无时。每遇阴晦风寒，神思不清，痰气相逆，并宜预服。
羌活 防风 甘草 白茯苓（各半钱） 木香（一分） 人参 陈皮（各三钱） 天台乌药（三钱） 白
术（一两麸炒） 南星（半两重者一只炮去皮切如豆大） 附子（九钱炮去皮脐切）
上 咀，每服四钱，大姜十片，枣二个煎，不拘时候。（《朱氏集验方》）叶氏醒风汤，治左瘫右痪，口
眼斜，筋脉拳挛，手足无力，行步艰难。于本方去羌活、甘草、茯苓、人参、陈皮，加白附子、当归、白芍
药。
治卒中风，痰涎，牙关紧急，不省人事。
南木香（半两生用）
上碾为细末，以生姜七片，天南星七片，栝蒌子十四粒，浓煎取汤七分盏，调木香末，候温灌之。若牙关
不开，自有开牙关药，方在后（按∶如乌梅、细辛、麝香末揩牙关，及以皂角末搐鼻中是也。）近世人医卒中
风，便以附子等药与之，往往多不救。盖缘卒中气逆，遽进以风药，甚不相投。惟木香可以顺其气，助以姜、
星、瓜子，以下其痰，庶几气顺而人醒，然后可以用星、附等药。若仓猝未能办上项药材，急以苏合香丸一二
丸，木香汤调与服亦佳。（《卫生十全方》）
宁神诸方 延年急疗偏风，膈上风热经心脏，恍惚神情，天阴心中 ，如醉不醉方。
淡竹沥（三升，若热多用竹沥，冷多用荆沥） 羚羊角（二分屑） 膏石（十分碎绵裹） 茯神（六分切）
上四味，以水一升，合竹沥，煮取一升五合，去滓，食后欲消，分为三服。常能服之，永不畏风发。忌酢
物。（《外台》）
治中风，失音不语，宜服桂心散方。
桂心（一两） 羌活（二两） 防风（二两去芦头） 附子（一两炮裂去皮脐）
赤箭（一两） 羚羊角屑（一两） 酸枣仁（一两） 甘草（半两炙微赤锉）
上件药捣筛为散，每服四钱，以水一中盏，煎至五分去滓，入竹沥一合，更煎一两沸，不计时候温服。
（《圣惠》）《传家秘宝》名解语散（《简易方》引《资寿方》散作汤）。《圣济》名桂附汤，治中风，精神
冒闷，语声不出。
神仙解语丹，治风入心脾，言语謇涩，舌强不转、涎唾溢盛，及疗淫邪搏阴，神内郁塞，心脉闭滞，不能
言。
石菖蒲（去毛） 远志（去心甘草水煮） 天麻 白附子（炮） 全蝎（酒炒） 羌活 牛胆酿南星（如无
只炮南星用） 白僵蚕（炒各一两） 南木香（半两） 辰砂（研细量用为衣）
上为细末，面打糊丸，如梧桐子大，每服二十丸至三十丸，无时，生姜薄荷汤吞下。（《管见大全良方》）
除热方法 内风之气，多从热化，昔人所谓风从火出者是也。是证不可治风，惟宜治热。《内经》云
∶风淫于内，治以甘凉。《外台》云∶中风多从热起，宜先服竹沥汤。河间云∶热盛而生风，或热微风甚，即
兼治风也。或风微热甚，但治其热，即风亦自消也。（《金匮翼》）
中风，外有六经之形证，先以加减续命汤随证治之；内有便溺之阻格，复以三化汤主之。
浓朴 大黄 枳实 羌活（各等分）
上锉如麻豆大，每服三两，水三升，煎至一升半，终日服之，以微利为度，无时。（《保命集》）（按∶
此与次方俱非尤氏所谓内风之治，然实为中风除热之剂，仍并列于斯。）
牛黄通膈汤，初觉中风一二日，实则急宜下之。
牛黄（研三钱） 朴硝（三钱研） 大黄 甘草（各一两炙）
上四味，除研药为末，每服一两，水二盏，除牛黄、朴
硝外，煎至一盏，去渣入牛黄、朴硝一半调服，以利为度，须动三两行，未利再服，量虚实加减。（《卫生宝
鉴》）
中风，又不可概用大戟、芫花、甘遂等味，以泻大肠，损其阴血，以致莫救。即欲下痰，与夫便溺阻隔，
特宜以顺气滑肠之品而微利之。若毒热痰火，气实脉实，清之利之可也。（《医经会解》）
善后诸方 治一切瘫痪风，铁弹丸。
乳香（以乳钵坐水盆中研） 没药（各一两） 五灵脂（拣如鼠屎者四两） 川乌（一两半炮去皮尖）
上先将乳香、没药，于阴凉处，当风细研，更用研了麝香一钱，将下一味为细末，然后同前二味，再碾令
匀，滴水为丸，如弹子大，瓷合收，每服一粒，薄荷酒磨下，日三服。（《本事方》）高评事中风稍缓，张令
涌之，后服铁弹丸，在《普济》加减方中。或问张曰∶君常笑人中风服铁弹丸，今自用之何也？张曰∶此收后
之药也。今人用之于大势方来之时，正犹蚍蜉撼大树，不识次第故也。（《十形三疗》）
病有终身不愈者，其在腰或屈而不能伸，或伸而不能屈者，在手足亦然。以风伤肝，肝主筋、筋为之也。
治法活血为先，多服四物汤吞活络丹。（《要诀》）（按∶活络丹用川乌、草乌、地龙、天南星、乳香、没药，
盖铁弹丸为优）
仁寿丸，治肝肾气虚，风冷所中，筋脉 动，口眼 斜。常服补肝丸，行荣卫，养气血。
附子（炮熟去皮脐一两） 桂心 白茯苓 山茱萸 五味子 杜仲（去皮姜制炒丝断） 续断 枸杞子
熟地黄（洗） 巴戟（去心） 菟丝子（酒浸湿研） 防风（各半两） 牛膝（酒浸二两）
上为末，蜜丸梧子大，每三五十丸，温酒盐汤食前任
下。（《三因方》）
中风，外无六经之形证，内无便溺之阻格，知血弱不能养筋，故手足不能运动，舌强不能言语，宜养血而
筋自荣，大秦艽汤主之。
秦艽（三两） 甘草（二两） 川芎（二两） 当归（三两） 白芍药（二两） 细辛（半两） 川羌活
防风 黄芩（各一两） 石膏（二两） 吴白芷（一两） 白术（一两） 生地黄（一两） 熟地黄（一两）
白茯苓（一两） 川独活（二两）
上十六味锉，每服一两，水煎去渣，温服无时。如遇天阴，加生姜煎，七八片。如心下痞，每两加枳实一
钱同煎。（《保命集》）
省之仆年老患中风，气血衰弱，痰火上升，而言语涩，手足臂体疼，动履不便，饮食不思，脉虚软无力。
乃以人乳二酒杯（妇人壮健），香甜者好甜梨汁一酒盏，倾放银旋中，入汤锅内少滚热，有黄沫起开青路为
度，每日五更后一服饮之，每服交进参术膏温服，能消痰补虚。后用补中益气汤，加五味子、麦门冬与斑龙丸
