上为 咀，每服四钱，水一中盏，姜五片，煎至六分，去滓温服，不拘时。
七圣散 治脾脏中风，心腹烦躁，头面微肿，冷汗频出。
枳壳（去瓤，麸炒） 天麻（各一两） 川大黄 地骨皮 白蒺藜 芎 （各半两） 薏苡仁（七钱半）
上为细末，每服二钱，温水调下，不拘时，忌食生冷、油腻、猪、鸡。
五味子汤 治肺经受病，多汗恶风，时咳，短气，昼瘥夜甚，其状偃卧胸满，息促冒闷，风中于肺也。其鼻两
边下至于口，上至于眉色白，急灸肺 百壮。若色黄，其肺已伤，化而为血，不可治也。若妄掇空指地，
拈衣摸床，如此数日，必死矣。
五味子 杏仁（炒，去皮尖） 桂心（各半两） 防风 炙甘草 赤芍药 川芎（各一两） 川椒（二钱半）
上 咀，每服五钱，水二盏，煎至一盏半，去滓温服，不拘时。
萆 散 治肾经受病，则多汗恶风，面庞浮肿，脊骨痛，不能行立，肌肤变色，但坐而腰痛，此风中肾经也。
视胁下左右上下有赤黄色如饼者可治，急灸肾 百余壮。齿黄，发须直，面如土色者，不可治。
萆 （酒浸） 狗脊 杜仲（去皮，锉，炒） 白茯苓（去皮，各一两） 何首乌 天雄（炮，去皮脐）
泽泻（各半两）
上为细末，每服二钱，米饮调下，无时。
独活散 治肾脏中风，腰脊疼痛，不得俯仰，两脚冷痹，缓弱不随，头昏耳聋，语音混浊，四肢沉重。
独活（去芦） 附子（炮，去皮脐） 当归（去芦） 防风 天麻 桂心（各一两） 川芎 甘菊花
枳壳（去瓤，麸炒） 山茱萸（去核） 黄 丹参（去芦） 牛膝（酒浸） 萆 （酒浸） 甘草（炙） 细辛（去苗）
菖蒲 白术（各半两）
上 咀，每服四钱，水一盏半，生姜五片，煎至一盏，去滓温服，无时。
风中腑兼中脏治验 张安抚，年六十一岁。已未冬月，患半身不遂，语言謇涩，心神昏愦，烦躁自汗，
表虚恶风，如洒冰雪，口不知味，鼻不闻香臭，耳闻木音则惊怖，小
便频多，大便结燥，欲用大黄之类下之，则平日饮食减少不敢用，不然则又满闷，昼夜不得瞑目而寐，最苦于
此，约有三月余，凡三易医，病全不减。至庚申三月七日，又因风邪加之，痰嗽，咽干燥疼痛不利，唾多，
中脘气痞似噎。予因思经云∶风寒伤形，忧恐忿怒伤气，气伤脏乃病，脏病形乃应。又云∶人之气，以天
地之疾风名之。此风气下陷入阴中，不能生发上行，则为疾矣。又云∶形乐志苦，病生于脉，神先病也。
邪风加之，邪入于经，动无常处，前证互相出现。治病必求其本，邪气乃复，论时月则宜升阳，补脾胃，泻
风木。论病则宜实表里，养卫气，泻肝木，润燥，益元气，慎喜怒，是治其本也。宜以加减冲和汤主之。
柴胡 黄 （各五分） 升麻 当归 甘草（炙。各三分） 半夏 黄柏（酒洗） 黄芩 陈皮 人参
芍药（各二分）
上 咀，作一服，水二盏，煎至一盏，去渣温服。自汗加黄 五分，嗽者加五味子二十粒。昼夜不
得睡，乃因心事烦扰，心火内动，上乘阳分，卫气不得交，入阴分，故使然也。以朱砂安神丸服之，由是昼
亦得睡。十日后，安抚曰∶不得睡三月有余，今困睡不已，莫非它病生乎？予曰∶不然，卫气者，昼则行
阳二十五度，夜则行阴二十五度，此卫气交入阴分，循其天度，故安抚得睡也，何病之有焉。止有眼白睛红，
隐涩难开，宜以当归连翘汤洗之。
黄连 黄柏（各五分） 连翘（四分） 当归 甘草（各三分）
上作一服，水二盏，煎一盏，时时热洗。十三日后，至日晡，微有闷乱不安，于前冲和汤又加柴胡
三分，以升少阳之气，饮三服。至十五日全得安卧，减自汗恶寒，躁热胸膈痞；原小便多，服药后小便减
少，大便一二日一行，鼻闻香臭，口知味，饮食如常，脉微弦而柔和，按之微有力，止有咽喉中妨闷，会厌
后肿，舌赤，早晨语言快利，午后微涩，宜以玄参升麻汤治之。
升麻 黄连（各五分） 黄芩（炒，四分） 连翘 桔梗（各三分） 鼠粘子 玄参 甘草 僵蚕（各二
分） 防风（一分）
上 咀，总作一服，水二盏，煎至七分，去滓，稍热噙漱，时时咽之，前证良愈。止有牙齿无力，不能
嚼物，宜以牢牙散治之。
羊胫骨灰 升麻（各二钱） 生地黄 黄连 石膏（各一钱） 白茯苓 人参（各五分） 梧桐泪（三分）
上为细末，入麝香少许研匀，临卧擦牙后，以温水漱之。
安抚初病时，右肩臂膊痛无主，持不能举，动多汗出，肌肉瘦，不能正卧，卧则痛甚。经云∶汗出偏
沮，使人偏枯。余思《针经》云∶虚与实邻，决而通之。又云∶留瘦不移，节而刺之，使经络通和，血
气乃复。又云∶陷下者灸之。为阳气下陷入阴中，肩膊时痛，不能运动，以火导之，火引而上。补
之温之，以上证皆宜灸刺，为此先刺十二经之井穴，于四月十二日，右肩臂上肩井穴内，先针后灸二七
壮，及至灸疮发，于枯瘦处渐添肌肉，汗出少，肩臂微有力。至五月初八日，再灸左肩井，次于尺泽穴，
各灸二十八壮，引气下行，兴正气相接。次日臂膊又添气力，自能摇动矣。时值仲夏，暑热渐盛，以
清肺饮子补肺气，养脾胃，定心气。
白芍药（五分） 人参 升麻 柴胡（各四分） 天门冬 麦门冬（各三分） 陈皮（二分半）
甘草（生二分，炙二分） 黄芩 黄柏（各二分）
上 咀，作一服，水二盏，煎至一盏，去滓温服，食后。汗多，加黄 五分。后以润肠丸，治其胸
膈痞满，大便涩滞。
麻子仁（另研泥） 大黄（酒煨。各一两半） 当
归尾 枳实（麸炒） 白芍药 桃仁泥 升麻（各半两） 人参 生甘草 陈皮（各三钱） 木香 槟榔（各二钱）
上除桃仁、麻仁外，为末，却入二仁泥，蜜和丸，如桐子大，每服七八十丸，温水食前服。初六日得
处暑节，暑犹未退，宜微收，实皮毛，益胃气，秋以胃气为本。以益气调荣汤主之，药中加时药，
使邪气不能伤也。
人参（三分，为臣，益气和中） 陈皮（二分，为佐，顺气和中） 熟地（二分，为佐，养血润燥，泻阴
