夫口开者心气绝。遗尿者肾气绝。鼻鼾者肺气绝。手撒者脾气绝。及发直吐沫。睛如直
视。
声如鼾睡者。不治之症也。及筋枯不活。举动则筋痛。是无血以滋养其筋故也。面赤如妆。
环口黧黑。汗缀如珠。不治之症也。
一论中风中气。痰厥不省人事。牙关紧急。汤水不下。宜
夺命通关散
皂角（如猪牙者去皮弦二两用生白矾一两以苎布包入水与牙皂同煮化去白矾再煮令干取
出晒干为末） 辽细辛（去土叶为末五钱）
上合匀。每遇痰厥。或喉闭不省人事者。先以少许吹鼻。候有嚏可治。无嚏不可治。却
用蜜汤调服二匙。即吐痰。不吐再服。
一方。用半夏为末。少许吹鼻即效。
一治牙噤不开。用乌梅肉。及南星、细辛末。以中指蘸药擦牙。自开。
一治中风痰厥。不省人事者。用巴豆去壳。纸包捶油在纸上。将麝少许。入纸卷作筒。
油浸透。烧烟吹灭熏鼻。
一治中风不语。或倒地不省人事。及左瘫右痪。口眼 斜。须以诸药末服之。先用真麝
香三分为细末。加麻油三两搅匀。将病患口撬开灌下。通其关窍。即便苏醒。
一论卒中。不问中风、中寒、中暑、中湿。及痰饮、气厥之类。不省人事。初作。用此
方。
摄生饮
南星（湿纸包一钱五分） 半夏（生姜汁泡一钱五分） 木香（一钱五分） 苍术（生一钱）
辽细辛（一钱） 石菖蒲（一钱） 甘草（生一钱）
上锉一剂。生姜七片。水煎温服。痰盛。加全蝎炙二枚。仍先用通关散吹鼻。
一论中风。痰涎壅盛。不能言语。不省人事。牙关紧急。有火有痰有气。或面赤身热。
手足温暖。脉紧盛。宜服此方。
清热导痰汤
黄连（八分） 黄芩（二钱） 栝蒌仁（四钱去壳） 枳实（二钱麸炒） 桔梗（八分） 白术（
一钱
五分去芦） 白茯苓（三钱去皮） 陈皮（二钱） 半夏（二钱） 南星（二钱） 人参（三钱） 甘
草（八分）
上锉一剂。生姜三片。枣一枚。水煎熟。入竹沥、姜汁同服。一方。加防风、白附子。
尤效。
一论中风昏冒。不知人事。口眼 斜。半身不遂。咽喉作声。痰气上壅。无问外感风寒
内
伤喜怒。或六脉沉伏。或指下浮盛。并宜服之。兼治痰厥、饮厥。及气虚眩晕。症属虚寒者
宜服
三生饮
南星（生五钱） 川乌（去皮尖生一钱） 大附子（去皮尖生一钱） 木香（一钱半）
上锉一剂。生姜十片。水煎。温服。气虚之人。虚弱之甚。加人参一两。如气盛人。只
用南星五钱。木香一钱。生姜十四片。水煎服。名星香散。
一论中风卒然倒仆。牙关紧急。不省人事。并解上膈壅热。痰涎不利。咽喉肿闭。一应
热毒
又能消食化气。兼治食疟。取积下热。并缠喉风。卒死。心头犹温。灌起立苏。雄黄解毒
丸。（方见小儿通治）壮盛之人暂服。
一论中风暗风。气厥不省人事。宜服。
牛黄紫金丹
牛黄（三分） 朱砂（二分） 阿芙蓉（一钱） 沉香（一钱） 冰片（三分） 广木香（五分）
麝香（二分）
上为细末。人乳为丸四十数。阴干。每服一丸。梨汁送下。如无梨汁。薄荷汤研化灌下
立苏。
一论国中风邪。四肢麻痹。骨节疼痛。手足瘫痪。语言謇涩。宜服此方。
乌药顺气散
乌药 陈皮（各二钱） 麻黄（去节） 川芎 白芷 桔梗 枳壳（麸炒各一钱） 僵蚕
（炒） 干姜（各五分炮） 甘草（炙三分）
上锉一剂。姜枣煎服。口眼 斜。加姜炒黄连、羌活、防风、荆芥、竹沥、姜汁。左瘫
右痪加天麻、当归。皮肤燥痒。加蝉蜕、薄荷。
一论风中腑者。多着四肢。手足拘急不仁。面色如土。恶风寒。为在表也。宜用此方。
疏风汤
当归 川芎 白茯苓（去皮） 陈皮 半夏（泡炒） 乌药 香附 白芷 羌活 防
风（各八分） 麻黄（五分） 甘草 细辛（各二分）
上锉一剂。生姜三片。水煎。热服。
一论风中脏者。多滞九窍。唇缓。失音。耳聋。鼻塞。目瞀。二便闭涩。为在里也。宜
服此方。
润肠汤
当归 生地黄 枳壳（去穣） 浓朴（姜炒） 槟榔 大黄 火麻仁 杏仁（去皮各二钱
）羌活（七分） 红花（三分）
上锉一剂。水煎空心。温服。
一论中风。一切风热。大便闭结。小便赤涩。头面生疮。眼目赤痛。或热极生风。舌强
口噤
或鼻生紫赤风刺瘾疹。而为肺风。或成风疠而世呼。为大风。或肠风而为痔漏。或肠郁而
为诸热谵妄惊狂。并皆治之。
防风通圣散
防风 归身 川芎 白芍 连翘 薄荷 麻黄（各四分） 石膏 桔梗 黄芩（各八
分） 白术 栀子 荆芥（各三分） 滑石（二钱四分） 大黄 芒硝（各四分） 甘草（
一钱）
上锉一剂。生姜煎服。自利。去硝黄。自汗。去麻黄。解利四时伤寒两感。每一
两加益元散一两。葱白十根。豆豉一撮。生姜五片。水煎。热服。
一论风中血脉者。外无六经之形症。内无便溺之阻隔。肢不能举。口不能言。为在中也
宜此方。
养荣汤
当归（三钱酒洗） 川芎（一钱五分） 生地黄（四两） 白芍（二钱酒炒） 麦门冬（三钱去
心） 远志（八分甘草汤泡去心） 石菖蒲（一钱去毛） 南星（二钱） 半夏（二钱姜制）
陈皮（一钱五分） 白茯苓（三钱去皮） 枳实（二钱麸炒） 乌药（一钱） 黄连（八分姜炒
）防风（一钱五分） 羌活（二钱） 秦艽（二钱） 甘草（八分）
上各等分。加竹茹一团。生姜三片。水煎服。
一治中风螈 。舌謇不语。并失音不能言语。用此方。
转舌膏
连翘（一两） 栀子（五钱） 黄芩（酒炒五钱） 薄荷（一两） 桔梗（五钱） 大黄（酒蒸五
钱） 玄明粉（五钱） 防风（五钱） 川芎（三钱） 远志（甘草汤泡一两） 石菖蒲（六钱）
甘草（五钱） 犀角（二钱） 柿霜（一两） 牛黄（五钱） 琥珀（一钱） 珍
珠（一钱）
上为细末。炼蜜为丸。如弹子大。朱砂五钱为衣。每一丸。细嚼薄荷汤送。食后临卧服
