防风 独活 细辛 川芎 北五味子 白茯苓 人参 白芍药 白术 甘草(等分)
上 咀,第服三钱。水一盏,姜三片,杏仁五个,去皮尖捶碎,同煎至七分,去滓温服
。如加麻黄、苁蓉、附子、当归、羚羊角六味等分,即大风引汤。
《千金》竹沥汤 大治热即生风。
竹沥(二升) 生葛汁(一升) 生姜汁(三合)
上三味相和,温暖,分三服。朝、晡、夜各一服。
《必效》竹沥汤 治中风涎潮,谵语昏塞,四肢缓纵。
秦艽 防风 独活 附子(各一分)
上 咀,以水四盏,煎至二盏。入生地黄汁、淡竹沥各半盏,再煎四、五沸,去滓,分
作四服,无时热服。病势去,以他药扶持,未愈再作。近世贵人用之,多有神效。
烧竹沥法 新竹截尺许长,去节,作两边用。两砖对立,相去八寸,置竹仰在砖上,急
着焰火烧之;砖外两头以碗盛沥,沥尽,以绢澄清。夏、秋须沉冷水中,以防沥酸。凡大热
、有风人亦可单服。冷暖随人,勿过度。荆沥亦然。
夫妇人角弓反张者,是体虚受风,风入诸阳之经也。人之阴阳经络周环于身,风乘虚入
于诸阳之经,则腰背反折挛急如角弓之状,宜用小续命汤。(方见前)
《活人书》论曰∶妇人产后血虚多汗出,喜中风,身体强直,口噤,背反张作痉,治之
属太阳经。先因伤风,又感寒湿而致然也。古人谓之 病,外证发热恶寒,与伤寒相似,但
其脉沉迟、弦细,而项背反张、强硬如发痫之状,此为异耳(新产血虚多汗出,喜中风,亦
有此证)。当察有汗、无汗,以分刚柔二 (无汗恶寒,名刚 ;有汗不恶寒,名柔 。阳
痉属刚 ,阴痉属柔 。无汗,葛根汤主之;有汗,桂枝加葛根汤主之。凡刚、柔二 ,小
续命汤并可与之。有汗者去麻黄,加葛根。若审知刚 者,胸满口噤,其人卧不着席,脚挛
急,咬齿,当行大承气汤。(《外台》注云∶热而痉者死。热病痉者,反折螈 ,齿噤 也)。
附术汤、桂心白术散、附子防风汤、八物白术汤、桂枝煮散,可选而用之。(《解惑论》云
∶合面而卧为阴 ;仰目者为阳 。又云∶或因湿寒,发汗多,则发 也)
Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bei Wuweizi (Schisandrae Chinensis Fructus), Baifuling (Poria), Renshen (Ginseng Radix), Baishao Yao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) [equal parts].
The above herbs are chopped. Take 3 qian per dose. Add one cup of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and five Xingren (Armeniacae Semen Amarum, peeled, cored, and crushed). Decoct together until the volume reduces to 70%. Strain and take warm.
If Mahuang (Ephedrae Herba), Congrong (Cistanche Deserticola), Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), and Lingyangjiao (Saigae Tataricae Cornu) are added in equal parts, it is called Dafeng Yin Tang (Great Wind Drawing Decoction).
Zhuli Tang (Bamboo Juice Decoction) from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) is mainly used to treat wind generated by extreme heat.
Zhuli (Bamboo Juice, 2 sheng), Shengge Zhi (Polygoni Cuspidati Juice, 1 sheng), Shengjiang Zhi (Zingiberis Rhizoma Recens Juice, 3 he).
Mix the above three ingredients, warm them, and divide into three doses. Take one dose each in the morning, evening, and night.
Zhuli Tang (Bamboo Juice Decoction) from *Bixiao Fang* (Effective Prescriptions) is used to treat stroke with phlegm-turbidity surging upward, delirium, coma, and flaccid paralysis of the four limbs.
Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Fuzi (Aconiti Lateralis Radix Praeparata) [each 1 fen].
Chop the above herbs. Add four cups of water and decoct until two cups remain. Add Banxia (Pinelliae Rhizoma) juice and Danzhuli (Light Bamboo Juice), half a cup each. Boil for four or five more boils. Strain and divide into four doses. Take hot at any time. When the disease severity subsides, support with other medicines. If not cured, prepare again. In recent times, nobles have used this formula with many miraculous effects.
Method for roasting bamboo juice: Cut fresh bamboo into lengths of about one chi. Remove the nodes and use both ends. Place two bricks opposite each other, eight cun apart. Place the bamboo upright on the bricks. Quickly apply flame to burn it; place bowls outside the bricks at both ends to catch the dripping juice. Once the juice is exhausted, clarify it with silk gauze. In summer and autumn, submerge the juice in cold water to prevent sourness. Anyone with severe heat or wind syndrome can also take it alone. Adjust temperature according to preference; do not overconsume. Jingli (Bambusa Tuloides Juice) is prepared similarly.
Regarding women suffering from opisthotonos (back arching like a bow), it is due to body deficiency allowing wind pathogen invasion into the Yang meridians. The human Yin and Yang meridians circulate around the body. When wind enters the Yang meridians via deficiency, it causes the waist and back to arch backward and spasm tightly, resembling an angle bow. Xiao Xuming Tang (Minor Continuation of Life Decoction) should be used. (Formula seen previously).
*Huoren Shu* (Book of Human Survival) states: Postpartum women often have blood deficiency and excessive sweating, making them prone to wind strike. This leads to body stiffness, trismus (lockjaw), and back arching forming spasms (Jing Bing). Treatment belongs to the Taiyang Meridian. Initially caused by wind injury, followed by cold-dampness. Ancients called this Chi Bing (Spasm Disease). External symptoms include fever and aversion to cold, similar to Shanghan (Cold Damage), but the pulse is deep, slow, wiry, and thin, accompanied by neck and back arching and stiffness resembling epilepsy. This is the difference. (Postpartum blood deficiency and sweating also lead to this pattern). Observe whether there is sweating or no sweating to distinguish Gang Chi (Stiff Spasm) and Rou Chi (Soft Spasm). No sweating with aversion to cold is named Gang Chi; sweating without aversion to cold is named Rou Chi. Yang Jing belongs to Gang Chi, Yin Jing belongs to Rou Chi. For no sweating, Gegen Tang (Kudzu Root Decoction) is primary; for sweating, Guizhi Jia Gegen Tang (Cinnamon Twig plus Kudzu Root Decoction) is primary. For both Gang Chi and Rou Chi, Xiao Xuming Tang can be used. For sweating cases, remove Mahuang and add Gegen. If confirmed as Gang Chi, presenting with chest fullness, trismus, inability to lie flat (back does not touch the bed), leg cramps, and teeth grinding, Da Chengqi Tang (Major Order the Qi Decoction) should be administered. (*Waitai Mi Yao* notes: Heat combined with Jing leads to death. Heat disease Jing involves back arching, convulsions, and locked jaw). Fushu Tang, Guixin Baizhu San, Fuzi Fangfeng Tang, Bawu Baizhu Tang, Guizhi Zhusan can be selected for use. (*Huoju Lun* states: Lying face down is Yin Chi; looking up is Yang Chi. Also says: Due to cold-dampness, excessive sweating can trigger Chi Bing.)