火） 白芍（四分为佐，补脾，微收，治肝木之邪） 白术（三分，为佐，养胃和中，浓肠胃） 升麻（二分，为
使，使阳明气上升，滋荣百脉） 当归（二分，为佐，和血润燥） 黄 （五分，为君，实皮毛，止自汗，益元
气） 半夏（三分，佐，疗风痰，强胃进食） 甘草（二分，炎，为佐，引用调和胃气，温中益气） 柴胡（二分，
为使，引少阳之气，使出于胃中，乃行于天上。） 麦门冬（三分，为佐，犹有暑气未退，故加之安肺气，得
秋分节不用）
上 咀，作一服，水二盏，煎至一盏，去滓，温服。忌食辛热之物，反助暑邪，秋气不能收，正气得
复而安矣。
四物汤（见鼻衄。）
〔小便不利〕
《三因》白散子 治肝肾中风，涎潮壅塞不语，呕吐痰沫，头目眩晕。兼治阴证伤寒，六脉沉伏，
及霍乱吐泻，小便淋沥不通。
大附子（去皮脐，生） 滑石（桂府者，各半两） 制半夏（七钱半）
上为末，每服二钱，水二盏，姜七片，蜜半匙，煎七分，空心冷服。霍乱，加藿香；小便不利，加木
通、灯芯、茆根煎。
〔痰涎壅盛〕
二陈汤（见痰饮。）
星香汤（《易简》） 治中风痰盛，服热药不得者。
南星（八钱） 木香（一钱）
每服四钱，水一盏，姜十片，煎七分，不拘时温服。
藿香正气散 治伤寒头疼，憎寒壮热，或感湿气，霍乱吐泻。常服除山岚瘴气，伏暑吐泻，脚转
筋。加香薷、扁豆、黄连，名藿薷汤。
大腹皮 白芷 茯苓 苏茎叶 藿香（各三两） 浓朴 白术 陈皮（去白） 苦梗 半夏（各二两）
炙甘草（一两）
上 咀，每服三钱，姜三片，枣一枚煎，热服。四君子汤（见虚劳。）
养正丹（见气。）
青州白丸子（《和剂》） 治男妇手足瘫痪，风痰壅盛，呕吐涎沫，及小儿惊风，妇人血风。
半夏（生，七两，水浸洗） 南星（生，三两） 白附子（生，二两） 川乌（生，半两，去皮脐）
上为末，以生绢袋盛，于井花水内摆出，如未出者，更以手揉出，如有滓更研，再入绢袋，摆尽为度，
置瓷盆中，日晒夜露，至晓撇去旧水，别用井水搅，又晒，至来日早再换新水，搅如此法，春五日，夏三
日，秋七日，冬十日，去水晒干后如玉片，研细，以糯米粉煎粥清丸，绿豆大。姜汤下二十丸，无时。
如瘫痪风，温酒下；小儿惊风，薄荷汤下三五丸。
碧霞丹 治卒中急风，眩晕僵仆，痰涎壅塞，心神迷闷，牙关紧急，目睛上视，及五种痫病，涎
潮搐溺。
石绿（研九度飞，十两） 附子尖 乌头尖 蝎梢（各七十个）
上三味，为末，入石绿令匀，面糊为丸，如鸡头实大。每服急用薄荷汁化下一丸，更入酒半合，温暖
服之，须臾吐出痰涎，然后随证治之，如牙关紧急，斡开灌之，立验。
〔口噤〕
稀涎散 治中风不语，牙关紧急，单蛾双蛾。
江子仁（六粒，每粒分作两半） 牙皂（三钱，切片） 明矾（一两）
上先将矾化开，却入二味搅匀，待矾枯为末，每用三分吹入，诸病皆愈。痰涎壅盛者，以五分灯芯
汤下，喉中之痰逆上者即吐，膈间者即下。
凡中风口噤不能开，用白盐梅揩齿，即能开。
〔口眼 斜〕
清阳汤（东垣） 治口 斜，颊腮紧急，胃中火盛，汗不出而小便数。
黄 当归身 升麻（各二钱） 葛根（一钱半） 炙甘草 红花 黄柏（酒） 桂枝（各一钱） 苏木
生甘草（各五分）
咀，作一服，酒三盏，煎至一盏三分，去滓稍热，食前服讫，以火熨摩紧急处即愈。夫口 筋急者，
是筋脉血络中大寒，此药少代燔针劫刺，破恶血以去凝结，内泄冲脉之火炽。
秦艽升麻汤（《宝鉴》） 治中风手足阳明经，口眼 斜，四肢拘急，恶风寒。
升麻 葛根 甘草（炙） 芍药 人参（各半两） 秦艽 白芷 防风 桂枝（各三钱）
每服一两，水二盏，连须葱根白三茎，煎至一盏，去滓，稍热服，食后。服药毕，避风寒卧，得微汗出则止。
〔半身不遂〕
顺风匀气散（《良方》） 治中风中气，半身不遂，口眼 斜，先宜服此。
白术（四钱） 人参 天麻（各一钱） 沉香 白芷 紫苏 木瓜 青皮 甘草（炙。各半钱） 乌药（三钱）
分作二帖，每帖水二盏，生姜三片，煎八分，温服，二滓并煎。风气腰痛，亦宜服之。
虎骨散（《简易》） 治半身不遂，肌肉干瘦，为偏枯，忌用麻黄发汗，枯津液，惟此方润筋去风。
当归（二两） 赤芍药 续断 白术 本 虎骨（各一两） 乌蛇肉（半两）
为细末，每服二钱，食后温酒调下。骨中烦疼加生地黄一两，脏寒自利加天雄半两。
虎胫骨酒（《济生》） 治中风偏枯不随，一切诸风挛拳。
石斛（去根） 石楠叶 防风 虎胫骨（酥炙） 当归 茵芋叶 杜仲（炒） 川牛膝 芎
狗脊（燎去毛） 川续断 巴戟（去心。各一两）
上锉如豆，囊药，以酒一斗，渍十日，每热服一盏，无时。
黄 酒 治风湿痹，身体痹麻，皮肤瘙痒，筋脉拘挛，言语謇涩，手足不遂，时觉不仁。（见着痹。）
治半身不遂，口眼 斜，头目眩晕，痰火炽盛，筋骨时疼。此乃原于血虚血热，挟痰挟火，经络肌表
之间，先已有其病根，后因感冒风寒，或过嗜醇酒膏粱而助痰火，或恼怒而逆肝气，遂有此半身不遂之证。
其在于经络肌表筋骨之间，尚未入脏腑，并以此方治之。盖此方有补血活血之功不致于滞，有健脾燥湿消痰
之能不致于燥，又清热运动疏风，开经络，通腠理，内固根本，外散病邪，王道剂也，多服见功。
白术 川芎（各一钱半） 南星 半夏 芍药 茯苓 天麻（各一钱） 川当归 生地黄 熟地黄
牛膝 酸枣仁 黄芩 橘红（各八分） 羌活 防风 桂（各六分） 红花 甘草（炙，各四分） 黄柏（三分）
水煎，入竹沥、姜汁，侵晨服。
〔失音不语〕
地黄饮子（《宣明》） 治舌喑不能言，足废不能用，肾虚弱，其气厥不至舌下。
熟地黄 巴戟（去心） 山茱萸（去核） 肉苁蓉（酒浸焙） 石斛 附子（炮） 五味子 白茯苓 菖蒲 远志
（去心） 官桂 麦门冬（去心。各等分锉）
