治肾脏虚损 阳气全乏。
阳起石（ ） 韭子（炒） 肉苁蓉（酒浸） 青盐（别研） 菟丝子（水淘净，酒蒸，
焙，另研） 鹿茸（酒蒸） 钟乳 粉沉香（别研，不见火） 浓蚕蛾（酒炙） 山茱萸（取
肉。各半两） 桑螵蛸（酒炙） 山药（锉，炒。各半两）
上为细末，酒糊为丸，如梧桐子大，每服七十丸，空心，盐酒盐汤任下。
治膀胱虚冷，小便白浊滑数，日夜无度。赤石脂（ ） 韭子（炒） 川牛膝（去芦，
酒浸） 牡蛎（ ） 覆盆子（酒浸） 附子（炮，去皮脐） 桑螵蛸（酒炙） 鹿茸（酒
蒸，焙） 肉苁蓉（酒浸） 龙骨（生。各一两） 鸡 （烧灰） 沉香（镑，不见火。
各半两）
上为细末，酒糊为丸，如梧桐子大，每服七十丸，空心，盐汤盐酒任下。
治膀胱实热，腹胀，小便不通，口舌干燥，咽肿不利。
赤茯苓（去皮） 木猪苓（去皮） 葵子 枳实（麸炒） 瞿麦 木通（去节） 黄芩 车
前子（炒） 滑石 甘草（炙。各等分
上 咀，每服四钱，水一盏半，姜五片，煎至八分，去滓，温服，不拘时候。
医经云∶夫风者，百病之长也。由是观之，中风在伤寒之上，为病急卒。歧伯所谓大法
有四∶一曰偏枯，二曰风痱，三曰风懿，四曰风痹，言其最重者也。外有五脏诸风，皆载之
于千金矣，兹不复叙。大抵人之有生，以元气为根，营卫为本，根气强壮，营卫和平，腠理
致密，外邪客气焉能为害？或因喜怒，或因忧思，或因惊恐，或饮食不节，或劳役过伤，遂
致真气先虚，荣卫失度，腠理空疏，邪气乘虚而入。及其感也，为半身不遂，肌肉疼痛，为
痰涎壅塞，口眼 斜，偏废不仁，神智昏乱；为舌强不语，顽痹不知，精神恍惚，惊惕恐怖，
或自汗恶风，筋脉挛急，变证多端。治疗之法，当推其所自，若内因七情而得之者，法当调
气，不当治风，外因六淫而得之者，亦先当调气，然后根据所感六气，随证治之，此良法也。
但发直吐沫，摇头上撺，面赤如妆，或头面青黑，汗缀如珠，眼闭口开，声如鼾睡，遗尿不
知人者，皆不
又论∶夫中风者，风气中于人也。卒然中风，神昏如醉，四肢不收，涎潮于上，声如牵
锯，牙关紧急，汤药不能下咽，命在须臾。但眼闭口干，声如鼾睡，遗尿者，皆所不治。当
此之时，先宜用搐鼻法，俟其喷嚏，即以稀涎散灌之，若气苏神省，却按前方施以治法。
前贤方论，中风无吐法，或为有吐法，考之二者终不可吐。大率一时气闭不行，痰涎蓄聚，
所以昏愦，盖痰涎者，乃养关节之物，岂可吐乎？痰涎既出，关节无所滋助，虽曰苏省，多
为偏废之人矣。如稀涎散不犯银粉，药又不犯藜芦、瓜蒂，药不特不坏脾胃，其效尤着，
岂不美欤？
治疗肾脏虚损，阳气完全匮乏。
阳起石、韭子（炒制）、肉苁蓉（酒浸）、青盐（单独研细）、菟丝子（用水淘洗干净，用酒蒸，焙干，单独研细）、鹿茸（酒蒸）、钟乳粉、沉香粉（单独研细，避免见火）、浓蚕蛾（酒炙）、山茱萸（取果肉，各半两）、桑螵蛸（酒炙）、山药（锉碎，炒制，各半两）。
以上药物制成细末，用酒调糊做成丸药，大小如梧桐子，每次服用七十丸，空腹时，用盐水或盐酒任其送服。
治疗膀胱虚冷，小便白浊且滑利频数，日夜无节制。
赤石脂、韭子（炒制）、川牛膝（去芦头，酒浸）、牡蛎、覆盆子（酒浸）、附子（炮制，去皮和脐）、桑螵蛸（酒炙）、鹿茸（酒蒸，焙干）、肉苁蓉（酒浸）、龙骨（生用，各一两）、鸡内金（烧成灰）、沉香（镑片，避免见火，各半两）。
以上药物制成细末，用酒调糊做成丸药，大小如梧桐子，每次服用七十丸，空腹时，用盐汤或盐酒任其送服。
治疗膀胱实热，腹部胀满，小便不通，口舌干燥，咽喉肿痛不利。
赤茯苓（去皮）、木猪苓（去皮）、冬葵子、枳实（麸炒）、瞿麦、木通（去节）、黄芩、车前子（炒制）、滑石、甘草（炙制，各等分）。
以上药物切碎，每次服用四钱，加水一盏半，生姜五片，煎至八分，滤去药渣，温服，不限时候。
医经说：风邪是百病的先导。由此看来，中风在伤寒之上，发病急骤突然。岐伯所说的大法有四种：一是偏枯，二是风痱，三是风懿，四是风痹，说的是病情最重的情况。外部有五脏的各种风证，都记载在《千金方》中，这里不再叙述。大抵人的生存，以元气为根本，营卫为基础，根本气壮，营卫平和，腠理致密，外来的邪气怎么能侵害呢？或者因为喜怒，或者因为忧思，或者因为惊恐，或者饮食不节制，或者劳役过度损伤，导致真气先虚，营卫失去常度，腠理空疏，邪气乘虚而入。等到感邪后，表现为半身不遂，肌肉疼痛，痰涎壅塞，口眼歪斜，偏侧废用不知痛痒，神智昏乱；表现为舌强不能言语，顽痹无知，精神恍惚，惊惕恐怖，或者自汗恶风，筋脉挛急，变证多种多样。治疗的方法，应当推究其起因，如果是内因七情而得的，治法应当调气，不应当治风；如果是外因六淫而得的，也先应当调气，然后根据所感的六气，随证治疗，这是良法。但是出现头发直竖吐沫，摇头上窜，面色红如化妆，或者头面青黑，汗珠如串，眼睛闭合嘴巴张开，声音像打鼾睡觉，遗尿不知人事的，都是不治之症。
又论述：所谓中风，是风气侵入人体。突然中风，神志昏迷如醉酒，四肢不能收持，涎液上涌，声音像拉锯，牙关紧急，汤药不能咽下，生命在顷刻之间。但是眼睛闭合口干，声音像打鼾睡觉，遗尿的，都是不可治疗的。在这个时候，先用搐鼻法，等待其打喷嚏，就用稀涎散灌服，如果气息恢复神志清醒，再按照前面的方子施以治疗方法。前贤的方论中，中风没有吐法，或者有说有吐法的，考证这两种最终都不能用吐法。大率是一时气闭不行，痰涎蓄积，所以昏愦，大概痰涎是滋养关节的东西，怎么可以吐掉呢？痰涎既已吐出，关节无所滋助，虽然说是苏醒清醒，大多成为偏废的人啊。如果稀涎散不含银粉，药物又不含藜芦、瓜蒂，药物不仅不伤害脾胃，疗效尤其显著，难道不美好吗？
