是书为明高叔宗原刻，海内绝少流传，戊戌夏澍于旧箧检获之，反复寻玩，粗识其意，按法施治，常获奇效，士大
夫稍稍有推澍知医者，实是书之力居多。坊间仅有《心法》一书，《医要》已少概见，先生晚年，取二书所未尽者，斟
酌损益，成此定本。虽一家之言，不无先后出入，其精粹自非二书可比，时论以医家之有丹溪，比之吾儒之有考亭朱
子，着书几历年所，诚意一章，至暮年而始定，可知古人立言垂世，未敢苟焉而已也。惟原书沉郁日久，边角颇遭蠹
蚀，幸字迹烂然，一开卷间英光宝气，奕奕纸上，非有神灵呵护不及此。适苏省大吏创设医学研究所于城南，吴中名
医悉萃焉。澍备员其间，偶称引及之，咸以未睹是书为憾，且惧其历久而湮没也，爰为集资重印，以公同好，世之
讲丹溪学人或有取焉。
宣统元年己酉孟夏之月后学钱塘萧澍霖谨识。
大率主血虚、有痰，以治痰为先，次养血行血，或作血虚挟火与湿。大法去痰为主，兼补姜汁不可少。《内经》
曰∶邪之所凑，其气必虚。刘河间以为内伤热病；张仲景以为外邪之感。风之伤人，在肺脏为多。半身不遂，大率
多痰（详见《医要》）。痰壅盛者，口眼歪斜者，不能言者，法当吐；轻者，醒者，瓜蒂散、稀涎散。或以虾半斤
入酱、葱、椒等煮，先吸虾，后饮汁，探吐之，引出风痰。然亦有虚而不可吐者。一时中倒者，法当吐。气虚卒倒，
参、 补之。遗尿者，属气虚，当以参、 补之。气虚有痰，浓煎参汤加竹沥、姜汁。血虚，宜四物汤补之，俱用姜
汁炒，恐泥痰再加竹沥、姜汁，兼治挟痰者。治痰气实，能食者用荆沥；气虚，少食者用竹沥。此二味去痰，开络，
行血气，入四物汤等中用，必加姜汁少许助之。凡中风之人，行动则筋痛者，是无血养筋，名曰筋枯，决不可治也。
肥白人多痰湿，用附子、乌头行经。国中倒时，掐人中至醒，然后用去痰药，二陈、四君子、四物汤等，加减用之。
瘦人阴虚火热，四物汤加牛膝、竹沥、黄芩、黄柏，有痰加痰药。一肥人中风，口 手足麻木，左右俱作痰治，贝母、
栝蒌、南星、半夏、陈皮、白术、黄芩、黄连、黄柏、羌活、防
风、荆芥、威灵仙、薄、桂、甘草、天花粉。多食面，加白附子、竹沥、姜汁、酒一匙行经。一妇人年六十余，左瘫
手足，不语健啖，防风、荆芥、羌活、南星、没药、乳香、木通、茯苓、浓朴、桔梗、甘草、麻黄、全蝎、红花，
上末之，温酒调下效。时春脉伏微以淡盐汤齑汁，每早一碗，吐之。至五日，仍以白术、陈皮、茯苓、甘草、浓朴、菖
蒲，日进二帖。后以川芎、山栀、豆豉、瓜蒂、绿豆粉、齑汁、盐汤，吐甚快，不食。后以四君子汤服之，复以当
归、酒芩、红花、木通、浓朴、鼠粘子、苍术、姜南星、牛膝、茯苓，酒糊丸，如桐子大，服十日后，夜间微汗，手
足动而言。 一人中风，贝母、栝蒌、南星、半夏、酒连、酒芩、酒柏、防风、荆芥、羌活、薄、桂、威灵仙。
一人体肥中风，先吐，后以苍术、□□、酒芩、酒柏、木通、茯苓、牛膝、红花、升麻、浓朴、甘草。一肥人口 手
瘫，脉有力，南星、半夏、薄、桂、威灵仙、酒芩、酒柏、天花粉、贝母、荆芥、栝蒌、白术、陈皮、生姜、甘草、防
风、羌活、竹沥。 一人右瘫，用∶酒连 酒柏 防风（各半两） 半夏（一钱） 羌活（五钱） 酒芩 人参
苍术（各一两） 川芎 当归（各五钱） 麻黄（三钱） 甘草（一钱） 南星（一两） 附子（三片） 上丸如弹子
大，酒化服。一肥人忧思气郁，右手瘫，□□补中益气汤。有痰，加半夏、竹沥□□。中风证，口眼 斜，语言
不正，口角流涎，或全身、或半身不遂，并皆治之。此皆因元气平日虚弱，而受外邪，兼酒色之过所致。用人参、防
风、麻黄、羌活、升麻、桔梗、石膏、黄芩、荆芥、天麻、南星、薄、桂、葛根、赤芍药、杏仁、当归、川芎、白术、
细辛、猪牙皂角等分，姜、葱煎服。更加竹沥半盏同饮，加以艾火灸之，得微汗而愈。 一人年近六十，奉养膏粱，仲
夏久患滞下，而又犯房劳，忽一日如厕，两手舒撒，两目开而无光，尿自出，汗下如雨，喉如锯，呼吸甚微，其脉
