夫肝中风者。是体虚之人。腠理开疏。肝气不足。风邪所伤也。其候筋脉拘挛。手足不
收
治肝脏中风。气壅语涩。四肢拘急。宜服赤茯苓散方。
赤茯苓(一两) 黄 (一两锉) 子芩(三分) 酸枣仁(半两微炒) 防风(半两
去芦头)
羚羊
壳(三分
麸炒
上为散。每服三钱。以水一中盏。入淡竹叶三七片。同煎至五分。去滓。入荆沥半合。
更煎一二沸。不计时候。温服。忌鸡猪炙爆等。
治肝中风。语涩。烦躁。或四肢拘急。宜服麦门冬散方。
麦门冬(一两去心) 茯神(三分) 木通(三分锉) 犀角屑(三分) 川升麻(三
分) 防风
(三分去芦头) 甘草(三分炙微赤锉) 独活(半两) 玄参(半两) 川朴硝(一两半)
汉防己
(半
上为末。每服三钱。以水一中盏。煎至六分。去滓。入荆沥半合。更煎一二沸。不计时
候。温服。忌酒热面炙爆等。
治肝中风。语涩。筋脉舒缓。面上浮气。行履不稳。宜服秦艽散方。
秦艽(三分去苗) 茯神(三分) 桑根白皮(三分锉) 犀角屑(三分) 木通(三
分锉) 麦
门冬
微炒) 甘
草(
上为末。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
治肝中风。致筋脉舒缓。举脚不知高下。目多冷泪。肢节无力。宜服枸杞子散方。
枸杞子(一两) 薯蓣(一两) 牛膝(一两去苗) 天麻(一两) 萆 (一两) 茯
神(三分)
羚羊角屑(三分) 芎 (三分) 茵芋〔三(一)分〕 防风(三分去芦头) 生干地黄
(三分)
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
治肝中风。四肢挛急。身体强直。宜服薏苡仁散方。
薏苡仁(三两) 防风(二两去芦头) 麻黄(二两去根节) 附子(一两炮裂去皮脐)
芎
(一
羊角屑
(一两
上为末。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
忌鸡猫鱼蒜等。
治肝中风。筋脉拘急。言语謇涩。头项强直。四肢不利。心膈烦壅。头目旋眩。
宜服羚
羚羊角屑(三分) 防风(半两去芦头) 前胡(半两去芦头) 犀角屑(半两) 麻
黄(三分
去根
(三分)
羌
分麸炒微黄
去瓤
仁(三分
微炒)
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。入竹沥一合。更煎一
二沸。不计时候。温服。
治肝中风上攻。头目旋晕。心惊悸闷。四肢筋脉拘急。宜服附子散方。
附子(一两炮裂去皮脐) 酸枣仁(半两微炒) 防风(半两去芦头) 羚羊角屑(半
两) 人
参
藓皮(半两)
茯神(三分) 薯蓣〔三(一)分〕 黄芩(半两) 龙齿(一两) 芎 (半两) 天麻
(半两) 黄
(半两锉) 枳壳(半两麸炒微黄去瓤)
上为散。每服二钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
治肝中风。筋脉拘急。肢节疼痛。起卧艰难方。
独活(一两) 羚羊角屑(一两) 麻黄(一两半去根节) 桂心(一两) 当归(一
两锉微炒)
五加皮(一两) 附子(一两炮裂去皮脐) 甘草(半两炙微赤锉) 荆芥(半两)
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。忌
猪肉毒鱼等。
治肝中风。心神烦热。言语謇涩。少得眠卧。宜服此方。
竹沥(三合) 荆沥(二合) 生姜汁(半合) 白蜜(一合) 葛根汁(二合)
上件药相合令匀。每温一合服。宜频服。
治肝中风。流注四肢。攻头面(疼)。心神烦热。言语謇涩。上焦风热。口眼 斜
。脚膝
犀角屑(一两) 羌活(三分) 羚羊角屑(三分) 人参(半两去芦头) 甘菊花(半
两) 独
活(
两) 防风
(半两
两) 当归
(半两
上为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
治肝中风。筋脉拘急。口眼偏斜。四肢疼痛。宜服羌活散方。
羌活(三分) 天麻(三分) 芎 (三分) 酸枣仁(三分微炒) 鹿角胶(三分捣
碎炒令黄
燥)
膝(三分
去苗)
角屑
(三分)
上为细末。每服。不计时候。以豆淋酒调下一钱。忌鸡猪鱼蒜等。
治肝脏中风。筋脉挛急。口眼 斜。言语謇涩。神思昏愦。宜服牛黄散方。
牛黄(一分研入) 龙脑(一分研入) 乌犀角屑(半两) 天麻(半两) 防风(半
两去芦头)
麻
两微炒)
桂
两微炒)
乌
分微
黄)
