钱 偏枯在左。血虚不萦筋骨。内风袭络。脉左缓大。（肝肾虚内风动）
制首乌（四两烘） 枸杞子（去蒂二两） 归身（二两用独枝者去梢） 淮牛膝（二两蒸）
明天麻（二两面煨） 三角胡麻（二两打碎水洗十次烘） 黄甘菊（三两水煎汁） 川石斛（四两水煎汁）
小黑豆皮（四两煎汁）
用三汁膏加蜜。丸极细。早服四钱。滚水送。
陈（四七） 肝血肾液内枯。阳扰风旋乘窍。大忌风药寒凉。
炒杞子 桂圆肉 炒菊花 炙黑甘草 黄 （去心） 牡蛎
金 失血有年。阴气久伤。复遭忧悲悒郁。阳挟内风大冒。血舍自空。气乘于左。口 肢麻。舌喑
无声。足痿不耐行走。明明肝肾虚馁。阴气不主上承。重培其下。冀得风熄。议以河间法。
熟地（四两） 牛膝（一两半） 萸肉（二两） 远志（一两半炒黑） 杞子（二两） 菊花（二两炒）
五味（一两半） 川斛（二两四钱） 茯神（二两） 淡苁蓉干（一两二钱）
加蜜丸。服四钱。
沈（四九）脉细而数。细为脏阴之亏。数为营液之耗。上年夏秋病伤。更因冬暖失藏。入春地气升。肝
木风动。遂令右肢偏痿。舌本络强。言謇。都因根蒂有亏之症。庸俗泄气降痰。发散攻风。再劫
真阴。渐渐神愦如寐。倘加昏厥。将何疗治。议用仲景复脉法。（液虚风动）复脉汤去姜桂。
又 操持经营。神耗精损。遂令阴不上朝。内风动跃。为痱中之象。治痰攻劫温补。阴愈损伤。枯
槁日甚。幸以育阴熄风小安。今夏热益加发泄。真气更虚。日饵生津益气勿怠。大暑不加变
动。再商调理。固本丸去熟地加北味。
天冬 生地 人参 麦冬 五味
金（六九）初起神呆遗溺。 老人厥中显然。数月来夜不得寐。是阳气不交于阴。勿谓痰火。专
以攻消。乃下虚不纳。议与潜阳。
龟腹甲心 熟地炭 干苁蓉 天冬 生虎胫骨 淮牛膝 炒杞子 黄柏
卢 嗔怒动阳。恰值春木司升。厥阴内风乘阳明脉络之虚。上凌咽喉。环绕耳后清空之地。升
腾太过。脂液无以营养四末。而指节为之麻木。是皆痱中根萌。所谓下虚上实。多致巅顶之
疾。夫情志变蒸之热。阅方书无芩连苦降羌防辛散之理。肝为刚脏。非柔润不能调和也。（阳升热蒸液亏）
鲜生地 元参心 桑叶 丹皮 羚羊角 连翘心
又 生地 阿胶 牡蛎 川斛 知母
汪（五三）左肢麻木。膝盖中牵纵忽如针刺。中年后。精血内虚。虚风自动。乃阴中之阳损伤。（阴中阳虚）
淡苁蓉干（二两） 枸杞（三两） 归身（二两） 生虎骨（二两） 沙苑（二两） 巴戟天（二两） 明天
麻（二两） 桑寄生（四两）
精羊肉胶阿胶丸。早服四钱。交冬加减。用人参丸服。
钱（五八） 用力努挣。精从溺管沥出。已经两耳失聪。肾窍失司。显然虚象。凡肾液虚耗。肝风鸱张。身
肢麻木。内风暗袭。多有痱中之累。滋液熄风。温柔药涵养肝肾。经言肝为刚脏。而肾脏恶燥。
若攻风劫痰。舍本求末矣。（阴阳并虚）
熟地 枸杞 苁蓉 石菖蒲 当归 沙苑 巴戟 远志
张（四九）中风以后。肢麻言謇。足不能行。是肝肾精血残惫。虚风动络。下寒。二便艰阻。凡肾虚忌燥。
以辛润温药。
苁蓉 枸杞 当归 柏子仁 牛膝 巴戟 川斛 小茴
陈（五九）中络舌喑不言。痛自足起渐上。麻木 胀。已属痼疾。参苓益气。兼养血络。仅堪保久。
人参 茯苓 白术 枸杞 当归 白芍 天麻 桑叶
周 大寒土旺节候。中年劳倦。阳气不藏。内风动越。令人麻痹。肉 心悸。汗泄烦躁。乃里虚欲
暴中之象。议用封固护阳为主。无暇论及痰饮他歧。（阳虚卫疏）
人参 黄 附子 熟术
某 阳明脉络空虚。内风暗动。右肩胛及指麻木。（胃虚表疏） 玉屏风散加当归天麻童桑。
俞（氏）寡居一十四载。独阴无阳。平昔操持。有劳无逸。当夏四月。阳气大泄主令。忽然右肢麻木。
如堕不举。汗出麻冷。心中卒痛。而呵欠不已。大便不通。诊脉小弱。岂是外感。病象似乎痱中。其因在乎
意伤忧愁则肢废也。攻风劫痰之治。非其所宜。大旨以固卫阳为主。而宣通脉络佐之。（卫虚络痹）
桂枝 附子 生黄 炒远志 片姜黄 羌活
唐（六六）男子右属气虚。麻木一年。入春口眼歪邪。乃虚风内动。老年力衰。当时令之发泄。忌投
风药。宜以固卫益气。（气虚）
人参 黄 白术 炙草 广皮 归身 天麻 煨姜 南枣
