(近效) 治风虚,头重,眩苦极,不知食味。暖肌,补中,益精气。
附子(一枚半炮去皮) 甘草(炙) 白术(一两) 三味锉,每五钱,煨姜五片,枣
一枚,水盏
肾气空虚,风邪乘之,漫无出路。风挟肾中浊阴之气,厥逆上攻,故头重眩苦至极,兼
以胃
土一
(千金) 治内热极,则身体津脱,腠理开,汗大泄,历风气,下焦脚弱。
石膏(半斤) 麻黄(六两) 白术(四两) 甘草 生姜(二两) 大枣(十五枚) 六
味以水六升
此治风极变热之方也。谓风胜则热胜,以致内热极而汗多,将必津脱,津脱而表愈虚,
则腠
营为
愈虚
家之
之勇
姜为
(千金) 治中风不省人事,神气愦乱,半身不遂。〔丹溪曰∶左半身不遂,属血虚
瘀血,以四物汤加桃仁红花姜汁竹沥。右半身不遂,属气虚与痰,以四君子汤加竹沥姜汁
(分气血属左右,亦太拘着,不甚验也。)〕筋急拘挛,口眼 斜,语言謇涩,风湿腰痛,
火并多,六经中风,及刚柔二痉。(痉者,项背强直,手足反张也。伤风有汗为柔痉,以
能散气也,伤寒无汗为刚痉,以寒能涩血也,亦有血虚筋脉无所荣养而成痉者。凡中风口
为心绝,手撒为脾绝,眼合为肝绝,遗尿为肾绝,鼻鼾为肺绝。吐沫直视,发直头摇,面
如妆,汗缀如珠,皆不治。或只见一二证,尚有得生者。金匮中风篇曰∶寸口脉浮而紧,
则为寒,浮则为虚,虚寒相搏,邪在皮肤。浮者血虚,络脉空虚,贼邪不泻。或左或右,
气反缓,正气即急,正气引邪, 僻不遂。邪在于络,肌肤不仁。邪在于经,即重不胜。
入于腑,即不识人。邪入于脏,舌即难言,口吐涎。释曰∶中络者,邪方入卫,尚在经络
外,故但肌肤不仁。中经则入营脉之中,骨肉皆失所养,故身体重着。至中腑中脏,则离
而内,邪入深矣。中腑必归于胃者,胃为六腑之总司也。中脏必归于心者,心为神明之主
风入胃中,胃热必盛,蒸其津液,结为痰涎。胃之大络入心,痰涎壅盛,堵其出入之窍
中腑则不识人也。诸脏受邪,迸入于心,则神明无主。故中脏者,舌纵难言,廉泉开而
沫也。廉泉穴在舌下,窍通于肾,津液之所出也。)
防风(一钱二分) 桂枝 麻黄 杏仁(去皮尖炒研) 芎 (酒洗) 白芍(酒炒) 人
参甘草
急语迟,脉弦者,
加竹沥。日久不大
呕逆加半夏。语言
渴多惊,加犀角羚
此六经中风之通剂也。鹤皋曰∶麻黄杏仁,麻黄汤也,治太阳伤寒。桂枝芍药,桂枝汤
也,
气血
黄芩
缓,
或细
不受
宜进续命汤以御之。殊为不然,风势才定,更用续命汤,重引风入,是添蛇足
药,频频热服,俾内不召风,外无从入之路。且甘寒一可息风,二可补虚,三
不用耶。保命集曰∶厥阴泻痢不止,脉沉迟,手足厥逆,脓血稠粘,此为难治
续命汤汗之。谓有表邪缩于内,当散表邪,则脏腑自安矣。又曰∶厥阴风泻,
续命消风散主之。)
易老六经加减法,倍麻黄杏仁防风,名麻黄续命汤,治太阳中风,无汗恶寒。倍桂枝芍
药杏
阳明中
不恶风
附续命
少阳厥
亦奚以
命汤。
痛处。
不知痛
则治外
其内伤
加干姜
[From Jin Xiao Fang] Treats wind-deficiency syndrome, characterized by heavy head, extreme dizziness and distress, and loss of taste. It warms the muscles, tonifies the middle jiao, and benefits essence and qi.
Fuzi (Aconiti Lateralis Radix Praeparata, one and a half pieces, processed and peeled) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Baizhu (Atractylodis Macrocephalae Rhizoma, one liang). The three herbs are chopped. For each dose of five qian, add five slices of roasted ginger and one jujube, decoct in one cup of water.
When kidney qi is empty, wind pathogen takes advantage to invade, with no outlet. Wind carries the turbid yin qi from the kidney, rebelliously attacking upwards, causing extreme heaviness of the head and distressing dizziness, accompanied by spleen/stomach earth deficiency (text fragmentary).
[From Qian Jin Fang] Treats extreme internal heat leading to depletion of body fluids, opening of cou-li (pores), profuse sweating, lizhi wind disease (erythema nodosum or similar joint pain), and weakness of the lower limbs.
Shigao (Gypsum Fibrosum, half jin) Mahuang (Ephedrae Herba, six liang) Baizhu (Atractylodis Macrocephalae Rhizoma, four liang) Gancao (Glycyrrhizae Radix et Rhizoma) Shengjiang (Zingiberis Rhizoma Recens, two liang) Dazao (Jujubae Fructus, fifteen pieces). Decoct the six herbs in six sheng of water.
This is a formula for treating wind pathogen transforming into extreme heat. It posits that when wind prevails, heat prevails, leading to extreme internal heat and profuse sweating, which inevitably depletes fluids. Fluid depletion further weakens the exterior, causing cou-li... (text fragmentary, likely referring to defensive-ying disharmony).
