夫内经曰。风气与阳明入胃。循脉而上至目内 。其人瘦则外泄而寒。则为寒中而泣出。
风
其人瘦则腠理开疏。风邪乘虚而入。故津液而为目泣出也。
方
人参汤(出圣济总录)
治风汗泄太多。寒中泣出。
人参(五分) 半夏(汤洗七次去滑) 干姜(炮裂) 白茯苓(去黑皮) 白术 甘
草(炙锉)
五
用皮三分)
上粗捣筛。每服三钱匕。以水一中盏入生姜半分。枣三枚擘破。同煎至六分去滓。不计时候
。稍热服。
当归汤(出宣明论)
治伤风中寒。目泣目出。肌瘦泄汗不止。
当归(切焙半两) 人参 桂(去粗皮各三分) 干姜(炮裂) 白术 半夏 白茯苓
(去皮)
甘草(炙锉) 芎 (各半两) 细辛(去苗半两) 白芍药(半两) 陈橘皮(汤浸去白
焙一两)
上
稍热服。并三服。
温中汤(出圣济总录)
治风邪所伤。肌瘦泄汗。寒中泣出。
当归(切焙) 白术(各三两) 人参 附子(炮裂去皮脐) 干姜(炮) 甘草(炙)
蜀椒
(去目及闭口者炒出汗) 桂(去粗皮各一两) 上 咀如麻豆大。每服四钱匕。以水一盏
半。
煎取
浓朴饮(出圣济总录)
治寒中之病。目泣自出。
浓朴(去粗皮涂生姜汁炙令香熟一两半) 前胡(去芦头) 桂(去粗皮) 石膏(捶
碎) 赤
芍药
粗捣
筛。
热服
石斛散(出圣济总录)
治肌瘦中风。汗太多。或寒中泣出。
石斛(去根锉) 附子(炮裂去皮脐) 白术 桂(去粗皮) 秦艽(去苗土) 黄
(炙锉各
三分)
分涎散(出护命方)
治一切男子女人忽寒风所中。闷倒不知人事。其病之所起。必先自半年或一年
前。吃食少。闻肉臭。吃即恶心。口内有冷涎出。及至忽然闷倒。不知人事。即面色
黑。唇皮青。手足冷。脉气微小。身上寒栗。初得醒人事即半身沉重。行动不得。说话
謇
气药。
白僵蚕(去丝) 附子(火炮去皮) 半夏 细辛 藿香叶 芎 羌活(各一分) 干
姜
(三铢)
口开
灌之。
透风气散(出护命方)
治寒风所中闷倒不知人事。既吃前面方取涎了。却非时进此方。若是中风时无甚有
涎。只进此方亦得。须是涎少。或无涎。然后只进此方。
细辛 藿香 干蝎 羌活 白花蛇(酒浸一昼夜非时用酒慢火上炙黄熟去骨不用只用
肉)
独活 附子(炮去皮) 天麻 牛膝 海桐皮 官桂(去皮) 豆蔻(各一分) 半夏(四
铢) 麝
香(一铢) 麻黄(去节半两) 僵蚕(三铢去丝) 上为细末。入麝香同研令匀。每服四
钱。浓
煎姜汤调下。空心服。盖衣被。汗出为妙。若无汗。只闻得病处如虫行亦佳。此药若常服。
只消薄姜汤调一钱。候风气已退。觉上焦有热。即宜吃后面调顺正气方。
调顺正气散(出护命方)
治寒风所中吃透风气散子后。觉上焦有热。宜服此方。
麻黄(去根节) 羌活 紫菀 贝母(去心) 防风(去叉) 桔梗 菊花 本 独
活芎
(各一分) 甘草(三铢) 上为细末。每服二钱八分。水一盏。煎取七分。食后去滓服。
若
觉大腑秘热。加升麻。大腑不秘热。只可非时吃三五口。不要任性吃。令过剂也。酌量脏腑
进服。
治风寒所中面色青黑。浑身骨节俱冷。两手俱急。筋脉牵抽。手足麻痹厥冷。向人
得暖气后方舒展。宜服此方。(出护命方)
干姜 牛膝 草豆蔻(去皮) 甘草(炙) 羌活 独活 吴茱萸 黄橘皮 官桂(去
皮各
一分) 细辛 藿香 干蝎(各三铢) 半夏(二铢) 芎 白术(各半两) 上细杵罗
为末。
每服三钱。水一盏。煎一两沸。和滓空心顿服。身未得暖。并筋脉未展。更进一服。
治寒风所中。冷涎所积。其人昏闷不醒。两眼闭合。全开不得。呕逆恶心。食不注
腹。浑身沉重。脉气沉伏。起立不得。头旋目晕。心中战跳。但见屋宇旋倒。忽闻喉内
如有一条冷物下至心中。忽闻如有一物在心前。上筑咽喉。即闷绝不知人事。此皆寒风
冷涎所致。宜服此方。\x(出护命方)
菖蒲 细辛 芎 防风 羌活 干姜 官桂 独活 半夏(各一分) 吴茱萸(四铢)
南椒(去子三铢) 牵牛(半两) 上先杵牵牛、半夏二味自作一处。所余众药并作一处。
杵为
细末。每服六钱。牵牛、半夏末二钱。众药末四钱。共作一服。热汤调下。和滓吃。若不吐。
如人行一二里更进一服。又如人行一里更进一服。尚未吐。以指头斡下喉中。令吐出涎。若
不吐。即下入胃亦安稳。若不吐不下。更不可治也。
The *Neijing* states: Wind pathogen and the Yangming channel enter the stomach together, following the meridians upward to the inner canthus of the eye. If the person is emaciated, the exterior will leak (sweat/fluids), leading to Cold-Middle (internal invasion of cold into the zang-fu organs) and tearing.
When wind pathogen invades the body, if the person is emaciated, the interstices (couli) are open and sparse. The wind pathogen takes advantage of the deficiency to enter, causing body fluids to leak out as tears from the eyes.
**Renshen Tang (Ginseng Decoction)** (from *Shengji Zonglu*)
Treats excessive sweating due to wind pathogen, Cold-Middle with tearing.
