论曰风角弓反张之状。腰背反折不能俯也。由风邪客于诸阳之经。邪正相搏。风气胜则
筋脉缩急。腰背反折如弓之形也。
治中风身如角弓反张。四肢不遂。烦乱口噤。麻黄饮方
麻黄(去根节汤掠去沫焙三两) 防风(去叉) 桂(去粗皮) 白术 人参 芎 当
归(焙) 甘草(炙锉) 干姜(炮各二两) 附子(炮裂去皮脐一两) 杏仁(汤浸去皮
尖双仁麸炒三
上一十一味。锉如麻豆。每服五钱匕。水一盏半。煎取一盏。去滓温服。不拘时候。
治中风身如角弓反张。口噤不开。当归汤方
当归(焙) 细辛(去苗叶各三分) 防风(去叉) 独活(去芦头各一两半) 麻黄
(去根节
上六味。锉如麻豆。每服三钱匕。以水一盏。酒半盏。同煎取一盏。去滓温服。如得汗
出。慎外风。若口噤即斡开口灌之。
治中风身如角弓反张。及飞尸入腹。 痛闷绝。往来有时。筋急。少阴寒热。口噤不开
。大黄饮方
大黄(蒸三度) 熟干地黄(切焙各二两) 雄黄(研) 青羊脂(细切) 干姜(炮)
桂(去
上九味。锉如麻豆。每服三钱匕。水一大盏。煎至七分。去滓温服。日二夜一。
治中风身如角弓反张状。急风散方
附子(一枚炮裂去皮脐) 乌头(二枚炮裂去皮脐) 天南星(一枚炮) 藿香(去梗)
防风
上八味。捣罗为细散。每服半钱匕。豆淋温酒调下。并二服。未愈再服。
治中风背急反张。身不着席。口噤不开。大豆散方
大豆(炒令焦二两) 干姜(炮裂半两) 蜀椒(去目并闭口者炒出汗一两)
上三味。捣罗为细散。每服一钱匕。温酒调下。日夜各二。汗出即瘥。
治中风身如角弓反张。及妇人一切血风。上攻下注。若久服悦泽颜色。滋润皮肤。退风
益气强力。枸杞浸酒方
枸杞子 晚蚕砂(炒各半升) 恶实(炒) 苍耳子(炒各一升) 防风(去叉) 大
麻子(炒
恶实根(切
节者锉各二两)
上一十三味。以夹绢袋盛。用好法酒三斗浸。密封闭勿令通气。七日方开。开时不得面
对瓶口。每服一盏。温过空心食前临睡服。常令有酒容。久病风疾。不过一月瘥。
治中风身如角弓反张。当归酒方
当归 细辛(去苗叶) 防风(去叉各一两半) 麻黄(去根节煎掠去沫焙二两半) 独
活(
上六味。锉如麻豆。以酒三升。煮取二升去滓。每温服一盏食前。
治中风身如角弓反张。驴皮胶酒方
驴皮胶(炙燥二斤) 清酒(一斗)
上以酒煮胶令化。取六升。分十二服。空心细细服之。
Discussion on the condition of opisthotonos caused by wind. The manifestation is a backward arching of the waist and back, unable to bend forward. This occurs when wind-pathogen invades the Yang meridians, where pathogenic factors contend with righteous qi. When wind-qi prevails, it causes contraction and spasm of the sinews and vessels, resulting in the backward arching of the waist and back resembling the shape of a bow.
Formula for treating stroke causing body stiffness like opisthotonos, paralysis of the four limbs, restlessness, and trismus: Mahuang Yin Decoction (Ephedra Drink).
Herbs: Ephedrae Herba (Mahuang, 麻黄) [remove roots and nodes, boil in water to remove foam, dry-roast] 3 liang; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]; Cinnamomi Ramulus (Guizhi, 桂) [remove rough bark]; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Ginseng Radix et Rhizoma (Renshen, 人参); Ligustici Chuanxiong Rhizoma (Chuanxiong, 芎); Angelicae Sinensis Radix (Danggui, 当归) [dry-roast]; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry with honey and cut]; Zingiberis Rhizoma (Ganjiang, 干姜) [processed]; Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed until cracked, remove skin and navel] 1 liang; Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water, remove skin and tips, use double kernels, stir-fry with bran] 3 pieces.
The above eleven herbs are cut into sizes similar to hemp seeds. Each dose consists of 5 qianbi (approx. 15g), boiled with 1.5 sheng of water until reduced to 1 sheng. Strain and take warm. No specific timing required.
Formula for treating stroke causing body stiffness like opisthotonos and severe trismus: Danggui Tang Decoction (Angelica Decoction).
Herbs: Angelicae Sinensis Radix (Danggui, 当归) [dry-roast]; Asari Radix et Rhizoma (Xixin, 细辛) [remove seedlings and leaves] 3 fen; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]; Achyranthis Bidentatae Radix (Duhuo, 独活) [remove rhizome head] 1.5 liang; Ephedrae Herba (Mahuang, 麻黄) [remove roots and nodes].
