风者能动而多变。因热胜则动。宜以静胜燥。是养血也。宜和。是行荣卫壮筋骨也。天麻丸主
之。非大药不能治也。
【天麻丸】
附子（一两炮） 天麻（酒浸三宿。晒） 牛膝（酒浸一宿。焙） 萆 （另研为末）
玄参（各六两） 杜仲（七两炒） 当归（十两。全用） 羌活（十两。或十五两）
生地黄（十六两） 独活（五两）
上十味为末。炼蜜丸如桐子大。每服五七十丸。病大加至百丸。空心食前。温酒或白汤送下。
平明服药。
日高饥则食。不饥且止食。大忌壅塞失于通利。故服药半月。稍觉壅塞。微以七宣丸疏之。使药再
为用也。牛膝、萆 。强壮筋骨。杜仲使筋骨相着。羌活、防风治风之要药、当归、地黄、能养血
和荣卫。玄参主用。附子佐之行经也。如风痫病不能愈者。吐论浓朴丸。出洁古家珍。其本方后。
另有此病加添药。如中风自汗昏冒。发热不恶风寒。不能安卧。此是风热烦躁。泻青丸主之。如小
便少不可以药利之。既自汗。津液外泄。小便内少。若利之使荣卫枯竭。无以制火。烦热愈甚。俟
热退汗止。小便自行也。兼此证属阳明经。大忌利小便。须当识此。
【泻青丸】治中风自汗昏冒。发热不恶寒。不能安卧。此是风热烦躁之故也。
当归 川芎 栀子 羌活
大黄 防风 龙胆草（各等分）
上末。蜜丸弹子大。竹叶汤化下一丸。此方去栀子。加独活、防风、甘草、菊花、蝉蜕、川
芎。丸服。凡人初觉大指次指麻木不仁或不用者。三年内有中风之疾也。宜先服愈风汤、天麻丸各
一料。此治未病之先也。是以圣人治未病。不治已病。
中风人多能食。盖甲己化土。脾盛故能多食。由此脾气愈盛。下克肾水。肾水亏则病增剧。宜广服
药。不欲多食。病能自愈。中风病多食者。风木盛也。盛则克脾土。脾受敌则求助于食。经曰。实
则梦与。虚则梦取是也。当泻肝木。治风安脾。脾安则食少。是其效也。中风人初觉。不宜服脑麝
。恐引风气入骨髓。如油入面。不能得出。如痰涎潮盛。不省人事、烦热者。宜用之下痰。神效。
风邪的特性是能够运动且变化多端。如果热邪偏胜，就会导致肢体动摇。应当用“静”的方法来克制燥动，这就是养血的道理。治疗宜调和，通过调和营卫来强壮筋骨。天麻丸主治此证。如果不是大药（指药力峻猛或作用显著的药物），是不能治愈的。
【天麻丸】
附子（一两，炮制） 天麻（酒浸三天，晒干） 牛膝（酒浸一夜，焙干） 萆薢（另研成粉末）
玄参、杜仲（七两，炒）、当归（十两，全用）、羌活（十两，或用十五两）、生地黄（十六两）、独活（五两）。
以上十味药研成细末，炼蜜制成梧桐子大小的丸剂。每次服用五七十丸，病情重的加至一百丸。空腹、饭前服用，用温酒或白开水送服。清晨服药。
天亮后饿了再吃饭，不饿就暂时停止进食。特别忌讳出现壅滞堵塞而失去通利的情况。所以服药半个月后，如果觉得稍有壅塞，可轻微服用七宣丸来疏通它，使药物再次发挥作用。牛膝、萆薢能强壮筋骨；杜仲能使筋骨相连；羌活、防风是治疗风邪的要药；当归、地黄能养血和调营卫；玄参是主药；附子是佐药，引导药力通行经络。如果是风痫病不能痊愈的，参考刘完素（洁古）家珍本中的浓朴丸论述。其原方后面，另有针对此病添加药物的方法。如果是中风导致自汗、昏冒、发热但不恶风寒、不能安卧，这是风热烦躁所致，用泻青丸主治。如果小便量少，不可以用药强行利尿。既然已经自汗，津液向外泄失，小便自然减少。如果强行利尿，会使营卫枯竭，无法制约火邪，烦热会更加严重。等到热退汗止，小便自然会恢复。兼有此证属于阳明经病变，特别忌讳利小便，必须认识到这一点。
【泻青丸】治疗中风自汗、昏冒、发热、不恶寒、不能安卧。这是由于风热烦躁的缘故。
当归、川芎、栀子、羌活、大黄、防风、龙胆草（各等分）。
以上药物研成细末，蜂蜜制成弹子大小的丸剂。用竹叶汤化开一丸服用。此方去掉栀子，加入独活、防风、甘草、菊花、蝉蜕、川芎，制成丸剂服用。凡是人刚开始感觉大拇指和食指麻木不仁或不能活动的，三年内会有中风的疾病。应该预先服用愈风汤、天麻丸各一料。这是在疾病发生之前进行治疗。所以圣人治理未发生的疾病，而不是治理已发生的疾病。
中风患者通常食欲旺盛，这是因为天干甲己合化土，脾气旺盛所以能吃得多。由此脾气越盛，向下克制肾水，肾水亏损则病情加重。应该广泛服药，不想多吃食物，病才能自愈。中风病人多食，是因为风木之气过盛。过盛就会克制脾土，脾受敌害则求助于食物。《内经》说：“实证梦见给予，虚证梦见索取”，就是这个道理。应当泻肝木，治风安脾。脾安宁了，食欲就会减少，这就是疗效。中风病人刚发病时，不宜服用麝香、冰片等芳香开窍药，恐怕引风气深入骨髓，像油渗入面粉一样，不能再出来。如果痰涎潮盛，人事不省，伴有烦热的，适宜使用下痰药，效果神效。
Wind pathogen is characterized by its ability to move and change frequently. When heat pathogen prevails, it causes tremors or movements. One should use "stillness" to overcome dryness/agitation; this is the method of nourishing blood. The treatment should harmonize, thereby strengthening sinews and bones by regulating Ying (Nutritive) and Wei (Defensive) Qi. Tianma Wan (Gastrodia Pill) is indicated for this condition. Only potent medicines can cure it.
