手足不遂者，中府也，病在表也，当先发汗，羌活、防风、升麻、柴胡、甘草各二
钱，作一服，取发汗，然后行经养血，当归、秦艽、甘草、独活各一两，行经〔者〕、
随经用之。
耳聋目瞀及口偏，邪中藏也，病在里也，当先疏大便，然后行经。白芷、柴胡、防
风、独活各一两，又川芎半两，薄荷半两。
上为末，炼蜜丸弹子大，每服一丸，细嚼，温酒下，茶清亦可。
脉浮在表，当汗之；脉沉在里，当下之。背后搐〔者〕，羌活、防风、独活、甘
草。〔向〕前搐者，升麻、白芷、防风、独活、甘草。两傍搐者，柴胡、防风、甘草；
右搐者，白芷加之。
经曰∶凡疮热甚郁结，而荣卫不得宣通，故多发白痂，是时疮口闭塞，气不通
泄，热甚则生风也。《治法》曰∶破〔伤〕中风，风热燥甚，怫郁在表，而里气尚平者，
善伸数欠，筋脉拘急，或时恶寒而搐，脉浮数而弦者，以辛热治风之药，开冲结滞，荣
卫宣通而愈也。凡用辛热之药，或以寒凉之药佐之尤妙，免致药不中病，而风转甚。
若破〔伤〕中风，表不已，而渐入于里，则病势转甚；若里未太甚，而脉在肌肉者，
宜以退风热、开结滞之寒药调之。或以微加治风辛热药，亦得以意消息，不可妄也。至
宝丹亦凉药也。如〔热〕甚于里，以大承气汤下之。
Inability to move the hands and feet indicates *Zhongfu* (Stroke affecting the Fu organs), where the pathology is at the exterior level. Treatment should initially employ sweating methods. Use Qianghuo, Fangfeng, Shengma, Chaihu, and Gancao each 2 qian, prepared as a single dose to induce sweating. Thereafter, employ methods to unblock the meridians and nourish the blood, using Danggui, Qinjiao, Gancao, and Duhuo each 1 liang, adjusted according to the specific meridian involved.
Deafness, visual impairment, and deviation of the mouth and eye indicate that pathogenic factors have affected the Zang organs, where the pathology is at the interior level. Treatment should initially promote bowel movement, followed by methods to unblock the meridians. Use Baizhi, Chaihu, Fangfeng, and Duhuo each 1 liang, plus Chuanxiong 0.5 liang and Bohe 0.5 liang.
Grind the above ingredients into powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with warm wine; clear tea decoction may also be used.
A floating pulse indicates an exterior condition, which requires sweating; a deep pulse indicates an interior condition, which requires purging. For spasms/twitching of the back, use Qianghuo, Fangfeng, Duhuo, and Gancao. For forward twitching, use Shengma, Baizhi, Fangfeng, Duhuo, and Gancao. For lateral twitching, use Chaihu, Fangfeng, and Gancao; for right-sided twitching, add Baizhi.
The Classics state: Whenever sores involve intense heat and stagnation, preventing the free circulation of Ying and Wei, white scales often appear. At this time, the sore orifice is closed, Qi cannot vent, and extreme heat generates wind. The "Treatment Methods" states: In *Poshang Zhongfeng* (Wind-stroke following trauma), if wind-heat dryness is severe, constrained at the exterior while the interior Qi remains relatively calm, symptoms include frequent stretching and yawning, tendon and vessel stiffness/spasm, occasional aversion to cold with twitching, and a floating, rapid, and wiry pulse. Treat with acrid-hot wind-dispelling herbs to open and flush out stagnation, restoring the free flow of Ying and Wei for recovery. When using acrid-hot herbs, it is particularly advisable to assist them with cold-cooling herbs to prevent mismatched treatment and exacerbation of wind. If *Poshang Zhongfeng* fails to resolve at the exterior and gradually penetrates inward, the disease severity increases. If the interior condition is not yet severe, but the pulse reflects pathology in the muscle layer, cool herbs that dispel wind-heat and resolve stagnation should be used for regulation. Alternatively, slightly adding acrid-hot wind-treating herbs may be considered, but dosage must be carefully judged according to the situation and never applied recklessly. *Zhibao Dan* (Precious Treasure Pill) is also a cooling formula. If interior heat is extremely severe, purge it using Dachengqi Tang (Major Order the Qi Decoction).