治身形软弱，肢体渐觉不遂，或头重目眩，或神昏健忘，或觉脑际紧缩作疼。甚或昏仆移时苏醒致成偏枯，
或全身痿废，脉象迟弱，内中风证之偏虚寒者（肝过盛生风，肝虚极亦可生风），此即西人所谓脑贫血病也。
久服此汤当愈。
生箭 （一两） 当归（五钱） 龙眼肉（五钱） 真鹿角胶（三钱，另炖同服） 丹参（三钱） 明乳香
（三钱） 明没药（三钱） 甘松（二钱）
服之觉热者，酌加天花粉、天冬各数钱。觉发闷者，加生鸡内金钱半或二钱。服数剂后，若不甚见效，
可用所煎药汤送服麝香二厘或真冰片半分亦可。若服后仍无甚效，可用药汤，送制好马钱子二分。
脑充血者，其脑中之血过多，固能伤其脑髓神经。脑贫血者其脑中之血过少，又无以养其脑髓神经。是
以究其终极，皆可使神经失其所司也。古方有补血汤，其方黄 、当归同用，而黄 之分量，竟四倍于当归，
诚以阴阳互为之根，人之气壮旺者，其血分自易充长。况人之脑髓神经，虽赖血以养之，尤赖胸中大气上升以
斡旋之。是以《内经》谓“上气不足，脑为之不满，耳为之苦鸣，头为之倾，目为之眩。”所谓上气者，即胸
中大气上升于脑中者也。因上气不足，血之随气而注于脑者必少，而脑为之不满，其脑中贫血可知。且因上气
不足，不能斡旋其神经，血之注于脑者少，无以养其神经，于是而耳鸣、头倾、目眩，其人可忽至昏仆可知。
由此知因脑部贫血以成内中风证者，原当峻补其胸中大气，俾大气充足，自能助血上升，且能斡旋其脑部，使
不至耳鸣、头倾、目眩也。是以此方不以当归为主药，而以黄 为主药也。用龙眼肉者，因其味甘色赤，多含
津液，最能助当归以生血也。用鹿角胶者，因鹿之角原生于头顶督脉之上，督脉为脑髓之来源，故鹿角胶之性
善补脑髓。凡脑中血虚者，其脑髓亦必虚，用之以补脑髓，实可与补血之药相助为理也。用丹参、乳香、没药
者，因气血虚者，其经络多瘀滞，此于偏枯痿废亦颇有关系，加此通气活血之品，以化其经络之瘀滞，则偏枯
痿废者自易愈也。用甘松者，为其能助心房运动有力，以多输血于脑，且又为调养神经之要品，能引诸药至脑
以调养其神经也。用麝香、梅
片者，取其香能通窍以开闭也。用制过马钱子者，取其能 动脑髓神经使之灵活也。
甘松，即西药中之缬草，其气香，味微酸。《神农本草经》谓其治暴热、火疮、赤气、疥瘙、疽痔、马鞍、
热气。《名医别录》谓其治痈肿、浮肿、结热、风痹、不足、产后痛。甄权谓其治毒风， 痹，破多年凝血，
能化脓为水，产后诸病，止腹痛、余疹、烦渴。大明谓其除血气心腹痛、破 结、催生、落胞、血晕、鼻血、
吐血、赤白带下、眼障膜、丹毒、排脓、补痿。西人则以为兴奋之品，善治心脏麻痹、霍乱转筋。东人又以为
镇静神经之特效药，用治癫狂、痫痉诸病。盖为其气香，故善兴奋心脏，使不至于麻痹，而其馨香透窍之力，
亦自能开痹通瘀也。为其味酸，故能保安神经，使不至于妄行，而酸化软坚之力，又自能化多年之 结，使尽
消融也。至于其能补痿，能治霍乱转筋者，即心脏不麻痹，神经不妄行之功效外着者也。孰谓中西医理不相贯通哉？
高姓臾，年过六旬，渐觉两腿乏力，浸至时欲眩仆，神昏健忘。恐成痿废，求为延医。其脉微弱无力。为
制此方服之，连进十剂，两腿较前有力，健忘亦见愈，而仍有眩晕之时。再诊其脉，虽有起色，而仍不任重按。
遂于方中加野台参、天门冬各五钱，威灵仙一钱，连服二十余剂始愈。用威灵仙者，欲其运化参、 之补力，
使之灵活也。
门人张××曾治一人，年三十余。于季冬负重贸易，日行百余里，歇息时，又屡坐寒地。后觉腿疼，不能
行步，浸至卧床不能动转，周身筋骨似皆痿废，服诸药皆不效。张××治以加味补血汤，将方中乳香、没药皆
改用六钱，又加净萸肉一两。数剂后，腿即不疼。又服十余剂，遂全愈。
按∶加味补血汤，原治内中风之气血两亏者，而略为变通，
即治腿疼如此效验，可谓善用成方者矣。
Treats physical weakness, limbs gradually feeling impaired in movement, or heavy head and dizzy eyes, or unconsciousness and forgetfulness, or a sensation of tightness and pain in the brain. In severe cases, sudden collapse followed by recovery after some time leading to hemiplegia (hemiplegia), or general flaccid paralysis, with a slow and weak pulse; this belongs to the internal wind-stroke syndrome偏虚寒者 (internal wind-stroke syndrome of deficiency-cold type) (excessive liver qi generates wind, but extreme liver deficiency can also generate wind); this is what Western medicine calls cerebral anemia. Long-term consumption of this decoction should lead to recovery.
