黄帝问岐伯曰∶中风半身不遂如何灸？答曰∶凡人未中风，一两月前或三五月前，非时足胫上忽酸重顽
痹，此中风之候，急灸三里、绝骨四处三壮。后用薄荷、葱、桃、柳叶煎汤淋洗，驱逐风气于疮口中出。
灸疮，春较秋灸常令两脚有疮为妙。凡人不信此法，饮食不节，酒色过度，忽中此风，言语謇涩，半身不
遂，宜七处齐下火灸各三壮，风在左灸右，在右灸左。百会、耳前发际、肩井、风市、三里、绝骨、曲池
七穴，神效不能具录，根据法灸之，无有不愈。《医说续编》论。
徐平，中风不省，得桃源主簿为灸脐中百壮（即神阙穴，多灸良。凡灸先以盐实之。）始苏。更数月，
乃不起。郑 云∶有一亲表中风，医者为灸五百壮而苏，后年八十余。使徐平灸三五百壮，安知其不永年耶？（同上。）
范子默，自壬午五月间口眼 邪，灸听会等三穴即正。右手足麻无力，灸百会、发际等七穴愈。次年八月
间，气塞涎上，不能语，金虎丹、腻粉服至四丸半，气不通，涎不下，药从鼻中出，魂魄飞扬，如坠江湖中，
顷刻欲绝。灸百会、风池等左右颊车共十二穴，气遂通，吐涎几一碗许，继又十余行，伏枕半月余，遂平。尔
后又觉意思少异于常，心中愦乱，即便灸百会、风池等穴，立效。
《本事方》云∶十二穴，谓听会、颊车、地仓、百会、肩 、曲池、风市、足三里、绝骨、发际、大椎、风
池也。用之立效。（同上。）
乡里有人，忽觉心腹中热甚，急投药铺，说其状。铺家以为此中风之候，与治风药，而风不作。予中心藏
之，至夷陵，见一太守，夏中忽患热甚，不免以水洒设簟，卧其上，令人扇之。次日忽中风，数日而殂，
人皆咎其卧水簟上而用扇也。暨到澧阳，见一老妇人，夏中亦患热，夜出卧厅上，次日中风，偶其子预合得小
续命汤服之愈。乃知中风由心腹中多大热，而后作也。（以上并《资生经》。）
岳鄂郑中丞，顷年至 阳，日食一顿热肉，便中暴风。外甥卢氏为 阳尉，有此方，当时便服，得汗随瘥，
神效。其方用紧细牛蒡根，取时须避风，以竹刀或荆刀刮去土，用生布拭净，捣绞取汁一大升，和灼热好蜜四
大合，温分为两服，每服相去五六里。初服得汗，汗出便瘥。（本草。同上）
新武义唐丞季润名灌云∶切记风中人，不可便服风药；气中人，不可便服气药。或觉有此症候，急用真好
麝香肉三钱，乳钵研令极细，以真清麻油不拘多少，调令稀薄可饮为度，即令患人一服顿尽。须辨菜子油不可
用，药少即见效迟。如牙关紧，撬开灌入苏省，然后服紫汤。其方用川独活刷洗去沙土，薄片切，以豆淋酒煎
浓汁服之。累服至一二斤无害。服此二药，永无手足偏废、语言謇涩之患。后见得是中风，只服小续命汤之类，
见得是中气，只须服匀气散，自然无事也。渠作汉东教官，得之太守张少卫，云屡试有验。季润亦以治数人矣，
云麻油麝香煎五积散。（《是斋方》同上。）
罗谦甫曰；按察书史李仲宽，年逾五旬，至元己巳春患风症，半身不遂，四肢麻痹，言语謇涩，精神昏愦。
一友处一法∶用大黄半斤，黑豆三升，水一斗同煮，豆熟去大黄，新汲水淘净黑豆，每日服二三合，则风热自
去。服之过半，又一友云∶通圣散、四物汤、黄连解毒汤，相合服之，其效尤速。服月余，精神愈困，又增喑
哑不能言，气冷手足寒。命予诊视，细询前由，尽得其说。诊之，六脉如蛛丝，谓之曰；夫病有表里虚实寒热
不等，药有君臣佐使大小奇偶之制。君所服药，无考凭，故病愈甚，今为不救，君自取耳。未几而死。有曹通
甫外郎，妻萧氏，六旬有余，孤寒无根据，春月忽患风疾，半身不遂，语言謇涩，精神昏愦，口眼 邪，与李仲
宽症同。予刺十二经井穴，接其经络之不通，又灸肩井、曲池。详病时月日，处药服之减半，予曰∶不须服药，
病将自愈。明年春，于张子敬郎中家，见其行步如故。予叹曰∶一夫人病得全者，不乱服药之力。由此论之，李
仲宽乱服药，终于不救；萧氏贫困，恬澹自如而获安。《内经》曰∶用药无据，反为气贼，圣人戒之。姚雪斋举
许先生鲁斋之言，富贵人有二事，反不如贫贱人，有过恶不能匡救，有病不能医疗。噫！其李氏之谓欤。
陈自明治一妇人中风，牙关紧急，痰涎溢出，与神仙太乙丹一粒，服之而愈。（方见蛊门。）
宋时，东京开河，掘得石碑，梵书大篆，一时无能晓者，真人林灵素逐字辨绎，乃是治中风方，名去风丹
也。诗云∶天生灵草无根干，不在土间不在岸。始因飞絮逐东风，泛梗青青飘水面。神仙一味去沉 ，采时须
在七月半。选甚瘫风与大风，些小微风都不算。豆淋酒化服三丸，铁镤头上也出汗。其法以紫色浮萍，晒干为
末，炼蜜和丸弹子大，每服一粒，以豆淋酒化下，治左瘫右痪，三十六种风，偏正头风，口眼 邪，大风癞
风，一切无名风及香港脚，并打扑伤折及胎孕有伤，服过百粒即为全人。此方后人易名紫萍一粒丹。（此与
草丸相类，亦惟实症可用，虚者未必宜也。《本草纲目》。）
许叔微云∶范子默记，祟宁中，凡雨中风。始则口眼 邪，次则涎潮闭塞。左右共灸十二穴得气通。十二
穴者，谓听会、颊车、地仓、百会、肩 、曲池、风市、足三里、绝骨、发际、大椎、风池也。根据而用之，无
不效。（《医学纲目》。）
高评事中风颇缓，张令涌之，后服铁弹丸，在《普济》加减方中。或问张曰∶君常笑人中风服铁弹丸，今
以用之何也？张曰∶此收后之药也。今人用之于大势方来之时，正犹蚍蜉撼大树，不识次第故也。
长吏病口眼 邪，张疗之。目之斜，灸以承泣；口之 ，灸以地仓，俱效。苟不效者，当灸人迎。夫气
虚风入而为偏，上不得出，下不得泻，真气为风邪所陷，宜灸。《内经》曰∶陷下则灸之，正谓此也，所以立
愈。又东杞一夫亦患此，脉其两手急数，而弦张甚力而实，其人齿壮气充，与长吏不同。盖风火交胜，乃调承
气汤六两，以水四升，煎作三升，分四服，令稍热啜之，前后约泻四五十行，去一两盆。次以苦剂投之，解毒
数服，以升降水火，不旬日而愈。
王克明治庐守王安道，中风，噤不语。他医望而去。克明曰∶此非汤剂可及。烧地洒药，畀安道其上，
须臾而苏。（《江西通志》。）
李东垣治董监军，寒月忽觉有风气，暴仆。诊得六脉俱弦甚，按之洪实有力，其症手挛急，大便闭涩，面
赤热，此风寒始至加于身也。四肢者，脾也，风寒之邪伤之，则筋挛。本人素嗜酒，内有实热，乘于肠胃之间，
故大便闭涩而面赤热。内则手足阳明受邪，外则足太阴脾经受风寒之邪，用桂枝、甘草以却寒邪，而缓其急搐；
