论曰脾风之状。多汗恶风。身体怠惰。四肢不欲举。色薄微黄。不嗜食。诊在鼻上。其
色黄。又曰。踞而腹满。身通黄。吐咸汁。又曰、 发热。形如醉人。腹中烦重。皮肉
动短气。脾埤诸脏灌四旁者也。所主四肢。故脾中风则身体怠惰。四肢不欲动。脾者、仓廪
之官。故病则不嗜食。诊在鼻、中央之位也。其色黄。黄、土之色也。烦重发热。风之候也
。形如醉人者。邪气之甚也。
治脾脏中风。肢体缓弱。言语不利。 发热。独活汤方
独活(去芦头) 麻黄(去节先煎掠去沫焙干) 防风(去叉各一两) 白茯苓(去黑
皮) 羚
洗七遍切焙)
上一十三味。锉如麻豆。每服三钱匕。以水一盏半。入生姜半分切同煎取七分。去滓温
服。不拘时候日三。
治脾脏中风。身体拘急。舌强不能语。秦艽汤方
秦艽(去苗土) 麻黄(去根节沸汤掠去沫焙干) 石膏(各一两) 独活(去芦头) 赤
茯苓
(炮裂去皮
苗叶各半两)
上一十七味。锉如麻豆。每服五钱匕。以水一盏半。煎取八分。去滓温服。不拘时候日
二。
治脾中风。身重不举。便利无度。补脾安胃。调气止痛。当归丸方
当归(切焙) 干姜(炮) 酸枣仁(炒各八两) 黄 (锉) 地骨皮(各七两) 干
地黄 芎 天雄(炮裂去皮脐各六两) 桂(去粗皮) 防风(去叉) 附子(炮裂去皮
脐) 白术(各
椒叶(各四两) 大枣(二
上一十八味。捣罗为末。炼蜜丸如梧桐子大。酒服三十丸。日再服。
治脾中风。口面偏斜。言语謇涩。心烦气浊。手臂腰脚不遂。槟榔丸方
槟榔(煨半两) 防己(三分) 赤芍药(三分) 羚羊角(镑三分) 人参(半两) 白
茯苓(
粗皮半两)
焙半两) 柏子仁(生
两)
上一十七味。捣罗为末。炼蜜为丸。如梧桐子大。每服空心食前。温酒下二十丸。
治脾中风。手臂不收。行步脚弱。屈伸挛急。痿 疼痛。 痹不仁。牛膝酒方
牛膝(去苗二两半) 秦艽(去土二两半) 天门冬(去心二两半) 薏苡仁(炒三分)
独活
戟天(去心
一两三分) 石南
上一十二味。锉如麻豆。生绢囊贮。以酒三斗浸之。冬十日。春七日。秋五日。夏三日
。每服二合。渐加至三四合。日三夜一服。
治脾中风。手足不遂。腰痛脚弱。行履艰难。茯神丸方
茯神(去木锉一两) 羚羊角(镑三分) 防风(去叉锉一两) 桂(去粗皮三分) 槟
榔(煨锉三分) 五加皮(锉三分) 人参(三分) 麦门冬(去心焙一两) 丹参(去苗
三分) 木香(半
苡仁(炒一两一分) 附子
地黄(锉焙干一两)
上一十七味。捣罗为末。炼蜜为丸。如梧桐子大。每服空心食前温酒下二十丸。
治脾中风。手臂不遂。口唇 僻。人参散方
人参(四两) 乌雌鸡(一只中分、一半治如食法、剥去肠胃并皮肤前骨及头足不用) 附
子(四枚炮裂去皮脐) 细辛(去苗叶微炒四两) 桂(去粗皮二两半) 干姜(炮裂二两)
雄黑
上七味。以鸡分半边。炙令黄黑干。刮去黑者。与药同捣、细罗为散。每服温酒调下一
钱至二钱匕。空心午时各一服。稍加之至三钱匕。
治脾中风。身体缓急。手足不遂。不能言语。麻黄汤方
麻黄(去节煎掠去沫焙干) 桂(去粗皮各一两半) 甘草(炙) 人参 芍药 芎 黄
芩
子(炮裂
上一十三味。锉如麻豆。每服五钱匕。水一盏半。生姜五片。煎至八分。去滓温服。日
二夜一。不计时候。
治脾中风。四肢不举。志意昏浊。言语謇涩。丹砂散方
丹砂(研二两) 天麻 威灵仙(去土) 人参 乌头(炮裂去皮脐) 白术(炮) 当
归(切炮) 干姜(炮各一两) 羊踯躅(去心酒蒸半两)
上九味。捣罗为散。每服一钱匕。食后酒调下。渐加至二钱。日三服。
治脾中风。多汗恶风。身体怠惰。四肢不欲动。面色黄不嗜食。藿香汤方
藿香叶 人参 陈橘皮(汤去白焙各半两) 羌活(去芦头) 独活(去芦头各一分) 草
豆
茱萸(汤洗焙干炒) 干姜(炮) 甘草(炙) 薏苡仁(各一分)
上一十四味。粗捣筛。每服三钱匕。水一盏。生姜三片。煎至六分。去滓空心服。
治脾脏中风。身体怠惰。四肢缓弱。恶风头疼。舌本强直。言语謇涩。皮肤脚膝 痹。
天麻丸方
天麻(锉焙) 独活(去芦头) 附子(炮裂去皮脐) 麻黄(去节焙) 桂(去粗皮)
乌蛇肉
焙) 羚羊角(
(去木) 天南星(炮) 白僵蚕(炒各三分) 牛黄(研) 龙脑(研) 麝香(研各一
分) 丹砂(细研半两)
上二十三味。捣罗为末。炼蜜和丸。如梧桐子大。每服十丸至十五丸。不拘时候温酒下
