白附子 白僵蚕 全蝎
(并生用,为末,每服酒调下二钱)
中风,口眼 斜,无他证者,此方主之。
艽、防之属,可以驱外来之风,而内生之风,非其治也;星、夏之辈,足以治湿土之痰
,而虚风之痰,非其治也。斯三物者,疗内主之风,治虚热之痰,得酒引之,能入经而正口
眼。又曰∶白附之辛,可使驱风;蚕、蝎之咸,可使软痰;辛中有热,可使从风;蚕、蝎有
毒,可使破结。医之用药,有用其热以攻热,用其毒以攻毒者,《大易》所谓同气相求,《内
经
牛胆南星(八钱) 木香(一钱)
中风,体肥痰盛,口不渴者,此方主之。
南星,燥痰之品也。曰体肥,曰痰盛,曰不渴,则宜燥也可知矣,故以南星主之。而必
入于牛胆者,制其燥也。佐以木香者,利痰气也。
防风(去芦) 半夏(姜制,各一钱) 全蝎(二钱) 胆南星 炙甘草 生白附 生
川乌
中风,口眼 僻,痰涎壅盛者,此方主之。
风涌其痰,干于面部,则口眼 僻;塞于胸中,则痰涎壅盛。是方也,防风、白附、全
蝎、川乌,可以活经络之风痰而正口眼;南星、半夏、甘草、木香,可以疗胸次之风痰而开
壅塞。方名曰省风者,省减其风之谓也。
蓖麻子一两 真冰片三分
共捣为膏。寒月加干姜、附子各一钱。
中风,口眼 僻在左,以此膏敷其右; 僻在右,以此膏敷其左。今日敷之,明日改正
,故曰改容。若以蜣螂、冰片敷之,或以 血、冰片敷之,皆良。盖此三物者,皆引风拔毒
之品也,佐以冰片,取其利气而善走窍;佐以姜、附,取其温热而利严寒,此惟冬月加之,
他时弗用也。
白附子、白僵蚕、全蝎
(均生用,研成细末,每次服用时,用酒调服二钱)
对于中风导致口眼歪斜,且没有其他兼证的患者,此方为主治方。
秦艽、防风这类药物,可以驱散外来的风邪,但对于体内产生的风邪,并非其治疗范围;南星、半夏这类药物,足以治疗湿土所生的痰浊,但对于虚风引起的痰浊,并非其治疗范围。这三味药,能治疗内生之风,治理虚热之痰,借助酒的引导作用,能够进入经络,纠正口眼歪斜。又说:白附子的辛味,可以驱散风邪;僵蚕、全蝎的咸味,可以使痰浊软化;辛味中带有热性,可以顺应风邪的特性(以热治风);僵蚕、全蝎有毒性,可以攻破结聚。医生用药,有用热药来攻治热病,用毒药来攻治毒邪的,这正是《易经》所说的“同气相求”,以及《内经》……
牛胆南星(八钱)、木香(一钱)
对于中风,身体肥胖、痰湿旺盛,且口不渴的患者,此方为主治方。
南星是燥湿化痰的药物。既然表现为身体肥胖、痰湿旺盛、口不渴,那么适宜使用燥湿之法,这是显而易见的,所以以南星作为主药。而必须加入牛胆汁,是为了制约南星的燥性。佐以木香,是为了疏通痰气。
防风(去芦头)、半夏(姜汁制,各一钱)、全蝎(二钱)、胆南星、炙甘草、生白附子、生川乌
对于中风,口眼歪斜,痰涎壅盛的患者,此方为主治方。
风邪鼓动痰浊,上干于面部,就会导致口眼歪斜;阻滞于胸中,就会导致痰涎壅盛。这个方剂中,防风、白附子、全蝎、川乌,可以疏通经络中的风痰,纠正口眼歪斜;南星、半夏、甘草、木香,可以治疗胸膈的风痰,开通壅塞。方剂命名为“省风”,意思是减少风邪的意思。
蓖麻子一两、真冰片三分
共同捣烂制成膏状。寒冷月份加干姜、附子各一钱。
中风导致口眼歪斜在左侧的,将此膏敷在右侧;歪斜在右侧的,将此膏敷在左侧。今天敷药,明天就能改正,所以称为“改容”。如果用屎壳郎、冰片敷贴,或者用狗血、冰片敷贴,也都很好。大概这三种药物,都是引风拔毒的药物,佐以冰片,取其通气并善于走窜孔窍的特性;佐以干姜、附子,取其温热性质以抵御严寒,这只有在冬季才加上,其他时候不使用。
Rhizoma Typhonii (Baifuzi), Bombyx Batryticatus (Baijiangcan), Scorpio (Quanxie)
(All used raw, ground into powder. For each dose, take 2 qian, mixed with wine.)
