罗左 年甫半百，阳气早亏，贼风入中经 ，营卫痹塞不行，陡然跌仆成中，舌强不语，神识似明似昧，嗜
卧不醒，右手足不用。风性上升，痰湿随之，阻于廉泉，堵塞神明也。脉象尺部沉细，寸关弦紧而滑，苔白腻，
阴霾弥漫，阳不用事，幸小溲未遗，肾气尚固，未至骤见脱象，亦云幸矣。急拟仲景小续命汤加减，助阳祛
风，开其痹塞，运中涤痰，而通络道，冀望应手，始有转机。
净麻黄（四分） 熟附片（一钱） 川桂枝（八分） 生甘草（六分） 全当归（三钱） 川芎（八分）
姜半夏（三钱） 光杏仁（三钱） 生姜汁（冲服，一钱） 淡竹沥（冲服，一两）
另再造丸（去壳研细末化服，一粒。）
二诊 两进小续命汤，神识稍清，嗜寐渐减，佳兆也。而舌强不能言语，右手足不用，脉息尺部沉
细，寸关弦紧稍和，苔薄腻。阳气本虚，藩篱不固，贼风中经，经 痹塞，痰湿稽留，宗气不得分布，故
右手足不用也。肾脉络舌本，脾脉络舌旁，痰阻心脾之络，故舌强不能言，灵机堵塞也。虽见小效，尚不
敢有恃无恐，再拟维阳气以祛邪风，涤痰浊而通络道，努力前进，以观后效。
熟附片（一钱） 云茯苓（三钱） 川桂枝（八分） 姜半夏（二钱） 生甘草（六分） 枳实炭（一钱）
全当归（二钱） 光杏仁（三钱） 大川芎（八分） 炙僵蚕（二钱） 生姜汁（冲，一钱） 淡竹沥（冲，一两）
三诊 又服三剂，神识较清，嗜寐大减，略能言语，阳气有流行之机，浊痰有克化之渐，是应手也。
惟右手足依然不用，腑气六七日不行。苔腻，脉弦紧渐和，尺部沉细，肾阳早亏，宗气不得分布，腑中之
浊垢，须阳气通，而后能下达，经腑之邪风，必正气旺，始托之外出。仍拟助阳益气，以驱邪风，通胃涤
痰，而下浊垢，腑气以下行为顺，通腑亦不可缓也。
生黄 （三钱） 桂枝（八分） 附子（一钱） 生甘草（五分）
当归（三钱） 川芎（八分） 云茯苓（三钱） 风化硝（五分） 全栝蒌（三钱） 枳实炭（一钱）
淡苁蓉（三钱） 半硫丸（吞服，一钱五分）
四诊 腑气已通，浊垢得以下行，神识已清，舌强，言语未能自如，右手足依然不用，脉弦紧转和，尺
部沉细，阳气衰弱之体，风为百病之长，阴虚之邪风，即寒中之动气，阳气旺一分，邪风去一分。湿痰
盘踞，亦藉阳气充足，始能克化。经所谓阳气者，若天与日，失其所则折寿而不彰，理有信然。仍助阳气
以祛邪风，化湿痰而通络道，循序渐进，自获效果。
生黄 （五钱） 生白术（二钱） 生甘草（五分） 熟附子（一钱） 桂枝（八分） 全当归（三钱）
川芎（八分） 姜半夏（三钱） 西秦艽（二钱） 怀牛膝（二钱） 嫩桑枝（三钱） 指迷茯苓丸（包，五钱）
服前方，诸恙见轻，仍守原法扩充。生黄 用至八钱，间日用鹿茸二分，研细末，饭为丸，陈酒吞服，大
活络丹，每五日服一粒，去壳研末，陈酒化服，共服六十余帖，舌能言，手能握，足能履。接服膏滋方，药味
与煎药仿佛，以善其后。
沈左 年逾古稀，气阴早衰于未病之先，旧有头痛目疾，今日陡然跌仆成中，舌强不语，人事不省，
左手足不用。舌质灰红，脉象尺部沉弱，寸关弦滑而数，按之而劲。良由水亏不能涵木，内风上旋，挟素
蕴之痰热，蒙蔽清窍，堵塞神明出入之路，致不省人事，痰热阻于廉泉，为舌强不语，风邪横窜经 ，则左
手足不用。《金匮》云∶风中于经，举重不胜，风中于腑，即不识人，此中经兼中腑之重症也。急拟育阴熄
风，开窍涤痰，冀望转机为幸。
大麦冬（三钱） 玄参（二钱） 羚羊片（先煎汁冲，八分） 仙半夏（二钱） 川贝（二钱） 天竺黄（一钱
五分） 明天麻（八分） 陈胆星（八分） 竹茹（一钱五分） 枳实（一钱） 全栝蒌（切，四钱） 嫩钩钩（后
