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For stroke manifesting as trismus (lockjaw) with inability to open the mouth, moxa two points of Jiguan (known as Jiache in *Qianjin Yifang*). The point is located 8 fen below the ear, slightly anterior. Moxa five Zhuang, and speech will be restored; alternatively, continue moxibustion according to the patient's age. For facial deviation, treat the affected side, moxa on both left and right as indicated. For stroke causing aphonia (loss of voice) and inability to speak, accompanied by flaccidity and loss of motor control, first moxa Tianchuang for fifty Zhuang. After the fire subsides, move to Baihui for fifty Zhuang, then return to Tianchuang for another fifty Zhuang. If Baihui is moxaed at the onset, the pathogenic wind cannot dissipate but instead attacks the internal Zang organs, leading to closure and stagnation resulting in aphonia. Therefore, it is better to moxa Tianchuang first, followed by Baihui. One session of fifty Zhuang fully dissipates the heat/fire; if repeated, adjust based on severity. For severe cases, three hundred Zhuang at one location yields excellent results. For all stroke patients whose condition worsens after taking medicine, moxa all Wind points for three Zhuang each; there are no failures in cure.

Discussion: When Wind-Cold Qi invades the middle, stagnates, and fails to disperse, it causes aphonia, inability to speak, and throat Bi (obstruction) with loss of voice, all caused by Wind pathogen. Invasion into the Zang organs can be fatal. Hence, this is appended to the end of the chapter on treating Wind. In cases of corpse-like syncope where the pulse remains active, this is due to the descent of Yang pulses and contention of Yin pulses, resulting in Qi closure. Puncture Baihui to a depth of 3 fen, apply tonification method; moxa/iron the bilateral hypochondrium with a hot iron; also take soot from the stove chimney, size of a bullet, mix with water, and administer. Also puncture the tip of the middle toe of the foot, distance from the nail like a leek leaf; also pierce the medial aspect under the nail of the great toe, 3 fen from the nail.

Prescription for sudden aphonia:
Boil Cinnamon Twig juice concentrated, drink one Sheng, cover to induce sweating. Alternatively, powder Cinnamon Twig and place under the tongue, slowly swallowing the juice.
Another prescription: Boil Soybean juice concentrated, hold in the mouth; this is also good. If beans are unavailable, use Fermented Soybean (*Douchi*).

Prescription for sudden inability to speak:
Wine 5 He, mixed with human milk 0.5 He, divide into two doses.

Discussion: Abnormal eye movements and deviation of the lips/mouth indicate Wind entering the vessels. Immediately administer Xiao Xuming Tang (Minor Continuation Life Decoction), Fuzi San (Aconite Powder), Mo Shenming Gao (see Vol. 7, Foot Gate section), Danshen Gao (see Vol. 24, Carbuncle and Ulcer section). Moxa according to the acupoints. Throat Bi with tongue flaccidity is treated similarly. Wind entering the Zang organs causes aphonia and sudden death, with pulling of the mouth and eyes, tightness of the jaw, immobility and deviation of the tongue. Apply Fuslonggan San (Dragon Kiln Earth Powder) mixed with rooster comb blood and softshell turtle blood to the affected area; reapply when dry. Also moxa the junction of red and white skin along the horizontal lines at the corners of the mouth, treating left or right as needed, with Zhuang count based on age, repeating up to three times. If not cured in three days, repeat treatment.