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All the fu organs are affected by pathogenic factors. First, administer one qian of Sanhua Decoction (Three Transformations Decoction) to unblock the bowels two or three times, dispersing the internal stagnation so that clear qi ascends and fills the limbs. Next, administer Zhibao Dan (Precious Treasure Pill) added with Longgu (Fossilized Bones) and Nanxing (Arisaema Rhizome) to calm the mind, stabilize the will, and nourish the spirit, allowing the qi of each zang organ to ascend and unblock the nine orifices. After five days, voice emerges, and speech becomes slightly fluent. Thereafter, adjust the herbs according to the pulse and syndromes of the four seasons. Within ten days, the patient can walk with some effort. Initially, tie a rope around the affected leg; crossing thresholds or high places requires assistance. Additionally, prick the Jing-Well acupoints of the twelve meridians to connect the collaterals. The next day, without the rope, the patient can take a few steps. After one hundred days, most symptoms disappear. Advise caution: speak sparingly and regulate diet. Recovery takes one year.

[Liu Wansu] A monk slept on damp ground for a year due to rainy weather, resulting in paralysis of the limbs. The condition worsened during rainy periods. Physicians treated it as stroke with hemiplegia using Danggui (Angelica Sinensis), Shaoyao (Peony Root), Ruxiang (Frankincense), Moyao (Myrrh), and Zitong (Natural Pyrite). Long-term use exacerbated constipation and generated wind-dryness, with no improvement after a year. Dai Ren (Liu Wansu's courtesy name) used Zhouche Wan (Boat and Cart Pill) to purge more than thirty times, expelling five sheng of yellow-green frothy fluid. Subsequently, he used mild diuretic herbs to drain dampness. Within days, the limbs could be lifted. Dai Ren stated: This is Bi syndrome caused by the combination of wind, dampness, and cold. Dampness floats when combined with cold, accumulating in the skin and interstices. If not removed over time, it invades the fu organs internally. Water-expelling herbs are indicated. Dampness is a cold substance in the body. When cold is removed, blood circulates; when blood circulates, qi harmonizes; when qi harmonizes, the disease resolves.

[Popular Prescription] For stroke with severe constipation, burn non-decaying Gouqi (Gleditsia Sinensis Fruit) to ash, grind into fine powder. Take one qian per dose, mixed with rice water.

[Bencao] Pill
Commonly known as Huocao (Fire Grass), its stems and leaves resemble Cang'er (Xanthium Strumarium). It sprouts in spring, flowers in early autumn, and bears fruit in late autumn. Harvest the leaves on the fifth day of the fifth lunar month, sixth day of the sixth lunar month, and ninth day of the ninth lunar month. Remove roots, stems, flowers, and fruits; alternatively, harvest branches with mature flowers and fruits. Wash, dry in the sun, steam nine times with wine and honey in a steamer, dry, grind, and sieve into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take forty to fifty pills on an empty stomach with warm wine or rice water. Zhang Guaiya submitted a memorial stating: Who would expect such extraordinary efficacy from such humble material? After one hundred doses, my eyes became clear. After one thousand doses, my beard and hair turned black, and my sinews and bones strengthened. He further stated: It greatly benefits Yuan Qi and treats various diseases. Preparations administered to others have always been effective.

[Luo Tianyi] Zhengshe San (Tongue-Correcting Powder) treats tongue stiffness and slurred speech in stroke.
Xionghuang (Realgar, ground) Jingjie (Schizonepeta Spike, equal parts)
Grind into powder. Take two qian per dose, mixed with Doulin Jiu (Soybean-leavened Wine).

Fushen San (Poria Spirit Powder) treats the same syndrome.
Fushen Xin (Heart of Poria, fried, one liang) Bohe (Mint, dried, two liang) Xieshao (Scorpion tail, detoxified, two qian half)
Grind into powder. Take one to two qian per dose, mixed with warm wine.

