叶温平，祛邪逐秽，漏血安胎，心疼即愈。川椒辛热，祛邪逐冷，明目杀虫，温而不猛。胡椒味辛，心腹冷痛，
下气温中，跌扑堪用。石蜜甘平，入药炼熟，益气补中，润燥解毒。葱白辛温，发表出汗，伤寒头疼，肿痛皆
散。韭味辛温，祛除胃热，汁清血瘀，子医梦泄。大蒜辛温，化痞消谷，解毒散痈，多食伤目。生姜性温，能
通神明，痰嗽呕吐，开胃极灵。食盐味咸，能吐中痰，心腹卒痛，过食损
颜。茶茗味苦，热渴能济，上清头目，下消食气。酒通血脉，能助药势，辟散风寒，诸恶鬼气。醋消肿毒，积
瘕可去，产后金疮，血晕皆治。淡豆豉寒，能除懊 ，伤寒头痛，心下烦焦。紫河车甘，疗诸虚损，劳瘵骨蒸，
培植根本。天灵盖咸，传尸劳瘵，温疟血崩，投之立瘥。人乳味甘，补阴益阳，悦颜明目，羸瘦仙方。童便气
凉，扑损瘀血，虚劳骨蒸，热嗽尤捷。
【歌】腑中风邪显六经，面加五色表之形。若还中脏多便阻，绝证临之命必倾。半身不遂 斜口，此是风
邪中在经。有表汗之须续命，六经加减认教真。须知在里溲便秘，实者尤当三化行。原无表里秦艽治，大要清
心静养神。
【论】经云∶风为百病之长也，善行而数变。或为寒中，或为热中，或为寒热，或为偏枯，或为疠风，皆
为风也，其变莫测。然八方之风邪中人，则有中腑、中脏、中经脉之分，所以别其邪之浅深也。中腑者，有表
证，面加五色，脉浮弦而恶风寒，拘急不仁，现六经形证，治宜汗之，亦不可过汗，损其卫气。中脏者，内闭
九窍，故唇缓失音，鼻塞，耳聋，眼瞀，大小便秘，故可下之，亦不可过下，损其荣血。中经脉者，外无六经
形证，内无便溺阻隔，故治之在经，无表里证，不可汗下，宜静胜其燥，是养血也，大秦艽汤。其有痿痹、瘫
痪偏枯、痛痒、顽麻、中痰、中气，似风而非风也，故另立类中风条以别之。
【脉】中风浮吉，滑兼痰气。其或沉滑，勿以风治。或浮或沉，而微而虚，扶元治痰，风未可疏。浮迟者
吉，急疾者殂。
中腑
中腑者，废肢节，审其六经形证，用加减续命汤。国中先须理气，乌药顺气散、对星香散。若兼中脏，大
便秘，三
化汤。失音舌强，大秦艽汤。痰涎盛者，稀涎散、竹沥汤、荆沥汤。
加减续命汤
麻黄（去节） 人参（去芦） 黄芩（去腐） 川芎 芍药（酒炒） 甘草（炙） 杏仁（去皮尖，麸炒）
防己（去皮） 桂枝（净炒） 防风（去芦，各一钱） 附子（炮，去皮脐，五分）
上 咀，生姜三片，水二盏，煎至一盏，通口服。
达按∶古人以此方混治中风，未详其证。盖麻黄、杏仁，麻黄汤也，仲景以之治太阳证之伤寒。桂枝、芍
药，桂枝汤也，仲景以之治太阳证之中风。如此言之，则中风而有头痛、身热、脊强者，皆在所必用也。人参、
甘草，四君子之二也，局方用之以补气。芍药、川芎，四物汤之二也，局方用之以养血。如此言之，则中风而
有气虚、血虚者，皆在所必用也。风淫末疾，故佐以防风。湿淫腹疾，故佐以防己。阴淫寒疾，故佐以附子。
阳淫热疾，故佐以黄芩。盖疾不单来，杂揉而致，故其用药亦兼赅也。如治中风不审六经形证加减，虽治，与
不治无异也。宜以此汤随证加减，治之如下。
如中风无汗恶寒，麻黄续命汤主之。
根据本方，麻黄、杏仁、防风各加一倍。
宜针至阴出血，（穴在足小指外侧爪甲角，针二分。）昆仑举跷。（穴在足外踝后跟骨，针透太溪。）
如中风有汗恶风，桂枝续命汤主之。
根据本方，桂枝、芍药、杏仁各加一倍。
宜针风府。（穴在项后入发一寸，针入三分，禁灸。）
以上二证，皆太阳经中风也。
如中风有汗，身热不恶寒，白虎续命汤主之。
根据本方，加石膏、知母各二钱，甘草再加一倍。
如中风有汗，身热不恶风，葛根续命汤主之。
根据本方，加葛根，桂枝、黄芩再加一倍。
宜针陷谷。（穴在足大指次指本节后陷中，针入五分。）去阳明之贼，兼刺厉兑，（穴在足。）泻阳明之实。
以上二证，皆阳明经中风也。
如中风无汗身凉，附子续命汤主之。
根据本方，附子加一倍，干姜加二倍，甘草加二倍。
宜针隐白。（穴在足大指内爪甲角。去太阴之贼。）
此太阴经中风也。
如中风有汗无热，桂附续命汤主之。
根据本方∶桂枝、附子、甘草各加一倍。
