《金匮》续命汤 治中风痱,身不收,口不能言,冒昧不知痛处,拘急不能转侧。
麻黄(去节,三钱) 桂枝 人参 当归(各一钱) 川芎(五分) 石膏(一钱)
杏仁(七个,去皮尖) 干姜 甘草(各三分)
上水二盏,枣一枚,煎一盏作二服。
《千金》大续命汤(无人参,有黄芩、荆沥。《元戎》方有竹沥。)
《局方》小续命汤 治中风不省人事,渐觉半身不遂,口眼歪斜,手足战掉,语言謇
涩,肢体麻痹,神情昏乱,头目眩晕,痰火并多,筋脉枸急,不能屈伸。骨节烦疼,不能
转侧。诸风服之皆验。香港脚缓弱,久服得瘥。久病风人,每过天色阴晦,节候变易,预宜
服之,以防喑哑。
防风 桂心 黄芩 杏仁(去皮尖,炒) 芍药 甘草 川芎 麻黄(去节) 人参(
各一钱四分) 防己(二钱) 附子(炮,七分)
上 咀作二帖,每帖水盏半,姜五片,枣一枚,煎八分服。精神恍惚加茯神、远
志。(《古今验录》无桂心,名续命汤。)骨节烦疼有热者,去附子倍芍药。心烦多惊加
犀角。骨节疼痛倍加官桂,附子。呕逆腹胀加半夏倍人参。燥烦大便涩,去附子倍芍药
入竹沥。脏寒下痢去防己、黄芩,倍附子加白术。自汗去麻黄、杏仁加白术。脚
膝弱加牛膝、石斛。身痛加秦艽。腰痛加桃仁、杜仲(姜汁炒)失音加杏仁。
按∶续命汤,治太阳外感风邪之药。外感挟寒者多,故桂枝等辈,《千金》等方所收此
类之药甚多。无分经络,不辨虚实寒热,所收虽多,亦奚以为?易老分六经,庶乎活法也。
易老六经加减法
麻黄续命汤 治中风无汗恶寒。本方中麻黄、杏仁、防风各加一倍。
桂枝续命汤 治中风有汗恶寒。本方中桂枝、芍药、杏仁各加一倍。
白虎续命汤 治中风身热无汗不恶寒。本方中加知母、石膏(各一钱四分,)去附子。
葛根续命汤 治中风身热有汗恶寒。本方中加葛根、官桂、黄芩,各加一倍。
附子续命汤 治中风无汗身凉。本方中加附子一倍,干姜、甘草(各一钱)
桂附续命汤 治中风有汗无热。本方中加桂附甘草各一倍。
羌活连翘续命汤 以上无形证或肢节挛痛不仁,本方中加羌活、连翘(各一钱半)
防风天麻散 治风麻痹,走注,肢节疼痛。中风偏枯,或暴喑不语。内外风热壅
滞,解昏眩。
防风 天麻 川芎 白芷 草乌 羌活 白附子 荆芥穗 当归 甘草(各半两)
滑石(一两)
上为末,酒化蜜少许,调半钱加至一钱,觉药力营运微麻为度。或炼蜜为丸,如弹子
大,热酒化下一丸或半丸。
疏风汤 治半身不遂,或肢体麻痹。
麻黄(三两,去节) 益智仁 杏仁(炒,去皮尖。各一两) 甘草(炙) 升麻(各
五钱)
上 咀,每服一两,水二盏煎至一盏,热服,脚蹬热水一壶,棉被重覆,大汗出为度。
解风散 治风成寒热,头目昏眩,肢体疼痛,手足麻痹,上膈壅滞。
人参(两) 麻黄(去节,二两) 川芎 独活 细辛 甘草(各一两)
上为粗末,每服五钱,水盏半,生姜五片,薄荷叶少终,煎八分,不拘时服。
羌活散 治风气不顺,头目昏眩,痰涎壅塞,遍身拘急,及风邪壅滞,头痛项强,鼻塞
声重,肢节烦痛。天阴风雨,预觉不安。
前胡 羌活 麻黄(去节) 白茯苓(去皮) 蔓荆子 细辛 枳壳(麸炒) 菊花
防风(各一钱) 川芎 黄芩 石膏 甘草(各五分)
上水二盏,生姜四片,薄荷叶三枝,煎一盏,去渣温服。
胃风汤 治虚风证,能食,手足麻木,牙关急搐,目内蠕 ,胃风面肿。
升麻 白芷(各一钱二分) 麻黄 葛根(各一钱) 当归 苍术 甘草(炙) 柴
胡羌活 本(各五分) 黄柏 草豆蔻 荆子(各五分)
上水二盏,姜三片,枣一枚,煎一盏,去渣服。
薏苡仁汤 治中风,手足流注疼痛,麻痹不仁,难以屈伸。
薏苡仁 当归 芍药 麻黄 官桂 苍术(米泔浸,锉炒) 甘草
上水二盏,生姜七片,煎八分,去滓温服,食前下。自汗减麻黄,有热减官桂。
(《局方》)排风汤 治风虚冷湿,邪气入脏,狂言妄语,精神错乱,及五脏风发等证。
防风 白术 当归(酒浸) 芍药 肉桂 杏仁 川芎 白藓皮 甘草(炙。各一钱)
麻黄(去节) 茯苓(去皮) 独活(各三钱)
上作二服,每服水二盏,姜三片,煎七分,去滓服。
(《宝鉴》)秦艽升麻汤 治风寒客于足阳明经。口眼 斜,恶风寒,四肢拘急,肺浮紧。
升麻 干葛 甘草 芍药 人参(各一钱) 秦艽 白芷 防风 桂枝(各三钱)
上水二盏,连须葱二根,煎八分,不拘时服。
(《宝鉴》)不换金丹 退风散热,治中风口 。
