论曰风邪中于阴。发于五脏。其状奄忽不知人。喉中噫噫然有声。舌强不能言。身软而
汗。眼下及人中左右白者可治。一黑一赤。吐沫汗不出。身体强直者死。盖风中于阴。脏气
承之。风邪与血气相搏。经脉凝泣。阴阳之气。不得偕行。营卫不流。所以目瞑不知人也。
喉者所以通气。气既不利。故喉中噫噫然有声。身软而汗。则表里疏通。筋脉和缓。阳气得
复。故可治也。
治风 舌强不语。昏冒不知人。喉中作声。独活汤方
独活(去芦头) 生葛根(去皮细锉如麻豆大各二两) 甘草(炙一两半) 桂(去粗
皮) 芍
上五味。将四味粗捣筛。与葛根拌匀。每服五钱匕。水一盏半。入生姜五片。煎至八分
。去滓温服。日三夜一。
治风 邪气入脏。四体不收。不自知觉。口不能语。冒昧不知痛痒。麻黄汤方
麻黄(去根节先煎掠去沫焙干八两) 桂(去粗皮) 杏仁(汤浸去皮尖双仁炒) 芎
(各二两) 干姜(炮) 甘草(炙) 黄芩(去黑心各一两) 当归(切焙一两半) 石
膏(碎三两)
上九味。粗捣筛。每服五钱匕。水二盏。煎至一盏。入竹沥半合。再煎三五沸。去滓温
服。日三夜一。
治风 咽喉作声。言语謇涩。马尾散方
白马尾(一团如鸡卵大急火烧)
上一味。碾末。酒服一字。渐至半钱匕。日夜三服。勿令病患知。
治风 精神不明。舌强语涩。桂末吹鼻方
桂(紫色者去粗皮半两)
上一味。捣罗为细末。每用少许。吹入鼻中。及置舌下。
治风 舌强不语。精神冒闷。石菖蒲末吹鼻方
菖蒲(石上九节者刮净半两)
上一味。取新者捣罗为细末。每用少许。吹入鼻中。
治风 不语。体强不知人。梁尘吹鼻方
梁上尘
上一味。取少许。吹入鼻中。
治风 舌强不能言。四肢拘急。迷闷不知人。防风汤方
防风(去叉) 麻黄(去根节各二两) 白术 黄芩(去黑心) 赤芍药 桂(去粗皮)
防己 芎 人参 甘草(炙) 附子(炮裂去皮脐) 杏仁(汤浸去皮尖双仁麸炒各一两)
上一十二味。锉如麻豆。每服五钱匕。水一盏半。生姜一枣大拍碎。煎至八分。去滓温
服不拘时。
治风 咽中作声。舌强语涩。心膈不利。羚羊角散方
羚羊角(镑) 前胡(去芦头) 桂(去粗皮) 芎 麻黄(去根节) 秦艽(去苗
土) 防风
(去木) 槟榔 枳壳(去瓤麸炒各一两) 蝉蜕(去土) 桑螵蛸(炒) 干蝎(去土
炒) 丹砂(研各半两) 牛黄(研)
上二十一味。除研者外。捣为细末。入研者和匀。每服一钱匕。酒调下。不拘时。
治风 奄忽不知人。喉中噫噫然有声。舌强不能言。身软自汗。金箔丸方
金箔(研一百片) 银箔(研一百片) 犀角(细屑为末) 牛黄(研) 丁香 龙脑
(研) 沉
麻(酒浸切焙) 雄黄(研) 蝎梢(炒) 白僵蚕(炒) 附子(炮裂去皮脐) 天南星
(炮) 防风(去叉) 白附子(炮) 甘草(炙各一分) 丹砂(研一两) 墨(烧研半
两)
上二十四味。先以十五味捣罗为细末。入研者药一处和匀。内将金银薄入水银三分。同
研如
汤化
论述说:风邪侵入阴分,发于五脏。其症状表现为突然昏倒不省人事,喉中有痰鸣音,舌体僵硬不能言语,身体软弱并伴有出汗。若眼下及人中沟左右两侧呈现白色者,预后良好;若一侧黑一侧赤,且吐白沫、无汗、身体强直者,则为死证。这是因为风邪侵入阴分,由脏气承受,风邪与血气相互搏结,导致经脉凝滞涩阻,阴阳之气不能协调运行,营卫之气不通畅,所以出现目闭昏迷不省人事的症状。咽喉是气体通行的通道,气机既然不利,所以喉中发出痰鸣音。若身体软弱并出汗,说明表里疏通,筋脉和缓,阳气得以恢复,所以可以治愈。
治疗风病引起的舌体僵硬不能言语、昏沉冒昧不省人事、喉中发出声音的独活汤方:
独活(去除芦头)、生葛根(去皮,细锉如麻豆大小,各二两)、甘草(炙用一两半)、桂枝(去除粗皮)、芍药(上五味药)。将前四味药粗捣筛过,与葛根拌匀。每次服用五钱匕,加水一盏半,放入生姜五片,煎至八分满,去渣温服。每日三次,夜间一次。
治疗风邪入脏,四肢弛缓不收,不知自觉,口不能言语,神志昏蒙不知痛痒的麻黄汤方:
麻黄(去除根节,先煎撇去浮沫,焙干八两)、桂枝(去除粗皮)、杏仁(热水浸泡去皮尖双仁炒制)、川芎(各二两)、干姜(炮制)、甘草(炙用)、黄芩(去除黑心各一两)、当归(切后焙干一两半)、石膏(碎块三两)。
以上九味药,粗捣筛过。每次服用五钱匕,加水二盏,煎至一盏,加入竹沥半合,再煎三五沸,去渣温服。每日三次,夜间一次。
治疗风病引起的咽喉发声、言语謇涩的马尾散方:
白马尾(一团如鸡蛋大小,急火烧焦)。
以上一味药,碾成粉末。用酒送服一字量,逐渐增至半钱匕,日夜三次服用,不要让病人知道。
治疗风病引起的精神昏昧、舌体僵硬言语涩滞的桂末吹鼻方:
桂枝(紫色者,去除粗皮半两)。
以上一味药,捣罗成细末。每次取少许,吹入鼻中,并置于舌下。
治疗风病引起的舌体僵硬不能言语、精神昏闷的石菖蒲末吹鼻方:
石菖蒲(生于石上呈九节者,刮净半两)。
以上一味药,取新鲜的捣罗成细末。每次取少许,吹入鼻中。
