汤代指探吐亦可。如是数次,得吐气通,必渐苏矣,然后酌宜可以进药,此治实痰壅滞之法也。若死证已具,
而痰声漉漉于喉间者,吐亦无益,不必吐也。若痰气盛极而不能吐者,亦不治之证也。又凡形气大虚者,忌用
吐法,是皆不可攻者也。(《景岳全书》)
治卒中风,昏昏如醉,形体(《圣济》作心神)瞀闷,四肢不收,或倒或不倒,或口角似邪,微有涎出,
斯须不治,便为大病,故伤人也。此证风涎潮于上膈,痹气不通,宜用救急方(《证类》引无方字,《圣济》
同)稀涎散。
猪牙皂角(四梃,须是肥实不 者,削去黑皮用。) 晋矾(一两,光明通莹者。)(《圣济》四两)
上二味同捣,罗为细末,再研极细为散。如有患者,可服半钱,重者三字匕,温水调灌下,不大呕吐,只
是微微涎稀冷而出(《证类》引无冷字),或一升二升,当时惺(《证类》惺字复,《圣济》作省觉),次缓
而调治,不可便大攻之(《证类》大攻之作大段吐之),恐过伤人命,经效不能尽述。(《传家秘宝》)
治国中风,失音不语,昏冒不知人。先宜吐风痰,令省觉,次可服诸汤散。吐痰白矾散方。
白矾(二两生用) 生姜(一两,连皮擦碎,水二升,煮取一升二合。)
上二味,先细研白矾为末,入浓煎生姜汤研滤、分三服,旋旋灌,须臾吐出痰毒,眼开风退,方可救治。
若气衰力弱,不宜用猛性药吐之,设吐得痰毒,别增疾。(《圣济》)
养正丹(出宝林真人谷伯阳《伤寒论》中,一名交泰丹),治中风。涎潮不省人事。
硫黄(研细) 水银 黑锡(去滓净秤,与水银结砂子。) 朱砂(细研各一两)
上用黑盏一只,火上熔黑铅成汁,次下水银,以柳枝子搅匀,次下朱砂,搅令不见星子,放下少时,方入
硫黄末,急搅成汁和匀。如有焰,以醋洒之。候冷取出,研如粉极细,用糯米粉煮糊为丸,如绿豆大,每服二
十粒,加至三十粒,盐汤下。(《和济局方》)(按∶此方特妙于堕痰,《易简方》亦有说,仍次于斯。)
黑锡丹(丹阳慈济大师受神仙桑君方),卒暴中风,痰潮上膈,言语艰涩,神昏气乱,喉中痰响,曾用风
药吊吐不出者,宜用此药百粒,煎姜枣汤灌之,压下风涎,实时苏省,风涎自利。
金铃子(蒸去皮核) 胡芦巴(酒浸炒) 木香(不见火) 附子(炮去皮脐) 肉豆蔻(面裹煨) 破
故纸(酒浸炒) 沉香(不见火镑) 茴香(舶上者炒) 阳起石(酒煮一日焙干研细各一两) 肉桂(去粗
皮不见火半两) 黑锡(去滓净秤) 硫黄(透明者结砂子各二两)
上用黑盏,或新铁铫内,如常法结黑锡硫黄砂子,地上出火毒,研令极细,余药并杵罗为细末,都一处和
匀入研,
自朝至暮,以黑光色(一本作尽)为度,酒糊为丸,如梧桐子大,阴干入布袋内,擦令光莹,每服三四十粒,
空心姜盐汤或枣汤下,妇人艾醋汤下。(同上)
三生饮,治卒中,昏不知人,口眼 斜,半身不遂,咽喉作声,痰气上壅。无问外感风寒,内伤喜怒,或
六脉沉伏,或指下浮盛,并宜服之。兼治痰厥气厥,及气虚眩晕,悉有神效。但口开手散,眼合遗尿,声如鼾
睡者,并难治疗。
南星(一两) 川乌(半两) 生附(半两) 木香(一分)
上 咀,每服半两,水二盏,姜十片,煎至六分,去滓温服。(同上)(按∶此方本出《苏沈良方》,名
顺元散。)
治内外感寒,脉迟细沉伏,或口噤不省人事者,用细辛、皂角各少许,或只用半夏为末,以芦管吹入鼻
中,俟喷嚏,其人少苏,然后进药。痰涎壅盛者,每服加全蝎五枚,仍服养正丹镇堕之,以其用硫黄、黑锡皆
有利性,则痰涎随去矣。一法,气盛人,止用南星八钱,木香一钱,加生姜十四片煎两服,名星香散。一法,
气虚人,用生附并木香、生姜,如前数煎服,名附香饮。(《易简方》)(《内科摘要》曰∶前饮乃行经络、
治寒痰之药,有斩关夺旗之功,每服必用人参两许,驾驱其邪而补助真气,否则不惟无益,适足以取败矣。观
先哲用 附、参附等汤,其义可见。按∶此说未必然,姑存之。)
解益以医风名,其进沉香半夏汤方云∶夫人中风,心肾俱虚,百脉皆乱,气散血凝。若使便服金银朱砂脑
麝凉药,则手足不举,经络遂死;便服生附子,则益发虚热,转不能语,或下鲜血,故成废疾。善治风者,当
先主气益心,去痰醒脾,然后疗风,十愈八九。用炮附子一只,沉香等分,人
参半两,半夏二钱,南星一钱,各汤洗七次,为粗末,每服二大钱,水二盏,姜十片,煎至一盏,空心稍热
服神效。(《针灸资生经》)(按∶《卫生十全方》用木香方,与此同趣,见顺气方中。)
盖一中之间,道路以为痰阻绝,虽欲补之,孰从而补之。若其病的系太虚,口眼不 斜,手足不偏废,便
溺不阻涩,但汗出不休,眩晕不定,四肢软弱,气息短促,方可用独参汤,而犹必佐之以橘红,加以姜汁、竹
沥,始可服也。(《丹台玉案》)
涤痰汤,治中风痰迷心窍,舌强不能言。
南星(姜制) 半夏(汤洗七次各二钱半) 枳实(麸炒二钱) 茯苓(去皮二钱) 橘红(一钱半)
石菖蒲 人参(各一钱) 竹茹(七分) 甘草(半钱)
上作一服,水二钟,生姜五片,煎至一钟,食后服。(《奇效良方》)
固脱方法 猝然之候,但见目合口开、遗尿自汗者,无论有邪无邪,总属脱症。脱则宜固,急在元气
也。元气固,然后可以图邪气。(《金匮翼》)
徽商汪华泉,忽然昏仆,遗尿手撒,汗出如珠,众皆以绝证既见,决无生理。余曰∶手撒脾绝,遗尿肾绝
,法在不治;惟大进参、附,或冀万一。遂以人参三两,熟附五钱,煎浓灌下,至晚而汗减。复煎人参二两,
、术、附各五钱,是夜服尽,身体稍稍能动。再以参附膏,加生姜、竹沥盏许,连进三日,神气渐爽。嗣后
以理中、补中等汤,调养二百日而安。(《医宗必读》)
猝然仆倒眼合,口角 斜,手撒遗尿,大抵见一种犹可,数种俱见不治。尤当急以手按其少腹,冰冷如石
者,当
急灸气海(穴在脐下一寸五分),并用蒸脐法(薛氏治寒淫于内,治宜辛热,而神脱脉绝,药不能止者,急炒
盐、艾、附子,热熨脐腹,以散寒回阳,又以口气补接其气,又以附子作饼,热贴脐间,时许神气少苏。四明
所谓蒸脐法大略如此,附录以备参用)。脉必二三至,阔大虚软如棉花,急煎人参一二两,附子一两,或有生
者(初发时可救,迟则无及矣)。俟其势定,方用人参五钱,黄 二两,附子五钱,不数饮之,但觉脐下温
和,手足运动,口眼能动是矣。(《四明心法并评》)
参附汤。
人参 制附子
用参须倍于附,或等分,不拘五钱或一两,酌宜用,姜水煎服。有痰加竹沥。(《金匮翼》)
参 附子回阳汤,治暴厥忽然仆倒,脉脱厥逆。
人参(一两) 黄 (一两) 当归(五钱) 附子(一两) 粉草(二钱)
水三钟,煎钟半,服至脉回为度。(《医约》)
驱邪方法 凡人忽遇风发,身心顿恶,或不能言。有如此者,当服大、小续命汤及西州续命、排风、
越婢等汤,于无风处,密室之中,日夜四五服,勿计剂数多少,亦勿虑虚,当使头面手足腹背汗出不绝为佳。
服汤之时,汤消即食粥,粥消即服汤,亦少与羊肉 将补。若风大重者,相续五日五夜服汤不绝,即经二日
停汤,以羹 自补将息。四体若小瘥,即当停药,渐渐将息。如其不瘥,当更服汤攻之,以瘥为度。(《千金
