一医期明理。不贵执方。以方论医。失之浅矣。是编专为僻壤穷乡。持危济急。第志捷
法。不列全方。如伤寒六经症论。概不备录。
一行世方书。匪乏善本。或虚实寒热。有未缕析条分。偶尔轻投。虑多贻误。兹刻悉为
详注。用者审诸。
一群方或采诸古本。或传自良师。虽极搜采。终嫌挂漏。偶阅济人自济一刻。颇觉先得
我心。用是广为增订。参互旧文。谨志由来。匪同掠美。
一纂辑甫竟。即患沉 。未经雠校。或症论参差。辞意剌缪。惟冀当代宗工哲匠。示我
周行。节取所长。教其所短。
一是集授梓。原期利济。公诸海内。毫不取酬。同志如欲印施。概无所吝。
(附类中)
〔总论〕 凡卒然仆倒。昏不知人。痰涎壅塞。口眼 斜。四肢不遂。概名中风。然中
风症候。与中气相类。中气乃忿怒忽然昏仆。不可以中风一概治之。中风身温。中气身冷。
中风多痰涎。中气无痰涎。中风脉浮应左人迎。中气脉沉应右气口。以气药治风则可。以风
药治气则不可。 中风多痰。勿骤以人参补之。恐痰愈盛而气愈塞矣。慎之。阳中者面赤。
牙关紧闭。目上视。身强直。手拳掉眩。阴中者面青白。痰喘。手足冷。多汗。更有元气虚。
忽然昏仆似乎中风者。手必撒。口必开。与正中风不同。又宜温补药治之。(凡中脏口开心
绝。手撒脾绝。眼合肝绝。遗尿肾绝。鼻声如鼾肺绝。五症齐犯。不治之症也。如只见一二
症。用重参 治之。或灸法救之。)更有气血偏枯。半身不遂者。如在左者血虚。宜四物汤。
熟地黄。当归(各三钱) 川芎(一钱) 白芍(二钱酒炒)水煎服。如在右者气虚。宜四
君子
汤。人参(一钱) 白术(土炒二钱) 茯苓(二钱) 炙甘草(五分)水煎服。二方中皆
可加祛
风活络之药。如防风(一二钱) 桂枝(一钱) 钩藤(三五钱)之类。如有痰加竹沥。姜
汁。
佐之。(此二症尚须审视。左或死血。右或湿痰。)若类而推之。则又有中痰。中寒。中暑。
中食。中恶等症。分别症治。切勿误施。惟是中风一症最急而暴。历代名贤。各有发明。良
法具在。所当深究。第一时卒倒。医药迫不及备。故节取古方之效捷而易办者。谨述于下。
庶几对症处方。稍为救急之一助云。
〔传心方〕 治卒然仆倒。痰涎壅盛。难辨虚实。扶病患于避风室内。用炭火一盆。将
米醋洒上。使醋气冲入口鼻。病轻者即苏。重者亦易治。勿遽服补药米汤之类。恐痰涎永系
于心。致成终身痼疾。(此法即虚中亦可用。)
〔中风昏迷不省〕 不论风寒。食痰邪祟。一时昏仆。用生姜汁半钟。童便一钟和匀。
荡温灌下即醒。 牙皂荚(去皮弦二两。用生矾一两同入水中煮化。取出晒干为末。) 北
细
辛(五钱去叶土净)共研细末。用少许吹入鼻中即醒。 人手足指甲(炒黄酒煮服。)立醒。
〔中风口噤不能开〕 白盐梅揩齿即能开。并不伤齿。 不拘男妇小儿中风。口噤身直。
用
〔中风口 不语〕 白明矾(二钱研末。) 用生姜自然汁调化。斡开口灌服。其涎或
吐
或化下即醒。 马料豆一升。煮浓汁如饴。含汁在口。即能言也。 侧柏叶一握。去枝梗。
葱白一握。连根研如泥。无灰酒一斤。煎十余沸温服。(按柏叶能行血消风。葱白散气祛痰。
酒能通经助药力。如国中即服数杯。能使风退气和。一切易治。)
〔国中痰盛不省人事〕 苏合丸一圆。用竹沥姜汁。调药灌下。醒后。用白术(土炒)
当
归。天麻(各二钱) 川芎、薄荷、桂枝、南星(姜汁制) 陈皮(各一钱)水煎。临服加
竹沥
一酒盏。姜汁二茶匙。和匀服。
〔中风口眼 斜〕 生栝蒌绞汁。和大麦面炙热熨心头。一正便止。勿令过分。口 用
皂荚五两。(去皮为末)三年老醋和糊。左 涂右。右 涂左。干更上之。以正为度。用石
灰一合。醋炒调如泥。于不患处涂之。立便牵正灸法最妙。听会、(耳珠前陷中。开口有空。)
〔中风灸法〕 一时昏仆气塞。涎流不语。药物难施之际。灸法最善。百会、(头顶中。)
风池、(耳后一寸半。并治偏正头风。)大椎、(项背一节骨陷中。)曲池、(屈手陷中。)足三
里、(膝眼下三寸。骨外廉陷中。)绝骨、(一名悬中。外踝上三寸。附飞阳之前。)间使。(手
掌上横纹中后一寸。)以上七穴。凡人心中昏乱。或手足麻痹。不拘是风是气。用绿豆大艾
丸。各灸三五壮。 卒死不知何症。用此灸法即苏。
