人参 白术 茯苓 甘草 竹沥 姜汁
丹溪曰∶半身不遂,在右者,属气虚,以此方主之。
经曰∶左右者,阴阳之道路也。故左属血,而右属气。气虚者,补之以甘,故用人参、
白术、茯苓、甘草。四件称其为君子者,谓其甘平,
有冲和之德,而无克伐之性也。其加竹沥,谓其行痰;其加姜汁,所以行竹沥之滞,而共成
夫伐痰之功耳。
当归(酒洗) 川芎(洗去土) 白芍药(酒炒) 熟地黄 桃仁(去皮尖) 红花(酒
洗) 竹
丹溪曰∶半身不遂,在左者,属瘀血,以此方主之。
芎、归、芍、地,生血药也,新血生,则瘀血滑而易去;桃仁、红花,消瘀药也,瘀血
去,则新血清而易生。然亦加夫竹沥、姜汁者,以痰之为物,靡所不之,盖无分于左右而为
患也。
白术(炒) 白茯苓 青皮(去穣,炒) 白芷 陈皮(去白) 台乌药 人参(各一
钱) 甘
中风,正气虚,痰涎壅盛者,宜此方主之。
人参、白术、茯苓、甘草,四君子汤也。经曰∶邪之所凑,其气必虚,故用四君子以补
气。
治痰之法,利气为先,故用青皮、白芷、台乌、陈皮以顺气,气顺则痰行,而无壅塞之
患矣。此标本兼施之治也。
麻黄(去节) 陈皮(去白) 乌药各一钱 枳壳(去穣,麸炒二两) 炙甘草 白芷 桔
梗(各一两) 川芎(洗去土) 白僵蚕(炒) 干姜(炒黑,半两)
中风,遍身麻痹,语言謇涩,口眼 斜,喉中气急有痰者,此方主之。
遍身麻痹,表气不顺也,故治以麻黄、川芎;语言謇涩,里气不顺也,故治以乌药、陈
、枳;口眼 斜,面部之气不顺也,故治以白芷、僵蚕;喉中气急,甘草可缓;肺气上逆,
桔梗可下;痰之为物,塞则结滞,热则流行,佐以干姜,行其滞也。此治标之剂也,然必邪
实初
朱丹溪说:半身不遂(肢体一侧瘫痪),发生在身体右侧的,属于气虚证,用这个方子主治。
《内经》说:左右两侧,是阴阳之气运行的道路。所以左侧属血,右侧属气。对于气虚的病证,应当用甘味药来补益,所以用人参、白术、茯苓、甘草这四味药。这四味药被称为“君子”,是因为它们性味甘平,具有冲和温和的德行,而没有攻伐损伤的性质。加入竹沥,是因为它能通行痰浊;加入姜汁,是为了防止竹沥滋腻滞涩,从而共同完成祛除痰浊的功效。
当归(用酒清洗)、川芎(清洗去泥土)、白芍药(用酒炒制)、熟地黄、桃仁(去皮和尖端)、红花(用酒清洗)、竹沥。
朱丹溪说:半身不遂,发生在身体左侧的,属于瘀血证,用这个方子主治。
川芎、当归、白芍药、熟地黄,是生血的药物,新血生成后,瘀血就会变得滑利而容易去除;桃仁、红花,是消除瘀血的药物,瘀血去除后,新血就会变得清纯而容易生成。然而也加入竹沥、姜汁的原因,是因为痰这种病理产物,无处不到,不分左右两侧都会造成危害。
白术(炒制)、白茯苓、青皮(去掉橘络,炒制)、白芷、陈皮(去掉白色内层)、台乌药、人参(各一钱)。
人参、白术、茯苓、甘草,这是四君子汤(补气基础方)。《内经》说:邪气聚集的地方,正气必然虚弱,所以用四君子汤来补气。
治疗痰浊的方法,以顺理气机为先,所以用青皮、白芷、台乌药、陈皮来顺气,气机顺畅则痰浊运行,就不会有壅塞的祸患了。这是标本兼治的治疗方法。
麻黄(去掉节)、陈皮(去掉白色内层)、乌药各一钱、枳壳(去掉橘络,用麸皮炒制二两)、炙甘草、白芷、桔梗(各一两)、川芎(清洗去泥土)、白僵蚕(炒制)、干姜(炒黑,半两)。
中风病,全身麻痹,语言謇涩(说话不清),口眼歪斜,喉中气息急促且有痰的患者,用这个方子主治。
全身麻痹,是表气不顺,所以用麻黄、川芎来治疗;语言謇涩,是里气不顺,所以用乌药、陈皮、枳壳来治疗;口眼歪斜,是面部气机不顺,所以用白芷、白僵蚕来治疗;喉中气息急促,甘草可以缓解;肺气上逆,桔梗可以降气;痰浊这种病理产物,停滞则结聚阻滞,受热则流动流行,辅以干姜,以行其滞涩。这是治标的方剂,但必须是在邪气实盛的初期……
Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Bamboo Sap (Zhuli), Ginger Juice (Jiangzhi).
