煎药大法∶每剂水二钟，煎八分。渣用水钟半，煎七分。如剂大，再水一钟，煎半钟，剂轻水
减。小儿药水量用之，补汤须是熟，利药不嫌生。熟者多水煎，生者少水浸透，数沸即滤服。用桑
柴火不缓烈，取几分者，必准其数。汁有余则药力未得尽出，汁过少则药味耗涸焦枯，及倾番滚出
皆无效。必宜至亲监督，切勿专委仆婢。若外有煎成磨调、化入之药，并煎药引，极宜点检。
服药大法∶如细丸汤送。大丸及末药先以汤少许调匀，添汤咽下。服煎丸时候，如头目咽舌、
止嗽安神，心肺上焦药、末药，大丸噙化，及水叠细丸，俱宜食后临睡服。煎药少哈细咽。喉项药
，去枕卧床徐服，令药气在上也。如散郁、宽胸快气、进食、脾胃中膈药，水叠桐子大，及黄米粉
、神曲糊丸，宜半饥饱、午饭前服，药居中也。如腹病、泻痢、膝股腿足、肾肝下部药，宜蜜蜡酒
醋糊丸，空心食前顿服，更以干物压或顿足使药行于下也。寒药热服，热药温服，附子药冷服。如
呕证药不能下者，另捣生姜及陈皮数钱，炒糯米百粒泡汤，哈药一口，饮汤送之，令人摩胸，药可
咽下。如医留药多剂，倘病有变迁，天时寒暄更改，药宜止服。
（附∶四肢不举 口眼 斜 诸类中风 酒厥 食厥 预防中风）
经曰∶风之伤人也，或为寒热，或为热中，或为寒中，或为疠风，或为偏枯，或（疑作“均”
为风也。）
又曰∶风者，百病之长也。至其变化，乃为他病也，无常方，然致有风气也。又曰∶诸风掉眩
，皆属肝木。所谓理，中风大法有四∶一曰偏枯，半身不遂也；二曰风痱，四肢不收也；三曰风 ，
奄忽不知也；四曰风痹，诸痹类风也。古名医概以外中风邪立论定方，谓人有勇怯，气有盛衰，邪
有微甚，中有浅深。分中腑、中经可治，中脏难痊。中腑小续命汤解表，中经大秦艽汤调养，中脏
三化汤攻里。后贤乃分西北地高土燥，则真中风邪者有之；东南地卑土湿，皆湿生痰，痰生热，热
生风也。刘河间谓将息失宜，君相五志，七火妄动，肾水亏虚，不能制之。热气拂郁，心神昏愦而
卒倒也，宜防风通圣散之类。李东垣谓年逾四十，阴气半衰，或因七情，致伤其气，或肥浓者，亦
是形盛气衰故耳，宜补中益气汤之类。朱丹溪谓多属湿痰，有气血虚者，宜六君子汤之类。以三先
生之论，悉属内因，主火、主气、主湿痰为本，则脏腑经络，荣卫气血，亦以诸邪致损。故腠理不
密，外邪易侵，则风为标矣。以历年试
之，有暴感盛怒，肝木之风实甚而忽倒者，其证喉无痰声，目瞑口合，肢冷脉沉，乃中气也。有卒
中者，多因处于顺境，恣帏幕之乐；或年已五八后，阴气半衰而犹纵欲；或年近八八，精绝而不断
淫，致水竭火腾，销烁真阴，煎熬津液，凝泣为痰，随气升降，四肢百骸无所不至，更以浓味醇酒
补助其阳，阳实阴虚，气血日耗，虽外之动作如常，内之脏腑荣卫精髓竭矣。蓦然痰火上逼，壅塞
清道，出入顿废，僵仆不省。其证面赤汗流，眼合口干，喉中痰声如锯，涎沫涌溢，势如釜沸，随
呼吸而溅出唇吻，并见种种恶候。汤药不受，服牛黄丸，更用陕西牛黄数分灌之，无功，不适时而
毙。若有生者，则我未之见。有老年惟因七情、劳役，气血亏伤，神明失守，奄忽而作，不省人事
，喉无痰壅，但 鼾之状，虽数日不醒，进药得宜，可至痊愈。不可骤进牛黄、冰、麝及大戟、甘
遂、芫花损血耗气。忌利小便，以夺津液。先进清痰顺气之药，少兼疏风，接服大秦艽汤之类，应
变而施可安。《脉经》曰∶脉微而数，中风使然。滑而大者为痰，沉而实者为气，浮迟吉，急数凶
。治法∶宜提顶发，掐人中，以皂角末吹入鼻，或生半夏末，或北细辛末取喷嚏，得嚏可治，无嚏
不治。口噤者，用细辛、南星末泡乌梅捣，擦牙自开。或盐梅、或单用乌梅擦，随以生姜自然汁灌
之，次灌稀涎散吐痰；痰盛者，瓜蒂散。虚老人，参芦煎汤吐。口噤者，鼻中灌之。令患人覆身，
鸡毛蘸生桐油，或灯窝油绞口，痰涎吐尽可苏。虚而不胜吐者，用陈年锻石、靛青调灌，痰降。或
滚痰丸、牛黄豁痰丸（方见痰门）调下，痰降可治。或灸百会、关元、气海、人中，少苏煎主方服，随
证加减。中气证，先以苏合香丸（方见中寒）灌之。口噤先以半丸擦齿，次宜八味顺气散、枳桔二
陈汤、乌药顺气散、苏子降气汤（气门）选用。审的因暴怒所致，气平自复，不药可安。凡疑
似难明，先服摄生饮（方见类中风）。痰热盛者，宜主方加黄连、枳实。
主方 （顺气逐痰） 陈皮 半夏 白茯苓 人参 白术 乌药 南星 天麻 僵蚕 白芷（等分） 甘草
（减半） 上加生姜五片，水煎成，入竹沥半小杯，生姜自然汁五匙，服。
加减方通连瘫痪（见后）参酌。方者法之体，法者方之用。
中腑者，手足偏废，面显五色，恶风寒，拘急，先小续命汤一剂解表。有汗及夏月去麻黄；汗
多加黄 ；有热去附子；血虚加当归。次以主方加川芎、香附、羌活、防风（各八分）、细辛、桂枝（各
三分。）减人参、白术、僵蚕、天麻。忌牛黄、冰、麝，能通关利窍，反引邪深入。
中经者，口眼 斜，舌强难言，外无六经形证，内无便溺阻涩。主方加菖蒲、远志、黄连、枳
实、麦门冬。无汗加羌、防、麻黄、川芎、葱头，去人参、白术、僵蚕、天麻；汗多加白芍、桂枝
