治中风虽能言,口不 斜,而手足 曳,脉虚浮而数,风中腑也。盖风中脉则口眼 斜
风中腑则肢体废,风中脏则性命危。凡风中腑宜汗而解,星附散
天南星(大者) 半夏(二味薄切,姜汁浸透) 黑附子(炮裂,去皮脐) 白附子(炮
微黄)
参(去芦) 白
茯苓(去皮,以上各等分)
上为粗末。每服二钱,水酒各一盏,同煎至八分去滓,热服,二三服汗出瘥。顷在桐
有人患此症,三投此药得汗,手足能举。
治体虚有风,外受寒湿,身如在空中,二生散。
生附子(去皮脐) 生天南星(各等分)
上二味, 咀。每服四大钱,水一盏半,生姜十片,漫火煎至八分去滓服。戊午年予在
新安有此疾,张医博士发授此方,三服愈。(煎不熟有大毒,令人发肿增病)。
治中风忽然昏若醉,形体昏闷,四肢不收,风涎潮于上膈,气闭不通。
猪牙皂角(四挺,肥实不蠹者,去黑皮) 晋矾(光明者,一两)
上细末研匀,轻者半钱,重者三字匕,温水调灌下,不大呕吐,但微微冷涎出一二升便
得醒,醒次缓而调治,不可便大段,亦恐过伤人,孙兆方。
治中风同前证。
猪牙皂角(二两,捶碎,水一升,同生薄荷一处捣取汁,漫火熬成膏) 生薄荷(半斤)
瓜蒂末(一两) 藜芦末(一两) 朱砂(半两)
上将朱砂末一分,与二味末研匀,用膏子搜和丸如龙眼大,以余朱为衣,温酒化一丸,
甚者二丸,以吐为度,得吐即省,不省者不可治。
《必用方》论中风无吐法,引金虎碧霞为戒。且如卒暴涎生,声如引锯,牙关紧急,气
闭不行,汤药不能入。命在须臾,执以无吐法,可乎,但不当用银粉药,恐损脾坏人四肢尔,
予每用此二方,每每有验。
治疗中风患者虽然能够言语,口眼不歪斜,但手足牵引无力,脉象虚浮而数,这是风邪侵入腑的表现。大凡风邪中于经脉则导致口眼歪斜;风邪中于腑则导致肢体废用;风邪中于脏则危及生命。凡是风邪中于腑的,适宜采用发汗的方法解除病邪,方用星附散。
天南星(大的) 半夏(这两味药薄片切,用姜汁浸透) 黑附子(炮制裂开,去掉皮和脐) 白附子(炮制微黄)
人参(去掉芦头) 白术 茯苓(去掉皮,以上各等分)
将上述药物捣成粗末。每次服用二钱,用水一盏、酒一盏,一起煎煮至八分,去渣,热服,服用二三剂后出汗即痊愈。过去在桐城,有人患此症,服用此药三次得汗,手足就能抬举。
治疗体质虚弱又受风邪,外感寒湿,身体感觉像在空中漂浮不定,方用二生散。
生附子(去掉皮和脐) 生天南星(各等分)
将这两味药切碎。每次服用四大钱,用水一盏半,生姜十片,慢火煎煮至八分,去渣服用。戊午年我在新安有此疾,张医博士传授此方,服用三剂痊愈。(注意:煎煮不熟有大毒,会导致人肿胀加重病情)。
治疗中风突然昏倒如同醉酒,形体昏沉闷乱,四肢不能收持,风涎涌上膈部,气机闭塞不通。
猪牙皂角(四挺,肥实无虫蛀的,去掉黑皮) 晋矾(明矾,一两)
将上述药物研成细末并混合均匀,轻症服用半钱,重症服用三字匕的量,用温水调匀灌下,不引起剧烈呕吐,只要微微流出冷涎一二升,病人就会苏醒,醒后缓慢调理治疗,不可立即大补,也恐怕过度损伤人体,此为孙兆方。
治疗中风症状同前。
猪牙皂角(二两,捶碎,用水一升,与生薄荷一起捣取汁液,慢火熬成膏状) 生薄荷(半斤)
瓜蒂末(一两) 藜芦末(一两) 朱砂(半两)
先将朱砂末一分,与其他两味药末研匀,用膏子调和制成如龙眼大小的丸药,用剩余的朱砂粉末为衣,温酒化开一丸服用,重症者两丸,以吐出痰涎为度,吐后病人即清醒,若不醒则不可治。
《必用方》论述中风没有使用吐法,引用金虎碧霞作为警戒。况且如突然暴发的痰涎生成,声音像拉锯一样,牙关紧急,气机闭塞不行,汤药无法进入。命在旦夕,坚持认为不能用吐法,可以吗?只是不应当使用银粉类药物,恐怕损伤脾胃毁坏四肢罢了,我每次使用这两个方子,每每都有疗效。
Treats stroke where the patient can speak, with no deviation of the mouth and eyes, but with dragging limbs. The pulse is deficient, floating, and rapid, indicating Wind striking the Fu organs (Yang organ channels). Generally, if Wind strikes the meridians, it causes deviation of the mouth and eyes; if Wind strikes the Fu organs, it leads to limb dysfunction; if Wind strikes the Zang organs (Yin organs), it endangers life. For Wind striking the Fu organs, it is appropriate to resolve the condition by inducing sweating. Use Xingfu San (Star-Attached Powder).