方》)《古今录验》续命汤(按∶《千金》名大续命汤),治中风痱,身体不能自收,口不能言,冒昧不知人,
不知痛处,或拘急不得转侧。
甘草(炙) 桂心 当归 人参 石膏(碎绵裹) 干姜(各二两)
麻黄(三两去节) 芎 (一两) 杏仁(四十枚去皮尖两人)
上九味 咀,以水一斗,煮取四升。服一升当小汗,薄覆脊,凭几坐,汗出则愈,不更服,无所禁,勿当
风。《范汪方》主病及用水升数、煮取多少并同。汪云是仲景方,本欠两味。(《外台》)
又《古今录验》西州续命汤(按∶主证与本方同,深师名大续命汤)于本方去人参,加黄 一两(麻黄六
两,石膏四两,干姜一两,余同本方)。上九味切,以水一斗九升,先煮麻黄再沸,吹去沫后,下诸药煮取四
升。初服一升,犹能自觉者,勿熟眠也,可卧浓覆,小小汗出已,渐渐减衣,勿复大覆,不可复服矣。前服不
汗者,更服一升,汗出即愈。汗后稍稍五合一服,饮食如常。深师、胡洽、《集验》、文仲、《肘后》、《千
金》同,唯忌生葱、海藻、菘菜。(按∶深师曰∶上九味切,以水六升,酒三升,合煮取三升,分为四服,取
微汗,汗出粉之。《千金》与《录验》同曰∶汗后稍稍五合一服,安稳乃服,勿顿服也。汗出则愈,勿复服。
饮食如常,无禁忌,勿见风。并治上气咳逆,若面目大肿,但得卧,服之大善。凡服此汤不下者,大口嘘其背
,汤则下过矣。)又疗大痹,一身不随,或半身一手一臂,口不能言,习习不知人,不觉痛痒,续命汤,于本
方去人参、干姜,加防风、黄芩、干地黄。
《短剧方》小续命汤,治卒中风欲死,身体缓急,口目不正,舌强不能语,奄奄惚惚,精神闷乱,诸风服
之皆验,不令人虚方。
甘草(一两) 麻黄(一两) 防风(一两半) 防己(一两) 人参(一两)
黄芩(一两) 桂心(一两) 附子(一枚大者炮) 芎 (一两) 芍药(一两) 生姜(五两)
上十一物,以水九升,煮取三升,分为三服甚良,不瘥更合三四剂必佳,取汗随人风轻重虚实也。有人脚
弱,服此方至六七剂得瘥。有风疹家,天阴节变辄合之,可以防喑 也。(《医心方》)《外台》崔氏引《小
品》无防己,有杏仁(去两仁、尖、皮,碎,一两)。云,余昔任户部员外,忽婴风疹,便服此汤,三年之中
,凡得四十六剂,风疾迄今不发。余曾任殿中少监,以此状说向名医,咸云此方为诸汤之最要。(原注∶《千
金》有防己一两。如恍惚者,加茯神、远志。若骨节烦疼,本有热者,去附子,倍芍药服之。)又《古今录验》
小续命汤,疗中风入脏,身缓急不随,不能语,于本方加当归、石膏、白术。(按∶续命汤中附子、石膏同用
者,更有《千金》续命煮散,今不录。)
《短剧方》治中柔风,身体疼痛,四肢缓弱,欲作不随方。
羌活(三两) 肉桂(三两) 生姜(六两) 干地黄(三两) 葛根(三两)
芍药(三两) 麻黄(二两去节) 甘草(二两)
凡八物,以清酒三升,水五升,煮取三升,温服五合日三。(今案《千金方》云∶酒二升,水八升,大验。
)(《医心方》)
附子大独活汤,治男子妇人体虚中风,半身不遂,左瘫右痪,口眼 斜,手足战曳,经脉挛缩,足膝软弱
,四肢酷冷,肌肉麻痹。
白姜 人参 肉桂 干葛 北芍药 当归(各九两) 川独活(十六两) 大附子(九枚) 防风 甘草
(各十二两)
上为 咀,每服三钱,水两盏,煎至一盏去滓,无时温服,其验如神。中风者,此药不过十服,立见殊效
也。(《朱氏集验方》)
顺气方法 大气,不息之真气也,不转则息矣。故不特气厥类中,即真中风邪,亦以转气为先。经云∶
大气一转,邪气乃散,此之谓也。(《金匮翼》)
乌药顺气散,治风气不顺,手脚偏枯,流注经络,并湿毒进袭,腿膝挛痹,筋骨疼痛。
乌药(去皮) 麻黄(去节汤) 橘皮(各二两) 甘草(炙) 川芎 枳壳(麸炒去穣) 桔梗 白僵
蚕(炒去丝) 白芷(各一两) 白姜(炮半两)
上为末,每服二钱匕,水一盏,姜三片,薄荷七叶,煎七分,空心服。治气,去薄荷,用枣子二枚同煎。
(《和剂》)
八味顺气散。
白术 白茯苓(去皮) 青皮(去白) 香白芷 陈皮(去白) 天台 乌药 人参(各一两) 甘草
(炙半两)
上为细末,每服三钱,水一大盏,煎至七分温服,不拘时候,仍以酒化苏合香丸间服。(《济生方》)
匀气散,此方前代曾服有效,风药服之十三日安。可治腰腿疼,半身不遂,手足不能屈伸,口眼 斜。风
气中风中气,便用风药治之,十无一愈;当以气药治之,气顺则风散,近有人服之见效。
白术(四两煨) 沉香(五钱镑) 天麻(一两) 天台乌药(三两) 青皮(五钱去穣) 白芷 甘草
(各五钱) 人参(去芦,按袖珍方五钱)
上为 咀,每服三钱,水一盏半,生姜三片,紫苏五叶,木瓜三片,枣子一枚,煎至七分去滓,空心温服。
(《瑞竹堂方》)
省风散,治气不和,为风寒邪湿之气着于手足,麻痹,头重偏疼,起居旋运,四肢倦怠,足胫缓弱,掣痛
汤剂代指探喉催吐也是可行的。像这样反复进行,直到痰气通畅、患者逐渐苏醒,然后酌情适宜进服药物,这是治疗实性痰浊壅滞的方法。如果死证已经具备,而喉间有痰声漉漉作响的,催吐也无益处,不必催吐。如果痰气盛极而不能吐出者,也是无法治疗的证候。此外,凡是形体元气大虚的人,忌用吐法,这些都是不可攻伐的。(《景岳全书》)
治疗突然中风,神志昏沉如醉酒状,心神瞀闷(《圣济总录》作“心神”),四肢无力不能收持,或跌倒或不跌倒,口角歪斜似邪风侵袭,微微流出涎水,片刻不治疗,就会成为大病,所以伤害人体。此证因风涎上潮于上膈,痹阻之气不通,宜用救急方稀涎散(《证类本草》引文无“方”字,《圣济总录》相同)。
猪牙皂角(四挺,必须是肥实不枯槁的,削去黑皮使用。) 晋矾(一两,光明通莹的。)(《圣济总录》为四两)
以上两味药一同捣碎,筛成细末,再研磨至极细成为散剂。如有患者,可服用半钱,重症者用三字匕的量,用温水调匀灌服,不会引起剧烈呕吐,只是微微吐出稀冷之涎(《证类本草》引文无“冷”字),或者一升二升,当时即清醒(《证类本草》中“惺”字重复,《圣济总录》作“省觉”),随后缓慢调理治疗,不可立即大力攻伐(《证类本草》“大攻之”作“大段吐之”),恐怕过度伤害人命,疗效不能详尽叙述。(《传家秘宝》)
治疗中风失音不语,昏冒不知人事。先宜催吐风痰,使其清醒,之后可服用各种汤剂散剂。吐痰白矾散方:
白矾(二两,生用) 生姜(一两,连皮擦碎,用水二升,煮取一升二合。)
以上两味药,先将白矾细研为末,加入浓煎的生姜汤中研磨过滤,分三次服用,慢慢灌服,须臾之间吐出痰毒,眼睛睁开风邪退去,方可救治。如果气衰力弱,不宜用猛烈的药物催吐,即使吐出痰毒,也会增加疾病痛苦。(《圣济总录》)
养正丹(出自宝林真人谷伯阳《伤寒论》中,又名交泰丹),治疗中风。涎潮导致不省人事。
硫黄(研细) 水银 黑锡(去杂质净称,与水银结成砂子。) 朱砂(细研各一两)
以上用药,用一只黑盏,在火上熔化黑铅成汁,接着下水银,用柳枝搅拌均匀,接着下朱砂,搅拌至看不见星点,放下稍时,才入硫黄末,急搅成汁和匀。如果有火焰,用醋喷洒。待冷却取出,研磨如粉极细,用糯米粉煮糊做成丸,如绿豆大小,每次服用二十粒,加至三十粒,盐汤送下。(《和济局方》)(按:此方特别妙在坠痰,《易简方》也有论述,仍附于此。)
