肝木主风，脾湿为痰，风与痰之中人，原不分于左右，但过损精血，左半先亏，而右半饮食所生之痰，
与皮毛所入之风，以渐积于空虚之府，而骤发始觉耳。风脉劲疾，痰脉软滑。惟劲疾，
故病则大筋短缩，即舌筋亦短而謇于言；小筋弛长，故从左而 于右，从左 右，即可知左畔之小筋弛而不张
也。若左之筋张，则左 矣。凡治一偏之病，法宜从阴引阳，从阳引阴，从左引右，从右引左。盖观树木之
偏枯者，将溉其枯者乎？抑溉其未枯者使其荣茂，而因以条畅其枯者乎？（喻嘉言）
口噤
口噤者，足阳明之病也，颊车穴主之。盖阳明经络，挟口环唇，循颊车。而诸阳筋脉，皆上于头，三阳
之筋，并络颔颊，夹于口。风寒乘虚而客其经，则筋挛急，牙关紧，因而口噤；又有风热太甚，风喜伤肝，热
能燥物，是以筋燥劲迫，因而口噤。此皆实邪为病，中风门之闭证也。若在脱证，即诸阳之气脱去，形骸管束
无主，故口开舌纵不收矣（《冯氏锦囊》）
不语
喑者，不能言也。心脉系舌根，脾脉系舌旁，肝脉络舌本，少阴之脉循喉咙挟舌本。四经之脉，皆上于舌，
邪中其经，则痰涎闭其脉道，舌本不能转运而为之喑矣。有喉喑者，劳嗽失音，喉中声嘶，舌本无患也；中
风而喑者，舌喉俱病，音声不能发于会厌也。盖心为声音之主，肺为声音之户，肾为声音之根。《经》云∶
三焦之气，通于喉咙，气弱则不能上通矣。治者能于根本用力，则丹田之气自能振作，故古人每以独参汤、地
黄饮子奏效也。然中风不语之证有六∶有失音不语者；有舌强不语者；有神昏不语者；有口噤不语者；有舌纵
语涩者；有舌麻言謇者；可不详欤？（《冯氏锦囊》）
太阴所谓入中为喑者，阳盛已衰，故为喑也。内夺而厥，则为喑痱，此肾虚也。少阴不至者厥也。夫肾
藏精，主下焦，地道冲、任二脉系焉。二脉与少阴肾之大络同出肾，下起于胞中，为十二经脉之海。冲脉之
上行者，渗诸阳，灌诸经；下行者，渗诸阳，灌诸络。因肾虚而肾络与胞络内绝，不通于上，则喑；肾脉
不上循喉咙挟舌本，则不能言；二络不通于下，则痱厥矣。（《证治准绳》）
凡中暑、中寒、中湿、痰厥、气厥、食厥、热厥、虚晕等证，皆卒倒不语，但中风必有 斜、搐搦、偏枯
之证为异。（《医学入门》）
痰
凡非风之多痰者，悉由中虚而然。夫痰即水也，其本在肾，其标在脾。在肾以水不归原，水泛为痰也；
在脾以饮食不化，土不制水也。强壮之人，任多饮食，则随食随化，未见为痰；不能食者，反能生痰，此脾
虚不能化食，而食即化痰也。故凡病虚劳者，其痰必多，病至垂危，其痰益甚，正以脾气愈虚，则食不能化，而
水液尽为痰耳。可见病之实痰无几，而痰之宜伐者亦无几。故治痰者，必当温脾强肾以治其本，使根本渐充，
则痰将不治而自去矣。○俗云∶痰在周身，为病莫测。凡瘫痪、螈 、半身不遂等证，皆伏痰留滞而然，不去
痰滞，病何由愈？余曰∶汝知痰之所自乎？凡经络之痰，即津血之所化也，使果营卫调和，则津自津，血自血，
何痰之有？惟是元阳亏损，神机耗败，则水中无气，津凝血败，皆化为痰耳。此果痰也，果精血也，岂精血之
外而别有所谓痰者耶？若谓痰在经络，非攻不去，则必并精血而尽去之可乎？否则安有独攻其痰，而精血不损
者乎？精血复伤，元气愈竭，随去随生，痰必愈甚。此治痰者不能尽，而所尽者惟元气耳。（《景岳全书》）
人参续元气于垂绝，附子返真火于须臾，力可回天。方中益以干姜，所谓霹雳者，形其力之速也。喻
子非之，似亦过矣。人之有生，全赖一点真阳，病既急虚暴绝，敢不亟援乎？世之卒中，而以开痰利窍成功者，
有几人哉？幸而有此汹涌之痰，元气尚未尽绝，必欲令其与命相根据之痰去尽，然后始行补救，则不可得之数也。
万无痰去气存之事也。请问果由痰而致中乎？由中而致痰乎？因痰为患而致急虚乎？因急虚命绝而致痰上气尽
乎？常见急
虚卒中者，二便更迭遗出，然则必将曰中尿矣、中屎矣。是则急虚卒中，及阴寒真中者，非大施温补，无能为
也。但患其势急骤，煎烹犹恐不及，术附、姜附、 附，皆可备急一时。平素阳虚者，即以肉桂、杜仲、故纸
继之；阴虚者，即以熟地、当归、枸杞、山萸继之；至于鹿茸、河车、鹿胶、蛤蚧血肉之属，皆可阴阳双补，
消息迭进。总以温补大剂，顾其脾肾，自然水到渠成。略有疑畏，则不可与言至德至巧也。（《医补》）
脉候
寸口脉迟而缓，迟则为寒，缓则为虚。营缓则为亡血，卫缓则为中风。（《金匮》）
非风之脉，迟缓可生，急数弦大者死。（张景岳）
中风之脉，最忌伏涩不调，尤忌坚大急疾。（张路玉）
选案
唐柳太后病风，脉沉欲脱，汤药无及。以黄 、防风煮汤数十斛，置床下熏之，得苏。更药而愈。（许胤宗）
王守道风噤不语，以炽炭烧地，洒以药汤，置病者于上，须臾小苏。（王克明）
王用之卒中昏愦，口眼 斜，痰涌脉伏。此真气虚而风邪所乘。以三生饮一两，加人参一两，煎服即苏。
若遗尿手撒、口开鼾睡，为不治。用前饮亦有得生者，前饮行经络，治寒疾，有斩关夺旗之功。然必用人参驾
驭其间，补助真气，否则不为无益，适足取败。观先哲 附、参附等汤，其义可见。（薛立斋）
徽商汪华泉，忽然昏仆，遗尿手撒，汗出如珠。众皆以绝证既见，决无生理。余曰∶手撒脾绝，遗尿肾
绝，法在不治，惟大进参附，或冀万一。遂以人参三两，熟附五钱，煎浓灌下，至晚汗减。复煎人参二两，
、术、附各五钱，是夜服尽，身体能动。再以参附膏加姜汁、竹沥，连进三日，神气渐爽，调养百日而安。
（《医宗必读》）
附方
治中风口噤方 用苏合香丸，或南星、冰片末，或乌梅肉擦牙。○皂角、生半夏末，搐鼻。○又用甘草，
比中指节数截，油浸火炙，以物斡开牙关，令咬定甘草，可人行十里许时又换一截，灌药极效。
治中风口眼 斜方 用酒煮桂，取汁，布浸拓面，左 拓右，右 拓左。○又法，先烧皂角烟熏之，逐去
外邪；次烧乳香熏之，顺其血脉。
又方 用大鳝鱼一条，针刺头上血，右 涂左，左 涂右，正即洗去。其鳝取血后放之。
【中风（续）】
肝木主司风气，脾湿滋生痰浊。风邪与痰浊侵袭人体，原本并不区分左右半身。但如果过度损耗精血，导致左侧先出现亏虚，那么右侧由饮食化生的痰浊，以及从皮毛侵入的风邪，就会逐渐积聚在空虚的脏腑之中，直到突然发作时才被察觉。风邪致病的脉象劲急疾速，痰邪致病的脉象柔软滑利。正因为脉象劲急，所以发病时大筋会短缩，连舌部的筋也会缩短而导致言语謇涩；小筋则会弛缓延长，因此会出现向左牵引向右、或向右牵引向左的现象，由此可知左侧的小筋是弛缓而不能张开的。如果左侧的筋张紧，那么左侧就会出现拘挛。凡是治疗半身不遂这类偏枯的病，治法应当遵循“从阴引阳，从阳引阴，从左引右，从右引左”的原则。这就好比观察树木发生偏枯的情况，我们是去浇灌枯萎的部分呢？还是去浇灌未枯萎的部分使其繁荣茂盛，从而间接使枯萎的部分恢复通畅呢？（喻嘉言）
【口噤】
