金匮续命汤(千金名西州续命)治中风痱身不收口不能言冒昧不知痛处拘急不能转侧
麻黄(三两去节) 桂枝(去皮) 当归 人参 石膏(碎绵裹) 炙甘草(各二两) 川芎(
一两) 杏仁(去皮尖十四枚) 干姜(二两) 上咀水煎
按心肺脾胃肝之药也又太阳经血气药也
千金大续命汤比前方无人参有黄芩荆涩(元戎作竹沥) 局方小续命汤(出千金)治卒暴中
风不省人事半身不遂口眼 斜手足战掉语言謇涩神清气乱及治诸风(云云)
防己 肉桂(去粗皮) 杏仁(去皮尖炒黄) 黄芩 白芍 甘草(煨) 川芎 麻黄(去节)
人参(去芦各一两) 防风(两半) 附子(炮去皮脐半两)
上为粗末每三钱姜五片枣一枚煎
按心肺脾胃肝三焦命门药也
古今录验有白术无杏仁 救急无芎 杏仁只十味 延年无防风 机要春夏加石膏知母秋
冬加桂附芍药
麻黄续命汤 桂枝续命汤 白虎续命汤 葛根续命汤 附子续命汤 羌活连翘续命汤
按续命汤治太阳外感风邪之药然外感挟寒者多故用桂枝等辈千金等方所收此类之药甚多
无分经络不辨虚实寒热所谓虽多亦奚以为易老分六经庶乎活法也
丹溪曰局方比要略少当归石膏多防风附子防己果与仲景意合否也仲景谓汗出则止药局方
则曰久服瘥又曰治诸风似皆非仲景意然麻黄防己可久服乎诸风可通治乎
局方排风汤治风虚冷湿邪气入脏狂言妄语精神错乱及五脏风发等证(详见本方)
白鲜皮 当归(酒浸) 肉桂 白芍
杏仁 甘草(炒) 防风 芎
白术(各二两) 独活 麻黄(去根节) 茯苓(各三两)上粗末每服三钱姜四片水煎
丹溪曰此云治邪气入脏而又曰风发又似有内出之意夫病既在五脏道远而所感深用麻黄以
发其表宁不犯诛伐无过之戒乎
按此与小续命相类而无所发明因世俗用之故收入其余雷同发散风寒者并略去
宝鉴秦艽升麻汤治风寒客手足阳明经口眼 斜恶风寒四肢拘急脉浮紧
升麻 干葛 甘草 芍药 人参(各半两) 秦艽 白芷 防风 桂枝(各三钱)上咀每一
两连须葱白二根同煎
按此治风寒外入阳明经即小续命之变法也古人续命虽有加减之不同大抵多因太阳一经之
药今特留此方以见风邪所伤有六经之异也
宝鉴不换金丹退风散热
羌活 川芎 白附子 乌头 藿香叶 蝎梢(各半两) 荆芥穗 天麻 炙甘草 僵蚕(
各一两) 薄荷(三两) 防风(一两)
上为末炼蜜丸弹子大每一丸细嚼茶酒任下涂 处亦可
按古方治风解表多兼用热剂至守真开发凉剂始行然此等方极多姑存此以见意若防风通圣
散治风热虽佳则又表里之剂也
Jingui Xuming Tang (known as Xizhou Xuming Tang in *Qianjin Fang*) treats stroke fei syndrome, characterized by the inability to control the body, inability to speak, mental confusion with unawareness of pain locations, limb stiffness, and inability to turn or change position.
Herbs: Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove nodes), Cinnamomi Ramulus (Guizhi, 桂枝) (remove bark), Angelicae Sinensis Radix (Danggui, 当归), Ginseng Radix et Rhizoma (Renshen, 人参), Gypsum Fibrosum (Shigao, 石膏) (crushed, wrapped in cotton gauze), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (each 2 liang), Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin and tips, 14 seeds), Zingiberis Rhizoma Recens (Ganjiang, 干姜) (2 liang). The above herbs are cut into pieces and decocted in water.
Note: These are herbs for the Heart, Lung, Spleen, Stomach, and Liver; they are also blood and qi herbs for the Taiyang channel.
Qianjin Daxuming Tang lacks Renshen compared to the previous formula but adds Scutellariae Radix (Huangqin, 黄芩) and Jingjie Li (荆沥) (Yuanrong version uses Bamboo Sap, Zhuli, 竹沥). Jufang Xiaoxuming Tang (from *Qianjin Fang*) treats sudden acute stroke with loss of consciousness, hemiplegia, deviation of the mouth and eye, trembling of hands and feet, dysarthria, and chaotic spirit/clarity, as well as various wind disorders.
Herbs: Stephaniae Tetrandrae Radix (Fangji, 防己), Cinnamomi Cortex (Rougui, 肉桂) (remove rough bark), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin and tips, stir-fried until yellow), Scutellariae Radix (Huangqin, 黄芩), Paeoniae Radix Alba (Baishao, 白芍), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-baked), Chuanxiong Rhizoma (Chuanxiong, 川芎), Ephedrae Herba (Mahuang, 麻黄) (remove nodes), Ginseng Radix et Rhizoma (Renshen, 人参) (remove rhizome, each 1 liang), Saposhnikoviae Radix (Fangfeng, 防风) (1.5 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed, remove skin and navel, 0.5 liang). The above herbs are crushed into coarse powder. Each dose is 3 qian, decocted with 5 slices of fresh ginger and one jujube in water.
