中风有真假内外之别，差之毫厘，谬之千里。何者？西北土地高寒，风刚猛，真气空虚之人，
猝为所中，如《金匮》云∶邪中于络，肌肤不仁。邪方入卫，气不得运，故皮肤不仁。邪中于经，即
重不胜。邪入荣脉之中，内骨外肉，皆失所养，故着重不胜。邪中于腑，即不识人。入腑必归于
胃，热蒸津液，结为痰涎，胃气壅逆，故不识人。邪中于脏，舌即难言，口吐涎沫。诸脏受邪至盛，必
入于心而乱其神明，则舌纵难言，廉泉开而流涎沫矣。中脏者死，中腑者成废人，中经络者可调理而
瘳。治法先宜解散风邪。嘉言云∶挟虚者，非补虚则风不出；挟痰者，非豁痰则风不出；挟火者，非清
热则风不出，挟气者，非开郁则风不出，挟湿者，非导湿则风不出。故风中经络，总宜宣之使散。
其药如人参败毒散，九味羌活汤之属，为加减主治。不可误下，使风邪乘虚内入脏腑，酿患无窍。次则
即当治本，以补养气血为要。若中脏之症，方书多以宜下为言，夫中脏之
候，多有平素积虚，脏真不守者，下之立亡。惟在胃腑一症，内实便秘者，间有可下，然不过微下以
解其烦热，岂遂可以下为定法耶！至若风势稍定，即宜禁用风燥之品，避居密室，毋食肥鲜，惟用甘寒
药，频频热服，俾内不招风，外无从入之路，且甘寒一可熄风，二可补虚，三可久服，必得谨调千日，
庶可重享天年。此论真中风之大纲如此，方治星罗，余可无赘。乃类中风症，治法尚未尽善，不得不为
阴之。按仲淳云∶东南地方，绝无刚猛之风，而多湿热之气，质多柔脆，往往多热多痰，真阴既亏，内
热弥甚，煎熬津液，凝结为痰，壅塞气道，不得通利，热极生风，亦致猝然僵仆。类中风症，或不省人
事，或语言謇涩，或口眼歪斜，或半身不遂。其将发也，外必先显内热之候，或口干舌苦，或大便秘涩，
小便短赤，此其验也。河间所谓此症良由将息失宜，心火暴甚，肾水虚衰，不能制之。丹溪所谓有气
虚，有血虚，有湿痰是也。此即内虚暗风，确系阴阳两虚，而阴虚者为多，与外来风邪迥别。法当清
热〔二冬、甘菊、白芍、童便。〕顺气，〔苏子、橘红、枇杷叶、郁金。〕开痰，〔贝母、花粉、栝
蒌、竹沥。〕以救其标，次当治本。阴虚则益血，〔地、冬、杞、芍、牛膝、枣仁、胡麻、首乌、人
乳、鳖甲。〕阳虚则补气，〔参、耆、术、茯、鹿茸。〕气血两虚，则气血兼补，久之自瘳。设误认为
真中风，而以风药治之，则燥复伤阴，散复伤气，轻者变重，重者必死。景岳言∶真中风，乃自外而
入，必先发热恶寒，
头疼身痛等症，显然可察。类中风，则由内而病，绝无外症，而忽病如风，皆因酒色劳倦，七情
口腹，致伤脏气，阴虚而然。治宜培补真阴，以救根本为主。但阴虚有二，有阴中之水虚，有阴中
之火虚。水虚者，壮水之主，六味、左归之属；火虚者，益火之源，地黄引子、八味之属。能求水
火而治之，斯可谓良工矣。
搐鼻法 治口噤不开。
细辛 皂荚〔为末合。〕吹鼻取嚏，无嚏者肺绝死。此二味皆辛散之药，能透顶通关醒神，
类中忌用，以其走泄真气故也。
乌梅擦牙关方 亦治口噤不开。
乌梅肉擦其牙关。〔牙关酸软，则易开矣。〕
改容膏 口眼 斜在左，血涂其右， 斜在
右，血涂其左。
鳝血〔尾上取之，鳝善穿穴，无足而窜，与蛇同性，故能走经络，疗风邪。〕冰片 麝香〔
取其利气而走窍，各少许。〕
此二方，真中类中俱可用之。鳝血即红缮鱼之血。
桂枝汤〔见伤寒。〕风从外来，入客经络，留而不去，此方为中风一症群方之祖，用以治真中
风者，以风从外入，必当驱从外出故也。
小续命汤
麻黄 杏仁〔仲景治太阳症之伤寒无汗者宜之。〕 桂枝 芍药〔仲景治太阳症之伤风自汗
者宜之。凡症见头痛发热恶寒，身疼腰痛脊强者，当分别采用。〕 人参 甘草〔补气，
气虚者宜用。〕 川芎〔同芍药补血，血虚者宜用。〕 防风〔风淫末疾，故用之。〕 防己〔温
淫腹疾，故用之。〕 黄芩〔阳淫热疾，故用之。各一钱。〕 附子〔阴淫寒疾，故用之。五分。盖
病不单来，杂揉而至，所以用药兼该之。〕
此方古人混治中风无分经络，不辨虚实寒热，若不对症加减，反增病剧。按败毒散方中，有参、苓
补虚，羌活汤中，有芩、地清热，采治真中风，随症加减甚稳。
顺气开痰饮〔自制〕治类中风，热痰壅盛者。
苏子 橘红 枇杷叶 郁金〔顺气〕 贝母 花粉 栝蒌霜 茯苓 竹沥〔开痰〕若痰滞心
包，而致昏冒者，加犀角、羚羊角，调服牛黄、天竺黄。
此方先用顺气开痰，以治其标。盖治痰必以顺气为先，气顺则痰自下降。然又当以清肺为本，肺喜
清肃，热则煎熬津液，浓稠成痰，壅塞气道，而升降不利。所以肺有热者，不宜服参，恐反助火伤肺，益
致声重痰多，甚至热干津液，无以下滴而通水道，不可不审。
接命丹 治类中风，失音不语，〔痰火壅塞上窍之故。〕手足瘫痪，〔瘫者坦也，筋脉驰纵，坦然
而不举也。痪者涣也，血气涣散而不用也。皆属痰火所致。〕四肢疼痛，动履不便，〔亦痰火凝滞经络所
致。〕饮食少进诸症。〔热痰弥漫，胃气不舒也。〕又治气血虚弱，痰火上升，虚损之症。
人乳〔乳乃血化，补阴甚捷。二杯。〕 梨汁〔降火消痰，一杯。〕隔汤顿滚，五更温服。〔
恐其与食同进，成积滞而发泻也。〕痰多加竹沥。〔性滑流利，走窍逐痰。一
杯〕。此方补阴清火消痰，以人补人，其妙无加。
加味地黄汤 治心火暴甚，肾水虚衰，不能制之，或兼喜怒思悲恐，五志有所过极，则热气
拂郁，以致心神昏冒，卒倒无知，或语言謇涩，〔真阴亏损，津液衰少，舌络无所荣养，故伸缩不能
自由。〕或口眼 斜，或手足牵掣，〔此因水不荣筋，筋急而纵也。俗云风者，乃风淫末疾之假象，
风自火出也。〕或大便燥结，〔肾主五液，又主二便，虚则不能濡润。〕或小便疾出难忍，且有余
沥。〔火性急速故也。〕
六味地黄汤〔补肾壮火。〕 加麦冬犀角〔清心解热。〕 羚羊角 钩藤勾〔平木舒筋。〕
人乳〔补阴益血。〕 梨汁 竹沥〔降火消痰。〕 人参〔随宜加入。〕宜桑枝〔三、
四两炒。〕煎汤煎药。〔能通利关节，疗四肢拘挛，故偏风俱宜用之。〕此方补肾壮水为主，佐以清心
平肝，降火消痰之剂，然金为水母，水虚者，又当兼用生脉散，以滋其化源。
补气养血汤〔自制〕
治类中风，半身不遂，即经所谓偏枯者也。〔经曰∶偏枯，身偏不用而痛，言不变，志不乱，病在分腠
之间。又云∶虚邪偏客于身半，其入深者，内居荣卫，衰则真气去，邪气独留，发为偏枯。其邪气浅
者，脉偏痛。此虽以外感为言，然是症总以痛者为轻。〕男子发左，〔右为逆，左为从。〕女子发右。
〔左为逆，右为从。〕不喑舌转可治，三十日起。〔虽逆于经，未甚于脏也。〕其从者喑三岁起。〔若
男发于右，女发于左，症虽顺而声则喑，是外轻而内重也。〕年不满二十者，三岁死。〔气血方刚之
年，即见偏枯废疾，此禀赋不足，早凋之兆也。〕
人参 黄 〔补气〕 地黄 当归 白芍 首乌 胡麻 甘菊〔熄风清热。〕天冬 麦冬〔
滋阴清热。〕 秦艽 牛膝 续断〔通调血脉。〕 虎骨〔壮其筋骨。〕 茯苓 橘红〔同梨
汁竹沥，降火消痰。〕加人乳 梨汁 竹沥 桑枝汤煎药。
此方补气滋阴养血为主，而佐以通血脉，壮筋骨，清痰热之剂，或有兼瘀血者，则加消瘀之品。
按偏枯一症，皆由气血不调，譬如树木或有一边津液不荫注，而枝叶偏枯，其根本尚属未坏，故但宜如上
治法。丹溪以左为死血，右力湿痰，亦为太拘，且不甚验。经言∶左右者，阴阳之道路也。气虚则气滞，
而血脉不能运动，左右尽可为死血，气虚则气闭而津液不能通流，左右尽可为湿痰。又有分左为血虚，右
为气虚。又赵氏谓∶男子左属水，女子右属水，凡人半肢风者，男多患左，女多患右，皆由水不能
营，治宜补阴壮水为主。愚谓是当仿此法，以推测病情，合宜而治，不可执一。又赵氏谓∶有一等平
人，身半以上俱无恙如平人，身半以下，软弱麻痹，小便或涩，或自遗，此足三阴之虚症也，不可不知。
集灵膏 益气补血，滋阴壮水，延年益寿。
人参〔补气，大气周流，无脏不有，故其用无往而不利。〕 二冬二地〔生地生精，天冬引入
所生之处，熟地补精，麦冬引入所补之处。〕 牛膝〔强筋壮骨。〕 枸杞〔填精养营。各半斤。〕
此方补气血益精髓之神剂，虚人皆可服之。二陈汤治肥人痰涎壅盛而属湿者。〔痰必清稀，口必不
渴。〕
半夏〔燥湿。〕 茯苓〔渗湿，湿去则痰无由生。〕 橘红〔理气，气利则痰无留滞。〕
