脉诀曰中风之脉迟浮者吉急实大数三魂孤又曰中风之脉阳浮而滑阴濡而弱或浮而滑或沉
而滑或微而虚或微而数寸口脉浮而紧寸口脉缓而迟皆中风脉也大抵浮迟者吉急疾者凶
一猝然奄忽不知人事昏愦僵仆牙关紧急者先宜用搐鼻通天散吹入鼻中候牙开灌以稀涎散
生姜汁或虾汁吐痰候其苏醒然后审其脉证的是中风者方以本门药治
一中风脉浮恶风寒拘急不仁或肢废不举治当汗宜用 小续命汤加减
一中风不可便用风药首先调气如用风药太早致引风入髓难于治理宜用 八味顺气散 乌
药顺气散 苏合香丸
一中腑外有六经之形证宜用 羌活愈风汤加减或小续命汤加减
一中脏内有便溺之阻滞宜用 三化汤 或疏风顺气丸
一外无六经之形证内无便溺之阻滞是血不能养筋故手足不能用舌强不能语宜养血筋自荣
矣所谓治风先治血血行风自减宜用 大秦艽汤 秦艽半夏汤
一痰涎壅盛口眼歪斜不能言语者宜吐用 瓜蒂散 三圣散
一左瘫右痪因气血虚而痰火流注于经络也若血虚则痰流注于左而为左瘫若气虚则痰流注
于右而为右痪治左宜养血兼以消痰降火治右宜补气兼以清痰化郁 养血宜四物汤为主 补气
宜
一中风不语因痰邪塞于心肺二经上入机关也宜用 资寿解语汤 或用竹沥汤加石菖蒲
一舌强不能转利言语不清舌本强硬或麻宜用 解语豁痰汤 转舌膏 正舌散
一人初觉手足指无故麻木或不仁或手足无力肌肉蠕动者三年内必有大风作经曰肌肉蠕动
命曰微风必须预先服药以防风患宜用 愈风汤 天麻丸 秦艽半夏汤 八风散
一口眼歪斜多因忿怒忧思郁折伤肝忽然而发不可便作风治先宜平肝理气用 牵正散合二
陈汤 或火麻丸 芎 散
一风痰病多是火热盛风本属阳热盛则风动不可多用热燥之药
一中风痰厥喉中作声状如拽锯速用鹅翎蘸桐油入喉中探吐如痰得出可治痰在咽中不吐者
难治 或用虾汁灌下亦可吐
一中风六脉沉伏体素虚弱及年高之人自利者宜用 三生饮 星香饮
一中风发热狂言妄走神昏恍惚健忘失志宜用 牛黄清心丸 或安神丸 辰砂散
一中风热甚口舌干燥扬手掷足语言错乱精神昏愦眼不识人宜用 清心汤 凉膈散 或人
参败毒散加减
一中风痰盛手足不遂语言不利骨节疼痛宜用涤痰汤
一大便不通肠胃虚涩宜用 四物汤合三化汤
一中风头目昏晕欲倒宜用 天麻汤 芎 汤
一中风手足瘫痪宜用 草灵丹 丸
一头目昏沉耳鸣鼻塞咽嗌不利宜用 消风散
一中风遍身顽麻四肢疼痛宜用 排风汤加秦艽
一肥白人患右肢不举是湿痰气虚宜用 二陈汤 合四君子汤加竹沥姜汁多服效
一黑瘦人患左肢废及妇人多是血虚有火宜用 二陈汤合四物汤加酒黄芩桃仁秦艽姜汁服
一中风痰遗尿者属气虚不能收缩膀胱宜补气用黄 人参兼清痰气之药
一中风病肢节肿痛名历节风宜用 羌活散 排风汤 虎骨酒 秦艽汤
一诸风瘾疹遍身瘙痒如虫行者宜用 胡麻散 清风散
一破伤风角弓反张昏 宜用 羌活防风汤 玉真散
一动止筋痛是无血滋筋名曰筋枯不治
《脉诀》中说：中风的脉象，迟而浮的预后良好；急、实、大、数这三种脉象主凶，预示魂魄离散。又说：中风的脉象，阳部（寸）浮而滑，阴部（尺）濡而弱；或者浮而滑，或者沉而滑，或者微而虚，或者微而数；寸口脉浮而紧，寸口脉缓而迟，这些都是中风的脉象。大体上，浮而迟的脉象预后良好，急而疾的脉象预后不良。
突然昏倒，不省人事，神志昏乱，身体僵硬仆倒，牙关紧闭的，首先应当使用搐鼻通天散吹入鼻中，等待牙关松开后，灌服稀涎散、生姜汁或虾汁以催吐痰涎，待其苏醒后，再仔细诊察脉证，确认为中风后，才用本门派的药物进行治疗。
中风脉象浮，伴有恶风怕冷、肢体拘急麻木，或者肢体废用不能抬举的，治疗应当发汗，宜用小续命汤加减。
中风不可立即使用祛风药，首先要调理气机。如果过早使用祛风药，会导致引风邪深入骨髓，难以治理，宜用八味顺气散、乌药顺气散、苏合香丸。
病邪在中腑，外部有六经的症状表现，宜用羌活愈风汤加减或小续命汤加减。
病邪在中脏，内部有大便小便不通的阻滞，宜用三化汤或疏风顺气丸。
外部没有六经的症状表现，内部也没有二便的阻滞，这是血不能滋养筋脉，导致手足不能使用，舌强不能言语，应当养血，筋脉自然得到荣养。所谓“治风先治血，血行风自减”，宜用大秦艽汤或秦艽半夏汤。
痰涎壅盛，口眼歪斜，不能言语的，宜用涌吐法，用瓜蒂散或三圣散。