黑锡丹(丹阳慈济大师受神仙桑君方),卒暴中风,痰潮上膈,言语艰涩,神昏气乱,喉中痰响,曾用风药吊吐不出者,宜用此药百粒,煎姜枣汤灌服,压下风涎,即时苏醒,风涎自利。
金铃子(蒸去皮核) 胡芦巴(酒浸炒) 木香(不见火) 附子(炮去皮脐) 肉豆蔻(面裹煨) 破故纸(酒浸炒) 沉香(不见火镑) 茴香(舶上者炒) 阳起石(酒煮一日焙干研细各一两) 肉桂(去粗皮不见火半两) 黑锡(去滓净秤) 硫黄(透明者结砂子各二两)
以上用药,用黑盏,或新铁铫内,如常法结黑锡硫黄砂子,在地上出火毒,研磨令极细,其余药物一并杵碎筛成细末,都一处和匀入研,
从早到晚,以黑光色(一本作“尽”)为度,酒糊做成丸,如梧桐子大小,阴干放入布袋内,擦拭令光莹,每次服用三四十粒,空腹姜盐汤或枣汤送下,妇人艾醋汤送下。(同上)
三生饮,治疗卒中,昏不知人,口眼歪斜,半身不遂,咽喉作声,痰气上壅。无论外感风寒,内伤喜怒,或六脉沉伏,或指下浮盛,并宜服用。兼治痰厥气厥,及气虚眩晕,都有神效。但口开手散,眼合遗尿,声如鼾睡者,都难治疗。
南星(一两) 川乌(半两) 生附(半两) 木香(一分)
以上切碎,每服半两,水二盏,姜十片,煎至六分,去渣温服。(同上)(按:此方本出《苏沈良方》,名顺元散。)
治疗内外感寒,脉迟细沉伏,或口噤不省人事者,用细辛、皂角各少许,或只用半夏为末,以芦管吹入鼻中,等待喷嚏,其人稍微苏醒,然后进药。痰涎壅盛者,每服加全蝎五枚,仍服养正丹镇堕之,因为其用硫黄、黑锡皆有利性,则痰涎随去矣。一种方法,气盛人,只用南星八钱,木香一钱,加生姜十四片煎两服,名星香散。一种方法,气虚人,用生附并木香、生姜,如前数煎服,名附香饮。(《易简方》)(《内科摘要》说:前饮乃行经络、治寒痰之药,有斩关夺旗之功,每服必用人参两许,驾驭其邪而补助真气,否则不惟无益,适足以取败矣。看先哲用附子、参附等汤,其义可见。按:此说不一定正确,姑且存之。)
解益以医风闻名,他进献沉香半夏汤方说:夫人中风,心肾俱虚,百脉皆乱,气散血凝。如果便服金银朱砂脑麝凉药,则手足不能举,经络遂死;便服生附子,则益发虚热,转不能语,或下鲜血,故成废疾。善于治风者,应当先主气益心,去痰醒脾,然后疗风,十愈八九。用炮附子一只,沉香等分,人参半两,半夏二钱,南星一钱,各汤洗七次,为粗末,每服二大钱,水二盏,姜十片,煎至一盏,空心稍热服神效。(《针灸资生经》)(按:《卫生十全方》用木香方,与此同趣,见顺气方中。)
大概中风之间,道路被痰阻绝,虽然想补之,从哪里补呢?如果病的确属于太虚,口眼不歪斜,手足不偏废,便溺不阻涩,只是汗出不休,眩晕不定,四肢软弱,气息短促,才可用独参汤,而且必须佐之以橘红,加以姜汁、竹沥,才可服用。(《丹台玉案》)
涤痰汤,治疗中风痰迷心窍,舌强不能言。
南星(姜制) 半夏(汤洗七次各二钱半) 枳实(麸炒二钱) 茯苓(去皮二钱) 橘红(一钱半)
石菖蒲 人参(各一钱) 竹茹(七分) 甘草(半钱)
以上作一服,水二钟,生姜五片,煎至一钟,食后服。(《奇效良方》)
固脱方法 猝然之际,只要见到目合口开、遗尿自汗者,无论有邪无邪,总属脱症。脱则宜固,急在元气也。元气固,然后可以图邪气。(《金匮翼》)
徽商汪华泉,忽然昏仆,遗尿手撒,汗出如珠,众人都认为绝证已见,决无生理。我说:手撒脾绝,遗尿肾绝,法在不治;只有大进参、附,或许有一线希望。于是用人参三两,熟附五钱,煎浓灌下,到晚上汗减少。又煎人参二两,术、附各五钱,这天夜里服完,身体稍稍能动。再用参附膏,加生姜、竹沥一盏许,连进三日,神气渐爽。嗣后用理中、补中等汤,调养二百日而安。(《医宗必读》)
猝然仆倒眼合,口角歪斜,手撒遗尿,大抵见一种犹可,数种俱见不治。尤其当急以手按其少腹,冰冷如石者,当急灸气海(穴在脐下一寸五分),并用蒸脐法(薛氏治寒淫于内,治宜辛热,而神脱脉绝,药不能止者,急炒盐、艾、附子,热熨脐腹,以散寒回阳,又以口气补接其气,又以附子作饼,热贴脐间,时许神气少苏。四明所谓蒸脐法大略如此,附录以备参用)。脉必二三至,阔大虚软如棉花,急煎人参一二两,附子一两,或有生者(初发时可救,迟则无及矣)。等到其势定,才用人参五钱,黄芪二两,附子五钱,不几饮之,但觉脐下温和,手足运动,口眼能动是矣。(《四明心法并评》)
参附汤。
人参 制附子
用参须倍于附,或等分,不拘五钱或一两,酌宜用,姜水煎服。有痰加竹沥。(《金匮翼》)
参附子回阳汤,治疗暴厥忽然仆倒,脉脱厥逆。
人参(一两) 黄芪(一两) 当归(五钱) 附子(一两) 粉草(二钱)
水三钟,煎钟半,服至脉回为度。(《医约》)
驱邪方法 凡人忽然遇风发作,身心顿恶,或不能言。有如此者,当服大、小续命汤及西州续命、排风、越婢等汤,在无风处,密室之中,日夜四五服,勿计剂数多少,亦勿虑虚,当使头面手足腹背汗出不绝为佳。服汤之时,汤消即食粥,粥消即服汤,也少与羊肉将补。若风大重者,相续五日五夜服汤不绝,即经二日停汤,以羹自补将息。四体若小瘥,即当停药,渐渐将息。如其不瘥,当更服汤攻之,以瘥为度。(《千金方》)《古今录验》续命汤(按:《千金》名大续命汤),治疗中风痱,身体不能自收,口不能言,冒昧不知人,不知痛处,或拘急不得转侧。
甘草(炙) 桂心 当归 人参 石膏(碎绵裹) 干姜(各二两)
麻黄(三两去节) 芎 (一两) 杏仁(四十枚去皮尖两人)
以上九味切碎,以水一斗,煮取四升。服一升当小汗,薄覆脊,凭几坐,汗出则愈,不更服,无所禁,勿当风。《范汪方》主病及用水升数、煮取多少并同。汪云是仲景方,本欠两味。(《外台》)
又《古今录验》西州续命汤(按:主证与本方同,深师名大续命汤)于本方去人参,加黄芪一两(麻黄六两,石膏四两,干姜一两,余同本方)。以上九味切,以水一斗九升,先煮麻黄再沸,吹去沫后,下诸药煮取四升。初服一升,犹能自觉者,勿熟眠也,可卧浓覆,小小汗出已,渐渐减衣,勿复大覆,不可复服矣。前服不汗者,更服一升,汗出即愈。汗后稍稍五合一服,饮食如常。深师、胡洽、《集验》、文仲、《肘后》、《千金》同,唯忌生葱、海藻、菘菜。(按:深师曰:上九味切,以水六升,酒三升,合煮取三升,分为四服,取微汗,汗出粉之。《千金》与《录验》同曰:汗后稍稍五合一服,安稳乃服,勿顿服也。汗出则愈,勿复服。饮食如常,无禁忌,勿见风。并治上气咳逆,若面目大肿,但得卧,服之大善。凡服此汤不下者,大口嘘其背,汤则下过矣。)又疗大痹,一身不随,或半身一手一臂,口不能言,习习不知人,不觉痛痒,续命汤,于本方去人参、干姜,加防风、黄芩、干地黄。
《短剧方》小续命汤,治疗卒中风欲死,身体缓急,口目不正,舌强不能语,奄奄惚惚,精神闷乱,诸风服之皆验,不令人虚方。
甘草(一两) 麻黄(一两) 防风(一两半) 防己(一两) 人参(一两)