凡中风症。有肢体缓纵不收者。皆属阳明气虚。当用人参为首药。而附子黄 炙草之
类佐之。若短缩牵挛。则以逐邪为急。
胡（五六）阳明脉络已空。厥阴阳气易逆。风胜为肿。热久为燥。面热。喉舌干涸。心中填塞。无非阳化
内风。胃受冲侮。不饥不纳矣。有年久延。颇虑痱中。（风阳燥热）
羚羊角 连翘 丹皮 黑山栀 青菊叶 元参
花粉 天麻
张（五七）痱中经年。眩晕汗出。阳气有升无降。内风无时不动。此竟夜不寐。属卫阳不肯交于营阴
矣。沉痼之症。循理按法。尚难速效。纷纷乱药。焉望向安。议用固阳明一法。（胃虚阳升）
桂枝木 生黄 川熟附 炒远志 龙骨 牡蛎 姜 枣
刘（七三）神伤思虑则肉脱。意伤忧愁则肢废。皆痿象也。缘高年阳明脉虚。加以愁烦。则厥阴风动。
木横土衰。培中可效。若穷治风痰。便是劫烁则谬。
黄 于术 桑寄生 天麻 白蒺藜 当归 枸杞 菊花汁 加蜜丸
包 老年隆冬暴中。乃阴阳失交本病。脉左大右濡。内风掀越。中阳已虚。第五日已更衣。神惫
欲寐。宗王先生议。阳明厥阴主治法以候裁。（肝胃同治）
人参 茯苓 白蒺藜 炒半夏 炒杞子 甘菊
某 阳明虚。内风动。右肢麻痹。痰多眩晕。
天麻 钩藤 半夏 茯苓 广皮
沈 风中廉泉。舌肿喉痹。麻木厥昏。内风亦令阻窍。上则语言难出。下则二便皆不通调。考古
人吕元膺。每用芳香宣窍解毒。勿令壅塞致危也。（胞络热邪阻窍）至宝丹四丸匀四服。
葛（三八）年未四旬。肌肉充盈。中病二年。犹然舌强言謇。舌浓边紫而纳食便溺仍好。乃心胞络间。
久积之热弥漫。以致机窍不灵。平昔酒肉助热动风为病。病成反聚于清空之络。医药之治
痰治火。直走肠胃。是以久进多投无效。（至宝丹）
程 脉濡无热。厥后右肢偏痿。口 舌歪。声音不出。此阴风湿晦中于脾络。加以寒滞汤药。蔽
其清阳。致清气无由展舒。法宗古人星附六君子汤益气。仍能攻风祛痰。若曰风中廉泉。乃
任脉为病。与太阴脾络有间矣。（风湿中脾络）
人参 茯苓 新会皮 香附汁 南星（姜汁炒） 竹节白附子（姜汁炒）
吕（五九）阳邪袭经络而为偏痱。血中必热。艾灸反助络热。病剧废食。清凉固是正治。然须柔剂。不
致伤血。且有熄风功能。（艾灸络热）
犀角 羚角 生地 元参 连翘 橘红 胆星 石菖蒲
杨 中后不复。交至节四日。寒战汗泄。遂神昏不醒。是阴阳失于交恋。真气欲绝。有暴脱之虑。
拟进回阳摄阴法。（脱）
人参 干姜 淡附子 五味 猪胆汁
又 人参（三钱） 附子（三钱）
又 人参 附子 五味 龙骨 牡蛎
龚（五七）厥症。脉虚数。病在左躯。肾虚液少。肝风内动。为病偏枯。非外来之邪。（肾阴虚肝风动）
制首乌 生地 杞子 茯神 明天麻 菊花 川斛
徐（四一）水亏风动。舌强肢麻。中络之象。当通补下焦。复以清上。
熟地 淡苁蓉 杞子 牛膝 五味 远志 羚羊角 茯苓 麦冬 菖蒲 蜜丸
丁 大寒节。真气少藏。阳挟内风旋动。以致痱中。舌边赤。中有苔滞。忌投攻风劫痰。益肾凉肝。
治本为法。
生地 元参 麦冬 川斛 远志 石菖蒲 蔗浆
曾（五二）脉弦动。眩晕耳聋。行走气促无力。肛痔下垂。此未老欲衰。肾阴弱。收纳无权。肝阳炽。虚风
蒙窍。乃上实下虚之象。质浓填阴。甘味熄风节劳戒饮。可免仆中。
虎潜去锁阳知母。加大肉苁蓉炼蜜丸。
张 脉细小带弦。冬季藏纳少固。遂至痱中。百余日来。诸患稍和。惟语言欲出忽謇。多言似少
相续。此皆肾脉不营舌络。以致机窍少宣。乃虚象也。早用地黄饮子煎法以治下。晚用星
附六君子以益虚宣窍。
某（妪）今年风木司天。春夏阳升之候。兼因平昔怒劳忧思。以致五志气火交并于上。肝胆内风
鼓动盘旋。上盛则下虚。故足膝无力。肝木内风壮火。乘袭胃土。胃主肌肉。脉络应肢。绕出环
口。故唇舌麻木。肢节如痿。固为中厥之萌。观河间内火召风之论。都以苦降辛泄。少佐微酸。
最合经旨。折其上腾之威。使清空诸窍毋使浊痰壮火蒙蔽。乃暂药权衡也。至于颐养工夫。
寒暄保摄。尤当加意于药饵之先。上午服。
金石斛（三钱） 化橘红（五分） 白蒺藜（二钱） 真北秦皮（一钱） 草决明（二钱）
冬桑叶（一钱） 嫩钩藤（一钱） 生白芍（一钱）
