无灰酒，浸一夜去酒以新汲水一碗探取汁，银瓷器内熬膏丸，桐子大，每服六十
丸，茶下，面足觉痒乃药力至，不日全愈。
活血丹二百四十三 治筋骨痛甚
木香 乳香(各一两) 麝香 皂角(各三钱) 大风子(四两)
上为末，饭为丸芡实大，每服五十丸，茶下。加至七八十丸。
羌活愈风汤二百四十四 治肝肾虚败，筋骨软弱，语言蹇涩，精神昏倦，大能安
养精神，调理阴阳。
羌活 甘草 防风 川芎 细辛 枳壳 熟地 人参 麻黄 薄荷 甘菊 当归 知母
黄
独活 白芷 杜仲 秦艽 柴胡 半夏 浓朴 防己 前胡 地骨皮 枸杞子 蔓荆子
(各三分) 黄芩 茯苓 芍药(各四分半) 石膏 苍术 生地(各六分) 桂枝(一分五厘)
水二钟煎八分，天阴加生姜五片。欲利加大黄三钱，欲汗加麻黄一钱，姜
五片，春冬加半夏，夏加知母石膏，秋加白术。
防风通圣散二百四十五
川芎 当归 荆芥 芍药 苍术 大黄 芒硝 滑石 山栀 石膏 桔梗 甘草 黄芩
薄荷 麻黄 连翘(各等分)
共为末，每服三钱酒下，如饮片姜枣煎服，以渣晒干，煎汤洗浴。
加减通圣散二百四十六 病甚者服之。
防风 川芎 桔梗 枳壳 石膏 柴胡 黄连 羌活 连翘 生地 熟地 芍药 当归
薄荷 甘草 麻黄 滑石 黄芩(各三钱) 芒硝(一两) 角刺(二两) 风藤(三两) 荆芥
穗(五两)
上药分作八服，每服用水二大碗，煎八分，空心服，日进三服，五六日后，方服紫花丸
。
乌药顺气散二百四十七 初起先服二十帖。
麻黄 陈皮 乌药(各一两) 僵蚕 川芎 枳壳 甘草 桔梗 白芷(各一两二钱) 干
姜(五钱)
为粗末煎服，为细末姜汤送下三钱。
五积散二百四十八 不拘前后皆可服。
苍术(一斤半) 桔梗(十二两) 枳壳 陈皮 麻黄(各六两) 浓朴 干姜(各四两) 半
夏(二两五钱) 芍药 白芷 川芎 当归 白茯苓 甘草 官桂(各二两)
共为末，每服三钱，姜汤下。
小续命汤二百四十九
麻黄 人参 黄芩 芍药 防己 桔梗 川芎 当归 附子 杏仁 甘草 石膏(各七
分) 防风(一钱) (如中风无汗)倍麻黄 防风 杏仁 (中风有汗恶风)倍桂枝 芍药 杏
仁(中风无
汗身热不恶寒)倍黄芩 加干葛 桂枝 (中风无汗身凉)倍甘草 附子 加干姜 (中风有
汗不热)加桂枝 倍甘草 附子 (中风六经混淆或枝节挛痛麻木)加羌活 连翘。
无灰酒浸泡一夜后，倒去酒液，用一碗新汲取的井水研磨取汁，在银器或瓷器中熬制成膏状并制成丸剂，大小如梧桐子。每次服用六十丸，用茶送服。服药后面部感到发痒，说明药力已经到达病所，不久即可痊愈。
活血丹（方剂编号243）：治疗筋骨剧烈疼痛。
药材：木香、乳香（各一两）、麝香、皂角（各三钱）、大风子（四两）。
将上述药物研为细末，用米饭作为粘合剂制成如芡实大小的丸剂。每次服用五十丸，用茶送服。剂量可逐渐增加至七八十丸。
羌活愈风汤（方剂编号244）：治疗肝肾虚损衰退，筋骨软弱无力，言语蹇涩不利，精神昏沉疲倦。此方能极大地安养精神，调理阴阳。
药材：羌活、甘草、防风、川芎、细辛、枳壳、熟地黄、人参、麻黄、薄荷、甘菊、当归、知母、独活、白芷、杜仲、秦艽、柴胡、半夏、厚朴、防己、前胡、地骨皮、枸杞子、蔓荆子（各三分）；黄芩、茯苓、芍药（各四分半）；石膏、苍术、生地黄（各六分）；桂枝（一分五厘）。
加水两钟煎煮至八分满。若天气阴雨，加生姜五片。若要通便，加大黄三钱；若要发汗，加麻黄一钱、生姜五片。春冬季加半夏，夏季加知母和石膏，秋季加白术。
防风通圣散（方剂编号245）
药材：川芎、当归、荆芥、芍药、苍术、大黄、芒硝、滑石、山栀、石膏、桔梗、甘草、黄芩、薄荷、麻黄、连翘（各等分）。
共研为细末，每次服用三钱，用酒送服。也可以像饮片一样加生姜、大枣煎服。将药渣晒干，煎汤洗浴。
加减通圣散（方剂编号246）：病情严重者服用此方。
药材：防风、川芎、桔梗、枳壳、石膏、柴胡、黄连、羌活、连翘、生地黄、熟地黄、芍药、当归、薄荷、甘草、麻黄、滑石、黄芩（各三钱）；芒硝（一两）；角刺（二两）；风藤（三两）；荆芥穗（五两）。
将上述药物分为八次服用量。每次取一份，用水两大碗，煎煮至八分满，空腹服用。每日服用三次。五六日后，再服用紫花丸。
