凡中风,脉无不大者,非热也,是风脉也。中风有冷热,阳病则热,阴病则冷,冷则用
温风药,热则用凉风药,不可一概用也。凡中风皆不可吐出涎,人骨节中皆有涎,所以转动
滑利,中风则涎上潮,咽喉中滚响,以药压下涎,再归骨节可也。不可吐出涎,时间快意非
久,枯了手足,不可不戒。小儿惊风,亦不可吐出涎,其患与大人同。方其发搐搦之时,不
可捉
中风须大作汤剂,方有成效。若风归手足,名曰小中,不宜用正风药深治,但用平和汤
剂,
治男子妇人血气虚弱,虚风攻注,肌体颤掉,肩背刺痛,手足拳挛,口眼 斜
遂,头目旋晕,痰涎壅盛,语言謇涩,行步艰难,心忪气短。客风所凑,四肢拘急
重,头疼。脾胃不和,心腹刺痛,胸膈不快,少力多困,精神不爽,不思饮食,呕
霍乱吐泻。胎前产后,但是气虚百病,皆可服之。
天台乌药(五两) 桔梗(去芦) 川白芷 川芎 甘草(炙) 陈皮(去白) 白术
(各三两
半)
上为末。每服三钱,紫苏、木瓜煎汤调下。去白术,加干姜、僵蚕,名乌药顺气散。卒
中风
先宜
臆,
能
有
治中风不省人事,渐觉半身不遂,口眼 斜,手足颤掉,语言謇涩,肢体痿痹
乱,头目眩重,筋脉拘挛,不能伸屈,骨节烦疼,不得转侧。亦治香港脚缓弱,久服
病风人常服不可缺,以防喑哑。
麻黄(去根) 人参 黄芩 白芍药 川芎 甘草 杏仁(去皮,麸炒) 防己 桂(各
二
两)
上锉散。每服四钱,水一盏半,生姜三片,枣二枚煎,不拘时候。温服取汗,随人虚实
与所
寒,
有
去
参
大黄。气塞不通,沉香。有痰,南星数片,发渴,麦门冬、干葛、瓜根。身疼,秦艽。上气
,浮肿,喘急,防风、桑白皮。以上所加各一两。小儿慢惊,煎取药汁一盏,入生姜汁再煎
一二沸,日三服,夜二服。夏间又有热者,减桂一半,春加麻黄一两,夏加黄芩一两,秋加
当归四两,冬加附子半两。风虚,加川芎一两。一方,加木香、缩砂、独活各一两,川乌炮
三分,亦效。牙关紧,用南星末半钱,龙脑一字,频擦牙上令热,即自开。
凡中风病,脉象没有不呈现洪大之象的,这并非热证,而是风邪致病的脉象。中风分为冷证和热证,阳经受邪则表现为热证,阴经受邪则表现为冷证;寒证应当使用温性祛风药,热证应当使用凉性祛风药,不可一概而论地使用同一类药物。凡是中风患者,都不应通过催吐的方法排出涎沫。人的骨节中原本就有涎液,这使得关节转动滑利顺畅;中风时涎液上涌至咽喉,发出滚动声响,此时应用药物将上泛的涎液压下,使其重新回归骨节之中。如果强行吐出涎液,虽然暂时感觉舒适,但长久来看会导致手足枯槁萎缩,这一点必须引以为戒。小儿惊风,也不可以吐出涎液,其危害与成人相同。在小儿抽搐发作之时,不可强行捉拿肢体。
治疗中风必须使用汤剂,才能见到疗效。如果风邪侵袭手足,称为“小中”(轻微的中风),不宜使用强力祛风药进行深度治疗,而只宜使用平和的汤剂。
此方主治男子、妇人血气虚弱,虚风内扰攻注,导致肌体颤抖动摇,肩背刺痛,手足蜷缩拘挛,口眼歪斜,头晕目眩,痰涎壅盛,言语謇涩不利,行走困难,心悸气短。以及外感客风侵袭,四肢拘急沉重,头痛。脾胃不和,心腹刺痛,胸膈痞闷不快,乏力困倦,精神不振,不思饮食,呕吐霍乱吐泻。无论是产前产后,只要是气虚引起的各种病症,都可以服用此方。
处方组成:天台乌药(五两)、桔梗(去芦头)、川白芷、川芎、甘草(炙)、陈皮(去白)、白术(以上各三两半)。
制法用法:将上述药材研为细末。每次服用三钱,用紫苏、木瓜煎煮的汤液调服。若去掉白术,加入干姜、僵蚕,则名为“乌药顺气散”。
此方适用于突然中风,先宜……(原文此处有缺漏,推测为急救或初期处理),臆……(原文残缺),能……(原文残缺),有……(原文残缺)。
此方主治中风导致神志不清,逐渐出现半身不遂,口眼歪斜,手足颤抖动摇,言语謇涩不利,肢体痿软麻痹,头目眩晕沉重,筋脉拘挛,不能伸展屈曲,骨节烦痛,无法翻身转侧。也用于治疗脚气病导致的下肢缓弱无力。长期服用对于患风疾的人不可或缺,以防失音哑哑。
处方组成:麻黄(去根)、人参、黄芩、白芍药、川芎、甘草、杏仁(去皮,麸炒)、防己、桂枝(以上各二两)。
