黄 (蜜炙) 防风(去芦) 羌活 赤芍药(酒炒) 姜黄(炒) 当归(酒炒,各
二钱五分) 甘草(炙,五分)
中风,表虚,手足顽痹者,此方主之。
《内经》曰∶荣气虚则不仁,卫气虚则不用,故用黄 以实表气;然黄 与防风相畏,
用之者何?洁古云∶黄 得防风而功愈速,故并用之,欲其相畏而相使耳。羌活驱散风邪,
得当归不至燥血;姜黄能攻痹血,得赤芍足以和肝;复用甘草调之,取其味平也。
防风 川芎 当归 芍药(炒) 麻黄(去节) 大黄(蒸) 芒硝 连翘 薄荷 栀
子(炒
风热壅盛,表里三焦皆实者,此方主之。
防风、麻黄,解表药也,风热之在皮肤者,得之由汗而泄;荆芥、薄荷,清上药也,风
热之在巅顶者,得之由鼻而泄;大黄、芒硝,通利药也,风热之在肠胃者,得之由后而泄;
滑石、栀子,水道药也,风热之在决渎者,得之由溺而泄。风淫于膈,肺胃受邪,石膏、桔
梗,清肺胃也;而连翘、黄芩,又所以祛诸经之游火;风之为患,肝木主之,川芎、归、芍,
和肝血也,而甘草、白术,又所以和胃气而健脾。刘守真氏长于治火,此方之旨,详且悉哉!
防风(去芦) 秦艽(去芦) 油松节 虎胫骨(酥炙) 鳖甲(醋炙) 白术(各二
两,炒)
皮,姜炒,各三两) 苍耳
中风之久,语言謇涩,半身不遂,手足拘挛,不堪行步,痿痹不仁者,此方神良。
语言謇涩,风在舌本也;半身不遂,邪并于虚也;手足拘挛,风燥其筋也;不堪行步,
风燥而血不濡也;痿痹不仁,风而湿也。是方也,干茄根、苍耳子、羌活、秦艽、防风、松
节、萆 、蚕砂,可以去风,亦可以去湿,风去则謇涩、拘挛之证除,湿去则不遂、不仁之
患愈;当归、牛膝、杜仲、枸杞,所以养血,亦所以润燥,养血则手得血而能摄,足得血而
能步,润燥则筋得血而能舒矣。若虎骨者,用之以驱入骨之风;白术者,用之以致冲和之气,
风
黄(蜜炙) 防风(去芦) 羌活 赤芍药(酒炒) 姜黄(炒) 当归(酒炒,各二钱五分) 甘草(炙,五分)
对于中风、表虚、手足顽固性麻痹的患者,此方为主治方。
《内经》说:营气虚弱则感觉迟钝(不仁),卫气虚弱则运动障碍(不用),所以使用黄芪来充实体表之气;然而黄芪与防风存在“相畏”关系,为什么要一起使用呢?洁古(张元素)说:黄芪得到防风的帮助,功效更加迅速,所以两者并用,是想让它们既相互制约又相互促进。羌活驱散风邪,配合当归不至于燥伤血液;姜黄能攻逐痹阻之血,配合赤芍足以调和肝脏;再次使用甘草进行调和,是取其药性平和的特点。
防风 川芎 当归 芍药(炒) 麻黄(去节) 大黄(蒸) 芒硝 连翘 薄荷 栀子(炒)
对于风热壅盛,表里三焦皆实证的患者,此方为主治方。
防风、麻黄,是解表药,风热在皮肤层面的,服用后通过汗液排出;荆芥、薄荷,是清上焦药,风热在头顶部位的,服用后通过鼻腔排出;大黄、芒硝,是通利药,风热在肠胃部位的,服用后通过大便排出;滑石、栀子,是通水道药,风热在三焦决渎部位的,服用后通过小便排出。风邪淫溢于膈膜,肺胃受邪,石膏、桔梗,用于清泄肺胃;而连翘、黄芩,又是用来祛除各条经络中游走之火;风邪为患,由肝木所主,川芎、当归、芍药,用于调和肝血,而甘草、白术,又是用来调和胃气并健脾。刘守真氏擅长治疗火证,此方的宗旨,详细且周全啊!
防风(去芦) 秦艽(去芦) 油松节 虎胫骨(酥炙) 鳖甲(醋炙) 白术(各二两,炒)
[注:原文此处有缺漏或排版错误,“皮,姜炒,各三两) 苍耳”疑似指某药材如茄根等,依原文转录]
[注:原文末尾“风”字后内容缺失]
对于中风日久,言语蹇涩,半身不遂,手足拘挛,无法行走,痿软麻痹感觉丧失的患者,此方神效良验。
言语蹇涩,是因为风邪在舌根部位;半身不遂,是因为邪气并入虚处;手足拘挛,是因为风燥使筋脉干枯;无法行走,是因为风燥导致血液不能濡养;痿软麻痹感觉丧失,是因为风邪夹杂湿邪。此方中,干茄根、苍耳子、羌活、秦艽、防风、松节、萆薢、蚕砂,可以祛风,也可以祛湿,风邪去除则言语蹇涩、手足拘挛的症状消除,湿邪去除则半身不遂、感觉丧失的病患痊愈;当归、牛膝、杜仲、枸杞,是用来养血,也是用来润燥,养血则手得到血液滋养就能抓握,脚得到血液滋养就能行走,润燥则筋脉得到血液滋养就能舒展了。至于虎骨,用它来驱逐深入骨骼的风邪;白术,用它来带来冲和之气,风
Huangqi (Astragali Radix, honey-fried) Fangfeng (Saposhnikoviae Radix, de-rhizome removed) Qianghuo (Notopterygii Rhizoma et Radix) Chishao (Paeoniae Radix Rubra, wine-fried) Jianghuang (Curcumae Longae Rhizoma, stir-fried) Danggui (Angelicae Sinensis Radix, wine-fried, each 2.5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 qian)
For patients with stroke (Zhong Feng), exterior deficiency (Biao Xu), and stubborn numbness/paralysis of the hands and feet, this formula is indicated.