本丹，遂获安。（《汪石山医按》）（按∶斑龙丸系鹿茸、阳起石、肉苁蓉、柏子仁、酸枣仁、黄 、当归、
附子、地黄、朱砂十味。）
灸法 黄帝问岐伯曰∶凡人中风，半身不遂，如何灸之？岐伯答曰∶凡人未中时，一两月前，或三五
个月前，非时足胫上忽发酸重顽痹，良久方解，此乃将中风之候也。便须急灸三里穴与绝骨穴，四处各三壮，
后用葱、薄荷、桃柳叶四味，煎汤淋洗灸疮，令驱逐风气于疮口内出也。灸疮若春较秋更灸，秋较春更灸，常
令两脚上有灸疮为妙。凡人不信此法，或饮食不节，酒色过度，忽中此风，言语謇涩，半身不遂，宜于七处，
一齐下火，各灸三壮。如风在左灸右，
在右灸左。一百会穴，二耳前发际，三肩井穴，四风市穴，五三里穴，六绝骨穴，七曲池穴。上件七穴，神效
极多，不能具录，根据法灸之，无不获愈。（《圣惠黄帝明堂灸经》）
圣人以风是百病之长，深为可忧，故避风如避矢。是以防御风邪，以汤药针灸蒸熨，随用一法皆能愈疾，
至于火艾特有奇能，虽曰针汤散皆所不及，灸为其最要。昔者华佗为魏武帝针头风，华佗但针即瘥，华佗死后
数年，魏武帝头风再发。佗当时针讫即灸，头风岂可再发，只由不灸，其本不除。所以学人不得专恃针及汤药
等，望病毕瘥，既不苦灸，安能拔本塞源。是以虽丰药饵，诸疗之要，在火艾为良。初得之时，当急下火，火
下即定，比煮汤熟，已觉眼明，岂非大要。其灸法，先灸百会，次灸风池，次灸大椎，次灸肩井，次灸曲池，
次灸间使，各三壮，次灸三里五壮。其炷如苍耳子大，必须大实作之，其艾又须大熟。从此以后，日别灸之，
至随年壮止。凡人稍觉心神不快，即须灸此诸穴各三壮，不得轻之，苟度朝夕，以致殒毙。戒之哉。（《千金
翼方》）
岐伯曰∶凡欲疗风，则用火灸。风性浮轻，色或赤或白痒多者，风热也。欲灸风者，宜从少以至多也。至
多者，从三壮、五壮、七壮，又从三十、五十、七十壮，名曰从少至多也。灸风者，不得一顿满一百。若不灸
者，亦可以蒸药熨之。风性浮轻则易散，故从少而至多也。（《外台秘要》）
半身不遂，男女皆有，此患但男尤忌左，女尤忌右尔。若得此疾后，风药不宜暂阙，常令身上有灸疮可也
。最忌房室，或能如道释修养，方能保其无它。若灸则当先百会、囟会，次风池、肩 、曲池、合谷、环跳、
风市、三里、绝骨，不必拘旧经病左灸右、病右灸左之说，但按酸疼处灸
之，若两边灸亦佳，但当自上而下灸之。（《针灸资生经》）
治痰涎壅塞，声如牵锯，服药不下，宜于关元、丹田二穴多灸之，良。（《得效方》）
凡用灸法，必其元阳暴脱，及荣卫血气不调，欲收速效，惟艾火为良。然用火之法，惟阳虚多寒、经络凝
滞者为宜。若火盛金衰，水亏多燥，脉数发热，咽干面赤，口渴便热等证，则不可妄加艾火。若误用之，必致
血愈燥而热愈甚，是反速其危矣。凡灸法，头面上艾炷宜小不宜大，手足上乃可粗也。又须自上而下，不可先
灸下、后灸上。（《景岳全书》）
灸非风卒厥危急等证，神阙。用净盐炒干，纳于脐中令满，上加浓姜一片盖定，灸百壮至五百壮，愈多愈
妙，姜焦则易之。或以川椒代盐。或用椒于下，上盖以盐，再盖以姜，灸之亦佳。丹田、气海二穴俱连命门，
实为生气之海，经脉之本，灸之皆有大效。
灸非风连脏，气塞涎上，昏危不语等证∶百会、风池、大椎、肩井、曲池、间使、足三里。
灸口眼歪斜∶听会（灸眼）、客主人（灸眼）、颊车（灸口）、地仓（灸口）、承浆（灸口）、合谷。
灸手足不遂偏枯等证∶百会、肩 、曲池、风市、环跳、足三里、绝骨（即悬钟）。（并同上）
中风卒倒者，邪气暴加，真气反陷，表里气不相通故也。灸之不特散邪，抑以通表里之气。又真气暴虚，
阳绝于里，阴阳二气不相维系，药石卒不能救者，亦惟灸法为能通引绝阳之气也。（《金匮翼》）
没有固定时间发作。每当遇到阴雨昏暗、风寒侵袭时，出现神志不清、痰气上逆的症状，都应当预先服用此方。
羌活、防风、甘草、白茯苓（各半钱），木香（一分），人参、陈皮（各三钱），天台乌药（三钱），白术（一两，用麦麸炒），天南星（重半两的一只，炮制后去皮，切成豆粒大小），附子（九钱，炮制后去皮和脐，切片）。
以上药物捣碎成粗末，每次服用四钱，加入大姜十片、大枣两个煎煮，不拘泥于服药时间。（出自《朱氏集验方》）叶氏醒风汤，治疗左侧瘫痪右侧肢体活动不利、口眼歪斜、筋脉拘挛抽搐、手足无力、行走困难。在本方基础上去掉羌活、甘草、茯苓、人参、陈皮，加入白附子、当归、白芍药。
治疗突然中风，痰涎壅盛，牙关紧闭，不省人事。
南木香（半两，生用）。
以上药物碾成细末，用生姜七片、天南星七片、瓜蒌子十四粒，浓煎取药汁七分盏，调拌木香粉末，待温后灌服。如果牙关紧闭打不开，自有开牙关的药物，方子在后面（按：如用乌梅、细辛、麝香粉末擦拭牙关，以及用皂角粉末吹入鼻中是这类方法）。近代医生遇到卒中中风，就立即给患者服用附子等药物，往往大多无法挽救。这是因为卒中导致气机逆乱，仓促进用祛风药物，非常不相适宜。只有木香可以顺其气机，辅助以姜、南星、瓜蒌子，来降下其痰浊，或许能使气机顺畅而人苏醒，然后才可以使用南星、附子等药物。如果在紧急情况下来不及准备上述药材，急用苏合香丸一至二丸，用木香汤调服也很好。（出自《卫生十全方》）
宁神各类方剂 延年急疗偏风，膈上风热经过心脏，神情恍惚，阴天心中烦闷，像喝醉了一样但没完全醉的方子。
淡竹沥（三升，如果热象多用竹沥，寒象多用荆沥），羚羊角（二分，锉屑），石膏（十分，捣碎后用绵布包裹），茯神（六分，切片）。
以上四味药，用水一升，加入竹沥，煮取一升五合，去渣滓，饭后欲消化时，分为三次服用。经常服用，永远不会畏惧风邪发作。忌食醋类食物。（出自《外台秘要》）
