马膏（ 项上脂） 生桑灰（桑枝炒灰） 桂（用桂枝） 白酒
以马膏膏其急者，以白酒和桂以涂其缓者，以桑钩钩之，即以生桑灰置之坎中，高下以
坐等
《灵枢》云∶季春痹者，北地之真中风也。春三月阳气清明，其风之中人也，不能深入，
中
故外用和阳润燥涂熨之法。邪中左颊则口 于右，邪中右颊则口 于左。无邪者，筋急引颊
移口，皮肤顽痹，故用马膏甘辛柔缓以摩其急，润其血脉，通其痹。中邪者，筋弛纵，缓不
胜收，故用桂之辛热，酒之活络，急以涂其缓，和其营卫，通其血络。以桑钩钩之，钩其颊
也。坎，颊间之坎陷也。即以生桑灰者，生者，活也，随时采活桑枝炒灰，取其性锐力足，
通节窍，祛风痹。高下以坐等者，以桑灰置之坎中，务使高下浓薄相等，然后以膏熨急颊，
令桑性入络，调匀马膏舒筋润痹。三拊者，轻手拊拍其三次也。饮以美酒，病在上者，酒以
行之。啖美炙肉，助胃气上升于络也。若夫燔针劫刺，俟明者释之。
生铁洛
以清水浸一伏，研澄，饮水。按《甲乙经》铁洛为饮，作为后饭。
生铁洛，未经锻炼，是炉冶间初槌生铁，飞出如蛾者，治夏令之时邪。以夏气在脏，所
恶于
大筋
气所
故以
花，
能论》又云∶夺其食则已，是谷气又在禁例。或者以麦食为后饭，并可镇肝，存之以俟君子。
马膏（马颈部的脂肪） 生桑灰（将桑枝炒成炭灰） 桂（使用桂枝） 白酒
用马膏涂抹在肌肉痉挛拘急的一侧，用白酒调和桂枝涂抹在肌肉松弛无力的一侧，用桑木钩牵引面部，随即把生桑灰放置在坑穴中，坑穴的高低深浅以坐姿的高度为准。
《灵枢经》说：春季末发生的口眼歪斜病，是北方地区真正的中风。春季三个月阳气清明，风邪侵入人体，不能深入体内，所以外用调和阳气、滋润燥邪的涂擦熨烫方法。风邪侵袭左颊则口角歪向右侧，风邪侵袭右颊则口角歪向左侧。没有受邪的一侧，因筋脉拘急牵引导致口角移位，皮肤麻木不仁，所以用马膏甘辛柔缓的特性来按摩拘急的一侧，滋润血脉，疏通痹阻。受邪的一侧，筋脉弛缓纵散，松弛无法收回，所以用桂枝的辛热之性，配合酒的活血通络作用，迅速涂抹在松弛的一侧，调和营卫，疏通血络。用桑木钩牵引，是钩拉脸颊。坎，是指脸颊间的凹陷处。之所以使用生桑灰，是因为“生”代表鲜活，随时采摘活桑枝炒成灰，取其药性锐利、力量充足，能通达关节窍道，祛除风痹。坑穴高低以坐姿相等的意思是，将桑灰放在坑中，务必使高低厚薄均匀相等，然后用膏药熨烫拘急的脸颊，让桑木的药性进入络脉，调匀马膏以舒展筋脉、润除痹阻。三拊，是指轻手拍打三次。饮用美酒，是因为病位在上，酒能行气上行。吃美味的烤肉，是为了帮助胃气上升于络脉。至于燔针劫刺等疗法，等待明理者来解释吧。
用清水浸泡一个昼夜，研磨澄清后，饮用其水。按照《甲乙经》记载，生铁洛作为饮品，应在饭后服用。
生铁洛，是未经冶炼加工的炉冶间初锤的生铁，飞溅出来像飞蛾一样的碎屑，用于治疗夏季时令的热邪。因为夏季之气对应内脏，所厌恶的是……大筋……气所……所以用……花……《素问·评热病论》又说：剥夺病人的饮食即可痊愈，这是谷气也在禁忌之列。或许用麦食作为饭后服用的食物，并且可以镇潜肝阳，留待君子斟酌保存。
Horse Fat (Fat from the horse's neck) Raw Mulch Ash (Ash made by charring mulch branches) Cinnamon Twig (Guizhi, Ramulus Cinnamomi) White Wine
Apply horse fat to the side with muscle spasms and stiffness; mix cinnamon twig with white wine and apply it to the side with muscle flaccidity and weakness. Use a mulch wood hook to traction the face, then place raw mulch ash in a pit, with the depth of the pit adjusted to match the height of a sitting person.
The *Ling Shu* states: The facial paralysis occurring at the end of spring is true wind-stroke in northern regions. During the three months of spring, yang qi is clear and bright. When wind pathogen invades the human body, it cannot penetrate deeply. Therefore, external methods such as applying substances to harmonize yang and moisten dryness are used. If the wind pathogen attacks the left cheek, the mouth deviates to the right; if it attacks the right cheek, the mouth deviates to the left. On the unaffected side, stiff tendons pull the mouth out of position, and the skin suffers from numbness and bi-syndrome. Therefore, the sweet, pungent, soft, and slow nature of horse fat is used to massage the stiff side, moisten the blood vessels, and unblock the bi-obstruction. On the affected side, tendons are flaccid and loose, unable to contract, so the pungent and hot nature of cinnamon twig, combined with the meridian-activating property of wine, is quickly applied to the flaccid side to harmonize Ying and Wei Qi and unblock the blood collaterals. The mulch hook is used to traction the cheek. "Kan" refers to the depression between the cheeks. Raw mulch ash is used because "raw" implies vitality; fresh mulch branches are harvested and charred to obtain sharp potency and sufficient strength to open joint orifices and dispel wind-bi. The phrase "high and low equal to sitting" means that when placing the mulch ash in the pit, the thickness and level must be uniform, so that the ointment can warm the stiff cheek, allowing the mulch properties to enter the collaterals, blending with the horse fat to relax tendons and moisten bi-obstruction. "Three patting" refers to gently patting the area three times. Drinking fine wine helps move Qi upward since the disease is located above. Eating roasted meat assists Stomach Qi in ascending to the collaterals. As for burning needles and rapid acupuncture, let those who understand explain them.
Sheng Tie Luo Yin
Soak in clear water for one full day and night, grind and clarify, then drink the liquid. According to the *Jia Yi Jing*, Sheng Tie Luo is taken as a drink, administered after meals.
Sheng Tie Luo refers to raw iron fragments flying off during the initial hammering of smelted iron in furnaces, resembling moths, which have not been refined. It treats summer-heat pathogens acquired in summer. Since summer Qi corresponds to the Zang organs, and what is dreaded is... large tendons... Qi... therefore use... flower... The *Su Wen · Ping Re Bing Lun* also states: Withholding food cures the disease, indicating that grain Qi is also under prohibition. Perhaps using wheat food as a post-meal intake can calm Liver Yang; this should be preserved for scholars to consider.