夫中风不得语者。由心脾受于风邪故也。脾脉络于胃。夹咽连舌根。散于舌下。心之别
脉。
治中风。身体缓弱。口眼不正。舌强难语。奄忽忽。神情闷乱。宜服麻黄散方。
麻黄（一两去根节） 汉防己（一两） 黄芩（一两） 桂心（一两） 赤芍药（一两）
甘草
（半两
上件
药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温
治中风不得语。身体拘急疼痛。宜服独活散方。
独活（二两） 桂心（二两） 防风（一两去芦头） 当归（一两锉微炒） 赤芍药（一
两半）
附子
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治中风不得语。宜服醋石榴饮子方。
醋石榴皮（一枚锉） 生姜（一两折碎） 青州枣（十四枚擘去核） 黑豆（二合）上
件药。以
淡浆水三大盏。煎至一盏半。去滓。入牛乳三两。好梨二颗绞取汁。和令匀。不
服一合。
治中风不语。舌根强硬。宜服生地黄汁饮子方。
生地黄汁（一合） 独活（二两锉） 附子（一枚炮裂去皮脐） 淡竹沥（一合）上件
药。先以
水三大盏。煮独活附子。取汁一盏半。去滓。内生地黄汁及竹沥。更煎一两沸
温服半中盏。
治中风不能语。四肢强。宜服天麻散方。
天麻（一两） 干蝎（一两微炒） 乌蛇（二两酒浸炙微黄去皮骨） 天南星（三分炮
裂） 白附子
炮裂锉） 槟榔（半
上件药。捣细罗为散。每服。不计时候。以热酒调下一钱。顿三服。以浓衣盖。汗出为度。
治中风不语。宜服桑枝饮子方。
桑枝（一握束引者） 黑豆（一分布袋盛药） 独活（一两） 生姜 羌活（一两）上
件药。细
锉。以水两大盏。煎至一盏三分。去滓。入竹沥一合。更煎一两沸。不计时候。
治中风不语。筋脉拘急。疼痛。宜服天南星散方。
天南星（一两炮裂） 白附子（一两炮裂） 桑螵蛸（一两微炒） 白僵蚕（一两微炒）
藿香
（一
上件药。
捣罗为散。入后三味。更研令匀。每服。不计时候。以温酒调下一钱。
治中风舌强不语。筋骨拘急。饮食不得。翕翕发热。形神如醉。宜服牛黄丸方。
牛黄（半两细研） 麝香（半两细研） 白附子（三分炮裂） 天麻〔一分（两）〕 白
僵蚕（一
两微
两） 天
南
入研了
药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。
治猝中风不语。返魂丹方。
生玳瑁（半两） 朱砂（半两） 雄黄（半两） 白芥子（半两）上件药。同研如面。
于银器中。
酒煎安息香一两为膏。和丸如绿豆大。每服。不计时候。以
不语。亦服五丸。
治卒中风不语。舌根强硬。宜服此方。
陈酱（五合三年者妙） 人乳汁（五合）上件药。相和研。以生布绞取汁。不计时候。
少少
与服。良久当语。
The condition of stroke resulting in inability to speak is caused by the heart and spleen being affected by wind pathogenic factors. The meridians of the spleen connect with the stomach, flank the pharynx, link to the root of the tongue, and disperse under the tongue. The collateral vessels of the heart.
For treating stroke manifesting as flaccid weakness of the body, deviation of the mouth and eyes, stiff tongue with difficulty in speech, sudden dizziness or confusion, and mental restlessness, it is appropriate to take Mahuang San (Cinnamon Twig Powder).
Mahuang (Ephedrae Herba, one liang, remove roots and nodes) Hanfangji (Stephaniae Tetrandrae Radix, one liang) Huangqin (Scutellariae Radix, one liang) Guixin (Cinnamomi Cortex, one liang) Chishao Yao (Paeoniae Radix Rubra, one liang)
Gancao (Licorice Root, half liang)
The above herbs are crushed, sifted into a powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger, decoct until six fen remains. Remove the dregs. Take warm at any time.
For treating stroke manifesting as stiffness and pain in the body, it is appropriate to take Duhuo San (Angelicae Pubescentis Powder).
Duhuo (Angelicae Pubescentis Radix, two liang) Guixin (Cinnamomi Cortex, two liang) Fangfeng (Saposhnikoviae Radix, one liang, remove rhizome head) Danggui (Angelicae Sinensis Radix, one liang, sliced and lightly stir-fried) Chishao Yao (Paeoniae Radix Rubra, one and a half liang)
Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, remove skin and umbilicus)
The above herbs are crushed, sifted into a powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger, decoct until six fen remains. Remove the dregs. Take warm at any time.
For treating stroke resulting in inability to speak, it is appropriate to take Cu Shiliu Yinzi (Vinegar Pomegranate Peel Decoction).
