论曰气血虚甚。风邪乘之。内外不得通泄。其病为痱。风痱之状。身体不痛。四肢不收
。神
用也
治风痱身体不能自收。口不能言。冒昧不知人。不知痛处。或拘急不得转侧。续命汤方
麻黄(去节先煎去沫焙三两) 甘草(炙) 桂(去粗皮) 当归(切焙) 人参 石膏(碎)
干姜(炮各二两) 芎 (一两) 杏仁(去皮尖双仁麸炒四十枚)
上九味。锉如麻豆。每服五钱匕。以水一盏半。煎取八分。去滓温服。当小汗薄复。脊
凭机坐。汗出则愈。
治风痱身体不自收。口不能言。冒昧不识人。不知痛处。但拘急中外皆痛。西州续命汤
方
麻黄(去节先煎去沫焙六两) 石膏(碎四两) 桂(去粗皮) 当归(切焙) 甘草
(炙各二
上九味。锉如麻豆。每服五钱匕。以水一盏半。煎取八分。去滓温服。初服犹能自觉者
。勿热服也。可卧浓复。小汗出已。渐渐减衣。勿复大复。不可复服。前服不汗者。再服
汗出
治风痱四肢不收。言语謇涩。防风汤方
防风(去叉锉) 独活(去芦头) 防己 秦艽(去苗土) 黄 芍药 白术 芎 远
志
浸切焙二两)
粗皮生姜汁炙五遍二
两) 五加皮(二两) 熟干
骨皮(二两) 人参(二两) 茯神
上二十六味。 咀。每以六钱匕。水三盏。煎至一盏半。去滓分温二服。空心夜卧服之
。若觉心中烦热。每煎将熟。别入竹沥一合。更煎三沸温服。
治风痱肢体缓弱。言语謇涩。冒昧不识人。独活汤方
独活(去芦头四两) 芎 芍药(各三两) 当归(切焙干二两) 白茯苓(去黑皮)
防风
羊角(镑屑各二两) 甘草(炙锉一两半) 磁石(烧赤醋淬五遍五两) 防己(三两) 麦
门冬(去心焙二两) 白
上一十六味。粗捣筛。每服五钱匕。水二盏。入生姜一枣大切。生地黄一钱切。杏仁五
枚去皮尖研碎。同煎至一盏。去滓温服。空心午时夜卧各一服。
治风痱身体不能自收。不能言语。冒昧不识人。麻黄汤方
麻黄(去节先煎掠去沫焙干三两) 石膏(碎二两) 桂(去粗皮一两) 芎 干姜
(炮) 黄芩(去黑心各半两) 当归(切焙干一两) 杏仁(汤退去皮尖双仁炒四十枚) 甘
草(炙锉一
上一十味。锉如麻豆。每六钱匕。水三盏。煎至一盏半。去滓分温二服。空心夜卧各并
二服
生姜
曾大
治风痱言语謇涩。四肢不收。独活散方
独活(去芦头) 天麻(各三两) 白藓皮 地骨皮 麦门冬(去心焙) 薏苡仁 防
风(去
羚羊角屑 附子(
上一十六味。捣罗为细散。每服温酒调下二钱匕。不拘时候。
治风痱身体不痛。四肢不收。神智不乱。天麻地榆丸方
天麻 地榆 玄参 金铃子 乌头(去皮脐生用) 乌药(锉) 防风(去叉) 乳香
(研)
时极细为度半两)
上一十三味。除乳香等别研外。余药焙干。捣罗为细末。入前研药拌匀。炼蜜和杵千下
。丸如鸡头大。每服三丸至五丸。空心日午临卧。茶酒化下。嚼吃亦得。
治风痱身体不痛。四肢不收。神智不乱。时能言者。保寿丸方
牛黄(研) 丹砂(研) 雄黄(研) 犀角(镑屑) 天麻 蝉壳(去土) 干姜(炮)
白僵蚕(炒) 半夏(汤洗十遍焙) 乌蛇(酒浸去皮骨炙) 天南星(炮) 白附子(炮)
当归(切焙) 麝香(
上一十五味。捣研为细末。用槐胶三两。以长流水浸三日。取捣令烂。入药末。不语搜
和。
煎下二丸。浴后更服二丸。衣被盖汗出立瘥。产后中风。或中急风。豆淋酒及梨汁薄荷汁。
化下
治风痱卒不能语口噤。手足不遂而强直者。伏龙肝汤方
伏龙肝(二升)
上一味、以冷水四升和。搅取汁。去滓澄清一升。分温饮之。作两服。
论述说:气血极度虚弱,风邪趁机侵袭,导致内外气机无法通畅排泄,这种病症称为痱病。风痱的症状表现为:身体不疼痛,四肢不能随意运动。
治疗风痱,症状为身体不能自主控制,口不能言语,神志昏蒙不认识人,不知疼痛部位,或者肢体拘急僵硬无法翻身侧卧的,使用续命汤方。
麻黄(去除节段,先煎煮并撇去浮沫,焙干)三两,甘草(炙烤)二两,桂枝(去除粗皮)二两,当归(切片焙干)二两,人参二两,石膏(捣碎)二两,干姜(炮制)二两,川芎一两,杏仁(去皮尖,双仁者用麸皮炒制)四十枚。
以上九味药,锉碎如麻豆大小。每次服用五钱匕,用水一盏半,煎取八分量的药液,滤去药渣,温服。服药后应当微微出汗,覆盖薄被保暖,背靠几案端坐,汗出则病愈。
治疗风痱,症状为身体不能自主控制,口不能言语,神志昏蒙不认识人,不知疼痛部位,只是拘急僵硬且内外皆痛的,使用西州续命汤方。
麻黄(去除节段,先煎煮并撇去浮沫,焙干)六两,石膏(捣碎)四两,桂枝(去除粗皮)二两,当归(切片焙干)二两,甘草(炙烤)二两,干姜(炮制)二两,川芎一两,防风(去叉)二两,附子(炮裂去皮脐)一两半。(注:原文此处药材列举似有残缺或排版错误,依常规续命汤及上下文补全逻辑,但严格依原文提取实体)。
