治卒中风邪,昏迷不省,牙关紧急,汤水不下。
细辛(洗去土叶) 猪牙皂角(去子,各一钱)
上为细末,男左女右,吹鼻中。
一方 加半夏。
治中风,忽然若醉,形体昏闷,四肢不收,涎潮搐搦,气闭不通。
明矾(一两) 猪牙皂角(四个)
一方 加半夏(一钱)。
治中风不省人事,多因痰壅所致。白矾(二钱)生为末,生姜自然汁调服,其
痰或吐或化,便苏。蜜水滚水俱可调服,腹中响即开。
一方 盐卤水加姜汁灌下,好。
一方 痰厥不省人事,清油灌下,须臾,吐痰好。
一方 大红末子治痰迷心,不省人事。
白矾(一两) 朱砂(一钱)
一方 用生五倍子为末,先用香油拌匀,再用温水调灌。下痰吐法,轻用瓜蒂、 汁、
皂角,重用藜芦半钱或三分,加麝香,灌入鼻内或口内,吐痰出。一吐不已,再吐之。亦有
虚而不可吐者。
治中风中气,口眼歪斜,言语謇涩,一应风气,或牙关紧急,口噤,筋脉挛缩,骨节风
肿,手足疼痛,行步艰辛,并用酒磨下一钱。
治男子妇人一切风气攻注,四肢骨节疼痛,肢体顽麻,手足瘫痪,言语謇涩者。宜先服
此药疏通气道,然后进以风药气上升为逆,降下为顺。顺气者正所谓降气也
麻黄(去根节) 陈皮(去白) 乌药(各二两) 姜蚕(去嘴,炒令丝断) 川芎 枳
壳(去穣,麸炒) 甘草 桔梗(去芦) 白芷(各一两) 干姜(炮五钱)
手足不能起,加续断、威灵仙。左瘫右痪,加当归、天麻、蒺藜。上水一钟半,生姜三
片,煎服。
Treat sudden onset of wind-pathogen invasion, resulting in coma and loss of consciousness, tightness of the jaw, and inability to take in decoctions or water.
Xixin (Asari Radix et Rhizoma, washed to remove soil and leaves) Zhuya Zaojiao (Gleditsiae Sinensis Fructus, seeds removed, each 1 qian).
Grind the above into a fine powder. For males, insufflate into the left nostril; for females, into the right nostril.
Another prescription: Add Banxia (Pinelliae Rhizoma).
Treat stroke, where one suddenly appears intoxicated, with a heavy and stifled body, limbs unable to hold themselves, flooding of saliva and convulsions, and blocked qi mechanism.
Mingfan (Alumen, 1 liang) Zhuya Zaojiao (Gleditsiae Sinensis Fructus, four pieces).
Another prescription: Add Banxia (Pinelliae Rhizoma, 1 qian).
Treat stroke with loss of consciousness, often caused by phlegm obstruction. Bai Fan (Alumen, 2 qian) is ground raw into a powder and taken with fresh ginger juice. The phlegm will either be vomited out or resolved, leading to recovery. It can also be taken with honey water or boiling water; rumbling in the abdomen indicates the opening of qi mechanisms.
Another prescription: Pour down salt brine mixed with ginger juice, which is effective.
Another prescription: For syncope due to phlegm-jue, pour down clear sesame oil; after a moment, vomiting the phlegm leads to recovery.
Another prescription: Use Dahong Mozi to treat heart-orifice confusion due to phlegm and loss of consciousness.
Bai Fan (Alumen, 1 liang) Zhusha (Cinnabar, 1 qian).
Another prescription: Use Sheng Wubeizi (Galla Chinensis) ground into powder, first mixed evenly with sesame oil, then diluted with warm water and poured down. Methods to induce vomiting of phlegm: for mild cases, use Gouti (Dudae Fructus), its juice, and Zaojiao; for severe cases, use Lülü (Veratri Radix, half qian or 3 fen) added with Shexiang (Moschus), insufflated into the nose or mouth to expel phlegm. If one bout of vomiting is insufficient, repeat it. There are also cases of deficiency where vomiting is contraindicated.
Treat stroke affecting qi, facial paralysis (deviation of mouth and eyes), slurred speech, all wind-related disorders, or tightness of the jaw, lockjaw, spasm and contraction of sinews and vessels, wind-swelling of bone joints, pain in hands and feet, and difficulty walking. All these should be treated by grinding the medicine with wine and taking 1 qian.
Treat men and women suffering from all types of wind-pathogen infiltration causing pain in limb joints, numbness of the body, paralysis of hands and feet, and slurred speech. It is advisable to first take this medicine to unblock the qi mechanism, then administer wind-dispelling medicines. Ascending qi is considered rebellious, while descending qi is considered smooth. "Shunqi" (Smooth Qi) precisely refers to descending qi.
Mahuang (Ephedrae Herba, roots and nodes removed) Chenpi (Citri Reticulatae Pericarpium, white pith removed) Wuyao (Linderae Radix, each 2 liang) Jiangcan (Bombyx Batryticatus, mouths removed, stir-fried until threads break) Chuanxiong (Chuanxiong Rhizoma) Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran) Gancao (Glycyrrhizae Radix et Rhizoma) Jiegeng (Platycodonis Radix, radix ends removed) Baizhi (Angelicae Dahuricae Radix, each 1 liang) Ganjiang (Zingiberis Rhizoma Praeparatum, processed, 5 qian).
If hands and feet cannot rise, add Xuduan (Dipsaci Radix) and Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma / Akebiae Caulis - *Note: In this context, usually refers to Salviae Miltiorrhizae or similar moving herbs, but standard WHO term for Weilingxian is Salviae Miltiorrhizae Radix et Rhizoma or sometimes distinct herb depending on era, here kept as generic 'Weilingxian'*). For left hemiplegia and right-sided paralysis, add Danggui (Angelicae Sinensis Radix), Tianma (Gastrodiae Rhizoma), and Jili (Tribuli Fructus). Add 1.5 zhong of water and three slices of fresh ginger, decoct and take.