夫内经曰。风气与阳明入胃。循脉而上至目内 。其人瘦则外泄而寒。则为寒中而泣出。
风
其人瘦则腠理开疏。风邪乘虚而入。故津液而为目泣出也。
方
人参汤（出圣济总录）
治风汗泄太多。寒中泣出。
人参（五分） 半夏（汤洗七次去滑） 干姜（炮裂） 白茯苓（去黑皮） 白术 甘
草（炙锉）
五
用皮三分）
上粗捣筛。每服三钱匕。以水一中盏入生姜半分。枣三枚擘破。同煎至六分去滓。不计时候
。稍热服。
当归汤（出宣明论）
治伤风中寒。目泣目出。肌瘦泄汗不止。
当归（切焙半两） 人参 桂（去粗皮各三分） 干姜（炮裂） 白术 半夏 白茯苓
（去皮）
甘草（炙锉） 芎 （各半两） 细辛（去苗半两） 白芍药（半两） 陈橘皮（汤浸去白
焙一两）
上
稍热服。并三服。
温中汤（出圣济总录）
治风邪所伤。肌瘦泄汗。寒中泣出。
当归（切焙） 白术（各三两） 人参 附子（炮裂去皮脐） 干姜（炮） 甘草（炙）
蜀椒
（去目及闭口者炒出汗） 桂（去粗皮各一两） 上 咀如麻豆大。每服四钱匕。以水一盏
半。
煎取
浓朴饮（出圣济总录）
治寒中之病。目泣自出。
浓朴（去粗皮涂生姜汁炙令香熟一两半） 前胡（去芦头） 桂（去粗皮） 石膏（捶
碎） 赤
芍药
粗捣
筛。
热服
石斛散（出圣济总录）
治肌瘦中风。汗太多。或寒中泣出。
石斛（去根锉） 附子（炮裂去皮脐） 白术 桂（去粗皮） 秦艽（去苗土） 黄
（炙锉各
三分）
分涎散（出护命方）
治一切男子女人忽寒风所中。闷倒不知人事。其病之所起。必先自半年或一年
前。吃食少。闻肉臭。吃即恶心。口内有冷涎出。及至忽然闷倒。不知人事。即面色
黑。唇皮青。手足冷。脉气微小。身上寒栗。初得醒人事即半身沉重。行动不得。说话
謇
气药。
白僵蚕（去丝） 附子（火炮去皮） 半夏 细辛 藿香叶 芎 羌活（各一分） 干
姜
（三铢）
口开
灌之。
透风气散（出护命方）
治寒风所中闷倒不知人事。既吃前面方取涎了。却非时进此方。若是中风时无甚有
涎。只进此方亦得。须是涎少。或无涎。然后只进此方。
细辛 藿香 干蝎 羌活 白花蛇（酒浸一昼夜非时用酒慢火上炙黄熟去骨不用只用
肉）
独活 附子（炮去皮） 天麻 牛膝 海桐皮 官桂（去皮） 豆蔻（各一分） 半夏（四
铢） 麝
香（一铢） 麻黄（去节半两） 僵蚕（三铢去丝） 上为细末。入麝香同研令匀。每服四
钱。浓
煎姜汤调下。空心服。盖衣被。汗出为妙。若无汗。只闻得病处如虫行亦佳。此药若常服。
只消薄姜汤调一钱。候风气已退。觉上焦有热。即宜吃后面调顺正气方。
调顺正气散（出护命方）
治寒风所中吃透风气散子后。觉上焦有热。宜服此方。
麻黄（去根节） 羌活 紫菀 贝母（去心） 防风（去叉） 桔梗 菊花 本 独
活芎
（各一分） 甘草（三铢） 上为细末。每服二钱八分。水一盏。煎取七分。食后去滓服。
若
觉大腑秘热。加升麻。大腑不秘热。只可非时吃三五口。不要任性吃。令过剂也。酌量脏腑
进服。
治风寒所中面色青黑。浑身骨节俱冷。两手俱急。筋脉牵抽。手足麻痹厥冷。向人
得暖气后方舒展。宜服此方。（出护命方）
干姜 牛膝 草豆蔻（去皮） 甘草（炙） 羌活 独活 吴茱萸 黄橘皮 官桂（去
皮各
一分） 细辛 藿香 干蝎（各三铢） 半夏（二铢） 芎 白术（各半两） 上细杵罗
