中风之症世人以风治之误之甚矣盖中风之症乃人阳气虚与阴气涸而中之也何尝有风哉
人见其疾之忽然而来有如暴风疾雨遂以风名之其实乃中气而作中风也治之法一治风无
不死者必须治气始能有效然而中气不同也内有中阳气之虚有中阴气之涸又不可不辨也中
阳气之虚者奈何其人一时卒倒口吐白沫痰声如鼾目直视胡言乱语者阳症也若中阴气之涸者亦
一时卒倒目不知人时而躁时而静欲睡不能言痰如锯吐不绝口中流涎不止盖阴症也二症亦相同
者均不知人最难辨而最易辨也易辨者何辨之眼而已矣眼直视者气虚也眼双闭不开者阴
虚也二症皆能遗尿手撒皆不治之症也然而遗尿手撒亦可治之大约十人中亦可救四五者非尽
不可救也倘阳虚而中者用三生饮必须用人参二两或三两始可回生与其日后用之不若乘
其
欲绝未绝之顷多用人参可转死回生之易也至治阴虚而中者又不可纯用三生饮古无专方留
下我今酌一奇方以救世人之阴虚中风者神效方名十宝丹一剂即回春也此方俱是纯阴之剂
然又何以兼用人参不知无阳则阴无以生必须加参为佐使则阴生于阳之中而阳回于阴之内
两相须而两相成也苟或舍三生饮以救阳虚之中风而改用祛风祛痰之药我未见能生者即
或用三
生饮矣而少用人参多加祛痰之品即或不死未有不成半支风与偏枯等症以三生饮治阴虚中风亦
无不死者苟听吾言用吾之方自庆生全倘怪吾药品之多改重为轻恐难免半支偏枯之症矣愿人
敬守吾训盖吾之方必须照吾分两以治国中之时不可妄自加减或用此方之后以病患脾胃之弱
量为加减亦未为不可但切不可加入风药一味以杀人于俄顷也慎之慎之
十宝丹
麦冬(三两) 熟地(三两) 山萸(二两) 白芥子(二钱) 人参(五钱) 菖蒲(一钱) 茯苓(五
钱) 沙参(五钱) 五味(三钱) 丹皮(二钱) 水煎服
中风这一病症,世人用治风的方法去治疗,错误非常严重。因为中风的病机是人体阳气虚弱与阴气枯竭所致,哪里有什么外风呢?
人们看到疾病突然发作,如同暴风骤雨一般,所以给它起名叫“中风”。其实这是由内伤元气(中气)引起的,并非真正的风邪致病。治疗方法如果只针对风邪,没有不导致死亡的;必须调理元气才能见效。然而,中气的病变有所不同:有的是中阳气的虚损,有的是中阴气的枯竭,这不可不加以辨别。
什么是中阳气虚损呢?患者突然昏倒,口吐白沫,喉间痰声如打鼾,两眼直视,胡言乱语,这是阳症。如果是中阴气枯竭呢?也是突然昏倒,双目失明不知人事,时而烦躁时而安静,想睡却说不出来话,痰液像拉锯一样声音不断,口中流涎不止,这是阴症。这两种病症都有昏迷不醒的共同点,最难辨别但也最容易辨别。容易辨别在哪里呢?在于观察眼睛而已。眼睛直视的是气虚(阳虚),眼睛紧闭不开的是阴虚。两种病症都会出现遗尿、手撒(手掌松开无力)的症状,这通常被视为不治之症。然而,遗尿和手撒也是可以治疗的,大约十个人中也可以救活四五人,并不是完全无法挽救。
如果是阳气虚衰而中风的,使用三生饮时,必须加入人参二两或三两,才可以挽回生命。与其在日后用药,不如趁其气息将绝未绝之际,多用人参,这样可以更容易地转死回生。至于治疗阴虚而中风的,又不可以单纯使用三生饮。古代没有专门的方剂留下,我现在斟酌拟定一个奇方来救治世人的阴虚中风患者,此方名为“神效方”,也叫“十宝丹”,服用一剂即可恢复生机。这个方子全是纯阴的药物,但是为什么又要兼用人参呢?不知道没有阳气,阴气就无法生成,必须加入人参作为佐使药,这样阴气才能在阳气中产生,阳气才能在阴气内部回复,两者相互依存,相互成就。
如果舍弃三生饮来救治阳气虚衰的中风,而改用祛风祛痰的药物,我未见能救活的。即使使用了三生饮,但少用人参,多加祛痰的药物,即使不死,也难免会落下半身不遂(半支风)和偏瘫(偏枯)等后遗症。如果用三生饮来治疗阴虚中风,也没有不致人死亡的。如果听从我的建议,使用我的方子,自然会庆幸保全性命。如果嫌弃我的药味多、剂量重而改为轻简,恐怕难免会患上半身不遂或偏瘫的病症。希望大家恭敬地遵守我的教诲。因为我的方子必须按照我规定的剂量来使用,在治疗过程中,不可随意加减。或者在使用此方之后,根据病患脾胃的强弱程度进行适量加减,这也是可以的。但千万不可加入一味风药,否则会在顷刻间致人于死地。慎重啊,慎重啊!