〔中风手足麻痒〕 羌活煎汤洗。 大肠燥闭不见虚症者。枳实浓朴大黄。羌活。(各
二三钱)水煎服。自解。(即三化汤。)
〔太玄汤〕 治中风痰塞不语。染布活靛缸水一盏。温灌下。即能言语。(按蓝汁解诸
风热毒。散经络结气败血。染布活水。内有锻石能下痰水。取攸扬之义。)
〔 丸〕 专治肝肾风气。四肢麻痹。骨间疼痛。腰膝无力。亦能行大肠气。治三十
六般风。或受寒湿而起。瘫痪年久不愈。服久神效。 草。(法于五月五日。六月六日。
九月九日。采叶。洗净焙干。) 用好酒白蜜和匀。洒在叶上。铺入甑中。上锅内蒸透。取
出晒燥。再洒再蒸。晒共九次。碾末。炼蜜丸如桐子大。每服五十丸。空心白酒下。病五七
年者。服至二千丸。病转盛者。乃药胜于病。服至四千丸仍如完人。
〔浮萍一粒丹〕 治中风瘫痪。三十六种无名风疾。遍身癞癣香港脚。并治跌扑损伤。胎
孕筋搐挛结。此药性寒而散。中风挟火者。功效至灵。服之百粒。乃为完人。紫背浮萍。(宜
七月十五日采。捡净。以竹筛摊晒。下置水一盆。映之易燥。)研细末。炼蜜丸弹子大。每
服一粒。空心豆淋酒下。
〔史国公药酒方〕 防风。秦艽。川萆 。鳖甲。虎胫骨(炙酥)羌活。晚蚕砂。(炒
黄)油松节。白术。(土炒各二两)杜仲。(姜汁拌炒)当归。(各三两)川牛膝。(一两)苍
耳子。(四两)干茄根。(八两蒸)枸杞子。(五两)上切片盛夏布袋中。投大坛内。入好酒
三十五斤。封口。浸十四日。将坛入汤锅内煮三个时辰。取坛入土埋三日。去火气。每日清
晨午后。各服三五杯。大有效验。愈于服他药也。
〔中风拘挛〕 中风昏仆省后。筋络挛结。肢节疼痛。或半身不遂。用八角刺树皮。(俗
名老鼠刺。树高三五尺。冬季结红子。鲜者取皮。四两。)木莲叶。(似茶花叶而色老。生于
土墙头上者。多一岁一片。)无灰酒二斤。煎至两碗。作二次服。大有奇功。三四服全效。
〔预防中风方〕 凡人觉大指次指麻木。或眉棱骨痛。三年之内。定有风疾。宜服此方。
更以慎起居。远房帏。节浓味醇酒。为最要。 草。(三片。制法如前。)制首乌。当归。
熟地黄。(各八分)牛膝。续断。秦艽。五加皮。川芎。赤芍。(各四两)俱为细末。炼蜜丸。
桐子大。空心淡酒下三钱。
[Preface]
A physician should understand medical principles. One should not rigidly adhere to fixed prescriptions. Evaluating medical skill solely based on prescriptions is superficial. This book is specifically designed for remote and impoverished areas, providing emergency aid in critical situations. It records only simple and rapid methods, without listing complete prescription compositions. Discussions on the six meridians of Cold Damage (Shanghan) are not fully recorded.
Existing medical books circulating in the world include many good editions. However, regarding deficiency/excess and cold/heat patterns, they often lack detailed and systematic analysis. Casual or light application of medicine may lead to errors. In this edition, all items are annotated in detail; users are advised to examine them carefully.