治疗中风，失音不能说话，宜服用桂心散方。
桂心（一两），羌活（二两），防风（二两，去芦头），附子（一两，炮裂去皮和脐）。
赤箭（即天麻，一两），羚羊角屑（一两），酸枣仁（一两），甘草（半两，炙至微红并锉碎）。
以上药物捣碎过筛制成散剂，每次服用四钱，用水一中盏，煎至五分，去渣滓，加入竹沥一合，再煎一两沸，不拘时候温服。（出自《圣惠方》）《传家秘宝》称之为解语散（《简易方》引用《资寿方》，将散剂改为汤剂）。《圣济总录》称之为桂附汤，治疗中风，精神昏蒙闷乱，声音发不出。
神仙解语丹，治疗风邪侵入心脾，言语謇涩，舌体僵硬转动不灵、唾液溢出过多，以及治疗淫邪搏结阴分，神气内部郁塞，心脉闭滞，不能说话。
石菖蒲（去毛），远志（去心，用甘草水煮），天麻，白附子（炮制），全蝎（酒炒），羌活，牛胆酿南星（如果没有，只用炮制的南星），白僵蚕（炒，各一两），南木香（半两），辰砂（研细，适量作为丸衣）。
以上药物制成细末，用面糊打丸，如梧桐子大小，每次服用二十丸至三十丸，不拘时候，用生姜薄荷汤送服。（出自《管见大全良方》）
除热治疗方法 内风之气，多从热化，就是古人所说的“风从火出”的情况。这种证候不可以治风，只宜治热。《内经》说：“风邪淫溢于内，用甘凉之品治疗。”《外台秘要》说：“中风多从热起，宜先服用竹沥汤。”河间（刘完素）说：“热盛而生风，或者热轻微而风邪严重，就兼治风邪。”或者风邪轻微而热邪严重，只要治疗热邪，风邪自然也会消除。（出自《金匮翼》）
中风，外在有六经的形证，先用加减续命汤随证治疗；内在有大便小便阻塞不通，再用三化汤主治。
厚朴、大黄、枳实、羌活（各等分）。
以上药物切碎如麻豆大小，每次服用三两，水三升，煎至一升半，全天服用，以微微通利为度，不拘时候。（出自《保命集》）（按：这与下一个方子都不是尤在泾所说的内风的治疗方法，但实际上是中风除热的方剂，仍并列在此处。）
牛黄通膈汤，初觉中风一二日，体质实者急宜攻下。
牛黄（研末三钱），朴硝（三钱，研末），大黄、甘草（各一两，炙）。
以上四味药，除了需要研末的药外，其余药物每服用一两，用水二盏，除去牛黄、朴硝外，煎至一盏，去渣滓，加入牛黄、朴硝的一半调匀服用，以利下为度，必须大便通行二三行，如果未通利再服用，根据虚实情况加减。（出自《卫生宝鉴》）
中风，又不可一概使用大戟、芫花、甘遂等药物来泻大肠，这会损伤阴血，导致无法挽救。即使想要下痰，或者大小便阻隔，特别适宜用顺气滑肠的药物轻微通利。如果是毒热痰火，气实脉实，清利即可。（出自《医经会解》）
善后各类方剂 治疗一切瘫痪风，铁弹丸。
乳香（在乳钵中坐于水盆里研磨），没药（各一两），五灵脂（挑选像鼠屎形状的三两），川乌（一两半，炮制去皮尖）。
先将乳香、没药，在阴凉处，对着风细细研磨，再加入已经研磨好的麝香一钱，将下一味药（指川乌等）研成细末，然后与前两味药一起，再次碾压令其均匀，滴水为丸，如弹子大小，用瓷盒收藏，每次服用一粒，用薄荷酒磨化送下，每日三次服用。（出自《本事方》）高评事中风症状稍缓，张令涌治愈他，后来服用铁弹丸，在《普济方》的加减方中。有人问张令涌说：“您常嘲笑别人中风服用铁弹丸，现在自己却服用，为什么呢？”张令涌说：“这是收功后的药物。现在的人在大势病邪即将来袭的时候使用它，正如同蚂蚁撼动大树，不懂得治疗的次第缘故。”（出自《十形三疗》）
疾病有终身不愈的，表现在腰部或弯曲而不能伸直，或伸直而不能弯曲，在手足也是如此。因为风邪伤肝，肝主筋，筋脉因此受损。
治疗方法以活血为先，多服用四物汤吞服活络丹。（出自《要诀》）（按：活络丹使用川乌、草乌、地龙、天南星、乳香、没药，大概比铁弹丸更优）
仁寿丸，治疗肝肾气虚，风冷所中，筋脉跳动，口眼歪斜。常服用补肝丸，运行营卫，滋养气血。
附子（炮熟去皮脐一两），桂心、白茯苓、山茱萸、五味子、杜仲（去皮，姜制炒至丝断）、续断、枸杞子、熟地黄（洗）、巴戟天（去心）、菟丝子（酒浸湿研）、防风（各半两），牛膝（酒浸二两）。
以上药物制成粉末，蜜丸如梧子大小，每次三五十丸，温酒盐汤饭前服用。（出自《三因方》）
中风，外在没有六经的形证，内在没有大小便的阻塞，知道是血弱不能养筋，所以手足不能运动，舌强不能言语，宜养血而筋脉自然荣润，大秦艽汤主治。
秦艽（三两），甘草（二两），川芎（二两），当归（三两），白芍药（二两），细辛（半两），川羌活、防风、黄芩（各一两），石膏（二两），吴白芷（一两），白术（一两），生地黄（一两），熟地黄（一两），白茯苓（一两），川独活（二两）。
以上十六味药切碎，每次服用一两，水煎去渣滓，温服，不拘时候。如果遇到阴天，加生姜七八片同煎。如果心下痞满，每两药加枳实一钱同煎。（出自《保命集》）
省之仆年老患中风，气血衰弱，痰火上升，而言语涩滞，手足臂体疼痛，行动不便，饮食不思，脉虚软无力。
于是用人乳二酒杯（来自身体壮健的妇人，香甜的好），甜梨汁一酒盏，倾放在银旋中，放入汤锅内稍微加热煮沸，有黄色泡沫升起并分开青色液体为度，每天五更后服用一次饮下，每次服用同时进服参术膏温服，能消痰补虚。后来用补中益气汤，加入五味子、麦门冬与斑龙丸本丹，于是获得安宁。（出自《汪石山医按》）（按：斑龙丸由鹿茸、阳起石、肉苁蓉、柏子仁、酸枣仁、黄芪、当归、附子、地黄、朱砂十味组成。）