Zhu Danxi stated: Hemiplegia (paralysis of one side of the body) occurring on the right side belongs to Qi deficiency; this formula is used to treat it.
The *Classic of Internal Medicine* (*Huangdi Neijing*) states: The left and right sides are the pathways of Yin and Yang Qi. Therefore, the left pertains to Blood, and the right pertains to Qi. For conditions of Qi deficiency, they should be tonified with sweet substances; thus, Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao) are used. These four herbs are referred to as "Junzi" (Gentlemen) because their flavors are sweet and neutral, possessing a harmonious and mild virtue, without the nature of attacking or damaging healthy tissue. The addition of Bamboo Sap (Zhuli) is to promote the movement of Phlegm; the addition of Ginger Juice (Jiangzhi) is to prevent the stagnation caused by the cloying nature of Bamboo Sap, thereby jointly achieving the effect of dispelling Phlegm.
Angelicae Sinensis Radix (Danggui, washed with wine), Ligusticum Chuanxiong Rhizoma (Chuanxiong, washed to remove soil), Paeoniae Radix Alba (Baishaoyao, stir-fried with wine), Rehmanniae Radix Praeparata (Shudihuang), Persicae Semen (Taoren, skin and尖 removed), Carthami Flos (Honghua, washed with wine), Bamboo Sap (Zhuli).
Zhu Danxi stated: Hemiplegia occurring on the left side belongs to Blood stasis; this formula is used to treat it.
Ligusticum Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishaoyao), and Rehmanniae Radix Praeparata (Shudihuang) are herbs that generate Blood. When new Blood is generated, old Blood stasis becomes slippery and easy to eliminate; Persicae Semen (Taoren) and Carthami Flos (Honghua) are herbs that resolve Blood stasis. When Blood stasis is eliminated, new Blood becomes clear and easy to generate. However, the reason for also adding Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi) is that Phlegm, as a pathological product, can go anywhere, causing harm regardless of whether it is on the left or right side.
Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried), Poria (Fuling), Citri Reticulatae Pericarpium Viride (Qingpi, pith removed, stir-fried), Angelicae Dahuricae Radix (Baizhi), Citri Reticulatae Pericarpium (Chenpi, white pith removed), Linderae Radix (Tai Wuyao), Ginseng Radix (Renshen) (each 1 qian).
In Wind-Stroke (Zhongfeng), when Zheng Qi (Upright Qi) is deficient and Phlegm-Saliva is abundant and obstructing, this formula is suitable for treatment.
Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao) constitute Si Jun Zi Tang (Four Gentlemen Decoction). The *Classic of Internal Medicine* states: Where pathogenic factors gather, Zheng Qi must be deficient; therefore, Si Jun Zi Tang is used to tonify Qi.
In the treatment of Phlegm, regulating Qi is prioritized; thus, Citri Reticulatae Pericarpium Viride (Qingpi), Angelicae Dahuricae Radix (Baizhi), Linderae Radix (Tai Wuyao), and Citri Reticulatae Pericarpium (Chenpi) are used to smooth Qi. When Qi flows smoothly, Phlegm moves, preventing obstruction. This is a treatment method that addresses both the root cause and the symptoms.
Ephedrae Herba (Mahuang, nodes removed), Citri Reticulatae Pericarpium (Chenpi, white pith removed), Linderae Radix (Wuyao) each 1 qian, Aurantii Fructus (Zhiqiao, pith removed, stir-fried with bran) 2 liang, Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao), Angelicae Dahuricae Radix (Baizhi), Platycodonis Radix (Jiegeng) each 1 liang, Ligusticum Chuanxiong Rhizoma (Chuanxiong, washed to remove soil), Bombyx Batryticatus (Baijiangcan, stir-fried), Zingiberis Rhizoma Aridum (Ganjiang, stir-fried until black) 0.5 liang.
For Wind-Stroke presenting with numbness and paralysis all over the body, slurred speech, deviation of the mouth and eyes, and rapid breathing with phlegm in the throat, this formula is indicated.
Numbness and paralysis all over the body indicate disharmony of Exterior Qi; thus, Ephedrae Herba (Mahuang) and Ligusticum Chuanxiong Rhizoma (Chuanxiong) are used for treatment. Slurred speech indicates disharmony of Interior Qi; thus, Linderae Radix (Wuyao), Citri Reticulatae Pericarpium (Chenpi), and Aurantii Fructus (Zhiqiao) are used. Deviation of the mouth and eyes indicates disharmony of Qi in the facial region; thus, Angelicae Dahuricae Radix (Baizhi) and Bombyx Batryticatus (Baijiangcan) are used. Rapid breathing in the throat can be alleviated by Glycyrrhizae Radix et Rhizoma (Gancao); rebellious Lung Qi can be directed downward by Platycodonis Radix (Jiegeng). As for Phlegm, stagnation leads to accumulation and blockage, while heat promotes flow; Zingiberis Rhizoma Aridum (Ganjiang) is added as an assistant to move stagnation. This is a formula for treating the symptoms (biao), but it must be used when the pathogenic factor is excess and in the initial stage...