(附论)
足阳明经入上齿中。环出挟口。环唇下交承浆。手太阳经颈上颊至目锐 。此二经为风
寒所中。使经筋缩急。牵引于颊。故为口 僻。言语不正。目不平视也。
方
独活汤 治产后中风。口面 斜。语涩。筋脉拘急。
独活(去芦头一两半) 枳壳(去瓤杵麸炒) 芎 当归(切焙各一两) 竹沥(半
碗) 细辛(去苗叶) 桂(去粗皮各半两) 防风(去叉) 蔓荆实(各一两) 上将八
味粗捣筛。每服三钱
小续命汤 治产后中风。口面 斜。手足不遂。语涩昏昧。
麻黄(去根节煎掠去沫焙三两) 甘草(炙) 桂(去粗皮各一两) 芎 当归(锉
炒) 干姜(炮) 黄芩(去黑心) 石膏(各半两) 杏仁(去皮尖双仁炒四十枚) 上
粗捣筛。每服三钱。
竹沥汤 治产后中风口 。言语不利。手足不随。
竹沥(半两) 防风(去叉一两半) 升麻(一两一分) 羌活(去芦头) 桂(去粗
皮) 芎 羚羊角屑(各一两) 麻黄(去瓤节煎掠去沫焙一两半) 杏仁(去皮尖双仁
炒八十枚) 上除竹沥外粗捣筛。每服三钱。水一盏。煎至七分。去滓。入竹沥半合。再煎
至七分。温服不拘时候。
天麻散 治产后中风。口眼 斜。筋脉不利。
天麻 荆芥穗 生干地黄(焙) 独活(去芦头) 当归(切焙) 桂(去粗皮) 白
僵蚕(炒) 防风(去叉) 延胡索(各半两) 上捣为散研匀。每服二钱。空心薄荷酒调
下。
葛根汤 治产后中风。口面 斜。
葛根 防风(去叉) 附子(炮去皮脐各一两) 枳实(去瓤麸炒一两半) 麻黄(去
根节煎掠去沫焙一两) 独活(去芦半两) 杏仁(去皮煎双仁炒四十枚) 上锉如麻豆。
每服五钱。水一
桂心汤 治产后中风口 。言语不利。筋脉拘急。
桂心(去粗皮三分) 升麻 防风(去叉各一两) 芎 羚羊角屑(各一两半) 麻
黄(去根节煎掠去沫焙一两) 上粗捣筛。每服三钱。水一盏。煎至七分。去滓入竹沥半合。
再煎三两
附子汤 治产后中风口 。
附子(炮裂去皮脐) 干姜(炮各四两) 桂(去粗皮锉一两) 芎 (一两半) 麻
黄(去根节煎掠去沫焙干一两) 上锉如麻豆。每服五钱。水一盏半。煎至七分。去滓温服。
不拘时候。
地黄汤 治产后中风。口 面僻。语涩不利。
生地黄(汁) 竹沥(各半升) 独活(去芦头一两半) 上将独活粗捣筛。每服三钱。
水一盏。
人参汤 治产后中风。口面 斜。
(附论)
足阳明胃经进入上齿中。环绕口唇,向下交汇于承浆穴。手太阳小肠经沿颈部上行至面颊,到达目外角。这两条经脉被风寒邪气侵袭,导致经筋收缩拘急,牵引面部肌肉,因此出现口眼歪斜、言语不清、眼睛不能正常注视的症状。
方剂
独活汤:治疗产后中风。症状为口眼歪斜、言语涩滞、筋脉拘挛紧急。
药材及剂量:独活(去除芦头,一两半)、枳壳(去除瓤,捣碎后用麸皮炒制)、川芎、当归(切片焙干,各一两)、竹沥(半碗)、细辛(去除苗叶)、桂枝(去除粗皮,各半两)、防风(去除叉状分枝)、蔓荆实(各一两)。将以上八味药粗略捣碎并过筛。每次服用三钱。
小续命汤:治疗产后中风。症状为口眼歪斜、手足瘫痪不遂、言语涩滞、神志昏昧。
药材及剂量:麻黄(去除根节,煎煮后撇去浮沫,焙干,三两)、甘草(炙烤)、桂枝(去除粗皮,各一两)、川芎、当归(切碎炒制)、干姜(炮制)、黄芩(去除黑心部分)、石膏(各半两)、杏仁(去皮尖,双仁者炒制,四十枚)。将以上药物粗略捣碎并过筛。每次服用三钱。
竹沥汤:治疗产后中风引起的口眼歪斜。症状为言语不利、手足不能随意运动。
药材及剂量:竹沥(半两)、防风(去除叉状分枝,一两半)、升麻(一两一分)、羌活(去除芦头)、桂枝(去除粗皮)、川芎、羚羊角屑(各一两)、麻黄(去除根节,煎煮后撇去浮沫,焙干,一两半)、杏仁(去皮尖,双仁者炒制,八十枚)。除竹沥外,将其他药物粗略捣碎并过筛。每次服用三钱。加水一盏,煎煮至七分满,滤去药渣,加入竹沥半合,再次煎煮至七分满。温服,不限时间。
天麻散:治疗产后中风。症状为口眼歪斜、筋脉功能不利。
药材及剂量:天麻、荆芥穗、生干地黄(焙干)、独活(去除芦头)、当归(切片焙干)、桂枝(去除粗皮)、白僵蚕(炒制)、防风(去除叉状分枝)、延胡索(各半两)。将上述药物捣碎研成细粉混合均匀。每次服用二钱。空腹时用薄荷酒调服。
葛根汤:治疗产后中风。症状为口眼歪斜。