口噤（牙关紧闭），是足阳明胃经的病变，取颊车穴主治。因为阳明经络环绕口唇，经过颊车穴。而所有的阳经筋脉，都上行至头部，三阳经的筋脉，都联络于下颌和面颊，夹持于口部。风寒之邪乘虚侵入经络，就会导致筋脉拘挛紧急，牙关紧闭，从而引起口噤；又有因风热太盛，风邪容易伤肝，热邪能燥伤物体，导致筋脉干燥劲急紧迫，从而引起口噤。这些都属于实邪致病，是中风门中的闭证。如果是脱证，就是诸阳之气脱失，形体失去约束主宰，所以会出现口开、舌头松弛不收的情况。（《冯氏锦囊》）
【不语】
喑（失音），是指不能说话。心脉系连舌根，脾脉系连舌旁，肝脉络连舌本，少阴肾脉循行喉咙并夹持舌本。这四条经脉的脉气，都上达于舌，邪气中伤这些经脉，就会导致痰涎闭塞脉道，舌根不能灵活运转，从而造成失音。有喉喑（声音嘶哑），是由于劳嗽导致失音，喉中声音嘶哑，但舌根本身没有病患；中风导致的喑，则是舌和喉都有病变，声音无法从会厌发出。因为心是声音的主宰，肺是声音的门户，肾是声音的根本。《内经》说：三焦的气机，通于喉咙，气弱就不能向上通达了。治疗者如果在根本上下功夫，丹田之气自然能够振作，所以古人常用独参汤、地黄饮子取得疗效。然而中风不语的证候有六种：有失音不语的；有舌强不语的；有神志昏迷不语的；有牙关紧闭不语的；有舌体松弛语言涩滞的；有舌麻言语謇涩的。能不详细辨别吗？（《冯氏锦囊》）
太阴经所说的“邪气入中导致失音”，是因为阳气过盛后衰退，所以导致失音。内里精气亏损而发生厥逆，就会变成喑痱（失音伴肢体瘫痪），这是肾虚所致。少阴脉气不至就是厥逆。肾藏精，主司下焦，冲脉和任脉都与肾相连。这两条脉与少阴肾的大络同出于肾，向下起于胞宫，是十二经脉的海。冲脉向上行的部分，渗灌诸阳经，灌溉诸经脉；向下行的部分，渗灌诸阳经，灌溉诸络脉。因为肾虚导致肾络与胞络内部隔绝，不能向上通达，就会失音；肾脉不能向上循行喉咙夹持舌本，就不能说话；两条络脉不能向下通达，就会发生痱厥。（《证治准绳》）
凡是中暑、中寒、中湿、痰厥、气厥、食厥、热厥、虚晕等证候，都会突然昏倒不语，但中风必定伴有口眼歪斜、抽搐、半身不遂等症状作为区别。（《医学入门》）
【痰】
凡是非风病（类中风）多痰的，全都是由中气虚弱引起的。痰就是水液代谢失常的产物，其根本在肾，其标在脾。在肾方面，是因为水液不归原路，泛滥而成痰；在脾方面，是因为饮食不能运化，土不能制水。身体强壮的人，即使饮食很多，也能随吃随化，不见形成痰浊；不能进食的人，反而能生痰，这是因为脾虚不能消化食物，食物停滞就化为痰。所以凡是患虚劳病的人，痰必然很多，病情危重时，痰更加严重，正是因为脾气越虚，食物越不能消化，水液全部化为痰的缘故。可见真正的实证痰浊很少，需要攻伐的痰也很少。所以治疗痰证，必须温补脾肾以治其本，使根本逐渐充盛，那么痰就不需治疗而自然去除。○世俗常说：痰在周身，致病莫测。凡是瘫痪、抽搐、半身不遂等证候，都是伏痰留滞造成的，不去除痰滞，病怎么能好？我说：你知道痰的来源吗？凡是经络中的痰，就是津液和血液所化生的，如果营卫调和，那么津液自是津液，血液自是血液，哪里会有痰呢？只是因为元阳亏损，神机耗败，导致水中无气，津液凝结、血液败坏，都化为痰罢了。这果真是痰吗？果真是精血吗？难道在精血之外还有所谓的痰吗？如果说痰在经络，不攻逐就不能去除，那就要连同精血一起全部去除才行吗？否则，哪有只攻逐痰而精血不受损的道理呢？精血再次受伤，元气更加衰竭，痰随去随生，痰必然更加严重。这就是治疗痰证不能彻底，而真正耗尽的是元气罢了。（《景岳全书》）
人参能在元气垂绝时接续元气，附子能在片刻间挽回真火，力量可以回天救地。方剂中加上干姜，所谓“霹雳散”，是形容其药力迅速。喻昌反对这种用法，似乎也有些过分了。人之所以生存，全靠一点真阳，既然病情危急、正气暴脱，岂敢不紧急救援呢？世间卒中病人，靠开痰利窍而成功的，能有几个人呢？幸好还有汹涌的痰浊，说明元气尚未完全断绝，如果一定要等到将这种与性命相依存的痰浊全部去除，然后才开始补救，那是绝对不可能的。绝无痰去而气存的事情。请问，究竟是由痰导致的中风呢？还是由中风导致的痰呢？是因痰为患而导致急虚呢？还是因急虚命绝而导致痰上涌、气尽呢？常见急虚卒中者，大小便交替遗出，那么是否也要说是“中尿”、“中屎”呢？由此可见，急虚卒中，以及阴寒真中者，如果不大力施行温补，是无能为力的。只是担心病势急骤，煎煮恐怕来不及，术附汤、姜附汤、黑顺片等，都可以备急一时使用。平素阳虚的人，继之以肉桂、杜仲、补骨脂；阴虚的人，继之以熟地、当归、枸杞、山茱萸；至于鹿茸、紫河车、鹿角胶、蛤蚧等血肉有情之品，都可以阴阳双补，斟酌剂量交替进服。总之以大剂温补为主，顾护脾肾，自然水到渠成。稍有疑虑畏惧，就不能与他谈论至高至巧的医术了。（《医补》）
【脉候】
寸口脉迟而缓，迟则代表寒，缓则代表虚。营气缓则代表亡血，卫气缓则代表中风。（《金匮要略》）
【选案】
唐柳太后患风病，脉象沉微欲脱，汤药难以见效。用黄芪、防风煮汤数十斛，放在床下熏蒸，患者苏醒。再服药而痊愈。（许胤宗）
王守道中风牙关紧闭不语，用炽热的炭烧地，洒上药汤，让病人躺在上面，片刻后稍微苏醒。（王克明）
王用之中风昏愦，口眼歪斜，痰涌脉伏。这是真气虚弱而风邪乘虚而入。用三生饮一两，加入人参一两，煎服后立即苏醒。如果出现遗尿、手撒、口开鼾睡，属于不治之症。使用前面的三生饮也有得救的，三生饮通行经络，治疗寒疾，有斩关夺旗的功效。但必须在其中加入人参驾驭，补助真气，否则不仅无益，反而足以导致失败。看先哲使用的附子汤、参附汤等，其中的道理就可以明白了。（薛立斋）
徽商汪华泉，突然昏仆，遗尿手撒，汗出如珠。众人都认为绝证已现，断定没有生机。我说：手撒是脾绝，遗尿是肾绝，按常规是不治的，只有大剂量进服参附汤，或许还有一线希望。于是用人参三两，熟附子五钱，煎浓汁灌下，到了晚上汗止。又煎人参二两，黄芪、白术、附子各五钱，当晚服完，身体能动弹。再用参附膏加姜汁、竹沥，连续服用三天，神气逐渐清爽，调养百日而安康。（《医宗必读》）
【附方】
治中风口噤方：用苏合香丸，或南星、冰片末，或用乌梅肉擦牙。○皂角、生半夏末，搐鼻。○又用甘草，按中指节数截断，用油浸透后火炙，用器物撬开牙关，让病人咬定甘草，大约可行走十里后再换一截，灌药极效。
治中风口眼歪斜方：用酒煮桂枝，取汁，布浸拓敷面部，左歪拓右，右歪拓左。○又法，先烧皂角烟熏之，驱逐外邪；次烧乳香熏之，顺其血脉。
[Stroke (Continued)]
