论一首 脉证三条（三。疑七讹） 方十二首
夫风之为病。当半身不遂。
按凡形骸一节之气。闭而不仁者。皆谓之痹。今止云臂者。盖举一隅尔。
寸口脉浮而紧。
按痹论曰。皮肤不营。故为不仁。次注曰。不仁者。皮顽不知有无也。诊要经终论次注曰。不仁。谓不知善恶。
又成氏注平脉法曰。仁者。柔也。不仁者。言不柔和也。为寒热痛痒。俱不觉知者也。又曰。不仁者。强直而无觉
也。
成说不确。（当与血痹篇。及素问识。诊要经终论。血气形志篇互参。）
又按徐氏曰。至入腑。腑邪必归于胃。胃为六腑之总司也。于是风入胃中。胃热必盛。蒸其津液。结为痰涎。
气壅隧道。胃之支脉络心者。才有壅塞。即堵其神气出入之窍。故不识人。（以上医门法律文。）试观俗做陈搏。按
住颈间两人迎脉气。即壅逆不识人。人迎者。胃脉也。则不识人之由胃气壅。不信然哉。此说或有理。盖入腑入脏。
其证似轻重相错。然细绎其理。不识人者。一时昏塞。临时醒省。即卒中闭证之谓。舌难言。口吐涎者。其病深固。
必心神不收。百治难效者也。
侯氏黑散（俞本。类聚。曰能。作自能。）
寸口脉迟而缓。
按营缓卫缓二句。是双关文法。上句是客词。下句是主词。对举以为荣虚卫虚之辨。缓字承上文。犹言虚。（太
阳下编。紧反入里。紧字。指邪而言。是同语例。）荣缓。言尺中缓者荣必虚。卫缓。言寸口缓者卫必虚。卫虚故
中风也。荣缓一句。
本不干中风。而注家牵合为说。未免 错。
风引汤。除热瘫痫。（牡蛎各三两。原本。诸本。作二两。当改。）
张氏千金方衍义曰。风引者。风淫末疾。而四肢引动也。
按本草衍义。作治风热螈 。及惊痫螈 。幼幼新书。作除热去癫痫。（辑义癫字。偶讹作瘫。）医垒元戎。作
除热癫痫。
又按尤氏以此方为猛剂。然其药不过大黄石膏等。而仅用三指撮。则固无须顾虑矣。三指撮。即方寸匕余。
素问识病能论下。引陶氏序例以证之。
千金。治少小壮热。渴引饮下痢。龙骨汤方。于本方。去干姜。牡蛎。滑石。白石脂。紫石英。加栝蒌根。（各
二两）治下筛。以酒水各五合。煮散二合二沸。去滓。量儿大小服之。（按二合疑。宜复审。）
防己地黄汤（甘草一分。赵本。作二钱。类聚。作二分。）
按据千金风眩门。此系徐嗣伯方。
寸口脉沉而弱。沉即主骨。弱即主筋。
按此条不言痛者。盖省文也。如水伤心。注家就心主汗为解。然汗出入水中。恐不遽伤及心。且历节是筋骨间
病。固不干心脏。仍疑心字有讹。或曰。心主血脉。伤心。犹言伤血脉。亦属臆说。
又按历节黄汗之辨。尤氏为确。徐氏曰。黄汗重在肿。历节重在痛。亦是。（徐更有详说。欠核。）今更审之。
曰黄汗出。曰肢节疼痛。曰发热。皆是二病所俱有。然历节之黄汗。特在痛处。（曰历节黄汗出。是）黄汗之汗。
洽于周身。（曰汗沾衣。色正黄如柏汁。是。）历节之肿多止下部。（曰脚肿如脱。曰独足肿大。是）黄汗之肿。及
于遍体。（曰四肢头面肿。曰身肿。是）历节之痛。转历诸节。（其名可征。）黄汗之痛。必不转历。（曰骨节疼痛。
曰腰髋弛痛。曰身疼重。是。）且其胸中窒如痛。久不愈必致痈肿等证。实黄汗之所独。而历节则无此瘀郁之态也。
但近时未见黄汗病。亦未见历节有黄汗出者。姑就文义而论之已。
诸肢节疼痛。身体HT 羸。（脉经。作魁瘰。类聚。同。辑义。魁。讹 。赵原刻。作魁。）
按HT 羸。恐以魁瘰为是。尔雅 遒。木魁 。注。谓树木丛生。根枝节目。盘结 磊。释文。 。郭。卢
罪反。邢 曰。魁 。读若 磊。据此。魁瘰。加尔雅之魁 。谓疼痛之处。盘结 磊也。正与病证相协。磊。亦