[Tianma Wan]
Fuzi (Prepared Aconite Root, 1 liang), processed by frying; Tianma (Rhizoma Gastrodiae, 3 days soaked in wine, then dried); Niuxi (Radix Achyranthis Bidentatae, 1 night soaked in wine, then baked); Bibi (Radix Dioscoreae Hypoglaucae, ground separately into powder);
Xuan Shen (Radix Scrophulariae, 6 liang each with Du Zhong); Du Zhong (Cortex Eucommiae, 7 liang, stir-fried); Dang Gui (Radix Angelicae Sinensis, 10 liang, whole root used); Qiang Huo (Rhizoma et Radix Notopterygii, 10 liang, or 15 liang); Sheng Di Huang (Radix Rehmanniae Preparata, 16 liang); Duhuo (Radix Angelicae Pubescentis, 5 liang).
The above ten ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 50-70 pills per dose; increase to 100 pills for severe cases. Take on an empty stomach before meals, washed down with warm wine or plain boiled water. Take the medicine at dawn.
Eat only when hungry after sunrise; if not hungry, refrain from eating. It is strictly forbidden to allow stagnation and obstruction without promoting free flow. Therefore, after half a month of taking the medicine, if one feels slightly congested, administer a small amount of Qixuan Wan (Seven Promoting Pills) to unblock it, allowing the primary medicine to take effect again. Niuxi and Bibi strengthen sinews and bones; Du Zhong binds sinews and bones together; Qiang Huo and Fang Feng are essential herbs for treating wind; Dang Gui and Sheng Di Huang nourish blood and harmonize Ying and Wei Qi; Xuan Shen is the chief herb; Fuzi is the assistant herb, guiding the medicinal action through the meridians. If wind epilepsy cannot be cured, refer to the discussion on Nongpo Wan (Magnolia Bark Pill) in Jiegu's family treasures. There are additional modifications listed after the original formula for this disease. If stroke presents with spontaneous sweating, dizziness/fainting, fever without aversion to cold, and inability to lie down comfortably, this is due to wind-heat causing irritability. Xieqing Wan (Draining Blue Pill) is indicated. If urine output is scant, do not use diuretic drugs. Since spontaneous sweating has already occurred, body fluids are leaking externally, leading to reduced internal urine production. Forcing diuresis would deplete Ying and Wei Qi, failing to control fire, thus worsening irritability and heat. Wait until heat subsides and sweating stops, then urine will naturally normalize. This syndrome also involves the Yangming Meridian; diuresis is strictly contraindicated. This must be recognized.
[Xieqing Wan] Treats stroke with spontaneous sweating, dizziness/fainting, fever, aversion to neither cold nor heat, and inability to lie down. This is caused by wind-heat irritability.
Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Zhi Zi (Fructus Gardeniae), Qiang Huo (Rhizoma et Radix Notopterygii), Da Huang (Radix et Rhizoma Rhei Palmati), Fang Feng (Radix Saposhnikoviae), Long Dan Cao (Radix Gentianae) (equal parts).
Grind the above into powder, mix with honey to form pills the size of a bullet. Dissolve one pill in bamboo leaf decoction and take. If Zhi Zi is removed from this formula and replaced with Duhuo, Fang Feng, Gan Cao (Radix Glycyrrhizae), Ju Hua (Flos Chrysanthemi), Chan Tui (Periostracum Cicadae), and Chuan Xiong, taken as pills: Anyone who initially feels numbness or loss of function in the thumb and index finger will likely suffer from stroke within three years. It is advisable to prophylactically take Yufeng Tang (Wind-Dispelling Decoction) and Tianma Wan, one course of each. This is treating the disease before it occurs. Thus, the sages treat diseases before they arise, not after they have developed.
Patients with stroke often have a good appetite. This is because the Heavenly Stems Jia and Ji transform into Earth, making Spleen Qi vigorous, hence the increased desire to eat. Consequently, excessive Spleen Qi overacts upon Kidney Water, causing Kidney Yin deficiency and aggravating the disease. One should take ample medication and avoid overeating to allow the disease to heal spontaneously. Excessive eating in stroke patients indicates exuberant Wind-Wood. When Wood is excessive, it overacts on Earth (Spleen/Stomach). The Spleen, under attack, seeks relief through food intake. As stated in the Classics: "Excess manifests as dreaming of giving; Deficiency manifests as dreaming of taking." One should drain Liver Wood, treat wind, and stabilize the Spleen. Once the Spleen is stabilized, appetite decreases, which is the therapeutic effect. In the early stages of stroke, aromatic opening agents like Moschus (She Xiang) and Borneolum Syntheticum (Bing Pian) should not be administered, as they may draw wind pathogen deep into the bone marrow, akin to oil penetrating flour, from which it cannot be extracted. If there is profuse phlegm-saliva, unconsciousness, and irritability/heat, phlegm-resolving drugs should be used, yielding miraculous effects.