入，三钱） 淡竹沥（冲，一两） 生姜汁（冲，二滴） 至宝丹（一粒，去壳研末化服）
二诊 两投育阴熄风、开窍涤痰之剂，人事渐知，舌强不能言语，左手足不用，脉尺部细弱，寸关弦滑而
数，舌灰红。高年营阴亏耗，风自内起，风扰于胃，胃为水谷之海，津液变为痰涎，上阻清窍，横窜经 ，论
恙所由来也，本症阴虚，风烛堪虑！今仿河间地黄饮子加味，滋阴血以熄内风，化痰热而清神明，风静浪平，始
可转危为安。
大生地（四钱） 大麦冬（二钱） 川石斛（三钱） 羚羊片（先煎汁冲，四分） 仙半夏（二钱）
明天麻（一钱） 左牡
蛎（四钱） 川贝母（三钱） 陈胆星（八分） 炙远志（一钱） 九节菖蒲（八分） 全栝蒌（切，四钱）
嫩钩钩（后入，三钱） 淡竹沥（冲服，一两）
三诊 叠进育阴熄风，清热化痰之剂，人事已清，舌强言语蹇涩，左手足依然不用。苔色灰红，脉
象弦数较静，尺部细弱，内风渐平，阴血难复。津液被火炼而为痰，痰为火之标，火为痰之本，火不靖，则
痰不化，阴不充，则火不靖。经 枯涩，犹沟渠无水以贯通也。前地黄饮子能获效机，仍守原意进步。然
草木功能，非易骤生有情之精血也。
西洋参（一钱五分） 大麦冬（三钱） 大生地（三钱） 川石斛（三钱） 生左牡蛎（四钱） 煨天麻（八分）
竹沥半夏（二钱） 川贝（三钱） 炙远志（一钱） 全栝蒌（切，四钱） 鲜竹茹（二钱） 嫩钩钩（后入，三钱）
黑芝麻（研包，三钱）
四诊 神识清，舌强和，言语未能自如，腑气行而甚畅，痰热已有下行之势。左手足依然不用，脉弦
小而数，津液亏耗，筋无血养，犹树木之偏枯，无滋液以灌溉也。仍议滋下焦之阴，清上焦之热，化中焦之
痰，活经 之血，复方图治，尚可延年。
西洋参（一钱五分） 大麦冬（二钱） 大生地（二钱） 川石斛
（三钱） 生左牡蛎（四钱） 仙半夏（二钱） 川贝（三钱） 全栝蒌（切，四钱） 浓杜仲（二钱）
怀牛膝（二钱） 西秦艽（二钱） 嫩桑枝（三钱） 黑芝麻（研包，三钱）
祁妪 中风延今一载，左手不能招举，左足不能步履，舌根似强，言语蹇涩，脉象尺部沉细，寸关
濡滑，舌边光、苔薄腻，年逾七旬，气血两亏，邪风入中经 ，营卫痹塞不行，痰阻舌根，故言语蹇涩
也。书云∶气主煦之，血主濡之。今宜益气养血，助阳化痰，兼通络道。冀望阳生阴长，气旺血行，则邪
风可去，而湿痰自化也。
潞党参（三钱） 生黄 （五钱） 生于术（二钱） 生甘草（六分） 熟附片（八分） 川桂枝（五分）
全当归（三钱） 大白芍（二钱） 大川芎（八分） 怀牛膝（二钱） 浓杜仲（三钱） 嫩桑枝（四钱）
红枣（十枚） 指迷茯苓丸（包，四钱）
此方服三十剂，诸恙均减，后服膏滋，得以收效。
李妪 旧有头痛眩晕之恙，今忽舌强不能言语，神识时明时昧，手足弛纵，小溲不固，脉象尺部细小，左
寸关弦小而数，右寸关虚滑，舌光红。此阴血大亏，内风上扰，痰热阻络，灵窍堵塞，中风重症。急
拟滋液熄风，清神涤痰，甘凉濡润，以冀挽救。
大麦冬（三钱） 大生地（三钱） 川石斛（三钱） 左牡蛎（四钱） 生石决（四钱） 煨天麻（八分）
川贝（三钱） 炙远志（一钱） 天竺黄（一钱五分） 竹沥半夏（一钱五分） 鲜竹茹（一钱五分） 嫩钩钩（后
入，三钱） 淡竹沥（冲服，一两） 珍珠粉（冲服，二分）
此方服十剂，诸恙已轻。原方去竹沥、珠粉、天竺黄，加西洋参（一钱五分），阿胶珠（一钱五分）。
黎左 二年前右拇指麻木，今忽舌强语言蹇涩，右手足麻木无力，脉象虚弦而滑，舌苔薄腻。此体丰
