（附论）
夫偏枯者。其状或冷。或痹。或痿。或不知痛痒。半身不遂。肌肉枯瘦。骨间疼痛。神
智如
风
不
被
盖谓船漏水入。体漏风伤。古人云。医风先医血。血行风自灭是也。治之先宜养血。然后
风。无不愈者。宜用大八风汤增损。茵芋酒、续断汤主之。
方
大八风汤（出大全良方）治中风偏枯失喑。半身不遂。时复恍惚。古之医家
治
妇人。治风
当归 杏仁（去皮尖麸炒黄） 甘草 桂心 干姜（炮各二两） 五味子 升麻（各半
两） 川乌
根节酒蒸炒）
末。每服五钱。水二
增损茵芋酒（出大全良方）治半身不遂。肌肉干燥。渐渐细瘦。或时 痛病
名
偏枯。
茵芋叶 川乌（炮去皮尖） 石楠叶 防风 川椒（炒出汗） 女萎 附子（炮） 北
细辛 独活
（各二
合。渐增
续断汤 治偏枯少血。
当归（三两） 陈皮 芍药 北细辛（各一两） 生干地黄（二两） 上为粗末。每服
五钱。水二
天麻散 治妇人中风偏枯。一边手足不随。皮肤KT KT 。不觉痛痒。言语謇
涩。筋脉拘急。
天麻（一两） 羌活（一两） 天南星（一两炮裂） 桂心（一两） 乌蛇肉（一两酒
拌炒黄） 乌犀
微炒） 干蝎（半两微炒）
入） 当归（一两锉微炒） 麻黄（
上为细末。入研了药令匀。每服食前
侧子散 治妇人中风偏枯。一边手足不随。口面 斜。精神不守。言语倒错。
侧子（一两炮裂去皮脐） 桂心（一两） 汉防己（一两） 附子（一两炮裂去皮脐） 芎
（一两）
辛（半两） 赤芍药（一两） 秦艽（三分去苗） 茯神（二两） 防风（三分去芦头） 甘
菊花（一两） 甘草（半两炙
至五分。去滓。入竹沥半合。
防风散 治妇人中风。半身枯细。筋脉抽掣。心神烦闷。行履不得。
防风（一两去芦头） 酸枣仁（半两） 芎 （半两） 当归（半两锉微炒） 牛膝（一
两去苗） 狗
葛根（半两锉）
膏（二两） 桂心（一两）
滓。不计时候温服。
牛膝散 治妇人偏枯。口面 斜。言语涩滞。精神不守。举动艰难。
牛膝（一两去苗） 独活（三分） 赤箭（一两） 当归（三分锉微炒） 柏子仁（三
分） 鹿角胶（
汉防己（半两） 羚
炒黄） 麝香（一分研入） 上
牛膝浸酒 治妇人中风偏枯。一边手足不收。顽麻不仁。筋脉拘急。不能运动。
牛膝（一两） 秦艽（一两） 天门冬（一两半去心） 薏苡仁（一两） 独活（一两）
细辛（半两）
仲（一两去粗皮）
生绢袋盛。
晚蚕砂浸酒 治妇人中风偏枯。手足挛急。顽痹不遂。
晚蚕砂（一升） 茄子根（二两） 牛膝（二两去苗） 大麻子（半升） 牛蒡子（二
两微炒） 防风（一两去芦头） 羌活（一两） 秦艽（一两） 枸杞子（一两） 当归（一
两锉微炒） 桂心（一两） 虎胫骨（二两涂酥炙黄） 海桐皮（一两） 鼠粘子（二两） 上
细锉。以生绢袋
椒附汤 治妇人半身不遂。肌肉偏枯。或言语微涩。或口眼微 。举动艰辛。
蜀椒（去目并闭口者） 附子（去皮脐） 生干地黄（焙） 当归 牛膝（去苗） 细
辛（去苗叶）
砂羌活（去芦头各
为妙。或病势急。其
虎骨丸 治妇人偏枯。半身 痹。举动不随。或缓或急。
虎胫骨（酥炙） 牛膝（酒浸切焙） 当归（去芦头切焙） 防风（去叉） 赤箭（各
二两） 威灵仙
仲（去粗皮锉炒） 石斛（
子大。每服二十丸。加至三十
乌头汤（出圣济总录）治妇人偏枯。半身不遂。或 痹不仁。或痿弱无力。
乌头（炮裂去皮脐） 细辛（去苗叶） 干姜（炮各半两） 赤茯苓（去黑皮） 防风
（去叉芦） 当
（酒浸切焙） 赤芍药 秦
汗半两） 上锉如麻豆。每服三钱
桂附汤（出圣济总录）治妇人中风偏枯。手足不随。或冷或痹。
桂（去粗皮） 附子（炮裂去皮脐） 当归（切焙） 人参 茯神（去木） 防风（去
叉芦） 细辛（
活（去芦头各一两
七分。去滓温服。
羌活汤（出圣济总录）治妇人中风。偏枯冷痹。无力任支持。
羌活（去芦头） 麻黄（去根节煎掠去沫焙） 人参 桂（去粗皮） 杏仁（去皮尖双
仁炒别研如
一两） 上锉如麻豆
三。
仙灵脾丸（出圣惠方）治妇人中风偏枯。手足一边不遂。肌骨瘦细。皮肤顽
痹。
仙灵脾（一两） 羚羊角屑（三分） 独活（一两） 防风（一两去芦头） 桂心（一
两） 当归（一两） 牛膝（一两去苗） 薏苡仁（一两） 附子（一两炮裂去皮脐） 五
加皮（三分） 萆 （一两
丸如梧桐子大。每服食前温酒
独活散（出圣惠方）治妇人中风偏枯。言语謇涩。肢节无力。
独活（一两） 桂心（一两） 防风（一两去芦头） 当归（一两锉微炒） 赤芍药（半
两） 附子（
微赤锉） 上为散。
天雄散（出圣济总录）治妇人偏枯。手足或冷。或痛。或不知痛。
天雄（炮裂去皮脐） 天麻（酒炙各三分） 天南星（炮裂半两） 桂（去粗皮） 麻
黄（去根节）
两） 乌蛇肉（酒浸去皮
熟干地黄丸（出圣惠方）治妇人中风偏枯。肌肉枯瘦。顽痹无力。
