（《直指方》）
治中风口眼 斜，无他证者（足阳明之脉，夹口环唇；足太阳之脉，起于目内 ；阳明
内蓄痰热，太阳外中于风，故牵急而 斜也。又曰∶木不及则金化缩短乘之，木为金乘，则
土寡于
白附子 僵蚕 全蝎（等分。为末。）每二钱，酒调服。
此足阳明、厥阴药也。吴鹤皋曰∶艽防之属，可以驱外风，而内生之风非其治也（肝有
热则自生风，与外感之风不同）；星夏之属，可以除湿痰，而风虚之痰非其治也。三药疗内
生之风，治虚热之痰，得酒引之，能入经而正口眼。又曰∶白附辛可祛风（白附去头面之游
风），蚕蝎咸能软痰（僵蚕清化轻浮，能上走头面，驱风散痰；全蝎直走厥阴，为治风要药，
辛中有热凡药辛者必热），可使从风、蚕蝎有毒，可使破结。药有用热以攻热，用毒以攻毒
者，《大易》所
附∶改容膏∶蓖麻子（一两） 冰片（三分。）共捣为膏。寒月加干姜、附子（各一钱）。
左
（节庵）
治刚柔二痉，面赤项强，头摇口噤。角弓反张，与螈 （音炽纵）同法（痉者，太阳中
风重感
风挟寒则
伸缩不已为
羌活 防风 白芷 柴胡 甘草 黄芩 半夏 川芎 芍药 当归 乌药。加姜煎。入
姜汁、竹沥服。柔痉加白术、桂枝；刚痉加苍术、麻黄；口噤、切牙、大便实，加大黄。
此足太阳、厥阴药也。羌、防、芎、芷、柴胡、甘草辛甘以发散风邪；用乌药者，治风
须顺气也；用归芍者，治风先活血也；用半夏、竹沥、姜汁者，风必挟痰也；用黄芩者，风
必生
阳明
（出自《直指方》）
治疗中风导致口眼歪斜，且没有其他症状的患者。（足阳明胃经的经脉，夹持口部环绕嘴唇；足太阳膀胱经的经脉，起于目内眦。阳明经内部蓄积痰热，太阳经受外风侵袭，所以牵引拘急而导致口眼歪斜。又说：木气不足则金气化生缩短来乘袭它，木被金所乘，则土气缺乏白色的保护。）
白附子、僵蚕、全蝎（各等分）。研成细末。每次取二钱，用酒调服。
这是作用于足阳明经和足厥阴肝经的药物。吴鹤皋说：秦艽、防风这类药物，可以驱散外来的风邪，但内生之风不是它们的治疗对象（肝脏有热就会自生风，这与外感的风不同）；南星、半夏这类药物，可以祛除湿痰，但风虚之痰不是它们的治疗对象。这三味药能治疗内生的风，治疗虚热产生的痰，借助酒的引导，能够进入经络而纠正口眼歪斜。又说：白附子辛温可祛风（白附子能去除头面部的游风），僵蚕和全蝎咸味能软化痰结（僵蚕性质清化轻浮，能上行至头面部，驱散风邪化痰；全蝎直走厥阴经，是治疗风证的要药，辛味中带有热性，凡是有辛味的药必然带热），可以使风邪消散、僵蚕和全蝎有毒性，可以破除痰结。用药有用热药来攻治热证，用毒药来攻治毒证的，《大易》（易经）中所论述的道理……
附方：改容膏：蓖麻子（一两）、冰片（三分）。共同捣烂制成膏状。寒冷月份加入干姜、附子（各一钱）。
左侧……
（节庵方）
治疗刚痉和柔痉，表现为面色红赤、项背强直、头部摇动、牙关紧闭。身体角弓反张，治疗方法与抽搐（音炽，指纵缓或痉挛）相同（痉病，是太阳经受中风后又重感……风挟带寒邪则……伸缩不已为……）。
羌活、防风、白芷、柴胡、甘草、黄芩、半夏、川芎、芍药、当归、乌药。加入生姜煎煮。服用时调入姜汁、竹沥。柔痉加白术、桂枝；刚痉加苍术、麻黄；若出现牙关紧闭、磨牙、大便干实，加大黄。
这是作用于足太阳经和足厥阴肝经的药物。羌活、防风、川芎、白芷、柴胡、甘草，辛甘合用以发散风邪；使用乌药，是因为治疗风证必须顺调气机；使用当归、芍药，是因为治疗风证必须先活血；使用半夏、竹沥、姜汁，是因为风邪必定挟带痰浊；使用黄芩，是因为风邪必定生……阳明……
(From *Zhizhi Fang*)
Treats facial paralysis (facial deviation) caused by wind-stroke, where there are no other symptoms. (The Foot-Yangming Stomach meridian runs alongside the mouth and encircles the lips; the Foot-Taiyang Bladder meridian originates at the inner canthus of the eye. When Phlegm-Heat accumulates internally in the Yangming, and Wind invades externally from the Taiyang, it causes traction and tension leading to deviation. It is also said: When Wood energy is insufficient, Metal transformation shortens and attacks it. When Wood is attacked by Metal, Earth lacks its protective white aspect.)
