丸
（一条，头尾全者） 白附子 阿魏 桂心 白芷（各一两） 乳香（三分）
威灵仙 地骨皮 牛膝 羌活 安息香 桃仁（各一两，生，同安息香研） 没
上十六味， 、桃仁、白附、阿魏、桂心、白芷、安息香、乳香、没药九味，同童子
小便并酒二升炒熟，冷后，入余药为丸，蜜丸如弹子大，空心温酒化下一丸。（ 即全蝎也，
气味甘辛平，有毒，主诸风瘾疹及中风半身不遂，口眼歪斜，语涩，手足抽掣。）
风缓即摊缓。其候四肢不举，筋脉关节无力，不可收摄者，谓之摊。其四肢虽能举动，
而肢节缓弱，凭物不能运用者，谓之缓。或以左为摊，右为缓，则非也。但以左得之病在左，右
得之病在右耳。推其所自，皆由气血虚耗，肝肾经虚，阴阳偏废而得之。或有始因他病，服
吐下之药过度，亦使真气内伤，营卫失守，一身无所禀养而然也。（《圣济》）
风缓者，风邪深入而手足为之弛缓也。夫脾主肌肉四肢，胃为水谷之海，所以流布水谷
之气，周养一身。脾胃既虚，肢体失其所养，于是风邪袭虚，由腠理而入肌肉，由肌肉而入脾胃
，安得不为之缓废乎。又人之一身，筋骨为壮，肝主筋，肾主骨，肝肾气虚，风邪袭之，亦
有肢体缓弱之症，是当先祛风而后益之。（《仁斋》）
天麻浸酒方 治瘫缓风，不计深浅，久在床枕。
天麻 龙骨 虎骨 骨碎补 乌蛇（酒浸，去皮骨） 白花蛇（同上） 羌活
牛膝（各半两） 松节（锉） 败龟板（酥炙） 干熟地黄 当归 川芎 茄根
附子（一枚，泡去皮脐） 大麻仁 原蚕砂（炒，各一两）
共十九味， 咀，如麻豆大，用酒二斗浸，密封。春夏三日，秋冬七日。每服一盏，不
四斤丸 治风寒湿毒，与气血相搏，筋骨缓弱，四肢酸疼痒痹。
宣木瓜（去穣，切，焙） 天麻 牛膝（焙） 苁蓉（洗切，焙）
上四味各一斤，用好酒浸，春秋五日，夏三日，冬十日，取出焙干为末。外用熟附子、
虎骨酥炙各二两为末，用浸药酒调曲糊丸桐子大，每服三四十丸，食前温酒或豆淋酒下。
一方∶加当归三两，乳香、没药、五灵脂各半两，麝香一钱，名大四斤丸。
新定
人参（一两半） 黄 （一两半） 白术 何首乌 肉苁蓉 菟丝子 牛膝（各四
（三两） 川萆 （三两） 骨碎补（三两） 狗脊（三两） 川附子（三两） 川乌
羌活 防风 地龙 全蝎（各一两）
上为末，酒糊丸，梧子大，每服五十丸，温酒下。
丸剂（用一条头尾完整的全蝎）白附子、阿魏、桂心、白芷（各一两），乳香（三分），威灵仙、地骨皮、牛膝、羌活、安息香、桃仁（各一两，生用，与安息香一同研磨），没药。
以上十六味药，将全蝎、桃仁、白附子、阿魏、桂心、白芷、安息香、乳香、没药这九味药，与童便及酒二升一起炒熟，冷却后，加入其余药物制成丸剂，蜜丸如弹子大小，空腹时用温酒送服一丸。（全蝎气味甘、辛，性平，有毒，主治各种风邪引起的瘾疹以及中风导致的半身不遂、口眼歪斜、言语涩滞、手足抽搐。）
风缓即瘫缓。其症状表现为四肢不能举动，筋脉关节无力，无法收摄控制，称为“瘫”。如果四肢虽然能够活动，但肢节松弛软弱，依靠外物才能运用，称为“缓”。有人以左侧为瘫，右侧为缓，这是错误的。只是说左边的病在左边，右边的病在右边罢了。推究其病因，都是由于气血虚耗，肝肾经脉虚弱，阴阳偏废所致。也有的人起初因为其他疾病，服用催吐或泻下的药物过度，导致真气内伤，营卫失守，全身无所禀受滋养而形成的。（出自《圣济总录》）
所谓风缓，是风邪深入体内导致手足弛缓无力。脾主肌肉和四肢，胃是水谷之海，负责流布水谷之气，周身滋养身体。脾胃既已虚弱，肢体失去所养，于是风邪乘虚而入，由腠理进入肌肉，由肌肉进而影响脾胃，怎能不导致肢体缓弱废用呢？另外，人的身体以筋骨强壮为要，肝主筋，肾主骨，如果肝肾气虚，风邪侵袭，也会出现肢体缓弱的症状，这种情况下应当先祛除风邪，然后再进行补益。（出自杨仁斋《仁斋直指方论》）
天麻浸酒方：治疗瘫缓风，无论病情深浅，即使长期卧床不起。