又 前议苦辛酸降一法。肝风胃阳已折其上引之威。是诸症亦觉小愈。虽曰治标。正合岁气
节候而设。思夏至一阴来复。高年本病。预宜持护。自来中厥。最防于暴寒骤加。致身中阴阳
两不接续耳。议得摄纳肝肾真气。补益下虚本病。
九制熟地（先用水煮半日徐加醇酒砂仁再煮一日晒干再蒸如法九次干者炒存性八两） 肉苁
蓉（用大而黑色者去甲切片盛竹篮内放长流水中浸七日晒干以极淡为度四两） 生虎膝骨（另捣碎研二两）
淮牛膝（盐水蒸三两） 制首乌（四两烘） 川萆 （盐水炒二两） 川石斛（八两熬膏）
赤白茯苓（四两） 柏子霜（二两）
上药照方制末。另用小黑 豆皮八两。煎浓汁法丸。每早百滚水服三钱。
议晚上用健中运痰。兼制亢阳。火动风生。从外台茯苓饮意。
人参（二两） 熟半夏（二两） 茯苓（四两生） 广皮肉（二两） 川连（姜汁炒一两）
枳实（麸炒二两） 明天麻（二两煨） 钩藤（三两） 白蒺藜（鸡子黄拌煮洗净炒去刺三两） 地栗粉（二两）
上末用竹沥一杯。姜汁十匙。法丸。食远开水服三钱。
又 近交秋令。燥气加临。先伤于上。是为肺燥之咳。然下焦久虚。厥阴绕咽。少阴循喉。往常口
燥。舌糜。是下虚阴火泛越。先治时病燥气化火。暂以清润上焦。其本病再议。
白扁豆（勿研三钱） 玉竹（三钱） 白沙参（二钱） 麦冬（去心三钱） 甜杏仁（去皮尖勿研二钱）
象贝母（去心勿研二钱） 冬桑叶（一钱） 卷心竹叶（一钱）
洗白糯米七合。清汤煎。
又 暂服煎方。
北沙参（三钱） 生白扁豆（二钱） 麦冬（三钱） 干百合（一钱半） 白茯神（一钱半） 甜杏仁（去皮尖一
钱半）
又 痰火上实。清窍为蒙。于暮夜兼进清上方法。
麦冬（八两） 天冬（四两） 苡米（八两） 柿霜（四两） 长条白沙参（八两） 生白扁豆皮（八两） 甜梨
汁（二 ） 甘蔗浆（二斤）
水熬膏。真柿霜收。每服五钱。开水送下。
又 夏热秋燥。阳津阴液更伤。口齿咽喉受病。者属阴火上乘。气热失降使然。进手太阴清燥
甘凉方法甚安。其深秋初冬调理大旨。以清上实下。则风熄液润。不致中厥。至冬至一阳初复再议。
燕窝菜（洗净另熬膏一斤） 甜梨（去皮核绢袋绞汁熬膏二十个） 人参（另熬收三两） 九制熟地（水煮四两）
天冬（去心蒸二两） 麦冬（去心四两） 黄 皮（生用四两） 炙黑甘草（二两） 五味（二两蒸） 云茯神（三两
蒸）
又 左关尺脉。独得动数。多语则舌音不清。麻木偏着右肢。心中热炽。难以鸣状。此阳明脉中
空乏。而厥阴之阳。挟内风以纠扰。真气不主藏聚。则下无力以行动。虚假之热上泛。为喉燥
多咳。即下虚者上必实意。冬至后早服方。从丹溪虎潜法。
九制熟地（照前法制八两） 肉苁蓉（照前制四两） 天冬（去心蒸烘四两） 当归（炒焦二两） 生白芍（三两）
川斛（熬膏八两） 黄柏（盐水炒二两） 淮牛膝（盐水蒸三两）
上为末。另用虎骨胶三两。溶入蜜捣丸。服五钱。滚水送。
又 太太诸恙向安。今春三月。阳气正升。肝木主乎气候。肝为风脏。风亦属阳。卦变为巽。两阳
相合。其势方张。内风挟阳动旋。脂液暗耗而麻痹不已。独甚于四肢者。风淫末疾之谓也。经
云。风淫于内。治以甘寒。夫痰壅无形之火。火灼有形之痰。甘寒生津痰火风兼治矣。
天冬（四两） 麦冬（八两） 长白沙参（八两） 明天麻（四两煨） 白蒺藜（照前制四两） 甜梨汁（一斤）
芦根汁（流水者可用八两） 青蔗浆（一斤） 鲜竹沥（八两） 柿霜（四两）
先将二冬沙参天麻白蒺藜加泉水煎汁滤过。配入四汁同熬成膏。后加柿霜收。每日下
午食远服五钱。百滚水调服。
Patient Qian: Hemiplegia on the left side. Blood deficiency fails to nourish sinews and bones; internal wind invades the collaterals. The pulse is slow and large on the left. (Indicates Liver-Kidney deficiency with stirring of internal wind.)