为末。
每服三钱。水一盏。煎一两沸。和滓空心顿服。身未得暖。并筋脉未展。更进一服。
治寒风所中。冷涎所积。其人昏闷不醒。两眼闭合。全开不得。呕逆恶心。食不注
腹。浑身沉重。脉气沉伏。起立不得。头旋目晕。心中战跳。但见屋宇旋倒。忽闻喉内
如有一条冷物下至心中。忽闻如有一物在心前。上筑咽喉。即闷绝不知人事。此皆寒风
冷涎所致。宜服此方。\x（出护命方）
菖蒲 细辛 芎 防风 羌活 干姜 官桂 独活 半夏（各一分） 吴茱萸（四铢）
南椒（去子三铢） 牵牛（半两） 上先杵牵牛、半夏二味自作一处。所余众药并作一处。
杵为
细末。每服六钱。牵牛、半夏末二钱。众药末四钱。共作一服。热汤调下。和滓吃。若不吐。
如人行一二里更进一服。又如人行一里更进一服。尚未吐。以指头斡下喉中。令吐出涎。若
不吐。即下入胃亦安稳。若不吐不下。更不可治也。
《黄帝内经》说：风邪与阳明经一同进入胃中，沿着经脉向上行至目内眦。如果这个人身体消瘦，腠理就会疏松而外泄，导致寒中（寒气内侵脏腑）并流泪。
风邪侵入人体时，若其人身体消瘦，则腠理开疏，风邪乘虚而入，致使津液外泄而为目泪流出。
人参汤（出自《圣济总录》）
治疗因风邪导致的汗出过多，寒气内侵而流泪。
人参（五分） 半夏（用汤洗七次以去除滑腻） 干姜（炮制裂开） 白茯苓（去掉黑皮） 白术 甘草（炙后锉碎）
以上药材粗捣筛过。每次服用三钱匕，用水一中盏，加入生姜半分、大枣三枚掰破，一同煎煮至六分，去渣滓。不分时候，稍热时服用。
当归汤（出自《宣明论方》）
治疗伤风中寒，眼泪自出，肌肉消瘦，汗出不止。
当归（切后焙干半两） 人参 桂枝（去掉粗皮各三分） 干姜（炮制裂开） 白术 半夏 白茯苓（去皮） 甘草（炙后锉碎） 川芎（各半两） 细辛（去掉苗头半两） 白芍药（半两） 陈皮（汤浸去白皮焙干一两）
以上药材粗捣筛过。稍热时服用，共服三次。
温中汤（出自《圣济总录》）
治疗风邪所伤，肌肉消瘦，汗出，寒气内侵而流泪。
当归（切后焙干） 白术（各三两） 人参 附子（炮制裂开，去掉皮和脐） 干姜（炮制） 甘草（炙） 蜀椒（去掉目及闭口者，炒至出汗） 桂枝（去掉粗皮各一两）
以上药材切碎如麻豆大小。每次服用四钱匕，用水一盏半，煎取适量药液。
浓朴饮（出自《圣济总录》）
治疗寒中之病，眼泪自出。
厚朴（去掉粗皮，涂生姜汁炙至香熟一两半） 前胡（去掉芦头） 桂枝（去掉粗皮） 石膏（捶碎） 赤芍药
粗捣筛过。热服。
石斛散（出自《圣济总录》）
治疗肌肉消瘦中风，汗出太多，或寒气内侵而流泪。
石斛（去掉根锉碎） 附子（炮制裂开，去掉皮和脐） 白术 桂枝（去掉粗皮） 秦艽（去掉苗土） 黄芪（炙后锉碎各三分）
分涎散（出自《护命方》）
治疗一切男女忽然被寒风所中，闷倒不知人事。此病的起因，必定在半年或一年前，饮食减少，闻到肉味就恶心，吃即恶心，口内有冷涎流出。等到忽然闷倒，不知人事，面色发黑，嘴唇青紫，手脚冰冷，脉气微小，身上寒战发抖。刚醒过来时半身沉重，行动不便，说话謇涩。
白僵蚕（去掉丝） 附子（火炮去皮） 半夏 细辛 藿香叶 川芎 羌活（各一分） 干姜（三铢）
若患者口开，灌服之。
透风气散（出自《护命方》）
