一 一人患口角忽歪斜，右目及耳根俱痛，右颊浮肿。仲淳云∶此内热生风及痰也。治痰先清
火，清火先养阴，最忌燥剂。用二冬、沙参养阴，贝母、花粉消痰，苏子、橘红降气，白芎、甘菊、天麻
平肝，连翘、甘草清火，加竹沥、童便、霞天膏。日服二剂。以此方加减，至半载始全愈。前方中曾
加人参二钱，反觉浮火上升，即去之。丸药调理，用桑叶活血，胡麻养血，甘菊、首乌、蒺藜补阴，
皆能去肝经燥热生风之症，所谓治风先治血，血行风自灭也。天冬清肺金，使肝木有制，生地、牛膝
滋肾水，使肝血有养，柏仁润肝，女贞退热，因其脾胃有湿，湿则生热，故又加茅术、黄柏。按此方
肾肝阴虚，血燥风生之人，最宜服之，无湿者，可去茅术、黄柏。
二 一人气虚痰多，脾胃有湿，晚年半身不遂。王宇泰用人参〔一斤。〕白术〔半斤。〕补
气健脾，半夏曲〔二斤，姜汁、竹沥制。〕祛湿消痰，生地、天冬、牛膝〔各一斤。〕滋阴养血，河水
熬膏，加鹿角胶补精髓，虎骨胶壮筋骨，霞天胶、梨膏〔各一斤。〕清痰火，炼蜜〔二斤。〕和匀，每
空心临卧，取一酒杯，以梨汁、竹沥、人乳、桑沥各一杯和服，渐愈。此方与嘉言用六君子汤中加甘寒
药，以治虚风之法，大同小异。缘脾虚有湿，不得不用白术、半夏，而肾阴亏，则甘寒养阴之剂，在所
必用。湿剂生痰生热，肾阴既亏之人，难施苦寒燥剂，故佐以梨汁、竹沥之属，同半夏消痰清热，为恰当也。
三 一妇因怒仆地，口眼 斜，语言謇涩，四肢拘急，汗出遗尿，六脉洪大，肝脉尤甚。立斋
曰∶此由肝火炽盛，肝脉过阴器，因热甚而遗也。用加味逍遥散，加钩藤及六味丸而愈。
四 一妇先胸胁胀痛，后四肢不收，自汗如雨，小便自遗，大便不实，口紧目 ，饮食颇进，十
余日，或以中
脏甚忧。立斋视之曰∶此类中风也。若外风入脏，真气既脱，恶症既见，祸在反掌，焉能延至十
日。乃候其色，面目俱赤而或青。诊其脉，左三部洪数，惟肝尤甚。乃知胸乳胀痛，肝经血虚，肝
气否塞也，四肢不收，肝经血虚不能养筋也；自汗不止，肝经血热，津液妄泄也∶小便自遗，肝经热
甚，阴挺失职也，大便不实，肝木炽甚，克脾土也；口紧目 ，木火生风也；饮食颇进，脾胃元气
尚未伤也。遂用加味逍遥散，加犀角、羚羊角、甘菊、钩藤之属，数剂，诸症渐愈，本方加减调理而
安。后因郁怒，前症复作，兼发热呕吐，饮食少思，月经不止。此木盛克土，而脾不能统血也。用加
味归脾为主，佐以逍遥散而愈。后每遇怒，或睡中手足搐搦，复用前药即愈。
五 一妇因怒，口眼歪斜，痰涎上雍，口噤发搐。立斋曰∶此系脾气虚而肝木旺，用六君子汤加
柴胡、木香、钩藤治之渐愈。又用加味归脾汤，调理而安。
六 一人久病滞下，又犯房事，忽发昏晕，不知人事，手撒目暗，自汗如雨，喉中痰鸣，如拽锯
声，小便遗失，脉大无伦。丹溪曰∶此阴虚阳暴绝也。令煎人参膏饮之，手动。又饮之唇动。半夜后尽
三盏，眼能动。尽三斤，方能言而索粥矣。尽五斤而痢止。至十斤而全安。观此凡人大病后，及妇人产
后，多有此症不可不知。
1. A patient presented with sudden deviation of the mouth corner, pain in the right eye and root of the ear, and swelling of the right cheek. Miao Zhongchun stated: This is caused by internal heat generating wind and phlegm-dampness. To treat phlegm, one must first clear fire; to clear fire, one must first nourish Yin. It is most taboo to use drying agents. Use Tian Dong (Asparagi Radix) and Mai Dong (Ophiopogonis Radix), along with Sha Shen (Glehniae Radix) to nourish Yin; Bei Mu (Fritillariae Bulbus) and Hua Fen (Trichosanthis Radix) to resolve phlegm; Su Zi (Perillae Fructus) and Ju Hong (Citri Reticulatae Pericarpium Rubrum) to direct Qi downward; Bai Xiong (Ligustici Chuanxiong Rhizoma), Gan Ju (Chrysanthemi Flos), and Tian Ma (Gastrodiae Rhizoma) to calm the Liver; Lian Qiao (Forsythiae Fructus) and Gan Cao (Glycyrrhizae Radix et Rhizoma) to clear fire; add Zhu Li (Bambusae Succus) and Tong Bian (Urine of a healthy child), plus Xia Tian Gao (a prepared paste). Take two doses daily. With modifications to this formula, full recovery was achieved after half a year. Ginseng Ren Shen (Panacis Ginseng Radix) was added at two qian to the previous formula, but it aggravated the floating fire, so it was removed. Pill medicine was used for conditioning: Sang Ye (Mori Folium) to invigorate blood, Hu Ma (Sesami Semen) to nourish blood, Gan