Library

Crush, and prepare as one dose. Add two cups of water, decoct to one cup, add a small amount of fresh ginger juice. If the patient cannot swallow, administer slowly by force-feeding.

Note: This formula utilizes Banxia (Pinelliae Rhizoma) to treat phlegm-fluids, and Yazao (Gleditsiae Sinensis Spina) to treat wind, combined into this prescription. It is likely because formless wind pathogens are carrying tangible phlegm-fluids, which are bound together and difficult to resolve. Using these two substances allows the phlegm-fluids to scatter and the wind to exit. In cases where there is excessive phlegm that is difficult to scatter, vomiting is necessary; in such cases, use Mingfan (Alumen) and Yazao (Gleditsiae Sinensis Spina) in equal parts, ground into powder, taken with warm water to induce vomiting. Alternatively, use Luobozhongzi (Brassicae Semen) and Yazao (Gleditsiae Sinensis Spina) in equal parts, decocted, taking half a cup to induce vomiting. If wind is abundant but phlegm is scarce, and mental status is clear without coma, use half a jin of shrimp, boiled with soy sauce, scallions, ginger, and other seasonings. Eat the shrimp first, then drink the broth, and finally induce vomiting by tickling the throat with a goose feather. Flexible application depends on the physician's mind; there is no inappropriate treatment.

Jiawei Liujunzi Tang (Modified Six Gentlemen Decoction) Treats inability to raise the four limbs due to deficiency and decline of Spleen Earth. One must exclusively use this formula to treat the root cause and must not add wind-dispelling herbs. Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Licorice Root), Chenjupi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma) (each 1 qian). Add Zhuli (Bamboo Sap) (half small cup), Maidong (Ophiopogonis Radix) (3 qian). Take the above herbs with two cups of water, three slices of ginger, and two dates, decoct to six-tenths, and take warm. If thirsty, remove Banxia (Pinelliae Rhizoma) and add Weirui (Polygonati Odorati Rhizoma) and Shigao (Gypsum Fibrosum). For extreme deficiency without heat, add Fuzi (Aconiti Lateralis Radix Praeparata).

Note: In the Stroke chapter, this formula is never recorded; this is called treating the branch while forgetting the root. Wind pathogen excess causes limb diseases; inability to raise the four limbs indicates wind pathogen excess internally. Deficiency patterns are more common than excess patterns. Carefully examine if it is indeed deficiency, then use Liujunzi Tang (Six Gentlemen Decoction) plus sweet-cold herbs such as Zhuli (Bamboo Sap) and Maidong (Ophiopogonis Radix); this is truly a model for treating deficient wind.

Sanhua Tang (Three Transformations Decoction) See previous text.

Note: The *Classic* states that excessive Earth leads to inability to raise the four limbs. This is truly a disease caused by rich food and fine grains, not comparable to deficiency of Liver and Kidney meridians. Treatment involves purging to weaken Qi, allowing Yang deficiency and balanced Earth to heal, thus using Sanhua Tang (Three Transformations Decoction) and Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction). However, Earth-excess patterns appear in less than one out of ten cases; without careful examination to avoid error, one should not attempt this lightly.

Sansheng San (Three Saints Powder) Treats stroke with flaccid contracture of hands and feet, deviation of mouth and eyes, and abnormal gait due to leg qi. Danggui (Angelicae Sinensis Radix) (wine-washed and stir-fried), Yanhusuo (Corydalis Rhizoma) (lightly stir-fried and powdered), Rougui (Cinnamomi Cortex) (remove rough bark, each equal part). Grind all into powder. Take 2 qian per dose, mixed with warm wine on an empty stomach.

Note: This formula is a specialized agent for treating wind entering due to blood deficiency. Therefore, it is used for left-sided tightness and right-sided laxity in deviation of mouth and eyes. However, adding Dihuang (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Qinjiao (Gentianae Macrophyllae Radix), Duzhong (Eucommiae Cortex), and Niuxi (Achyranthis Bidentatae Radix) to blood-nourishing herbs, and adding Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), and Xixin (Asari Radix et Rhizoma) to wind-dispelling herbs, or adding Duhuo (Angelicae Pubescentis Radix) to remove wind from the Kidney region, and Bibing (Dioscoreae Hypoglaucae Rhizoma) to clear lower-jiao heat, requires further adjustment based on symptoms.