作。（见玉篇。）其义可见耳。（窃疑尔雅魁 。或魁瘰讹。然前人未言及。附记俟识者。）又玉篇 肿儿。是魁
瘰之从肉者。益足以征前说。盖次条亦有身体羸瘦。而魁瘰字。所不习见。故后人改作 羸。而其本义晦矣。
又按肢节疼痛身体魁瘰。脚肿如脱。三证叠言者。亦犹麻黄汤。身疼腰痛骨节疼痛之例。且此云脚肿如脱。次
条云独足肿大者。言寒湿下注。下部特浮。其久不愈者。往往变为鹤膝风。亦湿滞所致耳。又短气。与甘草附子汤
证短气同机。
本草玉石部。陈藏器余云。白师子。主白虎病。向东人呼为历骨风。（政和本。作江东人呼为历节风。）
桂枝芍药知母汤方
按赵氏曰。分两多而水少。恐分其服。而非一剂也。三因方云。每服四钱。此说有理。盖此方九味。都三十一
两。当今秤十二钱五分八厘八毫。水七升。当今量七合七勺。则当从防风汤改正为顺。
乌头汤方（原本。屈节。作屈伸。当改。）
按此方。比之桂芍知母汤。其力更烈。治历节初起急剧证。功效不可言。黄 亦以驱湿。说见于前。
矾石汤
按此方。用之香港脚。如痿软引日者。或见奏功。冲心之证。岂其所宜。活人书。称香港脚用汤淋洗者。医之大禁。
而景岳全书。详论禁不禁之别。当参。
附方
古今录验续命汤（辑义。外台风痱门。载西州续命汤云云。今更考外台。此西州二字宜删去。不识人。当作不
知人。）
按此方。即大青龙汤变方。而尤氏所谓攻补兼施者已。中风邪气本轻。但以血气衰弱殊甚。故招其侮。大抵表
候为内证所掩。往往使人难于辨认。盖续命汤。发表补虚。对待为方。实为中风正治之剂。而推其立方之旨。则亦
足以明中风所因之理。学人岂可不深味乎。如晋唐诸家所增损。其方颇伙。兹不繁载。
千金三黄汤（千金。此方中分字。皆作铢两。盖是古式。且六升。作五升。三服。作二服。腹。作胀。枳实一
枚。作六铢。悸上。有心字。附子上。有八角字。）
近效方术附汤（类聚。作术附子汤。）
按前有头风摩散。后人仍附此方。本不干中风也。
崔氏八味丸
按前有矾石汤等。故后人附以此方。盖此方证。即病邪淹留。痹着少腹者。故从缓治。更有少腹不仁。属冲心
之渐者。实非此方所对也。
千金方越婢加术汤（生姜二两。当从诸本作三两。）
按此亦以治脚弱。而附之也。
论一首，脉证三条（第三条原文疑为第七条之误），方十二首。
风邪致病，应当出现半身不遂的症状。
按：凡是身体某一部位的气血闭阻、麻木不仁的，都称为痹证。这里只提到手臂，是举一例以概括其他情况。
按：《痹论》说：“皮肤得不到气血濡养，所以会麻木不仁。”次注解释说：“不仁，就是皮肤顽钝，不知道有无触碰。”《诊要经终论》次注说：“不仁，是指不知道痛痒善恶的感觉。”
又成无己注解《平脉法》说：“仁，就是柔和的意思。不仁，就是说失去了柔和的状态，对于寒热痛痒，完全感觉不到。”又说：“不仁，就是肢体强直而没有知觉。”
成无己的说法不准确。（应当与《血痹篇》、《素问识》、《诊要经终论》、《血气形志篇》互相参照。）
又按徐氏说：“病邪传入腑，腑中的邪气必然归于胃，因为胃是六腑的主宰。于是风邪侵入胃中，胃热必定亢盛，蒸腾津液，凝结成痰涎。气机壅塞在经络隧道中，胃的支脉络于心者，一旦有壅塞，就会堵塞神气出入的窍道，所以人会不识亲人。（以上引自喻嘉言《医门法律》文。）试看民间模仿陈抟高卧的做法，按住颈间的人迎穴脉搏之气，就会气机壅逆而不识人。人迎脉属于胃脉，那么不识人的原因确实是胃气壅滞所致，难道不是这样吗？这种说法或许有一定道理。大概入腑和入脏的证候，看起来轻重似乎相反，但仔细推究其理，不识人是一时昏塞，临时能清醒，这就是卒中闭证的含义。舌强难言、口吐涎沫的，病情深重顽固，必然是心神不收摄，各种治疗都难以见效。