上为细末。次入研了药。更研令匀。每服一钱。以豆淋酒调下。不计时候。服。
治肝脏中风。口眼不正。四肢抽掣。语涩昏沉。宜服龙脑丸方。
龙脑(半两研入) 犀角屑(半两) 秦艽(半两去苗) 防风(半两去芦头) 麻黄
(一两去
根节)
箭(一两)
独活
羊角屑
(半
令黄)
干
上件药为末。入研了药令匀。炼蜜和捣三五百杵。为丸如梧桐子大。每服十丸。以薄荷
温酒下。不计时候服。
治肝脏中风。攻手足缓弱无力。口眼 斜。精神不定。行步艰难。宜服此赤箭丸方
。
赤箭(半两) 天雄(半两炮裂去皮脐) 犀角屑(半两) 天南星(半两炮裂) 白
花蛇(半
两酥
升麻
(半两
细辛
(半两)
(一分研)
龙脑(一
上捣罗为末。研入生姜牛黄等令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候
以豆淋酒下三(二)十丸。忌湿面猪肉羊血毒鱼等。
治肝中风。筋脉拘急。舌强语涩方。
羚羊角屑(一两) 独活(一两) 附子(一两炮裂去皮脐)
上为末。每服三钱。水一中盏。入生姜半分。同煎至六分。去滓。入竹沥一合。更煎一
二沸。温服。
When the Liver is affected by Wind pathogen, it usually occurs in individuals with weak constitutions. Such persons have loose and sparse couli (skin texture and pores), insufficient Liver Qi, and are susceptible to injury by Wind pathogen. The clinical manifestations include spasms and contractures of tendons and vessels, and involuntary movement or inability to control the hands and feet.
For treating Liver Wind-stroke, characterized by qi stagnation, slurred speech, and spasticity of the four limbs, one should take Chifuling San (Cinnamon Twig Powder).
Ingredients: Chifuling (Poria cocos, 1 liang), Huangqin (Scutellariae Radix, 1 liang, cut into pieces), Ziqin (Scutellariae Radix, 3 fen), Suanzaoren (Ziziphi Spinosae Semen, 0.5 liang, slightly stir-fried), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove rhizome head), Lingyangjiao (Caprae Cornu, 3 fen, bran-fried).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add 1 zhongzhan of water and about 30 slices of Danyezhuye (Bambusae Folium). Decoct together until 0.5 zhongzhan remains. Strain the dregs. Add 0.5 he of Jingli (Calami汁). Boil for one or two more boils. Take warm at any time. Avoid chicken, pork, roasted, and fried foods.
For treating Liver Wind-stroke, characterized by slurred speech, irritability, or spasticity of the four limbs, one should take Maidong San (Ophiopogonis Radix Powder).
