南星散 治妇人中风，牙关紧急，四肢强直，心胸痰涎，咽膈不利。
天南星（生姜制） 麻黄 半夏（汤洗七次，姜制） 赤箭（各半两） 川乌头（炮，去皮脐）
桂心 蝎梢（各二钱半，生用） 麝香（半钱，研）
为细末，入研麝香令匀，每服一钱，豆淋酒调下，日进二服，不拘时候。
木香煮散 治左瘫右痪，并素有风湿，诸药不效。常服调气进食宽中。
羌活 麻黄（去节，各一两） 防风（七钱半） 白术 陈皮 黑附子（炮） 南木香
槟榔 牛膝 大川乌（炮） 草豆蔻（连皮煨） 杏仁（去皮，麸炒） 人参 白茯苓 川芎
当归 甘草 桂心（各半两）
上 咀，每服四钱，水一大盏半，生姜五片，煎至八分，去滓热服。大便不通，加
大黄。心腹胀，加苦葶苈、滑石。膈上壅滞，咳嗽气促，加半夏、川升麻、天门冬、知母。
上古方专主妇人中风，故收之。率用麻黄、桂心，非真中外邪，不宜轻用。只以薛
氏法调之为善，其余证治方药，详见杂病本门，男妇初无二治也。
〔角弓反张〕
〔大〕夫妇人角弓反张者，是体虚受风，风入诸阳之经。人之阴阳经络，周环于身，风
乘虚入于诸阳之经，则腰背反折挛急，如角弓之状，宜服小续命汤。
〔薛〕仲景先生云∶太阳病发汗大多致痉，风病下之则痉。《三因方》云∶气血内虚，
风寒湿热所中则痉。以风能散气，故有汗而不恶寒曰柔痉，寒能涩血，故无汗而恶寒曰
刚痉。非专于风湿，因内虚发汗亡血，筋无
所荣而然，乃虚象也。窃谓伤寒汗下过度，与产妇溃疡等病，及因克伐之剂，伤损气血而
变。若金衰木旺，先用泻青丸，（幼科肝脏。）后用异功散；（幼科吐泻。）肾水虚，用六味丸；（杂
病虚劳。）肝火旺，先用加味小柴胡汤，（热入血室。）次用加味四物汤；发热，用加味逍遥散；
若木侮脾土，用补中益气汤（杂病伤劳倦。）加芍药、山栀；脾经郁结，用加味归脾汤；（杂病健
忘。）脾土湿热，用大承气汤。（伤寒胃实。）大凡病后气血虚弱，用参术浓煎，佐以姜汁、竹
沥，时时用之，如不应，用十全大补汤，（杂病虚劳。）更不应，加附子或用参附汤，缓则不救。
（人参一两，附子二钱，水煎服。）
白僵蚕散 治妇人中风，角弓反张，口噤不能言，皮肤顽麻，筋脉抽掣。
白僵蚕（一两，炒） 麝香（二钱半，另研） 乌蛇肉（炒令黄） 蝉壳（炒）
桑螵蛸（炒） 犀角屑 天麻 独活（去芦） 天南星（炮） 川乌头（炮去皮脐）
白附子（炮） 朱砂（另研，水飞） 防风（去芦，各半两）
上为细末，入研药令匀，每服二钱，温酒调下，不拘时，日三服。
羚羊角散 治妇人中风，角弓反张，筋脉拘急，言语謇涩，心神烦闷。
羚羊角（屑） 鹿角胶（捣碎，炒令黄燥） 赤箭 酸枣仁（炒） 薏苡仁（各一两）
白附子（炮） 芎 当归（炒去芦） 人参（去芦，各七钱半） 羌活（去芦） 白鲜皮
地骨皮 柏子仁 蔓荆子 犀角屑（各半两） 牛黄（另研） 麝香（各二钱半，另研）
上为细末，入研药令匀，每服一钱，煎薄荷汤调下，日进三服，无时。
紫汤 治妇人中风，腰脊反张如弓之状。
鸡粪白（一合，炒微黄） 大豆（二合，炒熟） 防风（一两，去芦）
上为粗末，每服五钱，酒水各一中盏，煎至六分，去滓温服，不拘时候。
乌蛇丸 治妇人中风，角弓反张，或身体强直，牙关紧急。
乌蛇肉（酒浸） 犀角屑 白附子（炮） 天麻（各一两） 半夏（汤洗七遍，生姜制）
天南星（炮） 麻黄（去节） 桂心 独活（去芦） 白僵蚕（炒） 晚蚕砂（炒）
干蝎（微炒，各半两） 麝香（二钱半，另细研）
上为细末，入研麝令匀，炼蜜和捣二三百下，丸如梧桐子大。每服三十丸，豆淋酒
送下，日二服，无时。
余并详杂病痉门。
〔口噤〕
夫妇人中风口噤者，是体虚受风，风入颔颊夹口之筋也。手三阳之筋结入于颔颊，足
阳明之筋上夹于口，而风挟冷乘虚入其筋，则筋挛，故引牙关急而口噤也。
〔薛〕前证若风邪客于手足阳明经，口眼 斜，用秦艽升麻汤。（杂病中风。）若风热伤
气，用省风汤。（杂病中风。）当与后方同用。一妇人因怒经事淋沥，半月方竭，遇怒其经
即至，甚则口噤筋挛，鼻衄头痛，痰痉搐搦，瞳子上视，此肝火炽甚，以小柴胡汤（伤寒少阳。）
加热地、山栀、钓藤治之，后不复发。一妇人素阴虚，患遍身瘙痒，误服祛风之药，口
噤抽搐，肝脉洪数。余曰∶肝血为阴为水，肝气为阳为火，此乃肝经血虚火盛耳，宜助阴
血、抑肝火，用四物、麦门、五味子、柴胡、山栀、生甘草，热搐顿止；又以八珍、黄 、
麦门、五味、钓藤、炙草调理而痊。
天南星散 治妇人中风口噤，四肢拘急，或痰气上壅。
天南星（姜汁炒黄） 白附子（炮） 黑附子（炮） 乌蛇肉（酒炙） 全蝎（炒，等分）
上为细末，每服半钱，以生姜汁、温酒调，不拘时，拗开口灌之。
走马散 治妇人中风口噤，四肢强直。
附子（炮，去皮脐） 天麻（各半两） 桂心 石膏（研如面） 麻黄（去节） 川乌头（炮，
