治中风其脉阳浮而阴弱,阳浮者热自发,阴弱者汗自出。涩涩恶风,淅淅恶
寒,翕翕发热,鼻鸣干呕方。
桂枝 芍药 生姜(各三两) 甘草(二两) 大枣(十二枚)
上五味 咀三物,切姜擘枣,以水七升煮枣令烂,去滓,乃纳诸药,水少者益之,煮令
微沸,得三升,去滓。服一升,日三,小儿以意减之。初服少,多便得汗出者,小阔其间。
不得汗者,小促其间,令药势相及汗出,自护如法,特须避风。病若重,宜夜服。若服一剂
不解,病证不变者,当复服之。至有不肯汗出,服两三剂乃愈。服此药食顷,饮热粥以助药
力。
治伤寒头及腰痛,身体骨节疼,发热恶寒,不汗而喘方。
麻黄(三两) 桂枝 甘草(各一两) 杏仁(七十枚,喘不甚用五十枚)
上四味 咀,以水九升煮麻黄减二升,去沫,纳诸药,煮取二升半,绞去滓,服八合
,覆令汗。
治中风伤寒,脉浮紧,发热恶寒,身体疼痛,汗不出烦躁方。
麻黄(六两) 桂心 甘草(各二两) 石膏(如鸡子一枚,碎) 生姜(三两) 杏
仁(四十
枚) 大枣(十二枚)
上七味 咀,以水九升煮麻黄去沫,乃纳诸药,煮取三升,分服一升,浓覆,当大汗
出,温粉粉之即止,不可再服,服之则筋惕肉 ,此为逆也。不汗乃再服。
To treat Wind-stroke (Zhongfeng), the pulse is floating on the exterior (Yang) and weak on the interior (Yin). A floating Yang pulse indicates spontaneous heat emission, while a weak Yin pulse indicates spontaneous sweating. The patient experiences slight aversion to wind, shivering aversion to cold, mild fever (as if covered by feathers), nasal congestion with roaring sounds, and dry retching. Formula:
Guizhi Tang (Cinnamon Twig Decoction): Guizhi (Ramulus Cinnamomi) 3 liang, Shaoyao (Radix Paeoniae Alba) 3 liang, Shengjiang (Rhizoma Zingiberis Recens) 3 liang, Gancao (Radix Glycyrrhizae) 2 liang, Dazao (Fructus Jujubae) 12 pieces.
Process the above five herbs: crush three of them into coarse powder, slice the ginger, and tear open the dates. Boil the dates in seven sheng of water until soft, then strain out the dregs. Add the remaining herbs to the liquid. If the water level drops too low, add more water. Boil until slightly bubbling to obtain three sheng of decoction, then strain. Administer one sheng per dose, three times daily. For children, adjust the dosage according to their condition. If excessive sweating occurs after the initial dose, slightly extend the interval between doses. If no sweating occurs, slightly shorten the interval to ensure continuous medicinal effect to induce sweating. After taking the medicine, care for oneself as instructed, specifically avoiding wind exposure. If the condition is severe, it is advisable to take the medicine at night. If one dose does not resolve the illness and the symptoms remain unchanged, administer another dose. In some cases, patients may not sweat even after two or three doses until recovery. Shortly after taking this medicine, drink hot congee to assist the medicinal power.
To treat Cold damage (Shanghan) manifesting as headache and backache, body and joint pain, fever with aversion to cold, anhidrosis (absence of sweating), and wheezing. Formula:
Mahuang Tang (Ephedra Decoction): Mahuang (Herba Ephedrae) 3 liang, Guizhi (Ramulus Cinnamomi) 1 liang, Gancao (Radix Glycyrrhizae) 1 liang, Xingren (Semen Armeniacae Amarum) 70 pieces (use 50 pieces if wheezing is not severe).
Process the above four herbs into coarse powder. Boil Mahuang in nine sheng of water until reduced by two sheng, skim off the foam, then add the other herbs. Boil to obtain two and a half sheng of decoction, squeeze out the liquid, and discard the dregs. Administer eight ge per dose. Cover the patient with blankets to induce sweating.
To treat Wind-stroke complicated by Cold damage, presenting with a floating and tight pulse, fever with aversion to cold, body pain, anhidrosis, and restlessness. Formula:
Da Qing Long Tang (Major Blue Green Dragon Decoction): Mahuang (Herba Ephedrae) 6 liang, Guixin (Cortex Cinnamomi) 2 liang, Gancao (Radix Glycyrrhizae) 2 liang, Shigao (Gypsum Fibrosum) equivalent to one chicken egg, crushed, Shengjiang (Rhizoma Zingiberis Recens) 3 liang, Xingren (Semen Armeniacae Amarum) 40 pieces, Dazao (Fructus Jujubae) 12 pieces.
Process the above seven herbs into coarse powder. Boil Mahuang in nine sheng of water and skim off the foam, then add the remaining herbs. Boil to obtain three sheng of decoction. Divide into three doses, administering one sheng each time. Cover the patient thickly; profuse sweating should occur. Apply warm powder to the body to stop sweating. Do not administer further doses, as doing so may cause muscle twitching (Jinti Roudong), which constitutes a adverse reaction. If no sweating occurs after the first dose, administer the next dose.