Ingredients: Maidong (Ophiopogonis Radix, 1 liang, remove heart), Fushen (Poria cum Radix, 3 fen), Mutong (Akebiae Caulis, 3 fen, cut into pieces), Xijiaoxie (Rhinocerotis Cornu, 3 fen), Chuan Shengma ( Cimicifugae Rhizoma, 3 fen), Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and cut), Du Huo (Angelicae Pubescentis Radix, 0.5 liang), Xuanshen (Scrophulariae Radix, 0.5 liang), Chuan Puxiao (Natrii Sulfas, 1.5 liang), Han Fangji (Stephaniae Tetrandrae Radix, 0.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose. Add 1 zhongzhan of water. Decoct until 0.6 zhongzhan remains. Strain the dregs. Add 0.5 he of Jingli (Calami汁). Boil for one or two more boils. Take warm at any time. Avoid alcohol, hot noodles, roasted, and fried foods.
For treating Liver Wind-stroke, characterized by slurred speech, relaxation of tendons and vessels, facial edema, and unsteady gait, one should take Qin Jiao San (Gentianae Macrophyllae Radix Powder).
Ingredients: Qin Jiao (Gentianae Macrophyllae Radix, 3 fen, remove sprout), Fushen (Poria cum Radix, 3 fen), Sanggen Baipi (Mori Cortex, 3 fen, cut into pieces), Xijiaoxie (Rhinocerotis Cornu, 3 fen), Mutong (Akebiae Caulis, 3 fen, cut into pieces), Maidong (Ophiopogonis Radix, slightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, appropriate amount).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time.
For treating Liver Wind-stroke resulting in relaxed tendons and vessels, inability to judge height when lifting feet, frequent cold tears from eyes, and weakness in limbs and joints, one should take Gouqizi San (Lycii Fructus Powder).
Ingredients: Gouqizi (Lycii Fructus, 1 liang), Shuyu (Dioscoreae Rhizoma, 1 liang), Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove sprout), Tianma (Gastrodiae Rhizoma, 1 liang), Bixie (Dioscoreae Hypoglaucae Rhizoma, 1 liang), Fushen (Poria cum Radix, 3 fen), Lingyangjiaoxie (Caprae Cornu, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Yinyu (Mahoniae Caulis, 3 fen), Fangfeng (Saposhnikoviae Radix, 3 fen, remove rhizome head), Sheng Dihuang (Rehmanniae Radix, 3 fen).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time.
For treating Liver Wind-stroke characterized by spasm and contracture of the four limbs and rigidity of the body, one should take Yiyiren San (Coicis Semen Powder).
Ingredients: Yiyiren (Coicis Semen, 3 liang), Fangfeng (Saposhnikoviae Radix, 2 liang, remove rhizome head), Mahuang (Ephedrae Herba, 2 liang, remove root and nodes), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and remove umbilicus), Xiong (Ligustici Chuanxiong Rhizoma, appropriate amount), Lingyangjiaoxie (Caprae Cornu, appropriate amount).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct together until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time. Avoid chicken, cat, fish, garlic, etc.
For treating Liver Wind-stroke characterized by spasticity of tendons and vessels, slurred speech, stiffness of head and neck, disability of four limbs, vexation and fullness in heart and diaphragm, and vertigo, one should take Lingyangjiao San (Caprae Cornu Powder).
Ingredients: Lingyangjiaoxie (Caprae Cornu, 3 fen), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove rhizome head), Qianhu (Peucedani Radix, 0.5 liang, remove rhizome head), Xijiaoxie (Rhinocerotis Cornu, 0.5 liang), Mahuang (Ephedrae Herba, 3 fen, remove root and nodes), Qianghuo (Notopterygii Rhizoma et Radix, 3 fen, bran-fried until slightly yellow), Zhike (Aurantii Fructus, 3 fen, remove core), Xiren (Pruni Semen, 3 fen, slightly stir-fried).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.6 zhongzhan remains. Strain the dregs. Add 1 he of Zhuli (Bambusae Succus). Boil for one or two more boils. Take warm at any time.