大而无伦次，部伍可畏之甚，此阴先亏，而阳暴绝也。急令煎人参膏，且与灸气海穴，艾炷如小指，至十八壮，右手
能动，又三壮，唇微动，所煎膏亦成，遂与一盏，至半夜后，尽三盏眼能动，尽二斤，方能言而索粥，尽五斤而利止，
至十数斤而安。妇人产后中风，切不可作风治，而用小续命汤，必须大补气血，然后治痰，当以左右手脉，分气、血
多少治之。治中风大法，泻心火，则肺金清，而肝木不实，故脾不受伤；补肾水，则心火降，故肺不受热；脾肺安，
则阳明实，阳明实，则宗筋润，能束骨而利机关矣。杜清碧通神散，白僵蚕七个，焙干研末，生姜汁半盏调服，立吐
出风痰，少时又用七个，根据法再吐尽，仍用大黄两指大，纸包煨熟，噙津液咽下。食顷，再用大黄，若口闭紧，用蚕
煎汁，以竹管灌鼻中，男左女右。中风之疾，《内经》以下皆谓外中风邪，然地有南北，不可一途，而取河间作将息
失宜，水不制火极是。自今言之，外中风者，亦有，但极少耳，又不可全谓将息失宜，而非外中也。许学士谓气中者，
亦有，此七情所伤，脉浮而数，或浮而紧，缓而迟，皆风脉也。迟浮可治，大数而急者死。若果外中，即东垣中血脉、
中腑、中脏之理，观之甚好。四肢不举，亦有与痿相类者，当细分之。《局方》中风、痿同治，此大谬。《发挥》详之，
张子和三法，的是邪气卒中、痰盛、实热者可用，否则不可用也。
本书为明代高叔宗的原刻本，在国内外极少流传。戊戌年夏天，我在旧书箱中检获此书，反复研读，大致理解了其中的意旨，按照书中的方法施治，常常获得奇效。士大夫们逐渐有人推举我懂医术，这主要归功于这本书的力量。市面上仅有《心法》一书，《医要》已很少见到。先生（朱丹溪）晚年，取这两本书中未尽的内容，斟酌损益，定为此书。虽然是一家之言，前后难免有出入，但其精粹绝非那两本书可比。当时人论及医家中的朱丹溪，就像儒家中的考亭朱子一样。他著书历经多年，“诚意”这一章，直到暮年才最终定稿，可知古人立言传世，不敢草率了事。只是原书沉郁日久，边角颇遭虫蛀侵蚀，幸好字迹依然清晰，一翻开书页，英光宝气跃然纸上，若非神灵呵护，达不到这种程度。恰逢江苏省大吏在城南创设医学研究所，吴地名医都聚集于此。我备员其中，偶然提及此书，众人都以未见过此书为憾，且担心它历久而湮没，于是集资重印，以公之于同好，世上研究丹溪学说的人或许能从中受益。
宣统元年己酉孟夏之月，后学钱塘萧澍霖谨识。
中风病大率主因血虚、有痰，治疗以治痰为先，其次养血行血，或者视为血虚挟火与湿。大法以去痰为主，兼补益时姜汁不可少。《内经》说：“邪之所凑，其气必虚。”刘河间认为是内伤热病；张仲景认为是外邪之感。风邪伤人，多在肺脏。半身不遂，大率多痰（详见《医要》）。痰壅盛者，口眼歪斜者，不能言语者，法当用吐法；轻者，神志清醒者，可用瓜蒂散、稀涎散。或者将半斤虾放入酱、葱、椒等调料中煮，先吃虾，后喝汤汁，探喉催吐，引出风痰。然而也有体虚不可用吐法的。一时突然昏倒者，法当用吐法。气虚突然昏倒，用人参、黄芪补气。遗尿者，属气虚，当用人参、黄芪补气。气虚有痰，浓煎人参汤加竹沥、姜汁。血虚，宜用四物汤补之，均用姜汁炒制，恐怕滋腻生痰再加竹沥、姜汁，兼治挟痰者。治痰气实，能进食者用荆沥；气虚，少食者用竹沥。这两味药去痰，开经络，行气血，加入四物汤等方中使用，必须加少许姜汁助之。凡中风之人，行动则筋痛者，是无血养筋，名叫“筋枯”，决不可治。肥白人多痰湿，用附子、乌头通经。国中昏倒时，掐人中穴至醒，然后用去痰药，二陈汤、四君子汤、四物汤等，加减使用。瘦人阴虚火热，四物汤加牛膝、竹沥、黄芩、黄柏，有痰加化痰药。一个肥胖人中风，口眼歪斜手足麻木，左右俱作痰治，用贝母、栝蒌、南星、半夏、陈皮、白术、黄芩、黄连、黄柏、羌活、防风、荆芥、威灵仙、薄荷、桂枝、甘草、天花粉。多吃面食，加白附子、竹沥、姜汁、酒一匙通经。一个妇人六十多岁，左侧瘫痪手足，不语但胃口好，用防风、荆芥、羌活、南星、没药、乳香、木通、茯苓、厚朴、桔梗、甘草、麻黄、全蝎、红花，研末，温酒调服有效。