黄芩(一两) 桂心(一两) 附子(一枚大者炮) 芎 (一两) 芍药(一两) 生姜(五两)
以上十一物,以水九升,煮取三升,分为三服甚良,不瘥更合三四剂必佳,取汗随人风轻重虚实也。有人脚弱,服此方至六七剂得瘥。有风疹家,天阴节变辄合之,可以防喑哑也。(《医心方》)《外台》崔氏引《小品》无防己,有杏仁(去两仁、尖、皮,碎,一两)。云,余昔任户部员外,忽婴风疹,便服此汤,三年之中,凡得四十六剂,风疾迄今不发。余曾任殿中少监,以此状说向名医,咸云此方为诸汤之最要。(原注:《千金》有防己一两。如恍惚者,加茯神、远志。若骨节烦疼,本有热者,去附子,倍芍药服之。)又《古今录验》小续命汤,疗中风入脏,身缓急不随,不能语,于本方加当归、石膏、白术。(按:续命汤中附子、石膏同用者,更有《千金》续命煮散,今不录。)
《短剧方》治疗中柔风,身体疼痛,四肢缓弱,欲作不随方。
羌活(三两) 肉桂(三两) 生姜(六两) 干地黄(三两) 葛根(三两)
芍药(三两) 麻黄(二两去节) 甘草(二两)
凡八物,以清酒三升,水五升,煮取三升,温服五合日三。(今案《千金方》云:酒二升,水八升,大验。)(《医心方》)
附子大独活汤,治疗男子妇人体虚中风,半身不遂,左瘫右痪,口眼歪斜,手足战曳,经脉挛缩,足膝软弱,四肢酷冷,肌肉麻痹。
白姜 人参 肉桂 干葛 北芍药 当归(各九两) 川独活(十六两) 大附子(九枚) 防风 甘草(各十二两)
以上为切碎,每服三钱,水两盏,煎至一盏去渣,无时温服,其验如神。中风者,此药不过十服,立见殊效也。(《朱氏集验方》)
顺气方法 大气,不息之真气也,不转则息矣。故不特气厥类中,即真中风邪,亦以转气为先。经云:大气一转,邪气乃散,此之谓也。(《金匮翼》)
乌药顺气散,治疗风气不顺,手脚偏枯,流注经络,并湿毒进袭,腿膝挛痹,筋骨疼痛。
乌药(去皮) 麻黄(去节汤) 橘皮(各二两) 甘草(炙) 川芎 枳壳(麸炒去穣) 桔梗 白僵蚕(炒去丝) 白芷(各一两) 白姜(炮半两)
以上为末,每服二钱匕,水一盏,姜三片,薄荷七叶,煎七分,空心服。治气,去薄荷,用枣子二枚同煎。(《和剂》)
八味顺气散。
白术 白茯苓(去皮) 青皮(去白) 香白芷 陈皮(去白) 天台乌药 人参(各一两) 甘草(炙半两)
以上为细末,每服三钱,水一大盏,煎至七分温服,不拘时候,仍以酒化苏合香丸间服。(《济生方》)
匀气散,此方前代曾服有效,风药服之十三日安。可治腰腿疼,半身不遂,手足不能屈伸,口眼歪斜。风气中风中气,便用风药治之,十无一愈;当以气药治之,气顺则风散,近有人服之见效。
白术(四两煨) 沉香(五钱镑) 天麻(一两) 天台乌药(三两) 青皮(五钱去穣) 白芷 甘草(各五钱) 人参(去芦,按袖珍方五钱)
以上为切碎,每服三钱,水一盏半,生姜三片,紫苏五叶,木瓜三片,枣子一枚,煎至七分去渣,空心温服。(《瑞竹堂方》)
Tangji (Decoction) can be used to induce vomiting by probing the throat. Repeating this several times until the phlegm-qi flows freely and the patient gradually regains consciousness, then administering medication as appropriate, is a method for treating excess phlegm obstruction. If signs of death are already present, with rattling phlegm sounds in the throat, inducing vomiting is of no benefit and should not be done. If phlegm-qi is excessively abundant and cannot be vomited, it is also an untreatable condition. Furthermore, those with severe deficiency of form and qi must avoid the vomiting method; these are all conditions where attack methods are contraindicated. (*Jingyue Quanshu*)
Treating sudden wind-stroke, characterized by drowsiness like drunkenness, mental confusion (*Shengji Zonglu* reads "mental"), limbs unable to hold themselves, falling or not falling, slight deviation of the mouth corner resembling evil wind invasion, and slight salivation. If not treated promptly, it becomes a major disease, thus harming the body. This condition involves wind-phlegm surging to the upper diaphragm, blocking the flow of bi-qi. The emergency formula Xixian San (Phlegm-Dissipating Powder) should be used (*Zhenglei Bencao* omits "formula", same as *Shengji Zonglu*).
Zhiya Zhaojiao (Toothed Soap Bean Pod) (four sturdy pods, must be plump and not shriveled, scrape off black skin before use.) Jin Fan (Alum) (one tael, bright and translucent ones preferred.) (*Shengji Zonglu* uses four taels).