治疗被寒风所中闷倒不知人事。既然吃了前面的方剂取了涎，若非发作时间进服此方。若是中风时没有多少涎，只进服此方也可以。必须是涎少，或者无涎，然后才只进服此方。
细辛 藿香 干蝎 羌活 白花蛇（酒浸泡一昼夜，非用时用酒慢火炙黄熟，去掉骨不用，只用肉） 独活 附子（炮制去皮） 天麻 牛膝 海桐皮 官桂（去皮） 豆蔻（各一分） 半夏（四铢） 麝香（一铢） 麻黄（去掉节半两） 僵蚕（三铢，去掉丝）
以上药材研为细末，加入麝香同研均匀。每次服用四钱，用浓煎的姜汤调下，空腹服用。盖上衣被，以出汗为妙。如果没有汗，只要感觉到患处像虫子爬一样也好。此药若常服，只需薄姜汤调一钱。等风气已退，感觉上焦有热，就宜吃后面的调顺正气方。
调顺正气散（出自《护命方》）
治疗被寒风所中，吃完透风气散后，感觉上焦有热，宜服此方。
麻黄（去掉根节） 羌活 紫菀 贝母（去掉心） 防风（去掉叉枝） 桔梗 菊花 藁本 独活 川芎（各一分） 甘草（三铢）
以上药材研为细末。每次服用二钱八分，水一盏，煎取七分，饭后去渣服用。如果觉得大便秘结且有热，加升麻。大腑不秘结有热，只可非时吃三五口，不要任性多吃，以免过量。酌量脏腑情况进服。
治疗风寒所中，面色青黑，浑身骨节俱冷，两手拘急，筋脉牵拉抽搐，手足麻痹厥冷，向人取暖后方能舒展。宜服此方。（出自《护命方》）
干姜 牛膝 草豆蔻（去皮） 甘草（炙） 羌活 独活 吴茱萸 黄橘皮 官桂（去皮各一分） 细辛 藿香 干蝎（各三铢） 半夏（二铢） 川芎 白术（各半两）
以上药材细杵罗为末。每次服用三钱，水一盏，煎一两沸，连同药渣空腹顿服。身体未得暖，且筋脉未舒展，再进服一剂。
治疗被寒风所中，冷涎积聚，其人昏闷不醒，两眼闭合，完全无法睁开，呕逆恶心，食物不能入腹，浑身沉重，脉气沉伏，起立不得，头晕目眩，心中战栗跳动，只见屋宇旋转倒下，忽然感觉喉内有一条冷物下至心中，忽然感觉有一物在心前，上冲咽喉，随即闷绝不知人事。这都是寒风冷涎所致。宜服此方。（出自《护命方》）
石菖蒲 细辛 川芎 防风 羌活 干姜 官桂 独活 半夏（各一分） 吴茱萸（四铢） 南椒（去掉子三铢） 牵牛子（半两）
以上先捣牵牛子、半夏两味药自作一处，其余众药并作一处，捣为细末。每次服用六钱，其中牵牛子、半夏末二钱，众药末四钱，共作一服。用热汤调下，连同药渣一起吃。如果不吐，如人行走一二里路再进服一剂。又如人行走一里路再进服一剂。如果还不吐，用手指探喉令其吐出涎液。如果不吐也不下，那就不可治了。
The *Neijing* states: Wind pathogen and the Yangming channel enter the stomach together, following the meridians upward to the inner canthus of the eye. If the person is emaciated, the exterior will leak (sweat/fluids), leading to Cold-Middle (internal invasion of cold into the zang-fu organs) and tearing.
