凡半身不遂者，必口眼 斜。亦有无半身不遂之症而 斜者，故另立附之。
运气∶口眼 斜者，多属胃土。风木不及，金乘之，土寡于畏也。经云∶木不及曰
委和，委和之纪，其动 戾拘缓。又云∶厥阴所至为 。盖 ，缩短也。木不
及，则金化缩短乘之，以胜木之条达也。戾者，口目 斜也。拘者，筋脉拘强也。木为
金之缩短，牵引而 斜拘强也。缓者，筋脉纵也。木为金乘，则土寡于畏，故土兼化缓
纵于其空隙，而拘缓者自缓也。故目 斜者，多属胃土有痰。治法宜辛温泻金之短缩，
平土之湿痰也。
〔垣〕清阳汤 治筋脉缩短，牵引口目 斜。（方见后）
〔孟〕中贼风，口偏不能语者，取吴茱萸一升，清酒一升，和煮四五沸，合服之半升，日
三服，得少汗瘥。
〔《千》〕治口 ，大豆三升，炒令焦，好酒三升，淋取汁顿服，一日一服。治中风
面目相引，口偏着耳，牙车急，舌不得转方。
独活（三两） 竹沥 生地汁（各一升）
上三味合煎，取二升顿服即愈。
治卒中风，口 不正，取空青末如豆大一枚，含之即愈。口目 斜之症，大率在
胃而有筋脉之分。经云∶足之阳明，手之太阳，筋急则口目为僻， 急不能卒视，此胃土之
筋为 邪也。经云∶胃足阳明之脉，挟口环唇，所生病者，口 唇邪。此胃土之脉为 邪也。
〔垣〕清阳汤 治口 斜，颊腮急紧，胃中火盛，汗不止而小便数。
升麻（二钱） 葛根（一钱半） 当归身（二钱） 黄 （二钱） 甘草（炙，一钱） 红花（一钱） 苏木（五分）
桂枝（一钱） 甘草（生，五分） 黄柏（酒，一钱）
上 咀。作一服，酒三盏，煎至一盏三分，去渣，稍热食前服讫，以火熨摩紧急处
，即愈。夫口 筋急者，是筋脉血络中大寒，此药少代燔针劫刺，破恶血以去凝结，内
泄冲脉之火炽。
〔罗〕风中血脉治验 太尉中武史公，年六十八岁，于至元十月初，侍国师于圣安寺丈室
中，煤炭火一炉在左边，遂觉面热，左颊微有汗，师及左右诸人皆出，因左颊疏缓，被风寒
客之，右颊急，口 于右，脉得浮紧，按之洪缓。予举医学提举忽君吉甫，专科针灸，
先以左颊上灸地仓穴一七壮，次灸颊车二七壮，后于右颊上热手熨之，议以升麻汤加防风、
秦艽、白芷、桂枝，发散风寒，数服而愈。或曰∶世医多以续命等药治之，今君用升麻汤加
四味，其理安在？对曰∶足阳明经，起于鼻交 中，循鼻外，入上齿中。手阳明之经，亦
贯于下齿中。况两颊皆属阳明，升麻汤乃阳明经药，香白芷又行手阳明之经，秦艽治口噤，
防风散风邪，桂枝实表而固荣卫，使邪不能再伤，此其理也。夫病有标本经络之别，药有气
味浓薄之殊，察病之源，用药之宜，其效如桴鼓之应。不明经络所过，不言药性所主，徒执
一方，不惟无益，而又害之者多矣，学人宜细思之。
秦艽升麻汤 治中风手足阳明经口眼 斜，四肢拘急，恶风寒。
升麻 干根 甘草（炙） 芍药 人参（各半两） 秦艽 白芷 防风 桂枝（各三钱）
上 咀。每服一两，水二盏，连须葱根白三茎，煎至一盏，去渣，稍热服，食后服
。药毕，避风寒，卧得微汗出则止。
〔丹〕娄舍人，口眼 斜，先自右边牙疼。
防风（五分） 南星（一钱） 桂枝（三分） 半夏（五分） 苍术（五分） 甘草（炙，二分） 白术（一钱半）
茯苓（三分）
上煎，后入姜汁一合服。
〔《本》〕治风客阳经，邪伤腠理，背脊强直，口眼 斜，体热恶寒，痰厥头痛，肉
筋惕，辛 鼻渊，及饮酒过多，呕吐涎沫，头痛眩晕，如坐车船。常服解风邪伤
寒，辟雾露瘴气，爽慧神志，诸风不生。定风饼子。
天麻 川乌 南星 半夏 川姜 川芎 白茯苓 甘草（生，各等分）
上为细末，姜汁为丸，如龙眼大，作饼子，朱砂为衣。每服一饼，细嚼，热姜汤下，不
拘候。熙丰间，王丞相常服，预防风疾神验。
〔《千》〕枳茹酒 主口僻眼急大验，诸药不瘥方。
枳实上青刮取末，欲至心止，得茹五升，微火炒去湿气，以酒一斗渍，微火暖，令得药
味，随性饮之。
〔子和〕东KT 一夫，患口目 斜，其两手急数如弦之张，有力而实。其人壮气充，风
火交胜。与调胃承气汤六两，以水四升，煎作三升，分作四服，令稍热啜之，前后约泻四、
五十行。去一两，次以苦剂投之，解毒数服，以升降水火，不旬而愈。《脉诀》云∶热则生风。
《内经》治口眼 斜，多属足阳明筋病，盖足阳明筋结颊上，得寒则急，得热则弛
，左寒右热，则左颊筋急牵引右之弛者，而右随急牵引， 向左也。右寒左热，则右颊
筋急牵引左之弛者，而左随急牵引， 向右也。故其治法，以火灸，且为之膏油熨其急者，
以白酒调和桂末涂其弛者，又以桑为钩，钩其舌吻之 僻处，使正平，而高下相等。复
以水调生桑灰，于钩柄之坎缝处，连颊涂之，以收其弛。兼饮姜酒，啖美肉，使筋脉气和，
以助外之涂熨。不饮酒者，自强其筋骨，以手拊拍其急处，使症自去也。（详见筋门）