、黄 ，去白芷、天麻。次服大秦艽汤。
中脏者，邪极深也。九窍不利，二便秘涩，痰声如锯，先服三化汤利便，兼服牛黄丸。次主方
加当归、川芎、芍药、羌、防、枳实、秦艽；减乌梅、白芷、僵蚕、天麻。便秘有痰，滚痰丸（痰门）。
左瘫属血与风，血虚合四物汤，死血加桃仁、红花。风加羌活、防风、蒺藜；火加芩、连；手
不遂加黄芩（酒炒）、桂枝；足不遂加黄柏、牛膝。
右痪属气与痰。气滞加枳壳、桔梗、紫苏子、枇杷叶、郁金；气虚加黄 、参、术；痰盛加栝
蒌、贝母、天粉、海石、白附、白芥子、皂荚、天竺黄、玄明粉之类；风疾加白附、全蝎；实人用荆
、沥；
火盛加芩、连、栀子；血虚加四物；自汗加黄 、白芍、桂枝；身体痛加羌活、苍术、酒芩；头痛
加川芎、细辛、荆芥、蔓荆子；顶痛加 本、酒芩；心虚加远志、石菖蒲；惊悸加酸枣仁、麦门冬
、茯神、竹茹；肥人栝蒌、贝母、黄连、黄芩、羌活、防风、荆芥、灵仙、薄桂，少加附子；瘦人
合四物、三黄（俱酒炒）；呕不止加藿香、磨木香。如风热已清，宜天门冬、麦门冬、当归、芍药、菊
花、枸杞、郁金、淮生地、五味子、黄柏、黄 、牛膝、人乳之类。悉以主方加减。大便秘，滚痰
丸、搜风顺气丸多服，后服虎潜丸（方见虚损）及大补气血、滋培元本之药。
小续命汤 中腑不省人事，手足战掉，语謇痰盛，筋脉拘急，不能屈伸，痛难转侧，半身不遂
等证。香港脚缓弱，久病风人亦服。
防风（三钱） 桂心 黄芩 杏仁 芍药 甘草 川芎 麻黄 人参（各钱四分） 防己（二钱） 附子
（七分）
上作二服。水钟半，姜五片，枣一枚，煎服，取微汗。无汗恶寒，麻黄、杏仁、防风各加一倍
；有汗恶风，桂枝、芍药、杏仁各加一倍；身热无汗，不恶寒，加知母、石膏各钱四分，减附子；
身热有汗恶风，加葛根一钱，黄芩、桂心各加一倍；无汗身凉加干姜一钱，附子、甘草各加一倍；
有汗无热，桂、附、草各加一倍；汗多加黄 。如有杂证，相仍随宜加减。
大秦艽汤 中经脉者，外无六经表证，内无便秘里证，乃血弱不能养筋，故手足不能运动，舌
强难言，口眼 斜，宜养血舒筋。
秦艽 石膏（各一钱） 甘草 川芎 当归 芍药 羌活 独活 防风 黄芩 白芷 白术 生地 熟地
茯苓（各七分） 细辛（五分）
上加姜、枣，水煎服。遇天阴，姜七片；春夏加知母一钱；心下痞加枳实。
三化汤 中脏九窍不利，有表证。先服小续命，次此汤通便溺。
大黄 枳实 浓朴 羌活（各二钱五分）
上水煎服。
愈风汤 通治诸风初觉，不致倒仆，治未病圣药。又中风内邪已除，外邪未尽，此方加减常服
。久则清浊自分，荣卫自和。
羌活 甘草 防风 当归 蔓荆子 川芎 细辛 黄 枳壳 人参 麻黄 白芷 甘菊 薄荷 枸杞子 知母
地骨皮 独活 秦艽 黄芩 芍药（各三两） 苍术 生地（各四两） 肉桂（一两）
上锉，每服一两，水二钟，生姜三片，煎，空心服，渣再煎。欲汗加麻黄一钱；欲利加大黄一
钱；大寒后加半夏、人参、柴胡各三分；谷雨后加石膏、黄芩、知母各三分；季夏加防风、白术、
茯苓各三分；大暑后加浓朴、藿香各三分，肉桂半分；霜降后附子、肉桂各半分，当归三分。
防风通圣散 诸风潮搐，手足螈 ，邪热暴甚，肌肉蠕动，遍身 疹疙瘩，头痛目赤，一切属
风、属火证神效。小儿急惊、痧喑。
滑石（三钱） 防风（一钱二分） 甘草（一钱） 当归 石膏 黄芩（各八分） 桔梗（八分）
麻黄（夏减半） 芍药 连翘 薄荷 栀子 川芎 芒硝（各四分） 白术 荆芥（各三分）
上加生姜，水煎服，入硝。热盛便秘，量虚实加大黄（有汗去麻黄；）头痛加羌活、白芷、葱
头；喘嗽加桑皮、杏仁、半夏、桔梗、冬花、紫菀；目肿赤瘴加羌活、赤芍、木贼、蒺藜、菊花、
决明、蔓荆、蝉蜕；鼻浊涕，每两加薄荷、黄连（各一钱），小便淋闭去麻黄，倍滑石、连翘，加木通
；小儿急惊加大黄、栀子、茯神，调辰砂服。
乌药顺气散 一切风气攻注走痛，手足瘫痪，骨节拘挛、麻木。
乌药 陈皮（各二钱） 麻黄 枳壳 桔梗 白芷 川芎（各一钱） 僵蚕 干姜（炮。各五分） 甘草
（炙，三分）
上姜三片，枣一枚，水煎服。中风一身麻木，加人参、白术、当归、麦冬。先服此，次进风药
。久病去麻黄，加羌活、防风、南星、半夏；遍身痛加当归、官桂、乳香、没药；臂痛加桂枝、苍
术、羌活、防风；脚膝肿痛加牛膝、薏苡仁；腰痛加杜仲、故纸、茴香；手足冷痹加附子、肉桂；
胸满加蓬术、三棱。
搜风顺气丸 治三十六种风，七十二般气。肠胃积热，胸膈痞闷，大便闭，小便涩，肠风痔
漏，肢节麻痛，手足瘫痪，语謇。孕妇勿服。
大黄（五两，酒蒸九次） 车前子（二两五钱，酒浸） 槟榔 牛膝 山药 麻仁 菟丝饼 山茱萸
郁李仁（各二两） 防风 枳壳 独活（各一两）
上为末，蜜丸桐子大，每服三十丸。早酒或米汤，临睡茶汤下。
瓜蒂散 诸风痰壅，膈食诸痫，胀满，吐后服降火利气清神药。
瓜蒂（炒研），每服实人一钱，虚、老五分，茶末（二分半），酸齑汁调下。风痫加全蝎末
五分；肿胀加赤小豆。宜晴天午前空心服。不止，用麝香少许，白汤送下。煮淡豆豉汁调尤佳。