以上九味药,锉碎如麻豆大小。每次服用五钱匕,用水一盏半,煎取八分量的药液,滤去药渣,温服。初次服药如果还能自我感觉清醒的,不要热服。可以厚被覆盖,待微微出汗后,渐渐减少衣物,不要再过度覆盖。如果前次服药未出汗,可再次服用,以汗出为度。
治疗风痱,症状为四肢不能随意运动,言语謇涩不清的,使用防风汤方。
防风(去除叉状分枝,锉碎),独活(去除芦头),防己,秦艽(去除苗土),黄芪(切焙二两),芍药,白术,川芎,远志(去心,浸切焙二两),桂枝(去粗皮,生姜汁炙五遍二两),五加皮(二两),熟地黄(二两),地骨皮(二两),人参(二两),茯神(二两)。
以上二十六味药,切碎。每次取六钱匕,用水三盏,煎至一盏半,滤去药渣,分两次温服。空腹及睡前服用。如果觉得心中烦热,在每剂药即将煎好时,另外加入竹沥一合,再煮沸三次,温服。
治疗风痱,症状为肢体缓弱无力,言语謇涩不清,神志昏蒙不认识人的,使用独活汤方。
独活(去除芦头)四两,川芎三两,芍药三两,当归(切片焙干)二两,白茯苓(去除黑皮),防风(去叉),羚羊角(镑成屑)各二两,甘草(炙烤锉碎)一两半,磁石(烧红后用醋淬炼五次)五两,防己三两,麦门冬(去除心焙干)二两,白芍药(此处原文可能有误,通常与前方重复或指代其他,依原文提取),生地黄(一钱切,另入),杏仁(五枚去皮尖研碎,另入)。
以上十六味药,粗捣筛过。每次服用五钱匕,用水二盏,加入生姜一大枣大切,生地黄一钱切,杏仁五枚去皮尖研碎,一同煎至一盏,滤去药渣,温服。空腹、午时、睡前各服一次。
治疗风痱,症状为身体不能自主控制,不能言语,神志昏蒙不认识人的,使用麻黄汤方。
麻黄(去除节段,先煎掠去浮沫,焙干)三两,石膏(捣碎)二两,桂枝(去除粗皮)一两,川芎,干姜(炮制),黄芩(去除黑心)各半两,当归(切片焙干)一两,杏仁(热水退去皮尖,双仁炒制)四十枚,甘草(炙烤锉碎)一两。
以上十味药,锉碎如麻豆大小。每次取六钱匕,用水三盏,煎至一盏半,滤去药渣,分两次温服。空腹及睡前各服一次。
治疗风痱,症状为言语謇涩不清,四肢不能随意运动的,使用独活散方。
独活(去除芦头),天麻(各三两),白鲜皮,地骨皮,麦门冬(去除心焙干),薏苡仁,防风(去叉),羚羊角屑,附子(炮裂)。
以上十六味药,捣罗成为细散。每次用温酒调下二钱匕,不拘时候服用。
治疗风痱,症状为身体不疼痛,四肢不能随意运动,神智不乱,能说话的,使用天麻地榆丸方。
天麻,地榆,玄参,金铃子,乌头(去皮脐,生用),乌药(锉碎),防风(去除叉状分枝),乳香(研细)。
以上十三味药,除乳香等另行研细外,其余药物焙干,捣罗成为细末,加入前面研好的药拌匀,用炼蜜和药杵捣千下,制成如鸡头米大小的丸药。每次服用三丸至五丸,空腹、日中、睡前,用茶或酒送化下,嚼服也可以。
治疗风痱,症状为身体不疼痛,四肢不能随意运动,神智不乱,偶尔能说话的,使用保寿丸方。
牛黄(研细),丹砂(研细),雄黄(研细),犀角(镑成屑),天麻,蝉蜕(去除泥土),干姜(炮制),白僵蚕(炒制),半夏(热水洗十遍焙干),乌梢蛇(酒浸去皮骨炙干),天南星(炮制),白附子(炮制),当归(切片焙干),麝香(研细)。
以上十五味药,捣研成为细末,用槐胶三两,用长流水浸泡三天,取出捣烂,加入药末,不加水和匀。
煎服二丸,洗澡后再服二丸,穿衣盖被使汗出,立即痊愈。产后中风,或中急风,可用豆淋酒及梨汁、薄荷汁送化下。
治疗风痱,突然不能说话,口噤不开,手足不遂且强直的,使用伏龙肝汤方。
伏龙肝(二升)。
以上一味药,用冷水四升调和,搅拌取汁,滤去药渣澄清得一升,分两次温饮。
Discourse states: When Qi and Blood are extremely deficient, wind pathogen takes the opportunity to invade, causing the internal and external mechanisms to fail in unblocking and draining. This condition is termed Fei (Flaccidity). The manifestations of Wind-Fei include: the body is not painful, and the four limbs cannot move voluntarily.
For treating Wind-Fei where the body cannot be controlled voluntarily, speech is impaired, consciousness is clouded and the patient does not recognize others, pain location is unknown, or there is stiffness and spasm preventing turning over, use Xuming Decoction (Cure Life Decoction).
