（灸法附）
病源中风者。风气中于人也。风是四时之气。分布八方。主长养万物。从其乡来者。而
人中少死病。不从卿来者。人中多死病。其为病也。藏于皮肤之间。内不得通。外不得泄。
其人经脉行于五脏者。各随脏腑而生病焉。心中风。但得偃卧。不得倾侧。若唇赤流汗者可
疗
疗。五六日而死。肝中风。但踞坐不得低头。若连两目连额。色微有青。唇青面黄者可疗。
急灸肝俞百壮。若大青黑面。一黄一白。是肝已伤。不可复疗。数日而死。脾中风。踞而腹
满。通身黄。吐咸汁出者可疗。急灸脾俞百壮。若手足青者。不可复疗。肾中风。踞而腰痛。
视胁左右。未有黄色如饼粢大者可疗。急灸肾俞百壮。若齿黄赤。须发直。面土色者。不可
复疗。肺中风。偃卧而胸满短气。胃闷汗出。视目下鼻上下两边。下行至口。色白者可疗。
急灸肺俞百壮。若色黄为肺已伤。化为血。不可复疗。其人当妄。掇空指地。或自拈衣寻衣
缝。如此数日而死。诊其脉虚弱者。亦风也。缓大者亦风也。浮虚者亦风也。滑散者亦风也
。（出第一卷中）
深师疗中风汗出干呕。桂枝汤方。
桂心 甘草（炙各三两） 大枣（十二枚掰）
上三味切。以水五升。煮取二升半。分三服。一方用生姜五两。忌生葱海藻菘菜。
又桂枝汤。疗中风。身体烦疼。恶寒而自汗出。头强痛急方。
桂心（五两） 生姜（八两） 甘草（二两炙） 葛根（八两） 芍药（三两） 大枣
（十二枚掰）
上六味切。以水七升。煮取二升半。服八合。日三。温覆取汁。陆伯庸用良。忌生葱海
藻菘菜。（人玉曰此仲景桂枝加葛根汤方也今云头强痛急当作项强痛急才是）
又麻黄汤。疗中风。气逆满闷短气方。
麻黄（三两去节） 甘草（二两炙） 石膏（四两碎绵裹） 杏仁（五十枚去两仁及尖
皮碎）
人参（三两） 干姜（五两） 茯苓 防风（各四两） 桂心（三两） 半夏（一升洗）
上十味。以水九升。煮取三升。先食服一升。日三服。甚良。忌海藻生葱羊肉饧菘菜。
又茯苓汤。疗中风入腹。心下如刺。不得卧。或在胁下。转动无常。腹满短气。 欲
死。此病或中虚冷。或素有宿食。食饮不消。或素风气在内。今得他邪。复于五脏。故成此
病方。
茯苓（二两） 芎 干姜 芍药 白术 当归 人参（各一两） 枳实（三分炙） 甘
草（
炙一两）
上九味细切。以水九升。煮取三升。日三。若病剧者。可相去如人行五里顷一服。胸中
有气。可加人参二两。服一剂不瘥。不过两剂。神良。忌海藻菘菜桃李雀肉大酢。（并出第
九卷中）
千金翼中风论∶圣人以为风是百病之长。深为可忧。故避风如避矢。是以御风邪以汤药
针灸
昔
头风岂可再发。只由不灸。其本不除。所以学人不得专恃于针及汤药等。HT 病毕瘥。既
不若
灸。安能拔本塞源。是以虽丰药饵。诸疗之要。在火艾为良。初得风之时。当急下火。火下
即定。此煮汤熟。已觉眼明。岂非大要。其灸法先灸百会。次灸风池。次灸大椎。次灸肩井。
次灸曲池。次灸间使。各三壮。次灸三里五壮。其炷如苍耳子大。必须大实作之。其艾又须
大熟。从此以后。日别灸之。至随年壮止。凡人稍觉心神不快。即须灸此诸穴各三壮。不得
轻之。苟度朝夕。以致殒毙。诫之哉。诫之哉。
又论曰∶学人凡将欲疗病。先须灸前诸穴。莫问风与不风。皆先灸之。此之一法。医之
大术
好。仍不及三月三日者。又有卒死之人。及中风不得语者。皆急灸之。夫卒死者气入五脏。
为生平风发。强忍怕痛不灸。忽然卒死。谓是何病。所以皆必灸之。是大要也。
又论曰∶夫得风之时。则依此次第疗之。不可违越。若不依此。当失机要。性命必危。
又凡初得风。四肢不收。心神 愦。眼不识人。言不退场门。凡中风多由热起。服药当须
慎酒面羊肉生菜冷食猪鱼鸡牛马蒜。乃可瘥。得患即服此竹沥汤方。
竹沥（二升） 生葛汁（一升） 生姜汁（三合）
上三味相和。温暖分三服。平旦日晡夜各一服讫。觉四体有异似好。以进后方。（土弱
日一云有荆沥一升）
又方
麻黄（去节） 防风（各一两半） 芎 防己 附子（炮） 人参 芍药 黄芩 桂
心甘
草（炙各一两）
（一升）
生葛汁（五合
上十六味切。以水七升。煮取一半。乃下沥汁。煮取二升七合。分温三服。五日更服一
剂。频与三剂。慎如上法。渐觉稍稍损。次进后方。忌猪肉冷水海藻菘菜生葱。
又方
竹沥（二升） 防己（一两） 麻黄（三两去节） 防风 升麻 桂心 芎 独活 羚
羊角
（各二两屑）
上九味切。以水四升。并沥。煮取三升。分为三服。两日进一剂。进三剂。若手足冷。
加生姜五两。白术二两。若未除。次进后方。忌生葱等如前。
又方
防风 麻黄（去节） 芍药（各一两半） 防己 桂心 黄芩（各一两） 附子（三分
炮） 甘
草（炙） 白术
（一两）
石膏（二两碎
上十七味。以水八升煮减半。下沥。煮取二升半。分三服。相去如人行十里再服。有气
加橘
等。
又煮散方。
