夫中风舌强不语者。盖脾脉络胃、侠咽、连舌本。心气所通。今风邪客搏。则气脉闭塞
不利
脉络
得
方
羌活汤 治中风。舌强不得语。手足举动不得。
羌活（去芦头一两） 羚羊角（镑半两） 麻黄（去根节先煎掠去沫焙用一两） 防风
（去叉半两）
归（切焙） 麦门冬（
咀。每用药十钱匕。以水三
天麻散（出圣惠方）治中风不能语。四肢强。
天麻 干蝎（微炒各一两） 乌蛇（一两酒浸炙黄去皮骨） 天南星（炮裂） 白僵蚕
（微炒） 干
皮脐） 槟榔 芎 （
下一钱。频三服。以浓衣
牛黄丸（出圣惠方）治中风舌强不语。筋骨拘急。饮食不得。翕翕发热。形
神如醉。
牛黄（半两细研） 白附子（炮裂锉） 干姜（炮制锉） 麝香（半两细研） 桂心（去
粗皮） 芎
星（半两炮裂） 乌
如梧桐子大。每服不拘
黄芩汤（一名小续命汤）治中风。舌强不能语。面赤欲绝。身体缓急。目视
不停。及治中风冒昧不知痛处。拘急不得转侧。遗矢便利。偏宜产后失血。（出千金
方）
黄芩（去黑心） 桂心（去粗皮） 芎 人参 防风（去叉） 防己 甘草（炙） 麻
黄（去根节
豆。每用六钱匕
卧各一服。以汗
附子汤 治中风。舌强不得语。
附子（炮裂去皮脐） 细辛（去苗叶各三分） 麻黄（去根节先煎掠去沫焙用一两半） 芎
白
粗皮） 甘草
拍碎。煎取一盏半
羚羊角汤 治中风舌强不语。手足拘急。发歇有时。
羚羊角（镑） 麻黄（去根节） 防风（去叉） 升麻 桂（去粗皮） 芎 薏苡
仁（各一两）
一盏。入木通、竹叶
桑枝饮子（出圣惠方）治中风不语。
桑枝（一握东引者） 黑豆（一合布袋盛于药中略煮三两沸） 独活（一两） 生姜（一
分） 羌活
不拘时候。
醋石榴饮子（出圣惠方）治中风不得语。
醋石榴皮（一枚锉） 生姜（一两拍碎） 青州枣（十四枚擘去核） 黑豆（二合） 上
咀。以淡
拘时候。温
雄黄丸 治心脾中风。舌强不语。涎潮昏塞。不省人事。
雄黄（研） 丹砂（研） 牛黄（研） 天南星（牛胆内制者） 白僵蚕（生用） 天
麻（生用各半两）
丸如鸡头实大。每服二
天南星散（出圣惠方）治中风不语。筋脉拘急疼痛。
天南星（一个炮裂） 白附子（炮裂） 桑螵蛸（微炒） 白僵蚕（微炒） 藿香（各
一两） 干蝎（
散。入后三味。更研令
麻黄汤（出圣惠方）治中风舌强不得语。身体缓急。口目不正。奄奄忽忽。
精神闷乱。凡中
麻黄（去根节先煎掠去沫焙） 防己 黄芩（去黑心） 桂（去粗皮） 甘草（炙各一
钱） 防风（
如麻豆大。每用药十
心并二服。相去如人
防风汤 治中风舌强不得语。两目不开。短气欲死。
防风（去叉） 甘草（炙） 黄芩（去黑心） 白茯苓（去黑皮） 当归（切焙各半两）
杏仁（汤退
上粗捣筛。
盏半。去滓
独活散（出圣惠方）治中风不得语。身体拘急疼痛。
独活（二两） 桂心（二两） 防风（一两去芦头） 当归（一两锉微炒） 赤芍药（一
两半） 附子
盏。入姜半分。煎
玳瑁丸（出圣惠方）治中风不语。精神冒闷。（方见返魂丹）
竹沥汤 治中风舌强不得语。心神烦闷。
淡竹沥（五合） 人乳汁（二合） 三年酱汁（半合） 上相和调匀。分三服温服。口
噤斡口灌之
酱乳饮（出圣惠方）治中风不得语。舌根涩硬。
三年酱汁 人乳汁（各五合） 陈醋（二合） 上相和研。以生绢滤绞取汁。分为三服。
日夜服
三圣散 治中风舌强不语。
没药（研） 琥珀（研各一分） 干蝎（七枚全者炒） 上为末。每服三钱匕。用鹅梨
汁半盏。皂
白矾散 治中风舌强不语。
白矾（生用） 桂（去粗皮各二两） 上为散。每服一钱匕。安舌下。有涎吐出即语。
一方绵裹
桂心方 治中风不得语。舌根强。
独活酒（一名大豆子汤）治中风舌强不语。（方见大豆紫汤）
正舌散（出肘后方）治中风舌强语涩。
雄黄（研水飞） 荆芥（为末各等分） 上研匀。每服二钱。豆淋酒调下。
茯神散（出卫生宝鉴）治证同前。
茯神心（锉炒一两） 鸡苏（焙干二两） 蝎梢（去毒一分） 上同为细末。每服一二
钱。温酒调
治中风不能语。（出本草）
用吴茱萸、豆豉、各一升。水五升。煮取二升。稍稍服之。
治卒风不得语。\x
Syndrome of tongue stiffness and aphasia due to wind-stroke: This condition arises because the Spleen meridian connects with the Stomach, runs alongside the pharynx, and attaches to the root of the tongue. It is the pathway through which Heart Qi communicates. Currently, pathogenic Wind invades and obstructs, causing blockage and dysfunction of the Qi and meridians.