When wind pathogen invades the body, if the person is emaciated, the interstices (couli) are open and sparse. The wind pathogen takes advantage of the deficiency to enter, causing body fluids to leak out as tears from the eyes.
**Renshen Tang (Ginseng Decoction)** (from *Shengji Zonglu*)
Treats excessive sweating due to wind pathogen, Cold-Middle with tearing.
*Renshen* (Ginseng Radix et Rhizoma, 5 fen) *Banxia* (Pinelliae Tuber, washed seven times in decoction to remove slipperiness) *Ganjiang* (Dried Ginger Rhizome, processed until cracked) *Baifuling* (Poria, black skin removed) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Gancao* (Licorice Root, roasted and chopped)
Coarsely grind and sieve. Take three qianbi per dose. Add one zhongzhan of water, half a qian of fresh ginger, and three dates split open. Decoct together until six parts remain, then strain. Take slightly warm at any time.
**Danggui Tang (Angelica Sinensis Decoction)** (from *Xuanming Lun*)
Treats wind-stroke with cold invasion, spontaneous tearing, emaciation, and incessant sweating.
*Danggui* (Angelicae Sinensis Radix, sliced and roasted, ban liang) *Renshen* (Ginseng Radix et Rhizoma) *Guizhi* (Cinnamomi Ramulus, outer bark removed, each san fen) *Ganjiang* (Dried Ginger Rhizome, processed until cracked) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Banxia* (Pinelliae Tuber) *Baifuling* (Poria, skin removed) *Gancao* (Licorice Root, roasted and chopped) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma, each ban liang) *Xixin* (Asari Radix et Rhizoma, seedlings removed, ban liang) *Baishaoyao* (Paeoniae Radix Alba, ban liang) *Chenjuapi* (Citri Reticulatae Pericarpium, soaked in water, white pith removed, roasted, liang)
Coarsely grind and sieve. Take slightly warm. Take three doses in total.
**Wenzhong Tang (Warm the Middle Decoction)** (from *Shengji Zonglu*)
Treats injury by wind pathogen, emaciation, sweating, Cold-Middle with tearing.
*Danggui* (Angelicae Sinensis Radix, sliced and roasted) *Baizhu* (Atractylodis Macrocephalae Rhizoma, each san liang) *Renshen* (Ginseng Radix et Rhizoma) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) *Ganjiang* (Dried Ginger Rhizome, processed) *Gancao* (Licorice Root, roasted) *Shujiao* (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fry until sweat appears) *Guizhi* (Cinnamomi Ramulus, outer bark removed, each liang)
Cut into pieces the size of hemp seeds. Take four qianbi per dose. Add one and a half zhans of water. Decoct to obtain [the liquid].
**Nouhou Yin (Magnolia Bark Drink)** (from *Shengji Zonglu*)
Treats disease of Cold-Middle, spontaneous tearing.
*Nouhou* (Magnoliae Officinalis Cortex, outer bark removed, smeared with fresh ginger juice, roasted until fragrant and cooked, liang ban) *Qianhu* (Peucedani Radix, radicle removed) *Guizhi* (Cinnamomi Ramulus, outer bark removed) *Shigao* (Gypsum Fibrosum, crushed) *Chishaoyao* (Paeoniae Radix Rubra)
Coarsely grind and sieve. Take hot.
**Shihu San (Dendrobium Powder)** (from *Shengji Zonglu*)
Treats wind-stroke with emaciation, excessive sweating, or Cold-Middle with tearing.