灸法 黄帝问岐伯说：“凡人中风，半身不遂，如何艾灸？”岐伯回答说：“凡人在尚未中风时，一两个月前，或三五个月前，非正常时节小腿胫部忽然发生酸重顽痹，很久才能缓解，这是将要中风的征兆。便须紧急艾灸三里穴与绝骨穴，四处各灸三壮，之后用葱、薄荷、桃柳叶四味药，煎汤淋洗灸疮，让风气从疮口内排出。灸疮如果在春天较秋天更需艾灸，秋天较春天更需艾灸，常使双脚上有灸疮为好。凡人不相信这种方法，或者饮食不节制，酒色过度，忽然中此风邪，言语謇涩，半身不遂，宜于七处，一齐施灸，各灸三壮。如果风邪在左边灸右边，在右边灸左边。一、百会穴，二、耳前发际，三、肩井穴，四、风市穴，五、三里穴，六、绝骨穴，七、曲池穴。以上七穴，神效极多，不能全部记录，根据方法艾灸，无不痊愈。（出自《圣惠黄帝明堂灸经》）
圣人认为风是百病之长，深为忧虑，所以避风就像避箭矢一样。因此防御风邪，用汤药、针灸、蒸熨，随意使用一种方法都能治愈疾病，至于火艾特有奇能，虽然说是针、汤、散剂都比不上，艾灸是最主要的。昔日华佗为魏武帝针刺头风，华佗只是针刺就痊愈了，华佗死后数年，魏武帝头风复发。华佗当时针刺后立即艾灸，头风怎么还会再发？只是因为不艾灸，病根没有去除。所以学医之人不得专门依赖针刺及汤药等，希望病完全痊愈，既然不苦于艾灸，怎么能拔除病根堵塞源头。因此虽然药物丰盛，各种疗法的关键，在于火艾为良。初得病时，应当紧急施灸，火一下去病就安定，比煮汤煮熟的时间还短，就已经觉得眼睛明亮，这难道不是关键吗。其灸法，先灸百会，次灸风池，次灸大椎，次灸肩井，次灸曲池，次灸间使，各三壮，次灸三里五壮。艾炷如苍耳子大小，必须做得坚实，艾草又要陈久成熟。从此以后，每天分别艾灸，直到随年龄定壮数为止。凡人稍觉心神不快，就必须艾灸这些穴位各三壮，不可轻视，苟且度过早晚，以致死亡。切记啊！（出自《千金翼方》）
岐伯说：“凡是想要治疗风邪，就用火灸。风性浮轻，颜色或红或白瘙痒多的，是风热。想要灸风邪，宜从少到多。最多的，从三壮、五壮、七壮，又从三十、五十、七十壮，名叫从少到多。灸风邪，不得一顿满一百壮。如果不艾灸，也可以用蒸药熨烫。风性浮轻容易消散，所以从少到多。”（出自《外台秘要》）
半身不遂，男女都有，这个病患尤其忌讳男子左半边、女子右半边。如果得了这个病后，风药不宜暂时缺少，常令身上有灸疮也可以。最忌讳房事，或者能像道家释家那样修养，才能保全没有其他变故。如果艾灸则应当先灸百会、囟会，次灸风池、肩井、曲池、合谷、环跳、风市、三里、绝骨，不必拘泥于旧经病左灸右、病右灸左的说法，只要按压到有酸痛的地方就艾灸，如果两边都灸也很好，但应当从上往下灸。（出自《针灸资生经》）
治疗痰涎壅塞，声音像拉锯一样，服药不下，宜于关元、丹田二穴多艾灸，很好。（出自《得效方》）
凡是使用灸法，必须是元气阳气暴脱，以及营卫血气不调，想要收快速疗效，只有艾火为良。然而用火的方法，只有阳虚多寒、经络凝滞者适宜。如果火盛金衰，水亏多燥，脉数发热，咽干面赤，口渴便热等证候，则不可妄加艾火。如果误用，必然导致血更燥而热更甚，这是反而加速其危险。凡灸法，头面部艾炷宜小不宜大，手足上才可以粗些。又须自上而下，不可先灸下部、后灸上部。（出自《景岳全书》）
艾灸非风卒厥危急等证，神阙穴。用净盐炒干，纳入脐中令满，上加浓姜一片盖定，灸百壮至五百壮，越多越好，姜焦了就换掉。或者用川椒代替盐。或者用椒在下，上面盖盐，再盖姜，艾灸也很好。丹田、气海二穴都连命门，实在是生气之海，经脉之本，艾灸都有大效。
艾灸非风连脏，气塞涎上，昏危不语等证：百会、风池、大椎、肩井、曲池、间使、足三里。
艾灸口眼歪斜：听会（灸眼部周围）、客主人（即颔厌/太阳附近，灸眼部周围）、颊车（灸口部周围）、地仓（灸口部周围）、承浆（灸口部周围）、合谷。
艾灸手足不遂偏枯等证：百会、肩井、曲池、风市、环跳、足三里、绝骨（即悬钟）。（同上）
中风卒倒者，邪气暴加，真气反陷，表里气不相通故也。艾灸不仅散邪，也是用来通达表里之气。又真气暴虚，阳绝于里，阴阳二气不相维系，药物突然不能挽救的，也只有灸法能够通引绝阳之气。（出自《金匮翼》）
No fixed time of onset. Whenever encountering cloudy and dim weather or wind-cold invasion, with symptoms of unclear mental state and counterflow of phlegm-qi, this formula should be taken in advance.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baifuling (Poria) (each half qian), Muxiang (Aucklandiae Radix) (one fen), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium) (each three qian), Tiantai Wuyao (Linderae Radix) (three qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang, stir-fried with bran), Nanting (Arisaematis Rhizoma) (one weighing half liang, processed, peeled, cut into bean-sized pieces), Fuzi (Aconiti Lateralis Radix Praeparata) (nine qian, processed, peeled, navel removed, sliced).