[From Qian Jin Fang] Treats stroke with unconsciousness, confused spirit, and hemiplegia. (Danxi stated: Hemiplegia on the left side belongs to blood deficiency with blood stasis, treated with Siwu Tang plus Taoren, Honghua, Jiangzhi, and Zhuli. Hemiplegia on the right side belongs to qi deficiency with phlegm, treated with Sijunzi Tang plus Zhuli and Jiangzhi. (Dividing left/right strictly by qi/blood is too rigid and not very effective.)) Muscle spasms and contractures, facial paralysis (deviation of mouth and eyes), dysarthria, wind-damp lumbar pain, excessive fire, stroke involving the six channels, and both gang spasm and rou spasm. (Spasm refers to stiffness of the neck and back, and opisthotonos of the hands and feet. Stroke with sweating is rou spasm, because wind disperses qi; cold injury without sweating is gang spasm, because cold congeals blood. There are also cases where blood deficiency causes malnourishment of sinews leading to spasm. In stroke, open mouth indicates heart extinction, relaxed hands indicate spleen extinction, closed eyes indicate liver extinction, urinary incontinence indicates kidney extinction, and snoring indicates lung extinction. Foaming, fixed gaze, erect hair, shaking head, painted face, and beads of sweat are all signs of untreatable conditions. If only one or two symptoms appear, survival is possible. The Stroke Chapter of Jingui Yaolue states: If the pulse at cunkou is floating and tight, tight indicates cold, floating indicates deficiency. Deficiency and cold contend, and the pathogen is in the skin. Floating indicates blood deficiency, and collaterals are empty, so the thief pathogen cannot be expelled. On either the left or right side, the healthy qi becomes slack, while the pathogenic qi becomes tense. The healthy qi pulls towards the pathogen, causing deviation of the mouth and limbs. If the pathogen is in the collaterals, there is numbness of the skin and flesh. If it is in the meridians, there is heaviness and inability to move. If it enters the fu organs, there is loss of consciousness. If it enters the zang organs, speech is difficult, and saliva dribbles. Explanation: When struck in the collaterals, the pathogen has just entered the wei level, remaining outside the meridians, hence only numbness of skin and flesh. When struck in the meridians, it enters the ying vessels, and bones and flesh lose nourishment, hence body heaviness. When striking the fu and zang organs, the pathogen penetrates deeply internally. Striking the fu organ must relate to the stomach, as the stomach is the master of the six fu organs. Striking the zang organ must relate to the heart, as the heart is the master of spiritual consciousness. Wind entering the stomach causes excessive stomach heat, steaming fluids into phlegm-saliva. The large collateral of the stomach enters the heart; excessive phlegm-saliva blocks the orifices, leading to unconsciousness in fu-stroke. Pathogens from various zang organs rush into the heart, causing loss of spiritual mastery. Thus, in zang-stroke, the tongue is flaccid and speech is difficult, the Lianquan point opens, and foaming occurs. The Lianquan acupoint is under the tongue, connecting to the kidney, and is the source of fluids.)
Fangfeng (Saposhnikoviae Radix, one qian two fen) Guizhi (Cinnamomi Ramulus) Mahuang (Ephedrae Herba) Xingren (Armeniacae Semen Amarum, peeled, tips removed, fried and ground) Chuanxiong (Ligustici Chuanxiong Rhizoma, wine-washed) Baishao (Paeoniae Radix Alba, wine-fried) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma).
(If there is) slow speech and wiry pulse, add Zhuli (Bambusa Textilis Caulis Succus). If constipation persists for many days, add... (text fragmentary). If vomiting and reflux, add Banxia (Pinelliae Rhizoma). Speech... (text fragmentary). Thirst with frequent fright, add Xijiao (Rhinocerotis Cornu) and Lingyangjiao (Capricornis Cornu).
This is a general formula for stroke of the six channels. Hegao said: Mahuang and Xingren constitute Mahuang Tang, treating Taiyang cold injury. Guizhi and Shaoyao constitute Guizhi Tang, treating... (text fragmentary) qi and blood... (text fragmentary) Huangqin (Scutellariae Radix)... (text fragmentary) slack... (text fragmentary) or fine... (text fragmentary) unable to accept... (text fragmentary) One should use Xuming Tang to defend against it. This is quite incorrect. Once the wind势头 (momentum) settles, using Xuming Tang again re-introduces wind, adding legs to a snake. The medicine should be taken frequently hot, so that internally it does not invite wind, and externally there is no path for entry. Moreover, sweet and cold can extinguish wind, tonify deficiency, and... (text fragmentary) why not use it? Bao Ming Ji states: In Jueyin dysentery that does not stop, with deep and slow pulse, cold extremities, and thick sticky pus and blood, this is difficult to treat... (text fragmentary) Use Xuming Tang to induce sweating. It says if exterior pathogen is contracted inward, one should disperse the exterior pathogen, then the zang-fu will be at peace. It also states: Jueyin wind diarrhea... (text fragmentary) is mainly treated with Xuming Xiaofeng San.)
Yilao's Six Channels Modification Method: Double the dosage of Mahuang, Xingren, and Fangfeng, named Mahuang Xuming Tang, treating Taiyang stroke with no sweating and aversion to cold. Double the dosage of Guizhi, Shaoyao, and Xing... (text fragmentary) Yangming stroke... (text fragmentary) no aversion to wind... (text fragmentary) Add to Xuming... (text fragmentary) Shaoyang Jue... (text fragmentary) What else... (text fragmentary) Tang. Painful area. No sensation of pain... (text fragmentary) Then treat the exterior... (text fragmentary) Its internal injury... (text fragmentary) Add Ganjiang (Zingiberis Rhizoma).