Crush the two ingredients together, sieve into fine powder, and grind again to extreme fineness to make a powder. For a patient, take half a qian; for severe cases, use a measure of three zhi. Mix with warm water and administer. It should not cause severe vomiting, but only slightly expel thin, cold phlegm (*Zhenglei Bencao* omits "cold"). One or two sheng may be expelled, and the patient will immediately become alert (*Zhenglei Bencao* repeats "xing", *Shengji Zonglu* reads "sheng jue" [regain consciousness]). Then treat slowly and gently; do not attack vigorously immediately (*Zhenglei Bencao* reads "da duan tu zhi" [severe vomiting]), lest you over-harm life. Efficacy cannot be fully described. (*Chuanjia Mibao*)
Treating wind-stroke with loss of voice and inability to speak, coma and unconsciousness. First, induce vomiting to expel wind-phlegm until the patient regains consciousness, then administer various decoctions and powders. Formula for Vomiting Phlegm with Alum Powder:
Bai Fan (Raw Alum) (two taels) Sheng Jiang (Fresh Ginger) (one tael, with skin, rubbed broken, boil in two sheng of water to obtain one sheng and two he).
Grind the Bai Fan into fine powder first. Add the concentrated ginger decoction, grind and filter. Divide into three doses. Administer slowly. Within moments, toxic phlegm will be vomited out, eyes will open, wind will recede, and rescue can proceed. If qi is weak and strength is low, harsh medicines for vomiting should not be used. Even if toxic phlegm is expelled, it may worsen the illness. (*Shengji Zonglu*)
Yangzheng Dan (Nourishing Righteousness Pill) (from Baolin Zhenren Gu Boyang's *Shanghan Lun*, also called Jiaotai Dan), treats wind-stroke with phlegm surging leading to unconsciousness.
Liu Huang (Sulfur) (finely ground) Shui Yin (Mercury) Hei Xi (Black Tin) (purified and weighed, combined with mercury to form sand-like grains.) Zhu Sha (Cinnabar) (finely ground, one tael each).
Use one black bowl. Melt Hei Qian (Black Lead) over fire until liquid. Add Shui Yin, stir evenly with a willow twig. Add Zhu Sha, stir until no star-like particles remain. Set aside briefly. Then add Liu Huang powder, stir urgently until liquid and mixed. If flames appear, sprinkle vinegar. Cool, remove, and grind to extremely fine powder. Use glutinous rice paste to make pills the size of mung beans. Take twenty pills per dose, increasing to thirty, washed down with salt water. (*Heji Ju Fang*) (Note: This formula is particularly excellent for descending phlegm; *Yijian Fang* also discusses it, so it is included here.)
Heixi Dan (Black Tin Pill) (prescription received from Immortal Sang Jun by Master Ciji of Danyang), treats sudden violent wind-stroke, phlegm surging to the upper diaphragm, difficult speech, mental confusion and chaotic qi, rattling phlegm in the throat. For cases where wind medicines failed to induce vomiting, use one hundred pills of this medicine, administered in ginger and jujube decoction. It presses down wind-phlegm, leading to immediate recovery and natural discharge of wind-phlegm.
