病源风半身不随者。脾胃气弱。血气偏虚。为风邪所乘故也。脾胃为水谷之海。水谷之
精。
半身不随也。诊其脉寸口沉细。名阳中之阴。苦悲伤不乐。恶闻人声。少气。时汗出。臂偏
不举。又寸口偏绝者。则不随其两手。尽绝者不可疗。(出第一卷中)
深师疗风半身不随。口不能言。十物独活汤方。
独活(四两) 桂心(五两) 生葛根(八两) 甘草(炙) 防风 当归(各二两) 生
姜(十
两) 芍药 附子(一两炮) 半夏(一升洗)
右药切。以水一斗。煮取三升。分为三服。日三。大验。忌海藻菘菜生葱猪肉羊肉饧。
(出第九卷中)
千金疗卒暴风口面僻。半身不随不转。竹沥汤方。
竹沥(三升) 防风 防己 升麻 桂心 芎 羚羊角(屑各二两) 麻黄(四两去
节)
上八味切。以水四升。合竹沥煮取二升半。分为三服。三日服一剂。常用。忌生葱。(
广济同集验无羚羊角余同)
又疗心虚寒风。半身不随。骨节离解。缓弱不用。便利无度。口面 斜。姜附汤方。
干姜 附子(炮各八两) 麻黄(去节) 芎 桂心(各四两)
上五味切。以水九升。煮取三升。三日一剂。忌猪肉生葱冷水。(崔氏同)
又疗大风半身不随方。
蚕砂(两石)
上一味熟蒸。作直袋三枚。各受七斗。即热盛一袋着患处。如冷即取余袋。一依前法。
数数
传。(并出第八卷中)
古今录验疗大痹。一身不随。或半身一手一臂。口不能言。习习不知人。不觉痛痒。续
命汤方。
麻黄(三两去节) 防风(二两) 石膏(碎绵裹) 黄芩 干地黄 芎 当归 甘
草(炙
各一两) 杏仁(四十枚去皮尖双仁) 桂心(二两)
上十味 咀。以水一斗。煮取四升。服一升日再服之。当汗出。气下自覆。当慎护风寒
。不可见风。并疗上气咳逆。面目大肿。但得伏不得卧更善。忌海藻菘菜生葱芜荑。
又独活汤。疗风。半身不随。口不能语方。
独活(四两) 生葛根(半斤) 芍药(三两) 防风(二两) 半夏(一斤洗) 桂
心(五两)
当归 附子(炮) 甘草(炙各二两) 生姜(十两)
上十味切。以水一斗五升。煮取三升。服一升。日三。一方去半夏。用麻黄三两去节。
忌羊肉饧生葱海藻菘菜猪肉冷水等。
又八风续命汤。疗半身不随。手脚拘急。不得屈伸体冷。或痴或智。身强直不语。或生
或死。狂言不可名状。或角弓反张。或欲得食。或不用食。或大小便不利。皆疗之方。
麻黄(八分去节) 人参 桂心 当归 独活 甘草(炙各三两) 石膏(六分碎绵裹)
黄
芩干姜(各三分) 杏仁(四十枚去皮尖两仁)
上十味切。以井花水九升。煮取三升。分为二服。日二。覆令汗。汗解。食白糜慎风。
不汗复更服。唯汗得瘥。忌生葱海藻菘菜。
又八风九州汤。疗男子妇人寒冷不自爱护。当风解衣。汗出卧冷湿地。半身不随。手足
苦冷。或不随。或俯仰屈伸难。周身淫淫痹。四肢不收。状如风狂。饮食损少方。
麻黄(四两去节) 甘草(炙) 干姜 附子(炮) 防风 独活(各三两) 石膏(绵
裹) 茯
苓白术 芎 柴胡 当归 人参(各二两) 杏仁(四十枚去皮尖两仁) 细辛(二两)
上十五味切。以水一斗。清酒五升渍三夜。煮取四升。分为三服。一日令尽。若病患羸
瘦者
肉雀肉。(并出第四卷中)
病因方面,风邪导致半身不遂的原因是:脾胃之气虚弱,气血偏于亏虚,从而被风邪乘虚侵袭。脾胃是受纳水谷的脏腑,水谷所化生的精微物质不足,导致肢体失养而发为半身不遂。诊察其脉象,寸口脉沉细,称为“阳中之阴”,患者常感到悲伤不乐,厌恶听到人声,气短,时常出汗,手臂偏侧不能抬起。如果寸口脉在某一侧完全摸不到(偏绝),则两手都不随用;如果双侧寸口脉都完全摸不到(尽绝),则属于不可治愈的危重症。(出自第一卷)
深师方治疗风邪导致的半身不遂、口不能言语,使用十物独活汤方。
药材:独活(四两)、桂心(五两)、生葛根(八两)、甘草(炙)、防风、当归(各二两)、生姜(十两)、芍药、附子(一两,炮制)、半夏(一升,洗净)。
以上药物切碎,用水一斗,煎煮至三升,分三次服用,每日三次。疗效显著。忌食海藻、菘菜(白菜类)、生葱、猪肉、羊肉、饴糖。(出自第九卷)
《千金方》治疗卒然中风导致的面部歪斜、半身不遂且活动受限,使用竹沥汤方。
药材:竹沥(三升)、防风、防己、升麻、桂心、芎藭、羚羊角(锉屑,各二两)、麻黄(四两,去节)。
以上八味药切碎,用水四升,加入竹沥一起煎煮至二升半,分三次服用。每三日服一剂。可常用。忌食生葱。(《广济方》同样收录,《集验方》无羚羊角,其余相同)
又方治疗心气虚寒引起的半身不遂、骨节松弛无力、手脚软弱不能使用、大小便失禁、口眼歪斜,使用姜附汤方。
药材:干姜、附子(炮制,各八两)、麻黄(去节)、芎藭、桂心(各四两)。
以上五味药切碎,用水九升,煎煮至三升,每三日服一剂。忌食猪肉、生葱、冷水。(崔氏方相同)
又方治疗严重的风邪导致的半身不遂。
药材:蚕砂(两石)。
将上述一味药蒸熟,制作成三个直立的布袋,每个袋子容量七斗。趁热将一个袋子敷在患处,如果变冷就取下换余下的袋子。依次按照前面的方法操作,频繁更换。(均出自第八卷)