甘草〔补脾，脾旺则土能制
湿。〕可合星香散，〔南星、木香二味。南星本祛风痰，得牛胆九制，则燥性减，可借用。〕加竹沥、
姜汁。本方加胆星、枳壳，名导痰汤。
此燥湿理气化痰之剂，果属湿痰可用，勿混投之。
独参汤 治诸虚气弱，危急之症。又治暴眩仆绝。〔阴虚则孤阳无附，亦自飞越。〕喉无痰声，〔
过不在痰。〕身无邪热。〔病不因感。〕此阴虚阳暴绝也，急用大剂灌之。
人参〔一两至三两。〕阴虚者可加熟地。〔人参随熟地，能直入三阴。一、二两。〕烦躁脉
微者，加童便。〔责其虚而有火。〕痰多者加竹沥。〔责其痰随气乱。〕加黄 名参 汤。〔气虚自汗
可用。〕加白术名参术汤，〔脾胃虚弱可用。〕加附子〔一、二、三钱。〕名参附汤。真阳不足，上
气喘急，气短头晕，〔阳欲上脱。〕汗出肢冷，〔阳欲外脱。〕方可暂用，切勿妄投。
此方固元益气，单用多用，取其有专力耳。盖有形之阴血，不能速生，无形之阳气，所当急固。阳
虚气弱者，固宜用之，血虚阴虚者，亦可暂投，使其一息尚存，庶可以次第而生生矣。加诸药方，因
其所宜而施之。
六君子汤 治肥人气虚，卒然昏愦，〔肥人多类中，以气盛于外，而敛于内也。〕不省人事。〔气
不摄痰，痰迷心窍也。〕痰涎壅盛，〔肥人多湿痰也。〕舌本硬强，语言不清，口眼 斜，肢体不遂等
症。〔皆痰之故也。〕
人参〔一钱至一两。〕 白术 茯苓〔各一、二、三钱。〕 甘草〔补中气以化痰。五、七
分。酒家去之。〕 橘红〔利气以行痰。〕 半夏〔燥湿以制痰。各一、二、三钱。〕加竹沥
〔开经络，导痰涎。一杯。〕 姜汁〔开痰。数匙。〕可合
星香散。平素善饮酒患此症者，加甘蔗汁。〔一杯。以解酒毒。〕如口渴者，本方去姜汁、半
夏，加麦冬、石膏，〔清肺胃之热，此方允为治虚风之仪式。〕桑枝汤煎药。
此益气健脾燥湿化痰之圣剂，若系肺经燥痰，非所宜也。按嘉言云∶肥人最多热痰，故口
眼斜，手足麻木，不论左右，俱作痰治，诚为当矣。但肥人多虚风，宜用一派甘寒之药，〔人
参、葳蕤、胡麻、甘菊、生地。麦冬、栝蒌、石膏、梨汁、竹沥之属。〕忌用燥剂，临症宜审。
按酒客每多类中风者，盖酒为湿热之物，能酿痰涎，痰多则内火易动，当少壮时，血强气雄，不能
为害，中年以后，经脉骨肉渐为糟粕之味所渍，谷食渐减，蒸胃腐肠，虽或色泽红华，而中实败坏，一
或内伤劳役，或六淫七情，少有所触，皆能卒中。譬如枯杨生华，忽遇大风而摧折矣。故沉湎致虚而
中，与房劳致虚而中，均为危症。赵晚林云∶酒客类中，宜大补胃气，多加人参以挽之。
四君子汤 治面色痿白，〔望之而知其气虚矣〕言语轻微；〔闻之而知其气虚矣。〕四肢无
力，〔问之而知其气虚矣。〕脉来虚弱者。〔切之而知其气虚矣。〕
人参〔补五脏之元气。〕白术〔补五脏之母气。〕茯苓〔能致五脏之清气。〕甘
草〔能调五脏愆和之气。〕加橘红，名异功散。
此补气之要剂，须随症加减用之。
归脾汤 治类中风，心、脾、肝三经俱虚，或怔忡惊悸，眠则易醒，〔心血不足也。〕或饮食减
少，食则难化，〔胃气
弱，脾阴亏也。〕或烦恼多怒。〔肝血少，肝火旺也。〕
人参 黄 白术 甘草〔补脾。〕茯神 远志 枣仁 元肉〔安神。〕当归〔养
血。〕木香〔快气。〕肝火旺，加丹皮、黑山栀。〔泻火。〕
此补气养血安神，阴阳和平之剂，活法对症加减用之，自臻神效。
加味逍遥散 治类中风多食。〔风木太过，脾土受克，故求助于食。〕又治肝经风热，血燥筋挛，
肢体不遂，内热晡热，往来寒热诸症。
柴胡〔肝木气郁，必下克脾土，用柴胡辛以散其束缚，升以举其抑遏。〕芍药〔味酸而
收，能制肝木之太过。〕当归〔肝伤则血病，用以养血。〕茯神〔水实则火燥，取其宁
中风有真中风和假中风、内风和外风的区别，如果分辨错误，后果将极其严重。为什么呢？西北地区地势高且寒冷，风气刚猛，真气虚弱的人，突然被邪气侵袭，正如《金匮要略》所说：邪气侵入络脉，肌肤就会麻木不仁。邪气刚进入卫分，气机运行受阻，所以皮肤感觉麻木。邪气侵入经脉，肢体就会沉重无力。邪气深入营血脉络，内在的骨骼和外部的肌肉都失去滋养，所以感到身体沉重难以支撑。邪气侵入腑，就会出现神志不清。邪气入腑必然影响到胃，热气蒸腾津液，凝结成痰涎，导致胃气壅滞上逆，所以神志昏迷不识人。邪气侵入脏，舌头就会僵硬难以言语，口吐涎沫。各种脏器受邪严重，必定会传入心脏扰乱心神，导致舌体松弛难以言语，廉泉穴开启而流出口水。中脏的病证预后不良多致死，中腑的病证会导致残疾成为废人，中经络的病证可以通过调理治愈。治疗方法首先应当疏散风邪。张景岳（号嘉言）说：兼有虚证的，不补虚则风邪不能排出；兼有痰浊的，不豁痰则风邪不能排出；兼有火邪的，不清热则风邪不能排出；兼有气滞的，不开郁则风邪不能排出；兼有湿邪的，不祛湿则风邪不能排出。所以风邪中于经络，总宜宣散使之外出。常用的药物如人参败毒散、九味羌活汤之类，根据症状加减主治。不可误用泻下法，以免风邪乘虚内陷脏腑，酿成无法挽回的祸患。其次就应当治本，以补养气血为关键。如果是中脏的病证，方书中多以宜用泻下法来说明，然而中脏的症状，大多平时就有积虚，脏真之气不固的情况，如果用泻下法，病人会立即死亡。只有在胃腑一症，体内实热便秘的情况下，偶尔可以用泻下法，但也只是轻微泻下以解除烦热，怎么可以把泻下作为固定的法则呢！至于风势稍微平息后，就应当禁用风燥的药物，居住在密闭安静的房间，不吃肥腻鲜美的食物，只用甘寒性质的药物，频频热服，使得内部不招引风邪，外部也没有入侵的途径，而且甘寒药一方面可以熄风，二方面可以补虚，三方面可以长期服用，务必谨慎调养一千天，才可以重新享受长寿。这一论断是真中风的大纲，方剂治疗像星星一样罗列，其余就不必赘述了。至于类中风的病证，治疗方法尚不完善，不得不加以阐明。按陈实功（字仲淳）说：东南地区，完全没有刚猛的风，而多有湿热之气，人的体质多柔脆，往往多热多痰，真阴已经亏损，内热非常严重，煎熬津液，凝结成痰，堵塞气道，不能通畅，热极生风，也会导致突然僵倒。类中风的病证，有的神志不清，有的语言謇涩，有的口眼歪斜，有的半身不遂。在发病之前，外在必须先显现内热的症状，或者口干舌苦，或者大便秘结干燥，小便短少色赤，这是验证的依据。刘河间所谓这个病证确实是因为调摄失当，心火暴盛，肾水虚衰，不能制约心火。朱丹溪所谓有气虚，有血虚，有湿痰。这就是内虚暗风，确属阴阳两虚，而以阴虚为主，与外来风邪截然不同。治法应当清热〔二冬、甘菊、白芍、童便。〕顺气，〔苏子、橘红、枇杷叶、郁金。〕开痰，〔贝母、花粉、栝蒌、竹沥。〕以救其标急，其次再治本。阴虚则补血，〔地黄、麦冬、枸杞、白芍、牛膝、酸枣仁、胡麻、何首乌、人乳、鳖甲。〕阳虚则补气，〔人参、黄芪、白术、茯苓、鹿茸。〕气血两虚，则气血双补，时间久了自然痊愈。如果误认为是真中风，而用风药治疗，那么燥性再次损伤阴液，发散再次损伤正气，轻的病会变重，重的病必死。张景岳说：真中风，是从外部侵入，必先有发热恶寒、头疼身痛等症状，明显可察。类中风，则是从内部发病，完全没有外部症状，却忽然发病像中风一样，都是因为酒色劳倦、七情饮食，导致损伤脏气，阴虚所致。治宜培补真阴，以挽救根本为主。但阴虚有两种，有阴中之水虚，有阴中之火虚。水虚者，壮水之主，用六味地黄丸、左归丸之类；火虚者，益火之源，用地黄引子、八味丸之类。能探究水火之理来治疗，这就可以称为良医了。
搐鼻法 治疗牙关紧闭不开。
细辛 皂荚〔研为末混合。〕吹入鼻腔取嚏，如果不打喷嚏的就是肺绝证，主死。这两味药都是辛散之品，能透顶通关醒神，类中风忌用，因为它们会耗泄真气。
乌梅擦牙关方 也治疗牙关紧闭不开。
用乌梅肉擦拭牙关。〔牙关感到酸软，就容易打开了。〕
改容膏 治疗口眼歪斜。歪向左边，用鳝鱼血涂右边；歪向右边，用鳝鱼血涂左边。
鳝鱼血〔从尾部取血，鳝鱼善于穿穴，无足而窜动，与蛇同性，所以能走经络，治疗风邪。〕冰片 麝香〔取其利气而走窍，各少许。〕
这两个方子，真中风和类中风都可以使用。鳝血就是红鳝鱼的血液。
桂枝汤〔见于伤寒论。〕风从外部侵入，客居于经络，停留不去，此方是中风一症群方之祖，用来治疗真中风，因为风从外入，必须驱除使其从外出。