上为末，每服三钱，生姜五片，枣一枚，薄荷七叶，水一盏半，煎八分，服无时。
涤痰汤 治中风痰迷心窍，舌强不能言。
南星（姜制） 半夏（汤洗七次，各二钱半） 枳实（麸炒） 茯苓（去皮。各二钱） 橘红（一钱半） 石
菖蒲 人参（各一钱） 竹茹（七分） 甘草（半钱）
上作一服，水二盅，生姜五片，煎一盅，食后服。
凉膈散（见发热。）
加味转舌膏
Crush the herbs into coarse particles. For each dose, take 4 qian (approx. 15g), add one zhong zhan (approx. 200ml) of water and five slices of fresh ginger. Decoct until reduced to six-tenths of the original volume. Strain and take warm, at any time.
**Qisheng San (Seven-Sage Powder)**: Treats wind-stroke affecting the Spleen organ, characterized by irritability in the heart and abdomen, slight swelling of the head and face, and frequent cold sweating.
*Ingredients*: Zhiqiao (Bitter Orange Peel, de-veined, stir-fried with bran) and Tianma (Gastrodia Rhizome), 1 liang (approx. 37.5g) each; Chuan Dahuang (Rhubarb Root and Rhizome), Digupi (Cortex Lycii), Baijili (Tribulus Fruit), and Chuanxiong (Sichuan Lovage Rhizome), 0.5 liang (approx. 18.75g) each; Yiyiren (Coix Seed), 0.75 qian (approx. 2.8g).
*Usage*: Grind into a fine powder. Take 2 qian (approx. 7.5g) per dose, mixed with warm water, at any time. Avoid raw, cold, greasy foods, as well as pork and chicken.
**Wuweizi Tang (Schisandra Decoction)**: Treats disease of the Lung meridian, characterized by profuse sweating, aversion to wind, intermittent coughing, shortness of breath, symptoms improving during the day and worsening at night. The presentation includes chest fullness when lying on the side, rapid breathing, and stifling sensation, indicating wind pathogen invading the Lungs. If the skin color from the sides of the nose down to the mouth and up to the eyebrows is white, moxa moxibustion should be applied immediately to Feishu (BL13) for 100 moxa cones. If the color is yellow, the Lung has been damaged, and blood transformation is impaired; this is incurable. If the patient makes empty grasping movements or picks at bedclothes for several days, death is inevitable.
*Ingredients*: Wuweizi (Schisandra Berry), Xingren (Apricot Seed, stir-fried, skin and tip removed), Guixin (Cinnamon Twig Bark), 0.5 liang (approx. 18.75g) each; Fangfeng (Saposhnikovia Root), Zhigancao (Prepared Licorice Root), Chi Shaoyao (Red Peony Root), and Chuanxiong (Sichuan Lovage Rhizome), 1 liang (approx. 37.5g) each; Chuanjiao (Sichuan Pepper), 0.25 qian (approx. 0.9g).