宜针太溪。（穴在足内踝后，跟骨上陷中，针透昆仑。）
此少阴经中风也。
如中风六经混淆，系之于少阳、厥阴。或肢节挛痛，或麻木不仁，羌活连翘续命汤主之。
根据本方，加羌活、连翘也。
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，（穴在足大指甲聚毛间。）
刺以通其经。
乌药顺气散
乌药 陈皮（各二钱） 麻黄（去节） 川芎 枳壳（去穣，麸炒） 白芷 桔梗（各钱） 僵蚕（炒去丝）
干姜（炮，五分） 甘草（炙，二分）
上锉一剂，生姜三片，枣一枚，水煎温服。
达按∶本方以“顺气”名者，盖遍身麻痹，表气不顺也，故治以麻黄、川芎。语言謇涩，里气不顺也，故
治以乌药、陈皮、枳壳。口眼歪斜，面部之气不顺也，故治以白芷、僵蚕。喉中气急，甘草可缓。肺气上逆，
桔梗可下。痰之为
物，寒则凝滞，热则流通，佐以干姜，行其滞也。此治标之剂也，然必邪实初病之人方可用。
中风一身俱麻，加人参、白术、当归、川芎、麦门冬。久患左瘫右痪，去麻黄，加天麻、防风、羌活、半
夏、南星、木香、当归。口眼 斜加生姜。虚汗去麻黄，加黄 。中风面目、十指俱麻，乃气虚也，补中益气
汤加木香、香附、羌活、防风、乌药。
对星香散
治中风体肥痰盛，口不渴者，此方主之。
牛胆 南星（八钱） 木香（一钱）
上 咀，每服四钱，生姜十片，水一大盏，煎七分，温服。
达按∶本方用南星，燥痰之品也。曰体肥，曰痰甚，曰不渴，则宜燥也可知矣，故以南星主之。而必入牛
胆者，制其燥也。佐以木香，利痰气也。
中脏
中脏无别病，大便秘者，用三化汤。老弱之人，以滋润汤代之。若口开眼合，撒手遗尿，汗出如油，摇头
直视，面赤如妆，声如鼾睡，脉急大实者，皆不可治。不省人事，用通顶散，或半夏末吹鼻中取嚏，如无嚏者
死。痰涎盛，用稀涎散，或虾汁吐之。痰多有热，荆沥汤。
三化汤
治中脏者，以此通其滞，调以十全、四物。
大黄 枳实 浓朴 羌活
上 咀，等分，每服一两，水煎服。
滋润汤
治风中在脏，大便秘结。
当归 生地黄 枳壳（去穣） 浓朴（去皮） 槟榔 大黄 火麻仁 杏仁（去皮，各一钱） 羌活
（七分） 红花（一钱三分）
上锉，水煎，空腹温服。
通顶散
治病患国中风，昏愦不省人事，口噤不能开者，急用之。
藜芦 甘草（生） 川芎 细辛 人参（各一钱） 石膏（五分）
上为末，吹鼻中一字，就提起头顶心发，立苏。有嚏者可治，无嚏者不可治。
稀涎散
治中风忽然如醉，形体昏闷，四肢不收，涎潮搐搦，用以吐出痰涎便醒。
明矾（一两，半生半枯） 皂角（四条，去黑皮，炙）
每服三钱，温水调灌，风痰自出。
达按∶本方治中风暴仆，痰涎壅塞者，盖浊邪在上，风盛气壅而然也。经曰∶病发而不足，标而本之。
先治其标，后治其本。故不与疏风、补虚，而先吐其涎。白矾之味咸苦，咸能软坚，苦能去湿。皂角之味辛咸，
辛能利窍，咸能去污。名之曰“稀涎”，固夺门之兵也。师曰∶凡吐中风之痰，使咽喉疏通，能进汤液便止。
若攻尽其痰，则无液以养筋，反令人挛急、偏枯，此大戒也。
荆沥汤（方见类中风内。）
中经脉
无表里证，口眼 斜，半身不遂，宜静胜其燥，是养血也，大秦艽汤。汗、吐、下后，初证既定，宜静
药养之，牛黄清心丸。痰涎盛，竹沥汤。口眼 斜，瓜蒂散或虾汁吐之。血虚，四物汤吞活络丹。
大秦艽汤
治中风手足不能运动，舌强不能言，风邪散见，不拘一经者，此方主之。
秦艽（去芦） 石膏（各三两，生用） 甘草 川芎 当归（酒炒） 羌活（去芦） 独活 防风 黄芩
（酒炒） 白芍药（酒炒） 吴白芷 白术 生地黄（酒洗） 熟地黄 白茯苓（去皮，各二两） 细辛（五钱）
每服一两，水煎。
阴雨湿胜时加生姜七片。春、夏加知母七分，心下痞加枳实一钱，煎服。
按∶中风，虚邪也。许学士云∶留而不去，其病则实。故用驱风养血之剂。以秦艽为君者，攻一身之风也。
以石膏为臣者，去胸中之火也。羌活散太阳百节之风疼。防风为诸风药中之军卒。三阳数变之风邪，责之细辛。
三阴内淫之风湿，责之苓、术。去厥阴经之风，则有川芎。去阳明经之风，则有白芷。风热干乎气，清以黄芩。
