类中风者，则常有之。有中寒、中暑、中湿、中火、中气、食厥、劳伤、房劳、痰厥、血晕、中恶卒死等
症，皆类中风者甚多，各有治法，不可作风治。如用风药，误之甚矣。
中于寒者。谓冬月卒中寒气，昏冒口噤、肢挛恶寒，脉
浮紧也。（宜后方。）
其症或口吐涎沫，重则四肢僵直，先用热酒、姜汁各半盏灌之，稍醒后，随用附子理中汤。若不急治，舌
短囊缩而死矣。
附子理中汤 治中寒厥倒。
大附子（炮去脐） 干姜 吴茱萸（炮） 官桂 人参 当归 陈皮 浓朴（姜炒） 白术（去芦）
甘草（炙）
上锉生姜、枣子，水煎热服。
中于暑，谓夏月卒暴炎暑，昏冒痿厥，吐泻喘满也。（宜后方。）
十味香薷饮 （方见中暑。）
中于湿者，丹溪所谓东南之人多由湿土生痰，痰生热，热生风。
清燥汤 （方见痿 ，根据本方加竹沥、姜汁。）
中于火者，河间所谓肝木之风内中，六经之邪外侵，良由五志过极，火盛水衰，热气怫郁，昏冒而卒仆也。
（宜后方。）用六味地黄丸、四君子汤、独参汤之类，内有恚怒伤肝、火动上炎者，用小柴胡汤之类。
六味地黄丸、四君子汤 （俱见补益。）
中于气者，由七情过极，气厥昏冒，或牙关紧急也。（宜后方。）
中气症，因与人相争，暴怒气逆而晕倒者，此名中气。气脉多沉，风脉多浮；风中身温有痰涎，气中身冷
无痰涎。先用姜汤灌，救苏后，即用木香顺气散，或藿香正气散。
木香顺气散 治中气晕倒。
木香（另研） 砂仁（各五分） 乌药 香附 青皮（去穣） 陈皮 半夏（姜炒） 浓朴（姜炒） 枳壳
（麸炒。各一钱） 官桂 干姜 甘草（各三分）
上锉一剂，生姜三片水煎，木香调服。气不转加苏子、沉香。
藿香正气散 治中风调理平和之剂。（方见霍乱。）
食厥者，过于饮食，胃气自伤，不能运化，故昏冒也。（宜后方。）先用姜盐汤多灌，探吐之后，服六君子
汤。凡中卒倒、口噤不能言、目不识人、四肢不举等症，多者饮食过度，变为异常，必须审问明白。若果因饮
食之后，或着气恼，另煎盐汤灌之，探吐之即愈。
六君子汤
人参（七分） 白术（去芦） 白茯苓（去皮） 陈皮 半夏（姜汁制。各一钱） 香附（一钱二分）
木香 砂仁（各五分） 甘草（三分）
上锉生姜三片、枣二枚，水煎温服。
劳伤者，过于劳役，耗损元气，脾胃虚衰，不任风寒，故昏冒也。（宜后方。）
补中益气汤 治气虚卒倒。（方见内伤。）
房劳者，因肾虚精耗，气不归元，故昏冒也。（宜后方。）
六味地黄丸 （方见补益。）
痰厥者，皆因内虚受寒，痰气阻塞，手足厥冷麻痹，眩晕欲倒，脉沉细也。（宜后方。）
加味二陈汤∶ 治痰厥晕倒。
陈皮 半夏（姜制） 白茯苓（去皮） 当归 枳实（麸炒） 桔梗（去芦） 杏仁（去皮尖。各一钱）
良姜 砂仁（各七分） 木香 官桂 甘草（各三分）
上锉一剂，生姜煎服。气逆加苏子；元气虚弱去枳实。
血晕者，皆因平日去血过多，虚而成血晕，脉微涩也。（宜后方。）
加味四物汤 治血虚眩晕卒倒，不可艾灸，惊哭叫动，
动则乘虚而死。
当归 川芎 白芍（炒） 生地黄 熟地黄 黄 （蜜炙） 人参 白术（去芦） 陈皮 白茯苓（去皮）
荆芥 甘草（炙。各等分）
上锉，枣二枚、乌梅一个，水煎服。饱闷加香附、砂仁，去黄 、白术。
卒中暴厥者，卒然不省人事也。其症因犯不正之气，忽然手足厥冷、肌肤粟起、头面青黑、精神不守、错言
妄语、牙紧口噤、昏不知人、头旋晕倒，此中恶卒厥，客忤飞尸，鬼击吊死开丧入庙登冢，多有此病也。宜艾灸
脐中百壮，以皂角末搐鼻，或半夏末亦可，或研韭汁灌耳中即活，或以苏合香丸灌之，俟稍醒用调气散合平胃散
服之，或藿香正气散亦可。
调气散
白豆蔻 丁香 檀香 木香（各二钱） 藿香 甘草（炙。各八钱） 砂仁（四钱）
上为末，每服二钱，入盐少许，沸汤点服。
苏合香丸 治男妇中风中气，牙关紧闭、口眼 斜、不省人事并传尸，骨蒸劳瘵，卒暴心疼，鬼魅瘴
疟，小儿急，慢惊搐，妇人产后中风，赤白痢疾，一切气暴之症，最能顺气化痰。
沉香 木香 丁香 白檀香 安息香（酒熬膏） 麝香 香附米 白术 诃子肉 荜茇 朱砂 犀角镑（各一两）
乳香 片脑 苏合香油（入息香膏内。各五钱）
上将各味咀成片，为细末，入脑、麝、安息香、苏合香油同药搅匀，炼蜜为丸，每丸重一钱，用蜡包裹。每
用大人一丸、小儿半丸，去蜡皮，以生姜自然汁化开擦牙关，另煎姜汤少许，调药灌下神效。
Llei-fengzhong (Stroke-like syndrome) is a condition that occurs frequently. It encompasses various syndromes such as Zhonghan (Cold Strike), Zhongshu (Heat Stroke), Zhongshi (Dampness Strike), Zhonghuo (Fire Strike), Zhongqi (Qi Strike), Shijue (Food Syncope), Laoshang (Fatigue Injury), Fanglao (Sexual Exhaustion), Tanjue (Phlegm Syncope), Xueyun (Blood Dizziness/Syncope), and Zhong'e Cusi (Sudden Death from Evil Qi). There are many such conditions classified under Lei-fengzhong, each having its own specific treatment methods; they must not be treated simply as Wind syndromes. Using Wind-dispelling herbs in these cases would be a grave error.