一治中风失音。用韭菜汁灌之。或用白僵蚕末。酒调服。
一治舌大不能言语。
青黛（三分） 冰片（三分） 硼砂（二钱） 牛黄（三分） 南薄荷叶（三钱）
上为细末。先以蜜水洗舌上。后以姜汁擦之。将药蜜水调稀。搽舌上。
一治中风不语。痰迷心窍。舌不能言。
南星（一两） 防风（五钱）
上为细末。面糊为丸。如桐子大。每服五十丸。姜汤送下。
一治中风卒不得语。以苦酒煮白芥子。敷颈。以帛包之。一日一夕即瘥。
一治中风喑哑不能言。
大黄（一两） 芒硝（二两） 当归（二两） 甘草（五钱）
上锉。水煎服。泻下后。用四物汤加僵蚕一两。作二服之。
一治肾气虚弱。舌喑不能言。足痿不能行。
地黄饮子
熟地黄（四钱） 巴戟（三钱去心） 石枣（三钱酒蒸去核） 肉苁蓉（三钱酒洗） 薄荷（八
分少许） 石斛（三钱） 大附子（八分泡） 五味子（三分） 白茯苓（三钱去皮） 石菖蒲（
一钱） 远志（八分甘草水泡去心） 官桂（八分） 麦门冬（三钱去心）
上锉。生姜枣子。水煎。温服。
一论风中经络。则口眼 斜也。宜此方。
复正汤
防风（一钱） 荆芥（一钱） 细辛（八分） 黄芩（二钱） 乌药（二钱） 天麻（二钱） 当
归（三钱酒洗） 白芍（二钱酒炒） 川芎（一钱五分） 白术（一钱五分去芦） 陈皮（一钱
五分去白） 半夏（二钱） 枳壳（一钱去穣麸炒） 白芷（八分） 桔梗（八分） 僵蚕（三钱
）甘草（八分） 白茯苓（二钱去皮）
上锉。生姜。煎服。
一治口眼 斜。及手足顽麻。
苍术（米泔炒一两半） 陈皮（三两） 南星（一两五钱） 半夏（二两五钱） 白茯苓（二两
五钱） 防风（一两五钱） 羌活（六钱） 天麻（三两五钱） 白僵蚕（一两） 大川乌（炮
六钱） 粉草（六钱）
上锉。生姜三片。水煎服。临服。入生姜汁三匙。温服。
一治诸风口眼歪斜。
金刀如圣散
川乌（炮用三钱） 草乌（炮三钱） 防风（二钱） 川芎（二钱） 白芷（四钱） 雄黄（二钱
）细辛（二钱） 苍术（四钱） 天麻（五分） 白术（五分） 麻黄（五分）
上为细末。每服五分。临卧。温酒调服。
一治中风。口眼不正。语则牵急。四肢如故无他苦。由居处不适。因卧而邪风入耳。客
阳明经。故令筋不调而口歪僻。
皂角膏
大皂角五两。去皮子为末。以三年米醋和成膏。左 涂右。右 涂左。干更涂之。
一方。用新矿锻石一合。以酸醋炒调如泥。口面 向右。即于左边涂之。向左即于右边涂
之。候正如旧。即须以水洗下。其效如神。
一治卒暴中风。口眼 斜。
天仙膏
天南星 草乌 白芨（俱用大者各一两） 僵蚕（七个）
上为细末。姜汁调如前涂。正便洗去。
一治口眼 斜。
正颜丹
白芷（二两） 独活（二两） 薄荷（一两）
上为细末。蜜丸。如弹子大。每服一丸。细嚼。茶清下。
一论瘫痪之症。因虚而痰火流注为病。当时以速治为妙。若失之于初。痰火停久。便成
郁
郁久便生火。火能伤气耗血。而痰则难治矣。如疼痛则为实。用疏通关节之药。而与脑麝
少许为引经。如不痛则为虚。服此疏通关节之药。亦要兼服补气血药。如此攻补兼施。而瘫
痪可愈矣。
一论瘫者坦也。筋脉弛纵。坦然而不举也。痪者涣也。血气散漫。涣然而不用也。或血
虚。或气虚。不足之症也。
一论中风手足软弱。不能举动。外症自汗者。虚中风也。若手足强急。口眼 斜。伸纵
痛者。实中风也。
一论中风左瘫。左半身不遂。属血虚。乃痰火流注于左。而为左瘫也。宜后方。
一论中风右痪。右半身不遂。属气虚。乃痰火流注于右。而为右痪也。宜后方。
一论一切中风。左瘫右痪。半身不遂。口眼歪斜。语言謇涩。呵欠喷嚏。头目眩晕。筋
骨时痛。头或痛。心中忪悸。痰火炽盛。
此乃血气大虚。脾胃亏损。有痰有火。有风有湿。此总治诸风之神方也。
上池饮（即愈风润燥汤加人参、乌药。）
人参（去芦二钱） 台白术（去芦炒一钱五分） 白茯苓（去皮五钱） 当归（酒洗一钱二分）
川芎（一钱二分） 杭白芍（酒炒一钱） 怀生地黄（姜汁炒一钱） 熟地黄（姜汁炒一钱）
南星（姜汁炒一钱） 半夏（姜制一钱） 陈皮（盐水洗八分） 羌活（六分） 防风（六分）
天麻（一钱去油） 牛膝（去芦酒洗八分） 川红花（酒洗四分） 柳枝（六分寒月一分）
黄芩（酒炒八分） 黄柏（酒炒三分夏月加一分） 酸枣仁（炒八分） 乌药（四分） 甘草（炙
四分）
上锉一剂。水煎。入竹沥、姜汁。清旦时温服。言语謇涩。加石菖蒲。
一患风痰人。多有痰热。每汤药宜加竹沥、荆沥、姜汁同服。甚妙。三味和一处。温服
亦可。
一论中风等症。因内伤者。非外来风邪。乃本气自病也。多因劳役过度。耗散真气。忧
喜忿
怒。伤其气者。而卒倒昏不知人。则为左瘫右痪。口眼 斜。四肢麻木。舌本强硬。语言不
清等症。宜此方。
补中益气汤
黄 （蜜水炒一钱五分） 人参（去芦一钱） 白术（去清芦炒一钱） 陈皮（一钱） 当归（
酒洗一钱） 柴胡（去芦五分） 升麻（五分） 甘草（炙一钱）
上锉一剂。生姜、枣子。水煎服。加酒炒黄柏三分。以滋肾水。泻阴中之伏火也。红花
三分。而入心养血。
一中风卒倒。因劳伤者。过于劳役。耗损元气。脾胃虚弱。不任风寒。故昏冒也。宜本
方。
一左瘫右痪。加防风、羌活、天麻、半夏、南星、木香。
一语言謇涩。加石菖蒲、竹沥。
一口眼 斜。加姜炒黄连、羌活、防风、荆芥、竹沥、姜汁。
一中风痰喘。因中气虚。饮食素少。忽痰壅气喘。头摇目札。扬手掷足。难以候脉。视
其面色。黄中见青。此肝木乘脾土。根据本方加白茯苓、半夏。水煎。临熟。加姜汁同服。
