治中风半身不遂，口眼 斜（半身不遂，偏枯也。经曰∶胃脉沉鼓涩，胃外鼓大，心脉
小坚急，皆属偏枯，男子发左，女子发右，不喑舌转可治。盖心是神机开发之本，胃是水谷
充大之标，标本相得，则膻中、气海之宗气盈溢，分布四脏三焦，上下中外无不周偏；若标
本相失，宗气虚耗，分布不周于经脉则偏枯，不周于五脏则喑。口眼 斜者，足阳明之脉夹
口环唇，寒则筋急，热则筋弛，左寒右热，则左急而右缓，右寒左热，则右急而左缓。阳明
燥金主
《元
毒，
白术（二钱） 乌药（钱半） 人参 天麻（五分） 白芷 苏叶 木瓜 青皮 甘草
（炙）
此足厥阴、阳明药也。邪之所凑，其气必虚，偏枯 僻，或左或右，盖血脉不周，而气
不匀
行之、补之而气匀矣，气匀则风顺矣；用木瓜者，能于土中泻木，调荣卫而伸筋也（戴复庵
曰∶治风之法，初得之即当顺气，及其久也即当活血。若不顺气，遽用乌附，若不活血，遽
用羌防
（张咏）
治中风 僻，语言謇涩，肢缓骨痛；及风痹走痛；或十指麻木；肝肾风气风湿诸疮（
斜语涩，风中于经也；肢缓骨痛，风而兼湿也；风痹肿痛，湿热流注也，世俗谓之流火，即
《内经
草。以五月五日、七月七日、九月九日采者佳。不拘多少，拣去粗茎，留枝、叶、
花、实，酒拌蒸晒九次，蜜丸 辛苦气寒，其味 臭，必蒸晒九次，加以酒蜜，则苦寒之
阴浊
此足少阴、厥阴药也。 能祛风散湿，行大肠之气，加以酒蒸蜜丸，气味清和，故能
补肝润肾，益气强筋（湿去则筋强）。然风药终燥，若风痹由于脾肾两虚，阴血不足，不由
风湿而得者，亦忌服之（唐成讷有进 表，宋张咏进 表云∶其草金棱银线，素茎紫 ，
节叶相对，颇类苍耳，臣吃百服，即至千服，须发乌黑，筋力轻捷，效验多端。昂按∶此药
不但搜风
【方剂】顺风匀气散（丸）
治疗中风导致的半身不遂、口眼歪斜。所谓半身不遂，即偏枯。《黄帝内经》记载：胃脉沉取鼓指而涩，或外取鼓指而大，心脉小且坚急，这些脉象都归属于偏枯。男子发病多在左侧，女子发病多在右侧；如果患者没有失语（喑），且舌体转动灵活，则属于可治之症。这是因为心是神机开发的本源，胃是水谷精微充养身体的标末，本与标相协调，那么膻中穴和气海穴所汇聚的宗气就会充盈溢满，分布到四脏和三焦，上下内外无不周全；如果本与标失调，宗气虚弱耗损，分布不能周遍于经脉就会导致偏枯，不能周遍于五脏就会导致失语。口眼歪斜的原因在于足阳明胃经的脉络夹持口角环绕嘴唇，受寒则筋脉拘急，受热则筋脉弛缓。左寒右热，则左侧筋急右侧筋缓；右寒左热，则右侧筋急左侧筋缓。足阳明燥金主……（原文此处有缺漏/乱码）。
【组成】白术（二钱）、乌药（一钱半）、人参、天麻（五分）、白芷、苏叶、木瓜、青皮、甘草（炙）。
这是调理足厥阴肝经和足阳明胃经的药物。邪气聚集之处，正气必然虚弱。偏枯歪斜，无论发生在左侧还是右侧，都是因为血脉运行不周，而气机运行不均匀。通过行气和补气使气机均匀，气机均匀则风邪自息；使用木瓜，是因为它能于土中泻木，调和营卫并舒展筋脉。（戴复庵说：治疗风病的方法，初得病时应当顺气，等到病久之后应当活血。如果不顺气，就急于使用乌头、附子；如果不活血，就急于使用羌活、防风……）
【医家张咏方】治疗中风引起的身体歪斜、语言謇涩、肢体松弛骨痛；以及风痹游走性疼痛；或者十指麻木；肝肾风气及风湿引起的各种疮疡。
口眼歪斜、言语不利，是风邪中于经脉所致；肢体松弛骨痛，是风邪兼夹湿邪所致；风痹肿痛，是湿热流注所致，世俗称之为“流火”，即……（原文此处有缺漏/乱码）。
【药材描述】草。以五月五日、七月七日、九月九日采集的为佳。不拘数量，拣去粗茎，保留枝、叶、花、实，用酒拌后蒸晒九次，制成蜜丸。其味辛苦，气寒，气味臭秽，必须蒸晒九次，加上酒和蜜，则苦寒的阴浊之气得以化解……
这是调理足少阴肾经和足厥阴肝经的药物。该药能祛风散湿，行大肠之气，加上酒蒸蜜丸，气味清和，所以能补肝润肾，益气强筋（湿气去除则筋力强健）。然而风药终归干燥，如果风痹是由于脾肾两虚，阴血不足，并非由风湿引起者，也忌服此药。（唐成讷曾上表进献，宋代张咏也曾上表进献云：这种草药金棱银线，素茎紫……节叶相对，颇像苍耳，臣服用百次乃至千次，须发变得乌黑，筋骨轻捷，效验多方面。汪昂按：此药不但搜风……）
[Formula] Shunfeng Yunqi San (Pill)
Indicated for hemiplegia and deviation of the mouth and eyes caused by wind-stroke. Hemiplegia is also known as pianku (hemiplegic paralysis). The *Huangdi Neijing* states: If the stomach pulse is deep, forceful yet choppy, or superficially forceful and large; and if the heart pulse is small, firm, and rapid, these pulse patterns all belong to pianku. In men, onset often occurs on the left side; in women, on the right side. If the patient does not suffer from aphasia (yin) and the tongue moves flexibly, the condition is treatable. This is because the Heart is the root of the development of Shen-ji (spiritual mechanism), and the Stomach is the branch/source of nourishment from food and fluids. When root and branch are harmonious, the Zongqi (Gathering Qi) gathered at the Danzhong (Conception Vessel 17) and Qihai (Conception Vessel 6) acupoints will be abundant and overflow, distributing to the four zang organs and the Triple Burner, ensuring comprehensive coverage throughout the upper, lower, interior, and exterior. If root and branch are discordant, Zongqi becomes deficient and depleted. If its distribution fails to reach the meridians comprehensively, it results in pianku; if it fails to reach the five zang organs comprehensively, it results in aphasia. Deviation of the mouth and eyes occurs because the Foot-Yangming Stomach Meridian passes alongside the mouth and circles the lips. Cold causes tendon tension (spasm), while heat causes tendon flaccidity. Left-sided cold and right-sided heat result in left-sided tension and right-sided flaccidity; right-sided cold and left-sided heat result in right-sided tension and left-sided flaccidity. The Foot-Yangming Dryness-Metal governs... [text missing/corrupted].
