中风无汗恶寒 宜针至阴出血 (穴在足小趾外侧爪甲角,针二分)昆仑举跷(穴在足外踝后跟骨,针透太 )。
中风有汗恶风 宜针风府(穴在项后入发一寸,针入三分,禁炙)。
已上二症,皆太阳经中风也。
中风有汗身热不恶寒 中风有汗身热不恶风 宜针陷谷(穴在足大趾次趾本节后陷中,针入五分),去阳明之
贼,兼刺厉兑(穴在足泻阳明之实。)
已上二症皆阳明经中风也。
中风无汗身凉 宜针隐白(穴在足大趾内爪甲角),去太阴之贼。
此太阴经中风也。
中风有汗无热 宜针太 (穴在足内踝后跟骨上陷中,刺透昆仑)。
此少阴经中风也。
中风六经混淆系之于少阳厥阴或肢节挛痛或麻木不仁 少阳之经绝骨(穴在外踝上三寸,灸五壮),灸以引其
热。
厥阴之井大敦 (穴在足大趾甲聚毛间),刺以通其经。(俱《明医指掌》)
分阴阳法 凡治中风,须分阴阳。阴中者,其色青,或黑或白,痰喘昏迷,眩冒多汗,甚者手足厥冷。阳中者,
面赤唇焦,牙关紧急,上视强直,掉眩烦渴。(《病机沙篆》)
急救法 用硫黄、麝香末填脐中,放葱饼于上,以熨斗盛火熨之,葱烂再易,得暖气入腹,渐醒为度。或以灰
炒暖,盛囊中熨心头,冷即易。数次后,若眼开,始进酒浆或米汤。如不醒,以艾灸门牙缝,候喊声出即可救矣。若不
先温其心即用火烘,冷与火搏必死。(《濒湖集简方》)
温脐法 用麝香、半夏、皂荚末一匙填脐中,将生姜切薄片贴之,放大艾火于姜片上蒸灸三七壮,灸关元、气
海二十壮,热通于中,逼寒出外,手足温暖则生。(《明医指掌》)
中寒无汗 芥菜子研末水调,填脐内,以热物隔衣熨之,取汗出妙。(《简便单方》)
中寒腹痛并绞肠痧 胡椒七粒,以布一层包裹,不拘自己或他人嚼碎,纳脐内,随以膏药粘贴,再以热手按之,
盖被而卧。少顷腹中作热,或有汗出,则寒气散而痛自愈矣。(《圣济总 》)
事后中寒腹痛 凡房事后,中寒腹痛,甚者以葱白头捣烂摊脐上,以艾灸之或熨之,得鼻尖有汗,其痛立止。
(《活人书》)
For wind-stroke manifesting as anhidrosis and aversion to cold, it is appropriate to puncture Zhiyin (BL67, *Bladder 67*) to induce bleeding (located at the lateral corner of the nail of the fifth toe, needle depth 2 fen), and puncture Kunlun (BL60, *Bladder 60*) to lift the foot (located posterior to the lateral malleolus, near the calcaneus, needle through to Taixi).
For wind-stroke manifesting as diaphoresis and aversion to wind, it is appropriate to puncture Fengfu (GV16, *Governing Vessel 16*) (located one cun above the posterior hairline at the nape, needle depth 3 fen, moxibustion is contraindicated).
The above two conditions both belong to wind-stroke of the Taiyang (Greater Yang) channel.
For wind-stroke manifesting as diaphoresis, fever, and no aversion to cold, or wind-stroke manifesting as diaphoresis, fever, and no aversion to wind, it is appropriate to puncture Xangu (ST43, *Stomach 43*) (located in the depression distal to the metatarsophalangeal joint of the second toe, needle depth 5 fen) to eliminate the pathogen of the Yangming (Yang Brightness) channel, and simultaneously prick Lidi (ST45, *Stomach 45*) (located on the foot, to drain excess from the Yangming channel).
The above two conditions both belong to wind-stroke of the Yangming channel.
