【半身不遂之症】身发寒热，暴仆卒倒，醒后或左或右，偏废不用；或痛或木，或热
或冷，二便赤涩。此外感半身不遂之症也。
【半身不遂之因】起居不慎，卫气不固，风邪入于经络，邪踞不散，气血阻绝，则半
身为之废矣。
【半身不遂之脉】或病左，左手无脉。病右，右手无脉。或病左，左脉反大。病右，
右脉反大。
【半身不遂之治】脉洪大者，宜祛邪涤热，大秦艽汤。外邪抑遏，脉伏不出者，加减
续命
汤，散其表邪；痰火壅闭经络，脉伏不出者，三化汤、导痰汤，清其壅滞，则脉出而手足自
如。
大秦艽汤
加减续命汤
三化汤 以上三方。见前中风。
导痰汤
南星 半夏 枳实 甘草 橘红
【半身不遂之症】或一手一指，先见麻木，一年半载，渐渐不能举动，此病起
火内作，忽尔僵仆，少顷即苏，半身不能举动，此病因于火而急者。二者皆无表邪形象，故
曰内伤半身不遂也。
【半身不遂之因】或气凝血滞，脉痹不行；或胃热生痰，流入经隧，踞绝道路，
气血不得往还；或浩饮所伤，酒湿成瘫，则半身不遂之症作矣。
【半身不遂之脉】沉涩血痹，沉滑结痰，沉数酒湿，脉虚气亏，脉细血少。
【半身不遂之治】血痹者，活血汤；结痰者，二陈汤加竹沥、生姜；酒湿成瘫者，戒
酒，服散湿热之药，葛花平胃散，或加栀、连，或栀连二陈汤；若气虚补气，血少补血。
活血汤
当归 赤芍药 红花 丹皮 川芎 泽泻 郁金 木通 秦艽
二陈汤 见痰饮。
葛花平胃散
葛花 苍术 浓朴 广皮 甘草
有热，加山栀、黄连。栀连二陈汤，即二陈汤加栀、连。
[Symptoms of Hemiplegia] The body experiences alternating chills and fever, sudden collapse and fainting. Upon waking, one side (left or right) is paralyzed and unusable; there may be pain or numbness, heat or cold sensations, and dark, scanty, or painful urination and defecation. These are the symptoms of hemiplegia caused by external pathogens.
[Etiology of Hemiplegia] Carelessness in daily life leads to insecure Wei Qi (Defensive Qi), allowing Wind Pathogens to enter the meridians. When pathogens lodge and do not disperse, Qi and Blood become obstructed and cut off, resulting in paralysis of half the body.
[Pulse Signs of Hemiplegia] If the disease is on the left, the left wrist pulse is absent. If on the right, the right wrist pulse is absent. Alternatively, if the disease is on the left, the left pulse is surprisingly large (Hong Da); if on the right, the right pulse is surprisingly large.
[Treatment of Hemiplegia] For a large pulse, it is appropriate to dispel pathogens and clear heat using Da Qin Jiao Tang (Great Notopterygium Decoction). If external pathogens are suppressed and the pulse is hidden/faint, use Jia Jian Xu Ming Tang (Modified Life-Prolonging Decoction) to scatter exterior pathogens. If Phlegm-Fire obstructs and closes the meridians and the pulse is hidden/faint, use San Hua Tang (Three Transformations Decoction) and Dao Tan Tang (Phlegm-Resolving Decoction) to clear stagnation; then the pulse will reappear and hand and foot movements will naturally recover.
Da Qin Jiao Tang
Jia Jian Xu Ming Tang
San Hua Tang: The above three formulas are referenced in the preceding section on Stroke.
Dao Tan Tang
Arisaema Cum Bile (Nanxing) Pinellia Rhizome Preparatum (Banxia) Immature Bitter Orange (Zhishi) Licorice Root (Gancao) Tangerine Peel (Juhong)
[Symptoms of Hemiplegia] Or, numbness appears first in one hand or finger. Over a year or half a year, movement gradually becomes impossible. This arises from Fire Pathogens acting internally, causing sudden stiffness and collapse, followed by quick recovery but inability to move half the body. This is an acute condition due to Fire. Neither case presents signs of Exterior Pathogens, hence they are termed Hemiplegia caused by Internal Injury.
[Etiology of Hemiplegia] It may be due to Qi Stagnation and Blood Stasis, with meridian obstruction preventing flow; or Stomach Heat generating Phlegm, which flows into the vessel tunnels, blocking the pathways so that Qi and Blood cannot circulate; or injury from excessive drinking, where Dampness from alcohol transforms into Paralysis, thus producing the symptoms of hemiplegia.
[Pulse Signs of Hemiplegia] Blood Bi (Obstruction) presents with a deep and choppy pulse; Phlegm accumulation presents with a deep and slippery pulse; Alcohol-Dampness presents with a deep and rapid pulse; Qi Deficiency presents with a deficient pulse; Blood Deficiency presents with a thin pulse.
[Treatment of Hemiplegia] For Blood Bi, use Huo Xue Tang (Blood-Invigorating Decoction); for Phlegm accumulation, use Er Chen Tang (Two-Aged Decoction) added with Bamboo Sap (Zhuli) and Fresh Ginger (Shengjiang); for Paralysis due to Alcohol-Dampness, abstain from alcohol and take herbs that dissipate Damp-Heat, such as Ge Hua Ping Wei San (Kudzu Flower Stabilizing the Spleen Powder), or add Gardenia (Zhizi) and Coptis Rhizome (Lianhua), or use Zhi Lian Er Chen Tang (Gardenia-Coptis Two-Aged Decoction). If Qi is deficient, tonify Qi; if Blood is deficient, nourish Blood.
Huo Xue Tang
Angelica Sinensis Radix (Danggui) Red Peony Root (Chishaoyao) Carthamus Flower (Honghua) Moutan Bark (Danpi) Ligusticum Chuanxiong Rhizome (Chuanxiong) Alisma Rhizome (Zexie) Curcuma Aromatica Rhizome (Yujin) Akebia Caulis (Mutong) Notopterygium Rhizome et Radix (Qinjiao)
Er Chen Tang: Refer to the Phlegm-Fluids section.
Ge Hua Ping Wei San
Puerariae Flos (Ge Hua) Atractylodes Macrocephala Rhizome (Cangzhu) Magnolia Officinalis Bark (Houpo) Citrus Reticulata Pericarpium (Guangpi) Licorice Root (Gancao)
If there is Heat, add Gardenia (Zhizi) and Coptis Rhizome (Lianhua). Zhi Lian Er Chen Tang is Er Chen Tang added with Zhizi and Lianhua.