治中风半身不遂,口眼 斜(半身不遂,偏枯也。经曰∶胃脉沉鼓涩,胃外鼓大,心脉
小坚急,皆属偏枯,男子发左,女子发右,不喑舌转可治。盖心是神机开发之本,胃是水谷
充大之标,标本相得,则膻中、气海之宗气盈溢,分布四脏三焦,上下中外无不周偏;若标
本相失,宗气虚耗,分布不周于经脉则偏枯,不周于五脏则喑。口眼 斜者,足阳明之脉夹
口环唇,寒则筋急,热则筋弛,左寒右热,则左急而右缓,右寒左热,则右急而左缓。阳明
燥金主
《元
毒,
白术(二钱) 乌药(钱半) 人参 天麻(五分) 白芷 苏叶 木瓜 青皮 甘草
(炙)
此足厥阴、阳明药也。邪之所凑,其气必虚,偏枯 僻,或左或右,盖血脉不周,而气
不匀
行之、补之而气匀矣,气匀则风顺矣;用木瓜者,能于土中泻木,调荣卫而伸筋也(戴复庵
曰∶治风之法,初得之即当顺气,及其久也即当活血。若不顺气,遽用乌附,若不活血,遽
用羌防
(张咏)
治中风 僻,语言謇涩,肢缓骨痛;及风痹走痛;或十指麻木;肝肾风气风湿诸疮(
斜语涩,风中于经也;肢缓骨痛,风而兼湿也;风痹肿痛,湿热流注也,世俗谓之流火,即
《内经
草。以五月五日、七月七日、九月九日采者佳。不拘多少,拣去粗茎,留枝、叶、
花、实,酒拌蒸晒九次,蜜丸 辛苦气寒,其味 臭,必蒸晒九次,加以酒蜜,则苦寒之
阴浊
此足少阴、厥阴药也。 能祛风散湿,行大肠之气,加以酒蒸蜜丸,气味清和,故能
补肝润肾,益气强筋(湿去则筋强)。然风药终燥,若风痹由于脾肾两虚,阴血不足,不由
风湿而得者,亦忌服之(唐成讷有进 表,宋张咏进 表云∶其草金棱银线,素茎紫 ,
节叶相对,颇类苍耳,臣吃百服,即至千服,须发乌黑,筋力轻捷,效验多端。昂按∶此药
不但搜风
[Formula] Shunfeng Yunqi San (Pill)
Indicated for hemiplegia and deviation of the mouth and eyes caused by wind-stroke. Hemiplegia is also known as pianku (hemiplegic paralysis). The *Huangdi Neijing* states: If the stomach pulse is deep, forceful yet choppy, or superficially forceful and large; and if the heart pulse is small, firm, and rapid, these pulse patterns all belong to pianku. In men, onset often occurs on the left side; in women, on the right side. If the patient does not suffer from aphasia (yin) and the tongue moves flexibly, the condition is treatable. This is because the Heart is the root of the development of Shen-ji (spiritual mechanism), and the Stomach is the branch/source of nourishment from food and fluids. When root and branch are harmonious, the Zongqi (Gathering Qi) gathered at the Danzhong (Conception Vessel 17) and Qihai (Conception Vessel 6) acupoints will be abundant and overflow, distributing to the four zang organs and the Triple Burner, ensuring comprehensive coverage throughout the upper, lower, interior, and exterior. If root and branch are discordant, Zongqi becomes deficient and depleted. If its distribution fails to reach the meridians comprehensively, it results in pianku; if it fails to reach the five zang organs comprehensively, it results in aphasia. Deviation of the mouth and eyes occurs because the Foot-Yangming Stomach Meridian passes alongside the mouth and circles the lips. Cold causes tendon tension (spasm), while heat causes tendon flaccidity. Left-sided cold and right-sided heat result in left-sided tension and right-sided flaccidity; right-sided cold and left-sided heat result in right-sided tension and left-sided flaccidity. The Foot-Yangming Dryness-Metal governs... [text missing/corrupted].
[Composition] Baizhu (Atractylodis Rhizoma, 2 qian), Wuyao (Linderae Radix, 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Tianma (Gastrodiae Rhizoma, 0.5 qian), Baizhi (Angelicae Dahuricae Radix), Suye (Perillae Folium), Mugua (Chaenomelis Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Licorice Root, honey-fried).
This formula targets the Foot-Jueyin Liver Meridian and Foot-Yangming Stomach Meridian. Where evil qi gathers, righteous qi must be deficient. Pianku and physical deviation, whether on the left or right, occur because blood vessels do not circulate uniformly, and qi movement is uneven. By promoting qi circulation and tonifying qi, the qi becomes uniform; when qi is uniform, wind ceases. Mugua is used because it can drain Wood within Earth, harmonize Ying (Nutrient) and Wei (Defensive) qi, and extend tendons. (Dai Fu'an stated: The method for treating wind diseases should prioritize regulating qi upon initial onset, and promoting blood circulation once the disease has persisted. If qi is not regulated, one should not hastily use Wu Tou (Aconiti Lateralis Radix Preparata) and Fu Zi (Aconiti Radix Preparata); if blood is not circulated, one should not hastily use Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix)...).
[Physician Zhang Yong's Formula] Indicated for body deviation, speech impediment (jianse), limb flaccidity, and bone pain due to wind-stroke; as well as migratory pain due to wind-bi, numbness of the ten fingers, and various sores caused by wind-dampness affecting the Liver and Kidney.
Deviation of the mouth and eyes with speech difficulty indicates wind pathogen invading the meridians; limb flaccidity and bone pain indicate wind combined with dampness; wind-bi swelling and pain indicate damp-heat flowing and accumulating, commonly referred to in secular terms as "liuhuo" (flowing fire)... [text missing/corrupted].
[Herb Description] Herb. Best harvested on the fifth day of the fifth lunar month, the seventh day of the seventh lunar month, and the ninth day of the ninth lunar month. Quantity is unrestricted. Remove coarse stems, retaining branches, leaves, flowers, and fruits. Mix with wine, steam, and dry nine times, then form into honey pills. It tastes bitter and pungent, has a cold nature, and possesses an odor. It must be steamed and dried nine times; adding wine and honey resolves the yin-turbid nature of its bitter-cold properties...
This formula targets the Foot-Shaoyin Kidney Meridian and Foot-Jueyin Liver Meridian. The herb can dispel wind and scatter dampness, and move qi in the Large Intestine. Combined with wine-steaming and honey-pilling, its aroma and flavor become clear and harmonious, thus enabling it to tonify the Liver and moisten the Kidney, benefit qi, and strengthen tendons (when dampness is removed, tendons become strong). However, wind-dispelling herbs are ultimately drying. If wind-bi arises from deficiency of both Spleen and Kidney with insufficient yin-blood, rather than from wind-dampness, this formula is contraindicated. (Tang Chengne submitted a memorial, and Song Dynasty physician Zhang Yong also submitted a memorial stating: This herb features gold edges and silver lines, pale stems with purple... nodes and leaves are opposite each other, resembling Cang Er (Xanthii Fructus). I have taken it hundreds to thousands of times, resulting in black hair and beard, and light, agile sinews and bones, with numerous efficacious outcomes. Wang Ang notes: This herb not only searches out wind...)