The above six herbs are cut into sizes similar to hemp seeds. Each dose consists of 3 qianbi, boiled with 1 sheng of water and 0.5 sheng of wine until reduced to 1 sheng. Strain and take warm. If sweating occurs, avoid exposure to external wind. If trismus prevents opening the mouth, pry it open to administer the medicine.
Formula for treating stroke causing body stiffness like opisthotonos, "Flying Corpse" entering the abdomen, pain and syncope, intermittent attacks, sinew spasm, Shaoyin syndrome with alternating cold and heat, and trismus: Dahuang Yin Decoction (Rhubarb Drink).
Herbs: Rhei Radix et Rhizoma (Dahuang, 大黄) [steamed three times]; Rehmanniae Radix Praeparata (Shudihuang, 熟干地黄) [cut and dry-roast] 2 liang; Realgar (Xionghuang, 雄黄) [pounded]; Capris Fat (Qingyangzhi, 青羊脂) [finely cut]; Zingiberis Rhizoma (Ganjiang, 干姜) [processed]; Cinnamomi Ramulus (Guizhi, 桂) [remove rough bark].
The above nine herbs are cut into sizes similar to hemp seeds. Each dose consists of 3 qianbi, boiled with 1 large sheng of water until reduced to 70%. Strain and take warm. Take twice daily and once at night.
Formula for treating stroke causing body stiffness like opisthotonos: Jifeng San Powder (Urgent Wind Powder).
Herbs: Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [one piece, processed until cracked, remove skin and navel]; Aconiti Karayanae Radix (Wutou, 乌头) [two pieces, processed until cracked, remove skin and navel]; Pinelliae Tuber (Tiannanxing, 天南星) [one piece, processed]; Agastaches Herba (Huoxiang, 藿香) [remove stems]; Saposhnikoviae Radix (Fangfeng, 防风).
The above eight herbs are pounded and sifted into a fine powder. Each dose consists of half a qianbi, taken with warm wine from soaked beans. Take two doses consecutively. If not cured, continue taking.
Formula for treating stroke causing back stiffness and opisthotonos, inability to lie flat, and trismus: Dadou San Powder (Soybean Powder).
Herbs: Sojae Semen Preparatum (Dadou, 大豆) [stir-fry until charred] 2 liang; Zingiberis Rhizoma (Ganjiang, 干姜) [processed] 0.5 liang; Zanthoxyli Pericarpium (Shujiao, 蜀椒) [remove eyes and closed ones, stir-fry until sweat appears] 1 liang.
The above three herbs are pounded and sifted into a fine powder. Each dose consists of 1 qianbi, taken with warm wine. Take twice during the day and twice at night. Recovery occurs upon sweating.
Formula for treating stroke causing body stiffness like opisthotonos, and various blood-wind disorders in women, where pathogens attack upwards and downwards. Long-term use improves complexion, moistens skin, dispels wind, benefits qi, and strengthens strength. Formula: Gouqi Infused Wine (Goji Berry Wine).
Herbs: Lycii Fructus (Gouqizi, 枸杞子); Bombyx Batryticatus (Wancansha, 晚蚕砂) [stir-fried] 0.5 sheng each; Arctii Fructus (Niu Bangzi, 恶实) [stir-fried]; Xanthii Fructus (Cang Erzi, 苍耳子) [stir-fried] 1 sheng each; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches]; Cannabis Fructus (Damaizi, 大麻子) [stir-fried]; Arctii Radix (Enshigen, 恶实根) [cut segments and cut] 2 liang.
The above thirteen herbs are placed in a silk bag and infused in 3 dou of high-quality fermented wine. Seal tightly to prevent air leakage. Open after seven days. When opening, do not face the bottle mouth. Each dose is 1 sheng, taken warm before meals on an empty stomach and before sleep. Maintain a slight state of intoxication. Chronic wind diseases will be cured within one month.
Formula for treating stroke causing body stiffness like opisthotonos: Danggui Wine (Angelica Wine).
Herbs: Angelicae Sinensis Radix (Danggui, 当归); Asari Radix et Rhizoma (Xixin, 细辛) [remove seedlings and leaves]; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked branches] 1.5 liang each; Ephedrae Herba (Mahuang, 麻黄) [remove roots and nodes, boil to remove foam, dry-roast] 2.5 liang; Achyranthis Bidentatae Radix (Duhuo, 独活).
The above six herbs are cut into sizes similar to hemp seeds. Boil in 3 sheng of wine until reduced to 2 sheng. Strain. Each dose is 1 sheng, taken warm before meals.
Formula for treating stroke causing body stiffness like opisthotonos: Lvpijiao Wine (Donkey-hide Gelatin Wine).
Herbs: Colla Corii Asini (Lvpijiao, 驴皮胶) [roasted until dry] 2 jin; Clear Wine (Qingjiu, 清酒) 1 dou.
Boil the gelatin in wine until dissolved. Collect 6 sheng of liquid. Divide into twelve doses. Take slowly on an empty stomach.