Baifuzi (Typhonii Rhizoma), Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio) (in equal parts). Grind into a fine powder. Take 2 qian each time, mixed with wine.
These are herbs acting on the Foot-Yangming and Foot-Jueyin meridians. Wu Hegao stated: Herbs such as Qiongji (Qiongzhu Ye) and Fangfeng (Saposhnikoviae Radix) can expel external Wind, but they do not treat internally generated Wind (when the Liver has Heat, it generates Wind internally, which differs from externally contracted Wind); Xingren (Banxia) and Banxia (Pinelliae Rhizoma) can resolve Damp-Phlegm, but they do not treat Phlegm due to Wind deficiency. These three herbs treat internally generated Wind and Phlegm arising from Deficient-Heat. With the guidance of wine, they can enter the meridians and correct the deviation of the mouth and eyes. It is further stated: Baifuzi's acridity dispels Wind (Baifuzi removes wandering Wind from the head and face); Jiangcan and Quanxie's salty flavor softens Phlegm (Jiangcan clears and transforms light floating pathogens, ascending to the head and face to disperse Wind and resolve Phlegm; Quanxie directly enters the Jueyin meridian and is an essential herb for treating Wind disorders; acrid herbs possess heat, so all acrid herbs are inherently hot). This allows the dispersal of Wind. Although Jiangcan and Quanxie are toxic, their toxicity can be used to break up nodules. The use of hot herbs to attack heat, or toxic herbs to attack toxicity, aligns with the principles discussed in the *Da Yi* (I Ching)...
Supplementary Prescription: Gairong Gao (Makeup Changing Ointment): Bimazi (Ricini Semen, 1 liang), Bingpian (Borneolum Syntheticum, 3 fen). Pound together into an ointment. In cold months, add Ganjiang (Zingiberis Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata, 1 qian each).
Left side...
(Jie'an's Formula)
Treats Gang-Jing (Stiff Spasm) and Rou-Jing (Flaccid Spasm), presenting with red face, neck stiffness, head tremors, and trismus (lockjaw). Opisthotonos (arching back like a bow), treated similarly to convulsions (Chizhi, referring to spasms). Jing disease occurs when Taiyang is affected by Wind and then re-infected by... Wind combined with Cold causes... continuous contraction and extension.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Wuyao (Linderae Radix). Decoct with fresh ginger. Administer with Ginger Juice (Jiangzhi) and Bamboo Sap (Zhuli). For Rou-Jing, add Baizhu (Atractylodis Macrocephalae Rhizoma) and Guizhi (Cinnamomi Ramulus); for Gang-Jing, add Cangzhu (Atractylodis Rhizoma) and Mahuang (Ephedrae Herba); if trismus, teeth grinding, and constipation are present, add Dahuang (Rhei Radix et Rhizoma).
These are herbs acting on the Foot-Taiyang and Foot-Jueyin meridians. Qianghuo, Fangfeng, Chuanxiong, Baizhi, Chaihu, and Gancao, being acrid and sweet, disperse Wind-Evil; Wuyao is used because treating Wind requires regulating Qi; Danggui and Shaoyao are used because treating Wind requires invigorating Blood first; Banxia, Zhuli, and Jiangzhi are used because Wind inevitably carries Phlegm; Huangqin is used because Wind inevitably generates... Yangming...