论曰真气内弱，风邪袭虚，从背俞入而内中五脏，各随其脏而生病，风之中人，虚微则
中微，虚甚则中甚，其候或心中恍惚，神情闷乱，或暴不知人，涎液不收，或口眼 僻，或
言语謇涩。或身体强直，或肢体不利，皆中风之证也。
治妇人中风，言语謇涩，筋脉拘急，肢体缓纵，羌活汤方
羌活（去芦头） 赤茯苓（去黑皮） 芎 防风（去叉） 当归（切焙） 乌头（炮
裂去皮脐）
叶各半两）
上一十味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣二枚擘破，煎七分，去滓温
服、日三。
治妇人中风，牙关紧急，四肢强直，痰涎不利，天南星散方
天南星 半夏（汤洗去滑七遍） 麻黄（去节煎掠去沫焙） 赤箭（各半两） 蝎梢（炒）
乌
上八味，除麝香外，捣罗为散，入麝香研令匀，每服半钱匕，豆淋酒调下，不拘时候。
治妇人中风，言语不利，四肢拘急，头目昏眩，遍体发热，芎 汤方
芎 麻黄（去根节煎掠去沫焙） 升麻 白芷 甘草（炙） 石膏（碎各一两） 干
姜（炮
上八味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服、日三。
治妇人猝中风，身体缓纵，口眼 斜，舌强不得语，奄奄忽忽，神情闷乱，小续命汤方
皮尖
上一十味，锉如麻豆大，每服五钱匕，以水一盏半，入生姜半分切，同煎取七分，去滓
温服，日二夜一。
治妇人中风，身强口噤，四肢不利，精神昏冒，形如醉人，牛黄散方
牛黄（研一分） 麝香（研一钱） 雄黄（研一分） 铅霜（研一分） 丹砂（研） 天
南星（炮
粗皮） 白僵蚕
子（炮裂去皮脐） 当归
上一十七味，除研药外，捣罗为散，入研者药再研匀，每服一钱匕，生姜薄荷酒调下，
不拘时，日三。
治妇人中风，筋脉拘急，肢体疼痛，言语不利，精神冒闷，天雄汤方
天雄（炮裂去皮脐） 前胡（去芦头） 芎 枳壳（去瓤麸炒） 细辛（去苗叶） 黄
芩（去
粗皮） 甘草（炙） 麻黄（去根节煎掠去沫焙） 芍药（各一两）
上一十四味，锉如麻豆，每服三钱匕，水一盏，煎七分，去滓温服，日三。
治妇人中风筋脉挛急，肢体疼痛，行履艰难，神思昏冒，语言不利，羚羊角汤方
羚羊角（镑一分） 芍药 枳壳（去瓤麸炒） 生干地黄（焙） 当归（切焙） 桂（去
粗皮）
活（去芦头） 羌活
僵蚕（炒） 白附子（各半两）
上一十七味，锉如麻豆，每服三钱匕，水一盏，生姜三片，薄荷五叶，煎七分，去滓温
服。
治妇人中风，筋脉拘急，肢节酸疼，言语謇涩，头目不利，羌活散方
羌活（去芦头） 天麻（酒浸焙干） 芎 蔓荆实（去皮） 羚羊角（镑） 白附子 桂
（去
归（切焙各一
上一十五味，除麝香外，捣罗为散，入麝香研令匀，每服一钱匕，豆淋酒调下，日三。
治妇人中风，一切风证。麻黄汤方
麻黄（去根节煎掠去沫焙干） 防风（去叉） 人参 黄芩（去黑心） 赤芍药 杏仁
（去皮
上九味，锉如麻豆，每服五钱匕，以水一盏半，入生姜半分切，煎取七分，去滓温服，
日三。
治妇人中风，不能语，不知痛处，拘急不得转侧，当归汤方
当归（切焙二两） 麻黄（去节煎掠去沫焙六两） 桂（去粗皮二两） 芎 （一两） 黄
芩（
草（炙锉二
上九味，粗捣筛，每用六钱匕，以水三盏，煎取一盏半，去滓分温二服。
治妇人中风，手足拘挛，百节疼痛，烦热闷乱，不欲饮食，三黄汤方
麻黄（去节煎掠去沫焙一两一分） 独活（去芦头一两） 细辛（去苗叶一分） 黄
（锉半
上五味，粗捣筛，每服五钱匕，水一盏半，煎取一盏，去滓温服，心躁加大黄半两锉炒
，腹满加枳实一枚去瓤麸炒，气虚加人参三分，惊悸加牡蛎粉三分熬，渴加栝蒌根三分锉，
先有寒加附子一枚，炮裂去皮脐。
治妇人中风，头目昏疼，失音不语，烦躁喘粗。汗出恶风，口吐涎沫，四肢不随。麻黄
汤方
芍药（一两
（炙锉一两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎取一盏，去滓温服，日二，牙颔冷痹舌强
，加附子一枚，炮裂去皮脐，竹沥五合，若渴加麦门冬一两半，去心焙，生犀角一两镑同煎
治妇人中风不语，心闷恍惚，四肢不举，风热壅滞，羚羊角汤方
羚羊角（镑一两） 麻黄（去根节煮掠去沫焙三两） 黄芩（去黑心一两） 赤芍药（一
两半）
皮尖双仁炒一
上一十二味，粗捣筛，每服五钱匕，水一盏半，煎取一盏，去滓温服、日二。
治妇人中风，口面 斜，麻黄汤方
麻黄（去根节煎掠去沫焙） 芎 （各一两半） 升麻 防风（去叉） 防己 桂（去
粗皮）
上七味，粗捣筛，每用五钱匕，水一盏半，煎取一盏，去滓入竹沥半合，再煎三四沸，
去滓分温二服。
Discussion states: When the True Qi (Zhen Qi) is internally deficient, Wind Pathogen (Feng Xie) attacks the deficiency. Entering from the Back-Shu points (Beishu), it penetrates inward to affect the Five Zang Organs (Wuzang). Depending on which organ is affected, different diseases arise. The severity of Wind invasion correlates with the degree of deficiency: slight deficiency leads to mild symptoms, while severe deficiency leads to severe symptoms. Manifestations may include mental vagueness and restlessness, sudden loss of consciousness with uncontrollable salivation, deviation of the mouth and eyes, or slurred speech. Other signs include stiff body rigidity or limb immobility. These are all manifestations of Stroke (Zhongfeng).
Prescription of Qianghuo Tang for treating women with stroke presenting with slurred speech, tendon channel spasm, and flaccid limbs:
