大全论曰∶夫四时八方之气为风也,常以冬至之日候之,若从其乡来者,长养万物,若
不从其乡来者,名为虚邪,贼害万物,人体虚则中之。(风者,百病之长,中之则随所挟而现
病,此语简明详略,妙妙)若风邪客于皮肤,入于经络,即顽痹不仁;若入于筋脉,挟寒则挛
急僻,挟湿则弛纵痿软;若入脏腑,则恍惚惊悸,凡五脏俞,皆在背,脏腑虚,寒邪皆从俞
而入,随所伤脏腑经络而为诸病。妊娠中风,若不早治,则令堕胎也。
薛氏曰∶按《机要》云,风本为热,热胜则风动,宜以静胜其燥,是养血也。治法须少汗,
亦宜少下,多汗则虚其卫,多下则损其营。虽有汗下之戒,而有中脏、中腑之分,中腑者,多
着四肢,则脉浮,恶寒,拘急不仁;中脏者,多着九窍,则唇缓失音,耳聋鼻塞,目瞀便秘。中
腑者,宜汗之;中脏者,宜下之,表里已和,宜治在经,当以大药养之,此中风之要法。妊娠
患之,亦当宜此施治,而佐以安胎之药。
防风散 治妊娠中风卒倒,心神闷乱,口噤不能言,四肢急强。
防风(去芦) 葛根 桑寄生(各一两) 羚羊角屑 细辛(去苗) 当归 甘菊花 汉防己(去皮)
秦艽(去芦) 桂心 茯神(去木) 甘草(炙,各半两)
上 咀,每服八钱,水一盏半,生姜五片,煎至一大盏,去滓,入竹沥半合,搅匀,温服无时。
生犀角散 治妊娠卒中风不语,四肢强直,心神昏愦。(惟真中风而有表邪无汗者宜之。)
生犀角屑 麻黄(去节,各一两) 防风(去芦) 赤箭 羌活 当归 人参(各去芦) 葛根 赤
芍药(各七钱半) 秦艽 甘草(炙,各半两) 石膏(一两半)
上 咀,每服八钱,煎服法如前。
防己散 治妊娠中风,口眼 斜,手足顽痹。
防己(去皮) 羌活 防风(各去芦) 麻黄(去节) 黄松木节 羚羊角(屑) 桂心 荆芥穗 薏
苡仁 桑寄生 炙甘草(各一两)
上 咀,每服五钱,生姜五片,水煎温服,不拘时。
白僵蚕散 治妊娠中风口噤,心膈痰涎壅滞,言语不得,四肢强直。(急于治痰)
白僵蚕(炒) 天麻 独活(去芦,各一两) 麻黄(去节,两半) 乌犀角(屑,七钱半)
白附子(炮) 半夏(汤洗七次,姜制) 天南星(炮) 藿香(各半两) 龙脑(二钱半,另研)
上为细末,入研药合匀,每服一钱,生姜薄荷汤调下,不拘时,日三服。
赤箭丸 治妊娠中风,手足不随,筋脉缓急,言语謇涩,皮肤不仁。
赤箭 萆 (酒浸) 麻黄(去节) 独活(去芦) 鼠粘子 干熟地黄 羚羊角(屑,各一两) 阿
胶(炒) 防风(去芦) 川芎 当归(去芦) 苡仁 五加皮 秦艽(去芦) 汉防己(去皮)
柏子仁 酸枣仁(炒) 丹参(去芦,各七钱半)
上为细末,炼蜜和捣三五百下,丸如梧桐子大,每服三十丸,豆淋酒送下,食前服。
白术酒 治妊娠中风口噤,语言不得。
白术(一两半) 独活(一两) 黑豆(一合,炒)
上细锉,以酒三升,煎取一升半,去滓,温分四服。口噤者,拗口灌之,得汗即愈。
醋艾熨法 治妊娠因感外风,如中风状,不省人事。(此方中寒、中风俱妙)
熟艾三两,陈米醋炒令极热,以绵帛裹熨脐下,良久即省。
《大全》论述说:四季八方之气称为风,通常在冬至日观察风向。如果风从它本来的方向吹来,能长养万物;如果不是从本来的方向吹来,就叫做“虚邪”,会贼害万物。人体正气虚弱时,就会受到风的侵袭。(风是百病的先导,风邪侵入后随其所挟带的病邪而显现病症,这句话简明扼要,非常精妙。)如果风邪客居在皮肤,进入经络,就会导致肢体麻木、感觉迟钝(顽痹不仁);如果进入筋脉,夹带寒邪则会导致筋脉拘挛、身体歪斜,夹带湿邪则会导致肢体松弛、痿软无力;如果进入脏腑,就会出现神志恍惚、惊悸不安等症状。五脏的背俞穴都在背部,当脏腑虚弱时,寒邪都会从这些俞穴侵入,随着所损伤的脏腑经络而产生各种疾病。孕妇患中风,如果不及时治疗,会导致流产。
薛己说:按照《机要》的说法,风的本性是热,热盛则风动,应该用静来克制燥,这就是养血的方法。治疗方法应当适度发汗,也应当适度通下。过度发汗会耗伤卫气,过度攻下会损伤营血。虽然有发汗和攻下的禁忌,但中风有中脏和中腑的区别。中腑的病证,多表现在四肢,脉象浮,恶寒,肢体拘急且麻木不仁;中脏的病证,多影响九窍,表现为口唇松弛、失音,耳聋、鼻塞,视物模糊、便秘。中腑者,适宜用发汗法治疗;中脏者,适宜用通下法治疗。表里症状调和后,适宜调理经脉,应当用大补的药物来滋养身体,这是治疗中风的关键法则。孕妇患上此病,也应当采用这种治疗方法,并辅助使用安胎的药物。
防风散:治疗孕妇突发中风晕倒,心神烦闷混乱,牙关紧闭不能说话,四肢僵硬强直。
药材:防风(去芦头)、葛根、桑寄生(各一两),羚羊角屑、细辛(去苗梢)、当归、甘菊花、汉防己(去皮)、秦艽(去芦头)、桂心、茯神(去木心)、甘草(蜜炙,各半两)。
制法与用法:将药材切碎,每次服用八钱,加水一盏半,生姜五片,煎煮至一大盏,滤去药渣,加入竹沥半合,搅拌均匀,随时温服。
生犀角散:治疗孕妇突然中风不语,四肢强直,心神昏沉迷糊。(只有真正的中风且有表证无汗者适宜使用。)
药材:生犀角屑、麻黄(去节)、防风(去芦头)、赤箭(天麻)、羌活、当归、人参(各去芦头)、葛根、赤芍药(各七钱半),秦艽、甘草(蜜炙,各半两),石膏(一两半)。
制法与用法:将药材切碎,每次服用八钱,煎服方法同上。
防己散:治疗孕妇中风,口眼歪斜,手足麻木不仁。
药材:防己(去皮)、羌活、防风(各去芦头)、麻黄(去节)、黄松木节、羚羊角(屑)、桂心、荆芥穗、薏苡仁、桑寄生、炙甘草(各一两)。
制法与用法:将药材切碎,每次服用五钱,生姜五片,水煎温服,不拘时间。
白僵蚕散:治疗孕妇中风牙关紧闭,心膈部痰涎壅滞,无法言语,四肢强直。(急于治疗痰浊。)