The prescriptions in this collection are either borrowed from ancient texts or transmitted by competent teachers. Although extensive efforts were made to collect them, omissions are inevitable. I occasionally read the book *Ji Ren Zi Ji* (Self-Rescue for Saving People) and found it highly resonant. Therefore, I have widely added and revised content, referencing old texts, and carefully recording their origins, not to claim others' merits as my own.
Compilation was just completed when I fell seriously ill, leaving no time for proofreading. There may be inconsistencies in symptom discussions or contradictions in meaning. I hope contemporary master physicians will guide me on the right path, selecting strengths and teaching weaknesses.
This collection was printed with the original intention of benefiting and rescuing people, made public for all, with absolutely no remuneration sought. Like-minded individuals who wish to print and distribute it will find no reluctance on my part.
(Attached: Apoplexy-like Conditions)
[General Discussion]
Sudden collapse, unconsciousness, phlegm-saliva obstruction, deviation of the mouth and eyes, and inability to move the limbs are generally termed "Zhong Feng" (Wind Stroke). However, the symptoms of Zhong Feng are similar to those of "Zhong Qi" (Qi Strike). Zhong Qi results from sudden collapse due to anger and cannot be treated uniformly as Zhong Feng. In Zhong Feng, the body is warm; in Zhong Qi, the body is cold. Zhong Feng involves much phlegm-saliva, whereas Zhong Qi has none. The pulse in Zhong Feng is floating and corresponds to the Left Renying point; the pulse in Zhong Qi is deep and corresponds to the Right Qikou point. Using Qi-regulating herbs to treat Wind disease is acceptable, but using Wind-dispelling herbs to treat Qi disease is not. Zhong Feng often involves phlegm; do not hastily use Ginseng (Renshen) for tonification, lest the phlegm become more abundant and Qi more obstructed. Be cautious. Yang-type Zhong Feng presents with a red face, locked jaw, upward gaze, stiff body, clenched fists, tremors, and dizziness. Yin-type Zhong Feng presents with a blue-white face, phlegmatic wheezing, cold hands and feet, and profuse sweating. Additionally, there are cases where Yuan Qi (Primal Qi) is deficient, causing sudden collapse resembling Zhong Feng; these patients will have relaxed hands and an open mouth, differing from true Zhong Feng, and should be treated with warming and tonifying medicines. (If all five signs of Zang organ involvement appear—open mouth indicating Heart exhaustion, relaxed hands indicating Spleen exhaustion, closed eyes indicating Liver exhaustion, urinary incontinence indicating Kidney exhaustion, and snoring indicating Lung exhaustion—it is an incurable condition. If only one or two signs appear, treat with heavy doses of Ginseng or use moxibustion.) Furthermore, there are cases of hemiplegia due to Qi and Blood imbalance. If on the left side, it indicates Blood deficiency, suitable for Si Wu Tang (Four Substances Decoction): Shu Di Huang (Prepared Rehmannia Root), Dang Gui (Angelica Sinensis) (each 3 qian), Chuan Xiong (Ligusticum Chuanxiong) (1 qian), Bai Shao (White Peony Root) (2 qian, stir-fried with wine), decocted in water and taken orally. If on the right side, it indicates Qi deficiency, suitable for Si Jun Zi Tang (Four Gentlemen Decoction): Ren Shen (Ginseng) (1 qian), Bai Zhu (Atractylodes Macrocephala Rhizome) (2 qian, stir-fried with earth), Fu Ling (Poria) (2 qian), Zhi Gan Cao (Honey-fried Licorice Root) (0.5 qian), decocted in water and taken orally. Both formulas can be supplemented with Wind-dispelling and Collateral-unblocking herbs such as Fang Feng (Saposhnikovia Root) (1-2 qian), Gui Zhi (Cinnamon Twig) (1 qian), Gou Teng (Uncaria Rhynchophylla) (3-5 qian). If phlegm is present, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice). (These two conditions require careful examination; the left side may involve static blood, while the right side may involve damp-phlegm.) By analogy, there are also conditions such as Phlegm Strike, Cold Strike, Summerheat Strike, Food Strike, and Evil Strike. Treat each according to its specific symptoms; do not apply incorrectly. Zhong Feng is the most acute and violent condition. Famous sages of past dynasties have elaborated on it, and excellent methods exist, which should be studied deeply. Firstly, in sudden collapse, medical supplies are often unavailable in time. Therefore, I have selected effective and readily available ancient prescriptions and listed them below, hoping to provide some assistance for emergency treatment through appropriate prescription matching.