Cu Shiliu Pi (Pericarpium Granati Acetum Preparatum, one piece, sliced) Shengjiang (Zingiberis Rhizoma Recens, one liang, broken) Qingzhou Zao (Jujubae Fructus, fourteen pieces, split and pitted) Heidou (Sojae Semen Nigrum, two he)
The above herbs are decocted in three zhong of light fermented grain water until one and a half zhong remains. Remove the dregs. Add three liang of cow's milk and juice extracted from two good pears. Mix evenly. Take one he per dose.
For treating stroke aphasia with a stiff tongue root, it is appropriate to take Sheng Dihuang Zhi Yinzi (Rehmannia Juice Decoction).
Sheng Dihuang Zhi (Rehmanniae Radix Juice, one he) Duhuo (Angelicae Pubescentis Radix, two liang, sliced) Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, remove skin and umbilicus) Dan Zhuli (Bambusae Caulis Liquamen, one he)
The above herbs: first decoct Duhuo and Fuzi in three zhong of water until one and a half zhong remains. Remove the dregs. Add Sheng Dihuang Zhi and Zhuli. Boil for one or two more boils. Take warm, half a zhong per dose.
For treating stroke resulting in inability to speak and stiffness of the four limbs, it is appropriate to take Tianma San (Gastrodiae Rhizoma Powder).
Tianma (Gastrodiae Rhizoma, one liang) Ganxie (Chloriti Corpus, one liang, lightly stir-fried) Wushe (Zaocys, two liang, soaked in wine, roasted until slightly yellow, remove skin and bones) Tiannanxing (Arisaematis Rhizoma, three qian, processed) Baifuzi (Typhonii Rhizoma, processed, sliced) Binglang (Arecae Semen, half liang)
The above herbs are finely ground into a powder. Take one qian per dose at any time, mixed with hot wine. Take three doses consecutively. Cover with thick clothing until sweating occurs.
For treating stroke aphasia, it is appropriate to take Sangzhi Yinzi (Mulberry Twig Decoction).
Sangzhi (Ramulus Mori, one handful, select those with tendrils) Heidou (Sojae Semen Nigrum, one fen, placed in a cloth bag) Duhuo (Angelicae Pubescentis Radix, one liang) Shengjiang (Zingiberis Rhizoma Recens) Qianghuo (Notopterygii Rhizoma et Radix, one liang)
The above herbs are finely sliced. Decoct in two large zhong of water until one and a third zhong remains. Remove the dregs. Add one he of Zhuli. Boil for one or two more boils. Take warm at any time.
For treating stroke aphasia with tendon and vessel stiffness and pain, it is appropriate to take Tiannanxing San (Arisaematis Rhizoma Powder).
Tiannanxing (Arisaematis Rhizoma, one liang, processed) Baifuzi (Typhonii Rhizoma, one liang, processed) Sangpiaoxiao (Ovi Mantidis, one liang, lightly stir-fried) Baijiangcan (Bombyx Batryticatus, one liang, lightly stir-fried) Huoxiang (Agastaches Herba, one liang, lightly stir-fried)
The above herbs are ground into a powder. Add the latter three ingredients and grind thoroughly to mix evenly. Take one qian per dose at any time, mixed with warm wine.
For treating stroke with a stiff tongue causing aphasia, stiffness of tendons and bones, difficulty in eating, slight fever, and a state resembling drunkenness, it is appropriate to take Niuhuang Wan (Calculus Bovis Pill).
Niuhuang (Calculus Bovis, half liang, finely ground) Shexiang (Moschus, half liang, finely ground) Baifuzi (Typhonii Rhizoma, three qian, processed) Tianma (Gastrodiae Rhizoma, one qian) Baijiangcan (Bombyx Batryticatus, one liang, lightly stir-fried) Quanxie (Chloritis Corpus, one liang, lightly stir-fried) Tiannanxing (Arisaematis Rhizoma, one liang, processed)
Grind all herbs evenly. Mix with refined honey and pound three or two hundred times. Form pills the size of paulownia seeds. Take at any time.
For treating sudden stroke aphasia, Fanhun Dan (Reviving Soul Pill).
Sheng Daimei (Hippopotam Dentis Corium, half liang) Zhusha (Cinnabaris, half liang) Xionghuang (Realgar, half liang) Baijiezi (Sinapis Alti Semen, half liang)
The above herbs are ground together like flour. In a silver vessel, decoct one liang of Anshixiang (Styrax) in wine to form a paste. Mix to form pills the size of mung beans. Take five pills at any time with wine. If unable to speak, also take five pills.
For treating sudden stroke aphasia with a stiff tongue root, this formula is appropriate.
Chen Jiang (Fermented Soybean Paste, five he, preferably three years old) Ren Ru Zhi (Human Milk, five he)
Mix and grind the above ingredients. Squeeze out the juice using raw cloth. Give small amounts frequently at any time. After some time, speech should return.