荆芥穗 僵蚕 天麻 甘草(炙。各一两) 羌活 川芎 白附子 乌头 蝎梢 藿香
叶(各半两) 薄荷叶(三两) 防风(一两)
上为末,炼蜜丸,弹子大。每服一丸,细嚼茶酒任下,涂 处亦可。
Jingui Xuming Tang (Golden Cabinet Decoction for Sustaining Life): Treats stroke fei (stroke resulting in limb paralysis and inability to speak), with symptoms of the body being uncontrollable, inability to speak, mental confusion without awareness of pain location, muscle spasms preventing turning over.
Ephedrae Herba (Mahuang, 麻黄) (remove joints, 3 qian) Cinnamon Twig (Guizhi, 桂枝) Ginseng Radix et Rhizoma (Renshen, 人参) Angelicae Sinensis Radix (Danggui, 当归) (each 1 qian) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) (0.5 qian) Gypsum Fibrosum (Shigao, 石膏) (1 qian)
Prunus Armeniaca Semen (Xingren, 杏仁) (7 seeds, remove skin and tips) Dried Ginger (Ganjiang, 干姜) Licorice Root (Gancao, 甘草) (each 0.3 qian)
Add two cups of water and one jujube, decoct until one cup remains, divide into two doses.
Qianjin Da Xuming Tang (Thousand Gold Great Decoction for Sustaining Life): Contains no Ginseng Radix et Rhizoma; contains Scutellariae Radix (Huangqin, 黄芩) and Jingli (荆沥). The Yuanrong formula contains Zhuli (竹沥).
Jufang Xiao Xuming Tang (Formulary of the Imperial Pharmacy Small Decoction for Sustaining Life): Treats stroke with loss of consciousness, gradually feeling hemiplegia, deviation of mouth and eyes, trembling of hands and feet, dysarthria, limb numbness, mental confusion, dizziness, excessive phlegm-fire, tendon spasm preventing flexion and extension, severe joint pain preventing turning over. It is effective for various wind disorders. For Hongjiao (lower limb weakness and atrophy), long-term use leads to recovery. For patients with chronic wind disease, it should be taken prophylactically during cloudy weather or seasonal changes to prevent aphonia.