Yunqi San (Harmonizing Qi Powder) See previous text. Use this formula to treat right-sided tightness and left-sided laxity in deviation of mouth and eyes. However, double the dosage of Shenggancao (Raw Licorice Root) and Shugancao (Prepared Licorice Root), add Yiyiren (Coicis Semen) to relieve tension, add Maidong (Ophiopogonis Radix), Weirui (Polygonati Odorati Rhizoma), and Zhuli (Bamboo Sap) to extinguish wind. After efficacy is achieved, remove Baizhi (Angelicae Dahuricae Radix) and Zisuye (Perillae Folium); it can be taken regularly.

Zhanshe Gao (Tongue-Turning Paste) Treats stroke with convulsions, stiff tongue, and inability to speak. Use Liangge San (Cool the Chest Powder), add Shichangpu (Acori Tatarinowii Rhizoma) and Yuanzhi (Polygalae Radix) in equal parts, make pills the size of弹子 (bullet seeds) with honey, coat with Zhusha (Cinnabar), dissolve in Bohe Tang (Mint Decoction), and take before sleep or after meals. Liangge San (Cool the Chest Powder) see later.

Note: This is a formula for treating latent heat in the Heart Meridian.

Zhengshe San (Straightening Tongue Powder) Treats stroke with stiffness of the tongue base, difficulty in movement, and improper speech. Xieshao (Scorpion Tail) (remove toxicity, 7 units), Fuling (Poria) (1 liang). Grind into fine powder. Take 1 qian per dose, mixed with warm wine before meals; applying to teeth is also effective.

Note: This is a formula for treating obstruction by wind-phlegm.

Zishou Jieyu Tang (Zishou Decoction for Resolving Speech) Treats stroke with Spleen flaccidity, stiff tongue, inability to speak, and hemiplegia. Fangfeng (Saposhnikoviae Radix), Fuzi (Aconiti Lateralis Radix Praeparata) (prepared), Tianma (Gastrodiae Rhizoma), Suanzaoren (Zizyphi Fructus) (each 1 qian), Lingyangjiao (Saigae Tataricae Cornu) (shaved), Guanzi (Cinnamomi Cortex) (each 8 fen), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root) (each 5 fen). Add two cups of water, decoct to eight-tenths, add two spoons of Zhuli (Bamboo Sap) and two drops of Jiangzhi (Ginger Juice), take well after meals.

Note: This formula treats wind entering the Spleen organ, causing stiff tongue and inability to speak. Regarding Shaoyin (Lesser Yin), where meridians surround the tongue base, wind entering due to Kidney deficiency leading to inability to speak is a critical condition; historically, no single formula has addressed this. I often use this formula removing Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix), adding Shudi (Rehmanniae Radix Preparata), Heshouwu (Polygoni Multiflori Radix), Gouqizi (Lycii Fructus), Ganhua Ju (Chrysanthemi Flos), Humaren (Sesami Fructus), and Tiandong (Asparagi Radix), achieving good results. I record this here for physicians to use at their discretion. Later, I checked *Xuanming Fang* (Formulas of Clarity) for Dihuang Yin Zi (Rehmannia Infusion), which treats Kidney deficiency with Qi rebellion failing to reach the tongue. This aligns with my thoughts, so I supplement it here. (See later)

Weifeng Tang (Stomach Wind Decoction) See previous text. Treats deficiency wind patterns with appetite, numbness of hands and feet, jaw clenching and spasms, eyelid twitching, and facial swelling due to stomach wind.