一中风面目十指俱麻。乃气虚也。加大附子、制木香、羌活、防风、乌药、麦门冬。
一善饮。舌本强硬。语言不清。此脾虚湿热。加神曲、麦芽、干葛、泽泻。
一论中风等症。因房劳者。名曰内风。房劳过度。则真精暴亡。舌本欠柔。言不利也。
精血
一亏。即水竭而心火暴甚。肾水虚衰。不能制之。则阴虚阳实。而热气怫郁。心神昏冒。筋
骨不用。而卒倒无所知也。或一肢之偏枯。或半身而不遂。或口眼之歪斜。或言语之謇涩。
悉宜此方。或汤或丸皆可。
六味地黄丸
怀生地黄（酒拌蒸一日令极黑晒干八两） 山茱萸（酒蒸去复选肉四两） 牡丹皮（去骨三
两） 怀山药（四两） 白茯苓（去皮三两） 泽泻（三两）
Mouth opening indicates the exhaustion of Heart Qi (Heart energy). Enuresis indicates the exhaustion of Kidney Qi. Snoring from the nose indicates the exhaustion of Lung Qi. Relaxed hands indicate the exhaustion of Spleen Qi. Along with straight hair, foaming at the mouth, eyes staring straight ahead, and a voice resembling snoring during sleep, these are all incurable conditions. Additionally, if the sinews are withered and inactive, causing pain in the sinews upon movement, this is due to the lack of Blood nourishing the sinews. A face red as if painted, blackening around the mouth, and sweat beading like pearls are also incurable conditions.
Regarding stroke and Qi obstruction: Phlegm-Jue (sudden collapse due to phlegm) leading to loss of consciousness, tightness of the jaw, and inability to swallow liquids or solids. The appropriate prescription is Du Ming Tong Guan San (Life-Restoring Opening-Orifice Powder).
Ingredients: Zao Jiao (Gleditsiae Fructus, two liang, selecting those resembling pig's teeth, removing skin and strings; Bai Fan [Alumen], one liang, wrapped in ramie cloth, boiled together with the Gleditsiae fruit until the Alumen dissolves, then boiled until dry, removed, dried, and powdered); Liao Xi Xin (Asari Radix et Rhizoma, free from soil and leaves, powdered, five qian).
Mix evenly. Whenever encountering Phlegm-Jue or throat closure with loss of consciousness, blow a small amount into the nasal cavity first. If sneezing occurs, it is treatable; if not, it is untreatable. Then, mix two spoonfuls with honey water and administer. It will induce vomiting of phlegm; if no vomiting occurs, administer again.
Another formula: Use Ban Xia (Pinelliae Rhizoma) powdered, blown into the nose in small amounts for immediate effect.
To treat locked jaw: Use Rou of Mei Zi (Fructus Mume), along with powders of Nan Xing (Arisaematis Rhizoma) and Xi Xin (Asari Radix et Rhizoma). Dip the middle finger in the medicine and rub the teeth; the jaw will open naturally.
