夫太阳中风。重感于寒湿。则变痉也。痉者口噤不开。背强而直。如发痫之状。摇头马
鸣。
竭。
似。
卒然
风宜
方
牛黄丸(出圣惠方)治风痉。身体强直。牙关紧急。心神昏昧。
牛黄(细研) 麝香(细研) 龙脑(细研各一分) 朱砂(细研水飞过三分) 白僵
蚕(微炒) 鹿
裂) 天麻 白蒺藜(
防己 木香 槟榔
末。入研了药令匀。炼蜜和
天麻丸(出圣惠方)治风痉。四肢强硬。口噤不开。
天麻 乌蛇(酒浸炙微黄去皮骨各二两) 白僵蚕(微炒) 桂心 防风(去芦头) 蝉
壳川乌
去皮脐) 羚羊角
一两半) 干蝎(微炒三分)
以温酒研下一丸。
麻黄散(出圣惠方)治风痉。身体强直。口噤不能言。神思昏闷。
麻黄(去根节) 羌活 附子(炮裂去皮脐) 赤茯苓 芎 (各三分) 桂心 黄芩 羚
羊角屑
筛为散。每服
温服。衣覆汗
白附子丸(出圣惠方)治风痉。口噤身体强直。迷闷不识人。
白附子(炮裂) 白僵蚕(微炒) 麻黄(去根节) 防风(去芦头) 麝香(细研各
一两) 腻粉(
花蛇(酒浸炙微黄去皮骨
杵。丸如梧桐子大。每服
麻黄汤(出圣济总录)治风痉。身体强直。口噤不知人事。
麻黄(去节先煎掠去沫焙干二两) 甘草(炙锉) 当归(焙) 黄芩(去黑心各一分)
石膏(捣
仁(汤浸去皮尖双
入荆沥半合。更同煎
昧不知人者。不用荆
并二服。初服一日犹
出。更用热生姜稀粥
产妇并病患。已曾大汗者。不可服。若虚羸人。但当少服。
天麻散(出圣惠方)治风痉。口噤。腰背强直。不可转侧。
天麻 独活 麻黄(去根节各一两半) 当归(锉微炒) 防风(去芦头) 桂心 细
辛附子(
入生姜半分。
天麻汤(出圣济总录)治风痉。身如板直。偏身硬强。
天麻(半两) 羌活(去芦头) 人参 桂(去粗皮) 白术 麻黄(去节先煎掠去沫
焙干) 杏仁
五钱匕。生姜一枣
稀粥投之。取汗。
续命汤(出圣济总录)治风痉。口噤不开。身背强直。发如痫状。
麻黄(去根节先煮掠去沫焙) 独活(去芦各一两半) 升麻 葛根(锉各半两) 羚
羊角屑 桂
钱匕。水二盏。浸一
即不患天行伤寒。及诸风邪等疾。
甘草汤(出圣济总录)治风痉。口噤不语。肢体强直。神识不明。
甘草(炙一两一分锉) 羌活(去芦一两一分) 附子(炮去皮脐半两) 人参(半两)
防风(去
去滓。
附子汤(出圣济总录)治风痉。口噤不语。身体强直。
附子(炮去皮脐一分) 羌活(去芦头) 防风(去叉) 桂(去粗皮各二两) 上锉
如麻豆。每服
日二服。
羚羊角散(出圣惠方)治风痉口噤。身体强直。不知人事。
羚羊角屑 附子(炮裂去皮脐) 当归(锉微炒) 桂心 防风(去芦头) 阿胶(捣
碎炒令黄燥各
以水酒各一中盏
当归散(出圣惠方)治风痉。摇头口噤。身体强直。
当归(锉微炒) 细辛 防风(去芦头) 桂心 附子(炮裂去皮脐) 薏苡仁 芎
(各一两)
生姜半分。煎至五分。去滓。不计时候温服。
苍公当归酒。治风痉。
当归 防风(各三两) 独活(半两) 麻黄(一两一分) 附子(炮去皮脐) 上为
末。每服五钱
龙胆汤 治五脏生风发痉。日夜数十发者。
防风 黄连 草龙胆 白僵蚕(炒各半两) 上为粗末。每服五钱。水二盏。煎一盏。
去滓温
承气汤 治刚痉。大便不通十数日者。
浓朴(四两去皮) 姜(二两同捣烂焙干) 大黄(二两) 枳实(半两麦麸炒去瓤) 芒
硝(一两
匕。搅匀
疗贼风痉。(出本草)
上以铁屑炒使极热。用投酒中饮酒。
治中风痉。通身拘急。口噤不省人事。妇人产后亦宜服之。
上用独活一两为末。以酒一大盏。煎至七分。去滓。入竹沥一合。分二服。
治中风痉。口噤面青。手足急强。妇人产后亦宜服之。
上用竹沥一升。分为五服。微温频服大效。
Taiyang Wind-Strike (Taiyang Zhongfeng), if additionally affected by Cold-Dampness, transforms into Spasm (Jing). Spasm is characterized by locked jaw (Kou Jin) unable to open, stiffness and straightening of the back, resembling epilepsy, with head shaking and sounds like a horse neighing.