黄柏之苦寒，以泻实而润燥，急救肾水；用升麻葛根以升阳气，行手足阳明经，不令遏绝；更以桂枝辛热，入
手阳明经为引用。润燥复以白芍，甘草专补脾气，使不受风寒之邪，而退木邪，专益肺筋也。加人参以补元气，
为之辅佐。加归身去里急而和血润燥，名活血通经汤。桂枝二钱，白芍五分，余皆一钱，水二钟半，煎至一钟，
乘热服之，令卧暖房中，近火摩搓其手乃愈。
宋·瑞州杨某，医道盛行，招者相继。郡守得危疾，夜急招之。杨适醉归，不能升车，裹药授介。旦起盥
面，不见澡豆，而所裹药在焉，方知其误，而郡守谢礼至矣。盖郡守得卒风证，澡豆中有皂角去风也。（《墅谈》。）
荆和王妃刘氏，年七十，病中风，不省人事，牙关紧闭，群医束手。李时珍尊人，太医吏目月池翁诊视，
药不能入口，自午至子，不获已，打去一齿，浓煎藜芦汤灌之。少顷，噫气一声，遂吐痰而苏，调理而愈。（
《本草纲目》。）
龚子才治桑环川、刘前溪，年近五旬，而桑多欲，刘嗜酒，其脉左手俱微，人迎盛，右脉滑大，时常手足
酸麻，肌肉蠕动，此气血虚而风痰盛也。谓三年内，俱有瘫痪之患。因劝其服药谨慎，以防未然。桑然其言，
每年制搜风顺气丸、（此药亦未可常服。）延龄固本丹各一料，后果无恙。刘不信，纵饮无忌，未及三年，果中
风卒倒，瘫痪语涩，与养荣汤加减，并健步虎潜丸兼服，年余始愈。
万密斋治萧敬吾，庚戍冬得风疾，医治之未尽，辛亥春，右肩膊抽掣，唇吻随动。诊之，脉浮缓而涩，此
风邪在太阴经也。右寸浮而涩，肩膊动者，肺病也。（手太阴。）右关脉缓，唇动者，脾病也。（足太阴。）以黄
蜜炙，白芍酒炒，甘草炙，作大剂服之。问何以不用治痰之药？曰∶此缓而治本也。盖气伤卫肺者，卫气之
主也，黄 之甘温以补肺。白芍味酸，曲直作酸，酸者甲也。甘草味甘，稼穑作甘，甘者己也，所以补脾。经曰∶
诸风振掉，皆属于肝。肝苦急，急食甘以缓之，故用甘草。肝欲收，酸以收之，故用白芍。乃守法调理，至初夏而安。
孙文垣治吴勉斋，体肥腴，嗜炮炙，任性纵欲，年六七十，极躁急。一日，跌伤齿，恬不为意。后连跌两
次，（将中而频眩晕也。）次日晚，左手足忽不能动，口眼 邪。诊之，左洪大，右缓大，其色苍黑，神昏鼾呼，
呼长而吸短，呼至口，气勃勃出不能回，终日偃卧如醉人。问曰∶此非半身不遂乎？曰∶症甚恶，不特此也。半身
不遂者，中风已过之疾，其势仍缓，亦有十余年无恙者。今才病势便若此，乃中风之渐，方来且不可测，与六
君子加全蝎、僵蚕、天麻。两日无进退，间作吐，前药再加竹茹。两日神始苏，欲言而舌不能掉，前药加石菖
蒲、远志、红花，始能进粥数口，夜与正舌散同前药饮之。又三日，能坐，粥亦颇加，言尚謇涩，以笔书我左
手痛甚，大小便艰少，又用四君子加陈皮、竹茹、当归、白芍、红花、钩藤、天麻。服三日，神思大好，饮食
日加。服弥月，手痛减，语言亦渐清。惟大便十日一行，此血少之故，补养久，自当瘥。病患常自言，吾病乃
痰在膈间，安得一吐为快。（盖肝肾之气上浮，病者不知，误认为痰，不用峻剂养阴，俾龙雷之火下归元海之过
也。）孙曰∶据脉乃大虚证，非痰为害，不可轻吐。有医谓是病痰，吐而后补，可以全瘳，不然，必成痼疾。
病患欲速效，决意吐之，家人不能阻，一吐而烦躁，犹曰∶吐不快耳，须大吐始可。再吐而神昏气促，汗出
如雨，竟毙矣。
程晓川客湖州，四十诞辰，征妓行酒，宴乐弥月。一日忽觉两小指无力，掉硬不舒，且不为用，口角一边
常牵引。诊之，六脉皆滑大而数，浮而不敛，其体肥，面色苍紫。据脉滑大为痰，数为热，浮为风。盖湿生痰，
痰生热，热生风也。以善饮，故多湿；近女，故真阴竭。而脉浮，中风之症已兆。喜面色苍紫，神藏，犹可治，
宜戒酒色，以自保爱。以二陈汤加滑石为君，芩、连为臣，健脾消痰，撤湿热从小便出。加胆星、天麻以定风，
竹沥、姜汁拌晒，仍以竹沥、姜汁打糊为丸，引诸药入经络化痰。又以天麻丸滋补筋骨，标本两治。服二料，
遂十年无恙。迨五十，妓饮如旧，酒色荒淫，忘其昔之致疾也。于是手指口角掉硬牵引尤甚，未几中风，右体
瘫痪矣。归而召诊，脉皆洪大不敛，汗多不收，呼吸气短。此下虚上竭之候。盖肾虚不能纳气归原，故汗出如
雨，喘而不休，虽和、扁无能为矣。阅二十日而卒。
李仕材治一商人，忽然昏仆，遗尿手撒，汗出如珠。咸谓绝症既见，决无生理。李曰∶手撒脾绝，遗尿肾
绝，法在不治。惟大进参、附，或冀万一。遂以人参三两， 、术、附各五钱，是夜服尽，身体稍稍能动。再
以参附膏加生姜、竹沥盏许，连进三日，神气渐爽。后以理中、补中等汤，调养二百日而安。
唐太守，多郁多思，又为府事劳神，昏冒痰壅，口 语涩，四肢不随，时欲悲泣，脉大而软，此脾肺气虚，
风在经络。以补中益气去黄 ，加秦艽、防风、天麻、半夏，十剂症减二三。更加竹沥、姜汁，倍用人参，兼
与八味，两月乃愈。
一人自远方归，忽然中风昏冒，牙关紧闭。先以牙皂末取嚏，次以箸抉开，灌苏合丸二丸，然后以防
风散投之，连进三服，出汗如洗。此邪自外解矣，去麻黄、独活、羚羊角，加秦艽、半夏及钩藤、姜汁，十剂
痰清神爽。服六君子加竹沥、姜汁、钩藤，两月而瘥。（此治闭证之法。）
姚太史中风昏愦，语言不出，面赤时笑，（非肾绝而笑。）是心脏中风也。时初秋，诊之六脉洪大，按之搏
指，乃至虚反有盛候也，宜补中为主，佐以驱风化痰，方可回生。而病家惶惧，两日不决，乃力任之。遂以大剂
补中益气，加秦艽、钩藤、防风、竹沥，再剂而神爽。加减调治，五十日始愈。（脉证如此，而以补中益气取效。
设有实热者，何以辨之，想其时必别有证据也。）
黄履素曰∶余从弟履中，年方强仕，以劳心忧郁，忽然昏愦，痰升遗溺，眼斜视，超时不醒，竟类中风，