The above herbs are crushed into coarse powder. Each dose is four qian, decocted with ten slices of large ginger and two jujubes, at any time. (From *Zhu Shi Ji Yan Fang*) Ye's Xingfeng Tang treats hemiplegia on the left side and paralysis on the right side, deviation of the mouth and eyes, tendon spasm and contraction, weakness of hands and feet, and difficulty walking. Remove Qianghuo, Gancao, Baifuling, Renshen, and Chenpi from the base formula, and add Baifuzi (Typhonii Rhizoma), Danggui (Angelicae Sinensis Radix), and Baishaoyao (Paeoniae Radix Alba).
Treats sudden stroke with copious salivation, locked jaw, and loss of consciousness.
Nanmuxiang (Aucklandiae Radix) (half liang, used raw).
Crush the above herb into fine powder. Decoct seven slices of fresh ginger, seven slices of Arisaematis Rhizoma, and fourteen seeds of Trichosanthis Fructus (Gualouzi) in thick decoction to obtain seven-tenths of a cup. Mix with the Aucklandiae Radix powder, wait until warm, and administer by force-feeding. If the jaw is locked and cannot open, there are specific medicines to unlock the jaw, described later (Note: such as wiping the jaw with powder of Ume Fructus (Wumei), Asari Radix (Xixin), and Moschus (Shexiang), or insufflating powder of Gleditsiae Spina (Zaogiao) into the nose). In recent times, physicians treating stroke immediately administer Aconite-based medicines, often resulting in failure to save the patient. This is because stroke causes sudden qi counterflow; hastily administering wind-dispelling medicines is highly inappropriate. Only Aucklandiae Radix can smooth the qi; assisted by ginger, Arisaematis Rhizoma, and Trichosanthis seeds, it can descend the phlegm. Perhaps then the qi will become smooth and the patient will regain consciousness, after which Arisaematis Rhizoma and Aconite can be used. If in an emergency one cannot prepare the aforementioned herbs, urgently administering one or two pills of Suhexiang Wan (Styrax Pills) mixed with Aucklandiae Radix decoction is also excellent. (From *Wei Sheng Shi Quan Fang*)
Various formulas for calming the spirit: Formula for prolonging life and urgently treating lateral wind, where upper-jiao wind-heat passes through the heart, causing mental vagueness, and on cloudy days feeling internal restlessness like being drunk but not quite.