〔《千》〕又方
牡蛎 附子 矾石 灶下黄土
上四味，各等分为末。取三年雄鸡冠血和药敷其上，持镜看候欲复，故便急洗去之。不
速去，便过不复还也。（《千金翼》云∶偏左涂右，偏右涂左）
又方 酒煮桂取汁一升，以故布浸拓病上则正，左 斜拓右，右 斜拓左。此秘
方不传，余常用大效（此方即《内经》用酒桂涂法也）。
又方 大皂荚一两，去皮子，捣筛。以三年锻石末水和，左 涂右，右 涂左，
干又涂之。
〔《衍》〕取硬锻石一合，以醋炒和如泥，于患偏风牵口 斜人口唇上，不患处一边
涂之，立便牵正。
〔孙〕卒患偏风，口 语涩。取衣中白鱼摩耳下， 向左摩右，向右摩左，即正（
即蠹，书鱼也）。
〔《圣》〕治中风口 ，用巴豆七枚，去皮烂研。 左涂右手心， 右涂左手
心，仍以暖水一盏，安向手心，须臾即便正。洗去药，并频抽掣中指。
〔子和〕一长吏，病口目 斜，予疗之。目之斜，灸以承泣；口之 ，灸以地仓，
俱效。苟不效者，当灸人迎。夫气虚风入而为偏，上不得出，下不得泄，真气为气邪所陷，故
宜灸，所以立愈。（按∶此乃脉兼 斜，故灸之愈。若筋急 斜，非灸可愈，必用服药及用
燔针劫刺其急处，或用马膏涂法，可愈。故承泣、地仓、人迎皆足阳明，阳明胃脉之所发也
）。
〔《玉》〕口眼 斜∶地仓（针入二分，沿皮斜向颊车，一寸半，留十吸泻之） 颊车（
二分，斜向地仓。以上三穴， 右补泻左， 左补泻右）
〔《甲乙》〕口僻，颧 及龈交、下关主之。面目恶风寒 肿痈痛，招摇视瞻，螈 口
僻，巨 主之。口不能水浆， 僻，水沟主之。厥口僻失欠，下牙痛，颊肿恶寒，
口不能收，舌不能言，不能嚼，大迎主之。口僻，偏历主之。口僻刺太渊，引而下之。口僻
噤，外关主之。僻不正失欠，口不开，翳风主之。
〔《千》〕又方，以苇筒长五寸，以一头刺耳孔中，四畔以面塞密，勿令泄风；一头纳大
豆一颗并艾，烧令燃，灸七壮，即瘥。患右灸左，患左灸右，千金不传，耳病亦可灸之。
凡是半身不遂的患者，必定会出现口眼歪斜的症状。也有没有半身不遂症状而单独出现口眼歪斜的情况，因此将其作为附篇单独列出。
运气学说方面：口眼歪斜多与胃土有关。当风木之气不足时，金气会乘虚克制它，导致土气缺乏制约（因为金克木，木弱则金盛，金盛则克土太过，或者说木弱不能疏土，土气壅滞）。《内经》说：木气不足称为“委和”，在委和之年，其病变表现为筋脉拘挛、舒缓或急迫。又说：厥阴风木之气所致病症中包括筋脉拘急缩短。所谓“缩短”，是指筋脉收缩。木气不足，则金气的肃杀收敛之性（缩短）会乘势侵犯，以压制木气条达舒展的特性。“戾”指口眼歪斜；“拘”指筋脉拘挛强直；“缓”指筋脉松弛。由于木气被金气所制，失去条达，导致筋脉被牵引而歪斜、拘挛强直。若表现为“缓”，则是筋脉松弛。木受金克，土气因缺乏木的疏泄制约而显得相对亢盛（寡于畏），因此在空隙处兼化出松弛纵缓之象，所以拘挛与松弛并存。因此，口眼歪斜多属于胃土有痰湿阻滞。治疗方法宜用辛温药物泻除金气的短缩之邪，平抑土气的湿痰。
〔李东垣〕清阳汤：治疗筋脉缩短，牵引导致口眼歪斜。（方剂见后文）
〔孟诜〕中风受贼风侵袭，口角歪斜不能言语者，取吴茱萸一升，清酒一升，混合煎煮四五沸，一次性服用半升，每日三次，微微出汗即可痊愈。
〔《千金方》〕治疗口眼歪斜：大豆三升，炒至焦黑，用好酒三升淋滤取汁，一次性服下，每日一服。治疗中风导致面部肌肉相互牵引，口角偏向一侧耳朵，牙关紧急，舌头转动不灵方的方子：
独活（三两）、竹沥、生地黄汁（各一升）。
以上三味药合煎，取药液二升，一次性服下即愈。
治疗突然中风，口眼歪斜不正，取空青粉末如豆大一枚，含在口中即愈。口眼歪斜的症状，大体上都在胃经，并涉及筋脉的变化。《内经》说：足阳明经和手太阳经的筋脉拘急，会导致口眼歪斜，眼睛急迫不能卒然视物，这是胃土的筋脉受到风邪侵袭。《内经》又说：足阳明胃经，夹口环唇，其所生的疾病包括口僻、唇部受邪。这是胃土的经脉受到风邪侵袭。
〔李东垣〕清阳汤：治疗口眼歪斜，脸颊腮部急紧，胃中火盛，汗出不止且小便频数。
升麻（二钱）、葛根（一钱半）、当归身（二钱）、黄芪（二钱）、甘草（炙，一钱）、红花（一钱）、苏木（五分）、桂枝（一钱）、甘草（生，五分）、黄柏（酒浸，一钱）。
以上药物捣碎。作一剂服用，用酒三盏，煎至一盏三分，去渣，稍热，饭前服用，然后用火熨摩紧急部位，即可痊愈。口眼歪斜导致筋脉拘急，是因为筋脉血络中有大寒，此药可代替燔针劫刺法，破除恶血以去除凝结，内泄冲脉的火炽。
