太尉忠武史公年六十八岁。于至元戊辰十月初。侍国师于圣安寺丈室中。煤炭火一炉在左侧边
。遂觉面热。左颊微有汗。师及左右诸人皆出。因左颊疏缓。被风寒客之。右颊急。口 于右。
脉得浮紧。按之洪缓。予举医学提举忽君吉甫专科针灸。先于左颊上灸地仓穴一七壮。次灸颊车穴
二七壮。后于右颊上热手熨之。议以升麻汤加防风、秦艽、白芷、桂枝、发散风寒。数服而愈。或
曰。世医多以续命汤等药治之。今君用升麻汤加四味。其理安在。对曰。足阳明经起于鼻。交 中
。循鼻外。入上齿中。手阳明经亦贯于下齿中。况两颊皆属阳明。升麻汤乃阳明经药。香白芷又行
手阳明之经。秦艽治口噤。防风散风邪。桂枝实表而固荣卫。使邪不能再伤。此其理也。夫病有标
本经络之别。药有气味浓薄之殊。察病之源。用药之宜。其效
如桴鼓之应。不明经络所过。不知药性所在。徒执一方。不惟无益。而又害之者多矣。学人宜精思
之。
【秦艽升麻汤】治中风手足阳明经口眼 斜。恶风恶寒。四肢拘急。
升麻 葛根 甘草（炙） 芍药
人参（各半两） 秦艽 白芷 防风
桂枝（各三钱）
上 咀。每服一两。水二盏。连须葱白三茎。长二寸。约至一盏。去渣。稍热服。食后服药毕
。避风寒处卧。得微汗出则止。
【犀角升麻汤】治中风麻痹不仁。鼻颊间痛。唇口颊车发际皆痛。口不可开。虽语言饮
食亦相妨。左额颊上如糊急。手触之则痛。此足阳明经受风毒。血凝滞而不行故也。
犀角（一两二钱半） 升麻（一两） 防风 羌活（各七钱）
川芎 白附子 白芷 黄芩（各半两）
甘草（二钱半）
上为末。每服五钱。水二盏。煎至一盏。去渣。温服。食后。日三服。论曰。足阳明者。胃也
。经云。肠胃为市。如市廛无所不有也。六经之中。血气便多。腐熟水谷。故饮食之毒聚于肠胃
。此方以犀角为主。解饮食之毒也。阳明经络。环唇挟口。起于鼻。交额中。循颊车。上耳前。过
客
主人。循发际。至额颅。故王公所患。此一经络也。以升麻佐之。余药皆涤除风热。升麻、黄芩。
专入胃经为使也。
太尉忠武史公，六十八岁。在至元戊辰年（1268年）十月初，他在圣安寺方丈室陪侍国师。左侧放着一炉煤炭火。于是觉得面部发热，左脸颊微微出汗。国师及左右随从都出去了，因为左脸颊肌肉松弛舒缓，被风寒邪气侵袭。右脸颊肌肉拘急，口角向右歪斜。脉象浮紧，重按洪大缓弱。我举荐医学提举忽君吉甫专门负责针灸治疗。先在左颊地仓穴灸一七壮，接着灸颊车穴二七壮，然后在右颊上用热手熨烫。商议使用升麻汤加防风、秦艽、白芷、桂枝，以发散风寒。服用几剂后痊愈。有人问：世间的医生多用续命汤等药物治疗此病，现在您用升麻汤加四味药，其中的道理何在？回答说：足阳明胃经起于鼻旁，交会于鼻根中，沿鼻外侧下行，进入上齿中；手阳明大肠经也穿过下齿中。况且两颊都属于阳明经。升麻汤是治疗阳明经病的药物，香白芷又通行手阳明经，秦艽治疗口噤不开，防风疏散风邪，桂枝充实表卫而固护营卫，使邪气不能再伤害人体。这就是其中的道理。疾病有标和本、经络的区别，药物有气味浓和薄的不同。考察疾病的根源，用药适宜，疗效就像鼓槌敲击鼓面一样迅速响应。如果不明白经络的循行路线，不知道药性的所在，只固执于一个方子，不仅无益，反而害人的情况很多。学习中医的人应当深入思考。
【秦艽升麻汤】治疗中风导致手足阳明经口眼歪斜，恶风恶寒，四肢拘挛紧急。
升麻、葛根、甘草（炙）、芍药、人参（各半两），秦艽、白芷、防风、桂枝（各三钱）。
将药材切碎。每次服用一两，加水二盏，连须葱白三茎，长二寸，煎煮至一盏，去渣，稍热服用。服药完毕后，在避风寒的地方躺卧，得到微微出汗就停止服药。
【犀角升麻汤】治疗中风导致的麻痹不仁，鼻颊间疼痛，嘴唇、口角、颊车、发际都疼痛，口不能张开，即使说话饮食也受到妨碍。左额颊部像糊住一样紧绷，手触摸则疼痛。这是足阳明经受风毒侵袭，血液凝滞不行的缘故。
犀角（一两二钱半）、升麻（一两）、防风、羌活（各七钱），川芎、白附子、白芷、黄芩（各半两），甘草（二钱半）。
将药材研为细末。每次服用五钱，加水二盏，煎煮至一盏，去渣，温服。饭后服用，每天三次。论述说：足阳明经属于胃。医经说：肠胃如同集市，像市场一样无所不有。在六经之中，血气较多，腐熟水谷，所以饮食之毒聚集于肠胃。此方以犀角为主药，解除饮食之毒。阳明经络环绕嘴唇夹持口部，起于鼻旁，交会于额中，沿颊车上行至耳前，过客主人穴，沿发际到达额颅。所以王公所患的是这一条经络的病。用升麻辅助它，其余药物都是涤除风热，升麻、黄芩专门入胃经作为引经药。
The Grand Commandant, Lord Zhongwu of the Shi family, was sixty-eight years old. In the first month of the tenth lunar month of the Wuchen year of Zhiyuan (1268), he attended upon the State Preceptor in the abbot's room of Sheng'an Temple. A stove of coal fire was placed on his left side. He then felt heat in his face, with slight sweating on the left cheek. The State Preceptor and all attendants left. Because the muscles of the left cheek were loose and relaxed, they were invaded by Wind-Cold pathogenic factors. The muscles of the right cheek were tense and contracted, causing the corner of the mouth to deviate to the right. The pulse was floating and tight, but deep pressure revealed a surging and slow quality. I recommended Hu Jifu, the Director of Medical Studies, to specialize in acupuncture and moxibustion treatment. First, moxa was applied to the Dicang (ST4) acupoint on the left cheek for one seven (7) moxa cones. Next, moxa was applied to the Jiache (ST6) acupoint for two sevens (14) moxa cones. Then, the right cheek was warmed and pressed with hot hands. It was decided to use Shengma Tang (Cimicifugae Decoction) added with Fangfeng (Saposhnikoviae Radix), Qinjiao (Gentianae Macrophyllae Radix), Baizhi (Angelicae Dahuricae Radix), and Guizhi (Cinnamomi Ramulus) to disperse Wind-Cold. After taking several doses, he recovered. Someone asked: "Most physicians in the world treat this condition with medicines such as Xuming Tang (Continuation of Life Decoction). Now you use Shengma Tang with four additional herbs. What is the rationale?" I replied: "The Foot-Yangming Stomach Meridian originates at the side of the nose, crosses at the root of the nose, runs along the lateral aspect of the nose, and enters the upper teeth. The Hand-Yangming Large Intestine Meridian also passes through the lower teeth. Moreover, both cheeks belong to the Yangming meridians. Shengma Tang consists of herbs targeting