凡伤寒时疫。不问阴阳老幼妊妇。误服药饵。困重垂死。脉沉伏。不省人事。
七日以后。皆可服之。百不失一。此名夺命散。又名复脉汤。人参一两。水二
钟。紧火煎一钟。以井水浸冷服之。少顷鼻梁有汗出。脉复立瘥。苏韬光侍
郎云。用此救数十人。出王KT 百一选方。
凡伤寒遗毒。发于耳之前后及项下肿硬。用见肿消草、生白芨、生白蔹、生
大黄、生大蓟根、野苎麻根。捣成饼。入芒硝一钱。和贴留头。干即易之。若加
金线重楼。及山茨菇尤妙。出伤寒蕴要。
窃尝怪凡病皆以所感名之。惟中风则以其象名之。遂启后人之惑也。试
观夫中风者。恒于密室中。行住坐卧之顷。卒然仆倒。或痰涎上涌。昏不知
人。或肢体痿废。足不任身。或手足瘫痪。身半不遂。或口眼 僻。筋脉牵引。
斯时未尝有风。而何从中之。即令虚邪贼风偶犯。亦不过现六经之症。侵
冒肌肤已耳。何至昏倒不省。若斯之甚也。然则中风究何从而名焉。盖人
身譬犹树也。人之四肢。犹树之枝干也。人之七情五志。犹天之疾风豪雨
也。人之饥饱劳逸。犹树之日剥月削也。人之忧愁思虑。犹树之蠹蛀侵蚀
也。人之恣欲不节。犹树之斧斤砍伐也。假令一树也。而剥之削之。侵之蚀
之砍之伐之。即不待夫疾风豪雨。而罔不倾仆矣。偶遇大风拔木。而咎之
于风可乎。人之中风。不犹是乎。河间谓五志过极。言其因也。东垣谓本气
自病。言其本也。丹溪谓湿热生痰。言其标也。而究其根。则在于肾元不足
所致。盖肾元无亏。五志过极。即显五志之证。元气不足。即显虚损之证。湿
热生痰。即显痰热之证。惟根本既亏。而五志乘之。劳役乘之。痰热乘之。而
卒然仆倒。遂莫之支尔。斯时也。逐其痰。痰愈炽。降其气。气愈逆。惟牙关紧
闭者。暂用稀涎散开之。究无当于实际。立斋用三生饮投人参一两。驱驾
其邪而补助真气。真斩关夺门之将也。河间立地黄饮子。治舌喑不言。足
痿不行。专固其本。已顶门下一针矣。余每临斯症。细求其故。未有不从心
肾不交而得。盖心不下交于肾。则用归脾汤养育心神为主。而以八味丸
为佐。肾不上交于心。则用地黄饮子补益真阴为主。而以独参汤为佐。又
必令病患却七情。绝帏幕。轻者可复。重者可延。继以岁月。鲜不安痊。若以
风药痰药间之。舍本求末。安望其能生哉。
按中风肥人多见之。而瘦者间有。然肥人多气虚。气虚则生痰。苟根本
不实。犹树之扶疏而中空。则易于倒仆矣。治之须大进参术。佐以痰药。
后补其肾可也。瘦人多血虚。血虚则有火。苟忧愁太过。犹树之枝枯而
叶萎。则无以滋养矣。治之须培益真阴。佐以开郁。后补其气可也。盖脾
肺肾肝。既有阴阳气血之殊。自应分酌而治。矧心为神机开发之本。胃
是谷气充大之标。苟心思不遂。则饮食少用。而无以益其血脉。胃气不
充。则五脏少资。而无以灌其百骸。则是心与胃。又所宜讲求者也。噫。中
风一症。大率膏粱者多出于逸乐。则宜固其肾肝。盖肾主闭藏而肝主
疏泄也。藜藿者每见于萦愁。则宜助其心脾。盖心主忧而脾主思虑也。
此孰非医者之权衡。所当潜心而体会哉。不然一遇此症。不求其因。识
浅技穷。辄进牛黄丸。几曾见有用之而得生者。不大可悟也夫
一中风五绝之症。如口开眼合。手撒遗尿。声如 睡者不治。治之无益。
一中风 僻瘫痪。分左右之道路。而大补气血。佐以舒筋豁痰。十补勿一泻之。
一中风痱痿不用。宜八味十补还少等丹丸选用。佐以补中六君归脾等
汤调之。慎勿误治。以夭人命。
一中气中寒中暑中食。分别以治。不可误认作中风一例而看。
稀涎散
江子仁(六粒每粒分作两半) 牙皂(三钱细切) 明矾(一两)
先将矾熔开。入二味搅匀。待矾枯为末。每用三分。
三生饮
生南星(一两) 生川乌(半两去皮) 生附子(半两去皮) 木香(二钱)
每用共一两。加人参一两。水煎。
地黄饮子
怀熟地 巴戟(去心) 山茱萸(去核) 肉苁蓉(酒净) 附子(制) 石菖蒲
五味子(杵) 茯苓 麦门冬(去心) 远志肉(去心甘草汤净) 石斛(盐水焙) 紫肉桂
各等分。每服五钱。入薄荷少许。姜枣水煎。
Whenever suffering from Cold Damage (Shanghan) or epidemic febrile diseases, regardless of whether the patient presents with Yin or Yang patterns, is an elderly person, a child, or a pregnant woman, if mistaken administration of drugs leads to critical illness nearing death, with deep and hidden pulse (Chen Fu) and unconsciousness, one may take Du Ming San (Life-Grabbing Powder), also known as Fu Mai Tang (Pulse-Recovering Decoction), after seven days have passed. This prescription is effective in nearly all cases without failure. It consists of Ren Shen (Ginseng Radix et Rhizoma) 1 liang, decocted in 2 zhong of water with strong fire until reduced to 1 zhong. After cooling it in well water, administer orally. Soon, sweat will appear on the nasal bridge, the pulse will recover immediately, and the condition will improve significantly, with the patient regaining consciousness. Su Taoguang, Vice Minister, stated that he used this formula to save dozens of people. It originates from Wang Kentang's *Bai Yi Xuan Fang*.
Regarding residual toxins from Cold Damage manifesting as swelling and hardness in front of, behind, and below the ears, use Jian Zhong Xiao Cao, Sheng Bai Ji (Bletilla Rhizoma), Sheng Bai Lian (Ampelopsis Rhizoma), Sheng Da Huang (Rhei Radix et Rhizoma), Sheng Da Ji Gen (Cirsii Japonici Radix), and Ye Zhu Ma Gen (Boehmeriae Caulis). Pound into a paste, add Mang Xiao (Natrii Sulfas) 1 qian, mix, and apply externally to the affected area, leaving the center open (Liu Tou). Change when dry. Adding Jin Xian Chong Lou (Paris Polyphylla Rhizoma) and Shan Ci Gu (Fritillaria Cirrhosa Bulbus) is particularly excellent. This method comes from *Shang Han Yun Yao*.