治脾风多汗恶风。身体怠惰。四肢不举。色黄面热。腹满短气。一字散方
天南星(醋浸三日焙干) 白附子(炮) 天麻 干蝎(全者炒各一两) 沉香(锉) 牛
黄(研) 乳香(研) 麝香(研) 雄黄(研各半两)
上九味。除四味研外。余药捣罗为细末。后入研药。一处研令极细。每服一字匕温酒调
下。如要丸时。用炼蜜和丸。如梧桐子大。急风。豆淋酒化三丸。一切风头目昏暗。肢体疼
痛。温酒嚼下一丸。小儿化半丸服。
治脾脏中风。四肢缓弱。志意恍惚。独活丸方
独活(去芦头) 黄 (锉各二两) 桂(去粗皮) 巴戟天(去心各一两半) 南木
香人参
皮脐) 白蒺藜(炒去角各一两) 芍药(炒半两)
上一十三味。捣罗为末。炼蜜和丸。如梧桐子大。每服十五丸。荆芥酒下。
治脾脏中风。口面偏斜。语涩虚烦。手臂腰脚不遂。羚羊角丸方
羚羊角(屑) 防己 白芍药 独活(去芦头) 白茯苓(去黑皮) 防风(去叉) 酸
枣仁(
参槟榔(锉) 芎
熟干地黄(焙各一两)
上一十八味。捣罗为末。炼蜜和丸。如梧桐子大。每服空心温酒下三十丸。
治脾脏中风。言语謇涩。神思昏沉。口干食少。肢体虚汗。大肠秘涩。羚羊角丸方
羚羊角(屑) 防风(去叉) 麻黄(去根节) 人参 柏子仁 诃黎勒皮(各一两半)
白槟榔(煨锉) 熟干地黄(焙) 大麻仁(研各二两) 羌活(去芦头) 茯神(去木) 桂
(去粗皮)
上一十五味。捣罗为末。炼蜜和丸。梧桐子大。每服空腹温酒下三十丸。
It is stated that the manifestation of Spleen Wind (Spleen affected by wind pathogen) includes excessive sweating, aversion to wind, bodily lassitude, unwillingness to lift the limbs, a pale yellow complexion, and loss of appetite. Diagnosis focuses on the nose, where the color appears yellow. It is also said that there is abdominal fullness when squatting, generalized jaundice, and vomiting of salty fluid. Additionally, there may be fever, a demeanor resembling intoxication, abdominal vexation and heaviness, twitching of skin and muscles, and shortness of breath. The Spleen nourishes the other zang organs and irrigates the four extremities; it governs the limbs. Therefore, when the Spleen is affected by wind, the body becomes lethargic and the limbs are reluctant to move. The Spleen is the official responsible for granaries (digestion and absorption); thus, when diseased, one loses the desire to eat. Diagnosis is located at the nose, which occupies the central position on the face. The yellow color corresponds to the element of Earth. Vexation, heaviness, and fever are indicators of wind. A demeanor resembling intoxication indicates severe pathogenic factors.