熟干地黄（焙） 当归（切焙） 萆 防风（去叉芦） 桂（去粗皮） 干漆（捣碎
炒烟出） 附
半两） 上为末。炼蜜
羚羊角散（出圣济总录）治妇人中风偏枯。手足无力。皮肤冷痹。
羚羊角屑 麻黄（去根节） 桂（去粗皮） 赤芍药 附子（炮裂去皮脐） 白僵蚕（炒
各一两）
温酒调下。日二
治妇人中风偏枯。气血不调。骨节疼痛。\x（出圣惠方）
蒴 根（一两锉微炒） 凌霄花（一两） 上为细散。每服食前以温酒调下一钱。
(Attached Discussion)
As for hemiplegia (Pian Gu, paralysis of one side of the body), its manifestations may include coldness, numbness, flaccidity, or insensitivity to pain and itch. It is characterized by hemiplegia, withered and emaciated muscles, and pain in the bones. The mental state remains clear as if unaffected by wind pathogen; this is akin to a boat leaking water, representing the body leaking and being injured by wind. As the ancients said, "To treat wind diseases, first treat the blood; when blood flows freely, wind extinguishes itself." This is precisely the meaning. Treatment should first nourish the blood, then dispel wind, and there will be no case that does not heal. It is appropriate to use Da Ba Feng Tang (Great Eight Wind Decoction) with modifications. Yin Yu Jiu (Corydalis Wine) and Xu Duan Tang (Dipsacus Decoction) are indicated for this condition.
Formulas:
Da Ba Feng Tang (from *Quan Da Liang Fang*), treating hemiplegia and aphonia due to stroke, hemiplegia, and occasional mental confusion. Ancient physicians treating women's stroke...
*Angelicae Sinensis Radix* (Danggui), *Prunus armeniaca* seed (Xingren, peeled, tip removed, bran-fried until yellow), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Cinnamomi Ramulus* (Guixin), *Zingiberis Rhizoma* (Ganjiang, processed, each 2 liang), *Schisandrae Fructus* (Wuweizi), *Cimicifugae Rhizoma* (Shengma, each half liang), *Aconiti Lateralis Radix Preparata* root nodes (Chuanwu, steamed in wine and fried).
Pulverized into fine powder. Each dose is 5 qian, taken with 2 sheng of water...
Zeng Sun Yin Yu Jiu (from *Quan Da Liang Fang*), treating hemiplegia, dry skin, gradual thinning and emaciation, and occasional painful conditions named Pian Gu.