I have often wondered why most diseases are named after the pathogenic factors they contract, while "Zhong Feng" (Wind Stroke) is named after its symptoms, thus confusing later generations. Observe those suffering from Wind Stroke: they often collapse suddenly while walking, standing, sitting, or lying in a closed room. Some experience surging phlegm-saliva and loss of consciousness; some suffer flaccid paralysis of limbs, unable to support their body weight; some have hemiplegia; some present with deviation of the mouth and eye, and tendon pulling. At such times, there is no actual wind present, so how could it strike? Even if deficient evil or thief wind accidentally invades, it merely manifests as symptoms of the Six Channels (Liu Jing), affecting the skin and muscles. How could it lead to such severe unconsciousness? Then, what is the basis for naming it Wind Stroke? The human body is like a tree. The four limbs are like branches and trunks; the Seven Emotions and Five Wills are like violent winds and heavy rains; hunger, fullness, fatigue, and exertion are like daily erosion; worry and overthinking are like insect borings; excessive desires are like axe cuts. If a tree is eroded, cut, invaded, corroded, and chopped, it will fall even without violent wind. If a great wind uproots trees, can we blame the wind? Human Wind Stroke is no different. Liu Hejian said "extreme excess of the Five Wills," referring to the cause; Li Dongyuan said "disease of the original Qi," referring to the root; Zhu Danxi said "damp-heat generating phlegm," referring to the branch. However, the root lies in insufficiency of Kidney Yuan (Original Energy). If Kidney Yuan is not deficient, extreme emotions only show emotional disorders; insufficient Original Qi only shows deficiency syndromes; damp-heat phlegm only shows phlegm-heat syndromes. Only when the root is already deficient do the Five Wills, labor, and phlegm-heat take advantage, causing sudden collapse. At this moment, expelling phlegm makes it worse; descending Qi makes it more rebellious. Only in cases of locked jaw should Xi Xian San (Saliva-Thinning Powder) be temporarily used to open it, but this does not address the reality. Xue Lizhai used San Sheng Yin (Three Raw Decoction) with 1 liang of Ren Shen to drive out evil and tonify true Qi, acting like a general breaching gates. Liu Hejian created Di Huang Yin Zi (Rehmannia Decoction) to treat aphasia and leg weakness, specifically consolidating the root, which is like treating the disease at its source. Whenever I encounter this syndrome, upon careful investigation, it invariably stems from Heart-Kidney non-interaction. If Heart Fire fails to descend to the Kidney, use Gui Pi Tang (Restore the Spleen Decoction) to nourish Heart Spirit primarily, assisted by Ba Wei Wan (Eight-Ingredient Pill). If Kidney Water fails to ascend to the Heart, use Di Huang Yin Zi to tonify True Yin primarily, assisted by Du Shen Tang (Single Ginseng Decoction). Furthermore, patients must eliminate emotional disturbances and abstain from sexual activity. Mild cases can recover, severe cases can be prolonged, and with time, few fail to heal. Using wind-dispelling or phlegm-resolving drugs interferes with this, seeking the branch rather than the root; how can survival be expected?