Note: When deficiency wind enters the Stomach and appetite increases, it is because wind enters and aids Stomach fire, hence eating more than usual. This is close to developing Xiao Zhong (Consumption Middle); this formula only treats wind, not fire, which contradicts the *Inner Classic*. One must add Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), and Gancao (Licorice Root) to sweet-cold herbs like Zhuli (Bamboo Sap), Maidong (Ophiopogonis Radix), Huafen (Trichosanthis Radix), Weirui (Polygonati Odorati Rhizoma), Shigao (Gypsum Fibrosum), Shengdi (Rehmanniae Radix), and Lizhi (Pear Juice). Otherwise, it is inappropriate. Moreover, once wind enters the Stomach, the *Inner Classic* describes five transformations: Jue Dian (Reversal to Vertex); Han Re (Cold and Heat); Xiao Zhong (Consumption Middle); Sun Xie (Undigested Food Diarrhea); Li Feng (Leprosy/Wind Disease). Depending on cold or heat, changes occur upwards or downwards; such variability is terrifying. Why not study and observe, but merely copy formulas to treat disease? Those aspiring to medicine should deepen their own understanding and not rely on others' frameworks.

Xieqing Wan (Drain Green Pill) Treats stroke with spontaneous sweating, dizziness and fever, aversion to cold absent, and inability to lie down peacefully; this is due to wind-heat irritability. Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Dahuang (Rhei Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Longdancao (Gentianae Radix) (equal parts). Grind into powder, make pills the size of bullet seeds with honey. Take one pill per dose, dissolved in Zhuye Tang (Bamboo Leaf Decoction).

Note: This formula is named "Drain Green" to mean draining the Wood of the East (Jia/Yi). Wind entering Jueyin (Greater Yin), the wind-wood organ, seeks similar energy, making its momentum strong. The concern is deficiency causing dizziness and heat causing irritability. Can deficiency and heat be treated as robustness to lightly use purgatives? Only if carefully examined as robust/excess can this be applied. If examined as deficient-heat, one must use Siwu Tang (Four Substances Decoction) fully, plus Renshen (Ginseng Radix), Zhuli (Bamboo Sap), Qinjiao (Gentianae Macrophyllae Radix), and Qianghuo (Notopterygii Rhizoma et Radix), eight ingredients total, to conform to principles.

Yufeng Tang (Preventing Wind Decoction) At the first sign of wind moving, taking this prevents falling; it is the sacred medicine for preventing disease before onset. It also treats stroke where internal pathogens are removed and external pathogens exhausted; take this to guide Qi through the meridians. Long-term use eliminates major wind; even minor pathogens can be treated by modifying this formula. However, treatment methods must not lose balance between unblocking and obstructing; sometimes inducing slight sweat over one breath period, or promoting bowel movement over ten days, makes it suitable for regular use. Long-term use separates clear from turbid and harmonizes Ying and Wei. Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Manjingzi (Viticis Semen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Huangqi (Astragali Radix), Zhike (Aurantii Fructus Immaturus), Renshen (Ginseng Radix), Mahuang (Ephedrae Herba), Baizhi (Angelicae Dahuricae Radix), Ganju (Chrysanthemi Indici Flos), Bohe (Menthae Haplocalycis Herba), Gouqizi (Lycii Fructus), Zhimu (Anemarrhenae Rhizoma), Digupi (Lycii Cortex), Duhuo (Angelicae Pubescentis Radix), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Cangzhu (Atractylodis Rhizoma), Shengdi (Rehmanniae Radix) (each 4 liang), Rougui (Cinnamomi Cortex) (1 liang). Crush, take 1 liang per dose, with two cups of water and three slices of ginger, decoct and take on an empty stomach; decoct residue and take before sleep. One dose on empty stomach, swallow Er Dan Wan (Two Cinnabar Pills), called heavy dose; three doses before sleep, swallow Sibai Dan (Four Whites Pills), called light dose. Suppose inducing slight sweat over one breath period: use 3 liang of Yufeng Tang, add 1 liang Mahuang (Ephedrae Herba), divide into four doses, take with ginger on empty stomach. Feed with porridge; stop when slight sweat appears. Suppose promoting bowel movement over ten days: use 3 liang of Yufeng Tang, add 1 liang Dahuang (Rhei Radix et Rhizoma), divide into four doses. Take before sleep as before; stop when bowels move. This medicine is for regular use. Do not neglect seasonal support. Before Great Cold in Spring, add Banxia (Pinelliae Rhizoma), Renshen (Ginseng Radix), Chaihu (Bupleuri Radix) to the base formula, called intercepting Shaoyang Qi. Before Grain Rain in Summer, add Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma) to the base formula, called intercepting Yangming Qi. In late summer, add Fangji (Stephaniae Tetrandrae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) to the base formula, called overcoming Spleen dampness. Before Great Heat in Autumn, add Houpo (Magnoliae Officinalis Cortex), Huoxiang (Agastaches Herba), Rougui (Cinnamomi Cortex) to the base formula, called intercepting Taiyin Qi. Before Frost Descent in Winter, add Fuzi (Aconiti Lateralis Radix Praeparata), Guanzi (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix) to the base formula, called overcoming Shaoyin Qi. Seasonal modifications of this medicine suit clinical judgment; it is truly the sacred medicine for treating wind patterns.