For treating Liver Wind pathogen attacking upwards, characterized by vertigo, palpitations, chest oppression, and spasticity of tendons and vessels in the four limbs, one should take Fuzi San (Aconiti Lateralis Radix Praeparata Powder).
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and remove umbilicus), Suanzaoren (Ziziphi Spinosae Semen, 0.5 liang, slightly stir-fried), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove rhizome head), Lingyangjiaoxie (Caprae Cornu, 0.5 liang), Renshen (Ginseng Radix et Rhizoma, appropriate amount), Xianpi (Bark of moss/lichen, 0.5 liang - likely a textual variant for a specific bark), Fushen (Poria cum Radix, 3 fen), Shuyu (Dioscoreae Rhizoma, 3 fen), Huangqin (Scutellariae Radix, 0.5 liang), Longchi (Dentis Mamuthi Fosilia, 1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang), Tianma (Gastrodiae Rhizoma, 0.5 liang), Huangqi (Astragali Radix, 0.5 liang, cut into pieces), Zhike (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow and core removed).
Preparation and Administration: Grind the above ingredients into powder. Take 2 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct together until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time.
For treating Liver Wind-stroke characterized by spasticity of tendons and vessels, pain in joints, and difficulty rising or lying down, use this formula.
Ingredients: Du Huo (Angelicae Pubescentis Radix, 1 liang), Lingyangjiaoxie (Caprae Cornu, 1 liang), Mahuang (Ephedrae Herba, 1.5 liang, remove root and nodes), Guixin (Cinnamomi Ramulus, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, cut into pieces and slightly stir-fried), Wujia Pi (Acanthopanacis Cortex, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and remove umbilicus), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and cut), Jingjie (Schizonepetae Spica, 0.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time. Avoid pork, toxic fish, etc.
For treating Liver Wind-stroke characterized by vexation and heat in the heart-mind, slurred speech, and severe insomnia, use this formula.
Ingredients: Zhuli (Bambusae Succus, 3 he), Jingli (Calami汁, 2 he), Shengjiangzhi (Zingiberis Rhizoma Recens Juice, 0.5 he), Baimi (Mel, 1 he), Gegenzhi (Puerariae Radix Juice, 2 he).
Preparation and Administration: Mix the above liquids evenly. Take 1 he warm each time. It is advisable to take frequently.
For treating Liver Wind-stroke where wind flows through the four limbs, attacks the head and face (pain), causes vexation and heat in the heart-mind, slurred speech, upper jiao wind-heat, deviation of mouth and eyes, and weakness in legs and knees, use this formula.
Ingredients: Xijiaoxie (Rhinocerotis Cornu, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, 3 fen), Lingyangjiaoxie (Caprae Cornu, 3 fen), Renshen (Ginseng Radix et Rhizoma, 0.5 liang, remove rhizome head), Gan Juhua (Chrysanthemi Flos, 0.5 liang), Du Huo (Angelicae Pubescentis Radix, appropriate amount), Fangfeng (Saposhnikoviae Radix, 0.5 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.6 zhongzhan remains. Strain the dregs. Take warm at any time.
For treating Liver Wind-stroke characterized by spasticity of tendons and vessels, deviation of mouth and eyes, and pain in the four limbs, one should take Qianghuo San (Notopterygii Rhizoma et Radix Powder).
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, 3 fen), Tianma (Gastrodiae Rhizoma, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Suanzaoren (Ziziphi Spinosae Semen, 3 fen, slightly stir-fried), Lu Jiaojiao (Corpis Cervi Cornus Colla, 3 fen, crushed and fried until yellow and dry), Niuxi (Achyranthis Bidentatae Radix, 3 fen, remove sprout), Lingyangjiaoxie (Caprae Cornu, 3 fen).
Preparation and Administration: Grind the above ingredients into fine powder. Take each dose at any time, mixed with Doulin Jiu (Soybean-leavened Wine) to take 1 qian. Avoid chicken, pork, fish, garlic, etc.
