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One jujube, one stalk of green onion, decocted until reduced to 80% volume, taken after meals.

Qingxin San (Clear Heart Powder): This is Liangge San (Cool the Diaphragm Decoction) with added Huanglian (Coptidis Rhizoma). Take one and a half cups of water, add ten leaves of Zhuye (Bambusae Folium), decoct until reduced to 80% volume, strain, add a small amount of honey, and take warm. If headache occurs, add Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), and Shigao (Gypsum Fibrosum).
Commentary: In stroke syndrome, the general trend involves Wind-Wood combining with Ministerial Fire and Sovereign Fire to cause disease, often manifesting as heat in the diaphragm. Ancient formulas use Liangge San most frequently, not limited to just the two mentioned above. For example, Zhuanshe Gao (Tongue-Turning Paste) uses Liangge San plus Shichangpu (Acori Tatarinowii Rhizoma) and Yuanzhi (Polygalae Radix). Huoming Jindan (Life-Saving Golden Pill) uses Liangge San plus Qingdai (Indigo Naturalis) and Lan Gen (Isatidis Radix). Generally, because the momentum of Wind-Fire flares upward, the chest and diaphragm are like a prairie fire; thus, the functions of clearing the heart, calming the spirit, turning the tongue, and saving life rely largely on the cooling power of Liangge San. One should not lightly disparage it by using methods that merely promote intestinal unblocking.

Dihuang Yinzi (Rehmannia Decoction, from *Xuanming Lunfang*): Treats aphasia (loss of speech due to tongue paralysis) where the patient cannot speak, and foot paralysis where the legs cannot be used, caused by Kidney deficiency, Qi rebellion, and failure of Qi to reach below the tongue. Shudihuang (Rehmanniae Radix Preparata), Bajitian (Morindae Officinalis Radix) [decentered], Shanzhuyu (Corni Fructus), Rongrong (Cynomorii Herba) [soaked in wine and baked], Shihu (Dendrobii Caulis), Fuzi (Aconiti Lateralis Radix Preparata), Wuweizi (Schisandrae Fructus), Baifuling (Poria), Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix) [bone removed], Guanzi Gui (Cinnamomi Cortex), Maidong (Ophiopogonis Radix) [equal parts]. Grind all into fine powder. Each dose takes three qian. Add five slices of Shengjiang (Zingiberis Rhizoma Recens), one jujube, seven leaves of Bohe (Menthae Haplocalycis Herba), and one and a half cups of water. Decoct until reduced to 80% volume. Take at any time.
Commentary: Kidney Qi rebelling and failing to reach below the tongue indicates that the Zhenqi (True Qi) of the viscera fails to nourish the root of the tongue. Meanwhile, its turbid Yin qi must obstruct horizontally between the throat and tongue, making swallowing and expectoration extremely difficult, with severe coma. This is unlike simple aphasia, which can be treated slowly. The Fuzi, Rougui (Cinnamomi Ramulus), Bajitian, and Rongrong in this formula were originally intended to expel turbid Yin. Users of this formula must not arbitrarily remove these herbs based on personal prejudice.

