论曰中风身体不遂者。以机关纵缓。筋脉不收。故四肢皆不用也。此由腠理开疏。风邪
伤脾胃之经。脾胃既虚。不能传化气泽。故四肢无所禀养。此内经所谓脾病四肢不用也。
治中风身体不遂。不能言语。精神恍惚。附子汤方
附子（炮裂去皮脐一枚重半两者） 桂（去粗皮半两） 葛根（锉一两半） 犀角（镑）
地骨皮 白术 独活（去芦头） 芎 （各一两） 石膏（碎三两）
上九味。锉如麻豆。每服五钱匕。水二盏。入生姜五片。煎至一盏。去滓温服。空心并
二服。夜一服。或夜并二服。空心一服。服讫以热姜粥投。衣复微汗出。慎外风。不欲汗即
不必食粥。
治中风手足不遂。犀角汤方
犀角（镑半两） 防风（去叉锉三分） 枳壳（去瓤麸炒） 独活（去芦头） 桂（去
粗皮各半
焙各三分） 黑豆（炒熟
上一十四味。粗捣筛。每服六钱匕。水二盏。入生姜五片。煎至一盏。去滓温服。上焦
虚烦肝心风热。加竹沥半协议煎。食后临卧各一服。
治中风手臂不遂。口面偏斜。附子散方
附子（炮裂去皮脐） 桂（去粗皮各二两半） 细辛（去苗叶一两半） 干姜（炮） 防
风（去
上六味。捣罗为散。每用温酒调服一钱至二钱匕。空心午时各一服。
治中风手足不遂。口面 僻。乌鸡散方
乌雌鸡肉（炙干二两半） 桂（去粗皮一两三分） 细辛（去苗叶三两） 防风（去叉
锉二两半） 干姜（炮二两半）
上五味。捣罗为散。每服半钱加至一钱匕。食后良久温酒调下。日二夜一。未觉效。稍
增至一钱半匕。以效为度。
治中风手足不遂。或拘挛屈伸不得。口眼 斜。偏风疼痛。或 痹沉重。病在筋骨。生
地黄煎方
生地黄（五斤捣研绞取汁令尽） 黑豆（一升以水三升煎至一升绞去豆） 大甜石榴（三
颗
芋（各二
上七味。先 咀四味。如大麻粒。于银石锅中。先煎地黄汁三二十沸。次下石榴黑豆汁
。又煎三二十沸。即下 咀四味。勿停手搅。慢火煎至浓。用生帛绞去滓。次下好酥二两。
再煎匀。搅如稠膏。即收于不津器中。每日空腹以无灰酒一盏调煎半匙头。搅和服之。如疾
甚者
治中风手足不遂。羚羊角煎方
羚羊角（镑） 荆芥穗 羌活（去芦头） 熟干地黄（焙各一两） 防风（去叉锉二两）
黑豆（二盏小者和防风炒熟勿令焦） 酒（五升乘防风黑豆热淋之）
上七味。先以四味 咀如麻豆。每服五钱匕。用前豆淋酒一盏半。同煎至八分。去滓重
煎如膏。每空心温酒调服。日三夜一不拘时。
治中风手足不遂。蒴 煎方
生蒴 根汁 生地黄汁（各一升） 附子（炮裂去皮脐别捣密绢细罗为末一两） 酥（四
两） 生姜汁（二合） 蜜（四两）
上六味。先取蒴 、地黄汁并附子末。同煎炼成稀膏。后入酥蜜姜汁。更煎令稠。入瓷
器中。每日空腹及夜卧。温酒调半匙服。
治中风手足不遂。身体疼痛。肩背拘急。海桐皮丸方
海桐皮（二两细锉） 石斛（去根三分） 羌活（去芦头半两） 赤箭（一两半） 牛
膝（酒浸
荆子（各半两） 丹砂（
上一十二味。为细末。以天南星末二两半。同好酒煮为膏。和丸如梧桐子大。每服十五
丸。茶酒任下。
治中风手足不遂。肢体疼痛。天麻丸方
天麻 地榆（各一两） 乌头（炮裂去皮脐二两） 玄参（一两） 胡蜂蛹子（三十枚
焙干）
上五味。捣罗为末。炼蜜和丸。如梧桐子大。每服三丸至五丸。食前薄荷酒嚼下。
治中风手足不遂。涎涕胶粘。青龙丸方
附子（炮裂去皮脐） 芎 白术（米泔浸三日每日换泔取出焙干） 独活（去芦头） 蒲
黄（用
砂（研）
入药内）
上一十二味。研杵为细末。别用水银三两。以蒸枣五十枚去皮核同研。水银星尽为度。
次入诸药。更入少许熟蜜。和丸如鸡头大。每服半丸或一丸。临卧以熟水化下。其患甚者。
每夜研二丸。如小儿惊涎。每丸分作三服。用薄荷汤化下。
治中风手足不遂。筋骨疼痛。行步艰难。腰膝沉重。天麻丸方
天麻（二两） 地榆（一两） 没药（三分研） 玄参 乌头（炮裂去皮脐各一两） 麝
香（一分研）
上六味。除麝香没药细研外。同捣罗为末。与研药拌匀。炼蜜和丸。如梧桐子大。每服
二十丸。温酒下。空心晚食前服。
治中风手足不遂。肢体 麻。骨节疼痛。赤箭丸方