Jin Ling Zi (Stemona Fruit) (steamed, peel and seeds removed) Hu Lu Ba (Trigonella Foenum-graecum) (soaked in wine, stir-fried) Mu Xiang (Aucklandia Root) (do not expose to fire) Fu Zi (Prepared Aconite Lateral Root) (processed, peel and umbilicus removed) Rou Dou Kou (Nutmeg) (wrapped in flour, baked) Po Gu Zhi (Cibotium Barometz) (soaked in wine, stir-fried) Chen Xiang (Aquilaria Wood) (not exposed to fire, shaved) Hui Xiang (Fennel) (imported variety, stir-fried) Yang Qi Shi (Leptodactylus Stone) (boiled in wine for one day, dried, finely ground, one tael each) Rou Gui (Cinnamon Bark) (remove rough bark, do not expose to fire, half tael) Hei Xi (Black Tin) (purified and weighed) Liu Huang (Sulfur) (transparent ones formed into sand-like grains, two taels each).
Use a black bowl or new iron pot. Combine Hei Xi and Liu Huang according to standard methods to form sand-like grains. Remove fire toxicity on the ground. Grind to extreme fineness. Pound and sieve all other medicines into fine powder. Mix everything thoroughly and grind further.
Process from morning to evening until the color is completely black (some versions read "exhausted"). Use wine paste to make pills the size of paulownia seeds. Dry in shade, store in cloth bags, polish until shiny. Take thirty to forty pills per dose, washed down with empty-stomach ginger-salt water or jujube water. Women should use mugwort-vinegar water. (Ibid.)
Sansheng Yin (Three Lives Decoction), treats stroke with coma and unconsciousness, deviation of mouth and eyes, hemiplegia, sounds in the throat, and upward congestion of phlegm-qi. Applicable regardless of external wind-cold or internal emotional injury, whether six pulses are deep and hidden or floating and vigorous on palpation. Also treats phlegm-jue and qi-jue, as well as qi-deficiency vertigo, with miraculous effects. However, cases with open mouth and scattered hands, closed eyes with urinary incontinence, and snoring sounds are difficult to treat.
Nan Xing (Pinellia Rhizome processed with lime) (one tael) Chuan Wu (Sichuan Aconite Root) (half tael) Sheng Fu (Raw Aconite Lateral Root) (half tael) Mu Xiang (Aucklandia Root) (one fen).
Cut into pieces. Take half a tael per dose. Boil in two zhan of water with ten slices of ginger until reduced to six parts. Strain and take warm. (Ibid.) (Note: This formula originally comes from *Su Shen Liang Fang*, named Shunyuan San.)
For external and internal cold contraction, with slow, thin, deep, and hidden pulses, or locked jaw and unconsciousness, use small amounts of Xi Xin (Asarum) and Zao Jiao (Soap Bean Pod), or simply Ban Xia (Pinellia Rhizome) powder blown into the nose via a reed tube. Wait for sneezing; when the patient slightly revives, then administer medication. For excessive phlegm-saliva, add five Quan Xie (Scorpion) per dose, and still administer Yangzheng Dan to suppress and descend phlegm, because Sulfur and Black Tin have draining properties, allowing phlegm-saliva to be expelled. Another method: for persons with strong qi, use only Nan Xing eight qian, Mu Xiang one qian, plus fourteen slices of ginger, boiled for two doses, named Xingxiang San. Another method: for persons with deficient qi, use Raw Fu Zi, Mu Xiang, and ginger, boiled as before, named Fuxiang Yin. (*Yijian Fang*) (*Neike Yaosuo* states: The previous drinks are medicines that travel through meridians and treat cold-phlegm, having the power of breaking through gates and capturing flags. Each dose must include about one tael of Ren Shen (Ginseng) to drive out evil and support true qi; otherwise, it is not only ineffective but leads to defeat. Observing how ancient physicians used Fu Zi and Shenfu Tang demonstrates this principle. Note: This view is not necessarily correct; preserved here for reference.)
Jie Yi was famous for treating wind diseases. In his submission of the Chenxiang Banxia Tang formula, he stated: When a person suffers wind-stroke, heart and kidney are both deficient, all vessels are chaotic, qi scatters and blood coagulates. If one immediately takes cooling medicines like gold, silver, cinnabar, borneol, and musk, limbs will not move and meridians will die; if one immediately takes raw Fu Zi, it will increase deficiency-heat, worsen inability to speak, or cause lower bleeding, resulting in disability. Those skilled in treating wind should first focus on regulating qi and benefiting the heart, dispelling phlegm and awakening the spleen, and only then treat wind; nine out of ten will recover. Use one processed Fu Zi, equal parts Chen Xiang, half tael Ren Shen, two qian Ban Xia, one qian Nan Xing. Wash each seven times in decoction, make coarse powder. Take two large qian per dose. Boil in two zhan of water with ten slices of ginger until reduced to one zhan. Take warm on an empty stomach for miraculous effect. (*Zhenjiu Zisheng Jing*) (Note: *Weisheng Shiquan Fang* uses a formula with Mu Xiang, with similar intent, see Shunqi formulas.)
Generally, in wind-stroke, pathways are blocked by phlegm. Although one wishes to tonify, from where can tonification occur? If the disease is truly due to extreme deficiency, without deviation of mouth/eyes, no hemiplegia, no urinary/fecal obstruction, but only continuous sweating, unsteady vertigo, weak limbs, and shortness of breath, then Dushen Tang (Single Ginseng Decoction) can be used, but it must be assisted with Juhong (Citrus Peel), plus Jiang Zhi (Ginger Juice) and Zhuli (Bamboo Sap), before it can be taken. (*Dantai Yu'an*)
Ditan Tang (Phlegm-Cleansing Decoction), treats wind-stroke with phlegm confusing the heart orifice, stiff tongue and inability to speak.
Nan Xing (Processed with ginger) Ban Xia (Washed seven times in boiling water, two and a half qian each) Zhishi (Bran-fried, two qian) Fuling (Peeled, two qian) Juhong (One and a half qian)
Shichangpu (Acorus Rhizome) Renshen (Ginseng) (one qian each) Zhuru (Bamboo Sap) (seven fen) Gancao (Licorice Root) (half qian).
