大气,不息之真气也。不转则息矣。故不特气厥类中,即真中风邪,亦以转气为先。经
云∶大气一转,邪气乃散。此之谓也。
八味顺气散(严氏) 凡患中风者,先服此顺养真气,次进治风药。
人参 白术 茯苓 陈皮 青皮 台州 乌药 香白芷(各一两) 甘草(
上 咀,每服三钱,水一盏,煎七分,温服。
匀气散(《良方》) 即顺风匀气散。
白术 乌药 人参 天麻(各一钱) 沉香 青皮 白芷 木瓜 紫苏
上锉作一帖,姜三片,水煎服。
或因风而动痰,或因痰而致风,或邪风多附顽痰,或痰病有如风病。是以掉摇眩晕、倒
仆昏
涤痰汤 治中风痰迷心窍,舌强不能言。
南星(制) 半夏(泡七次) 枳实(麸炒) 茯苓(各二钱) 橘红(一钱半) 石菖蒲
人参(各一钱) 竹茹(七分)
水一盅半,生姜五片,煎八分,食后服。
清心散 治风痰不开。
薄荷 青黛 硼砂(各二钱) 牛黄 冰片(各三分)
上为细末,先以蜜水洗舌,后以姜汁擦舌,将药末蜜水调稀,搽舌本上。
内风之气,多从热化,昔人所谓风从火出者是也。是证不可治风。惟宜治热。《内经》
云∶风淫于内,治以甘凉。《外台》云∶中风多从热
起。宜先服竹沥汤。河间云∶热盛而生风。或热微风甚,即兼治风也。或风微热甚,但治其
热,即风亦自消也。
竹沥汤 治热风,心中烦闷,言语蹇涩。
竹沥 荆沥(各五合) 生姜汁(三合)
上三味相和,温服三合,以酒调服良。一方∶竹沥、荆沥、梨汁各二合,陈酱汁半合,
相合,微煎一二沸,滤清,细细灌入口中。治中风不语,昏沉不识人。一方∶竹沥五合,人乳汁
二合,三年陈酱汁半合,三味相和,分三服。治热风,舌强不得语,心神烦闷。一方∶竹沥
二升,生葛汁一升,生姜汁三合,三味相和,温分三服,日夜各一服。
地黄煎(《千金》) 治热风,心烦闷,及脾胃间热,不下食。
生地汁 枸杞根汁(各二升) 生姜汁(一升) 酥(三升) 荆沥 竹沥(各五升)
栀子仁 大黄(各四两) 茯苓(六两) 天冬 人参(各八两)
上先煎地黄等汁成膏,余五物为散,内搅调,每服一匕,日再,渐加至三匕,觉利减之
。
The Great Qi (Daqi) is the true qi that moves without ceasing. If it does not circulate, respiration stagnates. Therefore, in cases of Qi Jue (Qi Syncope) resembling stroke, as well as in genuine wind-stroke caused by external pathogenic factors, regulating qi must be the primary priority. The Classics state: "When the Great Qi turns, the pathogenic factor dissipates." This refers to this principle.
Ba Wei Shun Qi San (Eight-Ingredient Powder to Smooth Qi, from Yan Shi): For patients suffering from wind-stroke, administer this formula first to smooth and nourish the true qi, followed by medications treating wind.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Tai Zhou Wu Yao (Linderae Radix), Xiang Bai Zhi (Angelicae Dahuricae Radix) (each 1 liang), Gan Cao (Licorice Root).
Crush the herbs. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 zhan remains, and take warm.
Yun Qi San (Powder to Harmonize Qi, from *Liang Fang*): Also known as Shun Feng Yun Qi San.
Bai Zhu, Wu Yao, Ren Shen, Tian Ma (Gastrodiae Rhizoma) (each 1 qian), Chen Xiang (Aquilariae Lignum Resinatum), Qing Pi, Bai Zhi, Mu Gua (Chaenomelis Fructus), Zi Su (Perillae Folium).
Crush into one packet. Add 3 slices of fresh ginger, decoct with water, and take orally.