赤箭 独活（去芦头各一两） 麻黄（去节半两） 乌头（炮裂去皮脐二两） 芎 （三
分）
上七味。捣罗为末。炼蜜和丸。如梧桐子大。每服三十丸。薄荷酒下。不拘时。
治中风手足不遂。挛缩屈伸艰难。夜合枝酝酒方
夜合枝 桑枝 槐枝 柏枝 石榴枝（各生用锉五两） 羌活（去芦头别捣二两） 黑
豆（用紧小者生用五升） 糯米（五升） 细曲（七斤半） 防风（去叉别捣五两）
上一十味。先以水五斗。将五枝同煎。取二斗五升。去滓浸米黑豆两宿。蒸熟入曲。与
防风羌活二味拌和造酒。根据常法酝封三七日。压去糟滓。取清酒三合至五合。时饮之。常令
有酒气。无令过醉。恐至吐。即悖乱正气。
治中风手足不遂。神识冒昧。补心定气。白术酝酒方
白术（生用切） 地骨皮 荆实（生用各五升） 菊花（未开者生用三升）
上四味。粗捣筛。以水三石同煮取一石五斗。去滓澄清取汁酿黍米二石。用曲如常酝法
。酒
醉。
治中风手足不遂。黑豆浸酒方
黑豆（一升拣紧小者净淘）
上一味。用酒五升。同入瓶中密封。用灰火煨。常令热。约至酒减半。即去豆取酒。每
服空心及临卧时。各饮二合至三合。
Discussion: The condition of hemiplegia (body paralysis) caused by wind-stroke is due to the laxity and relaxation of joints, and the loss of constraint in tendons and vessels, resulting in the inability to use all four limbs. This occurs because the interstices (skin pores) are open and loose, allowing wind pathogens to invade the meridians of the Spleen and Stomach. Since the Spleen and Stomach are deficient, they cannot transport and transform Qi and fluids to nourish the body; thus, the four limbs receive no nourishment. This corresponds to what the *Neijing* states: "Spleen disease leads to the inability to use the four limbs."
**Fuzi Tang Decoction** for treating wind-stroke causing body paralysis, inability to speak, and mental confusion:
* Fuzi Radix Lateralis Preparata (Pao Lie Qu Pi Qi), 1 piece weighing half a liang;
* Guizhi Ramulus Cinnamomi (Qu Cu Pi), half a liang;
* Gegen Radix Puerariae (Cuo), one and a half liang;
* Xijiao Cornu Rhinocerotis (Bang);
* Digupi Cortex Lycii;
* Baizhuus Rhizoma Atractylodis Macrocephalae;
* Duhuo Radix Angelicae Pubescentis (Qu Lu Tou);
* Chuanxiong Rhizoma Chuanxiong, each one liang;
* Shigypsum Fibrosum (Sui), three liang.