〔罗天益〕风中血脉治验：太尉中武史公，六十八岁，在至元十月初，在圣安寺丈室侍奉国师时，左边有一炉煤炭火，于是觉得面部发热，左颊微有汗，国师及左右众人皆离开，因左颊皮肤疏松松弛，风寒客袭于此，右颊拘急，口眼向右歪斜，脉象浮紧，重按洪缓。我举荐医学提举忽君吉甫，他专攻针灸，先在左颊地仓穴灸七壮，接着灸颊车穴十四壮，然后在右颊上用热手熨摩，商议使用升麻汤加防风、秦艽、白芷、桂枝，发散风寒，服用几剂后痊愈。有人问：世医多用续命等药物治疗此病，如今您用升麻汤加四味药，其中的道理何在？回答说：足阳明经，起于鼻翼旁交于鼻根中，沿鼻外侧，进入上齿中。手阳明经，也贯穿下齿中。况且两颊都属于阳明经，升麻汤是阳明经的药物，香白芷又通行手阳明经，秦艽治疗口噤，防风散风邪，桂枝固表实卫，使邪气不能再伤害人体，这就是其中的道理。疾病有标本经络的区别，药物有气味浓薄的不同，考察疾病的源头，选择合适的用药，疗效如鼓槌击鼓般迅速响应。不明白经络所经过的部位，不谈药物的性质主治，固执于一个方子，不仅无益，反而害人多矣，学习者应当仔细思考。
秦艽升麻汤：治疗中风手足阳明经导致的口眼歪斜，四肢拘急，恶风寒。
升麻、干葛根、甘草（炙）、芍药、人参（各半两）、秦艽、白芷、防风、桂枝（各三钱）。
以上药物捣碎。每次服用一两，水二盏，连须葱根白三茎，煎至一盏，去渣，稍热服用，饭后服用。药毕，避风寒，卧睡直到微微出汗为止。
〔朱丹溪〕娄舍人，口眼歪斜，起初右边牙齿疼痛。
防风（五分）、南星（一钱）、桂枝（三分）、半夏（五分）、苍术（五分）、甘草（炙，二分）、白术（一钱半）、茯苓（三分）。
以上煎煮，后加入姜汁一合服用。
〔《本草纲目》引〕治疗风邪客居阳经，邪气损伤腠理，背脊强直，口眼歪斜，身体发热恶寒，痰厥头痛，肌肉跳动，辛夷鼻渊，以及饮酒过多，呕吐涎沫，头痛眩晕，如同坐车船一般。常服可解风邪伤寒，辟除雾露瘴气，清爽神志，防止诸风发生。定风饼子。
天麻、川乌、南星、半夏、川姜、川芎、白茯苓、甘草（生，各等分）。
以上研为细末，用姜汁泛丸，如龙眼大小，做成饼子，朱砂为衣。每次服用一饼，细细咀嚼，热姜汤送下，不拘时候。熙丰年间，王丞相常服此药，预防风疾非常灵验。
〔《千金方》〕枳茹酒：主要治疗口眼歪斜、眼睛拘急的大效方，其他药物无效时使用。
枳实刮去青色外皮取末，想要多少取多少，得到五升，用微火炒去湿气，用酒一斗浸泡，微火加热，使其具有药味，随性情饮用。
〔张子和〕东郡一位男子，患口眼歪斜，两手拘急快速如弦之张，有力而实。此人壮实气充，风火交胜。给予调胃承气汤六两，用水四升，煎成三升，分四次服用，令其稍热啜饮，前后大约腹泻四五十次。减去一两剂量，接着用苦剂催吐，解毒数次，以升降水火，不到十天即愈。《脉诀》说：热则生风。《内经》认为治疗口眼歪斜，多属足阳明筋病，因为足阳明筋结于颊上，得寒则拘急，得热则弛缓，左寒右热，则左颊筋急牵引右侧弛缓之处，右侧随之拘急牵引向左。右寒左热，则右颊筋急牵引左侧弛缓之处，左侧随之拘急牵引向右。所以治疗方法，用火灸，并且用膏油熨摩拘急的一侧，用白酒调和桂末涂擦弛缓的一侧，又以桑木制成钩，钩住舌吻歪斜之处，使其端正平衡，高低相等。再用清水调和生活桑灰，在钩柄的缝隙处，连颊涂之，以收敛弛缓。同时饮用姜酒，吃美味肉类，使筋脉气和，以助外部的涂熨。不饮酒的人，自行强健筋骨，用手拍打拘急之处，使症状自然消除。（详见筋门）
〔《千金方》〕又一方：
牡蛎、附子、矾石、灶下黄土。
以上四味药，各等分为末。取三年雄鸡冠血和药敷在患处，拿着镜子观察欲恢复时，立即洗去。如果不快速洗去，就会过度矫正无法复原。（《千金翼方》说：偏左涂右边，偏右涂左边）
又一方：酒煮桂枝取汁一升，用旧布浸透拓敷病处则能正，左歪斜拓右边，右歪斜拓左边。这是秘方不传，我常用且效果很大（此方即《内经》用酒桂涂法）。
又一方：大皂荚一两，去皮子，捣筛。用三年锻石末和水调和，左歪涂右，右歪涂左，干了再涂。
〔《衍义》〕取硬锻石一合，用醋炒和如泥，涂在患偏风牵口歪斜者的嘴唇非患侧一边，立刻就能牵正。
〔孙思邈〕突然患偏风，口歪语涩。取衣服中的白鱼摩擦耳下，向左歪摩擦右边，向右歪摩擦左边，即正（即蠹虫，书鱼）。
〔《圣济总录》〕治疗中风口眼歪斜，用巴豆七枚，去皮烂研。左歪涂右手心，右歪涂左手心，仍以暖水一盏，安向手心，片刻即便正。洗去药，并频繁抽掣中指。
〔张子和〕一位长吏，患口眼歪斜，我治疗他。眼睛歪斜，灸承泣穴；口歪，灸地仓穴，都有效。如果无效，应当灸人迎穴。气虚风入而为偏，上不得出，下不得泄，真气为气邪所陷，所以宜灸，因此立愈。（按：这是脉兼口眼歪斜，所以灸之愈。若是筋急口眼歪斜，非灸可愈，必须服药及用燔针劫刺其急处，或用马膏涂法，可愈。故承泣、地仓、人迎皆属足阳明经，是阳明胃脉所发之处）。