For stroke manifesting as deviation of the mouth and eye, without other accompanying symptoms, this formula is indicated.
Drugs such as Radix Gentianae Macrophyllae (Qiong) and Radix Saposhnikoviae (Fang) can expel exogenous wind, but they are not suitable for treating endogenous wind; Rhizoma Arisaematis cum Bile (Nanxing) and Rhizoma Pinelliae Preparatum (Xia) are sufficient for treating phlegm generated from damp-earth, but they are not suitable for treating phlegm caused by deficient wind. These three substances treat internal wind and resolve phlegm of deficient-heat. With wine as a guide, they can enter the collaterals and correct the deviation of the mouth and eye. It is also said: The pungency of Baifuzi can dispel wind; the saltiness of Jiangcan and Quanxie can soften phlegm; the heat within the pungency allows it to follow the nature of wind; the toxicity of Jiangcan and Quanxie allows it to break up accumulations. Physicians use medication by employing hot drugs to attack heat, or toxic drugs to attack toxicity. This corresponds to what the *Book of Changes* (*I Ching*) calls "seeking resonance through similar qi" (Tongqi Xiangqiu), and the *Inner Canon*...
Ox Gallstone Processed Rhizoma Arisaematis (Niudan Nanting) (8 qian), Costus Root (Muxiang) (1 qian)
For stroke manifesting in obese individuals with abundant phlegm and no thirst, this formula is indicated.
Nanting is a drug that dries phlegm. Given the manifestations of obesity, abundant phlegm, and absence of thirst, the suitability of drying therapy is evident; thus, Nanting serves as the principal herb. The addition of ox gall is necessary to moderate its drying property. Muxiang is added as an assistant to promote the movement of phlegm-qi.
Saposhnikoviae Radix (Fangfeng) (deprived of radix tip), Pinelliae Rhizoma Preparatum (Banxia) (processed with ginger juice, 1 qian each), Scorpio (Quanxie) (2 qian), Ox Gallstone Processed Rhizoma Arisaematis (Dannanxing), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhigancao), Raw Rhizoma Typhonii (Sheng Baifu), Raw Aconiti Lateralis Radix Praeparata (Sheng Chuanwu)
For stroke manifesting as deviation of the mouth and eye with copious salivary phlegm, this formula is indicated.
Wind agitates phlegm, affecting the facial region, leading to deviation of the mouth and eye; obstructing the chest, it leads to copious salivary phlegm. In this formula, Fangfeng, Baifu, Quanxie, and Chuanwu can activate wind-phlegm in the collaterals and correct the deviation of the mouth and eye; Dannanxing, Banxia, Gancao, and Muxiang can treat wind-phlegm in the chest and open obstructions. The formula is named "Shengfeng," meaning to reduce or diminish wind.
Cannabis Fructus (Bimazi) (1 liang), Borneolum Syntheticum (Zhen Bingpian) (3 fen)
Pound together to make a paste. In cold months, add dried ginger (Ganjiang) and prepared aconite root (Fuzi), 1 qian each.
For stroke causing deviation of the mouth and eye to the left, apply this paste to the right side; if deviated to the right, apply to the left side. Applying it today corrects it tomorrow, hence the name "Gaorong" (Changing Appearance). Using dung beetles (Qiángláng) and borneol, or dog blood and borneol for application, are also effective. These three substances are all agents that draw out wind and extract toxins. Borneol is added for its ability to benefit qi and penetrate orifices readily; dried ginger and aconite are added for their warming properties to counter severe cold. These additions are only used in winter, not at other times.