Prepared Polygonum multiflorum (Cortex Polygoni Multiflori Preparatus) [4 liang, dried]; Goji berry [2 liang, stalks removed]; Angelica sinensis root body [2 liang, single branch preferred, tips removed]; Achyranthes bidentata root [2 liang, steamed]; Gastrodia elata [2 liang, baked in flour]; Sesamum indicum seed (triangular type) [2 liang, crushed, washed ten times, then dried]; Chrysanthemum morifolium [3 liang, decocted for juice]; Dendrobium nobile stem [4 liang, decocted for juice]; Black soybean skin [4 liang, decocted for juice].
Combine the three juices with honey, make into fine pills. Take 4 qian in the morning, delivered with boiling water.
Patient Chen (47 years old): Liver blood and Kidney essence are internally exhausted; Yang disturbance causes wind whirling to invade orifices. Wind-dispelling and cold-cooling herbs are strictly contraindicated.
Fried Goji berry; Longan aril; Fried Chrysanthemum; Honey-fried Glycyrrhiza uralensis root (blackened); Astragalus membranaceus root (heart removed); Oyster shell.
Patient Jin: Years of blood loss have long injured Yin Qi. Subsequently subjected to sorrow and depression, Yang carries internal wind to violently assault. The abode of blood becomes empty; Qi attacks the left side. Mouth stiffness, limb numbness, tongue stiffness with aphonia, foot weakness unable to walk. This is clearly Liver-Kidney deficiency and emaciation, with Yin failing to ascend. Replenish the lower jiao heavily to hope for extinguishing wind. Propose using Liu Hejian’s method.
Rehmannia glutinosa root (prepared) [4 liang]; Achyranthes bidentata root [1.5 liang]; Cornus officinalis fruit [2 liang]; Polygala tenuifolia root (fried black) [1.5 liang]; Goji berry [2 liang]; Chrysanthemum morifolium (fried) [2 liang]; Schisandra chinensis fruit [1.5 liang]; Dendrobium nobile stem [2.4 liang]; Poria cocos [2 liang]; Cistanche deserticola stem (dried) [1.2 liang].
Add honey to make pills. Take 4 qian.
Patient Shen (49 years old): Pulse is thin and rapid. Thin indicates deficiency of Zang Yin; Rapid indicates consumption of Ying fluid. Last year, summer-autumn illness caused injury; further due to warm winter leading to failure to store essence. In spring, earth qi rises, Liver Wood wind stirs, causing right limb hemiplegia and flaccidity. Tongue base collateral is stiff, speech is slurred. All due to root deficiency. Quacks use Qi-draining phlegm-resolving and wind-dispersing attacking methods, again robbing True Yin, gradually leading to mental confusion like sleep. If fainting occurs, how to treat? Propose Zhang Zhongjing’s Fumai Method. (Fluid deficiency with wind stirring). Fumai Tang remove Ginger and Cinnamon Twig.
Another case: Mental exertion consumes Spirit and damages Essence, causing Yin not to ascend to the Heart. Internal wind stirs and leaps, presenting as Feizhong (apoplexy with flaccidity). Previous treatments of attacking phlegm or warming tonification further damaged Yin, increasing emaciation. Fortunately, nourishing Yin and extinguishing wind brought slight relief. This summer, heat exacerbates discharge, True Qi is more deficient. Daily administration of fluids-generating and Qi-tonifying herbs must not cease. If no change during Great Heat, then discuss regulation. Guben Wan remove Prepared Rehmannia, add Northern Schisandra.
Asparagus cochinchinensis root; Rehmannia glutinosa root (raw); Ginseng radix; Ophiopogon japonicus tuber; Schisandra chinensis fruit.
Patient Jin (69 years old): Initially dull spirit and enuresis. Clearly apoplexy in an elder. For months, unable to sleep at night; this is Yang failing to interact with Yin. Do not attribute it to Phlegm-Fire and exclusively use attacking/dissolving methods. This is lower deficiency failing to grasp Qi. Propose subduing Yang.
Turtle plastron center; Charred Prepared Rehmannia; Dried Cistanche; Asparagus cochinchinensis root; Raw Tiger tibia bone; Achyranthes bidentata root; Fried Goji berry; Phellodendron amurense bark.
Patient Lu: Anger stirs Yang. Coinciding with Spring Wood ascending, Jueyin internal wind takes advantage of deficiency in Yangming collaterals, assaulting the throat and surrounding the clear spaces behind the ears. Ascension is excessive; lipid fluids cannot nourish the four extremities, causing finger joint numbness. These are germs of Feizhong, so-called lower deficiency and upper excess, often leading to diseases of the vertex. Emotional heat generation has no rationale in formulas using Scutellaria baicalensis root and Phellodendron amurense bark for bitter descent, or Notopterygium incisum rhizome and Saposhnikovia divaricata root for acrid dispersion. The Liver is a rigid organ; only soft-moistening can harmonize it. (Yang rising, heat steaming, fluid deficiency).
Fresh Rehmannia glutinosa root; Uncaria gambir heart; Mulberry leaf; Moutan cortex; Antelope horn; Forsythia suspensa fruit calyx.
Another case: Rehmannia glutinosa root; Donkey-hide gelatin; Oyster shell; Dendrobium nobile stem; Anemarrhena asphodeloides rhizome.
Patient Wang (53 years old): Left limb numbness, knee pulling and stretching suddenly like needle pricks. After middle age, Essence and Blood are internally deficient; deficient wind moves spontaneously. This is damage to Yang within Yin. (Deficiency of Yang within Yin).