the Yangming meridian. Angelicae Dahuricae Radix (Baizhi) circulates through the Hand-Yangming meridian; Gentianae Macrophyllae Radix (Qinjiao) treats trismus (lockjaw); Saposhnikoviae Radix (Fangfeng) disperses wind pathogens; Cinnamoni Ramulus (Guizhi) strengthens the exterior and secures Ying and Wei (Nutritive and Defensive Qi), preventing pathogens from further injuring the body. This is the rationale. Diseases have distinctions between Biao (Exterior/Manifestation) and Ben (Root/Internal), and between different meridians. Medicines differ in their aromatic/heavy or light/thin properties. By examining the source of the disease and selecting appropriate medications, the therapeutic effect is as immediate as a drumstick striking a drum. If one does not understand the course of the meridians and the location of medicinal properties, merely adhering to a single prescription will not only be ineffective but often harmful. Students of medicine should reflect deeply on this."
[Qinjiao Shengma Tang] Treats facial paralysis (deviation of the mouth and eye) due to Wind-Stroke affecting the Hand and Foot Yangming meridians, aversion to wind and cold, and stiffness and tension of the four limbs.
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma - processed with honey), Shaoyao (Paeoniae Radix Alba) (each 0.5 liang); Qinjiao (Gentianae Macrophyllae Radix), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Guizhi (Cinnamomi Ramulus) (each 3 qian).
Crush the herbs. Take 1 liang per dose, add 2 zhan of water, and three stalks of scallion white (with roots), each 2 cun long. Decoct until 1 zhan remains, strain, and drink while slightly warm. After taking the medicine, lie down in a place sheltered from wind and cold. Stop taking the medicine once a slight sweat appears.
[Xijiao Shengma Tang] Treats numbness and loss of sensation due to Wind-Stroke, pain between the nose and cheeks, pain in the lips, mouth corners, Jiache area, and hairline, inability to open the mouth, and interference with speech and eating. The left forehead and cheek feel tight as if pasted, and are painful to touch. This is caused by the Foot-Yangming Meridian being invaded by Wind-Toxicity, leading to blood stasis and stagnation.
Xijiao (Rhinocerotis Cornu) (1 liang 2 qian 5 fen); Shengma (Cimicifugae Rhizoma) (1 liang); Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 7 qian); Chuanxiong (Ligustici Chuanxiong Rhizoma), Baifuzi (Aconiti Kusnezoffii Radix), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix) (each 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian 5 fen).
Grind into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, and take warm. Take after meals, three times a day. Commentary: The Foot-Yangming meridian belongs to the Stomach. The medical classics state: "The intestines and stomach are like a market, possessing everything as a marketplace does." Among the Six Meridians, the Stomach has abundant Qi and Blood, responsible for rotting and ripening food and water; thus, toxicity from diet accumulates in the intestines and stomach. This formula uses Rhinocerotis Cornu (Xijiao) as the principal herb to resolve dietary toxicity. The Yangming meridian loops around the lips, flanks the mouth, originates at the nose, crosses at the forehead, runs along Jiache, ascends to the front of the ear, passes through the Guest Host point (Tinggong/SJ21 or similar depending on interpretation, here likely referring to ST4 area contextually or SJ21), follows the hairline, and reaches the frontal skull. Therefore, the illness suffered by Lord Wang involves this specific meridian. Shengma assists it, while the other herbs cleanse and remove Wind-Heat. Shengma and Huangqin specifically enter the Stomach meridian to act as guiding herbs.