Sometimes, wind activates phlegm; sometimes, phlegm generates wind-like symptoms. External wind often adheres to stubborn phlegm, or phlegm diseases may present similarly to wind diseases. Consequently, symptoms such as tremors, dizziness, sudden collapse, and coma occur...
Di Tan Tang (Phlegm-Clearing Decoction): Treats wind-stroke where phlegm confounds the heart orifices, resulting in a stiff tongue and inability to speak.
Nan Xing (Arisaematis Rhizoma Preparatum), Ban Xia (Pinelliae Rhizoma Preparatum, soaked seven times), Zhi Shi (Aurantii Fructus Immaturus Preparatum, stir-fried with bran), Fu Ling (each 2 qian), Ju Hong (Citri Reticulatae Pericarpium, 1.5 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (each 1 qian), Zhu Ru (Bambusae Caulis in Taeniam, 0.7 qian).
Add 1.5 zhong of water and 5 slices of fresh ginger. Decoct until 0.8 zhong remains. Take after meals.
Qing Xin San (Heart-Clearing Powder): Treats obstruction due to wind-phlegm.
Bo He (Menthae Haplocalycis Herba), Qing Dai (Azuritum), Peng Sha (Borax) (each 2 qian), Niu Huang (Bovis Calculus), Bing Pian (Borneolum Syntheticum) (each 0.3 fen).
Grind into fine powder. First wash the tongue with honey water, then wipe the tongue with ginger juice. Dilute the powder with honey water and apply it to the root of the tongue.
Internal wind qi tends to transform into heat, which is what ancient physicians referred to as "wind arising from fire." Such conditions should not be treated merely for wind; instead, clearing heat is appropriate. The *Neijing* states: "For wind rampant within, treat with sweet and cool substances." The *Waitai Miyao* states: "Wind-stroke often originates from heat." It is advisable to first administer Zhu Li Tang (Bamboo Juice Decoction). Liu Hejian stated: "Excessive heat generates wind." If heat is mild but wind is severe, treat both wind and heat. If wind is mild but heat is severe, treat only the heat, and the wind will subside naturally.
Zhu Li Tang (Bamboo Juice Decoction): Treats wind-heat causing mental restlessness and slurred speech.
Zhu Li (Bambusae Sap), Jing Li (Phyllostachys Niruri Sap) (each 5 he), Sheng Jiang Zhi (Fresh Ginger Juice) (3 he).
Mix the three ingredients. Take 3 he warm. Taking it mixed with wine is beneficial. Another prescription: Zhu Li, Jing Li, and Li Zhi (Pear Juice) (each 2 he), combined with 0.5 he of aged soy sauce. Simmer slightly for one or two boils, filter, and drip slowly into the mouth. Treats wind-stroke with mutism, lethargy, and loss of recognition. Another prescription: Zhu Li (5 he), Ren Ru Zhi (Human Milk Juice) (2 he), and 0.5 he of three-year-aged soy sauce. Mix and divide into three doses. Treats wind-heat, stiff tongue preventing speech, and mental restlessness. Another prescription: Zhu Li (2 sheng), Sheng Ge Zhi (Puerariae Radix Juice) (1 sheng), Sheng Jiang Zhi (3 he). Mix and divide into three warm doses, taken once day and night.
Di Huang Jian (Rehmannia Paste, from *Qian Jin Fang*): Treats wind-heat causing mental restlessness, as well as heat in the spleen and stomach leading to anorexia.
Sheng Di Zhi (Rehmanniae Radix Juice), Gou Qi Gen Zhi (Lycii Radicis Cortex Juice) (each 2 sheng), Sheng Jiang Zhi (1 sheng), Su (Butyrum/Ghee) (3 sheng), Jing Li, Zhu Li (each 5 sheng), Zhi Zi Ren (Gardeniae Semen), Da Huang (Rhei Radix et Rhizoma) (each 4 liang), Fu Ling (6 liang), Tian Dong (Asparagi Radix), Ren Shen (each 8 liang).
First decoct the juices of Di Huang etc. into a paste. Grind the remaining five herbs into powder, mix into the paste. Take one bi per dose, twice daily. Gradually increase to three bi. Reduce dosage if diarrhea occurs.