*Usage*: Crush into coarse particles. Take 5 qian (approx. 18.75g) per dose, add two zhong zhan (approx. 400ml) of water, decoct to one-and-a-half zhong zhan. Strain and take warm, at any time.
**Bixie San (Dioscorea Hypoglauca Powder)**: Treats disease of the Kidney meridian, characterized by profuse sweating, aversion to wind, facial and bodily edema, spinal pain, inability to walk or stand, changes in skin color, and lower back pain while sitting, indicating wind pathogen invading the Kidney meridian. If reddish-yellow patches like cakes are visible around the hypochondrium (left/right/upper/lower), it is treatable; apply moxa moxibustion immediately to Shenshu (BL23) for over 100 cones. If teeth are yellow, hair and beard stand erect, and the face is earthy-colored, it is incurable.
*Ingredients*: Bixie (Dioscorea Hypoglauca Rhizome, wine-soaked), Gouji (Cibotium Rhizome), Duzhong (Eucommia Bark, skin removed, crushed, stir-fried), Baifuling (Poria, skin removed), 1 liang (approx. 37.5g) each; Heshouwu (Polygonum Multiflorum Root), Tianxiong (Aconitum Carmichaelii Root, processed, skin and navel removed), Zexie (Alisma Rhizome), 0.5 liang (approx. 18.75g) each.
*Usage*: Grind into a fine powder. Take 2 qian (approx. 7.5g) per dose, mixed with rice water, at any time.
**Duhuo San (Angelica Pubescens Powder)**: Treats wind-stroke affecting the Kidney organ, characterized by lower back and spine pain, inability to bend or extend, cold numbness in both feet, weakness and lack of control, dizziness, deafness, hoarse voice, and heavy limbs.
*Ingredients*: Duhuo (Chinese Angelica Root), Fuzi (Prepared Aconite Root, processed, skin and navel removed), Danggui (Chinese Angelica Root), Fangfeng (Saposhnikovia Root), Tianma (Gastrodia Rhizome), Guixin (Cinnamon Twig Bark), 1 liang (approx. 37.5g) each; Chuanxiong (Sichuan Lovage Rhizome), Gan Juhua (Chrysanthemum Flower), Zhikuo (Bitter Orange Peel, de-veined, stir-fried with bran), Shanzhuyu (Cornus Fruit, pitted), Huangqi (Astragalus Root), Danshen (Salvia Root), Niuxi (Achyranthes Root, wine-soaked), Bixie (Dioscorea Hypoglauca Rhizome, wine-soaked), Zhigancao (Prepared Licorice Root), Xixin (Asarum Root), Shichangpu (Acorus Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), 0.5 liang (approx. 18.75g) each.
*Usage*: Crush into coarse particles. Take 4 qian (approx. 15g) per dose, add one-and-a-half zhong zhan (approx. 300ml) of water and five slices of fresh ginger. Decoct to one zhong zhan (approx. 200ml). Strain and take warm, at any time.
**Case Study: Wind Invading Fu and Zang Organs**: Zhang Anfu, aged 61. In the winter of the Jiwei year, he suffered from hemiplegia, slurred speech, mental confusion, irritability, spontaneous sweating, exterior deficiency with aversion to wind (feeling like ice and snow were poured on him), loss of taste, inability to smell odors, fear upon hearing wooden sounds, frequent urination, and dry constipation. He wished to use purgatives like Dahuang (Rhubarb), but dared not due to poor appetite; otherwise, he experienced abdominal fullness and could not sleep day or night, which was his greatest suffering. This lasted over three months, with three different physicians failing to improve the condition. On March 7th of the Gengshen year, wind pathogen added to the existing condition, causing phlegm-cough, dry and painful throat, excessive saliva, and epigastric qi stagnation resembling dysphagia. I reflected on the classics: "Wind and cold damage the form; worry, fear, anger, and resentment damage Qi. Damaged Qi leads to Zang organ disease; Zang organ disease manifests in the form." Also: "Human Qi is named after the fierce winds of heaven and earth." When this wind Qi sinks into the Yin and cannot ascend and generate, disease arises. Also: "When the body is comfortable but the mind suffers, disease arises in the vessels; the Spirit is diseased first." External wind pathogen invades the meridians, moving unpredictably, causing the aforementioned symptoms to appear together. Treating disease requires addressing the root cause so that evil Qi may retreat. According to the season, Yang should be raised, the Spleen and Stomach tonified, and Liver Wood drained. According to the disease, the interior and exterior should be fortified, Wei Qi nourished, Liver Wood drained, dryness moistened, Yuan Qi benefited, and emotions regulated. This treats the root. The appropriate formula is Modified Chonghe Tang (Harmonizing Decoction).
*Ingredients*: Chaihu (Bupleurum Root), Huangqi (Astragalus Root), 0.5 fen (approx. 0.2g) each; Shengma (Cimicifuga Rhizome), Danggui (Chinese Angelica Root), Zhigancao (Prepared Licorice Root), 0.3 fen (approx. 0.1g) each; Banxia (Pinellia Tuber), Huangbai (Phellodendron Bark, wine-washed), Huangqin (Scutellaria Root), Chenpi (Tangerine Peel), Renshen (Ginseng Root), Shaoyao (Peony Root), 0.2 fen (approx. 0.07g) each.
*Usage*: Crush into coarse particles. Prepare as one dose, add two zhong zhan (approx. 400ml) of water, decoct to one zhong zhan (approx. 200ml). Strain and take warm. For spontaneous sweating, add Huangqi (Astragalus Root) 0.5 fen; for cough, add Wuweizi (Schisandra Berry) 20 grains. Insomnia day and night is caused by mental disturbance stirring internal Heart Fire, which rises to the Yang aspect, preventing Wei Qi from entering the Yin aspect. Use Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) to restore sleep. Ten days later, Anfu said, "I couldn't sleep for over three months; now I am excessively sleepy. Could another disease have arisen?" I replied, "No. Wei Qi circulates through the Yang twenty-five times during the day and through the Yin twenty-five times at night. Now Wei Qi enters the Yin aspect following its natural cycle, allowing Anfu to sleep. What disease is there?" Only red sclera and difficulty opening the eyes remained; use Danggui Lianqiao Tang (Angelica and Forsythia Decoction) for washing.
