夫圣人治未病之病，知未来之疾，此其良也。其中风者，必有先兆之证∶觉大拇指及次
指麻木不仁，或手足少力，或肌肉微掣者，此先兆也，三年内必有大风之至。经云∶急则治
其标，缓则治其本。宜调其营卫，先服八风散、愈风汤、天麻丸各一料为效，宜常服加减防
风通圣散预防其病，则风疾不作而获其安矣。
愈风汤 初觉风动，服此药不致倒仆，此乃治未病之圣药也。
又治中风症，内邪已除，外邪已尽，当服此药以行导诸经，久服大风悉去，纵有微邪，
只从此药加减治之。然治病之法，不可失于通塞，或一气之微汗，或一旬之通利，如此乃常
服之法也。久则清浊自分，营卫自和矣。
羌活 甘草 防风 当归 蔓荆子 川芎 细辛 黄 枳壳 人参 麻黄 香白芷
甘菊花 薄荷 枸杞 柴胡 知母 地骨皮 独活 杜仲 秦艽 半夏 前胡 浓朴 熟地
黄防己（各二两） 茯苓 黄芩 芍药（各三两） 石膏 苍术 生地黄（各四两） 肉
桂（一两）
上锉。每服一两，水二钟，生姜三片煎，空心服，临卧煎滓服。空心一服，吞下二丹丸，
谓之重剂；临卧一服，吞下四白丹，谓之轻剂。其立法是动以安神，静以清肺。
假令一气之微，用愈风汤三两，加麻黄一两，匀作四服，加生姜，空心服，以粥投之，
得微汗则往。如一旬之通利，用愈风汤三两，加大黄一两，亦匀作四服，如前服，临卧服，
得利为度。此药常服之，不可失四时之辅。
如望春大寒之后，本方加半夏、人参、柴胡各二两，通前四两，谓迎而夺少阳之气也。
如望夏谷雨之后，本方加石膏、黄芩、知母各二两，通四两，谓迎而夺阳明之气也。
季夏之月，本方中加防己、白术、茯苓各二两，通前四两，谓胜脾土之湿也。
望秋大暑之后，本方中加浓朴二两、藿香二两、桂一两，通前四两，谓迎而夺大阴之气
也。
望冬霜降之后，本方中加附子、官桂各一两；当归二两，通前四两。谓胜少阴之气也。
如得春气候，减冬所加，四时类此。此虽立四时加减，更宜临病之际，审察虚实寒热，
土地之宜，邪气灵少。此药具七情、六欲、四气，无使五脏偏胜，及不动于营卫。如风秘，
服之永不结滞。此药与天麻丸相为表里，治未病之圣药也。若已病者，更宜常服。无问男女
老幼，惊痫搐搦，急慢惊风，四时伤寒等病，服之神效。
八风散（《和剂方》）治风气上攻，头目昏眩，肢体拘急，皮肤瘙痒，瘾疹成疮。及治寒
热不调，鼻塞声重。
藿香 （去土，半斤） 白芷 前胡（去芦。各一斤） 黄 （去芦） 甘草（ ） 人
参（去芦。各
上为末。每服二钱，水一钟，入薄荷少许，煎汤调下，食后服之。
天麻丸 治风因热而生，热胜则动。宜以静胜其躁，是养血也。
天麻 牛膝（二味用酒同浸三日，焙干） 玄参 萆 （各六两，另研 杜仲炒断丝，
七两） 附子（炮，一两） 羌活（十四两） 川归（十两） 生 （十六两）
一方有独活（五两） 肾间风
上为末，蜜为丸，如梧桐大。每服五七十丸，空心温酒、白汤下。予按∶用药治病之法，
寒因热用，热因寒用，正治也。今中风瘫痪之证，本风火阳邪，而用乌附等热药治之，何哉？
盖中风瘫痪，乃湿痰、死血结滞于脏腑、经络之间，非乌附等热药，能开散流通之乎？此非
正治，乃从治也。书云∶从少从多，各观其事。则从治之药，只可为引经而已。丹溪云∶肥
白人多湿，少用乌附行经是也。此方既用附子，又用侧子、官桂助之，其理安在哉？本欲削
去，姑存，以待肥白多湿之人，减而用之，中病则已，不可过。肥白多湿之人，不可用也。
灸法风池、百会、曲池、合谷、肩 、风市、绝骨、环跳、三里等穴，皆可灸之。
圣人治理尚未发生的疾病，预知未来可能出现的病症，这是高明的做法。那些即将发生中风的人，一定会有先兆症状：感觉大拇指和食指麻木不仁，或者手脚无力，或者肌肉轻微抽搐，这些都是先兆，三年内必定会遭遇严重的风病（中风）。医经说：病情紧急时治其标症，病情缓和时治其本因。应当调理营卫之气，先服用八风散、愈风汤、天麻丸各一剂以见效，平时宜常服用加减防风通圣散来预防疾病，这样风疾就不会发作而获得安宁了。
愈风汤：刚感觉到有中风迹象时，服用此药不会导致昏倒仆地，这是治疗未病的神药。
又用于治疗中风证候，当体内邪气已清除，体表邪气已尽除时，应当服用此药以疏通引导各条经络，长期服用可使严重的风邪全部去除，即使有微小的余邪，也只从此药进行加减治疗。然而治病的方法，不可失于过度通畅或闭塞，有时通过一次轻微的出汗，有时通过十天的通便泄利，这才是常服此药的方法。时间久了，清浊之气自然分明，营卫之气自然调和。
药材组成：羌活、甘草、防风、当归、蔓荆子、川芎、细辛、黄芪、枳壳、人参、麻黄、香白芷、甘菊花、薄荷、枸杞、柴胡、知母、地骨皮、独活、杜仲、秦艽、半夏、前胡、厚朴、熟地黄、防己（以上各二两）、茯苓、黄芩、芍药（以上各三两）、石膏、苍术、生地黄（以上各四两）、肉桂（一两）。
以上药物切碎。每次服用一两，用水两杯，生姜三片煎煮，空腹时服用，临睡前煎煮药渣再服用。空腹服一剂后，吞服二丹丸，称为重剂；临睡前服一剂后，吞服四白丹，称为轻剂。该方的立法宗旨是：动则安神，静则清肺。
假如经过一个节气出现轻微症状，用愈风汤三两，加麻黄一两，均匀分成四份服用，加入生姜，空腹服用，服药后用米粥送服，得到微微出汗即可停止。如果经过十天需要通便泄利，用愈风汤三两，加大黄一两，也均匀分成四份，像前面那样服用，临睡前服用，以大便通畅为度。此药常服时，不可忽视四季气候的辅助变化。
如果在立春大寒之后，原方中加入半夏、人参、柴胡各二两，连同前面的药共四两，这叫迎而夺少阳经之气。
如果在立夏谷雨之后，原方中加入石膏、黄芩、知母各二两，连同前面的药共四两，这叫迎而夺阳明经之气。
在季夏（夏季最后一个月）月份，原方中加入防己、白术、茯苓各二两，连同前面的药共四两，这叫克制脾土的湿气。
如果在立秋大暑之后，原方中加入厚朴二两、藿香二两、肉桂一两，连同前面的药共四两，这叫迎而夺太阴经之气。
如果在立冬霜降之后，原方中加入附子、官桂各一两；当归二两，连同前面的药共四两。这叫克制少阴经之气。