稀涎散 中风涎潮，气闭膈塞不通，郁结，关格，喉蛾诸痰证。
皂荚（不蛀者炙，去弦，猪牙尤佳） 明矾
等分研末，每服一钱，白汤调下。不止，陈皮、姜汤。
史国公浸酒仙方 瘫痪筋挛，半身不遂，干湿香港脚，湿滞经络不宣，诸气。
木瓜（五两） 川萆 白僵蚕 续断 五灵脂 牛膝 天麻 白芍 乌药 威灵仙 黄 松节 当归
虎骨（打极细） 防风（各一两）
上用无灰酒一斗，浸药二七日，紧封日足，取药晒干，研末。每服二钱，药酒调下。酒完米汤
下。
丸 中风不语，口眼 斜，时吐涎沫，四肢麻痹，遍身酸软。
草（五月五日、六月六日采叶，阴干）
煮酒，入蜜少许，拌匀，甑内蒸过，晒燥。如此九次，捣末，蜜丸桐子大。每服百丸，空心，
酒或米汤下。
灵仙丸 通十二经脉，去宿垢，微利不泻，口眼 斜，疠风、头风、癜风、皮肤瘙痒，手足
顽麻、疥癣、腰重阴肿，妇人月闭诸证。
威灵仙（洗净焙干）
上为末，好酒拌润，入竹筒内塞口，九蒸九晒，炼蜜和丸如桐子大。每服二十丸，酒下，朝服
暮效。外灵仙煎洗。
八味顺气散 即四君子汤加陈皮、青皮、乌药、白芷，水煎服。
神气不清，凉膈散加青黛、蓝根为末，蜜丸弹大，朱砂、金箔为衣，临睡茶下。风虚眩运，四
物汤（四两） 加秦艽、羌活（各半两），每服五钱，水煎服。四肢不收，恍惚不言，竹沥、生葛（
汁，各二升、）生姜（汁，二合）和分三服。中风多热，痰盛，常服竹沥、荆沥、姜汁（减半）和
匀，五合温服。
简便方
瘫痪诸风取汗∶紫背浮萍（七月半收），摊竹筛内，下着水盆，晒干研细末，炼蜜和丸弹子大。每
服二丸，细黑豆煎酒调下，暖室、盖，大汗出。
通治诸风∶苍耳草（端阳日采），研末，蜜丸桐子大。每服二十丸，日三服，酒下。若有风处如麻
豆粒起，此风毒出也，针刺，黄汗出愈。
General Principles of Decoction: For each prescription, use two *zhong* (a traditional Chinese unit of volume) of water and decoct until eight-tenths remains. Add one and a half *zhong* of water to the dregs and decoct until seven-tenths remains. If the dosage is large, add another *zhong* of water and decoct until half a *zhong* remains; if the dosage is light, reduce the water amount. Adjust the water quantity for pediatric prescriptions accordingly. Tonifying soups must be thoroughly cooked, while purgative medicines do not mind being undercooked. Thoroughly cooked medicines require more water for decoction; undercooked medicines require less water, just enough to soak through, boil a few times, then filter and take. Use mulberry branch fire, which is neither too slow nor too fierce. The amount of liquid obtained must be measured accurately. Excess liquid means the medicinal power has not been fully extracted; too little liquid means the medicinal flavor is exhausted, scorched, or dried up. Spilling or boiling over renders it ineffective. It must be supervised by a close relative, never solely entrusted to servants or maids. Any medicines that need to be ground and mixed after decoction, or dissolved into the medicine, as well as the guiding agents for taking the medicine, must be carefully checked.