当时春季脉伏微，用淡盐汤和齑汁，每早一碗，催吐。到第五日，仍以白术、陈皮、茯苓、甘草、厚朴、石菖蒲，每日进两帖。后用川芎、山栀、豆豉、瓜蒂、绿豆粉、齑汁、盐汤，催吐很快，不进食。后用四君子汤服用，再用当归、酒黄芩、红花、木通、厚朴、鼠粘子、苍术、姜制南星、牛膝、茯苓，酒糊丸，如梧桐子大，服用十日后，夜间微汗，手足能动并能说话。一人中风，用贝母、栝蒌、南星、半夏、酒黄连、酒黄芩、酒黄柏、防风、荆芥、羌活、薄荷、桂枝、威灵仙。一人身体肥胖中风，先催吐，后用苍术、[缺字]、酒黄芩、酒黄柏、木通、茯苓、牛膝、红花、升麻、厚朴、甘草。一个肥胖人口眼歪斜手瘫，脉有力，用南星、半夏、薄荷、桂枝、威灵仙、酒黄芩、酒黄柏、天花粉、贝母、荆芥、栝蒌、白术、陈皮、生姜、甘草、防风、羌活、竹沥。一人右侧瘫痪，用：酒黄连、酒黄柏、防风（各半两）、半夏（一钱）、羌活（五钱）、酒黄芩、人参、苍术（各一两）、川芎、当归（各五钱）、麻黄（三钱）、甘草（一钱）、南星（一两）、附子（三片），研末丸如弹子大，酒化服。一个肥胖人忧思气郁，右手瘫，[缺字]补中益气汤。有痰，加半夏、竹沥[缺字]。中风证，口眼歪斜，语言不正，口角流涎，或全身、或半身不遂，皆治之。此皆因元气平日虚弱，而受外邪，兼酒色之过所致。用人参、防风、麻黄、羌活、升麻、桔梗、石膏、黄芩、荆芥、天麻、南星、薄荷、桂枝、葛根、赤芍药、杏仁、当归、川芎、白术、细辛、猪牙皂角等分，姜、葱煎服。再加竹沥半盏同饮，加以艾火灸之，得微汗而愈。一人年近六十，奉养膏粱，仲夏久患痢疾，而又犯房劳，忽一日如厕，两手舒撒，两目开而无光，尿自出，汗下如雨，喉如锯，呼吸甚微，其脉大而无伦次，部伍可畏之甚，此阴先亏，而阳暴绝也。急令煎人参膏，且与灸气海穴，艾炷如小指，至十八壮，右手能动，又三壮，唇微动，所煎膏亦成，遂与一盏，至半夜后，尽三盏眼能动，尽二斤，方能言而索粥，尽五斤而利止，至十数斤而安。妇人产后中风，切不可作风治，而用小续命汤，必须大补气血，然后治痰，当以左右手脉，分气、血多少治之。治中风大法，泻心火，则肺金清，而肝木不实，故脾不受伤；补肾水，则心火降，故肺不受热；脾肺安，则阳明实，阳明实，则宗筋润，能束骨而利机关矣。杜清碧通神散，白僵蚕七个，焙干研末，生姜汁半盏调服，立吐出风痰，少时又用七个，根据法再吐尽，仍用大黄两指大，纸包煨熟，噙津液咽下。食顷，再用大黄，若口闭紧，用蚕煎汁，以竹管灌鼻中，男左女右。中风之疾，《内经》以下皆谓外中风邪，然地有南北，不可一途，而取河间作将息失宜，水不制火极是。自今言之，外中风者，亦有，但极少耳，又不可全谓将息失宜，而非外中也。许学士谓气中者，亦有，此七情所伤，脉浮而数，或浮而紧，缓而迟，皆风脉也。迟浮可治，大数而急者死。若果外中，即东垣中血脉、中腑、中脏之理，观之甚好。四肢不举，亦有与痿相类者，当细分之。《局方》中风、痿同治，此大谬。《发挥》详之，张子和三法，的是邪气卒中、痰盛、实热者可用，否则不可用也。
This book is the original edition printed by Gao Shuzong in the Ming Dynasty, rarely circulated domestically and internationally. In the summer of Wuxu year, I retrieved it from an old chest, studied it repeatedly, and roughly grasped its meaning. Applying the methods described, I often achieved remarkable effects. Scholars gradually began to recommend me as a knowledgeable physician, largely