治中风不能言, 脉迟而弱者.
防风 黄耆等分 水煎服.
【集注】柯琴曰: 夫风者, 百病之长也. 邪风之至, 急如风雨, 善治
者治皮毛, 故用防风以驱逐表邪. 邪之所凑, 其气必虚, 故用黄耆以
鼓舞正气. 黄耆得防风, 其功愈大者, 一攻一补, 相须相得之义也.
唐柳太后中风不言, 许荫宗造防风黄耆汤数十斤, 置床下蒸之, 身在
气中居, 次日便能语, 是以外气通内气, 令气行而愈也. 经曰: 五气
入鼻, 藏于心肺, 上使耳目修明 , 声音能彰. 制此方者, 其知此义
矣.夫熏蒸之力, 尚能去病, 况服之乎! 今人治风, 惟以发散为足法
,而禁用参, 耆. 岂知目盲不能视, 口噤不能言, 皆元气不足使然耳
..谁知补气可以御风, 正胜而邪却之理邪! 神而明之, 存乎其人.
信哉!
治风邪久留而不散者. 自汗不止者亦宜.
防风 黄耆 白术等分, 右为细末, 酒调服.
【集注】柯琴曰: 邪之所凑, 其气必虚. 故治风者, 不患无以驱之,
而患无以御之; 不畏风之不去, 而畏风之复来. 何则? 发散太过, 元
府不闭故也. 昧者不知托里固表之法, 遍试风药以驱之, 去者自去,
来者自来. 邪气留连, 终无解期矣. 防风遍行周身, 称治风之仙药,
上清头面七窍, 内除骨节疼痹, 外解四肢挛急, 为风药中之润剂, 治
风独取此味, 任重功专矣. 然卫气者, 所以温分肉而充皮肤, 肥腠理
而司开阖, 惟黄耆能补三焦而实卫, 为元府御风之关键, 且无汗能发
,有汗能止, 功同桂枝, 故又能除头目风热, 大风癞疾, 肠风下血,
妇人子脏风, 是补剂中之风药也. 所以防风得黄耆, 其功愈大耳. 白
术健脾胃, 温分肉, 培土即以宁风也. 夫以防风之善驱风, 得黄耆以
固表, 则外有所卫; 得白术以固里, 则内有所据. 风邪去而不复来.
此欲散风邪者, 当根据如屏, 珍如玉也. 其自汗不止者, 亦以微邪在表
,皮毛肌肉之不固耳.
Treating stroke (Zhong Feng) resulting in aphasia, with a slow and weak pulse.
Fangfeng Radix Saposhnikoviae and Huangqi Radix Astragali in equal proportions, decocted in water and taken orally.
[Collected Annotations] Ke Qin stated: Wind is the leader of all diseases. When pathogenic wind arrives, it is as urgent as wind and rain. A skilled practitioner treats at the level of the skin and hair; therefore, Fangfeng is used to expel exterior pathogens. Where pathogens gather, Qi must be deficient; thus, Huangqi is used to inspire and boost righteous Qi. The combination of Huangqi and Fangfeng yields greater efficacy, embodying the principle of mutual reinforcement between attacking and tonifying. In the Tang Dynasty, Empress Dowager Liu suffered from stroke-induced aphasia. Xu Yinzong prepared dozens of jin of Fangfeng Huangqi Decoction, placed it under the bed for steaming, and had her reside amidst the medicinal vapor. By the next day, she could speak. This illustrates how external qi communicates with internal qi, promoting qi circulation and leading to recovery. The Classics state: "The five qi enter through the nose and are stored in the Heart and Lung, enabling clear vision and hearing, and distinct voice." The creator of this formula likely understood this principle. If the power of fumigation can still cure disease, how much more so oral administration! Contemporary practitioners treating wind disorders rely solely on dispersing methods and prohibit the use of Renshen and Huangqi. They fail to realize that blindness and inability to see, or trismus and inability to speak, are caused by insufficient Yuan Qi (Original Qi). Who understands that tonifying Qi can defend against wind, and that when Righteous Qi prevails, Pathogenic Qi retreats? Profound understanding depends on the individual. Truly said!
Treating cases where wind pathogens linger without dissipating. It is also suitable for patients with incessant spontaneous sweating.
Fangfeng Radix Saposhnikoviae, Huangqi Radix Astragali, and Baizhu Rhizoma Atractylodis Macrocephalae in equal proportions. Grind into fine powder, and take mixed with wine.
[Collected Annotations] Ke Qin stated: Where pathogens gather, Qi must be deficient. Therefore, when treating wind disorders, the concern is not the lack of methods to drive them out, but the lack of methods to defend against them; one does not fear the departure of wind, but fears its return. Why? Because excessive dispersion leads to the failure of Xuanfu (pores) to close. Ignorant practitioners do not understand the method of supporting the interior and consolidating the exterior. They indiscriminately try wind-dispelling herbs, yet those that leave depart, and those that come arrive. Pathogenic qi lingers indefinitely without resolution. Fangfeng circulates throughout the body and is called the immortal herb for treating wind. It clears the seven orifices of the head and face superiorly, removes bone joint pain and bi-syndrome internally, and resolves limb spasms externally. It is a moistening agent among wind-dispelling herbs. Treating wind exclusively with this herb bears heavy responsibility and specialized efficacy. However, Wei Qi (Defensive Qi) warms the muscles, fills the skin, thickens the cou li (interstices), and controls opening and closing. Only Huangqi can tonify the Sanjiao (Triple Burner) and solidify Wei Qi, serving as the key defense of the Xuanfu against wind. Moreover, it can induce sweating when absent and stop sweating when present, sharing efficacy with Guizhi Tang (Cinnamon Twig Decoction). Thus, it can also treat wind-heat in the head and eyes, severe leprosy-like conditions (Da Feng Lai Ji), intestinal wind bleeding, and uterine wind in women. It is a wind-draining herb within tonifying formulas. Hence, Fangfeng gains greater efficacy when combined with Huangqi. Baizhu strengthens the Spleen and Stomach and warms the muscles; cultivating Earth (Spleen/Stomach) pacifies Wind. With Fangfeng's ability to disperse wind and Huangqi's ability to consolidate the exterior, there is external protection; with Baizhu's ability to secure the interior, there is internal support. Wind pathogens are expelled and do not return. This formula, intended to scatter wind pathogens, should be relied upon like a screen and valued like jade. For those with incessant spontaneous sweating, it is due to slight pathogens remaining in the exterior, causing insecurity of the skin, hair, and muscles.