Huangdi asked Qibo: How should moxibustion be performed for hemiplegia caused by wind-stroke? Qibo replied: Generally, one to two months or three to five months before the onset of wind-stroke, if there is a sudden sensation of soreness, heaviness, numbness, and hypoesthesia in the lower legs and shins during non-seasonal times, this is a precursor sign of wind-stroke. At this time, emergency moxibustion should be applied to four acupoints: Zusanli (ST36) and Juegu (GB39), three moxa cones at each point. Afterwards, wash the affected area with a decoction prepared from mint, scallion, peach leaves, and willow leaves to drive out the pathogenic wind qi through the moxibustion sores. Regarding the moxibustion sores, it is better to perform moxibustion in spring than in autumn; it is advisable to maintain sores on both feet. If people do not believe in this method, have unregulated diet, and indulge excessively in alcohol and sexual activity, they may suddenly suffer from this wind pathogen, resulting in slurred speech and hemiplegia. In such cases, moxibustion should be simultaneously applied to seven acupoints, three cones per point. If the wind pathogen is on the left side, moxa the right side; if on the right, moxa the left. The seven acupoints are: Baihui (GV20), hairline anterior to the ear, Jianjing (GB21), Fengshi (GB31), Zusanli (ST36), Juegu (GB39), and Quchi (LI11). The efficacy is miraculous and cannot be fully recorded; as long as one follows this method, recovery is guaranteed. (From *Yi Shuo Xu Bian*)
Xu Ping suffered from wind-stroke and lost consciousness. The Chief Clerk of Taoyuan performed moxibustion on his umbilicus for one hundred cones (i.e., Shenque CV8; extensive moxibustion is beneficial. Before moxibustion, fill the acupoint with salt.) He eventually regained consciousness. However, several months later, he passed away. Zheng said: A relative of mine suffered from wind-stroke. The physician moxibusted him for five hundred cones, after which he recovered and lived to be over eighty years old. If Xu Ping had undergone three to five hundred cones of moxibustion, who knows if he would not have enjoyed longevity? (Ibid.)
Fan Zimo began suffering from facial paralysis (deviation of mouth and eye) in May of the Renwu year. Moxibustion on three acupoints including Tinghui (GB2) corrected the deviation immediately. Numbness and weakness in the right hand and foot were cured by moxibustion on seven acupoints including Baihui (GV20) and the hairline. In August of the following year, he experienced Qi obstruction and phlegm surging, unable to speak. After taking four and a half pills of Jinhu Dan and Nifen (Calomel), his Qi remained obstructed, phlegm did not descend, and the medicine flowed out from his nose. His soul seemed to fly, as if falling