[Chuan Xin Fang (Heart-Transmitting Prescription)]
Treats sudden collapse, abundant phlegm-saliva, and difficulty distinguishing deficiency/excess. Move the patient to a wind-sheltered room. Place a basin of charcoal fire and sprinkle rice vinegar on it, allowing the vinegar vapor to enter the nose and mouth. Mild cases recover immediately; severe cases become easier to treat. Do not hastily administer tonics or rice soup, lest the phlegm-saliva remain attached to the heart, causing lifelong chronic illness. (This method can also be used for deficiency-type stroke.)
[Zhong Feng Unconsciousness]
Regardless of whether caused by Wind-Cold, food stagnation, phlegm, or evil spirits, if sudden collapse occurs: Mix half a zhong of fresh Ginger Juice (Sheng Jiang Zhi) with one zhong of Child's Urine (Tong Bian), warm slightly, and灌 (administer orally) to restore consciousness. Alternatively, take Zao Jia (Gleditsia Sinensis Fruit) (2 liang, remove skin and strings, boil with 1 liang of Ming Fan (Alum) in water until dissolved, dry, and powder) and Bei Xi Xin (Asarum) (5 qian, remove leaves and dirt), grind into fine powder, and blow a small amount into the nose to restore consciousness. Alternatively, fry human fingernails/toenails and decoct in yellow wine to drink for immediate recovery.
[Zhong Feng Jaw Lock]
Rub teeth with Bai Yan Mei (White Salted Plum) to open the jaw without damaging teeth. For any male, female, or child with Zhong Feng presenting with jaw lock and stiff body... [Text cuts off here].
[Zhong Feng Aphasia]
Take Bai Ming Fan (Alum) (2 qian, powdered), dissolve in fresh Ginger Juice, pry open the mouth, and administer. Recovery occurs when phlegm is vomited or swallowed. Alternatively, boil 1 sheng of Ma Liao Dou (Vicia Faba) to a thick syrup consistency, hold in the mouth to speak. Alternatively, take a handful of Ce Bai Ye (Biota Tops), remove stems, mix with a handful of Cong Bai (Scallion White including roots), grind into paste, decoct in 1 jin of Wui Hui Jiu (Unfermented Rice Wine) for ten boils, and take warm. (Note: Biota Tops promote blood circulation and dispel wind; Scallion Whites disperse Qi and resolve phlegm; Wine unblocks collaterals and enhances medicinal power. Drinking several cups allows wind to retreat and Qi to harmonize, making treatment easy.)
[Stroke with Abundant Phlegm and Unconsciousness]
Administer Su He Wan (Styrax Pill) one pill, mixed with Bamboo Sap (Zhu Li) and Ginger Juice (Jiang Zhi). After waking, decoct Bai Zhu (Earth-stir-fried), Dang Gui, Tian Ma (Gastrodia Elata) (each 2 qian), Chuan Xiong, Bo He (Mint), Gui Zhi, Nan Xing (Pinellia Ternata processed with Ginger Juice), and Chen Pi (Citrus Peel) (each 1 qian) in water. Before taking, add one wine cup of Bamboo Sap and two tea spoons of Ginger Juice, mix well, and take.
[Zhong Feng Mouth and Eye Deviation]
Squeeze juice from raw Gua Lou (Trichosanthes Fruit), mix with Da Mai Mian (Barley Flour), heat it, and apply hot compress to the chest center. Corrects deviation immediately; avoid excessive application. For mouth deviation, use 5 liang of Zao Jia (remove skin, powder), mix with three-year-old aged vinegar into a paste. Apply to the healthy side opposite the deviation (left deviation applied to right, right to left). Reapply when dry until corrected. Alternatively, mix 1 he of Shi Hui (Quicklime) with vinegar into a mud paste and apply to the unaffected side to correct牵引 (traction/alignment). Moxibustion is best. Points: Ting Hui (in the depression anterior to the tragus, open mouth to locate).
[Zhong Feng Moxibustion]
In cases of sudden collapse, Qi obstruction, drooling, and aphasia where medication is difficult to administer, moxibustion is superior. Points: Bai Hui (center of vertex), Feng Chi (1.5 cun posterior to earlobe, treats lateral and frontal headache), Da Zhui (depression between C7 and T1 spinous processes), Qu Chi (depression at elbow flexion), Zu San Li (3 cun below knee eye, lateral to tibial crest), Jue Gu (also known as Xuanzhong, 3 cun above lateral malleolus, anterior to Feiyang), Jian Shi (1 cun posterior to distal palmar crease). For the above seven points, in cases of mental confusion or limb numbness, regardless of Wind or Qi origin, use mugwort cones the size of mung beans, moxa 3-5 sessions per point. For sudden death of unknown cause, this moxibustion method restores consciousness.