*Ingredients*: Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), 0.5 fen (approx. 0.2g) each; Lianqiao (Forsythia Fruit), 0.4 fen (approx. 0.15g); Danggui (Chinese Angelica Root), Gancao (Licorice Root), 0.3 fen (approx. 0.1g) each.
*Usage*: Prepare as one dose, add two zhong zhan (approx. 400ml) of water, decoct to one zhong zhan (approx. 200ml). Wash frequently while warm. Thirteen days later, towards dusk, mild restlessness occurred. Add Chaihu (Bupleurum Root) 0.3 fen to the previous Chonghe Tang to raise Shaoyang Qi. Take three doses. By the fifteenth day, peaceful sleep was restored; spontaneous sweating, aversion to cold, and heat/fullness in the chest and diaphragm decreased. Frequent urination reduced; bowel movements occurred every one to two days; smell and taste returned; diet normalized. Pulse was slightly wiry and soft, palpable with slight strength. Only throat obstruction, swelling behind the epiglottis, and red tongue remained. Morning speech was clear, afternoon speech slightly slurred. Use Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction).
*Ingredients*: Shengma (Cimicifuga Rhizome), Huanglian (Coptis Rhizome), 0.5 fen (approx. 0.2g) each; Huangqin (Scutellaria Root, stir-fried), 0.4 fen (approx. 0.15g); Lianqiao (Forsythia Fruit), Jiegeng (Platycodon Root), 0.3 fen (approx. 0.1g) each; Niubangzi (Arctium Fruit), Xuanshen (Scrophularia Root), Gancao (Licorice Root), Jiangcan (Bombyx Batryticatus), 0.2 fen (approx. 0.07g) each; Fangfeng (Saposhnikovia Root), 0.1 fen (approx. 0.04g).
*Usage*: Crush into coarse particles. Prepare as one dose, add two zhong zhan (approx. 400ml) of water, decoct to seven-tenths. Strain. Swallow while slightly warm. Previous symptoms healed well. Only weak teeth and inability to chew remained; use Yaosao San (Tooth-Strengthening Powder).
*Ingredients*: Yangjingguhui (Ash of Sheep Tibia Bone), Shengma (Cimicifuga Rhizome), 2 qian (approx. 7.5g) each; Shengdihuang (Rehmannia Root, fresh), Huanglian (Coptis Rhizome), Shigao (Gypsum Fibrosum), 1 qian (approx. 3.75g) each; Baifuling (Poria), Renshen (Ginseng Root), 0.5 qian (approx. 1.9g) each; Wutonglei (Liquidambar Resin), 0.3 qian (approx. 1.1g).
*Usage*: Grind into fine powder, mix with a small amount of Moxiang (Musk). Rub onto teeth before bed, then rinse with warm water.
Initially, Anfu suffered from right shoulder and arm pain without fixed location, inability to lift objects, excessive sweating upon movement, emaciation, inability to lie normally (pain worsened when lying). The classic states: "Sweating on one side leads to hemiplegia." Reflecting on the *Ling Shu*: "Where deficiency and excess are adjacent, puncture to unblock." Also: "Where wasting and thinning persist, puncture at joints to make meridians smooth and Qi/Blood recover." Also: "For sinking conditions, apply moxibustion." Because Yang Qi sank into Yin, causing shoulder/arm pain and immobility, fire guides Qi upward. Tonify and warm. Acupuncture and moxibustion are suitable. First, puncture the Jing-Well points of the Twelve Meridians. On April 12th, at Jianjing (GB21) on the right shoulder/arm, needle first, then moxa 14 cones. When the moxa blister formed, muscle mass gradually increased in the wasted area, sweating decreased, and the shoulder/arm gained slight strength. On May 8th, moxa left Jianjing (GB21) and Zuchi (PC3) again, 28 cones each, to guide Qi downward and connect with righteous Qi. The next day, arm strength improved, allowing voluntary movement. It was mid-summer, heat increasing. Use Qingfei Yinzi (Lung-Clearing Infusion) to tonify Lung Qi, nourish Spleen/Stomach, and calm Heart Qi.
*Ingredients*: Baishaoyao (White Peony Root), 0.5 fen (approx. 0.2g); Renshen (Ginseng Root), Shengma (Cimicifuga Rhizome), Chaihu (Bupleurum Root), 0.4 fen (approx. 0.15g) each; Tianmendong (Asparagus Tuber), Maidong (Ophiopogon Tuber), 0.3 fen (approx. 0.1g) each; Chenpi (Tangerine Peel), 0.25 fen (approx. 0.1g); Gancao (Licorice Root, raw 0.2 fen, prepared 0.2 fen); Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark), 0.2 fen (approx. 0.07g) each.
*Usage*: Crush into coarse particles. Prepare as one dose, add two zhong zhan (approx. 400ml) of water, decoct to one zhong zhan (approx. 200ml). Strain and take warm after meals. For excessive sweating, add Huangqi (Astragalus Root) 0.5 fen. Later, use Runchang Wan (Intestine-Moistening Pill) to treat chest/diaphragm fullness and constipation.
*Ingredients*: Maziren (Hemp Seed, ground separately), Dahuang (Rhubarb Root and Rhizome, wine-baked), 1.5 liang (approx. 56g) each; Dangguiwei (Angelica Tail), Zhishi (Immature Bitter Orange, stir-fried with bran), Baishaoyao (White Peony Root), Taoren (Peach Seed), Shengma (Cimicifuga Rhizome), 0.5 liang (approx. 18.75g) each; Renshen (Ginseng Root), Sheng Gancao (Raw Licorice Root), Chenpi (Tangerine Peel), 3 qian (approx. 11g) each; Muxiang (Aucklandia Root), Binglang (Areca Seed), 2 qian (approx. 7.5g) each.