The Liver Wood governs Wind, and Spleen Dampness generates Phlegm. When Wind and Phlegm invade the human body, they originally do not distinguish between the left and right sides. However, if Essence and Blood are excessively depleted, causing a deficiency in the left half first, then the Phlegm generated from dietary intake on the right half, along with the Wind entering from the skin and hair, will gradually accumulate in the empty viscera, only becoming apparent when it suddenly erupts. The pulse of Wind is forceful and rapid; the pulse of Phlegm is soft and slippery. Because it is forceful and rapid, the large tendons shorten upon onset, and even the tendons of the tongue shorten, leading to dysarthria; the small tendons become flaccid and elongated, resulting in traction pulling from left to right or right to left, indicating that the small tendons on the left are flaccid and unable to tense. If the tendons on the left are tense, then the left side will be contracted. For treating hemiplegia (Hemiplegia), the method should follow "drawing Yang from Yin, drawing Yin from Yang, drawing from the left to the right, and drawing from the right to the left." This is like observing a tree with partial withering: do we water the withered part? Or do we water the non-withered part to make it flourish, thereby indirectly promoting the recovery of the withered part? (Yu Jiayan)
[Mouth Lock]
Mouth lock (Trismus) is a disease of the Foot-Yangming Stomach Meridian, treated by selecting the Jiache acupoint (Jiache, ST6). This is because the Yangming meridians surround the mouth and lips and pass through Jiache. All Yang tendon-meridians ascend to the head, and the tendons of the Three Yang meridians connect to the mandible and cheeks, clamping the mouth. When Wind-Cold invades the meridians due to deficiency, the tendons become spasmodic and tight, the jaw locks tightly, causing trismus; alternatively, excessive Wind-Heat may injure the Liver (as Wind tends to injure the Liver), and Heat dries objects, causing the tendons to become dry and tense, leading to trismus. These are all diseases caused by Excess pathogens, belonging to the Closed Syndrome in the Stroke category. In the case of the Open Syndrome, the Qi of all Yang meridians has escaped, and the body loses its controlling constraint, resulting in an open mouth and a relaxed, uncontrolled tongue. (*Feng Shi Jin Nang*)
[Aphasia/Inability to Speak]
An-yin (Loss of voice) refers to the inability to speak. The Heart meridian connects to the root of the tongue, the Spleen meridian connects to the sides of the tongue, the Liver meridian networks the tongue base, and the Shaoyin Kidney meridian follows the throat and clamps the tongue base. The Qi of these four meridians all ascends to the tongue. When pathogens strike these meridians, Phlegm-Saliva blocks the meridian