多有此疾。少而肥盛者，间有之，亦是形盛气衰之故，其主在气。彦修曰∶西北气寒，为风
所中，诚有之矣，东南气温，而多湿，其病者非风也。湿生痰，痰生热，热生风也，其主在
湿。丹溪曰∶有气虚，有血虚，有痰甚，皆以风为虚象，究而论之。古书所载，言其证也。
河间以下诸论，言其因也。所谓外中风邪者，必由元精虚弱，荣卫失调，而后感之。所谓因
热，因气，因湿者，未必绝无外邪而作也。治之之法，急则治标，缓则治本。如初病暴仆，
不省人事，痰涎壅盛，急用通关散，化风丹，以开之。舌强不语，两寸口脉浮大而实者，急
吐之，以遏其势。或人迎紧盛，六脉浮弦，用小续命汤表之。其中于脏者，各随其经而理之
，所谓急则治其标也。其或早觉于未发之前，与调治于稍平之后，则清其热，化其痰，补其
血与气，各治其所，因
《脉诀举要》曰∶中风脉浮滑，兼痰气，其或沉滑，勿以风治。盖外有痹痿，气厥，脾
虚，伤食，及吐太过，皆令人猝倒，四肢不举。而中气尤酷，似中风，当慎察脉理。浮弦紧
洪，为中风，沉伏为中气，若中气而用风药，杀人矣。若辨别未清，宁先用顺气散，次用疏
风药，盖治风，亦宜理气也。
治破头风 苍术（火烧）、草乌，共为末，温酒服之，汗出为度。
又方
鱼胶，烧存性，研末，调热酒服之，愈。
治男妇气血衰弱，痰火上升，左瘫右痪，臂体手足疼痛等症 以人乳二酒盏，香甜白者
为佳，以梨舂汁一酒盏，倾放银锡器，入汤内炖滚热，有黄沫起开青路为度。每日五更后一
服，能消痰补虚，生血延寿，乃以人补人，其效无如。即半身不遂者，曾服此方亦效。
固本酒 生地黄二两 熟地黄二两 天门冬一两 麦门冬二两 白茯苓二两 人参二两
用瓷瓶盛好酒十大壶，将前药切片入内浸三日，用文武火煮一二时，以酒黑色为度。如
上热去人参五钱，如下虚寒，将韭子炒黄色，为细末，空心服三五盏，每盏用炒末一钱或五
分，妙难尽述。忌萝卜要紧。
治痰 橘皮（用真洞庭陈者，温水浸，去秽白，取红一片），甘草四两，盐四两。用水
五碗，慢火煮，焙干为末，白汤点服。世医但知用半夏、南星等类，何足语此。
治痰厥方（厥甚者，以吐为上）半夏八两，防风四两，甘草二两（炙）。共为细末，每
服三钱，
治中风失音 并一切风疾。用白僵蚕七枚为末，用酒调服，立效。
治中风 或吐泻，牙关噤，不能下药。用白杨末，不拘多少，揩牙立开，因酸能收敛，
齿必开也。
治偏风 手足不遂。用仙灵脾一斤，细锉，绢袋兜浸酒，春夏三日，秋冬五日，重重封
闭，勿使失气，逐渐开饮，常令熏熏，不得大醉，久之无不效验。合时切忌鸡犬见。
郁金丸 治癫狂数年不愈。郁金七两（真蜀地来者佳），明矾□两。为末，薄荷汤水送
下。或
治中风 通身冷，口噤不知人者。独活四两（去芦）、用好酒四大盏煎，分二三次，热
服。史国公药酒方 专治风痰半身不遂，手足挛拘，不堪行步等症。
防风（去芦）二两 秦艽（去芦）二两 当归二两 羌活二两 白术二两 虎胫骨（碎
炙）一对 萆 （碎炙）二两 鳖甲二两 川牛膝（去芦）二两 油松节（捶碎）二两 杜
仲（姜汁炒） 晚蚕砂（炒黄色）二两 苍耳子（捶碎）四两 枸杞子五两 干茄根（饭上
蒸熟）八两上以布袋盛大坛内，下好酒三十六斤，封口，浸十四日，将坛入锅，悬煮三炷香，
埋土内三日，去火毒。
每日辰午晚，随量饮之。
都梁丸 治头风疼，甚效。用白芷洗净，炼蜜为丸，如弹子大。每服以荆芥煎汤调服。
若因虚头疼，以人参一两，川芎五钱，煎汤服，甚妙。
患有这种疾病的，大多形体消瘦；少数肥胖的人偶尔也会得，这也是因为形体盛实而元气衰弱的缘故，其病机关键在于气。彦修说：西北地区气候寒冷，被风邪所中，确实存在这种情况；东南地区气候温暖且多湿气，那里的患者得的并非风病。湿邪产生痰浊，痰浊郁久化热，热极生风，其病机关键在于湿。丹溪说：有因气虚导致的，有因血虚导致的，有因痰浊严重导致的，这些都被视为“风”的虚象，深入探究并论述其本质。古书记载的，是描述病症表现；河间（刘完素）以下的各家论述，是阐述病因。所谓外感中风邪气的，必定是由于元精虚弱、营卫失调，然后才感受外邪所致。所谓因热、因气、因湿致病的情况，未必完全没有外邪参与而发病。治疗的原则，急则治其标，缓则治其本。如初病突然仆倒，不省人事，痰涎壅盛，急需使用通关散、化风丹来开窍醒神。若舌体僵硬不能言语，两手寸口脉象浮大而实的，急需催吐，以遏制病势。或者人迎脉紧盛，六脉浮弦，可服用小续命汤以解表祛风。其中邪气入脏的，各随其所属经络进行调理，这就是所谓的“急则治其标”。如果在发病前早期察觉，或在病情稍平稳后进行调治，则应清除热邪，化解痰浊，补益气血，针对具体病位进行治疗。