Qianghuo Tang (Notopterygium Decoction): Treats wind-stroke characterized by tongue stiffness, inability to speak, and restricted movement of the hands and feet.
Ingredients: Qianghuo (Rhizoma Notopterygii, 1 liang, rhizome removed), Lingyangjiao (Cornu Saigae Tataricae, 0.5 liang, sliced into powder), Mahuang (Herba Ephedrae, 1 liang, roots and nodes removed, decocted first, scum skimmed off, then dried), Fangfeng (Radix Saposhnikoviae, 0.5 liang, forked parts removed), Danggui (Radix Angelicae Sinensis, sliced and dried), Maidong (Radix Ophiopogonis, [text missing]).
Usage: Coarsely crush the herbs. Take 10 qianbi (approx. 3-4 grams) per dose, add 3 [text missing] water.
Tianma San (Gastrodia Powder): From *Shenghui Fang*, treats wind-stroke with inability to speak and limb rigidity.
Ingredients: Tianma (Rhizoma Gastrodiae), Ganxie (Scorpio, lightly fried, 1 liang each), Wushe (Zaocys, 1 liang, soaked in wine, roasted until yellow, skin and bones removed), Tiannanxing (Rhizoma Arisaematis, processed until cracked), Baijiangcan (Bombyx Batryticatus, lightly fried), Gan [text missing] skin and navel), Binglang (Arecae Semen), Xiong [text missing] (Chuanxiong).
Usage: Take one qian [text missing], administer frequently in three doses. Cover with thick clothing [text missing] to promote sweating.
Niuhuang Wan (Calculus Bovis Pill): From *Shenghui Fang*, treats wind-stroke with tongue stiffness, aphasia, spasm and rigidity of sinews and bones, difficulty in eating and drinking, slight fever (Xixi Refa), and a mental state resembling drunkenness.
Ingredients: Niuhuang (Calculus Bovis, 0.5 liang, finely ground), Baifuzi (Rhizoma Typhonii, processed, cracked), Ganjiang (Rhizoma Zingiberis, processed, cracked), Shexiang (Moschus, 0.5 liang, finely ground), Guixin (Cortex Cinnamomi, bark removed), Xiong [text missing] (Chuanxiong), Tiannanxing (Rhizoma Arisaematis, 0.5 liang, processed until cracked), Wu [text missing].
Usage: Form pills the size of Sophora japonica seeds. Each dose is unrestricted [text missing].
Huangqin Tang (Scutellaria Decoction), also known as Xiao Xuming Tang (Minor Continuation of Life Decoction): Treats wind-stroke with tongue stiffness, aphasia, flushed face appearing about to collapse, body alternating between flaccidity and rigidity, and restless eye movements. Also treats wind-stroke with confusion and unawareness of pain location, rigidity preventing turning over, and incontinence of urine and feces. Particularly suitable for postpartum blood loss. (From *Qianjin Fang*)
Ingredients: Huangqin (Radix Scutellariae, black heart removed), Guixin (Cortex Cinnamomi, bark removed), Xiong [text missing] (Chuanxiong), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae, forked parts removed), Fangji (Radix Stephaniae Tetrandrae), Gancao (Radix Glycyrrhizae, honey-fried), Mahuang (Herba Ephedrae, roots and nodes removed [text missing]).
Usage: [Text missing] bean-sized. Use 6 qianbi per dose [text missing].
Take one dose while lying down, aiming for sweating [text missing].
Fuzi Tang (Aconite Decoction): Treats wind-stroke with tongue stiffness and inability to speak.