To treat stroke with Phlegm-Jue and loss of consciousness: Use Ba Dou (Crotonis Semen), remove the shell, wrap in paper, pound to extract oil onto the paper. Put a small amount of She Xiang (Moschus) inside a paper roll made into a tube. Soak with oil, ignite to produce smoke, extinguish the flame, and use the smoke to fumigate the nose.
To treat stroke aphasia, or falling down with loss of consciousness, left hemiplegia, right paralysis, and facial deviation: Various medicinal powders must be administered orally. First, grind three fen of genuine She Xiang (Moschus) into fine powder, add three liang of Ma You (Sesame Oil), mix well. Pry open the patient's mouth and pour it in to unblock the orifices. The patient will immediately regain consciousness.
Regarding sudden stroke (Zhong Zu): Regardless of whether caused by wind-stroke, cold-stroke, heat-stroke, damp-stroke, or phlegm-fluids and Qi-Jue, leading to loss of consciousness, use this formula at the onset.
She Sheng Yin (Nourishing Life Decoction)
Ingredients: Nan Xing (Arisaematis Rhizoma, wrapped in wet paper, one qian five fen); Ban Xia (Pinelliae Rhizoma, soaked in Sheng Jiang juice, one qian five fen); Mu Xiang (Aucklandiae Radix, one qian five fen); Cang Zhu (Atractylodis Rhizoma, raw, one qian); Liao Xi Xin (Asari Radix et Rhizoma, one qian); Shi Chang Pu (Acori Tatarinowii Rhizoma, one qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, one qian).
Cut into pieces for one dose. Add seven slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water, and take warm. If phlegm is abundant, add two roasted Quan Xie (Scorpio). Continue to use Tong Guan San (Opening-Orifice Powder) blown into the nose first.
Regarding stroke: Abundant phlegm-saliva, inability to speak, loss of consciousness, tightness of the jaw. Presence of Fire, Phlegm, and Qi stagnation, or red face and body heat, warm hands and feet, tight and surging pulse. The appropriate prescription is Qing Re Dao Tan Tang (Clearing Heat and Guiding Out Phlegm Decoction).
Ingredients: Huang Lian (Coptidis Rhizoma, eight fen); Huang Qin (Scutellariae Radix, two qian); Gua Lou Ren (Trichosanthis Semen, four qian, shelled); Zhi Shi (Aurantii Fructus Immaturus, two qian, stir-fried with bran); Jie Geng (Platycodonis Radix, eight fen); Bai Zhu (Atractylodis Macrocephalae Rhizoma, one qian five fen, remove rhizome); Bai Fu Ling (Poria, three qian, peeled); Chen Pi (Citri Reticulatae Pericarpium, two qian); Ban Xia (Pinelliae Rhizoma, two qian); Nan Xing (Arisaematis Rhizoma, two qian); Ren Shen (Ginseng Radix et Rhizoma, three qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, eight fen).
Cut into pieces for one dose. Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and one date. Decoct in water until cooked. Add Zhu Li (Bambusae Succus) and Jiang Zhi (Zingiberis Juice) before taking. Another version: Add Fang Feng (Saposhnikoviae Radix) and Bai Fu Zi (Typhonii Rhizoma), which is especially effective.
Regarding stroke coma, loss of consciousness, facial deviation, hemiplegia, sounds from the throat, and upward congestion of phlegm-Qi: Regardless of external contraction of Wind-Cold or internal injury from anger/joy, or deep and hidden six pulses, or floating and surging pulses under the fingers, this is suitable. It also treats Phlegm-Jue, Fluid-Jue, and Qi-deficiency vertigo, suitable for deficiency-cold patterns.
San Sheng Yin (Three Raw Decoction)
Ingredients: Nan Xing (Arisaematis Rhizoma, raw, five qian); Chuan Wu (Aconiti Radix Preparata, remove skin and tip, raw, one qian); Da Fu Zi (Aconiti Lateralis Radix Preparata, remove skin and tip, raw, one qian); Mu Xiang (Aucklandiae Radix, one qian half).
Cut into pieces for one dose. Add ten slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water, and take warm. For those with Qi deficiency who are extremely weak, add one liang of Ren Shen (Ginseng Radix et Rhizoma). For those with strong Qi, use only five qian of Nan Xing (Arisaematis Rhizoma), one qian of Mu Xiang (Aucklandiae Radix), and fourteen slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take. This is named Xing Xiang San (Star and Fragrance Powder).
Regarding stroke sudden collapse, tightness of the jaw, loss of consciousness, clearing upper jiao congested heat, difficult phlegm-saliva, swollen and closed throat, all heat-toxins, promoting digestion and moving Qi, treating food-malaria, clearing accumulated heat, and strangling-throat-wind. For sudden death where the heart remains warm, pouring the medicine can revive them to stand up. Xiong Huang Jie Du Wan (Realgar Detoxification Pill). (Formula see Pediatric General Treatment). Suitable for robust people for temporary use.
Regarding stroke "dark wind" and Qi-Jue with loss of consciousness, suitable to take.
Niu Huang Zi Jin Dan (Cow-bezoar Purple Gold Pill)
Ingredients: Niu Huang (Calculus Bovis, three fen); Zhu Sha (Cinnabaris, two fen); A Fu Lun (Opium, one qian); Chen Xiang (Aquilariae Lignum Resinatum, one qian); Bing Pian (Borneolum Syntheticum, three fen); Guang Mu Xiang (Costi Radix, five fen); She Xiang (Moschus, two fen).
Grind into fine powder. Form pills using human milk, about forty pills. Dry in shade. Take one pill each time, send down with Pear Juice. If no pear juice, grind and dissolve in Mint Tea and pour in; immediate revival.
Regarding wind-pathogens causing limb numbness, joint pain, limb paralysis, and slurred speech, suitable to take.
