即前方去甘草加黄芩煎好去滓入荆沥煮数沸分四服能言未瘥后服小续命汤旧无荆
增之其效如神千金翼有甘草
即大续命汤去人参倍麻黄石膏加黄芩（一两减）甘草当归干姜（各一两）治中风入
体不
自收口不能语冒昧不识人拘急肩痛不得转侧稍能自觉勿熟眠卧可浓覆小汗出已渐渐
大覆可熟眠矣前服不汗者更服一升汗后稍减五合一服安稳乃服勿顿服也汗出勿复服
者不可服羸人但当稍与五合为佳胡洽文仲肘后肘后千金同
即大续命汤去干姜石膏当归加芍药黄芩（八味各一两）防风（一两半）附子（一枚）生
姜（五
两）外台同短剧千金翼有防己（一两）深师古今录验有白术（一两）无杏仁录验一方有当归
石膏
一方无桂心名续命汤救急无芎 杏仁延年无防风梁卿得效方有茯神细辛白藓皮羌活无芍
芩千金一方无人参芍药杏仁有独活当归葛根细辛茯苓治卒中风欲死身体缓急口目不正舌
能语奄奄忽忽神情闷乱诸风服之皆验不令人虚
按外台秘要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
人风
水海
以上
骨节烦疼有热者去附子倍芍药 心烦多惊加犀角 骨节疼痛此有寒湿
呕逆腹胀加半夏倍人参 燥闷大便涩去附子倍芍药入竹沥 脏寒下痢去防己
加白术
自汗去麻黄杏仁加白术 脚膝弱加牛膝石斛 身疼加秦艽 腰痛加桃仁
汁炒
这就是前方（大续命汤）去掉甘草，加入黄芩。煎好药液后滤去药渣，加入荆沥再煮几滚，分四次服用。如果患者能说话但病未痊愈，随后服用小续命汤。旧方中没有荆沥，是后来增加的，其疗效神奇。《千金翼方》中记载有甘草。
这就是大续命汤去掉人参，加倍使用麻黄和石膏，加入黄芩（一两，减量）、甘草、当归、干姜（各一两）。用于治疗中风侵入体内，导致口不能闭合、不能言语、神志昏蒙不识人、肢体拘急、肩痛且无法转动侧身。如果患者稍微能够自我感知，不要让他熟睡卧床，可以用厚被覆盖使其微微出汗。汗出后逐渐减少覆盖物，就可以熟睡了。之前服药没有发汗的，可以再服一升。发汗后症状稍减，将五合合并为一服安稳服用，不要一次性顿服。如果已经出汗，不要再服用。身体虚弱的人不可服用，只应当稍微给予五合为佳。胡洽、文仲、《肘后备急方》、《肘后方》、《千金方》记载相同。
这就是大续命汤去掉干姜、石膏、当归，加入芍药、黄芩（以上八味药各一两）、防风（一两半）、附子（一枚）、生姜（五两）。《外台秘要》记载相同。《短剧方》、《千金翼方》中有防己（一两）。《深师方》、《古今录验》中有白术（一两），无杏仁。《录验》一方中有当归、石膏。一方无桂心，名为续命汤。救急方无川芎、杏仁。延年方无防风。梁卿《得效方》中有茯神、细辛、白鲜皮、羌活，无芍药、黄芩。《千金方》一方无人参、芍药、杏仁，有独活、当归、葛根、细辛、茯苓。用于治疗突然中风濒临死亡，身体或缓或急，口眼歪斜，舌强不语，精神恍惚闷乱。各种风证服用此方都有效，且不使人虚弱。
按《外台秘要》记载：我过去担任户部员外郎时，忽然患上风疹，便服用此汤。三年之中共服用了四十六剂，风疾至今未复发。我曾任……（此处原文残缺）
骨节烦疼且有热象的，去掉附子，加倍使用芍药。心烦多惊悸的，加入犀角。骨节疼痛，这是有寒湿。呕逆腹胀的，加入半夏，加倍使用人参。燥闷、大便涩滞的，去掉附子，加倍使用芍药，加入竹沥。脏寒导致下痢的，去掉防己，加入白术。自汗出的，去掉麻黄、杏仁，加入白术。脚膝虚弱的，加入牛膝、石斛。身体疼痛的，加入秦艽。腰痛的，加入桃仁汁炒。
This is the previous formula (Da Xuming Decoction) with Licorice Root removed and Scutellariae Radix added. After decocting, strain the dregs, add Jingshi (Ampelopsis japonica juice), boil for a few more turns, and divide into four doses. If the patient can speak but the condition has not resolved, subsequently administer Xiao Xuming Decoction. The ancient formulas did not contain Jingshi; it was added later, and its efficacy is miraculous. *Qianjin Yifang* records that it contains Gancao (Licorice Root).