Note: This formula is traditionally said to be the sacred medicine for preventing wind. Later generations, seeing its elaborate descriptions and methodical sequence, were amazed and believed it deeply. Yet when used to treat disease, hardly one in a hundred recovers. It is seemingly correct but actually wrong; I must refute it. It says taking it at the first sign of wind prevents falling, calling it the sacred medicine for preventing disease. Feeling wind initially moving, one should not take root-stabilizing and source-clearing medicines to protect Ying and Wei, but instead take wind-dispelling herbs, inviting wind and stroke. Comparing Emperor Wu of Han's depletion to the ideal governance of Zhou, who is deceiving whom? It also says: once internal and external pathogens are removed, take this to guide meridians, and long-term use eliminates major wind. If internal and external pathogens are gone, widely tonifying to nourish Zheng Qi is sufficient. How can one long-term take this medicine? Is there a major wind separate from internal/external pathogens to eliminate? How self-contradictory! Regarding ten-day bowel movement, adding 2 qian Dahuang (Rhei Radix et Rhizoma) to one dose might work. But regarding slight sweat over one breath period: calculating the base medicine into 72 doses, each already uses over 4 fen Mahuang (Ephedrae Herba); adding 2.5 qian Mahuang (Ephedrae Herba) to each of these four doses creates such a heavy dose, how can it be slight sweat? The formula already contains twelve diaphoretic herbs; why add more Mahuang (Ephedrae Herba) to achieve slight sweat? Zhang Zhongjing used Guizhi Tang (Cinnamon Twig Decoction) for exterior release; fearing weak effect, he drank hot thin porridge afterwards. Using Mahuang Tang (Ephedra Decoction), fearing strong effect causing Yang collapse, he provided multiple safeguards. How could he reverse this and advise hot porridge? Later generations, lacking insight, revere this as the first spiritual treasure; do they know it is arrogant and self-deceiving?

Sibai Dan (Four Whites Pills) Clears Lung Qi and nourishes Po. Stroke often involves dizziness due to unclear Qi flow. Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Renshen (Ginseng Radix), Susa (Amomi Fructus), Xiangfu (Cyperi Rhizoma), Gancao (Licorice Root), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 5 qian), Baizhi (Angelicae Dahuricae Radix) (1 liang), Baitanxiang (Santalum Album Lignum) (1.5 qian), Zhimu (Anemarrhenae Rhizoma) (2 qian), Qianghuo (Notopterygii Rhizoma et Radix), Bohe (Menthae Haplocalycis Herba), Duhuo (Angelicae Pubescentis Radix) (each 2.5 qian), Xixin (Asari Radix et Rhizoma) (2 qian), Shexiang (Moschus), Niuhuang (Bovis Calculus), Longnao (Borneolum Syntheticum) (each 5 fen, separately ground), Huoxiang (Agastaches Herba) (1.5 qian), Tianzhuye (Phyllostachys Nigra Folium). Grind into fine powder, make pills with refined honey. Each liang makes ten pills; chew one before sleep, send down with decocted Yufeng Tang (Preventing Wind Decoction). Clears Lung Qi above, strengthens bone marrow below.

