石膏汤
治中风口噤。颔颊紧急。冥冥如醉。
石膏 独活(去芦) 川升麻(各一两) 麻黄(去根节) 桂枝 赤芍药 防风(去芦并叉枝) 细辛
(去苗,各半两) 甘草(一分)
上为末。每服一大钱。水一盏。入薄荷竹叶各数片。煎至五分。去滓温服。无时。
羌活紫汤
治中风口噤。身体强直。以羌活一两。去芦头锉碎。酒三升。浸一宿。用黑豆一升。净淘。炒烟出。乘热就
锅中以酒药沃之。放温去滓。每服一注子灌之。日二三服。无时。
雀矢丸
治中风口噤。声音不出。饮食不下。取雄雀粪研末。糊丸麻子大。饮下三二丸,薄荷汤亦得。大良。雀矢白
亦佳。
又方 治口噤颔急。风中阳经。以白棘烧灰研为末。水调一钱匕服。
又方 治卒口噤不开。以附子末。芦管吹入口中。甚良。
治牙噤不开 以天南星一枚煨熟。乘热用纸封裹。不令透气。仍于上尖处剪一鸡头大窍子。透气于鼻中。立
开。
独活黄 汤
治中风四肢拘挛。
独活 黄 酸枣仁(汤浸一次,各一两) 麻黄(去根节) 羚羊角屑 桑白皮(锉) 肉桂(去粗皮)
芎(各半两)
上为细末。每服一大钱。水一盏。入生姜薄荷各三片。煎至五分。去滓温服无时。
赤箭汤
治中风半身不遂。
赤箭(一两) 僵蚕(去丝嘴,微炒半两) 白附子(半两) 独活(去芦,半两)
麻黄(去根节) 白花蛇(酒浸去皮骨,各半两) 杏仁(三十个,麸炒去皮尖,研后入)
上同为末。每服一钱。水八分。煎入石榴皮少许。煎至五分。温服无时。
石膏汤
治疗中风引起的口噤(牙关紧闭)。表现为下颌和面颊肌肉紧张僵硬,神志恍惚如同醉酒一般。
药材:石膏、独活(去除芦头)、川升麻(各一两);麻黄(去除根部和节)、桂枝、赤芍药、防风(去除芦头和分叉的枝条)、细辛(去除苗叶,各半两);甘草(一分)。
制法与用法:将上述药材研磨成粉末。每次服用一大钱(约3-5克),用水一盏(约200毫升),加入薄荷叶和竹叶各数片,煎煮至剩余五分(约100毫升),滤去药渣,温服。不限固定时间服用。
羌活紫汤
治疗中风引起的口噤。身体强直僵硬。取羌活一两,去除芦头后切碎。用酒三升浸泡一整夜。另取黑豆一升,洗净后炒至冒烟,趁热倒入锅中,将浸泡过的酒药混合其中。待温度适宜后,滤去药渣。每次用注子(一种灌药器具)灌服。每日二至三次,不限固定时间服用。
雀矢丸
治疗中风引起的口噤,声音发不出,饮食无法下咽。取雄雀粪研成粉末,用糊剂制成如麻子大小的丸药。用温水送服二至三丸,用薄荷汤送服也可以。效果很好。雀矢的白色部分也可以使用。
又一方 治疗口噤且下颌拘急。因风邪中伤阳经所致。取白棘烧成灰,研为粉末,用水调服一钱匕(约1.5-3克)。
又一方 治疗突然发生的口噤不能张开。取附子粉末,通过芦管吹入患者口中。效果很好。
治疗牙关紧闭不能张开:取天南星一枚,煨熟后,趁热用纸包裹密封,不让透气。然后在顶端剪开一个鸡头大小的孔洞,将热气透入鼻孔中,牙关即可立即张开。
独活黄汤
治疗中风引起的四肢拘挛(抽搐、屈伸不利)。
药材:独活、黄芪、酸枣仁(用汤水浸泡一次,各一两);麻黄(去除根部和节)、羚羊角屑、桑白皮(切碎)、肉桂(去除粗皮)、川芎(各半两)。
制法与用法:将上述药材研磨成细末。每次服用一大钱,用水一盏,加入生姜和薄荷各三片,煎煮至剩余五分,滤去药渣,温服。不限固定时间服用。
赤箭汤
治疗中风引起的半身不遂。
药材:赤箭(一两);僵蚕(去除丝嘴,微炒半两)、白附子(半两)、独活(去除芦头,半两);麻黄(去除根部和节)、白花蛇(酒浸后去皮骨,各半两)、杏仁(三十个,麸炒后去皮尖,研碎后加入)。
制法与用法:将上述药材共同研磨成粉末。每次服用一钱,用水八分,煎煮时加入少许石榴皮,煎至剩余五分,温服。不限固定时间服用。
Shigao Tang (Gypsum Decoction)
Indicated for wind-stroke presenting with trismus (lockjaw). Manifestations include stiffness and tension in the mandible and cheeks, and a mental state resembling drunkenness.
