治五脏中寒，口噤、四肢强直，失音不语。昔有武士守边，大雪出帐外观瞻，忽然晕倒，
时时继作，随行医官灌以此药，两剂遂醒。
大附子（炮） 人参（去芦） 干姜（炮） 甘草（炙） 白术（等分）
上细锉，每服四钱重。水一盏半，煎七分，去滓，不以时候服。口噤，斡开灌之。
开庆己未年七月间，裕斋马观文夫人曹氏，病气弱倦怠，四肢厥冷，恶寒自汗，不进饮
食。一医作伏暑治之，投暑药；一医作虚寒治之，投热药；无效。召仆诊之，六脉虽弱而两
关差甚。裕斋问曰∶此何证也？仆答曰∶以脉说之，六部虽弱而关独甚，此中焦寒也。中焦
者，脾也；脾胃既寒，非特但有是证，必有腹痛、吐泻之证。今四肢厥冷，四肢属脾，是脾
胃虚冷，无可疑者。答曰∶未见有腹痛、吐泻之证，合用何药治之？仆答曰∶宜用附子理中
汤。未服药间，旋即腹痛而泻，莫不神之！即治此药，一投而瘥。
治卒暴中风，不省人事，渐觉半身不遂，口眼 斜，手足战掉，语言謇涩，肢体麻痹，
神情昏乱，头目眩重，痰涎并多，筋脉拘挛，不能屈伸，骨节烦疼，不得转侧。及治诸风，
服之皆验。若治香港脚缓弱，久服得瘥。久病风人，每遇天色阴晦，节候更改，宜预服之，以
防喑哑。
麻黄（去根节） 防己 人参（去芦） 黄芩 桂心 甘草 白芍药 川芎 杏仁（各
一两） 附子（炮，半两） 防风（一两半）
上 咀，每服五钱。水一盏半，姜七片，枣两个，煎至七分，去滓，不以时候服。取汗
随人虚实与所中轻重。有人脚弱，服此六、七剂得瘥。
精神恍惚，加茯神、远志。骨节烦痛有热者，去附子，倍芍药。心烦多惊者加犀角半两
。骨节冷痛者倍用桂、附。呕逆腹胀者，倍人参，加半夏一两。躁闷、大便涩者，去附子，
倍芍药，入竹沥一合煎服。脏寒下利者，去防己、黄芩，倍附子一两，加白术一两（《古今
录验》有白术，无杏仁）。《救急》无芎 、杏仁，止十味。《延年》无防风，（一云违失）
便利、产后失血并老人、小儿，用麻黄、桂心、甘草各二两。
一法治或歌哭、或笑语、无所不及。用麻黄三两、人参、桂枝、白术各二两，无附子、
防风、生姜，有当归一两。自汗者，去麻黄、杏仁，加白术。
脚弱，加牛膝、石斛各一两。身疼痛，加秦艽一两。腰疼，加桃仁、杜仲各半两。失音
，加杏仁一两。（春加麻黄一两，夏加黄芩三分，秋加当归四两，冬加附子半两）
治疗五脏受寒邪侵袭，出现牙关紧闭、四肢强直、失音不能言语的症状。过去有一位武士驻守边疆，在大雪天走出帐篷观望，忽然晕倒，症状反复发作，随行的医官给他灌服此药，服用两剂后便苏醒过来。
大附子（炮制） 人参（去除芦头） 干姜（炮制） 甘草（炙烤） 白术（以上五味药等量）
将上述药物切碎，每次服用四钱重。加水一盏半，煎煮至七分，滤去药渣，不分时候服用。若牙关紧闭，撬开嘴巴灌入药液。
开庆己未年七月间，裕斋马观文夫人的曹氏，患病气息虚弱倦怠，四肢冰冷，怕冷且自汗，无法进食饮水。一位医生将其诊断为伏暑证，投用治暑的药物；另一位医生将其诊断为虚寒证，投用温热药物；均无效。邀请我诊治，六脉虽然微弱但两关部尤为严重。裕斋问道：“这是什么病症？”我回答说：“从脉象来看，六部脉虽弱但关脉特别严重，这是中焦寒证。中焦指的是脾脏；脾胃既然寒冷，不仅会有这些症状，必然还会有腹痛、呕吐腹泻的症状。如今四肢冰冷，四肢归属于脾，这是脾胃虚冷，毫无疑问。”他回答说：“目前没有见到腹痛、呕吐腹泻的症状，应该用什么药治疗？”我回答说：“适宜使用附子理中汤。”在服药之前，随即出现腹痛并腹泻，人们无不感到神奇！于是立即配制此药，服用一次病就好了。
治疗突然爆发的中风，神志不清，逐渐感觉半身不遂，口眼歪斜，手足颤抖，语言謇涩不利，肢体麻木，神情昏乱，头目眩晕沉重，痰涎增多，筋脉拘挛，不能屈伸，骨节烦痛，不能翻身转动。以及治疗各种风病，服用此方都有效。如果治疗脚气缓弱，长期服用可以痊愈。久患风病的人，每逢天气阴暗晦涩，节气更替时，适宜预先服用此药，以预防失音哑症。
麻黄（去除根和节） 防己 人参（去除芦头） 黄芩 桂心 甘草 白芍药 川芎 杏仁（各一两） 附子（炮制，半两） 防风（一两半）
将上述药物捣碎，每次服用五钱。加水一盏半，生姜七片，大枣两个，煎煮至七分，滤去药渣，不分时候服用。发汗程度根据患者的虚实状况和中风的轻重而定。有人脚弱，服用此药六、七剂后痊愈。
精神恍惚的，加茯神、远志。骨节烦痛且有热的，去掉附子，加倍使用芍药。心烦易惊的，加犀角半两。骨节冷痛的，加倍使用桂枝、附子。呕逆腹胀的，加倍使用人参，加半夏一两。烦躁胸闷、大便干涩的，去掉附子，加倍使用芍药，加入竹沥一合煎服。脏腑虚寒导致下利的，去掉防己、黄芩，加倍使用附子一两，加白术一两（《古今录验》中有白术，无杏仁）。《救急方》中无川芎、杏仁，只有十味药。《延年方》中无防风。（一说为违失）对于大小便正常、产后失血以及老人、小儿，使用麻黄、桂心、甘草各二两。
另一种治疗方法：针对时而唱歌哭泣、时而笑语不止、无所顾忌的症状。使用麻黄三两、人参、桂枝、白术各二两，不用附子、防风、生姜，加当归一两。自汗的，去掉麻黄、杏仁，加白术。
脚弱的，加牛膝、石斛各一两。身体疼痛的，加秦艽一两。腰疼的，加桃仁、杜仲各半两。失音的，加杏仁一两。（春季加麻黄一两，夏季加黄芩三分，秋季加当归四两，冬季加附子半两）