气虚，邪风入络，痰阻舌根，神气不灵。中风初步之重症也，急拟益气去风，涤痰通络。
生黄 （五钱） 青防风（一钱） 防己（二钱） 生白术（二钱） 全当归（二钱） 大川芎（八分）
西秦艽（一钱五分） 竹沥半夏（二钱） 枳实炭（一钱） 炒竹茹（一钱五分） 炙僵蚕（三钱） 陈胆星
（八分） 嫩桑枝（三钱） 再造丸（一粒，去壳研细末化服）
五剂后恙已见轻，去再造丸、枳实，加指迷茯苓丸三钱吞服。
廖左 体丰气虚，湿胜痰多，陡然跌仆成中，不省人事，小溲自遗，喉中痰声漉漉，汗多脉伏，身热
肢冷。此本实先拨，真阳飞越。气血涣散，枢纽不交，虽曰中脏，实暴脱也。勉拟一方，聊尽人工。
别直参（三钱） 熟附块（三钱） 淡竹沥（二两） 生姜汁（一钱）
（两液同冲）
Luo (Left), aged just over fifty, had early deficiency of Yang Qi. Pathogenic wind invaded the meridians, causing Bi obstruction of Ying and Wei Qi, leading to sudden collapse and stroke. The tongue is stiff with aphasia, consciousness is fluctuating between clear and obscure, there is lethargy and unrousability, and the right hand and foot are paralyzed. Wind nature tends upward, carrying phlegm-dampness with it, obstructing the Lianquan point (Ren-23) and blocking the pathway of Shen (Spirit). The pulse is deep and fine at the Chi position, wiry, tight, and slippery at the Cun and Guan positions; the coating is white and greasy, resembling a gloomy haze where Yang Qi fails to function. Fortunately, urinary incontinence has not occurred, indicating that Kidney Qi remains secure, and there is no immediate sign of Collapse, which is fortunate. Urgently prescribe a modified Xiao Xuming Tang (Minor Life-Sustaining Decoction) from Zhang Zhongjing to assist Yang, dispel wind, open Bi obstruction, transform the Middle Jiao, eliminate phlegm, and unblock the collaterals, hoping for an immediate response and a turning point.