小续命汤
麻黄 杏仁〔张仲景治疗太阳病的伤寒无汗者适宜用。〕 桂枝 芍药〔张仲景治疗太阳病的伤风自汗者适宜用。凡是症状见头痛发热恶寒，身疼腰痛脊背强直的，应当分别采用。〕 人参 甘草〔补气，气虚者适宜用。〕 川芎〔同芍药补血，血虚者适宜用。〕 防风〔风淫为末疾，所以用它。〕 防己〔温淫为腹疾，所以用它。〕 黄芩〔阳淫为热疾，所以用它。各一钱。〕 附子〔阴淫为寒疾，所以用它。五分。大概疾病不单来，杂乱而至，所以用药兼顾。〕
此方古人混治中风不分经络，不辨虚实寒热，如果不针对症状加减，反而增加病情严重程度。按人参败毒散方中，有人参、茯苓补虚，九味羌活汤中，有黄芩、生地清热，采集治疗真中风，随症状加减很稳妥。
顺气开痰饮〔自制〕治疗类中风，热痰壅盛者。
苏子 橘红 枇杷叶 郁金〔顺气〕 贝母 花粉 栝蒌霜 茯苓 竹沥〔开痰〕如果痰滞于心包，而导致昏冒的，加犀角、羚羊角，调服牛黄、天竺黄。
此方先用顺气开痰，以治其标。大概治痰必须以顺气为先，气顺则痰自然下降。然而又应当以清肺为本，肺喜欢清肃，热则煎熬津液，浓稠成痰，堵塞气道，而升降不利。所以肺有热的，不宜服用人参，恐怕反而助火伤肺，更加导致声音重浊痰多，甚至热干津液，没有水滴下来通利水道，不可不审慎。
接命丹 治疗类中风，失音不语，〔痰火壅塞上窍的缘故。〕手足瘫痪，〔瘫者坦也，筋脉弛缓纵长，坦然而不能举起。痪者涣也，血气涣散而不能使用。都属于痰火所致。〕四肢疼痛，行动不便，〔也是痰火凝滞经络所致。〕饮食减少诸症。〔热痰弥漫，胃气不舒展。〕又治疗气血虚弱，痰火上升，虚损的病证。
人乳〔乳汁由血化生，补阴非常快捷。二杯。〕 梨汁〔降火消痰，一杯。〕隔水炖滚，五更时分温服。〔恐怕它与食物同时进食，形成积滞而腹泻。〕痰多加竹沥。〔性质滑利流畅，走窍逐痰。一杯。〕此方补阴清火消痰，以人补人，其妙处无可比拟。
加味地黄汤 治疗心火暴盛，肾水虚衰，不能制约，或者兼有喜怒思悲恐，五志有所过极，则热气拂郁，以致心神昏冒，突然倒下无知觉，或者语言謇涩，〔真阴亏损，津液衰少，舌络无所荣养，所以伸缩不能自由。〕或者口眼歪斜，或者手足牵掣，〔这是因为水不荣养筋，筋急而纵弛。俗话说的风，乃是风淫末疾的假象，风自火出。〕或者大便燥结，〔肾主五液，又主二便，虚则不能濡润。〕或者小便急出难忍，且有余沥。〔火性急速的缘故。〕
六味地黄汤〔补肾壮火。〕 加麦冬犀角〔清心解热。〕 羚羊角 钩藤勾〔平木舒筋。〕
人乳〔补阴益血。〕 梨汁 竹沥〔降火消痰。〕 人参〔随宜加入。〕宜桑枝〔三、四两炒。〕煎汤煎药。〔能通利关节，治疗四肢拘挛，所以偏风都适宜用。〕此方补肾壮水为主，佐以清心平肝，降火消痰的药剂，然而金为水之母，水虚者，又应当兼用生脉散，以滋其化源。
补气养血汤〔自制〕
治疗类中风，半身不遂，即经书所说的偏枯。〔经书说：偏枯，身体一侧不用且痛，言语不变，神志不乱，病在分腠之间。又说：虚邪偏客于身半，其入深者，内居荣卫，衰则真气去，邪气独留，发为偏枯。其邪气浅者，脉偏痛。这里虽然以外感来说，但这个症状总以痛者为轻。〕男子发病在左边，〔右边为逆，左边为从。〕女子发病在右边。〔左边为逆，右边为从。〕不喑哑舌转者可治，三十日起床恢复。〔虽然逆于经，但未甚于脏。〕那些从证的喑哑三年才能恢复。〔如果男发于右，女发于左，症状虽顺但声音喑哑，是外轻而内重。〕年龄不满二十岁的，三岁死。〔气血方刚之年，就见偏枯废疾，这是禀赋不足，早凋的征兆。〕
人参 黄芪 〔补气〕 地黄 当归 白芍 首乌 胡麻 甘菊〔熄风清热。〕天冬 麦冬〔滋阴清热。〕 秦艽 牛膝 续断〔通调血脉。〕 虎骨〔壮其筋骨。〕 茯苓 橘红〔同梨汁竹沥，降火消痰。〕加人乳 梨汁 竹沥 桑枝汤煎药。
此方补气滋阴养血为主，而佐以通血脉，壮筋骨，清痰热的药剂，如果有兼瘀血的，则加消瘀之品。
按偏枯一症，皆由气血不调，譬如树木有一边津液不荫注，而枝叶偏枯，其根本尚未坏，所以只宜如上治法。朱丹溪认为左边为死血，右边为湿痰，也太拘泥，且不甚灵验。经书说：左右者，阴阳的道路。气虚则气滞，而血脉不能运动，左右尽可为死血，气虚则气闭而津液不能通流，左右尽可为湿痰。又有分左为血虚，右为气虚。又有赵氏说：男子左属水，女子右属水，凡人半身风者，男多患左，女多患右，皆由水不能营，治宜补阴壮水为主。我认为应当仿照此法，以推测病情，合宜而治，不可执一。又有赵氏说：有一等平常人，身半以上俱无恙如常人，身半以下，软弱麻痹，小便或涩，或自遗，这是足三阴的虚症，不可不知。
集灵膏 益气补血，滋阴壮水，延年益寿。
人参〔补气，大气周流，无脏不有，所以它的效用无处不利。〕 二冬二地〔生地生精，天冬引入所生之处，熟地补精，麦冬引入所补之处。〕 牛膝〔强筋壮骨。〕 枸杞〔填精养营。各半斤。〕
此方补气血益精髓的神剂，虚人都可以服用。二陈汤治疗肥胖之人痰涎壅盛而属湿的。〔痰必清稀，口必不渴。〕
半夏〔燥湿。〕 茯苓〔渗湿，湿去则痰无由生。〕 橘红〔理气，气利则痰无留滞。〕
甘草〔补脾，脾旺则土能制湿。〕可合星香散，〔南星、木香二味。南星本祛风痰，得牛胆九制，则燥性减，可借用。〕加竹沥、姜汁。本方加胆星、枳壳，名导痰汤。
此燥湿理气化痰的药剂，果属湿痰可用，勿混投之。
独参汤 治疗诸虚气弱，危急的病证。又治疗暴眩仆绝。〔阴虚则孤阳无附，亦自飞越。〕喉无痰声，〔过错不在痰。〕身无邪热。〔病不因感。〕这是阴虚阳暴绝，急用大剂量灌服。
人参〔一两至三两。〕阴虚者可加熟地。〔人参随熟地，能直入三阴。一、二两。〕烦躁脉微者，加童便。〔责其虚而有火。〕痰多者加竹沥。〔责其痰随气乱。〕加黄芪名参芪汤。〔气虚自汗可用。〕加白术名参术汤，〔脾胃虚弱可用。〕加附子〔一、二、三钱。〕名参附汤。真阳不足，上气喘急，气短头晕，〔阳欲上脱。〕汗出肢冷，〔阳欲外脱。〕方可暂用，切勿妄投。
此方固元益气，单用多用，取其有专力耳。大概有形之阴血，不能速生，无形之阳气，所当急固。阳虚气弱者，固宜用之，血虚阴虚者，亦可暂投，使其一息尚存，庶可以次第而生生矣。加诸药方，因其所宜而施之。
六君子汤 治疗肥胖人气虚，突然昏愦，〔肥人多类中，以气盛于外，而敛于内也。〕不省人事。〔气不摄痰，痰迷心窍也。〕痰涎壅盛，〔肥人多湿痰也。〕舌本硬强，语言不清，口眼歪斜，肢体不遂等症。〔皆痰之故也。〕
人参〔一钱至一两。〕 白术 茯苓〔各一、二、三钱。〕 甘草〔补中气以化痰。五、七分。酒家去之。〕 橘红〔利气以行痰。〕 半夏〔燥湿以制痰。各一、二、三钱。〕加竹沥〔开经络，导痰涎。一杯。〕 姜汁〔开痰。数匙。〕可合星香散。平素善饮酒患此症者，加甘蔗汁。〔一杯。以解酒毒。〕如口渴者，本方去姜汁、半夏，加麦冬、石膏，〔清肺胃之热，此方允为治虚风之仪式。〕桑枝汤煎药。
此益气健脾燥湿化痰的圣剂，若系肺经燥痰，非所宜也。按张景岳说：肥人最多热痰，所以口眼歪斜，手足麻木，不论左右，俱作痰治，诚为当矣。但肥人多虚风，宜用一派甘寒之药，〔人参、葳蕤、胡麻、甘菊、生地。麦冬、栝蒌、石膏、梨汁、竹沥之属。〕忌用燥剂，临症宜审。
按嗜酒之人每多类中风者，盖酒为湿热之物，能酿痰涎，痰多则内火易动，当少壮时，血强气雄，不能为害，中年以后，经脉骨肉渐为糟粕之味所渍，谷食渐减，蒸胃腐肠，虽或色泽红华，而中实败坏，一或内伤劳役，或六淫七情，少有所触，皆能卒中。譬如枯杨生华，忽遇大风而摧折矣。所以沉湎致虚而中，与房劳致虚而中，均为危症。赵晚林说：酒客类中，宜大补胃气，多加人参以挽之。
四君子汤 治疗面色萎白，〔望之而知其气虚矣〕言语轻微；〔闻之而知其气虚矣。〕四肢无力，〔问之而知其气虚矣。〕脉来虚弱者。〔切之而知其气虚矣。〕
人参〔补五脏之元气。〕白术〔补五脏之母气。〕茯苓〔能致五脏之清气。〕甘草〔能调五脏愆和之气。〕加橘红，名异功散。
此补气之要剂，须随症加减用之。
归脾汤 治疗类中风，心、脾、肝三经俱虚，或者怔忡惊悸，眠则易醒，〔心血不足也。〕或者饮食减少，食则难化，〔胃气弱，脾阴亏也。〕或者烦恼多怒。〔肝血少，肝火旺也。〕
