治一切卒中,不论中风中寒中暑中湿中气及痰厥饮厥之类,初起或可用此
皮弦,细辛生南星半夏为末,吹入鼻中,俟其喷嚏,即进前药。牙噤者,中指
辛末,并乌梅肉频搽,自开。
半夏(百沸汤。泡少顷。一钱半。) 南星(圆白者。湿纸里煨。) 南木香 苍术 细
辛生
丸半
素虚
虚风
苏合
入口
治风气攻注,四肢骨节疼痛,遍身顽麻及瘫痪,语言謇涩,香港脚步履多艰,手
先宜服此药以疏气逆,(凡中风证,多挟中气,不但急中为然。)然后随证投以风药
麻黄(去节) 陈皮(去白) 乌药(二两) 白僵蚕(炒去嘴) 川芎 白芷 甘草
(灸) 枳壳
片,枣二枚煎。如憎寒
温酒调服。
治中风,正气虚,痰涎壅盛。
白术(炒) 白茯苓 青皮(去穣炒) 白芷 陈皮(去白) 台乌药 人参(一钱) 甘
草(五分)
青皮白芷乌
人之元气
卫空疏,
得者,亦
其方较局
未备,且
两方,取
尚为合
治国中风,不知人事,(风鼓火盛痰涎上壅。)口噤不开。(风冷之气,客于胸中,
不能发。)
藜芦 甘草(生用) 细辛 人参 川芎(一钱) 石膏(五钱) 为末,用一字吹入
鼻中。有嚏
中风不省人事,病已急矣,非平药可以开其壅塞。故用藜芦与人参细辛,取其相反而相
用也
温经
肺降
阳气
半夏
亦
【背景信息】
书名:成方切用 作者:吴仪洛 朝代:清 章节:摄生饮调苏合丸 / ... / 通顶散(共4节) 类别:方剂
【待处理原文翻译】
第一节:通顶散
治疗一切猝然昏倒之症,不论是由于中风、中寒、中暑、中湿、中气以及痰厥、饮厥等类型,在初起阶段或许可以使用此方。
将陈皮、细辛、生南星、半夏研为细末,吹入鼻中,等待患者打喷嚏后,再服用前面的药物。对于牙关紧闭者,用细辛末并配合乌梅肉频繁擦拭,牙关自然张开。
[药材] 半夏(用百沸汤浸泡片刻,一钱半)、南星(选用圆白者,用湿纸包裹煨制)、南木香、苍术、细辛(生用)。
[注:此处原文片段较为破碎,似有缺漏或排版错误,如“丸半”、“素虚”、“虚风”、“苏合”、“入口”等词孤立存在,无法构成完整句意,故仅翻译可辨识部分。]
第二节:疏气逆方(推测名,原文未明示方名,依功效描述)
治疗风气攻注于四肢骨节引起的疼痛,全身顽固性麻木及瘫痪,语言謇涩不利,香港脚导致行走艰难,手部……
[注:原文此处截断,“手”字后无内容。]
应先服用此药以疏通气机逆乱,(凡是中风证候,多夹杂中气郁滞,不仅仅是急性发作时才如此。)然后随证候投以祛风药物。
[药材] 麻黄(去节)、陈皮(去白)、乌药(二两)、白僵蚕(炒去嘴)、川芎、白芷、甘草(灸)、枳壳。
[用法] 加生姜一片、大枣二枚煎服。如果伴有憎寒(怕冷),用温酒调服。
第三节:治中风正气虚痰盛方(推测名)
治疗中风,正气虚弱,痰涎壅盛。
[药材] 白术(炒)、白茯苓、青皮(去穣炒)、白芷、陈皮(去白)、台乌药、人参(一钱)、甘草(五分)。
[注:原文后半部分“青皮白芷乌”、“人之元气”、“卫空疏”、“得者,亦”、“其方较局”、“未备,且”、“两方,取”、“尚为合”等为评论性或残缺文字,非具体处方内容,故不纳入方剂翻译,仅作为背景理解。]
第四节:通顶散(续/或另一首催吐开窍方)
治疗国中(指国内或泛指)中风,神志不清,(因风鼓动火盛,痰涎上壅。)口噤不开。(风冷之气,客居于胸中,不能发散。)
[药材] 藜芦、甘草(生用)、细辛、人参、川芎(一钱)、石膏(五钱)。研为细末,用“一字”量吹入鼻中。若有喷嚏……
[注:原文后续“中风不省人事,病已急矣,非平药可以开其壅塞。故用藜芦与人参细辛,取其相反而相用也”为方解。“温经”、“肺降”、“阳气”、“半夏”、“亦”为残留字词。]
Background Information:
Book: Chengfang Qieyong (Essential Use of Prescribed Formulas)
Author: Wu Yiluo
Dynasty: Qing Dynasty
Chapter: Shesheng Yin Tiao Suhe Wan / ... / Tongding San (Total 4 sections)
Category: Formula
Section 1: Tongding San (Penetrating the Vertex Powder)
Treats all types of sudden collapse, regardless of whether it is caused by wind-stroke, cold-stroke, heat-stroke, dampness-stroke, qi-stagnation stroke, or phlegm-jue and fluid-jue. In the initial stage, this formula may be applicable.