due to the power of this book. Only "Xinfa" (Essential Methods) was available in the market, while "Yiyao" (Medical Essentials) was seldom seen. In his later years, Master Zhu Zhenheng took content not fully covered in these two books, deliberated on additions and deletions, and finalized this edition. Although it represents one school's viewpoint and inevitably has some inconsistencies between earlier and later parts, its essence far surpasses those two books. At that time, people compared Master Danxi among physicians to Master Kaoting (Zhu Xi) among Confucian scholars. He spent years writing; the chapter on "Chengyi" (Sincerity of Will) was not finalized until his twilight years, showing that ancient sages did not dare to speak lightly when establishing words for posterity. However, the original book had been dormant for a long time, with corners and edges damaged by insects. Fortunately, the characters remained clear; upon opening the volume, brilliance and precious aura leaped onto the paper. This could not have been achieved without spiritual protection. Coincidentally, high officials in Jiangsu Province established a Medical Research Institute in the south of the city, gathering famous physicians from Wu region. I served as a member there and occasionally mentioned this book. Everyone regretted not having seen it and feared it would be lost over time. Thus, we raised funds to reprint it for public benefit, hoping that scholars studying Danxi's learning might find it useful.
Recorded respectfully by Xiao Shulin, a humble scholar from Qiantang, in the first month of Jiyou year, Xuantong Era.