人参 黄芪 白术 甘草〔补脾。〕茯神 远志 枣仁 元肉〔安神。〕当归〔养血。〕木香〔快气。〕肝火旺，加丹皮、黑山栀。〔泻火。〕
此补气养血安神，阴阳和平之剂，活法对症加减用之，自臻神效。
加味逍遥散 治疗类中风多食。〔风木太过，脾土受克，故求助于食。〕又治肝经风热，血燥筋挛，肢体不遂，内热晡热，往来寒热诸症。
柴胡〔肝木气郁，必下克脾土，用柴胡辛以散其束缚，升以举其抑遏。〕芍药〔味酸而收，能制肝木之太过。〕当归〔肝伤则血病，用以养血。〕茯神〔水实则火燥，取其宁
Apoplexy (Zhong Feng) is distinguished into true and false, internal and external; a slight error in differentiation leads to a thousand-mile deviation. Why? The northwest has high terrain and cold climate, with fierce wind. When the person with deficient true Qi is suddenly struck by it, as stated in *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet): "Evil enters the collaterals, causing insensitivity of the skin and muscles." When evil just enters the Wei (Defensive) level, Qi cannot circulate, hence skin insensitivity. When evil enters the Jing (Main) channels, heaviness and weakness occur. When evil penetrates the Ying (Nutritive) vessels, both internal bones and external muscles lose nourishment, resulting in severe heaviness and inability to bear weight. When evil enters the Fu (Yang) organs, consciousness is lost. Entering the Fu organs inevitably affects the Stomach; heat steams body fluids, condensing them into phlegm-saliva, causing Stomach Qi to stagnate and rebel, leading to unconsciousness. When evil enters the Zang (Yin) organs, speech becomes difficult, and saliva foams from the mouth. When pathogenic factors severely affect various Zang organs, they must enter the Heart and disturb the Shen (Spirit), causing tongue relaxation and difficulty speaking, opening the Lianquan point and flowing saliva. Apoplexy affecting the Zang organs often results in death; affecting the Fu organs leads to disability; affecting the collaterals and channels can be cured through regulation. The treatment method should first disperse wind evil. Jiayan (Zhang Jiebin) said: "For those with deficiency, if deficiency is not tonified, wind will not exit; for those with phlegm, if phlegm is not resolved, wind will not exit; for those with fire, if heat is cleared, wind will not exit; for those with Qi stagnation, if depression is opened, wind will not exit; for those with dampness, if dampness is guided out, wind will not exit." Therefore, for wind striking collaterals and channels, it is generally appropriate to diffuse and scatter. Medicines such as Renshen Baidu San (Ginseng Decoction to Overcome Toxins) and Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygia Decoction) are used for modified treatment. Do not mistakenly use purgatives, allowing wind evil to enter the Zang and Fu organs due to deficiency,酿成 irreversible disaster. Next, treat the root by tonifying and nourishing Qi and Blood. For symptoms of Zang apoplexy, medical texts often suggest purgation; however, Zang apoplexy usually involves chronic deficiency and unstable Zhen Qi; purging would cause immediate death. Only in cases of Fu organ involvement with internal excess and constipation is purging occasionally applicable, merely to mildly relieve烦热 (irritating heat); how can purging be a fixed rule! Once the wind tendency subsides, wind-drying herbs must be prohibited. One should reside in a quiet room, avoid rich and fresh foods, and only use sweet-cold herbs, taken frequently while hot, so that internally wind is not attracted and externally there is no path for entry. Sweet-cold herbs extinguish