Wu Yao Shun Qi San (Aucklandia Regulating Qi Powder)
Ingredients: Wu Yao (Linderae Radix); Chen Pi (Citri Reticulatae Pericarpium, two qian each); Ma Huang (Ephedrae Herba, remove joints); Chuan Xiong (Chuanxiong Rhizoma); Bai Zhi (Angelicae Dahuricae Radix); Jie Geng (Platycodonis Radix); Zhi Ke (Aurantii Fructus, stir-fried with bran, one qian each); Jiang Can (Bombyx Batryticatus, fried); Gan Jiang (Zingiberis Rhizoma, five fen each, processed); Gan Cao (Glycyrrhizae Radix et Rhizoma, three fen, honey-fried).
Cut into pieces for one dose. Decoct with ginger and dates. For facial deviation, add Huang Lian (Coptidis Rhizoma) stir-fried with ginger, Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Zhu Li (Bambusae Succus), Jiang Zhi (Zingiberis Juice). For left hemiplegia/right paralysis, add Tian Ma (Gastrodiae Rhizoma) and Dang Gui (Angelicae Sinensis Radix). For dry/itchy skin, add Chan Tui (Cicadae Periostracum) and Bo He (Menthae Haplocalycis Herba).
Regarding wind invading the Fu organs: Mostly affects limbs, causing limb spasm and numbness, earth-colored complexion, aversion to wind/cold, indicating exterior syndrome. Suitable to use.
Shu Feng Tang (Dispersing Wind Decoction)
Ingredients: Dang Gui (Angelicae Sinensis Radix); Chuan Xiong (Chuanxiong Rhizoma); Bai Fu Ling (Poria, peeled); Chen Pi (Citri Reticulatae Pericarpium); Ban Xia (Pinelliae Rhizoma, soaked and fried); Wu Yao (Linderae Radix); Xiang Fu (Cyperi Rhizoma); Bai Zhi (Angelicae Dahuricae Radix); Qiang Huo (Notopterygii Rhizoma et Radix); Fang Feng (Saposhnikoviae Radix, eight fen each); Ma Huang (Ephedrae Herba, five fen); Gan Cao (Glycyrrhizae Radix et Rhizoma); Xi Xin (Asari Radix et Rhizoma, two fen each).
Cut into pieces for one dose. Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water, and take hot.
Regarding wind invading the Zang organs: Mostly obstructs the nine orifices, flaccid lips, loss of voice, deafness, nasal congestion, blurred vision, constipation and dysuria, indicating interior syndrome. Suitable to take.
Run Chang Tang (Moistening Intestines Decoction)
Ingredients: Dang Gui (Angelicae Sinensis Radix); Sheng Di Huang (Rehmanniae Radix); Zhi Ke (Aurantii Fructus, remove pith); Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger); Bin Lang (Arecae Semen); Da Huang (Rhei Radix et Rhizoma); Huo Ma Ren (Cannabis Fructus); Xing Ren (Armeniacae Semen Amarum, peeled, two qian each); Qiang Huo (Notopterygii Rhizoma et Radix, seven fen); Hong Hua (Carthami Flos, three fen).
Cut into pieces for one dose. Decoct in water, take warm on an empty stomach.
Regarding stroke: All wind-heat, constipation, dark/scanty urine, sores on head/face, red/painful eyes, or extreme heat generating wind, stiff tongue/jaw, purple/red wind-spots/hives on nose (Lung wind), leprosy (Great Wind), intestinal wind causing hemorrhoids/fistulas, or intestinal depression causing heat-delirium/mania. All are treated.
Fang Feng Tong Sheng San (Saposhnikovia Unblocking and Promoting Health Powder)
Ingredients: Fang Feng (Saposhnikoviae Radix); Dang Gui (Angelicae Sinensis Radix); Chuan Xiong (Chuanxiong Rhizoma); Bai Shao (Paeoniae Radix Alba); Lian Qiao (Forsythiae Fructus); Bo He (Menthae Haplocalycis Herba); Ma Huang (Ephedrae Herba, four fen each); Shi Gao (Gypsum Fibrosum); Jie Geng (Platycodonis Radix); Huang Qin (Scutellariae Radix, eight fen each); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Zhi Zi (Gardeniae Fructus); Jing Jie (Schizonepetae Spica, three fen each); Hua Shi (Talcum, two qian four fen); Da Huang (Rhei Radix et Rhizoma); Mang Xiao (Natrii Sulfas, four fen each); Gan Cao (Glycyrrhizae Radix et Rhizoma, one qian).
Cut into pieces for one dose. Decoct with ginger. If spontaneous diarrhea, remove Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma). If spontaneous sweating, remove Ma Huang (Ephedrae Herba). To resolve four-season cold damage with dual channel involvement, add one liang of Yi Yuan San (Benefit Prime Powder) per one liang of herbs, ten roots of Cong Bai (Allii Fistulosi Bulbus), a handful of Dou Chi (Sojae Semen Praeparatum), five slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct in water and take hot.
Regarding wind invading blood vessels: No exterior six-channel symptoms, no interior bowel/bladder obstruction, limbs cannot lift, mouth cannot speak, indicating intermediate syndrome. Suitable this formula.
Yang Rong Tang (Nourishing Prosperity Decoction)
Ingredients: Dang Gui (Angelicae Sinensis Radix, three qian, wine-washed); Chuan Xiong (Chuanxiong Rhizoma, one qian five fen); Sheng Di Huang (Rehmanniae Radix, four liang); Bai Shao (Paeoniae Radix Alba, two qian, wine-fried); Mai Men Dong (Ophiopogonis Radix, three qian, remove heart); Yuan Zhi (Polygalae Radix, eight fen, soak in Gan Cao soup, remove heart); Shi Chang Pu (Acori Tatarinowii Rhizoma, one qian, remove fibers); Nan Xing (Arisaematis Rhizoma, two qian); Ban Xia (Pinelliae Rhizoma, two qian, ginger-prepared); Chen Pi (Citri Reticulatae Pericarpium, one qian five fen); Bai Fu Ling (Poria, three qian, peeled); Zhi Shi (Aurantii Fructus Immaturus, two qian, stir-fried with bran); Wu Yao (Linderae Radix, one qian); Huang Lian (Coptidis Rhizoma, eight fen, ginger-fried); Fang Feng (Saposhnikoviae Radix, one qian five fen); Qiang Huo (Notopterygii Rhizoma et Radix, two qian); Qin Jiao (Gentianae Macrophyllae Radix, two qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, eight fen).
Equal parts. Add a ball of Zhu Ru (Bambusae Caulis in Taenia), three slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct in water and take.
To treat stroke convulsions, slurred speech, and aphonia: Use this formula.
Zhuan She Gao (Tongue-Turning Paste)
Ingredients: Lian Qiao (Forsythiae Fructus, one liang); Zhi Zi (Gardeniae Fructus, five qian); Huang Qin (Scutellariae Radix, wine-fried, five qian); Bo He (Menthae Haplocalycis Herba, one liang); Jie Geng (Platycodonis Radix, five qian); Da Huang (Rhei Radix et Rhizoma, wine-steamed, five qian); Xuan Ming Fen (Mirabilite, five qian); Fang Feng (Saposhnikoviae Radix, five qian); Chuan Xiong (Chuanxiong Rhizoma, three qian); Yuan Zhi (Polygalae Radix, soak in Gan Cao soup, one liang); Shi Chang Pu (Acori Tatarinowii Rhizoma, six qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, five qian); Xi Jiao (Rhino Ceratoss Horn, two qian); Shi Shuang (Diospyros Frost, one liang); Niu Huang (Calculus Bovis, five qian); Hu Po (Amber, one qian); Zhen Zhu (Pearl, one qian).
Grind into fine powder. Make pills with refined honey, size of a bullet. Coat with five qian of Zhu Sha (Cinnabaris). Chew one pill slowly, send down with Mint Tea. Take after meals and before bed.
To treat stroke aphonia: Pour in Le Jiu Zhi (Chinese Chive Juice). Or use Bai Jiang Can (Bombyx Batryticatus) powder, mixed with wine and taken.
To treat enlarged tongue unable to speak:
Ingredients: Qing Dai (Indicum, three fen); Bing Pian (Borneolum Syntheticum, three fen); Peng Sha (Borax, two qian); Niu Huang (Calculus Bovis, three fen); Nan Bo He Ye (Menthae Haplocalycis Herba, three qian).
Grind into fine powder. First wash tongue with honey water, then rub with Ginger Juice. Thin the medicine with honey water and apply to the tongue.
To treat stroke aphasia due to phlegm confusing the Heart orifices and tongue inability to speak:
Ingredients: Nan Xing (Arisaematis Rhizoma, one liang); Fang Feng (Saposhnikoviae Radix, five qian).
Grind into fine powder. Form pills with flour paste, size of tung seeds. Take fifty pills each time, send down with Ginger Soup.
To treat sudden muteness in stroke: Cook Bai Jie Zi (Brassicae Semenis White Mustard Seed) in vinegar, apply to neck, wrap with cloth. Cure within one day and night.
To treat stroke muteness/inability to speak:
Ingredients: Da Huang (Rhei Radix et Rhizoma, one liang); Mang Xiao (Natrii Sulfas, two liang); Dang Gui (Angelicae Sinensis Radix, two liang); Gan Cao (Glycyrrhizae Radix et Rhizoma, five qian).
Cut into pieces. Decoct in water and take. After purgation, use Si Wu Tang (Four Substances Decoction) plus one liang of Bai Jiang Can (Bombyx Batryticatus), divided into two doses.
To treat Kidney Qi deficiency causing muteness and leg weakness preventing walking:
Di Huang Yin Zi (Rehmannia Infusion)
Ingredients: Shu Di Huang (Rehmanniae Radix Preparata, four qian); Ba Ji (Morindae Officinalis Radix, three qian, remove heart); Shi Zao (Ziziphi Spinosae Semen, three qian, wine-steamed, remove pit); Rou Cong Rong (Cistanche Deserticolae Herba, three qian, wine-washed); Bo He (Menthae Haplocalycis Herba, eight fen, small amount); Shi Hu (Dendrobii Caulis, three qian); Da Fu Zi (Aconiti Lateralis Radix Preparata, eight fen, processed); Wu Wei Zi (Schisandrae Fructus, three fen); Bai Fu Ling (Poria, three qian, peeled); Shi Chang Pu (Acori Tatarinowii Rhizoma, one qian); Yuan Zhi (Polygalae Radix, eight fen, soak in Gan Cao water, remove heart); Guan Gui (Cinnamomi Cortex, eight fen); Mai Men Dong (Ophiopogonis Radix, three qian, remove heart).
Cut into pieces. Decoct with ginger and dates in water, take warm.
Regarding wind invading meridians and collaterals causing facial deviation: Suitable this formula.
Fu Zheng Tang (Restoring Uprightness Decoction)
Ingredients: Fang Feng (Saposhnikoviae Radix, one qian); Jing Jie (Schizonepetae Spica, one qian); Xi Xin (Asari Radix et Rhizoma, eight fen); Huang Qin (Scutellariae Radix, two qian); Wu Yao (Linderae Radix, two qian); Tian Ma (Gastrodiae Rhizoma, two qian); Dang Gui (Angelicae Sinensis Radix, three qian, wine-washed); Bai Shao (Paeoniae Radix Alba, two qian, wine-fried); Chuan Xiong (Chuanxiong Rhizoma, one qian five fen); Bai Zhu (Atractylodis Macrocephalae Rhizoma, one qian five fen, remove rhizome); Chen Pi (Citri Reticulatae Pericarpium, one qian five fen, remove white pith); Ban Xia (Pinelliae Rhizoma, two qian); Zhi Ke (Aurantii Fructus, one qian, remove pith, stir-fried with bran); Bai Zhi (Angelicae Dahuricae Radix, eight fen); Jie Geng (Platycodonis Radix, eight fen); Jiang Can (Bombyx Batryticatus, three qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, eight fen); Bai Fu Ling (Poria, two qian, peeled).