*Usage*: Except for Taoren and Maziren, grind into powder, mix with the two pastes, bind with honey into pills the size of paulownia seeds. Take 70-80 pills per dose with warm water before meals. On the 6th day, Chushu (End of Heat) arrived, but summer heat lingered. Mildly astringe, fortify the exterior, benefit Stomach Qi. Autumn prioritizes Stomach Qi. Use Yiqi Tiaorong Tang (Qi-Benefiting and Blood-Regulating Decoction), adding seasonal herbs to prevent pathogenic injury.
*Ingredients*: Renshen (Ginseng Root), 3 fen (Minister, benefits Qi and harmonizes middle); Chenpi (Tangerine Peel), 2 fen (Assistant, regulates Qi and harmonizes middle); Shudi (Prepared Rehmannia Root), 2 fen (Assistant, nourishes blood, moistens dryness, drains Yin fire); Baishao (White Peony Root), 4 fen (Assistant, tonifies Spleen, mildly astringes, treats Liver Wood pathogen); Baizhu (Atractylodes Macrocephala Rhizome), 3 fen (Assistant, nourishes Stomach, harmonizes middle, thickens intestines); Shengma (Cimicifuga Rhizome), 2 fen (Envoy, raises Yangming Qi, nourishes vessels); Danggui (Chinese Angelica Root), 2 fen (Assistant, harmonizes blood, moistens dryness); Huangqi (Astragalus Root), 5 fen (Monarch, fortifies exterior, stops sweating, benefits Yuan Qi); Banxia (Pinellia Tuber), 3 fen (Assistant, treats wind-phlegm, strengthens Stomach, promotes appetite); Gancao (Licorice Root), 2 fen (Assistant, guides action, harmonizes Stomach Qi, warms middle, benefits Qi); Chaihu (Bupleurum Root), 2 fen (Envoy, guides Shaoyang Qi out from Stomach to Heaven); Maidong (Ophiopogon Tuber), 3 fen (Assistant, clears lingering summer heat, calms Lung Qi; discontinue at Autumn Equinox).
*Usage*: Crush into coarse particles. Prepare as one dose, add two zhong zhan (approx. 400ml) of water, decoct to one zhong zhan (approx. 200ml). Strain and take warm. Avoid pungent and hot foods, which aid summer heat and prevent autumn收敛 (consolidation). Righteous Qi recovers and stabilizes.
**Siwu Tang (Four Substances Decoction)** (See Epistaxis section).
[Difficulty in Urination]
**San Yin Bai Sanzi (Three Causes White Powder)**: Treats wind-stroke affecting Liver/Kidney, with salivary flooding blocking speech, vomiting of phlegm foam, dizziness. Also treats Yin-type Cold Damage with deep/faint pulse, and Huoluan (cholera-like vomiting/diarrhea) with scanty urination.
*Ingredients*: Da Fuzi (Large Prepared Aconite Root, raw, skin/navel removed), Huashi (Talcum, from Guifu), 0.5 liang (approx. 18.75g) each; Zhi Banxia (Prepared Pinellia Tuber), 0.75 qian (approx. 2.8g).
*Usage*: Grind into powder. Take 2 qian (approx. 7.5g) per dose, add two zhong zhan (approx. 400ml) of water, seven slices of ginger, half spoon of honey. Decoct to seven-tenths. Take cold on an empty stomach. For Huoluan, add Huoxiang (Patchouli Herb); for difficult urination, add Mutong (Akebia Stem), Dengxincao (Juncus Effusus Pith), Maogen (Imperata Rhizome).
[Excessive Phlegm-Saliva]
**Erchen Tang (Two-Aged Decoction)** (See Phlegm-Fluids section).
**Xingxiang Tang (Arisaema and Costus Decoction)** (*Yijian Fang*): Treats wind-stroke with severe phlegm where hot medicines cannot be taken.
*Ingredients*: Nanting (Arisaema Rhizome), 8 qian (approx. 30g); Muxiang (Aucklandia Root), 1 qian (approx. 3.75g).
*Usage*: Take 4 qian (approx. 15g) per dose, add one zhong zhan (approx. 200ml) of water and ten slices of ginger. Decoct to seven-tenths. Take warm at any time.
**Huoxiang Zhengqi San (Agastache Powder to Rectify Qi)**: Treats Cold Damage headache, aversion to cold with high fever, dampness invasion, Huoluan vomiting/diarrhea. Regular use dispels mountain miasma, latent summer heat vomiting/diarrhea, and calf cramps. Adding Xiangru (Perilla Leaf), Bian Dou (Lablab Bean), and Huanglian (Coptis Rhizome) is named Huoxiang Tang.
*Ingredients*: Dafupi (Areca Peel), Baizhi (Angelica Dahurica Root), Fuling (Poria), Suzhuye (Perilla Stem/Leaf), Huoxiang (Patchouli Herb), 3 liang (approx. 112g) each; Houpo (Magnolia Bark), Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Tangerine Peel, white part removed), Jiegeng (Platycodon Root), Banxia (Pinellia Tuber), 2 liang (approx. 75g) each; Zhigancao (Prepared Licorice Root), 1 liang (approx. 37.5g).
*Usage*: Crush into coarse particles. Take 3 qian (approx. 11g) per dose, add three slices of ginger and one jujube. Decoct and take hot. **Sijunzi Tang (Four Gentlemen Decoction)** (See Deficiency Consumption section). **Yangzheng Dan (Nourishing Righteousness Pill)** (See Qi section).
**Qingzhou Baiwanzi (Qingzhou White Pills)** (*Heji Ju Fang*): Treats male/female limb paralysis, severe wind-phlegm flooding, vomiting saliva, pediatric convulsions, and female blood-wind.