pathways, preventing the tongue base from moving freely, thus causing loss of voice. There is Hou-yin (Hoarseness), caused by chronic coughing leading to voice loss, with hoarseness in the throat but no pathology in the tongue base; stroke-induced An-yin involves both the tongue and throat, where sound cannot emanate from the epiglottis. The Heart is the master of voice, the Lung is the door of voice, and the Kidney is the root of voice. The *Classic* states: The Qi of the Sanjiao communicates with the throat; if Qi is weak, it cannot ascend. If the practitioner focuses on the root, the Qi of the Dantian will naturally revive, which is why ancient physicians often used Du Shen Tang (Single Ginseng Decoction) and Dihuang Yinzi (Rehmannia Decoction) with success. However, there are six types of aphasia in stroke: those with loss of voice and inability to speak; those with a stiff tongue and inability to speak; those with coma and inability to speak; those with trismus and inability to speak; those with a relaxed tongue and slurred speech; and those with numb tongue and dysarthria. Must one not examine these in detail? (*Feng Shi Jin Nang*)
When the Taiyin chapter mentions "pathogens entering internally causing loss of voice," it is because Yang was excessive and has now declined, hence the loss of voice. Internal depletion leading to Jue (Revulsion) results in Yin-fei (Aphasia accompanied by paralysis), which is due to Kidney deficiency. The absence of Shaoyin pulse indicates Jue. The Kidney stores Essence and governs the Lower Jiao, with the Chong and Ren meridians connected to it. These two meridians emerge from the Kidney along with the great collateral of the Shaoyin Kidney, originating below from the Baozhong (Uterus/Metropolis), serving as the Sea of the Twelve Meridians. The ascending branch of the Chong meridian seeps into the Yang meridians and irrigates the channels; the descending branch seeps into the Yang meridians and irrigates the collaterals. Due to Kidney deficiency, the Kidney collaterals and Bao collaterals are internally severed and cannot communicate upward, causing aphasia; if the Kidney meridian does not ascend to follow the throat and clamp the tongue base, speech is impossible; if the two collaterals do not communicate downward, Fei-Jue (Paralysis and Revulsion) occurs. (*Zheng Zhi Zhun Sheng*)
Conditions such as Summerheat, Cold, Dampness, Phlegm Jue, Qi Jue, Food Jue, Heat Jue, and Deficiency Syncope all present with sudden collapse and inability to speak, but stroke is distinguished by accompanying symptoms of facial deviation, convulsions, and hemiplegia. (*Yi Xue Ru Men*)
[Phlegm]