Dan Zhuli (Bamboo Juice) (three sheng; if heat is predominant use more Bamboo Juice, if cold is predominant use more Zhanli Juice), Lingyangjiao (Saigae Tataricae Cornu) (two fen, shaved), Shigao (Gypsum Fibrosum) (ten fen, crushed and wrapped in cotton), Fushen (Poria with Hostwood) (six fen, sliced).
These four ingredients are decocted with one sheng of water and the Bamboo Juice, reduced to one sheng and five he, strained, and divided into three doses taken after meals when digestion is desired. Regular consumption prevents fear of wind attacks. Avoid vinegar products. (From *Wai Tai Mi Yao*)
Treats stroke with aphasia; Gui Xin San is suitable.
Guixin (Cinnamomi Cortex) (one liang), Qianghuo (Notopterygii Rhizoma et Radix) (two liang), Fangfeng (Saposhnikoviae Radix) (two liang, remove radicle), Fuzi (Aconiti Lateralis Radix Praeparata) (one liang, processed until cracked, peeled, navel removed).
Chijian (Atractylodis Chinensis Rhizoma / Tianma) (one liang), Lingyangjiao xie (Saigae Tataricae Cornu, shaved) (one liang), Suanzaoren (Zizyphi Semen) (one liang), Gancao (Glycyrrhizae Radix et Rhizoma) (half liang, honey-fried until slightly red and chopped).
The above herbs are pounded, sifted, and made into a powder. Each dose is four qian, decocted with one zhongzhan of water until reduced to five fen, strained, add one he of Bamboo Juice, boil for one or two boils, and take warm at any time. (From *Sheng Hui Fang*) *Chuan Jia Mi Bao* calls this Jieyu San (*Jian Yi Fang* cites *Zi Shou Fang*, changing powder to decoction). *Sheng Ji Zong Lu* calls it Gui Fu Tang, treating stroke with mental confusion and inability to speak.
Shenxian Jieyu Dan treats wind invading the heart and spleen, causing speech impediment, stiff tongue unable to move, excessive saliva, and treats evil pathogens clashing with yin, internal depression of spirit, blocked heart vessels, and inability to speak.
Shichangpu (Acori Tatarinowii Rhizoma, remove hairs), Yuanzhi (Polygalae Radix, remove heart, boiled with Gancao), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, processed), Quanxie (Scorpio, wine-fried), Qianghuo (Notopterygii Rhizoma et Radix), Niudan Niang Nanting (Arisaematis Rhizoma fermented in ox bile; if unavailable, use processed Arisaematis Rhizoma only), Baijiangcan (Bombyx Batryticatus, fried, each one liang), Nanmuxiang (Aucklandiae Radix) (half liang), Chensha (Cinnabar, finely ground, used appropriately as coating).
Grind into fine powder, make pills with wheat paste size of Sophora japonica seeds. Each dose is 20-30 pills, taken at any time with decoction of fresh ginger and mint. (From *Guan Jian Da Quan Liang Fang*)
Methods for clearing heat: Internal wind qi often transforms into heat, what ancients called "wind arising from fire." This condition should not be treated for wind, but only for heat. *Nei Jing* states: "When wind overflows internally, treat with sweet and cool substances." *Wai Tai Mi Yao* states: "Stroke mostly arises from heat; first take Zhuli Tang." Hejian (Liu Wansu) states: "Excessive heat generates wind; or if heat is slight but wind is severe, treat both wind and heat." Or if wind is slight but heat is severe, treating the heat alone will cause the wind to dissipate naturally. (From *Jin Kui Yi*)
For stroke, if there are exterior manifestations of the six meridians, first treat according to symptoms using Jiajian Xuming Tang; if there is internal obstruction of urination and defecation, treat primarily with Sanhua Tang.
Houpo (Magnoliae Officinalis Cortex), Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix) (equal parts).
Cut into sizes similar to hemp seeds. Each dose is three liang, decocted in three sheng of water until reduced to one and a half sheng, taken throughout the day, stopping when mild laxation occurs, at any time. (From *Bao Ming Ji*) (Note: Neither this nor the next formula is the treatment for internal wind as described by You, but they are indeed formulas for clearing heat in stroke, so listed here together.)
Niuhuang Tongge Tang: If one feels stroke coming for one or two days, and the constitution is excess, urgent purgation is required.
Niuhuang (Calculus Bovis, ground, three qian), Poxiao (Natrii Sulfas, three qian, ground), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each one liang, honey-fried).
For the above four ingredients, except those to be ground, each dose uses one liang. Decoct in two zhan of water, excluding Niuhuang and Poxiao, reduce to one zhan, strain, add half of the ground Niuhuang and Poxiao, mix, and take. Stop when bowel movement occurs. Must have two or three bowel movements; if not loose, take again. Adjust dosage based on deficiency or excess. (From *Wei Sheng Bao Jian*)
In stroke, one must not generally use Daye (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos), or Gansui (Kansui Radix) to purge the large intestine, as this damages yin blood and leads to incurable conditions. Even if one wishes to purge phlegm, or address urinary/fecal obstruction, it is best to use qi-smoothing and intestinal-lubricating agents for mild purgation. If there is toxic heat and phlegm-fire with excess qi and pulse, clearing and draining is appropriate. (From *Yi Jing Hui Jie*)
Post-recovery formulas: Treats all types of paralysis due to wind, Tidan Wan.