Apoplexy is generally caused by blood deficiency and phlegm. Treatment prioritizes resolving phlegm, followed by nourishing and moving blood, or viewing it as blood deficiency with fire and dampness. The general principle is to remove phlegm primarily, and ginger juice is indispensable when tonifying. *Neijing* states: "Where pathogenic factors gather, Qi must be deficient." Liu Hejian considered it an internal injury heat disease; Zhang Zhongjing considered it an external pathogenic invasion. Wind pathogens mostly affect the Lung organ. Hemiplegia is generally associated with phlegm (see *Yiyao*). For cases with severe phlegm obstruction, facial paralysis, or inability to speak, emesis is indicated. For mild cases where consciousness is retained, Gua Di San (Melon Seed Powder) or Xi Xian San (Thin Saliva Powder) may be used. Alternatively, half a jin of shrimp can be boiled with sauce, green onion, and pepper. Eat the shrimp first, then drink the broth, inducing vomiting to draw out wind-phlegm. However, there are cases of deficiency where emesis is contraindicated. For sudden collapse, emesis is indicated. For sudden collapse due to Qi deficiency, Ginseng Radix et Rhizoma (Renshen) and Astragali Radix (Huangqi) should be used to tonify. Enuresis belongs to Qi deficiency and should be treated with Ginseng Radix et Rhizoma (Renshen) and Astragali Radix (Huangqi). For Qi deficiency with phlegm, decoct Ginseng Radix et Rhizoma (Renshen) thickly and add Arundo Rhizoma Juice (Zhuli) and Ginger Juice (Jiangzhi). For blood deficiency, Siwu Tang (Four Substances Decoction) is suitable for tonification; all herbs should be stir-fried with ginger juice to prevent cloying and generating phlegm; adding Arundo Rhizoma Juice (Zhuli) and Ginger Juice (Jiangzhi) also treats concurrent phlegm. For excess phlegm-Qi and good appetite, Jingli (Ampelopsis Japonica Juice) is used; for Qi deficiency and poor appetite, Zhuli (Arundo Rhizoma Juice) is used. These two substances resolve phlegm, open collaterals, and move Qi and Blood. When added to formulas like Siwu Tang (Four Substances Decoction), a small amount of ginger juice must be added to assist. In apoplexy patients, if tendons hurt upon movement, it indicates lack of blood nourishing the tendons, named "Jinku" (Tendon Withering), which is incurable. Fat individuals with white complexion often have phlegm-dampness; Aconiti Lateralis Radix Praeparata (Fuzi) and Aconiti Radix (Wutou) are used to unblock meridians. Upon sudden collapse, press Renzhong (GV26) until recovery, then use phlegm-resolving formulas such as Erchen Tang (Two-Cured Decoction), Sijunzi Tang (Four Gentlemen Decoction), or Siwu Tang (Four Substances Decoction), modified as needed. Thin individuals with Yin deficiency and fire-heat use Siwu Tang (Four Substances Decoction) plus Achyranthis Bidentatae Radix (Niuxi), Arundo Rhizoma Juice (Zhuli), Scutellariae Radix (Huangqin), and Phellodendri Cortex (Huangbai); add phlegm-resolving herbs if phlegm is present. A fat patient with apoplexy, facial paralysis, and numbness in limbs, treated for phlegm bilaterally, used Fritillariae Bulbus (Beimu), Trichosanthis Fructus (Gualou), Pinelliae Rhizoma Preparatum (Nanxing), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Sparaxis Herba (Weilingxian), Menthae Haplocalycis Herba (Bohe), Cinnamomi Ramulus (Guizhi), Glycyrrhizae Radix et Rhizoma (Gancao), and Trichosanthis Radix (Tianguafen). If consuming much wheat noodles, add Typhonii Rhizoma (Baifuzi), Arundo Rhizoma Juice (Zhuli), Ginger Juice (Jiangzhi), and one spoonful of wine to unblock meridians. A woman over sixty with left-sided hemiplegia, aphasia, but good appetite, was treated with Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Notopterygii Rhizoma et Radix (Qianghuo), Pinelliae Rhizoma Preparatum (Nanxing), Myrrhae Resina (Moyao), Olibanum (Ruxiang), Akebiae Caulis (Mutong), Poria (Fuling), Magnoliae Officinalis Cortex (Houpo), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao), Ephedrae Herba (Mahuang), Scorpio (Quanxie), Carthami Flos (Honghua). Pulverized and taken with warm wine, it was effective. In spring, with faint pulse, induce vomiting with light salt water and mustard juice, one bowl every morning. On the fifth day, continue with Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Magnoliae Officinalis Cortex (Houpo), and Acori Tatarinowii Rhizoma (Shangpu), two doses daily. Later, use Chuanxiong Rhizoma (Chuanxiong), Gardeniae Fructus (Shanzhi), Sojae Semen Preparatum (Douchi), Melonis Fructus (Gua Di), Mung Bean Powder (Lvdou Fen), mustard juice, and salt water to induce rapid vomiting, stopping food intake. Then administer Sijunzi Tang (Four Gentlemen Decoction), followed by pills made of Angelicae Sinensis Radix (Danggui), Scutellariae Radix prepared with wine (Jiuqin), Carthami Flos (Honghua), Akebiae Caulis (Mutong), Magnoliae Officinalis Cortex (Houpo), Arctii Fructus (Niuzi), Atractylodis Rhizoma (Cangzhu), Pinelliae Rhizoma prepared with ginger (Jiangnanxing), Achyranthis Bidentatae Radix (Niuxi), and Poria (Fuling), bound with wine paste into pills the size of tung seeds. After ten days, slight night sweats occurred, limbs moved, and speech returned. Another apoplexy case used Fritillariae Bulbus (Beimu), Trichosanthis Fructus (Gualou), Pinelliae Rhizoma Preparatum (Nanxing), Pinelliae Rhizoma (Banxia), Coptidis Rhizoma prepared with wine (Jiulian), Scutellariae Radix prepared with wine (Jiuqin), Phellodendri Cortex prepared with wine (Jiubai), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Notopterygii Rhizoma et Radix (Qianghuo), Menthae Haplocalycis Herba (Bohe), Cinnamomi Ramulus (Guizhi), and Sparaxis Herba (Weilingxian). A fat person with apoplexy was first vomited, then treated with Atractylodis Rhizoma (Cangzhu), [missing], Scutellariae Radix prepared with wine (Jiuqin), Phellodendri Cortex prepared with wine (Jiubai), Akebiae Caulis (Mutong), Poria (Fuling), Achyranthis Bidentatae Radix (Niuxi), Carthami Flos (Honghua), Cimicifugae Rhizoma (Shengma), Magnoliae Officinalis Cortex (Houpo), and Glycyrrhizae Radix et Rhizoma (Gancao). A fat person with facial paralysis and hand paralysis, with strong pulse, used Pinelliae Rhizoma Preparatum (Nanxing), Pinelliae Rhizoma (Banxia), Menthae Haplocalycis Herba (Bohe), Cinnamomi Ramulus (Guizhi), Sparaxis Herba (Weilingxian), Scutellariae Radix prepared with wine (Jiuqin), Phellodendri Cortex prepared with wine (Jiubai), Trichosanthis Radix (Tianguafen), Fritillariae Bulbus (Beimu), Schizonepetae Spica (Jingjie), Trichosanthis Fructus (Gualou), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Zingiberis Rhizoma Recens (Shengjiang), Glycyrrhizae Radix et Rhizoma (Gancao), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), and Arundo Rhizoma Juice (Zhuli). A right-sided hemiplegia case used: Coptidis Rhizoma prepared with wine, Phellodendri Cortex prepared with wine, Saposhnikoviae Radix (each 0.5 liang), Pinelliae Rhizoma (1 qian), Notopterygii Rhizoma et Radix (5 qian), Scutellariae Radix prepared with wine, Ginseng Radix et Rhizoma (Renshen), Atractylodis Rhizoma (Cangzhu) (each 1 liang), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui) (each 5 qian), Ephedrae Herba (Mahuang) (3 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian), Pinelliae Rhizoma Preparatum (Nanxing) (1 liang), Aconiti Lateralis Radix Praeparata (Fuzi) (3 slices). Made into pills the size of bullets, dissolved in wine. A fat person with worry, thoughts, and Qi stagnation causing right-hand paralysis, [missing] Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). With phlegm, add Pinelliae Rhizoma (Banxia) and Arundo Rhizoma Juice (Zhuli) [missing]. Apoplexy symptoms include facial paralysis, abnormal speech, drooling at the mouth corner, or whole-body/half-body