Note: This formula effectively clears Lung and nourishes Po. Niuhuang (Bovis Calculus) in the formula is usable, but Longnao (Borneolum Syntheticum) and Shexiang (Moschus) are rejected because they dissipate True Qi, making them highly unsuitable for deficiency wind. However, since the base formula relies on Sijunzi Tang (Four Gentlemen Decoction), using it does no great harm. Now revised: keep Niuhuang (Bovis Calculus) at 5 fen, use Longnao (Borneolum Syntheticum) and Shexiang (Moschus) at 2 fen each, taking their strengths and limiting weaknesses, which is acceptable. All other formulas violating the use of Longnao (Borneolum Syntheticum) and Shexiang (Moschus) are excluded. For example, Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pills) uses Gancao (Licorice Root) in Sijunzi Tang (Four Gentlemen Decoction) at four times the amount; the intent is good. Following this example, limit Longnao (Borneolum Syntheticum) and Shexiang (Moschus) to two-tenths; this suffices for clearing heart and calming spirit. Cantonese wax pills originally contain little Longnao (Borneolum Syntheticum) and Shexiang (Moschus) and are stored long-term, blending flavors well; taking them with thickly decocted Gancao Tang (Licorice Decoction) is advisable. Formula details omitted.

Da Qinjiao Tang (Major Gentian Macrophylla Decoction) Treats stroke without exterior Six Channel signs or interior constipation/urinary retention. Knowing blood deficiency fails to nourish sinews, causing immobility of limbs and stiff tongue/inability to speak, one should nourish blood so sinews naturally soften. Qinjiao (Gentianae Macrophyllae Radix), Shigao (Gypsum Fibrosum) (each 1 qian), Gancao (Licorice Root), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Baizhi (Angelicae Dahuricae Radix), Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 7 fen), Xixin (Asari Radix et Rhizoma) (5 fen). Add Zhimu (Anemarrhenae Rhizoma) 1 qian in Spring/Summer. Decoct with two cups of water; if cloudy weather, add seven slices of ginger. If epigastric fullness, add Zhishi (Aurantii Fructus Immaturus) 5 fen.

Note: Since this formula claims nourishing blood softens sinews, why use so many wind-drying herbs? Since desiring stillness to nourish blood, why use wind herbs to move it? The formula contradicts its theory. Occasionally discussing Sanhua Tang (Three Transformations Decoction), Yufeng Tang (Preventing Wind Decoction), and Da Qinjiao Tang (Major Gentian Macrophylla Decoction), these three are seemingly correct but actually wrong. Checking, all three originate from *Jiyao Fang* (Essential Formulas) written by Tongzhenzi, whose name is unknown. Thus, an unknown scholar confuses later generations' views, akin to one blind leading many blind. Physicians should delve into principles and develop independent insight.

Yangxue Danggui Dihuang Tang (Blood-Nourishing Angelica Rehmannia Decoction) Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Bencao (Ligustici Wallichii Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix) (each 1 qian), Xixin (Asari Radix et Rhizoma) (5 fen). Decoct with two cups of water to one cup, take warm before meals through the mouth.

Note: This comes from *Leicui Fang* (Excellence Collection Formulas), using four blood herbs and four wind herbs, half moistening half drying; not a skillful formulation. Even if treating root without forgetting branch, adding one wind herb to Siwu Tang (Four Substances Decoction) suffices. Searching various formulas with this approach, I found Liuhe Tang (Six Harmonies Decoction) in *Liangfang* (Good Formulas), treating wind-deficiency dizziness, pleasing me greatly: using Siwu Tang (Four Substances Decoction) ingredients each 1 liang, Qinjiao (Gentianae Macrophyllae Radix) and Qianghuo (Notopterygii Rhizoma et Radix) each 0.5 liang. Though using two wind herbs, the dosage equals one ingredient. Taking this as an example, formula details omitted.