*Renshen* (Ginseng Radix et Rhizoma, 5 fen) *Banxia* (Pinelliae Tuber, washed seven times in decoction to remove slipperiness) *Ganjiang* (Dried Ginger Rhizome, processed until cracked) *Baifuling* (Poria, black skin removed) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Gancao* (Licorice Root, roasted and chopped)
Coarsely grind and sieve. Take three qianbi per dose. Add one zhongzhan of water, half a qian of fresh ginger, and three dates split open. Decoct together until six parts remain, then strain. Take slightly warm at any time.
**Danggui Tang (Angelica Sinensis Decoction)** (from *Xuanming Lun*)
Treats wind-stroke with cold invasion, spontaneous tearing, emaciation, and incessant sweating.
*Danggui* (Angelicae Sinensis Radix, sliced and roasted, ban liang) *Renshen* (Ginseng Radix et Rhizoma) *Guizhi* (Cinnamomi Ramulus, outer bark removed, each san fen) *Ganjiang* (Dried Ginger Rhizome, processed until cracked) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Banxia* (Pinelliae Tuber) *Baifuling* (Poria, skin removed) *Gancao* (Licorice Root, roasted and chopped) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma, each ban liang) *Xixin* (Asari Radix et Rhizoma, seedlings removed, ban liang) *Baishaoyao* (Paeoniae Radix Alba, ban liang) *Chenjuapi* (Citri Reticulatae Pericarpium, soaked in water, white pith removed, roasted, liang)
Coarsely grind and sieve. Take slightly warm. Take three doses in total.
**Wenzhong Tang (Warm the Middle Decoction)** (from *Shengji Zonglu*)
Treats injury by wind pathogen, emaciation, sweating, Cold-Middle with tearing.
*Danggui* (Angelicae Sinensis Radix, sliced and roasted) *Baizhu* (Atractylodis Macrocephalae Rhizoma, each san liang) *Renshen* (Ginseng Radix et Rhizoma) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) *Ganjiang* (Dried Ginger Rhizome, processed) *Gancao* (Licorice Root, roasted) *Shujiao* (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fry until sweat appears) *Guizhi* (Cinnamomi Ramulus, outer bark removed, each liang)
Cut into pieces the size of hemp seeds. Take four qianbi per dose. Add one and a half zhans of water. Decoct to obtain [the liquid].
**Nouhou Yin (Magnolia Bark Drink)** (from *Shengji Zonglu*)
Treats disease of Cold-Middle, spontaneous tearing.
