凡人初觉大指、次指麻木不仁，或手足少力，肌肉微掣，数年内有中风之症。宜先服愈
风汤、天麻丸、竹沥枳术丸各一料。此治未病之先也。
愈风汤（初觉风动服此，可免倒仆。又治中风内邪已除，外邪已尽，当服此以导
诸经。久服大风尽。夫纵有微邪加减治之）
黄 （蜜炙） 人参 当归（酒洗用） 白芍（酒洗） 生地 枸杞 杜仲（姜、酒炒）
秦艽 肉桂 甘草 羌活 独活 防风 薄荷 菊花 细辛 麻黄 蔓荆子 白芷 知母
石膏 柴胡 黄芩 地骨皮 枳壳（麸炒） 苍术（米泔洗）
每服一两，生姜三片煎，空心服十剂。（《万病回春》）
天麻丸（治未病之圣药）
天麻 牛膝（酒洗） 萆 （另研） 元参各半两 川羌三两五钱 当归（酒洗）一两
半生地（酒洗）四两 独活两半 大附子（泡去皮脐）五钱
蜜丸，每服四钱，空心酒汤任下。服后饥则食，不饥且止。（《医宗必读》）
竹沥枳术丸（化痰清火、顺气除湿、祛晕眩、疗麻木、养气血、健脾胃）
白术（土炒）二两 枳实（麸炒） 陈皮（去白） 白茯苓 黄连（姜汁炒） 条芩（酒
炒） 当归（酒洗） 楂肉 白芥子 半夏（白矾、皂角、生姜水煮干） 南星（制同上） 白
芍（酒炒）各二
为末，神曲六两，姜汁、竹沥各一盏，煮糊为丸，每服百丸，食远淡姜汤下，有火者更
宜。《医书》
龚子才曰∶“余屡试前方，有效，有不效。不效者，多是脾肺之虚，肾气之弱。惟宜补
中益气汤、六味丸兼而进之，可免中风之患矣。”
徐芸术曰∶“薛氏有云，预防者，当养气血，节饮食，戒七情，远帏 。”
When a person initially feels numbness and insensitivity in the thumb and index finger, or slight weakness in the hands and feet, with minor muscle twitching, there is a risk of stroke (Zhong Feng) within a few years. It is advisable to first take one dose each of Yufeng Tang (Wind-Dispelling Decoction), Tianma Wan (Gastrodia Pill), and Zhuli Zhizhu Wan (Bamboo Juice and Immature Bitter Orange Pill). This constitutes treatment before disease onset (Zhi Wei Bing).
Yufeng Tang (Take this when initial signs of wind pathogen movement are perceived to prevent sudden collapse. It also treats cases where internal pathogens of stroke have been cleared and external pathogens exhausted; taking this decoction helps guide the meridians. Long-term use eliminates severe wind pathogens. Even if minor pathogens remain, they can be treated by modifying the prescription.)
Huangqi (Astragali Radix, honey-fried) Renshen (Ginseng Radix et Rhizoma) Danggui (Angelicae Sinensis Radix, wine-rinsed) Baishao (Paeoniae Radix Alba, wine-rinsed) Shengdi Huang (Rehmanniae Radix) Gouqi (Lycii Fructus) Duzhong (Eucommiae Cortex, stir-fried with ginger juice and wine)
Qin Jiao (Gentianae Macrophyllae Radix) Rougui (Cinnamomi Cortex) Gancao (Glycyrrhizae Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Fangfeng (Saposhnikoviae Radix) Bohe (Menthae Haplocalycis Herba) Juhua (Chrysanthemi Flos) Xixin (Asari Radix et Rhizoma) Mahuang (Ephedrae Herba) Manjingzi (Vittariae Semen) Baizhi (Angelicae Dahuricae Radix) Zhimu (Anemarrhenae Rhizoma)
Shigao (Gypsum Fibrosum) Chaihu (Bupleuri Radix) Huangqin (Scutellariae Radix) Digupi (Lycii Cortex) Zhike (Aurantii Fructus Immaturus, bran-fried) Cangzhu (Atractylodis Rhizoma, washed with rice water)
Each dose consists of one liang (approx. 30-50g depending on era/region context, here likely referring to total formula weight for multiple doses or specific preparation method described in source, literally "one liang" per serving implies a concentrated powder or specific unit in ancient text, but standard interpretation of "yi liang" in decoction context often refers to the total amount for the batch or a specific large dose; however, strictly translating "yi liang" as one liang): Add three slices of fresh ginger, decoct, and take on an empty stomach for ten doses. (From *Wanbing Huichun*)
Tianma Wan (The holy medicine for treating disease before it arises)
Tianma (Gastrodiae Rhizoma) Niuxi (Achyranthis Bidentatae Radix, wine-rinsed) Bibi (Dioscoreae Hypoglaucae Rhizoma, ground separately) Xuanshen (Scrophulariae Radix) Each: half liang
Chuan Qianghuo (Notopterygii Rhizoma et Radix): 3 liang 5 qian Danggui (Angelicae Sinensis Radix, wine-rinsed): 1.5 liang
Shengdi Huang (Rehmanniae Radix, wine-rinsed): 4 liang Duhuo (Angelicae Pubescentis Radix): 1.5 liang Da Fuzi (Aconiti Lateralis Radix Praeparata, soaked, skin and umbilicus removed): 5 qian
Form pills with honey. Take four qian per dose, wash down with warm wine on an empty stomach. Eat if hungry after taking, otherwise stop. (From *Yizong Bidu*)
Zhuli Zhizhu Wan (Resolves phlegm and clears heat, regulates qi and removes dampness, dispels dizziness, treats numbness, nourishes qi and blood, strengthens spleen and stomach)
Baizhu (Atractodis Macrocephalae Rhizoma, soil-fried): 2 liang Zhishi (Aurantii Fructus Immaturus, bran-fried) Chenpi (Citri Reticulatae Pericarpium, white pith removed) Baifuling (Poria) Huanglian (Coptidis Rhizoma, stir-fried with ginger juice) Tiao Qin (Scutellariae Radix, wine-fried) Danggui (Angelicae Sinensis Radix, wine-rinsed) Zharon (Crataegi Fructus) Baijiezi (Sinapis Semen) Banxia (Pinelliae Rhizoma, dried after boiling with alum, gourd fruit, and ginger) Nanting (Arisaematis Rhizoma Praeparatum, processed similarly) Baishao (Paeoniae Radix Alba, wine-fried) Each: 2 liang
Grind into powder. Use Liushen Qu (Medicated Leaven) 6 liang, ginger juice 1 zhan, bamboo juice 1 zhan. Boil to form a paste for pills. Take 100 pills per dose, wash down with light ginger soup far from meals. More suitable for those with fire/pathogenic heat. (From *Yishu*)
Gong Zicai said: "I have frequently tested the aforementioned prescriptions; some were effective, others not. The ineffective ones were mostly due to deficiency of Spleen and Lung, and weakness of Kidney Qi. It is only appropriate to simultaneously administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to avoid the disaster of stroke."
Xu Yunshu said: "Xue Shi stated that for prevention, one should nourish qi and blood, regulate diet, restrain the Seven Emotions (joy, anger, worry, thought, grief, fear, fright), and avoid sexual indulgence."