天麻、龙骨、虎骨、骨碎补、乌梢蛇（酒浸，去皮骨）、白花蛇（同上处理）、羌活、牛膝（各半两）、松节（锉碎）、败龟板（酥炙）、干熟地黄、当归、川芎、茄根、附子（一枚，炮制去皮脐）、大麻仁、原蚕砂（炒，各一两）。
共十九味药，切碎成如麻豆大小的颗粒，用酒二斗浸泡，密封。春夏季节三天，秋冬季节七天。每次服用一盏，不超过四斤。
四斤丸：治疗风寒湿毒，与气血相互搏结，导致筋骨缓弱，四肢酸痛、瘙痒、麻木。
宣木瓜（去瓤，切片，焙干）、天麻、牛膝（焙干）、肉苁蓉（洗净切片，焙干）。
以上四味药各一斤，用好酒浸泡，春秋五日，夏季三日，冬季十日，取出焙干研为细末。外用熟附子、虎骨（酥炙）各二两研为细末，用浸泡药物的酒调和面糊制成梧桐子大小的丸剂，每次服用三四十丸，饭前用温酒或豆淋酒送下。
另一方案：加当归三两，乳香、没药、五灵脂各半两，麝香一钱，名为大四斤丸。
新定方：
人参（一两半）、黄芪（一两半）、白术、何首乌、肉苁蓉、菟丝子、牛膝（各四两）、川萆薢（三两）、骨碎补（三两）、狗脊（三两）、川附子（三两）、川乌、羌活、防风、地龙、全蝎（各一两）。
以上药物研为细末，用酒调糊制成梧桐子大小的丸剂，每次服用五十丸，用温酒送下。
Pill (One full scorpion, head and tail intact) Baifuzi (Arisaematis Rhizoma Praeparatum), Awai (Ferulae Resina), Guixin (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix) (each 1 liang), Ruxiang (Olibanum) (3 fen), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma), Digupi (Lycii Cortex), Niuxi (Achyranthis Bidentatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Anshixiang (Styrax), Taoren (Persicae Semen) (each 1 liang, raw, ground together with Anshixiang), Moyao (Myrrha).
The above sixteen ingredients: The nine herbs—Quanxie (Scorpio), Taoren, Baifuzi, Awai, Guixin, Baizhi, Anshixiang, Ruxiang, and Moyao—are stir-fried until cooked with tongbian (child's urine) and 2 sheng of wine. After cooling, the remaining herbs are added to form pills. Honey pills are made the size of a bullet; take one pill orally with warm wine on an empty stomach. (Quanxie [Scorpio] has a sweet and pungent flavor and neutral nature; it is toxic. It treats various wind-induced urticaria and stroke sequelae such as hemiplegia, facial paralysis, dysarthria, and limb convulsions.)