Ju, Shou Wu (Polygoni Multiflori Radix), and Ji Li (Tribuli Fructus) to tonify Yin. These can all eliminate symptoms of dryness-heat in the Liver channel generating wind, which is what is meant by "to treat wind, first treat the blood; when blood moves, wind extinguishes itself." Tian Dong clears Lung Metal, thereby restraining Liver Wood; Sheng Di Huang (Rehmanniae Radix) and Niu Xi (Achyranthis Bidentatae Radix) nourish Kidney Water, thereby sustaining Liver Blood; Bai Ren (Ziziphi Spinosae Semen) moistens the Liver; Nu Zhen Zi (Ligustri Lucidi Fructus) reduces heat. Because the Spleen and Stomach had dampness, which generates heat, Cang Zhu (Atractylodis Rhizoma) and Huang Bo (Phellodendri Cortex) were added. This formula is most suitable for those with Kidney and Liver Yin deficiency, blood dryness, and wind generation due to dryness. Those without dampness may omit Cang Zhu and Huang Bo.
2. A patient with Qi deficiency, excessive phlegm, and dampness in the Spleen and Stomach suffered hemiplegia in his later years. Wang Yutai used Ren Shen (Panacis Ginseng Radix) [one jin], Bai Zhu (Atractylodis Macrocephalae Rhizoma) [half a jin] to tonify Qi and strengthen the Spleen; Ban Xia Qu (Prepared Pinelliae Tuber) [two jin, processed with Ginger Juice and Bamboo Sap] to dispel dampness and resolve phlegm; Sheng Di Huang (Rehmanniae Radix), Tian Dong (Asparagi Radix), and Niu Xi (Achyranthis Bidentatae Radix) [one jin each] to nourish Yin and blood; decocted in river water into a paste, adding Lu Jiao Jiao (Colla Cornu Cervi) to supplement essence, Hu Gu Jiao (Colla Ossis Femoris) to strengthen sinews and bones, Xia Tian Jiao (prepared paste) and Li Gao (Pear Paste) [one jin each] to clear phlegm-fire, and Lian Mi (Honey) [two jin] to blend evenly. Each time on an empty stomach or before bed, take one wine cup, mixed with one cup each of Li Zhi (Pear Juice), Zhu Li (Bamboo Sap), Ren Ru (Human Milk), and Sang Li (Mulberry Sap), taken together. Gradual recovery ensued. This method is largely similar to Yu Jiayan’s approach of adding sweet-cold herbs to Liu Jun Zi Tang (Six Gentlemen Decoction) to treat deficient wind. Since Spleen deficiency with dampness necessitates Bai Zhu and Ban Xia, and Kidney Yin deficiency necessitates sweet-cold Yin-nourishing agents, this combination is essential. Damp-agents generate phlegm and heat; thus, bitter-cold drying agents are difficult to apply to those with depleted Kidney Yin. Therefore, assisting with Li Zhi and Zhu Li to jointly resolve phlegm and clear heat alongside Ban Xia is appropriate.