into a lake, and he was on the verge of death within moments. Moxibustion on twelve acupoints—Baihui (GV20), Fengchi (GB20), and Jiache (ST6) on both sides—unblocked his Qi. He vomited approximately one bowl of phlegm, followed by more than ten bowel movements. After lying in bed for over half a month, he stabilized. Later, he felt slight abnormalities in his mental state and restlessness in his heart. Immediate moxibustion on Baihui (GV20) and Fengchi (GB20) produced immediate results.
*Ben Shi Fang* states: The so-called twelve acupoints refer to Tinghui (GB2), Jiache (ST6), Dicang (ST4), Baihui (GV20), Jianyu (LI15), Quchi (LI11), Fengshi (GB31), Zusanli (ST36), Juegu (GB39), Faji (hairline), Dazhui (GV14), and Fengchi (GB20). Using these acupoints yields immediate effects. (Ibid.)
A person in my hometown suddenly felt intense heat in his heart and abdomen. He rushed to a pharmacy and described his symptoms. The pharmacist believed this was a precursor to wind-stroke and administered wind-dispelling herbs, but no wind-stroke occurred. I kept this in mind. Upon arriving at Yiling, I met a prefect who suddenly suffered from severe heat in summer. He could not help but sprinkle water on his mat, lie on it, and have someone fan him. The next day, he suddenly suffered wind-stroke and died a few days later. People blamed him for lying on the wet mat and using a fan. Upon reaching Liyang, I saw an elderly woman who also suffered from heat in summer. She slept in the hall at night and suffered wind-stroke the next day. Fortunately, her son had previously prepared Xiaoxuming Tang (Minor Continue Life Decoction) for her, which cured her. Thus, I realized that wind-stroke arises from excessive internal heat in the heart and abdomen, which then triggers the condition. (All above from *Zisheng Jing*)
Zhongcheng Zheng of Yue-E went to Mianyang in recent years. After eating a meal of hot meat daily, he suddenly contracted violent wind pathogen. His nephew Lu, who served as Magistrate of Mianyang, had this prescription. He took it immediately, sweated, and recovered instantly with miraculous effect. The prescription uses tight and fine Arctii Radix (Niubanggen). When harvesting, avoid wind. Scrape off dirt with a bamboo knife or thorn knife, wipe clean with raw cloth, crush, and squeeze out one large sheng of juice. Mix with four he of boiling good honey. Warm and divide into two doses. Take each dose five or six li apart. The first dose induces sweating, and upon sweating, the disease resolves. (From *Bencao Gangmu*, Ibid.)