侯氏黑散（俞本、类聚本作“能”，当作“自能”）。
按：“营缓卫缓”两句，是双关的文法。上句是客词，下句是主词，对举以区分营虚和卫虚。“缓”字承接上文，意思是虚弱。（《太阳下编》中“紧反入里”，“紧”字指邪气而言，是同语例。）“营缓”，是说尺中脉缓，营气必定虚弱；“卫缓”，是说寸口脉缓，卫气必定虚弱。卫气虚弱所以导致中风。关于“营缓”一句，本来与中风无关，但注家牵强附会加以解释，未免错误。
风引汤，用于除热瘫痫。（牡蛎各三两，原本及诸本均作二两，应当改正。）
张氏《千金方衍义》说：“风引，是指风邪淫溢于四肢末梢引起的疾病，表现为四肢牵引抽动。”
按：《本草衍义》记载此方治风热抽搐及惊痫抽搐。《幼幼新书》记载此方为“除热去癫痫”（辑义本中“癫”字偶讹作“瘫”）。《医垒元戎》记载此方为“除热癫痫”。
又按尤氏认为此方为猛剂，但其药物不过是大黄、石膏等，且仅用三指撮的量，所以确实无需顾虑。“三指撮”即方寸匕余量。《素问识·病能论》下引用陶氏序例来证明这一点。
《千金方》治小儿壮热、口渴引饮、下痢的龙骨汤方，在本方基础上，去掉干姜、牡蛎、滑石、白石脂、紫石英，加入栝蒌根（各二两）。治法为捣筛成散，用酒和水各五合，煮取散剂二合，煮沸两次，去渣滓，根据患儿大小服用。（按：二合的数量疑似有误，宜复审。）
按：据《千金方·风眩门》，这是徐嗣伯的方子。
按：这一条没有提到疼痛，大概是省略了文字。如果像注家那样解释为“水伤心”，就顺着“心主汗”来理解。然而汗出后进入水中，恐怕不会立刻伤及心脏。而且历节病是筋骨间的疾病，本来不涉及心脏，仍然怀疑“心”字有讹误。有人说：“心主血脉，伤心犹言伤血脉”，这也属于臆测之说。
又按：关于历节和黄汗的鉴别，尤氏的说法确切。徐氏说：“黄汗重在肿胀，历节重在疼痛”，这也是对的。（徐氏有更详细的说法，但不太确切。）现在再仔细审察：黄汗出、肢节疼痛、发热，都是这两种病共有的症状。但是，历节的黄汗，特别出现在疼痛的部位（如文中说“历节黄汗出”）；黄汗的汗液，遍布周身（如文中说“汗沾衣，色正黄如柏汁”）。历节的肿胀多局限于下部（如文中说“脚肿如脱”、“独足肿大”）；黄汗的肿胀，遍及全身（如文中说“四肢头面肿”、“身肿”）。历节的疼痛，会游走遍历各个关节（其名称可考证）；黄汗的疼痛，一定不会游走（如文中说“骨节疼痛”、“腰髋弛痛”、“身疼重”）。况且胸中窒闷如痛，久不愈必致痈肿等证，这实为黄汗所独有，而历节则没有这种瘀郁的状态。只是近代未见黄汗病，也未见历节患者有黄汗出的情况。姑且从文义上来讨论罢了。
各种肢节疼痛，身体魁瘠羸瘦。（《脉经》作“魁瘰”，类聚本同，辑义本认为“魁”字讹误，赵原刻本作“魁”。）
按：“HT 羸”（此处原文可能有缺字或异体字，意指消瘦），恐怕以“魁瘰”为是。《尔雅》中有“遒”，树木魁瘰。注解说：“谓树木丛生，根枝节目，盘结磊落。”释文说：“郭璞音卢罪反，邢昺曰：魁瘰读若磊落。”据此，“魁瘰”即《尔雅》中的“魁瘰”，意为疼痛之处，盘结磊落的样子，正与病证相符合。“磊”也写作“礧”（见《玉篇》）。其意义可见一斑。（私下怀疑《尔雅》中的“魁瘰”或是“魁瘰”之讹，但前人未提及，附记于此等待有识之士指正。）另外，《玉篇》中“腫兒”二字，是“魁瘰”从肉旁的写法，更足以印证前面的说法。大概第二条也有“身体羸瘦”的描述，而“魁瘰”这个字后人习见较少，所以后人改作“羸”，而其本义就晦暗了。