风热干乎血，凉以生地。独活疗风湿在足少阴。甘草缓风邪上逆于肺。用归、芍、熟地者，所以养血于疏风之
后，一以济风药之燥；一使手得血而能握，足得血而能步也。
牛黄清心丸（方见痫证。）
竹沥汤（方见类中风条下。）
瓜蒂散（方见痰证。）
四物汤（方见血证。）
活络丹
治中风口眼 斜，半身不遂及诸风痹手足拳挛，筋脉不舒，皆风邪湿毒流滞经络，浑身走注疼痛，脚心
钓痛，腿、臂间忽一、两点痛，并宜服之。
南星（炮） 川乌（炮） 草乌（炮） 地龙（各六两） 乳香 没药（另研，各三两三钱）
上为末，酒糊丸，如梧子大，每服二十丸，空心酒下，荆芥汤亦可。
增补省风汤
治中风口眼 僻，痰涎壅盛者主之。
半夏（一钱，姜制） 防风（一钱） 全蝎（二钱，去翅、足） 胆星 甘草（炙） 生白附 生川乌 木香
（各五分，不见火）
以“省风”名者，省减其风之谓也。盖风壅其痰，干于面部，则口眼 僻。塞于胸中，则痰涎壅盛。是方
也，防风、白附、全蝎、川乌可以活经络之风痰而正口眼。胆星、半夏、甘草、木香可以疗胸次之风痰而开壅
塞者焉。
总按（补）∶《医学指迷》云∶夫木必先枯也，而后风摧之；人必先虚也，而后风入之。气虚之人，腠理
不密，故外风易袭；血虚之人，肝木不平，故内风易作。盖虚之所在，邪必凑之，腑虚则中腑，脏虚则中脏，
血脉虚则中血脉。中脏多滞九窍，故口噤不开，目瞑无视，失音不语，大小便不通。中腑多着四肢，故半身不
遂，手足不随，痰涎壅盛，喘声如雷，然目犹能视，口犹能言，大小便不闭，以此为别耳。若口眼 斜，沉沉
欲睡者，中血脉也，此为最轻。中腑者易治，中脏者难治。中腑者宜汗，从乎阳也；中脏者宜下，从乎阴也。
中腑后幸而得愈，若不戒酒色，不避风寒，必复中。中必在脏，虽神仙亦莫能治，盖由浅以及深也。
[Song] Wind-stroke in the Fu-organs manifests through the Six Channels, with five colors appearing on the face to indicate the exterior syndrome. If the pathogen penetrates deep into the Zang-organs, there is often obstruction of bowel and bladder movements; when Jue-syndrome (terminal syndromes) approaches, life is inevitably endangered. Hemiplegia and deviation of the mouth and eye indicate that wind-pathogen has struck the meridians. If there is an exterior syndrome, diaphoresis (sweating method) is required; one must carefully recognize the modifications of Xuming Tang (Decoction for Continuing Life). One must know that if the pathogen is interior causing constipation and dysuria, excess patterns especially require Sanhua Tang (Three Transformations Decoction) to purge. For cases without initial exterior or interior syndromes, Qinjiao can be used; the key lies in clearing the Heart and calming the Spirit.
