《宣明》防风通圣散 治诸风潮搐，手足螈 ，小儿急惊风，大便结，邪热暴甚，肌
肉蠕动，一切风证。
防风 川芎 当归 芍药 大黄 芒硝 连翘 薄荷 麻黄 山栀子 石膏 桔梗 黄
芩白术 荆芥 甘草 滑石（各五分）
上水二盏，姜三片，煎至八分服。涎嗽加半夏、生姜制。闭结加大黄二钱。破伤风加
羌活、全蝎各五分。腰胁痛倍加芒硝、当归各一钱。
祛风至宝膏 治诸风热。
防风（二两半） 白术（一两半） 芍药（二两半） 芒硝（五钱） 石膏（一两）
滑石（三两） 当归（二两半） 黄芩（一两） 甘草（二两） 大黄（五钱）
连翘（五钱） 川芎（二两半） 麻黄（五钱，不去节） 天麻（一两） 荆芥（五钱）
山栀子（五钱） 熟地黄（一两） 黄柏（五钱） 桔梗（一两） 薄荷（五钱） 羌活（
一两） 人参（一两） 全蝎（五钱） 细辛（五钱） 黄连（五钱） 独活（一两）
上为细末，炼蜜丸，弹子大。每服一丸，细嚼，茶酒任下，临卧服。
瓜蒂散
瓜蒂（一两）
锉如麻豆大，炒令黄色，为细末，每服，量实虚、新久，一钱、二钱、三钱。茶末
加半，酸齑汁一盏调下。风癫痫证，犹宜用此吐痰。如吐不止者，用真麝香少许，温水
服之。一方名独圣散，治诸风痰壅，膈食，诸痫胀满，满溢杂病。若吐，看天气晴明，
如病急者不拘，亦必在辰、巳、午之先。《内经》曰∶平旦至日中，天之阳也。论四时之
气，大法宜吐。是天气在上，人气亦在上。一日之气亦然，要病患隔夜不食。服药不
吐，再投热齑汤。如吐，风痫加全蝎末半钱，微炒。如有虫者加雄黄末一钱，甚者加芫花
末半钱，立吐出虫。如湿肿满者，加赤小豆末一钱。此故不可轻用。虚者，则用栀子豆豉
汤，满加浓朴。不可一概施治。吐罢宜用降火利气清神之剂，吐法调治见痰饮门。
稀涎散 治风涎不下，喉中作声，状如牵锯，或湿肿满。
半夏（大者，十四枚） 猪牙皂角（一个，炙）
上咀，作一服，水二盏，入生姜自然汁少许服，不能咽者，徐徐灌之。
救急稀涎散 治中风涎潮，膈塞，气闭不通。
明矾 猪牙皂角（肥实不蛀者，炙，去皮弦。各一两）
上为末，每服一、二钱，不拘时，白汤调服，即吐。
皂角散
萝卜子 猪牙皂角（等分）
上为细末，每服二、三钱，水煎热服，半盏即吐。
虾汁汤
虾半斤，入医葱姜等料物，水煮，先吃虾，次吃汁，后以鹅瓴探引吐痰。用虾者，盖引其风出耳。
搐鼻通天散 治卒暗中风倒地，牙关紧急，人事昏沉。
川芎 细辛 藜芦 白芷 防风 薄荷（各一钱） 猪牙皂角（刮去皮弦，三个）
上为细末，用芦筒纳药，每用少许，吹入鼻中。
（《圣惠》）搐鼻法 治中风卒暴，昏塞不省，牙关紧急，药不得下咽者。
细辛（去土） 猪牙皂角（等分）
上为细末，每以纸捻蘸药入鼻，或用竹管轻轻吹入，得嚏，然后进药，或以苏合香丸擦开牙关，连进以生
姜自然汁，方得通达。
治卒中法
天南星（圆白者湿纸里煨） 南木香 苍术 细辛 甘草（生用） 石菖蒲（细切。各一钱） 白羊眼 半夏（用
百沸汤泡少顷。各一钱）
上件锉散，分作二服，水一盏半，生姜七浓片，煎取其半，乘热调苏合香丸半丸灌下。痰盛者，加全蝎二枚炙。
治一切卒中，不论中风、中寒、中暑、中湿、中气及痰厥、饮厥之类，初作皆可用此，先以皂角去皮弦，细辛、生南星、半夏为末，揭以管子吹入鼻中，俟其喷嚏即进前药。牙噤者，中指点南星、半夏、细辛末并乌梅肉，频擦自开。
起死歌 治一切中风、中气、痰，卒暴死证。
暴死南星半夏菖，木香苍术细辛甘。
姜煎一剂调苏合，全蝎加时可散痰。
先用半星辛角末，鼻中吹入嚏声还。
即将前药频频灌，口噤乌梅肉最良。
将来共捣辛星末，中指揩牙口自张。
记取此歌能济世，何妨死去不回阳。
苏合香丸（方见气门。）
Fangfeng Tongsheng San (Saposhnikovia and Gardenia Decoction) from *Xuanming Lun* is used to treat various wind-induced convulsions, twitching of the limbs, acute infantile convulsive disease (Ji Jing Feng), constipation, sudden exacerbation of pathogenic heat, muscle tremors, and all types of wind syndromes.