wind, tonify deficiency, and can be taken long-term. Careful regulation for a thousand days allows one to enjoy longevity. This outlines the general principles of True Apoplexy; prescriptions are numerous, so no further elaboration is needed. Regarding Similar Apoplexy (Lei Zhong Feng), treatment methods are not yet perfect, so clarification is necessary. According to Zhongchun (Chen Shigong): In the southeast, there is no fierce wind, but much damp-heat. People's constitutions are often soft and fragile, prone to heat and phlegm. With depleted True Yin, internal heat is severe, boiling body fluids into phlegm, blocking airways, preventing smooth flow. Extreme heat generates wind, causing sudden collapse. Symptoms of Similar Apoplexy include unconsciousness, slurred speech, facial paralysis, or hemiplegia. Before onset, internal heat signs appear externally: dry mouth and bitter taste, constipation, scanty dark urine. This confirms Liu Hejian's view that this condition arises from improper care, violent Heart Fire, and deficient Kidney Water unable to control it. Zhu Danxi attributed it to Qi deficiency, Blood deficiency, and damp-phlegm. This is Internal Deficiency Dark Wind, truly Yin-Yang dual deficiency, predominantly Yin deficiency, distinct from external wind evil. Treatment should clear heat [Er Dong (Tian Dong, Mai Dong), Gan Ju, Bai Shao, Tong Bian], regulate Qi [Su Zi, Ju Hong, Pi Pa Ye, Yu Jin], resolve phlegm [Bei Mu, Hua Fen, Gua Lou, Zhu Li] to address the branch, then treat the root. For Yin deficiency, nourish Blood [Di Huang, Dong, Gou Qi, Bai Shao, Niu Xi, Zao Ren, Hu Ma, Shou Wu, Ren Ru, Bie Jia]; for Yang deficiency, tonify Qi [Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Lu Rong]; for dual Qi-Blood deficiency, tonify both, recovering over time. Mistaking it for True Apoplexy and using wind herbs causes dryness to injure Yin and dispersion to injure Qi, worsening mild cases and killing severe ones. Jingyue (Zhang Jingyue) stated: True Apoplexy comes from outside, initially presenting with fever, aversion to cold, headache, and body pain, clearly observable. Similar Apoplexy arises internally, without external signs, appearing suddenly like wind, caused by alcohol, sex, fatigue, emotional stress, and diet injuring Zang Qi, leading to Yin deficiency. Treatment should cultivate True Yin to save the root. Yin deficiency has two types: Water deficiency within Yin, and Fire deficiency within Yin. For Water deficiency, strengthen the master of Water, using Liu Wei Di Huang Wan or Zuo Gui Wan; for Fire deficiency, benefit the source of Fire, using Di Huang Yin Zi or Ba Wei Wan. Understanding Water and Fire in treatment makes one a skilled physician.
Nose-Insufflation Method treats trismus (lockjaw).
Xi Xin (Asarum) and Zao Jiao (Gleditsia Sinensis Fruit) [mixed as powder]. Blown into nose to induce sneezing; no sneeze indicates Lung exhaustion and death. These two are acrid-dispersing herbs, penetrating the crown to open orifices and awaken spirit, contraindicated in Similar Apoplexy as they leak True Qi.
Mume Fructus Trismus Formula also treats lockjaw.
Rub Mume Fructus flesh on the jaw. [If the jaw feels sore and soft, it opens easily.]
Gai Rong Gao treats facial paralysis. If deviated to the left, apply blood to the right; if deviated to the right, apply blood to the left.
