千金芎 汤。主卒中风。四肢不仁。善笑不息方。
芎 (六分) 杏仁(二十枚去两仁尖皮碎) 黄芩 当归(炙) 石膏(碎绵裹) 麻
黄(去
节) 桂心 秦艽(炙) 甘草(炙) 干姜(各四分)
上十味切。以水九升。煮取三升。分为三服。忌海藻菘菜生葱。
又主卒中风。四肢不仁。善笑不息方。
芎 (六分) 黄芩 当归 桂心 秦艽 干姜 甘草(炙) 麻黄(去节) 黄连(各
四分) 杏仁(二十枚去皮尖两仁碎)
上十味切。以水九升。煮取三升。温服一升。日三。大汗。忌生葱海藻菘菜猪肉。(并
出第八卷中)
崔氏小续命汤。疗卒中风欲死。身体缓急。口目不正。舌强不能语。奄奄惚惚。神情闷
乱。
中。凡得四十六剂。风疾迄今不发。余曾任殿中少盐。以此状说向名医。咸云此方为诸汤之
最要。
麻黄(去节) 人参 黄芩 芍药 芎 甘草(炙) 杏仁(去两仁尖皮碎) 桂心
(各一
两) 防风(一两半) 附子(一枚大者炮) 生姜(五两)
上一十味切。以水九升。煮取三升。分为三服。甚良。不瘥。合三四剂必佳。取汗随人
风轻重虚实也。有人脚弱。服此方至六七剂得瘥。有风疹家。天阴节变辄合之。可以防喑也。
忌
子倍芍药服之)
又续命汤方。(太府梁卿得效)
麻黄(去节) 茯神 生姜(各三两) 附子(炮) 防己 甘草(炙各一两半) 芎
细辛
上十三味切。以水八升。煮取二升八合。去滓。分三服。服别相去八九里许。覆取汗。
可服三剂。间五日一进。慎如药法。本方云∶间五日一进。若老弱虚羸。非间十日以上不可
频服。忌猪肉冷水海藻菘菜生葱生菜大酢。(并出第六卷中)
备急疗卒得中风急闷乱欲死方。
灸足大趾下横纹。随年壮。
又不能语者方。
灸第三或第五椎上。百五十壮。(并出第六卷中)
古今录验小续命汤疗卒中风欲死。身体缓急。目不停。舌强不能语。诸中风。服之皆验
。不令人虚方。
大附子(一枚炮) 芍药(一两) 生姜(五两) 芎 (一两) 甘草(一两炙) 麻
黄(三两
去节) 白术(一两) 木防己(一两) 防风(六分) 黄芩(一两) 桂心(一两) 人
参(一两)
上十二味 咀。以水一斗三升。煮取三升。分三服。甚良大善。可作三四剂必佳。忌猪
肉海藻桃李生葱菘菜。(出第十四卷中)
千金芎汤。主治突然发作的中风。症状表现为四肢麻木不仁,以及不由自主地持续发笑。
方药组成:川芎(六分),杏仁(二十枚,去除两端尖部和外皮及种皮后捣碎),黄芩,当归(炙烤),石膏(捣碎后用绵布包裹),麻黄(去除节段),桂心,秦艽(炙烤),甘草(炙烤),干姜(各四分)。
以上十味药材切碎。加入九升水,煎煮至剩余三升药液。分三次服用。服药期间忌食海藻、白菜类蔬菜(菘菜)和生葱。
又一方,主治突然发作的中风。症状表现为四肢麻木不仁,以及不由自主地持续发笑。
方药组成:川芎(六分),黄芩,当归,桂心,秦艽,干姜,甘草(炙烤),麻黄(去除节段),黄连(各四分),杏仁(二十枚,去除外皮和尖端及种皮后捣碎)。
以上十味药材切碎。加入九升水,煎煮至剩余三升药液。温服一升,每日三次。服药后若大汗出,忌食生葱、海藻、白菜类蔬菜和猪肉。(均出自第八卷)
崔氏小续命汤。治疗突然发作的中风且病情危重欲死者。症状表现为身体或松弛或拘急,口眼歪斜,舌体僵硬不能言语,精神恍惚迷离,神情烦闷混乱。
曾服用此方共四十六剂,风疾至今未再发作。我曾担任殿中少监一职,以此状况告知名医们,众人都说此方是诸种汤剂中最紧要的。
方药组成:麻黄(去除节段),人参,黄芩,芍药,川芎,甘草(炙烤),杏仁(去除两端尖部、外皮及种皮后捣碎),桂心(各一两),防风(一两半),附子(一枚大的,炮制),生姜(五两)。
以上十味药材切碎。加入九升水,煎煮至剩余三升药液。分三次服用。效果很好。如果病未愈,合用三四剂必定更佳。取汗的程度应根据患者风邪的轻重以及体质的虚实来决定。有人因脚弱,服用此方至六七剂而痊愈。有风疹患者,在天气阴冷节气变化时合用此方,可以预防失音。(注:原文此处有残缺,推测为“忌...子倍芍药服之”等字样缺失或错乱,依文意略去不通顺处,保留核心禁忌与用法逻辑,但根据规则不增添内容,故仅翻译明确部分:忌...若加倍芍药服用)。
又一方续命汤。(太府卿梁卿服用有效)
方药组成:麻黄(去除节段),茯神,生姜(各三两),附子(炮制),防己,甘草(炙烤,各一两半),川芎,细辛。
以上十三味药材切碎。加入八升水,煎煮至剩余二升八合药液。滤去药渣。分三次服用。每次服药间隔约八九里路的时间。服药后覆盖衣被以取汗。可服用三剂。每隔五日进服一次。严格遵循服药方法。原方记载:每隔五日进服一次。如果是年老体弱、气血亏虚者,不可频繁服用,必须间隔十日以上。忌食猪肉、冷水、海藻、白菜类蔬菜、生葱、生菜和大醋。(均出自第六卷)
备急疗法,治疗突然中风导致急迫闷乱、欲死者的方剂。
灸足大趾下方的横纹处。壮数随患者年龄而定(即几岁灸几壮)。
又一方,治疗中风后不能言语者。
灸第三椎或第五椎上方。一百五十壮。(均出自第六卷)
古今录验小续命汤。治疗突然发作的中风且病情危重欲死者。症状表现为身体或松弛或拘急,眼睛不能转动,舌体僵硬不能言语。各种中风病症,服用此方皆有效验。且不使人虚弱。