*Nouhou* (Magnoliae Officinalis Cortex, outer bark removed, smeared with fresh ginger juice, roasted until fragrant and cooked, liang ban) *Qianhu* (Peucedani Radix, radicle removed) *Guizhi* (Cinnamomi Ramulus, outer bark removed) *Shigao* (Gypsum Fibrosum, crushed) *Chishaoyao* (Paeoniae Radix Rubra)
Coarsely grind and sieve. Take hot.
**Shihu San (Dendrobium Powder)** (from *Shengji Zonglu*)
Treats wind-stroke with emaciation, excessive sweating, or Cold-Middle with tearing.
*Shihu* (Dendrobii Caulis, roots removed, chopped) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Guizhi* (Cinnamomi Ramulus, outer bark removed) *Qinjiao* (Gentianae Macrophyllae Radix, seedlings and soil removed) *Huangqi* (Astragali Membranacei Radix, roasted and chopped, each san fen)
**Fenxian San (Separate Phlegm-Drool Powder)** (from *Huming Fang*)
Treats sudden collapse and loss of consciousness in men and women due to sudden wind-cold invasion. The origin of this disease must lie in reduced food intake and aversion to the smell of meat, leading to nausea upon eating, and the presence of cold phlegm-drool in the mouth half a year or a year prior. When sudden collapse occurs with loss of consciousness, the complexion turns black, lips turn cyanotic, hands and feet become cold, pulse becomes minute, and the body experiences chills. Upon regaining consciousness, there is heaviness in half the body, difficulty moving, and slurred speech.
*Baijiangcan* (Bombyx Batryticatus, silk removed) *Fuzi* (Aconiti Lateralis Radix Praeparata, fire-processed, skin removed) *Banxia* (Pinelliae Tuber) *Xixin* (Asari Radix et Rhizoma) *Huoxiangye* (Pogostemonis Leaf) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Qianghuo* (Notopterygii Rhizoma et Radix, each yi fen) *Ganjiang* (Dried Ginger Rhizome, san zhu)
If the patient's mouth is open, administer by pouring.
**Toufengqi San (Penetrating Wind-Qi Powder)** (from *Huming Fang*)
Treats sudden collapse and loss of consciousness due to wind-cold invasion. After taking the previous formula to extract phlegm-drool, take this formula at non-typical times. If during wind-stroke there is little phlegm-drool, taking only this formula is sufficient. It is necessary that phlegm-drool is scant or absent before taking only this formula.
*Xixin* (Asari Radix et Rhizoma) *Huoxiang* (Pogostemonis Herba) *Ganxie* (Scorpio, dried) *Qianghuo* (Notopterygii Rhizoma et Radix) *Baihuashe* (Bungarus multicinctus, soaked in wine for one day and night; when not used typically, roast slowly over low heat with wine until yellow and cooked, remove bones, use only meat) *Duohuo* (Angelicae Pubescentis Radix) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, skin removed) *Tianma* (Gastrodiae Rhizoma) *Niuxi* (Achyranthis Bidentatae Radix) *Haitongpi* (Saposhnikovia Radix? No, likely Pteroceltidis Cortex or similar, but text says Haitongpi - Santalum Album? No, usually Pteroceltidis or similar. WHO term: Saposhnikovia Radix is Qianghuo. Haitongpi is often Pteroceltidis Cortex or related. Let's stick to literal translation or standard if known. Actually Haitongpi is often associated with Pteroceltis tatarinowii or similar. In modern TCM, it's less common. I will use Pteroceltidis Cortex or keep generic.) *Gonggui* (Cinnamomi Cortex, skin removed) *Doukou* (Amomi Fructus Rotundus, each yi fen) *Banxia* (Pinelliae Tuber, si zhu) *Shexiang* (Moschus, yi zhu) *Mahuang* (Ephedrae Herba, nodes removed, ban liang) *Jiangcan* (Bombyx Batryticatus, san zhu, silk removed)
Grind all into fine powder. Mix with Shexiang evenly. Take four qian per dose. Administer with strong decoction of ginger soup on an empty stomach. Cover with blankets; sweating is ideal. If no sweat, feeling like insects crawling in the affected area is also good. If taken regularly, mix one qian with thin ginger soup. After wind-pathogen recedes, if upper Jiao heat is felt, take the subsequent Tiaoshun Zhengqi San.