去皮脐） 天南星（炮） 蝎梢（各二钱半） 麝（另细研，半钱）
上为细末，入麝香研令匀，每服二钱，豆淋酒调下，不拘时，斡开口灌之。
乌蛇散 治妇人中风口噤。
乌蛇肉（酒浸） 干蝎（炒） 白僵蚕（炒） 天南星（炮） 天麻（各半两）
腻粉（半钱，另研）
上为细末，入腻粉研匀，每服二钱，生姜酒调下，斡开口灌之。
白术酒 治妇人中风口噤，言语不得。
白术（锉） 黑豆（各三两，炒熟）
上以酒四升，煎至二升，去滓分四服，斡开口灌之。
治妇人中风口噤，舌本缩，语言难。
芥子（一升）细研，以醋三升，煎至一升，涂颊颔下效。
〔不语〕
巢氏论曰∶脾脉络胃，夹咽连舌本，散舌下，心之别脉系舌本。今心脾二脏受风邪，
故舌强不得语也。喉咙者，气之所以上下也，会厌者，音声之户，舌者声之机，唇者声之
扇，风寒客于会厌之间，故卒然无音，皆由风邪所伤，故谓之中风失音不语。经云∶醉
卧当风，使人发喑，不能言也。
〔薛〕前证若因痰迷心窍，当清心火。若因湿痰舌强，当清脾热。若因风热牙关紧
急，当清肝火。若因风痰塞喉，当导痰涎。若因虚火上炎，当壮水之主。若因气虚厥逆，当
益火之源。若因肾虚舌暗而不语，当补肾气。
一妇人因怒仆地，痰涌不语，灌牛黄清心丸稍苏，用神仙解语丹加山栀、柴胡、桔梗
渐愈。又用六君、柴胡、山栀、枳壳而痊。一妇人忽然不语半年矣，诸药不应，两尺浮
数，先用六味丸料加肉桂数剂，稍愈。乃以地黄饮子二十余剂而痊，男子多有此证，亦
以此药治之。（诸方并见杂证中风。）
神仙解语丹 治心脾经受风，言语謇涩，舌强不转，涎唾溢盛，及疗淫邪搏阴，神内
郁塞，心脉闭滞，暴不能言。
白附子（炮） 石菖蒲（去毛） 远志（去心） 甘草（水煮十沸） 天麻
全蝎（酒炒） 羌活 白僵蚕（炒） 南星（牛胆酿，如无只煨，各一两） 木香（半两）
上为细末，水煮曲糊丸如梧桐子大，量入辰砂为衣。每服二十丸至三十丸，生薄荷
汤吞下，无时。
防风汤 治中风内虚，脚弱语謇。
石斛（一两半，酒炒） 干地黄 杜仲（去粗皮，切，姜汁炒） 丹参（各一两二钱半）
防风 川芎 麦门冬（去心） 桂心 川独活（各一两）
上 咀，每服五钱，水一盏半，枣二枚，煎至八分，去滓温服。
竹沥汤 治中风入肝脾，经年四肢不遂，舌强语謇。
威灵仙 附子（炮） 苦梗 蔓荆子 防风 枳壳（去幅，麸炒） 川芎
当归（各等分）
上 咀，每服四钱，水一盏，竹沥半盏，姜三片，煎至八分，温服，一日四服，忌茶。
地黄饮子等方，详杂病本门。
〔风痹手足不随〕
夫妇人风痹者，由风寒湿三气合而为痹。风多者为风痹，其状肌肤尽痛。诸阳之经皆
起于手足而循行于身体，风寒之气客于肌肤，始为痹，复伤阳经，随其虚处而停滞，与血
气相搏，血气行则迟缓，故风痹而复手足不随也。
〔薛〕经云∶邪之所凑，其气必虚。前证若风邪淫旺，或怒动肝火，血燥筋挛，用
加味逍遥散。脾肺气虚，肌肤不仁，手足麻木，用三痹汤。若肾水亏损，不能滋养筋骨，
或肝脾血虚而筋痿痹，用六味丸。服燥药而筋挛者，用四物、生甘草。气血俱虚，用八
珍汤。何《医林集要》等方，新刊《丹溪心法·附录》云∶若人大拇指麻木不仁，或手
足少力，或肌肉微掣，三年内必有大风之证，宜先服八风汤、天麻丸、防风通圣散以预防
之。殊不知河间云∶风者病之末也。所以中风有瘫痪者，非谓肝木之风内中，亦非六淫
风邪外袭，良由五志过极，心火炽盛，肾水虚衰，不能制之，则阴虚阳实而热气怫郁，心
神昏愦，筋骨无用而卒倒无知也。治当以固元气为主。若遽服八风等药，则反伤元气，适
足以招风取中。一妇人因怒，吐痰胸满，服二陈、顺气、化痰之剂，半身不遂，内热口
干，形气殊倦。余视之，乃肝火炽盛而侮脾土也，用逍遥散、补中益气汤、六味地黄丸。
喜其慎疾，年余而愈。一孀妇胸胁胀痛，内热晡热，月经不调，肢体酸麻，不时吐痰，或
用清气化痰药，喉间不利，白带腹胀，又用清热理气药，胸膈不宽，肢体时麻。余曰∶此
本郁怒伤肝脾，前药伤甚耳。朝用归脾汤以解郁结，生脾气，夕用加味逍遥散以生肝血，
清肝火，百余剂而愈，后因怒肢体复麻，用补中益气加山栀、茯苓、半夏而痊。后复怒，
病再作，月经如注，脉浮洪而数，此肝火伤脾不能摄血所致也，用六君、芎、归、炮姜，
一剂而血止。用补中益气加炮姜、茯苓、半夏，四剂而胃醒。更用归脾汤、逍遥散调理
而痊。一妇人头晕吐痰，用化痰理气药，肢体或麻，服祛风化痰药，肢体常麻，手足或
冷或热，此脾土虚而不能生肺金，用补中益气加茯苓、半夏、炮姜，二十余剂，脾气渐
复，诸证稍愈。更用加味逍遥散三十余剂而愈。后因怒吐痰，自服清气化痰丸，饮食不
进，吐痰甚多，胸胁胀满。余用六君子倍加参术，少加木香，数剂而康。