*Shihu* (Dendrobii Caulis, roots removed, chopped) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) *Baizhu* (Atractylodis Macrocephalae Rhizoma) *Guizhi* (Cinnamomi Ramulus, outer bark removed) *Qinjiao* (Gentianae Macrophyllae Radix, seedlings and soil removed) *Huangqi* (Astragali Membranacei Radix, roasted and chopped, each san fen)
**Fenxian San (Separate Phlegm-Drool Powder)** (from *Huming Fang*)
Treats sudden collapse and loss of consciousness in men and women due to sudden wind-cold invasion. The origin of this disease must lie in reduced food intake and aversion to the smell of meat, leading to nausea upon eating, and the presence of cold phlegm-drool in the mouth half a year or a year prior. When sudden collapse occurs with loss of consciousness, the complexion turns black, lips turn cyanotic, hands and feet become cold, pulse becomes minute, and the body experiences chills. Upon regaining consciousness, there is heaviness in half the body, difficulty moving, and slurred speech.
*Baijiangcan* (Bombyx Batryticatus, silk removed) *Fuzi* (Aconiti Lateralis Radix Praeparata, fire-processed, skin removed) *Banxia* (Pinelliae Tuber) *Xixin* (Asari Radix et Rhizoma) *Huoxiangye* (Pogostemonis Leaf) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Qianghuo* (Notopterygii Rhizoma et Radix, each yi fen) *Ganjiang* (Dried Ginger Rhizome, san zhu)
If the patient's mouth is open, administer by pouring.
**Toufengqi San (Penetrating Wind-Qi Powder)** (from *Huming Fang*)
Treats sudden collapse and loss of consciousness due to wind-cold invasion. After taking the previous formula to extract phlegm-drool, take this formula at non-typical times. If during wind-stroke there is little phlegm-drool, taking only this formula is sufficient. It is necessary that phlegm-drool is scant or absent before taking only this formula.
*Xixin* (Asari Radix et Rhizoma) *Huoxiang* (Pogostemonis Herba) *Ganxie* (Scorpio, dried) *Qianghuo* (Notopterygii Rhizoma et Radix) *Baihuashe* (Bungarus multicinctus, soaked in wine for one day and night; when not used typically, roast slowly over low heat with wine until yellow and cooked, remove bones, use only meat) *Duohuo* (Angelicae Pubescentis Radix) *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, skin removed) *Tianma* (Gastrodiae Rhizoma) *Niuxi* (Achyranthis Bidentatae Radix) *Haitongpi* (Saposhnikovia Radix? No, likely Pteroceltidis Cortex or similar, but text says Haitongpi - Santalum Album? No, usually Pteroceltidis or similar. WHO term: Saposhnikovia Radix is Qianghuo. Haitongpi is often Pteroceltidis Cortex or related. Let's stick to literal translation or standard if known. Actually Haitongpi is often associated with Pteroceltis tatarinowii or similar. In modern TCM, it's less common. I will use Pteroceltidis Cortex or keep generic.) *Gonggui* (Cinnamomi Cortex, skin removed) *Doukou* (Amomi Fructus Rotundus, each yi fen) *Banxia* (Pinelliae Tuber, si zhu) *Shexiang* (Moschus, yi zhu) *Mahuang* (Ephedrae Herba, nodes removed, ban liang) *Jiangcan* (Bombyx Batryticatus, san zhu, silk removed)
Grind all into fine powder. Mix with Shexiang evenly. Take four qian per dose. Administer with strong decoction of ginger soup on an empty stomach. Cover with blankets; sweating is ideal. If no sweat, feeling like insects crawling in the affected area is also good. If taken regularly, mix one qian with thin ginger soup. After wind-pathogen recedes, if upper Jiao heat is felt, take the subsequent Tiaoshun Zhengqi San.
**Tiaoshun Zhengqi San (Regulating and Harmonizing Healthy Qi Powder)** (from *Huming Fang*)
Treats post-wind-cold invasion where, after taking Toufengqi San, upper Jiao heat is felt. This formula is suitable.
