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No fixed time of onset. Whenever encountering cloudy and dim weather or wind-cold invasion, with symptoms of unclear mental state and counterflow of phlegm-qi, this formula should be taken in advance.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baifuling (Poria) (each half qian), Muxiang (Aucklandiae Radix) (one fen), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium) (each three qian), Tiantai Wuyao (Linderae Radix) (three qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang, stir-fried with bran), Nanting (Arisaematis Rhizoma) (one weighing half liang, processed, peeled, cut into bean-sized pieces), Fuzi (Aconiti Lateralis Radix Praeparata) (nine qian, processed, peeled, navel removed, sliced).
The above herbs are crushed into coarse powder. Each dose is four qian, decocted with ten slices of large ginger and two jujubes, at any time. (From *Zhu Shi Ji Yan Fang*) Ye's Xingfeng Tang treats hemiplegia on the left side and paralysis on the right side, deviation of the mouth and eyes, tendon spasm and contraction, weakness of hands and feet, and difficulty walking. Remove Qianghuo, Gancao, Baifuling, Renshen, and Chenpi from the base formula, and add Baifuzi (Typhonii Rhizoma), Danggui (Angelicae Sinensis Radix), and Baishaoyao (Paeoniae Radix Alba).

Treats sudden stroke with copious salivation, locked jaw, and loss of consciousness.
Nanmuxiang (Aucklandiae Radix) (half liang, used raw).
Crush the above herb into fine powder. Decoct seven slices of fresh ginger, seven slices of Arisaematis Rhizoma, and fourteen seeds of Trichosanthis Fructus (Gualouzi) in thick decoction to obtain seven-tenths of a cup. Mix with the Aucklandiae Radix powder, wait until warm, and administer by force-feeding. If the jaw is locked and cannot open, there are specific medicines to unlock the jaw, described later (Note: such as wiping the jaw with powder of Ume Fructus (Wumei), Asari Radix (Xixin), and Moschus (Shexiang), or insufflating powder of Gleditsiae Spina (Zaogiao) into the nose). In recent times, physicians treating stroke immediately administer Aconite-based medicines, often resulting in failure to save the patient. This is because stroke causes sudden qi counterflow; hastily administering wind-dispelling medicines is highly inappropriate. Only Aucklandiae Radix can smooth the qi; assisted by ginger, Arisaematis Rhizoma, and Trichosanthis seeds, it can descend the phlegm. Perhaps then the qi will become smooth and the patient will regain consciousness, after which Arisaematis Rhizoma and Aconite can be used. If in an emergency one cannot prepare the aforementioned herbs, urgently administering one or two pills of Suhexiang Wan (Styrax Pills) mixed with Aucklandiae Radix decoction is also excellent. (From *Wei Sheng Shi Quan Fang*)

Various formulas for calming the spirit: Formula for prolonging life and urgently treating lateral wind, where upper-jiao wind-heat passes through the heart, causing mental vagueness, and on cloudy days feeling internal restlessness like being drunk but not quite.
Dan Zhuli (Bamboo Juice) (three sheng; if heat is predominant use more Bamboo Juice, if cold is predominant use more Zhanli Juice), Lingyangjiao (Saigae Tataricae Cornu) (two fen, shaved), Shigao (Gypsum Fibrosum) (ten fen, crushed and wrapped in cotton), Fushen (Poria with Hostwood) (six fen, sliced).
These four ingredients are decocted with one sheng of water and the Bamboo Juice, reduced to one sheng and five he, strained, and divided into three doses taken after meals when digestion is desired. Regular consumption prevents fear of wind attacks. Avoid vinegar products. (From *Wai Tai Mi Yao*)

