（《金匮》）
治中风四肢烦重，心中恶寒不足者（四肢烦重，风中经络，热而挟湿也；心中恶寒，阳
虚也）。《外台》用治风癫。
菊花（四十分） 防风 白术（十分） 桔梗（八分） 人参 茯苓 当归 川芎 干
姜桂
服四十日
此手太阴、少阴、足厥阴药也。菊花秋生，得金水之精，能制火而平木，木平则风息，
火降
以清
收，又能化顽痰，加酒服者，以行药势也（喻嘉言曰∶治风而驱风补虚，谁不能之，至驱补
之中而行堵截之法，则非思议可到。方用矾石以固涩诸药，使积而不散，以渐填其空窍，则
旧风尽去，新风不受矣；盖矾性得冷则止，得热则行，故又嘱以宜冷食也。中风入脏，最防
风邪乘虚进入心中，故以菊花为君，仲景制方，匠心独创，乃中风证首引此散，岂非深服其
长乎，
附∶《金匮》风引汤∶大黄 干姜 龙骨（各四两） 桂枝（三两） 甘草 牡蛎（各
二两） 滑石 石膏 寒水石 赤石脂 白石脂 紫石英（各六两）。杵筛，取三指撮，煮
三沸，温服。治大人风引瘫痪，小儿惊痫螈 ，日数十发。巢氏用治香港脚（按黑散，风引二
汤，喻氏以为仲景圣方，而程云来《金匮直解》又云∶侯氏黑散、风引汤、防己地黄汤、头
风摩膏、矾石汤，所主皆非中风历节之证，是宋人校正附入唐人之方，遂尽删之。又云∶仲
景方书之祖，复取侯氏方为法耶，愚谓∶仲景多方，岂无祖述，而必创自一人之手乎；方若
果佳，虽出自唐宋，其可删邪；但瘫痪必气血不足之人，风引汤用大黄为君、又石药居其大
半，独不曰石药之气悍乎；喻氏虽深赞之，亦未知其果尝以此治风而获实验乎；抑亦门外之
揣摩云尔也。若黑散之君菊花，又加气血解表除痰之药，视此亦不同矣。昂按∶中风为危笃
之证，古方佳者颇少，兹录
（出自《金匮要略》）
治疗中风导致四肢烦闷沉重，心中感觉寒冷且不足的症状（四肢烦重，是因为风邪中于经络，热邪夹杂湿气所致；心中恶寒，是因为阳气虚弱）。《外台秘要》用此方治疗风癫。
菊花（四十分） 防风 白术（十分） 桔梗（八分） 人参 茯苓 当归 川芎 干姜 桂枝
服用四十日
此方是手太阴肺经、手少阴心经、足厥阴肝经的药物组成。菊花在秋季生长，汲取了金和水的精华，能够制约火气而平抑肝木，肝木平和则风息止，火气下降从而收敛，又能化解顽固的痰浊，加酒送服是为了运行药势。（喻嘉言说：治疗风病而驱风补虚，谁不能做到？但在驱风和补虚之中运用“堵截”的方法，就不是普通思虑所能达到的。方中使用矾石来固涩其他药物，使药力积聚而不散失，逐渐填补空窍，那么旧有的风邪尽去，新的风邪也无法侵入；因为矾石的性质遇冷则停止作用，遇热则运行，所以又嘱咐应当冷服。中风邪气入脏，最担心风邪乘虚进入心中，所以以菊花为君药，张仲景制定方剂，匠心独运，这是中风证候首先引用此散，难道不是深深佩服它的长处吗？）
附注：《金匮要略》中的风引汤：大黄、干姜、龙骨（各四两）、桂枝（三两）、甘草、牡蛎（各二两）、滑石、石膏、寒水石、赤石脂、白石脂、紫石英（各六两）。捣碎过筛，取三指撮的量，煮三沸，温服。治疗成人风引瘫痪，小儿惊痫抽搐，每天发作数十次。巢元方用它治疗香港脚（按：黑散和风引汤这两首方剂，喻氏认为是张仲景的圣方，而程云来在《金匮直解》中又说：侯氏黑散、风引汤、防己地黄汤、头风摩膏、矾石汤，所主治的都不是中风历节的证候，这是宋代人校正时附入唐代人的方子，于是全部删去了。又说：张仲景是方书之祖，难道还要取侯氏方的方法作为法则吗？我认为：张仲景的方子众多，难道没有继承前人的地方，而必须全部独创于一人之手吗？方子如果确实好，即使出自唐宋时期，可以删除吗？但是瘫痪必定是气血不足的人，风引汤以大黄为君药，又是石药占据大半，难道不说石药之气悍烈吗？喻氏虽然深深称赞它，也不知道他是否真的曾用此方治疗风病并获得实效呢？还是只是门外汉的揣摩罢了。至于黑散以菊花为君药，又加入了解表除痰的气血药物，与此方也不同了。汪昂按：中风是危重的证候，古方中好的很少，这里记录……
(From *Jin Gui Yao Lue*)
Treats stroke (Zhong Feng) characterized by vexatious heaviness in the four limbs and a sensation of coldness and deficiency in the heart/mind (Vexatious heaviness in the four limbs is due to wind pathogen invading the meridians, with heat accompanying dampness; coldness in the heart/mind is due to Yang deficiency). *Wai Tai Mi Yao* uses it to treat wind-induced epilepsy.
