天麻（祛风） 牛膝（强筋） 萆 （祛风湿，强筋骨） 玄参（壮水制火，各
六两） 当归（十两，和血） 杜仲（七两，使筋骨相生） 生地（一斤，益真阴） 羌活（去
骨节风，十两） 附子（泡，一两，行经）蜜丸，一方有独活五两。
治中风手足不仁，经络有湿痰死血。
川乌（泡，去皮、脐） 草乌（泡，去皮） 胆星（六两） 地龙（即蚯蚓，洗，焙
干） 乳香（去油） 没药（另研，三两三钱） 酒丸酒下五七十丸。
治肾气虚弱，语言謇涩，足膝痿废。
熟地巴戟（去心） 山茱 肉苁蓉（去甲） 附子（泡） 五味子 石斛 白
茯苓 石菖蒲 远志（去心） 肉桂 麦门冬（去心） 上各一钱，入薄荷少许，姜
枣水煎服。
肾之脉出然谷肉内踝，上 及股，故虚则足痿不能行。其直者，挟舌本，故虚则舌
謇不能言。地黄、巴戟、茱萸、苁蓉、精不足者补之以味也；附子、官桂，阳不足者温
之以气也；远志、菖蒲使心气下交也；麦冬、五味壮水之上源也；茯苓、石斛走水谷
之府，化荣卫而润宗筋者也。不及肝者，肝肾同治也。诸脏各得其职，则筋骨强而机关
利矣，蹇涩痿废夫复何虞！
术附汤
见湿门。
治中风，卒然昏愦，不省人事，痰涎壅盛，语言謇涩等症。
生南星（一两） 生川乌（去皮） 生附子（五钱，去皮） 木香（二钱） 每服一两，加
人参一两煎。
此足太阴、阳明、厥阴，手少阳药也。南星辛烈散风除痰；附子重峻温脾逐寒；乌
头轻疏温脾逐风。二药通行经络，无所不至，皆用生者，取其力峻而行速也。重加人
参所以扶其正气，少佐木香所以行其逆气也。
Tianma (Gastrodiae Rhizoma, Gastrodia) 6 liang, Niuxi (Achyranthis Bidentatae Radix, Achyranthes Root) 6 liang, Bibi (Dioscoreae Hypoglaucae Rhizoma, Dioscorea Hypoglauca Rhizome) 6 liang, Xuanshen (Scrophulariae Radix, Scrophularia Root) 6 liang, Danggui (Angelicae Sinensis Radix, Angelica Sinensis Root) 10 liang, Duzhong (Eucommiae Cortex, Eucommia Bark) 7 liang, Shengdi (Rehmanniae Radix, Rehmannia Root) 1 jin, Qianghuo (Notopterygii Rhizoma et Radix, Notopterygium Rhizome and Root) 10 liang, Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Aconite Lateral Root) (processed), 1 liang. These herbs are made into honey pills. Another version of the formula includes Duohuo (Angelicae Pubescentis Radix, Pubescent Angelica Root) 5 liang.
Treats hemiplegia or numbness of hands and feet due to stroke, where damp-phlegm and static blood obstruct the meridians.
Chuanwu (Aconiti Radix, Aconite Root) (processed, skin and umbilicus removed) appropriate amount, Caowu (Aconiti Kusnezoffii Radix, Kusnezoff Aconite Root) (processed, skin removed) appropriate amount, Dansheng (Arisaematis Cum Bile, Arisaema with Gallbladder) 6 liang, Dilong (Pheretima, Pheretima Aspergillum) (washed, dried by baking), Ruxiang (Olibanum, Olibanum) (oil removed), Moyao (Myrrha, Myrrh) (separately ground) 3 qian 3 fen. These herbs are made into wine pills, taken with wine, 50-70 pills per dose.
Treats weakness of Kidney Qi, resulting in slurred speech and flaccid paralysis of the feet and knees.
Shudi (Rehmanniae Radix Praeparata, Prepared Rehmannia Root), Bajiji (Morinda Officinalis Radix, Morinda Officinalis Root) (heart removed), Shanzhuyu (Corni Fructus, Cornus Fruit), Rongzong (Cistanches Herba, Cistanche Herb) (armor removed), Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Aconite Lateral Root) (processed), Wuweizi (Schisandrae Chinensis Fructus, Schisandra Fruit), Shihu (Dendrobii Nobile Caulis, Dendrobium Nobile Stem), Baifuling (Poria, Poria Cocos), Shichangpu (Acori Tatarinowii Rhizoma, Acorus Rhizome), Yuanzhi (Polygalae Radix, Polygala Root) (heart removed), Rougui (Cinnamomi Cortex, Cinnamon Bark), Maimendong (Ophiopogonis Radix, Ophiopogon Root) (heart removed). Each herb is used in 1 qian amount, add a small amount of Bohe (Menthae Haplocalycis Herba, Mentha Haplocalyx Herb), decoct and take with water boiled with ginger and jujube.
The Kidney meridian originates from the Ran Gu point, runs inside the medial malleolus, ascends along the thigh, so deficiency leads to foot flaccidity and inability to walk. Its straight branch runs alongside the root of the tongue, so deficiency leads to tongue stiffness and inability to speak. Shudi, Bajiji, Shanyuzhuyu, and Rongzong tonify essence deficiency with flavor-rich substances; Fuzi and Guirui (Cinnamomi Cortex, Cinnamon Bark) warm Yang deficiency with qi-moving substances; Yuanzhi and Shichangpu facilitate the intersection of Heart Qi downward; Maimendong and Wuweizi strengthen the upper source of Water; Baifuling and Shihu traverse the fu organs of water and grain, transforming Ying and Wei to moisten Zongjin (major sinews). The Liver is not directly addressed because the Liver and Kidney are treated together. If all zang-fu organs perform their functions properly, then sinews and bones become strong, and joints move freely, leaving no cause for concern regarding slurred speech or flaccid paralysis!
Shu Fu Tang (Atractylodes and Aconite Decoction)
See the "Dampness" section.
Treats stroke symptoms such as sudden coma, loss of consciousness, copious phlegm-saliva, and slurred speech.
Sheng Nanxing (Arisaematis Rhizoma, Raw Arisaema Rhizome) 1 liang, Sheng Chuanwu (Aconiti Radix, Raw Aconite Root) (skin removed), Sheng Fuzi (Aconiti Lateralis Radix, Raw Aconite Lateral Root) (5 qian, skin removed), Muxiang (Aucklandiae Radix, Aucklandia Root) 2 qian. For each dose of 1 liang of these herbs, add 1 liang of Renshen (Ginseng Radix, Ginseng Root) and decoct together.
This prescription belongs to the Foot Taiyin Spleen, Foot Yangming Stomach, Foot Jueyin Liver, and Hand Shaoyang Sanjiao meridians. Nanxing is acrid and pungent, dispersing wind and eliminating phlegm; Fuzi is heavy and峻烈 (pungent-hot), warming the Spleen and driving out cold; Wutou (Aconiti Radix, Aconite Root) is light and dispersing, warming the Spleen and driving out wind. Both drugs circulate through the meridians without obstruction. They are used in raw form to harness their potent and rapid action. Heavy use of Renshen supports the upright Qi, while a small addition of Muxiang regulates counterflow Qi.