夫体虚之人,腠理疏泄,风邪外伤,搏于血脉,入于手少阴之经,则心神颠倒,言语謇
涩,舌强口干,面赤头痛,翕翕发热,胸背拘急,手心热盛,但多偃卧,不得倾侧,忪悸汗
出,恍惚不安,此皆风邪伤于心经,致有斯候,故曰∶心中风也。
治心脏中风,虚寒寒颤,心惊掣悸,语声混浊,口 冒昧好笑,宜服麻黄散方。
麻黄(一两去根节) 白术(一两) 防风(一两去芦头) 桂心(三分) 川升麻(三
分) 芎
(一两)
归(三分
锉,微炒)
上件药,捣罗为散。每服三钱,以水一中盏,入生姜半分,煎至五分,去滓,入荆沥半
合,更煎一两沸,不计时候温服。
治心脏中风,语涩昏闷,四肢沉重,精神不守,宜服茯神散方。
茯神(一两) 羌活(一两) 蔓荆子(三分) 龙齿(一两) 人参(三分去芦头) 薏
苡仁
(三分) 防风
犀角屑
(三分) 麻黄(一两去根节) 甘草(半两炙微赤,锉)
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
温服。
治心脏中风,语涩昏昧,四肢不利,翕翕发热,胸中烦悸,宜服犀角散方。
犀角屑(三分) 防风(三分去芦头) 沙参(三分去芦头) 羌活(三分) 甘菊花
(三分)
麻黄(二
汤浸,去皮
尖、双
门冬(三
分去心)
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
温服。
治心脏中风,言语謇涩,恍惚惊悸,神志错乱,面赤心烦,四肢不利,宜服羚羊角
散方
羚羊角屑(一两) 麻黄(一两去根节) 独活三分 赤茯苓三分 黄 (三分锉) 黄
芩(三
分
去心) 葛
根(三分
参(三分去
芦头)
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
温服。
治心脏中风,虚烦,目旋眩,恍惚不定,宜服沙参散方。
沙参(三分去芦头) 麦门冬(半两去心) 石膏(三分) 防风(三分去芦头) 人
参(三分
去
羊角
屑
上件药,捣筛为散。每服四钱,以水一中盏,入生姜半分,煎至五分,去滓,入竹沥半
合,更煎一两沸,不计时候温服。
治心脏中风,冒昧不知,胸背拘急,心烦语涩,翕翕发热,时自汗出,四肢不利,
宜服
茯神(三分) 独活(三分) 当归(三分锉,微炒) 桂心(三分) 杏仁(三分汤
浸,去皮
尖、双
黄
芩(三分
上件药,捣筛为散。每服四钱,以水一中盏,煎至五分,去滓,入竹沥半合,更煎一两
沸,不计时候温服。
治心脏中风,精神昏昧,烦热多汗,口干面赤,惊悸头痛,宜服葳蕤散方。
葳蕤(一两) 薏苡仁(一两) 白藓皮(三分) 麦门冬(一两去心) 茯神(三分)
犀角屑
(三分) 石膏(一两) 防风(三分去芦头) 远志(三分去心) 甘草(半两炙微赤,
锉)
上件药,捣筛为散。每服四钱,以水一中盏,煎至五分,去滓,入竹沥半合,更煎一两
沸,不计时候温服。
治心脏中风,心神恍惚,恐畏闷乱,不得睡卧,志意不定,言语错误,宜服牛黄
散方。
牛黄(一分细研) 犀角屑(一分) 朱砂(半两细研) 麝香(一分细研) 羚羊角
屑(一分)
防
沙参
(一分
麦门冬
(半两去心,
炙微赤,
锉)
上件药,捣细罗为散,都研令匀。每服一钱,煎麦门冬汤调下,不计时候服。
治心脏中风惊悸,言语混浊,烦热恍惚,心神不安,宜服防风丸方。
防风(三分去芦头) 茯神(一两) 人参(三分去芦头) 麦门冬(一分去心,焙) 天
麻
(三分) 白藓皮(一两) 薏苡仁(三分) 小草(三分) 犀角屑(一两) 天竺黄(三
分) 牛黄
(一分研入)
上件药,捣罗为末,入研了牛黄,令匀,炼蜜和捣三、二百杵,丸如梧桐子大。每服,
不计时候,以糯米饮下二十丸。
治心脏中风,手足惊掣,心神狂乱,恍惚烦闷,言语謇涩,宜服朱砂丸方。
朱砂(一两细研,水飞过) 龙齿(一两) 犀角屑(一两) 天麻(一两去芦头) 秦
艽(三
分去
芩(半两)
铁
霜(三
分细研)
上件药,捣罗为末,都入乳钵内,同研令匀,炼蜜和捣三、二百杵,丸如梧桐子大。每
服不计时候,以粳米粥饮下二十丸。
治心脏中风,言语颠倒,神思错乱,头面心胸烦热,或时舌强语涩,忪悸不安,宜
服犀
犀角屑(三分) 天麻(三分) 防风(三分去芦头) 远志(三分去心) 羌活(三
分) 沙参
(三分
葳蕤(三
分)
黄(一分细
研) 朱砂
上件药,捣罗为末,入研了药,都研令匀,炼蜜和捣五、七百杵,丸如梧桐子大。每服
不计时候,以薄荷汤下十五丸。