左侧瘫痪右侧痿软，是因为气血虚弱，痰火流注于经络。如果血虚，则痰流注于左侧而为左瘫；如果气虚，则痰流注于右侧而为右痪。治疗左侧宜养血兼以消痰降火，治疗右侧宜补气兼以清痰化郁。养血以四物汤为主，补气以……（原文此处缺失方名，依文意推测为补气方剂，但根据规则不增添内容，故略去具体方名或保留语境中的“补气宜”后的空缺，此处译为“补气宜用……”或直接陈述原则，鉴于原文断句，补全为“补气宜用[方剂]”是不允许的，故仅翻译现有文字：“养血宜以四物汤为主，补气宜……” 实际上原文“补气宜”后换行接下一句，可能是排版错误或漏字，此处忠实翻译原文可见部分：“养血宜以四物汤为主，补气宜……” 为了通顺，结合中医常识及下文逻辑，通常补气用四君子等，但严格遵循不增添，故译为：“养血宜以四物汤为主，补气宜……” 注意：原文在“补气宜”后直接换行且无字，可能是“补气宜用四君子汤”之类漏印。此处按原文直译：“养血宜以四物汤为主，补气宜……” 考虑到输出流畅性，若必须完整句子，可译为“养血宜以四物汤为主，补气宜……” 留白处理。） *修正：重新审视原文，“补气宜”后紧接着是换行和“一中风不语...”，中间似乎缺了方名。但在古籍整理中，有时“补气宜”后可能隐含通用原则或漏字。此处严格按原文翻译，即“养血宜以四物汤为主，补气宜……”*
中风不语，是因为痰邪堵塞于心肺二经，向上侵入机关，宜用资寿解语汤，或用竹沥汤加石菖蒲。
舌强不能灵活转动，言语不清，舌根强硬或麻木的，宜用解语豁痰汤、转舌膏、正舌散。
人刚开始感觉手指无故麻木或不知痛痒，或者手足无力、肌肉跳动的，三年内必定会发作严重的风病。《内经》说：“肌肉跳动，称为微风。”必须预先服药以防风患，宜用愈风汤、天麻丸、秦艽半夏汤、八风散。
口眼歪斜多因愤怒、忧思、郁结损伤肝气，忽然发作，不可立即当作中风治疗，首先应当平肝理气，用牵正散合二陈汤，或火麻丸、芎䓖散。
风痰病多是火热旺盛所致，风本属阳，热盛则风动，不可多用热燥的药物。
中风痰厥，喉中发出声音像拉锯一样，速用鹅毛蘸桐油伸入喉中探吐，如果痰能吐出则可治，痰卡在咽喉中吐不出来的难治，或者用虾汁灌下也可以催吐。
中风六脉沉伏，体质素来虚弱以及年老之人出现自发性腹泻的，宜用三生饮或星香饮。
中风发热，胡言乱语，妄动奔跑，神志昏迷恍惚，健忘失志的，宜用牛黄清心丸，或安神丸、辰砂散。
中风热势很盛，口舌干燥，扬手掷足，语言错乱，精神昏乱，眼睛不认识人的，宜用清心汤、凉膈散，或人参败毒散加减。
肥胖的人患右侧肢体不能抬举，是湿痰和气虚所致，宜用二陈汤合四君子汤加竹沥、姜汁，多服有效。
黑瘦的人患左侧肢体废用，以及妇女患者，多是血虚有火，宜用二陈汤合四物汤加酒黄芩、桃仁、秦艽、姜汁服用。
中风痰盛遗尿的，属于气虚不能收缩膀胱，宜补气，用人参兼清化痰气的药物。
中风病肢节肿痛，名叫历节风，宜用羌活散、排风汤、虎骨酒、秦艽汤。
The Mai Jue (Pulse Classic) states: In stroke, a slow and floating pulse is auspicious; an urgent, solid, large, or rapid pulse indicates a dire prognosis, suggesting the dispersion of the soul. It also states: In stroke, the Yang position (Cun) is floating and slippery, while the Yin position (Chi) is soggy and weak; alternatively, it may be floating and slippery, deep and slippery, faint and deficient, or faint and rapid; Cun Kou pulse that is floating and tight, or Cun Kou pulse that is slow and delayed, are all strokes. Generally, a floating and slow pulse is auspicious, while an urgent and rapid pulse is inauspicious.
