此一卷论中风，角弓反张，风痹，手足不随，偏枯，口噤，口眼 斜，风眩头痛，血风
，心神惊悸，癫狂，骨节痛风，血风走注，瘙痒瘾疹，风痰，香港脚，腰痛，诸痰。以上诸证
，虽各有方论，亦要先明其大体，察脉之虚实，辨证之冷热，相人之强弱，入脏入腑，在络
在经。首以《局方》调治，未要猛浪用药。今之治法，先宜顺气，然后治风，万不失一。盖
有中风、中寒、中 、中痰、中气，皆能令人涎潮昏塞。所谓朱紫相凌，玉石不分。医者不
可不详而究之。如中风若作中气治之，十愈八九；中气若作中风治之，十无一生。所以疑惑
之间，不问中风、中气，首以苏合香丸、麝香煎、五积散。如中痰则有参苏饮；如中寒则有
理中汤；如中 则有白虎汤。如的然见得是中风，如三生饮、木香煮散、排风、续命、风引
大小、竹沥、大八风汤、至宝丹、牛黄清心丸，辨其冷热虚实而投之，未有不安者也。然此
疾积袭之久，非一日所能致。今人服药，三、五服便责无效，其责医者亦速矣。正宜大剂，
久服方有其效。孟 子曰∶七年之病，求三年之艾也。
夫中风者，虚风中于人也。风是四时八方之气，常以冬至之日自坎而起。候其八方之风
，从其乡来者，主长养万物；若不从其乡来者，名为虚风，贼害万物。人体虚者则中之，当
时虽不即发，停在肌肤，后或重伤于风，前后重沓，因体虚则发，入脏腑俞。俞皆在背，中
风多从俞入，随所中之俞而乃发病。妇人血气虚损，故令中风也。当察口眼开阖以别重轻，
涎沫有无以明证治。如眼开口闭，手足不开，涎不作声者可治。如眼闭口开，声如鼾睡，遗
尿者死。至宝丹、苏合香丸、五积散、（加麝香煎）牛黄清心丸、（见《和剂》方）大八风汤
。（方见偏枯第七篇）
这一卷论述中风，包括角弓反张（身体向后弯曲如弓状）、风痹（因风邪导致的肢体麻木疼痛）、手足不能随意运动、偏枯（半身不遂）、口噤（牙关紧闭）、口眼歪斜、风眩头痛、血风（风邪入血分引起的病症）、心神惊悸、癫狂、骨节痛风、血风走注（风邪在血脉中游走窜动）、瘙痒瘾疹（皮肤瘙痒起风团）、风痰、香港脚（脚气病）、腰痛、各种痰证。以上这些证候，虽然各有相应的方论，但也必须先明确其大体情况，诊察脉象的虚实，辨别证候的寒热，观察患者的体质强弱，判断病邪是在脏还是在腑，是在络脉还是在经脉。首先参考《太平惠民和剂局方》进行调治，不要贸然使用猛烈药物。现在的治疗方法，先宜顺气，然后治疗风邪，万无一失。因为中风、中寒、中湿、中痰、中气，都能导致人涎液上涌、昏厥闭塞。所谓朱紫相混，玉石不分（比喻病情复杂难辨）。医者不可不详加探究。如果将中风当作中气来治，十个能治好八九个；如果将中气当作中风来治，十个没有能活下来的。所以在疑惑之间，不论中风还是中气，首选苏合香丸、麝香煎、五积散。如果是中痰，则用参苏饮；如果是中寒，则用理中汤；如果是中湿，则用白虎汤。如果确切地看出是中风，如三生饮、木香煮散、排风汤、续命汤、风引汤（大、小两种）、竹沥汤、大八风汤、至宝丹、牛黄清心丸，辨别其寒热虚实而投药，没有不安稳的。然而这种疾病积累侵袭已久，不是一天造成的。现在的人服药，三、五服就责怪无效，对医者的要求也太急切了。正应该用大剂量，久服才能见效。孟子说：“七年的病，要寻求三年的艾草。”
所谓中风，是虚风侵入人体。风是四季八方之气，常在冬至日从坎位（北方）升起。观察八方的风，从本乡来的，主生长养育万物；如果不从本乡来的，名为虚风，贼害万物。人体虚弱的人就会被虚风所中，当时虽然不立即发作，停留在肌肤，后来如果再重伤于风，前后重叠，因为体质虚弱而发作，进入脏腑俞穴。俞穴都在背部，中风多从俞穴进入，随着所中的俞穴而发病。妇人血气虚损，所以导致中风。应当观察口眼的开合来辨别病情的轻重，通过是否有涎沫来明确证候和治疗。如果眼开嘴闭，手足不能张开，流涎但不发声的可以治愈。如果眼闭嘴开，声音像打鼾睡，遗尿的会死亡。至宝丹、苏合香丸、五积散（加麝香煎）、牛黄清心丸（见《和剂局方》方）、大八风汤。（方见偏枯第七篇）
This volume discusses stroke, including opisthotonos (body bent backward like a bow), wind-bi (numbness and pain in limbs caused by wind pathogen), inability to move hands and feet, hemiplegia, trismus (lockjaw), deviation of the mouth and eyes, wind-dizziness with headache, blood-wind (diseases caused by wind pathogen entering the blood level), palpitations due to heart-mind disturbance, epilepsy and mania, gout in bone joints, wandering blood-wind (wind pathogen wandering in blood vessels), itching and urticaria, wind-phlegm, Hong Kong foot (foot qi disease), lower back pain, and various phlegm syndromes. Although each of the above syndromes has its own formula discussion, one must first understand the general situation, examine the pulse for deficiency or excess, differentiate the syndrome for cold or heat, observe the patient's physical strength, determine whether the pathogen is in the Zang organs or Fu organs, and whether it is in the collaterals or meridians. Initially refer to the *Tai Ping Hui Min He Ji Ju Fang* for treatment, and do not rashly use potent drugs. Current treatment methods should first regulate Qi, then treat wind, which is infallible. This is because stroke, cold-stroke, damp-stroke, phlegm-stroke, and Qi-stroke can all cause excessive salivation, fainting, and obstruction. As the saying goes, "vermilion and purple are mixed, jade and stone are indistinguishable" (referring to the difficulty in distinguishing complex conditions). Physicians