Make one dose. Boil in two zhong of water with five slices of ginger until reduced to one zhong. Take after meals. (*Qixiao Liangfang*)
Method for Securing Collapse: In sudden onset, if one sees closed eyes, open mouth, urinary incontinence, and spontaneous sweating, regardless of presence of pathogenic factors, it belongs to collapse syndrome. Collapse requires securing; urgency lies in yuan qi (original qi). Once yuan qi is secured, one can then address pathogenic factors. (*Jinkui Yi*)
Merchant Wang Huaquan from Huizhou suddenly collapsed, with urinary incontinence, scattered hands, and sweat like pearls. Everyone believed signs of terminal illness were present and deemed him incurable. I said: Scattered hands indicates spleen exhaustion; urinary incontinence indicates kidney exhaustion. According to method, it is incurable; only by heavily advancing Renshen and Fu Zi is there a faint hope. Thus, three taels of Renshen and five qian of Shu Fu Zi (Prepared Aconite) were decocted thickly and administered. By evening, sweat decreased. Another decoction of two taels of Renshen, five qian each of Zhu (Atractylodes) and Fu Zi was given that night. After finishing, the body could move slightly. Then, Shenfu Gao (Ginseng-Aconite Paste) with ginger and bamboo sap was administered continuously for three days, and spirit gradually improved. Subsequently, Lizhong Tang and Buzhong Tang were used for nourishment and recuperation over two hundred days until he recovered. (*Yizong Bidu*)
Sudden collapse with closed eyes, deviated mouth corner, scattered hands, and urinary incontinence. Generally, seeing one symptom is acceptable; seeing multiple symptoms is incurable. Especially urgent is pressing the lower abdomen with hand; if cold as stone, urgently moxa Qihai (Acupoint located 1.5 cun below umbilicus), and use steaming navel method (Xue’s method for cold invading internally: treatment should be pungent-hot. When spirit escapes and pulse vanishes, medicines cannot stop it, urgently stir-fry salt, mugwort, and Fu Zi, hot compress navel and abdomen to disperse cold and restore yang, use breath to supplement qi, and apply Fu Zi cake hot to navel. After some time, spirit slightly revives. Siming’s steaming navel method is roughly like this, appended for reference). Pulse will be two or three beats per respiration, wide, large, empty, soft like cotton. Urgently decoct one to two taels of Renshen and one tael of Fu Zi, or use raw Fu Zi (can save at initial onset, too late if delayed). Wait for condition to stabilize, then use five qian Renshen, two taels Huangqi (Astragalus), five qian Fu Zi. Drink a few times. Feeling warmth below umbilicus, movement of limbs, and ability to move mouth and eyes indicates success. (*Siming Xinfa Bing Ping*)
Shenfu Tang (Ginseng-Aconite Decoction).
Renshen (Ginseng) Zhi Fu Zi (Prepared Aconite Lateral Root).
Use Renshen xu (ginseng rootlets) double the amount of Fu Zi, or equal parts. Do not restrict to five qian or one tael; use as appropriate. Decoct in ginger water. Add Zhuli (Bamboo Sap) if phlegm is present. (*Jinkui Yi*)
Shen Huang Fu Zi Huiyang Tang (Ginseng-Astragalus-Aconite Restoring Yang Decoction), treats sudden syncope with collapse, pulse disappearance, and jue-ni.
Renshen (Ginseng) (one tael) Huangqi (Astragalus) (one tael) Danggui (Angelica Sinensis) (five qian) Fu Zi (Aconite) (one tael) Fencǎo (Licorice) (two qian).
Boil in three zhong of water until half remains. Continue dosing until pulse returns. (*Yiyue*)
Method for Expelling Evil: When a person suddenly encounters wind attack, body and mind feel suddenly ill, or cannot speak. In such cases, take Da Xuming Tang (Large Continuation Life Decoction), Xiao Xuming Tang (Small Continuation Life Decoction), Xizhou Xuming Tang, Paifeng Tang (Dispel Wind Decoction), Yuespi Tang (Expand Skin Decoction), etc. In a windless place, inside a sealed room, take four to five doses day and night. Do not count the number of doses, nor worry about deficiency. It is best to ensure continuous sweating from head, face, limbs, abdomen, and back. While taking decoction, eat porridge when decoction is digested; drink decoction when porridge is digested. Also consume small amounts of mutton to assist tonification. If wind is very heavy, continue taking decoction for five days and nights without stopping, then stop for two days, replenishing with soup/nourishment. If limbs improve slightly, stop medicine and gradually recuperate. If not improved, take more decoction to attack until cured. (*Qianjin Fang*) *Gujin Luyan* Xuming Tang (Note: *Qianjin* names it Da Xuming Tang), treats wind-fei (paralysis), body unable to control itself, inability to speak, mental confusion/unconsciousness, unawareness of pain location, or stiffness preventing turning.
Gancao (Honey-fried Licorice) Guixin (Cinnamon Twig) Danggui (Angelica Sinensis) Renshen (Ginseng) Shigao (Gypsum) (crushed, wrapped in cotton) Ganjiang (Dried Ginger) (two taels each).
Mahuang (Ephedra) (three taels, remove joints) Xiong (Ligusticum) (one tael) Xingren (Apricot Seed) (forty seeds, remove skin and tips, two people's worth).
Cut nine ingredients. Boil in one dou of water to obtain four sheng. Take one sheng; expect slight sweating. Cover spine lightly, sit leaning on table. Sweating leads to cure. Do not take more. No restrictions, avoid wind. *Fan Wang Fang* indications and water quantities are identical. Wang claims it is Zhang Zhongjing’s formula, originally missing two ingredients. (*Waitai*)
Also *Gujin Luyan* Xizhou Xuming Tang (Note: Indications same as above formula; Shenshi names it Da Xuming Tang). Remove Renshen from base formula, add Huangqi (Astragalus) one tael (Mahuang six taels, Shigao four taels, Ganjiang one tael, rest same as base formula). Cut nine ingredients. Boil in nine sheng and one dou of water. First boil Mahuang until boiling again, blow away foam, then add other herbs. Boil to obtain four sheng. Initial dose one sheng. If still conscious, do not sleep deeply. Lie covered thickly. After slight sweating, gradually reduce clothing. Do not cover thickly again. Do not take more. If previous dose did not induce sweating, take another sheng. Sweating leads to cure. After sweating, gradually combine five he into one dose. Diet as usual. Shenshi, Hu Qia, *Jiyan*, Wenzhong, *Zhouhou*, *Qianjin* agree, only avoiding raw green onion, seaweed, and cabbage. (Note: Shenshi says: Cut nine ingredients, boil in six sheng water and three sheng wine to obtain three sheng, divide into four doses, aim for slight sweating, powder body after sweating. *Qianjin* and *Luyan* say: After sweating, gradually combine five he into one dose, take when stable, do not take all at once. Sweating leads to cure, do not take more. Diet as usual, no taboos, avoid wind. Also treats upper qi cough and reversal, if face/eyes greatly swollen, can only lie down, taking this is very good. For those who cannot swallow this decoction, blow loudly on their back, and the decoction will pass down.) Also treats great bi (obstruction), whole body paralysis, or half-body/arm/hand paralysis, inability to speak, numbness/unconsciousness, unawareness of pain/itch. Xuming Tang: Remove Renshen and Ganjiang from base formula, add Fangfeng (Saposhnikovia), Huangqin (Scutellaria), Sheng Dihuang (Rehmannia Root).
*Duanju Fang* Xiao Xuming Tang (Small Continuation Life Decoction), treats sudden wind-stroke near death, body tension/flaccidity, distorted mouth/eyes, stiff tongue inability to speak, vague consciousness, mental confusion. Effective for various winds, does not cause deficiency.