The *Neijing* states: "When Ying Qi (Nutritive Qi) is deficient, there is insensibility (Bu Ren); when Wei Qi (Defensive Qi) is deficient, there is immobility (Bu Yong). Therefore, Huangqi is used to solidify the exterior Qi." However, Huangqi and Fangfeng have a mutual inhibition relationship (Xiang Wei). Why are they used together? Jiegu (Zhang Yuansu) said: "Huangqi's efficacy becomes faster when combined with Fangfeng." Thus, they are used together to achieve both mutual inhibition and mutual enhancement (Xiang Shi). Qianghuo disperses wind pathogens; combined with Danggui, it avoids drying the blood. Jianghuang attacks bi-syndrome blood stasis; combined with Chishao, it sufficiently harmonizes the Liver. Gancao is added for harmonization due to its mild flavor.
Fangfeng (Saposhnikoviae Radix, de-rhizome removed) Chuanxiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix, stir-fried) Mahuang (Ephedrae Herba, nodes removed) Dahuang (Rhei Radix et Rhizoma, steamed) Mangxiao (Natrii Sulfas) Lianqiao (Forsythiae Fructus) Bohe (Menthae Haplocalycis Herba) Zhizi (Gardeniae Fructus, stir-fried)
For cases where Wind-Heat is congested and excessive, presenting as excess syndrome in the interior, exterior, and Triple Burner, this formula is indicated.
Fangfeng and Mahuang are exterior-releasing herbs; Wind-Heat residing in the skin is expelled through sweating. Jingjie (Schizonepetae Spica) and Bohe are upper-clearing herbs; Wind-Heat at the vertex is expelled through the nose. Dahuang and Mangxiao are purgative herbs; Wind-Heat in the intestines and stomach is expelled through defecation. Huashi (Talcum) and Zhizi are water-passage herbs; Wind-Heat in the Jue Du (San Jiao waterways) is expelled through urination. When Wind invades the diaphragm, affecting the Lung and Stomach, Shigao (Gypsum Fibrosum) and Jiegeng (Platycodonis Radix) clear the Lung and Stomach. Lianqiao and Huangqin (Scutellariae Radix) dispel wandering fire from various meridians. Since the Liver Wood governs Wind disorders, Chuanxiong, Danggui, and Shaoyao harmonize Liver Blood. Gancao and Baizhu (Atractylodis Macrocephalae Rhizoma) harmonize Stomach Qi and strengthen the Spleen. Liu Shouzhen was skilled in treating Fire; the principle of this formula is detailed and comprehensive!
Fangfeng (Saposhnikoviae Radix, de-rhizome removed) Qinjiao (Gentianae Macrophyllae Radix, de-rhizome removed) Yousongjie (Pinus Massoniana Node) Hujinggu (Pantheris Tigris Tibia, prepared with butter) Biejia (Testudinis et Rhynchophoris Carapax et Plastrum, vinegar-fried) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, each 2 liang)
[Note: Original text contains fragmented characters "Pi, ginger-fried, each 3 liang" Cang'er...]
[Note: Original text ends abruptly with "Wind"]
For chronic stroke manifesting as slurred speech (Jian Se), hemiplegia, contracture of hands and feet, inability to walk, flaccid paralysis, and insensibility, this formula is miraculous and effective.
Slurred speech indicates Wind at the root of the tongue; hemiplegia indicates pathogenic factors merging into deficiency areas; hand and foot contracture indicates Wind-Dryness desiccating the sinews; inability to walk indicates Wind-Dryness failing to nourish the blood; flaccid paralysis and insensibility indicate Wind combined with Dampness. In this formula, Ganqiegen (Solanum Khasianum Root), Cang'erzi (Xanthii Fructus), Qianghuo, Qinjiao, Fangfeng, Songjie, Bibo (Dioscoreae Hypoglaucae Rhizoma), and Cancha (Bombyx Batryticatus) can dispel Wind and Dampness. Dispelling Wind eliminates slurred speech and contracture; eliminating Dampness resolves hemiplegia and insensibility. Danggui, Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), and Gouqi (Lycii Fructus) nourish Blood and moisten Dryness. Nourishing Blood allows the hands to grasp and the feet to walk; moistening Dryness allows the sinews to relax. Tiger Bone (Hugu) is used to drive out Wind that has penetrated deep into the bones; Baizhu is used to generate Harmonious Qi, Wind...