又按：“肢节疼痛、身体魁瘰、脚肿如脱”这三个证候叠言，也如同麻黄汤中“身疼、腰痛、骨节疼痛”的例子。而且这里说“脚肿如脱”，下一条说“独足肿大”，说的是寒湿下注，下部特别浮肿。那些久治不愈的，往往变为鹤膝风，也是湿邪滞留所致。另外，“短气”与甘草附子汤证中的短气机理相同。
《本草玉石部》陈藏器《余云》记载：白师子，主治白虎病。向东的人称之为历骨风。（《政和本草》作江东人呼为历节风。）
按：赵氏说：“分两多而水量少，恐怕是分几次服用，而不是一剂服完。”《三因方》说：“每服四钱。”这种说法有理。因为这个方子九味药，总共三十一两，按当今秤计算约为十二钱五分八厘八毫，水七升，按当今量计算约为七合七勺，那么应当从《防风汤》的用法改正过来才顺当。
乌头汤方（原本中“屈节”作“屈伸”，应当改正。）
按：此方比起桂枝芍药知母汤，药力更猛烈，治疗历节初起急剧的证候，功效不可言状。黄芪也能驱除湿邪，说法见于前文。
按：此方用于治疗香港脚（脚气病），如果是痿软日久者，或许能见效。但对于冲心之证，哪里是它适宜的呢？《活人书》称用汤药淋洗治疗香港脚，这是医学的大禁忌。而《景岳全书》详细论述了禁与不禁的区别，应当参考。
附方
古今录验续命汤（辑义本在外台风痱门记载西州续命汤云云，现在再考证《外台秘要》，这里的“西州”二字应当删去。“不识人”应当作“不知人”。）
按：此方即大青龙汤的变方，也就是尤氏所说的攻补兼施的方子。中风邪气本来轻微，只是因为血气衰弱非常严重，所以招致邪气侵犯。大体上表证被内证所掩盖，往往使人难以辨认。大概续命汤，发表补虚，是对待之方，实为治疗中风的正治之剂。推究其立方的宗旨，也足以阐明中风产生的原因。学者怎么能不深刻体会呢？如晋唐各家所增减的方子很多，这里不再繁复记载。
千金三黄汤（《千金方》中此方的分字，皆作“铢两”，大概是古式。且“六升”作“五升”，“三服”作“二服”，“腹”作“胀”，“枳实一枚”作“六铢”，“悸”上有“心”字，“附子”上有“八角”字。）
近效方术附汤（类聚本作术附子汤。）
按：前面已有头风摩散，后人仍附上此方，其实与本病（中风）无关。
按：前面已有矾石汤等，所以后人附上此方。大概此方对应的证候，是病邪淹留，痹着于少腹的情况，所以从缓治疗。更有少腹不仁，属于冲心之渐变的，实在不是此方所能对治的。
按：这也是用来治疗脚弱的，所以附在这里。
One Treatise, Three Pulse and Symptom Clauses (The third clause is suspected to be a textual error for the seventh), Twelve Prescriptions.
When wind pathogen causes disease, it should manifest as hemiplegia (half-body paralysis).
Note: Whenever the qi of any part of the body is blocked and results in numbness (bi syndrome), it is called Bi (Obstruction). Here, only the arm is mentioned, which is citing one corner to represent the whole.
