治猝风中气忽然不省人事牙关紧急药不能入咽者
细辛 猪牙皂角(各等分) 上为细末吹入鼻孔中得嚏则可
治中风涎潮壅膈气闭不通
白明矾 猪牙皂角(等分) 上为细末用滚白汤调服取涎
治中风中气先用此药
陈皮 青皮 茯苓 乌药(各一钱) 白芷(八分) 白术(五分) 甘草 人参(各
二分)
水二钟煎八分食远服
治中风不省人事半身不遂口眼歪斜手足颤掉语言謇涩肢体麻痹头目昏眩
防风 防己 麻黄 芍药 川芎 黄芩(各一钱) 杏仁 桂枝 人参 甘草 附子(炮
去皮以上各五分) 姜三片黑枣一枚煎八分不拘时服
中风先审六经之形证宜续命汤随症加减治之
有热者去附子 有汗者去麻黄 有痰作逆者加半夏 无汗者减桂枝 血虚加当归 生地
黄
远志 骨节疼痛有热去附子 加秦艽 倍芍药 腹中闷胀者加枳壳 枳实 遍身疼痛加羌活
秦艽 脚软无力加牛膝 木瓜 石斛 烦而多惊去附子 加犀角 口干烦渴去附子 加麦
门冬 天花粉 大便干燥去附子 麻黄 加当归 枳壳 小便赤少去附子 加木通 栀子
脏寒下利去防己 黄芩 倍附子 加白术
治中风中气半身不遂口眼歪斜先宜服此
乌药 陈皮 川芎 枳壳 白芷(各一钱) 甘草 干姜 僵蚕(各二钱) 桔梗(六
分)
麻黄(八分) 每贴用水二钟姜三片煎八分不拘时服
Treatment for sudden wind-stroke or qi-stagnation, characterized by sudden loss of consciousness, locked jaw, and inability to swallow medicine:
Take Asari Radix (Xixin) and Gleditsiae Sinensis Fructus Spina (Zhuya Zaojiao) in equal parts. Grind into a fine powder and insufflate into the nostrils. Induction of sneezing indicates relief.
Treatment for wind-stroke with phlegm-fluid flooding and obstructing the chest and diaphragm, causing qi closure and blockage:
Take Alum (Baimingfan) and Gleditsiae Sinensis Fructus Spina (Zhuya Zaojiao) in equal parts. Grind into a fine powder, mix with boiling clear water, and administer orally to induce expectoration of phlegm.
Treatment for wind-stroke or qi-stagnation, using this prescription first:
Tangerine Peel (Chenpi), Green Tangerine Peel (Qingpi), Poria (Fuling), and Lindera Root (Wuyao) (each 1 qian); Angelica Dahurica Root (Baizhi) (8 fen); Atractylodes Macrocephala Rhizome (Baizhu) (5 fen); Licorice Root (Gancao) and Ginseng Root (Renshen) (each 2 fen).
Add two zhong of water, decoct until eight fen remains. Take after meals.
Treatment for wind-stroke or qi-stagnation presenting with loss of consciousness, hemiplegia, deviation of the mouth and eye, tremors of hands and feet, dysarthria, limb numbness, dizziness, and vertigo:
Saposhnikovia Root (Fangfeng), Pyrethrum Root (Fangji), Ephedra Stem (Mahuang), Peony Root (Shaoyao), Szechuan Lovage Rhizome (Chuanxiong), Scutellaria Root (Huangqin) (each 1 qian); Apricot Seed (Xingren), Cinnamon Twig (Guizhi), Ginseng Root (Renshen), Licorice Root (Gancao), Prepared Aconite Lateral Root (Fuzi, processed and peeled) (each 5 fen); three slices of Ginger (Jiang) and one black date (Heizao). Decoct until eight fen remains. Take at any time.
When treating wind-stroke, first examine the syndromes of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin). It is appropriate to use Xuming Tang (Decoction for Continuing Life) with modifications based on symptoms.
If there is heat, remove Fuzi; if there is sweating, remove Mahuang; if there is phlegm with rebellious qi, add Pinellia Tuber (Banxia); if there is no sweating, reduce the dosage of Guizhi; if there is blood deficiency, add Danggui and Shengdihuang; add Yuanzhi. If there are painful joints with heat, remove Fuzi, add Gentian Macrophylla Root (Qinjiao), and double the dosage of Shaoyao. If there is abdominal fullness and distension, add Zhike and Zhishi. If there is pain throughout the body, add Qianghuo and Qinjiao. If the legs are weak and powerless, add Niuxi, Mugua, and Shihu. If there is irritability and frequent fright, remove Fuzi and add Rhinoceros Horn (Xijiao). If there is dry mouth and thirst, remove Fuzi and add Maidong and Tianguafen. If there is dry stool, remove Fuzi and Mahuang, and add Danggui and Zhike. If urine is scanty and red, remove Fuzi and add Mutong and Zhizi. If there is cold in the zang-organs with diarrhea, remove Fangji and Huangqin, double the dosage of Fuzi, and add Baizhu.
Treatment for wind-stroke or qi-stagnation presenting with hemiplegia and deviation of the mouth and eye, taking this prescription first:
Lindera Root (Wuyao), Tangerine Peel (Chenpi), Szechuan Lovage Rhizome (Chuanxiong), Aurantium Fruit (Zhike), and Angelica Dahurica Root (Baizhi) (each 1 qian); Licorice Root (Gancao), Dried Ginger (Ganjiang), and Silkworm (Jiangcan) (each 2 qian); Platycodon Root (Jiegeng) (6 fen); Ephedra Stem (Mahuang) (8 fen). For each dose, use two zhong of water and three slices of ginger. Decoct until eight fen remains. Take at any time.