**Tiaoshun Zhengqi San (Regulating and Harmonizing Healthy Qi Powder)** (from *Huming Fang*)
Treats post-wind-cold invasion where, after taking Toufengqi San, upper Jiao heat is felt. This formula is suitable.
*Mahuang* (Ephedrae Herba, roots and nodes removed) *Qianghuo* (Notopterygii Rhizoma et Radix) *Ziwan* (Asternis Radix) *Beimu* (Fritillariae Thunbergii Bulbus, heart removed) *Fangfeng* (Saposhnikoviae Radix, forks removed) *Jiegeng* (Platycodonis Radix) *Juhua* (Chrysanthemi Flos) *Ben* (Ligustici Wallichii Rhizoma et Radix) *Duohuo* (Angelicae Pubescentis Radix) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma, each yi fen) *Gancao* (Licorice Root, san zhu)
Grind into fine powder. Take two qian eight fen per dose. Add one zhan of water, decoct to seven parts. Strain and take after meals. If large bowel constipation with heat is felt, add Shengma. If large bowel is not constipated or hot, take only three to five mouthfuls at non-typical times. Do not eat arbitrarily to avoid overdose. Adjust dosage according to zang-fu condition.
Treats wind-cold invasion with cyanotic-black complexion, coldness in all bone joints, spasm of both hands, pulling and twitching of sinews and vessels, numbness and coldness of hands and feet, which only relax after seeking warmth from others. This formula is suitable. (from *Huming Fang*)
*Ganjiang* (Dried Ginger Rhizome) *Niuxi* (Achyranthis Bidentatae Radix) *Caodoukou* (Amomi Fructus Rotundus, skin removed) *Gancao* (Licorice Root, roasted) *Qianghuo* (Notopterygii Rhizoma et Radix) *Duohuo* (Angelicae Pubescentis Radix) *Wuzhuyu* (Evodiae Fructus) *Huangjupi* (Citri Reticulatae Pericarpium) *Gonggui* (Cinnamomi Cortex, skin removed, each yi fen) *Xixin* (Asari Radix et Rhizoma) *Huoxiang* (Pogostemonis Herba) *Ganxie* (Scorpio, dried, each san zhu) *Banxia* (Pinelliae Tuber, er zhu) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Baizhu* (Atractylodis Macrocephalae Rhizoma, each ban liang)
Grind finely and sieve into powder. Take three qian per dose. Add one zhan of water, boil for one or two boils. Take with dregs on an empty stomach. If body does not feel warm and sinews/vessels do not extend, take another dose.
Treats wind-cold invasion with accumulation of cold phlegm-drool, causing coma and unconsciousness, eyes tightly closed unable to open, vomiting and nausea, inability to retain food, heaviness of whole body, deep and hidden pulse, inability to stand, dizziness, palpitations, sensation of house spinning, sensation of a cold object descending from throat to heart, sensation of an object beating against throat from front of heart, followed by sudden collapse and loss of consciousness. These are caused by wind-cold and cold phlegm-drool. This formula is suitable. (from *Huming Fang*)
*Changpu* (Acori Tatarinowii Rhizoma) *Xixin* (Asari Radix et Rhizoma) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Fangfeng* (Saposhnikoviae Radix) *Qianghuo* (Notopterygii Rhizoma et Radix) *Ganjiang* (Dried Ginger Rhizome) *Gonggui* (Cinnamomi Cortex) *Duohuo* (Angelicae Pubescentis Radix) *Banxia* (Pinelliae Tuber, each yi fen) *Wuzhuyu* (Evodiae Fructus, si zhu) *Nanjiao* (Zanthoxyli Pericarpium, seeds removed, san zhu) *Qianniu* (Pharbitidis Semen, ban liang)
First pound Qianniu and Banxia together separately. Pound the remaining herbs together separately. Grind both into fine powder. Take six qian per dose: two qian of Qianniu/Banxia powder and four qian of other herb powder mixed together. Administer with hot water, consuming with dregs. If no vomiting, take another dose after walking one or two li. If still no vomiting after walking one li, take another dose. If still no vomiting, stimulate throat with finger to induce vomiting of phlegm-drool. If neither vomited nor passed down, it is incurable.