《古今录验》治疗严重的痹症,全身或半身、单手单臂不能活动,口不能言语,皮肤麻木不知痛痒,使用续命汤方。
药材:麻黄(三两,去节)、防风(二两)、石膏(打碎,绵布包裹)、黄芩、干地黄、芎藭、当归、甘草(炙,各一两)、杏仁(四十枚,去皮尖,双仁者)、桂心(二两)。
以上十味药捣碎,用水一斗,煎煮至四升,每次服一升,每日两次。服药后应当出汗,气机下行自然恢复。应当谨慎防护风寒,不可吹风。此方也治疗上气咳逆、面目高度浮肿,以能伏卧不能仰卧为佳。忌食海藻、菘菜、生葱、芜荑。
又方独活汤,治疗风邪导致的半身不遂、口不能言语。
药材:独活(四两)、生葛根(半斤)、芍药(三两)、防风(二两)、半夏(一斤,洗净)、桂心(五两)、当归、附子(炮制)、甘草(炙,各二两)、生姜(十两)。
以上十味药切碎,用水一斗五升,煎煮至三升,每次服一升,每日三次。另一版本去掉半夏,改用麻黄三两(去节)。忌食羊肉、饴糖、生葱、海藻、菘菜、猪肉、冷水等。
又方八风续命汤,治疗半身不遂、手脚拘挛紧急、不能屈伸、身体发冷,或痴呆或智力异常、身体强直不语,或生或死,胡言乱语无法形容,或角弓反张,或想吃东西,或不想吃东西,或大小便不通利,皆可用此方治疗。
药材:麻黄(八分,去节)、人参、桂心、当归、独活、甘草(炙,各三两)、石膏(六分,打碎,绵布包裹)、黄芩、干姜(各三分)、杏仁(四十枚,去皮尖,双仁者)。
以上十味药切碎,用井花水(清晨第一次汲取的井水)九升,煎煮至三升,分两次服用,每日两次。覆盖衣被令其出汗,汗出病解,饮食白米粥并慎避风寒。若不出汗则再次服用,只有出汗才能痊愈。忌食生葱、海藻、菘菜。
又方八风九州汤,治疗男子妇人因寒冷而不自我爱护,当风脱衣,出汗后睡在冷湿地面上,导致半身不遂、手足苦冷、或不随用、或俯仰屈伸困难、周身麻木痹痛、四肢不收摄、状如风狂、饮食减少。
药材:麻黄(四两,去节)、甘草(炙)、干姜、附子(炮制)、防风、独活(各三两)、石膏(绵布包裹)、茯苓、白术、芎藭、柴胡、当归、人参(各二两)、杏仁(四十枚,去皮尖,双仁者)、细辛(二两)。
以上十五味药切碎,用水一斗,清酒五升浸泡三夜,煎煮至四升,分三次服用,一日服完。如果病患羸瘦者……(原文此处似有缺漏,依文意推测可能涉及血肉有情之品如雀肉等补益,但原文仅存“肉雀肉”字样,故如实翻译片段)。(均出自第四卷)
Etiologically, the cause of hemiplegia (hemiplegia) induced by wind pathogen is as follows: The Qi of the Spleen and Stomach is weak, and Blood and Qi are deficient. Consequently, the body is invaded by Wind pathogen due to this deficiency. The Spleen and Stomach serve as the sea of water and grain; when the essence derived from water and grain is insufficient, the limbs lose nourishment, resulting in hemiplegia. Upon pulse diagnosis, if the Cun Kou (radial artery at the wrist) pulse is deep and fine, it is termed "Yin within Yang." The patient may suffer from sorrow and unhappiness, aversion to human voices, shortness of breath, spontaneous sweating, and inability to raise the affected arm. If the pulse is absent on one side only (unilateral absence), both hands will be non-functional; if the pulse is absent on both sides (bilateral absence), the condition is considered incurable. (From Volume I)
Shen Shi's formula for treating hemiplegia and aphasia caused by wind uses the Ten-Ingredient Du Huo Decoction.