乌药顺气散（方剂编号247）：疾病初起时先服用二十帖。
药材：麻黄、陈皮、乌药（各一两）；僵蚕、川芎、枳壳、甘草、桔梗、白芷（各一两二钱）；干姜（五钱）。
制成粗末煎服，或制成细末，用姜汤送服三钱。
五积散（方剂编号248）：无论病程前后皆可服用。
药材：苍术（一斤半）；桔梗（十二两）；枳壳、陈皮、麻黄（各六两）；厚朴、干姜（各四两）；半夏（二两五钱）；芍药、白芷、川芎、当归、白茯苓、甘草、官桂（各二两）。
共研为细末，每次服用三钱，用姜汤送服。
小续命汤（方剂编号249）
药材：麻黄、人参、黄芩、芍药、防己、桔梗、川芎、当归、附子、杏仁、甘草、石膏（各七分）；防风（一钱）。
加减法：
若中风无汗，加倍使用麻黄、防风、杏仁；
若中风有汗且恶风，加倍使用桂枝、芍药、杏仁；
若中风无汗、身热但不恶寒，加倍使用黄芩，加干葛、桂枝；
若中风无汗、身凉，加倍使用甘草、附子，加干姜；
若中风有汗、不发热，加桂枝，加倍使用甘草、附子；
若中风涉及六经混淆或出现肢体拘挛疼痛麻木，加羌活、连翘。
Wu Hui Jiu (Alcohol without ash) is soaked overnight. The alcohol is discarded, and the residue is ground with one bowl of fresh well water to extract the juice. This is boiled into a paste in a silver or porcelain vessel and formed into pills the size of *Celastrus orbiculatus* seeds (*Tongzi*). Each dose consists of 60 pills, taken with tea. Itching on the face indicates that the medicinal force has reached the target area, and full recovery will occur within a few days.
Huoxue Dan (Blood-Invigorating Pill, Formula No. 243): Treats severe pain in the tendons and bones.
Ingredients: *Aucklandiae Radix* (Muxiang), *Frankincense* (Ruxiang) (each 1 liang); *Moschus* (Shexiang), *Gleditsia Sinensis Fruit* (Zaojiao) (each 3 qian); *Baccaea Jujubae* (Fengdangzi) (4 liang).
Grind the above ingredients into fine powder. Use rice as a binder to form pills the size of *Euryale ferox* seeds (*Qianshi*). Each dose is 50 pills, taken with tea. The dosage can be increased to 70–80 pills.
Qianghuo Yufeng Tang (Notopterygium Decoction for Dispelling Wind, Formula No. 244): Treats deficiency and decline of the Liver and Kidney, weakness of tendons and bones, slurred speech, mental fatigue, and drowsiness. This formula greatly nourishes the spirit and regulates Yin and Yang.