Treats Kidney deficiency and damage, with Yang Qi completely lacking.
Yangqishi (Styrite), Jiu Zi (Chives Seed, *Allii Tuberosi Semen*), Rou Cong Rong (Cistanche Herb, *Cistanchis Herba*), Qing Yan (Green Salt), Tu Si Zi (Dodder Seed, *Cuscutae Semen*) [washed clean with water, steamed in wine, dried, ground separately], Lu Rong (Deer Antler without Bone, *Cervi Cornu Degelatinatum*), Zhong Ru (Halloysite Powder), Fen Chen Xiang (Powdered Agarwood, *Aquilariae Lignum Resinatum*) [ground separately, not exposed to fire], Nong Can E (Thick Silkworm Moth, *Bombycis Batryticatus*) [wine-fried], Shan Zhu Yu (Cornus Fruit, *Corni Fructus*) [flesh taken, each half liang], Sang Piao Xiao (Mantis Egg Case, *Mantidis Oötheca*) [wine-fried], Shan Yao (Dioscorea Rhizome, *Dioscoreae Rhizoma*) [chopped, fried, each half liang].
The above are made into fine powder, mixed with wine paste to form pills the size of Sophora seeds. Take 70 pills per dose, on an empty stomach, administered freely with salt water or salt wine.
Treats Bladder deficiency-cold, with white turbid urine that is slippery and frequent, without restraint day or night.
Chi Shi Zhi (Red Halloysite, *Halloysitum Rubrum*), Jiu Zi (Chives Seed, *Allii Tuberosi Semen*) [fried], Chuan Niu Xi (Cyathula Root, *Cyathulae Radix*) [rhizome removed, soaked in wine], Mu Li (Oyster Shell, *Concha Ostreae*), Fu Pen Zi (Raspberry Fruit, *Rubiae Fructus*) [soaked in wine], Fu Zi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) [processed, skin and navel removed], Sang Piao Xiao (Mantis Egg Case, *Mantidis Oötheca*) [wine-fried], Lu Rong (Deer Antler without Bone, *Cervi Cornu Degelatinatum*) [steamed in wine, dried], Rou Cong Rong (Cistanche Herb, *Cistanchis Herba*) [soaked in wine], Long Gu (Fossilized Bones, *Os Draconis et Mastodi*) [raw, each one liang], Ji Nei Jin (Chicken Gizzard Membrane, *Galli Stomachi Endothelium Corneum*) [burnt to ash], Chen Xiang (Agarwood, *Aquilariae Lignum Resinatum*) [shaved, not exposed to fire, each half liang].