Ingredients: Radix Angelicae Pubescentis (Du Huo, 4 liang), Cortex Cinnamomi (Gui Xin, 5 liang), Radix Puerariae Lobatae Fresh (Sheng Ge Gen, 8 liang), Radix Glycyrrhizae Preparata (Zhi Gan Cao), Radix Saposhnikoviae (Fang Feng), Radix Angelicae Sinensis (Dang Gui, each 2 liang), Rhizoma Zingiberis Recens (Sheng Jiang, 10 liang), Radix Paeoniae Alba (Shao Yao), Radix Aconiti Lateralis Preparata (Pao Fu Zi, 1 liang, processed), Rhizoma Pinelliae (Ban Xia, 1 sheng, washed).
Cut the above herbs. Boil with 1 dou of water until reduced to 3 sheng. Divide into three doses, taken three times a day. Highly effective. Avoid eating Algae (Hai Zao), Brassica vegetables (Song Cai), raw green onions, pork, mutton, and malt sugar. (From Volume IX)
Qian Jin Fang treats sudden onset of facial deviation and hemiplegia with limited movement using Bamboo Juice Decoction.
Ingredients: Bamboo Juice (Zhu Li, 3 sheng), Radix Saposhnikoviae (Fang Feng), Radix Stephaniae Tetrandrae (Fang Ji), Rhizoma Cimicifugae (Sheng Ma), Cortex Cinnamomi (Gui Xin), Radix Chuanxiong (Xiong), Cornu Saigae Tataricae (Ling Yang Jiao, powdered, each 2 liang), Herba Ephedrae (Ma Huang, 4 liang, nodes removed).
Cut the eight ingredients. Boil with 4 sheng of water combined with bamboo juice until reduced to 2.5 sheng. Divide into three doses. Take one dose every three days. Can be used regularly. Avoid raw green onions. (Guang Ji Fang also collects this; Ji Yan Fang lacks Cornu Saigae Tataricae but is otherwise identical.)
Another formula treats hemiplegia, joint laxity, weakness and immobility of limbs, incontinence, and facial deviation caused by Heart deficiency and cold-wind, using Ginger and Aconite Decoction.
Ingredients: Rhizoma Zingiberis Siccatum (Gan Jiang), Radix Aconiti Lateralis Preparata (Pao Fu Zi, each 8 liang), Herba Ephedrae (Ma Huang, nodes removed), Radix Chuanxiong (Xiong), Cortex Cinnamomi (Gui Xin, each 4 liang).
Cut the five ingredients. Boil with 9 sheng of water until reduced to 3 sheng. Take one dose every three days. Avoid pork, raw green onions, and cold water. (Cui Shi's formula is the same.)
Another formula for severe hemiplegia caused by wind.
Ingredients: Bombyx Batryticatus (Can Sha, 2 dan).
Steam the single ingredient thoroughly. Make three straight bags, each holding 7 dou. Apply one hot bag to the affected area. When it cools, remove it and replace with another bag. Follow this method repeatedly, changing frequently. (All from Volume VIII)
Gu Jin Lu Yan treats severe Bi syndrome (impediment syndrome) causing immobility of the whole body or half-body, one hand or arm, aphasia, numbness without sensation of pain or itch, using Xu Ming Decoction.
Ingredients: Herba Ephedrae (Ma Huang, 3 liang, nodes removed), Radix Saposhnikoviae (Fang Feng, 2 liang), Gypsum Fibrosum (Shi Gao, crushed, wrapped in cotton cloth), Radix Scutellariae (Huang Qin), Radix Rehmanniae Preparata (Gan Di Huang), Radix Chuanxiong (Xiong), Radix Angelicae Sinensis (Dang Gui), Radix Glycyrrhizae Preparata (Zhi Gan Cao, each 1 liang), Semen Armeniacae Amarum (Xing Ren, 40 seeds, skin and tips removed, double-kernelled), Cortex Cinnamomi (Gui Xin, 2 liang).