如果遇到春季的气候特点，减去冬季所加的药材，四季的变化大致如此。虽然制定了四季加减法，但在实际治病时，更应审察病人的虚实寒热，以及当地地理环境的适宜性，观察邪气的轻重。此药具备七情、六欲、四气的调节作用，能使五脏不偏胜，且不影响营卫之气。如果是风秘（因风邪导致的便秘），服用此药永远不会结滞。此药与天麻丸互为表里，是治疗未病的神药。如果已经发病，更应常服。不论男女老幼，惊痫抽搐、急慢惊风、四季伤寒等疾病，服用此药都有神效。
八风散（出自《太平惠民和剂局方》）：治疗风气上攻，头目昏眩，肢体拘急，皮肤瘙痒，瘾疹成疮。以及治疗寒热不调，鼻塞声重。
药材组成：藿香（去土，半斤）、白芷、前胡（去芦，各一斤）、黄芪（去芦）、甘草、人参（去芦，各...此处原文缺重量，依惯例推测为等量或特定比例，但按原文忠实翻译为“各...”）。
以上研为细末。每次服用二钱，用水一杯，加入少许薄荷，煎汤调服，饭后服用。
天麻丸：治疗因风而生热，热盛则动。应当以静制动，这是养血的方法。
药材组成：天麻、牛膝（这两味药用酒同浸三天，焙干）、玄参、萆薢（各六两，另研）、杜仲（炒断丝，七两）、附子（炮制，一两）、羌活（十四两）、当归（十两）、生地黄（十六两）。
以上研为细末，蜂蜜炼制成丸，如梧桐子大小。每次服用五七十丸，空腹时用温酒或白开水送下。我按语：用药治病的方法，寒证用热药，热证用寒药，这是正治法。如今中风瘫痪之证，本是风火阳邪，却使用乌头、附子等热药来治疗，为什么呢？大概中风瘫痪，乃是湿痰、死血结滞在脏腑、经络之间，如果不是乌头、附子等热药，能开散流通吗？这不是正治，而是从治法（反治法）。书上说：从治法要观察具体情况，决定用量多少。那么从治法的药物，只能作为引经药罢了。朱丹溪说：肥胖面白的人多湿，少量使用乌头、附子行经是正确的。此方既然用了附子，又用侧子、官桂来辅助它，其中的道理何在呢？本想删去此方，姑且保留，等待那些肥胖面白多湿的人，减少剂量使用，中病即止，不可过量。肥胖面白多湿的人，不可使用此方。
The sage treats diseases before they occur and predicts future illnesses; this is excellent. Those who are about to suffer from stroke (Zhong Feng) will certainly have prodromal symptoms: numbness and insensitivity in the thumb and index finger, weakness in the limbs, or slight muscle twitching. These are prodromes, indicating that severe wind disease (stroke) will inevitably occur within three years. The Classics state: "In acute cases, treat the branch (symptoms); in chronic cases, treat the root (cause)." It is advisable to regulate Ying and Wei (Nutritive and Defensive Qi), first taking one dose each of Bafeng San (Eight Winds Powder), Yufeng Tang (Wind-Preventing Decoction), and Tianma Wan (Gastrodia Pill) to achieve effect. For prevention, Changfu Jiajian Fangfeng Tongsheng San (Modified Fangfeng Tongsheng Powder) should be taken regularly so that wind diseases do not arise, ensuring peace and health.
Yufeng Tang (Wind-Preventing Decoction): When one first feels signs of wind movement, taking this medicine prevents collapse. It is a sacred medicine for treating disease before it occurs.
It also treats stroke syndromes where internal pathogens have been eliminated and external pathogens have been exhausted. One should take this medicine to guide and unblock the meridians. Long-term use will eliminate severe wind pathogens; even if minor pathogens remain, treatment can be adjusted based on this formula. However, the method of treating disease must not lose balance between unblocking and obstructing. Sometimes inducing mild sweating over one qi-cycle (solar term/period), or promoting bowel movements over ten days, constitutes the method for regular use. Over time, clear and turbid energies will naturally separate, and Ying and Wei will harmonize.