Net Ephedrae Herba (Mahuang, 4 fen) Cooked Aconiti Lateralis Radix Preparata (Fupian, 1 qian) Cinnamon Twig (Guizhi, 8 fen) Raw Glycyrrhizae Radix et Rhizoma (Gancao, 6 fen) Whole Angelicae Sinensis Radix (Danggui, 3 qian) Chuanxiong Rhizome (Chuanxiong, 8 fen)
Ginger-processed Pinelliae Tuber (Banxia, 3 qian) Bitter Apricot Seed (Xingren, 3 qian) Ginger Juice (taken with decoction, 1 qian) Bamboo Sap (Zhuli, taken with decoction, 1 liang)
Additionally, Zaizao Wan (Rejuvenation Pill) (shell removed, ground to fine powder, dissolved and taken, 1 pill.)
Second visit: After taking two doses of Xiao Xuming Tang, consciousness has slightly cleared, and lethargy has gradually decreased, which is a good omen. However, the tongue remains stiff with inability to speak, and the right hand and foot remain paralyzed. The pulse is deep and fine at the Chi position, while the Cun and Guan positions are wiry and tight but slightly harmonized; the coating is thin and greasy. Yang Qi was originally deficient, and the defensive barrier was insecure. Pathogenic wind invaded the meridians, causing meridian Bi obstruction and retention of phlegm-dampness. Zong Qi (Pectoral Qi) cannot distribute, hence the paralysis of the right hand and foot. The Kidney meridian connects to the root of the tongue, and the Spleen meridian connects to the side of the tongue. Phlegm obstructs the collaterals of the Heart and Spleen, causing tongue stiffness and aphasia, blocking the spiritual mechanism. Although slight efficacy is seen, one must not be complacent. Prescribe again to warm and tonify Yang Qi to dispel pathogenic wind, eliminate phlegm-turbidity to unblock the collaterals, strive forward, and observe subsequent effects.
Cooked Aconiti Lateralis Radix Preparata (Fupian, 1 qian) Poria (Fuling, 3 qian) Cinnamon Twig (Guizhi, 8 fen) Ginger-processed Pinelliae Tuber (Banxia, 2 qian) Raw Glycyrrhizae Radix et Rhizoma (Gancao, 6 fen) Charred Immature Bitter Orange (Zhishi Tan, 1 qian)
Whole Angelicae Sinensis Radix (Danggui, 2 qian) Bitter Apricot Seed (Xingren, 3 qian) Large Chuanxiong Rhizome (Chuanxiong, 8 fen) Honey-fried Silkworm (Jiangcan, 2 qian) Ginger Juice (taken with decoction, 1 qian) Bamboo Sap (Zhuli, taken with decoction, 1 liang)
Third visit: After taking three more doses, consciousness is clearer, lethargy is greatly reduced, and speech is slightly possible. Yang Qi shows signs of circulation, and turbid phlegm shows signs of resolution; this indicates effective treatment. However, the right hand and foot remain paralyzed, and bowel movements have not occurred for six or seven days. The coating is greasy, the pulse is wiry and tight but gradually harmonizing, and the Chi position is deep and fine. Kidney Yang was early deficient, and Zong Qi cannot distribute. Turbid filth in the Fu organs requires the unblocking of Yang Qi to descend and be discharged. Pathogenic wind in the meridians and Fu organs can only be expelled outward when Zheng Qi (Upright Qi) is strong. Continue to assist Yang and tonify Qi to drive out pathogenic wind, unblock the Stomach, eliminate phlegm, and discharge turbid filth. Since descending movement is favorable for Fu organ Qi, unblocking the bowels should not be delayed.