paralysis; all are treated here. These result from chronic weakness of Yuan Qi, external pathogenic invasion, and excesses in alcohol and sexual activity. Use equal parts of Ginseng Radix et Rhizoma (Renshen), Saposhnikoviae Radix (Fangfeng), Ephedrae Herba (Mahuang), Notopterygii Rhizoma et Radix (Qianghuo), Cimicifugae Rhizoma (Shengma), Platycodonis Radix (Jiegeng), Gypsum Fibrosum (Shigao), Scutellariae Radix (Huangqin), Schizonepetae Spica (Jingjie), Gastrodiae Rhizoma (Tianma), Pinelliae Rhizoma Preparatum (Nanxing), Menthae Haplocalycis Herba (Bohe), Cinnamomi Ramulus (Guizhi), Puerariae Lobatae Radix (Gegen), Paeoniae Radix Rubra (Chishao), Armeniacae Semen Amarum (Xingren), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Baizhu), Asari Radix et Rhizoma (Xixin), and Zanthoxyli Fructus (Zhuyazaojiao). Decoct with ginger and green onion. Add half a cup of Arundo Rhizoma Juice (Zhuli) to drink together, apply moxibustion, and achieve slight sweating for cure. A man near sixty, indulging in rich food, suffered from dysentery in midsummer, and engaged in sexual activity. Suddenly, while using the toilet, his hands flailed, eyes opened without light, urine flowed out, sweat poured like rain, throat sounded like sawing, breathing was very faint, pulse was large and irregular, terrifying in appearance. This indicates Yin deficiency preceding sudden Yang collapse. Immediately order preparation of Ginseng Paste, and moxa Qihai (CV6) with cones the size of a little finger, 18 moxibustions, after which the right hand could move. Three more moxibustions, lips moved slightly. The paste was ready, give one cup. By midnight, after three cups, eyes could move. After two jin, he could speak and ask for porridge. After five jin, diarrhea stopped. After dozens of jin, he recovered. Postpartum apoplexy in women must not be treated as typical apoplexy with Xiao Xuming Tang (Minor Continue Life Decoction). It requires major tonification of Qi and Blood, then treatment of phlegm. Differentiate Qi and Blood deficiency based on radial pulses. General principles for treating apoplexy: Clear Heart Fire so Lung Metal clears, Liver Wood does not become excessive, thus Spleen is not injured; Tonify Kidney Water so Heart Fire descends, Lung receives no heat; Spleen and Lung are safe, Yangming is solid; Yangming solidity moistens Zongjin (tendons), binding bones and facilitating joints. Du Qingbi's Tongshen San (Spirit-Unblocking Powder): seven dried and powdered white silkworms, mixed with half a cup of ginger juice, induces immediate vomiting of wind-phlegm. Use seven more shortly after, repeat until phlegm is exhausted. Then use rhubarb the width of two fingers, wrapped in paper and roasted, swallow with saliva. After a meal interval, use rhubarb again. If jaw is tightly closed, decoct silkworm juice and instill through bamboo tube into nose, left side for men, right for women. Regarding apoplexy, *Neijing* and subsequent texts attribute it to external wind-pathogen. However, geography varies north and south, cannot be uniform. Liu Hejian's view of improper regimen leading to water failing to control fire is correct. From modern perspective, external wind-apoplexy exists but is rare. Cannot entirely attribute it to improper regimen denying external cause. Scholar Xu stated "Qi stroke" exists, caused by Seven Emotions, with floating-rapid, floating-tight, slow-slow pulses, all wind pulses. Slow-floating is treatable; large-rapid-urgent is fatal. If truly external, Dongyuan's theory of affecting vessels, fu-organs, and zang-organs is excellent. Limbs unable to rise may resemble Wei syndrome (flaccidity), requiring careful differentiation. *Ju Fang* treating apoplexy and Wei syndrome together is a great error. *Fahui* details this. Zhang Hezi's three methods are indeed applicable for acute pathogenic attack, severe phlegm, and excess heat; otherwise, not applicable.