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Chifuling (Poria Cocos with Red Cortex, remove black skin), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix, remove forked branches), Danggui (Angelicae Sinensis Radix, slice and dry-roast), Wutou (Aconiti Radix, processed until cracked, remove skin and umbilicus).
The above ten ingredients are chopped like hemp seeds. Each dose consists of 3 qianbi (approx. 9-15g), decocted in one sheng (approx. 200ml) of water with three slices of Shengjiang (Zingiberis Rhizoma Recens) and two broken Zao (Jujubae Fructus). Decoct to 70% volume, filter dregs, and take warm. Three times daily.
Powder of Tiannanxing for treating women with stroke presenting with trismus, rigid limbs, and difficult expectoration:
Tiannanxing (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma Preparatum, washed seven times in hot water to remove acridity), Mahuang (Ephedrae Herba, remove nodes, boil to remove foam, then dry-roast), Chijian (Duhuo's alternative name, here referring to Angelicae Pubescentis Radix or similar, half liang each), Xieshao (Scorpio, stir-fried), Wushaoshe (Zaocys, dried).
The above eight ingredients, except Moshi (Musk), are pounded and sieved into a powder. Add Moshi and grind evenly. Each dose is 0.5 qianbi, taken with Doulinjiu (wine soaked with soybeans), at any time.
Decoction of Chuanxiong for treating women with stroke presenting with dysarthria, limb spasms, dizziness, and generalized fever:
Chuanxiong (Ligusticum Chuanxiong Rhizoma), Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast), Shengma (Cimicifugae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shigao (Gypsum Fibrosum, crushed, one liang each), Ganjiang (Zingiberis Rhizoma Preparatum, processed).
The above eight ingredients are coarsely crushed and sieved. Each dose is 3 qianbi, decocted in one sheng of water to 70% volume. Filter dregs and take warm. Three times daily.
Small Xuyuting Decoction for treating women with sudden stroke presenting with flaccid limbs, facial paralysis, tongue stiffness preventing speech, mental confusion, and restlessness:
Fangji (Stephaniae Tetrandrae Radix), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Guixin (Cinnamomi Ramum, remove rough bark), Renshen (Ginseng Radix), Xingren (Armeniacae Semen Amarum, remove skin and bitter kernels, stir-fried), Shaoyao (Paeoniae Radix Alba), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata, processed, remove skin and umbilicus), Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast).
The above ten ingredients are chopped like hemp seeds. Each dose is 5 qianbi, decocted in 1.5 sheng of water with 0.5 part of sliced Shengjiang. Decoct to 70%, filter dregs, and take warm. Twice during the day, once at night.