Ingredients: Fangfeng (Radix Saposhnikoviae), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba), Dahuang (Radix et Rhizoma Rhei), Mangxiao (Natrii Sulfas), Lianqiao (Fructus Forsythiae), Bohe (Herba Menthae), Mahuang (Herba Ephedrae), Shanzhizi (Fructus Gardeniae), Shigao (Gypsum Fibrosum), Jiegeng (Radix Platycodonis), Huangqin (Radix Scutellariae), Baizhu (Rhizoma Atractylodis Macrocephalae), Jingjie (Herba Schizonepetae), Gancao (Radix Glycyrrhizae). Each ingredient is 5 fen.
Take two cups of water and three slices of fresh ginger, decoct until reduced to eight-tenths volume, then take orally. For phlegm-rheum cough, add Banxia (Rhizoma Pinelliae) and prepared Shengjiang (Rhizoma Zingiberis). For severe constipation, add Dahuang (Radix et Rhizoma Rhei) 2 qian. For traumatic wind (Po Shang Feng), add Qianghuo (Radix Notopterygii) and Quanxie (Scorpio) each 5 fen. For pain in the waist and hypochondrium, double the dosage of Mangxiao (Natrii Sulfas) and Danggui (Radix Angelicae Sinensis) to 1 qian each.
Qufeng Zhibao Gao (Wind-Dispersing Precious Ointment/Pill) is used to treat various wind-heat syndromes.
Ingredients: Fangfeng (Radix Saposhnikoviae) 2 liang 5 qian, Baizhu (Rhizoma Atractylodis Macrocephalae) 1 liang 5 qian, Shaoyao (Radix Paeoniae Alba) 2 liang 5 qian, Mangxiao (Natrii Sulfas) 5 qian, Shigao (Gypsum Fibrosum) 1 liang, Huashi (Talcum) 3 liang, Danggui (Radix Angelicae Sinensis) 2 liang 5 qian, Huangqin (Radix Scutellariae) 1 liang, Gancao (Radix Glycyrrhizae) 2 liang, Dahuang (Radix et Rhizoma Rhei) 5 qian, Lianqiao (Fructus Forsythiae) 5 qian, Chuanxiong (Rhizoma Chuanxiong) 2 liang 5 qian, Mahuang (Herba Ephedrae) 5 qian (without removing joints), Tianma (Rhizoma Gastrodiae) 1 liang, Jingjie (Herba Schizonepetae) 5 qian, Shanzhizi (Fructus Gardeniae) 5 qian, Shudihuang (Radix Rehmanniae Praeparata) 1 liang, Huangbai (Cortex Phellodendri) 5 qian, Jiegeng (Radix Platycodonis) 1 liang, Bohe (Herba Menthae) 5 qian, Qianghuo (Radix Notopterygii) 1 liang, Renshen (Radix Ginseng) 1 liang, Quanxie (Scorpio) 5 qian, Xixin (Herba Asari) 5 qian, Huanglian (Rhizoma Coptidis) 5 qian, Duohuo (Radix Angelicae Pubescentis) 1 liang.
