Library

Treats Kidney deficiency and damage, with Yang Qi completely lacking.
Yangqishi (Styrite), Jiu Zi (Chives Seed, *Allii Tuberosi Semen*), Rou Cong Rong (Cistanche Herb, *Cistanchis Herba*), Qing Yan (Green Salt), Tu Si Zi (Dodder Seed, *Cuscutae Semen*) [washed clean with water, steamed in wine, dried, ground separately], Lu Rong (Deer Antler without Bone, *Cervi Cornu Degelatinatum*), Zhong Ru (Halloysite Powder), Fen Chen Xiang (Powdered Agarwood, *Aquilariae Lignum Resinatum*) [ground separately, not exposed to fire], Nong Can E (Thick Silkworm Moth, *Bombycis Batryticatus*) [wine-fried], Shan Zhu Yu (Cornus Fruit, *Corni Fructus*) [flesh taken, each half liang], Sang Piao Xiao (Mantis Egg Case, *Mantidis Oötheca*) [wine-fried], Shan Yao (Dioscorea Rhizome, *Dioscoreae Rhizoma*) [chopped, fried, each half liang].
The above are made into fine powder, mixed with wine paste to form pills the size of Sophora seeds. Take 70 pills per dose, on an empty stomach, administered freely with salt water or salt wine.

Treats Bladder deficiency-cold, with white turbid urine that is slippery and frequent, without restraint day or night.
Chi Shi Zhi (Red Halloysite, *Halloysitum Rubrum*), Jiu Zi (Chives Seed, *Allii Tuberosi Semen*) [fried], Chuan Niu Xi (Cyathula Root, *Cyathulae Radix*) [rhizome removed, soaked in wine], Mu Li (Oyster Shell, *Concha Ostreae*), Fu Pen Zi (Raspberry Fruit, *Rubiae Fructus*) [soaked in wine], Fu Zi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) [processed, skin and navel removed], Sang Piao Xiao (Mantis Egg Case, *Mantidis Oötheca*) [wine-fried], Lu Rong (Deer Antler without Bone, *Cervi Cornu Degelatinatum*) [steamed in wine, dried], Rou Cong Rong (Cistanche Herb, *Cistanchis Herba*) [soaked in wine], Long Gu (Fossilized Bones, *Os Draconis et Mastodi*) [raw, each one liang], Ji Nei Jin (Chicken Gizzard Membrane, *Galli Stomachi Endothelium Corneum*) [burnt to ash], Chen Xiang (Agarwood, *Aquilariae Lignum Resinatum*) [shaved, not exposed to fire, each half liang].
The above are made into fine powder, mixed with wine paste to form pills the size of Sophora seeds. Take 70 pills per dose, on an empty stomach, administered freely with salt water or salt wine.

Treats Bladder excess-heat, with abdominal distension, inability to urinate, dry mouth and tongue, and swollen throat with difficulty in swallowing.
Chi Fu Ling (Red Poria, *Poria cum Rosa*), Mu Zhu Ling (Polyporus, *Polypori Sclerotium*) [skin removed], Kui Zi (Malva Seed, *Malvae Semen*, note: original text says "Mu Zhu Ling" but context implies Polyporus, standard is Zhu Ling; here translated as Polyporus based on common pairing, though text says Mu Zhu Ling which might be a typo for Zhu Ling or specific variety. Given "Mu Zhu Ling" usually refers to Polyporus in some contexts or is a typo, I will use Polyporus), Zhi Shi (Immature Bitter Orange, *Aurantii Fructus Immaturus*) [bran-fried], Qu Mai (Dianthus Herb, *Dianthi Herba*), Mu Tong (Akebia Stem, *Akebiae Caulis*), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Che Qian Zi (Plantago Seed, *Plantaginis Semen*) [fried], Hua Shi (Talcum, *Talcum), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [roasted, equal parts].
The above are chopped. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of ginger, decoct until 0.8 zhan remains, filter dregs, take warm, at any time.

Medical classics state: Wind is the leader of a hundred diseases. From this perspective, Stroke (Zhong Feng) is superior to Cold Damage (Shang Han), being acute and sudden. Qibo's general principles mention four types: first, Pian Ku (Hemiplegia); second, Feng Fei (Flaccidity); third, Feng Yi (Stupor); fourth, Feng Bi (Bi Syndrome), referring to the most severe conditions. External wind syndromes of the five zang organs are all recorded in *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold), so they are not repeated here. Generally, human life relies on Yuan Qi (Primal Qi) as the root and Ying Wei (Nutritive and Defensive Qi) as the foundation. If the root qi is strong and Ying Wei is harmonious, and the Cou Li (interstices/skin pores) are dense, how can external pathogenic factors cause harm? It may be due to joy or anger, sorrow or worry, fear or fright, irregular diet, or overexertion causing injury, leading to first deficiency of True Qi, loss of regulation of Ying Wei, sparse Cou Li, allowing pathogenic factors to enter through deficiency. Upon contraction, it manifests as hemiplegia, muscle pain, phlegm-saliva obstruction, deviation of mouth and eyes, unilateral paralysis and numbness, confusion of spirit and intellect; or stiff tongue unable to speak, stubborn bi-syndrome with no sensation, absent-mindedness, fright and terror, spontaneous sweating and aversion to wind, tendon vessel spasms, with numerous variable manifestations. The treatment method should trace its origin. If caused by internal Seven Emotions, the method should regulate Qi, not treat Wind; if caused by external Six Excesses, one should also first regulate Qi, then according to the contracted Six Qi, treat according to symptoms. This is a good method. However, if hair stands straight with foaming from the mouth, head shaking upwards, face red like makeup, or head and face blue-black, sweat dropping like pearls, eyes closed and mouth open, sound like snoring sleep, enuresis and unconsciousness, these are all untreatable.

Furthermore: Stroke is when wind qi invades the person. Suddenly struck by wind, spirit is confused like drunkenness, limbs cannot hold themselves, saliva surges upward, sound like sawing, jaw locked tight, decoctions cannot be swallowed, life hangs in the balance. But if eyes are closed, mouth dry, sound like snoring sleep, and enuresis occurs, these are all untreatable. At this moment, first use the Nasal Insufflation Method (Chu Bi Fa). Wait for sneezing, then administer Xi Yan San (Thin Saliva Powder). If breath returns and spirit clears, then apply treatment methods according to previous prescriptions. Previous sages' formulas and discussions do not include emetic methods for stroke, or some argue for them, but examination shows neither can be used for vomiting. Generally, it is a temporary closure of Qi flow, accumulation of phlegm-saliva, causing stupor. Phlegm-saliva is what nourishes joints; how can it be vomited out? Once phlegm-saliva is expelled, joints lose nourishment; although said to recover consciousness, many become hemiplegic. If Xi Yan San does not contain mercury powder, and the medicine does not contain Veratrum (Li Lu) or Thunberg Fritillary Bulb (Gua Di), the medicine not only does not damage the Spleen and Stomach, but its effect is particularly remarkable. Is this not beautiful?