药材:白僵蚕(炒)、天麻、独活(去芦头,各一两),麻黄(去节,一两半),乌犀角(屑,七钱半),白附子(炮制)、半夏(汤洗七次,姜汁制)、天南星(炮制)、藿香(各半两),龙脑(二钱半,单独研磨)。
制法与用法:将药材研成细末,加入单独研磨的药粉混合均匀,每次服用一钱,用生姜薄荷汤调服,不拘时间,每日三次。
赤箭丸:治疗孕妇中风,手足不能随意运动,筋脉或缓或急,言语蹇涩,皮肤麻木不仁。
药材:赤箭(天麻)、萆薢(酒浸)、麻黄(去节)、独活(去芦头)、鼠粘子(牛蒡子)、干熟地黄、羚羊角(屑,各一两),阿胶(炒)、防风(去芦头)、川芎、当归(去芦头)、薏苡仁、五加皮、秦艽(去芦头)、汉防己(去皮),柏子仁、酸枣仁(炒)、丹参(去芦头,各七钱半)。
制法与用法:将药材研成细末,用炼蜜调和,捣杵三五百下,制成梧桐子大小的丸药,每次服用三十丸,用豆淋酒送下,饭前服用。
白术酒:治疗孕妇中风牙关紧闭,无法言语。
药材:白术(一两半)、独活(一两)、黑豆(一合,炒)。
制法与用法:将药材细细切碎,用酒三升,煎取一升半,滤去药渣,分四次温服。对于牙关紧闭者,撬开嘴巴灌入,出汗后即可痊愈。
醋艾熨法:治疗孕妇因感受外风,出现类似中风的症状,不省人事。(此方对于寒证和中风都效果奇妙。)
用法:取熟艾三两,用陈米醋炒至极热,用棉帛包裹,熨烫脐下部位,很久之后患者即可苏醒。
The *Daquan* (Compendium) states: The Qi of the four seasons and eight directions is called Wind. It is typically observed on the day of the Winter Solstice. If the wind blows from its proper direction, it nourishes all things; if it does not blow from its proper direction, it is named "Empty Evil" (Xu Xie), which harms all things. When the human body is deficient, it becomes susceptible to Wind invasion. (Wind is the leader of a hundred diseases; upon invasion, symptoms manifest according to the pathogenic factors carried by the wind. This statement is concise and profound.) If Wind evil lodges in the skin and enters the meridians, it results in numbness and loss of sensation (Wan Bi Bu Ren); if it enters the sinews and vessels, accompanied by Cold, it causes spasms and deviation; accompanied by Dampness, it causes flaccidity and weakness. If it enters the Zang-Fu organs, it leads to mental confusion and palpitations. The Back-Shu points of the five Zang organs are located on the back. When the Zang-Fu are deficient, Cold evil enters through these Shu points, causing various diseases according to the affected Zang-Fu and meridians. If a pregnant woman suffers from Stroke (Zhong Feng) and it is not treated early, it may cause miscarriage.
Xue Ji stated: According to the *Ji Yao*, Wind is fundamentally Heat; when Heat prevails, Wind moves. One should use stillness to overcome dryness, which is equivalent to nourishing Blood. The treatment method requires mild diaphoresis (sweating) and mild purgation. Excessive sweating depletes Wei Qi (Defensive Qi), while excessive purgation damages Ying Qi (Nutritive Blood). Although there are contraindications for sweating and purging, Stroke is distinguished into involvement of the Fu organs (Zhong Fu) and