Raw Astragali Membranacei Radix (Huangqi, 3 qian) Cinnamon Twig (Guizhi, 8 fen) Aconite Root (Fuzi, 1 qian) Raw Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen)
Angelicae Sinensis Radix (Danggui, 3 qian) Chuanxiong Rhizome (Chuanxiong, 8 fen) Poria (Fuling, 3 qian) Weathered Natrii Sulfas (Fenghua Xiaofeng, 5 fen) Whole Trichosanthis Fructus (Gualou, 3 qian) Charred Immature Bitter Orange (Zhishi Tan, 1 qian)
Cistanche Stem (Rongshu, 3 qian) Banliu Wan (Half-Sulfur Pill) (swallowed, 1.5 qian)
Fourth visit: Bowel movement has been unblocked, turbid filth has descended, and consciousness is clear. However, the tongue is stiff, speech is not yet fluent, and the right hand and foot remain paralyzed. The pulse is wiry and tight but turning harmonious, and the Chi position is deep and fine. This is a constitution with weak Yang Qi. Wind is the chief of a hundred diseases; Yin-deficiency-generated pathogenic wind is essentially moving Qi from Cold invasion. For every unit increase in Yang Qi, there is a corresponding decrease in pathogenic wind. Damp-phlegm stagnation also requires sufficient Yang Qi to be resolved. As stated in the Classics: "Yang Qi is like the sky and the sun; if it loses its proper place, lifespan is shortened and brilliance is obscured." This reasoning is indeed true. Continue to assist Yang Qi to dispel pathogenic wind, resolve damp-phlegm, and unblock the collaterals. Proceed step by step, and results will naturally be achieved.
Raw Astragali Membranacei Radix (Huangqi, 5 qian) Raw Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian) Raw Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen) Cooked Aconiti Lateralis Radix Preparata (Fuzi, 1 qian) Cinnamon Twig (Guizhi, 8 fen) Whole Angelicae Sinensis Radix (Danggui, 3 qian)
Chuanxiong Rhizome (Chuanxiong, 8 fen) Ginger-processed Pinelliae Tuber (Banxia, 3 qian) Western Gentian Root (Qinjiao, 2 qian) Achyranthes Bidentatae Radix (Niuxi, 2 qian) Tender Mulberry Twig (Sangzhi, 3 qian) Zhimi Fuling Wan (Phytolaccae Radix and Poria Pill) (wrapped, 5 qian)
After taking the previous prescription, all ailments lightened. Continue with the original method and expand. Increase Raw Astragali Membranacei Radix (Huangqi) to 8 qian. Take Deer Antler Lu Rong (2 fen) every other day, ground to fine powder, made into pills with rice, swallowed with aged wine. Take Daluoluo Dan (Great Unblocking Collateral Pill), one pill every five days, shell removed, ground to powder, dissolved in aged wine. After taking more than sixty doses in total, the tongue can speak, the hand can grasp, and the foot can walk. Follow up with a paste formula, with ingredients similar to the decoction, to consolidate recovery.
Shen (Left), aged over seventy, had Qi and Yin decline before illness onset. Previously suffering from headache and eye disease, suddenly collapsed today due to stroke. Tongue is stiff with aphasia, loss of consciousness, and left hand and foot paralysis. Tongue body is gray-red. Pulse is deep and weak at the Chi position, wiry, slippery, and rapid at the Cun and Guan positions, forceful upon pressure. This is due to Water deficiency failing to nourish Wood, causing internal wind to swirl upward, carrying previously accumulated phlegm-heat to cloud the clear orifices and block the pathways of Shen, resulting in unconsciousness. Phlegm-heat obstructs Lianquan, causing tongue stiffness and aphasia. Wind evil crisscrosses the meridians, causing left-sided paralysis. The *Jin Gui Yao Lue* states: "Wind invading the meridians causes weakness in lifting heavy objects; wind invading the Fu organs causes loss of recognition." This is a severe case of simultaneous meridian and Fu organ involvement. Urgently prescribe nourishing Yin to extinguish wind, open orifices, and eliminate phlegm, hoping for a turning point.