药材及剂量:葛根、防风(去除叉状分枝)、附子(炮制,去皮脐,各一两)、枳实(去除瓤,麸皮炒制,一两半)、麻黄(去除根节,煎煮后撇去浮沫,焙干,一两)、独活(去除芦头,半两)、杏仁(去皮,煎煮,双仁者炒制,四十枚)。将药物切碎如麻豆大小。每次服用五钱。加水一盏……(原文此处中断)
桂心汤:治疗产后中风引起的口眼歪斜。症状为言语不利、筋脉拘挛紧急。
药材及剂量:桂心(去除粗皮,三分)、升麻、防风(去除叉状分枝,各一两)、川芎、羚羊角屑(各一两半)、麻黄(去除根节,煎煮后撇去浮沫,焙干,一两)。将药物粗略捣碎并过筛。每次服用三钱。加水一盏,煎煮至七分满,滤去药渣,加入竹沥半合,再次煎煮……(原文此处中断)
附子汤:治疗产后中风引起的口眼歪斜。
药材及剂量:附子(炮裂,去皮脐)、干姜(炮制,各四两)、桂枝(去除粗皮,切碎,一两)、川芎(一两半)、麻黄(去除根节,煎煮后撇去浮沫,焙干,一两)。将药物切碎如麻豆大小。每次服用五钱。加水一盏半,煎煮至七分满,滤去药渣,温服。不限时间。
地黄汤:治疗产后中风。症状为口面歪斜、言语涩滞不利。
药材及剂量:生地黄(取汁)、竹沥(各半升)、独活(去除芦头,一两半)。先将独活粗略捣碎并过筛。每次服用三钱。加水一盏……(原文此处中断)
(Attached Discussion)
The Foot-Yangming Meridian enters the upper teeth. It circles around and emerges alongside the mouth, crossing below the lips at Chengjiang (CV24). The Hand-Taiyang Meridian ascends along the neck to the cheek and reaches the outer canthus of the eye. These two meridians are struck by Wind-Cold pathogens, causing the sinews and tendons to contract and become tense, pulling on the facial muscles. Consequently, deviation of the mouth and eyes occurs, speech is slurred, and the eyes cannot gaze normally.
Formulas
Duhuo Tang (Angelicae Pubescentis Decoction): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and eyes, slurred speech, and contracted, tense sinews and vessels.
Ingredients: Duhuo (Radix Angelicae Pubescentis), Zhiqiao (Fructus Aurantii), Xiong (Radix Chuanxiong), Danggui (Radix Angelicae Sinensis), Zhuli (Nodus Bambusae in Taeniam), Xixin (Herba Asari), Gui (Ramulus Cinnamomi), Fangfeng (Radix Saposhnikoviae), Manjingshi (Fructus Viticis). Preparation: Coarsely crush and sieve the eight ingredients. Take 3 qian per dose.
Xiao Xuming Tang (Minor Continuation Life Decoction): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and eyes, paralysis of the limbs, slurred speech, and mental confusion.