Baisanzi (White Scattering Powder) from *San Yin Fang*: Treats Liver-Kidney wind-stroke, where saliva floods and obstructs causing aphasia, vomiting of phlegm foam, dizziness of head and eyes. Also treats Yin-pattern Cold Damage with deep-hidden six pulses, and Huoluan (cholera-like disorder) with vomiting and diarrhea, or dribbling urinary obstruction. Da Fuzi (Aconiti Radix) [skin and umbilicus removed, raw], Huashi (Hualshi) [from Guifu, each 5 qian], Zhibanxia (Pinelliae Rhizoma Preparatum) [7.5 qian]. Grind all into fine powder. Each dose takes 2 qian, with two cups of water, seven slices of Shengjiang, and half a spoonful of honey. Decoct until reduced to 70% volume. Take cold on an empty stomach.
Commentary: This formula is excellent but does not explicitly explain its rationale. Citing concurrent treatments for Yin-pattern Cold Damage and Huoluan makes it seem vague rather than precise. This actually corresponds to the "turbid Yin counterflow" syndrome discussed previously by Yu Chang. It arises from Liver-Kidney Qi rebelling upward. Thus, saliva obstructs, aphasia occurs, phlegm foam is hard to expectorate, and the head feels heavy and dizzy. Therefore, only Fuzi can drive out turbid Yin, yet turbid Yin naturally flows downward through the lower orifices. Since turbid Yin has rebelled upward, the lower orifices must be blocked. Hence, the heaviness of Huashi is used to guide turbid Yin back down through the anterior yin orifice (urethra). This also leverages the potent penetrating force of Fuzi to facilitate drainage. Furthermore, fearing that turbid Yin might linger with damp-phlegm in the chest, Banxia is added to open phlegm obstructions. Only then can saliva and turbid Yin descend together. Such profound meaning exists in the formula, yet it is not clearly taught to later generations, which is truly a pity.

Er Dan Wan (Two Dan Pills): Treats forgetfulness caused by Wind pathogen, nourishes the spirit, stabilizes will, harmonizes blood, calms the heart-mind internally, beautifies the skin externally, and promotes sleep. Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shudihuang, Tianmendong (Asparagi Radix) [decentered, each 1.5 liang], Zhusha (Cinnabar), Renshen (Ginseng Radix et Rhizoma), Shichangpu, Yuanzhi [each 5 qian], Fushen (Poria cum Radix), Maidong, Gancao (Glycyrrhizae Radix et Rhizoma) [each 1 liang]. Grind all into fine powder, refine honey to make pills the size of paulownia seeds. Each dose takes 50 to 100 pills, taken on an empty stomach before meals.
Commentary: In stroke syndrome, if the Heart-Mind becomes deficient, the whole body loses its master, and Wind pathogen disturbs without being able to expel it. This formula calms the spirit, benefits deficiency, nourishes blood, clears heat, and extinguishes wind. Taking it leads to peaceful sleep, demonstrating its efficacy. It is rumored to be taken with Yufeng Tang (Wind-Expanding Decoction), which completely misses the original intent of the prescription.

[Missing Character] Wan: Treats Wind-Qi affecting Kidney and Liver, causing limb numbness and paralysis, bone pain, weak knees, and various rheumatic sores. Use [Missing Character] grass, harvested on the 5th day of the 5th lunar month or the 6th day of the 6th lunar month. Collect leaves, steam nine times, and sun-dry nine times. For steaming, sprinkle with wine and honey, dry, grind to powder, and make honey pills the size of paulownia seeds. Take 100 pills with wine on an empty stomach.
Commentary: "[Missing Character]" refers to the pig, whose earthly branch is Hai. This marks the beginning of Wood generating Wind, hence its leaves are used to treat Wind diseases. For syndromes of Wind generated within the Kidney storehouse, this formula is most effective. Cheng Ne, Military Governor of Jiangning, and Zhang Yong, Prefect of Yizhou, both presented this formula to the Emperor. Cheng Ne’s brother suffered from stroke for five years; a Daoist transmitted this formula, and he recovered. Zhang Yong found a stele while digging, followed the prescription for a thousand doses, resulting in black hair and vigorous strength. He treated Luo Shouyi, a military officer who fell from a horse due to stroke, lost his voice, and could not speak; ten doses cured him immediately. Monk Zhiyan, aged 70, suffered from hemiplegia, facial deviation, and salivation; ten doses cured him. Many have succeeded with this formula古今, yet few know the reason. Its miracle lies in its inferior odor, which resonates with the fishy smell of the Kidneys (Same Qi Attracts), allowing it to enter the Kidney and assist in driving out Yin-Wind. Since formulas treating Kidney-Wind are rare, this pill is recorded here. Combined with the previous Tianma Wan, it elucidates the principle.