Tang Run (courtesy name Guan Yun), Vice Prefect of Xinwuyi: Remember, when struck by wind, do not immediately administer wind-dispelling drugs; when struck by Qi stagnation, do not immediately administer Qi-regulating drugs. If one feels these symptoms, urgently take three qian of high-quality musk flesh, grind it to an extremely fine powder in a mortar, mix with sufficient pure sesame oil to make a thin liquid drinkable, and have the patient consume it all at once. Must distinguish that rapeseed oil cannot be used; less medicine leads to slower effect. If the jaw is tightly closed, pry it open and pour it in. Once the patient regains consciousness, then administer Zi Tang. This prescription uses Chuan Du Huo (Angelicae Pubescentis Radix), washed to remove sand and soil, sliced thinly, and decocted in Dou Lin Jiu (Soybean-dripping wine) to make a concentrated juice. Cumulative intake of one or two jin is harmless. Taking these two medicines permanently prevents hemiplegia and slurred speech. Later, if diagnosed as wind-stroke, only take Xiaoxuming Tang (Minor Continue Life Decoction); if diagnosed as Qi strike, only take Yunqi San (Qi-Regulating Powder), and naturally there will be no trouble. He obtained this from Prefect Zhang Shaowei while serving as Instructor in Handong, who claimed it was frequently tested and effective. Jun also treated several people with it, mentioning another prescription of Sesame Oil and Musk frying Wuji San (Five Accumulations Powder). (*Shizhai Fang*, Ibid.)
Luo Qianfu said: Li Zhongkuan, Secretary of the Surveillance Commissioner, over fifty years old, suffered from wind syndrome in the spring of Jisi year of Zhiyuan. Symptoms included hemiplegia, limb numbness and paralysis, slurred speech, and mental confusion. A friend prescribed a method: Boil half a jin of Da Huang (Rhei Radix et Rhizoma) and three sheng of Hei Dou (Sojae Semen Nigrum) in one dou of water. When beans are cooked, remove Da Huang. Wash Hei Dou thoroughly with fresh water. Take two or three he daily, and wind-heat will naturally dissipate. After taking half, another friend suggested combining Tongsheng San (Unimpeded Salvation Powder), Siwu Tang (Four Substances Decoction), and Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity). They claimed combined use would be faster. After taking for over a month, spirit became more exhausted, and aphasia developed, along with cold limbs. I was called to diagnose. Detailed inquiry revealed the history. Pulse was thread-like and minute. I told him: Diseases vary in exterior/interior, deficiency/excess, cold/heat. Medicines have specific formulations of sovereign, minister, assistant, and courier. Your medication lacked basis, hence the worsening condition. Now it is incurable; you brought this upon yourself. Soon after, he died. Cao Tongfu, Assistant Director, had a wife surnamed Xiao, over sixty, poor and alone. In spring, she suddenly suffered wind disease with hemiplegia, slurred speech, mental confusion, and facial paralysis, identical to Li Zhongkuan's symptoms. I punctured the Jing-well points of the twelve meridians to unblock the meridians, and moxibusted Jianjing (GB21) and Quchi (LI11). Considering the date and season, I prescribed medicine. After taking half the course, I said: No need for further medicine; the disease will heal itself. The following spring, I saw her walking normally at the home of Langzhong Zhang Zijing. I sighed: This lady's recovery was due to not taking random medicines. From this, we see Li Zhongkuan's reckless medication led to death; Xiao's poverty and tranquility led to peace. *Neijing* says: Medication without basis becomes a thief of Qi; the Sages warn against this. Yao Xuezai quoted Mr. Xuzi (Lu Zhai): Rich and noble people have two disadvantages compared to the poor and lowly: they cannot correct their faults, and they cannot receive proper medical treatment. Alas! This refers to the Li family.
Chen Ziming treated a woman with wind-stroke, rigid jaw, and overflowing saliva/phlegm. He gave one pill of Shenxian Taiyi Dan (Immortal Supreme One Pill), and she recovered. (Formula seen in Gu Men section.)