In individuals with a weak constitution, the cou li (skin texture and pores) are loose and open. External wind pathogens invade and contend with the blood vessels, entering the Hand-Shaoyin Heart Meridian. This leads to mental confusion, speech impediment (stammering), a stiff tongue with dry mouth, red face, headache, slight fever, stiffness in the chest and back, excessive heat in the palms, an inability to turn over while lying down, palpitations with sweating, and a state of trance and unease. These are all caused by wind pathogens damaging the Heart Meridian, resulting in these symptoms; thus, it is called: Wind-Stroke of the Heart.
For treating Wind-Stroke of the Heart, characterized by deficiency-cold with shivering, heart fright and palpitations, turbid voice, mental cloudiness, and inappropriate laughter, Mahuang San (Ephedra Powder) is suitable.
Mahuang (Ephedrae Herba, 1 liang, remove roots and nodes) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Fangfeng (Saposhnikoviae Radix, 1 liang, remove rhizome heads) Guixin (Cinnamomi Cortex, 3 fen) Chuan Shengma ( Cimicifugae Rhizoma, 3 fen) Xiong (Ligustici Chuanxiong Rhizoma, 1 liang) Danggui (Angelicae Sinensis Radix, 3 fen, sliced, slightly stir-fried).
The above ingredients are pounded and sifted into a powder. Take 3 qian per dose, add 1 zhong of water and half a fen of fresh ginger, decoct until 0.5 zhong remains, filter out the dregs, add 0.5 he of Jingli (Juglandis Nucleus juice), boil for one or two more boils, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by speech impediment and mental cloudiness, heavy limbs, and spirit failing to reside, Fushen San (Poria with Hostwood Powder) is suitable.
Fushen (Poria cum Radice, 1 liang) Qianghuo (Notopterygii Rhizomatis et Radix, 1 liang) Manjingzi (Vittariae Fructus, 3 fen) Longchi (Dentis Mamuthi Fosilium, 1 liang) Renshen (Ginseng Radix et Rhizoma, 3 fen, remove rhizome head) Yiyiren (Coicis Semen, 3 fen) Fangfeng (Saposhnikoviae Radix, 3 fen) Xijiao (Rhinocerotis Cornu, 3 fen) Mahuang (Ephedrae Herba, 1 liang, remove roots and nodes) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water and half a fen of fresh ginger, decoct until 0.6 zhong remains, filter out the dregs, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by speech impediment and mental cloudiness, difficulty in limb movement, slight fever, and chest irritability with palpitations, Xijiao San (Rhinoceros Horn Powder) is suitable.