Zhonghan (Cold Strike): This refers to suddenly contracting cold qi in winter, presenting with coma, locked jaw, limb spasms, aversion to cold, and a floating, tight pulse. (See the following formula.)
Symptoms may include spitting out saliva and froth; in severe cases, limbs become rigid. First aid involves administering half a cup of hot wine and half a cup of ginger juice. After the patient regains slight consciousness, immediately administer Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle). If not treated urgently, the patient will die with a short tongue and retracted scrotum.
Fuzi Lizhong Tang: Treats Jue-ni (Reversal Cold) caused by Cold Strike.
Da Fuzi (Pao, remove umbilicus) [Aconiti Lateralis Radix Praeparata] Ganjiang [Zingiberis Rhizoma] Wuzhuyu (Pao) [Evodiae Fructus] Guanzi Gui [Cinnamomi Cortex] Renshen [Ginseng Radix et Rhizoma] Danggui [Angelicae Sinensis Radix] Chenpi [Citri Reticulatae Pericarpium] Nongpo (Jiang chao) [Magnoliae Officinalis Cortex] Baizhu (remove lu) [Atractylodis Macrocephalae Rhizoma]
Gancao (Zhi) [Glycyrrhizae Radix et Rhizoma]
Chop the above ingredients, add Shengjiang (Fresh Ginger) and Zaozi (Jujube), decoct in water, and take hot.
Zhongshu (Heat Stroke): This refers to suddenly encountering intense summer heat, presenting with coma, flaccidity and reversal cold, vomiting, diarrhea, asthma, and chest fullness. (See the following formula.)
Shiwei Xiangru Yin (Ten-Ingredient Elsholtzia Decoction) (Formula see Heat Stroke chapter.)
Zhongshi (Dampness Strike): As described by Danxi, people in the southeast often suffer from phlegm generated by damp earth, which generates heat, and heat generates wind.
Qingzao Tang (Clear Dryness Decoction) (Formula see Wei Syndrome chapter, modify this formula by adding Zhuli [Bambusa Textilis Sap] and Jiangzhi [Zingiberis Succedaneum].)
Zhonghuo (Fire Strike): As described by Hejian, internal wind of Liver Wood invades, while pathogens of the Six Channels invade externally. This is largely due to the excess of the Five Emotions, leading to excessive Fire and deficient Water, with stagnant heat causing coma and sudden collapse. (See the following formula.) Use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Sijunzi Tang (Four Gentlemen Decoction), or Dushen Tang (Single Ginseng Decoction). For those injured by anger affecting the Liver with Fire flaming upward, use Xiaochaihu Tang (Minor Bupleurum Decoction).
