陶氏 六十八岁 左肢拘挛，舌浓而蹇，不能言，上有白苔，滴水不能下咽，饮水则呛
，此中风挟痰之实症。前医误与补阴，故隧道俱塞，先与开肺。
生石膏（四两） 防己（五钱） 杏仁（四钱） 姜半夏（五钱） 茯苓块（五钱） 桑枝（五钱）
陈皮（三钱） 白通草（钱半）
服一帖而饮下咽，服七帖而舌肿消。服二十帖，诸病虽渐减，而无大效，左肢拘挛如故
，舌
虽消肿，而语言不清，脉兼结。余曰∶此络中痰堵塞，皆误补致壅之故，非针不可。于是延
郏七兄针之，舌上中泉穴一针，出紫黑血半茶碗，随后有物如蚯蚓，令伊芳子以手探出，即使
针孔中拉出胶痰一条，如匀粉，长七八寸，左手支沟穴一针，透左关手背三阳之络，用小针
十数针。以后用药日日见效。前方止减石膏之半，服至七十余帖，自行出堂上轿矣。
哈 六十六岁 中风湿，口歪，臂不举，腿肿，脉洪数，口渴，胃不开，与辛凉开水道
法。
桂枝（三钱） 防己（二钱） 飞滑石（一两） 通草（二钱） 半夏（五钱） 桑叶（五钱） 石
膏（四钱） 茯苓皮（一两） 晚蚕砂（三钱）
二帖而效，十四帖痊愈，后以补脾胃收全功。
中风，神呆不语，前能语时，自云头晕，左肢麻，口大歪，不食，六脉弦数，此痱中也
，与柔肝法。
生白芍（三钱） 麦冬（二钱） 生鳖甲（五钱） 左牡蛎（五钱） 炙甘草（三钱） 生地黄（
八钱）
一帖而神有清意，人与之言能点头也。又于前方加生阿胶三钱，丹皮四钱，三帖而半语
，七帖而愈，能食，十二三帖而如故。
李氏 七十二岁 伏暑挟痰饮，肝郁，又加中风，头痛，舌浓白苔，言蹇，畏寒，脉洪
数而弦，先与辛凉清上。
苦桔梗（三钱） 桑叶（三钱） 连翘（三钱） 蒺藜（二钱） 甘草（一钱） 茶菊花（三钱）
银花（三钱） 薄荷（钱半）
四帖而头痛畏寒止，舌渐消，苔不退。兹以通宣三焦，兼开肝郁。
茯苓（五钱，连皮） 杏仁泥（五钱） 半夏（四钱） 白蔻仁（二钱） 飞滑石（六钱） 香
附（二钱） 通草（一钱） 广郁金（二钱） 薏仁（五钱）
服二十余帖而大安，一切复元。
Patient Tao, aged sixty-eight. Spasticity and contracture of the left limbs, swollen tongue with dysarthria (speech impediment), inability to speak, thick white coating on the tongue, inability to swallow even a drop of water, choking when drinking. This is an excess syndrome of stroke complicated by phlegm. The previous physician mistakenly used yin-nourishing tonification, causing all the meridians and collaterals to be blocked; therefore, the initial treatment was to open the Lung Qi.
Sheng Shigao (Raw Gypsum Fibrosum, 4 liang) Fangji (Stephaniae Tetrandrae Radix, 5 qian) Xingren (Armeniacae Semen Amarum, 4 qian) Jiang Banxia (Pinelliae Rhizoma Preparatum cum Zingibere et Alumine, 5 qian) Fuling Kuai (Poria, 5 qian) Sangzhi (Mori Ramulus, 5 qian)
Chenpi (Citri Reticulatae Pericarpium, 3 qian) Bai Tongcao (Tetrapanacis Medulla, 1.5 qian)
After one dose, liquids could be swallowed; after seven doses, the tongue swelling subsided. After twenty doses, although symptoms gradually decreased, there was no significant effect; left limb spasticity remained unchanged. Although the tongue swelling subsided, speech remained unclear, and the pulse was intermittent (Jie). I stated: "This is blockage of phlegm in the collaterals, caused by mistaken tonification leading to stagnation. Acupuncture is indispensable." Thus, Brother Jia Qiwu was invited to perform acupuncture. One needle at Zhongquan (Ex-HN12) on the tongue discharged half a teacupful of dark purple-black blood. Subsequently, an earthworm-like object emerged, which his son extracted by hand, and a strip of gelatinous phlegm, resembling fine powder, was pulled out from the needle hole, measuring seven to eight cun in length. Another needle was inserted into Zhigou (SJ6) on the left hand, penetrating to the Yang-Wei collaterals on the dorsum of the left Guan area, using more than ten small needles. Thereafter, the herbal medicine showed daily efficacy. Only half the dosage of Raw Gypsum Fibrosum was reduced from the original formula. After taking over seventy doses, the patient walked out of the hall and rode away in a sedan chair independently.