Xijiao (Rhinocerotis Cornu, 3 fen) Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head) Shashen (Adenophorae Radix, 3 fen, remove rhizome head) Qianghuo (Notopterygii Rhizomatis et Radix, 3 fen) Ganhua Ju (Chrysanthemi Flos, 3 fen) Mahuang (Ephedrae Herba, 2 liang, soaked in boiling water, remove skin and tips) Maidong (Ophiopogonis Tuber, 3 liang, remove heart).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water and half a fen of fresh ginger, decoct until 0.6 zhong remains, filter out the dregs, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by speech impediment, trance and palpitations, mental confusion, red face with heart irritability, and difficulty in limb movement, Lingyangjiao San (Antelope Horn Powder) is suitable.
Lingyangjiao (Saigae Tataricae Cornu, 1 liang) Mahuang (Ephedrae Herba, 1 liang, remove roots and nodes) Duohuo (Angelicae Pubescentis Radix, 3 fen) Chi Fuling (Poria Coccos, 3 fen) Huangbo (Phellodendri Cortex, 3 fen, sliced) Huangqin (Scutellariae Radix, 3 fen, remove heart) Gegen (Puerariae Lobatae Radix, 3 fen) Renshen (Ginseng Radix et Rhizoma, 3 fen, remove rhizome head).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water and half a fen of fresh ginger, decoct until 0.6 zhong remains, filter out the dregs, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by deficiency-irritability, spinning vertigo, and unstable trance, Shashen San (Adenophora Powder) is suitable.
Shashen (Adenophorae Radix, 3 fen, remove rhizome head) Maidong (Ophiopogonis Tuber, 0.5 liang, remove heart) Shigao (Gypsum Fibrosum, 3 fen) Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head) Renshen (Ginseng Radix et Rhizoma, 3 fen, remove rhizome head) Lingyangjiao (Saigae Tataricae Cornu, 3 fen).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water and half a fen of fresh ginger, decoct until 0.5 zhong remains, filter out the dregs, add 0.5 he of Zhuli (Bambusa Textilis var. Multiplex juice), boil for one or two more boils, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by mental cloudiness with loss of consciousness, stiffness in chest and back, heart irritability with speech impediment, slight fever, spontaneous sweating, and difficulty in limb movement, [Formula Name Missing in Source] is suitable.
Fushen (Poria cum Radice, 3 fen) Duohuo (Angelicae Pubescentis Radix, 3 fen) Danggui (Angelicae Sinensis Radix, 3 fen, sliced, slightly stir-fried) Guixin (Cinnamomi Cortex, 3 fen) Xingren (Prunus Armeniaca Seed, 3 fen, soaked in boiling water, remove skin and tips, use both kernels) Huangqin (Scutellariae Radix, 3 fen).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water, decoct until 0.5 zhong remains, filter out the dregs, add 0.5 he of Zhuli (Bambusa Textilis var. Multiplex juice), boil for one or two more boils, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by mental cloudiness, irritability with excessive sweating, dry mouth and red face, palpitations and headache, Weirui San (Polygonatum Powder) is suitable.
Weirui (Polygonati Odorati Rhizoma, 1 liang) Yiyiren (Coicis Semen, 1 liang) Baixianpi (Dictamni Cortex, 3 fen) Maidong (Ophiopogonis Tuber, 1 liang, remove heart) Fushen (Poria cum Radice, 3 fen) Xijiao (Rhinocerotis Cornu, 3 fen) Shigao (Gypsum Fibrosum, 1 liang) Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head) Yuanzhi (Polygalae Radix, 3 fen, remove heart) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red, sliced).
The above ingredients are pounded and sifted into a powder. Take 4 qian per dose, add 1 zhong of water, decoct until 0.5 zhong remains, filter out the dregs, add 0.5 he of Zhuli (Bambusa Textilis var. Multiplex juice), boil for one or two more boils, and take warm at any time.