General Principles of Taking Medicine: Fine pills should be taken with decoction. Large pills and powdered medicines should first be mixed evenly with a small amount of decoction, then swallowed with more decoction. Timing for taking decoctions or pills: For medicines treating the head, eyes, throat, and tongue; stopping cough; calming the spirit; medicines for the Heart, Lung, and Upper Jiao (*Shang Jiao*, upper burner); powdered medicines; large pills held in the mouth to dissolve; and water-pelleted fine pills, it is suitable to take them after meals and before going to sleep. Take decoctions slowly and sip finely. For medicines treating the throat and neck, lie down without a pillow and take slowly so that the medicinal qi acts on the upper part. For medicines dispersing stagnation, relaxing the chest, promoting Qi flow, improving appetite, or treating the Spleen, Stomach, and Middle Jiao (*Zhong Jiao*, middle burner), as well as water-pellets the size of paulownia seeds, yellow rice flour pills, or *Shenqu* paste pills, it is suitable to take them when half-hungry, before lunch, so that the medicine resides in the middle. For abdominal diseases, diarrhea, dysentery, knee, thigh, leg, foot conditions, or medicines for the Kidney and Liver lower parts, it is suitable to take honey-wax, wine, vinegar, or paste pills on an empty stomach before meals in one dose, and press down with dry food or stomp feet to guide the medicine downward. Cold-natured medicines should be taken hot; heat-natured medicines should be taken warm; Aconite (*Fuzi*) medicines should be taken cold. If vomiting prevents taking medicine, crush fresh ginger and Tangerine Peel (*Chenpi*) for a few *qian*, stir-fry one hundred grains of glutinous rice, soak in hot water, take one mouthful of the medicine, and wash it down with the rice water, while someone massages the chest, allowing the medicine to be swallowed. If the doctor prescribes multiple doses, stop taking the medicine if the condition changes or if the weather shifts between cold and warm.
(Attachment: Limbs unable to move, facial paralysis, various types of Stroke (*Zhong Feng*), Wine Syncope (*Jiu Jue*), Food Syncope (*Shi Jue*), Prevention of Stroke)
The *Classic* says: When Wind pathogen attacks the human body, it may manifest as chills and fever, or Heat in the Middle (*Re Zhong*), or Cold in the Middle (*Han Zhong*), or Leprosy-like wind (*Li Feng*), or hemiplegia (*Pian Ku*), or (suspected to mean "uniform") Wind disease.
It also says: Wind is the chief of all diseases. When it changes, it becomes other diseases, without fixed patterns, yet the cause is always Wind Qi. It also says: All Wind diseases causing tremors and dizziness belong to Liver Wood. The principle of Stroke (*Zhong Feng*) generally has four categories: First is Pian Ku (hemiplegia, inability to move half the body); Second is Feng Fei (inability to control limbs); Third is Feng Chi (sudden loss of consciousness); Fourth is Feng Bi (various Bi syndromes resembling Wind). Ancient famous doctors generally established formulas based on external Wind pathogen invasion, stating that people vary in courage and cowardice, Qi varies in excess and deficiency, pathogens vary in slightness and severity, and depth of invasion varies. They distinguished between invasion of the Fu organs (*Zhong Fu*) and meridians (*Zhong Jing*), which are treatable, and invasion of the Zang organs (*Zang*), which are difficult to cure. Invasion of Fu organs is treated with Xiao Xuming Tang (*Minor Continuation Life Decoction*) to release the exterior; invasion of meridians is treated with Da Qin Jiao Tang (*Major Ligusticum Decoction*) to nourish and regulate; invasion of Zang organs is treated with San Hua Tang (*Three Transformations Decoction*) to purge the interior. Later scholars distinguished that in the northwest, where terrain is high and soil is dry, true external Wind invasion occurs; in the southeast, where terrain is low and soil is damp, dampness generates Phlegm (*Tan*), Phlegm generates Heat, and Heat generates Wind. Liu Hejian stated that improper lifestyle leads to the movement of Ministerial Fire and Five Emotions, excessive internal fires, deficiency of Kidney Water failing to control them. Rising Heat causes stagnation, confusion of the Heart Spirit, and sudden collapse; Fangfeng Tongsheng San (*Saposhnikovia Unblocking Heroic Powder*) is suitable. Li Dongyuan stated that after age forty, Yin Qi halves; due to Seven Emotions (*Qi Qing*), Qi is injured; or those who are obese have strong bodies but weak Qi, suitable for Buzhong Yiqi Tang (*Tonify the Middle and Augment the Qi Decoction*). Zhu Danxi stated it mostly belongs to Damp-Phlegm, with Qi and Blood deficiency, suitable for Liu Junzi Tang (*Six Gentlemen Decoction*). Based on these three masters' theories, all belong to internal causes, focusing on Fire, Qi, and Damp-Phlegm as the root, thus damaging Zang-Fu organs, meridians, Ying and Wei Qi, and Qi and Blood. Therefore, if the Couli (*pores*) are not dense, external pathogens easily invade, making Wind a branch manifestation. Based on years of verification, there are cases of sudden anger causing Liver Wind to become excessive and sudden collapse, with no phlegm sound in the throat, eyes closed, mouth shut, cold limbs, and deep pulse; this is Qi Strike (*Zhong Qi*). There are cases of sudden stroke, often due to living in favorable circumstances, indulging in sexual