小续命汤(《千金》) 中风总方。
麻黄(去节根) 人参 黄芩 川芎 白芍 炙草 杏仁
防己 桂枝 防风(各一钱) 附子(五分,炮)
加生姜三片，水二杯半，先煎麻黄至二杯，入诸药，煎八分服。
《古今录验》续命汤 治中风风痱，身体不能自收持，口不言，昏冒不知痛处。或拘急
不能转侧。方出《金匮》附方。
麻黄 桂枝 当归 人参 石膏 干姜 甘草(各三钱）
川芎(一钱五分） 杏仁(十三枚又一枚取三分之一)
水三杯，煎一杯，温服。当小汗，薄覆脊凭几，汗出则愈。不汗更服，无所禁，勿当风
。并治但伏不得卧，咳逆上气，面目浮肿。
三化汤 治热风中脏，大便不通。
大黄 羌活 枳壳(各三钱）
水二杯，煎八分服。
稀涎散 治中风口噤，并治单蛾、双蛾。
巴豆(六枚,每枚分作两片) 牙皂(三钱，切) 明矾(一两）
先将矾化开，却入二味搅匀，待矾枯为末，每用三分吹喉中。痰盛者灯心汤下五分，
在喉即吐，在膈即下。
参附汤 元气暴脱，以此方急回其阳，可救十中一二。
人参(一两) 附子(五钱)
水二杯半，煎八分服。此汤治肾气脱。以人参换白术，名术附汤，治脾气脱。换黄 名
，附汤，治卫气脱；换当归名归附汤，治营气脱。
三生饮 治寒风中脏，四肢厥冷，痰涎上涌。
生乌头（二钱） 生南星（二钱） 生附子(三钱） 木香（五分） 生姜（五片）
水二杯，煎七分。薛氏用人参一两，煎汤半杯调服。
防风通圣散 治热风卒中，外而经络手足 ，内而脏腑二便闭塞，用此两解之。较之
三化汤较妥，亦为类中风实火治法。所用表药，火郁发之之义也；所用下药，釜下抽薪之义也。
防风 荆芥 连翘 麻黄 薄荷 川芎 当归 白芍 白术 山栀 大黄 芒硝（各五分）
黄芩 石膏 桔梗（各一钱） 甘草（二钱） 滑石（三钱）
水二杯，加生姜三片，煎八分服。自利去硝、黄。自汗，去麻黄，加桂枝。涎嗽加半夏、五味。
地黄饮子 治类中风肾虚火不归源，舌强不能言，足废不能行。类中风虚火治法。
熟地 远志 山茱肉 巴戟天 石斛 石菖蒲 五味子 肉苁蓉(洗) 肉桂 麦冬 附
子茯苓(各三钱）
加薄荷叶七叶，水二杯，煎八分服。此方法在轻煎，不令诸药之味尽出。其性浓重，以
镇诸逆；其气味轻清，速走诸窍也。
补中益气汤 治劳役饥饱过度，致伤元气，气虚而风中之。此类中风气中虚证，更有七
气上逆，亦名气中，宜越鞠丸之类。
炙 (二钱） 人参 白术(炒) 当归(各一钱） 炙草 陈皮（各五分） 升麻 柴胡(各三分）
加生姜三片，大枣二枚，水二杯，煎八分服。
二陈汤 痰饮通剂。
陈皮(一钱五分） 半夏 茯苓(各三钱） 炙草(一钱）
加生姜三片，水三杯，煎七分服。加白术一钱，苍术二钱，竹沥四汤匙，生姜汁二汤匙
，名加味二陈汤，治类中风痰中证。亦名湿中，以湿生痰也。加枳实、胆南星、竹茹，名涤痰汤。
加味六君子汤 治中风王道之剂。
方见《隔食》
加麦冬三钱为君，附子一钱为使，再调入竹沥五钱，生姜汁二钱，以行经络之痰，久服自愈。
资寿解语汤(喻嘉言) 治中风脾缓，舌强不语，半身不遂
，与地黄饮子同意。但彼重在肾，此重在脾。
防风 附子 天麻 枣仁(各二钱） 羚角 肉桂（各八分） 羌活 甘草(各五分）
水二杯，煎八分，入竹沥五钱，姜汁二钱五分服。
喻嘉言治肾气不荣于舌本，加枸杞、首乌、生地、菊花、天冬、石菖蒲、元参。
侯氏黑散(《金匮》) 治大风四肢烦重，心中恶寒不足者。《外台》治风癫。
菊花（四两） 白术 防风（各一两） 桔梗(八钱） 细辛 茯苓 牡蛎 人参 矾石 当
归川芎 干姜 桂枝（各三钱） 黄芩（五钱）
上十四味，杵为散。酒服方寸匕，约有八分，余每用一钱五分，日二服，温酒调服。忌
一切鱼肉、大蒜，宜常冷食，六十日止，热即下矣。
风引汤(《金匮》) 除热瘫痫，治大人风引，少小惊痫 ，日数十发。
大黄 干姜 龙骨（各一两） 桂枝（一两五钱） 甘草 牡蛎（各一两） 寒水石 赤石脂 石膏
滑石 紫石英 白石脂（各三两）
上十二味，研末粗筛，用韦勃盛之。取三指，约六七钱。井花水一杯，煎七分，温服。
按∶干姜宜减半。
Xiaoxuming Decoction (from *Qianjin Fang*) is a general formula for treating stroke.