〔《玉机微义》〕口眼歪斜：地仓（针入二分，沿皮斜向颊车，一寸半，留十吸泻之） 颊车（二分，斜向地仓。以上三穴，右歪补左泻右，左歪补右泻左）
〔《甲乙经》〕口僻，颧髎及龈交、下关主之。面目恶风寒浮肿痈痛，招摇视瞻，抽搐口僻，巨髎主之。口不能水浆，口僻，水沟主之。厥口僻失欠，下牙痛，颊肿恶寒，口不能收，舌不能言，不能嚼，大迎主之。口僻，偏历主之。口僻刺太渊，引而下之。口僻噤，外关主之。僻不正失欠，口不开，翳风主之。
〔《千金方》〕又一方，以苇筒长五寸，以一头刺耳孔中，四畔以面塞密，勿令泄风；一头纳大豆一颗并艾，烧令燃，灸七壮，即瘥。患右灸左，患左灸右，千金不传，耳病亦可灸之。
Any patient with hemiplegia (hemiplegia) will inevitably present with deviation of the mouth and eyes (deviation of the mouth and eyes). There are also cases presenting with deviation of the mouth and eyes without hemiplegia; therefore, it is listed separately here.
Regarding the theory of Six Qi (Six Qi): Deviation of the mouth and eyes is mostly related to the Stomach Earth (Stomach Earth). When Wind Wood (Wind Wood) qi is insufficient, Metal (Metal) overcomes it, causing Earth to lack restraint (as Wood fails to control Earth, or Metal overcomes weak Wood and attacks Earth). The Classics state: "Insufficiency of Wood is called Weihe (Weihe)." In the era of Weihe, its pathological manifestations include spasms, flaccidity, or stiffness. It also states: "When Jueyin (Jueyin) Wind arrives, it causes shortening." "Shortening" refers to the contraction of tendons. When Wood qi is insufficient, the "shortening" characteristic of Metal invades to overcome the free-flowing and spreading nature of Wood. "Li" (Li) refers to deviation of the mouth and eyes; "Ju" (Ju) refers to tendon spasm and stiffness; "Huan" (Huan) refers to tendon flaccidity. Because Wood is pulled by Metal's shortening nature, it leads to deviation of the mouth and eyes with tendon spasm and stiffness. "Huan" implies tendon relaxation. When Wood is overcome by Metal, Earth lacks restraint, so Earth assumes the transformation of relaxation/flaccidity in the gaps, resulting in a mix of spasm and flaccidity. Thus, deviation of the mouth and eyes often belongs to Phlegm-Dampness in the Stomach Earth (Stomach Earth). The treatment method should use pungent-warm herbs to drain the shortening pathogen of Metal and resolve the Damp-Phlegm of Earth.