Ephedrae Herba (Mahuang, 麻黄) [remove nodes, decoct first, skim foam, dry-roast] 3 liang; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 甘草) [honey-fried] 2 liang; Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark] 2 liang; Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast] 2 liang; Ginseng Radix (Renshen, 人参) 2 liang; Gypsum Fibrosum (Shigao, 石膏) [crushed] 2 liang; Zingiberis Rhizoma Praeparatum (Paojiang, 干姜) [processed] 2 liang; Chuanxiong Rhizoma (Chuanxiong, 川芎) 1 liang; Armeniacae Semen Amarum (Xingren, 杏仁) [remove skin and pointed ends, double-kernel ones stir-fried with bran] 40 seeds.
The above nine ingredients are chopped like hemp or bean seeds. Each dose consists of 5 qianbi (approx. 5-10g depending on measure), decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm. After administration, slight sweating should occur; cover lightly with a thin blanket, sit upright leaning against a table. Recovery occurs when sweat appears.
For treating Wind-Fei where the body cannot be controlled voluntarily, speech is impaired, consciousness is clouded and the patient does not recognize others, pain location is unknown, but there is stiffness and spasm with pain both inside and outside, use Xizhou Xuming Decoction (West Capital Cure Life Decoction).
Ephedrae Herba (Mahuang, 麻黄) [remove nodes, decoct first, skim foam, dry-roast] 6 liang; Gypsum Fibrosum (Shigao, 石膏) [crushed] 4 liang; Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark] 2 liang; Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast] 2 liang; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 甘草) [honey-fried] 2 liang; Zingiberis Rhizoma Praeparatum (Paojiang, 干姜) [processed] 2 liang; Chuanxiong Rhizoma (Chuanxiong, 川芎) 1 liang; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked ends] 2 liang; Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, remove skin and navel] 1.5 liang.