[Bencao] Dihuang Jiu (Rehmannia Wine) treats wind in the Liver and Spleen causing slurred speech, weak legs, and constipation.
Shudi (Prepared Rehmannia Root, four liang) Fuzi (Prepared Aconite Root) Yinyu (Corylopsis Branch) Qianghuo (Notopterygium Rhizome) Fangfeng (Saposhnikovia Root) Chuanxiong (Ligusticum Rhizome) (each one liang) Shihu (Dendrobium Stem, two liang) Danshen (Salvia Root, two qian half) Niubanggen (Arctium Root, two qian half) Niuxi (Achyranthes Root) Duzhong (Eucommia Bark) Guizhi (Cinnamon Twig) (each one liang half) Damaizi (Hemp Seed, one sheng)
Chop coarsely. Place in a silk bag, store loosely. Soak in nine dou nine sheng of pure wine for seven days. Drink one cup before and after meals on an empty stomach daily. Maintain a slight intoxication; do not induce vomiting.

Fangfeng Tang (Saposhnikovia Decoction) treats internal deficiency in stroke, weak legs, and slurred speech.
Shihu (Dendrobium Stem, one liang half) Dihuang (Rehmannia Root) Duzhong (Eucommia Bark) Danshen (Salvia Root) Fangfeng (Saposhnikovia Root) Chuanxiong (Ligusticum Rhizome) Maimendong (Ophiopogon Tuber) Guixin (Cinnamon Bark) Duhuo (Angelica Pubescens Root) (each one liang)
Grind into coarse powder. Take five qian per dose with one and a half cups of water and two jujubes. Decoct, strain, and drink warm.

Zhuli Tang (Bamboo Juice Decoction) treats wind invading the Liver and Spleen meridians, limb paralysis, tongue stiffness, and slurred speech.
Weilingxian (Clematis Root) Fuzi (Prepared Aconite Root) Jiegeng (Platycodon Root) Fangfeng (Saposhnikovia Root) Manjingzi (Vernonia Fruit) Zhike (Aurantium Fruit) Chuanxiong (Ligusticum Rhizome) Danggui (Angelica Sinensis Root) (equal parts)
Grind into coarse powder. Take four qian per dose with one cup of water, half a cup of Zhuli (Bamboo Juice), and four slices of fresh ginger. Decoct to eight-tenths volume, strain, and drink warm. Take three to four times daily. Observe dietary restrictions.

Fangji Tang (Stephania Decoction) treats chronic wind pathogen invading the Liver and Spleen meridians, causing speech difficulties.
Hanfangji (Stephania Tetrandra Root) Fangfeng (Saposhnikovia Root) Guixin (Cinnamon Bark) Fuzi (Prepared Aconite Root) (each half liang) Weilingxian (Clematis Root, three qian) Mahuang (Ephedra Herb, half liang)
Grind into coarse powder. Take four qian per dose with one cup of water and half a cup of "Yinzi" (guide liquid). Decoct to seven-tenths volume, strain, and drink warm. Take three to four times daily. The Yinzi consists of one cup each of Zhuli (Bamboo Juice), Jingli (Schizonepeta Juice), Dihuangzhi (Rehmannia Juice), mixed with Ginger Juice. These four formulas were transmitted by Master Pang; careful application yields excellent results.

[Qianjin Fang] Duhuo Zhu San (Angelica Pubescens Boiled Powder) treats Fengfei (wind flaccidity).
Duhuo (Angelica Pubescens Root, eight liang) Chuanxiong (Ligusticum Rhizome) Shaoyao (Peony Root) Fuling (Poria) Fangfeng (Saposhnikovia Root) Fangji (Stephania Tetrandra Root) Gegen (Pueraria Root) (each six liang) Lingyangjiao (Antelope Horn) Danggui (Angelica Sinensis Root) Renshen (Ginseng Root) Maimendong (Ophiopogon Tuber) Guixin (Cinnamon Bark) Shigao (Gypsum Fibrosum) (each four liang) Cishi (Magnetite, ten liang) Gancao (Licorice Root, three liang) Baizhu (Atractylodes Macrocephala Rhizome, five liang)
Cut the sixteen ingredients coarsely. Divide into twenty-four doses. Each dose uses one sheng of sliced fresh ginger and fresh rehmannia, fourteen sweet almonds, and two sheng of water. Decoct to seven ge. Take in the morning/evening, at night, once daily, or every other day.

