治卒暴中风，不省人事，半身不遂，口眼歪斜，手足颤掉，语言謇涩，肢体麻痒，精神
昏乱，头目眩晕，痰涎壅盛，筋脉拘挛，及香港脚缓弱不能动履屈伸。
防己 桂心 黄芩 杏仁（去皮尖炒） 芍药 甘草（炙） 川芎 麻黄（去节） 人
参（各一钱
上锉，分作二服。水二盏，生姜五片，枣二枚，煎八分，食远热服。 精神恍惚加茯神、
远志。骨节烦痛有热者加芍药去附子。心烦多惊加犀角。骨节重痛有寒湿倍加官桂、附子。
呕逆腹胀加半夏、倍人参。躁闷大便涩，去附子，倍加芍药，入竹沥。脏寒下痢去防己、黄
芩，加白术。自汗去麻黄、杏仁，加白术。脚膝弱加牛膝、石斛。身疼加秦艽。腹痛加桃仁、
姜炒杜仲。
凡治中风，不审六经之形证加减，虽治无益。加减法具于后。
治阳明中风，身热无汗，不恶寒而渴。
本方中加知母、石膏一钱四分，去附子。
To treat sudden apoplexy (stroke), characterized by loss of consciousness, hemiplegia, deviation of the mouth and eyes, trembling of the hands and feet, dysarthria (slurred speech), numbness and itching of the limbs, mental confusion, dizziness of the head and eyes, excessive phlegm and saliva, spasm of the sinews and vessels, as well as foot-leg weakness (Hong Kong foot) rendering the patient unable to walk or flex and extend.
Ingredients: Pheretima (Fangji), Cinnamon Heart (Guixin), Scutellaria Root (Huangqin), Apricot Seed (Xingren, peeled, tips removed, and stir-fried), Peony Root (Shaoyao), Licorice Root (Gancao, honey-fried), Szechwan Lovage Rhizome (Chuanxiong), Ephedra Stem (Mahuang, nodes removed), Ginseng Radix (Renshen). Each ingredient is used in an amount of one qian.
Crush the above herbs and divide into two doses. Add two cups of water, five slices of fresh ginger, and two jujubes. Decoct until eight-tenths of the liquid remains. Take hot after meals, with a slight delay. If there is mental vacillation, add Polypora (Fushen) and Polygala Root (Yuanzhi). If there is vexing pain in the bone joints with heat signs, add Peony Root and remove Aconite Root (Fuzi). If there is heart vexation and frequent fright, add Rhinoceros Horn (Xijiao) [Note: Substitute with Buffalo Horn in modern practice]. If there is heavy pain in the bone joints with cold-dampness, double the dosage of Cassia Twig (Guigui) and Aconite Root (Fuzi). If there is vomiting, regurgitation, and abdominal distension, add Pinellia Tuber (Banxia) and double the dosage of Ginseng Radix (Renshen). If there is restlessness, oppression, and constipation, remove Aconite Root (Fuzi), double the dosage of Peony Root (Shaoyao), and add Bamboo Sap (Zhuli). If there is diarrhea due to cold in the zang-organs, remove Pheretima (Fangji) and Scutellaria Root (Huangqin), and add Atractylodes Rhizome (Baizhu). If there is spontaneous sweating, remove Ephedra Stem (Mahuang) and Apricot Seed (Xingren), and add Atractylodes Rhizome (Baizhu). If there is weakness in the feet and knees, add Achyranthes Root (Niuxi) and Dendrobium Stem (Shihu). If there is body pain, add Gentian Root (Qinjiao). If there is abdominal pain, add Peach Kernel (Taoren) and Eucommia Bark (Duzhong, stir-fried with ginger).
In treating stroke, if one does not examine the manifestations of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) for appropriate modifications, treatment will be of no benefit. The methods for modification are detailed below.
To treat Taiyang stroke (disease pattern caused by pathogenic invasion of the Taiyang channel) with no sweat and aversion to cold:
Double the dosage of Ephedra Stem (Mahuang), Apricot Seed (Xingren), and Saposhnikovia Root (Fangfeng) in this formula.
To treat Taiyang stroke with sweat and aversion to wind:
Double the dosage of Cinnamon Twig (Guizhi), Peony Root (Shaoyao), and Apricot Seed (Xingren) in this formula.
To treat Yangming stroke with body heat, no sweat, no aversion to cold, but thirst:
Add Anemarrhena Rhizome (Zhimu) and Gypsum Fibrosum (Shigao), each 1.4 qian, and remove Aconite Root (Fuzi).
To treat Yangming stroke with body heat, sweat, and aversion to wind:
Add Kudzu Root (Gegen), Cassia Twig (Guigui), and Polyporus (Fuling), each 1.5 qian.
To treat Taiyin stroke with no sweat and cool body:
Double the dosage of Aconite Root (Fuzi) and add Dried Ginger (Ganjiang), 1 qian.
To treat Shaoyin stroke with sweat and no heat:
Double the dosage of Cinnamon Twig (Guizhi), Aconite Root (Fuzi), and Licorice Root (Gancao) in this formula.