[Discussion] The Classics state: "Wind is the chief of all diseases," capable of moving freely and changing rapidly. It may manifest as Cold-Strike, Heat-Strike, alternating cold and heat, hemiplegia, or Leprosy; all are caused by Wind, and its changes are unpredictable. However, wind from the eight directions invading the human body can strike the Fu-organs, Zang-organs, or Meridians, distinguishing the depth of the pathogen. Striking the Fu-organs involves exterior symptoms, five colors on the face, floating and wiry pulse, aversion to wind and cold, limb stiffness and numbness, presenting Six Channel syndromes; treatment should employ diaphoresis, but not excessively, to avoid damaging Wei-Qi (Defensive Qi). Striking the Zang-organs involves internal closure of the nine orifices, resulting in flaccid lips and loss of speech, nasal congestion, deafness, blurred vision, and constipation/dysuria; treatment should employ purgation, but not excessively, to avoid damaging Ying-Blood (Nutritive Blood). Striking the Meridians involves no exterior Six Channel symptoms and no internal bowel/bladder obstruction; treatment focuses on the meridians without exterior/interior signs, avoiding diaphoresis or purgation. Instead, use quiet methods to overcome dryness, which is nourishing Blood, using Daqinjiao Tang (Large Notopterygium Decoction). Conditions resembling wind but not true wind, such as atrophy, paralysis, hemiplegia, pain/itching, stubborn numbness, phlegm-strike, and Qi-strike, are categorized separately under "Stroke-like Syndromes" (Lei Zhongfeng).
[Pulse Diagnosis] A floating pulse in stroke is auspicious; a slippery pulse indicates Phlegm-Qi. If the pulse is deep and slippery, do not treat it as Wind. If floating or deep, but weak and deficient, tonify Yuan-Qi (Primal Qi) and treat Phlegm; do not disperse Wind. A floating and slow pulse is auspicious; a rapid and urgent pulse indicates death.
Striking the Fu-organs
For striking the Fu-organs, where limbs are disabled, examine the Six Channel syndromes and use Jiajian Xuming Tang (Modified Decoction for Continuing Life). First regulate Qi using Wuyao Shunqi San (Aucklandia Powder to Smooth Qi) or Duixing Xiang San. If combined with striking the Zang-organs and constipation, use Sanhua Tang. For loss of speech and stiff tongue, use Daqinjiao Tang. For abundant saliva/phlegm, use Xixian San (Thin Saliva Powder), Zhuli Tang (Bamboo Sap Decoction), or Jingli Tang (Perilla Sap Decoction).
Jiajian Xuming Tang (Modified Decoction for Continuing Life)
Ephedrae Herba (Mahuang, 麻黄 - remove nodes), Ginseng Radix et Rhizoma Ren Shen (Ren Shen - remove rhizomes), Scutellariae Radix Huang Qin (Huang Qin - remove decay), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), Paeoniae Radix Alba Bai Shao (Shao Yao - wine-fried), Glycyrrhizae Radix et Rhizoma Zhi Gan Cao (Zhi Gan Cao - honey-fried), Armeniacae Semen Amarum Xing Ren (Xing Ren - remove skin/tips, bran-fried), Pyri Fructus Fang Ji (Fang Ji - remove skin), Cinnamomi Ramulus Gui Zhi (Gui Zhi - clean-fried), Saposhnikoviae Radix Fang Feng (Fang Feng - remove rhizomes, each 1 qian), Aconiti Lateralis Radix Preparata Fu Zi (Fu Zi - processed, remove skin/navel, 0.5 qian).