*Ingredients*: Banxia (Pinellia Tuber, raw, 7 liang, soaked/washed), Nanting (Arisaema Rhizome, raw, 3 liang), Baifuzi (Typhonium Rhizome, raw, 2 liang), Chuanwu (Sichuan Aconite Root, raw, 0.5 liang, skin/navel removed).
*Usage*: Grind into powder. Place in a raw silk bag. Swirl in well water until dissolved. If residue remains, rub by hand to extract. Grind residue again, return to bag. Repeat until exhausted. Place in porcelain basin, sun-dry by day, dew-expose by night. At dawn, discard old water, stir with fresh well water, sun-dry again. Repeat daily: Spring 5 days, Summer 3 days, Autumn 7 days, Winter 10 days. Dry until jade-like. Grind fine. Bind with glutinous rice porridge liquid into green bean-sized pills. Take 20 pills with ginger soup at any time. For paralysis-wind, take with warm wine; for pediatric convulsions, take with mint tea (3-5 pills).
**Bixia Dan (Green Jade Pill)**: Treats sudden acute wind-stroke, dizziness/collapse, phlegm flooding, mental confusion, locked jaw, upward-gazing eyes, and five types of epilepsy with salivary flooding and spasms.
*Ingredients*: Shilu (Malachite, ground nine times, refined, 10 liang); Fuzi Jian (Tip of Prepared Aconite), Wutou Jian (Tip of Aconite Root), Xieshao (Scorpion Tail), 70 each.
*Usage*: Grind the three ingredients into powder, mix evenly with Shilu. Bind with wheat paste into pills the size of corn kernels. For urgent cases, dissolve one pill in mint juice, add half he of wine, warm and take. Vomiting of phlegm-saliva occurs shortly after, then treat according to symptoms. If jaw is locked, pry open and administer; effect is immediate.
[Locked Jaw]
**Xixian San (Thin Saliva Powder)**: Treats wind-stroke mutism, locked jaw, single/double tonsillitis.
*Ingredients*: Jiangziren (Croton Seed), 6 grains (split in half); Yazao (Tamarisk Fruit), 3 qian (approx. 11g, sliced); Mingfan (Alum), 1 liang (approx. 37.5g).
*Usage*: Dissolve alum first, add the other two ingredients, mix evenly. Dry until alum becomes powder. Blow 0.3 qian (approx. 1.1g) into the nose/mouth; all diseases heal. For severe phlegm, take 0.5 qian with Dengxincao (Juncus Effusus Pith) tea; phlegm in throat vomits up, phlegm in diaphragm moves down.
For locked jaw unable to open, rub teeth with Bai Yanmei (White Salted Plum); jaw opens immediately.
[Facial Deviation]
**Qingyang Tang (Clear Yang Decoction)** (Dong Yuan): Treats facial deviation, tight cheeks/jaw, excess Stomach fire, no sweating but frequent urination.
*Ingredients*: Huangqi (Astragalus Root), Danggui Shen (Body of Chinese Angelica Root), Shengma (Cimicifuga Rhizome), 2 qian (approx. 7.5g) each; Gegen (Kudzu Root), 1.5 qian (approx. 5.6g); Zhigancao (Prepared Licorice Root), Honghua (Safflower), Huangbai (Phellodendron Bark, wine), Guizhi (Cinnamon Twig), 1 qian (approx. 3.75g) each; Sumu (Sappan Wood), Sheng Gancao (Raw Licorice Root), 0.5 qian (approx. 1.9g) each.
*Usage*: Crush. Prepare as one dose, add three zhong zhan (approx. 600ml) of wine, decoct to one-and-a-third zhong zhan. Strain, take warm before meals. After taking, apply heat massage to the tight area for cure. Facial deviation involves great cold in tendons/vessels/blood collaterals. This medicine substitutes for burning needles to break bad blood and remove coagulation, draining intense Fire from the Chong Mai.
**Qinjiao Shengma Tang (Belamcanda and Cimicifuga Decoction)** (*Baojian*): Treats wind-stroke affecting Hand/Foot Yangming meridians, facial deviation, limb stiffness, aversion to wind/cold.
*Ingredients*: Shengma (Cimicifuga Rhizome), Gegen (Kudzu Root), Zhigancao (Prepared Licorice Root), Shaoyao (Peony Root), Renshen (Ginseng Root), 0.5 liang (approx. 18.75g) each; Qinjiao (Gentiana Macrophylla Root), Baizhi (Angelica Dahurica Root), Fangfeng (Saposhnikovia Root), Guizhi (Cinnamon Twig), 3 qian (approx. 11g) each.
*Usage*: Take 1 liang (approx. 37.5g) per dose, add two zhong zhan (approx. 400ml) of water and three stalks of scallion white with roots. Decoct to one zhong zhan. Strain, take warm after meals. After taking, avoid wind/cold and rest. Stop when slight sweat appears.
[Hemiplegia]
**Shunfeng Yunqi San (Smooth Wind and Regulate Qi Powder)** (*Liang Fang*): Treats wind-stroke with Qi stagnation, hemiplegia, facial deviation. Take this first.
*Ingredients*: Baizhu (Atractylodes Macrocephala Rhizome), 4 qian (approx. 15g); Renshen (Ginseng Root), Tianma (Gastrodia Rhizome), 1 qian (approx. 3.75g) each; Chenxiang (Agarwood), Baizhi (Angelica Dahurica Root), Zisu (Perilla Leaf), Mugua (Chaenomeles Fruit), Qingpi (Young Citrus Peel), Zhigancao (Prepared Licorice Root), 0.5 qian (approx. 1.9g) each; Wuyao (Litsea Root), 3 qian (approx. 11g).
*Usage*: Divide into two doses. Each dose: add two zhong zhan (approx. 400ml) of water and three slices of ginger. Decoct to eight-tenths. Take warm. Decoct residues together. Suitable for wind-damp lower back pain.
**Hugu San (Tiger Bone Powder)** (*Yijian Fang*): Treats hemiplegia, dry/emaciated muscles (hemiplegia). Avoid Mahuang (Ephedra) sweating as it dries fluids. This formula moistens tendons and expels wind.
