搐鼻通天散 治猝、暗中风,倒地,牙关紧急,人事昏沉。
川芎 细辛 藜芦 白芷 防风 薄荷(各一钱) 猪牙皂角(刮去皮,三个)
上为细末,用芦筒纳药,每用少许。吹入鼻中。
麻黄膏(《宣明方》)治中风不省人事,猝然倒地。
上须旺日乙卯者,采麻黄一秤,拣去根一寸长,取东流水三石三斗,以无油腻铛量大小
盛五七斗者,可先煮五沸,掠去滓,逐旋添水,尽至三五斗以来,漉去麻黄,淘在盆中,澄
定良久,用细罗子滤去滓。取清者铛内再熬至一斗,再澄再滤。取汁再熬至升半以来为度。
只是勤搅,勿令着底,恐焦了。熬时忌鸡犬、阴人。澄时须盖覆,不得飞入尘土。其药放一
二年不妨。如膏稠,用水解,熬再匀。凡中风猝倒,用此膏加入汤药内服,或用此膏丸药。
三化汤(《拔粹》方)治中风外有六经之形证,先以加减续命汤随证治之,内有便溺之
阻隔,复以此导之。
浓朴(姜制) 大黄 枳实 羌活(等分)
上咀。每服三两,水三升,煎至一升半,终日服之,以微利则已。如内邪已除,外邪
已尽,当从愈风汤以行中道,久服大风悉去。纵有微邪,只从愈风东加减治之。然治病之法,
不可失于通塞,或一气之微汗,或一旬之通利,如此为常治之法也。久则清浊自分,营卫自
和矣。
Chubi Tongtian San: Treats sudden or latent stroke, characterized by falling to the ground, lockjaw (rigidity of the jaw), and unconsciousness.
Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), Veratrum Root (Lilu), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng), Menthae Haplocalycis Herba (Bohe) (each 1 qian), Ziziphus Jujuba Fruit (Sujiao) (scraped of skin, three pieces).
Grind the above herbs into a fine powder, load into a reed tube, take a small amount each time, and blow into the nose.
Mahuang Gao (from *Xuanming Fang*): Treats stroke resulting in unconsciousness and sudden collapse.
Harvest Ephedrae Herba (Mahuang) on one cheng (a unit of weight) on an auspicious Yimao day, remove the root tips one cun long, take three shi and three dou of east-flowing water, place in a non-greasy pot (fill five to seven dou depending on pot size), boil vigorously for five times, skim off impurities, gradually add water until reduced to about three to five dou, filter out Mahuang dregs, pour into a basin, let settle for a long time, filter through a fine sieve to remove residue. Take the clear liquid and boil again in a pot until reduced to one dou, clarify and filter again. Continue boiling the juice until it reaches half a sheng as the endpoint. Stir frequently to prevent sticking to the bottom and burning. Avoid chickens, dogs, and yin-influenced persons during boiling. Cover during clarification to prevent dust from entering. The medicine can be stored for one to two years without issue. If the paste is too thick, dilute with water and boil to mix evenly. For any sudden stroke collapse, add this paste to decoctions for oral administration, or use this paste to make pills.
Sanhua Tang (from *Bacui* formula): Treats stroke presenting with symptoms of the six meridians externally; first treat according to syndrome using Jiajian Xuming Tang; if there is internal obstruction of bowel or bladder movements, use this formula to guide and unblock.
Magnoliae Officinalis Cortex (Houpo) (processed with ginger), Rheum Palmatum Root & Rhizome (Dahuang), Aurantii Fructus Immaturus (Zhishi), Notopterygii Rhizoma et Radix (Qianghuo) (equal parts).
Cut the herbs into small pieces. Take three liang per dose, add three sheng of water, decoct until one and a half sheng remains, administer throughout the day, stop when mild diarrhea occurs. If internal pathogens are eliminated and external pathogens are exhausted, switch to Yufeng Tang to regulate the middle pathway; long-term use will dispel all major wind pathogens. Even if slight pathogens remain, adjust treatment based on Yufeng Tang. However, therapeutic methods must not neglect either unblocking or restricting; sometimes inducing slight sweating, sometimes promoting bowel movement, constitutes routine treatment. Over time, clear and turbid qi will separate naturally, and Ying and Wei (nutritive and defensive qi) will harmonize.