Powder of Niuhuang for treating women with stroke presenting with body rigidity, trismus, limb dysfunction, mental cloudiness, and appearance resembling intoxication:
Niuhuang (Calculus Bovis, ground, 1 fen), Moshi (Muscus, ground, 1 qian), Xionghuang (Realgar, ground, 1 fen), Qianshuang (Plumbum Subacetatum, ground, 1 fen), Dansha (Cinnabaris, ground), Tiannanxing (Arisaematis Rhizoma Preparatum, processed, remove rough skin), Baijiangcan (Bombyx Batryticatus, stir-fried), Tianxianzi (Hyoscyami Semen, processed, remove skin and umbilicus), Danggui (Angelicae Sinensis Radix, slice and dry-roast).
The above seventeen ingredients, excluding those already ground, are pounded and sieved into a powder. Add the ground ingredients and grind evenly. Each dose is 1 qianbi, taken with wine containing Shengjiang and Bohe (Menthae Haplocalycis Herba), at any time. Three times daily.
Decoction of Tianxiong for treating women with stroke presenting with tendon channel spasms, limb pain, dysarthria, and mental oppression:
Tianxiong (Aconiti Kusnezoffii Radix Preparata, processed, remove skin and umbilicus), Qianhu (Peucedani Radix, remove rhizome head), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Zhike (Citri Reticulatae Pericarpium Viride, remove pulp, stir-fried with bran), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Huangqin (Scutellariae Radix, remove rough bark), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast), Shaoyao (Paeoniae Radix Alba, one liang each).
The above fourteen ingredients are chopped like hemp seeds. Each dose is 3 qianbi, decocted in one sheng of water to 70% volume. Filter dregs and take warm. Three times daily.
Decoction of Lingyangjiao for treating women with stroke presenting with tendon channel spasms, limb pain, difficulty walking, mental cloudiness, and dysarthria:
Lingyangjiao (Saigae Tataricae Cornu, shaved, 1 fen), Shaoyao (Paeoniae Radix Alba), Zhike (Citri Reticulatae Pericarpium Viride, remove pulp, stir-fried with bran), Shengdihuang (Rehmanniae Radix Preparata, dry-roasted), Danggui (Angelicae Sinensis Radix, slice and dry-roast), Guizhi (Cinnamomi Ramum, remove rough bark), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Jiangcan (Bombyx Batryticatus, stir-fried), Baifuzi (Typhonii Rhizoma, half liang each).
The above seventeen ingredients are chopped like hemp seeds. Each dose is 3 qianbi, decocted in one sheng of water with three slices of Shengjiang and five leaves of Bohe. Decoct to 70%, filter dregs, and take warm.
Powder of Qianghuo for treating women with stroke presenting with tendon channel spasms, joint soreness, slurred speech, and visual impairment:
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Tianma (Gastrodiae Rhizoma, soaked in wine and dry-roasted), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Manjingzi (Viticis Fructus, remove skin), Lingyangjiao (Saigae Tataricae Cornu, shaved), Baifuzi (Typhonii Rhizoma), Guizhi (Cinnamomi Ramum, remove rough bark), Danggui (Angelicae Sinensis Radix, slice and dry-roast, one liang each).
The above fifteen ingredients, except Moshi (Musk), are pounded and sieved into a powder. Add Moshi and grind evenly. Each dose is 1 qianbi, taken with Doulinjiu (wine soaked with soybeans). Three times daily.
Mahuang Tang for treating women with stroke and various wind syndromes:
Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast), Fangfeng (Saposhnikoviae Radix, remove forked branches), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix, remove black heart), Chishaoyao (Paeoniae Radix Rubra), Xingren (Armeniacae Semen Amarum, remove skin and bitter kernels).
The above nine ingredients are chopped like hemp seeds. Each dose is 5 qianbi, decocted in 1.5 sheng of water with 0.5 part of sliced Shengjiang. Decoct to 70%, filter dregs, and take warm. Three times daily.
Decoction of Danggui for treating women with stroke presenting with aphasia, unknown pain locations, spasms preventing turning over:
Danggui (Angelicae Sinensis Radix, slice and dry-roast, two liang), Mahuang (Ephedrae Herba, remove nodes, boil to remove foam, then dry-roast, six liang), Guizhi (Cinnamomi Ramum, remove rough bark, two liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma, one liang), Huangqin (Scutellariae Radix, remove black heart, one liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, two liang).