Ruxiang (Olibanum, grind in mortar placed in water basin), Moyao (Myrrha, each one liang), Wulingzhi (Trogopterori Faeces, select those resembling rat droppings, four liang), Chuanwu (Aconiti Radix, one and a half liang, processed, peel and tip removed).
First, grind Ruxiang and Moyao finely in a cool place facing the wind. Add one qian of already ground Shexiang (Moschus). Grind the remaining ingredients into fine powder, then mix thoroughly with the previous two. Add drops of water to form pills the size of bullet seeds. Store in porcelain boxes. Each dose is one pill, ground down with mint wine, taken three times daily. (From *Ben Shi Fang*) Commissioner Gao suffered from milder stroke and was cured by Zhang Lingyong, who later prescribed Tidan Wan, found in the modified formulas of *Pu Ji Fang*. Someone asked Zhang: "You often laugh at people taking Tidan Wan for stroke, why do you take it yourself?" Zhang said: "This is a post-recovery medicine. People today use it when the pathogenic factor is still strong, just like an ant trying to shake a tree, not understanding the sequence of treatment." (From *Shi Xing San Liao*)
Some diseases last a lifetime without healing, manifesting as waist stiffness where bending prevents extension or extension prevents bending, similarly in limbs. This is because wind injures the Liver, and the Liver governs tendons, affecting them.
Treatment prioritizes invigorating blood; frequently take Siwu Tang swallowed with Huoluo Dan. (From *Yao Jue*) (Note: Huoluo Dan uses Chuanwu, Caowu, Dilong, Nanting, Ruxiang, Moyao, which is arguably superior to Tidan Wan.)
Renshou Wan treats deficiency of Liver-Kidney qi, invasion of wind-cold, tendon twitching, and deviation of mouth and eyes. Frequently take Bu Gan Wan to circulate Ying and Wei, nourish Qi and Blood.
Fuzi (Aconiti Lateralis Radix Praeparata, processed ripe, peeled, navel removed, one liang), Guixin (Cinnamomi Cortex), Baifuling (Poria), Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Duzhong (Eucommiae Cortex, peeled, ginger-processed, fried until fibers break), Xuduan (Dianthi Radix), Gouqizi (Lycii Fructus), Shudihuang (Rehmanniae Radix Praeparata, washed), Bajitian (Morindae Officinalis Radix), Tusizi (Cuscutae Semen, soaked in wine, wet-ground), Fangfeng (Saposhnikoviae Radix) (each half liang), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, two liang).
Make into powder, honey-pill size of Sophora japonica seeds. Each dose is 30-50 pills, taken before meals with warm wine and salt water. (From *San Yin Fang*)
For stroke, if there are no exterior manifestations of the six meridians and no internal obstruction of urination/defecation, knowing that weak blood fails to nourish tendons, causing immobility of limbs and stiff tongue preventing speech, one should nourish blood so tendons become naturally nourished. Da Qin Jiao Tang is indicated.
Qinjiao (Gentianae Macrophyllae Radix) (three liang), Gancao (Glycyrrhizae Radix et Rhizoma) (two liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (two liang), Danggui (Angelicae Sinensis Radix) (three liang), Baishaoyao (Paeoniae Radix Alba) (two liang), Xixin (Asari Radix et Rhizoma) (half liang), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix) (each one liang), Shigao (Gypsum Fibrosum) (two liang), Wu Baizhi (Angelicae Dahuricae Radix) (one liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (one liang), Shengdihuang (Rehmanniae Radix) (one liang), Shudihuang (Rehmanniae Radix Praeparata) (one liang), Baifuling (Poria) (one liang), Chuan Duho (Angelicae Pubescentis Radix) (two liang).
The above sixteen ingredients are cut. Each dose is one liang, decocted in water, strained, and taken warm at any time. If cloudy weather, add 7-8 slices of fresh ginger. If epigastric fullness, add one qian of Zhishi per liang of herbs. (From *Bao Ming Ji*)
Patient Shengzhipu, elderly, suffered stroke with deficient Qi and Blood, rising Phlegm-Fire, causing slurred speech, pain in limbs, difficulty moving, poor appetite, and weak soft pulse.
Prescribed two cups of human milk (from a healthy woman, preferably sweet) and one cup of sweet pear juice. Place in a silver vessel, heat slightly in a boiling water pot until yellow foam rises and separates the green liquid. Take once after dawn. Simultaneously take Shen Zhu Gao (Ginseng and Atractylodes Paste) warm. This eliminates phlegm and tonifies deficiency. Later, used Buzhong Yiqi Tang added with Wuweizi and Maidong, combined with Banlong Wan original formula, achieving recovery. (From *Wang Shishan Yi An*) (Note: Banlong Wan consists of Luzhirong, Yangqishi, Rongcongrou, Baiziren, Suanzaoren, Huangqi, Danggui, Fuzi, Dihuang, Zhusha - ten ingredients.)