The above are made into fine powder, mixed with wine paste to form pills the size of Sophora seeds. Take 70 pills per dose, on an empty stomach, administered freely with salt water or salt wine.
Treats Bladder excess-heat, with abdominal distension, inability to urinate, dry mouth and tongue, and swollen throat with difficulty in swallowing.
Chi Fu Ling (Red Poria, *Poria cum Rosa*), Mu Zhu Ling (Polyporus, *Polypori Sclerotium*) [skin removed], Kui Zi (Malva Seed, *Malvae Semen*, note: original text says "Mu Zhu Ling" but context implies Polyporus, standard is Zhu Ling; here translated as Polyporus based on common pairing, though text says Mu Zhu Ling which might be a typo for Zhu Ling or specific variety. Given "Mu Zhu Ling" usually refers to Polyporus in some contexts or is a typo, I will use Polyporus), Zhi Shi (Immature Bitter Orange, *Aurantii Fructus Immaturus*) [bran-fried], Qu Mai (Dianthus Herb, *Dianthi Herba*), Mu Tong (Akebia Stem, *Akebiae Caulis*), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Che Qian Zi (Plantago Seed, *Plantaginis Semen*) [fried], Hua Shi (Talcum, *Talcum), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [roasted, equal parts].
The above are chopped. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of ginger, decoct until 0.8 zhan remains, filter dregs, take warm, at any time.
Medical classics state: Wind is the leader of a hundred diseases. From this perspective, Stroke (Zhong Feng) is superior to Cold Damage (Shang Han), being acute and sudden. Qibo's general principles mention four types: first, Pian Ku (Hemiplegia); second, Feng Fei (Flaccidity); third, Feng Yi (Stupor); fourth, Feng Bi (Bi Syndrome), referring to the most severe conditions. External wind syndromes of the five zang organs are all recorded in *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold), so they are not repeated here. Generally, human life relies on Yuan Qi (Primal Qi) as the root and Ying Wei (Nutritive and Defensive Qi) as the foundation. If the root qi is strong and Ying Wei is harmonious, and the Cou Li (interstices/skin pores) are dense, how can external pathogenic factors cause harm? It may be due to joy or anger, sorrow or worry, fear or fright, irregular diet, or overexertion causing injury, leading to first deficiency of True Qi, loss of regulation of Ying Wei, sparse Cou Li, allowing pathogenic factors to enter through deficiency. Upon contraction, it manifests as hemiplegia, muscle pain, phlegm-saliva obstruction, deviation of mouth and eyes, unilateral paralysis and numbness, confusion of spirit and intellect; or stiff tongue unable to speak, stubborn bi-syndrome with no sensation, absent-mindedness, fright and terror, spontaneous sweating and aversion to wind, tendon vessel spasms, with numerous variable manifestations. The treatment method should trace its origin. If caused by internal Seven Emotions, the method should regulate Qi, not treat Wind; if caused by external Six Excesses, one should also first regulate Qi, then according to the contracted Six Qi, treat according to symptoms. This is a good method. However, if hair stands straight with foaming from the mouth, head shaking upwards, face red like makeup, or head and face blue-black, sweat dropping like pearls, eyes closed and mouth open, sound like snoring sleep, enuresis and unconsciousness, these are all untreatable.
Furthermore: Stroke is when wind qi invades the person. Suddenly struck by wind, spirit is confused like drunkenness, limbs cannot hold themselves, saliva surges upward, sound like sawing, jaw locked tight, decoctions cannot be swallowed, life hangs in the balance. But if eyes are closed, mouth dry, sound like snoring sleep, and enuresis occurs, these are all untreatable. At this moment, first use the Nasal Insufflation Method (Chu Bi Fa). Wait for sneezing, then administer Xi Yan San (Thin Saliva Powder). If breath returns and spirit clears, then apply treatment methods according to previous prescriptions. Previous sages' formulas and discussions do not include emetic methods for stroke, or some argue for them, but examination shows neither can be used for vomiting. Generally, it is a temporary closure of Qi flow, accumulation of phlegm-saliva, causing stupor. Phlegm-saliva is what nourishes joints; how can it be vomited out? Once phlegm-saliva is expelled, joints lose nourishment; although said to recover consciousness, many become hemiplegic. If Xi Yan San does not contain mercury powder, and the medicine does not contain Veratrum (Li Lu) or Thunberg Fritillary Bulb (Gua Di), the medicine not only does not damage the Spleen and Stomach, but its effect is particularly remarkable. Is this not beautiful?