3. A woman fell to the ground due to anger, presenting with deviation of the mouth and eyes, slurred speech, stiffness and spasm of the four limbs, sweating, and urinary incontinence. The six pulses were surging, with the Liver pulse particularly prominent. Xue Lizhai stated: This is due to blazing Liver Fire. The Liver meridian passes through the genitalia; due to severe heat, urinary incontinence occurred. Treatment with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), combined with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), resulted in recovery.
4. A woman first experienced distending pain in the chest and hypochondrium, followed by inability to control the four limbs, profuse spontaneous sweating, involuntary urination, and loose stools. Her mouth was tight, eyes closed, yet she could eat well. After more than ten days, some feared it was a severe stroke affecting the zang organs. Xue Lizhai examined her and said: This belongs to pseudo-stroke. If external wind entered the zang organs and true Qi had escaped, with malignant signs present, disaster would strike instantly, not linger for ten days. Observing her complexion, her face and eyes were red or bluish. Palpating the pulse, the left cun, guan, and chi positions were surging and rapid, especially the Liver pulse. Thus, he understood that chest and breast distending pain indicated Liver Blood deficiency and stagnation of Liver Qi; inability to control the limbs indicated Liver Blood deficiency failing to nourish the sinews; continuous spontaneous sweating indicated Heat in the Liver Blood causing reckless leakage of body fluids; involuntary urination indicated severe Heat in the Liver Meridian leading to loss of function in the yin region; loose stools indicated excessive Liver Wood overacting on Spleen Earth; tight mouth and closed eyes indicated Wind generated by Wood-Fire; good appetite indicated that the Yuan Qi of the Spleen and Stomach was not yet damaged. He prescribed Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) with added Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Caprae Hircus Cornu), Gan Ju (Chrysanthemi Flos), and Gou Teng (Uncariae Ramulus cum Uncis), which alleviated symptoms after several doses. Conditioning with modifications to this formula led to stability. Later, due to depression and anger, the previous symptoms recurred, accompanied by fever, vomiting, poor appetite, and menorrhagia. This indicated excessive Wood overacting on Earth, with the Spleen failing to control blood. Treatment with Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) as the main formula, assisted by Xiao Yao San (Free and Easy Wanderer Powder), resulted in recovery. Subsequently, whenever she encountered anger or experienced hand and foot spasms during sleep, re-administration of the previous medicines cured her.
5. A woman, due to anger, presented with deviation of the mouth and eyes, upward rush of salivary fluid, locked jaw, and convulsions. Xue Lizhai stated: This is Spleen Qi deficiency with flourishing Liver Wood. Treatment with Liu Jun Zi Tang (Six Gentlemen Decoction) added with Chai Hu (Bupleuri Radix), Mu Xiang (Aucklandiae Radix), and Gou Teng (Uncariae Ramulus cum Uncis) led to gradual recovery. Subsequently, Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) was used for conditioning and stabilization.
6. A man suffering from chronic dysentery engaged in sexual intercourse and suddenly fainted, losing consciousness, with flaccid hands, dim vision, profuse spontaneous sweating, rattling phlegm in the throat sounding like sawing, urinary incontinence, and a large, disordered pulse. Zhu Danxi stated: This is Yin deficiency with sudden collapse of Yang. He ordered the preparation of Ren Shen Gao (Ginseng Paste) for him to drink. His hands moved. Upon further drinking, his lips moved. After midnight, after three cups, his eyes could move. After three jin, he could speak and ask for porridge. After five jin, the dysentery stopped. After ten jin, he fully recovered. Observe that after major illnesses in ordinary people, and postpartum in women, such conditions often occur and must be known.