Dried Cistanche [2 liang]; Goji [3 liang]; Angelica sinensis root body [2 liang]; Raw Tiger bone [2 liang]; Astragalus complanatus seed [2 liang]; Morinda officinalis root [2 liang]; Gastrodia elata [2 liang]; Taxillus chinensis stem [4 liang].
Make pills with Essence Lamb Gelatin and Donkey-hide gelatin. Take 4 qian in the morning. Adjust according to season in winter. Take Ginseng Pill.
Patient Qian (58 years old): Straining forcefully causes Essence to drip from the urethra. Both ears have lost hearing; Kidney orifice function is lost. Clearly a deficiency pattern. Whenever Kidney fluid is exhausted, Liver wind rages, body and limbs become numb, internal wind secretly invades, often involving Feizhong. Nourish fluids and extinguish wind; use gentle medicines to nourish Liver and Kidney. The Classics state the Liver is a rigid organ, while the Kidney detests dryness. Attacking wind and robbing phlegm would be abandoning the root for the branches. (Yin and Yang both deficient).
Prepared Rehmannia; Goji; Cistanche; Acorus tatarinowii rhizome; Angelica sinensis; Astragalus complanatus seed; Morinda officinalis; Polygala tenuifolia root.
Patient Zhang (49 years old): After stroke, limb numbness, slurred speech, inability to walk. Liver-Kidney Essence and Blood are depleted; deficient wind moves in collaterals. Lower cold, difficult urination and defecation. Kidney deficiency forbids drying herbs; use acrid-moistening warming medicines.
Cistanche; Goji; Angelica sinensis; Biota orientalis seed; Achyranthes bidentata root; Morinda officinalis; Dendrobium nobile stem; Small fennel.
Patient Chen (59 years old): Stroke affecting collaterals causes tongue aphasia and silence. Pain starts from feet and ascends gradually. Numbness and distension. Already a chronic disease. Use Ginseng and Poria to tonify Qi, simultaneously nourishing blood collaterals. Can only maintain longevity.
Ginseng radix; Poria cocos; Atractylodes macrocephala rhizome; Goji; Angelica sinensis; White Peony root; Gastrodia elata; Mulberry leaf.
Patient Zhou: During the Great Cold and Earth Prosperous solar term, middle-aged fatigue and overwork cause Yang not to store. Internal wind stirs and leaps, causing paralysis. Muscle twitching, palpitations, sweating, irritability. This is interior deficiency wanting to manifest sudden stroke. Propose sealing and protecting Yang as primary. No time to discuss phlegm-fluids or other diversions. (Yang deficiency, defensive looseness).
Ginseng radix; Astragalus membranaceus root; Aconitum carmichaelii lateral root (prepared); Prepared Atractylodes macrocephala rhizome.
Certain patient: Yangming collaterals are empty; internal wind moves secretly. Right scapula and fingers are numb. (Stomach deficiency, exterior looseness).
Yupingfeng San add Angelica sinensis, Gastrodia elata, Young Taxillus.
Lady Yu: Widowed for fourteen years, pure Yin without Yang. Usually exerts labor, no rest. In the fourth month of Summer, when Yang Qi is largely discharged by the ruling climate, suddenly right limb numbness, as if fallen and unable to lift. Sweating, numbness and coldness, sudden heart pain, incessant yawning, constipation. Pulse is small and weak. Is this external contraction? The pathology resembles Feizhong. The cause lies in mental injury and sorrow leading to limb abandonment. Wind-dispelling and phlegm-robbing treatments are unsuitable. The main principle is securing Defensive Yang, assisted by unblocking collaterals. (Defensive deficiency, collateral obstruction).
Cinnamon twig; Aconitum carmichaelii lateral root (prepared); Raw Astragalus membranaceus root; Fried Polygala tenuifolia root; Turmeric root tuber; Notopterygium incisum rhizome.
Patient Tang (66 years old): Men’s right side belongs to Qi deficiency. Numbness for one year. Entering Spring, mouth and eyes deviate. This is deficient wind moving internally. Elderly strength declines; during seasonal discharge, avoid wind herbs. Should secure Defense and tonify Qi. (Qi deficiency).
Ginseng radix; Astragalus membranaceus root; Atractylodes macrocephala rhizome; Honey-fried Licorice root; Tangerine peel; Angelica sinensis root body; Gastrodia elata; Baked Ginger; Southern Jujube.
Generally, stroke cases with flaccid limbs unable to hold themselves belong to Yangming Qi deficiency. Ginseng should be the primary herb, assisted by Aconitum carmichaelii lateral root, Astragalus membranaceus root, and Honey-fried Licorice root. If shortening and spasms occur, expelling pathogens is urgent.
Patient Hu (56 years old): Yangming collaterals are already empty; Jueyin Yang Qi easily rebels. Wind excess causes swelling; prolonged heat causes dryness. Facial heat, dry throat and tongue, chest fullness. All are Yang transforming into internal wind. Stomach suffers invasion, leading to lack of appetite and intake. Prolonged course, fearing Feizhong. (Wind-Yang dryness-heat).
Antelope horn; Forsythia suspensa fruit; Moutan cortex; Black Gardenia jasminoides fruit; Green Chrysanthemum leaf; Uncaria gambir.
Angelica dahurica root; Gastrodia elata.