During the Song Dynasty, digging for a canal in Tokyo unearthed a stone tablet with Sanskrit seal script, which no one could read at the time. The True Man Lin Lingsu deciphered it character by character. It was a prescription for treating wind-stroke named Qufeng Dan (Wind-Removing Pill). The poem reads: Nature born spiritual grass has no root or trunk, neither in the earth nor on the shore. Initially chasing the east wind like flying catkins, floating stems drift green on the water surface. One divine remedy removes deep ailments, harvest must be in mid-July. Whether severe flaccid paralysis or great wind, even slight wind is insignificant. Dissolve three pills in Soybean-dripping wine, sweat will flow even from an iron pestle head. The method uses purple duckweed (Zi Piao Ling), dried and powdered, mixed with refined honey into pills the size of a bullet. Take one pill per dose, dissolved in Soybean-dripping wine. Treats left/right flaccid paralysis, thirty-six types of wind, lateral/frontal headache, facial paralysis, leprosy/wind sores, all unnamed winds, Hong Kong foot (gout), trauma/fractures, and injured pregnancy. Taking over one hundred pills restores full health. Later generations renamed this formula Ziping Yili Dan (Purple Duckweed Single Pill). (Similar to herbal pills, suitable only for excess syndromes, not for deficiency. *Bencao Gangmu*.)
Xu Shuwéi said: Fan Zimo recorded that during the Chongning era, anyone struck by wind in the rain. Initially facial paralysis, then phlegm tide and obstruction. Moxibusting twelve acupoints on both sides unblocked the Qi. The twelve acupoints are Tinghui (GB2), Jiache (ST6), Dicang (ST4), Baihui (GV20), Jianyu (LI15), Quchi (LI11), Fengshi (GB31), Zusanli (ST36), Juegu (GB39), Faji (hairline), Dazhui (GV14), and Fengchi (GB20). Following this method yields no ineffective cases. (*Yixue Gangmu*)
Pingshi Gao suffered wind-stroke slowly. Zhang Lingyong treated him, who later took Tiedan Wan (Iron Pill), found in the modified formulas of *Puji Fang*. Someone asked Zhang: You often laugh at people taking Tiedan Wan for wind-stroke; why use it now? Zhang said: This is a post-recovery medicine. People today use it when the major pathogen is just arriving, like an ant trying to shake a tree, not understanding the sequence.
The Longshi suffered from facial paralysis. Zhang treated him. For deviated eyes, moxibustion Chengqi (ST1); for deviated mouth, moxibustion Dicang (ST4). Both were effective. If ineffective, moxibust Renying (ST9). Because Qi deficiency allows wind entry causing deviation, unable to exit upwards or drain downwards, true Qi is陷 (sunken) by wind-pathogen. Moxibustion is indicated. *Neijing* says: Sunken conditions require moxibustion. This is exactly what is meant, thus immediate recovery. Another man in Dongqi had the same condition. His bilateral pulses were rapid, string-taut, forceful, and solid. He had strong teeth and abundant Qi, different from the Longshi. Likely wind-fire competing. Prescribed Chengqi Tang (Descending the Yellow Decoction) six liang, decocted in four sheng of water to three sheng, divided into four doses, taken warm. He defecated forty to fifty times, expelling one or two basins of stool. Then used emetics, several doses of detoxification, to ascend/descend Water/Fire. Recovered in ten days.
Wang Keming treated Wang Andao, Prefect of Luzhou, with wind-stroke, locked jaw, and inability to speak. Other physicians looked and left. Wang Keming said: This cannot be reached by decoctions. Heat the ground, sprinkle medicine, and let Andao lie on it. He revived shortly after. (*Jiangxi Tongzhi*)
Li Dongyuan treated Military Supervisor Dong. In cold winter, he suddenly felt wind, then collapsed. Pulses were string-taut and very strong, pressing revealed surging and solid strength. Symptoms: hand spasm, constipation, red hot face. This is initial Wind-Cold attacking the body. Limbs belong to Spleen; Wind-Cold damages them, causing tendon spasm. The patient loved alcohol, had internal excess heat, affecting intestines/stomach, causing constipation and red hot face. Internally, Hand-Foot Yangming meridians were attacked; externally, Foot-Taiyin Spleen meridian was attacked by Wind-Cold. Used Guizhi (Cinnamomi Ramulus) and Gancao (Glycyrrhizae Radix et Rhizoma) to dispel Cold and relieve spasm; Huangbo (Phellodendri Cortex) bitter-cold to drain excess and moisten dryness, saving Kidney Water; Shengma (Cimicifugae Rhizoma) and Gegen (Puerariae Radix) to raise Yang Qi and circulate Hand-Foot Yangming meridians, preventing blockage; Guizhi pungent-hot enters Hand-Yangming as guiding herb. Baishao (Paeoniae Radix Alba) moistens dryness; Gancao tonifies Spleen Qi, preventing Wind-Cold invasion and subduing Wood pathogen, benefiting Lung tendons. Renshen (Ginseng Radix) tonifies Yuan Qi as assistant. Danggui (Angelicae Sinensis Radix) relieves interior urgency, harmonizes blood, moistens dryness. Named Huoxue Tongjing Tang (Invigorate Blood and Unblock Meridians Decoction). Guizhi 2 qian, Baishao 0.5 qian, others 1 qian. Decoct in 2.5 zhong water to 1 zhong. Drink hot. Lie in warm room, rub hands near fire until cured.