**Duhuo Tang (Angelicae Pubescentis Decoction)** for treating Spleen Zang Wind with flaccid weakness of limbs, difficulty in speech, and fever:
Radix Angelicae Pubescentis (Duhuo, remove rhizome head), Radix Ephedrae (Mahuang, remove nodes, decoct first, skim foam, dry by baking), Ramulus Saposhnikoviae (Fangfeng, remove forked branches, each 1 liang), Poria Cocos (Baifuling, remove black skin), Cornu Saigae Tataricae (Lingyangjiao, wash seven times, slice, bake)... Thirteen medicinal materials in total. Coarsely crush to the size of hemp seeds. Take 3 qianbi per dose. Add 1.5 sheng of water and 0.5 fen of sliced fresh ginger. Decoct until 0.7 sheng remains. Strain and take warm. Do not restrict time; take three times daily.
**Qinjiao Tang (Gentianae Macrophyllae Decoction)** for treating Spleen Zang Wind with muscle spasms, tongue stiffness, and inability to speak:
Radix Gentianae Macrophyllae (Qinjiao, remove seedlings and soil), Radix Ephedrae (Mahuang, remove roots and nodes, rinse with boiling water, skim foam, dry by baking), Gypsum Fibrosum (Shigao, each 1 liang), Radix Angelicae Pubescentis (Duhuo, remove rhizome head), Poria cocos cum Ligno Quercus (Chifuling, processed, peel and remove seedlings/leaves, each 0.5 liang)... Seventeen medicinal materials in total. Coarsely crush to the size of hemp seeds. Take 5 qianbi per dose. Add 1.5 sheng of water. Decoct until 0.8 sheng remains. Strain and take warm. Do not restrict time; take twice daily.
**Danggui Wan (Angelicae Sinensis Pill)** for treating Spleen Wind with heavy body unable to lift, uncontrolled bowel movements and urination, tonifying the Spleen, calming the Stomach, regulating Qi, and relieving pain:
Radix Angelicae Sinensis (Danggui, slice and bake), Rhizoma Zingiberis Recens (Ganjiang, processed), Semen Ziziphi Spinosae (Suanzaoren, stir-fried, each 8 liang), Radix Astragali (Huangqi, crush), Cortex Lycii (Digupi, each 7 liang), Rhizoma Rehmanniae Preparata (Shudihuang), Radix Angelicae Sinensis (Xiong, likely Chuanxiong based on context though text says Xiong, usually implies Chuanxiong or similar, here kept as generic root if ambiguous, but standard formula uses Chuanxiong/Caotou? Text says "Xiong", likely Chuanxiong), Radix Aconiti Lateralis Preparata (Tianxiong, processed, remove skin and umbilicus, each 6 liang), Ramulus Cinnamomi (Guizhi, remove coarse bark), Ramulus Saposhnikoviae (Fangfeng, remove forked branches), Radix Aconiti Lateralis Preparata (Fuzi, processed, remove skin and umbilicus), Rhizoma Atractylodis Macrocephalae (Baizhu, each 4 liang), Folium Piperis Betle (Jiaoye, each 4 liang), Fructus Jujubae (Dazao, 2 pieces)... Eighteen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 30 pills with wine, twice daily.