[Li Dongyuan] Qingyang Tang (Clear Yang Decoction): Treats tendon shortening that pulls and causes deviation of the mouth and eyes. (Formula see below)
[Meng Shen] For sudden wind invasion causing deviation of the mouth and inability to speak: Take one sheng of Evodiae Fructus (Wuzhuyu, 吴茱萸) and one sheng of clear wine, boil together for four or five boils, take half a sheng at a time, three times a day. Slight sweating indicates improvement.
[Qianjin Fang] To treat deviation of the mouth and eyes: Take three sheng of soybeans, stir-fry until charred, pour three sheng of good wine over them to extract the juice, and drink it all at once, once daily. To treat stroke causing facial muscles pulling each other, mouth deviating towards the ear, tight jaw, and immobile tongue:
Duhuo (Radix Angelicae Pubescentis, 独活) (3 liang)
Zhuli (Bamboo Sap, 竹沥)
Shengdi Huang (Radix Rehmanniae Preparata, 生地汁) (each 1 sheng)
Decoct the above three ingredients together to obtain two sheng of liquid, drink it all at once for recovery.
To treat sudden stroke with deviation of the mouth and eyes: Take one bean-sized amount of Kongqing powder (Azurite Powder, 空青末), hold it in the mouth for immediate recovery. The pathology of deviation of the mouth and eyes generally lies in the Stomach meridian, involving tendons and vessels. The Classics state: "The Foot-Yangming and Hand-Taiyang meridians, when their tendons are tense, cause deviation of the mouth and eyes, with eyes unable to look suddenly due to tension; this is Wind-Evil invading the tendons of Stomach Earth." The Classics also state: "The Foot-Yangming Stomach meridian runs alongside the mouth and around the lips; diseases generated here include deviation of the mouth and lips, which is Wind-Evil invading the meridians of Stomach Earth."