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata, processed, skin and navel removed), Xixin (Herba Asari, leaves and stems removed, 3 fen each), Mahuang (Herba Ephedrae, 1.5 liang, roots and nodes removed, decocted first, scum skimmed, then dried), Xiong [text missing] (Chuanxiong), Bai [text missing] bark removed), Gancao (Radix Glycyrrhizae [text missing]).
Usage: Crush. Decoct to obtain 1.5 zhan [text missing].
Lingyangjiao Tang (Saiga Antelope Horn Decoction): Treats wind-stroke with tongue stiffness, aphasia, spasm and rigidity of hands and feet, and periodic attacks.
Ingredients: Lingyangjiao (Cornu Saigae Tataricae, sliced into powder), Mahuang (Herba Ephedrae, roots and nodes removed), Fangfeng (Radix Saposhnikoviae, forked parts removed), Shengma (Rhizoma Cimicifugae), Gui (Cortex Cinnamomi, bark removed), Xiong [text missing] (Chuanxiong), Yiyiren (Semen Coicis, 1 liang each).
Usage: [Text missing] one zhan. Add Mutong (Caulis Akebiae) and Zhuye (Folium Bambusae) [text missing].
Sangzhi Yinzi (Mulberry Twig Drink): From *Shenghui Fang*, treats wind-stroke with aphasia.
Ingredients: Sangzhi (Ramulus Mori, one handful from eastward-growing branches), Heidou (Semen Sojae Preparatum, one he, placed in a cloth bag within the herbs, boiled briefly for two or three boils), Duhuo (Radix Angelicae Pubescentis, 1 liang), Shengjiang (Rhizoma Zingiberis Recens, one [text missing]), Qianghuo (Rhizoma Notopterygii [text missing]).
Usage: Take at any time [text missing].
Cu Shiliu Yinzi (Vinegar Pomegranate Peel Drink): From *Shenghui Fang*, treats wind-stroke with inability to speak.
Ingredients: Cu Shiliupi (Pericarpium Granati Acetum, one piece, crushed), Shengjiang (Rhizoma Zingiberis Recens, 1 liang, crushed), Qingzhou Zao (Fructus Jujubae, 14 pieces, pitted), Heidou (Semen Sojae Preparatum, 2 he). Shang [text missing] (All ingredients) coarsely crushed. Use Dan [text missing] (Light/Plain...).
Usage: Take at any time, warm [text missing].
Xionghuang Wan (Realgar Pill): Treats Heart and Spleen wind-stroke with tongue stiffness, aphasia, flooding of saliva and obstruction, and unconsciousness.
Ingredients: Xionghuang (Realgar, ground), Dansha (Cinnabar, ground), Niuhuang (Calculus Bovis, ground), Tiannanxing (Rhizoma Arisaematis, prepared in cow bile), Baijiangcan (Bombyx Batryticatus, raw use), Tian [text missing] Ma (Rhizoma Gastrodiae, raw use, 0.5 liang each).
Usage: Form pills the size of Euryale seed. Each dose is two [text missing].
Tiannanxing San (Arisaema Powder): From *Shenghui Fang*, treats wind-stroke with aphasia, spasm, rigidity, and pain of sinews and vessels.
Ingredients: Tiannanxing (Rhizoma Arisaematis, one piece, processed until cracked), Baifuzi (Rhizoma Typhonii, processed), Sangpiaoxiao (Ootheca Mantidis, lightly fried), Baijiangcan (Bombyx Batryticatus, lightly fried), Huoxiang (Herba Pogostemonis, [text missing] 1 liang each), Ganxie (Scorpio, [text missing]).
Usage: Powder form, add the last three ingredients, grind again to make [text missing] uniform.
Mahuang Tang (Ephedra Decoction): From *Shenghui Fang*, treats wind-stroke with tongue stiffness, aphasia, body alternating between flaccidity and rigidity, deviation of mouth and eyes, and sudden changes in spirit.
Mental restlessness and confusion. Any wind-stroke [text missing].
Ingredients: Mahuang (Herba Ephedrae, roots and nodes removed, decocted first, scum skimmed, dried), Fangji (Radix Stephaniae Tetrandrae), Huangqin (Radix Scutellariae, black heart removed), Gui (Cortex Cinnamomi, bark removed), Gancao (Radix Glycyrrhizae, honey-fried, 1 qian each), Fangfeng (Radix Saposhnikoviae, [text missing]).
Usage: Size of hemp seeds. Use 10 [text missing] per dose.
Heart and two doses, interval like a person [text missing] walking distance.
Fangfeng Tang (Saposhnikovia Decoction): Treats wind-stroke with tongue stiffness, aphasia, inability to open eyes, shortness of breath resembling death.