*Corydalidis Tuber* (Yinyu), *Aconiti Lateralis Radix Preparata* (Chuanwu, processed, peeled, tip removed), *Fatsiae Folium* (Shinan Ye), *Saposhnikoviae Radix* (Fangfeng), *Zanthoxyli Pericarpium* (Chuanjiao, fried to release oil), *Anemarrhenae Rhizoma* (Nüwei - note: text says Nüwei, likely referring to a specific herb contextually), *Aconiti Radix Preparata* (Fuzi, processed), *Asari Radix* (Beixixin), *Angelicae Pubescentis Radix* (Duohuo) (each... he, gradually increasing dosage...)
Xu Duan Tang, treating Pian Gu caused by blood deficiency.
*Angelicae Sinensis Radix* (Danggui, 3 liang), *Citri Reticulatae Pericarpium* (Chenpi), *Paeoniae Radix Rubra* (Shaoyao), *Asari Radix* (Beixixin, each 1 liang), *Rehmanniae Radix Recens* (Sheng Gan Dihuang, 2 liang). The above herbs are coarsely crushed. Each dose is 5 qian, taken with 2 sheng of water...
Tian Ma San, treating women's stroke with hemiplegia, unilateral limb immobility, rough/insensitive skin, insensitivity to pain and itch, dysarthria, and tendon spasm.
*Gastrodiae Rhizoma* (Tianma, 1 liang), *Notopterygii Rhizoma et Radix* (Qianghuo, 1 liang), *Pinelliae Rhizoma Preparatum* (Tiannanxing, 1 liang, processed until cracked), *Cinnamomi Ramulus* (Guixin, 1 liang), *Bungarus multicinctus* meat (Wushe Rou, 1 liang, mixed with wine and fried yellow), *Rhinocerotis Cornu* (Wuxi, slightly fried), *Scorpio* (Ganxie, half liang, slightly fried).
Add *Angelicae Sinensis Radix* (Danggui, 1 liang, cut and slightly fried), *Ephedrae Herba* (Mahuang)... The above herbs are ground into fine powder, mixed evenly with previously ground medicines. Each dose is taken before meals...
Ce Zi San, treating women's stroke with hemiplegia, unilateral limb immobility, facial paralysis, restlessness, and disordered speech.
*Aconiti Lateralis Radix Preparata* (Cezi, 1 liang, processed, peeled, navel removed), *Cinnamomi Ramulus* (Guixin, 1 liang), *Stephaniae Tetrandrae Radix* (Hanfangji, 1 liang), *Aconiti Radix Preparata* (Fuzi, 1 liang, processed, peeled, navel removed), *Ligustici Chuanxiong Rhizoma* (Xiong, 1 liang), Xin (half liang), *Paeoniae Radix Rubra* (Chishaoyao, 1 liang), *Gentianae Macrophytae Radix* (Qinjiao, 3 fen, radix removed), *Poria* (Fushen, 2 liang), *Saposhnikoviae Radix* (Fangfeng, 3 fen, radix removed), *Chrysanthemi Flos* (Ganjuhua, 1 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, half liang, honey-fried... to 5 fen, decocted, dregs removed, add 0.5 he of Bamboo Sap).
Fangfeng San, treating women's stroke, withered and thinned half-body, tendon spasms, mental restlessness, and difficulty walking.
*Saposhnikoviae Radix* (Fangfeng, 1 liang, radix removed), *Ziziphi Spinosae Semen* (Suanzaoren, half liang), *Ligustici Chuanxiong Rhizoma* (Xiong, half liang), *Angelicae Sinensis Radix* (Danggui, half liang, cut and slightly fried), *Achyranthis Bidentatae Radix* (Niuxi, 1 liang, radix removed), Dog spine... *Puerariae Lobatae Radix* (Gegen, half liang, cut) paste (2 liang), *Cinnamomi Ramulus* (Guixin, 1 liang).
Decocted, dregs removed, taken warm at any time.
Niuxi San, treating women's hemiplegia, facial paralysis, dysarthria, restlessness, and difficult movement.
*Achyranthis Bidentatae Radix* (Niuxi, 1 liang, radix removed), *Angelicae Pubescentis Radix* (Duohuo, 3 fen), *Atractylodis Chinensis Rhizoma* (Chijian, 1 liang), *Angelicae Sinensis Radix* (Danggui, 3 fen, cut and slightly fried), *Platycladi Semen* (Baiziren, 3 fen), *Corium Corneum Cervi* (Lujiaojiao)... *Stephaniae Tetrandrae Radix* (Hanfangji, half liang), *Saiga Tatarica Cornu* (Lingyangjiao, fried yellow), *Moschus* (Shexiang, 1 fen, ground in). The above...