《脉诀举要》说：中风脉象浮滑，兼有痰气阻滞，如果脉象沉滑，不要单纯按风病治疗。因为外在的痹证、痿证、气厥、脾虚、伤食，以及呕吐过度，都会导致人突然跌倒，四肢不能举动。其中中气（中气逆乱或中气下陷等气机病变）尤为剧烈，症状类似中风，应当谨慎辨别脉理。脉象浮、弦、紧、洪，属于中风；脉象沉伏，属于中气病变。如果是中气病变却使用祛风药，会致人死亡。如果辨别不清，宁可先使用顺气散，再使用疏风药，因为治疗风病，也应当调理气机。
治疗破头风：苍术（火烧）、草乌，共研为细末，用温酒送服，以出汗为度。
治疗男女气血衰弱，痰火上升，左瘫右痪，手臂身体手足疼痛等症状：取人乳两酒杯量，以香甜白色者为佳；取梨子捣汁一酒杯量，倒入银锡器中，放入汤锅内炖至滚热，表面出现黄沫并分开露出青色液面为度。每天五更后服用一次，能消除痰浊、补益虚损、生血延寿，这是以人补人的方法，疗效没有比这更好的了。即使是半身不遂的患者，曾经服用此方也有效。
固本酒：生地黄二两，熟地黄二两，天门冬一两，麦门冬二两，白茯苓二两，人参二两。用瓷瓶盛装好酒十大壶，将上述药物切片放入浸泡三天，用文火和武火煮一至两个小时，以酒色变黑为度。如果上部有热症，去掉人参五钱；如果下部虚寒，将韭子炒至黄色，研成细末，空腹服用三五盏，每盏用炒好的药末一钱或五分，妙处难以尽述。服药期间务必忌食萝卜。
治疗痰证：橘皮（选用真正的洞庭湖地区陈年橘皮，温水浸泡，去除白色的瓤，只取红色的外皮），甘草四两，盐四两。用水五碗，慢火煮干，焙干后研成细末，用白开水冲服。世间的医生只知道用半夏、南星之类的药物，哪里配得上谈论这种方法呢？
治疗痰厥方（厥证严重的，以催吐为上策）：半夏八两，防风四两，甘草二两（炙）。共研为细末，每次服用三钱。
治疗中风失音，以及一切风疾：用白僵蚕七枚研成细末，用酒调服，立即见效。
治疗中风：如果出现呕吐腹泻，牙关紧闭，无法喂药的情况。用白杨木粉末，不拘多少量，擦拭牙齿，牙齿立刻张开，因为酸味能收敛，牙齿必然张开。
治疗偏风（半身不遂）：用仙灵脾一斤，细细切碎，装入绢袋中浸泡在酒里，春夏季节三天，秋冬季节五天，层层密封，不要让气体泄漏，逐渐打开饮用，常令身体微微熏醉，不得大醉，时间久了没有不见效验的。制作时切忌让鸡狗看见。
郁金丸：治疗癫狂数年不愈。郁金七两（来自四川产地的真品为佳），明矾若干两（原文缺字，推测为适量或特定剂量，此处依原文保留空缺或意译为适量，但根据规则需忠实原文，故保留空缺或忽略缺失部分，此处译为：明矾[缺]两）。研成细末，用薄荷汤水送服。或者……
治疗中风：全身冰冷，口噤不语，不知人事的。独活四两（去芦头），用好酒四大盏煎煮，分二三次，热服。史国公药酒方：专门治疗风痰引起的半身不遂，手足拘挛抽搐，行走困难等症状。
防风（去芦）二两，秦艽（去芦）二两，当归二两，羌活二两，白术二两，虎胫骨（碎炙）一对，萆薢（碎炙）二两，鳖甲二两，川牛膝（去芦）二两，油松节（捶碎）二两，杜仲（姜汁炒），晚蚕砂（炒黄色）二两，苍耳子（捶碎）四两，枸杞子五两，干茄根（饭上蒸熟）八两。以上药物装入布袋，放入大坛内，加入好酒三十六斤，封口，浸泡十四天，将坛放入锅中，悬挂煮三炷香的时间，埋入土中三天，以去除火毒。
每天辰时、午时、晚间，酌情饮用。
都梁丸：治疗头风疼痛，效果极佳。用白芷洗净，炼蜜制成丸药，如弹子大小。每次服用时，用荆芥煎汤调服。如果是因虚引起的头痛，用人参一两，川芎五钱，煎汤服用，非常奇妙。
Many suffer from this disease. Those who are thin and plump occasionally get it, but this is also due to the cause of robust physique with deficient Qi (vital energy), with the key lying in Qi. Yanxiu said: In the northwest, where the climate is cold, being struck by wind pathogen indeed occurs; however, in the southeast, where the climate is warm and dampness is prevalent, the