Patient Zhang (57 years old): Feizhong for years, dizziness and sweating. Yang ascends but does not descend; internal wind moves constantly. Sleepless all night belongs to Defensive Yang refusing to interact with Ying Yin. Chronic disease, following principles and methods, still hard to achieve quick effect. Random medications, how to expect peace? Propose securing Yangming method. (Stomach deficiency, Yang rising).
Cinnamon twig wood; Raw Astragalus membranaceus root; Prepared Aconitum carmichaelii lateral root; Fried Polygala tenuifolia root; Dragon bone; Oyster shell; Ginger; Jujube.
Patient Liu (73 years old): Spirit injured by thought leads to muscle wasting; Mind injured by sorrow leads to limb abandonment. All are Wei syndromes. Due to high age and Yangming pulse deficiency, plus worry and annoyance, Jueyin wind stirs. Wood overacts on Earth decline. Tonifying Middle can be effective. If exhaustively treating wind-phlegm, it is roasting and consuming [Yin], which is erroneous.
Astragalus membranaceus root; Atractylodes macrocephala rhizome; Taxillus chinensis stem; Gastrodia elata; Tribulus terrestris fruit; Angelica sinensis; Goji; Chrysanthemum juice. Add honey to make pills.
Patient Bao: Elderly sudden stroke in deep winter. This is the fundamental disease of Yin-Yang disinteraction. Pulse large on left, soggy on right. Internal wind overturns; Middle Yang is already deficient. On the fifth day, bowel movement occurred. Spirit exhausted, wanting to sleep. Follow Mr. Wang’s proposal. Treat Yangming and Jueyin primarily to await decision. (Liver-Stomach simultaneous treatment).
Ginseng radix; Poria cocos; Tribulus terrestris fruit; Fried Pinellia ternata tuber; Fried Goji berry; Chrysanthemum morifolium flower.
Certain patient: Yangming deficiency, internal wind moves. Right limb paralysis. Much phlegm, dizziness.
Gastrodia elata; Uncaria rhynchophylla hook; Pinellia ternata tuber; Poria cocos; Tangerine peel.
Patient Shen: Wind strikes Lianquan point. Tongue swelling, throat bi, numbness, syncope. Internal wind also obstructs orifices. Above, speech is difficult; below, urination and defecation are unregulated. Ancient master Lu Yuanying used aromatic orifice-opening and detoxifying herbs, avoiding blockage leading to danger. (Pericardium collateral heat-pathogen obstructing orifices). Zhibao Dan (Treasure of Ultimate Effect) 4 pills, evenly divided into 4 doses.
Patient Ge (38 years old): Under forty, muscles full. Sick for two years, still tongue stiffness and slurred speech. Tongue coating thick, edges purple, yet eating and urination/defecation remain good. This is long-accumulated heat in Pericardium collateral diffusing, causing mechanism orifices to be unresponsive. Usually alcohol and meat assist heat and stir wind causing disease. Disease formation gathers in clear space collaterals. Medicine treating phlegm and fire goes straight to intestines and stomach, so long-term administration is ineffective. (Zhibao Dan).
Patient Cheng: Pulse soggy, no heat. After Jue syndrome, right limb hemiplegia. Mouth and eyes deviate, voice absent. This is Yin-damp-wind-darkness striking Spleen collaterals. Added cold-stagnating decoctions, obscuring Clear Yang, preventing Clear Qi from expanding. Follow ancient Star-Atractylodes Six Gentlemen Decoction to tonify Qi, still able to attack wind and dispel phlegm. If saying wind strikes Lianquan, that is Ren Mai disease, distinct from Taiyin Spleen collaterals. (Damp-wind striking Spleen collaterals).
Ginseng radix; Poria cocos; Xinhui Tangerine peel; Cyperus rotundus rhizome juice; Arisaema cum Baphicacanthus caneus (fried in ginger juice); Bamboo-type Typhonium giganteum tubers (fried in ginger juice).
Patient Lv (59 years old): Yang pathogen strikes collaterals causing hemiplegia. Blood must be hot. Moxibustion assists collateral heat. Disease severe, food refused. Cooling is correct treatment, but must use soft agents to avoid injuring blood, and has wind-extinguishing function. (Moxibustion collateral heat).
Rhinoceros horn (substitute with Buffalo horn); Antelope horn; Rehmannia glutinosa root (raw); Uncaria gambir; Forsythia suspensa fruit; Tangerine peel; Bear bile star; Acorus tatarinowii rhizome.
Patient Yang: Post-stroke recurrence. At solar term transition, fourth day. Chills, sweating, then unconsciousness. Yin-Yang fail to interact and cherish each other. True Qi wants to perish. Fear of sudden collapse. Propose returning Yang and grasping Yin method. (Collapse).
Ginseng radix; Dried Ginger; Light Aconitum carmichaelii lateral root; Schisandra chinensis fruit; Pig bile.
Another case: Ginseng (3 qian); Aconitum carmichaelii lateral root (3 qian).
Another case: Ginseng radix; Aconitum carmichaelii lateral root; Schisandra chinensis fruit; Dragon bone; Oyster shell.
Patient Gong (57 years old): Jue syndrome. Pulse deficient and rapid. Disease in left body. Kidney deficiency, fluid scarcity. Liver wind moves internally. Disease is hemiplegia. Not external pathogen. (Kidney Yin deficiency, Liver wind stirring).
Prepared Polygonum multiflorum; Rehmannia glutinosa root; Goji berry; Poria cocos; Gastrodia elata; Chrysanthemum morifolium; Dendrobium nobile stem.