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Manjingzi (Vernoniae Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Huangqi (Astragali Radix), Zhike (Aurantii Fructus Immaturus), Renshen (Ginseng Radix), Mahuang (Ephedrae Herba), Xiangbaizhi (Angelicae Dahuricae Radix), Ganjuhua (Chrysanthemi Flos), Bohe (Menthae Haplocalycis Herba), Gouqi (Lycii Fructus), Chaihu (Bupleuri Radix), Zhimu (Anemarrhenae Rhizoma), Digupi (Lycii Cortex), Duhuo (Angelicae Pubescentis Radix), Duzhong (Eucommiae Cortex), Qinjiao (Gentianae Macrophyllae Radix), Banxia (Pinelliae Rhizoma Praeparatum), Qianhu (Peucedani Radix), Houpo (Magnoliae Officinalis Cortex), Shudihuang (Rehmanniae Radix Praeparata), Fangji (Stephaniae Tetrandrae Radix) [each 2 liang]; Fuling (Poria), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba) [each 3 liang]; Shigao (Gypsum Fibrosum), Cangzhu (Atractylodis Rhizoma), Shengdihuang (Rehmanniae Radix) [each 4 liang]; Rougui (Cinnamomi Cortex) [1 liang].
Decoct these ingredients. Take 1 liang per dose with 2 cups of water and 3 slices of fresh ginger. Take on an empty stomach. Decoct the dregs again and take before sleep. Taking one dose on an empty stomach followed by Er Dan Wan (Two Cinnabar Pills) is called the heavy dose; taking one dose before sleep followed by Sibai Dan (Four White Pills) is called the light dose. The principle of this prescription is: movement calms the spirit, stillness clears the lungs.
For example, if mild symptoms appear after one qi-cycle, use 3 liang of Yufeng Tang, add 1 liang of Mahuang, divide into four doses, add fresh ginger, take on an empty stomach, and follow with congee. Stop when mild sweating occurs. If bowel unblocking is needed after ten days, use 3 liang of Yufeng Tang, add 1 liang of Dahuang (Rhei Radix et Rhizoma), divide into four doses, take as above, before sleep, until bowels move freely. When taking this medicine regularly, one must not ignore the auxiliary effects of the four seasons.
After the great cold of spring, add Banxia, Renshen, and Chaihu (2 liang each) to the base formula, totaling 4 liang of additions. This is to intercept and drain the Qi of Shaoyang.
After Grain Rain in summer, add Shigao, Huangqin, and Zhimu (2 liang each) to the base formula, totaling 4 liang. This is to intercept and drain the Qi of Yangming.