Excessive Phlegm in Non-Wind diseases (Stroke-like conditions) is entirely due to Middle Jiao deficiency. Phlegm is essentially water; its root lies in the Kidney, and its branch in the Spleen. Regarding the Kidney, it is because water fails to return to its source and overflows to form Phlegm; regarding the Spleen, it is because food is not transformed, and Earth fails to control Water. Strong individuals who consume much food digest it immediately without forming Phlegm; those who cannot eat反而 generate Phlegm, because Spleen deficiency fails to transform food, causing stagnation to turn into Phlegm. Thus, patients with Consumption diseases always have much Phlegm, and as the condition becomes critical, the Phlegm increases, precisely because the more deficient the Spleen Qi is, the less food is transformed, and all fluids turn into Phlegm. It can be seen that true Excess Phlegm is rare, and Phlegm requiring purging is also rare. Therefore, treating Phlegm must involve warming the Spleen and strengthening the Kidney to treat the root; as the root gradually fills, the Phlegm will disappear without direct treatment. ○ Folk saying: Phlegm throughout the body causes unpredictable diseases. Paralysis, convulsions, and hemiplegia are all caused by latent Phlegm stagnation; without removing the Phlegm stagnation, how can the disease heal? I say: Do you know the origin of Phlegm? Phlegm in the meridians is transformed from Jing and Blood. If Ying and Wei are harmonious, Jing remains Jing and Blood remains Blood; where would Phlegm come from? Only when Yuan Yang is depleted and Shen Ji (Spirit Mechanism) is exhausted does the water lack Qi, causing Jing to coagulate and Blood to deteriorate, all turning into Phlegm. Is this truly Phlegm? Is it truly Essence and Blood? Are there Phlegms other than Essence and Blood? If one claims that Phlegm in the meridians cannot be removed without attacking, must one remove Essence and Blood entirely as well? Otherwise, how can one attack only the Phlegm without damaging Essence and Blood? If Essence and Blood are further injured, Yuan Qi becomes more exhausted, Phlegm regenerates as soon as it is removed, and Phlegm becomes worse. This is why treating Phlegm fails to eliminate it completely, while what is actually exhausted is Yuan Qi. (*Jing Yue Quan Shu*)
Ren Shen (Ginseng) renews Yuan Qi at the brink of death, Fu Zi (Aconite Root) restores True Fire in an instant; their power can reverse heaven. Adding Gan Jiang (Dried Ginger) to the formula, known as Pi Li San (Thunderbolt Powder), describes the speed of its action. Yu Jiayan opposed this, seemingly going too far. Human life relies entirely on a spark of True Yang; since the illness is acute and deficiency is sudden and severe, how dare one not urgently rescue? How many stroke patients succeed by opening Phlegm and benefiting orifices? Fortunately, the