治风虚昏愦不自觉知，手足弃纵，坐卧不能，或发寒热。血虚不能服发汗药。及中风自
汗，尤宜服之。
川独活 羌活 人参 防风 当归 北细辛 茯神（去木） 半夏 桂心 白薇 远志
（去心） 菖蒲（去毛） 川芎（各半两） 甘草（三分）
上 咀，每服五钱。水盏半，姜五片，煎七分去滓，无时温服。
治风气留滞，心中昏愦，四肢无力，口眼 动，有时搐搦，亡失津液，渴欲引饮。此能
扶荣卫、去虚风。中风自汗及产后中风自汗，尤宜服之。
防风 独活 当归 人参 细辛 葛根 芍药 川芎 甘草 熟地黄 半夏 远志（去
心） 荆芥穗（各半两） 桂心（七钱半）
上 咀，每服五钱。水一盏，生姜三大片，煎至七分，去滓温服，不拘时。汗多不止者
，加牡蛎粉一分半。
论曰∶夫妇人臂痛，筋脉挛急，不得屈伸，遇寒则剧。由肝虚，为风寒邪气流于血脉，
客于经络，搏于筋，筋不荣则干急而痛。其脉紧细，宜服柏子仁丸、舒经汤。若臂痛不能举
，或左或右，时复转移一臂，由中脘伏痰，脾气滞而不行，上与气相搏。四肢皆属于脾，脾
气滞而气不下，上攻于臂，故痛。其脉沉细，宜茯苓丸、控涎丹。
（王氏《指迷方》）。
柏子仁 干地黄（各二两） 茯苓 枳实（去穣，麸炒） 覆盆子（炒） 北五味 附
子（炮） 石斛（去根、切，酒蒸、炒） 鹿茸（酥炙） 酸枣仁（炒） 桂心 沉香 黄
各（一两。蜜水炙。一方等分）
上为细末，炼蜜为丸如梧桐子大。空心酒下三十丸。
Treats dizziness and confusion due to wind deficiency, with limbs flaccid and relaxed, inability to sit or lie comfortably, or accompanied by alternating chills and fever. It is suitable for patients with blood deficiency who cannot tolerate diaphoretic (sweat-inducing) medicines. It is also indicated for spontaneous sweating after stroke, especially suitable for such cases.
Chuan Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma et Radix Notopterygii), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Bei Xixin (Herba Asari), Fushen (Poria with Hostwood Removed), Banxia (Rhizoma Pinelliae), Guixin (Cortex Cinnamomi), Baiwei (Radix Cynanchi Atrati), Yuanzhi (Radix Polygalae, Heart Removed), Changpu (Rhizoma Acori Tatarinowii, Hairs Removed), Chuanxiong (Rhizoma Chuanxiong) (each 0.5 liang), Gancao (Radix Glycyrrhizae Uralensis) (3 fen).
Crush the above herbs. Take 5 qian per dose. Add 1.5 cups of water and 5 slices of ginger. Decoct until reduced to 0.7 cup volume, remove the dregs, and take warm at any time.
Treats stagnation of wind-qi in the body, causing mental confusion, weakness in the four limbs, deviation and twitching of the mouth and eyes, occasional spasms and convulsions, loss of body fluids, thirst, and desire to drink. This formula can support Ying and Wei (nutritive and defensive qi) and dispel deficient wind. It is especially suitable for spontaneous sweating after stroke and postpartum stroke with spontaneous sweating.
Fangfeng (Radix Saposhnikoviae), Duhuo (Radix Angelicae Pubescentis), Danggui (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Xixin (Herba Asari), Gegen (Radix Puerariae Lobatae), Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae Uralensis), Shudihuang (Radix Rehmanniae Preparata), Banxia (Rhizoma Pinelliae), Yuanzhi (Radix Polygalae, Heart Removed), Jingjie Sui (Cacumen Schizonepetae) (each 0.5 liang), Guixin (Cortex Cinnamomi) (7.5 qian).
Crush the above herbs. Take 5 qian per dose. Add 1 cup of water and 3 large slices of fresh ginger. Decoct until reduced to 0.7 cup volume, remove the dregs, and take warm at any time. If sweating is excessive and does not stop, add 1.5 fen of Muli Fen (Ostreae Concha Pulvis).
Discussion: Regarding women's arm pain, where sinews and vessels are cramped and tight, preventing flexion and extension, worsening upon exposure to cold. This is caused by Liver deficiency, allowing wind-cold pathogenic factors to flow into the blood vessels, lodge in the collaterals, and contend with the sinews. When sinews lack nourishment, they become dry, tight, and painful. The pulse is tight and fine; it is appropriate to use Baiziren Wan (Polycnemi Semen Pill) and Shujing Tang (Unblocking Meridian Decoction). If arm pain prevents lifting, occurring on either the left or right side, and occasionally shifting to the other arm, this is due to latent phlegm in the Zhongwan region, with Spleen Qi stagnating and failing to circulate. The four limbs belong to the Spleen; when Spleen Qi stagnates and Qi fails to descend, it attacks upward to the arms, causing pain. The pulse is deep and fine; it is appropriate to use Lingfu Wan (Poria Pill) and Kongyan Dan (Draining Phlegm Elixir).
(From Wang Shi's *Zhimifang*).
Baiziren (Semen Polycnematis), Gadihuang (Radix Rehmanniae Recens) (each 2 liang), Fuling (Poria), Zhishi (Fructus Aurantii Immaturus, Pulp Removed, Bran-fried), Fupenzi (Fructus Rubi), Bei Wuwei Zi (Fructus Schisandrae Chinensis), Fuzi (Radix Aconiti Lateralis Preparata), Shihu (Caulis Dendrobii, Roots Removed, Sliced, Wine-steamed, Fried), Lurong (Cornu Cervi Pantotrichum, Roasted with Butter), Suanzaoren (Semen Ziziphi Spinosae, Fried), Guixin (Cortex Cinnamomi), Chenxiang (Lignum Aquilariae Resinatum), Huangqi (Radix Astragali Membranacei) (1 liang, Honey-water roasted. Another version states equal parts).
Grind the above herbs into a fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills with wine on an empty stomach.