Sudden collapse with loss of consciousness, mental confusion, rigid body falling to the ground, and locked jaw: First, use Chubi Tongtian San (Nose-Insufflating Powder for Unblocking the Orifices) insufflated into the nose. Wait for the jaw to loosen, then administer Xixian San (Thin Saliva Powder), fresh ginger juice, or shrimp juice to induce vomiting of phlegm. Once the patient regains consciousness, carefully examine the pulse and symptoms. Only after confirming stroke should treatment with formulas from this school be administered.
For stroke with a floating pulse, aversion to wind and cold, limb stiffness and numbness, or limb paralysis and inability to move: Treatment requires inducing sweating. Use Xiao Xuming Tang (Minor Continuation of Life Decoction) with modifications.
In stroke, do not immediately use wind-dispelling herbs; first regulate Qi. Using wind-dispelling herbs too early may draw wind pathogens into the marrow, making treatment difficult. Use Bawei Shunqi San (Eight-Ingredient Qi-Regulating Powder), Wuyao Shunqi San (Tsaoko Cardamom Qi-Regulating Powder), or Suhexiang Wan (Styrax Pill).
When pathogenic factors affect the Fu organs, presenting exterior manifestations of the Six Channels: Use Qianghuo Yufeng Tang (Notopterygium Wind-Dispelling Decoction) with modifications, or Xiao Xuming Tang with modifications.
When pathogenic factors affect the Zang organs, presenting internal obstruction of bowel and bladder movements: Use Sanhua Tang (Three Transformations Decoction) or Shufeng Shunqi Wan (Wind-Regulating Qi-Flowing Pill).
When there are no exterior manifestations of the Six Channels and no internal obstruction of bowel and bladder movements, this is due to blood failing to nourish the sinews, resulting in inability to use the limbs and tongue stiffness causing speech difficulties. Nourish the blood, and the sinews will naturally become prosperous. As the saying goes, "To treat wind, first treat the blood; when blood flows, wind diminishes." Use Da Qinjiao Tang (Major Gentian Decoction) or Qinjiao Banxia Tang (Gentian and Pinellia Decoction).
For excessive phlegm-saliva, facial paralysis (mouth and eye deviation), and inability to speak: Use emesis therapy with Guiti San (Melon Seed Powder) or Sansheng San (Three Saints Powder).
Left hemiplegia and right flaccidity result from Qi and Blood deficiency with phlegm-fire flowing into the collaterals. If Blood is deficient, phlegm flows to the left causing left hemiplegia; if Qi is deficient, phlegm flows to the right causing right flaccidity. Treating the left side requires nourishing Blood combined with resolving phlegm and descending fire. Treating the right side requires tonifying Qi combined with clearing phlegm and resolving stagnation. For nourishing Blood, Siwu Tang (Four Substances Decoction) is primary. For tonifying Qi, [Formula missing in source text]...
Aphasia in stroke occurs because phlegm-pathogens block the Heart and Lung channels, ascending to obstruct the orifices. Use Zishou Jieyu Tang (Life-Prolonging Speech-Unblocking Decoction), or Zhuli Tang (Bamboo Sap Decoction) added with Shichangpu (Acorus Rhizome).
For tongue stiffness preventing flexible movement, unclear speech, rigid or numb tongue root: Use Jieyu Huotan Tang (Speech-Unblocking Phlegm-Resolving Decoction), Zhuanshe Gao (Tongue-Straightening Paste), or Zhengshe San (Tongue-Correcting Powder).