Liuwei Dihuang Wan, Sijunzi Tang (Both see Tonification chapters.)
Zhongqi (Qi Strike): Caused by the excess of Seven Emotions, leading to Qi Jue (Qi Reversal) and coma, or locked jaw. (See the following formula.)
Zhongqi Syndrome occurs when one faints due to violent anger and reversed Qi after an argument. The pulse in Qi Strike is mostly deep, whereas in Wind Strike it is mostly floating; in Wind Strike, the body is warm with phlegm-saliva, but in Qi Strike, the body is cold without phlegm-saliva. First aid involves pouring ginger soup. After revival, immediately use Muxiang Shunqi San (Costus Powder for Directing Qi) or Huoxiang Zhengqi San (Patchouli Powder for Rectifying Qi).
Muxiang Shunqi San: Treats fainting caused by Qi Strike.
Muxiang (separately ground) [Aucklandiae Radix] Sharen [Amomi Fructus] (each 5 fen) Wuyao [Tsaoko Fructus] Xiangfu [Cyperi Rhizoma] Qingpi (remove pith) [Citri Reticulatae Pericarpium Viride] Chenpi [Citri Reticulatae Pericarpium] Banxia (Jiang chao) [Pinelliae Tuber] Nongpo (Jiang chao) [Magnoliae Officinalis Cortex] Zhike (bran fried) [Aurantii Fructus] (each 1 qian) Guanzi Gui [Cinnamomi Cortex] Ganjiang [Zingiberis Rhizoma] Gancao (each 3 fen) [Glycyrrhizae Radix et Rhizoma]
Chop one dose, add three slices of Shengjiang, decoct in water, and take mixed with Muxiang powder. If Qi does not circulate, add Suzi [Perillae Fructus] and Chenxiang [Aquilariae Lignum Resinatum].
Huoxiang Zhengqi San: A formula for regulating and harmonizing after Wind Strike. (Formula see Huoluan chapter.)
Shijue (Food Syncope): Caused by overeating, injuring Stomach Qi and impairing transportation and transformation, leading to coma. (See the following formula.) First aid involves pouring large amounts of ginger-salt soup, inducing vomiting by probing the throat, followed by Liujunzi Tang (Six Gentlemen Decoction). In cases of sudden collapse, locked jaw unable to speak, inability to recognize people, and immobility of limbs, it is often due to excessive food intake leading to abnormal conditions; thorough inquiry is necessary. If indeed caused by eating followed by emotional distress, separately decoct salt soup, pour it, and induce vomiting for recovery.
Liujunzi Tang: Six Gentlemen Decoction
Renshen [Ginseng Radix et Rhizoma] (7 fen) Baizhu (remove lu) [Atractylodis Macrocephalae Rhizoma] Baifuling (remove skin) [Poria] Chenpi [Citri Reticulatae Pericarpium] Banxia (Jiangzhi zhi) [Pinelliae Tuber] (each 1 qian) Xiangfu [Cyperi Rhizoma] (1 qian 2 fen)
Muxiang [Aucklandiae Radix] Sharen [Amomi Fructus] (each 5 fen) Gancao [Glycyrrhizae Radix et Rhizoma] (3 fen)
Chop, add three slices of Shengjiang and two Zaozi, decoct in water, and take warm.
Laoshang (Fatigue Injury): Caused by overwork, depleting Yuan Qi, leading to deficiency and decline of Spleen and Stomach, inability to resist Wind-Cold, resulting in coma. (See the following formula.)
Buzhong Yiqi Tang: Treats sudden collapse due to Qi Deficiency. (Formula see Neishang chapter.)
Fanglao (Sexual Exhaustion): Due to Kidney Deficiency and essence depletion, with Qi failing to return to its source, resulting in coma. (See the following formula.)
Liuwei Dihuang Wan (Formula see Tonification chapter.)
Tanjue (Phlegm Syncope): All caused by internal deficiency and cold invasion, with Phlegm-Qi obstruction, leading to cold and numbness of extremities, dizziness and desire to fall, and a deep, fine pulse. (See the following formula.)
Jiawei Erchen Tang: Treats fainting caused by Phlegm Syncope.
Chenpi [Citri Reticulatae Pericarpium] Banxia (Jiang zhi) [Pinelliae Tuber] Baifuling (remove skin) [Poria] Danggui [Angelicae Sinensis Radix] Zhishi (bran fried) [Aurantii Fructus] Jiegeng (remove lu) [Platycodonis Radix] Xingren (remove skin and tip) [Armeniacae Semen] (each 1 qian)
Liangjiang [Alpiniae Officinarum Rhizoma] Sharen [Amomi Fructus] (each 7 fen) Muxiang [Aucklandiae Radix] Guanzi Gui [Cinnamomi Cortex] Gancao [Glycyrrhizae Radix et Rhizoma] (each 3 fen)
Chop one dose, decoct with Shengjiang and take. Add Suzi if Qi rebels; remove Zhishi if Yuan Qi is weak.