Patient Xu (41 years old): Water deficiency, wind stirring. Tongue stiffness, limb numbness. Sign of striking collaterals. Should tonify and unblock lower jiao, then clear upper jiao.
Prepared Rehmannia; Dried Cistanche; Goji berry; Achyranthes bidentata root; Schisandra chinensis fruit; Polygala tenuifolia root; Antelope horn; Poria cocos; Ophiopogon japonicus tuber; Acorus tatarinowii rhizome. Honey pills.
Patient Ding: Great Cold solar term. True Qi stores little. Yang carries internal wind whirling, causing Feizhong. Tongue edges red, center has stagnant coating. Avoid attacking wind and robbing phlegm. Benefit Kidney, cool Liver. Treat root as method.
Rehmannia glutinosa root (raw); Uncaria gambir; Ophiopogon japonicus tuber; Dendrobium nobile stem; Polygala tenuifolia root; Acorus tatarinowii rhizome; Sugarcane juice.
Patient Zeng (52 years old): Pulse stringy and moving. Dizziness, deafness. Breathing short and weak when walking. Hemorrhoids prolapse. Premature aging. Kidney Yin weak, reception powerless. Liver Yang blazing, deficient wind obscures orifices. Upper excess, lower deficiency. Dense substances fill Yin. Sweet flavor extinguishes wind. Rest and abstain from drink to avoid falling stroke.
Hujian Wan remove Cynomorium songaricum and Anemarrhena asphodeloides rhizome. Add large Cistanche deserticola stem. Refine honey pills.
Patient Zhang: Pulse fine, small, slightly stringy. Winter storage and gathering not firm enough. Thus Feizhong. Over hundred days, various ailments slightly harmonized. Only speech wanting to come out suddenly slurs. Speaking much seems lacking continuity. All due to Kidney pulse not nourishing tongue collaterals, causing mechanism orifices to lack ventilation. It is a deficiency image. Morning use Dihuang Yinzi decoction method to treat lower. Evening use Xingfu Liujunzi to benefit deficiency and open orifices.
Certain elderly woman: This year Wind Wood rules heaven. Spring-Summer Yang ascending phase. Plus usual anger, labor, worry, thought, causing Five Emotions Qi-Fire to converge above. Liver-Gallbladder internal wind drums and swirls. Upper excess means lower deficiency, thus foot-knee weakness. Liver Wood internal wind strong fire invades Stomach Earth. Stomach governs muscles, collaterals correspond to limbs, winding around mouth. Thus lip-tongue numbness, limb-joints like flaccidity. Indeed germ of Zhongjue (stroke coma). Observing Hejian’s theory of internal fire calling wind, all use bitter descent and acrid release, slightly aided by sour. Most conforms to Classics, breaking its upward momentum, preventing turbid phlegm and strong fire from obscuring clear orifices. This is temporary medication balance. Regarding nurturing work, cold-warm protection, especially pay attention before medicine. Morning dose.
Jinshi Dendrobium (3 qian); Processed Citrus grandis 'Tomentosa' peel (0.5 fen); Tribulus terrestris fruit (2 qian); Real Northern Qinpi (1 qian); Grass Cassia seed (2 qian).
Winter Mulberry leaf (1 qian); Tender Uncaria rhynchophylla hook (1 qen); Raw White Peony root (1 qian).
Another case: Previous proposal of bitter-acid-sour descent method. Liver wind and Stomach Yang have broken their upward drawing momentum. Symptoms feel slightly better. Although called treating branch, it fits yearly climate solar terms. Consider Summer Solstice one Yin returns. Elderly fundamental disease, pre-should protect. Since ancient times, Zhongjue most fears sudden cold addition, causing body Yin-Yang not to connect. Propose grasping Liver-Kidney True Qi, supplementing lower deficiency fundamental disease.
Nine-processed Prepared Rehmannia (first boil water half day, slowly add pure wine and Amomum villosum seed, boil another day, sun dry, steam again, repeat nine times, dry, stir-fry until charred surface remains inside, 8 liang); Cistanche deserticola stem (use large black ones, remove scales, slice, put in bamboo basket, soak in running water for seven days, sun dry until very light, 4 liang); Raw Tiger knee bone (crush and grind separately, 2 liang); Achyranthes bidentata root (salt water steam, 3 liang); Prepared Polygonum multiflorum (4 liang, dry); Dioscorea hypoglauca rhizome (salt water fry, 2 liang); Dendrobium nobile stem (8 liang, decoct to paste); Red and White Poria cocos (4 liang); Biota orientalis seed frost (2 liang).
Above medicines process powder according to prescription. Separately use 8 liang black soybean skin, decoct concentrated juice, make pills. Every morning take 3 qian with rolling boiling water.
Propose evening use Jianzhong (Strengthen Middle) to move phlegm, simultaneously restrain hyperactive Yang. Fire moves, wind generates. Follow Waitai Fuling Yin intention.
Ginseng radix (2 liang); Prepared Pinellia ternata tuber (2 liang); Poria cocos raw (4 liang); Tangerine peel flesh (2 liang); Coptis chinensis rhizome (ginger juice fried, 1 liang).
Immature bitter orange fruit (bran fried, 2 liang); Gastrodia elata (baked, 2 liang); Uncaria rhynchophylla hook (3 liang); Tribulus terrestris fruit (mixed with chicken egg yolk, boiled, washed, stir-fry removing spines, 3 liang); Eleocharis tubers powder (2 liang).
Above powder use one cup bamboo sap, ten spoons ginger juice, make pills. Take 3 qian with boiling water far from meals.