Note: Wind Stroke is common in obese individuals, though rare in thin ones. Obese people often have Qi deficiency, leading to phlegm generation. If the root is unstable, like a tree with lush foliage but a hollow trunk, it falls easily. Treatment requires large doses of Ren Shen and Bai Zhu, assisted by phlegm-resolving herbs, followed by Kidney tonification. Thin people often have Blood deficiency, leading to internal heat. If worried excessively, like a tree with withered branches and leaves, nourishment is lost. Treatment requires cultivating True Yin, assisted by soothing depression, followed by Qi tonification. Since Spleen, Lung, Kidney, and Liver differ in Yin-Yang and Qi-Blood, treatments must be adjusted accordingly. Moreover, the Heart is the root of spiritual activity, and the Stomach is the source of grain Qi. If mental distress reduces appetite, blood vessels lack nourishment; if Stomach Qi is insufficient, the Five Zang organs lack support, failing to irrigate the body. Thus, the Heart and Stomach require attention. Alas, Wind Stroke mostly affects those consuming rich foods due to leisure, requiring consolidation of Kidney and Liver (Kidney stores essence, Liver ensures free flow); those eating coarse food due to sorrow require assisting Heart and Spleen (Heart governs worry, Spleen governs thought). These are the standards physicians must deeply understand. Otherwise, encountering this syndrome without investigating causes, lacking insight and skill, and blindly administering Niu Huang Wan (Calculus Bovis Pill) rarely saves lives. This should be a wake-up call.
Regarding the Five Terminal Signs of Wind Stroke: open mouth and closed eyes, relaxed hands with urinary incontinence, and snoring sounds indicate untreatable conditions; treatment is futile.
For facial deviation and paralysis, distinguishing left and right meridians, prioritize massive tonification of Qi and Blood, assisted by tendons-soothing and phlegm-expelling methods. Use ten parts tonification, never one part purgation.
For Wind Stroke flaccidity and inability to move, select pills like Ba Wei Wan or Shi Bu Huan Shao Dan, assisted by tonics like Bu Zhong Yi Qi Tang, Liu Jun Zi Tang, or Gui Pi Tang. Do not mistreat, lest you shorten lives.
Differentiate between Qi Strike, Cold Strike, Summerheat Strike, and Food Retention; treat separately. Do not mistakenly categorize them all as Wind Stroke.
Xi Xian San
Jiang Zi Ren (6 seeds, each halved) Ya Zao (3 qian, finely sliced) Ming Fan (1 liang)
Melt the alum first, add the other two ingredients, stir evenly. Wait until the alum dries and becomes powder. Take 3 fen per dose.
San Sheng Yin
Sheng Nan Xing (1 liang) Sheng Chuan Wu (0.5 liang, peeled) Sheng Fu Zi (0.5 liang, peeled) Mu Xiang (2 qian)
Take 1 liang of the above mixture, add Ren Shen 1 liang, decoct in water.
Di Huang Yin Zi
Huai Shu Di Ba Ji Tian (decentered) Shan Zhu Yu (pitted) Rou Cong Rong (wine-cleaned) Fu Zi (processed) Shi Chang Pu
Wu Wei Zi (crushed) Fu Ling Mai Men Dong (decentered) Yuan Zhi Rou (decentered, cleaned in Licorice decoction) Shi Hu (salt-water roasted) Zi Rou Gui
Equal parts. Take 5 qian per dose, add a little Bo He (Menthae Haplocalycis Herba), decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus).