天麻 川芎 独活 制半夏 人参再造丸（一丸）
某 类中大势虽定，而两足仍难步履，头晕偏左。气虚挟痰，蕴于阳明。防其反复。
制半夏 野于术 枳壳 白蒺藜 左秦艽 川独活 奎党参（元米炒） 天麻 桑寄生 杜仲 炒牛膝 广橘红
王（左） 四肢不遂言语謇涩。脉濡而滑。此气虚而湿痰入络。类中之症，难望近功。
奎党参（三钱） 九节菖（五分） 制半夏（三钱） 远志肉（五分） 广藿香（三钱） 苍术（麻油炒黄一
钱五分） 广橘红（一钱） 川萆 （二钱） 薏仁（四钱生） 炒于术（二钱） 人参再造丸（一粒）
二诊 中湿之后，络隧未和。温通和络泄湿，脉症相安，守效方出入再进。
制半夏 枳壳 独活 萆 泽泻 桑枝（酒炒） 橘红 杏仁 防己 薏仁 桂枝 蒌皮（炒）
何（左） 痰湿素盛，于五日前陡然口眼 斜，左手指伸屈不利。左关脉弦，右关脉滑。此痰湿阻于阳明
之络，类中之先声也。急宜戒饮，以酒性上升而热故也。
制南星 白僵蚕 煨天麻 广皮 桑寄生 木防己
左秦艽 独活 指迷茯苓丸
复诊稍好，改用人参再造丸。
二诊 脉症相安，然手仍带肿，经谓湿胜则肿。究之诸病之作，皆风火之所为也。
炙绵 威灵仙 青防风 桂枝 制南星 野于术 羚羊片 左秦艽 汉木防己 生薏米 木猪苓 建泽泻
桑枝膏
尹（左） 语言謇涩。脉象左弦，右关带滑。此惊痰入络，机窍被阻，中厥之先声也。
制半夏 枳实 橘红 郁金 僵蚕 煨天麻 茯苓 远志 菖蒲 竹沥 姜汁
陈（左） 遗浊之后，湿袭经络，以致四肢牵强，胸次不舒。久则为风痱之类。
秦艽 桑寄生 防风 川萆 汉防己 独活 生薏仁 当归 白僵蚕 丝瓜络
陈（右） 高年精血亏损，肝风鸱张头晕心中震痉。脉细弦尺涩。为类中之渐，图治非易。
大生地 苁蓉 归身 菊花 木瓜皮 黑豆衣 杞子 白芍 杜仲
二诊 右足弛强不仁，头晕心中震痉，神烦不寐。舌色润而自觉干燥无津。良由精血亏耗，厥少二阴
之火上炎。前法参以育阴降火。
阿胶珠（三钱） 川雅连（鸡子黄拌炒三分） 龙齿（三钱） 甘杞子（三钱） 浓杜仲（三钱）
大生地（四钱） 炒枣仁（三钱） 干苁蓉（二钱） 朱茯神（三钱） 炒萸肉（一钱五分）
左 脉象弦滑。左臂作麻。此湿痰过盛，营卫之气，为之阻蔽，有痱中之虞。
桂枝 焦枳实 羌活 云茯苓 白僵蚕 防风 制南星 天麻 广橘
红制半夏 二妙丸
某 眩晕耳鸣，四肢麻木。脉形弦滑。此胃有湿痰，胆木不降，有类中之虞。
制半夏 枳实 天麻 竹茹 秦艽 净双钩 陈胆星 石决明
广橘红 山栀 磁朱丸（一钱五分）
左 左半主血。然血中无气，则血不流。今左臂作麻。脉形弦滑。无非痰湿阻遏，荣卫不宣。仿石顽法。
苍术（八分） 黄柏（姜汁炒一钱） 羌活（一钱） 天麻（一钱五分） 当归（酒炒二钱） 桑寄生（
酒炒三钱） 制半夏（一钱五分） 白僵蚕（二钱） 橘皮（一钱） 左秦艽（一钱五分） 桂枝（五分）
过（右） 右臂不能举动。高年血虚，风阳入络，为痱中之根。
秦艽（一钱五分） 当归（酒炒二钱） 桑寄生（三钱） 天麻（一钱五分） 独活（一钱） 白僵蚕（
一钱五分） 白芍（酒炒一钱） 木防己（一钱五分） 桂枝（四分） 丝瓜络（三钱炒） 大活络丹（一丸）
左 外疡之后，风与湿合，流入络隧。以致遍体烦疼，手足软弱，恐成类中。
秦艽 焦苍术 黄柏 半夏 丝瓜络 独活 桂枝 生薏仁 萆 桑枝（酒炒） 汉
木防己
二诊 两次得汗，湿郁稍宣，遍体烦疼大退。药既应手，无容更张。
于术（一钱五分） 陈皮（一钱五分） 泽泻（一钱五分） 络石藤（三钱炒） 杜仲（二钱） 制半夏（一
钱五分） 茯苓（四钱） 秦艽（一钱五分） 炙绵 （二钱） 焦苍术（二钱研末米饮作丸药汁送下）
三诊 投剂之后，脉症相安。然四肢酸软，筋惕少寐。良由痰湿阻络，甲木之气，不能下降。前法出入再进。
桂枝（五分） 秦艽（一钱五分） 独活（一钱） 桑寄生（酒炒三钱） 木防己（一钱） 茯苓（三钱）
制半夏（一钱五分） 萆 （二钱） 枳实（一钱） 生薏仁（四钱） 白蒺藜（三钱） 木瓜
（一钱） 鲜竹茹（一钱）
某 浮游之火渐平，而食入辄作反逆。此胆胃不主下降，肝阳从此独升。再降胆胃。
制半夏 枳实 甜广皮 杏仁 白蒺藜 茯苓 茯神 黑山栀 陈胆星 竹
茹生姜汁（二滴） 陈关蛰 大荸荠（二味煎汤代水）
右 脉濡滑，左关微弦。面色浮黄，四肢酸软，心悸少寐。此由中气不足，湿土生痰，郁阻络隧，为痱中之根。
野于术（一钱五分） 广皮（一钱） 泽泻（一钱五分） 络石藤（三钱炒） 焦苍术（一钱研末米饮为
丸烘干药汁送下） 制半夏（一钱五分） 茯苓（四钱） 秦艽（一钱五分） 浓杜仲（三钱） 炙绵 （二钱）
某 舌强，右半不用。气虚挟痰，治无近功也。
制半夏 橘红 炒菊花 石菖蒲 远志肉 白僵蚕
左秦艽 煨天麻 竹油 再造丸（开水先服）
Rhizoma Gastrodiae (Tianma), Rhizoma Chuanxiong (Chuanxiong), Radix Angelicae Pubescentis (Duhuo), Prepared Rhizoma Pinelliae (Zhi Banxia), Renshen Zaizao Wan (One pill)
A certain patient: Although the general trend of Lei Zhong Feng (a type of stroke caused by internal injury and depletion, distinct from external wind pathogen) has stabilized, both feet remain difficult to walk with, and dizziness is偏 towards the left. This is Qi deficiency carrying phlegm-dampness, accumulating in the Yangming Meridian. Preventing recurrence.
Prepared Rhizoma Pinelliae (Zhi Banxia), Wild Atractylodes Macrocephala Rhizome (Ye Yuzhu), Fructus Aurantii (Zhike), Seed Tribulus Terrestris (Bai Jili), Left Gentian Root (Zuo Qinjiao), Sichuan Duhuo, Kui Dangshen (Stir-fried with Yuan Mi), Rhizoma Gastrodiae (Tianma), Ramulus Eucommiae (Sangjisheng), Cortex Eucommiae (Duzhong), Stir-fried Achyranthes Bidentata Root (Chao Niuxi), Broad-spectrum Tangerine Peel (Guang Juhong)
Patient Wang (Left): Limbs are paralyzed and speech is slurred. The pulse is soggy and slippery. This is Qi deficiency leading to damp-phlegm entering the collaterals. It is a case of Lei Zhong Feng, where rapid recovery is not to be expected.
Kui Dangshen (3 qian), Jiujie Changpu (5 fen), Prepared Rhizoma Pinelliae (Zhi Banxia) (3 qian), Farfloren Flos (Yuanzhi Rou) (5 fen), Guang Huoxiang (3 qian), Cangzhu (Stir-fried with sesame oil until yellow, 1.5 qian), Guang Juhong (1 qian), Chuan Bixie (2 qian), Coix Seed (Yiren) (4 qian, raw), Stir-fried Yuzhu (2 qian), Renshen Zaizao Wan (One pill)
Second visit: After contracting dampness, the collaterals and channels have not yet harmonized. Employ warming and unblocking methods to clear dampness from the collaterals. The pulse and symptoms are stable. Continue with the effective prescription with modifications.
Prepared Rhizoma Pinelliae (Zhi Banxia), Fructus Aurantii (Zhike), Radix Angelicae Pubescentis (Duhuo), Rhizoma Dioscoreae Hypoglaucae (Bixie), Radix Alismatis (Zexie), Ramulus Eucommiae (Sangzhi) (wine-stir-fried), Tangerine Peel (Juhong), Semen Armeniacae Amarum (Xingren), Radix Saposhnikoviae (Fangji), Coix Seed (Yiren), Ramulus Cinnamomi (Guizhi), Pericarpium Trichosanthis (Loupi) (stir-fried)
Patient He (Left): Suffering from abundant phlegm-dampness constitutionally, suddenly developed facial paralysis (mouth and eye deviation) five days ago, with limited flexion and extension of the left fingers. The left Guan pulse is wiry, the right Guan pulse is slippery. This indicates phlegm-dampness obstructing the collaterals of the Yangming Meridian, a precursor sign of Lei Zhong Feng. Urgently abstain from alcohol, as its nature is ascending and hot.
Prepared Rhizoma Arisaematis (Zhi Nanting), White Silkworm (Bai Jiangcan), Calcined Rhizoma Gastrodiae (Wei Tianma), Broad-spectrum Tangerine Peel (Guang Pi), Ramulus Eucommiae (Sangjisheng), Stemlet Stephaniae Tetrandrae (Mu Fangji)
Left Gentian Root (Zuo Qinjiao), Radix Angelicae Pubescentis (Duhuo), Zhimi Fuling Wan
Follow-up visit: Symptoms improved slightly. Changed to Renshen Zaizao Wan.
Second visit: Pulse and symptoms are stable, but the hand remains swollen. As stated in the *Huangdi Neijing*, "Excess dampness leads to swelling." Ultimately, the onset of various diseases is attributed to wind and fire.
Roasted Astragalus Membranaceus Root (Zhi Mian Huangqi), Radix Saposhnikoviae (Weilingxian), Qing Fangfeng, Ramulus Cinnamomi (Guizhi), Prepared Rhizoma Arisaematis (Zhi Nanting), Wild Atractylodes Macrocephala Rhizome (Ye Yuzhu), Horn Antilope Subtrigona (Lingyang Pian), Left Gentian Root (Zuo Qinjiao), Han Fangji, Raw Coix Seed (Sheng Yimi), Polyporus (Muzhuling), Jian Zexie
Sangzhi Gao
Patient Yin (Left): Slurred speech. The pulse is wiry on the left, and slippery at the right Guan position. This is phlegm turbidity entering the collaterals due to fright/shock, blocking the orifices, a precursor sign of Zhong Jue (stroke-like coma).
Prepared Rhizoma Pinelliae (Zhi Banxia), Fructus Aurantii (Zhishi), Tangerine Peel (Juhong), Radix Curcumae Longae (Yujin), Silkworm (Jiangcan), Calcined Rhizoma Gastrodiae (Wei Tianma), Poria (Fuling), Farfloren Flos (Yuanzhi), Acorus Tatarinowii Rhizome (Changpu), Bamboo Juice (Zhuli), Ginger Juice (Jiangzhi)
Patient Chen (Left): After seminal emission/leakage, dampness invaded the collaterals, causing limb stiffness and chest discomfort. If prolonged, it may develop into conditions like Feng Fei (limb paralysis with loss of sensation).
Gentian Root (Qinjiao), Ramulus Eucommiae (Sangjisheng), Saposhnikoviae Root (Fangfeng), Chuan Bixie, Han Fangji, Radix Angelicae Pubescentis (Duhuo), Raw Coix Seed (Sheng Yiren), Radix Angelicae Sinensis (Danggui), White Silkworm (Bai Jiangcan), Luffa Fruit Fiber (Sigualuo)
Patient Chen (Right): Advanced age with depletion of essence and blood, hyperactive Liver Wind causing dizziness and palpitations/spasms. The pulse is fine and wiry, with a choppy Chi position. This is an impending sign of Lei Zhong Feng; treatment will not be easy.
Large Rehmannia Root (Da Shengdi), Cistanche Deserticola Stem (Congrong), Radix Angelicae Sinensis (Guishen), Chrysanthemum Flower (Juhua), Quince Peel (Mugua Pi), Black Soybean Coat (Heidouyi), Goji Berry (Qizi), White Peony Root (Baishao), Cortex Eucommiae (Duzhong)
Second visit: Right foot is flaccid and insensible, dizziness, palpitations/spasms, mental restlessness, and insomnia. The tongue color is moist, yet there is a subjective sensation of dryness without fluids. This is primarily due to depletion of essence and blood, causing Fire from the Jueyin and Shaoyin meridians to flare upward. Modify the previous method to nourish Yin and descend Fire.
Donkey-hide Gelatin Pearl (Ejiao Zhu), Chuan Lianlian (Chicken yolk stir-fried, 3 fen), Dragon Teeth (Longchi) (3 qian), Gan Qizi (3 qian), Strong Duzhong (3 qian)
Large Shengdi (4 qian), Stir-fried Ziziphus Seed (Chao Zaoren) (3 qian), Dried Cistanche (Gan Congrong) (2 qian), Cinnabar-processed Poria (Zhu Fushen), Stir-fried Cornus Fruit (Chao Yurou) (1.5 qian)
Patient Zuo: Pulse is wiry and slippery. Left arm feels numb. This is excessive damp-phlegm obstructing Ying and Wei Qi, posing a risk of Fei Zhong (stroke characterized mainly by limb dysfunction).
Ramulus Cinnamomi (Guizhi), Scorched Fructus Aurantii (Jiao Zhishi), Notopterygium Rhizome (Qianghuo), Yun Fuling, White Silkworm (Bai Jiangcan), Saposhnikoviae Root (Fangfeng), Prepared Rhizoma Arisaematis (Zhi Nanting), Rhizoma Gastrodiae (Tianma), Broad-spectrum Tangerine Peel (Guang Juhong), Prepared Rhizoma Pinelliae (Zhi Banxia), Ermiao Wan
Certain patient: Vertigo, tinnitus, numbness of four limbs. The pulse form is wiry and slippery. This is damp-phlegm in the Stomach, with Gallbladder Wood failing to descend, indicating a risk of Lei Zhong Feng.
Prepared Rhizoma Pinelliae (Zhi Banxia), Fructus Aurantii (Zhishi), Rhizoma Gastrodiae (Tianma), Bamboo Shavings (Zhuru), Gentian Root (Qinjiao), Clean Uncaria Rhynchophylla (Jing Shuanggou), Aged Star Arisaema (Chen Dansheng), Concha Heterodon (Shijueming)
Broad-spectrum Tangerine Peel (Guang Juhong), Gardenia Fruit (Shanzhi), Cizhu Wan (1.5 qian)
Patient Zuo: The left side governs Blood. However, if Blood lacks Qi, Blood does not flow. Now the left arm is numb. The pulse is wiry and slippery. This is nothing other than damp-phlegm obstruction, preventing the free circulation of Ying and Wei. Imitating the method of Shiwan.
Cangzhu (8 fen), Phellodendron Bark (Huangbai) (Stir-fried with ginger juice, 1 qian), Notopterygium Rhizome (Qianghuo) (1 qian), Rhizoma Gastrodiae (Tianma) (1.5 qian), Radix Angelicae Sinensis (Danggui) (Wine-stir-fried, 2 qian), Ramulus Eucommiae (Sangjisheng) (Wine-stir-fried, 3 qian), Prepared Rhizoma Pinelliae (Zhi Banxia) (1.5 qian), White Silkworm (Bai Jiangcan) (2 qian), Tangerine Peel (Jupi) (1 qian), Left Gentian Root (Zuo Qinjiao) (1.5 qian), Ramulus Cinnamomi (Guizhi) (0.5 qian)
Patient Guo (Right): Right arm cannot move. Advanced age with Blood deficiency, Wind-Yang enters the collaterals, becoming the root of Fei Zhong.
Gentian Root (Qinjiao) (1.5 qian), Radix Angelicae Sinensis (Danggui) (Wine-stir-fried, 2 qian), Ramulus Eucommiae (Sangjisheng) (3 qian), Rhizoma Gastrodiae (Tianma) (1.5 qian), Radix Angelicae Pubescentis (Duhuo) (1 qian), White Silkworm (Bai Jiangcan) (1.5 qian), White Peony Root (Baishao) (Wine-stir-fried, 1 qian), Stemlet Stephaniae Tetrandrae (Mu Fangji) (1.5 qian), Ramulus Cinnamomi (Guizhi) (0.4 qian), Luffa Fruit Fiber (Sigualuo) (3 qian, stir-fried), Dahuo Luo Dan (One pill)
Patient Zuo: After an external ulcer, Wind and Dampness combine and flow into the collaterals. This causes generalized painful heat, weak hands and feet, fearing development into Lei Zhong Feng.
Gentian Root (Qinjiao), Scorched Cangzhu, Huangbai, Banxia, Luffa Fruit Fiber (Sigualuo), Radix Angelicae Pubescentis (Duhuo), Ramulus Cinnamomi (Guizhi), Raw Coix Seed (Sheng Yiren), Rhizoma Dioscoreae Hypoglaucae (Bixie), Ramulus Eucommiae (Sangzhi) (wine-stir-fried), Han Stemlet Stephaniae Tetrandrae (Han Mu Fangji)
Second visit: Sweated twice after administration, dampness stagnation is slightly dispersed, generalized painful heat greatly subsided. Since the medicine is effective, no need to change the plan.
Yuzhu (1.5 qian), Chenpi (1.5 qian), Zexie (1.5 qian), Luan Shi Teng (3 qian, stir-fried), Duzhong (2 qian), Prepared Rhizoma Pinelliae (Zhi Banxia) (1.5 qian), Fuling (4 qian), Qinjiao (1.5 qian), Roasted Huangqi (2 qian), Scorched Cangzhu (2 qian, ground into powder, taken with rice water decoction)
Third visit: After taking the medicine, pulse and symptoms are stable. However, limbs are sore and weak, muscles twitch, and sleep is scant. This is mainly due to damp-phlegm obstructing the collaterals, preventing Jia Wood (Gallbladder) Qi from descending. Continue with modifications of the previous method.
Ramulus Cinnamomi (Guizhi) (0.5 qian), Gentian Root (Qinjiao) (1.5 qian), Radix Angelicae Pubescentis (Duhuo) (1 qian), Ramulus Eucommiae (Sangjisheng) (Wine-stir-fried, 3 qian), Stemlet Stephaniae Tetrandrae (Mu Fangji) (1 qian), Fuling (3 qian), Prepared Rhizoma Pinelliae (Zhi Banxia) (1.5 qian), Rhizoma Dioscoreae Hypoglaucae (Bixie) (2 qian), Fructus Aurantii (Zhishi) (1 qian), Raw Coix Seed (Sheng Yiren) (4 qian), Tribulus Terrestris Fruit (Bai Jili) (3 qian), Quince (Mugua) (1 qian), Fresh Bamboo Shavings (Xian Zhuru) (1 qian)
Certain patient: Floating fire gradually subsides, but food intake immediately causes regurgitation. This is Gallbladder and Stomach failing to descend, allowing Liver Yang to rise independently. Again, descend Gallbladder and Stomach.
Prepared Rhizoma Pinelliae (Zhi Banxia), Fructus Aurantii (Zhishi), Sweet Broad-spectrum Tangerine Peel (Tian Guangpi), Semen Armeniacae Amarum (Xingren), Tribulus Terrestris Fruit (Bai Jili), Fuling, Fushen, Black Gardenia Fruit (Hei Shanzhi), Aged Star Arisaema (Chen Dansheng), Bamboo Shavings (Zhuru), Ginger Juice (Jiangzhi) (2 drops), Chen Guanzhe (Sea Jellyfish), Da Biqi (These two ingredients decocted to replace water for brewing herbs)
Patient You: Pulse is soggy and slippery, left Guan slightly wiry. Complexion is floating yellow, limbs are sore and weak, palpitations, scant sleep. This is due to insufficient Middle Qi, damp-earth generating phlegm, stagnating and obstructing the collaterals, becoming the root of Fei Zhong.
Wild Atractylodes Macrocephala Rhizome (Ye Yuzhu) (1.5 qian), Broad-spectrum Tangerine Peel (Guangpi) (1 qian), Zexie (1.5 qian), Luan Shi Teng (3 qian, stir-fried), Scorched Cangzhu (1 qian, ground into powder, made into pills with rice water, dried, taken with herbal decoction), Prepared Rhizoma Pinelliae (Zhi Banxia) (1.5 qian), Fuling (4 qian), Gentian Root (Qinjiao) (1.5 qian), Strong Duzhong (3 qian), Roasted Huangqi (2 qian)
Certain patient: Tongue is stiff, right half is unusable. Qi deficiency carrying phlegm, treatment will not yield near-term results.
Prepared Rhizoma Pinelliae (Zhi Banxia), Tangerine Peel (Juhong), Stir-fried Chrysanthemum Flower (Chao Juhua), Stone Acorus Rhizome (Shi Changpu), Farfloren Flos (Yuanzhi Rou), White Silkworm (Bai Jiangcan)
Left Gentian Root (Zuo Qinjiao), Calcined Rhizoma Gastrodiae (Wei Tianma), Bamboo Oil, Zaizao Wan (Take first with boiling water)