Crush ingredients, add three slices of Zingiberis Rhizoma Recens Sheng Jiang (Fresh Ginger), two cups of water, decoct to one cup, take orally.
Commentary: Ancients used this formula indiscriminately for stroke without detailed differentiation. Mahuang and Xingren constitute Ma Huang Tang, used by Zhang Zhongjing for Taiyang-pattern Cold Damage. Guizhi and Shaoyao constitute Gui Zhi Tang, used by Zhang Zhongjing for Taiyang-pattern Stroke. Thus, stroke with headache, fever, and neck rigidity requires these. Renshen and Gancao are two herbs of Si Jun Zi Tang, used by Bureau Formulas to tonify Qi. Shaoyao and Chuanxiong are two herbs of Si Wu Tang, used to nourish Blood. Thus, stroke with Qi/Blood deficiency requires these. Wind attacking extremities warrants Fang Feng. Dampness attacking abdomen warrants Fang Ji. Yin-cold warrants Fu Zi. Yang-heat warrants Huang Qin. Diseases often combine; thus, herbs are comprehensive. Without Six Channel differentiation, treatment is futile. Modifications follow:
For stroke with no sweat and aversion to cold, use Mahuang Xuming Tang.
Based on the base formula, double Mahuang, Xingren, and Fang Feng.
Acupuncture: Bleed Zhiyin (BL67, lateral corner of little toe nail); needle Kunlun (BL60, posterior to lateral malleolus) penetrating Taixi (KI3).
For stroke with sweat and aversion to wind, use Guizhi Xuming Tang.
Based on the base formula, double Guizhi, Shaoyao, and Xingren.
Acupuncture: Needle Fengfu (GV16, 1 cun above hairline, 0.3 cun depth, moxibustion prohibited).
These two are Taiyang-channel strokes.
For stroke with sweat, fever, and no aversion to cold, use Baihu Xuming Tang.
Based on the base formula, add Shigypsum Gypsum (Shi Gao) and Anemarrhenae Rhizoma Zhi Mu (Zhi Mu) 2 qian each; double Gancao.
For stroke with sweat, fever, and no aversion to wind, use Gegen Xuming Tang.
Based on the base formula, add Puerariae Radix Ge Gen (Ge Gen); double Guizhi and Huang Qin.
Acupuncture: Needle Xiangu (ST41, depression distal to metatarsophalangeal joint of second toe, 0.5 cun depth). Eliminate Yangming pathogen; puncture Lidui (ST45) to drain Yangming excess.
These two are Yangming-channel strokes.
For stroke with no sweat and cool body, use Fuzi Xuming Tang.
Based on the base formula, double Fu Zi; triple Ganjiang (Dried Ginger) and Gancao.
Acupuncture: Needle Yinbai (SP1, medial corner of big toe nail). Eliminate Taiyin pathogen.
This is Taiyin-channel stroke.
For stroke with sweat and no fever, use Guifu Xuming Tang.
Based on the base formula: double Guizhi, Fu Zi, and Gancao.
Acupuncture: Needle Taixi (KI3, depression between medial malleolus and Achilles tendon) penetrating Kunlun (BL60).
This is Shaoyin-channel stroke.
For stroke confusing Six Channels, relating to Shaoyang/Jueyin, with limb spasms/pain or numbness, use Qianghuo Lianqiao Xuming Tang.
Based on the base formula, add Notopterygii Rhizoma et Radix Qiang Huo (Qiang Huo) and Forsythiae Fructus Lian Qiao (Lian Qiao).
Acupuncture: Moxibustion Juegu (GB39, 3 cun above lateral malleolus, 5 moxa cones) to draw out heat; puncture Day Dun (LR1, center of dorsal aspect of big toe) to open the meridian.