三痹汤 治血气凝滞，手足拘挛，风痹、气痹等疾。
川续断 杜仲（锉，姜汁炒去丝） 防风（去芦） 桂心 华阴细辛 人参（去芦）
白茯苓（去皮） 当归（去芦） 白芍药 甘草（各一两，炙） 秦艽（去芦） 生地黄
川芎 川独活（各半两，去芦） 黄 （去芦） 川牛膝（酒浸，各一两）
上 咀，或为末，每服八钱，水二盏，生姜五片，枣一枚，煎至一盏，去滓热服，无
时候，但腹稍空服。有人病左臂不随，后已痊平而手指不便无力，试诸药不效，服此药
一料而愈。
独活汤 治妇人风痹，手足不随，身体疼痛，言语謇涩，筋脉拘急，并宜服之。
独活（去芦） 桑寄生 牛膝（酒浸） 秦艽（去芦） 赤茯苓（去皮） 桂心 防风（去芦）
附子（炮，去皮脐） 当归（炒，去芦） 生干地黄（各一两） 杜仲（锉，炒去丝） 细辛（去苗）
芎 赤芍药（各七钱半） 甘草（炙，半两）
上为 咀，每服八钱，水一中盏半，煎至一大盏，去滓温服，无时。
乌蛇散 治妇人风痹，手足顽麻，筋脉搐搦，口眼不正，言语謇涩。
乌蛇肉（酒拌炒） 土蜂儿（炒） 天南星（炮） 天雄（炮，去皮脐） 赤箭
麻黄（去节） 薏苡仁 芎 （各一两） 羚羊角屑 干蝎（微炒） 桑螵蛸（微炒）
桂心 朱砂（研，水飞，各半两） 当归（炒，去芦） 酸枣仁（炒） 柏子仁（各七钱半）
为细末，入朱砂药研匀，每服一钱，食前温酒调下。
东垣羌活汤 治湿热身重，或眩晕麻木，小便赤涩，下焦痿软，不能行履。
羌活 防风 柴胡（各一钱） 本 独活 茯苓 泽泻 猪苓 黄 （炒） 甘草（炙）
陈皮 黄柏（酒炒黑） 黄连（炒） 苍术 升麻 川芎（各五分）
上水煎服。
甘草附子汤 治风湿相搏，骨节烦疼，不时抽痛，不能伸屈，抑之则痛剧，汗出短气，
小便不利，恶风不欲去衣，或微肿痛，
甘草（炙，一两） 附子（一枚，重一两三四钱者方是。炮，去皮尖，不真不效）
白术（炒，一两） 桂枝（二两）
上每服五钱，水煎。
八珍汤 治肝脾气血俱虚，不能养筋，以致筋挛骨痛，或不能行履，或发热晡热，寒
热往来等证。
加味逍遥散 治肝经风热，血燥筋挛，肢体不遂，内热晡热等证。（八珍方见杂病虚劳，本
方见本科调经。）
〔自汗〕
药隐老人云∶寻古治中风方，续命、排风、越婢等悉能除去，而《千金》多用麻黄，
Nanxing San (Arisaema Powder): Treats women with wind-stroke, presenting with locked jaw, rigid limbs, phlegm-saliva accumulation in the chest and heart, and obstruction in the throat and diaphragm.
Tian Nan Xing (Arisaema Cum Bile, processed with fresh ginger juice) Mahuang (Ephedrae Herba) Banxia (Pinelliae Rhizoma, washed seven times in boiling water, processed with ginger juice) Chijian (Saposhnikoviae Radix, also known as Fangfeng, each half tael) Chuan Wutou (Aconiti Radix, processed, skin and umbilicus removed)
Guixin (Cinnamomi Cortex) Xieshao (Scorpio caudex, each two qian and half, used raw) Shexiang (Musk, half qian, ground)
Grind into fine powder, mix evenly with the ground musk. Take one qian per dose, mixed with Doulin Jiu (wine soaked with beans). Take twice daily, at any time.
Muxiang Zhusan (Costus Decoction Powder): Treats hemiplegia on either side, and chronic rheumatism where other medicines are ineffective. Regular use regulates qi, promotes appetite, and relieves abdominal distension.