presence of surging Phlegm indicates that Yuan Qi is not yet completely extinct. If one insists on removing all this Phlegm, which is tied to life, before attempting remediation, it is impossible. There is no scenario where Phlegm is gone but Qi remains. Let me ask: Does Phlegm cause Stroke? Or does Stroke cause Phlegm? Is the acute deficiency caused by Phlegm pathology? Or is the Phlegm rising and Qi exhausting caused by acute deficiency and impending death? Commonly, in acute deficiency stroke, urine and feces are involuntarily discharged alternately. Would one then say "urine stroke" or "feces stroke"? Thus, for acute deficiency stroke and True Cold Stroke, without massive warming and tonification, nothing can be done. One only worries that the condition is too rapid, and even boiling takes too long. Shu Fu Tang (Atractylodes and Aconite Decoction), Jiang Fu Tang (Ginger and Aconite Decoction), and Hei Shun Pian (Prepared Black Aconite) can all be prepared for emergencies. For those with chronic Yang deficiency, continue with Rou Gui (Cinnamon Bark), Du Zhong (Eucommia Bark), and Gu Zhi (Psoralea Fruit); for Yin deficiency, continue with Shu Di (Prepared Rehmannia Root), Dang Gui (Angelica Sinensis), Gou Qi (Goji Berry), and Shan Zhu Yu (Cornus Fruit); for Deer Antler, Placenta, Deer Glue, and Gecko, these fleshy substances can tonify both Yin and Yang, administered in alternating doses based on assessment. Ultimately, use large doses of warming and tonifying herbs to protect the Spleen and Kidney, and success will follow naturally. With any doubt or fear, one cannot discuss supreme virtue and skill. (*Yi Bu*)
[Pulse Diagnosis]
The Cun Kou pulse is slow and moderate. Slow indicates Cold; moderate indicates Deficiency. Moderate Ying pulse indicates Blood loss; moderate Wei pulse indicates Wind Strike. (*Jin Gui Yao Lue*)
For Non-Wind pulses, slow and moderate indicate survival; rapid, numerous, wiry, and large pulses indicate death. (Zhang Jingyue)
For Stroke pulses, hidden, choppy, and irregular pulses are most taboo, especially hard, large, and rapid pulses. (Zhang Luyu)
[Selected Cases]
Empress Dowager Liu of Tang suffered from Wind disease, with a deep, nearly imperceptible pulse, rendering decoctions ineffective. Huang Qi (Astragalus Root) and Fang Feng (Saposhnikovia Root) were boiled into dozens of hu of soup, placed under the bed for fumigation, and she revived. Subsequent medication led to full recovery. (Xu Yinzong)
Wang Shoudao suffered from stroke with trismus and aphasia. Hot charcoal was burned on the floor, medicinal soup was sprinkled on it, and the patient was placed on top. After a moment, he slightly revived. (Wang Keming)