Eel Blood [taken from the tail; eels burrow, lack feet, move like snakes, sharing nature with snakes, thus entering collaterals and treating wind evil.] Bing Pian (Borneol) and She Xiang (Musk) [to promote Qi movement and penetrate orifices, small amounts each.]
These two formulas are usable for both True and Similar Apoplexy. Eel blood is red eel blood.
Guizhi Tang (Cinnamon Twig Decoction) [see Shang Han Lun]. Wind enters from outside, lodging in collaterals and channels, lingering without departing. This formula is the ancestor of all formulas for apoplexy, used for True Apoplexy because wind enters from outside and must be driven out.
Xiao Xuming Tang (Minor Continuation of Life Decoction)
Ma Huang (Ephedrae Herba) and Xing Ren (Armeniacae Semen Amarum) [suitable for Zhang Zhongjing's treatment of Taiyang syndrome cold damage with no sweat.] Gui Zhi (Cinnamomi Ramulus) and Bai Shao (Paeoniae Radix Alba) [suitable for Zhang Zhongjing's treatment of Taiyang syndrome wind strike with spontaneous sweating. For symptoms of headache, fever, aversion to cold, body ache, lower back pain, and stiffness, choose accordingly.] Ren Shen (Ginseng Radix et Rhizoma) and Gan Cao (Glycyrrhizae Radix et Rhizoma) [tonify Qi, suitable for Qi deficiency.] Chuan Xiong (Ligustici Chuanxiong Rhizoma) [with Bai Shao to nourish Blood, suitable for Blood deficiency.] Fang Feng (Saposhnikoviae Radix) [used because wind is the final disease.] Fang Ji (Akebiae Caulis) [used for damp-wind abdominal disease.] Huang Qin (Scutellariae Radix) [used for Yang excess heat disease. Each 1 qian.] Fu Zi (Aconiti Lateralis Radix Praeparata) [used for Yin excess cold disease. 0.5 qian. Diseases rarely come alone but mix together, so herbs cover multiple aspects.]
Ancients mixed treatments for apoplexy without distinguishing collaterals/channels or deficiency/excess/cold-heat. Without symptom-based modification, it worsens the condition. Note: Baidu San contains Ren Shen and Fu Ling to tonify deficiency; Qianghuo Tang contains Huang Qin and Di Huang to clear heat. Collectively treating True Apoplexy with modifications is stable.
Shun Qi Kai Tan Yin (Regulate Qi and Open Phlegm Drink) [self-made] treats Similar Apoplexy with excessive heat-phlegm.
Su Zi (Perillae Fructus), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Pi Pa Ye (Loquat Leaf), Yu Jin (Curcumae Radix) [regulate Qi]; Bei Mu (Fritillariae Bulbus), Hua Fen (Trichosanthis Radix), Gua Lou Shuang (Trichosanthis Fructus Pulvis), Fu Ling (Poria), Zhu Li (Bambusa Textilis Sap) [resolve phlegm]. If phlegm obstructs the Pericardium causing coma, add Xi Jiao (Rhinocerotis Cornu) and Ling Yang Jiao (Capra Hircus Cornu), mixed with Niu Huang (Bovaris Calculus) and Tian Zhu Huang (Bambusa Textilis Tabaosha).
This formula first regulates Qi and resolves phlegm to treat the branch. Treating phlegm requires regulating Qi first; when Qi flows, phlegm descends. However, clearing the Lung is fundamental. The Lung prefers clarity and肃降 (descending); heat boils fluids into thick phlegm, blocking airways and impairing ascending/descending. Thus, for Lung heat, Ren Shen is contraindicated as it may aid fire and injure the Lung, increasing heavy voice and phlegm, potentially drying fluids until no water drops to unblock the urinary pathway. Caution is essential.