**Binglang Wan (Arecae Semen Pill)** for treating Spleen Wind with facial deviation, slurred speech, mental restlessness, turbid Qi, and paralysis of arms, waist, and legs:
Semen Arecae (Binglang, baked, 0.5 liang), Radix Stephaniae Tetrandrae (Fangji, 3 fen), Radix Paeoniae Rubra (Chishaoyao, 3 fen), Cornu Saigae Tataricae (Lingyangjiao, shaved, 3 fen), Radix Ginseng (Renshen, 0.5 liang), Poria Cocos (Baifuling, remove black skin, 0.5 liang), Semen Platycladi (Baiziren, raw, 0.5 liang)... Seventeen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills before meals on an empty stomach with warm wine.
**Niuxi Jiu (Achyranthes Bidentata Wine)** for treating Spleen Wind with drooping arms, weak gait, contractures, wasting-thirst pain, numbness from bi-syndrome:
Radix Achyranthis Bidentatae (Niuxi, remove seedlings, 2.5 liang), Radix Gentianae Macrophyllae (Qinjiao, remove soil, 2.5 liang), Herba Asparagi (Tianmendong, remove heart, 2.5 liang), Semen Coicis (Yiyiren, stir-fried, 3 fen), Radix Angelicae Pubescentis (Duhuo), Radix Datiscae Tuberosae (Jitian, remove heart, 1.3 liang), Foliium Sterculiae Lychnophorae (Shinannye)... Twelve medicinal materials in total. Coarsely crush to the size of hemp seeds. Store in a raw silk bag. Soak in 3 dou of wine. Winter: 10 days; Spring: 7 days; Autumn: 5 days; Summer: 3 days. Take 2 he per dose, gradually increasing to 3-4 he. Take three times daily and once at night.
**Fushen Wan (Poria with Wood Pill)** for treating Spleen Wind with hemiplegia, lower back pain, weak legs, and difficult walking:
Poria Cocos cum Radix Pinelliae (Fushen, remove wood, crush, 1 liang), Cornu Saigae Tataricae (Lingyangjiao, shaved, 3 fen), Ramulus Saposhnikoviae (Fangfeng, remove forked branches, crush, 1 liang), Ramulus Cinnamomi (Guizhi, remove coarse bark, 3 fen), Semen Arecae (Binglang, baked, crush, 3 fen), Cortex Acanthopanacis Senticosi (Wujiapi, crush, 3 fen), Radix Ginseng (Renshen, 3 fen), Radix Ophiopogonis (Mendong, remove heart, bake, 1 liang), Radix Salviae Miltiorrhizae (Danshen, remove seedlings, 3 fen), Lignum Aquilariae Resinatum (Muxiang, 0.5 liang), Semen Coicis (Yiyiren, stir-fried, 1.1 liang), Radix Aconiti Lateralis Preparata (Fuzi), Rhizoma Rehmanniae Preparata (Shudihuang, crush, bake, dry, 1 liang)... Seventeen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills before meals on an empty stomach with warm wine.
**Renshen San (Ginseng Powder)** for treating Spleen Wind with arm paralysis, lip deviation:
Radix Ginseng (Renshen, 4 liang), Female Black Chicken (Wuci Ji, one chicken split in half; half prepared as food, removing viscera, skin, front bones, head, and feet), Radix Aconiti Lateralis Preparata (Fuzi, 4 pieces, processed, remove skin and umbilicus), Herba Asari (Xixin, remove seedlings/leaves, lightly stir-fried, 4 liang), Ramulus Cinnamomi (Guizhi, remove coarse bark, 2.5 liang), Rhizoma Zingiberis Recens (Ganjiang, processed, 2 liang), Male Black Soybean (Xiongheidou)... Seven medicinal materials in total. Roast half the chicken until yellow-black and dry. Scrape off the black part. Pound together with herbs, sift finely. Take 1-2 qianbi mixed with warm wine. Take once on an empty stomach and once at noon. Gradually increase to 3 qianbi.
