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Wind pathogen is characterized by its ability to move and change frequently. When heat pathogen prevails, it causes tremors or movements. One should use "stillness" to overcome dryness/agitation; this is the method of nourishing blood. The treatment should harmonize, thereby strengthening sinews and bones by regulating Ying (Nutritive) and Wei (Defensive) Qi. Tianma Wan (Gastrodia Pill) is indicated for this condition. Only potent medicines can cure it.

[Tianma Wan]
Fuzi (Prepared Aconite Root, 1 liang), processed by frying; Tianma (Rhizoma Gastrodiae, 3 days soaked in wine, then dried); Niuxi (Radix Achyranthis Bidentatae, 1 night soaked in wine, then baked); Bibi (Radix Dioscoreae Hypoglaucae, ground separately into powder);
Xuan Shen (Radix Scrophulariae, 6 liang each with Du Zhong); Du Zhong (Cortex Eucommiae, 7 liang, stir-fried); Dang Gui (Radix Angelicae Sinensis, 10 liang, whole root used); Qiang Huo (Rhizoma et Radix Notopterygii, 10 liang, or 15 liang); Sheng Di Huang (Radix Rehmanniae Preparata, 16 liang); Duhuo (Radix Angelicae Pubescentis, 5 liang).
The above ten ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 50-70 pills per dose; increase to 100 pills for severe cases. Take on an empty stomach before meals, washed down with warm wine or plain boiled water. Take the medicine at dawn.
Eat only when hungry after sunrise; if not hungry, refrain from eating. It is strictly forbidden to allow stagnation and obstruction without promoting free flow. Therefore, after half a month of taking the medicine, if one feels slightly congested, administer a small amount of Qixuan Wan (Seven Promoting Pills) to unblock it, allowing the primary medicine to take effect again. Niuxi and Bibi strengthen sinews and bones; Du Zhong binds sinews and bones together; Qiang Huo and Fang Feng are essential herbs for treating wind; Dang Gui and Sheng Di Huang nourish blood and harmonize Ying and Wei Qi; Xuan Shen is the chief herb; Fuzi is the assistant herb, guiding the medicinal action through the meridians. If wind epilepsy cannot be cured, refer to the discussion on Nongpo Wan (Magnolia Bark Pill) in Jiegu's family treasures. There are additional modifications listed after the original formula for this disease. If stroke presents with spontaneous sweating, dizziness/fainting, fever without aversion to cold, and inability to lie down comfortably, this is due to wind-heat causing irritability. Xieqing Wan (Draining Blue Pill) is indicated. If urine output is scant, do not use diuretic drugs. Since spontaneous sweating has already occurred, body fluids are leaking externally, leading to reduced internal urine production. Forcing diuresis would deplete Ying and Wei Qi, failing to control fire, thus worsening irritability and heat. Wait until heat subsides and sweating stops, then urine will naturally normalize. This syndrome also involves the Yangming Meridian; diuresis is strictly contraindicated. This must be recognized.

[Xieqing Wan] Treats stroke with spontaneous sweating, dizziness/fainting, fever, aversion to neither cold nor heat, and inability to lie down. This is caused by wind-heat irritability.
Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Zhi Zi (Fructus Gardeniae), Qiang Huo (Rhizoma et Radix Notopterygii), Da Huang (Radix et Rhizoma Rhei Palmati), Fang Feng (Radix Saposhnikoviae), Long Dan Cao (Radix Gentianae) (equal parts).
Grind the above into powder, mix with honey to form pills the size of a bullet. Dissolve one pill in bamboo leaf decoction and take. If Zhi Zi is removed from this formula and replaced with Duhuo, Fang Feng, Gan Cao (Radix Glycyrrhizae), Ju Hua (Flos Chrysanthemi), Chan Tui (Periostracum Cicadae), and Chuan Xiong, taken as pills: Anyone who initially feels numbness or loss of function in the thumb and index finger will likely suffer from stroke within three years. It is advisable to prophylactically take Yufeng Tang (Wind-Dispelling Decoction) and Tianma Wan, one course of each. This is treating the disease before it occurs. Thus, the sages treat diseases before they arise, not after they have developed.

Patients with stroke often have a good appetite. This is because the Heavenly Stems Jia and Ji transform into Earth, making Spleen Qi vigorous, hence the increased desire to eat. Consequently, excessive Spleen Qi overacts upon Kidney Water, causing Kidney Yin deficiency and aggravating the disease. One should take ample medication and avoid overeating to allow the disease to heal spontaneously. Excessive eating in stroke patients indicates exuberant Wind-Wood. When Wood is excessive, it overacts on Earth (Spleen/Stomach). The Spleen, under attack, seeks relief through food intake. As stated in the Classics: "Excess manifests as dreaming of giving; Deficiency manifests as dreaming of taking." One should drain Liver Wood, treat wind, and stabilize the Spleen. Once the Spleen is stabilized, appetite decreases, which is the therapeutic effect. In the early stages of stroke, aromatic opening agents like Moschus (She Xiang) and Borneolum Syntheticum (Bing Pian) should not be administered, as they may draw wind pathogen deep into the bone marrow, akin to oil penetrating flour, from which it cannot be extracted. If there is profuse phlegm-saliva, unconsciousness, and irritability/heat, phlegm-resolving drugs should be used, yielding miraculous effects.