Grind the above ingredients into a fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with tea or wine as preferred, preferably before bedtime.
Gua Di San (Melon Peduncle Powder)
Ingredient: Gua Di (Fructus Cucumeris) 1 liang.
Crush to the size of hemp seeds, stir-fry until yellow, and grind into a fine powder. The dosage depends on the patient's deficiency/excess and the chronicity of the disease: 1 qian, 2 qian, or 3 qian. Add half a portion of tea powder, and administer mixed with one cup of sour pickle juice. For wind-phlegm epilepsy syndromes, this emetic is suitable for expelling phlegm. If vomiting persists, administer a small amount of real Moschus (Shexiang) to stop it. Another formula named Dusheng San is used to treat various wind-phlegm obstruction, dysphagia, abdominal distension in various epilepsies, and other fullness-related miscellaneous diseases. If inducing vomiting, choose a clear and sunny day; unless the condition is urgent, it must be done before Chen (07:00-09:00), Si (09:00-11:00), and Wu (11:00-13:00) hours. The *Neijing* states: "From dawn to noon is the Yang of heaven." Discussing the Qi of the four seasons, the general principle favors emesis. This is because Heaven's Qi is above, and Human Qi is also above. The same applies to the Qi of a single day; the patient should fast overnight. If the medicine does not induce vomiting after administration, give hot pickle soup again. If vomiting has occurred, add Quanxie (Scorpio) powder 0.5 qian (lightly stir-fried) for wind-epilepsy. If parasites are present, add Xionghuang (Realgar) powder 1 qian; for severe cases, add Yuanhua (Flos Genkwa) powder 0.5 qian to immediately expel worms. For dampness-induced edema and fullness, add Xiaochidou (Semini Phaseoli Angularis) powder 1 qian. This method should not be used lightly. For deficient patients, use Zhizi Dou Chi Tang (Gardenia and Fermented Soybean Decoction); for fullness, add Houpo (Cortex Magnoliae Officinalis). Treatment cannot be applied uniformly. After vomiting, agents that descend fire, promote Qi flow, and clarify the spirit should be used. Details on emetic therapy can be found in the Rheum-Fluids section.
Xi Yan San (Thin Saliva Powder) is used to treat wind-phlegm retention, sounds in the throat resembling sawing, or dampness-induced edema and fullness.
Ingredients: Banxia (Rhizoma Pinelliae) (large ones, 14 pieces), Zhuya Zaojiao (Fructus Gleditsiae Sinensis) (one piece, roasted).
Chop the ingredients, prepare as one dose, add two cups of water and a little fresh ginger juice, and take orally. If unable to swallow, drip slowly into the mouth.
Jiuji Xi Yan San (Emergency Thin Saliva Powder) is used to treat stroke with surging phlegm-rheum, chest diaphragm blockage, and closed Qi obstruction.
Ingredients: Mingfan (Alumen), Zhuya Zaojiao (Fructus Gleditsiae Sinensis) (plump and uninfested, roasted, skin and strings removed. Each 1 liang).
Grind into powder. Take 1-2 qian per dose at any time, mixed with warm water, which will induce vomiting.
Zaojiao San (Gleditsia Powder)
Ingredients: Luobozhi (Semini Brassicae Radish), Zhuya Zaojiao (Fructus Gleditsiae Sinensis) (equal parts).
Grind into a fine powder. Take 2-3 qian per dose, decoct in water, drink hot, and vomiting will occur after half a cup.
Xia Zhi Tang (Shrimp Juice Decoction)
Take half a jin of shrimp, add medicinal green onion, ginger, and other seasonings, boil in water. Eat the shrimp first, then drink the broth. Subsequently, use an goose gizzard probe to induce vomiting of phlegm. Shrimp is used to guide the expulsion of wind.