Treats stroke with aphasia; Gui Xin San is suitable.
Guixin (Cinnamomi Cortex) (one liang), Qianghuo (Notopterygii Rhizoma et Radix) (two liang), Fangfeng (Saposhnikoviae Radix) (two liang, remove radicle), Fuzi (Aconiti Lateralis Radix Praeparata) (one liang, processed until cracked, peeled, navel removed).
Chijian (Atractylodis Chinensis Rhizoma / Tianma) (one liang), Lingyangjiao xie (Saigae Tataricae Cornu, shaved) (one liang), Suanzaoren (Zizyphi Semen) (one liang), Gancao (Glycyrrhizae Radix et Rhizoma) (half liang, honey-fried until slightly red and chopped).
The above herbs are pounded, sifted, and made into a powder. Each dose is four qian, decocted with one zhongzhan of water until reduced to five fen, strained, add one he of Bamboo Juice, boil for one or two boils, and take warm at any time. (From *Sheng Hui Fang*) *Chuan Jia Mi Bao* calls this Jieyu San (*Jian Yi Fang* cites *Zi Shou Fang*, changing powder to decoction). *Sheng Ji Zong Lu* calls it Gui Fu Tang, treating stroke with mental confusion and inability to speak.

Shenxian Jieyu Dan treats wind invading the heart and spleen, causing speech impediment, stiff tongue unable to move, excessive saliva, and treats evil pathogens clashing with yin, internal depression of spirit, blocked heart vessels, and inability to speak.
Shichangpu (Acori Tatarinowii Rhizoma, remove hairs), Yuanzhi (Polygalae Radix, remove heart, boiled with Gancao), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, processed), Quanxie (Scorpio, wine-fried), Qianghuo (Notopterygii Rhizoma et Radix), Niudan Niang Nanting (Arisaematis Rhizoma fermented in ox bile; if unavailable, use processed Arisaematis Rhizoma only), Baijiangcan (Bombyx Batryticatus, fried, each one liang), Nanmuxiang (Aucklandiae Radix) (half liang), Chensha (Cinnabar, finely ground, used appropriately as coating).
Grind into fine powder, make pills with wheat paste size of Sophora japonica seeds. Each dose is 20-30 pills, taken at any time with decoction of fresh ginger and mint. (From *Guan Jian Da Quan Liang Fang*)

Methods for clearing heat: Internal wind qi often transforms into heat, what ancients called "wind arising from fire." This condition should not be treated for wind, but only for heat. *Nei Jing* states: "When wind overflows internally, treat with sweet and cool substances." *Wai Tai Mi Yao* states: "Stroke mostly arises from heat; first take Zhuli Tang." Hejian (Liu Wansu) states: "Excessive heat generates wind; or if heat is slight but wind is severe, treat both wind and heat." Or if wind is slight but heat is severe, treating the heat alone will cause the wind to dissipate naturally. (From *Jin Kui Yi*)

For stroke, if there are exterior manifestations of the six meridians, first treat according to symptoms using Jiajian Xuming Tang; if there is internal obstruction of urination and defecation, treat primarily with Sanhua Tang.
Houpo (Magnoliae Officinalis Cortex), Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix) (equal parts).
Cut into sizes similar to hemp seeds. Each dose is three liang, decocted in three sheng of water until reduced to one and a half sheng, taken throughout the day, stopping when mild laxation occurs, at any time. (From *Bao Ming Ji*) (Note: Neither this nor the next formula is the treatment for internal wind as described by You, but they are indeed formulas for clearing heat in stroke, so listed here together.)

Niuhuang Tongge Tang: If one feels stroke coming for one or two days, and the constitution is excess, urgent purgation is required.
Niuhuang (Calculus Bovis, ground, three qian), Poxiao (Natrii Sulfas, three qian, ground), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each one liang, honey-fried).
For the above four ingredients, except those to be ground, each dose uses one liang. Decoct in two zhan of water, excluding Niuhuang and Poxiao, reduce to one zhan, strain, add half of the ground Niuhuang and Poxiao, mix, and take. Stop when bowel movement occurs. Must have two or three bowel movements; if not loose, take again. Adjust dosage based on deficiency or excess. (From *Wei Sheng Bao Jian*)

