手足不遂者，中府也，病在表也，当先发汗，羌活、防风、升麻、柴胡、甘草各二
钱，作一服，取发汗，然后行经养血，当归、秦艽、甘草、独活各一两，行经〔者〕、
随经用之。
耳聋目瞀及口偏，邪中藏也，病在里也，当先疏大便，然后行经。白芷、柴胡、防
风、独活各一两，又川芎半两，薄荷半两。
上为末，炼蜜丸弹子大，每服一丸，细嚼，温酒下，茶清亦可。
脉浮在表，当汗之；脉沉在里，当下之。背后搐〔者〕，羌活、防风、独活、甘
草。〔向〕前搐者，升麻、白芷、防风、独活、甘草。两傍搐者，柴胡、防风、甘草；
右搐者，白芷加之。
经曰∶凡疮热甚郁结，而荣卫不得宣通，故多发白痂，是时疮口闭塞，气不通
泄，热甚则生风也。《治法》曰∶破〔伤〕中风，风热燥甚，怫郁在表，而里气尚平者，
善伸数欠，筋脉拘急，或时恶寒而搐，脉浮数而弦者，以辛热治风之药，开冲结滞，荣
卫宣通而愈也。凡用辛热之药，或以寒凉之药佐之尤妙，免致药不中病，而风转甚。
若破〔伤〕中风，表不已，而渐入于里，则病势转甚；若里未太甚，而脉在肌肉者，
宜以退风热、开结滞之寒药调之。或以微加治风辛热药，亦得以意消息，不可妄也。至
宝丹亦凉药也。如〔热〕甚于里，以大承气汤下之。
手足不能随意运动者，属于中府证，病位在表，应当先采用发汗法治疗。方用羌活、防风、升麻、柴胡、甘草各二钱，煎服一次，以取得发汗效果；之后再进行通经养血治疗，方用当归、秦艽、甘草、独活各一两，根据经络循行情况随证加减使用。
出现耳聋、视物模糊及口眼歪斜者，属于邪气中脏证，病位在里，应当先通导大便，然后再进行通经治疗。方用白芷、柴胡、防风、独活各一两，另加川芎半两、薄荷半两。
将上述药物研为细末，用炼蜜制成如弹子大小的丸剂，每次服用一丸，细细咀嚼后，用温酒送服，淡茶汁送服也可以。
脉象浮在表，应当采用发汗法；脉象沉在里，应当采用攻下法。背部抽搐者，用羌活、防风、独活、甘草。向前抽搐者，用升麻、白芷、防风、独活、甘草。两侧抽搐者，用柴胡、防风、甘草；右侧抽搐者，再加白芷。
医经说：凡是疮疡热毒炽盛且郁结，导致营卫之气不得宣通，所以多发生白痂（一种皮肤症状），此时疮口闭塞，气机不通泄，热势极盛则生风。《治法》中说：破伤中风，风热燥烈之邪极盛，怫郁在表，而里气尚且平和的，表现为喜欢伸展、频繁打哈欠，筋脉拘急痉挛，有时怕冷并伴有抽搐，脉象浮数而弦的，用辛热性质的祛风药，来开通冲散结滞，使营卫宣通即可痊愈。凡是用辛热的药物，如果能辅以寒凉的药物尤为巧妙，以免药不对症，反而使风邪更盛。如果破伤中风，表证未解，逐渐传入于里，那么病情就会加重；如果里证尚未太严重，而脉象反映病在肌肉层面，适宜用具有退风热、开结滞作用的寒性药物来调理。或者稍微加入一些治疗风证的辛热药物，也应当根据具体情况斟酌处理，不可妄加用药。至宝丹也是凉性药物。如果里热极盛，用大承气汤攻下它。
Inability to move the hands and feet indicates *Zhongfu* (Stroke affecting the Fu organs), where the pathology is at the exterior level. Treatment should initially employ sweating methods. Use Qianghuo, Fangfeng, Shengma, Chaihu, and Gancao each 2 qian, prepared as a single dose to induce sweating. Thereafter, employ methods to unblock the meridians and nourish the blood, using Danggui, Qinjiao, Gancao, and Duhuo each 1 liang, adjusted according to the specific meridian involved.
Deafness, visual impairment, and deviation of the mouth and eye indicate that pathogenic factors have affected the Zang organs, where the pathology is at the interior level. Treatment should initially promote bowel movement, followed by methods to unblock the meridians. Use Baizhi, Chaihu, Fangfeng, and Duhuo each 1 liang, plus Chuanxiong 0.5 liang and Bohe 0.5 liang.
Grind the above ingredients into powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with warm wine; clear tea decoction may also be used.
A floating pulse indicates an exterior condition, which requires sweating; a deep pulse indicates an interior condition, which requires purging. For spasms/twitching of the back, use Qianghuo, Fangfeng, Duhuo, and Gancao. For forward twitching, use Shengma, Baizhi, Fangfeng, Duhuo, and Gancao. For lateral twitching, use Chaihu, Fangfeng, and Gancao; for right-sided twitching, add Baizhi.
The Classics state: Whenever sores involve intense heat and stagnation, preventing the free circulation of Ying and Wei, white scales often appear. At this time, the sore orifice is closed, Qi cannot vent, and extreme heat generates wind. The "Treatment Methods" states: In *Poshang Zhongfeng* (Wind-stroke following trauma), if wind-heat dryness is severe, constrained at the exterior while the interior Qi remains relatively calm, symptoms include frequent stretching and yawning, tendon and vessel stiffness/spasm, occasional aversion to cold with twitching, and a floating, rapid, and wiry pulse. Treat with acrid-hot wind-dispelling herbs to open and flush out stagnation, restoring the free flow of Ying and Wei for recovery. When using acrid-hot herbs, it is particularly advisable to assist them with cold-cooling herbs to prevent mismatched treatment and exacerbation of wind. If *Poshang Zhongfeng* fails to resolve at the exterior and gradually penetrates inward, the disease severity increases. If the interior condition is not yet severe, but the pulse reflects pathology in the muscle layer, cool herbs that dispel wind-heat and resolve stagnation should be used for regulation. Alternatively, slightly adding acrid-hot wind-treating herbs may be considered, but dosage must be carefully judged according to the situation and never applied recklessly. *Zhibao Dan* (Precious Treasure Pill) is also a cooling formula. If interior heat is extremely severe, purge it using Dachengqi Tang (Major Order the Qi Decoction).