Raw Astragali Radix (Huangqi, 黄芪) (1 liang)
Angelicae Sinensis Radix (Danggui, 当归) (5 qian)
Longan Aril (Longyanrou, 龙眼肉) (5 qian)
True Cervi Cornus Colla (Lujiaojiao, 鹿角胶) (3 qian, stewed separately and taken mixed)
Salviae Miltiorrhizae Radix et Rhizoma (Danshen, 丹参) (3 qian)
Frankincense (Ruxiang, 乳香) (3 qian)
Myrrh (Moyao, 没药) (3 qian)
Nardostachys Chinensis Radix et Rhizoma (Gansong, 甘松) (2 qian)
If heat is felt after taking the medicine, add Tianhuafen (Trichosanthis Radix) and Tiandong (Asparagi Radix) by several qian as appropriate. If chest stuffiness is felt, add raw Giji Nei-Jin (Gallus Gallus Domesticus Brisson Gizzard Lining) half or 2 qian. After taking several doses, if there is not much effect, Musk (Shexiang, 麝香) 2 li or real Borneol (Bingpian, 冰片) 0.5 fen may be taken with the decoction. If there is still no significant effect after taking it, prepared Strychnos Nux-vomica Seed (Maqianzi, 马钱子) 2 fen may be taken with the decoction.
In cerebral hyperemia, excessive blood in the brain naturally damages the brain marrow and nerves. In cerebral anemia, insufficient blood in the brain fails to nourish the brain marrow and nerves. Therefore, ultimately, both conditions can cause the nerves to lose their control. The ancient formula Blood-Nourishing Decoction uses Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix) together, with the dosage of Huangqi being four times that of Danggui. This is indeed because yin and yang are mutually rooted; when human qi is vigorous, the blood component naturally becomes easier to fill and grow. Moreover, although the brain marrow and nerves rely on blood for nourishment, they especially rely on the great qi in the chest rising to facilitate circulation. Thus, *Neijing* states: "Insufficiency of upper qi leads to incomplete filling of the brain, bitter ringing in the ears, tilting of the head, and dizziness." The so-called upper qi refers to the great qi in the chest rising into the brain. Due to insufficiency of upper qi, the blood following the qi to flow into the brain must be scarce, resulting in an empty feeling in the brain, indicating cerebral anemia. Furthermore, due to insufficiency of upper qi, it cannot facilitate the nerves; with less blood flowing into the brain to nourish the nerves, tinnitus, head tilting, and dizziness occur, and sudden collapse becomes foreseeable. From this, we know that for internal wind-stroke caused by cerebral anemia, one should vigorously tonify the great qi in the chest. When the great qi is sufficient, it naturally assists blood in rising and facilitates circulation in the brain, preventing tinnitus, head tilting, and dizziness. Therefore, this formula does not use Danggui as the main drug, but uses Huangqi (Astragali Radix) as the main drug. Longan aril is used because its sweet taste and red color, along with its rich fluid content, best assist Danggui in generating blood. Cervi Cornus Colla is used because deer horns originally grow on the Du Meridian at the top of the head, and the Du Meridian is the source of brain marrow; thus, the nature of Cervi Cornus Colla is good at tonifying brain marrow. For those with blood deficiency in the brain, their brain marrow must also be deficient; using it to tonify brain marrow truly assists blood-nourishing medicines. Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Ruxiang (Frankincense), and Moyao (Myrrh) are used because people with qi and blood deficiency often have stagnant meridians, which is closely related to hemiplegia and flaccid paralysis; adding these qi-moving and blood-invigorating agents resolves meridian stagnation, making hemiplegia and flaccid paralysis easier to cure. Nardostachys Chinensis Radix et Rhizoma is used because it strengthens heart movement to transfuse more blood to the brain, and it is also a key item for nourishing nerves, guiding other drugs to the brain to nourish them. Musk and Borneol are used for their aromatic properties to open orifices and relieve obstruction. Prepared Strychnos Nux-vomica Seed is used for its ability to stimulate brain marrow and nerves to make them flexible.