[Composition] Baizhu (Atractylodis Rhizoma, 2 qian), Wuyao (Linderae Radix, 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Tianma (Gastrodiae Rhizoma, 0.5 qian), Baizhi (Angelicae Dahuricae Radix), Suye (Perillae Folium), Mugua (Chaenomelis Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Licorice Root, honey-fried).
This formula targets the Foot-Jueyin Liver Meridian and Foot-Yangming Stomach Meridian. Where evil qi gathers, righteous qi must be deficient. Pianku and physical deviation, whether on the left or right, occur because blood vessels do not circulate uniformly, and qi movement is uneven. By promoting qi circulation and tonifying qi, the qi becomes uniform; when qi is uniform, wind ceases. Mugua is used because it can drain Wood within Earth, harmonize Ying (Nutrient) and Wei (Defensive) qi, and extend tendons. (Dai Fu'an stated: The method for treating wind diseases should prioritize regulating qi upon initial onset, and promoting blood circulation once the disease has persisted. If qi is not regulated, one should not hastily use Wu Tou (Aconiti Lateralis Radix Preparata) and Fu Zi (Aconiti Radix Preparata); if blood is not circulated, one should not hastily use Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix)...).
[Physician Zhang Yong's Formula] Indicated for body deviation, speech impediment (jianse), limb flaccidity, and bone pain due to wind-stroke; as well as migratory pain due to wind-bi, numbness of the ten fingers, and various sores caused by wind-dampness affecting the Liver and Kidney.
Deviation of the mouth and eyes with speech difficulty indicates wind pathogen invading the meridians; limb flaccidity and bone pain indicate wind combined with dampness; wind-bi swelling and pain indicate damp-heat flowing and accumulating, commonly referred to in secular terms as "liuhuo" (flowing fire)... [text missing/corrupted].
[Herb Description] Herb. Best harvested on the fifth day of the fifth lunar month, the seventh day of the seventh lunar month, and the ninth day of the ninth lunar month. Quantity is unrestricted. Remove coarse stems, retaining branches, leaves, flowers, and fruits. Mix with wine, steam, and dry nine times, then form into honey pills. It tastes bitter and pungent, has a cold nature, and possesses an odor. It must be steamed and dried nine times; adding wine and honey resolves the yin-turbid nature of its bitter-cold properties...
This formula targets the Foot-Shaoyin Kidney Meridian and Foot-Jueyin Liver Meridian. The herb can dispel wind and scatter dampness, and move qi in the Large Intestine. Combined with wine-steaming and honey-pilling, its aroma and flavor become clear and harmonious, thus enabling it to tonify the Liver and moisten the Kidney, benefit qi, and strengthen tendons (when dampness is removed, tendons become strong). However, wind-dispelling herbs are ultimately drying. If wind-bi arises from deficiency of both Spleen and Kidney with insufficient yin-blood, rather than from wind-dampness, this formula is contraindicated. (Tang Chengne submitted a memorial, and Song Dynasty physician Zhang Yong also submitted a memorial stating: This herb features gold edges and silver lines, pale stems with purple... nodes and leaves are opposite each other, resembling Cang Er (Xanthii Fructus). I have taken it hundreds to thousands of times, resulting in black hair and beard, and light, agile sinews and bones, with numerous efficacious outcomes. Wang Ang notes: This herb not only searches out wind...)