*Arisaema Cum Bile* (large ones) *Pinelliae Rhizoma Preparatum* (these two herbs sliced thinly, soaked through in ginger juice) *Aconiti Lateralis Radix Preparata* (prepared until cracked, skin and navel removed) *Bellei Rhizoma* (prepared until slightly yellow)
*Ginseng Radix et Rhizoma* (rhizome tip removed) *Atractylodis Macrocephalae Rhizoma* *Poria* (skin removed, all in equal proportions)
Grind the above into a coarse powder. Take two qian per dose, with one zhan of water and one zhan of wine, decoct together until reduced to eight fen, remove the dregs, and take hot. After two or three doses, sweating occurs and the condition improves. Previously in Tongcheng, someone suffered from this syndrome; after taking this medicine three times and sweating, their hands and feet could be lifted.
Treats constitutionally deficient individuals with Wind invasion, externally affected by Cold-Dampness, feeling as if floating in the air. Use Ersheng San (Two Raw Herbs Powder).
*Aconiti Radix* (raw, skin and navel removed) *Arismae Rhizoma* (raw, equal proportions)
Chop these two herbs. Take four da qian per dose, with one and a half zhan of water and ten slices of fresh ginger, decoct slowly over low heat until reduced to eight fen, remove the dregs, and take. In the year Wuwu, I had this illness in Xin'an. Dr. Zhang, a medical doctor, taught me this formula; after three doses, I recovered. (Note: If not cooked thoroughly, it has great toxicity, causing swelling and worsening the disease).
Treats sudden stroke coma resembling drunkenness, with a heavy and stifled body, inability to control the four limbs, Phlegm-Wind surging to the upper diaphragm, and Qi blockage preventing flow.
*Gleditsiae Sinensis Fructus Spina* (four pods, plump and uninfested, black skin removed) *Alumen* (bright quality, one liang)
Grind finely and mix evenly. For mild cases, take half a qian; for severe cases, take the amount held in three characters' spoonfuls. Mix with warm water and administer. It should not cause severe vomiting; once one or two sheng of cold phlegm flows out slightly, the patient will awaken. After awakening, treat gently and gradually; do not use strong tonics immediately, as this may overly damage the body. This is Sun Zhao's Formula.
Treats stroke with symptoms identical to the above.
*Gleditsiae Sinensis Fructus Spina* (two liang, crushed, mixed with one sheng of water and raw *Menthae Haplocalycis Herba*, pounded to extract juice, decocted slowly into a paste) *Menthae Haplocalycis Herba* (raw, half a jin)
*Cucumeris Melon Fructus* powder (one liang) *Veratri Radix* powder (one liang) *Cinnabaris* (half a liang)
Take one fen of *Cinnabaris* powder, mix evenly with the other two powders, and bind with the paste into pills the size of longan fruits. Coat with the remaining *Cinnabaris*. Dissolve one pill in warm wine and take; for severe cases, take two pills. The goal is to induce vomiting. Once vomited, the patient regains consciousness; if they do not regain consciousness after vomiting, the case is untreatable.
The *Bi Yong Fang* discusses that there is no vomiting method for stroke, citing Jin Hu Bi Xia as a warning. However, in cases of sudden violent phlegm production, sounds like sawing, locked jaw, and blocked Qi where decoctions cannot enter, and life hangs in the balance, is it acceptable to insist on no vomiting method? One simply should not use mercury-containing drugs, as they may damage the spleen and ruin the limbs. I have used these two formulas every time, and they are always effective.