治中风欲死,身体缓急,目不得开,舌强不能语。
芍药 甘草(炙) 麻黄(去根节) 白术(各一两) 防风(去叉) 防己(各一两
半) 附子
(各一两) 天雄(
上锉如麻豆,每服五钱匕,水一盏半,入生姜半分切,煎至八分,去滓,空心日午夜
各温服,如人行五里,以热生姜粥投之,微汗出,慎外风。
治中风昏塞,肢体不收,口眼歪斜。
木香 白茯苓(去皮) 川芎 蒺藜(炒,去角) 人参 独活(去芦) 黄 (锉,
一两一
子仁(二两)
上为细末,每服一钱匕,温酒调下,加至二钱三钱,空心日午夜卧服。
治中风有汗无热。
桂枝 附子 甘草
根据本方加一倍,宜针太溪。此一证少阳经中风也,用水煎服。
治失音不能言,由风邪客于脾经,上入关机者,舌本也。又关膈不通,其人精
失忘。
白僵蚕(炒,半两) 羌活(三分) 麝香(半钱)
上为细末,每服二钱,先以姜汁少许调匀,以沸汤浸,放温服之,以真菖蒲末时时着
舌根下。
以白僵蚕七枚为末,用酒调服方寸匕,立效。
以黄 防风煮汤数斛,置床下熏之。
昔唐许裔宗初仕陈,为新蔡王外兵参军,时有柳太后感风而不能言,脉沉而口噤,裔宗
曰∶既不能下药,宜汤气熏之,药入腠理,周时可瘥。乃造此汤数斛,置床下气如烟雾,其
夕便得语。药力熏蒸,其效如此。
治疗中风危重证,身体肌肉松弛或拘急,眼睛无法睁开,舌体僵硬不能言语。
芍药、甘草(炙)、麻黄(去根节)、白术(各一两)、防风(去叉)、防己(各一两半)、附子(各一两)、天雄(各一两)。
以上药物锉碎如麻豆大小,每次服用五钱匕,加水一盏半,放入切碎的生姜半分,煎煮至八分满,滤去药渣,空腹时于半夜和午夜各温服一次。服药后约行走五里路的时间,喝热生姜粥以助药力,使微微出汗,注意避免受外风侵袭。
治疗中风导致神志昏蒙闭塞,肢体无法收摄控制,口眼歪斜。
木香、白茯苓(去皮)、川芎、蒺藜(炒,去角刺)、人参、独活(去芦头)、黄芪(锉,一两)、柏子仁(二两)。
以上药物研为细末,每次服用一钱匕,用温酒调服,剂量可加至二钱或三钱,空腹时于半夜和午夜卧前服用。
治疗中风伴有汗出但无发热的症状。
桂枝、附子、甘草。
根据本方将药量加倍,适宜针刺太溪穴。此证属于少阳经受邪的中风,用水煎服。
治疗失音不能说话,这是由于风邪客居于脾经,向上侵入机关(即舌根)。又因关膈不通,导致其人精气耗失而健忘。
白僵蚕(炒,半两)、羌活(三分)、麝香(半钱)。
以上药物研为细末,每次服用二钱,先用少许姜汁调匀,再用沸水浸泡,待温度适宜时服用,同时经常将石菖蒲粉末置于舌根下。
用白僵蚕七枚研为细末,用酒调服一方寸匕,立即见效。
用黄芪和防风煮汤数斛,放在床下熏蒸。
从前唐代医生许裔宗初仕陈朝,担任新蔡王外兵参军时,柳太后患中风不能说话,脉象沉伏且牙关紧闭。许裔宗说:“既然不能灌下药液,适宜用汤药的蒸汽熏蒸,药气进入腠理,大约一个时辰即可痊愈。”于是配制了数斛这种汤药,放在床下,药气如烟雾般弥漫,当晚太后便能说话了。药力的熏蒸作用,疗效如此显著。
Treats severe stroke (Zhong Feng), characterized by flaccidity or spasticity of the body, inability to open the eyes, and a stiff tongue with aphasia.
Shaoyao (Paeoniae Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) [each 1 liang], Mahuang (Ephedrae Herba, removed roots and joints), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang], Fangfeng (Saposhnikoviae Radix, removed bristles), Fangji (Stephaniae Tetrandrae Radix) [each 1.5 liang], Fuzi (Aconiti Lateralis Radix Praeparata) [each 1 liang], Tianxiong (Aconiti Radix) [each 1 liang].
The above herbs are chopped like hemp seeds. Each dose is 5 qianbi (approx. 2-3 grams), decocted in 1.5 sheng (approx. 300 ml) of water with 0.5 fen (approx. 1.5 grams) of sliced fresh ginger. Decoct until reduced to 0.8 sheng, strain, and take warm on an empty stomach at midnight and wu hour (noon/midnight depending on context, here likely referring to night hours). After walking for about five li (approx. 2.5 km), consume hot ginger porridge to assist the medicinal effect. Aim for slight sweating; avoid exposure to external wind.
Treats stroke causing coma and obstruction, loss of motor control of limbs, and deviation of the mouth and eyes.
Muxiang (Aucklandiae Radix), BaiFuling (Poria with Hostwood, peeled), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Jili (Tribuli Fructus, stir-fried, removed spines), Renshen (Ginseng Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix, removed rhizome), Huangqi (Astragali Radix, chopped, 1 liang), Baizi Ren (Platycladi Semen, 2 liang).
The above herbs are ground into fine powder. Each dose is 1 qianbi, taken with warm wine. The dose may be increased to 2 or 3 qianbi. Take on an empty stomach at midnight and before sleep at wu hour.
Treats stroke accompanied by sweating but without fever.
Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Gancao (Glycyrrhizae Radix et Rhizoma).
Double the dosage of this formula. Acupoint Taixi (KI3) should be needled. This syndrome is classified as stroke affecting the Shaoyang meridian. Decoct in water and take orally.
Treats aphagia and inability to speak, caused by wind pathogen lodging in the Spleen meridian and ascending to enter the "guan ji" (mechanism, i.e., root of the tongue). Due to blockage of the guan ge (diaphragm/upper burner), the person suffers from essence depletion and forgetfulness.
Bai Jiangcan (Bombyx Batryticatus, stir-fried, 0.5 liang), Qianghuo (Notopteryri Rhizoma et Radix, 3 fen), Shexiang (Moschus, 0.5 qian).
The above herbs are ground into fine powder. Each dose is 2 qian, first mixed evenly with a small amount of fresh ginger juice, then soaked in boiling water, allowed to cool to a warm temperature, and taken. Simultaneously, apply real Changpu (Acori Tatarinowii Rhizoma) powder frequently under the root of the tongue.
Use 7 pieces of Bai Jiangcan, ground into powder, taken with wine in a measure of 1 cunbi (approx. 2-3 grams), resulting in immediate efficacy.
Decoct Huangqi (Astragali Radix) and Fangfeng (Saposhnikoviae Radix) in several hu (large volume) of water, place under the bed for fumigation.
In ancient times, Xu Yizong of the Tang Dynasty served Chen Dynasty as Military Adjutant to Prince Xincai. At that time, Empress Dowager Liu suffered from wind-stroke and could not speak; her pulse was deep and her jaw was clenched. Yizong said: "Since oral medication cannot be administered, it is appropriate to use steam fumigation. The medicinal qi will penetrate the cou li (skin and interstices), and recovery can be expected within one shichen (2 hours)." Thus, he prepared several hu of this decoction, placed it under the bed, creating a smoky vapor. That evening, she regained the ability to speak. The efficacy of such medicinal fumigation is thus demonstrated.