(《机要》)羌活防,芎芷辛芩二地黄。石膏归芍芩甘术,风邪散见可通尝。〔
邪散见,不拘一经者∶秦艽、石膏各三两,羌活、独活、防风、川芎、白芷、黄芩(酒炒)、
生地(酒洗)、熟地、当归(酒洗)、茯苓、白芍(酒炒)、甘草(炙)、白术(土炒)各一两,
细辛五钱,每服一两。刘宗浓曰∶秦艽汤愈风,虽有补血之药,而行经散风之剂居其大半,
将何以养血而益筋骨也?昂按∶治风有三法,解表、攻里、行中道也。国中必挟外感,故用
风药解表散寒,而用血药、气药调里,活血降火也。〕
(《局方》)用乌附星,三皆生用木香听。〔生南星一两,生川乌、附子(去皮)各五钱,
木香二两。〕加参对半扶元气,(每服一两,加参一两。)卒中痰迷服此灵。(乌、附燥热,行
经逐寒;南星辛热,除痰散风。重用人参以扶元气,少佐木香以行逆气。《医贯》曰∶此行
经散痰之剂,斩关擒王之将,宜急用之。凡中风口开为心绝,手撒为脾绝,眼合为肝绝,遗
尿为肾绝,鼻鼾为肺绝。吐沫直视,发直头摇,面赤如朱,汗缀如珠者,皆不治。若服此汤,
间有生者。)星香散亦治卒中,体肥不渴邪在经。(中脏、中腑者重,中经者稍轻。胆星八钱
散痰,木香二行气,为末服。《易简》和姜煎服,名星香散。)
(出自《黄帝素问宣明论方》)大秦艽汤的组成包括羌活、防风,以及川芎、白芷、细辛、黄芩、生地黄和熟地黄。此外还有石膏、当归、白芍、黄芩、甘草和白术,凡是风邪散在全身、不拘泥于某一经络的病证,都可以通用服用。〔所谓“风邪散见”,是指病邪不局限于单一经络的情况:秦艽、石膏各三两,羌活、独活、防风、川芎、白芷、黄芩(酒炒)、生地黄(酒洗)、熟地黄、当归(酒洗)、茯苓、白芍(酒炒)、甘草(炙)、白术(土炒)各一两,细辛五钱。每次服用一两。刘宗浓说:大秦艽汤治疗风气为患,虽然含有补血的药物,但通行经络、疏散风邪的药物占了大部分,那么靠什么来养血并滋养筋骨呢?汪昂按语:治疗风病有三种方法,即解表、攻里、行中道。国人患病必定夹杂外感,所以用风药来解表散寒,同时用血药、气药调理内部,起到活血降火的作用。〕
(出自《太平惠民和剂局方》)三生饮由乌头、附子、天南星三味药均生用,再加上木香一起煎服。〔生南星一两,生川乌、附子(去皮)各五钱,木香二两。〕如果加入人参且用量相等以扶助元气,〔每次服用一两,加入人参一两。〕对于卒中痰迷心窍者服用此方极为灵验。(乌头、附子性燥热,能通行经络、驱逐寒邪;南星性辛热,能祛除痰浊、疏散风邪。重用人参以扶持元气,少量佐以木香以顺降逆气。《医贯》说:这是通行经络、消散痰浊的方剂,是斩关夺将的主将,应当紧急使用。凡是中风患者口开表示心气绝,手撒表示脾气绝,眼合表示肝气绝,遗尿表示肾气绝,鼻鼾表示肺气绝。若出现吐沫、直视、头发直立、头部摇动、面色红赤如朱砂、汗珠粘连如油者,都属于不治之症。如果服用此汤,偶尔也有存活者。)星香散也用于治疗卒中,适用于身体肥胖且不口渴、病邪在经络的患者。〔中脏、中腑的病证较重,中经的病证稍轻。胆南星八钱用于散痰,木香二钱用于行气,研成粉末服用。《易简方》配合生姜煎服,名为星香散。〕
(From *Huangdi Suwen Xuanming Lunfang*) Da Qin Jiao Tang (Great Ligusticum Decoction) consists of Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix Recens), and Shudihuang (Rehmanniae Radix Preparata). Additionally, it includes Shigao (Gypsum Fibrosum), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma). It can be generally used for conditions where pathogenic wind is scattered throughout the body and not confined to a single meridian. [The term "pathogenic wind scattered" refers to cases where the pathogen does not remain in a single meridian: Qinjiao (Gentianae Macrophyllae Radix) and Shigao (Gypsum Fibrosum) each 1.5 liang; Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix prepared with wine), Shengdihuang (Rehmanniae Radix Recens washed with wine), Shudihuang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix washed with wine), Fuling (Poria), Baishao (Paeoniae Radix Alba prepared with wine), Gancao (Glycyrrhizae Radix et Rhizoma roasted), and Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried with soil) each 0.5 liang; Xixin (Asari Radix et Rhizoma) 2.5 qian. Each dose is 0.5 liang. Liu Zongnong stated: Da Qin Jiao Tang treats wind disorders; although it contains blood-nourishing herbs, the majority are herbs that circulate meridians and disperse wind. How then can it nourish blood and benefit sinews and bones? Wang Ang commented: There are three methods for treating wind: releasing the exterior, purging the interior, and regulating the middle pathway. People's diseases often involve external pathogens, so wind-dispersing herbs are used to release the exterior and dispel cold, while blood- and qi-regulating herbs are used to harmonize the interior, invigorate blood, and descend fire.]
(From *Taiping Huimin Heji Jufang*) San Sheng Yin (Three Raw Herb Decoction) uses Wutou (Aconiti Radix), Fuzi (Aconiti Lateralis Radix Preparata), and Nanxing (Arisaematis Rhizoma), all used raw, along with Muxiang (Vladimiriae Radix). [Sheng Nanxing (Arisaematis Rhizoma) 0.5 liang, Sheng Chuanwu (Aconiti Radix) and Fuzi (Aconiti Lateralis Radix Preparata peeled) each 0.25 liang, Muxiang (Vladimiriae Radix) 0.83 liang.] If Ginseng (Renshen, Panax ginseng) is added in equal amounts to support primordial qi, [each dose 0.5 liang, add Renshen (Panax ginseng) 0.5 liang], it is highly effective for apoplexy with phlegm confusing the mind. (Wutou and Fuzi are dry and hot, circulating meridians and driving out cold; Nanxing is acrid and hot, eliminating phlegm and dispersing wind. Heavy use of Renshen supports primordial qi, with a small amount of Muxiang to direct rebellious qi downward. *Yi Guan* states: This is a formula for circulating meridians and dissipating phlegm, a general who breaks through enemy lines; it should be used urgently. In apoplexy, an open mouth indicates Heart Qi exhaustion, limp hands indicate Spleen Qi exhaustion, closed eyes indicate Liver Qi exhaustion, and urinary incontinence indicates Kidney Qi exhaustion. Snoring indicates Lung Qi exhaustion. Conditions such as foaming at the mouth, fixed gaze, erect hair, head shaking, face red as cinnabar, and sweat clinging like pearls are all untreatable. However, if this decoction is taken, occasional survival may occur.) Xingxiang San (Star and Fragrant Powder) also treats apoplexy, specifically for obese patients without thirst where the pathogen is in the meridians. [Diseases affecting the zang organs or fu organs are severe; those affecting meridians are slightly milder. Danxing (Arisaematis Cum Bile) 2.67 qian dissipates phlegm, Muxiang (Vladimiriae Radix) 0.67 qian moves qi. Taken as powder. *Yijian Fang* combines it with fresh ginger decocted together, named Xingxiang San.]