Ingredients: *Notopterygii Rhizoma et Radix* (Qianghuo), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Saposhnikoviae Radix* (Fangfeng), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Asari Radix et Rhizoma* (Xixin), *Aurantii Fructus Immaturus* (Zhike), *Rehmanniae Radix Praeparata* (Shudi), *Ginseng Radix* (Renshen), *Ephedrae Herba* (Mahuang), *Menthae Haplocalycis Herba* (Bohe), *Chrysanthemi Flos* (Ganju), *Angelicae Sinensis Radix* (Danggui), *Anemarrhenae Rhizoma* (Zhimu), *Angelicae Pubescentis Radix* (Duohuo), *Angelicae Dahuricae Radix* (Baizhi), *Eucommiae Cortex* (Duzhong), *Gnaphalii Herba* (Qinjiao), *Bupleuri Radix* (Chaihu), *Pinelliae Rhizoma* (Banxia), *Magnoliae Officinalis Cortex* (Noupu), *Stephaniae Tetrandrae Radix* (Fangji), *Peucedani Radix* (Qianhu), *Lycii Cortex Radicis* (Digupi), *Lycii Fructus* (Gouqizi), *Viticipedis Fructus* (Manjingzi) (each 3 fen); *Scutellariae Radix* (Huangqin), *Poria* (Fuling), *Paeoniae Radix Alba* (Shaoyao) (each 4.5 fen); *Gypsum Fibrosum* (Shigao), *Atractylodis Macrocephalae Rhizoma* (Cangzhu), *Rehmanniae Radix* (Shengdi) (each 6 fen); *Cinnamomi Ramulus* (Guizhi) (1.5 li).
Decoct with two zhong of water until reduced to eight parts. On cloudy/rainy days, add five slices of fresh ginger. To promote bowel movement, add *Rhei Radix et Rhizoma* (Dahuang) 3 qian; to induce sweating, add *Ephedrae Herba* (Mahuang) 1 qian and five slices of fresh ginger. In spring and winter, add *Pinelliae Rhizoma* (Banxia); in summer, add *Anemarrhenae Rhizoma* (Zhimu) and *Gypsum Fibrosum* (Shigao); in autumn, add *Atractylodis Macrocephalae Rhizoma* (Baizhu).
Fangtong Tongsheng San (Siler Powder for Unblocking the Supreme, Formula No. 245)
Ingredients: *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Schizonepetae Herba* (Jingjie), *Paeoniae Radix Alba* (Shaoyao), *Atractylodis Rhizoma* (Cangzhu), *Rhei Radix et Rhizoma* (Dahuang), *Natrii Sulfas* (Mangxiao), *Talcum* (Huashi), *Gardeniae Fructus* (Shanzhi), *Gypsum Fibrosum* (Shigao), *Platycodonis Radix* (Jiegeng), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Scutellariae Radix* (Huangqin), *Menthae Haplocalycis Herba* (Bohe), *Ephedrae Herba* (Mahuang), *Forsythiae Fructus* (Lianqiao) (equal parts).
Grind all ingredients into fine powder. Each dose is 3 qian, taken with wine. Alternatively, decoct with fresh ginger and jujube like herbal slices. The dregs can be dried and decocted for bathing.
Jiajian Tongsheng San (Modified Powder for Unblocking the Supreme, Formula No. 246): For severe cases.
Ingredients: *Saposhnikoviae Radix* (Fangfeng), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Platycodonis Radix* (Jiegeng), *Aurantii Fructus Immaturus* (Zhike), *Gypsum Fibrosum* (Shigao), *Bupleuri Radix* (Chaihu), *Coptidis Rhizoma* (Huanglian), *Notopterygii Rhizoma et Radix* (Qianghuo), *Forsythiae Fructus* (Lianqiao), *Rehmanniae Radix* (Shengdi), *Rehmanniae Radix Praeparata* (Shudi), *Paeoniae Radix Alba* (Shaoyao), *Angelicae Sinensis Radix* (Danggui), *Menthae Haplocalycis Herba* (Bohe), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Ephedrae Herba* (Mahuang), *Talcum* (Huashi), *Scutellariae Radix* (Huangqin) (each 3 qian); *Natrii Sulfas* (Mangxiao) (1 liang); *Urticae Flos* (Jiaoci) (2 liang); *Sinomenii Caulis* (Fengteng) (3 liang); *Schizonepetae Spica* (Jingshui) (5 liang).