Saposhnikoviae Radix (Fangfeng, 防风) Cinnamon Bark (Guixin, 桂心) Scutellariae Radix (Huangqin, 黄芩) Prunus Armeniaca Semen (Xingren, 杏仁) (remove skin and tips, stir-fry) Paeoniae Radix Alba (Shaoyao, 芍药) Licorice Root (Gancao, 甘草) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Ephedrae Herba (Mahuang, 麻黄) (remove joints) Ginseng Radix et Rhizoma (Renshen, 人参) (each 1.4 qian) Akebiae Caulis (Fangji, 防己) (2 qian) Prepared Aconite Lateralis Radix (Fuzi, 炮附子) (0.7 qian)
Cut into pieces for two packets. Each packet uses 1.5 cups of water, 5 slices of ginger, and one jujube. Decoct until 0.8 cup remains and take. Add Polyporus (Fushen, 茯神) and Polygala Radix (Yuanzhi, 远志) for mental vagueness. (The Gujin Yanlu has no Cinnamon Bark, named simply Xuming Tang.) For severe joint pain with heat, remove Prepared Aconite Lateralis Radix and double the dose of Paeoniae Radix Alba. For heart vexation and palpitations, add Rhinocerotis Cornu (Xijiao, 犀角). For joint pain, double the dose of Cassia Twig (Guigui, 官桂) and Prepared Aconite Lateralis Radix. For vomiting, abdominal distension, add Pinellia Tuber (Banxia, 半夏) and double the dose of Ginseng Radix et Rhizoma. For dryness, vexation, and constipation, remove Prepared Aconite Lateralis Radix, double the dose of Paeoniae Radix Alba, and add Bamboo Sap (Zhuli, 竹沥). For cold viscera and diarrhea, remove Akebiae Caulis and Scutellariae Radix, double the dose of Prepared Aconite Lateralis Radix, and add Atractylodis Macrocephalae Rhizoma (Baizhu, 白术). For spontaneous sweating, remove Ephedrae Herba and Prunus Armeniaca Semen, add Atractylodis Macrocephalae Rhizoma. For weak knees and ankles, add Achyranthis Bidentatae Radix (Niuxi, 牛膝) and Dendrobii Caulis (Shihu, 石斛). For body pain, add Gentianae Macrophyllae Radix (Qinjiao, 秦艽). For lower back pain, add Persicae Semen (Taoren, 桃仁) and Eucommiae Cortex (Duzhong, 杜仲) (stir-fried with ginger juice). For aphonia, add Prunus Armeniaca Semen.
Note: Xuming Tang treats wind pathogen invading the Taiyang channel from the exterior. Since exterior invasions often involve cold, herbs like Cinnamon Twig are abundant in formulas such as those in Qianjin. Collecting them without distinguishing meridians or differentiating deficiency/excess and cold/heat is of little use. Yi Lao (Li Dongyuan) categorized by the Six Channels, which represents a flexible approach.
Yi Lao's Six-Channel Modification Methods:
Mahuang Xuming Tang: Treats stroke with no sweat and aversion to cold. Double the dose of Ephedrae Herba, Prunus Armeniaca Semen, and Saposhnikoviae Radix in the base formula.
Guizhi Xuming Tang: Treats stroke with sweat and aversion to cold. Double the dose of Cinnamon Twig, Paeoniae Radix Alba, and Prunus Armeniaca Semen in the base formula.
Baihu Xuming Tang: Treats stroke with fever, no sweat, and no aversion to cold. Add Anemarrhenae Rhizoma (Zhimu, 知母) and Gypsum Fibrosum (Shigao, 石膏) (each 1.4 qian), remove Prepared Aconite Lateralis Radix.
Gegen Xuming Tang: Treats stroke with fever, sweat, and aversion to cold. Add Puerariae Lobatae Radix (Gegen, 葛根), Cassia Twig (Guigui, 官桂), and Scutellariae Radix (Huangqin, 黄芩), doubling their doses in the base formula.
Fuzi Xuming Tang: Treats stroke with no sweat and cool body. Double the dose of Prepared Aconite Lateralis Radix in the base formula, add Dried Ginger (Ganjiang, 干姜) and Licorice Root (Gancao, 甘草) (each 1 qian).
Guifu Xuming Tang: Treats stroke with sweat and no fever. Double the dose of Cinnamon Twig, Prepared Aconite Lateralis Radix, and Licorice Root in the base formula.
Qianghuo Lianqiao Xuming Tang: Indicated for formless wind syndromes or limb/joint spasms and numbness. Add Notopterygii Rhizoma et Radix (Qianghuo, 羌活) and Forsythiae Fructus (Lianqiao, 连翘) (each 1.5 qian) to the base formula.