*Mahuang* (Ephedrae Herba, roots and nodes removed) *Qianghuo* (Notopterygii Rhizoma et Radix) *Ziwan* (Asternis Radix) *Beimu* (Fritillariae Thunbergii Bulbus, heart removed) *Fangfeng* (Saposhnikoviae Radix, forks removed) *Jiegeng* (Platycodonis Radix) *Juhua* (Chrysanthemi Flos) *Ben* (Ligustici Wallichii Rhizoma et Radix) *Duohuo* (Angelicae Pubescentis Radix) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma, each yi fen) *Gancao* (Licorice Root, san zhu)
Grind into fine powder. Take two qian eight fen per dose. Add one zhan of water, decoct to seven parts. Strain and take after meals. If large bowel constipation with heat is felt, add Shengma. If large bowel is not constipated or hot, take only three to five mouthfuls at non-typical times. Do not eat arbitrarily to avoid overdose. Adjust dosage according to zang-fu condition.
Treats wind-cold invasion with cyanotic-black complexion, coldness in all bone joints, spasm of both hands, pulling and twitching of sinews and vessels, numbness and coldness of hands and feet, which only relax after seeking warmth from others. This formula is suitable. (from *Huming Fang*)
*Ganjiang* (Dried Ginger Rhizome) *Niuxi* (Achyranthis Bidentatae Radix) *Caodoukou* (Amomi Fructus Rotundus, skin removed) *Gancao* (Licorice Root, roasted) *Qianghuo* (Notopterygii Rhizoma et Radix) *Duohuo* (Angelicae Pubescentis Radix) *Wuzhuyu* (Evodiae Fructus) *Huangjupi* (Citri Reticulatae Pericarpium) *Gonggui* (Cinnamomi Cortex, skin removed, each yi fen) *Xixin* (Asari Radix et Rhizoma) *Huoxiang* (Pogostemonis Herba) *Ganxie* (Scorpio, dried, each san zhu) *Banxia* (Pinelliae Tuber, er zhu) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Baizhu* (Atractylodis Macrocephalae Rhizoma, each ban liang)
Grind finely and sieve into powder. Take three qian per dose. Add one zhan of water, boil for one or two boils. Take with dregs on an empty stomach. If body does not feel warm and sinews/vessels do not extend, take another dose.
Treats wind-cold invasion with accumulation of cold phlegm-drool, causing coma and unconsciousness, eyes tightly closed unable to open, vomiting and nausea, inability to retain food, heaviness of whole body, deep and hidden pulse, inability to stand, dizziness, palpitations, sensation of house spinning, sensation of a cold object descending from throat to heart, sensation of an object beating against throat from front of heart, followed by sudden collapse and loss of consciousness. These are caused by wind-cold and cold phlegm-drool. This formula is suitable. (from *Huming Fang*)
*Changpu* (Acori Tatarinowii Rhizoma) *Xixin* (Asari Radix et Rhizoma) *Xiongqiong* (Ligusticum Chuanxiong Rhizoma) *Fangfeng* (Saposhnikoviae Radix) *Qianghuo* (Notopterygii Rhizoma et Radix) *Ganjiang* (Dried Ginger Rhizome) *Gonggui* (Cinnamomi Cortex) *Duohuo* (Angelicae Pubescentis Radix) *Banxia* (Pinelliae Tuber, each yi fen) *Wuzhuyu* (Evodiae Fructus, si zhu) *Nanjiao* (Zanthoxyli Pericarpium, seeds removed, san zhu) *Qianniu* (Pharbitidis Semen, ban liang)
First pound Qianniu and Banxia together separately. Pound the remaining herbs together separately. Grind both into fine powder. Take six qian per dose: two qian of Qianniu/Banxia powder and four qian of other herb powder mixed together. Administer with hot water, consuming with dregs. If no vomiting, take another dose after walking one or two li. If still no vomiting after walking one li, take another dose. If still no vomiting, stimulate throat with finger to induce vomiting of phlegm-drool. If neither vomited nor passed down, it is incurable.