Another case: Recently entered Autumn climate. Dryness arrives. First injures upper, causing Lung dryness cough. However lower jiao long deficient. Jueyin winds around throat, Shaoyin follows throat. Usually mouth dry, tongue ulceration. This is lower deficiency Yin fire flooding. First treat seasonal disease dryness transforming into fire. Temporarily clear and moisten upper jiao. Fundamental disease discussed later.
White Lablab bean (do not grind, 3 qian); Polygonatum odoratum rhizome (3 qian); Polyscias fruticosa root (2 qian); Ophiopogon japonicus tuber (heart removed, 3 qian); Sweet Almond kernel (skin and tip removed, do not grind, 2 qian); Fritillaria thunbergii bulb (heart removed, do not grind, 2 qian); Winter Mulberry leaf (1 qian); Rolled Heart Bamboo leaf (1 qian).
Washed white glutinous rice 7 he. Decoct with clear soup.
Another case: Temporarily take decoction formula.
Northern Polyscias fruticosa root (3 qian); Raw White Lablab bean (2 qian); Ophiopogon japonicus tuber (3 qian); Dried Lily bulb (1.5 qian); White Poria cocos (1.5 qian); Sweet Almond kernel (skin and tip removed, 1.5 qian).
Another case: Phlegm-fire upper excess, clear orifices obscured. At dusk-night, additionally advance clearing upper method.
Ophiopogon japonicus tuber (8 liang); Asparagus cochinchinensis root (4 liang); Coix seed (8 liang); Persimmon frost (4 liang); Long strip Polyscias fruticosa root (8 liang); Raw White Lablab bean skin (8 liang); Sweet Pear juice (2 bowls); Sugarcane syrup (2 jin).
Decoct with water to paste. Collect with real persimmon frost. Take 5 qian, delivered with boiling water.
Another case: Summer heat, Autumn dryness. Yang fluids and Yin liquids more injured. Mouth-teeth-throat suffer disease. Belongs to Yin fire surging up, Qi-heat failing to descend. Advancing Hand-Taiyin clearing dryness sweet-cool method is very safe. Its late Autumn early Winter regulation main idea: clear upper, solidify lower. Then wind extinguishes, fluids moisten, not causing Zhongjue. Until Winter Solstice one Yang initially returns, discuss again.
Bird's nest vegetable (wash clean, decoct paste separately, 1 jin); Sweet Pear (peel core, squeeze juice with silk bag, decoct paste, 20 pears); Ginseng radix (decoct collect separately, 3 liang); Nine-processed Prepared Rehmannia (water boil, 4 liang); Asparagus cochinchinensis root (heart removed, steam, 2 liang); Ophiopogon japonicus tuber (heart removed, 4 liang); Astragalus membranaceus root bark (raw, 4 liang); Honey-fried blackened Licorice root (2 liang); Schisandra chinensis fruit (steam, 2 liang); Yun Poria cocos (steam, 3 liang).
Another case: Left Guan-Chi pulse alone obtains moving-rapid. Speaking much makes tongue sound unclear. Numbness偏向 right limb. Heart burning hot, difficult to vocalize. This is Yangming pulse hollow and lacking, while Jueyin Yang carries internal wind to disturb. True Qi does not govern storage and gathering, thus lower lacks power to move. Fake heat surges up, causing throat dryness and much cough. That is lower deficiency means upper must be excess. After Winter Solstice morning dose. Follow Danxi Hujian method.
Nine-processed Prepared Rehmannia (process as before, 8 liang); Cistanche deserticola stem (process as before, 4 liang); Asparagus cochinchinensis root (heart removed, steam-dry, 4 liang); Angelica sinensis (stir-fry scorched, 2 liang); Raw White Peony root (3 liang); Dendrobium nobile stem (decoct paste, 8 liang); Phellodendron amurense bark (salt water fry, 2 liang); Achyranthes bidentata root (salt water steam, 3 liang).
Above make powder. Separately use 3 liang Tiger bone gelatin, melt into honey, knead into pills. Take 5 qian, delivered with rolling boiling water.
Another case: Madam’s various ailments towards peace. Now Spring third month, Yang Qi just ascending. Liver Wood governs climate. Liver is Wind organ, Wind also belongs to Yang. Hexagram changes to Xun. Two Yangs combine, momentum just growing. Internal wind carries Yang moving and whirling. Lipid fluids secretly consumed, numbness endless. Especially severe on four limbs is called Wind excess terminal disease. Classics say: Wind excess internally, treat with sweet-cool. Phlegm blocks formless fire; fire burns formed phlegm. Sweet-cool generates fluids, treating phlegm-fire-wind simultaneously.
Asparagus cochinchinensis root (4 liang); Ophiopogon japonicus tuber (8 liang); Long strip Polyscias fruticosa root (8 liang); Gastrodia elata (baked, 4 liang); Tribulus terrestris fruit (process as before, 4 liang); Sweet Pear juice (1 jin); Reed rhizome juice (running water available, 8 liang); Green Sugarcane syrup (1 jin); Fresh Bamboo sap (8 liang); Persimmon frost (4 liang).
First decoct Er-Dong (Asparagus and Ophiopogon), Polyscias fruticosa root, Gastrodia elata, Tribulus terrestris fruit with spring water juice, filter. Mix with four juices, decoct into paste. Finally add persimmon frost to collect. Every afternoon far from meal take 5 qian, mixed with rolling boiling water.