For treating Wind-Stroke of the Heart, characterized by mental trance, fear and confusion, insomnia, unstable will, and erroneous speech, Niuhuang San (Calculus Bovis Powder) is suitable.
Niuhuang (Calculus Bovis, 1 fen, finely ground) Xijiao (Rhinocerotis Cornu, 1 fen) Zhusha (Cinnabaris, 0.5 liang, finely ground) Shexiang (Moschus, 1 fen, finely ground) Lingyangjiao (Saigae Tataricae Cornu, 1 fen) Fangfeng (Saposhnikoviae Radix, 1 fen, remove rhizome head) Shashen (Adenophorae Radix, 1 fen, remove rhizome head) Maidong (Ophiopogonis Tuber, 0.5 liang, remove heart, honey-fried until slightly red, sliced).
The above ingredients are pounded through a fine sieve into a powder and thoroughly mixed. Take 1 qian per dose, mix with Maidong Decoction (Ophiopogonis Decoction) and take at any time.
For treating Wind-Stroke of the Heart with palpitations, turbid speech, irritability, trance, and unsettled mind, Fangfeng Wan (Saposhnikovia Pill) is suitable.
Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head) Fushen (Poria cum Radice, 1 liang) Renshen (Ginseng Radix et Rhizoma, 3 fen, remove rhizome head) Maidong (Ophiopogonis Tuber, 1 fen, remove heart, baked) Tianma (Gastrodiae Rhizoma, 3 fen) Baixianpi (Dictamni Cortex, 1 liang) Yiyiren (Coicis Semen, 3 fen) Xiaocao (Herba Lycopi, 3 fen) Xijiao (Rhinocerotis Cornu, 1 liang) Tianzhuhuang (Bambusae Calamus Resina, 3 fen) Niuhuang (Calculus Bovis, 1 fen, added after grinding).
The above ingredients are pounded into powder, mixed with the ground Niuhuang, and kneaded with refined honey, pounding 300-200 times. Form pills the size of Sophora seeds. Take 20 pills at any time, washed down with Glutinous Rice Drink.
For treating Wind-Stroke of the Heart with convulsions of hands and feet, manic madness, trance with irritability, and speech impediment, Zhusha Wan (Cinnabar Pill) is suitable.
Zhusha (Cinnabaris, 1 liang, finely ground, water-washed) Longchi (Dentis Mamuthi Fosilium, 1 liang) Xijiao (Rhinocerotis Cornu, 1 liang) Tianma (Gastrodiae Rhizoma, 1 liang, remove rhizome head) Qinjiao (Gentianae Macrophyllae Radix, 3 fen, remove rhizome head) Huangqin (Scutellariae Radix, 0.5 liang) Tieshuang (Ferrum Frostum, 3 fen, finely ground).
The above ingredients are pounded into powder, placed in a mortar, and thoroughly ground together. Knead with refined honey, pounding 300-200 times. Form pills the size of Sophora seeds. Take 20 pills at any time, washed down with Rice Porridge Drink.
For treating Wind-Stroke of the Heart with inverted speech, confused thoughts, heat in head/face/chest, occasional stiff tongue and speech impediment, and palpitations with unease, Xijiao Formula (Rhinoceros Horn Formula) is suitable.
Xijiao (Rhinocerotis Cornu, 3 fen) Tianma (Gastrodiae Rhizoma, 3 fen) Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head) Yuanzhi (Polygalae Radix, 3 fen, remove heart) Qianghuo (Notopterygii Rhizomatis et Radix, 3 fen) Shashen (Adenophorae Radix, 3 fen, remove rhizome head) Weirui (Polygonati Odorati Rhizoma, 3 fen) Huangqin (Scutellariae Radix, 1 fen, finely ground) Zhusha (Cinnabaris, 1 fen, finely ground).
The above ingredients are pounded into powder, mixed with the ground herbs, and thoroughly ground together. Knead with refined honey, pounding 700-500 times. Form pills the size of Sophora seeds. Take 15 pills at any time, washed down with Mint Decoction.