Crush the ten ingredients. Boil with 1 dou of water until reduced to 4 sheng. Take 1 sheng per dose, twice daily. Sweating should occur, and Qi will descend and recover naturally. Carefully protect against wind and cold; avoid exposure to wind. This formula also treats rebellious Qi with cough and asthma, and severe swelling of the face and eyes. It is better if the patient can lie prone but not supine. Avoid Algae, Brassica vegetables, raw green onions, and Terminalia chebula (Wu Ti).
Another Du Huo Decoction treats hemiplegia and aphasia caused by wind.
Ingredients: Radix Angelicae Pubescentis (Du Huo, 4 liang), Radix Puerariae Lobatae Fresh (Sheng Ge Gen, 0.5 jin), Radix Paeoniae Alba (Shao Yao, 3 liang), Radix Saposhnikoviae (Fang Feng, 2 liang), Rhizoma Pinelliae (Ban Xia, 1 jin, washed), Cortex Cinnamomi (Gui Xin, 5 liang), Radix Angelicae Sinensis (Dang Gui), Radix Aconiti Lateralis Preparata (Pao Fu Zi), Radix Glycyrrhizae Preparata (Zhi Gan Cao, each 2 liang), Rhizoma Zingiberis Recens (Sheng Jiang, 10 liang).
Cut the ten ingredients. Boil with 1.5 dou of water until reduced to 3 sheng. Take 1 sheng per dose, three times a day. Another version removes Ban Xia and uses Herba Ephedrae (Ma Huang, 3 liang, nodes removed). Avoid mutton, malt sugar, raw green onions, algae, Brassica vegetables, pork, and cold water.
Another Ba Feng Xu Ming Decoction treats hemiplegia, spasticity and stiffness of hands and feet preventing flexion and extension, cold body, dementia or intellectual impairment, rigidity with mutism, potential death or survival, incoherent speech, opisthotonos, desire or lack of desire for food, and difficulty in urination or defecation.
Ingredients: Herba Ephedrae (Ma Huang, 8 fen, nodes removed), Radix Ginseng (Ren Shen), Cortex Cinnamomi (Gui Xin), Radix Angelicae Sinensis (Dang Gui), Radix Angelicae Pubescentis (Du Huo), Radix Glycyrrhizae Preparata (Zhi Gan Cao, each 3 liang), Gypsum Fibrosum (Shi Gao, 6 fen, crushed, wrapped in cotton cloth), Radix Scutellariae (Huang Qin), Rhizoma Zingiberis Siccatum (Gan Jiang, each 3 fen), Semen Armeniacae Amarum (Xing Ren, 40 seeds, skin and tips removed, double-kernelled).
Cut the ten ingredients. Boil with 9 sheng of well water (Jing Hua Shui) until reduced to 3 sheng. Divide into two doses, taken twice a day. Cover to induce sweating. Once sweat appears, the disease resolves. Eat white millet porridge and avoid wind. If no sweat occurs, administer again. Recovery depends solely on sweating. Avoid raw green onions, algae, and Brassica vegetables.
Another Ba Feng Jiu Zhou Decoction treats men and women who neglect self-care in cold weather, undress in the wind, sweat, and sleep on cold damp ground, leading to hemiplegia, cold hands and feet, immobility, difficulty in bending and stretching, generalized numbness and Bi syndrome, flaccid limbs, manic-like state, and reduced appetite.
Ingredients: Herba Ephedrae (Ma Huang, 4 liang, nodes removed), Radix Glycyrrhizae Preparata (Zhi Gan Cao), Rhizoma Zingiberis Siccatum (Gan Jiang), Radix Aconiti Lateralis Preparata (Pao Fu Zi), Radix Saposhnikoviae (Fang Feng), Radix Angelicae Pubescentis (Du Huo, each 3 liang), Gypsum Fibrosum (Shi Gao, wrapped in cotton cloth), Poria (Fu Ling), Rhizoma Atractylodis Macrocephalae (Bai Zhu), Radix Chuanxiong (Xiong), Radix Bupleuri (Chai Hu), Radix Angelicae Sinensis (Dang Gui), Radix Ginseng (Ren Shen, each 2 liang), Semen Armeniacae Amarum (Xing Ren, 40 seeds, skin and tips removed, double-kernelled), Radix Asari (Xi Xin, 2 liang).
Cut the fifteen ingredients. Soak in 1 dou of water and 5 sheng of clear wine for three nights. Boil until reduced to 4 sheng. Divide into three doses, consumed within one day. For emaciated patients... [Text fragment ends here]. (All from Volume IV)