Xueyun (Blood Dizziness/Syncope): All caused by excessive blood loss in daily life, leading to deficiency and Blood Dizziness, with a minute and choppy pulse. (See the following formula.)
Jiawei Siwu Tang: Treats dizziness and sudden collapse due to Blood Deficiency. Do not use moxibustion; if the patient cries out in fright or moves, death may ensue due to further depletion.
Danggui [Angelicae Sinensis Radix] Chuanxiong [Chuanxiong Rhizoma] Baishao (chao) [Paeoniae Radix Alba] Shengdihuang [Rehmanniae Radix] Shudihuang [Rehmanniae Radix Preparata] Huangqi (mi zhi) [Astragali Radix] Renshen [Ginseng Radix et Rhizoma] Baizhu (remove lu) [Atractylodis Macrocephalae Rhizoma] Chenpi [Citri Reticulatae Pericarpium] Baifuling (remove skin) [Poria]
Jingjie [Schizonepetae Herba] Gancao (Zhi) [Glycyrrhizae Radix et Rhizoma] (equal parts)
Chop, add two Zaozi and one Wumei, decoct in water and take. If feeling full and stifled, add Xiangfu and Sharen; remove Huangqi and Baizhu.
Zu Zhong Bao Jue: Sudden loss of consciousness. Symptoms occur due to exposure to evil Qi, presenting with sudden cold extremities, gooseflesh on skin, blue-black complexion, unsettled spirit, delirious speech, locked jaw, coma, dizziness, and collapse. This is Zhong'e (Strike of Evil) or Ke Wu (Guest Malevolence), associated with activities like visiting temples or graves where such diseases are common. Suitable treatment includes moxibustion on the navel (100 moxa cones), insufflation of Zaojiao powder into the nose, or using Banxia powder, or grinding Jiuzhi (Leek Juice) and pouring it into the ear to revive. Alternatively, administer Suhexiang Wan (Styrax Pill). Once slightly awake, administer Tiaoqi San combined with Pingwei San, or Huoxiang Zhengqi San.
Tiaoqi San: Powder for Regulating Qi
Baidoukou [Cardamomi Albi Fructus] Dingxiang [Caryophylli Flos] Tanxiang [Santalum Album Lignum] Muxiang [Aucklandiae Radix] (each 2 qian) Huoxiang [Agastaches Herba] Gancao (Zhi) [Glycyrrhizae Radix et Rhizoma] (each 8 qian) Sharen [Amomi Fructus] (4 qian)
Grind into powder. Take 2 qian per dose, add a little salt, and take with boiling water.
Suhexiang Wan: Treats Wind Strike and Qi Strike in men and women, locked jaw, facial paralysis, loss of consciousness, chronic wasting diseases (Chuan Shi), bone-steaming consumption, sudden heart pain, miasma malaria, pediatric acute/chronic convulsions, postpartum Wind Strike in women, dysentery (red and white), and all sudden Qi disorders. It is most effective in directing Qi and resolving Phlegm.
Chenxiang [Aquilariae Lignum Resinatum] Muxiang [Aucklandiae Radix] Dingxiang [Caryophylli Flos] Baitanxiang [Santalum Album Lignum] Anshixiang (jiu ao gao) [Styrax] Shexiang [Moschus] Xiangfu Mi [Cyperi Rhizoma] Baizhu [Atractylodis Macrocephalae Rhizoma] Hezi Rou [Terminaliae Chebulae Fructus] Bibo [Piperis Longi Fructus] Zhusha [Cinnabaris] Xijiao bang [Rhinocerotis Cornu] (each 1 liang)
Ruxiang [Olibanum] Pian Nao [Borneolum Syntheticum] Suhexiang You [Styrax Oil] (mixed into Anshixiang paste. each 5 qian)
Cut all ingredients into pieces, grind into fine powder. Mix with Borneol, Moschus, Styrax paste, and Styrax oil. Blend well, form pills with refined honey, each pill weighing 1 qian, wrapped in wax. For adults, one pill; for children, half a pill. Remove wax wrapper, dissolve in fresh ginger juice, rub on the jaw, and additionally decoct a small amount of ginger soup to mix with the medicine and administer orally for miraculous effect.