防风 独活 芍药 黄 人参 芎 白术 丹参 薯蓣 茯神 桂心 麦门冬（去
心） 山
艽
石斛 防己
两） 橘
皮（三两） 生姜（二两切） 干地黄（六两） 附子（三两炮） 远志（三两去心）
上三十三味捣筛为散。每煮以水三升。纳药三两。煮取一升。绵滤去滓。顿服之。日别
一服。觉心中烦热。以竹沥代水煮之。（千金有黄芩槟榔蒿本杜仲犀角无出茱萸薯蓣甘草麦
门冬附子）
又凡患风人多热。宜服荆沥方。
荆沥 竹沥 生姜汁（各五合）
上三味相和。温为一服。每日旦服煮散。午后当服此荆沥。常作此将息。
防风汤。主偏风。甄权处治安平公方。
防风 白术 芎 白芷 牛膝 狗脊 萆 （各一两） 薏苡仁 杏仁（去尖皮两仁
者）
人参 葛根 羌活（各二两） 麻黄（四两去节） 石膏（碎绵裹） 桂心（各二两） 生
姜（五两
切）
上十六味切。以水一斗二升。煮取三升。分为三服。服一剂觉好。更服一剂。一剂一度
灸之。服九剂汤九度灸之。灸风池一穴。肩 一穴。曲池一穴。支沟一穴。五枢一穴。阳陵
泉一穴。巨墟下廉一穴。合七穴即瘥。仁寿宫备身患脚。奉效灸环跳阳陵泉巨墟下廉阳辅即
起行
二穴。即得跪起。库狄钦偏风不得挽弓。灸肩 一穴即瘥。前方忌桃李生葱。（千金翼本方
并云针此云灸者盖王道不取针也）
又一切风虚方。常患头痛欲破者。
杏仁（九升去尖皮两仁者曝干）
上一味捣作末。以水九升研滤如作粥法。缓火煎。令如麻浮上。匙取和羹。粥酒纳一匙
服之。每食即服。不限多少。服十日后大汗出。二十日后汗止。慎风冷猪鱼鸡蒜大酢。一剂
后诸风减瘥。春夏恐酢少作服之。秋九月后煎之。此法神妙。可深秘之。（并出第十六卷中
千金同）
备急疗若卒觉体中恍恍。皮肉习习此即欲中风方。
急取独活桂心各五两二味切。以酒三升渍。于火边炙之使暖。一服五合。日三加至一
升良。忌生葱。（千金同出第二卷中）
近效薏苡仁汤。疗诸风方。
薏苡仁（五合） 葳蕤 生姜 茯神（各三两） 生犀角末（二两） 乌梅（七枚） 麦
门冬（
去心） 竹沥（各三合） 白蜜（一合）
上九味切。以水八升缓煮。取二升七合汁。绞去滓。纳竹沥白蜜搅调。细细饮之。不须
限以
服勿轻尤佳。以防风候。忌食米醋油脂陈败难消等物。以前方疗暴风手足瘫废。言语謇涩。
神情恍惚。游风散走。或出诸四肢 痹。有所不稳。似绿风候。即合服之。十日服一剂甚佳。
（
(Acupuncture and Moxibustion Methods Attached)
The etiology of stroke (Zhong Feng) is the invasion of wind pathogen into the human body. Wind is the climate qi of the four seasons, distributed in the eight directions, governing the nourishment of all things. Wind coming from its own direction (the prevailing season) rarely causes fatal illness in humans; wind not coming from the prevailing direction (false pathogens) often causes fatal illness. The pathogen lodges between the skin and muscles, unable to penetrate inward or excrete outward. If it invades the meridians running through the five Zang organs, it produces diseases corresponding to each organ.
Wind striking the Heart: The patient can only lie on their back and cannot turn sideways. If the lips are red and sweating, it is treatable; if left for five or six days, death ensues.
