多有此疾。少而肥盛者,间有之,亦是形盛气衰之故,其主在气。彦修曰∶西北气寒,为风
所中,诚有之矣,东南气温,而多湿,其病者非风也。湿生痰,痰生热,热生风也,其主在
湿。丹溪曰∶有气虚,有血虚,有痰甚,皆以风为虚象,究而论之。古书所载,言其证也。
河间以下诸论,言其因也。所谓外中风邪者,必由元精虚弱,荣卫失调,而后感之。所谓因
热,因气,因湿者,未必绝无外邪而作也。治之之法,急则治标,缓则治本。如初病暴仆,
不省人事,痰涎壅盛,急用通关散,化风丹,以开之。舌强不语,两寸口脉浮大而实者,急
吐之,以遏其势。或人迎紧盛,六脉浮弦,用小续命汤表之。其中于脏者,各随其经而理之
,所谓急则治其标也。其或早觉于未发之前,与调治于稍平之后,则清其热,化其痰,补其
血与气,各治其所,因
《脉诀举要》曰∶中风脉浮滑,兼痰气,其或沉滑,勿以风治。盖外有痹痿,气厥,脾
虚,伤食,及吐太过,皆令人猝倒,四肢不举。而中气尤酷,似中风,当慎察脉理。浮弦紧
洪,为中风,沉伏为中气,若中气而用风药,杀人矣。若辨别未清,宁先用顺气散,次用疏
风药,盖治风,亦宜理气也。
治破头风 苍术(火烧)、草乌,共为末,温酒服之,汗出为度。
又方
鱼胶,烧存性,研末,调热酒服之,愈。
治男妇气血衰弱,痰火上升,左瘫右痪,臂体手足疼痛等症 以人乳二酒盏,香甜白者
为佳,以梨舂汁一酒盏,倾放银锡器,入汤内炖滚热,有黄沫起开青路为度。每日五更后一
服,能消痰补虚,生血延寿,乃以人补人,其效无如。即半身不遂者,曾服此方亦效。
固本酒 生地黄二两 熟地黄二两 天门冬一两 麦门冬二两 白茯苓二两 人参二两
用瓷瓶盛好酒十大壶,将前药切片入内浸三日,用文武火煮一二时,以酒黑色为度。如
上热去人参五钱,如下虚寒,将韭子炒黄色,为细末,空心服三五盏,每盏用炒末一钱或五
分,妙难尽述。忌萝卜要紧。
治痰 橘皮(用真洞庭陈者,温水浸,去秽白,取红一片),甘草四两,盐四两。用水
五碗,慢火煮,焙干为末,白汤点服。世医但知用半夏、南星等类,何足语此。
治痰厥方(厥甚者,以吐为上)半夏八两,防风四两,甘草二两(炙)。共为细末,每
服三钱,
治中风失音 并一切风疾。用白僵蚕七枚为末,用酒调服,立效。
治中风 或吐泻,牙关噤,不能下药。用白杨末,不拘多少,揩牙立开,因酸能收敛,
齿必开也。
治偏风 手足不遂。用仙灵脾一斤,细锉,绢袋兜浸酒,春夏三日,秋冬五日,重重封
闭,勿使失气,逐渐开饮,常令熏熏,不得大醉,久之无不效验。合时切忌鸡犬见。
郁金丸 治癫狂数年不愈。郁金七两(真蜀地来者佳),明矾□两。为末,薄荷汤水送
下。或
治中风 通身冷,口噤不知人者。独活四两(去芦)、用好酒四大盏煎,分二三次,热
服。史国公药酒方 专治风痰半身不遂,手足挛拘,不堪行步等症。
防风(去芦)二两 秦艽(去芦)二两 当归二两 羌活二两 白术二两 虎胫骨(碎
炙)一对 萆 (碎炙)二两 鳖甲二两 川牛膝(去芦)二两 油松节(捶碎)二两 杜
仲(姜汁炒) 晚蚕砂(炒黄色)二两 苍耳子(捶碎)四两 枸杞子五两 干茄根(饭上
蒸熟)八两上以布袋盛大坛内,下好酒三十六斤,封口,浸十四日,将坛入锅,悬煮三炷香,
埋土内三日,去火毒。
每日辰午晚,随量饮之。
都梁丸 治头风疼,甚效。用白芷洗净,炼蜜为丸,如弹子大。每服以荆芥煎汤调服。
若因虚头疼,以人参一两,川芎五钱,煎汤服,甚妙。
Many suffer from this disease. Those who are thin and plump occasionally get it, but this is also due to the cause of robust physique with deficient Qi (vital energy), with the key lying in Qi. Yanxiu said: In the northwest, where the climate is cold, being struck by wind pathogen indeed occurs; however, in the southeast, where the climate is warm and dampness is prevalent, the diseases there are not caused by wind. Dampness generates phlegm, phlegm generates heat, and heat generates wind; the key lies in dampness. Danxi said: There are cases due to Qi deficiency, blood deficiency, or severe phlegm accumulation, all of which manifest as "wind" patterns of deficiency. Upon deep investigation and discussion, ancient texts describe the symptoms, while theories from Hejian (Liu Wansu) and others below explain the etiology. What is called external contraction of wind pathogen must occur due to the weakness of primordial essence and disharmony of Ying (nutritive) and Wei (defensive) qi, followed by external infection. Cases attributed to heat, Qi stagnation, or dampness may not absolutely lack external pathogens contributing to the illness. The treatment principle is: treat the branch (acute symptoms) in emergencies, and treat the root (underlying cause) in stable conditions. For example, if a patient suddenly collapses upon onset, loses consciousness, and has abundant salivary phlegm, urgently use Tongguan San (Passing Through Obstruction Powder) and Huafeng Dan (Wind-Resolving Pill) to open the orifices. If the tongue is stiff and speechless, and the pulse at both Cun (inch) positions is floating, large, and excess, urgent emesis should be induced to curb the pathological momentum. Or, if the Renying (Stomach Meridian pulse at the neck) is tight and full, and the six pulses are floating and wiry, use Xiao Xuming Tang (Minor Continuation of Life Decoction) to release the exterior. For those affected internally affecting the Zang organs, treat according to the respective meridians, which is what is meant by "treating the branch in emergencies." If detected early before onset, or treated after stabilization, one should clear heat, resolve phlegm, and tonify blood and Qi, addressing each specific location.