Large Ophiopogonis Tuber (Maidong, 3 qian) Scrophulariae Radix (Xuanshen, 2 qian) Antelope Horn (Lingyang Pian, decocted first, juice taken, 8 fen) Fairy Pinelliae Tuber (Xianbanxia, 2 qian) Fritillariae Bulbus (Beimu, 2 qian) Tianshu Huang (Tianzhuhuang, 1.5 qian) Tianma (Tomorrow's Hemp Seed/Tianma, 8 fen) Chen Danning (Aged Calculus Bovis/Star Phlegm, 8 fen) Bamboo Sheath (Zhuru, 1.5 qian) Immature Bitter Orange (Zhishi, 1 qian) Whole Trichosanthis Fructus (Gualou, cut, 4 qian) Hooked Uncaria (Gouteng, added later, 3 qian) Bamboo Sap (Zhuli, taken with decoction, 1 liang) Ginger Juice (taken with decoction, 2 drops) Zhibao Dan (Treasure of Life Pill) (1 pill, shell removed, ground to powder, dissolved and taken)
Second visit: After two doses of nourishing Yin, extinguishing wind, opening orifices, and eliminating phlegm, consciousness has gradually returned. However, the tongue is stiff with inability to speak, and the left hand and foot remain paralyzed. The pulse is fine and weak at the Chi position, wiry, slippery, and rapid at the Cun and Guan positions; the tongue is gray-red. In advanced age, Ying Yin is depleted, and wind arises internally. Wind disturbs the Stomach; as the Sea of Water and Grain, the Stomach transforms fluids into phlegm-saliva, which clouds the clear orifices above and crisscrosses the meridians horizontally, explaining the origin of this ailment. This syndrome is Yin deficiency, precarious as a candle in the wind! Now imitating Liu Hejian's Dihuang Yinzi (Rehmannia Decoction) with modifications, nourish Yin and Blood to extinguish internal wind, transform phlegm-heat, and clarify Shen. Only when wind calms and waves subside can danger turn to safety.
Large Rehmanniae Radix (Dishengdi, 4 qian) Large Ophiopogonis Tuber (Maidong, 2 qian) Dendrobii Caulis (Shihu, 3 qian) Antelope Horn (Lingyang Pian, decocted first, juice taken, 4 fen) Fairy Pinelliae Tuber (Xianbanxia, 2 qian)
Tianma (1 qian) Left Oyster Shell (Muli, 4 qian) Chuanbei Mu (Chuanbeimu, 3 qian) Chen Danning (8 fen) Honey-fried Polygala Root (Yuanzhi, 1 qian) Nine-Joint Acorus (Shichangpu, 8 fen) Whole Trichosanthis Fructus (Gualou, cut, 4 qian)
Hooked Uncaria (Gouteng, added later, 3 qian) Bamboo Sap (Zhuli, taken with decoction, 1 liang)
Third visit: After multiple doses of nourishing Yin, extinguishing wind, clearing heat, and resolving phlegm, consciousness is clear, but the tongue is stiff with hesitant speech, and the left hand and foot remain paralyzed. Tongue coating is gray-red. Pulse is wiry and rapid but quieter, with a fine and weak Chi position. Internal wind is gradually calming, but Yin Blood is difficult to restore. Fluids refined by fire become phlegm; phlegm is the manifestation of fire, and fire is the root of phlegm. If fire is not pacified, phlegm will not resolve; if Yin is not filled, fire will not be pacified. Meridians are dry and rough, like channels without water to flow through. The previous Dihuang Yinzi showed efficacy; continue with the original intent. However, the function of herbs and plants cannot easily and rapidly generate vital essence and blood.