Niuhuang Wan (Coral Pill), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include body stiffness and straightening, emergency locking of the jaw, and confused spirit.
Ingredients: Niu Huang (Calculus Bovis, finely ground), She Xiang (Moschus, finely ground), Long Nao (Borneolum Syntheticum, finely ground, each 1 fen), Zhu Sha (Cinnabaris, finely ground, water-washed, 3 fen), Bai Jiang Can (Bombyx Batryticatus, slightly fried), Lu Jiao Xiao (Cornu Cervi Pantotrichum, processed until cracked), Tian Ma (Gastrodiae Rhizoma), Bai Ji Li (Tribuli Fructus, fried, thorns removed), Fang Ji (Stephaniae Tetrandrae Radix), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen, roasted).
Preparation and Administration: The above herbs are crushed and sieved into fine powder. Add the finely ground medicines and mix evenly. Blend with refined honey to form pills the size of tung tree seeds. Take one pill per dose, dissolved and taken with warm wine.
Tianma Wan (Gastrodia Pill), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include stiffness and rigidity of the four limbs, and locked jaw unable to open.
Ingredients: Tian Ma (Gastrodiae Rhizoma), Wu She (Zaocys, soaked in wine and roasted until slightly yellow, skin and bones removed, 2 liang each), Bai Jiang Can (Bombyx Batryticatus, slightly fried), Gui Xin (Cinnamomi Cortex), Fang Feng (Saposhnikoviae Radix, radix head removed), Chan Ke (Cicadae Periostracum), Chuan Wu (Aconiti Radix, processed until cracked, skin and umbilicus removed), Ling Yang Jiao (Saigae Tataricae Cornu, shaved), Gan Xie (Scorpio, slightly fried, 3 fen).
Preparation and Administration: Crush and sieve the herbs into fine powder. Blend with refined honey to form pills the size of tung tree seeds. Take one pill per dose, dissolved and taken with warm wine.
Mahuang San (Ephedra Powder), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include body stiffness and straightening, locked jaw unable to speak, and confused mental state.
Ingredients: Mahuang (Ephedrae Herba, roots and joints removed), Qiang Huo (Notopterygii Rhizoma et Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Chi Fu Ling (Poria with Red Wood, 3 fen each), Xiong Qiong (Ligusticum Chuanxiong Rhizoma), Gui Xin (Cinnamomi Cortex), Huang Qin (Scutellariae Radix), Ling Yang Jiao Xiao (Saigae Tataricae Cornu, shaved).
Preparation and Administration: Crush and sieve the herbs into powder. Take 3 qian bi per dose. Boil in 1.5 cups of water until reduced to 0.8 cup. Strain and take warm. Cover with clothing to induce sweating.
Baifu Zi Wan (Hohenbuehelia Pill), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include locked jaw, body stiffness and straightening, coma and inability to recognize people.
Ingredients: Bai Fu Zi (Typhonii Rhizoma, processed until cracked), Bai Jiang Can (Bombyx Batryticatus, slightly fried), Mahuang (Ephedrae Herba, roots and joints removed), Fang Feng (Saposhnikoviae Radix, radix head removed), She Xiang (Moschus, finely ground, 1 liang each), Ni Fen (Calomel), Bai Hua She (Deinagkistrodon Acutus, soaked in wine and roasted until slightly yellow, skin and bones removed).
Preparation and Administration: Pounded into a paste, formed into pills the size of tung tree seeds. Take 5 pills per dose, taken with warm wine.