In stroke, one must not generally use Daye (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos), or Gansui (Kansui Radix) to purge the large intestine, as this damages yin blood and leads to incurable conditions. Even if one wishes to purge phlegm, or address urinary/fecal obstruction, it is best to use qi-smoothing and intestinal-lubricating agents for mild purgation. If there is toxic heat and phlegm-fire with excess qi and pulse, clearing and draining is appropriate. (From *Yi Jing Hui Jie*)

Post-recovery formulas: Treats all types of paralysis due to wind, Tidan Wan.
Ruxiang (Olibanum, grind in mortar placed in water basin), Moyao (Myrrha, each one liang), Wulingzhi (Trogopterori Faeces, select those resembling rat droppings, four liang), Chuanwu (Aconiti Radix, one and a half liang, processed, peel and tip removed).
First, grind Ruxiang and Moyao finely in a cool place facing the wind. Add one qian of already ground Shexiang (Moschus). Grind the remaining ingredients into fine powder, then mix thoroughly with the previous two. Add drops of water to form pills the size of bullet seeds. Store in porcelain boxes. Each dose is one pill, ground down with mint wine, taken three times daily. (From *Ben Shi Fang*) Commissioner Gao suffered from milder stroke and was cured by Zhang Lingyong, who later prescribed Tidan Wan, found in the modified formulas of *Pu Ji Fang*. Someone asked Zhang: "You often laugh at people taking Tidan Wan for stroke, why do you take it yourself?" Zhang said: "This is a post-recovery medicine. People today use it when the pathogenic factor is still strong, just like an ant trying to shake a tree, not understanding the sequence of treatment." (From *Shi Xing San Liao*)

Some diseases last a lifetime without healing, manifesting as waist stiffness where bending prevents extension or extension prevents bending, similarly in limbs. This is because wind injures the Liver, and the Liver governs tendons, affecting them.
Treatment prioritizes invigorating blood; frequently take Siwu Tang swallowed with Huoluo Dan. (From *Yao Jue*) (Note: Huoluo Dan uses Chuanwu, Caowu, Dilong, Nanting, Ruxiang, Moyao, which is arguably superior to Tidan Wan.)

Renshou Wan treats deficiency of Liver-Kidney qi, invasion of wind-cold, tendon twitching, and deviation of mouth and eyes. Frequently take Bu Gan Wan to circulate Ying and Wei, nourish Qi and Blood.
Fuzi (Aconiti Lateralis Radix Praeparata, processed ripe, peeled, navel removed, one liang), Guixin (Cinnamomi Cortex), Baifuling (Poria), Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Duzhong (Eucommiae Cortex, peeled, ginger-processed, fried until fibers break), Xuduan (Dianthi Radix), Gouqizi (Lycii Fructus), Shudihuang (Rehmanniae Radix Praeparata, washed), Bajitian (Morindae Officinalis Radix), Tusizi (Cuscutae Semen, soaked in wine, wet-ground), Fangfeng (Saposhnikoviae Radix) (each half liang), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, two liang).
Make into powder, honey-pill size of Sophora japonica seeds. Each dose is 30-50 pills, taken before meals with warm wine and salt water. (From *San Yin Fang*)

For stroke, if there are no exterior manifestations of the six meridians and no internal obstruction of urination/defecation, knowing that weak blood fails to nourish tendons, causing immobility of limbs and stiff tongue preventing speech, one should nourish blood so tendons become naturally nourished. Da Qin Jiao Tang is indicated.
Qinjiao (Gentianae Macrophyllae Radix) (three liang), Gancao (Glycyrrhizae Radix et Rhizoma) (two liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (two liang), Danggui (Angelicae Sinensis Radix) (three liang), Baishaoyao (Paeoniae Radix Alba) (two liang), Xixin (Asari Radix et Rhizoma) (half liang), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix) (each one liang), Shigao (Gypsum Fibrosum) (two liang), Wu Baizhi (Angelicae Dahuricae Radix) (one liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang), Shengdihuang (Rehmanniae Radix) (one liang), Shudihuang (Rehmanniae Radix Praeparata) (one liang), Baifuling (Poria) (one liang), Chuan Duho (Angelicae Pubescentis Radix) (two liang).
The above sixteen ingredients are cut. Each dose is one liang, decocted in water, strained, and taken warm at any time. If cloudy weather, add 7-8 slices of fresh ginger. If epigastric fullness, add one qian of Zhishi per liang of herbs. (From *Bao Ming Ji*)