Ingredients: Mahuang (Herba Ephedrae), Gancao (Radix Glycyrrhizae), Gui (Ramulus Cinnamomi), Xiong (Radix Chuanxiong), Danggui (Radix Angelicae Sinensis), Ganjiang (Rhizoma Zingiberis), Huangqin (Radix Scutellariae), Shigao (Gypsum Fibrosum), Xingren (Semen Pruni Armeniacae). Preparation: Coarsely crush and sieve. Take 3 qian per dose.
Zhuli Tang (Bamboo Juice Decoction): Treats postpartum wind-stroke with deviation of the mouth and eyes. Symptoms include impaired speech and inability to move the limbs freely.
Ingredients: Zhuli (Nodus Bambusae in Taeniam), Fangfeng (Radix Saposhnikoviae), Shengma (Rhizoma Cimicifugae), Qianghuo (Rhizoma et Radix Notopterygii), Gui (Ramulus Cinnamomi), Xiong (Radix Chuanxiong), Lingyangjiaoxie (Cornu Saigae Tataricae), Mahuang (Herba Ephedrae), Xingren (Semen Pruni Armeniacae). Preparation: Except for the bamboo juice, coarsely crush and sieve the other ingredients. Take 3 qian per dose. Add one sheng of water, decoct to 70%, strain, add half he of bamboo juice, and decoct again to 70%. Take warm, at any time.
Tianma San (Gastrodia Powder): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and eyes and dysfunction of the sinews and vessels.
Ingredients: Tianma (Rhizoma Gastrodiae), Jingjie Sui (Spica Schizonepetae), Sheng Dihuang (Radix Rehmanniae Recens), Duhuo (Radix Angelicae Pubescentis), Danggui (Radix Angelicae Sinensis), Gui (Ramulus Cinnamomi), Bai Jiangcan (Bombyx Batryticatus), Fangfeng (Radix Saposhnikoviae), Yanhusuo (Rhizoma Corydalis). Preparation: Crush into powder and mix evenly. Take 2 qian per dose. Administer with mint wine on an empty stomach.
Gegen Tang (Pueraria Decoction): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and eyes.
Ingredients: Gegen (Radix Puerariae), Fangfeng (Radix Saposhnikoviae), Fuzi (Radix Aconiti Lateralis Preparata), Zhishi (Fructus Aurantii Immaturus), Mahuang (Herba Ephedrae), Duhuo (Radix Angelicae Pubescentis), Xingren (Semen Pruni Armeniacae). Preparation: Cut into pieces like hemp seeds. Take 5 qian per dose. Add one sheng of water... (Text truncated here)
Guixin Tang (Cinnamon Heart Decoction): Treats postpartum wind-stroke with deviation of the mouth and eyes. Symptoms include impaired speech and contracted, tense sinews and vessels.
Ingredients: Guixin (Cortex Cinnamomi), Shengma (Rhizoma Cimicifugae), Fangfeng (Radix Saposhnikoviae), Xiong (Radix Chuanxiong), Lingyangjiaoxie (Cornu Saigae Tataricae), Mahuang (Herba Ephedrae). Preparation: Coarsely crush and sieve. Take 3 qian per dose. Add one sheng of water, decoct to 70%, strain, add half he of bamboo juice, and decoct again... (Text truncated here)
Fuzi Tang (Aconite Decoction): Treats postpartum wind-stroke with deviation of the mouth and eyes.
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata), Ganjiang (Rhizoma Zingiberis), Gui (Ramulus Cinnamomi), Xiong (Radix Chuanxiong), Mahuang (Herba Ephedrae). Preparation: Cut into pieces like hemp seeds. Take 5 qian per dose. Add one and a half sheng of water, decoct to 70%, strain, and take warm. At any time.
Dihuang Tang (Rehmannia Decoction): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and face and slurred, impaired speech.
Ingredients: Sheng Dihuang (Radix Rehmanniae Recens), Zhuli (Nodus Bambusae in Taeniam), Duhuo (Radix Angelicae Pubescentis). Preparation: Coarsely crush and sieve Duhuo. Take 3 qian per dose. Add one sheng of water... (Text truncated here)
Renshen Tang (Ginseng Decoction): Treats postpartum wind-stroke. Symptoms include deviation of the mouth and eyes.