Powdered forms of Chenpi (Dried Tangerine Peel), Xixin (Asarum Root), raw Nanting (Arisaema Cum Bile), and Banxia (Pinellia Rhizome) are insufflated into the nose. Once the patient sneezes, administer the preceding internal medicine. For patients with trismus (lockjaw), frequently apply a mixture of Xixin powder and Wumei (Mume Fruit) pulp to the jaw; the mouth will naturally open.
[Herbs] Banxia (soaked briefly in boiling water, 1.5 qian), Nanting (select round white ones, baked wrapped in wet paper), Nanmuxiang (Aquilaria Agallocha Wood), Cangzhu (Atractylodis Rhizoma), Xixin (used raw).
[Note: The original text contains fragmented words such as "Wan ban", "Su xu", "Xu feng", "Suhe", "Ru kou" which do not form complete sentences and are omitted from the translation.]
Section 2: Formula for Dispersing Qi Reversal (Name inferred from function)
Treats pain in the bones and joints of the four limbs caused by wind-pathogen invading, general body numbness, paralysis, dysarthria (slurred speech), difficulty in walking due to Hongkangjiao (podagra/gout-like condition), and hand...
[Note: Text cuts off after "hand".]
One should first take this medicine to disperse qi reversals. (Generally, wind-stroke syndromes often accompany middle-jiao qi stagnation, not just acute cases.) Thereafter, administer wind-dispelling medicines according to the specific syndrome.
[Herbs] Mahuang (Ephedrae Herba, nodes removed), Chenpi (peel removed), Wuyao (Linderae Radix, 2 liang), Baijiangcan (Bombyx Batryticatus, stir-fried and heads removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhike (Aurantii Fructus Immaturus).
[Administration] Decoct with one slice of Shengjiang (Fresh Ginger) and two Jujubae Fructus (Jujube). If accompanied by aversion to cold, take with warm wine.
Section 3: Formula for Wind-Stroke with Deficiency of Righteous Qi and Phlegm Abundance (Name inferred)
Treats wind-stroke characterized by deficiency of righteous qi and abundance of phlegm-saliva.
[Herbs] Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Baifuling (Poria), Qingpi (Citri Reticulatae Pericarpium Viride, pith removed and stir-fried), Baizhi, Chenpi (peel removed), Taiwuyao (Linderae Radix), Renshen (Ginseng Radix et Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
[Note: Subsequent text fragments like "Qingpi Baizhi Wu", "Ren zhi yuan qi", etc., are commentary or incomplete phrases and are excluded from the formula translation.]
Section 4: Tongding San (Continued/Alternative Emetic Formula)
Treats wind-stroke resulting in loss of consciousness. (Caused by wind stirring up excessive fire and phlegm-saliva surging upward.) Trismus where the mouth cannot open. (Cold-wind pathogen lodged in the chest, unable to diffuse.)
[Herbs] Lilü (Veratrum Album Rhizoma), Gancao (Licorice Root, used raw), Xixin (Asarum Root), Renshen (Ginseng), Chuanxiong (Ligusticum Rhizome, 1 qian), Shigao (Gypsum Fibrosum, 5 qian). Grind into powder. Insufflate a quantity equivalent to "one character" (approx. 0.3-0.5g) into the nose. If a sneeze occurs...
[Commentary] Loss of consciousness in wind-stroke indicates an urgent condition; mild medicines cannot open the obstruction. Therefore, Lilü is used with Renshen and Xixin, taking advantage of their opposing yet complementary actions.
[Note: Fragments like "Wen jing", "Fei jiang", "Yang qi", "Banxia", "Yi" are residual terms.]