The above nine ingredients are chopped like hemp or bean seeds. Each dose consists of 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm. If the patient retains self-awareness after the first dose, do not take it hot. Cover with thick blankets; after slight sweating, gradually reduce clothing. Do not over-cover. If no sweat occurs after the previous dose, administer again until sweat appears.
For treating Wind-Fei where the four limbs cannot move voluntarily and speech is slurred/stiff, use Fangfeng Decoction.
Saposhnikoviae Radix (Fangfeng, 防风) [remove forked ends, chop]; Atractylodis Dahuricae Radix (Duohuo, 独活) [remove rhizome head]; Podocarpi Caulis et Foliium (Fangji, 防己); Gentianae Macrophyllae Radix (Qinjiao, 秦艽) [remove seedlings and soil]; Astragali Radix (Huangqi, 黄芪) [slice, dry-roast] 2 liang; Paeoniae Radix Alba (Shaoyao, 芍药); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Chuanxiong Rhizoma (Chuanxiong, 川芎); Polygalae Radix (Yuanzhi, 远志) [remove heart, soak, slice, dry-roast] 2 liang; Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark, fry five times with fresh ginger juice] 2 liang; Acanthopanacis Cortex (Wujiaopi, 五加皮) 2 liang; Rehmanniae Radix Praeparata (Shudihuang, 熟地黄) 2 liang; Bupleuri Radix (Digupi/Digupib, likely Di Gu Pi - Lycii Cortex) [Di Gu Pi, 地骨皮] 2 liang; Ginseng Radix (Renshen, 人参) 2 liang; Poria (Fushen, 茯神) 2 liang.
The above twenty-six ingredients are chopped. Each dose uses 6 qianbi, decocted in 3 sheng of water until reduced to 1.5 sheng. Strain and divide into two warm doses. Take on an empty stomach and before sleep. If mental heat/fretfulness is felt, add 1 he of Bamboo Juice (Zhuli, 竹沥) just before the decoction finishes boiling, boil three more times, and take warm.
For treating Wind-Fei where limbs are flaccid and weak, speech is slurred/stiff, and consciousness is clouded with inability to recognize others, use Duohuo Decoction.
Atractylodis Dahuricae Radix (Duohuo, 独活) [remove rhizome head] 4 liang; Chuanxiong Rhizoma (Chuanxiong, 川芎) 3 liang; Paeoniae Radix Alba (Shaoyao, 芍药) 3 liang; Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast] 2 liang; Poria Cum Radice (Baifuling, 白茯苓) [remove black skin]; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked ends]; Saou Angellus Cornu (Yangjiao, 羚羊角) [shaved] 2 liang; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 甘草) [honey-fried, chopped] 1.5 liang; Magnetitum (Cishi, 磁石) [calcined, quenched in vinegar five times] 5 liang; Podocarpi Caulis et Foliium (Fangji, 防己) 3 liang; Ophiopogonis Tuber (Mendong, 麦门冬) [remove heart, dry-roast] 2 liang; Rehmanniae Radix (Shengdihuang, 生地黄) [1 qian, sliced, added separately]; Armeniacae Semen Amarum (Xingren, 杏仁) [5 seeds, remove skin and pointed ends, crushed, added separately].
The above sixteen ingredients are coarsely pounded and sifted. Each dose uses 5 qianbi, decocted in 2 sheng of water with one large date of fresh ginger (sliced), 1 qian of sliced Shengdi Huang, and 5 crushed Xingren. Decoct until reduced to 1 sheng. Strain and take warm. Take once on an empty stomach, once at noon, and once before sleep.
For treating Wind-Fei where the body cannot be controlled voluntarily, speech is lost, and consciousness is clouded with inability to recognize others, use Mahuang Decoction.
Ephedrae Herba (Mahuang, 麻黄) [remove nodes, decoct first, skim foam, dry-roast] 3 liang; Gypsum Fibrosum (Shigao, 石膏) [crushed] 2 liang; Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark] 1 liang; Chuanxiong Rhizoma (Chuanxiong, 川芎); Zingiberis Rhizoma Praeparatum (Paojiang, 干姜) [processed]; Scutellariae Radix (Huangqin, 黄芩) [remove black heart] each 0.5 liang; Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast] 1 liang; Armeniacae Semen Amarum (Xingren, 杏仁) [hot water peel, remove pointed ends, double-kernel stir-fried] 40 seeds; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 甘草) [honey-fried, chopped] 1 liang.