Ingredients: Shigao (Gypsum Fibrosum), Duhuo (Angelicae Pubescentis Radix) [deprived of its rhizome], Chuan Shengma (Cimicifugae Rhizoma) [each 1 liang]; Mahuang (Ephedrae Herba) [deprived of roots and nodes], Guizhi (Cinnamomi Ramulus), Chi Shaoyao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix) [deprived of rhizome and forked branches], Xixin (Asari Radix et Rhizoma) [deprived of seedlings, each 0.5 liang]; Gancao (Glycyrrhizae Radix et Rhizoma) [1 fen].
Preparation and Administration: Grind the above ingredients into powder. Take one da qian (approx. 3-5 g) per dose. Add one zhan (approx. 200 ml) of water, along with several slices of Bohe (Menthae Haplocalycis Herba) and Zhuye (Bambusae Folium). Decoct until the volume reduces to wu fen (approx. 100 ml). Strain and take warm. Administer at any time without fixed schedule.
Qianghuo Zi Tang (Notopterygii and Purple Decoction)
Indicated for wind-stroke presenting with trismus and rigid body posture. Take Qianghuo (Notopterygii Rhizoma et Radix) 1 liang, deprive it of the rhizome, and chop it finely. Soak in three sheng of wine overnight. Separately, take one sheng of black soybeans, wash them thoroughly, and stir-fry until smoke appears. Pour the soaked wine and herbs into the pot while hot, mix well, and let cool to a suitable temperature. Strain the dregs. Administer via a syringe-like device (zhu zi). Take two to three times daily, without fixed schedule.
Que Shi Wan (Bird Dropping Pill)
Indicated for wind-stroke presenting with trismus, aphonia (loss of voice), and dysphagia (difficulty swallowing). Take male sparrow droppings, grind into powder, and bind with paste to form pills the size of hemp seeds. Swallow two or three pills with warm water; mint decoction is also acceptable. This method is highly effective. The white part of the bird droppings may also be used.
Another Prescription: Treats trismus with mandibular stiffness caused by wind pathogen invading the Yang meridians. Burn Baiji (Spina Gleditsiae) to ash, grind into powder, mix with water, and administer one qian bi (approx. 1.5-3 g).
Another Prescription: Treats sudden onset of trismus where the mouth cannot open. Take Fuzi (Aconiti Lateralis Radix Praeparata) powder and insufflate it into the mouth through a reed tube. This is very effective.
Treatment for lockjaw where teeth are clenched and mouth cannot open: Take one Tian Nan Xing (Arisaematis Rhizoma), bake until cooked. While hot, wrap tightly in paper to prevent air leakage. Cut a hole the size of a chicken head at the apex. Allow the heat/steam to enter the nostrils. The jaw will open immediately.
Duhuo Huang Tang (Angelicae Pubescentis and Astragali Decoction)
Indicated for wind-stroke presenting with limb spasms and contractures.
Ingredients: Duhuo (Angelicae Pubescentis Radix), Huang Qi (Astragali Radix), Suan Zao Ren (Ziziphi Spinosae Semen) [soaked once in decoction, each 1 liang]; Mahuang (Ephedrae Herba) [deprived of roots and nodes], Lingyang Jiao (Saigae Tataricae Cornu), Sang Bai Pi (Mori Cortex), Rou Gui (Cinnamomi Cortex) [deprived of rough bark], Xiong (Ligustici Chuanxiong Rhizoma) [each 0.5 liang].
Preparation and Administration: Grind the above ingredients into fine powder. Take one da qian per dose. Add one zhan of water, along with three slices of Shengjiang (Zingiberis Rhizoma Recens) and Bohe (Menthae Haplocalycis Herba). Decoct until the volume reduces to wu fen. Strain and take warm. Administer at any time without fixed schedule.
Chijian Tang (Rhizoma Polygalae Decoction)
Indicated for wind-stroke presenting with hemiplegia.
Ingredients: Chijian (Rhizoma Polygalae) [1 liang]; Jiang Can (Bombyx Batryticatus) [deprived of silk mouth, lightly fried, 0.5 liang], Baifu Zi (Aconiti Kusnezoffii Radix) [0.5 liang], Duhuo (Angelicae Pubescentis Radix) [deprived of rhizome, 0.5 liang]; Mahuang (Ephedrae Herba) [deprived of roots and nodes], Baihua She (Agkistrodon) [soaked in wine, skin and bones removed, each 0.5 liang], Xing Ren (Armeniacae Semen Amarum) [30 pieces, bran-fried, skin and tips removed, ground and added later].
Preparation and Administration: Grind all ingredients together into powder. Take one qian per dose. Add eight fen of water and a small amount of Shiliu Pi (Punicae Granati Pericarpium). Decoct until the volume reduces to wu fen. Take warm. Administer at any time without fixed schedule.