Patient Shengzhipu, elderly, suffered stroke with deficient Qi and Blood, rising Phlegm-Fire, causing slurred speech, pain in limbs, difficulty moving, poor appetite, and weak soft pulse.
Prescribed two cups of human milk (from a healthy woman, preferably sweet) and one cup of sweet pear juice. Place in a silver vessel, heat slightly in a boiling water pot until yellow foam rises and separates the green liquid. Take once after dawn. Simultaneously take Shen Zhu Gao (Ginseng and Atractylodes Paste) warm. This eliminates phlegm and tonifies deficiency. Later, used Buzhong Yiqi Tang added with Wuweizi and Maidong, combined with Banlong Wan original formula, achieving recovery. (From *Wang Shishan Yi An*) (Note: Banlong Wan consists of Luzhirong, Yangqishi, Rongcongrou, Baiziren, Suanzaoren, Huangqi, Danggui, Fuzi, Dihuang, Zhusha - ten ingredients.)

Moxibustion Method: The Yellow Emperor asked Qibo: "When a person suffers stroke with hemiplegia, how should moxibustion be applied?" Qibo answered: "Before stroke occurs, one or two months, or three to five months prior, non-seasonal soreness, heaviness, numbness, and bi-syndrome suddenly appear in the lower legs and shins, resolving only after a long time. This is a sign of impending stroke. Urgently moxa the Zusanli (ST36) and Jiexgu (GB39) acupoints, three moxa cones at each of the four sites. Afterwards, wash the moxa sores with decoction of Congbai (Allii Fistulosi Bulbus), Bohe (Menthae Haplocalycis Herba), Taoliuye (Persicae Folium), and Liuye (Salicis Folium) to drive out wind qi from the sore openings. Moxa sores should be maintained more in spring than autumn, and more in autumn than spring; it is ideal to always have moxa sores on both feet. If people do not believe this method, or indulge in diet and sexual activity, suddenly contracting wind with slurred speech and hemiplegia, moxa seven points simultaneously, three cones each. If wind is on the left, moxa the right; if on the right, moxa the left. 1. Baihui (GV20), 2. Hairline anterior to ears, 3. Jianjing (GB21), 4. Fengshi (GB31), 5. Zusanli (ST36), 6. Jiexgu (GB39), 7. Quchi (LI11). These seven points have immense efficacy, too numerous to record. Following this method ensures cure. (From *Sheng Hui Huang Di Ming Tang Jiu Jing*)

The Sage considers wind the chief of hundred diseases, deeply worrying, thus avoiding wind as one avoids arrows. To defend against wind pathogens, using decoctions, acupuncture, moxibustion, or steaming/warming, any one method can cure. However, moxa has unique power; although needles, decoctions, and powders are inferior, moxibustion is paramount. Formerly, Hua Tuo treated Emperor Wu of Wei's head wind with acupuncture, curing him instantly. Years after Hua Tuo's death, the Emperor's head wind recurred. Hua Tuo had moxed immediately after needling; why did it recur? Because he didn't moxa, the root wasn't removed. Thus, students must not rely solely on needles or decoctions expecting complete cure. Without enduring moxibustion, how can one extract the root? Therefore, despite abundant medicines, the key to therapy lies in moxa. At onset, urgently apply moxa; once applied, the condition stabilizes faster than boiling soup, eyes clear. Is this not crucial? The moxa sequence: first Baihui (GV20), then Fengchi (GB20), then Dazhui (GV14), then Jianjing (GB21), then Quchi (LI11), then Jianshi (PC5), three cones each; then Zusanli (ST36), five cones. Cone size like a cocklebur seed, must be solid; mugwort must be old and mature. Thereafter, moxa daily until reaching age-appropriate cone count. If one feels mental discomfort, moxa these points three cones each; do not neglect. Neglect leads to death. Beware! (From *Qian Jin Yi Fang*)