Wind striking the Liver: The patient can only squat and cannot bow the head. If the color extends from both eyes to the forehead with a slight bluish tint, and the lips are blue and the face yellow, it is treatable. Urgently moxa the Ganshu (BL18) point 100 moxibustion cones. If the face is dark blue-black, or half yellow and half white, the liver is already damaged and untreatable; death occurs within a few days.
Wind striking the Spleen: Squatting with abdominal fullness, whole-body jaundice, and vomiting salty fluid is treatable. Urgently moxa the Pishu (BL20) point 100 moxibustion cones. If the hands and feet are blue, it is untreatable.
Wind striking the Kidney: Squatting with lower back pain. If observing the sides of the hypochondrium, there are no yellow patches as large as a cake, it is treatable. Urgently moxa the Shenshu (BL23) point 100 moxibustion cones. If the teeth are yellow-red, beard and hair stand erect, and the face has an earthy color, it is untreatable.
Wind striking the Lung: Lying on the back with chest fullness and shortness of breath, stomachal stuffiness and sweating. Observing the area below the eyes and on both sides of the nose extending down to the mouth, if the color is white, it is treatable. Urgently moxa the Feishu (BL13) point 100 moxibustion cones. If the color turns yellow, the lung is damaged and transformed into blood stasis, untreatable. The patient will speak deliriously, grasp at empty air or point to the ground, or pick at clothing seams. Death occurs after several days. Diagnosing weak, slow and large, floating and deficient, or slippery and scattered pulses also indicates wind strike. (From Volume I)
Shenshi Formula for Stroke with Sweating and Dry Retching: Guizhi Tang (Cinnamon Twig Decoction).
Guixin (Cinnamon Heart), Gancao (Licorice Root, roasted, 3 liang each), Dazao (Jujube, 12 pieces, broken).
Cut the three ingredients. Boil in 5 sheng of water to obtain 2.5 sheng. Divide into three doses. Another version uses 5 liang of Shengjiang (Fresh Ginger). Avoid raw scallions, seaweed, and Songcai (Chinese Cabbage).