Note: These are herbs for the Heart, Lung, Spleen, Stomach, Liver, Sanjiao, and Mingmen.
Gujin Luyan contains Baizhu but lacks Xingren; Jiujie lacks Chuanxiong and Xingren, having only ten ingredients; Yannian lacks Fangfeng. Jiyao adds Shigao and Anemarrhenae Rhizoma (Zhimu, 知母) in spring and summer, and Guizhi, Fuzi, and Baishao in autumn and winter.
Mahuang Xuming Tang, Guizhi Xuming Tang, Baitu Xuming Tang, Gegen Xuming Tang, Fuzi Xuming Tang, Qianghuo Lianqiao Xuming Tang.
Note: Xuming Tangs are herbs for treating external wind pathogen affecting the Taiyang channel. However, external contraction often involves cold, hence the use of Guizhi and similar herbs. Formulas like those in *Qianjin Fang* collect many such herbs without distinguishing channels or differentiating deficiency/excess and cold/heat. As the saying goes, "What good is it if there are many?" Yi Lao (Zhang Yuansu) divided them according to the Six Channels, which represents a flexible method.
Danxi stated: Compared to *Jingui Yaolue*, Jufang Xiaoxuming Tang lacks Danggui and Shigao but adds Fangfeng, Fuzi, and Fangji. Does this truly align with Zhongjing's intent? Zhongjing said "stop medication when sweating occurs," whereas Jufang states "take for a long time until recovery." It also claims to treat all wind disorders, which seems inconsistent with Zhongjing's intent. Can Mahuang and Fangji be taken for a long time? Can all wind disorders be treated universally?
Jufang Paifeng Tang treats wind deficiency, cold-damp pathogenic factors entering the Zang organs, manifesting as delirious speech, hallucinations, mental confusion, and five-organ wind fa (wind flare-up) syndromes (see detailed formula below).
Herbs: Dictamni Cortex (Baixianpi, 白鲜皮), Angelicae Sinensis Radix (Danggui, 当归) (soaked in wine), Cinnamomi Cortex (Rougui, 肉桂), Paeoniae Radix Alba (Baishao, 白芍), Armeniacae Semen Amarum (Xingren, 杏仁), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-fried), Saposhnikoviae Radix (Fangfeng, 防风), Chuanxiong Rhizoma (Chuanxiong, 川芎), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each 2 liang), Angelicae Dahuricae Radix (Duohuo, 独活 - *Note: Duohuo usually refers to Peucedani Radix, but text says Duohuo*), Ephedrae Herba (Mahuang, 麻黄) (remove roots and nodes), Poria (Fuling, 茯苓) (each 3 liang). The above herbs are crushed into coarse powder. Each dose is 3 qian, decocted with 4 slices of fresh ginger in water.
Danxi stated: This claims to treat pathogenic factors entering the Zang organs, yet mentions "wind fa," implying an internal origin. If the disease is in the Five Zang organs, with deep-seated pathology, using Mahuang to release the exterior—does this not violate the warning against punishing the innocent (treating non-existent excess)?
Note: This formula is similar to Xiaoxuming Tang but offers no new insights. Because it is commonly used by the public, it is included here. Other redundant formulas for dispersing wind-cold have been omitted.
Baojian Qinjiao Shengma Tang treats wind-cold lodging in the Foot and Hand Yangming channels, manifesting as deviation of the mouth and eye, aversion to wind and cold, limb stiffness, and floating-tight pulse.
Herbs: Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Gegen, 干葛), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Paeoniae Radix (Shaoyao, 芍药), Ginseng Radix et Rhizoma (Renshen, 人参) (each 0.5 liang), Gentianae Macrophyllae Radix (Qinjiao, 秦艽), Angelicae Dahuricae Radix (Baizhi, 白芷), Saposhnikoviae Radix (Fangfeng, 防风), Cinnamomi Ramulus (Guizhi, 桂枝) (each 3 qian). The above herbs are cut into pieces. For every 1 liang of herbs, decoct together with two green onions including roots.
Note: This formula treats wind-cold externally invading the Yangming channel, representing a modification of Xiaoxuming Tang. Although ancient Xuming Tangs had various modifications, they were largely based on Taiyang channel herbs. This formula is retained here to demonstrate that wind pathogen injury varies across the Six Channels.
Baojian Buhuan Jin Dan dispels wind and clears heat.
Herbs: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Chuanxiong Rhizoma (Chuanxiong, 川芎), Bryoniae Radix (Baifu Zi, 白附子), Aconiti Radix (Wutou, 乌头), Agastaches Folium (Huoxiang Ye, 藿香叶), Scorpio (Xieshao, 蝎梢) (each 0.5 liang), Schizonepetae Spica (Jingjie Sui, 荆芥穗), Gastrodiae Rhizoma (Tianma, 天麻), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草), Bombyx Batryticatus (Jiangcan, 僵蚕) (each 1 liang), Menthae Haplocalycis Herba (Bohe, 薄荷) (3 liang), Saposhnikoviae Radix (Fangfeng, 防风) (1 liang). The above herbs are ground into fine powder and made into pills the size of a bullet with refined honey. Take one pill at a time, chew thoroughly, and swallow with tea or wine. It can also be applied topically.
Note: Ancient formulas for treating wind and releasing the exterior often combined hot-natured herbs. It was not until Shouzhen (Liu Wansu) developed cool-natured formulas that this practice became common. There are many such formulas; this one is preserved to illustrate the intent. While Fangfeng Tongsheng San is excellent for treating wind-heat, it is a formula for resolving both exterior and interior conditions.