Fenghuan (Wind-induced flaccidity) is also known as Tanhuan (Paralytic flaccidity). Its presentation involves limbs that cannot move, with weak sinews, vessels, and joints that cannot be controlled or retracted; this is called "Tan" (Paralysis). If the limbs can move but are flaccid and weak, requiring external support for use, it is called "Huan" (Flaccidity). Some distinguish Tan on the left and Huan on the right, which is incorrect. It simply means if the disease affects the left, it is on the left; if on the right, it is on the right. Investigating its origin, all cases arise from deficiency and depletion of Qi and Blood, deficiency of the Liver and Kidney meridians, and imbalance of Yin and Yang. In some cases, initial treatment of other diseases involved excessive use of emetic or purgative medicines, causing internal injury to True Qi, loss of defense by Ying and Wei, and lack of nourishment throughout the body, resulting in this condition. (From *Shengji Zonglu*)
Fenghuan refers to wind pathogens penetrating deeply, causing弛缓 (flaccidity) of the hands and feet. The Spleen governs muscles and four limbs; the Stomach is the sea of water and grain, responsible for distributing the Qi of food and drink to nourish the whole body. When the Spleen and Stomach are deficient, the limbs lose their nourishment. Consequently, wind pathogens invade through the vacuity, entering from the Couli (pores) into the muscles, and from the muscles into the Spleen and Stomach. How can this not result in flaccidity and dysfunction? Furthermore, the human body relies on strong sinews and bones; the Liver governs sinews, and the Kidneys govern bones. If Liver and Kidney Qi are deficient and wind pathogens invade, symptoms of limb flaccidity and weakness may also occur. In such cases, wind pathogens should first be dispelled, followed by tonification. (From *Renzhai Zhizhi Fanglun*)
Tianma Jinfang (Gastrodia Infused Wine Formula): Treats Tanhuan Feng (Paralytic Wind due to Pathogenic Wind), regardless of depth or duration, even for those bedridden for a long time.
Tianma (Gastrodiae Rhizoma), Longgu (Fossilia Ossis Mastodi et Fossilia Ossis Parietalis), Hugu (Pantheris Os), Gusuibu (Drynariae Rhizoma), Wushe (Zaocys), Baihuashe (Bungarus Parvus) (both soaked in wine, skin and bones removed), Qianghuo, Niuxi (each 0.5 liang), Songjie (Pinus Massoniana Node), Baiguiban (Testudinis Carapax et Plastrum) (roasted with butter), Gan Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Qiegen (Solanum Melongena Root), Fuzi (Aconiti Lateralis Radix Preparata) (one piece, processed, skin and umbilicus removed), Dama Ren (Cannabis Seed), Yuancansha (Bombyx Batryticatus) (stir-fried, each 1 liang).
Total nineteen ingredients. Cut into pieces the size of hemp seeds. Soak in 2 dou of wine, seal tightly. Soak for three days in spring and summer, seven days in autumn and winter. Take one zhan per dose, not exceeding four jin total.
Sijin Wan (Four Jin Pill): Treats wind-cold-damp toxicity clashing with Qi and Blood, causing weak sinews and bones, and soreness, pain, itching, and numbness in the four limbs.
Xuan Mugua (Chaenomelis Fructus) (pulp removed, sliced, baked), Tianma, Niuxi (baked), Rongrong (Cibotii Rhizoma) (washed, sliced, baked).
Each of the above four ingredients weighs one jin. Soak in good wine: five days in spring and autumn, three days in summer, ten days in winter. Remove, bake dry, and grind into powder. Separately, roast Hefu Zi (Prepared Aconiti Radix) and Hugu with butter, each two liang, and grind into powder. Mix with the herbal powder, using the medicinal wine and flour paste to form pills the size of paulownia seeds. Take 30–40 pills before meals with warm wine or Doulin Jiu (wine infused with soybeans).
Alternative prescription: Add Danggui (3 liang), Ruxiang, Moyao, Wulingzhi (Trogopterori Faeces) (each 0.5 liang), and Shexiang (Moscus) (1 qian). This is named Dasijin Wan (Large Four Jin Pill).
Newly Formulated Prescription:
Renshen (Ginseng Radix et Rhizoma) (1.5 liang), Huangqi (Astragali Radix) (1.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Heshouwu (Polygoni Multiflori Radix), Roucongrong (Cibotii Rhizoma), Tusizi (Cuscutae Semen), Niuxi (each 4 liang), Chuanbixie (Dioscoreae Hypoglaucae Rhizoma) (3 liang), Gusuibu (3 liang), Gouji (Cibotii Rhizoma / Drynariae Rhizoma - context implies Cibotii/Gouji usually, here likely Cibotii or similar bone tonic, standard is Gouji [Cibotii Rhizoma]) (3 liang), Chuan Fuzi (3 liang), Chuan Wu (Aconiti Kusnezoffii Radix), Qianghuo, Fangfeng (Saposhnikoviae Radix), Dilong (Pheretima), Quanxie (each 1 liang).
Grind all into powder. Use wine and paste to form pills the size of paulownia seeds. Take 50 pills per dose with warm wine.