制法用法:将上述药材切碎成散状。每次服用四钱,用水一盏半,生姜三片,大枣二枚煎煮,不拘泥于特定时间。温服以取微汗,根据患者的虚实状况及所感寒热进行加减:气虚者加人参,气塞不通者加沉香;有痰者加天南星数片;发渴者加麦门冬、干葛、瓜蒌根;身疼者加秦艽;上气喘急、浮肿者加防风、桑白皮。以上所加药物各一两。小儿慢惊风,煎取药汁一盏,加入生姜汁再煎一二沸,每日三次,夜间两次。夏季若有热象,减去一半的桂枝;春季加麻黄一两,夏季加黄芩一两,秋季加当归四两,冬季加附子半两。风虚证,加川芎一两。另一配方,加入木香、缩砂仁、独活各一两,炮制的川乌三分,也有效。牙关紧闭者,用天南星末半钱,龙脑一字,频繁擦拭牙齿使其发热,牙关自然张开。
For all cases of wind-stroke (Zhong Feng), the pulse is invariably large; this is not due to heat, but is the pulse characteristic of wind. Wind-stroke can be categorized into cold and hot types: Yang channel involvement manifests as heat, while Yin channel involvement manifests as cold. For cold patterns, warm wind-dispelling herbs should be used; for hot patterns, cool wind-dispelling herbs should be used. One must not apply a uniform treatment to all cases. In all wind-stroke cases, phlegm-saliva (Tan Xian) should not be induced to vomit. Phlegm-saliva exists naturally in the bone joints, facilitating smooth movement. In wind-stroke, phlegm-saliva surges upward, causing gurgling sounds in the throat. Medication should be used to suppress this upward surge, allowing the phlegm-saliva to return to the bone joints. Inducing vomiting may provide temporary relief, but long-term consequences include withering of the limbs, which must be strictly avoided. Infantile convulsive disorder (Jing Feng) also requires that phlegm-saliva not be vomited; the harm is similar to that in adults. During the onset of spasms and convulsions, one must not forcibly grasp or restrain the limbs.
Treatment of wind-stroke must utilize decoctions (Tang Ji) to achieve efficacy. If the wind pathogen affects only the hands and feet, it is termed "Minor Wind-Stroke" (Xiao Zhong); in such cases, potent wind-dispelling drugs are inappropriate for deep treatment. Instead, mild and balanced decoctions should be employed.