This is Da Xuming Decoction with Ginseng removed, Ephedrae Herba and Gypsum Fibrosum doubled, and Scutellariae Radix (1 liang, reduced dose), Glycyrrhizae Radix et Rhizoma, Angelicae Sinensis Radix, and Zingiberis Rhizoma (each 1 liang) added. It treats wind-stroke invading the interior, resulting in inability to close the mouth, aphasia, mental confusion and failure to recognize people, limb stiffness, shoulder pain, and inability to turn or side. If the patient can barely maintain self-awareness, do not allow them to sleep deeply in bed; cover them thickly to induce slight sweating. After sweating, gradually reduce the covering so they may sleep soundly. For those who did not sweat after the previous administration, administer another sheng. After sweating, if symptoms subside slightly, combine five he into one dose for stable administration; do not take it all at once. If sweating has occurred, do not administer again. It is contraindicated for emaciated persons; it is best to give only a small amount of five he. Hu Qia, Wen Zhong, *Zhouhou Beiji Fang*, *Zhouhou Fang*, and *Qianjin Fang* record the same.
This is Da Xuming Decoction with Zingiberis Rhizoma, Gypsum Fibrosum, and Angelicae Sinensis Radix removed, and Paeoniae Radix, Scutellariae Radix (eight herbs each 1 liang), Saposhnikoviae Radix (1.5 liang), Aconiti Lateralis Radix Praeparata (one piece), and Zingiberis Recens Rhizoma (5 liang) added. *Waitai Miyao* records the same. *Duanju Fang* and *Qianjin Yifang* contain Paeoniae Radix (1 liang). *Shenshi Fang* and *Gujin Luyan* contain Atractylodis Macrocephalae Rhizoma (1 liang) and lack Armeniacae Semen Amarum. One version of *Luyan* contains Angelicae Sinensis Radix and Gypsum Fibrosum. Another version lacks Cinnamomi Ramulus, named Xuming Tang. *Jiufang* lacks Chuanxiong Rhizome and Armeniacae Semen Amarum. *Yannian Fang* lacks Saposhnikoviae Radix. Liang Qing’s *Defang Fang* contains Poria, Asari Radix, Dictamni Cortex, and Notopterygii Rhizoma et Radix, lacking Paeoniae Radix and Scutellariae Radix. One version in *Qianjin Fang* lacks Ginseng, Paeoniae Radix, and Armeniacae Semen Amarum, but contains Angelicae Dahuricae Radix, Angelicae Sinensis Radix, Puerariae Radix, Asari Radix, and Poria. It treats sudden wind-stroke approaching death, with body flaccidity or stiffness, facial paralysis (mouth and eyes deviated), tongue stiffness preventing speech, mental agitation and confusion. It is effective for various wind disorders and does not cause deficiency.
According to *Waitai Miyao*: I formerly served as Yuanwailang of the Ministry of Revenue when I suddenly contracted wind-rash. I took this decoction. Within three years, I consumed forty-six doses, and the wind disorder has not recurred to this day. I once served... [text missing]
For painful joints with heat, remove Aconiti Lateralis Radix Praeparata and double Paeoniae Radix. For mental restlessness and frequent palpitations/fright, add Cornu Rhinocerotis. Painful joints indicate cold-dampness. For vomiting, regurgitation, and abdominal distension, add Pinelliae Rhizoma and double Ginseng. For dryness, oppression, and constipation, remove Aconiti Lateralis Radix Praeparata, double Paeoniae Radix, and add Zhuli (Bamboo Juice). For cold viscera with diarrhea, remove Saposhnikoviae Radix and add Atractylodis Macrocephalae Rhizoma. For spontaneous sweating, remove Ephedrae Herba and Armeniacae Semen Amarum, and add Atractylodis Macrocephalae Rhizoma. For weakness in feet and knees, add Achyranthis Bidentatae Radix and Dendrobii Caulis. For body pain, add Gentianae Macrophyllae Radix. For lower back pain, add Peach Kernel stir-fried with juice.