Heixi Dan (Black Tin Pill): Treats exhaustion of True Yuan, insecure Yang Qi, counterflow of Yin Qi, disharmony of the Triple Burner, stabbing pain from cold qi, loss of taste, heavy waist and back, chronic cold bladder, frequent nocturia. In women, chronic cold in the Blood Sea, red and white leukorrhea. Also treats Yin-pattern Yin-Toxin, cold limbs, unconsciousness. For emergencies, swallow 100 pills with Jujube Decoction. It quickly restores Yang. This herb greatly regulates the ascending and descending of Yin and Yang, tonifies deficiency, benefits Yuan, settles phlegm, removes dampness, and breaks masses. Chenxiang (Aquilariae Lignum Resinatum), Hubalu (Trigonellae Semen) [wine-soaked and fried], Fuzi [prepared], Yangqishi (Yangqishi) [finely ground and water-washed, each 1 liang], Rougui [half liang], Poguzhi (Psoraleae Fructus), Bohuixiang (Foeniculi Fructus), Roudoukou (Myristicae Semen) [baked in flour], Muxiang (Aucklandiae Radix), Jinlingzi (Meliosmae Fructus) [steamed, skin and core removed, each 1 liang], Liuhuang (Sulfur), Heixi (Plumbum) [purified, each 2 liang]. Use an iron cup or iron pot. Process according to standard methods to form Black Tin Sulfur Sand. Remove fire toxicity on the ground, grind extremely fine. Mix with other finely ground powders uniformly. Grind from morning to night until it shines black. Make pills with wine paste, size of paulownia seeds. Dry in shade, rub in cloth bags until glossy. Each dose takes 40 pills, taken on an empty stomach with Salt-Ginger Decoction or Jujube Decoction. Women use Mugwort-Jujube Decoction. Emergency doses take 100 pills.
Commentary: This formula uses Heixi (Water Essence) and Liuhuang (Fire Essence) to form Lingsha (Spirit Cinnabar) as the Sovereign herb. Various aromatic, drying, pure-Yang herbs serve as Ministers. Jinlingzi (bitter-cold) serves as an Adjuvant/Counter-agent. Chenxiang guides to the deepest Yin level as the Envoy. For emergencies involving Yin-Fire counterflow, sudden collapse of True Yang, wheezing, and rattling phlegm, there is no other method besides this drug. I always carry it in a small pouch to avoid delay in emergencies and to let my body's Yuan Qi warm and nourish the medicine, ensuring its efficacy. Although unrelated to smallpox treatment, when excessive attacking agents (like Wugong, Chuanshanjia, Sangchong) cause swelling like gourds, wet ulcers, and rising Yang with wheezing—causing pediatricians to flee—I administer this pill to lead Yang Qi down into Yin, followed by large doses of Dihuang Tang to severely tonify Yin and retain True Yang. The skin heat clears, swelling subsides, and ulcers dry into crusts. Countless lives have been saved this way. I append this to broaden practitioners' understanding.

Sanjian Erxiang Tang (Three Jian Two Fragrance Decoction): Treats male and female wind-stroke with deficient six pulses, stiff tongue and aphasia, abundant phlegm-saliva, dementia-like spirit, and hemiplegia. Such cases must not attack Wind; they must only tonify deficiency. Tianxiong (Aconiti Kusnezoffii Radix), Fuzi, Wutou (Aconiti Radix) [each 2 qian, skin and umbilicus removed, raw], Chenxiang, Muxiang [each 1 qian, water-ground juice]. Divide into two doses. Each dose uses one and a half cups of water, ten slices of Shengjiang, decoct to 70%. Take before meals.
Commentary: This formula uses raw Tianxiong, Fuzi, and Wutou simultaneously without processing, fearing that processed herbs would bind the hands of Meng Ben (a legendary strongman) and prevent full exertion. It is necessary because the patient suffers from violent Yin-Evil burying slight Yang. Thus, pure-Yang, Yin-free herbs ("Three Generals of One House") led by two fragrant herbs pierce through encirclements to expel extreme Yin and save dying Yang. Though the formula exists, few can use it correctly. The text claims it treats stroke with deficient pulses and says "do not attack wind, only tonify deficiency." This is dreaming within a dream and misleads people greatly. One must know that the pulse here is minute and near-extinction; describing it merely as "deficient" is vague. The formula is fierce, toxic, and harsh; describing it as "tonifying deficiency" implies mildness, which is incorrect. This is how medical texts lead the blind leading the blind.