"Mai Jue Ju Yao" states: Wind-stroke presents with a floating and slippery pulse, accompanied by phlegm and Qi issues; if the pulse is deep and slippery, do not treat it merely as wind. This is because external Bi (obstruction) syndrome, Wei (flaccidity) syndrome, Qi syncope, Spleen deficiency, food retention, and excessive vomiting can all cause sudden collapse and inability to move limbs. Among these, Zhong Qi (Qi disorder/impaction) is particularly severe and mimics wind-stroke; thus, pulse differentiation must be cautious. Floating, wiry, tight, and surging pulses indicate wind-stroke; deep and hidden pulses indicate Zhong Qi. Using wind-dispelling herbs for Zhong Qi can be fatal. If differentiation is unclear, it is better to first use Shunqi San (Qi-Smoothin Powder) and then use Shufeng herbs, as treating wind also requires regulating Qi.
To treat Po Tou Feng (Break-head wind/headache): Cang Zhu (Atractylodis Rhizoma, fire-roasted) and Cao Wu (Aconiti Radix, processed), ground into powder together, taken with warm wine, until sweating occurs.
Another prescription:
Yujiao (Fish Maw), roasted until carbonized (charred but retaining properties), ground into powder, taken with hot wine, leads to recovery.
To treat men and women with weak Qi and Blood, rising Phlegm-Fire, left-side paralysis and right-side hemiplegia, pain in arms, body, hands, and feet: Take two cups of human milk, preferably sweet and white; take one cup of pear juice crushed from pears. Pour into a silver or tin vessel, place in a water bath, and boil until hot. When yellow foam rises and separates to reveal the green liquid underneath, it is ready. Take once daily after the fifth watch (early morning). It can eliminate phlegm, tonify deficiency, generate blood, and prolong life. This is "using humans to supplement humans," and its efficacy is unsurpassed. Even patients with hemiplegia have found this prescription effective.
Guben Jiu (Root-Fortifying Wine): Sheng Dihuang (Rehmanniae Radix) 2 liang, Shu Dihuang (Prepared Rehmanniae Radix) 2 liang, Tianmendong (Asparagi Radix) 1 liang, Maimendong (Ophiopogonis Radix) 2 liang, Baifuling (Poria) 2 liang, Renshen (Ginseng Radix) 2 liang. Place good wine in ten large ceramic bottles. Slice the above herbs and soak them inside for three days. Boil using mild and strong fire for one to two hours, until the wine turns black. If there is upper heat, remove 5 qian of Renshen. If there is lower deficiency-cold, stir-fry Jiuzi (Epimedii Fructus) until yellow, grind into fine powder, and take on an empty stomach, 3-5 cups per dose, using 1 qian or 5 fen of the fried powder per cup. The benefits are too numerous to list. Radish must be strictly avoided.
