（中倒之初有口噤者，故附之）
〔丹〕口噤搐鼻，用郁金、藜芦为末。水调搐之。
治口噤卒不得语。附子杵末。内管中，吹喉中立安。（《千金翼》云∶吹喉中，恐是吹
鼻中）
〔《经》〕治急中风，目瞑牙噤，无门下药者。用此末子，以中指蘸末，揩大牙左右，二
、三十遍，其口自开，始得下药，名开关散。
天南星捣为末 白龙脑二件，各等分研
五月五日午时修治者，只一字至半钱效，涎盛者吐之。
〔《简》〕治中风口噤，涎潮壅塞，吐涎方。用皂角一挺，去皮，涂猪脂，炙黄为末，每
服一钱匕，非时温酒服。如气实脉盛，调二钱匕。如牙不开，用白梅揩齿，口开即灌药，吐
出风涎瘥。
〔《本》〕治中风不省人事，牙关紧急。用藜芦一两，去芦，浓煎防风汤洗过，焙干切
，炒微黄褐色，捣末，每半钱温水下，以吐涎为效。如人行三里许，未吐再服。
〔罗〕分涎散 治中风涎潮作声，口噤，手足搐搦。
藿香 全蝎（炒） 白附子 南星（炮，各一两） 丹砂 腻粉 粉霜（各二两）
上为细末。每服一钱匕至二钱，薄荷汤或茶汤调下。未吐利，再服。
〔《衍》〕黄 防风汤熏法（方见中深半身不遂门）。
〔世〕治中风口噤，不知人事，产后中风。用白术四两，水三升，煎一升，顿服。
〔《大》〕白术酒 治妊娠中风，口噤，语言不得。
白术 独活（一两） 黑豆（炒，一合）
上锉。以酒三升，煮取一升半，去渣，温分四服，口噤者斡开灌之，得汗即愈。
〔《千》〕治中风通身冷，口噤不知人事，用独活四两，好酒一升，煎半升，分温再服。
破伤风口噤（见破伤风门）。
〔《摘》〕中风口噤不开。人中（四分） 颊车（四分，得气即泻）
〔《集》〕又法∶人中 颊车（一分，沿皮透地仓） 百会（一分，灸） 承浆（三分，灸） 合谷（一分，灸）
〔《东》〕口噤不开，唇吻不收，喑不能言∶合谷 人中
〔《甲》〕口噤不能言，翳风主之。
(In the initial stage of sudden collapse due to stroke, where trismus occurs, this is appended here.)
[Dan] For trismus accompanied by convulsions and nasal congestion, use *Arisaema cum Bile* (Yujin) and *Veratrum nigrum* (Lilu) ground into powder. Mix with water and insufflate into the nose.
To treat trismus with sudden inability to speak. Pound *Radix Aconiti Lateralis Preparata* (Fuzi) into powder. Place in a tube and insufflate into the throat for immediate relief. (*Qianjin Yifang* states: "insufflating into the throat" may actually mean "insufflating into the nose".)
[Classic of Internal Medicine] To treat acute wind-stroke with closed eyes and locked jaw, where there is no way to administer medicine orally. Use this powder; dip the middle finger into the powder and rub it on the left and right molars for twenty or thirty repetitions. The mouth will open naturally, allowing medication to be administered. This is named Kaiguan San (Opening the Gate Powder).
*Rhizoma Arisaematis* (Tiannanxing) pounded into powder, and *Borneolum Syntheticum* (Bailongnao), both in equal parts, finely ground. Prepared at noon on the fifth day of the fifth lunar month. A dose of only one zi to half a qian is effective; if phlegm-saliva is excessive, vomiting will occur.
[Short and Effective Universal Formulas] To treat wind-stroke with trismus, surging phlegm-saliva causing obstruction, and expectoration formula. Use one stick of *Fructus Gleditsiae Sinensis* (Zaojiao), remove the skin, coat with lard, roast until yellow, and grind into powder. Take one qian bi each time, taken with warm wine at any time. If qi is excess and pulse is vigorous, take two qian bi. If the teeth cannot be opened, rub the teeth with a white plum; once the mouth opens, administer the medicine. Vomiting out the wind-phlegm leads to recovery.
[Bencao Yanji] To treat wind-stroke with loss of consciousness and tight jaw. Use one liang of *Veratrum nigrum* (Lilu), remove the rhizome base, wash with strong decoction of *Saposhnikovia divaricata* (Fangfeng) soup, dry by baking, cut, and stir-fry until light brownish-yellow. Pound into powder. Take half a qian with warm water. Effectiveness is indicated by vomiting phlegm-saliva. If after walking about three li there is no vomiting, take another dose.
[Luo Qianfu] Fenyan San (Phlegm-Saliva Dividing Powder) To treat wind-stroke with surging phlegm-saliva producing sounds, trismus, and convulsions of hands and feet.
*Agastache rugosa* (Huoxiang), *Scorpio* (Quanxie, stir-fried), *Radix Bupleuri* (Baifuzi - note: typically refers to *Typhonium rhizome* in this context, often translated as Rhizoma Typhonii), *Rhizoma Arisaematis* (Nanxing, processed), each one liang; *Cinnabaris* (Dansha), *Calomel* (Nifen), *Calomelas* (Fenshuang), each two liang.
Grind all into fine powder. Take one to two qian bi each time, mixed with mint tea or plain tea water. If no vomiting or diarrhea occurs, take again.
[Yu Men Shi Qin] Huangqi Fangfeng Tang Fumigation Method (Formula see section on deep hemiplegia).
[Worldly Physicians] To treat wind-stroke with trismus, loss of consciousness, and postpartum wind-stroke. Use four liang of *Atractylodes macrocephala* (Baizhu), three sheng of water, decoct to one sheng, and take in one dose.
[Great Formulary] Baizhu Jiu (Baizhu Wine) To treat wind-stroke during pregnancy, trismus, and inability to speak.
*Atractylodes macrocephala* (Baizhu), *Radix Angelicae Pubescentis* (Duhuo, one liang), *Sojae Semen Nigrum* (Heidou, stir-fried, one he).
Chop the ingredients. Decoct in three sheng of wine to obtain one and a half sheng. Remove dregs. Take warm in four divided doses. For trismus, pry open the mouth and administer. Recovery follows sweating.
[Thousand Golden Prescriptions] To treat wind-stroke with coldness throughout the body, trismus, and loss of consciousness. Use four liang of *Radix Angelicae Pubescentis* (Duhuo) and one sheng of good wine. Decoct to half a sheng. Take warm in two divided doses.
Trismus due to broken injury wind (see Broken Injury Wind section).
[Zhai Xuan Fang] Wind-stroke with trismus not opening. Renzhong (GV26, 4 fen); Jiache (ST6, 4 fen, reduce upon arrival of qi).
[Ji Cheng] Another method: Renzhong (GV26); Jiache (ST6, 1 fen, transverse insertion towards Dicang ST4); Baihui (GV20, 1 fen, moxibustion); Chengjiang (CV24, 3 fen, moxibustion); Hegu (LI4, 1 fen, moxibustion).
[Dong Yuan] Trismus not opening, lips and corners of mouth flaccid, aphonia unable to speak: Hegu (LI4), Renzhong (GV26).
[Jia Yi Jing) Trismus with inability to speak, treated primarily by Yifeng (TE17).