《病源论》云∶四肢拘挛,不得屈伸者,由体虚腠理开,风邪在于筋故也。
《短剧方》云∶张仲景三黄汤。治中风手足拘挛,百节疼烦,发作心乱,恶寒引日,不
欲饮
麻黄(五分,去节) 独活(五分) 细辛(一分) 黄 (二分) 黄芩(三分)
凡五物,以水五升,煮取二升,分再服。一服即小汗出,两服大汗出,即愈。
《葛氏方》云∶若骨节疼痛,不得屈伸,近之则痛,短气自汗出,或欲肿者方∶
附子(二两) 桂(四两) 术(三两) 甘草(二两)
水六升,煮取三升,分三服,汗出愈。
又云∶若手足不遂者方∶
取青布烧作烟,于小口器中,熏痛处佳。
又方∶豉三升,水九升,煮取三升,分三服。
《病源论》云∶风不仁者,由营气虚,卫气实。风寒入于肌肉,使血气行不宣流。其状,
搔
《葛氏方》云∶若身中有掣痛,不仁不随处者方∶
取干艾叶一斛许,丸之。纳瓦甑下,塞余目,唯一目。以痛处着甑目上,烧艾以熏之,
一时
又方∶好术,削之,以水煮令浓热的的尔,以渍痛处良。
《病源论》云∶风大,虚风邪中于营卫溢于皮肤之间,与虚热并,故游弈遍体,状若虫
行。
《千金方》治风身体如虫行方∶
盐一升,水一石,煎减半,澄清,温洗三四遍,亦治一切风。
又方∶以大豆渍饭浆中,旦旦温洗面头,发不净加少面,勿以水濯之。
又方∶成练雄黄,松脂分等,蜜和,饮服十丸如梧子,日三。慎酒、肉、盐、豉。神秘
不传
《诸病源候论》说:四肢拘挛,不能屈伸,是因为体质虚弱,腠理(皮肤纹理及汗孔)开泄,风邪侵入筋脉所致。
《短剧方》说:张仲景的三黄汤。治疗中风导致的手足拘挛,全身关节疼痛烦扰,发作时心神慌乱,怕冷且病程迁延,不想喝水。
麻黄(五分,去掉节段) 独活(五分) 细辛(一分) 黄芩(二分) 黄连(三分)
共五味药,用水五升,煮取二升药液,分两次服用。服一次即微微出汗,服两次大汗出,病即可痊愈。
《葛氏方》说:如果骨节疼痛,不能屈伸,触碰则痛加剧,气短自汗出,或者想要肿胀的情况,用以下方剂:
附子(二两) 桂枝(四两) 白术(三两) 甘草(二两)
用水六升,煮取三升药液,分三次服用,出汗后病愈。
又说:如果手足不遂(运动障碍),用以下方剂:
取青布烧成烟,在小口容器中,熏蒸疼痛部位效果佳。
另一个方剂:豆豉三升,水九升,煮取三升药液,分三次服用。
《诸病源候论》说:身体麻木不仁,是因为营气(行于脉中、具有营养作用的气)虚弱,卫气(行于脉外、具有防御作用的气)充实。风寒侵入肌肉,使气血运行不畅。其症状表现为……(原文此处有缺漏,仅保留“搔”字,意指搔抓等感觉异常或动作)。
《葛氏方》说:如果身上有掣痛(牵拉样疼痛),麻木且不固定的情况,用以下方剂:
取干艾叶约一斛,制成丸状。放入瓦制的甑(古代蒸煮食物的器具)下,堵塞其余孔眼,只留一个孔。将疼痛部位对准甑上的孔,燃烧艾叶进行熏蒸,持续一段时间……(原文此处有缺漏)。
另一个方剂:优质的白术,削皮,用水煮至浓热,用来浸泡疼痛部位,效果良好。
《诸病源候论》说:风气大盛,虚风邪气中于营卫,溢于皮肤之间,与体内的虚热相并,所以游走遍体,感觉像虫子在爬行。
《千金方》治疗中风身体如虫行的方剂:
盐一升,水一石,煎煮至减半,澄清后,温热清洗三四遍,也能治疗各种风病。
另一个方剂:用大豆浸泡在淘米水中,每天早晨温洗面部和头部,头发没洗干净可加少量面粉,不要用清水冲洗。
另一个方剂:将雄黄炼制成粉末,松脂按比例等量混合,用蜂蜜调和,制成梧桐子大小的丸药,每次饮服十丸,每日三次。忌食酒、肉、盐、豆豉。此方神秘,不轻易传人。
The *Treatise on the Pathogenesis of Various Diseases* (Bingyuan Lun) states: Limb contracture and inability to flex or extend are caused by physical deficiency, open pores (Couli), and wind pathogen invading the sinews.