Cut into pieces. Decoct with ginger and take.
To treat facial deviation and limb numbness:
Ingredients: Cang Zhu (Atractylodis Rhizoma, stir-fried with rice washing water, one liang half); Chen Pi (Citri Reticulatae Pericarpium, three liang); Nan Xing (Arisaematis Rhizoma, one liang five qian); Ban Xia (Pinelliae Rhizoma, two liang five qian); Bai Fu Ling (Poria, two liang five qian); Fang Feng (Saposhnikoviae Radix, one liang five qian); Qiang Huo (Notopterygii Rhizoma et Radix, six qian); Tian Ma (Gastrodiae Rhizoma, three liang five qian); Bai Jiang Can (Bombyx Batryticatus, one liang); Da Chuan Wu (Aconiti Radix Preparata, processed, six qian); Fen Cao (Glycyrrhizae Radix et Rhizoma, six qian).
Cut into pieces. Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take. Before taking, add three spoonfuls of Ginger Juice, take warm.
To treat various wind-induced facial deviation:
Jin Dao Ru Sheng San (Golden Knife Like Sage Powder)
Ingredients: Chuan Wu (Aconiti Radix Preparata, processed, three qian); Cao Wu (Aconiti Kusnezoffii Radix Preparata, processed, three qian); Fang Feng (Saposhnikoviae Radix, two qian); Chuan Xiong (Chuanxiong Rhizoma, two qian); Bai Zhi (Angelicae Dahuricae Radix, four qian); Xiong Huang (Realgar, two qian); Xi Xin (Asari Radix et Rhizoma, two qian); Cang Zhu (Atractylodis Rhizoma, four qian); Tian Ma (Gastrodiae Rhizoma, five fen); Bai Zhu (Atractylodis Macrocephalae Rhizoma, five fen); Ma Huang (Ephedrae Herba, five fen).
Grind into fine powder. Take five fen each time, before bed, mix with warm wine.
To treat stroke, facial asymmetry, pulling/tightness when speaking, limbs normal otherwise. Caused by uncomfortable living environment,邪风 (evil wind) entering ear while lying down, lodging in Yangming Meridian, causing tendon imbalance and facial deviation.
Zao Jiao Gao (Gleditsiae Paste)
Five liang of large Zao Jiao (Gleditsiae Fructus), remove skin and seeds, powder. Mix with three-year-old rice vinegar to form paste. Apply to the opposite side (left deviation apply right, right deviation apply left). Reapply when dry.
Another method: Use one he of new mine calcined stone, stir-fry with sour vinegar to mud consistency. If face deviates right, apply left; if left, apply right. Once corrected, wash off with water. Effect is miraculous.
To treat sudden severe stroke with facial deviation:
Tian Xian Gao (Heavenly Immortal Paste)
Nan Xing (Arisaematis Rhizoma); Cao Wu (Aconiti Kusnezoffii Radix Preparata); Bai Ji (Bletillae Rhizoma) (all large ones, one liang each); Jiang Can (Bombyx Batryticatus, seven).
Grind into fine powder. Mix with Ginger Juice and apply as above. Wash off once corrected.
To treat facial deviation:
Zheng Yan Dan (Face-Rectifying Pill)
Ingredients: Bai Zhi (Angelicae Dahuricae Radix, two liang); Du Huo (Angelicae Pubescentis Radix, two liang); Bo He (Menthae Haplocalycis Herba, one liang).
Grind into fine powder. Make pills with honey, size of bullets. Take one pill each time, chew slowly, send down with clear tea.
Regarding paralysis: Due to deficiency causing Phlegm-Fire flowing and depositing. Rapid treatment is best initially. If delayed, Phlegm-Fire stagnates long-term, forming depression, which generates fire. Fire injures Qi and consumes Blood, making Phlegm hard to treat. Pain indicates excess syndrome; use medications to unblock joints, adding a little Nao She (Brain Musk) as guiding herb. No pain indicates deficiency syndrome; when using joint-unblocking meds, also take Qi-Blood tonics. Combining attacking and tonifying cures paralysis.
Explanation of "Tan" (Paralysis): Tan means flat/relaxed. Sinews and collaterals relax, lying flat and unable to lift. Explanation of "Huan" (Flaccidity): Huan means scattered. Blood and Qi scatter, becoming diffuse and unusable. Due to Blood deficiency or Qi deficiency, a deficiency pattern.
Regarding stroke with soft limbs unable to move, with spontaneous sweating externally: Deficiency wind-stroke. If limbs are stiff/spastic, facial deviation, pain on extension: Excess wind-stroke.
Regarding left hemiplegia in stroke: Left-side immobility belongs to Blood deficiency, caused by Phlegm-Fire flowing to the left. Suitable posterior formula.
Regarding right hemiplegia in stroke: Right-side immobility belongs to Qi deficiency, caused by Phlegm-Fire flowing to the right. Suitable posterior formula.
Regarding all strokes: Left hemiplegia, right flaccidity, hemiplegia, facial deviation, slurred speech, yawning/sneezing, dizziness, bone/joint pain, occasional headache, palpitations, excessive Phlegm-Fire.
This is severe Qi-Blood deficiency, Spleen/Stomach impairment, with Phlegm, Fire, Wind, Dampness. This is the divine general formula for all winds.