*Ingredients*: Danggui (Chinese Angelica Root), 2 liang (approx. 75g); Chishaoyao (Red Peony Root), Xuduan (Dipsacus Root), Baizhu (Atractylodes Macrocephala Rhizome), Bencao (Ligusticum Chuanxiong Rhizome), Hugu (Tiger Bone), 1 liang (approx. 37.5g) each; Wushe Rou (Mabuia Meat), 0.5 liang (approx. 18.75g).
*Usage*: Grind into fine powder. Take 2 qian (approx. 7.5g) per dose with warm wine after meals. For bone pain, add Shengdihuang (Rehmannia Root, fresh) 1 liang; for cold viscera with diarrhea, add Tianxiong (Aconite Root) 0.5 liang.
**Hujinggu Jiu (Tiger Tibia Wine)** (*Jisheng Fang*): Treats wind-stroke hemiplegia, all wind-induced spasms/clenching.
*Ingredients*: Shihu (Dendrobium Stem, root removed), Shinanye (Fatsia Leaf), Fangfeng (Saposhnikovia Root), Hujinggu (Tiger Tibia, butter-roasted), Danggui (Chinese Angelica Root), Yinyuye (Anemone Leaf), Duzhong (Eucommia Bark, stir-fried), Chuan Niuxi (Achyranthes Root), Chuanxiong (Sichuan Lovage Rhizome), Gouji (Cibotium Rhizome, burned to remove hair), Chuanxuduan (Dipsacus Root), Bajitian (Morinda Root), 1 liang (approx. 37.5g) each.
*Usage*: Crush to bean size. Bag the herbs. Soak in one dou (approx. 10 liters) of wine for ten days. Take one zhong zhan (approx. 200ml) warm at any time.
**Huangqi Jiu (Astragalus Wine)**: Treats wind-damp bi syndrome, body numbness, skin itching, tendon stiffness, slurred speech, limb paralysis, insensibility. (See Fixed Bi Syndrome).
Treats hemiplegia, facial deviation, dizziness, intense phlegm-fire, periodic bone/joint pain. Originates from Blood deficiency/heat with phlegm/fire, having pre-existing roots in meridians/skin. Later triggered by wind-cold, rich diet aiding phlegm-fire, or anger reversing Liver Qi. Pathogen is in meridians/skin/bones/tendons, not yet in Zang-Fu. This formula tonifies and invigorates Blood without stagnation, strengthens Spleen/dries dampness/resolves phlegm without drying, clears heat/moves Qi/expels wind, opens meridians/unblocks pores, consolidates root internally, disperses pathogen externally. It is a kingly method; long-term use shows efficacy.
*Ingredients*: Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Sichuan Lovage Rhizome), 1.5 qian (approx. 5.6g) each; Nanting (Arisaema Rhizome), Banxia (Pinellia Tuber), Shaoyao (Peony Root), Fuling (Poria), Tianma (Gastrodia Rhizome), 1 qian (approx. 3.75g) each; Chuan Danggui (Chinese Angelica Root), Shengdihuang (Rehmannia Root, fresh), Shudihuang (Prepared Rehmannia Root), Niuxi (Achyranthes Root), Suanzaoren (Ziziphus Seed), Huangqin (Scutellaria Root), Juhong (Citrus Peel, red part), 0.8 qian (approx. 3g) each; Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Gui (Cinnamon Bark), 0.6 qian (approx. 2.25g) each; Honghua (Safflower), Zhigancao (Prepared Licorice Root), 0.4 qian (approx. 1.5g) each; Huangbai (Phellodendron Bark), 0.3 qian (approx. 1.1g).
*Usage*: Decoct in water, add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). Take early morning.
[Loss of Voice/Mutism]
**Dihuang Yinzi (Rehmannia Infusion)** (*Xuanming Lun*): Treats tongue muteness (inability to speak), foot废 (inability to use), Kidney deficiency, Qi reversal not reaching under the tongue.
*Ingredients*: Shudihuang (Prepared Rehmannia Root), Bajitian (Morinda Root, heart removed), Shanzhuyu (Cornus Fruit, pitted), Roushurong (Cistanche Stem, wine-soaked/baked), Shihu (Dendrobium Stem), Fuzi (Prepared Aconite Root), Wuweizi (Schisandra Berry), Baifuling (Poria), Shichangpu (Acorus Rhizome), Yuanzhi (Polygala Root, heart removed), Guirui (Cinnamon Bark), Maidong (Ophiopogon Tuber, heart removed). Equal parts, crushed.
*Usage*: Grind into powder. Take 3 qian (approx. 11g) per dose, add five slices of ginger, one jujube, seven mint leaves, one-and-a-half zhong zhan (approx. 300ml) of water. Decoct to eight-tenths. Take at any time.
**Ditan Tang (Phlegm-Purgative Decoction)**: Treats wind-stroke with phlegm confusing the Heart orifice, stiff tongue unable to speak.
*Ingredients*: Nanting (Arisaema Rhizome, ginger-processed), Banxia (Pinellia Tuber, washed seven times in boiling water), 2.5 qian (approx. 9.4g) each; Zhishi (Immature Bitter Orange, stir-fried with bran), Fuling (Poria, skin removed), 2 qian (approx. 7.5g) each; Juhong (Citrus Peel, red part), 1.5 qian (approx. 5.6g); Shichangpu (Acorus Rhizome), Renshen (Ginseng Root), 1 qian (approx. 3.75g) each; Zhuru (Bamboo Sap/Dried Juice), 0.7 qian (approx. 2.6g); Gancao (Licorice Root), 0.5 qian (approx. 1.9g).
*Usage*: Prepare as one dose, add two zhong (approx. 400ml) of water and five slices of ginger. Decoct to one zhong. Take after meals.
**Liangge San (Cool the Diaphragm Powder)** (See Fever section).
**Jiawei Zhuanshe Gao (Modified Tongue-Turning Paste)**