The *Short Drama Formulas* (Duanju Fang) states: Zhang Zhongjing's Sanhuang Decoction. It treats stroke-induced limb contracture, painful and vexatious sensations in all joints, episodes of mental confusion, aversion to cold with prolonged duration, and lack of desire for drinking.
Ephedrae Herba (Mahuang, 麻黄) (5 fen, remove nodes)
Angelicae Pubescentis Radix (Duqiao, 独活) (5 fen)
Asari Radix et Rhizoma (Xixin, 细辛) (1 fen)
Scutellariae Radix (Huangqin, 黄芩) (2 fen)
Coptidis Rhizoma (Huanglian, 黄连) (3 fen)
These five herbs are boiled in five sheng of water until two sheng remain. Divide into two doses. After one dose, slight sweating occurs; after two doses, profuse sweating occurs, and the disease is cured.
The *Ge Shi Formulas* (Ge Shi Fang) states: For bone and joint pain, inability to flex or extend, exacerbation upon touch, shortness of breath with spontaneous sweating, or impending swelling, use the following formula:
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (2 liang)
Cinnamomi Ramulus (Guizhi, 桂枝) (4 liang)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (3 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang)
Boil in six sheng of water until three sheng remain. Divide into three doses. The patient is cured when sweating occurs.
It also states: For hemiplegia or paralysis of limbs, use the following method:
Burn green cloth to produce smoke, and fumigate the painful area using a small-mouthed vessel.
Another formula: Fermented Soybean (Chidou, 豆豉) (3 sheng), boiled in nine sheng of water until three sheng remain. Divide into three doses.
The *Treatise on the Pathogenesis of Various Diseases* (Bingyuan Lun) states: Numbness and loss of sensation (Bu Ren) occur due to deficiency of Ying Qi (nutritive qi) and excess of Wei Qi (defensive qi). Wind-cold enters the muscles, causing stagnation of blood and qi circulation. Its manifestation includes... [text missing, only "scratch" remains].
The *Ge Shi Formulas* (Ge Shi Fang) states: For pulling pain in the body accompanied by numbness at non-fixed locations, use the following formula:
Take approximately one hu of dried Artemisia argyi Folium (Aiye, 艾叶), form into pills. Place them under a clay steamer (Zeng), block all holes except one. Position the painful area over the remaining hole and fumigate with burning mugwort for a period of time... [text missing].
Another formula: Use high-quality Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), peel it, boil in water until hot and concentrated, and soak the painful area. This is effective.
The *Treatise on the Pathogenesis of Various Diseases* (Bingyuan Lun) states: When wind pathogens are strong, deficient wind evil invades Ying and Wei Qi, overflowing into the skin, combining with deficient heat. Thus, sensations wander throughout the body, resembling insects crawling.
The *Essential Prescriptions Worth a Thousand Gold* (Qianjin Fang) provides formulas for treating stroke-related sensations like insects crawling:
Salt (1 sheng), boiled in one dan of water until reduced by half. Clarify the liquid and wash warm three to four times. This also treats various wind diseases.
Another formula: Soak soybeans in rice washing water. Every morning, wash the face and head with this warm solution. If hair is not clean, add a little flour. Do not rinse with plain water.
Another formula: Calcined Realgar (Xionghuang, 雄黄) and Pine Resin (Songzhi, 松脂) in equal parts, mixed with honey to form pills the size of wu zi (seed of Cerasus pseudocerasus). Take ten pills with water, three times daily. Avoid alcohol, meat, salt, and fermented soybeans. This formula is mysterious and not transmitted freely.