局方乌药顺气散治风气攻注四支骨节疼痛遍身顽麻及疗瘫痪语言謇涩香港脚步履艰难脚膝
痿弱
麻黄 陈皮 乌药(去木各二两) 白僵蚕(去丝觜妙) 干姜(炮半两) 川芎 枳壳(麸
炒) 甘草(炒) 白芷 桔梗(各一两)
上为细末每服三钱水一盏生姜三片枣一枚煎服
按严氏调气之设或出于此也太阴阳明气药也药性主治恐未必然
白术 白茯苓 青皮 香白芷 陈皮 乌药 人参(各一两) 甘草(炙半两)
上为末每服三钱水煎
按严氏谓真气虚而得此疾法当调气故用此药补虚行气虽此论迥出前人其用药则未也何者
四君
子补脾胃中气药也更用白芷去手阳明经风乌药通肾胃间气陈皮理肺气青皮泄肝气若风果在手
阳明经而肝肺肾胃之气实者可用但人身经有十二皆能中邪五脏之气互有胜负此方安能尽其变
乎又况真气先虚之人亦难用此也
良方治风六合汤治风虚眩运 机要同四物四两 秦艽一作防风 羌活
上粗末水煎服
愈风汤疗产后中风口噤手足螈 如角弓状亦治血晕四支强直
荆芥(略炒为末)
上每服三钱豆淋酒调下用童便亦可其效如神治妇人产后中风口吐涎手足螈
当归 荆芥(等分)
上为细末每服二分水一盏酒少许煎七分灌下之咽即醒
按风本阳邪故内经曰阳受风气又曰贼风虚邪者阳受之所以诸方皆用气分之药多血分之药
少惟此二方以产后得疾多因血虚故专用行血之药
Ju Fang Wu Yao Shun Qi San (Wu Yoxiang Smooth Qi Powder from the Bureau of Imperial Medical Establishment) treats pain in the bones and joints of the four limbs caused by Wind-Pathogen invading, generalized numbness of the body, as well as paralysis, slurred speech, swollen feet making walking difficult, and weakness/atrophy of the feet and knees.
Ephedrae Herba (Mahuang, 麻黄), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Linderac Cortex (Wuyao, 乌药) [woody part removed, each 2 liang], Bombyx Batryticatus (Baijiangcan, 白僵蚕) [silk mouth removed, stir-fried], Zingiberis Rhizoma Ustums (Ganjiang, 干姜) [processed, 0.5 liang], Chuanxiong Rhizoma (Chuanxiong, 川芎), Aurantii Fructus Immaturus (Zhiqiao, 枳壳) [bran-stir-fried], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fried], Angelicae Dahuricae Radix (Baizhi, 白芷), Platycodonis Radix (Jiegeng, 桔梗) [each 1 liang].
Grind the above into a fine powder. Take 3 qian per dose, decoct with 1 zhen of water, 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and 1 Jujubae Fructus (Dazao, 大枣). Decoct and take orally.
Commentary: Yan's Qi-regulating formula may have originated from this prescription; it belongs to the Qi-class medicines of the Taiyin and Yangming channels. However, its properties and indications may not necessarily be as described.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Poria (Baifuling, 白茯苓), Citri Reticulatae Pericarpium Viride (Qingpi, 青皮), Angelicae Dahuricae Radix (Xiangbaizhi, 香白芷), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Linderac Cortex (Wuyao, 乌药), Ginseng Radix et Rhizoma (Renshen, 人参) [each 1 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, 0.5 liang].
Grind the above into a powder. Take 3 qian per dose, decoct with water.
Commentary: Yan states that when this disease arises due to deficiency of True Qi, the treatment method should regulate Qi; thus, this medicine is used to tonify deficiency and move Qi. Although this discussion surpasses predecessors, the choice of herbs is flawed. Why? Sijunzi Tang (Four Gentlemen Decoction) is a medicine for tonifying Middle Qi of the Spleen and Stomach; adding Angelicae Dahuricae Radix to dispel Wind from the Hand-Yangming channel, Linderac Cortex to unblock Qi between the Kidney and Stomach, Citri Reticulatae Pericarpium to regulate Lung Qi, and Citri Reticulatae Pericarpium Viride to drain Liver Qi. If Wind is indeed in the Hand-Yangming channel and the Qi of the Liver, Lung, Kidney, and Stomach is Excess, this formula can be used. However, the twelve meridians of the human body can all be affected by pathogens, and the Qi of the Five Zang organs fluctuates in mutual dominance. How can this single formula account for all variations? Moreover, it is difficult to use for those whose True Qi is already deficient.
Liang Fang Zhi Feng Liu He Tang (Six Harmonies Decoction for Treating Wind from Good Prescriptions) treats dizziness and vertigo caused by Wind-Deficiency. Ji Yao (Essential Requirements) adds Siwu Tang (Four Substances Decoction) 4 liang, Gastrodiae Rhizoma (Qinjiao, 秦艽) [alternatively Saposhnikoviae Radix (Fangfeng, 防风)], Notopterygii Rhizoma et Radix (Qianghuo, 羌活).
Grind into coarse powder. Decoct with water and take.
Yufeng Tang (Wind-Curing Decoction) treats postpartum wind-stroke causing lockjaw, convulsions of the hands and feet, and opisthotonos (body arched like a bow); it also treats blood syncope causing stiffness of the four limbs.
Schizonepetae Spica (Jingjie, 荆芥) [lightly stir-fried and ground into powder].
Take 3 qian per dose, mix with Doulin Jiu (Soybean-infused Wine) or Tongbian (Child's Urine). The effect is miraculous. It treats postpartum wind-stroke in women, characterized by spitting saliva and convulsions of the hands and feet.
Angelicae Sinensis Radix (Danggui, 当归), Schizonepetae Spica (Jingjie, 荆芥) [equal parts].
Grind into a fine powder. Take 2 fen per dose, decoct with 1 zhen of water and a small amount of wine until reduced to 70%. Administer orally; consciousness returns immediately upon swallowing.
Commentary: Wind is inherently a Yang Pathogen. Therefore, Nei Jing (Inner Canon) states "Yang receives Wind" and "Evil winds and vacuous pathogens are received by Yang." Consequently, most formulas use Qi-class medicines and rarely Blood-class medicines. Only these two formulas, because postpartum diseases often result from Blood Deficiency, specifically employ Blood-moving (Blood-invigorating) medicines.