Another Guizhi Tang for Stroke causing bodily restlessness and pain, aversion to cold with spontaneous sweating, and stiffness/pain in the head and neck:
Guixin (5 liang), Shengjiang (8 liang), Gancao (roasted, 2 liang), Gegen (Kudzu Root, 8 liang), Shaoyao (Peony Root, 3 liang), Dazao (12 pieces, broken).
Cut the six ingredients. Boil in 7 sheng of water to obtain 2.5 sheng. Take 8 ge per dose, three times daily. Cover warmly to induce sweating. Lu Boyong found this effective. Avoid raw scallions, seaweed, and Songcai. (Ren Yu notes: This is Zhang Zhongjing's Guizhi Jia Gegen Tang. "Head stiff and painful" should be read as "Neck stiff and painful".)
Another Mahuang Tang for Stroke causing Qi rebellion, chest fullness, and shortness of breath:
Mahuang (Ephedra Herb, 3 liang, nodes removed), Gancao (roasted, 2 liang), Shigao (Gypsum Fibrosum, 4 liang, crushed and wrapped in cotton), Xingren (Apricot Seed, 50 pieces, skin and tips removed), Renshen (Ginseng Radix, 3 liang), Jiangjiang (Dried Ginger, 5 liang), Fuling (Poria, 4 liang), Fangfeng (Saposhnikovia Root, 4 liang), Guixin (3 liang), Banxia (Pinellia Tuber, 1 sheng, washed).
Boil the ten ingredients in 9 sheng of water to obtain 3 sheng. Take 1 sheng before meals, three times daily. Very effective. Avoid seaweed, raw scallions, mutton, malt sugar, and Songcai.
Another Fuling Tang for Wind Pathogen entering the abdomen, stabbing pain under the heart, inability to lie down, or wandering pain in the hypochondrium, abdominal fullness, shortness of breath, and extreme distress. This disease may result from deficiency-cold, retained food due to indigestion, or internal wind pathogen combined with other pathogens affecting the five Zang organs.
Fuling (2 liang), Xiong (Chuanxiong Rhizome), Jiangjiang, Shaoyao, Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Radix), Renshen (1 liang each), Zhishi (Immature Bitter Orange, roasted, 3 fen), Gancao (roasted, 1 liang).
Finely cut the nine ingredients. Boil in 9 sheng of water to obtain 3 sheng. Take three times daily. For severe cases, take one dose every interval equivalent to walking five li. If there is Qi stagnation in the chest, add 2 liang of Renshen. If one dose is ineffective, do not exceed two doses; it is miraculous. Avoid seaweed, Songcai, peaches, plums, sparrow meat, and strong vinegar. (From Volume IX)
Discussion on Stroke from Qianjin Yi Fang: The sages considered wind the chief of all diseases, deeply worrying. Therefore, one must avoid wind as one avoids arrows. To resist wind pathogens, decoctions and acupuncture/moxibustion are used. Why does old head wind recur? Because moxibustion was neglected, and the root was not removed. Thus, students should not rely solely on needles and decoctions. After recovery, without moxibustion, how can the root be pulled out? Although medicines are abundant, among all therapies, fire-moxa is best. At the onset of wind, urgent moxibustion should be applied. Once the fire is applied, the condition stabilizes. This is like boiling soup until cooked, instantly clearing vision—isn't this crucial? The sequence of moxibustion is: first Baihui (GV20), then Fengchi (GB20), then Dazhui (GV14), then Jianjing (GB21), then Quchi (LI11), then Jianshi (PC5), 3 cones each. Then Sanli (ST36), 5 cones. The cone size should be like a cocklebur seed, made firm. The mugwort must be well-aged. Thereafter, moxa these points daily until reaching the number of cones corresponding to the patient's age. Whenever one feels mental discomfort, moxa these points 3 cones each; do not underestimate this. Neglecting morning and evening leads to death. Beware! Beware!
