黄柏(乳润) 苍术(米泔浸七日,等分)
共为末,每用酒调下三钱。
湿热作痛,不拘上下,此方用之每良。
苍术妙于燥湿,黄柏妙于去热,二物皆有雄壮之性,亦简易之方也。
乳香 没药 地龙(酒炒) 香附(童便浸) 桃仁 红花 甘草节 牛膝(酒浸) 当
归羌活 五灵脂(酒淘去土)
瘀血湿痰畜于肢节之间而作痛者,此方主之。
肢节之间,筋骨之会,空窍之所也,故邪易居之。是方也,桃仁、红花、牛膝、当归,
养血而活血也。乳香、没药、五灵脂,散结而定痛也。羌活所以驱风,香附所以理郁。乃地
龙者,湿土所化之物,同类相从,故能达湿邪结滞之区。甘草节者,取其性平,能和营卫而
缓急痛之势也。或问湿痰瘀血,何以辨之?余曰∶肢节沉重者是湿痰,晚间病重者是瘀血。
唐·江陵节度使成讷进 丸方云∶臣有弟 ,年三十一,中风就枕五年,百医不瘥。
有道人钟缄者,因睹此患,曰∶可饵 丸必愈。其药多生沃壤,高三尺许,节叶相对,五
月间收洗去土,摘其叶及枝头,九蒸九曝,不必太燥,但取蒸为度,杵为末,炼蜜丸梧子大。
空心温酒、米饮下二三十丸。所患忽加,不得忧虑,至四千丸,必复如故;五千丸,当复丁
壮。臣根据法修合与 服,果如其言。钟缄又言∶此药与《本草》所述功效相异,盖出处盛在
江东,彼土民呼猪为 ,呼臭为 ,必缘此药如臭 气,故以为名。久经蒸曝, 气自泯,
每当服多,须吃饭三五匙压之。奉宣付医院详录。
又知益州张咏进 丸表云∶臣因在龙兴观,掘得一碑,内说修养气术并药二件。根据方
差人访问采觅,其草颇有异,金棱银线,素根紫 ,对节而生,蜀号火 ,茎叶颇类苍耳。
谁知至贱之中,乃有殊常之效。臣自吃至百服,眼目轻明;即至千服,须发俱黑,筋胃较健,
效验多端。臣本州有都押衙罗守一,曾中风随马,失音不语,臣与十服,其病立痊。又和尚
智严,年七十,忽患偏风,口眼 斜,时时吐涎,臣与十服,亦便得瘥。今合一百剂,差职
员史元奏进。义考见中风门。
Huangbai (Phellodendri Cortex, moist texture) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water for seven days, equal parts)
Grind together into powder. For each use, take three qian mixed with wine.
For pain caused by damp-heat, regardless of whether it is upper or lower body, this formula is often effective.
Cangzhu excels at drying dampness, Huangbai excels at clearing heat. Both herbs possess a vigorous nature; this is also a simple and easy-to-use formula.
Ruxiang (Boswelliae Resina) Moyao (Commiphorae Resina) Dilong (Pheretima, stir-fried with wine) Xiangfu (Cyperi Rhizoma, soaked in urine of a young boy) Taoren (Persicae Semen) Honghua (Carthami Flos) Gancao Jie (Glycyrrhizae Radix et Rhizoma, the joint part) Niuxi (Achyranthis Bidentatae Radix, soaked in wine) Danggui (Angelicae Sinensis Radix) Qianghuo (Notopterygii Rhizoma et Radix) Wulingzhi (Trogopterori Faeces, washed with wine to remove soil)
This formula governs pain caused by stagnant blood and damp-phlegm accumulating between the limbs and joints.
The area between limbs and joints is where sinews and bones meet, and where hollow passages exist; thus, pathogenic factors easily reside there. In this formula, Taoren, Honghua, Niuxi, and Danggui nourish blood and invigorate blood circulation. Ruxiang, Moyao, and Wulingzhi dissipate nodules and alleviate pain. Qianghuo dispels wind, and Xiangfu regulates qi and resolves stagnation. As for Dilong, it is an organism transformed from damp earth; following its own kind, it can reach areas where damp pathogens are knotted and stagnant. Gancao Jie is used for its neutral nature, which harmonizes Ying and Wei (nutritive and defensive qi) and alleviates the trend of acute pain. One might ask: How to distinguish damp-phlegm from stagnant blood? I say: Heaviness in the limbs indicates damp-phlegm; worsening of symptoms in the evening indicates stagnant blood.
Chen Na, Military Commissioner of Jiangling during the Tang Dynasty, submitted the Yanshou Wan prescription: "My younger brother, Yanshou, aged thirty-one, has suffered from stroke and been bedridden for five years, without cure despite numerous physicians. A Daoist priest named Zhong Jian, seeing this affliction, said: 'You can take Yanshou Wan, and he will surely recover.' This herb mostly grows in fertile soil, about three chi high, with nodes and leaves growing opposite each other. It is harvested in May, washed clean of soil, and only the leaves and branch tips are picked. It undergoes nine steaming and nine sun-drying processes. It need not be too dry; only until thoroughly steamed is it taken. It is pounded into powder, refined honey is added to form pills the size of a large mustard seed. Taken on an empty stomach with warm wine or rice drink, twenty to thirty pills per dose. If the illness suddenly worsens, do not worry. After taking four thousand pills, he will surely return to normal; after five thousand pills, he will regain the vigor of a young man." I followed the method to prepare and administer it to Yanshou, and indeed it was as he said. Zhong Jian further stated: "This herb's efficacy differs from that described in Bencao, likely because it thrives in Jiangdong, where locals call pigs 'xi' and stink 'xian'. Presumably, because this herb smells like a stinking pig, it is named thus. After long steaming and drying, the odor disappears. When taking a large dose, one must eat three or five spoonfuls of rice to suppress it." Ordered to be forwarded to the Imperial Medical Bureau for detailed recording.
Furthermore, Zhang Yong, Prefect of Yizhou, submitted a memorial for Yanshou Wan: "While at Longxing Temple, I excavated a stele inscribed with methods for cultivating Qi and two medicinal items. Following the prescription, I sent personnel to inquire and gather them. The herb is quite unusual, with golden edges and silver veins, white roots and purple stems, growing in opposite nodes. In Shu, it is called Huoxian. Its stems and leaves resemble those of Xuan Can Er (Arctii Fructus). Who would have thought that such a humble substance possesses extraordinary effects? I myself took it up to one hundred doses, and my eyesight became clear; upon reaching a thousand doses, my beard and hair turned black, and my sinews, bones, stomach, and intestines became stronger, with multiple verified effects. Luo Shouyi, a Chief Marshal in my prefecture, once suffered from stroke after falling from a horse, losing his voice and unable to speak. I gave him ten doses, and his illness was instantly cured. Monk Zhiyan, aged seventy, suddenly suffered from hemiplegia, with mouth and eyes deviated, constantly spitting saliva. I gave him ten doses, and he also recovered. Now, I have prepared one hundred batches and dispatched official Shi Yuan to present them." Reference examination can be found under the Stroke section.