[Luo Tianyi] Zhibao Dan (Precious Treasure Pill) from Ju Fang treats Wind striking the Zang organs. (Formula see Ju Fang)

[Shengji Zonglu] Baoming Jindan (Life-Preserving Golden Pill) treats stroke with facial deviation, limb traction, slurred speech, inability to lift limbs, and excessive phlegm morning and night.
Guanzhong (Cyatheae Spores, one liang) Shengdi (Fresh Rehmannia Root, seven qian) Dahuang (Rhubarb Root, half liang) Qingdai (Indigo Naturalis) Banlangen (Isatis Root) (each three qian) Zhusha (Cinnabar, ground) Puhuang (Lygodium Spore) Bohe (Mint) (each two qian half) Zhuzi (Pearl, ground) Longnao (Borneol) (each one qian half, ground) Shexiang (Musk, one qian, ground) Niuhuang (Calculus Bovis, two qian half, ground)
Grind into powder, mix evenly, and form pills the size of chicken beans with honey. Chew one pill thoroughly, swallow with tea liquor or fresh well water. If the patient cannot chew, dissolve in Mint Decoction. Take anytime. This pill effectively descends phlegm and has miraculous effects. Coat with gold foil.

Huoming Jindan (Life-Saving Golden Pill) treats stroke mutism, hemiplegia, joint bi-pain, rising phlegm-saliva, throat obstruction, chest fullness, upper excess/lower deficiency, qi closure with red face, lingering heat after sweating, and refractory劳病 (consumptive disease). Suitable for all ages and genders.
Banlangen (Isatis Root) Guanzhong (Cyatheae Spores) Gancao (Licorice Root) Gange Gen (Kudzu Root) (each one qian) Guixin (Cinnamon Bark) Mangxiao (Mirabilite, one liang) Dahuang (Rhubarb Root, one liang half) Zhuzifen (Pearl Powder) Niuhuang (Calculus Bovis, ground) Qingdai (Indigo Naturalis) Shengxixie (Fresh Rhinoceros Horn Shavings) Bohe (Mint) (each five qian) Chencha (Vermilion Mercury, four qian, one qian ground for coating) Shexiang (Musk, ground) Longnao (Borneol, two qian)
Grind into powder, mix evenly. Form pills using steamed dough soaked in honey water. Each liang of powder makes ten pills. Moisten with Zhusha (Cinnabar) and coat with forty pieces of gold foil. Prepare in the twelfth lunar month; store in porcelain jars for long-term preservation. For wind toxicity, dissolve in tea liquor. For detoxification, dissolve in fresh well water. For lingering heat after sweating, consumptive disease, and pediatric convulsive fever, dissolve in Mint Decoction.

[Hai Zang] Jieyu Wan (Speech-Unblocking Pill) treats abnormal speech in stroke.
Baifuzi (Typhonium Rhizome) Shichangpu (Acorus Rhizome) Yuanzhi (Polygala Root) Quanxie (Whole Scorpion) Qianghuo (Notopterygium Rhizome) Tianma (Gastrodia Rhizome) Nanxing (Arisaema Rhizome) Baijiangcan (Bombyx Batryticatus)
Grind into fine powder, form green bean-sized pills with honey. Take orally.

[Jingji] Treats stroke and stagnation. Wash Xuanfuhua (Inula Flower), grind to powder. Form paulownia seed-sized pills with honey. At bedtime, take five to ten pills with tea water.

For stroke mutism with sawing sounds in the throat and salivary foam: Take one fen of Lili (Veratrum Nigrum) and one Tian Nan Xing (Arisaema Rhizome). Remove floating skin, carve a pit in the navel area, place Lili and aged vinegar inside, wrap in flour dough, and bake with fire until yellow. Grind together to fine powder. Form small bean-sized pills with raw flour. Take three pills with warm wine.