Shang Chi Yin (Upper Pool Infusion) (i.e., Yu Feng Run Zao Tang plus Ren Shen and Wu Yao).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, remove rhizome, two qian); Tai Bai Zhu (Atractylodis Macrocephalae Rhizoma, remove rhizome, stir-fried, one qian five fen); Bai Fu Ling (Poria, peeled, five qian); Dang Gui (Angelicae Sinensis Radix, wine-washed, one qian two fen); Chuan Xiong (Chuanxiong Rhizoma, one qian two fen); Hang Bai Shao (Paeoniae Radix Alba, wine-fried, one qian); Huai Sheng Di Huang (Rehmanniae Radix, ginger-juice fried, one qian); Shu Di Huang (Rehmanniae Radix Preparata, ginger-juice fried, one qian); Nan Xing (Arisaematis Rhizoma, ginger-juice fried, one qian); Ban Xia (Pinelliae Rhizoma, ginger-prepared, one qian); Chen Pi (Citri Reticulatae Pericarpium, salt-water washed, eight fen); Qiang Huo (Notopterygii Rhizoma et Radix, six fen); Fang Feng (Saposhnikoviae Radix, six fen); Tian Ma (Gastrodiae Rhizoma, one qian, remove oil); Niu Xi (Achyranthis Bidentatae Radix, remove rhizome, wine-washed, eight fen); Chuan Hong Hua (Carthami Flos, wine-washed, four fen); Liu Zhi (Salix Twig, six fen, one fen in cold month); Huang Qin (Scutellariae Radix, wine-fried, eight fen); Huang Bo (Phellodendri Cortex, wine-fried, three fen, add one fen in summer); Suan Zao Ren (Ziziphi Spinosae Semen, fried, eight fen); Wu Yao (Linderae Radix, four fen); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, four fen).
Cut into pieces for one dose. Decoct in water, add Zhu Li (Bambusae Succus) and Jiang Zhi (Zingiberis Juice), take warm in the morning. If slurred speech, add Shi Chang Pu (Acori Tatarinowii Rhizoma).
Patients with wind-phlegm often have phlegm-heat. When taking herbal decoctions, it is excellent to add Zhu Li (Bambusae Succus), Jing Li (Schizonepetae Succus?), and Jiang Zhi (Zingiberis Juice). Mixing all three and taking warm is also good.
Regarding stroke caused by internal injury: Not external wind-pathogen, but self-disease of original Qi. Often due to overwork dissipating True Qi, or emotional injuries damaging Qi, leading to sudden collapse and unconsciousness, resulting in left hemiplegia/right flaccidity, facial deviation, limb numbness, stiff tongue, unclear speech. Suitable this formula.
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
Ingredients: Huang Qi (Astragali Radix, honey-water fried, one qian five fen); Ren Shen (Ginseng Radix et Rhizoma, remove rhizome, one qian); Bai Zhu (Atractylodis Macrocephalae Rhizoma, clean rhizome, stir-fried, one qian); Chen Pi (Citri Reticulatae Pericarpium, one qian); Dang Gui (Angelicae Sinensis Radix, wine-washed, one qian); Chai Hu (Bupleuri Radix, remove rhizome, five fen); Sheng Ma (Cimicifugae Rhizoma, five fen); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, one qian).
Cut into pieces for one dose. Decoct with ginger and dates in water. Add three fen of wine-fried Huang Bo (Phellodendri Cortex) to nourish Kidney Water and drain latent fire in Yin. Add three fen of Hong Hua (Carthami Flos) to enter Heart and nourish Blood.
Sudden collapse in stroke due to overwork: Overwork damages Yuan Qi, Spleen/Stomach become weak, unable to resist Wind-Cold, causing coma. Suitable this formula.
For left hemiplegia/right flaccidity, add Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Tian Ma (Gastrodiae Rhizoma), Ban Xia (Pinelliae Rhizoma), Nan Xing (Arisaematis Rhizoma), Mu Xiang (Aucklandiae Radix).
For slurred speech, add Shi Chang Pu (Acori Tatarinowii Rhizoma), Zhu Li (Bambusae Succus).
For facial deviation, add Huang Lian (Coptidis Rhizoma) stir-fried with ginger, Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Zhu Li (Bambusae Succus), Jiang Zhi (Zingiberis Juice).
Stroke with Phlegm-panting due to middle Qi deficiency, poor diet, sudden phlegm congestion/panting, head shaking/eye blinking, waving hands/throwing legs, difficult to pulse. Face yellow with green tint: Liver Wood overacting on Spleen Earth. Based on main formula, add Bai Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma). Decoct, add Ginger Juice near completion.
Stroke with numbness in face and ten fingers: Qi deficiency. Add Da Fu Zi (Aconiti Lateralis Radix Preparata), Zhi Mu Xiang (Costi Radix processed), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Wu Yao (Linderae Radix), Mai Men Dong (Ophiopogonis Radix).
Good drinker, stiff tongue, unclear speech: Spleen deficiency with damp-heat. Add Shen Qu (Massa Medicata Fermentata), Mai Ya (Hordei Fructus Germinatus), Gan Ge (Puerariae Radix), Ze Xie (Alismatis Rhizoma).
Regarding stroke caused by sexual fatigue: Named Internal Wind. Excessive sexual activity causes sudden loss of True Essence. Tongue lacks flexibility, speech is difficult. Essence/Blood depletion leads to Water exhaustion and violent Heart Fire. Kidney Water deficiency fails to control it, leading to Yin deficiency/Yang excess, heat stagnation, mental confusion, limb uselessness, sudden collapse. Hemiplegia, facial deviation, slurred speech. Suitable this formula. Decoction or pills both work.
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill)
Ingredients: Huai Sheng Di Huang (Rehmanniae Radix, wine-mixed, steamed one day until very black, dried, eight liang); Shan Zhu Yu (Corni Fructus, wine-steamed, remove core, selected flesh, four liang); Mu Dan Pi (Moutan Cortex, remove bone, three liang); Huai Shan Yao (Dioscoreae Rhizoma, four liang); Bai Fu Ling (Poria, peeled, three liang); Ze Xie (Alismatis Rhizoma, three liang).