十宝丹
麦冬(三两) 熟地黄(三两) 山茱萸(二两) 白芥子(二钱) 人参(五钱) 石菖蒲(一钱) 茯苓(五钱) 沙参(五钱) 五味子(三钱) 牡丹皮(二钱) 水煎服
The disease of stroke (Zhong Feng) is often mistakenly treated by the general public as caused by wind, which is a grave error. The pathogenesis of stroke lies in the deficiency of Yang Qi and the exhaustion of Yin Qi within the body; where does external wind come from?
People observe that the illness strikes suddenly, like a violent storm or heavy rain, hence naming it "stroke" (wind-strike). In reality, it is caused by an internal disturbance of Yuan Qi (Primordial Qi), not by actual wind pathogens. Treatment methods that target only wind will invariably lead to death; only by regulating Qi can effective results be achieved. However, disturbances of Qi differ: some involve the deficiency of Middle Yang Qi, while others involve the exhaustion of Middle Yin Qi. These must be distinguished.
What constitutes the deficiency of Middle Yang Qi? It manifests as sudden collapse, foaming at the mouth, snoring-like phlegm sounds in the throat, fixed staring eyes, and delirious speech. This is a Yang syndrome. What constitutes the exhaustion of Middle Yin Qi? It also presents with sudden collapse and loss of consciousness, alternating between restlessness and quietness, desire to sleep but inability to speak, continuous phlegm production with a sawing sound, and unceasing salivation. This is a Yin syndrome. Both syndromes share the symptom of unconsciousness, making them difficult yet easy to distinguish. They are easy to distinguish because one needs only to observe the eyes. Fixed staring indicates Qi deficiency (Yang deficiency), while tightly closed eyes indicate Yin deficiency. Both syndromes may present with urinary incontinence and relaxed hands (hand-spread), which are traditionally considered untreatable signs. However, these symptoms are treatable; approximately four or five out of ten patients can be saved, meaning they are not entirely incurable.
For stroke caused by Yang Qi deficiency, when using San Sheng Yin (Three-Life Decoction), one must add two or three taels of Renshen (Ginseng Radix et Rhizoma) to restore life. It is better to administer large doses of Ginseng while the breath is nearly extinguished but not yet gone, facilitating recovery from near-death states. For stroke caused by Yin Qi exhaustion, one cannot use San Sheng Yin alone. As there were no specific ancient formulas for this, I have devised a miraculous formula to save those suffering from Yin-deficiency stroke, named Shen Xiao Fang (Divine Efficacy Formula) or Shi Bao Dan (Ten-Treasure Pill). One dose brings back vitality. Although this formula consists purely of Yin-nourishing herbs, why is Ginseng added? Without Yang, Yin cannot generate; therefore, Ginseng must be added as an assistant drug so that Yin generates within Yang, and Yang returns within Yin. The two complement and complete each other.
If one abandons San Sheng Yin for Yang-deficiency stroke and switches to wind-dispelling and phlegm-resolving drugs, survival is unlikely. Even if San Sheng Yin is used, reducing the dose of Ginseng and increasing phlegm-resolving herbs may prevent immediate death but will likely result in sequelae such as hemiplegia (Ban Zhi Feng) or lateral paralysis (Pian Ku). Using San Sheng Yin for Yin-deficiency stroke without modification will inevitably lead to death. Follow my advice and use my formula to ensure survival. If you disdain the number or dosage of my herbs and reduce them lightly, you risk contracting hemiplegia or lateral paralysis. Respect my instructions strictly. My formula must be used according to the specified dosages. During treatment, arbitrary modifications are forbidden. However, after administering the formula, slight adjustments based on the patient's spleen and stomach strength are permissible. Crucially, never add even a single wind-dispelling herb, as it could kill instantly. Be cautious, be cautious!
Shi Bao Dan (Ten-Treasure Pill)
Mai Dong (Ophiopogonis Radix) - 3 taels
Shu Di Huang (Prepared Rehmanniae Radix) - 3 taels
Shan Yu Rou (Corni Fructus) - 2 taels
Bai Jie Zi (Sinapis Semen) - 2 qian
Renshen (Ginseng Radix et Rhizoma) - 5 qian
Shang Pu (Acori Tatarinowii Rhizoma) - 1 qian
Fu Ling (Poria) - 5 qian
Sha Shen (Glehniae Radix or Adenophorae Radix) - 5 qian
Wu Wei Zi (Schisandrae Fructus) - 3 qian
Dan Pi (Moutan Cortex) - 2 qian
Decoct in water and take orally.