Xingfu San (Star and Aconite Powder): Treats stroke where the patient can speak, mouth is not deviated, but limbs are dragged/pulled. Nanxing (Arisaematis Rhizoma Preparatum), Banxia [prepared], Fuling, Jiangcan (Bombyx Batryticatus) [fried], Chuanwu (Aconiti Radix) [skin and umbilicus removed], Renshen, Hei Fuzi, Baifuzi (Saussureae Radix) [each 8 fen]. Use two cups of water, decoct to 80%. Take hot after meals. Recovery comes with sweating.
Commentary: This is the main drug for treating Deficiency-Cold-Wind-Phlegm. Wind deficiency causes blazing heat; Phlegm-cold causes obstruction, blocking Spleen Yang circulation, causing limb dragging. Taking this formula hot assists Spleen Yang, preventing Deficiency-Cold-Wind-Phlegm from knotting. Sweating allows Wind to exit outward and Phlegm to exit downward, resolving the disease. Usually, Aconite drugs are taken warm/cold ("Heat used via Cold"). Here, Wutou, Fuzi, and Renshen are purely warming/tonifying with no dispersing herbs. Without hot administration, how could sweating occur? Admirable! Admirable!

Xuming Tang (Continuing Life Decoction) from *Gu Jin Lu Yan*: Treats stroke fei (paralysis), inability to control the body, aphasia, confusion/unawareness of pain, or spasms preventing turning over. Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Renshen, Shigao, Ganjiang (Zingiberis Rhizoma), Gancao [each 3 liang], Xiong (Chuanxiong), Xingren (Armeniacae Semen Amarum) [40 pieces]. Nine ingredients. Use one dou of water, boil to four sheng. Take one sheng warm. Should produce slight sweat. Lie flat, support back, sit leaning on table. Sweat means recovery. If no sweat, take again. No restrictions. Avoid wind. Also treats inability to lie flat, cough/wheezing, facial edema.
Commentary: Combined with the following two formulas, the intent of *Jin Gui Yao Lue* is explained herein. Studying this formula and symptoms reveals that Fei is another name for Bi (Obstruction). Wind enters and obstructs Ying and Wei, causing inability to control the body, aphasia, confusion, or spasms. Ying and Wei can be deficient or excess. Deficiency comes from internal injury; Excess from external contraction. This formula treats External Contraction obstructing Ying and Wei, hence slight sweat is prized. It modifies Yuebi Tang by adding Xiong and Danggui to nourish blood, and Renshen to boost Qi. For Internal Injury causing Ying-Wei Bi, adding slight wind-dispersing herbs to blood/Qi tonics would be the approach.