Gancao (Licorice) (one tael) Mahuang (Ephedra) (one tael) Fangfeng (Saposhnikovia) (one and a half taels) Fangji (Stephania) (one tael) Renshen (Ginseng) (one tael)
Huangqin (Scutellaria) (one tael) Guixin (Cinnamon Twig) (one tael) Fu Zi (Aconite) (one large, processed) Xiong (Ligusticum) (one tael) Shaoyao (Peony) (one tael) Sheng Jiang (Fresh Ginger) (five taels).
Eleven ingredients. Boil in nine sheng of water to obtain three sheng. Divide into three doses, very good. If not cured, prepare three or four more doses, definitely better. Aim for sweating according to severity of wind and patient's constitution. Someone with weak legs cured after six or seven doses. Patients with wind-rash take it during cloudy weather/season changes to prevent aphasia. (*Yixin Fang*) *Waitai* cites Cui Shi quoting *Xiaopin*: No Fangji, has Xingren (Apricot Seed) (remove two kernels, tips, skin, crushed, one tael). Says: I once served as Vice Minister of Revenue, suddenly contracted wind-rash, took this decoction. In three years, took forty-six doses, wind disease never recurred. I once served as Junior Director of Palace Affairs. Told famous doctors this case; all said this formula is the most important among all decoctions. (Original note: *Qianjin* has Fangji one tael. If vague/confused, add Fushen (Poria with Hostwood) and Yuanzhi (Polygala). If bone/joint painful heat, remove Fu Zi, double Shaoyao.) Also *Gujin Luyan* Xiao Xuming Tang, treats wind-stroke entering zang organs, body flaccid/stiff paralysis, inability to speak. Add Danggui, Shigao, Baizhu to base formula. (Note: Formulas using Fu Zi and Shigao together in Xuming Tang include *Qianjin* Xuming Zhusan, not recorded here.)
*Duanju Fang* treats middle rou-feng (soft wind), body pain, limb flaccidity/weakness, impending paralysis.
Qianghuo (Notopterygium) (three taels) Rougui (Cinnamon Bark) (three taels) Sheng Jiang (Fresh Ginger) (six taels) Sheng Dihuang (Rehmannia Root) (three taels) Gegen (Pueraria) (three taels)
Shaoyao (Peony) (three taels) Mahuang (Ephedra) (two taels, remove joints) Gancao (Licorice) (two taels).
Eight ingredients. Boil in three sheng clear wine and five sheng water to obtain three sheng. Take five he warm, three times daily. (Current analysis of *Qianjin Fang*: Two sheng wine, eight sheng water, highly effective.) (*Yixin Fang*)
Fu Zi Da Duhuo Tang (Aconite Large Notopterygium Decoction), treats men and women with body deficiency contracting wind, hemiplegia, left hemiplegia/right hemiplegia, deviation of mouth/eyes, trembling limbs, meridian spasms, weak feet/knees, extreme cold limbs, muscle numbness.
Bai Jiang (White Ginger) Renshen (Ginseng) Rougui (Cinnamon Bark) Gan Ge (Kudzu Root) Bei Shaoyao (Northern Peony) Danggui (Angelica) (nine taels each) Chuan Duhuo (Sichuan Notopterygium) (sixteen taels) Da Fu Zi (Large Aconite) (nine pieces) Fangfeng (Saposhnikovia) Gancao (Licorice) (twelve taels each).
Cut into pieces. Take three qian per dose. Boil in two zhan of water until reduced to one zhan. Strain. Take warm anytime. Efficacy is miraculous. For wind-stroke, this medicine shows special effects within ten doses. (*Zhu Shi Jiyan Fang*)
Method for Regulating Qi: Da Qi (Great Qi) is the non-ceasing true qi. If it does not rotate, breathing stops. Therefore, not only in qi-jue mimicking stroke, but even in true wind-stroke, regulating qi is priority. Classic says: When Great Qi rotates, evil qi disperses. This is what is meant. (*Jinkui Yi*)
Wuyao Shunqi San (Lindera Regulating Qi Powder), treats unfavorable wind-qi, hemiplegia of limbs, flowing into meridians, wet-toxin invasion, leg/knee spasms/bi, bone/joint pain.
Wuyao (Lindera Root) (peeled) Mahuang (Ephedra) (remove joints, wash) Jupi (Tangerine Peel) (two taels each) Gancao (Honey-fried Licorice) Chuanxiong (Ligusticum) Zhike (Bitter Orange) (bran-fried, remove pith) Jiegeng (Platycodon) Bai Jiangcan (Silkworm) (stir-fried, remove silk) Baizhi (Angelica Dahurica) (one tael each) Bai Jiang (White Ginger) (processed, half tael).
Make powder. Take two qian bi per dose. Boil in one zhan of water with three slices of ginger and seven leaves of Bohe (Mint) until reduced to seven parts. Take on empty stomach. To treat qi stagnation, remove Mint, add two dates to boil. (*Heji*)
Bawei Shunqi San (Eight-Ingredient Regulating Qi Powder).
Baizhu (Atractylodes) Baifuling (Poria) (peeled) Qingpi (Green Tangerine Peel) (remove white pith) Xiang Baizhi (Fragrant Angelica Dahurica) Chenpi (Aged Tangerine Peel) (remove white pith) Tiantai Wuyao (Tiantai Lindera) Renshen (Ginseng) (one tael each) Gancao (Honey-fried Licorice) (half tael).
Make fine powder. Take three qian per dose. Boil in one large zhan of water until reduced to seven parts. Take warm, any time. Also dissolve Suhexiang Wan (Styrax Pill) in wine and take alternately. (*Jisheng Fang*)
Yunqi San (Harmonizing Qi Powder), this formula was effective in past dynasties; patients taking wind medicines were calm after thirteen days. Can treat waist/leg pain, hemiplegia, inability to bend/extend limbs, deviation of mouth/eyes. Treating wind-stroke or qi-stroke with wind medicines yields ten failures out of ten; must treat with qi-regulating medicines. When qi regulates, wind disperses. Recently someone took it with effect.
Baizhu (Atractylodes) (four taels, baked) Chenxiang (Aquilaria Wood) (five qian, shaved) Tianma (Gastrodia) (one tael) Tiantai Wuyao (Tiantai Lindera) (three taels) Qingpi (Green Tangerine Peel) (five qian, remove pith) Baizhi (Angelica Dahurica) Gancao (Licorice) (five qian each) Renshen (Ginseng) (remove rhizome, five qian according to *Xiuzhen Fang*).
Cut into pieces. Take three qian per dose. Boil in one and a half zhan of water with three slices of Sheng Jiang (Fresh Ginger), five leaves of Zisu (Perilla), three slices of Mugua (Chaenomeles), one date. Reduce to seven parts, strain. Take warm on empty stomach. (*Ruizhutang Fang*)
Shengfeng San (Wind-Provincial Powder), treats qi disharmony, wind-cold-evil-dampness adhering to limbs causing numbness, heavy head, unilateral headache, dizziness upon rising/spinning, limb fatigue, weak calves/shins, pulling pain