Crush the above nine ingredients into pieces resembling hemp seeds. For each dose, take five qianbi (a small measuring spoon), add two zhan of water and five slices of fresh ginger. Decoct until one zhan remains, strain, and take warm. Take twice on an empty stomach and once at night, or twice at night and once on an empty stomach. After taking the medicine, drink hot ginger porridge to induce slight sweating. Avoid exposure to external wind. If sweating is not desired, there is no need to drink porridge.
**Xijiao Tang Decoction** for treating wind-stroke causing hand and foot paralysis:
* Xijiao Cornu Rhinocerotis (Bang), half a liang;
* Fangfeng Radix Saposhnikoviae (Qu Cha Cuo), three fen;
* Zhike Fructus Aurantii Immaturus (Qu Rong Fu Chao);
* Duhuo Radix Angelicae Pubescentis (Qu Lu Tou);
* Guizhi Ramulus Cinnamomi (Qu Cu Pi), each half a liang;
* Heidou Glycine Max Seed (Chao Shu Bei), each three fen.
[Note: Text mentions fourteen ingredients but lists fewer explicitly in this snippet; assuming standard preparation]. Coarsely crush and sieve the above fourteen ingredients. For each dose, take six qianbi, add two zhan of water and five slices of fresh ginger. Decoct until one zhan remains, strain, and take warm. For deficiency heat in the upper jiao and wind-heat in the Liver and Heart, add Banxia Zhu Li (Bamboo Juice). Take one dose after meals and one dose before bed.
**Fuzi San Powder** for treating wind-stroke causing arm paralysis and facial deviation:
* Fuzi Radix Lateralis Preparata (Pao Lie Qu Pi Qi);
* Guizhi Ramulus Cinnamomi (Qu Cu Pi), each two and a half liang;
* Xixin Herba Asari (Qu Miao Ye), one and a half liang;
* Ganjiang Rhizoma Zingiberis Recens Preparatum (Pao);
* Fangfeng Radix Saposhnikoviae (Qu...).
Crush and sieve the above six ingredients into powder. For each dose, mix with warm wine and take one to two qianbi. Take one dose on an empty stomach and one dose at noon.
**Wuji San Powder** for treating wind-stroke causing hand and foot paralysis and facial deviation:
* Rou Carnis Gallinae Nigrae Feminae (Zhi Gan), two and a half liang;
* Guizhi Ramulus Cinnamomi (Qu Cu Pi), one and a third liang;
* Xixin Herba Asari (Qu Miao Ye), three liang;
* Fangfeng Radix Saposhnikoviae (Qu Cha Cuo), two and a half liang;
* Ganjiang Rhizoma Zingiberis Recens Preparatum (Pao), two and a half liang.
Crush and sieve the above five ingredients into powder. Start with a dose of half a qianbi, gradually increasing to one qianbi. Mix with warm wine long after meals. Take twice daily and once at night. If ineffective, slightly increase to one and a half qianbi. Continue until effective.
**Shengdihuang Jian Syrup** for treating wind-stroke causing hand and foot paralysis, spasms, difficulty extending/flexing, facial deviation, unilateral pain, numbness/heaviness, with pathology in sinews and bones:
* Shengdihuang Radix Rehmanniae Recens (Wu Jin Dao Yan Jiao Qu Zhi), five jin;
* Heidou Glycine Max Seed (Yi Shui San Sheng Jian Zhi Yi Sheng Jiao Qu Dou);
* Datiantanshiu Granatum (San Ke...);
* Yu Taro Root (...).
[Note: Text implies seven ingredients total]. First, chop four ingredients into pieces the size of hemp seeds. Place in a silver or stone pot. Decoct the Shengdihuang juice for 30-50 boils. Then add the pomegranate and black bean juices. Decoct for another 30-50 boils. Add the chopped four ingredients. Stir continuously. Decoct over slow fire until thick. Strain through raw silk cloth. Add two liang of good butter (Su). Re-decoct until uniform, stirring into a thick paste. Store in a non-porous container. Each day, on an empty stomach, mix half a spoonful of syrup with one zhan of unfermented wine (Wu Hui Jiu), stir well, and take. For severe cases...