American Ginseng (Xiyangshen, 1.5 qian) Large Ophiopogonis Tuber (Maidong, 3 qian) Large Rehmanniae Radix (Dishengdi, 3 qian) Dendrobii Caulis (Shihu, 3 qian) Raw Left Oyster Shell (Muli, 4 qian) Roasted Tianma (8 fen)
Bamboo Sap-processed Pinelliae Tuber (Zhulibanxia, 2 qian) Fritillariae Bulbus (Beimu, 3 qian) Honey-fried Polygala Root (Yuanzhi, 1 qian) Whole Trichosanthis Fructus (Gualou, cut, 4 qian) Fresh Bamboo Sheath (Zhuru, 2 qian) Hooked Uncaria (Gouteng, added later, 3 qian)
Black Sesame Seed (Heihema, ground and wrapped, 3 qian)
Fourth visit: Consciousness is clear, tongue stiffness has eased, speech is not yet fluent, bowel movements are smooth, and phlegm-heat shows signs of descending. The left hand and foot remain paralyzed. Pulse is wiry, small, and rapid. Fluid depletion means sinews lack blood nourishment, like a withered tree lacking irrigation. Still propose nourishing Yin of the Lower Jiao, clearing heat of the Upper Jiao, transforming phlegm of the Middle Jiao, and activating blood in the meridians. Treating with compound formulas may still prolong life.
American Ginseng (Xiyangshen, 1.5 qian) Large Ophiopogonis Tuber (Maidong, 2 qian) Large Rehmanniae Radix (Dishengdi, 2 qian) Dendrobii Caulis (Shihu, 3 qian) Raw Left Oyster Shell (Muli, 4 qian) Fairy Pinelliae Tuber (Xianbanxia, 2 qian) Fritillariae Bulbus (Beimu, 3 qian) Whole Trichosanthis Fructus (Gualou, cut, 4 qian) Thick Eucommia Bark (Duzhong, 2 qian)
Achyranthes Bidentatae Radix (Niuxi, 2 qian) Western Gentian Root (Qinjiao, 2 qian) Tender Mulberry Twig (Sangzhi, 3 qian) Black Sesame Seed (Heihema, ground and wrapped, 3 qian)
Elderly Woman Qi, one year since stroke onset. Left hand cannot lift, left foot cannot walk, tongue root seems stiff, speech is hesitant. Pulse is deep and fine at the Chi position, soft and slippery at the Cun and Guan positions. Tongue edges are peeled with thin greasy coating. Over seventy years old, Qi and Blood are both deficient. Pathogenic wind invaded the meridians, causing Bi obstruction of Ying and Wei Qi. Phlegm obstructs the tongue root, causing hesitant speech. The books state: "Qi warms, Blood moistens." Now appropriate to tonify Qi and nourish Blood, assist Yang to transform phlegm, and connect the collaterals. Hope for Yang generating Yin, Qi prospering and Blood flowing, so pathogenic wind can be removed and damp-phlegm self-resolved.
Codonopsis Radix (Dangshen, 3 qian) Raw Astragali Membranacei Radix (Huangqi, 5 qian) Raw Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian) Raw Glycyrrhizae Radix et Rhizoma (Gancao, 6 fen) Cooked Aconiti Lateralis Radix Preparata (Fupian, 8 fen) Cinnamon Twig (Guizhi, 5 fen)
Whole Angelicae Sinensis Radix (Danggui, 3 qian) Large White Peony Root (Baishao, 2 qian) Large Chuanxiong Rhizome (Chuanxiong, 8 fen) Achyranthes Bidentatae Radix (Niuxi, 2 qian) Thick Eucommia Bark (Duzhong, 3 qian) Tender Mulberry Twig (Sangzhi, 4 qian)
Red Dates (Hongzao, 10 pieces) Zhimi Fuling Wan (Phytolaccae Radix and Poria Pill) (wrapped, 4 qian)
After taking thirty doses of this prescription, all ailments decreased. Subsequently taking paste formula led to recovery.