Treats cold pathogenic factors invading the five Zang organs, manifesting as lockjaw (trismus), rigidity of the four limbs, aphonia (loss of voice), and inability to speak. In the past, a warrior guarding the border went out of his tent to look at the heavy snow and suddenly fainted. The symptoms recurred intermittently. The accompanying medical officer administered this medicine to him, and he woke up after taking two doses.
Da Fuzi (Prepared Aconiti Lateralis Radix) [Ren Shen (Ginseng Radix et Rhizoma)] [Gan Jiang (Zingiberis Rhizoma Recens)] [Gan Cao (Licorice Radix et Rhizoma)] [Bai Zhu (Atractylodis Macrocephalae Rhizoma)] (equal parts).
Finely chop the above ingredients. For each dose, use 4 qian (approx. 15g). Add 1.5 liang (approx. 375ml) of water, decoct until reduced to 0.7 liang (approx. 175ml), remove the dregs, and take at any time. If there is lockjaw, pry open the mouth and administer the liquid.
In July of the Jiwei year of the Kaiqing era, Lady Cao, wife of Ma Guanwen Yuzhai, suffered from weak breath and fatigue, cold extremities, aversion to cold with spontaneous sweating, and inability to eat or drink. One physician diagnosed it as latent summerheat and administered summerheat-clearing medicines; another diagnosed it as deficiency-cold and administered warming medicines; neither was effective. I was summoned to diagnose her. Although the six pulses were weak, the guan positions on both sides were particularly severe. Yuzhai asked, "What condition is this?" I replied, "Judging by the pulse, although all six positions are weak, the guan position is especially pronounced, indicating cold in the Middle Jiao. The Middle Jiao refers to the Spleen. Since the Spleen and Stomach are cold, not only will these symptoms appear, but there must also be abdominal pain and vomiting/diarrhea. Now, the extremities are cold; the four limbs belong to the Spleen, so it is undoubtedly deficiency-cold of the Spleen and Stomach." He replied, "I have not yet seen abdominal pain or vomiting/diarrhea. What medicine should be used for treatment?" I replied, "It is suitable to use Fuzi Lizhong Tang (Aconite Decoction to Regulate the Middle)." Before taking the medicine, abdominal pain and diarrhea immediately occurred, which everyone found miraculous! The medicine was prepared immediately, and one dose resulted in recovery.