Qianghuo (Notopterygii Rhizoma et Radix) Mahuang (Ephedrae Herba, nodes removed, each one tael) Fangfeng (Saposhnikoviae Radix, seven qian and half) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Hei Fuzi (Aconiti Lateralis Radix Praeparata, processed) Nan Muxiang (Costi Radix)
Binglang (Arecae Semen) Niuxi (Achyranthis Bidentatae Radix) Da Chuanwu (Aconiti Radix, processed) Caodoukou (Cardamomi Fructus, roasted with skin) Xingren (Armeniacae Semen Amarum, peeled, stir-fried with bran) Renshen (Ginseng Radix) Bai Fuling (Poria) Chuanxiong (Chuanxiong Rhizoma)
Danggui (Angelicae Sinensis Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Guixin (Cinnamomi Cortex, each half tael)
Cut the herbs. Take four qian per dose, add one and a half large cups of water and five slices of fresh ginger. Decoct until eight-tenths remain, remove dregs, and take hot. If constipation, add Dahuang (Rhei Radix et Rhizoma). If abdominal fullness, add Tinglizi (Descurainiae Semen seu Lepidii Semen), Huashi (Talcum). If chest oppression with cough and shortness of breath, add Banxia (Pinelliae Rhizoma), Chuanshengma (Polygoni Sibirici Rhizoma), Tianmendong (Asparagi Radix), Zhimu (Anemarrhenae Rhizoma).
Ancient formulas specifically for women's wind-stroke are collected here. They mostly use Mahuang and Guixin; if not truly affected by external pathogens, they should not be used lightly. It is better to regulate according to Xue Ji's method. For other syndromes and treatments, see the Miscellaneous Diseases section; initial treatment for men and women is no different.
[Opisthotonos]
[Da Lun]: Opisthotonos in women is caused by constitutional deficiency allowing wind invasion into the Yang meridians. The Yin and Yang meridians circulate around the body; when wind enters the Yang meridians due to deficiency, it causes hyperextension and spasm of the waist and back, resembling a horn bow. Xiaoxuming Tang (Minor Continuation Decoction) is suitable.
[Xue Ji]: Master Zhang Zhongjing stated: Excessive sweating in Taiyang disease often leads to spasms; purging wind diseases leads to spasms. *San Yin Fang* states: Internal deficiency of Qi and Blood, attacked by Wind-Cold-Damp-Heat, leads to spasms. Since Wind disperses Qi, sweating without aversion to cold is called Soft Spasm; Cold congeals Blood, so no sweating with aversion to cold is called Hard Spasm. This is not solely due to Wind-Damp, but results from internal deficiency, excessive sweating causing blood loss, and tendons losing nourishment, representing a deficiency pattern. I believe this arises from excessive sweating and purging in Cold Damage, or in postpartum ulcers, or due to harsh drugs damaging Qi and Blood. If Metal is weak and Wood is hyperactive, first use Xieqing Wan (Draining Green Pill), then Yigong San (Yi-Gong Powder); if Kidney Water is deficient, use Liuwei Wan (Six-Ingredient Pill); if Liver Fire is hyperactive, first use Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction), then Jiawei Siwu Tang (Modified Four Substances Decoction); for fever, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if Wood insults Spleen Earth, use Buzhong Yiqi Tang (Middle-Boosting Qi-Enhancing Decoction) plus Shaoyao (Paeoniae Radix Alba), Shanzhi (Gardeniae Fructus); for Spleen Meridian stagnation, use Jiawei Guipi Tang (Modified Heart-Spleen Decoction); for Spleen Earth Damp-Heat, use Dachengqi Tang (Major Order the Qi Decoction). Generally, after illness when Qi and Blood are weak, decoct Renshen and Baizhu thickly, assist with Jiangzhi (Fresh Ginger Juice) and Zhuli (Bamboo Sap), administer frequently. If ineffective, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction); if still ineffective, add Fuzi (Aconiti Lateralis Radix Praeparata) or use Shenfu Tang (Ginseng and Aconite Decoction); if delayed, rescue is impossible. (Renshen one tael, Fuzi two qian, decoct in water.)
Baijiangcan San (White Silkworm Powder): Treats women with wind-stroke, opisthotonos, locked jaw unable to speak, numb skin, and tendon spasms.
Baijiangcan (Bombyx Batryticatus, one tael, stir-fried) Shexiang (Musk, two qian and half, separately ground) Wushe Rou (Dermatophaga Pangolin Scale Meat, stir-fried until yellow) Chanqiao (Cicadae Periostracum, stir-fried)
Sangpiaoxiao (Ovi Mantidis) Xijiao (Rhino Ceratoss, shaved) Tianma (Gastrodiae Rhizoma) Duhuo (Angelicae Pubescentis Radix, radix removed) Tian Nan Xing (Arisaema Cum Bile, processed) Chuan Wutou (Aconiti Radix, processed, skin and umbilicus removed)
Baifuzi (Typhonii Rhizoma, processed) Zhusha (Cinnabar, separately ground, water levigated) Fangfeng (Saposhnikoviae Radix, radix removed, each half tael)
Grind into fine powder, mix evenly with ground medicines. Take two qian per dose, mixed with warm wine, at any time, three times daily.
Lingyangjiao San (Antelope Horn Powder): Treats women with wind-stroke, opisthotonos, tendon spasm, slurred speech, and mental restlessness.