Jie Ming Dan (Connect Life Pill) treats Similar Apoplexy with aphasia [due to phlegm-fire obstructing upper orifices], flaccid paralysis of limbs [Tan means flat/relaxed, sinews loose and unable to lift; Huan means scattered, Qi and Blood dispersed and unusable. Both caused by phlegm-fire], limb pain, difficulty moving [also due to phlegm-fire stagnating collaterals], and reduced appetite [diffuse heat-phlegm, stagnant Stomach Qi]. Also treats Qi-Blood deficiency with rising phlegm-fire and consumptive diseases.
Ren Ru (Human Milk) [milk transforms from Blood, rapidly tonifies Yin. 2 cups.] Li Zhi (Pyrus Sinkiangensis Juice) [descends fire, resolves phlegm. 1 cup.] Steamed in water, warm at dawn. [To prevent accumulation and diarrhea if taken with food.] Add Zhu Li if phlegm is excessive [slippery, flows smoothly, enters orifices, expels phlegm. 1 cup.] This formula tonifies Yin, clears fire, resolves phlegm, using human milk to supplement humans, unparalleled in efficacy.
Jia Wei Di Huang Tang (Modified Rehmannia Decoction) treats violent Heart Fire and deficient Kidney Water unable to control it, or extreme emotions (joy, anger, worry, grief, fear) causing heat stagnation, leading to mental confusion, sudden collapse, aphasia [True Yin loss, fluid depletion, tongue collaterals unnourished, free movement impossible], facial paralysis, limb spasms [Water fails to nourish sinews, sinews tense and relaxed. Folk 'wind' is an illusion of wind-yin terminal disease; wind arises from fire], dry stool [Kidney governs five fluids and two bowels; deficiency fails to moisten], urgent urination with dribbling [Fire nature is rapid].
Liu Wei Di Huang Tang (Six-Ingredient Rehmannia Pill) [tonifies Kidney, strengthens Fire.] Add Mai Dong (Ophiopogonis Radix) and Xi Jiao (Rhinocerotis Cornu) [clears Heart, resolves heat.] Ling Yang Jiao (Caprae Hircus Cornu) and Gou Teng (Uncariae Ramulus cum Uncis) [calms Liver Wood, relaxes sinews.]
Ren Ru (Human Milk) [tonifies Yin, benefits Blood.] Li Zhi (Pyrus Sinkiangensis Juice) and Zhu Li (Bambusa Textilis Sap) [descends fire, resolves phlegm.] Ren Shen (Ginseng Radix et Rhizoma) [add as appropriate.] Sang Zhi (Mori Ramulus) [3-4 liang stir-fried.] Decoct to cook medicine. [Promotes joint mobility, treats limb spasm, suitable for hemiplegia.] This formula primarily tonifies Kidney and strengthens Water, assisted by clearing Heart, calming Liver, descending fire, and resolving phlegm. Since Metal is Mother of Water, for Water deficiency, add Sheng Mai San (Generate Pulse Powder) to nourish the source of transformation.
Bu Qi Yang Xue Tang (Tonify Qi and Nourish Blood Decoction) [self-made]
Treats Similar Apoplexy with hemiplegia, known as Pian Ku (Half-Withered) in classics. [Classics: Pian Ku, one side useless and painful, speech unchanged, mind undisturbed, disease in fen-coupling. Also: Empty evil occupies half body; deep invasion lodges in Ying-Wei; when weak, True Qi departs, evil remains alone, causing Pian Ku. Shallow evil causes unilateral pulse pain. Though described as external contraction, pain indicates milder condition.] Men affected on left [Right is adverse, Left is favorable]. Women affected on right [Left is adverse, Right is favorable]. Non-aphasic with tongue turning recoverable, recovery in 30 days. [Though meridian adverse, not severe in Zang.] Favorable cases with aphasia recover in 3 years. [If man right/woman left, symptoms favorable but voice aphonic, exterior light interior heavy.] Under 20 years old, death in 3 years. [In prime Qi-Blood years, Pian Ku indicates insufficient constitution and premature decline.]
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix) [tonify Qi.] Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Shou Wu (Polygoni Multiflori Radix), Hu Ma (Sesami Fructus), Gan Ju (Chrysanthemi Flos) [extinguish wind, clear heat.] Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix) [nourish Yin, clear heat.] Qin Jiao (Gentianae Macrophyllae Radix), Niu Xi (Achyranthis Bidentatae Radix), Xu Duan (Dipsaci Radix) [regulate blood vessels.] Hu Gu (Pantheris Os) [strengthen sinews and bones.] Fu Ling (Poria), Ju Hong (Citri Reticulatae Pericarpium Rubrum) [with Li Zhi and Zhu Li, descend fire, resolve phlegm.] Add Ren Ru, Li Zhi, Zhu Li, decoct with Sang Zhi Soup.
This formula primarily tonifies Qi, nourishes Yin and Blood, assisted by regulating vessels, strengthening sinews/bones, clearing phlegm-heat. If blood stasis exists, add stasis-resolving herbs.
Note: Pian Ku stems from Qi-Blood disharmony, like trees where one side lacks sap, branches wither, but roots remain intact. Hence, above treatment applies. Zhu Danxi claimed left is dead blood, right is damp-phlegm, which is too rigid and ineffective. Classics say: Left and Right are paths of Yin and Yang. Qi deficiency causes stagnation, vessels cannot move; left/right can be dead blood. Qi closure prevents fluid flow; left/right can be damp-phlegm. Some divide left as Blood deficiency, right as Qi deficiency. Zhao stated: Men's left belongs to Water, women's right belongs to Water. Hemiplegia men often have left, women right, due to Water failing to nourish. Treatment should tonify Yin and strengthen Water. I suggest following this method to infer pathology and treat appropriately, not dogmatically. Zhao also noted: Some healthy people have normal upper body but weak/numb lower body, with dysuria or incontinence, indicating Foot Three Yin deficiency. Must know this.
Ji Ling Gao (Collection of Spirits Paste) Tonifies Qi and Blood, nourishes Yin and strengthens Water, prolongs life.
Ren Shen (Ginseng Radix et Rhizoma) [tonifies Qi, Great Qi circulates everywhere, benefiting all organs.] Er Dong (Tian Dong, Mai Dong) and Er Di (Sheng Di Huang, Shu Di Huang) [Sheng Di generates essence, Tian Dong guides to generation site; Shu Di tonifies essence, Mai Dong guides to tonification site.] Niu Xi (Achyranthis Bidentatae Radix) [strengthens sinews and bones.] Gou Qi (Lycii Fructus) [fills essence, nourishes Ying. Each 0.5 jin.]
This divine formula tonifies Qi-Blood and essence-marrows, suitable for deficient persons. Er Chen Tang treats obese persons with excessive phlegm-saliva due to dampness. [Phlegm clear/thin, mouth not thirsty.]
Ban Xia (Pinelliae Rhizoma) [dries dampness.] Fu Ling (Poria) [leaches dampness; when damp leaves, phlegm has no source.] Ju Hong (Citri Reticulatae Pericarpium Rubrum) [regulates Qi; when Qi flows, phlegm does not stagnate.]