Moxibustion Method: The Yellow Emperor asked Qibo: "When a person suffers stroke with hemiplegia, how should moxibustion be applied?" Qibo answered: "Before stroke occurs, one or two months, or three to five months prior, non-seasonal soreness, heaviness, numbness, and bi-syndrome suddenly appear in the lower legs and shins, resolving only after a long time. This is a sign of impending stroke. Urgently moxa the Zusanli (ST36) and Jiexgu (GB39) acupoints, three moxa cones at each of the four sites. Afterwards, wash the moxa sores with decoction of Congbai (Allii Fistulosi Bulbus), Bohe (Menthae Haplocalycis Herba), Taoliuye (Persicae Folium), and Liuye (Salicis Folium) to drive out wind qi from the sore openings. Moxa sores should be maintained more in spring than autumn, and more in autumn than spring; it is ideal to always have moxa sores on both feet. If people do not believe this method, or indulge in diet and sexual activity, suddenly contracting wind with slurred speech and hemiplegia, moxa seven points simultaneously, three cones each. If wind is on the left, moxa the right; if on the right, moxa the left. 1. Baihui (GV20), 2. Hairline anterior to ears, 3. Jianjing (GB21), 4. Fengshi (GB31), 5. Zusanli (ST36), 6. Jiexgu (GB39), 7. Quchi (LI11). These seven points have immense efficacy, too numerous to record. Following this method ensures cure. (From *Sheng Hui Huang Di Ming Tang Jiu Jing*)
The Sage considers wind the chief of hundred diseases, deeply worrying, thus avoiding wind as one avoids arrows. To defend against wind pathogens, using decoctions, acupuncture, moxibustion, or steaming/warming, any one method can cure. However, moxa has unique power; although needles, decoctions, and powders are inferior, moxibustion is paramount. Formerly, Hua Tuo treated Emperor Wu of Wei's head wind with acupuncture, curing him instantly. Years after Hua Tuo's death, the Emperor's head wind recurred. Hua Tuo had moxed immediately after needling; why did it recur? Because he didn't moxa, the root wasn't removed. Thus, students must not rely solely on needles or decoctions expecting complete cure. Without enduring moxibustion, how can one extract the root? Therefore, despite abundant medicines, the key to therapy lies in moxa. At onset, urgently apply moxa; once applied, the condition stabilizes faster than boiling soup, eyes clear. Is this not crucial? The moxa sequence: first Baihui (GV20), then Fengchi (GB20), then Dazhui (GV14), then Jianjing (GB21), then Quchi (LI11), then Jianshi (PC5), three cones each; then Zusanli (ST36), five cones. Cone size like a cocklebur seed, must be solid; mugwort must be old and mature. Thereafter, moxa daily until reaching age-appropriate cone count. If one feels mental discomfort, moxa these points three cones each; do not neglect. Neglect leads to death. Beware! (From *Qian Jin Yi Fang*)
Qibo said: "To treat wind, use moxibustion. Wind nature is floating and light; if color is red or white with much itching, it is wind-heat. To moxa wind, start small and increase. Maximum: from three, five, seven cones, up to thirty, fifty, seventy cones, named 'from small to large.' Do not exceed one hundred cones in one session. If not moxa, steam medicine and apply warmth. Wind is floating and light, easily dispersed, so start small and increase." (From *Wai Tai Mi Yao*)
Hemiplegia affects both sexes, but men especially should avoid left-side involvement, women right-side. After contracting this disease, wind-dispelling medicines should not be omitted; maintaining moxa sores on the body is beneficial. Most importantly, avoid sexual intercourse. Cultivation practices akin to Daoist/Buddhist methods ensure no further complications. For moxa, first Baihui (GV20), Xinhui (GV22), then Fengchi (GB20), Jianjing (GB21), Quchi (LI11), Hegu (LI4), Huantiao (GB30), Fengshi (GB31), Zusanli (ST36), Jiexgu (GB39). Do not rigidly adhere to 'left disease moxa right, right disease moxa left'; simply moxa tender/painful spots. Bilateral moxa is good, but always from top to bottom. (From *Zhen Jiu Zi Sheng Jing*)
For phlegm-fluid obstruction, sound like sawing, inability to swallow medicine, heavily moxa Guanyuan (CV4) and Dantian (CV11). Excellent. (From *De Xiao Fang*)
Whenever using moxibustion, it must be for sudden collapse of Yuan Yang, or disharmony of Ying, Wei, Qi, and Blood, seeking rapid effect; only moxa fire is good. However, moxa is suitable only for Yang deficiency with cold and meridian stagnation. If Fire is excessive and Metal deficient, Water deficient with dryness, rapid pulse with fever, dry throat, red face, thirst, hot stool, etc., do not recklessly apply moxa. Misuse causes blood to dry and heat to worsen, accelerating danger. For moxa, cones on head/face should be small, not large; on limbs, they can be thicker. Always moxa from top to bottom, never bottom then top. (From *Jing Yue Quan Shu*)
For non-wind sudden syncope/critical conditions, Shenque (CV8). Use clean salt, stir-fried dry, fill umbilicus, cover with thick ginger slice, moxa 100-500 cones, more is better. Replace ginger when burnt. Alternatively use Sichuan pepper instead of salt, or layer pepper-bottom, salt-middle, ginger-top. Dantian (CV11) and Qihai (CV6) connect to Mingmen (GV4), truly the sea of generating Qi and root of meridians; moxa has great effect.
For non-wind connecting to viscera, qi blockage with rising phlegm, coma/unconsciousness: Baihui (GV20), Fengchi (GB20), Dazhui (GV14), Jianjing (GB21), Quchi (LI11), Jianshi (PC5), Zusanli (ST36).
For deviation of mouth and eyes: Tinghui (GB2, moxa near eye), Kerenren (ST7/Sunmen area, moxa near eye), Jiache (ST6, moxa near mouth), Dicang (ST4, moxa near mouth), Chengjiang (CV24, moxa near mouth), Hegu (LI4).
For limb immobility/hemiplegia: Baihui (GV20), Jianjing (GB21), Quchi (LI11), Fengshi (GB31), Huantiao (GB30), Zusanli (ST36), Jiexgu (GB39/Xuanguang). (Same as above)
Sudden stroke collapse: Pathogenic qi violently attacks, true qi sinks, exterior-interior qi communication fails. Moxa disperses pathogen and connects exterior-interior qi. True qi suddenly deficient, Yang severed internally, Yin-Yang unconnected, drugs fail; only moxa can reconnect severed Yang. (From *Jin Kui Yi*)