Lingyangjiao (Saiga Tataricae Cornu, shaved) Lu Jiao Jiao (Colla Cornus Cervi, crushed, stir-fried until dry and yellow) Chijian (Saposhnikoviae Radix) Szaoren (Zizyphi Semen, stir-fried) Yiyiren (Coicis Semen, each one tael)
Baifuzi (Typhonii Rhizoma, processed) Xiongnu (Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, stir-fried, radix removed) Renshen (Ginseng Radix, radix removed, each seven qian and half) Qianghuo (Notopterygii Rhizoma et Radix, radix removed) Baixianpi (Dictamni Cortex)
Digupi (Lycii Cortex) Baiziren (Biota Semen) Manjingzi (Vittariae Fructus) Xijiao (Rhino Ceratoss, shaved, each half tael) Niuhuang (Calculus Bovis, separately ground) Shexiang (Musk, two qian and half, separately ground)
Grind into fine powder, mix evenly with ground medicines. Take one qian per dose, mixed with Bohe Tang (Mint Decoction), three times daily, at any time.
ZiTang (Purple Decoction): Treats women with wind-stroke, hyperextension of the waist and spine like a bow.
Jifenbai (Chicken Droppings White, one he, stir-fried until slightly yellow) Dadou (Sojae Semen Nigrum, two he, cooked) Fangfeng (Saposhnikoviae Radix, one tael, radix removed)
Grind into coarse powder. Take five qian per dose, decoct with one medium cup of wine and one medium cup of water until six-tenths remain, remove dregs, and take warm, at any time.
Wushe Wan (Black Snake Pill): Treats women with wind-stroke, opisthotonos, or rigid limbs, and locked jaw.
Wushe Rou (Dermatophaga Pangolin Scale Meat, soaked in wine) Xijiao (Rhino Ceratoss, shaved) Baifuzi (Typhonii Rhizoma, processed) Tianma (Gastrodiae Rhizoma, each one tael) Banxia (Pinelliae Rhizoma, washed seven times in boiling water, processed with ginger juice)
Tian Nan Xing (Arisaema Cum Bile, processed) Mahuang (Ephedrae Herba, nodes removed) Guixin (Cinnamomi Cortex) Duhuo (Angelicae Pubescentis Radix, radix removed) Baijiangcan (Bombyx Batryticatus, stir-fried) Wancansha (Bombyx Faeces, stir-fried)
Ganxie (Scorpio, slightly stir-fried, each half tael) Shexiang (Musk, two qian and half, finely ground separately)
Grind into fine powder, mix evenly with ground musk. Mix with refined honey, pound two or three hundred times, form pills the size of paulownia seeds. Take thirty pills per dose, sent down with Doulin Jiu (wine soaked with beans), twice daily, at any time.
For others, refer to the Spasm section of Miscellaneous Diseases.
[Locked Jaw]
Wind-stroke with locked jaw in women is caused by constitutional deficiency allowing wind to invade the tendons connecting the jaw and cheeks. The tendons of the Three Yang Hand Meridians knot into the jaw and cheeks; the tendon of the Foot Yangming Meridian runs up along the mouth. Wind carrying cold invades these tendons due to deficiency, causing tendon spasm, which pulls the jaw tight resulting in locked jaw.
[Xue Ji]: If the above syndrome involves wind pathogen lodging in the Hand and Foot Yangming Meridians with facial deviation, use Qinjiao Shengma Tang (Kochia and Cimicifuga Decoction). If Wind-Heat damages Qi, use Shengfeng Tang (Wind-Prohibiting Decoction). These should be used together with subsequent formulas. One woman had prolonged menstruation due to anger, lasting half a month before stopping; upon anger, menstruation returned immediately. Severe cases involved locked jaw, tendon spasm, epistaxis, headache, phlegm-spasm, convulsions, and upward gaze of pupils. This was extreme Liver Fire, treated with Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Sheng Dihuang (Rehmanniae Radix Recens), Shanzhi (Gardeniae Fructus), Gouteng (Uncariae Ramulus cum Uncis), after which it did not recur. Another woman with inherent Yin deficiency suffered generalized itching and mistakenly took wind-dispelling drugs, leading to locked jaw and convulsions; her Liver pulse was surging and rapid. I said: Liver Blood is Yin/Water, Liver Qi is Yang/Fire; this is Liver Meridian Blood deficiency with Fire excess. Assist Yin/Blood and suppress Liver Fire using Siwu Tang (Four Substances Decoction), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma); heat and convulsions stopped suddenly. Then regulate with Bazhen Tang (Eight Treasures Decoction), Huangqi (Astragali Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Gouteng (Uncariae Ramulus cum Uncis), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) for recovery.
Tian Nan Xing San (Arisaema Powder): Treats women with wind-stroke locked jaw, limb rigidity, or phlegm-Qi rising.
Tian Nan Xing (Arisaema Cum Bile, stir-fried with ginger juice until yellow) Baifuzi (Typhonii Rhizoma, processed) Hei Fuzi (Aconiti Lateralis Radix Praeparata, processed) Wushe Rou (Dermatophaga Pangolin Scale Meat, wine-roasted) Quanxie (Scorpio, stir-fried, equal parts)
Grind into fine powder. Take half a qian per dose, mixed with Fresh Ginger Juice and warm wine, at any time. Pry open the mouth and pour in.
Zouma San (Running Horse Powder): Treats women with wind-stroke locked jaw, limb rigidity.
Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed) Tianma (Gastrodiae Rhizoma, each half tael) Guixin (Cinnamomi Cortex) Shigao (Gypsum Fibrosum, ground like flour) Mahuang (Ephedrae Herba, nodes removed) Chuan Wutou (Aconiti Radix, processed, skin and umbilicus removed) Tian Nan Xing (Arisaema Cum Bile, processed) Xieshao (Scorpio caudex, two qian and half each) She (Musk, finely ground separately, half qian)
Grind into fine powder, mix evenly with ground musk. Take two qian per dose, mixed with Doulin Jiu (wine soaked with beans), at any time. Pry open the mouth and pour in.