The above nine ingredients are coarsely crushed and sieved. Use 6 qianbi per dose, decoct in three sheng of water to obtain 1.5 sheng. Filter dregs and divide into two warm doses.
Sanhuang Tang for treating women with stroke presenting with hand and foot spasms, pain in all joints, irritability, and anorexia:
Mahuang (Ephedrae Herba, remove nodes, boil to remove foam, then dry-roast, one liang plus one fen), Duhuo (Angelicae Pubescentis Radix, remove rhizome head, one liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, one fen), Huangqin (Scutellariae Radix, remove black heart, chopped half liang), Huanglian (Coptidis Rhizoma, remove whiskers, chopped half liang).
The above five ingredients are coarsely crushed and sieved. Each dose is 5 qianbi, decocted in 1.5 sheng of water to obtain one sheng. Filter dregs and take warm. Modifications: If mental restlessness, add Dahuang (Rhei Radix et Rhizoma, half liang, chopped and stir-fried); if abdominal fullness, add Zhishi (Immature Bitter Orange, one piece, remove pulp, stir-fried with bran); if Qi deficiency, add Renshen (Ginseng Radix, three fen); if palpitations/fright, add Muli (Ostreae Concha, three fen, calcined); if thirst, add Gualougen (Trichosanthis Radix, three fen, chopped); if pre-existing cold, add Fuzi (Aconiti Lateralis Radix Preparata, one piece, processed, remove skin and umbilicus).
Mahuang Tang for treating women with stroke presenting with dizziness and headache, aphonia, irritability, coarse breathing, sweating, aversion to wind, salivation, and limb paralysis:
Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast, one liang), Shaoyao (Paeoniae Radix Alba, one liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, one liang), Guizhi (Cinnamomi Ramum, remove rough bark, one liang), Huangqin (Scutellariae Radix, remove black heart, one liang), Xingren (Armeniacae Semen Amarum, remove skin and bitter kernels, stir-fried, one liang), Renshen (Ginseng Radix, one liang), Fangfeng (Saposhnikoviae Radix, remove forked branches, one liang).
The above eight ingredients are coarsely crushed and sieved. Each dose is 5 qianbi, decocted in 1.5 sheng of water to obtain one sheng. Filter dregs and take warm. Twice daily. Modifications: For cold bi in jaw and tongue stiffness, add Fuzi (Aconiti Lateralis Radix Preparata, one piece, processed, remove skin and umbilicus) and Zhuli (Bambusa Textilis Caulis Juice, five he); if thirsty, add Maidong (Ophiopogonis Radix, one and a half liang, remove heart and dry-roast) and Shenglixijiao (Rhino Horn, raw, one liang, shaved) and decoct together.
Lingyangjiao Tang for treating women with stroke aphasia, chest oppression, vagueness, inability to move limbs, and stagnation of Wind-Heat:
Lingyangjiao (Saigae Tataricae Cornu, shaved, one liang), Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast, three liang), Huangqin (Scutellariae Radix, remove black heart, one liang), Chishaoyao (Paeoniae Radix Rubra, one and a half liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, half liang), Guixin (Cinnamomi Ramum, remove rough bark, half liang), Fangji (Stephaniae Tetrandrae Radix, half liang), Renshen (Ginseng Radix, half liang), Xingren (Armeniacae Semen Amarum, remove skin and bitter kernels, stir-fried, half liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma, half liang), Baizhu (Atractylodis Macrocephalae Rhizoma, half liang), Fangfeng (Saposhnikoviae Radix, remove forked branches, half liang).
The above twelve ingredients are coarsely crushed and sieved. Each dose is 5 qianbi, decocted in 1.5 sheng of water to obtain one sheng. Filter dregs and take warm. Twice daily.
Mahuang Tang for treating women with stroke presenting with facial deviation:
Mahuang (Ephedrae Herba, remove roots and nodes, boil to remove foam, then dry-roast), Chuanxiong (Ligusticum Chuanxiong Rhizoma, one and a half liang each), Shengma (Cimicifugae Rhizoma), Fangfeng (Saposhnikoviae Radix, remove forked branches), Fangji (Stephaniae Tetrandrae Radix), Guizhi (Cinnamomi Ramum, remove rough bark), Baifuzi (Typhonii Rhizoma).
The above seven ingredients are coarsely crushed and sieved. Use 5 qianbi per dose, decoct in 1.5 sheng of water to obtain one sheng. Filter dregs, add Zhuli (Bambusa Textilis Caulis Juice, half he), boil for three to four boils, filter dregs, and divide into two warm doses.