pleasure; or after age forty-five, when Yin Qi halves, continuing lust; or near age sixty, when essence is exhausted but still engaging in lust, leading to exhaustion of Water and rising Fire, consuming True Yin, boiling fluids into Phlegm, which rises and falls with Qi, reaching all limbs and bones, aided by rich flavors and alcohol boosting Yang, resulting in Yang excess and Yin deficiency, daily consumption of Qi and Blood. Although external movements seem normal, internal Zang-Fu, Ying-Wei, and Essence are depleted. Suddenly, Phlegm and Fire rush upward, blocking the clear pathways, causing sudden cessation of breathing and consciousness, stiff collapse. Symptoms include red face, sweating, closed eyes, dry mouth, sawing phlegm sounds, overflowing saliva, boiling pot-like intensity, splashing out with breath, and various ominous signs. Medicines are rejected. Niuhuang Wan (*Calculus Bovis Pill*) is taken, plus Shaanxi Niuhuang infused, but with no effect, death occurs at the wrong time. I have never seen survivors. Elderly people suffering only from Seven Emotions and labor, causing Qi and Blood deficiency, loss of Shen (*Spirit*) control, sudden collapse without consciousness, no phlegm obstruction in the throat, only snoring sounds, even if unconscious for days, proper medication can lead to recovery. Do not suddenly administer Niuhuang, Borneol (*Bingpian*), Musk (*Shexiang*), or Euphorbia (*Daji*), Kansui (*Gansui), and Genkwa (*Yuanhua*) which damage Blood and consume Qi. Avoid diuretics to prevent depletion of Jin-Ye (*body fluids*). First administer medicines to clear Phlegm and smooth Qi, slightly combining Wind-dispersing herbs, then follow with Da Qin Jiao Tang, adapting to changes for safety. The *Mai Jing* (*Pulse Classic*) says: Pulse is faint and rapid, caused by Stroke. Slippery and large indicates Phlegm; deep and solid indicates Qi; floating and slow is auspicious; rapid and urgent is ominous. Treatment methods: Pull the hair on the vertex, pinch Renzhong (*GV26*), blow Rhizoma Coptidis powder into the nose, or raw Pinellia (*Banxia*) powder, or Asarum (*Xixin*) powder to induce sneezing. Sneezing indicates treatability; no sneeze indicates untreatability. For trismus (*mouth locked*), mix Asarum and Arisaema (*Nanxing*) powder soaked in Mume fruit (*Wumei*), mash, and rub teeth to open. Or use salted Mume or single Mume to rub, then pour fresh ginger juice. Next, administer Xitian San (*Thin Saliva Powder*) to vomit Phlegm; for severe Phlegm, Gouti San (*Melon Peduncle Powder*). For weak elderly, use Ginseng Rhizome (*Canlu*) decoction to vomit. For trismus, instill nasally. Have the patient lie prone, dip chicken feather in raw Toona oil or lamp wick oil, wring into mouth, vomit all Phlegm and saliva to regain consciousness. For those too weak to tolerate vomiting, use aged calcined alum (*Duanshi*) and Indigo (*Dianqing*) mixed and poured to descend Phlegm. Or use Guntan Wan (*Rolling Phlegm Pill*), Niuhuang Huotan Wan (*Calculus Bovis Resolving Phlegm Pill* - see Phlegm section) mixed and taken, descending Phlegm makes it treatable. Or moxa Baihui (*GV20*), Guanyuan (*CV4*), Qihai (*CV6*), Renzhong (*GV26*). After slight recovery, decoct the main formula and take, modifying according to symptoms. For Qi Strike, first infuse Suhexiang Wan (*Styrax Pill* - see Cold Strike section). For trismus, first rub half a pill on teeth, then select Babai Shunqi San (*Eight-Gentleman Qi-Soothing Powder*), Zhijie Erchen Tang (*Aurantium and Magnolia Two-Ancients Decoction*), Wuyao Shunqi San (*Lindera Qi-Soothing Powder*), or Suzi Jiangqi Tang (*Perilla Seed Descending Qi Decoction* - see Qi Gate). If confirmed due to sudden anger, once Qi calms, natural recovery occurs without medicine. For doubtful or unclear cases, first take Shesheng Yin (*Life-Preserving Drink* - see Quasi-Stroke). For severe Phlegm-Heat, add Coptis (*Huanglian*) and Immature Bitter Orange (*Zhishi*) to the main formula.
Main Formula (Smooth Qi and Purge Phlegm): Chenpi (*Citrus Reticulata Peel*), Banxia (*Pinellia Tuber*), Baifuling (*Poria with Hostwood*), Renshen (*Ginseng Root*), Baizhu (*Atractylodes Macrocephala Rhizome*), Wuyao (*Lindera Root*), Nanxing (*Arisaema Cum Bile*), Tianma (*Gastrodia Rhizome*), Jiangcan (*Bombyx Batryticatus*), Baizhi (*Angelica Dahurica Root*) (equal parts), Gancao (*Licorice Root*) (half amount). Add five slices of fresh Ginger, decoct in water, add half a small cup of Bamboo Sap (*Zhuli*) and five spoons of fresh Ginger juice. Take.
Modify formulas connecting to paralysis (see later) for reference. Formulas are the substance of methods; methods are the application of formulas.
Invasion of Fu organs: Hemiplegia, facial discoloration, aversion to wind and cold, stiffness. First, take one dose of Xiao Xuming Tang to release the exterior. If sweating or in summer, remove Mahuang (*Ephedra Herb*); if excessive sweating, add Huangqi (*Astragalus Root*); if Heat, remove Fuzi (*Prepared Aconite Lateral Root*); if Blood deficiency, add Danggui (*Angelica Sinensis Root*). Next, modify the main formula by adding Chuanxiong (*Ligusticum Chuanxiong Rhizome*), Xiangfu (*Cyperus Rotundus Rhizome*), Qianghuo (*Notopterygium Root and Rhizome*), Fangfeng (*Saposhnikovia Root*) (each 8 fen), Xixin (*Asarum Root*), Guizhi (*Cinnamon Twig*) (each 3 fen). Reduce Renshen, Baizhu, Jiangcan, Tianma. Avoid Niuhuang, Borneol, Musk, as they open orifices and may draw pathogens deeper.