Song Dynasty, Ruizhou, Yang Mou. Medical practice flourished, patients came continuously. Prefect fell critically ill, summoned him at night. Yang was drunk, couldn't ride, handed medicine to servant. Next morning washing face, didn't see bath bean powder, but the wrapped medicine was there. Realized mistake, but Prefect's thanks had arrived. Prefect had sudden wind syndrome; bath bean powder contains Zaojiao (Gleditsiae Spina) to dispel wind. (*Shu Tan*)
Consort Liu of Jinghe, age 70, suffered wind-stroke, unconscious, jaw tightly closed. Physicians helpless. Li Shizhen's father, Imperial Physician Yuezhi Weng, diagnosed. Medicine couldn't enter mouth. From noon to Zi hour, forced to extract a tooth, brew thick Licorice Root (actually listed as Lihuang/Li Lu - Veratrum) soup and灌 (pour) it. Shortly after, belched, vomited phlegm, and revived. Recovered after conditioning. (*Bencao Gangmu*)
Gong Zicai treated Sang Huanchuan and Liu Qianxi, nearly 50. Sang indulged in desires, Liu loved alcohol. Left pulse weak, Renying pulse strong, Right pulse slippery and large. Frequent soreness/numbness in limbs, muscle twitching. This is Qi/Blood deficiency with abundant Wind-Phlegm. Predicted paralysis within three years. Advised cautious medication to prevent. Sang agreed, annually made Soufeng Shunqi Wan (Search Wind Smooth Qi Pill - note: not for long-term use) and Yanning Guben Dan (Extend Age Solidify Root Pill). Result: safe. Liu didn't believe, drank freely. Within three years, indeed suffered sudden wind-stroke collapse, paralysis, slurred speech. Given Yangrong Tang (Nourish Ying Decoction) modified, plus Jianbu Huqian Wan (Strengthen Steps Tiger Hide Pill). Cured after over a year.
Wan Mizhai treated Xiao Jingwu. Winter Gengxu got wind disease, treatment incomplete. Spring Xinhai, right shoulder spasmed, lips moved. Pulse floating, slow, choppy. Wind pathogen in Taiyin Meridian. Right Cun floating/choppy, shoulder movement indicates Lung disease (Hand-Taiyin). Right Guan slow, lip movement indicates Spleen disease (Foot-Taiyin). Used Huangqi (Astragali Radix) honey-fried, Baishao (Paeoniae Radix Alba) wine-fried, Gancao (Glycyrrhizae Radix et Rhizoma) fried, large dose. Asked why no phlegm-resolving drugs? Answer: Treating root slowly. Qi damaging Wei-Lung, Wei Qi master. Huangqi sweet-warm tonifies Lung. Baishao sour, wood bends to sour, sour is Jia. Gancao sweet, earth grows sweet, sweet is Ji, thus tonifies Spleen. Classic says: All wind tremors belong to Liver. Liver hates urgency, eat sweet to relax, hence Gancao. Liver desires gathering, gather with sour, hence Baishao. Followed this regulation, peaceful by early summer.
Sun Wen yuan treated Wu Mianzhai. Fat, liked fried food, licentious, 60-70 years old, very irritable. Fell, hurt tooth, ignored. Fell twice more (dizziness indicating impending stroke). Next evening, left hand/foot immobile, facial paralysis. Pulse: Left surging-large, Right slow-large. Complexion dark/black. Unconscious snoring. Long exhale, short inhale. Breath rushes out, can't return. Lying all day like drunk. Asked: Is this hemiplegia? Answer: Severe symptom. Hemiplegia is past stage of wind-stroke, usually slow, some healthy for 10+ years. Current rapid progression is pre-stroke phase, unpredictable. Prescribed Liujunzi Tang (Six Gentlemen Decoction) + Quanxie (Scorpion), Jiangcan (Silkworm), Tianma (Gastrodiae Rhizoma). Two days no progress, occasional vomiting. Added Zhuru (Bambusae Caulis in Taenia). Two days spirit revived, wanted to speak but tongue couldn't move. Added Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix), Honghua (Carthami Flos). Could eat porridge. Night, mixed with Zhengshe San (Straight Tongue Powder). Three more days, could sit, ate more, speech still slurred. Wrote "Left hand hurts much", difficult urination/bowel movement. Prescribed Sijunzi Tang (Four Gentlemen Decoction) + Chenpi (Citri Reticulatae Pericarpium), Zhuru, Danggui (Angelicae Sinensis Radix), Baishao, Honghua, Gouteng (Uncariae Ramulus cum Uncis), Tianma. Three days, spirit greatly improved, diet increased. One month, hand pain reduced, speech clearer. Bowel movement once every 10 days due to Blood deficiency. Long nourishment will cure. Patient said: Phlegm in chest, want to vomit for relief. (Actually Liver/Kidney Qi floating up, patient mistook for phlegm, failed to use harsh Yin-nourishing agents to guide Dragon/Fire back to Yuan Sea.) Dr. Sun said: Pulse indicates severe deficiency, not phlegm harm. Do not lightly induce vomiting. Doctor said: Phlegm disease, vomit then tonify, can cure completely, else chronic. Patient wanted quick result, insisted on vomiting. Family couldn't stop. First vomit: irritability, said "Not enough, need heavy vomit". Second vomit: unconscious, short breath, profuse sweat, died.