[Yunqi Lun] Slurred speech belongs to Wind. The Classic states: When Jueyin governs the year, excessive wind causes people to suffer from stiff tongue base, indicating wind excess. It also states: When Jueyin governs and dominates, difficulty speaking indicates wind deficiency.

[Lingshu] Huangdi asked: The Acupuncture Chapter mentions resolving confusion. You say understanding how to regulate Yin-Yang, tonify deficiency, and reduce excess resolves confusion. How is confusion resolved? Qibo replied: When great wind is in the body, blood vessels become unevenly deficient. Deficiency leads to insufficiency, excess leads to surplus. Balance is lost, leading to tilting, falling, disorientation regarding directions, and erratic movements, worse than mere confusion. Huangdi asked: How to treat? Qibo replied: Reduce excess, tonify deficiency, restore Yin-Yang balance. Needling thus resolves confusion faster than thought. Huangdi agreed. (Note: Understanding regulation involves examining pulses at hand, face, and foot. Excess pulses are reduced, deficient pulses are tonified. E.g., if Yang meridian pulse is excess and Yin is deficient, reduce Yang and tonify Yin.)

[Luo Tianyi] Moxibustion for Wind striking meridians causing facial deviation.
Tinghui (2 points) Jiache (2 points) Dicang (2 points)
If mouth corners deviate to the right, it indicates left meridian wind-stroke with flaccidity. Moxibustate the left Xianzhong (Depression) point, 14 moxa cones. If mouth corners deviate to the left, it indicates right meridian wind-stroke with flaccidity. Moxibustate the right Xianzhong point, 14 moxa cones. Cone size: barley grain.

Moxibustion for Wind striking Fu organs causing limb paralysis.
Baihui (1 point) Jianyu (2 points) Quchi (2 points) Zusanli (2 points) Jiexu (2 points) Fengshi (2 points)
If feeling numbness or pain in limbs that persists, this is a precursor to Fu organ strike. Moxibustate these points. Left-sided disease moxibustate right side; right-sided disease moxibustate left side.

Moxibustion for Wind striking Zang organs causing qi blockage, rising phlegm, mutism, critical condition. Fire application brings immediate effect.
Baihui (1 point) Fengchi (2 points) Dazhui (1 point) Jianjing (2 points) Quchi (2 points) Jianshi (2 points) Zusanli (2 points)
If feeling mental confusion, spiritual unrest, or limb numbness, this is a Zang organ strike sign. Regardless of wind or qi pathogen, quickly moxibustate these seven points for 5-7 cones. Re-moxibustate the next day. Stop based on age. (Moxibustate these seven points frequently in spring and autumn to vent wind).

Why do patients fear pain and refuse moxibustion during wind attack, only to die suddenly? Answer: Wind entering the Zang organs. Patients must know this. I suffered facial deviation in May; moxibustating Baihui and three points corrected it. Right limb numbness/weakness healed after moxibustating Baihui and seven points including Hairline. In July, qi blockage and rising phlegm caused mutism and sensation of falling. Moxibustating Baihui, Fengchi, and bilateral Jiache cleared qi, expelled half a bowl of phlegm, and caused diarrhea ten times. After lying in bed for half a month, I recovered. Since then, any slight abnormality in spirit/qi prompts immediate moxibustation of Baihui/Fengchi, yielding instant results.

[Fanzi Memoir] During Chongning era, two strokes occurred. Initially facial deviation, then phlegm blockage. Moxibustating twelve points bilaterally restored qi flow. Twelve points: Tinghui, Jiache, Dicang, Baihui, Jianyu, Quchi, Fengshi, Zusanli, Jiexu, Fachi, Dazhui, Fengchi. Following this method ensures efficacy.