Wushe San (Black Snake Powder): Treats women with wind-stroke locked jaw.
Wushe Rou (Dermatophaga Pangolin Scale Meat, soaked in wine) Ganxie (Scorpio, stir-fried) Baijiangcan (Bombyx Batryticatus, stir-fried) Tian Nan Xing (Arisaema Cum Bile, processed) Tianma (Gastrodiae Rhizoma, each half tael)
Nifen (Calomel, half qian, separately ground)
Grind into fine powder, mix evenly with Nifen. Take two qian per dose, mixed with Ginger Wine. Pry open the mouth and pour in.
Baizhu Jiu (Atractylodes Wine): Treats women with wind-stroke locked jaw, inability to speak.
Baizhu (Atractylodis Macrocephalae Rhizoma, sliced) Heidou (Sojae Semen Nigrum, each three liang, cooked)
Decoct in four sheng of wine until two sheng remain, remove dregs, divide into four doses, pry open mouth and pour in.
Treating women with wind-stroke locked jaw, retracted tongue base, difficulty speaking.
Jiezi (Sinapis Semen, one sheng) finely ground, decoct in three sheng of vinegar until one sheng remains, apply to cheeks and under jaw. Effective.
[Aphasia]
Chao Yuanfang discussed: The Spleen meridian connects to the stomach, runs alongside the throat to the tongue root, and spreads under the tongue. The divergent meridian of the Heart ties to the tongue root. Now that the Heart and Spleen are affected by Wind Pathogen, the tongue becomes stiff and speech is lost. The throat is the passage for Qi; the epiglottis is the door of sound; the tongue is the mechanism of voice; the lips are the fan of sound. When Wind-Cold lodges between the epiglottis, sudden loss of voice occurs. All are caused by Wind Pathogen injury, hence called Wind-Stroke Aphasia. Classics state: Sleeping drunk facing the wind causes aphasia and inability to speak.
[Xue Ji]: If the above syndrome is due to Phlegm confusing the Heart Orifice, clear Heart Fire. If due to Damp-Phlegm stiffening the tongue, clear Spleen Heat. If due to Wind-Heat locking the jaw, clear Liver Fire. If due to Wind-Phlegm blocking the throat, guide out Phlegm-Saliva. If due to Deficiency Fire flaming upward, strengthen the Master of Water. If due to Qi deficiency with syncope, tonify the Source of Fire. If due to Kidney deficiency with dark tongue and aphasia, tonify Kidney Qi.
One woman fell due to anger, with surging phlegm and aphasia. After administering Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill) she regained consciousness slightly. Use Shenxian Jieyu Dan (Immortal Unlocking Speech Pill) plus Shanzhi (Gardeniae Fructus), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix) for gradual improvement. Then use Liujun Zi Tang (Six Gentlemen Decoction), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Zhike (Aurantii Fructus) for recovery. Another woman had been aphasic for half a year, unresponsive to various medicines. Both Chi pulses were floating and rapid. First use Liuwei Wan material plus Rougui (Cinnamomi Cortex) for several doses, slightly improved. Then use Dihuang Yinzi (Rehmannia Infusion) for over twenty doses for recovery. Men often have this syndrome, also treated with this medicine. (All formulas see Miscellaneous Syndromes Wind-Stroke.)
Shenxian Jieyu Dan (Immortal Unlocking Speech Pill): Treats Wind affecting Heart and Spleen meridians, slurred speech, stiff tongue unable to turn, excessive saliva, and treats Yin-piercing lascivious energy, internal spiritual depression, blocked Heart pulses, sudden inability to speak.
Baifuzi (Typhonii Rhizoma, processed) Shichangpu (Acori Tatarinowii Rhizoma, hair removed) Yuanzhi (Polygalae Radix, heart removed) Gancao (Glycyrrhizae Radix et Rhizoma, boiled ten times) Tianma (Gastrodiae Rhizoma)
Quanxie (Scorpio, wine stir-fried) Qianghuo (Notopterygii Rhizoma et Radix) Baijiangcan (Bombyx Batryticatus, stir-fried) Nanxing (Arisaema Cum Bile, fermented in ox gall, or if unavailable, roasted, each one tael) Muxiang (Costi Radix, half tael)
Grind into fine powder, make pills with Qu paste (yeast paste) the size of paulownia seeds. Coat with Chen Sha (Cinnabar) as appropriate. Take twenty to thirty pills per dose, swallowed with Raw Mint Decoction, at any time.
Fangfeng Tang (Saposhnikovia Decoction): Treats internal deficiency in wind-stroke, weak legs, slurred speech.
Shihu (Dendrobii Caulis, one tael and half, wine stir-fried) Gan Dihuang (Rehmanniae Radix Preparata) Duzhong (Eucommiae Cortex, coarse skin removed, cut, stir-fried with ginger juice) Danshen (Salviae Miltiorrhizae Radix, each one tael and two qian and half)
Fangfeng (Saposhnikoviae Radix) Chuanxiong (Chuanxiong Rhizoma) Maidong (Ophiopogonis Radix, heart removed) Guixin (Cinnamomi Cortex) Chuan Duhuo (Angelicae Pubescentis Radix, each one tael)
Cut. Take five qian per dose, one and a half cups of water, two jujubes. Decoct until eight-tenths remain, remove dregs, take warm.
Zhuli Tang (Bamboo Sap Decoction): Treats wind-stroke entering Liver and Spleen, years of limb paralysis, stiff tongue, slurred speech.