The pulse at the cunkou (radial artery) is floating and tight.
Note: The *Treatise on Bi* states: "The skin does not receive nourishment, hence numbness." The secondary annotation explains: "Numbness means the skin is callous and unaware of touch." The secondary annotation of the *Treatise on the Termination of the Essential Meridians* states: "Numbness refers to the inability to perceive pain, itching, or sensation of good and evil."
Cheng Wuji's commentary on the *Method of Leveling Pulses* states: "Ren (benevolence/humaneness) implies softness. Bu Ren (not soft/numb) means losing that softness, being completely unaware of cold, heat, pain, or itching." He further states: "Bu Ren refers to stiffness and rigidity without sensation."
Cheng's interpretation is not precise. (It should be cross-referenced with the *Blood Bi Chapter*, *Su Wen Shi*, *Treatise on the Termination of the Essential Meridians*, and *Chapter on Blood, Qi, Form, and Will*.)
Furthermore, according to Xu Shi: "When pathogens enter the Fu organs, Fu pathogens must return to the Stomach, as the Stomach is the master of the six Fu organs. Thus, when wind enters the Stomach, Stomach heat becomes excessive, steaming body fluids and condensing them into phlegm-saliva. Qi becomes congested in the meridians and tunnels. Since the collateral branches of the Stomach connect to the Heart, once congestion occurs there, it blocks the orifices through which Shen (Spirit) enters and exits, leading to the inability to recognize people. (Above text quoted from Yu Jiayan's *Medical Laws of the Medical Gate*.) Observe folk practices mimicking Chen Tuo; pressing the Renying pulse points on the neck causes qi stagnation and reversal, leading to an inability to recognize people. Renying belongs to the Stomach meridian. Therefore, the cause of not recognizing people is indeed Stomach qi stagnation, is it not? This explanation may have some merit. Generally, symptoms of entering the Fu vs. entering the Zang organs seem to contradict each other in severity, but upon careful analysis, 'inability to recognize people' is a temporary confusion where one can wake up momentarily; this refers to the closed stage of stroke (Zhong Feng). Difficulty speaking and drooling indicate deep-seated pathology where the Heart Spirit is uncontained, making treatment difficult.
Hou Shi Hei San (Hou Shi Black Powder) (Yu Ben and Lei Ju editions read 'Neng', likely a typo for 'Zi Neng').
The pulse at the cunkou is slow and moderate.
Note: The phrases "Ying is moderate" and "Wei is moderate" employ a double-entendre grammatical structure. The first phrase is the predicate/object, and the second is the subject, contrasting Ying deficiency and Wei deficiency. The character 'moderate' (Huan) carries forward the previous meaning of 'deficient'. (In the *Taiyang Lower Compilation*, 'tight turning inward' uses 'tight' to refer to the pathogen, following the same linguistic example.) "Ying is moderate" means if the chi position pulse is moderate, Ying Qi is deficient. "Wei is moderate" means if the cunkou pulse is moderate, Wei Qi is deficient. Wei deficiency leads to wind-stroke. The clause regarding "Ying is moderate" originally has nothing to do with wind-stroke, yet commentators force an interpretation, which is erroneous.
Feng Yin Tang (Wind Pulling Decoction), used to clear heat and treat paralysis and epilepsy. (Mu Li / Oyster Shell is 3 liang in original texts, while other editions say 2 liang; correction is needed.)
Zhang Shi's *Elucidation of Qian Jin Fang* states: "Feng Yin refers to wind pathogen overflowing to the extremities, causing limb traction and convulsions."
Note: *Ben Cao Yan Yi* records this formula treating wind-heat convulsions and惊痫 (startle epilepsy). *You You Xin Shu* records it as "clearing heat and removing epilepsy" (The Ji Yi edition erroneously writes 'Tan' instead of 'Dian'). *Yi Lei Yuan Rong* records it as "clearing heat [of] epilepsy."
Furthermore, You Shi considers this a potent formula, but its ingredients are merely Da Huang (Rhubarb Root and Rhizome) and Shi Gao (Gypsum Fibrosum), and the dosage is only three finger-pinches, so there is no need for concern. "Three finger-pinches" equals slightly more than a square-inch scoop. *Su Wen Shi* under the *Chapter on Disease Capacities* cites Tao's Preface to verify this.