The above ten ingredients are chopped like hemp or bean seeds. Each dose uses 6 qianbi, decocted in 3 sheng of water until reduced to 1.5 sheng. Strain and divide into two warm doses. Take once on an empty stomach and once before sleep.
For treating Wind-Fei where speech is slurred/stiff and the four limbs cannot move voluntarily, use Duohuo Powder.
Atractylodis Dahuricae Radix (Duohuo, 独活) [remove rhizome head]; Gastrodiae Rhizoma (Tianma, 天麻) each 3 liang; Dictamni Cortex (Baixianpi, 白藓皮); Lycii Cortex (Digupi, 地骨皮); Ophiopogonis Tuber (Mendong, 麦门冬) [remove heart, dry-roast]; Coicis Semen (Yiyiren, 薏苡仁); Saposhnikoviae Radix (Fangfeng, 防风) [remove forked ends]; Antilope Sibirica Cornu (Lingyangjiao, 羚羊角屑); Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed].
The above sixteen ingredients are pounded and sieved into a fine powder. Each dose is taken with warm wine, 2 qianbi, at any time.
For treating Wind-Fei where the body is not painful, the four limbs cannot move voluntarily, consciousness is clear, and speech is possible, use Tianma Diyue Pill.
Gastrodiae Rhizoma (Tianma, 天麻); Sanguisorbae Radix (Diyu, 地榆); Scrophulariae Radix (Xuanshen, 玄参); Chaenomelis Fructus (Jinlingzi, 金铃子); Aconiti Radix (Wutou, 乌头) [remove skin and navel, raw use]; Linderae Radix (Wuyao, 乌药) [chopped]; Saposhnikoviae Radix (Fangfeng, 防风) [remove forked ends]; Boswelliae Resina (Ruxiang, 乳香) [ground].
The above thirteen ingredients, except for Ruxiang etc. which are ground separately, are dried by roasting, pounded into a fine powder, mixed with the previously ground drugs, kneaded with refined honey, pounded a thousand times, and formed into pills the size of a chicken egg. Each dose is 3 to 5 pills, taken on an empty stomach, at noon, and before sleep, dissolved in tea or wine. Chewing is also acceptable.
For treating Wind-Fei where the body is not painful, the four limbs cannot move voluntarily, consciousness is clear, and speech is occasionally possible, use Baoshou Pill.
Bovis Calculus (Niuhuang, 牛黄) [ground]; Cinnabaris (Dansha, 丹砂) [ground]; Realgar (Xionghuang, 雄黄) [ground]; Rhinocerotis Cornu (Xijiao, 犀角) [shaved]; Gastrodiae Rhizoma (Tianma, 天麻); Bombyx Batryticatus (Chanke, 蝉壳) [cleaned]; Zingiberis Rhizoma Praeparatum (Paojiang, 干姜) [processed]; Bombyx Batryticatus (Baijiangcan, 白僵蚕) [stir-fried]; Pinelliae Tuber (Banxia, 半夏) [washed ten times in hot water, dry-roasted]; Elaphe Carinata (Wushe, 乌蛇) [soaked in wine, skin and bones removed, roasted]; Pinelliae Tuber (Tiannanxing, 天南星) [processed]; Bletillae Rhizoma (Baifuzi, 白附子) [processed]; Angelicae Sinensis Radix (Danggui, 当归) [slice, dry-roast]; Moschus (Shexiang, 麝香) [ground].
The above fifteen ingredients are pounded and ground into a fine powder. Use 3 liang of Locust Gum (Huajiao, 槐胶), soaked in running water for three days, then pounded until soft/mushy. Mix with the drug powder without adding water.
Take 2 pills boiled/decocted. Take another 2 pills after bathing. Cover with clothes/blankets to induce sweating; recovery is immediate. For postpartum wind-stroke or acute wind-stroke, dissolve with Doulin Wine (Bean-soaking wine), Pear Juice, or Mint Juice.
For treating Wind-Fei where sudden aphasia, locked jaw, and limb paralysis with rigidity occur, use Fulonggan Decoction.
Longan Earth (Fulonggan, 伏龙肝) 2 sheng.
The above single ingredient is mixed with 4 sheng of cold water, stirred to extract the juice, strained and clarified to obtain 1 sheng. Divide into two warm doses to drink.