diseases there are not caused by wind. Dampness generates phlegm, phlegm generates heat, and heat generates wind; the key lies in dampness. Danxi said: There are cases due to Qi deficiency, blood deficiency, or severe phlegm accumulation, all of which manifest as "wind" patterns of deficiency. Upon deep investigation and discussion, ancient texts describe the symptoms, while theories from Hejian (Liu Wansu) and others below explain the etiology. What is called external contraction of wind pathogen must occur due to the weakness of primordial essence and disharmony of Ying (nutritive) and Wei (defensive) qi, followed by external infection. Cases attributed to heat, Qi stagnation, or dampness may not absolutely lack external pathogens contributing to the illness. The treatment principle is: treat the branch (acute symptoms) in emergencies, and treat the root (underlying cause) in stable conditions. For example, if a patient suddenly collapses upon onset, loses consciousness, and has abundant salivary phlegm, urgently use Tongguan San (Passing Through Obstruction Powder) and Huafeng Dan (Wind-Resolving Pill) to open the orifices. If the tongue is stiff and speechless, and the pulse at both Cun (inch) positions is floating, large, and excess, urgent emesis should be induced to curb the pathological momentum. Or, if the Renying (Stomach Meridian pulse at the neck) is tight and full, and the six pulses are floating and wiry, use Xiao Xuming Tang (Minor Continuation of Life Decoction) to release the exterior. For those affected internally affecting the Zang organs, treat according to the respective meridians, which is what is meant by "treating the branch in emergencies." If detected early before onset, or treated after stabilization, one should clear heat, resolve phlegm, and tonify blood and Qi, addressing each specific location.
