis Bidentatae Radix (Niuxi) (3.5 liang), Testudinis Carapax et Plastrum (Guiban) (4 liang).
Usage: Grind into powder, make pills with boiled male sheep meat. Take with salt water. In winter, add dried ginger half liang.
Tianwang Buxin Dan: Treats Heart blood insufficiency, restless spirit, exhaustion of body fluids, forgetfulness, palpitations, constipation, mouth and tongue ulcers.
Ingredients: Ginseng Radix (Renshen), Poria (Fuling), Scrophulariae Radix (Xuanshen), Salviae Miltiorrhizae Radix (Danmai), Polygalae Radix (Yuanzhi), Platycodonis Radix (Jiegeng) (each 5 qian), Schisandrae Chinensis Fructus (Wumei), Angelicae Sinensis Radix (Danggui), Ophiopogonis Radix (Maimendong), Asparagi Radix (Tianmendong), Ziziphi Spinosae Semen (Zaoren), Biota Orientalis Seed (Baiziren) (each 1 liang), Rehmanniae Radix Recens (Shengdi) (4 liang).
Usage: Grind into powder, refine honey to make pills, coat with Cinnabar (Zhusha). Another prescription adds Coptidis Rhizoma (Huanglian) 2 liang, washed with wine.
Siwu Tang: Treats blood deficiency, wind invading blood vessels, and hemiplegia on the left side.
Ingredients: Rehmanniae Radix Praeparata (Shudi), Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Baishao), Ligusticum Chuanxiong Rhizome (Chuanxiong).
If accompanied by blood stasis, add Persicae Semen (Taoren), Carthami Flos (Honghua), Bamboo Juice (Zhuli), Ginger Juice (Jiangzhi), decoct and take.
Shenfu Tang: Treats Zang organ collapse syndrome in stroke, hand laxity, panting, involuntary urination. (Formula see Diarrhea section).
Erchen Tang: Treats excessive phlegm in stroke, regulates qi and transforms phlegm. This formula is the basis, modify according to symptoms. (Formula see Phlegm section).
Sijunzi Tang: Treats qi deficiency apoplexy with spontaneous sweating, and hemiplegia on the right side.
Ingredients: Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao).
Liujunzi Tang: Is Sijunzi Tang plus Pinelliae Tuber (Banxia) and Citri Reticulatae Pericarpium (Chenpi).
For severe deficiency, add Astragali Membranacei Radix (Huangqi) and Uncaria Rhynchophylla (Gouteng). For excessive phlegm, add Bamboo Juice (Zhuli) and Ginger Juice (Jiangzhi).
Bazhen Tang: Treats dual deficiency of qi and blood, aversion to cold with fever, irritability and thirst, loose stools, poor appetite, lower abdominal distension and pain, vertigo and fainting, and qi-blood deficiency.
It is the combination of Sijunzi Tang and Siwu Tang. Xue Yuan Shi added Bamboo Juice (Zhuli), Ginger Juice (Jiangzhi), and Uncaria Rhynchophylla (Gouteng) to Sijunzi and Siwu Tang to circulate meridians, achieving quick results.
Shiquan Dabu Tang: Treats debilitated individuals with insufficient qi and blood, inability to move limbs, belonging to righteous deficiency.
It is Bazhen Tang plus Astragali Membranacei Radix (Huangqi) and Cinnamomi Ramulus (Rougui).
Buzhong Yiqi Tang (Dongyuan Formula): Regulates Spleen and Stomach, raises sunken qi. Post-illness to support yuan and overcome pathogens, merits are hard to fully describe.
Ingredients: Astragali Membranacei Radix (Huangqi), Ginseng Radix (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Jupi), Cimicifugae Rhizoma (Shengma), Bupleuri Radix (Chaihu), Atractylodis Macrocephalae Rhizoma (Baizhu).
Add fresh ginger and jujube, decoct in water.