Invasion of Meridians: Facial paralysis, stiff tongue and difficulty speaking, no exterior Six Channels (*Liu Jing*) signs, no interior constipation or urinary retention. Modify main formula by adding Shichangpu (*Acorus Rhizome*), Yuanzhi (*Polygala Root*), Huanglian (*Coptis Rhizome*), Zhishi (*Immature Bitter Orange Fruit*), Maidong (*Ophiopogon Tuber*). If no sweat, add Qianghuo, Fangfeng, Mahuang, Chuanxiong, Scallion Head (*Congtou*); remove Renshen, Baizhu, Jiangcan, Tianma. If excessive sweating, add Baishao (*White Peony Root*), Guizhi, Huangqi; remove Baizhi, Tianma. Next, take Da Qin Jiao Tang.
Invasion of Zang organs: Pathogen is extremely deep. Nine orifices are unresponsive, constipation and urinary retention, sawing phlegm sounds. First take San Hua Tang to promote bowel movement and urination, concurrently take Niuhuang Wan. Next, modify main formula by adding Danggui, Chuanxiong, Shaoyao (*Peony Root*), Qianghuo, Fangfeng, Zhishi, Qinjiao (*Ligusticum Wallichii Rhizome*); remove Wumei, Baizhi, Jiangcan, Tianma. Constipation with Phlegm, use Guntan Wan (see Phlegm section).
Left hemiplegia belongs to Blood and Wind. Blood deficiency combines Siwu Tang (*Four Substances Decoction*); Blood stasis adds Taoren (*Peach Kernel*) and Honghua (*Carthamus Flower*). Wind adds Qianghuo, Fangfeng, Jili (*Tribulus Fruit*); Fire adds Huangqin (*Scutellaria Root*) and Huanglian. Hand dysfunction adds Huangqin (wine-fried), Guizhi; Foot dysfunction adds Huangbai (*Phellodendron Bark*) and Niuxi (*Achyranthes Root*).
Right flaccidity belongs to Qi and Phlegm. Qi stagnation adds Zhike (*Aurantium Fruit*), Jiegeng (*Platycodon Root*), Zisuzi (*Perilla Seed*), Pipaye (*Loquat Leaf*), Yujin (*Curcuma Root*). Qi deficiency adds Huangqi, Renshen, Baizhu; Severe Phlegm adds Gualou (*Trichosanthes Fruit*), Beimu (*Fritillaria Bulb*), Tianfen (*Tianfen* - likely typo for Tianhualin or similar), Haishi (*Floating Stone*), Baifuzi (*Aconitum Carmerichaeli Preparatum*), Baijiezi (*White Mustard Seed*), Zhaojia (*Gleditsia Spine*), Tianzhuhuang (*Calamus Phlegm*), Xuanmingfen (*Mirabilite*). Wind disease adds Baifuzi, Quanxie (*Scorpion*). Solid constitution uses Jingjie (*Schizonepeta Spike*) and Zhuli; Excessive Fire adds Huangqin, Huanglian, Zhizi (*Gardenia Fruit*); Blood deficiency adds Siwu Tang; Spontaneous sweating adds Huangqi, Baishao, Guizhi; Body pain adds Qianghuo, Cangzhu (*Atractylodes Lancea Rhizome*), Jiu Huangqin (wine-fried Scutellaria); Headache adds Chuanxiong, Xixin, Jingjie, Manjingzi (*Vittatis Seed*); Vertex headache adds Gaoben (*Ligusticum Jingwei Rhizome*), Jiu Huangqin; Heart deficiency adds Yuanzhi, Shichangpu; Palpitations and fright adds Suanzaoren (*Ziziphus Seed*), Maidong, Fushen (*Poria with Pine Root*), Zhuru (*Bamboo Shavings*). Obese people use Gualou, Beimu, Huanglian, Huangqin, Qianghuo, Fangfeng, Jingjie, Lingxian (*Sinomenium Stem*), Bo Gui (*Cinnamon Twig*), with a little Fuzi. Thin people combine Siwu Tang and Sanhuang (all wine-fried). Persistent vomiting adds Huoxiang (*Patchouli Herb*), Mo Muxiang (*Costus Root*). If Wind-Heat is cleared, use Tiandong (*Asparagus Tuber*), Maidong, Danggui, Shaoyao, Juhua (*Chrysanthemum Flower*), Gouqi (*Goji Berry*), Yujin, Huaishengdi (*Rehmannia Root*), Wuweizi (*Schisandra Fruit*), Huangbai, Huangqi, Niuxi, Renru (*Human Milk*). Modify all based on the main formula. For severe constipation, take Guntan Wan and Soushun Fengqi Wan (*Search Wind and Smooth Qi Pills*) frequently, then take Hujian Wan (*Tiger Knee Pill* - see Deficiency Damage section) and medicines to greatly tonify Qi and Blood, nourish and cultivate the Original Root.
Xiao Xuming Tang: Treats invasion of Fu organs with loss of consciousness, trembling limbs, slurred speech with abundant Phlegm, tendon and vessel stiffness, inability to flex/extend, painful turning, hemiplegia, etc. Also for weak legs and chronic Wind patients.
Fangfeng (3 qian), Guixin (*Cinnamon Heart*), Huangqin, Xingren (*Apricot Seed*), Shaoyao, Gancao, Chuanxiong, Mahuang, Renshen (each 4 fen), Fangji (*Stephania Root*), Fuzi (7 fen).
Divide into two doses. Decoct with 1.5 *zhong* water, five slices of Ginger, one Jujube (*Da Zao*). Take to induce slight sweating. No sweat and aversion to cold: double Mahuang, Xingren, Fangfeng. Sweating and aversion to wind: double Guizhi, Shaoyao, Xingren. Fever, no sweat, no aversion to cold: add Zhimu (*Anemarrhena Rhizome*), Shigao (*Gypsum Fibrosum*) (each 4 fen), reduce Fuzi. Fever, sweating, aversion to wind: add Gegen (*Kudzu Root*) 1 qian, double Huangqin, Guixin. No sweat, cool body: add Ganjiang (*Dried Ginger*) 1 qian, double Fuzi, Gancao. Sweating, no fever: double Guizhi, Fuzi, Gancao. Excessive sweating: add Huangqi. If mixed symptoms exist, modify accordingly.