[Zhong Feng Limb Numbness and Itching]
Wash with decoction of Qiang Huo (Notopterygium Rhizome). For constipation due to large intestine dryness without deficiency signs: Decoct Zhi Shi (Immature Bitter Orange), Hou Po (Magnolia Bark), Da Huang (Rhubarb Root), and Qiang Huo (each 2-3 qian) in water to relieve constipation naturally. (This is San Hua Tang.)
[Tai Xuan Tang]
Treats Zhong Feng with phlegm obstruction and aphasia. Warm and administer one cup of active indigo vat water from cloth dyeing. Restores speech. (Note: Indigo juice resolves Wind-Heat toxins, disperses collateral stagnation and blood stasis. Active dyeing water contains lime which helps drain phlegm-water, following the principle of rising and spreading.)
[Unnamed Pill]
Specifically treats Liver and Kidney Wind disorders, limb numbness, bone pain, weak waist and knees, promotes Large Intestine Qi movement, treats thirty-six types of Wind, including those caused by Cold-Dampness, long-term paralysis. Long-term use yields miraculous effects. Herb: [Name missing in text] (Harvest leaves on May 5th, June 6th, September 9th, wash, dry). Mix with good wine and white honey, sprinkle on leaves, steam in a steamer over boiling water until thoroughly cooked, dry, repeat sprinkling and steaming nine times total. Grind into powder, refine honey to make pills the size of paulownia seeds. Take 50 pills on an empty stomach with white wine. For illnesses lasting 5-7 years, take up to 2000 pills. If symptoms worsen initially, it indicates the medicine is overcoming the disease; continue to 4000 pills for full recovery.
[Fu Ping Yi Li Dan (Duckweed Single Pill)]
Treats Zhong Feng paralysis, thirty-six unnamed Wind diseases, widespread tinea and tinea pedis, and traumatic injuries, fetal convulsions, and tendon spasms. This herb is cold and dispersing, highly effective for Zhong Feng with Fire. Taking 100 pills leads to full recovery. Use Zi Bei Fu Ping (Purple-backed Duckweed) (harvest July 15th, clean, spread on bamboo sieve to dry over a basin of water to facilitate drying). Grind into fine powder, refine honey to make pills the size of a bullet. Take one pill on an empty stomach with Dou Lin Jiu (Bean Dregs Wine).
[Shi Guo Gong Medicinal Wine Formula]
Fang Feng, Qin Jiao, Chuan Bi Xie, Bie Jia (Turtle Shell), Hu Jing Gu (Tiger Tibia, roasted until crisp), Qiang Huo, Wan Can Sha (Silkworm Frass, stir-fried yellow), You Song Jie (Pine Joint), Bai Zhu (earth-stir-fried, each 2 liang), Du Zhong (stir-fried with Ginger Juice), Dang Gui (each 3 liang), Chuan Niu Xi (1 liang), Cang Er Zi (4 liang), Gan Qie Gen (steamed, 8 liang), Gou Qi Zi (5 liang). Slice all ingredients, place in a cloth bag in summer, put into a large jar, add 35 jin of good wine, seal, and soak for 14 days. Then boil the jar in a water bath for three shichen (6 hours). Bury the jar in soil for 3 days to remove fire qi. Take 3-5 cups in the early morning and afternoon daily. Highly effective, surpassing other medications.
[Zhong Feng Spasm]
After regaining consciousness from Zhong Feng collapse, with tendon/collateral spasm, joint pain, or hemiplegia: Use bark of Ba Jiao Ci tree (commonly known as Lao Shu Ci, tree height 3-5 chi, bears red fruit in winter, take fresh bark, 4 liang) and Mu Lian Ye (leaves resembling tea flowers but darker, growing on earthen walls, one leaf added per year). Decoct in 2 jin of Wui Hui Jiu until reduced to two bowls. Divide into two doses. Great efficacy. Full recovery after 3-4 doses.
[Zhong Feng Prevention Formula]
When a person feels numbness in the index finger or pain in the supraorbital ridge, a Wind disease is certain to occur within three years. Take this formula. Most importantly, regulate daily life, avoid sexual excess, and moderate rich flavors and strong alcohol. Herb: [Name missing] (3 pieces, processing method as before), Zhi Shou Wu, Dang Gui, Shu Di Huang (each 8 fen), Niu Xi, Xu Duan, Qin Jiao, Wu Jia Pi, Chuan Xiong, Chi Shao (each 4 liang). Grind into fine powder, refine honey to make pills the size of paulownia seeds. Take 3 qian on an empty stomach with light wine.