Chu Bi Tongtian San (Nasal Insufflation Sky-Penetrating Powder) is used for sudden fainting due to stroke, rigid jaw, and unconsciousness.
Ingredients: Chuanxiong (Rhizoma Chuanxiong), Xixin (Herba Asari), Lilu (Rhizoma Veratri), Baizhi (Radix Angelicae Dahuricae), Fangfeng (Radix Saposhnikoviae), Bohe (Herba Menthae) (each 1 qian), Zhuya Zaojiao (Fructus Gleditsiae Sinensis) (skin and strings scraped off, 3 pieces).
Grind into a fine powder. Use a reed tube to load the medicine, take a small amount, and insufflate into the nose.
(Nasal Insufflation Method from *Shenghui Fang*) is used for sudden stroke, coma, rigid jaw, and inability to swallow medicine.
Ingredients: Xixin (Herba Asari) (cleaned of soil), Zhuya Zaojiao (Fructus Gleditsiae Sinensis) (equal parts).
Grind into a fine powder. Dip a paper twist in the medicine and insert into the nose, or gently blow into the nose using a bamboo tube. Once sneezing occurs, proceed with oral medication. Alternatively, rub Suhexiang Wan (Styrax Pill) to open the jaw, then continuously administer fresh ginger juice to restore patency.
Treatment for Stroke
Ingredients: Tiannanxing (Rhizoma Arisaematis) (round and white, roasted wrapped in wet paper), Nanmuxiang (Lignum Aquilariae Resinatum), Cangzhu (Rhizoma Atractylodis Lanceae), Xixin (Herba Asari), Gancao (Radix Glycyrrhizae) (raw), Shichangpu (Rhizoma Acori Tatarinowii) (finely cut. Each 1 qian), Baiyangyan (Goat Eye Bulb - likely a specific local herb name, possibly referring to a bulbous root), Banxia (Rhizoma Pinelliae) (soaked briefly in boiling water. Each 1 qian).
Chop the above ingredients into a coarse powder, divide into two doses. Add one and a half cups of water and seven thick slices of fresh ginger, decoct until half remains. While hot, mix with half a pill of Suhexiang Wan (Styrax Pill) and administer. For excessive phlegm, add two roasted Quanxie (Scorpio).
For all types of sudden stroke, regardless of wind-stroke, cold-stroke, summerheat-stroke, dampness-stroke, Qi-stagnation stroke, or phlegm/dampness syncope, this method can be used initially. First, remove the skin and strings from Zaojiao (Gleditsia), and mix with Xixin (Herba Asari), raw Tiannanxing (Rhizoma Arisaematis), and Banxia (Rhizoma Pinelliae) into a powder. Insufflate into the nose using a tube. Wait for sneezing, then administer the aforementioned medicine. For rigid jaw, use the middle finger to rub a mixture of Tiannanxing (Rhizoma Arisaematis), Banxia (Rhizoma Pinelliae), Xixin (Herba Asari) powders and Wumei (Fructus Mume) flesh frequently until the jaw opens.
"Qi Si Ge" (Song of Reviving the Dead) is used to treat all wind-stroke, Qi-stagnation, and phlegm conditions leading to sudden death.
"Sudden death: Tiannanxing, Banxia, Shichangpu,
Muxiang, Cangzhu, Xixin, Gancao.
Decoct in ginger, mix with Suhexiang,
Add Quanxie to disperse phlegm.
First, use half-part Tiannanxing, Xixin, and Zaojiao powder,
Insufflate into nose until sneezing returns.
Then frequently administer the previous medicine,
For rigid jaw, Wumei flesh is best.
Grind them together with Xixin and Tiannanxing powder,
Rub teeth with middle finger, mouth opens naturally.
Remember this song to save the world,
Why fear death if Yang can be restored?"
Suhexiang Wan (Styrax Pill) (Formula see Qi Gate section.)