Library

Background Information:
Book: Chengfang Qieyong (Essential Use of Prescribed Formulas)
Author: Wu Yiluo
Dynasty: Qing Dynasty
Chapter: Shesheng Yin Tiao Suhe Wan / ... / Tongding San (Total 4 sections)
Category: Formula

Section 1: Tongding San (Penetrating the Vertex Powder)
Treats all types of sudden collapse, regardless of whether it is caused by wind-stroke, cold-stroke, heat-stroke, dampness-stroke, qi-stagnation stroke, or phlegm-jue and fluid-jue. In the initial stage, this formula may be applicable.
Powdered forms of Chenpi (Dried Tangerine Peel), Xixin (Asarum Root), raw Nanting (Arisaema Cum Bile), and Banxia (Pinellia Rhizome) are insufflated into the nose. Once the patient sneezes, administer the preceding internal medicine. For patients with trismus (lockjaw), frequently apply a mixture of Xixin powder and Wumei (Mume Fruit) pulp to the jaw; the mouth will naturally open.
[Herbs] Banxia (soaked briefly in boiling water, 1.5 qian), Nanting (select round white ones, baked wrapped in wet paper), Nanmuxiang (Aquilaria Agallocha Wood), Cangzhu (Atractylodis Rhizoma), Xixin (used raw).
[Note: The original text contains fragmented words such as "Wan ban", "Su xu", "Xu feng", "Suhe", "Ru kou" which do not form complete sentences and are omitted from the translation.]

Section 2: Formula for Dispersing Qi Reversal (Name inferred from function)
Treats pain in the bones and joints of the four limbs caused by wind-pathogen invading, general body numbness, paralysis, dysarthria (slurred speech), difficulty in walking due to Hongkangjiao (podagra/gout-like condition), and hand...
[Note: Text cuts off after "hand".]
One should first take this medicine to disperse qi reversals. (Generally, wind-stroke syndromes often accompany middle-jiao qi stagnation, not just acute cases.) Thereafter, administer wind-dispelling medicines according to the specific syndrome.
[Herbs] Mahuang (Ephedrae Herba, nodes removed), Chenpi (peel removed), Wuyao (Linderae Radix, 2 liang), Baijiangcan (Bombyx Batryticatus, stir-fried and heads removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhike (Aurantii Fructus Immaturus).
[Administration] Decoct with one slice of Shengjiang (Fresh Ginger) and two Jujubae Fructus (Jujube). If accompanied by aversion to cold, take with warm wine.

Section 3: Formula for Wind-Stroke with Deficiency of Righteous Qi and Phlegm Abundance (Name inferred)
Treats wind-stroke characterized by deficiency of righteous qi and abundance of phlegm-saliva.
[Herbs] Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Baifuling (Poria), Qingpi (Citri Reticulatae Pericarpium Viride, pith removed and stir-fried), Baizhi, Chenpi (peel removed), Taiwuyao (Linderae Radix), Renshen (Ginseng Radix et Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
[Note: Subsequent text fragments like "Qingpi Baizhi Wu", "Ren zhi yuan qi", etc., are commentary or incomplete phrases and are excluded from the formula translation.]

Section 4: Tongding San (Continued/Alternative Emetic Formula)
Treats wind-stroke resulting in loss of consciousness. (Caused by wind stirring up excessive fire and phlegm-saliva surging upward.) Trismus where the mouth cannot open. (Cold-wind pathogen lodged in the chest, unable to diffuse.)
[Herbs] Lilü (Veratrum Album Rhizoma), Gancao (Licorice Root, used raw), Xixin (Asarum Root), Renshen (Ginseng), Chuanxiong (Ligusticum Rhizome, 1 qian), Shigao (Gypsum Fibrosum, 5 qian). Grind into powder. Insufflate a quantity equivalent to "one character" (approx. 0.3-0.5g) into the nose. If a sneeze occurs...
[Commentary] Loss of consciousness in wind-stroke indicates an urgent condition; mild medicines cannot open the obstruction. Therefore, Lilü is used with Renshen and Xixin, taking advantage of their opposing yet complementary actions.
[Note: Fragments like "Wen jing", "Fei jiang", "Yang qi", "Banxia", "Yi" are residual terms.]