Niuxi Infusion Wine, treating women's stroke with hemiplegia, unilateral limb inability to grasp, stubborn numbness, tendon spasm, and immobility.
*Achyranthis Bidentatae Radix* (Niuxi, 1 liang), *Gentianae Macrophytae Radix* (Qinjiao, 1 liang), *Asparagi Radix* (Tianmendong, 1.5 liang, heart removed), *Coicis Semen* (Yiyiren, 1 liang), *Angelicae Pubescentis Radix* (Duohuo, 1 liang), *Asari Radix* (Beixixin, half liang), Zhong (1 liang, bark removed)... Stored in a raw silk bag.
Wancang Sha Infusion Wine, treating women's stroke with hemiplegia, limb contracture, stubborn numbness, and immobility.
*Bombyx Batryticatus* (Wancangsha, 1 sheng), *Solanum lyratum* root (Qiezi Gen, 2 liang), *Achyranthis Bidentatae Radix* (Niuxi, 2 liang, radix removed), *Cannabis Fructus* (Dama Zi, half sheng), *Arctii Fructus* (Niubangzi, 2 liang, slightly fried), *Saposhnikoviae Radix* (Fangfeng, 1 liang, radix removed), *Notopterygii Rhizoma et Radix* (Qianghuo, 1 liang), *Gentianae Macrophytae Radix* (Qinjiao, 1 liang), *Lycii Fructus* (Gouqizi, 1 liang), *Angelicae Sinensis Radix* (Danggui, 1 liang, cut and slightly fried), *Cinnamomi Ramulus* (Guixin, 1 liang), *Pantheris Ossis Tibialis* (Hujinggu, 2 liang, coated with butter and fried yellow), *Phellodendri Cortex* (Haitongpi, 1 liang), *Arctii Fructus* (Shuniuzi, 2 liang). The above herbs are finely cut, placed in a raw silk bag...
Jiaofu Tang, treating women's hemiplegia, muscular hemiplegia, slight dysarthria, slight facial paralysis, and difficult movement.
*Zanthoxyli Fructus* (Shujiao, remove eyes and closed ones), *Aconiti Radix Preparata* (Fuzi, peel and navel removed), *Rehmanniae Radix Recens* (Sheng Gan Dihuang, baked), *Angelicae Sinensis Radix* (Danggui), *Achyranthis Bidentatae Radix* (Niuxi, radix removed), *Asari Radix* (Beixixin, radix and leaves removed), Sha Qianghuo (remove radix head each... best. If the disease is urgent, its...)
Hugu Wan, treating women's hemiplegia, half-body numbness and pain, immobility, either lax or tense.
*Pantheris Ossis Tibialis* (Butter-fried), *Achyranthis Bidentatae Radix* (Wine-soaked, cut, baked), *Angelicae Sinensis Radix* (Radix removed, cut, baked), *Saposhnikoviae Radix* (Remove fork), *Atractylodis Chinensis Rhizoma* (Chijian, each 2 liang), *Clematidis Radix et Rhizoma* (Weilingxian)... Zhong (bark removed, cut, fried), *Dendrobii Caulis* (Shihu)... Pill size like paulownia seeds. Each dose is 20 pills, increase to 30...
Wutou Tang (from *Shengji Zonglu*), treating women's hemiplegia, hemiplegia, numbness without pain, or weakness.
*Aconiti Radix* (Processed, peeled, navel removed), *Asari Radix* (Radix and leaves removed), *Zingiberis Rhizoma* (Processed, each half liang), *Poria Cocos* (Chifuling, black skin removed), *Saposhnikoviae Radix* (Remove fork and radix), Dang (wine-soaked, cut, baked), *Paeoniae Radix Rubra* (Chishaoyao), *Gentianae Macrophytae Radix* (Qinjiao, sweat half liang). The above herbs are cut like hemp beans. Each dose is 3 qian...
Guifu Tang (from *Shengji Zonglu*), treating women's stroke with hemiplegia, limb immobility, coldness, or numbness.
*Cinnamomi Ramulus* (Bark removed), *Aconiti Radix Preparata* (Processed, peeled, navel removed), *Angelicae Sinensis Radix* (Cut, baked), *Ginseng Radix* (Renshen), *Poria* (Fushen, wood removed), *Saposhnikoviae Radix* (Remove fork and radix), *Asari Radix*... Huo (radix removed, each 1 liang 7 fen). Decocted, dregs removed, taken warm.