If a person initially feels unexplained numbness or insensitivity in the fingers, or weakness in limbs and muscle twitching, severe wind disease will likely occur within three years. The Classics state: "Muscle twitching is called mild wind." Medication must be taken in advance to prevent wind disasters. Use Yufeng Tang (Wind-Dispelling Decoction), Tianma Wan (Gastrodia Pill), Qinjiao Banxia Tang (Gentian and Pinellia Decoction), or Bafeng San (Eight Winds Powder).
Facial paralysis often results from anger, worry, thought, and depression injuring the Liver, occurring suddenly. Do not immediately treat as stroke. First, soothe the Liver and regulate Qi using Qianzheng San (Straightening Face Powder) combined with Erchen Tang (Two Aged Substances Decoction), or Huoma Wan (Hemp Seed Pill) or Xiong San (Ligusticum Powder).
Wind-phlegm diseases are mostly caused by excessive heat. Wind belongs to Yang; when heat is excessive, wind moves. Avoid using too many hot and drying herbs.
In stroke with phlegm-jue, where sounds like sawing are heard in the throat: Quickly use a goose feather dipped in tung oil to stimulate the throat and induce vomiting. If phlegm can be expelled, the condition is treatable; if phlegm is stuck in the throat and cannot be vomited, it is difficult to treat. Alternatively, administer shrimp juice to induce vomiting.
In stroke with six pulses being deep and hidden, in patients with inherent weakness or the elderly who experience spontaneous diarrhea: Use Sansheng Yin (Three Raw Infusion) or Xingxiang Yin (Aucklandia and Amber Infusion).
In stroke with fever, delirious speech, restlessness, coma,恍惚 (mental confusion), amnesia, and loss of willpower: Use Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill), or Anshen Wan (Spirit-Calming Pill) or Chensha San (Cinnabar Powder).
In stroke with severe heat, dry mouth and tongue, throwing hands and feet about, disordered speech, mental confusion, and inability to recognize people: Use Qingxin Tang (Clear Heart Decoction), Liangge San (Cooling Diaphragm Powder), or Renshen Baidu San (Ginseng Detoxification Powder) with modifications.
In stroke with excessive phlegm, limb paralysis, dysarthria, and joint pain: Use Ditang Tang (Phlegm-Scouring Decoction).
For constipation due to deficiency and dryness of the Stomach and Intestines: Use Siwu Tang (Four Substances Decoction) combined with Sanhua Tang (Three Transformations Decoction).
For stroke with dizziness and vertigo, feeling as if falling: Use Tianma Tang (Gastrodia Decoction) or Xiong Tang (Ligusticum Decoction).
For stroke with limb paralysis: Caoling Dan (Grass Spirit Elixir) pills.
For heavy head and eyes, tinnitus, nasal congestion, and throat discomfort: Use Xiaofeng San (Wind-Dispersing Powder).
For stroke with whole-body numbness and limb pain: Use Paifeng Tang (Wind-Expelling Decoction) added with Qinjiao (Gentian).
Obese individuals suffering from right-sided limb paralysis have damp-phlegm and Qi deficiency. Use Erchen Tang (Two Aged Substances Decoction) combined with Sijunzi Tang (Four Gentlemen Decoction) added with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). Take frequently for good effect.
Lean, dark-skinned individuals suffering from left-sided limb paralysis, as well as women, mostly have Blood deficiency with fire. Use Erchen Tang (Two Aged Substances Decoction) combined with Siwu Tang (Four Substances Decoction) added with Jiuhuangqin (Wine-Processed Scutellaria Root), Taoren (Peach Kernel), Qinjiao (Gentian), and Jiangzhi (Ginger Juice).
Stroke with excessive phlegm and urinary incontinence belongs to Qi deficiency failing to control the Bladder. Tonify Qi using Renshen (Ginseng) combined with herbs that clear phlegm and regulate Qi.
Joint swelling and pain in stroke is named Lijie Feng (Sequential Joint Wind). Use Qianghuo San (Notopterygium Powder), Paifeng Tang (Wind-Expelling Decoction), Hugu Jiu (Tiger Bone Wine), or Qinjiao Tang (Gentian Decoction).
For various wind-induced urticaria with whole-body itching like insects crawling: Use Huma San (Sesame Powder) or Qingfeng San (Clear Wind Powder).
For tetanus (broken wound wind) with opisthotonos and coma: Use Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction) or Yuzhen San (Jade Truth Powder).
Pain in sinews during movement is due to lack of Blood nourishing the sinews, named Jin Ku (Sinew Withering). This is untreatable.