Ephedrae Herba (Mahuang, 麻黄) (remove nodes and roots), Ginseng Radix et Rhizoma (Renshen, 人参), Scutellariae Radix (Huangqin, 黄芩), Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix Alba (Baishao, 白芍), Glycyrrhizae Radix et Rhizoma Preparata with Honey (Zhigancao, 炙甘草), Armeniacae Semen Amarum (Xingren, 杏仁), Podocarpii Fructus (Fangji, 防己), Cinnamomi Ramulus (Guizhi, 桂枝), Saposhnikoviae Radix (Fangfeng, 防风) (each 1 qian), Aconiti Lateralis Radix Preparata (Fuzi, 附子) (5 fen, processed).
Add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), two and a half cups of water. First decoct Mahuang until reduced to two cups, then add the remaining herbs, decoct until reduced to eight parts, and take orally.
Gujin Luyan Xuming Decoction: Treats wind-fei syndrome in stroke, characterized by the body's inability to control itself, inability to speak, mental confusion, and unawareness of pain locations. Or stiffness and spasms preventing turning over. This formula originates from the Appendix of *Jinkui Yaolue*.
Ephedrae Herba (Mahuang, 麻黄), Cinnamomi Ramulus (Guizhi, 桂枝), Angelicae Sinensis Radix (Danggui, 当归), Ginseng Radix et Rhizoma (Renshen, 人参), Gypsum Fibrosum (Shigao, 石膏), Zingiberis Rhizoma (Ganjiang, 干姜), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 3 qian), Chuanxiong Rhizoma (Chuanxiong, 川芎) (1.5 qian), Armeniacae Semen Amarum (Xingren, 杏仁) (13 plus one seed, take one-third).
Use three cups of water, decoct until one cup remains, take warm. It should induce slight sweating; cover the back lightly, sit leaning on a table, and recovery occurs when sweat appears. If no sweat, administer again without contraindications, avoiding exposure to wind. Also treats conditions where one can only lie prone, cannot sleep, has cough and rebellious qi, and edema of the face and eyes.
Sanhua Tang: Treats heat-stroke affecting the zang organs, characterized by constipation.
Rhei Radix et Rhizoma (Dahuang, 大黄), Qianghuo (Qianghuo, 羌活), Aurantii Fructus Immaturus (Zhiqiao, 枳壳) (each 3 qian).
Use two cups of water, decoct until eight parts remain, take orally.
Xixian San: Treats stroke with locked jaw, and also treats single or double tonsillar swelling (tonsillitis).
Crotonis Fructus (Badou, 巴豆) (6 seeds, each split into two pieces), Gleditsiae Sinensis Fructus (Yazao, 牙皂) (3 qian, sliced), Alum (Mingfan, 明矾) (1 liang).
First dissolve the alum, then add the other two ingredients and mix well. Wait until the alum dries and becomes powder. Use 3 fen per dose, insufflate into the throat. For excessive phlegm, take 5 fen with Juncus Decoction (Dengxincao Tang, 灯心汤); if the phlegm is in the throat, it induces vomiting; if in the diaphragm, it induces purging.
Shenfu Decoction: For sudden collapse of primordial qi, this formula urgently restores yang and can save one or two out of ten patients.
Ginseng Radix et Rhizoma (Renshen, 人参) (1 liang), Aconiti Lateralis Radix Preparata (Fuzi, 附uzi) (5 qian).
Use two and a half cups of water, decoct until eight parts remain, take orally. This decoction treats kidney qi collapse. Replace Renshen with Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) to name Zhufu Tang, treating spleen qi collapse; replace with Astragali Radix (Huangqi, 黄芪) to name Qifu Tang, treating defensive qi collapse; replace with Angelicae Sinensis Radix (Danggui, 当归) to name Guifu Tang, treating nutritive qi collapse.
Sansheng Yin: Treats cold-wind invading the zang organs, characterized by cold limbs and surging phlegm-saliva.