"Mai Jue Ju Yao" states: Wind-stroke presents with a floating and slippery pulse, accompanied by phlegm and Qi issues; if the pulse is deep and slippery, do not treat it merely as wind. This is because external Bi (obstruction) syndrome, Wei (flaccidity) syndrome, Qi syncope, Spleen deficiency, food retention, and excessive vomiting can all cause sudden collapse and inability to move limbs. Among these, Zhong Qi (Qi disorder/impaction) is particularly severe and mimics wind-stroke; thus, pulse differentiation must be cautious. Floating, wiry, tight, and surging pulses indicate wind-stroke; deep and hidden pulses indicate Zhong Qi. Using wind-dispelling herbs for Zhong Qi can be fatal. If differentiation is unclear, it is better to first use Shunqi San (Qi-Smoothin Powder) and then use Shufeng herbs, as treating wind also requires regulating Qi.
To treat Po Tou Feng (Break-head wind/headache): Cang Zhu (Atractylodis Rhizoma, fire-roasted) and Cao Wu (Aconiti Radix, processed), ground into powder together, taken with warm wine, until sweating occurs.
Another prescription:
Yujiao (Fish Maw), roasted until carbonized (charred but retaining properties), ground into powder, taken with hot wine, leads to recovery.
To treat men and women with weak Qi and Blood, rising Phlegm-Fire, left-side paralysis and right-side hemiplegia, pain in arms, body, hands, and feet: Take two cups of human milk, preferably sweet and white; take one cup of pear juice crushed from pears. Pour into a silver or tin vessel, place in a water bath, and boil until hot. When yellow foam rises and separates to reveal the green liquid underneath, it is ready. Take once daily after the fifth watch (early morning). It can eliminate phlegm, tonify deficiency, generate blood, and prolong life. This is "using humans to supplement humans," and its efficacy is unsurpassed. Even patients with hemiplegia have found this prescription effective.
Guben Jiu (Root-Fortifying Wine): Sheng Dihuang (Rehmanniae Radix) 2 liang, Shu Dihuang (Prepared Rehmanniae Radix) 2 liang, Tianmendong (Asparagi Radix) 1 liang, Maimendong (Ophiopogonis Radix) 2 liang, Baifuling (Poria) 2 liang, Renshen (Ginseng Radix) 2 liang. Place good wine in ten large ceramic bottles. Slice the above herbs and soak them inside for three days. Boil using mild and strong fire for one to two hours, until the wine turns black. If there is upper heat, remove 5 qian of Renshen. If there is lower deficiency-cold, stir-fry Jiuzi (Epimedii Fructus) until yellow, grind into fine powder, and take on an empty stomach, 3-5 cups per dose, using 1 qian or 5 fen of the fried powder per cup. The benefits are too numerous to list. Radish must be strictly avoided.
To treat Phlegm: Jupi (Citri Reticulatae Pericarpium, select authentic aged Chendu citrus, soak in warm water, remove the white pith, keep only the red peel), Gancao (Licorice Root) 4 liang, Salt 4 liang. Use five bowls of water, simmer slowly until dry, bake dry, and grind into powder. Take with plain boiled water. Physicians of the world only know how to use Banxia (Pinelliae Rhizoma) and Nanting (Arisaematis Rhizoma), which is hardly worth mentioning compared to this method.