This formula treats Qi and Blood deficiency in men and women, where deficient wind attacks internally, causing muscle tremors and shaking, stabbing pain in the shoulders and back, curling and spasm of the hands and feet, deviation of the mouth and eyes (Kou Yan Xie Pian), dizziness and vertigo, excessive accumulation of phlegm-saliva, slurred speech (Jian Se), difficulty walking, palpitations (Xin Song), and shortness of breath. It also addresses external wind invasion causing stiffness and heaviness in the four limbs, headache, disharmony of the Spleen and Stomach, stabbing pain in the heart and abdomen, chest fullness and discomfort, fatigue, poor mental clarity, loss of appetite, vomiting, and cholera-like vomiting and diarrhea. It is suitable for any condition arising from Qi deficiency before or after childbirth.
Ingredients: Tiantai Laodao (Tangerine Peel from Tiantai, 5 liang), Jiegeng (Platycodonis Radix, de-gorged), Chuan Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenpi (Citri Reticulatae Pericarpium, de-white), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 3.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose, mixed with a decoction prepared from Zisu (Perilla Folium) and Mugua (Chaenomelis Fructus). If Baizhu is omitted and Ganjiang (Zingiberis Rhizoma) and Jiangcan (Bombyx Batryticatus) are added, the formula is named Wuyao Shunqi San.
[Text fragment missing/unclear]: This formula applies to sudden wind-stroke... [Original text contains gaps regarding initial management].
This formula treats wind-stroke resulting in loss of consciousness, gradually progressing to hemiplegia, deviation of the mouth and eyes, trembling of the hands and feet, slurred speech, flaccid paralysis of the limbs, heavy dizziness, tendon and vessel spasm preventing flexion and extension, painful joints, inability to turn over. It also treats Hongjiao (Gouty Arthritis/Lower Limb Weakness) characterized by flaccidity and weakness. Long-term use is indispensable for patients with chronic wind diseases to prevent aphonia (Yin Ya).
Ingredients: Mahuang (Ephedrae Herba, de-rooted), Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum, peeled, bran-fried), Fangji (Stephaniae Tetrandrae Radix), Guizhi (Cinnamomi Ramulus) (each 2 liang).
Preparation and Administration: Coarsely crush the ingredients. Take 4 qian per dose, decocted with 1.5 sheng of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 dates (Dazao). Take at any time. Administer warm to induce sweating. Modifications based on patient's deficiency/excess and cold/heat patterns: Add Renshen for Qi deficiency; add Chenxiang (Aquilariae Lignum Resinatum) for Qi stagnation/blockage; add Nanting (Arisaematis Rhizoma Preparatum) for phlegm; add Maimendong (Ophiopogonis Radix), Gange (Puerariae Radix), and Guagen (Trichosanthis Radix) for thirst; add Qinjiao (Gentianae Macrophyllae Radix) for body pain; add Fangfeng (Saposhnikoviae Radix) and Sangbaipi (Mori Cortex) for upper jiao qi rebellion, edema, and asthma. Added ingredients are each 1 liang. For infantile slow convulsion, take 1 sheng of the decoction, add fresh ginger juice, boil for 1-2 more boils, administer three times daily and twice at night. In summer, if heat signs are present, reduce Guizhi by half. In spring, add 1 liang of Mahuang; in summer, add 1 liang of Huangqin; in autumn, add 4 liang of Danggui (Angelicae Sinensis Radix); in winter, add 0.5 liang of Fuzi (Aconiti Lateralis Radix Praeparata). For wind-deficiency, add 1 liang of Chuanxiong. Another variation adds Muxiang (Aucklandiae Radix), Suosha (Amomi Fructus Rotundus), and Duhuo (Angelicae Pubescentis Radix) each 1 liang, and Pao Chuannwu (Aconiti Radix Preparata) 3 fen, which is also effective. For locked jaw, apply 0.5 qian of Nanting powder and 1 zi of Longnao (Borneolum Syntheticum) frequently to the teeth until heated, which will cause the jaw to open spontaneously.