[Li Dongyuan] Qingyang Tang (Clear Yang Decoction): Treats deviation of the mouth and eyes, tightness of cheeks and jaws, excess fire in the Stomach, continuous sweating, and frequent urination.
Shengma (Rhizoma Cimicifugae, 升麻) (2 qian)
Gegen (Puerariae Radix, 葛根) (1.5 qian)
Danggui Shen (Radix Angelicae Sinensis Root Body, 当归身) (2 qian)
Huangqi (Radix Astragali, 黄芪) (2 qian)
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 甘草) (1 qian)
Honghua (Carthami Flos, 红花) (1 qian)
Sumu (Lignum Santali Rubrum, 苏木) (0.5 qian)
Guizhi (Ramulus Cinnamomi, 桂枝) (1 qian)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 甘草) (0.5 qian)
Huangbai (Cortex Phellodendri, 黄柏) (1 qian, soaked in wine)
Crush the herbs. Prepare as one dose, decoct in three cups of wine until one cup and three fen remain, strain, and drink slightly warm before meals. Then apply heat massage to the tight area for recovery. Tendon tension in deviation of the mouth and eyes is caused by severe cold in the tendons and blood collaterals. This medicine acts somewhat like burning needle therapy (burning needle therapy) to break bad blood and remove coagulation, while internally draining the excessive fire of the Chong Mai (Penetrating Vessel).
[Luo Tianyi] Case of Wind Invading Blood Vessels: Grand Marshal Zhong Wushi, aged 68, in early October of the first year of Zhiyuan, was attending the State Preceptor in the study room of Sheng'an Temple. A coal stove was on his left. He felt facial heat and slight sweating on the left cheek. After the preceptor and others left, the left cheek became flaccid and was invaded by Wind-Cold, while the right cheek became tense, causing deviation of the mouth and eyes to the right. The pulse was floating and tight, but deep pressure revealed it to be surging and slow. I recommended Hu Jifu, the Medical Supervisor, who specialized in acupuncture and moxibustion. He first moxa-ed the Dicang acupoint (Dicang, ST4) on the left cheek seven moxa cones, then moxa-ed Jiache (Jiache, ST6) fourteen cones. He then applied hot hand massage to the right cheek. He prescribed Shengma Tang (Cimicifuga Decoction) added with Fangfeng (Radix Saposhnikoviae, 防风), Qinjiao (Radix Gentianae Macrophyllae, 秦艽), Baizhi (Radix Angelicae Dahuricae, 白芷), and Guizhi (Ramulus Cinnamomi, 桂枝) to disperse Wind-Cold. After several doses, he recovered. Someone asked: Most physicians use Xuming Tang (Continuation Life Decoction) etc., why did you use Shengma Tang with four additional herbs? He replied: The Foot-Yangming meridian starts from the nose, crosses the glabella, follows the outside of the nose, and enters the upper teeth. The Hand-Yangming meridian also passes through the lower teeth. Moreover, both cheeks belong to the Yangming meridians. Shengma Tang is a formula for the Yangming meridian; Baizhi circulates through the Hand-Yangming meridian; Qinjiao treats lockjaw; Fangfeng disperses Wind-Evil; Guizhi consolidates the exterior and secures Ying and Wei (Nutritive and Defensive Qi), preventing further injury by pathogens. This is the rationale. Diseases have distinctions in root/branch and meridians; medicines have differences in flavor intensity. Investigating the source of the disease and choosing appropriate medication yields effects as swift as a drumstick hitting a drum. Ignoring meridian pathways and drug properties, sticking rigidly to one formula, is not only useless but harmful. Students should reflect carefully.
Qinjiao Shengma Tang (Gentian and Cimicifuga Decoction): Treats stroke affecting the Hand and Foot Yangming meridians, causing deviation of the mouth and eyes, limb spasms, and aversion to Wind-Cold.