involvement of the Zang organs (Zang Zang). Involvement of the Fu organs often affects the four limbs, presenting with floating pulse, aversion to cold, stiffness, and numbness. Involvement of the Zang organs often affects the nine orifices, presenting with relaxed lips and aphasia, deafness and nasal congestion, blurred vision, and constipation. For involvement of the Fu organs, diaphoresis is indicated; for involvement of the Zang organs, purgation is indicated. Once the exterior and interior are harmonized, treatment should focus on the meridians, using major tonic herbs to nourish the body. This is the essential method for treating Stroke. Pregnant women suffering from this condition should also be treated accordingly, supplemented with fetal-anchoring herbs.
Fangfeng San (Saposhnikovia Powder): Treats sudden fainting due to Stroke in pregnancy, mental restlessness, locked jaw unable to speak, and stiff, rigid limbs.
Ingredients: Fangfeng (Saposhnikovia Radix, radix removed), Gegen (Puerariae Radix), Sangjisheng (Taxilli Caulis, each 1 liang); Lingyangjiao Xie (Saiga Tatarica Cornu, shaved), Xixin (Asari Radix et Rhizoma, seedlings removed), Danggui (Angelicae Sinensis Radix), Gan Juhua (Chrysanthemi Flos), Hanfangji (Stephaniae Tetrandrae Radix, bark removed), Qinjiao (Gentianae Macrophyllae Radix, radix removed), Guixin (Cinnamomi Cortex, each half liang).
Preparation and Administration: Coarsely crush the herbs. Take 8 qian per dose, add 1.5 sheng of water and 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until 1 sheng remains. Strain the dregs, add Ban he of Zhuli (Bambusae Sap), mix well, and take warm at any time.
Shengxijiao San (Fresh Rhinoceros Horn Powder): Treats sudden aphasia due to Stroke in pregnancy, rigid limbs, and mental confusion. (Suitable only for true Stroke with exterior syndrome and no sweat.)
Ingredients: Shengxijiao Xie (Rhinocerotis Cornu, shaved), Mahuang (Ephedrae Herba, joints removed), Fangfeng (Saposhnikovia Radix, radix removed), Chijian (Atractylodis Rhizoma/Tianma), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix, radix removed, each 1 liang); Gegen (Puerariae Radix), Chi Shaoyao (Paeoniae Radix Rubra, each 7.5 qian); Qinjiao (Gentianae Macrophyllae Radix), Gancao (Liquiritiae Radix, honey-fried, each half liang), Shigao (Gypsum Fibrosum, 1.5 liang).