To treat Phlegm: Jupi (Citri Reticulatae Pericarpium, select authentic aged Chendu citrus, soak in warm water, remove the white pith, keep only the red peel), Gancao (Licorice Root) 4 liang, Salt 4 liang. Use five bowls of water, simmer slowly until dry, bake dry, and grind into powder. Take with plain boiled water. Physicians of the world only know how to use Banxia (Pinelliae Rhizoma) and Nanting (Arisaematis Rhizoma), which is hardly worth mentioning compared to this method.
Formula for Tan Jue (Phlegm Syncope) (For severe syncope, emesis is preferred): Banxia (Pinelliae Rhizoma) 8 liang, Fangfeng (Saposhnikoviae Radix) 4 liang, Gancao (Licorice Root, honey-fried) 2 liang. Grind into fine powder. Take 3 qian per dose.
To treat Wind-stroke with loss of voice and all wind disorders: Use Bai Jiangcan (Bombyx Batryticatus) 7 pieces, grind into powder, mix with wine and take, immediate effect.
To treat Wind-stroke: If vomiting and diarrhea occur, jaw clamps shut, preventing medication intake. Use Baiyang Mo (Populus Alba Bark Powder), amount unspecified, rub against teeth. The teeth will immediately open because sourness causes contraction/astringency, forcing the teeth apart.
To treat Pian Feng (Hemiplegia/Palsy): Use Xianlingpi (Epimedii Folium) 1 jin, finely chopped, soaked in wine in a silk bag. Soak for 3 days in spring/summer, 5 days in autumn/winter. Seal tightly multiple times to prevent gas escape. Drink gradually, keeping the patient slightly intoxicated, but not drunk. Over time, efficacy is assured. Avoid letting chickens or dogs see the preparation process.
Yujin Wan (Curcuma Pill): Treats manic-depressive psychosis lasting years without cure. Yujin (Curcumae Radix, authentic Sichuan origin is best) 7 liang, Mingfan (Alumen) [missing character] liang. Grind into powder, take with Mint decoction water. Or...
To treat Wind-stroke: Whole body cold, jaw locked, unconscious. Duohuo (Angelicae Pubescentis Radix) 4 liang (remove rhizome), decoct in four large cups of good wine. Divide into 2-3 doses, take hot.
Shiguo Gong Yao Jiu (Minister Shi’s Medicinal Wine): Specifically treats hemiplegia due to wind-phlegm, spasticity and contracture of limbs, difficulty walking, etc.
Fangfeng (Saposhnikoviae Radix, remove rhizome) 2 liang, Qinjiao (Gentianae Macrophyllae Radix, remove rhizome) 2 liang, Danggui (Angelicae Sinensis Radix) 2 liang, Qianghuo (Notopterygii Rhizoma et Radix) 2 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Hu Jinggu (Pantheris Os, crushed and roasted) 1 pair, Bixie (Dioscoreae Hypoglaucae Rhizoma, crushed and roasted) 2 liang, Biejia (Testudinis Carapax et Plastrum) 2 liang, Chuan Niuxi (Achyranthis Bidentatae Radix, remove rhizome) 2 liang, You Songjie (Taxilli Ramulus, crushed) 2 liang, Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Wancan Sha (Bombyx Batryticatus, stir-fried yellow) 2 liang, Can'erzi (Xanthii Fructus, crushed) 4 liang, Gouqizi (Lycii Fructus) 5 liang, Gan Qiegen (Solanum Melongena Root, steamed over rice) 8 liang. Place the above herbs in a cloth bag into a large jar. Add 36 jin of good wine. Seal tightly. Soak for 14 days. Place the jar in a pot, suspend and boil for the duration of three incense sticks. Bury in soil for 3 days to remove "fire toxicity."
Drink appropriately at Chen (7-9 AM), Wu (11 AM-1 PM), and evening times.
Duliang Wan (Duliang Pill): Treats head wind pain, very effective. Wash Baizhi (Angelicae Dahuricae Radix), refine honey to make pills the size of bullet seeds. Take each time mixed with Jingjie (Schizonepetae Spica) decoction. If the headache is due to deficiency, take Renshen (Ginseng Radix) 1 liang and Chuanxiong (Chuanxiong Rhizoma) 5 qian, decocted in water, which is excellent.