**Lingyangjiao Jian Syrup** for treating wind-stroke causing hand and foot paralysis:
* Lingyangjiao Cornu Saigae Tataricae (Bang);
* Jingjie Sui Herba Schizonepetae Spica;
* Qianghuo Rhizoma et Radix Notopterygii (Qu Lu Tou);
* Shudihuang Radix Rehmanniae Preparata (Bei), each one liang;
* Fangfeng Radix Saposhnikoviae (Qu Cha Cuo), two liang;
* Heidou Glycine Max Seed (Two zhan, use small ones, stir-fry with Fangfeng until cooked but not burnt);
* Jiu Wine (Five sheng, pour over hot Fangfeng and Heidou).
First, chop four ingredients into pieces resembling hemp seeds. For each dose, take five qianbi. Use one and a half zhan of the aforementioned Bean-Drip Wine. Decoct together until eight-tenths remain. Strain and re-decoct into a paste. Take mixed with warm wine on an empty stomach. Three times daily, once at night, without fixed timing.
**Shuodie Jian Syrup** for treating wind-stroke causing hand and foot paralysis:
* Shengshuodie Gen Radix Siegesbeckiae Recens Juice (One sheng);
* Shengdihuang Radix Rehmanniae Recens Juice (One sheng);
* Fuzi Radix Lateralis Preparata (Pao Lie Qu Pi Qi, separately crushed and sieved through fine silk, one liang);
* Su Butter (Four liang);
* Shengjiang Ginger Juice (Two he);
* Mi Honey (Four liang).
First, combine Shuodie root juice, Shengdihuang juice, and Fuzi powder. Decoct into a thin paste. Then add butter, honey, and ginger juice. Re-decoct until thick. Store in a porcelain vessel. Mix half a spoonful with warm wine and take on an empty stomach and before sleep.
**Haitongpi Wan Pills** for treating wind-stroke causing hand and foot paralysis, body pain, and shoulder/back stiffness:
* Haitong皮 Cortex Tsoosapae;
* Shihu Dendrobium Stem;
* Qianghuo Rhizoma et Radix Notopterygii (Qu Lu Tou);
* Chijian Gastrodia Rhizoma (Tianma);
* Niuxi Radix Achyranthis Bidentatae (Jiu Jin...);
* Jingzi Fructus Viticis Negundo;
* Danzha Cinnabaris.
[Note: Twelve ingredients total]. Grind into fine powder. Mix with two and a half liang of Tianxing Rhizoma Pinelliae Preparatum powder and good wine to form a paste. Form pills the size of paulownia seeds. Take fifteen pills per dose, with tea or wine as desired.
**Tianma Wan Pills** for treating wind-stroke causing hand and foot paralysis and limb pain:
* Tianma Rhizoma Gastrodiae;
* Diyü Radix Sanguisorbae, each one liang;
* Wutou Radix Aconiti Lateralis Preparata (Pao Lie Qu Pi Qi), two liang;
* Xuanshen Radix Scrophulariae;
* Hubengyong Larva Vespae (Bai Gan), thirty pieces.
Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take three to five pills per dose before meals, chewing with mint wine.
**Qinglong Wan Pills** for treating wind-stroke causing hand and foot paralysis and sticky saliva/phlegm:
* Fuzi Radix Lateralis Preparata (Pao Lie Qu Pi Qi);
* Chuanxiong Rhizoma Chuanxiong;
* Baizhuus Rhizoma Atractylodis Macrocephalae (Soaked in rice wash water for three days, changing daily, then dried);
* Duhuo Radix Angelicae Pubescentis (Qu Lu Tou);
* Puhuang Pollinis Typhae;
* Sha Mineral Drug (Ground).