Divide the above herbs into eight doses. For each dose, use two large bowls of water, decoct until reduced to eight parts, and take on an empty stomach. Take three doses per day. After five to six days, then take Zihua Wan.
Wuyao Shunqi San (Aristolochia Powder for Regulating Qi, Formula No. 247): Take twenty doses at the onset of the disease.
Ingredients: *Ephedrae Herba* (Mahuang), *Citri Reticulatae Pericarpium* (Chenpi), *Linderac Fructus* (Wuyao) (each 1 liang); *Bombyx Batryticatus* (Jiangcan), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Aurantii Fructus Immaturus* (Zhike), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Platycodonis Radix* (Jiegeng), *Angelicae Dahuricae Radix* (Baizhi) (each 1.2 liang); *Zingiberis Rhizoma* (Ganjiang) (5 qian).
Prepare as coarse granules for decoction, or as fine powder taken with ginger decoction (3 qian per dose).
Wuji San (Five Accumulations Powder, Formula No. 248): Can be taken regardless of whether the condition is early or late stage.
Ingredients: *Atractylodis Rhizoma* (Cangzhu) (1.5 jin); *Platycodonis Radix* (Jiegeng) (12 liang); *Aurantii Fructus Immaturus* (Zhike), *Citri Reticulatae Pericarpium* (Chenpi), *Ephedrae Herba* (Mahuang) (each 6 liang); *Magnoliae Officinalis Cortex* (Noupu), *Zingiberis Rhizoma* (Ganjiang) (each 4 liang); *Pinelliae Rhizoma* (Banxia) (2.5 liang); *Paeoniae Radix Alba* (Shaoyao), *Angelicae Dahuricae Radix* (Baizhi), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Poria* (Baifuling), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Cinnamomi Cortex* (Guangui) (each 2 liang).
Grind all ingredients into fine powder. Each dose is 3 qian, taken with ginger decoction.
Xiao Xuming Tang (Minor Continuation Life Decoction, Formula No. 249)
Ingredients: *Ephedrae Herba* (Mahuang), *Ginseng Radix* (Renshen), *Scutellariae Radix* (Huangqin), *Paeoniae Radix Alba* (Shaoyao), *Stephaniae Tetrandrae Radix* (Fangji), *Platycodonis Radix* (Jiegeng), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Aconiti Lateralis Radix Praeparata* (Fuzi), *Pruni Semen* (Xingren), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Gypsum Fibrosum* (Shigao) (each 7 fen); *Saposhnikoviae Radix* (Fangfeng) (1 qian).
Modifications:
If wind-stroke presents with no sweat, double the dosage of *Ephedrae Herba* (Mahuang), *Saposhnikoviae Radix* (Fangfeng), and *Pruni Semen* (Xingren).
If wind-stroke presents with sweat and aversion to wind, double the dosage of *Cinnamomi Ramulus* (Guizhi), *Paeoniae Radix Alba* (Shaoyao), and *Pruni Semen* (Xingren).
If wind-stroke presents with no sweat, body heat, but no aversion to wind, double the dosage of *Scutellariae Radix* (Huangqin), and add *Puerariae Radix* (Gange) and *Cinnamomi Ramulus* (Guizhi).
If wind-stroke presents with no sweat and cool body, double the dosage of *Glycyrrhizae Radix et Rhizoma* (Gancao) and *Aconiti Lateralis Radix Praeparata* (Fuzi), and add *Zingiberis Rhizoma* (Ganjiang).
If wind-stroke presents with sweat and no fever, add *Cinnamomi Ramulus* (Guizhi) and double the dosage of *Glycyrrhizae Radix et Rhizoma* (Gancao) and *Aconiti Lateralis Radix Praeparata* (Fuzi).
If wind-stroke involves confusion of the six meridians or manifests as limb spasms, pain, numbness, or paralysis, add *Notopterygii Rhizoma et Radix* (Qianghuo) and *Forsythiae Fructus* (Lianqiao).