Qibo said: "To treat wind, use moxibustion. Wind nature is floating and light; if color is red or white with much itching, it is wind-heat. To moxa wind, start small and increase. Maximum: from three, five, seven cones, up to thirty, fifty, seventy cones, named 'from small to large.' Do not exceed one hundred cones in one session. If not moxa, steam medicine and apply warmth. Wind is floating and light, easily dispersed, so start small and increase." (From *Wai Tai Mi Yao*)

Hemiplegia affects both sexes, but men especially should avoid left-side involvement, women right-side. After contracting this disease, wind-dispelling medicines should not be omitted; maintaining moxa sores on the body is beneficial. Most importantly, avoid sexual intercourse. Cultivation practices akin to Daoist/Buddhist methods ensure no further complications. For moxa, first Baihui (GV20), Xinhui (GV22), then Fengchi (GB20), Jianjing (GB21), Quchi (LI11), Hegu (LI4), Huantiao (GB30), Fengshi (GB31), Zusanli (ST36), Jiexgu (GB39). Do not rigidly adhere to 'left disease moxa right, right disease moxa left'; simply moxa tender/painful spots. Bilateral moxa is good, but always from top to bottom. (From *Zhen Jiu Zi Sheng Jing*)

For phlegm-fluid obstruction, sound like sawing, inability to swallow medicine, heavily moxa Guanyuan (CV4) and Dantian (CV11). Excellent. (From *De Xiao Fang*)

Whenever using moxibustion, it must be for sudden collapse of Yuan Yang, or disharmony of Ying, Wei, Qi, and Blood, seeking rapid effect; only moxa fire is good. However, moxa is suitable only for Yang deficiency with cold and meridian stagnation. If Fire is excessive and Metal deficient, Water deficient with dryness, rapid pulse with fever, dry throat, red face, thirst, hot stool, etc., do not recklessly apply moxa. Misuse causes blood to dry and heat to worsen, accelerating danger. For moxa, cones on head/face should be small, not large; on limbs, they can be thicker. Always moxa from top to bottom, never bottom then top. (From *Jing Yue Quan Shu*)

For non-wind sudden syncope/critical conditions, Shenque (CV8). Use clean salt, stir-fried dry, fill umbilicus, cover with thick ginger slice, moxa 100-500 cones, more is better. Replace ginger when burnt. Alternatively use Sichuan pepper instead of salt, or layer pepper-bottom, salt-middle, ginger-top. Dantian (CV11) and Qihai (CV6) connect to Mingmen (GV4), truly the sea of generating Qi and root of meridians; moxa has great effect.

For non-wind connecting to viscera, qi blockage with rising phlegm, coma/unconsciousness: Baihui (GV20), Fengchi (GB20), Dazhui (GV14), Jianjing (GB21), Quchi (LI11), Jianshi (PC5), Zusanli (ST36).

For deviation of mouth and eyes: Tinghui (GB2, moxa near eye), Kerenren (ST7/Sunmen area, moxa near eye), Jiache (ST6, moxa near mouth), Dicang (ST4, moxa near mouth), Chengjiang (CV24, moxa near mouth), Hegu (LI4).

For limb immobility/hemiplegia: Baihui (GV20), Jianjing (GB21), Quchi (LI11), Fengshi (GB31), Huantiao (GB30), Zusanli (ST36), Jiexgu (GB39/Xuanguang). (Same as above)

Sudden stroke collapse: Pathogenic qi violently attacks, true qi sinks, exterior-interior qi communication fails. Moxa disperses pathogen and connects exterior-interior qi. True qi suddenly deficient, Yang severed internally, Yin-Yang unconnected, drugs fail; only moxa can reconnect severed Yang. (From *Jin Kui Yi*)