Da Qin Jiao Tang: Treats invasion of meridians, no exterior Six Channels signs, no interior constipation signs. Weak Blood fails to nourish tendons, causing limb immobility, stiff tongue, facial paralysis. Nourish Blood and relax tendons.
Qinjiao (*Ligusticum Wallichii Rhizome*), Shigao (each 1 qian), Gancao, Chuanxiong, Danggui, Shaoyao, Qianghuo, Duhuo (*Angelica Pubescens Root*), Fangfeng, Huangqin, Baizhi, Baizhu, Shengdi (*Rehmannia Root*), Shudi (*Prepared Rehmannia Root*), Fuling (*Poria*) (each 7 fen), Xixin (5 fen).
Add Ginger and Jujube, decoct in water. On cloudy days, use seven slices of Ginger; Spring/Summer add Zhimu 1 qian; Epigastric fullness add Zhishi.
San Hua Tang: Treats invasion of Zang organs with nine orifices unresponsive and exterior signs. First take Xiao Xuming Tang, then this decoction to promote bowel/urinary movement.
Dahuang (*Rhubarb Root*), Zhishi, Nongpu (*Magnolia Bark*), Qianghuo (each 2.5 qian).
Decoct in water and take.
Yufeng Tang: Universally treats early stages of Wind, preventing collapse. Sacred medicine for treating disease before onset. Also for post-stroke where internal pathogens are removed but external remain; take modified regularly. Over time, Clear and Turbid separate, Ying and Wei harmonize.
Qianghuo, Gancao, Fangfeng, Danggui, Manjingzi, Chuanxiong, Xixin, Huangqi, Zhike, Renshen, Mahuang, Baizhi, Ganju (*Chrysanthemum Morifolium*), Bohe (*Mint Herb*), Gouqizi (*Goji Berry*), Zhimu, Digupi (*Lycium Bark*), Duhuo, Qinjiao, Huangqin, Shaoyao (each 3 liang), Cangzhu, Shengdi (each 4 liang), Rougui (*Cinnamon Bark*) (1 liang).
Crush. Take 1 liang per dose, 2 *zhong* water, three slices of Ginger. Decoct, take on empty stomach, decoct dregs again. To induce sweat, add Mahuang 1 qian; to promote urination/bowel, add Dahuang 1 qian; After severe cold, add Banxia, Renshen, Chaihu (each 3 fen); After Grain Rain, add Shigao, Huangqin, Zhimu (each 3 fen); Late Summer, add Fangfeng, Baizhu, Fuling (each 3 fen); After Great Heat, add Nongpu, Huoxiang (each 3 fen), Rougui 0.5 fen; After Frost Descent, add Fuzi, Rougui (each 0.5 fen), Danggui 3 fen.
Fangfeng Tongsheng San: Treats Wind convulsions, limb spasms, sudden severe Heat pathogens, muscle twitching, widespread rashes, headache, red eyes, all Wind/Fire syndromes. Effective for infantile acute convulsion and aphonia.
Huashi (*Talcum*), Fangfeng (1.2 qian), Gancao (1 qian), Danggui, Shigao, Huangqin (each 8 fen), Jiegeng (8 fen), Mahuang (halve in summer), Shaoyao, Lianqiao (*Forsythia Fruit*), Bohe, Zhizi, Chuanxiong, Mangxiao (*Mirabilite*) (each 4 fen), Baizhu, Jingjie (each 3 fen).
Add Ginger, decoct in water, add Mangxiao. Severe Heat and constipation, adjust Dahuang based on deficiency/excess (remove Mahuang if sweating); Headache add Qianghuo, Baizhi, Congtou; Cough/Wheeze add Sangbai Pi (*Mulch Root Bark*), Xingren, Banxia, Jiegeng, Donghua (*Sonchus Flower*), Ziwan (*Aster Root*); Red swollen eyes add Qianghuo, Chishao (*Red Peony Root*), Muze (*Equisetum*), Jili, Juhua, Jueming (*Cassia Seed*), Manjingzi, Chantui (*Cicada Slough*); Thick nasal discharge, add Bohe, Huanglian (each 1 qian per liang); Urinary retention/difficulty remove Mahuang, double Huashi, Lianqiao, add Mutong (*Akebia Vine*); Infantile acute convulsion add Dahuang, Zhizi, Fushen, mix with Zhensha (*Cinnabar*) and take.
Wuyao Shunqi San: Treats all Wind-Qi attacking pain, limb paralysis, joint stiffness/numbness.
Wuyao, Chenpi (each 2 qian), Mahuang, Zhike, Jiegeng, Baizhi, Chuanxiong (each 1 qian), Jiangcan, Ganjiang (Roasted. Each 5 fen), Gancao (Roasted, 3 fen).
Add three slices of Ginger, one Jujube, decoct in water. Whole-body numbness from stroke, add Renshen, Baizhu, Danggui, Maidong. Take this first, then Wind-dispersing medicines. Chronic illness remove Mahuang, add Qianghuo, Fangfeng, Nanxing, Banxia; Whole-body pain add Danggui, Guanzi Gui (*Cinnamon Bark*), Ruxiang (*Frankincense*), Moyao (*Myrrh*); Arm pain add Guizhi, Cangzhu, Qianghuo, Fangfeng; Swollen/painful knees/feet add Niuxi, Yiyiren (*Coix Seed*); Lower back pain add Duzhong (*Eucommia Bark*), Guzhi (*Dodder Seed*), Huixiang (*Fennel Fruit*); Cold Bi of hands/feet add Fuzi, Rougui; Chest fullness add Pengzhu (*Curcuma Rhizome*), Sanleng (*Sparganium Rhizome*).