Cheng Xiaochuan stayed in Huzhou for 40th birthday, hired prostitutes, feasted for a month. Suddenly felt weakness in two little fingers, stiff, unusable, corner of mouth pulled. Pulse: Six pulses slippery-large-rapid, floating not gathering. Body fat, complexion dark-purple. Slippery-large indicates Phlegm, Rapid indicates Heat, Floating indicates Wind. Damp generates Phlegm, Phlegm generates Heat, Heat generates Wind. Loved drinking, so much damp; close to women, so True Yin exhausted. Floating pulse, stroke signs appeared. Good thing complexion dark-purple, spirit hidden, still treatable. Advise abstain from alcohol/women. Erchen Tang (Two Aged Decoction) + Huashi (Talcum) as Sovereign, Huangqin (Scutellariae Radix), Lianzi (Nelumbinis Nuculus) as Ministers. Strengthen Spleen, eliminate Phlegm, drain damp-heat via urine. Add Dansheng (Arisaematis Cum Bile), Tianma to calm wind. Zhuli (Bambusae Succus) and Jiangzhi (Zingiberis Succus) mixed/dried, paste pills with Zhuli/Jiangzhi to guide drugs into meridians to resolve phlegm. Tianma Wan to nourish sinews/bones, treat root and branch. Two courses, ten years safe. At 50, resumed prostitution/alcohol, forgot cause of illness. Finger/mouth symptoms worsened. Soon wind-stroke, right hemiplegia. Returned for diagnosis. Pulses surging-large not gathering, profuse sweat, short breath. Lower deficiency, Upper exhaustion. Kidney deficiency fails to grasp Qi, sweat like rain, panting. Even Hua Tuo/Bian Que powerless. Died in 20 days.
Li Shicai treated a merchant. Sudden collapse, incontinence, hand scattering, sweat like pearls. All said terminal, no hope. Li said: Hand scattering is Spleen failure, incontinence is Kidney failure, untreatable by law. Only large dose Renshen (Ginseng) and Fuzi (Aconiti Lateralis Radix Praeparata), hope for miracle. Used Renshen 3 liang, Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi 5 qian each. Taken overnight, body slightly movable. Again, Shenfu Gao (Ginseng-Aconite Paste) + Shengjiang (Zingiberis Rhizoma), Zhuli ~1 cup. Continuous 3 days, spirit refreshed. Later Lizhong Tang (Center-Regulating Decoction), Buzhong Tang (Tonify Middle Decoction), conditioned 200 days, recovered.
Prefect Tang, much depression/thought, labored for government affairs. Unconscious, phlegm obstruction, locked jaw, slurred speech, limbs immobile, often weeping. Pulse large-soft. Spleen/Lung Qi deficiency, wind in meridians. Buyi Zhongqi Tang (Boost Middle and Augment Qi Decoction) minus Huangqi, add Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Tianma, Banxia (Pinelliae Rhizoma). Ten doses, symptoms reduced 20-30%. Add Zhuli, Jiangzhi, double Renshen, plus Bawei Wan (Eight Ingredients Pill). Cured in two months.
One man returned from afar, sudden wind-stroke unconsciousness, jaw closed. First, Ya Zao Mo (Soap Bean Powder) induced sneezing. Then pried open with chopsticks, poured Suheli Wan (Suheli Pills). Then Fangfeng San (Wind-Dispersing Powder). Three doses, profuse sweat. Pathogen resolved externally. Remove Mahuang (Ephedrae Herba), Duhuo (Angelicae Pubescentis Radix), Lingyangjiao (Saiga Tataricae Cornu). Add Qinjiao, Banxia, Gouteng, Jiangzhi. Ten doses, phlegm clear, spirit refreshed. Liujunzi Tang + Zhuli, Jiangzhi, Gouteng. Cured in two months. (Method for Closed Syndrome.)
Yao Taishi suffered wind-stroke unconsciousness, unable to speak, red face, occasional laughter (not Kidney failure laughter). Heart wind-strike. Early autumn. Pulse: Six pulses surging-large, pounding finger. Extreme deficiency mimicking excess. Should tonify middle primarily, assist with wind-dispelling/phlegm-resolving to save life. Family panicked, undecided for two days, finally accepted. Large dose Buyi Zhongqi Tang + Qinjiao, Gouteng, Fangfeng, Zhuli. Two doses, spirit refreshed. Modified regulation, cured in 50 days. (Pulse/symptoms matched, yet Buyi Zhongqi worked. If excess-heat existed, how to distinguish? Must have had other evidence at the time.)
Huang Lvsu said: My cousin Lvzhong, young adult, due to mental labor/depression, suddenly unconscious, phlegm rising, incontinence, eye deviation, prolonged coma, resembling wind-stroke,