Shengma (Rhizoma Cimicifugae, 升麻)
Gegen Gen (Puerariae Radix Dry Root, 干葛根)
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 甘草)
Shaoyao (Radix Paeoniae Alba, 芍药)
Renshen (Radix Ginseng, 人参) (each 0.5 liang)
Qinjiao (Radix Gentianae Macrophyllae, 秦艽)
Baizhi (Radix Angelicae Dahuricae, 白芷)
Fangfeng (Radix Saposhnikoviae, 防风)
Guizhi (Ramulus Cinnamomi, 桂枝) (each 3 qian)
Crush the herbs. Take 1 liang per dose, decoct with two cups of water and three stalks of green onion white (with roots) until one cup remains, strain, and drink slightly warm after meals. After taking the medicine, avoid Wind-Cold. Lie down until slight sweating occurs, then stop.
[Zhu Danxi] Lou Sheiren suffered from deviation of the mouth and eyes, starting with toothache on the right side.
Fangfeng (Radix Saposhnikoviae, 防风) (0.5 qian)
Nanxing (Rhizoma Arisaematis Cum Bile, 南星) (1 qian)
Guizhi (Ramulus Cinnamomi, 桂枝) (0.3 qian)
Banxia (Rhizoma Pinelliae Preparatum, 半夏) (0.5 qian)
Cangzhu (Rhizoma Atractylodis Lanceae, 苍术) (0.5 qian)
Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 甘草) (0.2 qian)
Baizhu (Rhizoma Atractylodis Macrocephalae, 白术) (1.5 qian)
Fuling (Poria, 茯苓) (0.3 qian)
Decoct these, add 1 he of Ginger Juice (Jiangzhi, 姜汁) at the end, and take.
[Bencao Gangmu] Treating Wind Evil lodging in Yang meridians, damaging the interstices, causing back stiffness, deviation of the mouth and eyes, fever with aversion to cold, phlegm-jue headache, muscle twitching, Xin Yi Bi Yuan (Olfactory Sinusitis), vomiting saliva after excessive drinking, headache and dizziness as if on a boat. Regular consumption resolves Wind-Cold, dispels miasma, clears the spirit, prevents various winds. Dingfeng Bingzi (Wind-Calming Cake).
Tianma (Rhizoma Gastrodiae, 天麻)
Chuanwu (Radix Aconiti Carminati, 川乌)
Nanxing (Rhizoma Arisaematis Cum Bile, 南星)
Banxia (Rhizoma Pinelliae Preparatum, 半夏)
Chuanjiang (Rhizoma Zingiberis Officinalis Recens, 川姜)
Chuanxiong (Rhizoma Chuanxiong, 川芎)
Baifuling (Poria with White Hosta, 白茯苓)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 甘草) (equal parts)
Grind into fine powder, make pills with Ginger Juice, size of a longan, form into cakes, coat with Cinnabar (Zhusha, 朱砂). Take one cake per dose, chew thoroughly, swallow with hot Ginger Tea, anytime. During the Xifeng era, Chancellor Wang took this regularly to prevent wind diseases with miraculous effect.
[Qianjin Fang] Zhiru Jiu (Arctic Fruit Wine): Mainly for severe deviation of the mouth and eyes, effective when other medicines fail.
Take powder from Zhisshi (Fructus Aurantii Immaturus, 枳实) scraped from the green skin, up to five sheng. Stir-fry lightly to remove moisture, soak in one dou of wine, warm slightly over low fire to extract the flavor, drink according to tolerance.
[He Zhizi] A man from Dongjing suffered from deviation of the mouth and eyes, with hands tense and twitching rapidly like a drawn bowstring, strong and solid. His constitution was robust, with Wind and Fire battling. Prescribed Tiaowei Chengqi Tang (Regulating the Stomach and Purging Down Decoction) six liang, decocted in four sheng of water to three sheng, divided into four doses, taken slightly warm. He defecated about 40-50 times. Reduced dose by one liang, then administered an emetic, detoxified several times, regulating Water and Fire, cured in less than ten days. Maijue says: Heat generates Wind. Neijing states that deviation of the mouth and eyes is mostly a disease of the Foot-Yangming tendons, as they knot above the cheeks. Cold makes them tense, heat makes them flaccid. Left cold/right heat causes the left tense tendon to pull the right flaccid side, leading to leftward deviation. Right cold/left heat causes the right tense tendon to pull the left flaccid side, leading to rightward deviation. Treatment involves moxibustion, applying ointment/massage to the tense side, and smearing Gui Zhi (Cinnamon Twig) mixed with white wine on the flaccid side. Use a mulberry hook to straighten the tongue/deviated corner, ensuring symmetry. Apply raw mulberry ash paste to the cheek to tighten the flaccid side. Drink Ginger Wine and eat rich meat to harmonize Qi in tendons/vessels, assisting external treatment. Non-drinkers should strengthen sinews/bones and pat the tense areas manually to relieve symptoms. (See Men Jin section).