[Luo Tianyi] Acupuncture for Stroke (from Master Dou's Qi Yuan Gui Lei).
Hand Taiyin Lung Meridian: Lieque (Hemiplegia) Tianfu (Sudden evil invasion, insomnia) Hand Yangming Large Intestine Meridian: Jianyu Quchi (Hemiplegia) Foot Yangming Stomach Meridian: Daju (Flaccid paralysis, limb immobility) Chongyang (Facial deviation, foot weakness) Hand Taiyin Small Intestine Meridian: Wanggu (Flaccid paralysis, mania) Foot Taiyang Bladder Meridian: Fuyang (Wind-bi numbness, limb immobility) Foot Taiyin Spleen Meridian: Zhaohai (Great wind flaccid paralysis, depression) Foot Shaoyang Gallbladder Meridian: Yanglingquan (Hemiplegia) Huantiao (Vertigo, hemiplegia)

[Jiayi Jing) Feiwei arm/wrist immobility, lip retraction: Hegu treats. Flaccid paralysis, limb immobility, fright: Daju treats. Flaccid paralysis, inability to walk, silent wind, unknown pain, visual stars, yellow urine, lower abdominal heat, dry throat: Zhaohai treats. Flaccid paralysis, arm/wrist pain, elbow flexion inability, wind headache, tearing, shoulder/arm/neck pain, neck stiffness, irritability, finger spasms, tremors: Wanggu treats.

[Luo Tianyi] Da Jie Jing (Great Connecting Meridian) draws Yin from Yang, treating stroke hemiplegia (from Yun Qi Zi's Medical New Sayings).
Foot Taiyang Bladder Meridian: Starts at Zhiyin (Little toe lateral edge, distance like leek leaf width), Jing-Well Metal point (10 breaths). Foot Shaoyin Kidney Meridian: Yongquan starts below little toe, slopes to sole center (3 breaths). Hand Jueyin Pericardium Meridian: Straight line follows middle finger out nail (leek leaf width), Jing-Well. Branch from palm between ring/little fingers. Hand Shaoyang Sanjiao Meridian: Starts ring finger tip, leek leaf width from nail, Jing-Well (3 breaths). Foot Shaoyang Gallbladder Meridian: Starts Zuqiaoyin (ring finger tip), leek leaf width from nail, Jing-Well. Branch enters big toe cleft, exits end, passes nail, emerges among hairs (3 breaths, 13 breaths). Foot Jueyin Liver Meridian: Starts Dadun (big toe hairy area), leek leaf width from nail/hairs, Jing-Well (10 breaths, 6 breaths). Hand Taiyin Lung Meridian: Starts big toe end, emerges Shaoshang. Inner big toe, leek leaf width from nail, Jing-Well. Branch exits second finger inner edge. Hand Yangming Large Intestine Meridian: Starts second finger tip, enters inner edge, leek leaf width from nail, Jing-Well (1 breath). Middle finger intersection (3 breaths). Foot Yangming Stomach Meridian: Starts second toe tip, leek leaf width from nail, Jing-Well. Branch enters big toe end (1 breath). Foot Taiyin Spleen Meridian: Starts big toe tip, follows inner edge, leek leaf width from nail corner, Jing-Well, Yinbai (10 breaths). Hand Shaoyin Heart Meridian: Starts little finger inner end, follows inner edge, leek leaf width from nail corner, Jing-Well. Hand Taiyang Small Intestine Meridian: Starts little finger tip, one fen below nail depression, Jing-Well.