Wang Yongzhi suffered from stroke with coma, facial deviation, surging Phlegm, and hidden pulse. This was True Qi deficiency allowing Wind pathogen to invade. Using San Sheng Yin (Three Lives Decoction) 1 liang, added with Ren Shen 1 liang, decocted and taken orally, he revived immediately. Urination, hand relaxation, open mouth, and snoring indicate incurable cases. Using the aforementioned San Sheng Yin also yielded survivors. San Sheng Yin travels through meridians, treats Cold diseases, and has the power of breaking through gates and capturing flags. However, Ren Shen must be used to guide it, supplementing True Qi; otherwise, it is not only useless but leads to defeat. Observing the ancients' use of Fu Zi Tang and Shen Fu Tang reveals this principle. (Xue Lizhai)
Merchant Wang Huaquan from Huizhou suddenly collapsed, with urinary incontinence, hand relaxation, and sweat like pearls. Everyone considered the signs of extinction present and decided there was no hope. I said: Hand relaxation indicates Spleen extinction; urinary incontinence indicates Kidney extinction. By law, it is incurable. Only massive administration of Shen Fu Tang might offer a slim chance. Thus, Ren Shen 3 liang and Shu Fu Zi 5 qian were decocted thickly and灌ed down. By evening, sweating decreased. Then, Ren Shen 2 liang, Huang Qi (Astragalus Root), Bai Zhu (Atractylodes Rhizome), and Fu Zi each 5 qian were decocted. Taken fully that night, the body could move. Then, Shen Fu Gao (Ginseng and Aconite Paste) added with Jiang Zhi (Ginger Juice) and Zhu Li (Bamboo Sap) was taken continuously for three days. Spirit gradually refreshed, and after 100 days of recuperation, he recovered. (*Yi Zong Bi Du*)
[Appendix Formulas]
Formula for Treating Stroke Trismus: Use Su He Xiang Wan (Styrax Pill), or powder of Nan Xing (Arisaema Rhizome) and Bing Pian (Borneol), or rub teeth with Wu Mei Rou (Mume Fruit Flesh). ○ Soap bean and raw Ban Xia powder, insufflated into nose. ○ Also, use Gan Cao (Licorice Root), cut into segments matching the number of finger joints, soaked in oil and fire-roasted. Pry open the jaw with an object, let the patient bite the licorice firmly. Replace every ~10 li walking distance. Extremely effective for administering medicine.
Formula for Treating Stroke Facial Deviation: Boil Gui Zhi (Cinnamon Twig) in wine, take the juice, soak cloth in it, and apply to the face. Apply to the right if deviated to the left, and to the left if deviated to the right. ○ Another method: First smoke with roasted soap bean to expel external pathogens; then smoke with Ru Xiang (Frankincense) to smooth blood vessels.
Another Formula: Take one large eel, prick the head to release blood. Apply to the opposite side (right deviation to left, left deviation to right). Wash off once alignment is restored. Release the eel after taking blood.