Soushun Fengqi Wan: Treats 36 types of Wind, 72 types of Qi. Intestinal/Stomach accumulated Heat, epigastric fullness, constipation, difficult urination, intestinal wind/hemorrhoids, joint numbness/pain, limb paralysis, slurred speech. Pregnant women avoid.
Dahuang (5 liang, steamed in wine 9 times), Cheqianzi (*Plantago Seed*) (2.5 liang, soaked in wine), Binglang (*Areca Seed*), Niuxi, Shanyao (*Dioscorea Rhizome*), Mahren (*Hemp Seed*), Tusibing (*Cuscuta Cake*), Shanzhuyu (*Cornus Fruit*), Yuliren (*Prunus Seed*) (each 2 liang), Fangfeng, Zhike, Duhuo (each 1 liang).
Grind to powder, honey pills the size of paulownia seeds. Take 30 pills each time. Morning with wine or rice soup, evening with tea soup.
Gouti San: Treats Wind-Phlegm obstruction, esophageal food blockage, epilepsy, distension. Take Fire-descending, Qi-smoothing, Spirit-clearing medicines after vomiting.
Gouti (stir-fried and ground). Healthy adults: 1 qian; Weak/Elderly: 5 fen. Mix with Tea Powder (2.5 fen) and sour pickle juice. Wind epilepsy add Quanxie powder 5 fen; Swelling add Chixiaodou (*Adzuki Bean*). Take on sunny mornings on empty stomach. If ineffective, add a little Shexiang, take with white water. Better mixed with boiled Tan Douchi (*Fermented Soybean*) juice.
Xitian San: Treats Stroke salivary tide, Qi closure, diaphragm blockage, stagnation, Guan-Ge syndrome, throat swelling, various Phlegm syndromes.
Zaojia (*Gleditsia Sinensis Fruit*) (non-borer, roasted, remove strings, pig's tooth variety is best), Mingfan (*Alum*).
Equal parts grind to powder. Take 1 qian mixed with white water. If ineffective, Chenpi and Ginger soup.
Shi Guogong Infused Wine Immortal Recipe: Treats paralysis, tendon spasm, hemiplegia, dry/wet Hong Kong Foot (Gout/Bi), dampness stagnating meridians, various Qi issues.
Mugua (*Chaenomeles Fruit*) (5 liang), Chuanni (*Dioscorea Hypoglauca Rhizome*), Baijiangcan (*White Bombyx Batryticatus*), Xuduan (*Dipsacus Root*), Wulingzhi (*Trogopterus Dung*), Niuxi, Tianma, Baishao, Wuyao, Weilingxian (*Sinomenium Stem*), Huangqi, Songjie (*Pine Joint*), Danggui, Hubone (*Tiger Bone* - crushed very fine), Fangfeng (each 1 liang).
Soak in one dou of non-fermented wine for 27 days. Seal tightly. When time is up, take medicine, dry, grind to powder. Take 2 qian mixed with medicinal wine. When wine is finished, take with rice soup.
[Missing Name] Pill: Treats Stroke mutism, facial paralysis, occasional salivation, limb numbness, whole-body soreness.
[Missing Herb Name] Grass (Harvest leaves on May 5th and June 6th, shade dry).
Boil wine, add a little honey, mix well, steam in a steamer, dry in sun. Repeat nine times. Grind to powder, honey pills size of paulownia seeds. Take 100 pills on empty stomach with wine or rice soup.
Lingxian Pill: Opens twelve meridians, removes old filth, mild laxative without diarrhea, facial paralysis, Leprosy, Head Wind, Vitiligo, skin itching, hand/foot stubborn numbness, scabies/tinea, heavy waist/scrotal swelling, female amenorrhea.
Weilingxian (*Sinomenium Stem*) (washed and baked dry).
Grind to powder, moisten with good wine, stuff in bamboo tube, plug, steam and dry nine times. Mix with refined honey, pills size of paulownia seeds. Take 20 pills with wine. Morning dose, evening effect. External: Wash with Lingxian decoction.
Babai Shunqi San: Is Si Junzi Tang (*Four Gentlemen Decoction*) plus Chenpi, Qingpi (*Green Citrus Peel*), Wuyao, Baizhi. Decoct in water and take.
Unclear Spirit: Liangge San (*Cooling Chest Powder*) plus Qingdai (*Indigo Naturalis*), Lan Gen (*Isatis Root*) ground to powder, honey pills size of bullet, coat with Zhensha and Jinbo (*Gold Foil*). Take with tea before sleep. Wind-Deficiency dizziness: Siwu Tang (4 liang) add Qinjiao, Qianghuo (each 0.5 liang). Take 5 qian, decoct in water. Limbs unable to hold,恍惚 (*absent-mindedness*) and silence: Zhuli, Sheng Ge (*Kudzu Juice*) (each 2 sheng), Sheng Jiang Juice (2 he). Mix and divide into three doses. Stroke often has Heat, severe Phlegm: Regularly take Zhuli, Jingli (*Schizonepeta Sap*), Jiangzhi (halved), mix evenly, take 5 he warmed.
Simple Prescriptions
Inducing Sweat for Paralysis/Wind: Zi Bei Fu Ping (*Houttuynia Cordata* - specifically purple underside duckweed) (Harvest July 15th), spread on bamboo sieve over a basin of water, dry, grind to fine powder. Mix with refined honey, pills size of bullet. Take 2 pills mixed with fine black bean decocted wine. Keep warm room, cover, induce heavy sweating.
Universally Treating Wind: Cang Er Cao (*Xanthium Herb*) (Harvest Duanwu Festival), grind to powder, honey pills size of paulownia seeds. Take 20 pills, three times daily, with wine. If wind spots appear like millet/mung bean grains, this is Wind toxin exiting. Prick with needle, yellow sweat exits and heals.