治心火上盛，膈热有余。目赤，头眩，口疮，唇裂，吐衄，涎嗽稠粘，二便淋闭。
发斑，疮疹黑陷，诸风螈 ，手足掣搦筋挛疼痛。
连翘 栀子仁 薄荷 大黄 芒硝 黄芩 甘草 加枣二枚。葱一根。
即凉膈散加黄连竹叶，煎成，去渣，入蜜少许，温服。如头痛加防风川芎石膏。
按中风证，大率风木合君相二火主病，多显膈热之证。古方用凉膈散最多，不但二方已
也。
正燎原
治风涎不下，喉中作声如牵锯，或中湿肿满。
半夏（大者十四枚） 猪牙皂角（一个炙） 咀作一服，水二盏，煎一盏。入生姜自然
汁少许服
此以半夏治痰涎，牙皂治风，比而成方。盖因其无形之风。挟有形之涎，胶结不解。用
此二
牙皂
次
治四肢不收，心神恍惚，不知人事，口不能言。
竹沥 生葛汁（二升） 生姜汁（二合） 和匀。分温三服。按人身之积痰积热，常招
致外风，
此方可频
治肥人中风，口眼 斜，手足麻木，左右俱作痰治。
贝母 栝蒌 南星（炮） 荆芥 防风 羌活 黄柏 黄芩 黄连 白术 陈皮 半夏
（汤泡
按中风证，多挟热痰，而肥人复素有热痰。不论左右，俱作痰治，诚为当矣。但肥人多
虚风
栝蒌
热痰
治疗心火亢盛于上，膈间热邪有余。症状包括目赤肿痛、头晕目眩、口腔溃疡、嘴唇干裂、吐血或鼻出血、唾液咳嗽且痰液稠厚粘滞、大小便淋沥闭塞。
出现斑疹，疮疡痘疹颜色黑陷，各种风证引起的抽搐痉挛，手足牵引拘挛疼痛。
药材：连翘、栀子仁、薄荷、大黄、芒硝、黄芩、甘草，加红枣二枚、葱一根。
即凉膈散（Liangge San, Cooling the Diaphragm Powder）加入黄连（Coptis Rhizome）、竹叶（Bambusae Folium），煎煮后去渣滓，加入少许蜂蜜，温服。如果头痛，加防风（Saposhnikoviae Radix）、川芎（Chuanxiong Rhizoma）、石膏（Gypsum Fibrosum）。
按语：中风证，大率是风木之气与君火、相火相结合导致疾病，多表现为膈热的证候。古方中使用凉膈散最为常见，不仅仅是上述两个方剂而已。
正如烈火燎原之势。
治疗中风导致的痰迷心窍，舌体僵硬，口不能言语。
方剂见卷九上“除痰门”。
治疗风涎不下，喉中发出如拉锯的声音，或者因中湿导致肿胀满闷。
药材：半夏（大的十四枚）、猪牙皂角（一个，炙过），切碎作为一服药量，用水两盏，煎至一盏。加入少许生姜自然汁服用。
这是用半夏治疗痰涎，用牙皂治疗风邪，配合而成的方剂。大概是因为无形的风邪，挟带形质的痰涎，胶结在一起难以化解。使用这两味药……（原文此处有缺漏/排版错误：“用 此二 牙皂 次”）
治疗四肢弛缓不收，心神恍惚，不知人事，口不能言语。
药材：竹沥（Bamboo Sap）、生葛汁（Puerariae Radix Juice，二升）、生姜汁（Zingiberis Recensis Juice，二合），混合均匀。分三次温服。按语：人体内的积痰和积热，常招致外风侵袭，此方可频繁……（原文此处有缺漏/排版错误：“此方可频”）
治疗肥胖之人患中风，口眼歪斜，手足麻木，无论左侧右侧，都按照痰证来治疗。
药材：贝母（Fritillariae Bulbus）、栝蒌（Trichosanthis Fructus）、南星（Arisaematis Rhizoma，炮制）、荆芥（Schizonepetae Herba）、防风（Saposhnikoviae Radix）、羌活（Notopterygii Rhizoma et Radix）、黄柏（Phellodendri Cortex）、黄芩（Scutellariae Radix）、黄连（Coptidis Rhizoma）、白术（Atractylodis Macrocephalae Rhizoma）、陈皮（Citri Reticulatae Pericarpium）、半夏（Pinelliae Rhizoma，汤泡）。
按语：中风证，多挟杂热痰，而肥胖之人平素就有热痰。不论病在左侧还是右侧，都按照痰证来治疗，确实是非常恰当的。但肥胖之人多……（原文此处有缺漏/排版错误：“但肥人多 虚风”）
栝蒌（Trichosanthis Fructus）
热痰（Heat Phlegm）
Treats excessive Heart Fire in the upper jiao and surplus Heat in the diaphragm. Symptoms include red eyes, dizziness, mouth ulcers, cracked lips, hematemesis or epistaxis, thick and sticky saliva and cough, and dysuria or constipation.