Gan Cao (Glycyrrhizae Radix et Rhizoma) [tonifies Spleen; when Spleen prospers, Earth controls dampness.] Can combine with Xing Xiang San [Nan Xing, Mu Xiang. Nan Xing dispels wind-phlegm; processed with ox gall nine times reduces dryness, borrowable.] Add Zhu Li and Jiang Zhi. Original formula plus Dan Xing and Zhi Ke is named Dao Tan Tang.
This is a damp-drying, Qi-regulating, phlegm-resolving formula. Use only for damp-phlegm, do not misuse.
Du Shen Tang (Single Ginseng Decoction) Treats various deficiencies and Qi weakness, critical conditions. Also treats sudden dizziness and collapse. [Yin deficiency leaves solitary Yang unattached, flying away.] No phlegm sound in throat [fault not in phlegm]. No pathogenic heat in body [illness not due to infection]. This is sudden Yin deficiency and Yang collapse; urgently administer large dose.
Ren Shen (Ginseng Radix et Rhizoma) [1-3 liang.] For Yin deficiency, add Shu Di Huang. [Ren Shen with Shu Di enters Three Yin directly. 1-2 liang.] For irritability and faint pulse, add Tong Bian. [Attributed to deficiency with fire.] For excessive phlegm, add Zhu Li. [Phlegm follows chaotic Qi.] Add Huang Qi, name Shen Qi Tang. [For Qi deficiency with spontaneous sweating.] Add Bai Zhu, name Shen Zhu Tang. [For Spleen-Stomach weakness.] Add Fu Zi [1-3 qian], name Shen Fu Tang. For True Yang deficiency, panting, shortness of breath, dizziness [Yang about to escape upward], sweating and cold limbs [Yang about to escape outward], can temporarily use, never blindly.
This formula secures Yuan Qi and tonifies Qi. Single use or large dose for focused power. Formidable Yin Blood cannot generate quickly; formless Yang Qi must be urgently secured. Suitable for Yang/Qi deficiency; also temporarily for Blood/Yin deficiency to preserve remaining life for gradual regeneration. Added formulas applied according to suitability.
Liu Jun Zi Tang (Six Gentlemen Decoction) Treats obese persons with Qi deficiency, sudden stupor [Obese prone to Similar Apoplexy, Qi abundant externally but gathered internally], unconsciousness [Qi fails to control phlegm, phlegm confuses Heart orifices], excessive phlegm-saliva [Obese prone to damp-phlegm], stiff tongue base, unclear speech, facial paralysis, limb immobility [All due to phlegm].
Ren Shen (Ginseng Radix et Rhizoma) [1 qian-1 liang.] Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) [Each 1-3 qian.] Gan Cao (Glycyrrhizae Radix et Rhizoma) [Tonifies Middle Qi to resolve phlegm. 0.5-0.7 qian. Omit for drinkers.] Ju Hong (Citri Reticulatae Pericarpium Rubrum) [Promotes Qi to move phlegm.] Ban Xia (Pinelliae Rhizoma) [Dries dampness to control phlegm. Each 1-3 qian.] Add Zhu Li [Opens collaterals, guides phlegm. 1 cup.] Jiang Zhi [Opens phlegm. Several spoons.] Can combine with Xing Xiang San. Chronic drinkers with this condition add Gan Zhe Zhi [1 cup. To resolve alcohol toxin.] If thirsty, remove Jiang Zhi and Ban Xia, add Mai Dong and Shi Gao [Clears Lung-Stomach heat. This formula serves as a model for treating deficient wind.] Decoct with Sang Zhi Soup.
This holy formula tonifies Qi, strengthens Spleen, dries dampness, resolves phlegm. Unsuitable for Lung dry-phlegm. Note Jiayan said: Obese people most have heat-phlegm, so facial paralysis and limb numbness, regardless of side, treated as phlegm, truly correct. But obese people often have deficient wind, suitable for sweet-cold herbs [Ren Shen, Wei Rui, Hu Ma, Gan Ju, Sheng Di. Mai Dong, Gua Lou, Shi Gao, Li Zhi, Zhu Li etc.], avoid drying agents, examine carefully at bedside.
Note: Alcoholics often have Similar Apoplexy. Alcohol is damp-heat, breeds phlegm; more phlegm moves internal fire easier. In youth, strong Blood and Qi, no harm. After middle age, meridians and bones soaked by waste flavors, grain intake decreases, steaming Stomach and rotting Intestines. Though complexion may be ruddy, interior is ruined. Any internal injury from labor or six exuberances/seven emotions triggers sudden stroke. Like withered poplar flowering, suddenly broken by strong wind. Thus, stroke from alcohol-induced deficiency and sexual exhaustion-induced deficiency are both critical. Zhao Wanlin said: Alcoholics with Similar Apoplexy should greatly tonify Stomach Qi, adding much Ren Shen to rescue.
Si Jun Zi Tang (Four Gentlemen Decoction) Treats sallow complexion [Observation reveals Qi deficiency], faint speech [Hearing reveals Qi deficiency], limb weakness [Questioning reveals Qi deficiency], weak pulse [Palpation reveals Qi deficiency].
Ren Shen (Ginseng Radix et Rhizoma) [Tonifies primal Qi of Five Zang.] Bai Zhu (Atractylodis Macrocephalae Rhizoma) [Tonifies mother Qi of Five Zang.] Fu Ling (Poria) [Brings clear Qi of Five Zang.] Gan Cao (Glycyrrhizae Radix et Rhizoma) [Regulates discordant Qi of Five Zang.] Add Ju Hong, name Yi Gong San.
This essential Qi-tonifying formula must be modified according to symptoms.
Gui Pi Tang (Restore the Spleen Decoction) Treats Similar Apoplexy with concurrent deficiency of Heart, Spleen, and Liver meridians, or palpitations and fright, easy awakening during sleep [Heart Blood deficiency], reduced appetite, difficult digestion [Stomach Qi weak, Spleen Yin deficient], irritability and anger [Liver Blood scarce, Liver Fire旺盛].
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [Tonify Spleen.] Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Zao Ren (Ziziphi Spinosae Semen), Yuan Rou (Longan Arillus) [Calm Spirit.] Dang Gui (Angelicae Sinensis Radix) [Nourish Blood.] Mu Xiang (Aucklandiae Radix) [Move Qi vigorously.] For Liver Fire, add Dan Pi (Moutan Cortex) and Hei Shan Zhi (Gardeniae Fructus) [Drain Fire.]
This formula tonifies Qi, nourishes Blood, calms Spirit, harmonizes Yin-Yang. Apply flexibly with modifications for miraculous effect.
Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) Treats Similar Apoplexy with polyphagia [Wood wind excessive, Earth Spleen suppressed, seeking help from food.] Also treats Liver meridian wind-heat, Blood dryness with sinew cramps, limb immobility, internal heat, evening tidal fever, alternating chills and fever.
Chai Hu (Bupleuri Radix) [Liver Wood Qi stagnation suppresses Spleen Earth; use Chai Hu acrid to disperse binding, ascending to lift suppression.] Shao Yao (Paeoniae Radix) [Acid and astringent, controls Liver Wood excess.] Dang Gui (Angelicae Sinensis Radix) [Liver injury causes Blood disease, used to nourish Blood.] Fu Shen (Poria with Hostwood) [When Water full, Fire dry; take to calm