Aconiti Kusnezoffii Radix Cruda (Shengwutou, 生乌头) (2 qian), Arisaematis Rhizoma Cruda (Shengnaxing, 生南星) (2 qian), Aconiti Lateralis Radix Preparata Cruda (Shengfuzi, 生附子) (3 qian), Aucklandiae Radix (Muxiang, 木香) (5 fen), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (5 slices).
Use two cups of water, decoct until seven parts remain. Dr. Xue (Xue Ji) uses 1 liang of Ginseng Radix et Rhizoma (Renshen, 人参), decocts in half a cup of water, and mixes to take orally.
Fangfeng Tongsheng San: Treats wind-heat apoplexy, where exterior meridians and limbs are affected internally, and internal zang-fu organs have blockage of bowel movements and urination. This formula resolves both exterior and interior. It is more appropriate than Sanhua Tang and is also a treatment method for excess fire in similar stroke cases. The use of exterior-releasing herbs follows the principle of "venting fire stagnation"; the use of purgative herbs follows the principle of "removing firewood from under the cauldron."
Saposhnikoviae Radix (Fangfeng, 防风), Schizonepetae Spica (Jingjie, 荆芥), Forsythiae Fructus (Lianqiao, 连翘), Ephedrae Herba (Mahuang, 麻黄), Menthae Haplocalycis Herba (Bohe, 薄荷), Chuanxiong Rhizoma (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Alba (Baishao, 白芍), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Gardeniae Fructus (Shanzhi, 山栀), Rhei Radix et Rhizoma (Dahuang, 大黄), Mirabilite (Mangxiao, 芒硝) (each 5 fen), Scutellariae Radix (Huangqin, 黄芩), Gypsum Fibrosum (Shigao, 石膏), Platycodonis Radix (Jiegeng, 桔梗) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 qian), Talcum (Huashi, 滑石) (3 qian).
Use two cups of water, add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), decoct until eight parts remain, take orally. If there is spontaneous diarrhea, remove Mangxiao and Dahuang. If there is spontaneous sweating, remove Mahuang and add Guizhi. If there is phlegm-cough, add Pinelliae Rhizoma (Banxia, 半夏) and Schisandrae Fructus (Wuweizi, 五味子).
Dihuang Yinzi: Treats similar stroke due to kidney deficiency with failing to anchor deficient fire, characterized by stiff tongue unable to speak and useless legs unable to walk. This is the treatment method for deficient fire in similar stroke.
Prepared Rehmanniae Radix (Shudihuang, 熟地), Polygalae Radix (Yuanzhi, 远志), Corni Fructus (Shanzhurou, 山茱肉), Morinda Officinalis Radix (Bajitian, 巴戟天), Dendrobii Caulis (Shihu, 石斛), Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), Schisandrae Fructus (Wuweizi, 五味子), Cistanches Herba (Roucongrong, 肉苁蓉) (washed), Cinnamomi Cortex (Rougui, 肉桂), Ophiopogonis Radix (Maidong, 麦冬), Aconiti Lateralis Radix Preparata (Fuzi, 附子), Poria (Fuling, 茯苓) (each 3 qian).
Add seven leaves of Menthae Haplocalycis Herba (Boheye, 薄荷叶), two cups of water, decoct until eight parts remain, take orally. This method requires light decoction so that not all herbal flavors are fully extracted. Its nature is heavy and dense to suppress rebellious qi; its aroma is light and clear to quickly penetrate various orifices.
Buzhong Yiqi Tang: Treats damage to primordial qi caused by excessive labor or irregular diet, leading to qi deficiency and susceptibility to wind invasion. This is a qi-deficiency type of wind-stroke. There are also cases of qi-stroke caused by rebellion of the seven emotions, which should be treated with formulas like Yueju Wan.
Prepared Astragali Radix (Zhihuangqi, 炙黄芪) (2 qian), Ginseng Radix et Rhizoma (Renshen, 人参), Stir-fried Atractylodis Macrocephalae Rhizoma (Chao Baizhu, 炒白术), Angelicae Sinensis Radix (Danggui, 当归) (each 1 qian), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 炙草), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 5 fen), Cimicifugae Rhizoma (Shengma, 升麻), Bupleuri Radix (Chaihu, 柴胡) (each 3 fen).
Add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and two dates, two cups of water, decoct until eight parts remain, take orally.
Erchen Tang: A general formula for treating phlegm-fluid retention.
Citri Reticulatae Pericarpium (Chenpi, 陈皮) (1.5 qian), Pinelliae Rhizoma (Banxia, 半夏), Poria (Fuling, 茯苓) (each 3 qian), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 炙草) (1 qian).