Mahuang Tang (Ephedra Decoction), from *Shengji Zonglu*, treats Wind-Spasm. Symptoms include body stiffness and straightening, locked jaw, and unconsciousness.
Ingredients: Mahuang (Ephedrae Herba, joints removed, boiled first to skim foam, dried by baking, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut), Dang Gui (Angelicae Sinensis Radix, baked), Huang Qin (Scutellariae Radix, black heart removed, 1 fen each), Shi Gao (Gypsi Fibrosus, crushed), Xing Ren (Armeniacae Semen Amarum, soaked in hot water, skin and pointed kernels removed).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water with Jing Li (Carriaga Bamboo Sap, half he) until reduced to 0.6 cup. Strain and take warm. If the patient is unconscious, do not use Jing Li. Take two doses. After the first day's dose, if sweat does not emerge, take again with hot ginger thin porridge to promote sweating. Contraindicated for postpartum women and patients who have already sweated profusely. For weak and emaciated persons, take only a small amount.
Tianma San (Gastrodia Powder), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include locked jaw, stiffness and straightening of waist and back, inability to turn or side.
Ingredients: Tian Ma (Gastrodiae Rhizoma), Du Huo (Angelicae Pubescentis Radix), Mahuang (Ephedrae Herba, roots and joints removed, 1.5 liang each), Dang Gui (Angelicae Sinensis Radix, cut and slightly fried), Fang Feng (Saposhnikoviae Radix, radix head removed), Gui Xin (Cinnamomi Cortex), Xi Xin (Asari Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water with half a piece of fresh ginger until reduced to 0.7 cup. Strain and take warm.
Tianma Tang (Gastrodia Decoction), from *Shengji Zonglu*, treats Wind-Spasm. Symptoms include body stiff as a board, hemibody stiffness and rigidity.
Ingredients: Tian Ma (Gastrodiae Rhizoma, 0.5 liang), Qiang Huo (Notopterygii Rhizoma et Radix, radix head removed), Ren Shen (Ginseng Radix), Gui (Cinnamomi Ramulus, coarse bark removed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mahuang (Ephedrae Herba, joints removed, boiled first to skim foam, dried by baking), Xing Ren (Armeniacae Semen Amarum, skin and pointed kernels removed, 5 qian bi).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water with one slice of fresh ginger and one jujube until reduced to 0.6 cup. Strain and take warm. Follow with thin porridge to induce sweating.
Xuming Tang (Continuing Life Decoction), from *Shengji Zonglu*, treats Wind-Spasm. Symptoms include locked jaw unable to open, stiffness and straightening of body and back, attacks resembling epilepsy.
Ingredients: Mahuang (Ephedrae Herba, roots and joints removed, boiled first to skim foam, dried), Du Huo (Angelicae Pubescentis Radix, radix head removed, 1.5 liang each), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix, cut, 0.5 liang each), Ling Yang Jiao Xiao (Saigae Tataricae Cornu, shaved), Gui Xin (Cinnamomi Cortex), Fang Feng (Saposhnikoviae Radix, forked parts removed), Dang Gui (Angelicae Sinensis Radix, cut and slightly fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut), Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Gan Jiang (Zingiberis Rhizoma Dryus, processed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed).
Preparation and Administration: Crush and sieve into powder. Take 4 qian bi per dose. Soak in 2 cups of water overnight. Next day, boil until reduced to 1 cup. Strain and take warm. This formula can prevent epidemic cold damage and various wind-pathogen diseases.
Gan Cao Tang (Licorice Decoction), from *Shengji Zonglu*, treats Wind-Spasm. Symptoms include locked jaw unable to speak, limb stiffness and straightening, unclear consciousness.
Ingredients: Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang 1 fen, cut), Qiang Huo (Notopterygii Rhizoma et Radix, radix head removed, 1 liang 1 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed, 0.5 liang), Ren Shen (Ginseng Radix, 0.5 liang), Fang Feng (Saposhnikoviae Radix, forked parts removed).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water until reduced to 0.7 cup. Strain and take warm.
Fu Zi Tang (Aconite Decoction), from *Shengji Zonglu*, treats Wind-Spasm. Symptoms include locked jaw unable to speak, body stiffness and straightening.