For treating Liver Wind-stroke characterized by spasm and contracture of tendons and vessels, deviation of mouth and eyes, slurred speech, and mental confusion, one should take Niuhuang San (Bovari Calculus Powder).
Ingredients: Niuhuang (Bovari Calculus, 1 fen, ground and added), Longnao (Borneolum Syntheticum, 1 fen, ground and added), Wu Xijiaoxie (Rhinocerotis Cornu, 0.5 liang), Tianma (Gastrodiae Rhizoma, 0.5 liang), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove rhizome head), Mahuang (Ephedrae Herba, appropriate amount, slightly stir-fried), Guizhi (Cinnamomi Ramulus, appropriate amount, slightly stir-fried), Wushao She (Zaocys, appropriate amount, slightly fried until yellow).
Preparation and Administration: Grind the above ingredients into fine powder. Then add the already ground Niuhuang and Longnao, and grind again until uniform. Take 1 qian each time, mixed with Doulin Jiu (Soybean-leavened Wine). Take at any time.
For treating Liver Wind-stroke characterized by deviation of mouth and eyes, twitching of four limbs, slurred speech, and mental lethargy, one should take Longnao Wan (Borneolum Pill).
Ingredients: Longnao (Borneolum Syntheticum, 0.5 liang, ground and added), Xijiaoxie (Rhinocerotis Cornu, 0.5 liang), Qin Jiao (Gentianae Macrophyllae Radix, 0.5 liang, remove sprout), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove rhizome head), Mahuang (Ephedrae Herba, 1 liang, remove root and nodes), Chijian (Tianma/Gastrodiae Rhizoma, 1 liang), Du Huo (Angelicae Pubescentis Radix, appropriate amount), Lingyangjiaoxie (Caprae Cornu, appropriate amount, fried until yellow), Ganjiang (Zingiberis Rhizoma, appropriate amount).
Preparation and Administration: Grind the above ingredients into powder. Add the already ground Longnao and mix evenly. Blend with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take 10 pills each time, washed down with warm wine infused with Bohe (Menthae Haplocalycis Herba). Take at any time.
For treating Liver Wind-stroke characterized by flaccidity and weakness of hands and feet, deviation of mouth and eyes, unsettled spirit, and difficult walking, use this Chijian Wan (Tianma Pill).
Ingredients: Chijian (Tianma/Gastrodiae Rhizoma, 0.5 liang), Tianxiong (Aconiti Kusnezoffii Radix, 0.5 liang, processed until cracked, peel and remove umbilicus), Xijiaoxie (Rhinocerotis Cornu, 0.5 liang), Tiannanxing (Arisaematis Rhizoma, 0.5 liang, processed until cracked), Baihua She (Bungarus multicinctus, 0.5 liang, fried in butter), Shengma (Cimicifugae Rhizoma, 0.5 liang), Xixin (Asari Radix et Rhizoma, 0.5 liang), Longnao (Borneolum Syntheticum, 1 fen, ground), Niuhuang (Bovari Calculus, 1 fen, ground).
Preparation and Administration: Pound and sieve the above ingredients into powder. Add Shengjiang (Zingiberis Rhizoma Recens) and Niuhuang (Bovari Calculus) and grind until uniform. Blend with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills at any time, washed down with Doulin Jiu (Soybean-leavened Wine). Avoid wet flour, pork, sheep blood, toxic fish, etc.
For treating Liver Wind-stroke characterized by spasticity of tendons and vessels, stiff tongue, and slurred speech, use this formula.
Ingredients: Lingyangjiaoxie (Caprae Cornu, 1 liang), Du Huo (Angelicae Pubescentis Radix, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and remove umbilicus).
Preparation and Administration: Grind the above ingredients into fine powder. Take 3 qian per dose. Add 1 zhongzhan of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct together until 0.6 zhongzhan remains. Strain the dregs. Add 1 he of Zhuli (Bambusae Succus). Boil for one or two more boils. Take warm.