Add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), three cups of water, decoct until seven parts remain, take orally. Add 1 qian of Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), 2 qian of Atractylodis Rhizoma (Cangzhu, 苍术), four tablespoons of Bamboo Juice (Zhuli, 竹沥), and two tablespoons of Ginger Juice (Shengjiangzhi, 生姜汁), named Jiawei Erchen Tang, treating phlegm-type similar stroke. Also called damp-stroke, as dampness generates phlegm. Add Immature Bitter Orange (Zhishi, 枳实), Areca Seed (Dan Nansxing, 胆南星), and Bamboo Shavings (Zhuru, 竹茹), named Ditang Tang.
Jiawei Liujunzi Tang: A mild and steady formula for treating stroke.
See formula in *Geshe* chapter.
Add 3 qian of Ophiopogonis Radix (Maidong, 麦冬) as the sovereign herb, 1 qian of Aconiti Lateralis Radix Preparata (Fuzi, 附子) as the guide herb, and mix in 5 qian of Bamboo Juice (Zhuli, 竹沥) and 2 qian of Ginger Juice (Shengjiangzhi, 生姜汁) to circulate phlegm in the meridians. Long-term use leads to self-healing.
Zishou Jieyu Tang (created by Yu Jiayan): Treats stroke with spleen flaccidity, stiff tongue unable to speak, and hemiplegia. It shares the same intent as Dihuang Yinzi. However, Dihuang Yinzi focuses on the kidney, while this formula focuses on the spleen.
Saposhnikoviae Radix (Fangfeng, 防风), Aconiti Lateralis Radix Preparata (Fuzi, 附子), Gastrodiae Rhizoma (Tianma, 天麻), Ziziphi Spinosae Semen (Zaoren, 枣仁) (each 2 qian), Antilope Cornu (Lingjiao, 羚角), Cinnamomi Cortex (Rougui, 肉桂) (each 8 fen), Qianghuo (Qianghuo, 羌活), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 5 fen).
Use two cups of water, decoct until eight parts remain, add 5 qian of Bamboo Juice (Zhuli, 竹沥) and 2.5 qian of Ginger Juice (Jiangzhi, 姜汁), take orally.
Yu Jiayan, treating kidney qi failing to nourish the root of the tongue, adds Lycii Fructus (Gouqi, 枸杞), Polygoni Multiflori Radix (Shouwu, 首乌), Rehmanniae Radix (Shengdi, 生地), Chrysanthemi Flos (Juhua, 菊花), Asparagi Radix (Tiantong, 天冬), Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), and Scrophulariae Radix (Yuanshen, 元参).
Houshi Heisan (from *Jinkui Yaolue*): Treats severe wind causing heavy and troubled limbs, and a feeling of insufficient cold in the heart. *Waitai Mi Yao* treats wind-manía.
Chrysanthemi Flos (Juhua, 菊花) (4 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Saposhnikoviae Radix (Fangfeng, 防风) (each 1 liang), Platycodonis Radix (Jiegeng, 桔梗) (8 qian), Asari Radix et Rhizoma (Xixin, 细辛), Poria (Fuling, 茯苓), Ostrea Concha (Muli, 牡蛎), Ginseng Radix et Rhizoma (Renshen, 人参), Alum (Fanshi, 矾石), Angelicae Sinensis Radix (Danggui, 当归), Chuanxiong Rhizoma (Chuanxiong, 川芎), Zingiberis Rhizoma (Ganjiang, 干姜), Cinnamomi Ramulus (Guizhi, 桂枝) (each 3 qian), Scutellariae Radix (Huangqin, 黄芩) (5 qian).
The above fourteen ingredients are pounded into a powder. Take one fangcun bi (about 8 fen) with wine. I usually take 1.5 qian, twice daily, mixed with warm wine. Avoid all fish, meat, and garlic. Prefer cold food for sixty days; heat will then subside.
Fengyin Tang (from *Jinkui Yaolue*): Clears heat-induced paralysis and epilepsy, treating adult wind-dragging and pediatric convulsive epilepsy, occurring dozens of times a day.
Rhei Radix et Rhizoma (Dahuang, 大黄), Zingiberis Rhizoma (Ganjiang, 干姜), Dragon Bone (Longgu, 龙骨) (each 1 liang), Cinnamomi Ramulus (Guizhi, 桂枝) (1.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Ostrea Concha (Muli, 牡蛎) (each 1 liang), Hydrargyri Subsiliceum et Sulfuratum Rubrum (Han Shuishishi, 寒水石), Halloysit Rubrum (Chishizhi, 赤石脂), Gypsum Fibrosum (Shigao, 石膏), Talcum (Huashi, 滑石), Psilomelane (Zishiying, 紫石英), Halloysit Alba (Baishi, 白石脂) (each 3 liang).
The above twelve ingredients are ground into a coarse powder and sifted, stored in a vessel. Take three fingers' worth, about 6-7 qian. Decoct in one cup of well-water until seven parts remain, take warm.
Note: The amount of Ganjiang should be halved.