Fangfeng Tianma San: Treats wind-induced numbness, migratory pain, and joint pain. Hemiplegia from stroke, or sudden aphonia. Resolves internal and external wind-heat stagnation and dizziness.
Saposhnikoviae Radix (Fangfeng, 防风) Gastrodia Rhizoma (Tianma, 天麻) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Angelicae Dahuricae Radix (Baizhi, 白芷) Aconitum Kusnezoffii Root (Caowu, 草乌) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) Typhonii Rhizoma (Baifuzi, 白附子) Schizonepetae Spica (Jingjisui, 荆芥穗) Angelicae Sinensis Radix (Danggui, 当归) Licorice Root (Gancao, 甘草) (each 0.5 liang)
Talcum (Huashi, 滑石) (1 liang)
Grind into powder. Mix with a small amount of honey dissolved in wine. Take 0.5 qian to 1 qian. Stop when a slight numbing sensation indicates the medicine is circulating. Alternatively, make pills with refined honey, size of a bullet. Dissolve one or half a pill in hot wine.
Shufeng Tang: Treats hemiplegia or limb numbness.
Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove joints) Alpinia Oxyphylla Fruit (Yizhiren, 益智仁) Prunus Armeniaca Semen (Xingren, 杏仁) (stir-fried, remove skin and tips. Each 1 liang) Licorice Root (Gancao, 甘草) (honey-fried) Cimicifugae Rhizoma (Shengma, 升麻) (each 0.5 liang)
Cut into pieces. Take 1 liang per dose. Add 2 cups of water, decoct to 1 cup. Take hot. Place feet in a pot of hot water, cover heavily with cotton quilts. Stop when profuse sweating occurs.
Jiefeng San: Treats wind-induced chills and fever, dizziness, limb pain, hand/foot numbness, and upper diaphragm stagnation.
Ginseng Radix et Rhizoma (Renshen, 人参) (1 liang) Ephedrae Herba (Mahuang, 麻黄) (remove joints, 2 liang) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Angelicae Pubescentis Radix (Duohuo, 独活) Asari Radix et Rhizoma (Xixin, 细辛) Licorice Root (Gancao, 甘草) (each 1 liang)
Grind into coarse powder. Take 5 qian per dose. Add 1.5 cups of water, 5 slices of ginger, and a few leaves of Mentha Haplocalyx (Boheye, 薄荷叶). Decoct to 0.8 cup. Take anytime.
Qianghuo San: Treats disharmonious wind qi, dizziness, phlegm-saliva obstruction, whole-body stiffness, wind pathogen stagnation causing headache and neck stiffness, nasal congestion and heavy voice, joint pain. Anticipated discomfort during cloudy/rainy weather.
Peucedani Radix (Qianhu, 前胡) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) Ephedrae Herba (Mahuang, 麻黄) (remove joints) Poria (Baifuling, 白茯苓) (remove skin) Vitex Fructus (Manjingzi, 蔓荆子) Asari Radix et Rhizoma (Xixin, 细辛) Aurantii Fructus Immaturus (Zhike, 枳壳) (bran-fried) Chrysanthemi Flos (Juhua, 菊花) Saposhnikoviae Radix (Fangfeng, 防风) (each 1 qian) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Scutellariae Radix (Huangqin, 黄芩) Gypsum Fibrosum (Shigao, 石膏) Licorice Root (Gancao, 甘草) (each 0.5 qian)
Add 2 cups of water, 4 slices of ginger, 3 sprigs of Mentha Haplocalyx. Decoct to 1 cup. Strain and take warm.
Weifeng Tang: Treats deficiency wind syndrome, ability to eat, hand/foot numbness, jaw clenching and twitching, eye movement, facial swelling due to stomach wind.