Tianma Wan (Gastrodia Pill) Treats wind generated by heat; excessive heat causes movement. Stillness should overcome dryness; this nourishes blood. This medicine circulates Ying and Wei, strengthens sinews and bones. Tianma (Gastrodiae Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (these two soaked in wine for three days, then dried and roasted), Bibing (Dioscoreae Hypoglaucae Rhizoma), Xuanshen (Scrophulariae Radix) (each 4 liang), Duzhong (Eucommiae Cortex) (stir-fried to remove silk fibers, 7 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (prepared, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix) (4 liang), Danggui (Angelicae Sinensis Radix) (10 liang), Shengdi (Rehmanniae Radix) (1 jin). Another version adds Duhuo (Angelicae Pubescentis Radix) 4 liang to remove wind from Kidney region. Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 50-70 pills per dose, with warm wine or plain water on empty stomach. Eat after some time; after half a month of medication, if feeling blocked, use Qixuan Wan (Seven Unblocking Pills) to relieve.

Note: The main intent of this formula treats wind generated by Kidney heat. Combining Tianma (Gastrodiae Rhizoma) with Niuxi (Achyranthis Bidentatae Radix) aims to direct downward. Doubling Danggui (Angelicae Sinensis Radix) and Dihuang (Rehmanniae Radix) generates Yin blood. Bibing (Dioscoreae Hypoglaucae Rhizoma) and Xuanshen (Scrophulariae Radix) clear damp-heat in lower jiao. Fuzi (Aconiti Lateralis Radix Praeparata) tonifies True Yang of lower jiao; only Kidney Yang deficiency allows wind to occupy the area long-term. Using Qianghuo (Notopterygii Rhizoma et Radix) specifically refers to true Duhuo (Angelicae Pubescentis Radix), no need to add more. Alas! People with excessive desires have empty Kidneys, like dark wind caves, endless misery. Looking around at wind-channel medicines, is there any that can overcome this disease? This formula is mixed among others, hard to discern; I highlight it here.

Ditan Tang (Phlegm-Washing Decoction) Treats stroke with phlegm confusing Heart orifices, stiff tongue, and inability to speak. Nanxing (Arisaematis Rhizoma) (boiled in ginger, 2 qian), Banxia (Pinelliae Rhizoma) (prepared seven times, 2 qian), Zhishi (Aurantii Fructus Immaturus) (1 qian), Baifuling (Poria) (1.5 qian), Juhong (Citri Reticulatae Pericarpium Rubrum) (1 qian), Shichangpu (Acori Tatarinowii Rhizoma) (8 fen), Renshen (Ginseng Radix), Zhuru (Bambusae Caulis in Taenia) (each 7 fen), Gancao (Licorice Root) (5 fen). Decoct with two cups of water and five slices of ginger to eight-tenths, take before meals.

Note: This pattern is most urgent, but this medicine is slowest, inevitably having mismatched severity. If examining as heat, take this formula with Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pills); if examining as deficiency, take with Er Dan Wan (Two Cinnabar Pills); this suffices to open phlegm and unblock orifices.

Qingzhou Baiwanzi (Qingzhou White Pills) Treats men and women with flaccid paralysis, excessive wind-phlegm, vomiting saliva/foam, and pediatric convulsions. Baifuzi (Typhonii Rhizoma) (2 liang, raw), Banxia (Pinelliae Rhizoma) (7 liang, soaked in water, peeled, raw), Nanxing (Arisaematis Rhizoma) (2 liang, raw), Chuanwu (Aconiti Radix) (remove skin and umbilicus, 5.5 qian). Sieve into powder, place in raw silk bag, soak in well water, shake to extract starch. Knead remaining residue by hand to extract more, repeat until exhausted. Use porcelain basin, expose to sun by day and dew by night, change water daily, stir then settle. Spring 5 days, Summer 3 days, Autumn 7 days, Winter 10 days. Remove water, dry until jade-like slices. Make pills with glutinous rice paste, size of mung beans. Take 20 pills per dose, with Ginger Decoction anytime. For paralysis, take with wine. For pediatric convulsions, take 3-5 pills with Mint Decoction.

Note: This is a superior medicine for treating wind-phlegm, yet despite processing, warmth remains. Unsuitable for heat-phlegm confusing orifices.