Wuyao Shunqi San (Aucklandia Powder to Smooth Qi)
Aucklandiae Radix Wu Yao (Wu Yao), Citri Reticulatae Pericarpium Chen Pi (Chen Pi, each 2 qian), Ephedrae Herba Mahuang (Mahuang - remove nodes), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), Aurantii Fructus Zhi Ke (Zhi Ke - remove pith, bran-fried), Angelicae Dahuricae Radix Bai Zhi (Bai Zhi), Platycodonis Radix Jie Geng (Jie Geng, each 1 qian), Bombyx Batryticatus Jiang Can (Jiang Can - stir-fry remove silk), Zingiberis Rhizoma Ardens Gan Jiang (Gan Jiang - processed, 0.5 qian), Glycyrrhizae Radix et Rhizoma Zhi Gan Cao (Zhi Gan Cao - honey-fried, 0.2 qian).
One dose, three slices of Fresh Ginger, one Jujube, decoct in water, take warm.
Commentary: Named "Smooth Qi" because general numbness indicates unsmooth exterior Qi (treated with Mahuang, Chuanxiong). Slurred speech indicates unsmooth interior Qi (treated with Wuyao, Chen Pi, Zhi Ke). Facial deviation indicates unsmooth facial Qi (treated with Bai Zhi, Jiang Can). Throat urgency soothed by Gancao. Lung Qi rebellion lowered by Jie Geng. Phlegm congeals in cold, flows in heat; Gan Jiang moves stagnation. This treats the branch; suitable only for early excess patterns.
For general body numbness in stroke, add Renshen, Baizhu, Danggui, Chuanxiong, Ophiopogonis Radix Maidong. For chronic left/right hemiplegia, remove Mahuang, add Gastrodiae Rhizoma Tian Ma, Fang Feng, Qiang Huo, Pinelliae Rhizoma Ban Xia, Acori Tatarinowii Rhizoma Shi Chang Pu (Note: Text says Nanxing/Acori, likely Pinellia/Arisaema context), Atractylodis Rhizoma Cang Zhu (Note: Text implies standard additions), Cyperi Rhizoma Xiang Fu (Note: Text lists specific herbs: Tianma, Fangfeng, Qianghuo, Banxia, Nanxing, Muxiang, Danggui). For facial deviation, add Sheng Jiang. For deficient sweating, remove Mahuang, add Astragali Radix Huang Qi. For facial/finger numbness due to Qi deficiency, use Buzhong Yiqi Tang plus Muxiang, Xiangfu, Qianghuo, Fangfeng, Wuyao.
Duixing Xiang San (Star-Matching Fragrant Powder)
For obese stroke patients with abundant phlegm and no thirst.
Calvis Bovis Niu Dan (Ox Gallbladder), Pinelliae Rhizoma Praeparatum Ban Xia (Note: Text says Nanxing/Tian Nanxing, 8 qian), Cyperi Rhizoma Muxiang (1 qian).
Crush, take 4 qian per dose, ten slices of Fresh Ginger, one large cup of water, decoct to 0.7 cup, take warm.
Commentary: Nanxing dries phlegm. Obesity, abundance of phlegm, and lack of thirst indicate need for drying. Niu Dan counteracts dryness. Muxiang promotes Phlegm-Qi flow.
Striking the Zang-organs
For striking Zang-organs without other symptoms but with constipation, use Sanhua Tang. For elderly/weak, use Runzi Tang. If mouth opens, eyes close, hands release urine, oily sweat, head shaking, fixed gaze, ruddy face like makeup, snoring sound, and urgent/large/excess pulse, it is incurable. For unconsciousness, use Tongding San or blow Banxia powder into nose to induce sneezing; no sneeze means death. For abundant phlegm, use Xixian San or shrimp juice to induce vomiting. For phlegm with heat, use Jingli Tang.
Sanhua Tang (Three Transformations Decoction)
For striking Zang-organs, to clear stagnation, combined with Shiquan Dabu Tang and Siwu Tang.
Rhei Radix et Rhizoma Da Huang (Da Huang), Immature Bitter Orange Zhi Shi (Zhi Shi), Magnoliae Officinalis Cortex Hou Po (Hou Po), Notopterygii Rhizoma et Radix Qiang Huo (Qiang Huo).
Crush, equal parts, take 1 liang per dose, decoct in water.
Runzi Tang (Moistening Decoction)
For wind striking Zang-organs with constipation.