Nardostachys Chinensis Radix et Rhizoma (Gansong, 甘松) is Valeriana officinalis L. in Western medicine; it has an aromatic odor and a slightly sour taste. *Shennong Bencao Jing* states it treats acute heat, fire sores, redness, scabies, carbuncles, hemorrhoids, saddle sores, and hot qi. *Mingyi Bielu* states it treats abscesses, edema, accumulated heat, wind-bi, deficiency, and postpartum pain. Zhen Quan states it treats toxic wind, bi-syndrome, breaks up old coagulated blood, converts pus to water, treats various postpartum diseases, stops abdominal pain, residual rashes, and irritability/thirst. Li Shizhen (Li Dongyuan/Daming context implies later commentary) states it eliminates qi-blood heart/abdominal pain, breaks up accumulations, induces labor, expels retained placenta, treats syncope from blood loss, epistaxis, hematemesis, leukorrhea, eye cataracts, erysipelas, drains pus, and tonifies flaccidity. Westerners consider it an excitant, good for treating cardiac paralysis and cholera with muscle cramps. Japanese doctors consider it a specific remedy for calming nerves, used for epilepsy and spasms. Generally, because of its aromatic odor, it excites the heart, preventing paralysis, and its penetrating power opens blockages and unblocks stasis. Because of its sour taste, it protects nerves from erratic behavior, and its acidifying and softening-hardening power dissolves old accumulations. Its ability to tonify flaccidity and treat cholera cramps are external manifestations of the efficacy of non-paralyzed heart and non-erratic nerves. Who says Chinese and Western medical principles cannot be integrated?
An elderly man surnamed Gao, over sixty years old, gradually felt weakness in both legs, eventually experiencing frequent dizziness and near-collapse, unconsciousness, and forgetfulness. Fearing he would become paralyzed, he sought medical attention. His pulse was weak and forceless. A prescription of this formula was made for him. After ten doses, his legs were stronger than before, and forgetfulness improved, though dizziness persisted. On re-examination, the pulse showed improvement but still lacked strength upon deep pressure. Therefore, Yetaishen (Wild Codonopsis Radix) and Tiandong (Asparagi Radix) each 5 qian, and Weilingxian (Syringae Ramulus) 1 qian were added to the formula. After more than twenty doses, he recovered. Weilingxian was used to facilitate the tonifying effects of Shen (Codonopsis Radix/Codonopsis Pilosula) and Huangqi (Astragali Radix), making them flexible in action.
Disciple Zhang XX once treated a man in his thirties. In late winter, while carrying heavy loads for trade, he walked over a hundred li per day and rested frequently on cold ground. Later, he felt leg pain and could not walk, eventually becoming bedridden and immobile, with all bones and sinews seeming paralyzed. Various medicines failed. Zhang XX treated him with Modified Blood-Nourishing Decoction, changing the dosage of Ruxiang (Frankincense) and Moyao (Myrrh) to 6 qian each, and adding pure Cornus Officinalis Fruit (Yurou, 山茱萸) 1 liang. After several doses, the leg pain ceased. After another ten-plus doses, he fully recovered.
Note: Modified Blood-Nourishing Decoction originally treats internal wind-stroke with dual deficiency of qi and blood. With slight modification, it proves so effective for leg pain, demonstrating the skillful application of established formulas.