Elderly Woman Li, previously suffering from headache and vertigo. Suddenly tongue became stiff with aphasia, consciousness fluctuates between clear and obscure, limbs are flaccid, urinary incontinence. Pulse is fine and small at the Chi position, wiry, small, and rapid at the left Cun and Guan, deficient and slippery at the right Cun and Guan. Tongue is peeled and red. This is severe deficiency of Yin Blood, internal wind disturbing upward, phlegm-heat obstructing collaterals, blocking spiritual orifices. Severe stroke. Urgently prescribe moisturizing fluids to extinguish wind, clear Shen and eliminate phlegm, sweet-cool and moistening methods, hoping for rescue.
Large Ophiopogonis Tuber (Maidong, 3 qian) Large Rehmanniae Radix (Dishengdi, 3 qian) Dendrobii Caulis (Shihu, 3 qian) Left Oyster Shell (Muli, 4 qian) Raw Concha Haliotidis (Shijueming, 4 qian) Roasted Tianma (8 fen)
Fritillariae Bulbus (Beimu, 3 qian) Honey-fried Polygala Root (Yuanzhi, 1 qian) Tianshu Huang (Tianzhuhuang, 1.5 qian) Bamboo Sap-processed Pinelliae Tuber (Zhulibanxia, 1.5 qian) Fresh Bamboo Sheath (Zhuru, 1.5 qian) Hooked Uncaria (Gouteng, added later, 3 qian) Bamboo Sap (Zhuli, taken with decoction, 1 liang) Pearl Powder (Zhenzhu Fen, taken with decoction, 2 fen)
After taking ten doses of this prescription, all ailments lightened. Remove Bamboo Sap, Pearl Powder, and Tianshu Huang from the original formula. Add American Ginseng (Xiyangshen, 1.5 qian) and Prepared Donkey-hide Gelatin (Ejiao Zhu, 1.5 qian).
Li (Left), two years ago right thumb was numb. Suddenly tongue became stiff with hesitant speech, right hand and foot are numb and weak. Pulse is deficient, wiry, and slippery. Tongue coating is thin and greasy. This is a robust body with Qi deficiency, pathogenic wind entering collaterals, phlegm obstructing the tongue root, Shen Qi not agile. Initial severe stage of stroke. Urgently prescribe tonifying Qi to dispel wind, eliminate phlegm, and unblock collaterals.
Raw Astragali Membranacei Radix (Huangqi, 5 qian) Blue Windproof Rhizome (Fangfeng, 1 qian) Stephania Tetrandrae Rhizome (Fangji, 2 qian) Raw Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian) Whole Angelicae Sinensis Radix (Danggui, 2 qian) Large Chuanxiong Rhizome (Chuanxiong, 8 fen)
Western Gentian Root (Qinjiao, 1.5 qian) Bamboo Sap-processed Pinelliae Tuber (Zhulibanxia, 2 qian) Charred Immature Bitter Orange (Zhishi Tan, 1 qian) Stir-fried Bamboo Sheath (Zhuru, 1.5 qian) Honey-fried Silkworm (Jiangcan, 3 qian) Chen Danning (8 fen) Tender Mulberry Twig (Sangzhi, 3 qian) Zaizao Wan (Rejuvenation Pill) (1 pill, shell removed, ground to fine powder, dissolved and taken)
After five doses, ailments lightened. Remove Zaizao Wan and Zhishi. Add Zhimi Fuling Wan (3 qian) to swallow.
Liao (Left), robust body with Qi deficiency, excess dampness and much phlegm. Suddenly collapsed due to stroke, unconscious, urinary incontinence, rattling phlegm sound in throat, profuse sweating, hidden pulse, fever in body and cold limbs. This is prior extraction of the root, flying away of True Yang. Qi and Blood scattered, pivot not connecting. Although termed Zang organ involvement, it is actually sudden Collapse. Tentatively prescribe one formula to do what human effort allows.
Premium Panax Ginseng Radix et Rhizoma (Baizhiren, 3 qian) Cooked Aconite Block (Fukuai, 3 qian) Bamboo Sap (Zhuli, 2 liang) Ginger Juice (Jiangzhi, 1 qian)
(Two liquids mixed and taken together)