Patient Ha, aged sixty-six. Suffered from wind-dampness strike, facial paralysis (deviation of mouth and eyes), inability to raise arms, leg edema, surging and rapid pulse, thirst, and closed Stomach Qi. Treated with acrid-cool methods to open the water passages.
Guizhi (Cinnamomi Ramulus, 3 qian) Fangji (Stephaniae Tetrandrae Radix, 2 qian) Fei Huashi (Talcum, 1 liang) Tongcao (Tetrapanacis Medulla, 2 qian) Banxia (Pinelliae Rhizoma, 5 qian) Sangye (Mori Folium, 5 qian) Shigao (Gypsum Fibrosum, 4 qian) Fuling Pi (Poria Cum Cortex, 1 liang) Wancansha (Bombyx Batryticatus, 3 qian)
Efficacy seen after two doses, cured after fourteen doses. Later, tonifying the Spleen and Stomach consolidated the recovery.
Stroke presenting with mental dullness and mutism. Previously, when able to speak, the patient reported dizziness, numbness of the left limbs, severe deviation of the mouth, and anorexia. The six pulses were wiry and rapid. This is Fei disease (Wind Fei/Ataxic Aphasia), treated with softening Liver methods.
Sheng Baishao (Paeoniae Radix Alba, 3 qian) Maidong (Ophiopogonis Radix, 2 qian) Sheng Biejia (Testudinis Carapax et Plastrum, 5 qian) Zuo Muli (Ostreae Concha, 5 qian) Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum cum Melle, 3 qian) Sheng Dihuang (Rehmanniae Radix Praeparata, 8 qian)
After one dose, mental clarity improved slightly, nodding in response to conversation. Three qian of Sheng Ejiao (Asini Corii Colla) and 4 qian of Danpi (Moutan Cortex) were added to the previous formula. After three doses, halting speech was achieved; after seven doses, cured, able to eat; after twelve to thirteen doses, fully recovered.
Patient Li, aged seventy-two. Summerheat lingering with phlegm-fluid retention, Liver Qi stagnation, complicated by stroke, headache, swollen tongue with white coating, dysarthria, aversion to cold, surging, rapid, and wiry pulse. Initially treated with acrid-cool methods to clear the Upper Jiao.
Ku Jiegeng (Platycodonis Radix, 3 qian) Sangye (Mori Folium, 3 qian) Lianqiao (Forsythiae Fructus, 3 qian) Jili (Tribuli Fructus, 2 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Chaju Hua (Chrysanthemi Indici Flos, 3 qian)
Yinhua (Lonicerae Japonicae Flos, 3 qian) Bohe (Menthae Haplocalycis Herba, 1.5 qian)
After four doses, headache and aversion to cold ceased, tongue swelling gradually subsided, but the coating remained. At this stage, the method shifted to unblocking and dispersing the Sanjiao (Triple Burner), combined with resolving Liver stagnation.
Fuling (Poria, 5 qian, with peel) Xingren Ni (Armeniacae Semen Amarum Paste, 5 qian) Banxia (Pinelliae Rhizoma, 4 qian) Baikou Ren (Amomi Fructus Rotundus, 2 qian) Fei Huashi (Talcum, 6 qian) Xiangfu (Cyperi Rhizoma, 2 qian) Tongcao (Tetrapanacis Medulla, 1 qian) Guang Yujin (Curcumae Radix, 2 qian) Yiren (Coicis Semen, 5 qian)
After taking more than twenty doses, great peace was achieved, and vitality fully restored.