Sanhuang Tang (Three Yellow Decoction) from *Qian Jin Fang*: Treats stroke with limb spasms, joint pain, vexation, heat, mental chaos, aversion to cold, and days of anorexia. Mahuang [5 fen], Duhuo (Angelicae Pubescentis Radix) [4 fen], Xixin (Asari Radix et Rhizoma) [2 fen], Huangqi (Astragali Radix) [2 fen], Huangqin (Scutellariae Radix) [3 fen]. Five ingredients. Use six sheng of water, boil to two sheng. Divide into three warm doses. First dose: slight sweat. Second dose: heavy sweat. Heart heat: add Dahuang [2 fen]. Abdominal fullness: add Zhishi [one piece]. Qi rebellion: add Renshen [3 fen]. Palpitations: add Muli [3 fen]. Thirst: add Gualougen [3 fen]. Pre-existing cold: add Fuzi [one piece]. (Read "fen" as departing tone).
Commentary: This treats Wind entering Ying-Wei and joints, disturbing for a long time, showing vexation, heat, cold, and anorexia, indicating Excess Evil and Deficient Righteousness. Mahuang is Sovereign because it opens Yang Qi and resolves Bi; Bi requires sweat to open. However, internal deficiency must be considered, so Renshen and Huangqi assist. Deficiency varies by Heat/Cold: Heat uses Huangqin, Cold adds Fuzi. This is why Zhongjing values it deeply.

Baizhu Fuzi Tang (Atractylodes Macrocephala and Aconite Decoction) from *Jin Xiao Fang*: Treats Wind-Deficiency, severe heavy dizziness/dizziness causing suffering, loss of taste. Warms muscles, tonifies Middle, benefits Jing and Qi. Baizhu (Atractylodis Macrocephalae Rhizoma) [2 liang], Fuzi [1.5 pieces, prepared, skin/umbilicus removed], Gancao [1 liang, honey-fried]. Three ingredients. Cut. Each 5 qian, with five slices of Shengjiang, one jujube, one and a half cups of water. Decoct to 70%, strain, take.
Commentary: This treats those with empty Kidney Qi where External Wind enters the Kidney, like cold Yin wind blowing endlessly in a dark cave. Wind carries Kidney turbid Yin Qi, rebelling upward, causing unbearable heavy dizziness. Stomach Qi is also deficient, causing loss of taste. Thus, no Wind-expelling herbs are used. Only Fuzi warms the Water Storehouse, Baizhu and Gancao warm the Earth Storehouse. Once Water and Earth are warm, turbid Yin sinks downward, curing dizziness and anorexia. Observe winter well water and soil warmth; even Yin-turbid qi cannot rise from earth, let alone heaven. The formulation logic is exquisite. This explains why it yields "near effects."

Shi Guogong Infused Wine Formula: Treats various Winds and Five Bi, left/right hemiplegia, facial deviation, limb pain. Effects on 72 types of Wind and 24 types of Qi cannot be fully described. Danggui, Hu Jinggu (Tigriopis Tibia) [burnt with butter], Chuan Qianghuo (Notopterygii Rhizoma et Radix), Chuan Bixie (Dioscoreae Hypoglaucae Rhizoma), Fangfeng [each 2 liang], Qinjiao (Gentianae Macrophyllae Radix) [4 liang], Biejia (Testudinis Carapax et Plastrum) [1 liang, vinegar-fried], Chuan Niuxi (Achyranthis Bidentatae Radix) [wine-soaked], Songjie (Pinus Massoniana Node), Wancansha (Bombyx Cacumen) [fried, each 2 liang], Gouqizi (Lycii Fructus) [5 liang], Gan Qiegen (Solanis Lycopersici Radix) [8 liang, steamed over rice], Cang'erzi (Xanthii Fructus) [4 liang, fried and crushed]. Thirteen ingredients. Use one large jar of non-grain alcohol. Place herbs in silk bag, suspend in wine, seal tightly. After 14 days, open and drink. Do not face the jar opening to avoid fumes hitting eyes/face. Drink one cup per time, do not let medicinal power cease. When drunk and cured, dry residue, grind to powder, make pills with rice paste, paulownia seed size. Take 80 pills on empty stomach with warm wine. Avoid Wind-moving spicy/hot foods. Can be taken regularly.
Commentary: For treating Wind and Bi, medicinal wines are indispensable. This is a wonder among mild formulas with notable efficacy. Later additions included Baihua She (Bungarus multicinctus); I reject this as testing toxicity on the gut.