Qianghuo Tang (from *Shengji Zonglu*), treating women's stroke, hemiplegia with cold numbness, inability to support oneself.
*Notopterygii Rhizoma et Radix* (Qianghuo, radix removed), *Ephedrae Herba* (Mahuang, roots and nodes removed, boiled to skim foam, baked), *Ginseng Radix* (Renshen), *Cinnamomi Ramulus* (Bark removed), *Prunus armeniaca* seed (Xingren, peel and tip removed, double kernel fried, separately ground)... 1 liang). The above herbs are cut like hemp beans... Three.
Xianlingpi Wan (from *Shenghui Fang*), treating women's stroke with hemiplegia, unilateral limb immobility, emaciated muscles and bones, stubborn skin numbness.
*Agrimoniae Herba* (Xianlingpi, 1 liang), *Saiga Tatarica Cornu* (Lingyangjiao xie, 3 fen), *Angelicae Pubescentis Radix* (Duohuo, 1 liang), *Saposhnikoviae Radix* (Fangfeng, 1 liang, radix removed), *Cinnamomi Ramulus* (Guixin, 1 liang), *Angelicae Sinensis Radix* (Danggui, 1 liang), *Achyranthis Bidentatae Radix* (Niuxi, 1 liang, radix removed), *Coicis Semen* (Yiyiren, 1 liang), *Aconiti Radix Preparata* (Fuzi, 1 liang, processed, peeled, navel removed), *Acanthopanacis Cortex* (Wujiapi, 3 fen), *Dioscoreae Hypoglaucae Rhizoma* (Bixie, 1 liang)... Pill size like paulownia seeds. Each dose is taken before meals with warm wine...
Duohuo San (from *Shenghui Fang*), treating women's stroke with hemiplegia, dysarthria, and limb weakness.
*Angelicae Pubescentis Radix* (Duohuo, 1 liang), *Cinnamomi Ramulus* (Guixin, 1 liang), *Saposhnikoviae Radix* (Fangfeng, 1 liang, radix removed), *Angelicae Sinensis Radix* (Danggui, 1 liang, cut and slightly fried), *Paeoniae Radix Rubra* (Chishaoyao, half liang), *Aconiti Radix Preparata* (Fuzi)... Slightly red and cut. The above are made into a powder.
Tianxiong San (from *Shengji Zonglu*), treating women's hemiplegia, cold limbs, pain, or insensitivity.
*Aconiti Radix* (Tianxiong, processed, peeled, navel removed), *Gastrodiae Rhizoma* (Tianma, wine-roasted, each 3 fen), *Pinelliae Rhizoma Preparatum* (Tiannanxing, processed, half liang), *Cinnamomi Ramulus* (Bark removed), *Ephedrae Herba* (Mahuang, roots and nodes removed)... 2 liang), *Bungarus multicinctus* meat (Wushe Rou, wine-soaked, skin removed...)
Shu Gan Dihuang Wan (from *Shenghui Fang*), treating women's stroke with hemiplegia, withered muscles, stubborn numbness, and weakness.
*Rehmanniae Radix Praeparata* (Shu Gan Dihuang, baked), *Angelicae Sinensis Radix* (Cut, baked), *Dioscoreae Hypoglaucae Rhizoma* (Bixie), *Saposhnikoviae Radix* (Remove fork and radix), *Cinnamomi Ramulus* (Bark removed), *Drynariae Rhizoma* (Ganqi, crushed, fried until smoke appears), Fu (half liang). The above are ground into powder, refined honey...
Lingyangjiao San (from *Shengji Zonglu*), treating women's stroke with hemiplegia, limb weakness, and cold skin numbness.
*Saiga Tatarica Cornu* (Lingyangjiao xie), *Ephedrae Herba* (Mahuang, roots and nodes removed), *Cinnamomi Ramulus* (Bark removed), *Paeoniae Radix Rubra* (Chishaoyao), *Aconiti Radix Preparata* (Processed, peeled, navel removed), *Bombyx Batryticatus* (Bai Jiangcan, fried, each 1 liang).
Mixed with warm wine and taken down, twice daily.
Treating women's stroke with hemiplegia, qi and blood imbalance, and joint pain. (From *Shenghui Fang*)
*Commelina communis* root (Shuobi Gen, 1 liang, cut and slightly fried), *Campsis grandiflora* flower (Lingxiaohua, 1 liang). The above are ground into fine powder. Each dose is 1 qian, taken before meals with warm wine.