Cimicifugae Rhizoma (Shengma, 升麻) Angelicae Dahuricae Radix (Baizhi, 白芷) (each 1.2 qian) Ephedrae Herba (Mahuang, 麻黄) Puerariae Lobatae Radix (Gegen, 葛根) (each 1 qian) Angelicae Sinensis Radix (Danggui, 当归) Atractylodis Rhizoma (Cangzhu, 苍术) Licorice Root (Gancao, 甘草) (honey-fried) Bupleuri Radix (Chaihu, 柴胡) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) Ligusticum Wallichii Rhizoma (Ben, 本) (each 0.5 qian) Phellodendri Cortex (Huangbai, 黄柏) Cardamomi Fructus (Caodoukou, 草豆蔻) Vitex Fructus (Jingzi, 荆子) (each 0.5 qian)
Add 2 cups of water, 3 slices of ginger, 1 jujube. Decoct to 1 cup. Strain and take.
Yiyiren Tang: Treats stroke, flowing pain in hands/feet, numbness, difficulty in flexion and extension.
Coicis Semen (Yiyiren, 薏苡仁) Angelicae Sinensis Radix (Danggui, 当归) Paeoniae Radix Alba (Shaoyao, 芍药) Ephedrae Herba (Mahuang, 麻黄) Cassia Twig (Guigui, 官桂) Atractylodis Rhizoma (Cangzhu, 苍术) (soaked in rice wash water, cut and stir-fried) Licorice Root (Gancao, 甘草)
Add 2 cups of water, 7 slices of ginger. Decoct to 0.8 cup. Strain and take warm before meals. Reduce Ephedrae Herba for spontaneous sweating; reduce Cassia Twig for heat.
(Jufang) Paifeng Tang: Treats wind-deficiency cold-dampness, pathogenic qi entering the zang organs, delirious speech, mental confusion, and five-viscera wind outbreaks.
Saposhnikoviae Radix (Fangfeng, 防风) Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) Angelicae Sinensis Radix (Danggui, 当归) (wine-soaked) Paeoniae Radix Alba (Shaoyao, 芍药) Cinnamon Bark (Rougui, 肉桂) Prunus Armeniaca Semen (Xingren, 杏仁) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Dictamni Cortex (Baixianpi, 白藓皮) Licorice Root (Gancao, 甘草) (honey-fried. Each 1 qian) Ephedrae Herba (Mahuang, 麻黄) (remove joints) Poria (Fuling, 茯苓) (remove skin) Angelicae Pubescentis Radix (Duohuo, 独活) (each 3 qian)
Divide into two doses. Each dose uses 2 cups of water, 3 slices of ginger. Decoct to 0.7 cup. Strain and take.
(Baojian) Qinjiao Shengma Tang: Treats wind-cold lodging in the Foot Yangming channel. Deviation of mouth and eyes, aversion to wind and cold, limb stiffness, floating-tight lung pulse.
Cimicifugae Rhizoma (Shengma, 升麻) Puerariae Lobatae Radix (Gegen, 干葛) Licorice Root (Gancao, 甘草) Paeoniae Radix Alba (Shaoyao, 芍药) Ginseng Radix et Rhizoma (Renshen, 人参) (each 1 qian) Gentianae Macrophyllae Radix (Qinjiao, 秦艽) Angelicae Dahuricae Radix (Baizhi, 白芷) Saposhnikoviae Radix (Fangfeng, 防风) Cinnamon Twig (Guizhi, 桂枝) (each 3 qian)
Add 2 cups of water, 2 green onions with roots. Decoct to 0.8 cup. Take anytime.
(Baojian) Buhuan Jin Dan: Dispels wind and clears heat, treats stroke with deviation of mouth and eyes.
Schizonepetae Spica (Jingjisui, 荆芥穗) Bombyx Batryticatus (Jiangcan, 僵蚕) Gastrodia Rhizoma (Tianma, 天麻) Licorice Root (Gancao, 甘草) (honey-fried. Each 1 liang) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Typhonii Rhizoma (Baifuzi, 白附子) Aconiti Radix (Wutou, 乌头) Scorpio (Xieshao, 蝎梢) Agastache Folium (Huoxiangye, 藿香叶) (each 0.5 liang) Mentha Haplocalyx (Boheye, 薄荷叶) (3 liang) Saposhnikoviae Radix (Fangfeng, 防风) (1 liang)
Grind into powder. Make pills with refined honey, size of a bullet. Take one pill per dose, chew thoroughly, swallow with tea or wine. Can also be applied topically.