Chrysanthemi Flos (40 fen) Fangfeng Baizhu (10 fen) Jiegeng Renshen Fuling Danggui Chuanxiong Ganjiang Guizhi
Take for forty days.
This formula consists of herbs belonging to the Hand-Taiyin Lung Meridian, Hand-Shaoyin Heart Meridian, and Foot-Jueyin Liver Meridian. Chrysanthemum grows in autumn, absorbing the essence of Metal and Water, capable of restraining Fire and pacifying Wood; when Wood is pacified, Wind subsides, and Fire descends to gather/converge, also resolving stubborn Phlegm. Administering with wine serves to promote the movement of medicinal potency. (Yu Jiayan stated: Treating Wind by expelling Wind and tonifying Deficiency, who cannot do this? However, employing the method of "blocking and intercepting" within the processes of expelling and tonifying is beyond ordinary speculation. The formula uses Mingfan Shi (Alumen) to astringe the other herbs, causing them to accumulate without dispersing, gradually filling the empty orifices, so that old Wind is completely eliminated and new Wind cannot enter; because Alumen's nature stops when cold and moves when hot, it is further instructed to be taken cold. When Wind-Stroke pathogens enter the Zang organs, one must most fear Wind-Cold taking advantage of deficiency to enter the Heart. Therefore, Chrysanthemum is used as the Sovereign herb. Zhang Zhongjing’s formulation demonstrates unique craftsmanship; citing this powder first for Stroke syndromes indicates deep appreciation for its merits.)
Appendix: *Feng Yin Tang* from *Jin Gui Yao Lue*: Dahuang Ganjiang Longgu (each 4 liang), Guizhi (3 liang), Gancao Muli (each 2 liang), Huashi Shigao Hanshuishi Chishizhi Baishizhi Zi Shiyu (each 6 liang). Pound and sieve, take an amount held between three fingers, boil for three boils, and take warm. Treats adult Wind-Stroke paralysis, pediatric convulsions and spasms, occurring dozens of times daily. Chao Yuanfang used it to treat Hong Kong Foot (Note: Regarding Hei San and Feng Yin Tang, Yu believed them to be Zhang Zhongjing’s sacred formulas, whereas Cheng Yunlai in *Jin Gui Zhi Jie* stated that Hou Shi Hei San, Feng Yin Tang, Fangji Dihuang Tang, Tou Feng Mo Gao, and Fanshi Tang do not treat Stroke or Bi-Syndrome of joints; these were added by Song dynasty correctors as Tang dynasty formulas and thus deleted. He also asked if Zhang Zhongjing, the ancestor of formulas, would adopt Hou Shi’s method. I argue: Zhang Zhongjing had many formulas; did they not inherit from predecessors, nor originate solely from one person? If a formula is good, even if from Tang or Song, can it be deleted? However, paralysis necessarily involves Qi and Blood deficiency. Feng Yin Tang uses Dahuang as Sovereign and contains mostly mineral drugs; does one not consider the fierce nature of mineral drugs? Although Yu praised it deeply, did he truly use it to treat Wind with experimental success, or was it merely speculation by an outsider? As for Hei San, using Chrysanthemum as Sovereign and adding Qi-Blood regulating, exterior-releasing, and Phlegm-resolving herbs makes it different from this one. Ang notes: Stroke is a critical syndrome; few ancient formulas are excellent. Here recorded...)