[Note: Twelve ingredients total]. Grind into fine powder. Separately grind three liang of Yínqīng Mercury with fifty steamed dates (peeled and pitted) until mercury particles disappear. Add other drugs and a little refined honey. Form pills the size of a cock's head. Take half or one pill per dose before bed, dissolved in boiled water. For severe cases, grind two pills nightly. For pediatric convulsive phlegm, divide one pill into three doses, dissolved in mint soup.
**Tianma Wan Pills** for treating wind-stroke causing hand and foot paralysis, bone/joint pain, difficulty walking, and heavy waist/knees:
* Tianma Rhizoma Gastrodiae, two liang;
* Diyü Radix Sanguisorbae, one liang;
* Moyao Resina Olibani Preparata (Three fen, ground);
* Xuanshen Radix Scrophulariae;
* Wutou Radix Aconiti Lateralis Preparata (Pao Lie Qu Pi Qi), each one liang;
* Shexiang Moschus (One fen, ground).
Except for Shexiang and Moyao which are finely ground separately, grind the rest into powder. Mix with ground herbs. Combine with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose with warm wine. Take on an empty stomach and before evening meal.
**Chijian Wan Pills** for treating wind-stroke causing hand and foot paralysis, limb numbness, and joint pain:
* Chijian Gastrodia Rhizoma (Tianma);
* Duhuo Radix Angelicae Pubescentis (Qu Lu Tou), each one liang;
* Mahuang Herba Ephedrae (Qu Jie), half a liang;
* Wutou Radix Aconiti Lateralis Preparata (Pao Lie Qu Pi Qi), two liang;
* Chuanxiong Rhizoma Chuanxiong, three fen.
Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take thirty pills per dose with mint wine, without fixed timing.
**Yehézhī Yùnjiǔ Fermented Wine** for treating wind-stroke causing hand and foot paralysis, spasms, and difficulty moving:
* Yehé Branches Albiziae Julibrissinis;
* Sang Branches Mori;
* Huai Branches Sophorae;
* Bai Branches Platycladi;
* Shiliu Branches Punicae (Each five liang, fresh, chopped);
* Qianghuo Rhizoma et Radix Notopterygii (Qu Lu Tou, separately ground, two liang);
* Heidou Glycine Max Seed (Small, firm, fresh, five sheng);
* Nuomi Glutinous Rice (Five sheng);
* Xi Qu Fermentum (Seven and a half jin);
* Fangfeng Radix Saposhnikoviae (Qu Cha, separately ground, five liang).
Boil the five branches in five dou of water to obtain two and a half dou of liquid. Strain and soak rice and beans overnight. Steam until cooked. Add Qu ferment. Mix with Fangfeng and Qianghuo powders. Brew according to standard methods. Seal and ferment for 21 days (three sevens). Press to remove dregs. Collect three to five he of clear wine. Drink occasionally to maintain a mild alcoholic sensation, avoiding intoxication to prevent vomiting and disturbance of Zheng Qi.
**Baizhu Yùnjiǔ Fermented Wine** for treating wind-stroke causing hand and foot paralysis, mental clouding, benefiting the Heart and calming Qi:
* Baizhuus Rhizoma Atractylodis Macrocephalae (Fresh, sliced);
* Digupi Cortex Lycii;
* Jingshi Fructus Viticis Negundo (Fresh, five sheng each);
* Juhua Flos Chrysanthemi (Unopened, fresh, three sheng).
Coarsely crush and sieve. Boil in three shi of water to obtain one and a half shi of liquid. Strain, clarify, and collect juice. Use to ferment two shi of Shumi Millet. Use Qu ferment according to standard brewing methods. [Text incomplete regarding dosage/consumption].
**Heidou Jìnjiǔ Infused Wine** for treating wind-stroke causing hand and foot paralysis:
* Heidou Glycine Max Seed (One sheng, select small, firm, clean).
Place in five sheng of wine in a bottle. Seal tightly. Warm over ash fire, keeping it consistently warm. When the wine reduces by half, remove beans and take the wine. Take two to three he per dose on an empty stomach and before bed.