Angelicae Sinensis Radix Dang Gui (Dang Gui), Rehmanniae Radix Sheng Di Huang (Sheng Di Huang), Aurantii Fructus Zhi Ke (Zhi Ke - remove pith), Magnoliae Officinalis Cortex Hou Po (Hou Po - remove skin), Arecae Semen Bing Lang (Bing Lang), Rhei Radix et Rhizoma Da Huang (Da Huang), Cannabis Fructus Huo Ma Ren (Huoma Ren), Armeniacae Semen Amarum Xing Ren (Xing Ren - remove skin, each 1 qian), Notopterygii Rhizoma et Radix Qiang Huo (Qiang Huo, 0.7 qian), Carthami Flos Hong Hua (Hong Hua, 1.3 qian).
Crush, decoct in water, take warm on empty stomach.
Tongding San (Reaching Top Powder)
For sudden stroke coma, unconsciousness, locked jaw. Use urgently.
Verbasco Caulis Lu Li (Lu Li), Glycyrrhizae Radix et Rhizoma Sheng Gan Cao (Raw Gancao), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), Asari Radix et Rhizoma Xi Xin (Xi Xin), Ginseng Radix et Rhizoma Renshen (Renshen, each 1 qian), Gypsum Fibrosum Shigypsum (Shi Gao, 0.5 qian).
Powder, insufflate one character amount into nose, lift hair at vertex. Immediate revival. Sneezing indicates treatability; no sneeze indicates untreatability.
Xixian San (Thin Saliva Powder)
For sudden stroke resembling drunkenness, mental confusion, limb flaccidity, salivary flooding/spasms. Induces vomiting of phlegm.
Alumen Ming Fan (1 liang, half raw half calcined), Gleditsiae Sinensis Spina Zao Jiao (Zao Jiao, four strips, remove black skin, roast).
Take 3 qian per dose, mix with warm water, pour in. Wind-phlegm exits naturally.
Commentary: Treats sudden collapse with phlegm obstruction. Turbid pathogen above, wind excess Qi stagnation. Classics: "When disease arises from deficiency, treat the branch first." Do not disperse wind or tonify deficiency initially; vomit phlegm first. Mingfan is salty/bitter (softens hardness, removes dampness). Zaocodus is pungent/salty (opens orifices, removes filth). "Xixian" is the soldier breaking the gate. Teacher says: Stop vomiting once throat clears and liquid intake resumes. Over-vomiting depletes fluids needed to nourish sinews, causing spasms/hemiplegia. This is a major taboo.
Jingli Tang (See Lei Zhongfeng section).
Striking the Meridians
No exterior/interior signs, facial deviation, hemiplegia. Use quiet methods to overcome dryness (nourish Blood) with Daqinjiao Tang. After diaphoresis/vomiting/purgation, once initial symptoms settle, use quiet medicines to nourish, e.g., Niuhuang Qingxin Wan. For abundant phlegm, Zhuli Tang. For facial deviation, Genti San or shrimp juice. For Blood deficiency, Siwu Tang swallowing Huoluo Dan.
Daqinjiao Tang (Large Notopterygium Decoction)
For stroke with immobile limbs, stiff tongue unable to speak, scattered wind pathogens not confined to one channel.
Notopterygii Rhizoma et Radix Qin Jiao (Qin Jiao - remove rhizomes), Gypsum Fibrosum Shigypsum (Shi Gao, each 3 liang, raw), Glycyrrhizae Radix et Rhizoma Gan Cao (Gancao), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), Angelicae Sinensis Radix Dang Gui (Dang Gui - wine-fried), Notopterygii Rhizoma et Radix Qiang Huo (Qiang Huo - remove rhizomes), Angelicae Pubescentis Radix Du Huo (Du Huo), Saposhnikoviae Radix Fang Feng (Fang Feng), Scutellariae Radix Huang Qin (Huang Qin - wine-fried), Paeoniae Radix Alba Bai Shao (Bai Shao - wine-fried), Angelicae Dahuricae Radix Bai Zhi (Bai Zhi), Atractylodis Macrocephalae Rhizoma Bai Zhu (Bai Zhu), Rehmanniae Radix Sheng Di Huang (Sheng Di Huang - wine-washed), Rehmanniae Radix Preparata Shu Di Huang (Shu Di Huang), Poria Cum Wood Fu Ling (Fu Ling - remove bark, each 2 liang), Asari Radix et Rhizoma Xi Xin (Xi Xin, 5 qian).
Take 1 liang per dose, decoct in water.