Da Jie Jing draws Yang from Yin, treating stroke hemiplegia.
Hand Taiyin Lung Meridian: Starts big finger tip, emerges Shaoshang, inner big finger, leek leaf width from nail corner, Jing-Well (1 breath, 3 breaths). Hand Yangming Large Intestine Meridian: Starts second finger tip, leek leaf width from nail, Jing-Well. Branch enters big finger gap, exits end. Foot Yangming Stomach Meridian: Starts second toe tip, leek leaf width from nail, Jing-Well. Branch enters big finger gap, exits end. Foot Taiyin Spleen Meridian: Starts big toe tip, follows inner edge, leek leaf width from nail, Jing-Well, Yinbai. Hand Shaoyin Heart Meridian: Starts little finger inner end, follows inner edge, leek leaf width from nail, Jing-Well. Hand Taiyang Small Intestine Meridian: Starts little finger tip, one fen below nail depression, Jing-Well. Foot Taiyang Bladder Meridian: Starts little toe lateral Zhiyin, leek leaf width from nail, Jing-Well Metal. Foot Shaoyin Kidney Meridian: Starts below little toe, slopes to sole, Jing-Well, Yongquan. Hand Jueyin Pericardium Meridian: Straight line follows middle finger out end, leek leaf width from nail, Jing-Well, Zhongchong. Branch follows palm between ring/little fingers. Hand Shaoyang Sanjiao Meridian: Starts ring finger tip, leek leaf width from nail, Jing-Well. Foot Shaoyang Gallbladder Meridian: Starts Qiaoyin, ring finger tip, leek leaf width from nail, Jing-Well. Branch enters big toe cleft, exits end, passes nail, emerges among hairs. Foot Jueyin Liver Meridian: Starts big toe tip, enters hairy area, leek leaf width from nail, Jing-Well, Dadun (6 breaths).

Da Jie Jing uses all twelve Jing-Well points. Luo Qianfu cured Zhao Sangpan's Zang strike by needling twelve Jing-Well points. He cured Zhang Anfu's Zang strike by moxibustating twelve Jing-Well points. This matches the Neijing saying: "Retain thinness, do not change rhythm, needle accordingly."

[Nanjing) Yin Qiao vessel disease: Yang flaccid, Yin tense. Yang Qiao vessel disease: Yin flaccid, Yang tense.

[Luo Tianyi] Says: Treats aphonia/mutism (from Master Dou's Qi Yuan Gui Lei).
Hand Yangming Large Intestine Meridian: Tianding (Sudden aphonia, throat obstruction) Hegu (Aphonia, inability to speak) Hand Shaoyin Heart Meridian: Yinxi (Aphonia, inability to speak) Lingdao (Sudden aphonia, mutism) Foot Yangming Stomach Meridian: Jiache Dicang (Mutism, drooling, right disease treat left, left disease treat right) Hand Shaoyang Sanjiao Meridian: Zhigou (Sudden aphonia, mutism) Sanyangluo (Sudden aphasia, inability to speak) Hand Taiyang Small Intestine Meridian: Tianchuang (Sudden aphonia, inability to speak) Foot Shaoyin Kidney Meridian: Tonggu (Sudden aphonia, mutism) Hand Jueyin Pericardium Meridian: Jianshi (Aphonia, inability to speak)

[Yuji Wei Yi) Stroke mutism, unconsciousness: Dingmen (Moxa 7 cones) Baihui (Needle bean-width, tonify first then reduce, more reduce than tonify)
Essential Method: Zhongchong (1 fen, tonify) Dadun (Moxa, 1 fen) Baihui (1 fen, reduce)

[Guai Xue) Another method: Bleed tips of ten fingers (More detailed here)

[Yuji Wei Yi) Stroke aphonia: Yanmen (2 fen, retain 3 breaths, reduce, do not needle deep) Renzhong (3 fen, retain 3 inhales, reduce) Tiantu Yongquan (each 5 fen) Shenmen Zhigou (each 3 fen). If tongue tense/mutism, Yanmen (2 fen); if tongue flaccid/mutism, Fengfu (3 fen).

[Dongyang) Sudden stroke aphonia, inability to speak, flaccid paralysis. Needle Tianchuang 1 fen, moxibustate 50 cones. Extinguish fire, move to moxibustate Baihui 50 cones. Then moxibustate Tianchuang 50 cones again to start. If Baihui is moxibustated first, wind qi cannot vent, attacks five Zang internally, causing closure/stagnation and persistent aphonia. Hence, Tianchuang is moxibustated first.

[Qianjin Fang) Formula for Fengfei mutism and limb paralysis. Measure patient: Male left hand, female right hand. From little toe inner cleft to tip. Place on umbilicus, looking straight at heart area. Mark top end with cinnabar. Make two such measures. Connect the marked ends, open the bottom, take the original measure.