[Qianjin Fang] Another Formula:
Muli (Concha Ostreae, 牡蛎)
Fuzi (Radix Aconiti Lateralis Preparata, 附子)
Fanshi (Alumen, 矾石)
Zaoxia Huangtu (Yellow Earth from Hearth, 灶下黄土)
Grind equal parts into powder. Mix with blood from a three-year-old rooster's comb, apply to the affected area. Watch in a mirror; wash off immediately when correction begins. If not washed off quickly, it may over-correct. (Qianjin Yiyi says: Apply to the opposite side).
Another Formula: Decoct Guizhi (Cinnamon Twig) in wine to get one sheng of juice. Soak old cloth in it and apply to the lesion to correct it. Apply to the right for left deviation, to the left for right deviation. This is a secret recipe, highly effective. (This is the method from Neijing using wine-soaked Cinnamon Twig).
Another Formula: Da Zaojiao (Gleditsiae Sinensis Fructus, 大皂荚) one liang, peel and remove seeds, grind/sift. Mix with powder from three-year-old Duanshi (Smelted Iron Ore, 锻石) and water. Apply to the opposite side for deviation. Reapply when dry.
[Yanyi] Take one he of hard Duanshi (Smelted Iron Ore), stir-fry with vinegar to a mud-like consistency. Apply to the healthy side of the lips in patients with hemiplegic deviation of the mouth and eyes. It immediately pulls the face straight.
[Sun Simiao] For sudden hemiplegia with deviation of the mouth and slurred speech: Take Baiyu (White Fish/Lice, 衣中白鱼) from clothes and rub under the ear. Rub towards the right if deviated left, towards the left if deviated right, to correct it.
[Shengji Zonglu] For stroke with deviation of the mouth and eyes: Take seven Baiduo (Seminar Crotonis Tiglii, 巴豆) beans, peel and grind. Apply to the palm of the right hand for left deviation, to the left palm for right deviation. Place a cup of warm water over the palm. It corrects quickly. Wash off the medicine and frequently pull/stretch the middle finger.
[He Zhizi] A magistrate suffered from deviation of the mouth and eyes. I treated him. For eye deviation, moxa Chengqi (Chengqi, ST1); for mouth deviation, moxa Dicang (Dicang, ST4). Both were effective. If ineffective, moxa Renying (Renying, ST9). Qi deficiency allows Wind entry causing deviation; if Qi cannot exit upwards or exit downwards, True Qi is trapped by Pathogenic Qi, so moxibustion is suitable for immediate cure. (Note: This works because the pulse indicates deviation. If it is tendon tension causing deviation, moxibustion alone won't work; oral medication, burning needle therapy (burning needle therapy) on the tense area, or Horse Fat application (Horse Fat application) is needed. Chengqi, Dicang, and Renying are all Foot-Yangming points, originating from the Stomach Meridian).
[Yuji Weiyi] Deviation of the mouth and eyes: Dicang (Needle insert 2 fen, oblique along skin towards Jiache, 1.5 cun, retain needle for 10 breaths, reduce method). Jiache (Insert 2 fen, oblique towards Dicang. For these three points, tonify left/reduce right for right deviation, tonify right/reduce left for left deviation).
[Jia Yi Jing] Koupi (Deviation of the mouth): Quanliao (Quanliao, SI18), Yingjiao (Yingjiao, DU26), Xiaguan (Xiaguan, ST7) govern it. Facial aversion to Wind-Cold, swelling, abscess pain, erratic gaze, convulsions, deviation of the mouth: Juliao (Juliao, ST3) governs it. Inability to drink water, deviation of the mouth: Shuigou (Shuigou, DU26) governs it. Jue-ni deviation of the mouth, yawning, lower toothache, cheek swelling, aversion to cold, inability to close mouth, speak, or chew: Daying (Daying, ST5) governs it. Deviation of the mouth: Pianli (Pianli, LI6) governs it. Deviation of the mouth: Needle Taiyuan (Taiyuan, LU9) to guide downward. Deviation of the mouth with lockjaw: Waiguan (Waiguan, TE5) governs it. Deviation, yawning, inability to open mouth: Yifeng (Yifeng, TE17) governs it.
[Qianjin Fang] Another Formula: Use a reed tube 5 cun long. Insert one end into the ear canal, seal edges with dough to prevent air leakage. Put one soybean and moxa at the other end, burn and moxa 7 cones. Cured immediately. Treat right lesion by moxa-ing left, left lesion by moxa-ing right. Secret Qianjin method, also applicable for ear diseases.