Ingredients: Fangfeng (Radix Saposhnikoviae, forked parts removed), Gancao (Radix Glycyrrhizae, honey-fried), Huangqin (Radix Scutellariae, black heart removed), Baifuling (Poria, black skin removed), Danggui (Radix Angelicae Sinensis, sliced and dried, 0.5 liang each), Xingren (Semen Pruni Armeniacae, blanched [text missing] skin removed).
Usage: Shang [text missing] (All ingredients) coarsely crush and sieve.
[Zhan missing] 1.5 zhan, remove dregs [text missing].
Duhuo San (Angelica Pubescens Powder): From *Shenghui Fang*, treats wind-stroke with aphasia, body spasm, rigidity, and pain.
Ingredients: Duhuo (Radix Angelicae Pubescentis, 2 liang), Guixin (Cortex Cinnamomi, 2 liang), Fangfeng (Radix Saposhnikoviae, 1 liang, rhizome removed), Danggui (Radix Angelicae Sinensis, 1 liang, crushed and lightly fried), Chishao (Radix Paeoniae Rubra, 1 [text missing] 0.5 liang), Fuzi [text missing] (Prepared Aconite Root).
Usage: [Text missing] zhan, add half a portion of ginger, decoct [text missing].
Daimai Wan (Trichomanes Pill): From *Shenghui Fang*, treats wind-stroke with aphasia and mental confusion. (Formula see under Fanhun Dan).
Zhuli Tang (Bamboo Juice Decoction): Treats wind-stroke with tongue stiffness, aphasia, and mental restlessness.
Ingredients: Danzhuli (Bamboo Juice, 5 he), Renru (Human Milk, 2 he), Sannian Jiangzhi (Three-year-old Soy Sauce, 0.5 he). Shang [text missing] (All ingredients) mix evenly. Divide into three doses, take warm. If mouth is clenched, pry open and pour in [text missing].
Jiangru Yin (Soy Sauce and Milk Drink): From *Shenghui Fang*, treats wind-stroke with aphasia and stiff, dry tongue root.
Ingredients: Sannian Jiangzhi (Three-year-old Soy Sauce), Renru (Human Milk, 5 he each), Chen Cu (Aged Vinegar, 2 he). Shang [text missing] (All ingredients) mix and grind. Filter and squeeze juice through raw silk. Divide into three doses. Take day and night [text missing].
Sansheng San (Three Sages Powder): Treats wind-stroke with tongue stiffness and aphasia.
Ingredients: Moyao (Resina Myrrhae, ground), Hupo (Electrum, ground, 1 fen each), Ganxie (Scorpio, 7 whole pieces, fried). Shang [text missing] (All ingredients) make into powder. Each dose is 3 qianbi. Use Goose Pear Juice half zhan, Soap [text missing].
Baifan San (Alum Powder): Treats wind-stroke with tongue stiffness and aphasia.
Ingredients: Baifan (Alumen, raw use), Gui (Cortex Cinnamomi, bark removed, 2 liang each). Shang [text missing] (All ingredients) make into powder. Each dose is 1 qianbi, place under the tongue. When saliva is expelled, speech returns.
Another method: Wrap in cotton [text missing].
Guixin Fang (Cinnamon Heart Formula): Treats wind-stroke with aphasia and stiff tongue root.
Duhuo Jiu (Angelica Pubescens Wine), also known as Da Douzi Tang (Soybean Decoction): Treats wind-stroke with tongue stiffness and aphasia. (Formula see under Da Dou Zi Tang).
Zhengshe San (Straight Tongue Powder): From *Zhouhou Fang*, treats wind-stroke with tongue stiffness and slurred speech.
Ingredients: Xionghuang (Realgar, water-flowered), Jingjie (Herba Schizonepetae, made into powder, equal parts). Shang [text missing] (All ingredients) grind uniformly. Each dose is 2 qian, taken with Doulin Jiu (Bean-dripping Wine).
Fushen San (Poria Spirit Powder): From *Weisheng Baojian*, syndrome same as above.
Ingredients: Fushen Xin (Poria with Pinus Root, crushed and fried, 1 liang), Jisu (Herba Elsholtziae, dried by roasting, 2 liang), Xeshao (Scorpion tail, detoxified, 1 fen). Shang [text missing] (All ingredients) grind together into fine powder. Each dose is 1-2 [text missing] qian, taken with warm wine [text missing].
Treat wind-stroke with inability to speak. (From *Bencao*)
Use Wuzhuyu (Fructus Evodiae) and Douchi (Fermented Soybeans), 1 sheng each. Add 5 sheng water, boil to obtain 2 sheng. Take gradually.
Treat sudden wind-stroke with inability to speak.\x