Zhuli Tang (Bamboo Sap Decoction) Treats inability to control four limbs, vague mind, loss of consciousness, and inability to speak. Zhuli (Bamboo Sap) (2 sheng), Shengge Zhi (Puerariae Lobatae Juice) (2 sheng), Shengjiang Zhi (Ginger Juice) (2 he). Mix three juices evenly, divide into three warm doses.

Note: Accumulated phlegm and heat in the body often attract external wind, forming a united pathogen. This causes vague mind, as if possessed by evil spirits, but it is not actually evil spirits. Dispelling wind, clearing heat, and resolving phlegm calms the spirit; this formula can be taken frequently.

Beimu Gualou San (Fritillaria Trichosanthus Powder) Treats obese individuals with stroke, deviation of mouth and eyes, numbness of hands and feet; treat both sides as phlegm. Beimu (Fritillariae Bulbus), Gualou (Trichosanthis Fructus), Nanxing (Arisaematis Rhizoma) (prepared), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma) (boiled in water, prepared seven times), Bohe (Menthae Haplocalycis Herba), Gancao (Licorice Root) (roasted), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma), Tianhuafen (Trichosanthis Radix) (equal parts). Take each dose with two cups of water, three slices of ginger, decoct to eight-tenths, take at night.

Note: Stroke patterns often carry heat-phlegm, and obese individuals typically have chronic heat-phlegm. Treating both sides as phlegm is indeed appropriate. However, obese people mostly have deficiency wind, while thin people mostly have excess fire. Deficiency wind suits sweet-cold herbs like Zhuli (Bamboo Sap), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix), Shengdi (Rehmanniae Radix), Shengge Zhi (Puerariae Lobatae Juice), Lizhi (Pear Juice), Xian Danzhuye (Fresh Bamboo Leaf), Shigao (Gypsum Fibrosum), Gualou (Trichosanthis Fructus), Weirui (Polygonati Odorati Rhizoma), Humaren (Sesami Fructus). This formula uses three bitters (Huanglian, Huangqin, Huangbai); treating thin people's excess fire might work, but treating obese people's deficiency wind is highly inappropriate. Regarding general heat-phlegm resolving herbs, this formula excels among others; preserve it as a choice for excess fire generating wind and heat.

*Qianjin* Dihuang Tang (Thousand Gold Rehmannia Decoction) Treats wind-heat with vexation, and Stomach/Spleen heat obstruction with poor appetite. Shengdi Huang Zhi (Rehmanniae Radix Juice), Gouqizi Zhi (Lycii Fructus Juice) (each 5 sheng), Zhen Su (True Butter), Shengjiang Zhi (Ginger Juice) (each 1 sheng), Jingli (Schizonepetae Juice), Zhuli (Bamboo Sap) (each 5 sheng), Renshen (Ginseng Radix) (8 liang), Baifuling (Poria) (6 liang), Tiandong (Asparagi Radix) (8 liang), Dahuang (Rhei Radix et Rhizoma), Zhizi (Gardeniae Fructus) (each 4 liang). Of eleven ingredients, grind last five into fine powder. First decoct Rehmannia juices, mix with powder, take one cun-bi (square inch spoonful), gradually increase until loose stools occur.

Note: This formula tonifies deficiency, clears heat, moistens dryness, washes phlegm, removes wind, and opens stasis/obstruction; beautifully comprehensive, truly valuable. Because nourishing blood and resolving phlegm are hard to combine, I cite this formula as an example for clinical discretion. Also, inability to raise limbs may be Spleen Earth deficiency or excess, treated differently. If deficiency and excess are not vastly different, this formula is essential. Methods are endless; human effort determines success, hard to explain briefly.

Liangge San (Cool the Chest Powder) Treats excessive Heart Fire, surplus Chest Heat, red eyes and dizziness, mouth ulcers and cracked lips, vomiting blood and nosebleeds, sticky saliva/cough, difficult urination and defecation, Stomach heat causing macules. Pediatric sudden convulsions and blackening/rash sinking. Adult various wind convulsions, limb jerking, tendon cramping and pain. Lianqiao (Forsythiae Fructus), Zhizi Ren (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Gancao (Licorice Root), Huangqin (Scutellariae Radix). Decoct with two cups of water,