治疗风病引起的不能言语、身体强直不省人事的梁尘吹鼻方:
梁上尘。
以上一味药,取少许,吹入鼻中。
治疗风病引起的舌体僵硬不能言语、四肢拘急、迷闷不省人事的防风汤方:
防风(去除叉枝)、麻黄(去除根节各二两)、白术、黄芩(去除黑心)、赤芍药、桂枝(去除粗皮)、防己、川芎、人参、甘草(炙用)、附子(炮裂去皮脐)、杏仁(热水浸泡去皮尖双仁麸炒各一两)。
以上十二味药,锉如麻豆大小。每次服用五钱匕,加水一盏半,生姜一块枣大拍碎,煎至八分满,去渣温服,不拘时间。
治疗风病引起的咽中发声、舌体僵硬言语涩滞、心膈不利的羚羊角散方:
羚羊角(镑片)、前胡(去除芦头)、桂枝(去除粗皮)、川芎、麻黄(去除根节)、秦艽(去苗土)、防风(去木)、槟榔、枳壳(去瓤麸炒各一两)、蝉蜕(去土)、桑螵蛸(炒制)、干蝎(去土炒制)、丹砂(研细各半两)、牛黄(研细)。
以上二十一味药,除需研细的药物外,其余捣为细末,加入已研细的药物混合均匀。每次服用一钱匕,用酒调下,不拘时间。
治疗风病引起的突然昏倒不省人事、喉中痰鸣、舌体僵硬不能言语、身体软弱自汗的金箔丸方:
金箔(研细一百片)、银箔(研细一百片)、犀角(细屑为末)、牛黄(研细)、丁香、龙脑(研细)、沉香、麻黄(酒浸切焙)、雄黄(研细)、蝎梢(炒制)、白僵蚕(炒制)、附子(炮裂去皮脐)、天南星(炮制)、防风(去除叉枝)、白附子(炮制)、甘草(炙用各一分)、丹砂(研细一两)、墨(烧后研细半两)。
以上二十四味药,先将十五味药捣罗成细末,将需要研细的药物加入其中混合均匀。另取水银三分,与金银箔同研至如水化开状。
It is discussed that wind pathogen invades the Yin aspect and originates in the five Zang organs. The presentation involves sudden loss of consciousness, rattling sounds in the throat, tongue stiffness with inability to speak, flaccidity of the body accompanied by sweating. If the areas under the eyes and on both sides of the philtrum appear white, the prognosis is treatable; if one side is black and the other red, with frothy saliva, absence of sweating, and rigidity of the body, it indicates a fatal outcome. This is because wind pathogen enters the Yin aspect and is borne by the Zang Qi (vital energy of the Zang organs). Wind pathogen contends with Blood and Qi, causing stagnation and obstruction in the meridians, preventing the harmonious movement of Yin and Yang Qi, and blocking the flow of Ying (Nutritive) and Wei (Defensive) Qi, thus resulting in closed eyes and unconsciousness. The throat serves as the passage for Qi; since Qi flow is obstructed, rattling sounds occur in the throat. Flaccidity and sweating indicate the unblocking of the exterior and interior, relaxation of sinews and vessels, and recovery of Yang Qi, hence it is treatable.
Treatment for Wind causing tongue stiffness, aphasia, coma, and throat sounds: Duhuo Decoction (Angelicae Pubescentis Decoction).
Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Sheng Gegen (Puerariae Radix, peeled and finely chopped, 2 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 liang), Guizhi (Cinnamomi Ramulus, remove bark), Shaoyao (Paeoniae Radix).
The above five herbs. Coarsely grind and sieve the first four, mix with Gegen. Take 5 qianbi per dose, add 1.5 zhan of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until 0.8 zhan remains, strain and take warm. Three times daily, once at night.
Treatment for Wind pathogen entering the Zang, flaccidity of the four limbs, loss of sensation, aphasia, and insensitivity to pain and itch: Mahuang Decoction (Ephedra Decoction).
Mahuang (Ephedrae Herba, remove roots and joints, boil first and skim foam, dry-roast, 8 liang), Guizhi (Cinnamomi Ramulus, remove bark), Xingren (Armeniacae Semen Amarum, soak in hot water, remove skin and tips, stir-fry), Xiong (Ligustici Chuanxiong Rhizoma, 2 liang each), Ganjiang (Zingiberis Rhizoma, processed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix, remove black heart, 1 liang each), Danggui (Angelicae Sinensis Radix, slice and dry-roast, 1.5 liang), Shigao (Gypsum Fibrosum, crushed, 3 liang).
The above nine herbs. Coarsely grind and sieve. Take 5 qianbi per dose, add 2 zhan of water, decoct until 1 zhan remains, add Banxia Li (Bambusae汁, half he), boil for three to five boils, strain and take warm. Three times daily, once at night.
Treatment for Wind causing throat sounds and dysarthria: Mawei San (White Horse Tail Powder).
Baimawei (Equi Cauda, a ball size of a chicken egg, burnt quickly).
The above single herb. Grind into powder. Administer with wine, starting with a "yi zi" amount, gradually increasing to half qianbi. Take three times day and night. Do not let the patient know.
Treatment for Wind causing mental cloudiness, tongue stiffness, and dysarthria: Gui Mo Chuibi Formula (Cinnamon Powder Nasal Insufflation).
Guizhi (Cinnamomi Ramulus, purple variety, remove bark, 0.5 liang).
The above single herb. Grind into fine powder. Use a small amount, insufflate into the nose, and place under the tongue.