Furthermore: When treating any disease, first moxa the aforementioned points, regardless of whether it is wind or not. This is a major medical technique. If illness persists beyond three months, or in cases of sudden death or stroke with aphasia, urgent moxibustion is required. Sudden death involves Qi entering the five Zang organs, akin to a latent wind attack. Enduring pain to avoid moxibustion leads to sudden death. Thus, moxibustion is essential.
Furthermore: Upon contracting wind, follow this sequence strictly. Deviation loses the key to treatment and endangers life.
Furthermore: Initial wind symptoms include flaccid limbs, confused spirit, blindness to recognition, and slurred speech. Stroke often originates from heat. Medications require avoiding alcohol, wheat products, mutton, raw vegetables, cold foods, pork, fish, chicken, beef, horse meat, garlic. Recovery is possible. Immediately administer Zhu Li Tang (Bamboo Sap Decoction):
Zhu Li (Bamboo Sap, 2 sheng), Sheng Ge Zhi (Fresh Kudju Juice, 1 sheng), Shengjiang Zhi (Fresh Ginger Juice, 3 he).
Mix and warm. Divide into three doses: morning, afternoon, and night. If limbs feel better, proceed to the next formula. (Tu Ruowei mentions another version with Jing Li 1 sheng.)
Another Formula:
Mahuang (nodes removed), Fangfeng (1.5 liang each), Xiong, Fangji (Stephania Tetrandra Root), Fuzi (Prepared Aconite Root), Renshen, Shaoyao, Huangqin (Scutellaria Root), Guixin, Gancao (roasted, 1 liang each), [Missing Ingredient] (1 sheng), Sheng Ge Zhi (0.5 sheng).
Cut the sixteen ingredients. Boil in 7 sheng of water to reduce by half, then add the sap/juice, boil to obtain 2.7 sheng. Divide into three warm doses. Take another dose after five days, up to three doses frequently. Avoid pork, cold water, seaweed, Songcai, raw scallions. As improvement occurs, proceed to the next formula.
Another Formula:
Zhu Li (2 sheng), Fangji (1 liang), Mahuang (3 liang, nodes removed), Fangfeng, Shengma (Cimicifuga Rhizome), Guixin, Xiong, Duhuo (Angelica Pubescens Root), Lingyangjiao (Saiga Antelope Horn, 2 liang each, powdered).
Cut the nine ingredients. Boil in 4 sheng of water with the sap to obtain 3 sheng. Divide into three doses over two days, taking three doses total. If hands and feet are cold, add Shengjiang (5 liang) and Baizhu (2 liang). If unresolved, proceed to the next formula. Avoid raw scallions as before.
Another Formula:
Fangfeng, Mahuang (nodes removed), Shaoyao (1.5 liang each), Fangji, Guixin, Huangqin (1 liang each), Fuzi (prepared, 3 fen), Gancao (roasted), Baizhu (1 liang), Shigao (crushed, 2 liang).
Boil the seventeen ingredients in 8 sheng of water to reduce by half, add sap, boil to obtain 2.5 sheng. Divide into three doses, repeating after the time it takes to walk ten li. Add Ju Pi (Tangerine Peel) for Qi stagnation.
Another Powder Decoction:
Fangfeng, Duhuo, Shaoyao, Huangqin, Renshen, Xiong, Baizhu, Danshen (Salvia Root), Shuyu (Dioscorea Opposita), Fushen (Poria with Hostwood), Guixin, Maidong (Ophiopogon Tuber, core removed), Qinjiao (Gentiana Macrophylla Root), Shihu (Dendrobium Stem), Fangji, Ju Pi (3 liang), Shengjiang (2 liang, sliced), Dihuang (Rehmannia Root, 6 liang), Fuzi (prepared, 3 liang), Yuanzhi (Polygala Root, 3 liang, core removed).
Pound and sieve the thirty-three ingredients into powder. For each decoction, use 3 sheng of water and 3 liang of powder, boil to obtain 1 sheng. Filter through silk and take at once. One dose daily. If feeling heart-heat, use Zhu Li instead of water for boiling. (Qianjin Fang contains Huangqin, Binglang, Haoben, Duzhong, Xijiao; lacks Chuyuzhu, Shuyu, Gancao, Maidong, Fuzi.)