For wind-stroke manifesting as anhidrosis and cool body temperature, it is appropriate to puncture Yinbai (SP1, *Spleen 1*) (located at the medial corner of the nail of the great toe) to eliminate the pathogen of the Taiyin (Greater Yin) channel.
This belongs to wind-stroke of the Taiyin channel.
For wind-stroke manifesting as diaphoresis without fever, it is appropriate to puncture Taixi (KI3, *Kidney 3*) (located in the depression between the medial malleolus and the Achilles tendon, needle through to Kunlun).
This belongs to wind-stroke of the Shaoyin (Lesser Yin) channel.
When wind-stroke involves confusion among the six channels, attributed to Shaoyang (Lesser Yang) and Jueyin (Terminal Yin), symptoms may include spasmodic pain in the limbs and joints or numbness and insensitivity. For the Shaoyang channel, Jiexu (GB39, *Gallbladder 39*) can be moxa-burned (located three cun above the lateral malleolus, five moxa cones) to guide heat outward. For the Jueyin channel's Jing-Well point Dazhun (LR1, *Liver 1*), located in the hairy area around the nail of the great toe, needling is used to unblock the channel. (Both from *Mingyi Zhizhang* / *Clear Medical Guidelines*).
Method for distinguishing Yin and Yang: In treating wind-stroke, one must distinguish between Yin and Yang. Yin-type stroke presents with a bluish, blackish, or pale complexion, phlegm-rattling, panting, coma, dizziness, profuse sweating, and in severe cases, cold extremities. Yang-type stroke presents with a red face, dry scorched lips, locked jaw, upward staring eyes, rigidity, tremors, vertigo, restlessness, and thirst. (From *Bingji Shazhuan* / *Sandbook of Pathogenesis*).
Emergency rescue method: Fill the umbilicus with powder of Realgar (*Realgar*) and Musk (*Moschus*), place a cake of scallion on top, and apply heat using a hot iron tool. Replace the scallion when it rots. Continue until warmth penetrates the abdomen and the patient gradually regains consciousness. Alternatively, stir-fry ashes until warm, place them in a bag, and apply to the heart region; replace when cool. After several applications, if the eyes open, administer wine or rice soup. If the patient does not regain consciousness, moxa-burn the gap between the incisors; rescue is possible once the patient cries out. Do not use direct fire heating before warming the heart region; otherwise, cold and heat will clash, leading to death. (From *Binhu Jijianfang* / *Linnaeus's Collected Simple Prescriptions*).
Umbilical warming method: Fill the umbilicus with one spoonful of powder composed of Musk (*Moschus*), Pinellia (*Pinelliae Rhizoma*), and Gleditsia Sinensis (*Gleditsiae Fructus*). Apply thin slices of fresh ginger on top. Perform moxa-burning on the ginger slice for 21–27 cones. Then moxa-burn Guanyuan (CV4, *Conception Vessel 4*) and Qihai (CV6, *Conception Vessel 6*) for twenty cones each. When warmth permeates the interior and expels cold, and the hands and feet become warm, survival is assured. (From *Mingyi Zhizhang* / *Clear Medical Guidelines*).
Cold invasion manifesting as anhidrosis: Grind mustard seeds into powder, mix with water, fill the umbilicus, and apply heat through clothing. The goal is to induce sweating. (From *Jianbian Danfang* / *Simple Single Prescriptions*).
Cold invasion causing abdominal pain and intestinal colic: Take seven grains of pepper, wrap them in a layer of cloth, chew thoroughly (by oneself or another person), place the mixture in the umbilicus, adhere a plaster over it, and press with warm hands. Cover with a blanket and lie down. Soon, warmth will arise in the abdomen, possibly accompanied by sweating, dispersing the cold and relieving pain. (From *Shengji Zonglu* / *General Records of Sacred Relief*).
Post-coital cold invasion causing abdominal pain: Following sexual intercourse, if cold invasion causes abdominal pain, especially severe cases, mash white parts of scallions and apply to the umbilicus. Moxa-burn or apply heat. When sweat appears on the tip of the nose, the pain stops immediately. (From *Huren Shu* / *Book of Saving Lives*).