In the late summer month, add Fangji, Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuling (2 liang each) to the base formula, totaling 4 liang. This is to overcome the dampness of Spleen Earth.
After the great heat of autumn, add Houpo and Huoxiang (Agastache Herba) (2 liang each) and Rougui (1 liang) to the base formula, totaling 4 liang. This is to intercept and drain the Qi of Taiyin.
After frost descent in winter, add Fuzi (Aconiti Lateralis Radix Praeparata) and Guanzi Gui (Cinnamomi Ramulus) (1 liang each) and Danggui (2 liang) to the base formula, totaling 4 liang. This is to overcome the Qi of Shaoyin.
If spring climatic conditions prevail, reduce the winter additions; the four seasons follow similar principles. Although seasonal modifications are established, one must examine deficiency/excess and cold/heat during actual treatment, consider local geographical suitability, and assess the severity of pathogens. This medicine regulates the Seven Emotions, Six Desires, and Four Temperatures, preventing excessive dominance of any Zang organ and maintaining Ying and Wei harmony. For wind-induced constipation (Feng Mi), it prevents stagnation forever. This medicine acts internally with Tianma Wan and is a sacred medicine for preventing disease. If disease has already occurred, it should be taken regularly. Regardless of gender, age, or condition—such as convulsions, spasms, acute or chronic infantile convulsions, or seasonal cold damage—it yields miraculous results.
Bafeng San (Eight Winds Powder) [from *Heji Fang*]: Treats wind pathogen attacking upward, causing dizziness and vertigo of head and eyes, limb stiffness, skin itching, and urticaria turning into sores. Also treats disharmony of cold and heat, nasal congestion, and heavy voice.
Ingredients: Huoxiang (Patchouli Herba) [de-soiled, 8 jin], Baizhi (Angelicae Dahuricae Radix), Qianhu (Peucedani Radix) [remove rhizome, each 1 jin], Huangqi (Astragali Radix) [remove rhizome], Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix) [remove rhizome, each ...].
Grind into powder. Take 2 qian per dose with 1 cup of water, add a little Bohe, decoct into soup, and take after meals.
Tianma Wan (Gastrodia Pill): Treats wind generating heat; when heat dominates, movement occurs. Stillness should overcome restlessness; this nourishes Blood.
Ingredients: Tianma (Gastrodiae Rhizoma), Niuxi (Achyranthis Bidentatae Radix) [these two soaked in wine for three days, then dried], Xuanshen (Scrophulariae Radix), Bibi (Dioscoreae Hypoglaucae Rhizoma) [each 6 liang, ground separately], Duzhong (Eucommiae Cortex) [stir-fried until fibers break, 7 liang], Fuzi (Aconiti Lateralis Radix Praeparata) [processed, 1 liang], Qianghuo (Notopterygii Rhizoma et Radix) [14 liang], Guizhi Tang (Angelicae Sinensis Radix - note: text says Chuan Gui, likely Danggui) [10 liang], Shengdihuang (Rehmanniae Radix) [16 liang].
Another version includes Duhuo (Angelicae Pubescentis Radix) [5 liang] for wind between the kidneys.
Grind into powder, mix with honey to make pills the size of paulownia seeds. Take 50-70 pills per dose on an empty stomach with warm wine or plain water.
My commentary: The method of using medicine to treat disease involves using hot medicine for cold patterns and cold medicine for hot patterns; this is direct treatment (Zheng Zhi). Currently, stroke paralysis is caused by wind-fire yang pathogens, yet hot medicines like Wutou (Aconiti Radix) and Fuzi are used. Why? Stroke paralysis is actually caused by damp-phlegm and dead blood stagnating in the zang-fu organs and meridians. Without hot medicines like Wutou and Fuzi, how can they open and circulate? This is not direct treatment, but indirect treatment (Cong Zhi / Counter-directional Treatment). The book states: "Follow less or more, observe the matter." Thus, counter-directional medicines serve only as guiding herbs. Danxi said: "Fat and pale people have much dampness; using small amounts of Wutou and Fuzi to move meridians is correct." Since this formula uses Fuzi, and assists it with Cezi (Aconiti Radix lateralis non-prepared?) and Guanzhi Gui, what is the rationale? I originally intended to remove it, but kept it temporarily for those with fat bodies and much dampness to use in reduced doses. Stop when the disease is cured; do not overdose. Fat and pale people with much dampness should not use this formula.
Acupuncture/Moxibustion points: Fengchi (GB20), Baihui (GV20), Quchi (LI11), Hegu (LI4), Jianyu (LI15), Fengshi (GB31), Juegu (GB39), Huantiao (GB30), Zusanli (ST36), etc., can all be moxa-ed.