Add seven slices of Fresh Ginger during damp/rainy weather. In Spring/Summer, add Zhi Mu 0.7 qian; for epigastric fullness, add Zhi Shi 1 qian.
Commentary: Stroke is deficient evil. Xu Xueshi said: "If lingering, it becomes excess." Hence, wind-dispersing and blood-nourishing agents. Qin Jiao is Sovereign, attacking whole-body wind. Shi Gao is Minister, removing chest fire. Qiang Huo disperses Taiyang joint pain. Fang Feng is the soldier among wind herbs. Xi Xin addresses Three-Yang variable wind. Fu Ling/Bai Zhu address Three-Yin internal wind-damp. Chuanxiong removes Jueyin wind. Bai Zhi removes Yangming wind. Huang Qin clears wind-heat affecting Qi. Sheng Di Huang cools wind-heat affecting Blood. Du Huo treats Shaoyin wind-damp. Gancao moderates lung-rebellious wind. Dang Gui/Shao Yao/Shu Di nourish Blood after wind dispersion, balancing herb dryness and enabling hand grip/foot walking via Blood.
Niuhuang Qingxin Wan (See Epilepsy section).
Zhuli Tang (See Lei Zhongfeng section).
Genti San (See Phlegm section).
Siwu Tang (See Blood section).
Huoluo Dan (Meridian-Unblocking Pill)
For stroke facial deviation, hemiplegia, wind-bi with clenched hands/feet, stiff sinews, wind-damp-toxin stagnating meridians, wandering pain, sole pain, leg/arm sharp pains.
Arisaematis Rhizoma Tian Nan Xing (Tian Nan Xing - processed), Aconiti Radix Chuan Wu (Chuan Wu - processed), Aconiti Radix Cao Wu (Cao Wu - processed), Pheretima Dilong (Dilong, each 6 liang), Boswellia Resina Rush Xiang (Ru Xiang), Myrrha Resina Mo Yao (Mo Yao, separately ground, each 3.3 qian).
Powder, wine paste pills, size of wu zi. Take 20 pills on empty stomach with wine, or Jingjie Decoction.
Zengbu Shengfeng Tang (Supplemented Wind-Reducing Decoction)
For stroke facial deviation with abundant phlegm.
Pinelliae Rhizoma Ban Xia (Ban Xia - ginger-processed, 1 qian), Saposhnikoviae Radix Fang Feng (Fang Feng, 1 qian), Scorpio Quan Xie (Quan Xie - remove wings/legs, 2 qian), Arisaematis Rhizoma Dan Nan Xing (Dan Nan Xing), Glycyrrhizae Radix et Rhizoma Zhi Gan Cao (Zhi Gan Cao), Bletillae Rhizoma Bai Fu Zi (Bai Fu Zi - raw), Aconiti Radix Chuan Wu (Chuan Wu - raw), Cyperi Rhizoma Muxiang (Muxiang, each 0.5 qian, do not overheat).
Named "Shengfeng" (Reduce Wind). Wind obstructing phlegm affects face (deviation) or chest (phlegm abundance). Fang Feng, Bai Fu Zi, Quan Xie, Chuan Wu activate meridian wind-phlegm and correct face. Dan Nan Xing, Ban Xia, Gan Cao, Muxiang treat chest wind-phlegm and open obstruction.
General Commentary (Supplement): "Medical Compass" states: Trees must wither before wind breaks them; humans must be deficient before wind enters. Qi-deficient people have loose pores, inviting external wind. Blood-deficient people have unbalanced Liver Wood, generating internal wind. Deficiency attracts pathogen: Fu-deficiency leads to Fu-strike, Zang-deficiency to Zang-strike, vessel-deficiency to vessel-strike. Zang-strike blocks nine orifices (locked jaw, closed eyes, aphasia, constipation/dysuria). Fu-strike affects limbs (hemiplegia, flaccidity, phlegm, loud breathing, but eyes/mouth/bowel/bladder function remain). Facial deviation with drowsiness is Vessel-strike (mildest). Fu-strike is easy to treat; Zang-strike is difficult. Fu-strike uses diaphoresis (Yang); Zang-strike uses purgation (Yin). Recovery from Fu-strike requires avoiding alcohol/sex and wind/cold; otherwise, recurrence strikes Zang, becoming incurable even by immortals, progressing from shallow to deep.