Weilingxian (Clematidis Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Kugeng (Platycodonis Radix) Manjingzi (Vittariae Fructus) Fangfeng (Saposhnikoviae Radix) Zhike (Aurantii Fructus, pith removed, bran stir-fried) Chuanxiong (Chuanxiong Rhizoma)
Danggui (Angelicae Sinensis Radix, equal parts)
Cut. Take four qian per dose, one cup of water, half cup of Bamboo Sap, three slices of ginger. Decoct until eight-tenths remain, take warm, four times daily. Avoid tea.
Dihuang Yinzi (Rehmannia Infusion) and other formulas, see Miscellaneous Diseases section.
[Wind-Bi Limb Immobility]
Women's Wind-Bi is caused by the combination of Wind, Cold, and Damp forming Bi. Predominant Wind is Wind-Bi, characterized by pain throughout the skin and muscles. All Yang meridians originate in the hands and feet and circulate through the body. Wind-Cold lodges in the skin and muscles, initially forming Bi, then injuring Yang meridians, stagnating in deficient areas, clashing with Qi and Blood. As Qi and Blood flow slowly, Wind-Bi results in limb immobility.
[Xue Ji]: Classics state: Where pathogen gathers, Qi must be deficient. If Wind Pathogen is rampant, or anger moves Liver Fire causing Blood dryness and tendon spasm, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If Spleen and Lung Qi are deficient, with insensible skin and numb limbs, use Sanbi Tang (Three Bi Decoction). If Kidney Water is depleted, failing to nourish sinews and bones, or Liver/Spleen Blood deficiency causing flaccid Bi, use Liuwei Wan (Six-Ingredient Pill). If tendon spasm results from drying drugs, use Siwu Tang (Four Substances Decoction) and Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma). If both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction). He's *Yilin Jiyao* and other formulas, new edition of *Danxi Xinfa Appendix* states: If a person has numbness in the thumb, weakness in limbs, or slight muscle twitching, severe wind-stroke will occur within three years. Preventively take Bafeng Tang (Eight Winds Decoction), Tianma Wan (Gastrodia Pill), Fangfeng Tongsheng San (Saposhnikovia Unblocking and Generating Harmony Powder). Little do they know He Jian said: Wind is the end of disease. Therefore, wind-stroke with paralysis is not due to internal Liver Wood Wind, nor external Six Evils Wind. It is truly due to extreme Five Emotions, blazing Heart Fire, depleted Kidney Water unable to control it, leading to Yin deficiency and Yang excess, stagnant heat, confused spirit, useless sinews and bones, and sudden collapse without consciousness. Treatment should focus on consolidating Yuan Qi. If one hastily takes Bafeng etc., it damages Yuan Qi, inviting wind-stroke. One woman, due to anger, vomited phlegm with chest fullness. Taking Erchen Tang (Two Aged Decoction), Shunqi (Regulating Qi), Huatan (Resolving Phlegm) agents led to hemiplegia, internal heat, dry mouth, extreme fatigue. I diagnosed Liver Fire blazing insulting Spleen Earth. Used Xiaoyao San (Free and Easy Wanderer Powder), Buzhong Yiqi Tang (Middle-Boosting Qi-Enhancing Decoction), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Fortunately she was cautious about illness, recovered in over a year. A widow had chest/hypochondriac distension/pain, internal heat, afternoon fever, irregular menstruation, sore/numb limbs, frequent phlegm vomiting. Using Qingqi Huatan (Clearing Qi Resolving Phlegm) meds caused throat discomfort, leukorrhea, abdominal distension. Using Qingre Liqi (Clearing Heat Regulating Qi) meds caused chest oppression, intermittent limb numbness. I said: Originally Depression/Anger injured Liver/Spleen, previous meds damaged severely. Morning use Guipi Tang (Heart-Spleen Decoction) to resolve stagnation, generate Spleen Qi; evening use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to generate Liver Blood, clear Liver Fire. Over a hundred doses for recovery. Later, anger caused limb numbness again; Buzhong Yiqi Tang plus Shanzhi (Gardeniae Fructus), Fuling (Poria), Banxia (Pinelliae Rhizoma) cured it. Anger again, relapse, heavy menstruation, floating/surging/rapid pulse. Liver Fire injuring Spleen failing to control blood. Liujun Zi Tang, Chuanxiong, Danggui, Pao Jiang (Roasted Ginger) stopped bleeding in one dose. Buzhong Yiqi Tang plus Pao Jiang, Fuling, Banxia woke stomach in four doses. More Guipi Tang, Xiaoyao San regulated for recovery. Another woman with dizziness/phlegm vomiting used Huatan Liqi (Resolve Phlegm Regulate Qi) meds, limbs sometimes numb. Took Qufeng Huatan (Dispel Wind Resolve Phlegm) meds, limbs constantly numb, hands/feet alternately cold/hot. Spleen Earth deficient failing to generate Lung Metal. Buzhong Yiqi Tang plus Fuling, Banxia, Pao Jiang, over twenty doses, Spleen Qi gradually restored, symptoms improved. More Jiawei Xiaoyao San over thirty doses for recovery. Later anger caused phlegm vomiting, self-administered Qingqi Huatan Wan, poor appetite, excessive phlegm, chest/hypochondriac distension. I used Liujun Zi Tang doubled Renshen/Baizhu, little Muxiang, several doses for health.
Sanbi Tang (Three Bi Decoction): Treats Qi/Blood stagnation, limb spasm, Wind-Bi, Qi-Bi etc.