Preparation and Administration: Coarsely crush the herbs. Take 8 qian per dose, decoct and administer as above.
Fangji San (Stephania Powder): Treats Stroke in pregnancy with facial paralysis (deviation of mouth and eyes) and numbness/parasthesia in hands and feet.
Ingredients: Fangji (Stephaniae Tetrandrae Radix, bark removed), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikovia Radix, radix removed, each removed); Mahuang (Ephedrae Herba, joints removed), Huangsongmu Jie (Pinus Massoniana Node), Lingyangjiao (Saiga Tatarica Cornu, shaved), Guixin (Cinnamomi Cortex), Jingjie Sui (Schizonepetae Spica), Yiyiren (Coicis Semen), Sangjisheng (Taxilli Caulis), Zhigancao (Liquiritiae Radix, honey-fried, each 1 liang).
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, add 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, take warm, without restriction on time.
Baijiangcan San (Bombyx Batryticatus Powder): Treats Stroke in pregnancy with locked jaw, phlegm-fluid retention in the heart and diaphragm, inability to speak, and rigid limbs. (Urgently treat Phlegm.)
Ingredients: Baijiangcan (Bombyx Batryticatus, stir-fried), Tianma (Gastrodiae Rhizoma), Duhuo (Angelicae Pubescentis Radix, radix removed, each 1 liang); Mahuang (Ephedrae Herba, joints removed, 1.5 liang), Wu Xijiao (Rhinocerotis Cornu, shaved, 7.5 qian); Baifuzi (Aconiti Kusnezoffii Radix, processed), Banxia (Pinelliae Rhizoma, washed seven times in hot water, prepared with ginger juice), Tian Nanxing (Arisaematis Rhizoma, processed), Huoxiang (Agastaches Herba, each half liang), Longnao (Borneolum Syntheticum, 2.5 qian, separately ground).
Preparation and Administration: Grind into fine powder, mix with the separately ground medicine. Take 1 qian per dose, mixed with Shengjiang Bohe Tang (Decoction of Ginger and Mentha), without restriction on time, three times daily.
Chijian Wan (Chijian Pill): Treats Stroke in pregnancy with involuntary movement of limbs, fluctuating tension in sinews and vessels, slurred speech, and cutaneous numbness.
Ingredients: Chijian (Atractylodis Rhizoma/Tianma), Biba (Dioscoreae Hypoglaucae Rhizoma, wine-soaked), Mahuang (Ephedrae Herba, joints removed), Duhuo (Angelicae Pubescentis Radix, radix removed), Niuzi (Arctii Fructus), Gan Shudihuang (Rehmanniae Radix Preparata), Lingyangjiao (Saiga Tatarica Cornu, shaved, each 1 liang); Ejiao (Colla Corii Asini, fried), Fangfeng (Saposhnikovia Radix, radix removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, radix removed), Yiren (Coicis Semen), Wujia Pi (Acanthopanacis Cortex), Qinjiao (Gentianae Macrophyllae Radix, radix removed), Hanfangji (Stephaniae Tetrandrae Radix, bark removed), Baiziren (Platycladi Semen), Szaoren (Ziziphi Spinosae Semen, stir-fried), Danshen (Salviae Miltiorrhizae Radix, radix removed, each 7.5 qian).
Preparation and Administration: Grind into fine powder, mix with refined honey, pound 300-500 times, form pills the size of Sophora seeds. Take 30 pills per dose, delivered with Doulin Jiu (Bean-leavened Wine), before meals.
Baizhu Jiu (Atractylodes Wine): Treats Stroke in pregnancy with locked jaw and inability to speak.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang), Duhuo (Angelicae Pubescentis Radix, 1 liang), Heidou (Sojae Semen Nigrum, 1 he, stir-fried).
Preparation and Administration: Finely chop the herbs, decoct in 3 sheng of wine until 1.5 sheng remains. Strain the dregs, divide into four warm doses. For locked jaw, pry open the mouth and pour in; recovery occurs with sweating.
Cu Ai Yi Fa (Vinegar-Moxa Iridion Method): Treats pregnancy complicated by external Wind invasion, presenting like Stroke with unconsciousness. (This formula is excellent for both Cold and Stroke.)
Usage: Take 3 liang of Shuai Ai (Artemisiae Argyi Folium), stir-fry with aged rice vinegar until extremely hot. Wrap in cotton cloth and apply as an iridion (hot compress) below the umbilicus. After a long period, consciousness returns.