Manifestations of macules and rashes, blackening and sinking of sores and pustules, various wind syndromes causing convulsions and spasms, pulling and cramping pain in the hands and feet.
Herbs: Qiaomiao (Forsythiae Fructum), Zhizi Ren (Gardeniae Semen), Bohe (Menthae Haplocalycis Herba), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), plus two Jujubae Fructus and one Congen Stolon.
This is Liangge San (Cooling the Diaphragm Powder) added with Huanglian (Coptidis Rhizoma) and Zhuye (Bambusae Folium). After decoction, strain the dregs, add a small amount of honey, and take warm. If there is headache, add Fangfeng (Saposhnikoviae Radix), Chuanxiong (Chuanxiong Rhizoma), and Shigao (Gypsum Fibrosum).
Commentary: Stroke syndromes are generally caused by Wind-Wood combining with Ministerial and Sovereign Fires to cause disease, often manifesting as Diaphragm Heat. Ancient formulas use Liangge San most frequently, not just the two formulas mentioned above.
Like a prairie fire spreading.
Treats stroke due to Phlegm confusing the Heart orifice, stiff tongue, and inability to speak.
Formula seen in Volume 9, Upper Section, under "Eliminating Phlegm".
Treats wind-phlegm failing to descend, producing sounds in the throat like sawing, or swelling and fullness due to dampness invasion.
Herbs: Banxia (Pinelliae Rhizoma, fourteen large ones), Zhuya Zaojiao (Gleditsiae Sinensis Spina, one, roasted), chopped for one dose. Decoct in two cups of water until one cup remains. Add a little fresh juice of Shengjiang (Zingiberis Rhizoma) and take.
This formula uses Banxia to treat phlegm-phlegm and Ya Zao (Gleditsiae Sinensis Spina) to treat wind, combined into a prescription. It addresses the situation where formless wind pathogens carry tangible phlegm, binding together and refusing to separate. Using these two... [Text fragment: Ya Zao Ci]
Treats flaccidity of the four limbs, vague spirit, loss of consciousness, and inability to speak.
Herbs: Zhuli (Bamboo Sap), Sheng Ge Zhi (Puerariae Radix Juice, two sheng), Shengjiang Zhi (Zingiberis Recensis Juice, two he), mixed evenly. Divide into three warm doses. Commentary: Accumulated phlegm and heat in the human body often attract external wind; this formula can be taken frequently... [Text fragment ends abruptly].
Treats obesity-related stroke with deviation of the mouth and eye, numbness in hands and feet. Regardless of left or right side, treat as a phlegm syndrome.
Herbs: Beimu (Fritillariae Bulbus), Gualou (Trichosanthis Fructus), Nanxing (Arisaematis Rhizoma, processed), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, soaked in decoction).
Commentary: Stroke syndromes often involve Heat-Phlegm, and obese individuals typically have pre-existing Heat-Phlegm. Treating both left and right sides as phlegm syndromes is indeed appropriate. However, obese individuals often have... [Text fragment: Deficient Wind]
Gualou (Trichosanthis Fructus)
Heat-Phlegm (Re Tan)