Treats sudden apoplexy (stroke) with loss of consciousness, gradually progressing to hemiplegia, deviation of the mouth and eyes, trembling of hands and feet, dysarthria (slurred speech), numbness of the limbs, confusion of spirit and mind, dizziness and heaviness of the head and eyes, excessive phlegm and saliva, spasm of sinews and vessels with inability to flex and extend, painful joints, and inability to turn over. It is also effective for treating various wind diseases. If used to treat weakness of the legs (Hongjiao/Jiaji), long-term administration can lead to recovery. For those suffering from chronic wind diseases, it is advisable to take this medicine prophylactically when the weather becomes gloomy or seasons change, to prevent aphonia.
Mahuang (Ephedrae Herba, roots and nodes removed) [Fang Ji (Stephaniae Tetrandrae Rhizoma)] [Ren Shen (Ginseng Radix et Rhizoma)] [Huang Qin (Scutellariae Radix)] [Gui Xin (Cinnamomi Ramulus)] [Gan Cao (Licorice Radix et Rhizoma)] [Bai Shao Yao (Paeoniae Radix Alba)] [Chuan Xiong (Ligustici Chuanxiong Rhizoma)] [Xing Ren (Armeniacae Semen Amarum)] (each 1 liang) [Fu Zi (Prepared Aconiti Lateralis Radix, 0.5 liang)] [Fang Feng (Saposhnikoviae Radix, 1.5 liang)].
Crush the above ingredients. For each dose, use 5 qian (approx. 18.75g). Add 1.5 liang (approx. 375ml) of water, 7 slices of fresh ginger, and 2 jujubes. Decoct until reduced to 0.7 liang (approx. 175ml), remove the dregs, and take at any time. Induce sweating according to the patient's deficiency/excess status and the severity of the wind invasion. Someone with weak legs recovered after taking 6-7 doses.
For mental restlessness and absent-mindedness, add Fu Shen (Poria Cum Radix) and Yuan Zhi (Polygalae Radix). For painful joints with heat, remove Fu Zi and double the amount of Shao Yao. For irritability and frequent fright, add Xi Jiao (Rhinocerotis Cornu) 0.5 liang. For cold painful joints, double the amounts of Gui Xin and Fu Zi. For nausea, regurgitation, and abdominal distension, double the amount of Ren Shen and add Ban Xia (Pinelliae Rhizoma) 1 liang. For restlessness, chest oppression, and constipation, remove Fu Zi, double the amount of Shao Yao, and add Zhu Li (Bambusae Succus) 1 he (approx. 200ml) to decoct and take. For cold viscera with diarrhea, remove Fang Ji and Huang Qin, double the amount of Fu Zi by 1 liang, and add Bai Zhu 1 liang (The *Gu Jin Lu Yan* contains Bai Zhu but no Xing Ren). The *Jiu Ji* formula lacks Chuan Xiong and Xing Ren, containing only ten ingredients. The *Yan Nian* formula lacks Fang Feng. For cases with normal bowel/bladder function, postpartum blood loss, the elderly, and children, use Mahuang, Gui Xin, and Gan Cao, each 2 liang.
Another method: For symptoms such as singing and crying or laughing and talking incessantly without restraint. Use Mahuang 3 liang, Ren Shen, Gui Zhi (Cinnamomi Ramulus), and Bai Zhu, each 2 liang. Do not use Fu Zi, Fang Feng, or Sheng Jiang (Fresh Ginger); instead, add Dang Gui (Angelicae Sinensis Radix) 1 liang. For spontaneous sweating, remove Mahuang and Xing Ren, and add Bai Zhu.
For weak legs, add Niu Xi (Achyranthis Bidentatae Radix) and Shi Hu (Dendrobii Caulis), each 1 liang. For body pain, add Qin Jiao (Gentianae Macrophyllae Radix) 1 liang. For lower back pain, add Tao Ren (Persicae Semen) and Du Zhong (Eucommiae Cortex), each 0.5 liang. For aphonia, add Xing Ren 1 liang. (Add Mahuang 1 liang in spring, Huang Qin 3 fen in summer, Dang Gui 4 liang in autumn, and Fu Zi 0.5 liang in winter.)