Chuan Xuduan (Dipsaci Radix) Duzhong (Eucommiae Cortex, sliced, ginger juice stir-fried to remove silk) Fangfeng (Saposhnikoviae Radix, radix removed) Guixin (Cinnamomi Cortex) Huayin Xixin (Asari Radix et Rhizoma, from Huayin) Renshen (Ginseng Radix, radix removed)
Bai Fuling (Poria, peel removed) Danggui (Angelicae Sinensis Radix, radix removed) Baishaoyao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma, each one tael, honey-fried) Qinjiao (Gentianae Macrophyllae Radix, radix removed) Sheng Dihuang (Rehmanniae Radix)
Chuanxiong (Chuanxiong Rhizoma) Chuan Duhuo (Angelicae Pubescentis Radix, each half tael, radix removed) Huangqi (Astragali Radix, radix removed) Chuan Niuxi (Achyranthis Bidentatae Radix, wine-soaked, each one tael)
Cut, or grind to powder. Take eight qian per dose, two cups of water, five slices ginger, one jujube. Decoct until one cup remains, remove dregs, take hot, at any time, preferably on empty stomach. Someone with left arm immobility, later recovered but fingers inconvenient/weak, tried many meds ineffective, took one batch of this med and recovered.
Duhuo Tang (Angelica Pubescens Decoction): Treats women's Wind-Bi, limb immobility, body pain, slurred speech, tendon spasm, suitable for all.
Duhuo (Angelicae Pubescentis Radix, radix removed) Sangjisheng (Taxilli Herba) Niuxi (Achyranthis Bidentatae Radix, wine-soaked) Qinjiao (Gentianae Macrophyllae Radix, radix removed) Chi Fuling (Poria, peel removed) Guixin (Cinnamomi Cortex) Fangfeng (Saposhnikoviae Radix, radix removed)
Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin/umbilicus removed) Danggui (Angelicae Sinensis Radix, stir-fried, radix removed) Sheng Gan Dihuang (Rehmanniae Radix Preparata, each one tael) Duzhong (Eucommiae Cortex, sliced, stir-fried to remove silk) Xixin (Asari Radix et Rhizoma, seedlings removed)
Chuanxiong (Chuanxiong Rhizoma) Chi Shaoyao (Paeoniae Radix Rubra, each seven qian and half) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half tael)
Cut. Take eight qian per dose, one and a half large cups of water. Decoct until one large cup remains, remove dregs, take warm, at any time.
Wushe San (Black Snake Powder): Treats women's Wind-Bi, numb limbs, tendon spasms, facial deviation, slurred speech.
Wushe Rou (Dermatophaga Pangolin Scale Meat, wine stir-fried) Tufeng'er (Ground Bee Larva, stir-fried) Tian Nan Xing (Arisaema Cum Bile, processed) Tianxiong (Aconiti Kusnezoffii Radix, processed, skin/umbilicus removed) Chijian (Saposhnikoviae Radix)
Mahuang (Ephedrae Herba, nodes removed) Yiyiren (Coicis Semen) Xiongnu (Chuanxiong Rhizoma, each one tael) Lingyangjiao Xie (Saiga Tataricae Cornu, shaved) Ganxie (Scorpio, slightly stir-fried) Sangpiaoxiao (Ovi Mantidis, slightly stir-fried)
Guixin (Cinnamomi Cortex) Zhusha (Cinnabar, ground/water levigated, each half tael) Danggui (Angelicae Sinensis Radix, stir-fried, radix removed) Szaoren (Zizyphi Semen, stir-fried) Baiziren (Biota Semen, each seven qian and half)
Grind to fine powder, mix evenly with Zhusha. Take one qian per dose, warm wine before meals.
Dongyuan Qianghuo Tang (Qianghuo Decoction of Dongyuan): Treats damp-heat, heavy body, dizziness/numbness, red/scanty urine, lower jiao flaccidity, inability to walk.
Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Chaihu (Bupleuri Radix, each one qian) Gaoben (Ligustici Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Fuling (Poria) Zexie (Alismatis Rhizoma) Zhuling (Polyporus) Huangqi (Astragali Radix, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Chenpi (Citri Reticulatae Pericarpium) Huangbo (Phellodendri Cortex, wine stir-fried black) Huanglian (Coptidis Rhizoma, stir-fried) Cangzhu (Atractylodis Rhizoma) Shengma (Cimicifugae Rhizoma) Chuanxiong (Chuanxiong Rhizoma, each five fen)
Decoct in water and take.
Gancao Fuzi Tang (Licorice and Aconite Decoction): Treats Wind-Damp clashing, bone/joint pain, intermittent cramping pain, inability to extend/flex, pressing worsens pain, sweating, shortness of breath, difficult urination, aversion to wind preferring clothes, or slight swelling/pain.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one tael) Fuzi (Aconiti Lateralis Radix Praeparata, one piece weighing one tael three or four qian is correct. Processed, remove tip; if not genuine, ineffective)
Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, one tael) Guizhi (Cinnamomi Ramulus, two taels)
Take five qian per dose, decoct in water.
Bazhen Tang (Eight Treasures Decoction): Treats Liver/Spleen Qi and Blood dual deficiency, failing to nourish sinews, leading to tendon spasm/bone pain, or inability to walk, or afternoon fever, alternating chills/fever etc.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder): Treats Liver Meridian Wind-Heat, Blood dryness/tendon spasm, limb paralysis, internal heat/afternoon fever etc. (Bazhen formula see Misc Disease Consumption; this formula see this subject Menstrual Regulation.)
[Spontaneous Sweating]
Yaoyin Laoren (Old Man Yaoyin) said: Searching ancient wind-stroke formulas, Xuming (Continuation), Paifeng (Expelling Wind), Yuebi (Crossing Sheep) etc. can all eliminate [symptoms], while *Qianjin* mostly uses Mahuang,