人有口渴索饮，眼红气喘，心脉洪大，舌不能言，不可作气虚治，此乃肾虚之极，不能上滋于心，心火亢
极，自焚闷乱，遂致身倒，有如中风也。法当补肾，而佐以清火之药，方用水火两治汤∶
熟地（一两） 山萸（五钱） 当归（一两） 生地（五钱） 元参（一两） 麦冬（五钱） 五味子（三钱）
茯神（五钱） 黄连（三钱） 白芥子（三钱）
水煎服，连服数剂而愈。
人有大怒跳跃，忽然卧地，两臂抽搦，口眼歪邪，左目紧闭，此乃肝火血虚，内热生风之症，当用八珍汤加
丹皮、钩藤、山栀。
若小便自遗，左关脉弦、洪而数，此肝火血燥，用六味（地黄）汤加钩藤、麦冬、五味子、川芎、当归。愈后
须改用补中益气汤，加丹皮、山栀、钩藤，多服。
如妇人得此症，服逍遥散加钩藤及六味地黄丸，最效。
凡人跌倒昏迷，或自卧而跌在床下，〔或中风不语者，〕，此皆正气虚而痰邪犯之也，〔似宜治邪为是。然
而“邪之所凑，其气必虚”，急宜固其正气，而少佐以祛痰之药，〕方用三生饮∶
人参（一两） 生半夏（三钱） 生南星（三钱） 生附子（一个）
水煎，急灌之。
此症又有因肾虚而得之者。夫肾主藏精，立下焦地道之生育，冲、任二脉系焉。二脉与肾之大络，同出于肾之
下，起于胞胎之中，其冲脉因称胞络，为经脉之海，遂名海焉。冲脉之上行者，渗诸阳，灌诸经；下行者，渗诸
阴，灌诸络，而温肌肉，别经络，结于跗。
因肾虚，而肾络与胞内绝，不通于上则 ，肾脉不上循喉咙挟舌本，则不能言。二络不通于下，则痱厥矣。
六用地黄引子∶
熟地（一两） 巴捷（一两） 山萸（一两） 茯苓（一两） 麦冬（一两） 五味子（五钱） 石斛（六钱）
肉苁蓉（一两） 菖蒲（五钱） 附子（五钱） 肉桂（三钱） 加薄荷、姜、枣。
水煎服。
A person presents with thirst desiring to drink, red eyes, panting, a surging pulse at the heart position, and an inability to speak due to tongue stiffness. This should not be treated as Qi deficiency (Qi Xu). Rather, it is extreme Kidney Yin deficiency, failing to nourish the Heart upwards, leading to hyperactive Heart Fire that burns internally and causes mental confusion, resulting in sudden collapse, resembling stroke (Zhong Feng). The treatment method should tonify the Kidney, assisted by herbs that clear fire. The formula used is Shuihuo Liangzhi Tang (Water and Fire Dual-Treatment Decoction):
Shu Di Huang (Prepared Rehmanniae Radix) 1 liang, Shan Yu Rou (Corni Fructus) 5 qian, Dang Gui (Angelicae Sinensis Radix) 1 liang, Sheng Di Huang (Rehmanniae Radix) 5 qian, Xuan Shen (Scrophulariae Radix) 1 liang, Mai Dong (Ophiopogonis Radix) 5 qian, Wu Wei Zi (Schisandrae Chinensis Fructus) 3 qian, Fu Shen (Poria with Hostwood) 5 qian, Huang Lian (Coptidis Rhizoma) 3 qian, Bai Jie Zi (Sinapis Semen) 3 qian.
Decoct in water and take orally. Continue for several doses until cured.
A person who, after great anger and jumping, suddenly falls to the ground, with spasms of both arms, deviation of the mouth and eyes, and the left eye tightly closed, suffers from Liver Fire combined with Blood deficiency, where internal heat generates wind (Nei Re Sheng Feng). The appropriate formula is Bazhen Tang (Eight-Treasure Decoction) added with Mu Dan Pi (Moutan Cortex), Gou Teng (Uncariae Ramulus cum Uncis), and Shan Zhi (Gardeniae Fructus).
If accompanied by involuntary urination, and the pulse at the left Guan position is wiry, surging, and rapid, this indicates Liver Fire causing Blood dryness. Use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) added with Gou Teng, Mai Dong, Wu Wei Zi, Chuan Xiong (Chuanxiong Rhizoma), and Dang Gui. After recovery, switch to Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Mu Dan Pi, Shan Zhi, and Gou Teng, and take it for a long time.
If a woman suffers from this condition, Xiaoyao San (Free-and-Easy Wanderer Powder) added with Gou Teng and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pills) is most effective.
Any person who falls into unconsciousness, or lies down but falls off the bed, [or those suffering from stroke with aphasia], all suffer from deficiency of Righteous Qi (Zheng Qi) invaded by Phlegm pathogen (Tan Xie). [It may seem appropriate to treat the pathogen first. However, "where the pathogen gathers, the Qi must be deficient"; therefore, urgently consolidate the Righteous Qi, and slightly assist with phlegm-resolving herbs.] The formula used is Sansheng Yin (Three-Life Decoction):
Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Sheng Ban Xia (Pinelliae Tuber Preparatum) 3 qian, Sheng Nan Xing (Arisaematis Cum Bile Tuber) 3 qian, Sheng Fu Zi (Aconiti Lateralis Radix Praeparata) 1 piece.
Decoct in water and administer urgently.
This condition also arises from Kidney deficiency. The Kidney stores Essence (Jing) and governs reproduction in the Lower Jiao; the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are connected to the Kidney. These two vessels and the large collaterals of the Kidney originate from below the Kidney, starting within the Bao Luo (Uterus/Metropolis). The Chong Mai is thus called the Bao Luo, the Sea of the Twelve Meridians, hence named "Sea." The ascending branch of the Chong Mai seeps into the Yang meridians; the descending branch seeps into the Yin meridians, nourishing muscles, distinguishing collaterals, and knotting at the dorsum of the foot.
Due to Kidney deficiency, the Kidney collaterals become severed from the interior of the uterus, failing to connect upwards. If the Kidney meridian does not ascend to surround the throat and clamp the root of the tongue, speech is lost. If the two collaterals fail to connect downwards, feijue (aphasia and paralysis) occurs.
The formula used is Liuyong Dihuang Yinzi (Six-Dose Rehmannia Guide Formula):
Shu Di Huang (Prepared Rehmanniae Radix) 1 liang, Ba Ji Tian (Morindae Officinalis Radix) 1 liang, Shan Yu Rou (Corni Fructus) 1 liang, Fu Ling (Poria) 1 liang, Mai Dong (Ophiopogonis Radix) 1 liang, Wu Wei Zi (Schisandrae Chinensis Fructus) 5 qian, Shi Hu (Dendrobii Caulis) 6 qian, Rou Cong Rong (Cistanches Herba) 1 liang, Chang Pu (Acori Tatarinowii Rhizoma) 5 qian, Fu Zi (Aconiti Lateralis Radix Praeparata) 5 qian, Rou Gui (Cinnamomi Cortex) 3 qian. Add Bo He (Menthae Haplocalycis Herba), Sheng Jiang (Zingiberis Rhizoma Recens), and Da Zao (Jujubae Fructus).
Decoct in water and take orally.