Furthermore: Wind patients often have heat; Jing Li Decoction is suitable:
Jing Li (Schizonepeta Sap), Zhu Li, Shengjiang Zhi (0.5 sheng each).
Mix and warm as one dose. Take the powder decoction in the morning, and this Jing Li in the afternoon. Maintain this regimen for care.
Fangfeng Tang for Hemiplegia (Pian Feng), prescription by Zhen Quan for Duke Anping:
Fangfeng, Baizhu, Xiong, Baizhi (Angelica Dahurica Root), Niuxi (Achyranthes Root), Gouji (Cibotium Rhizome), Bibo (Dioscorea Hypoglauca Rhizome, 1 liang each), Yiyiren (Coix Seed), Xingren (removed tips/skins/double kernels), Renshen, Gegen, Qianghuo (Notopterygium Rhizome, 2 liang each), Mahuang (4 liang, nodes removed), Shigao (crushed, wrapped), Guixin (2 liang each), Shengjiang (5 liang, sliced).
Cut the sixteen ingredients. Boil in 12 dou of water to obtain 3 sheng. Divide into three doses. If feeling better after one dose, take another. Combine each dose with one moxibustion session. Nine doses of decoction correspond to nine moxibustion sessions. Moxa Fengchi (GB20), Jianyu (LI15), Quchi (LI11), Zhigou (TE6), Wushu (GB26), Yanglingquan (GB34), Jiuxia Lian (ST39). Seven acupoints total lead to cure. Ren Shou Gong Beishen had foot issues; moxa Huantiao (GB30), Yanglingquan (GB34), Jiuxia Lian (ST39), Yangfu (GB38) to walk. Two acupoints allowed kneeling/standing. Kudi Qin with hemiplegia could not draw a bow; moxa Jianyu (LI15) cured him. Avoid peaches, plums, raw scallions in previous formulas. (Qianjin Yi Fang notes acupuncture here, but moxibustion is used because the royal way avoids needles.)
Another Formula for All Wind Deficiency with Severe Headache:
Xingren (9 sheng, remove tips/skins/double kernels, dry).
Pound to powder. Grind in 9 sheng of water, filter like making porridge. Simmer slowly until sesame seeds float. Take one spoonful mixed with soup, porridge, or wine. Take with every meal, unlimited quantity. Profuse sweating after ten days, stops after twenty days. Avoid wind/cold, pork, fish, chicken, garlic, strong vinegar. All wind conditions reduce after one dose. In spring/summer, make less due to vinegar scarcity. Brew after September/Autumn. This method is miraculous; keep secret. (From Volume XVI, same as Qianjin Fang.)
Emergency Treatment for Impending Stroke: If suddenly feeling dizzy and tingling skin/muscles, stroke is imminent.
Urgently take Duhuo and Guixin (5 liang each). Cut and soak in 3 sheng of wine. Warm near fire. Take 0.5 sheng per dose, three times daily, increasing to 1 sheng. Avoid raw scallions. (Same as Qianjin Fang Vol II.)
Jin Xiao Yiyiren Tang for Various Winds:
Yiyiren (0.5 sheng), Weirui (Polygonatum Odoratum Rhizome), Shengjiang, Fushen (3 liang each), Sheng Xijiao Mo (Raw Rhinoceros Horn Powder, 2 liang), Wumei (Mume Fruit, 7 pieces), Maidong (core removed), Zhu Li (0.3 sheng each), Baimi (White Honey, 0.1 sheng).
Cut the nine ingredients. Slowly boil in 8 sheng of water to obtain 2.7 sheng of juice. Strain, mix in Zhu Li and honey. Drink slowly. No fixed limit; skipping doses is better to prevent wind attacks. Avoid rice vinegar, oils, stale/hard-to-digest foods. Use previous formula for storm-induced paralysis, slurred speech, confusion, wandering wind, limb bi-syndrome, instability, or green wind signs. Take one dose every ten days for best results. (