Formula for Tan Jue (Phlegm Syncope) (For severe syncope, emesis is preferred): Banxia (Pinelliae Rhizoma) 8 liang, Fangfeng (Saposhnikoviae Radix) 4 liang, Gancao (Licorice Root, honey-fried) 2 liang. Grind into fine powder. Take 3 qian per dose.
To treat Wind-stroke with loss of voice and all wind disorders: Use Bai Jiangcan (Bombyx Batryticatus) 7 pieces, grind into powder, mix with wine and take, immediate effect.
To treat Wind-stroke: If vomiting and diarrhea occur, jaw clamps shut, preventing medication intake. Use Baiyang Mo (Populus Alba Bark Powder), amount unspecified, rub against teeth. The teeth will immediately open because sourness causes contraction/astringency, forcing the teeth apart.
To treat Pian Feng (Hemiplegia/Palsy): Use Xianlingpi (Epimedii Folium) 1 jin, finely chopped, soaked in wine in a silk bag. Soak for 3 days in spring/summer, 5 days in autumn/winter. Seal tightly multiple times to prevent gas escape. Drink gradually, keeping the patient slightly intoxicated, but not drunk. Over time, efficacy is assured. Avoid letting chickens or dogs see the preparation process.
Yujin Wan (Curcuma Pill): Treats manic-depressive psychosis lasting years without cure. Yujin (Curcumae Radix, authentic Sichuan origin is best) 7 liang, Mingfan (Alumen) [missing character] liang. Grind into powder, take with Mint decoction water. Or...
To treat Wind-stroke: Whole body cold, jaw locked, unconscious. Duohuo (Angelicae Pubescentis Radix) 4 liang (remove rhizome), decoct in four large cups of good wine. Divide into 2-3 doses, take hot.
Shiguo Gong Yao Jiu (Minister Shi’s Medicinal Wine): Specifically treats hemiplegia due to wind-phlegm, spasticity and contracture of limbs, difficulty walking, etc.
Fangfeng (Saposhnikoviae Radix, remove rhizome) 2 liang, Qinjiao (Gentianae Macrophyllae Radix, remove rhizome) 2 liang, Danggui (Angelicae Sinensis Radix) 2 liang, Qianghuo (Notopterygii Rhizoma et Radix) 2 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Hu Jinggu (Pantheris Os, crushed and roasted) 1 pair, Bixie (Dioscoreae Hypoglaucae Rhizoma, crushed and roasted) 2 liang, Biejia (Testudinis Carapax et Plastrum) 2 liang, Chuan Niuxi (Achyranthis Bidentatae Radix, remove rhizome) 2 liang, You Songjie (Taxilli Ramulus, crushed) 2 liang, Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Wancan Sha (Bombyx Batryticatus, stir-fried yellow) 2 liang, Can'erzi (Xanthii Fructus, crushed) 4 liang, Gouqizi (Lycii Fructus) 5 liang, Gan Qiegen (Solanum Melongena Root, steamed over rice) 8 liang. Place the above herbs in a cloth bag into a large jar. Add 36 jin of good wine. Seal tightly. Soak for 14 days. Place the jar in a pot, suspend and boil for the duration of three incense sticks. Bury in soil for 3 days to remove "fire toxicity."
Drink appropriately at Chen (7-9 AM), Wu (11 AM-1 PM), and evening times.
Duliang Wan (Duliang Pill): Treats head wind pain, very effective. Wash Baizhi (Angelicae Dahuricae Radix), refine honey to make pills the size of bullet seeds. Take each time mixed with Jingjie (Schizonepetae Spica) decoction. If the headache is due to deficiency, take Renshen (Ginseng Radix) 1 liang and Chuanxiong (Chuanxiong Rhizoma) 5 qian, decocted in water, which is excellent.