**Mahuang Tang (Ephedra Decoction)** for treating Spleen Wind with muscle tension/flaccidity, hemiplegia, and aphasia:
Radix Ephedrae (Mahuang, remove nodes, decoct, skim foam, bake), Ramulus Cinnamomi (Guizhi, remove coarse bark, each 1.5 liang), Radix Glycyrrhizae (Gancao, honey-fried), Radix Ginseng (Renshen), Radix Paeoniae (Shaoyao), Radix Angelicae Sinensis (Xiong, likely Chuanxiong), Radix Astragali (Huangqi), Radix Scutellariae (Huangqin), Radix Aconiti Lateralis Preparata (Fuzi, processed)... Thirteen medicinal materials in total. Coarsely crush to the size of hemp seeds. Take 5 qianbi per dose. Add 1.5 sheng of water and 5 slices of fresh ginger. Decoct until 0.8 sheng remains. Strain and take warm. Take twice daily and once at night, without time restriction.
**Dansha San (Cinnabar Powder)** for treating Spleen Wind with inability to lift limbs, mental confusion, and slurred speech:
Cinnabaris (Dansha, ground, 2 liang), Rhizoma Gastrodiae (Tianma), Herba Cymbopogonis (Weilingxian, remove soil), Radix Ginseng (Renshen), Radix Aconiti Karakolensis (Wutou, processed, remove skin and umbilicus), Rhizoma Atractylodis Macrocephalae (Baizhu, processed), Radix Angelicae Sinensis (Danggui, slice and process), Rhizoma Zingiberis Recens (Ganjiang, processed, each 1 liang), Flos Daphnes Odoratissimae (Yangzhizhu, remove heart, steam with wine, 0.5 liang)... Nine medicinal materials in total. Pound into powder, sift. Take 1 qianbi per dose after meals with wine. Gradually increase to 2 qianbi. Take three times daily.
**Huoxiang Tang (Patchouli Decoction)** for treating Spleen Wind with excessive sweating, aversion to wind, bodily lassitude, reluctance to move limbs, yellow complexion, and loss of appetite:
Folium Pogostemonis (Huoxiangye), Radix Ginseng (Renshen), Pericarpium Citri Reticulatae (Chenju pi, washed with water, remove white pith, bake, each 0.5 liang), Radix Notopterygii (Qianghuo, remove rhizome head), Radix Angelicae Pubescentis (Duhuo, remove rhizome head, each 1 fen), Fructus Cardamomi (Caodoukou), Fructus Evodiae (Wuzhuyu, washed with water, bake, dry, stir-fried), Rhizoma Zingiberis Recens (Ganjiang, processed), Radix Glycyrrhizae (Gancao, honey-fried), Semen Coicis (Yiyiren, each 1 fen)... Fourteen medicinal materials in total. Coarsely crush and sieve. Take 3 qianbi per dose. Add 1 sheng of water and 3 slices of fresh ginger. Decoct until 0.6 sheng remains. Strain and take on an empty stomach.
**Tianma Wan (Gastrodia Pill)** for treating Spleen Zang Wind with bodily lassitude, flaccid limbs, aversion to wind, headache, tongue stiffness, slurred speech, and numbness/pain in skin, feet, and knees:
Rhizoma Gastrodiae (Tianma, crush, bake), Radix Angelicae Pubescentis (Duhuo, remove rhizome head), Radix Aconiti Lateralis Preparata (Fuzi, processed, remove skin and umbilicus), Radix Ephedrae (Mahuang, remove nodes, bake), Ramulus Cinnamomi (Guizhi, remove coarse bark), Carapax et Plastrum Testudinis (Wushe rou, likely Snake meat, bake), Cornu Saigae Tataricae (Lingyangjiao, shaved), Poria Cocos (Fushen, remove wood), Rhizoma Arisaematis (Tiannanxing, processed), Bombyx Batryticatus (Baijiangcan, stir-fried, each 3 fen), Calculus Bovis (Niuhuang, ground), Borax (Longnao, ground), Moschus (Shexiang, ground, each 1 fen), Cinnabaris (Dansha, finely ground, 0.5 liang)... Twenty-three medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 10-15 pills, do not restrict time, take with warm wine.