Treatment for Wind causing tongue stiffness, aphasia, and mental oppression: Shichangpu Mo Chuibi Formula (Acori Tatarinowii Rhizoma Powder Nasal Insufflation).
Shichangpu (Acori Tatarinowii Rhizoma, from rocks with nine nodes, scraped clean, 0.5 liang).
The above single herb. Take fresh material, grind into fine powder. Use a small amount, insufflate into the nose.
Treatment for Wind causing aphasia, rigidity, and unconsciousness: Liangchen Chuibi Formula (Beam Dust Nasal Insufflation).
Liangshangchen (Dust from roof beams).
The above single herb. Take a small amount, insufflate into the nose.
Treatment for Wind causing tongue stiffness, aphasia, limb spasm, and coma: Fangfeng Decoction (Saposhnikoviae Decoction).
Fangfeng (Saposhnikoviae Radix, remove forked parts), Mahuang (Ephedrae Herba, remove roots and joints, 2 liang each), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix, remove black heart), Chishao (Paeoniae Radix Rubra), Guizhi (Cinnamomi Ramulus, remove bark), Fangji (Stephaniae Tetrandrae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin and navel), Xingren (Armeniacae Semen Amarum, soak in hot water, remove skin and tips, stir-fry with bran, 1 liang each).
The above twelve herbs. Chop like hemp seeds. Take 5 qianbi per dose, add 1.5 zhan of water, one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens) smashed, decoct until 0.8 zhan remains, strain and take warm. No specific time restriction.
Treatment for Wind causing throat sounds, tongue stiffness, dysarthria, and chest diaphragm discomfort: Lingyangjiao San (Saiga Antelope Horn Powder).
Lingyangjiao (Saigae Tataricae Cornu, shaved), Qianhu (Peucedani Radix, remove rhizome head), Guizhi (Cinnamomi Ramulus, remove bark), Xiong (Ligustici Chuanxiong Rhizoma), Mahuang (Ephedrae Herba, remove roots and joints), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Fangfeng (Saposhnikoviae Radix, remove wood core), Binglang (Arecae Semen), Zhike (Aurantii Fructus Immaturus, remove pulp, stir-fry with bran, 1 liang each), Chantui (Cicadae Periostracum, remove dirt), Sangpiaoxiao (Ovi Mantidis), Ganxie (Scorpio, remove dirt, stir-fry), Dansha (Cinnabar, ground, half liang each), Niuhuang (Bovis Calculus, ground).
The above twenty-one herbs. Except for those to be ground, coarsely grind into fine powder. Mix with the ground ingredients. Take 1 qianbi per dose, mix with wine and administer. No specific time restriction.
Treatment for Wind causing sudden unconsciousness, throat rattling, tongue stiffness, aphasia, and spontaneous sweating: Jinbo Wan (Gold Foil Pill).
Jinbo (Laminæ Aurum, ground, 100 pieces), Yinbo (Laminæ Argentum, ground, 100 pieces), Xijiao (Rhinocerotis Cornu, fine powder), Niuhuang (Bovis Calculus, ground), Dingxiang (Caryophylli Flos), Longnao (Borneolum Syntheticum, ground), Chenxiang (Aquilariae Lignum Resinatum), Mahuang (Ephedrae Herba, soak in wine, slice, dry-roast), Xionghuang (Realgar, ground), Xeshao (Scorpio tip, stir-fried), Baijiangcan (Bombyx Batryticatus, stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin and navel), Tiannanxing (Arisomatis Tuber, processed), Fangfeng (Saposhnikoviae Radix, remove forked parts), Baifuzi (Giraldinae Rhizoma, processed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen each), Dansha (Cinnabar, ground, 1 liang), Mo (Ink stick, burnt and ground, 0.5 liang).
The above twenty-four herbs. First, grind fifteen herbs into fine powder. Mix with the ground ingredients. Add Yinqin (Hydrargyrum) three parts to the gold and silver foils, grind together until dissolved like soup.