Ingredients: Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed, 1 fen), Qiang Huo (Notopterygii Rhizoma et Radix, radix head removed), Fang Feng (Saposhnikoviae Radix, forked parts removed), Gui (Cinnamomi Ramulus, coarse bark removed, 2 liang each).
Preparation and Administration: Crush into sizes similar to hemp seeds. Take 3 qian bi per dose. Boil in 1 cup of water until reduced to 0.7 cup. Strain and take warm. Take twice daily.
Ling Yang Jiao San (Saiga Horn Powder), from *Taiping Shenghui Fang*, treats Wind-Spasm with locked jaw. Symptoms include body stiffness and straightening, unconsciousness.
Ingredients: Ling Yang Jiao Xiao (Saigae Tataricae Cornu, shaved), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Dang Gui (Angelicae Sinensis Radix, cut and slightly fried), Gui Xin (Cinnamomi Cortex), Fang Feng (Saposhnikoviae Radix, radix head removed), E Jiao (Colla Corii Asini, crushed and roasted until yellow and dry, 1 liang each).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water and 1 cup of wine until reduced to 0.7 cup. Strain and take warm.
Dang Gui San (Angelica Powder), from *Taiping Shenghui Fang*, treats Wind-Spasm. Symptoms include head shaking, locked jaw, body stiffness and straightening.
Ingredients: Dang Gui (Angelicae Sinensis Radix, cut and slightly fried), Xi Xin (Asari Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix, radix head removed), Gui Xin (Cinnamomi Cortex), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Yi Yi Ren (Coicis Semen), Xiong Qiong (Ligusticum Chuanxiong Rhizoma, 1 liang each).
Preparation and Administration: Crush and sieve into powder. Take 3 qian bi per dose. Boil in 1 cup of water with half a piece of fresh ginger until reduced to 0.5 cup. Strain and take warm at any time.
Cang Gong Dang Gui Jiu (Master Cang's Angelica Wine), treats Wind-Spasm.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix, 3 liang each), Du Huo (Angelicae Pubescentis Radix, 0.5 liang), Mahuang (Ephedrae Herba, 1.1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed).
Preparation and Administration: Crush into coarse powder. Take 5 qian bi per dose. Boil in 1.5 cups of water and 1 cup of wine until reduced to 1 cup. Strain and take warm.
Long Dan Tang (Gentian Decoction), treats Spasm caused by Wind generated in the Five Zang Organs, occurring dozens of times a day and night.
Ingredients: Fang Feng (Saposhnikoviae Radix), Huang Lian (Coptidis Rhizoma), Cao Long Dan (Gentianae Scabrae Radix et Rhizoma), Bai Jiang Can (Bombyx Batryticatus, fried, 0.5 liang each).
Preparation and Administration: Crush into coarse powder. Take 5 qian per dose. Boil in 2 cups of water until reduced to 1 cup. Strain and take warm.
Cheng Qi Tang (Descending Authority Decoction), treats Gang-Jing (Rigid Spasm). Symptoms include constipation for ten or more days.
Ingredients: Hou Po (Magnoliae Officinalis Cortex, 4 liang, skin removed), Jiang (Zingiberis Rhizoma Freshus, 2 liang, pounded together and dried by baking), Da Huang (Rhei Radix et Rhizoma, 2 liang), Zhi Shi (Immature Bitter Orange, 0.5 liang, wheat bran-roasted, pith removed), Mang Xiao (Natrii Sulfas, 1 liang).
Preparation and Administration: Crush the first four ingredients into powder. Take 3 qian bi per dose. Boil in 1 cup of water until reduced to 0.6 cup. Strain, add Mang Xiao, stir well, and take warm.
Treating Zei-Feng Spasm (from *Bencao*).
Method: Stir-fry iron filings until extremely hot, pour into wine, and drink.
Treating Zhong-Feng Spasm. Symptoms include whole-body tension, locked jaw, and unconsciousness. Suitable for postpartum women.
Method: Use 1 liang of Du Huo as powder. Boil in 1 large cup of wine until reduced to 0.7 cup. Strain, add 1 he of Zhu Li (Bambusa Textilis Sap), divide into two doses.
Treating Zhong-Feng Spasm. Symptoms include locked jaw, blue-green face, urgency and rigidity of hands and feet. Suitable for postpartum women.
Method: Use 1 sheng of Zhu Li (Bambusa Textilis Sap), divide into five doses. Take frequently while slightly warm; highly effective.