must investigate in detail. If stroke is treated as Qi-stroke, eight or nine out of ten cases may be cured; if Qi-stroke is treated as stroke, none out of ten will survive. Therefore, in cases of doubt, regardless of whether it is stroke or Qi-stroke, initially use Suhe Xiang Wan (Styrax Pills), Shexiang Jian (Musk Decoction), or Wuji San (Five Accumulations Powder). If it is phlegm-stroke, use Shen Su Yin (Ginseng and Perilla Drink); if it is cold-stroke, use Lizhong Tang (Regulate the Middle Decoction); if it is damp-stroke, use Baihu Tang (White Tiger Decoction). If it is clearly identified as stroke, such as using Sansheng Yin (Three Lives Drink), Muxiang Zhusan (Aucklandia Boiled Powder), Paifeng Tang (Expel Wind Decoction), Xuming Tang (Continue Life Decoction), Fengyin Dan (Wind Guide Pill) (large and small versions), Zhuli Tang (Bamboo Sap Decoction), Da Bafeng Tang (Great Eight Winds Decoction), Zhibao Dan (Precious Treasure Pill), or Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill), differentiate for cold, heat, deficiency, and excess before administering medication, and there will be no instability. However, this disease accumulates over a long period and does not occur in a day. Modern patients take three or five doses and blame the doctor for ineffectiveness, demanding too quick results from physicians. It is appropriate to use large doses and take them for a long time to achieve effects. Mencius said: "For a seven-year illness, seek three-year-old mugwort."
Stroke refers to empty wind invading the human body. Wind is the Qi of the four seasons and eight directions, usually rising from the Kan position (North) on the day of Winter Solstice. Observe the winds from the eight directions; those coming from their native direction nourish all things; those not coming from their native direction are called empty wind, harming all things. When the human body is deficient, it is invaded by empty wind. Although it may not manifest immediately at the time, it stays in the skin and muscles. Later, if re-injured by wind, overlapping with previous injuries, it manifests due to bodily deficiency, entering the Zang and Fu organ Shu points. Shu points are all located on the back. Stroke often enters through Shu points and manifests according to the specific Shu point invaded. Women suffer from stroke due to deficiency and damage of blood and Qi. One should observe the opening and closing of the mouth and eyes to distinguish severity, and check for the presence of saliva to clarify the syndrome and treatment. If the eyes are open and the mouth closed, hands and feet cannot open, and there is salivation without sound, it is treatable. If the eyes are closed and the mouth open, the sound is like snoring sleep, and there is urinary incontinence, death ensues. Zhibao Dan (Precious Treasure Pill), Suhe Xiang Wan (Styrax Pills), Wuji San (Five Accumulations Powder) (add Shexiang Jian/Musk Decoction), Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill) (see *Heji Ju Fang* formulas), Da Bafeng Tang (Great Eight Winds Decoction). (Formula see Hemiplegia Chapter 7)