**Yizi San (One-Character Powder)** for treating Spleen Wind with excessive sweating, aversion to wind, bodily lassitude, inability to lift limbs, yellow complexion, facial heat, abdominal fullness, and shortness of breath:
Rhizoma Arisaematis (Tiannanxing, soak in vinegar for 3 days, bake dry), Rhizoma Parrheniae (Baifuzi, processed), Rhizoma Gastrodiae (Tianma), Scorpio (Ganxie, whole, stir-fried, each 1 liang), Lignum Aquilariae Resinatum (Chenxiang, crush), Calculus Bovis (Niuhuang, ground), Oleo Resina Incensi (Ruxiang, ground), Moschus (Shexiang, ground), Realgar (Xionghuang, ground, each 0.5 liang)... Nine medicinal materials in total. Except for the four ingredients to be ground separately, pound the rest into fine powder. Mix with the ground ingredients and grind extremely fine. Take 1 yizi (a measure roughly equal to a pinch or small spoonful) mixed with warm wine. If making pills, mix with refined honey to form pills the size of Sophora seeds. For acute wind, dissolve 3 pills in Doulin Wine. For all types of wind affecting the head causing dizziness and limb pain, chew 1 pill with warm wine. For children, dissolve half a pill.
**Duhuo Wan (Angelicae Pubescentis Pill)** for treating Spleen Zang Wind with flaccid limbs and mental confusion:
Radix Angelicae Pubescentis (Duhuo, remove rhizome head), Radix Astragali (Huangqi, crush, each 2 liang), Ramulus Cinnamomi (Guizhi, remove coarse bark), Radix Morindae Officinalis (Bajitian, remove heart, each 1.5 liang), Radix Aucklandiae (Nanmuxiang), Radix Ginseng (Renshen), Radix Aconiti Lateralis Preparata (Fuzi, processed, remove skin and umbilicus), Fructus Tribuli (Baijili, stir-fried, remove spines, each 1 liang), Radix Paeoniae Alba (Shaoyao, stir-fried, 0.5 liang)... Thirteen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 15 pills with Jingjie (Schizonepeta) wine.
**Lingyangjiao Wan (Saiga Antelope Horn Pill)** for treating Spleen Zang Wind with facial deviation, slurred speech, deficiency vexation, and paralysis of arms, waist, and legs:
Cornu Saigae Tataricae (Lingyangjiao, crumbled), Radix Stephaniae Tetrandrae (Fangji), Radix Paeoniae Alba (Baishaoyao), Radix Angelicae Pubescentis (Duhuo, remove rhizome head), Poria Cocos (Baifuling, remove black skin), Ramulus Saposhnikoviae (Fangfeng, remove forked branches), Semen Ziziphi Spinosae (Suanzaoren), Radix Ginseng (Renshen), Rhizoma Pinelliae Preparata (Banxia, crush), Radix Angelicae Sinensis (Chuanxiong), Rhizoma Rehmanniae Preparata (Shudihuang, bake, each 1 liang)... Eighteen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 30 pills on an empty stomach with warm wine.
**Lingyangjiao Wan (Saiga Antelope Horn Pill)** for treating Spleen Zang Wind with slurred speech, mental depression, dry mouth, poor appetite, spontaneous sweating of limbs, and constipation:
Cornu Saigae Tataricae (Lingyangjiao, crumbled), Ramulus Saposhnikoviae (Fangfeng, remove forked branches), Radix Ephedrae (Mahuang, remove roots and nodes), Radix Ginseng (Renshen), Semen Platycladi (Baiziren), Pericarpium Evodiae (Helilepi, each 1.5 liang), Semen Arecae (Binglang, baked, crush), Rhizoma Rehmanniae Preparata (Shudihuang, bake), Semen Cannabis (Damaoren, ground, each 2 liang), Radix Notopterygii (Qianghuo, remove rhizome head), Poria Cocos (Fushen, remove wood), Ramulus Cinnamomi (Guizhi, remove coarse bark)... Fifteen medicinal materials in total. Pound into powder, sift, mix with refined honey to form pills the size of Sophora seeds. Take 30 pills on an empty stomach with warm wine.