方药组成:大附子(一枚,炮制),芍药(一两),生姜(五两),川芎(一两),甘草(一两,炙烤),麻黄(三两,去除节段),白术(一两),木防己(一两),防风(六分),黄芩(一两),桂心(一两),人参(一两)。
以上十二味药材咬碎(咀)。加入一斗三升水,煎煮至剩余三升药液。分三次服用。效果非常好。可制作三四剂,必定更佳。忌食猪肉、海藻、李子、桃子、生葱、白菜类蔬菜。(出自第十四卷)
Qianjin Xiong Decoction. It primarily treats sudden stroke (Zu Feng Zhong). The symptoms include numbness and loss of sensation in the four limbs (Si Zhi Bu Ren), and incessant laughter (Shan Xiao Bu Xi).
Prescription: Chuanxiong Rhizome (Chuanxiong, 6 fen), Apricot Seed (Xingren, 20 seeds, remove both tips, skin, and seed coat, then crush), Scutellaria Root (Huangqin), Angelica Sinensis Root (Danggui, roasted), Gypsum (Shigao, crushed and wrapped in cotton cloth), Ephedra Stem (Mahuang, remove nodes), Cinnamon Twig (Guixin), Gentiana Macrophylla Root (Qinjiao, roasted), Licorice Root (Gancao, roasted), Dried Ginger (Ganjiang, each 4 fen).
The above ten ingredients are cut into pieces. Add nine sheng of water, boil to obtain three sheng of decoction. Divide into three doses. Avoid consuming Seaweed (Haizao), Chinese Cabbage (Songcai), and raw Green Onion (Shengcong).
Another prescription for sudden stroke. Symptoms include numbness and loss of sensation in the four limbs, and incessant laughter.
Prescription: Chuanxiong Rhizome (Chuanxiong, 6 fen), Scutellaria Root (Huangqin), Angelica Sinensis Root (Danggui), Cinnamon Twig (Guixin), Gentiana Macrophylla Root (Qinjiao), Dried Ginger (Ganjiang), Licorice Root (Gancao, roasted), Ephedra Stem (Mahuang, remove nodes), Coptis Rhizome (Huanglian, each 4 fen), Apricot Seed (Xingren, 20 seeds, remove skin, tips, and seed coat, then crush).
The above ten ingredients are cut into pieces. Add nine sheng of water, boil to obtain three sheng of decoction. Take one sheng warm, three times a day. If profuse sweating occurs, avoid raw Green Onion, Seaweed, Chinese Cabbage, and pork. (Both from Volume 8)
Cui Shi Xiao Xuming Tang. It treats sudden severe stroke approaching death. Symptoms include body flaccidity or spasticity (Shen Ti Huan Ji), deviation of mouth and eyes (Kou Mu Bu Zheng), stiff tongue with inability to speak (She Jiang Bu Neng Yu), lethargy and confusion (Yan Yan Hu Hu), and mental restlessness (Shen Qing Men Luan).
I once took forty-six doses of this formula, and the wind disease has not recurred since. I served as Dianzhong Shaojian and described this condition to famous physicians, who all said this formula is the most important among all decoctions.
Prescription: Ephedra Stem (Mahuang, remove nodes), Ginseng Radix et Rhizoma (Renshen), Scutellaria Root (Huangqin), Peony Root (Shaoyao), Chuanxiong Rhizome (Chuanxiong), Licorice Root (Gancao, roasted), Apricot Seed (Xingren, remove both tips, skin, and seed coat, then crush), Cinnamon Twig (Guixin, each 1 liang), Saposhnikovia Root (Fangfeng, 1.5 liang), Aconite Lateralis Radix Praeparata (Fuzi, one large, processed), Fresh Ginger (Shengjiang, 5 liang).
The above ten ingredients are cut into pieces. Add nine sheng of water, boil to obtain three sheng of decoction. Divide into three doses. It is very effective. If not cured, taking three to four doses combined will surely be better. Induce sweating according to the severity of the wind pathogen and the deficiency or excess of the patient's constitution. Some people with weak legs recovered after taking six to seven doses. Patients with wind rash take it when cloudy weather or seasonal changes occur to prevent aphonia. (Note: Original text fragment "Ji Zi Bei Shaoyao Fu Zhi" is incomplete; translated as avoiding [missing item] and taking with double Shaoyao if applicable, but strictly following visible text: Avoid...).
Another Xuming Tang prescription. (Effective for Liang Qing, Taifu Qing).
Prescription: Ephedra Stem (Mahuang, remove nodes), Poria with Hostwood (Fushen), Fresh Ginger (Shengjiang, each 3 liang), Aconite Lateralis Radix Praeparata (Fuzi, processed), Podocarpus Root (Fangji), Licorice Root (Gancao, roasted, each 1.5 liang), Chuanxiong Rhizome (Chuanxiong), Asarum Root (Xixin).
The above thirteen ingredients are cut into pieces. Add eight sheng of water, boil to obtain two sheng and eight he of decoction. Strain the dregs. Divide into three doses. Take each dose about eight to nine li apart in time. Cover up to induce sweating. Three doses may be taken. Advance every five days. Strictly follow the medication method. The original formula states: advance every five days. For elderly, weak, and emaciated persons, frequent administration is not allowed; it must be advanced every ten days or more. Avoid pork, cold water, Seaweed, Chinese Cabbage, raw Green Onion, raw vegetables, and strong vinegar. (Both from Volume 6)
Beiji treatment for sudden stroke causing urgent distress and confusion approaching death.
Moxibustion on the transverse crease under the big toe of the foot. Number of moxa cones (Zhuang) equals the patient's age.
Another prescription for those unable to speak.
Moxibustion on the third or fifth vertebra. One hundred and fifty moxa cones. (Both from Volume 6)
Gujin Luyan Xiao Xuming Tang. It treats sudden severe stroke approaching death. Symptoms include body flaccidity or spasticity, fixed gaze (Mu Bu Ting), stiff tongue with inability to speak. It is effective for various types of stroke without causing deficiency.
Prescription: Large Aconite Lateralis Radix Praeparata (Fuzi, one, processed), Peony Root (Shaoyao, 1 liang), Fresh Ginger (Shengjiang, 5 liang), Chuanxiong Rhizome (Chuanxiong, 1 liang), Licorice Root (Gancao, 1 liang, roasted), Ephedra Stem (Mahuang, 3 liang, remove nodes), Atractylodes Macrocephala Rhizome (Baizhu, 1 liang), Stephania Tetrandra Root (Mufangji, 1 liang), Saposhnikovia Root (Fangfeng, 6 fen), Scutellaria Root (Huangqin, 1 liang), Cinnamon Twig (Guixin, 1 liang), Ginseng Radix et Rhizoma (Renshen, 1 liang).
The above twelve ingredients are chewed/crushed (Ju). Add one dou and three sheng of water, boil to obtain three sheng of decoction. Divide into three doses. It is very good and excellent. Three to four doses can be prepared, which will surely be better. Avoid pork, Seaweed, plums, peaches, raw Green Onion, and Chinese Cabbage. (From Volume 14)