*Qian Jin Fang* treats pediatric high fever, thirst with drinking, and dysentery using the Long Gu Tang (Dragon Bone Decoction). Based on the above formula, remove Gan Jiang (Dried Ginger), Mu Li (Oyster Shell), Hua Shi (Talcum), Bai Shi Zhi (Halloysitum Album), and Zi Shi Ying (Purple Quartz); add Gua Lou Gen (Trichosanthes Root) (each 2 liang). Process by sifting. Boil 2 he of the powder in 5 he of wine and 5 he of water until two boils occur, strain, and administer according to the child's age and size. (Note: The quantity '2 he' is suspected to be erroneous and requires review.)
Fang Ji Di Huang Tang (Stephania Root and Rehmannia Root Decoction) (Gan Cao / Licorice Root is 1 fen; Zhao edition says 2 qian; Lei Ju says 2 fen.)
Note: According to *Qian Jin Fang · Wind Dizziness Section*, this is a prescription by Xu Sibai.
The pulse at the cunkou is deep and weak. Deep indicates bone pathology; weak indicates sinew pathology.
Note: This clause omits mentioning pain, likely due to elliptical writing. If interpreted by commentators as "Water injuring the Heart," relying on "Heart governs sweat," it is questionable because sweating then entering water may not immediately injure the Heart. Moreover, Li Jie (Joint Bi) is a disease of sinews and bones, not involving the Heart directly. There remains suspicion that the character "Heart" is an error. Some argue: "Heart governs blood vessels; injuring the Heart is akin to injuring blood vessels," but this is also speculative.
Furthermore, regarding the differentiation between Li Jie and Huang Han (Yellow Sweat), You Shi's view is accurate. Xu Shi stated: "Huang Han focuses on swelling, Li Jie focuses on pain," which is also correct (though Xu's detailed explanation was less precise). Upon closer examination: Yellow sweat, joint pain, and fever are common to both diseases. However, in Li Jie, yellow sweat appears specifically at painful sites ("Li Jie yellow sweat"). In Huang Han, sweat covers the entire body ("Sweat stains clothes, color yellow like cypress juice"). Swelling in Li Jie is mostly limited to the lower body ("Feet swollen as if detached," "Only one foot enlarged"). Swelling in Huang Han affects the whole body ("Swelling of limbs, head, and face," "Body swelling"). Pain in Li Jie migrates through various joints (as the name suggests). Pain in Huang Han does not migrate (e.g., "Bone joint pain," "Lumbar and hip flaccid pain," "Body ache and heaviness"). Furthermore, chest oppression feeling like pain, which persists and leads to abscesses, is unique to Huang Han, whereas Li Jie lacks this stagnant郁 state. However, since Huang Han disease is rarely seen nowadays, nor is Li Jie presenting with yellow sweat, we discuss this based on textual semantics alone.
Pain in all limb joints, body emaciated and frail. (*Mai Jing* reads "Kui Luo"; Lei Ju agrees. Ji Yi edition suspects "Kui" is an error. Zhao original print reads "Kui".)
Note: The term "HT Lei" (likely referring to emaciation/frailty) is likely "Kui Luo." *Erya* mentions "Qiu," describing trees as "Kui Luo." Annotation: "Refers to trees growing densely, with knotted roots, branches, and nodes, tangled and rugged." Exegesis: "Guo Pu pronounces Lu Zui Fan; Xing Bing says: Kui Luo reads like Lei Luo." Thus, "Kui Luo" refers to the *Erya*'s description, meaning painful areas are knotted and rugged, matching the pathology. "Lei" is also written as "Lei" (see *Yu Pian*). The meaning is clear. (I suspect "Kui Luo" in *Erya* might be a corruption of "Kui Luo," but predecessors did not mention this; I record it here awaiting experts.) Additionally, the character "Zhong Er" in *Yu Pian* is the flesh-radical variant of "Kui Luo," further supporting the previous argument. Perhaps because the second clause also mentions "body emaciated and thin," and "Kui Luo" is unfamiliar to later generations, they changed it to "Lei," obscuring the original meaning.
Furthermore: "Limb joint pain, body Kui Luo, feet swollen as if detached" are three symptoms listed together, similar to the example in Ma Huang Tang listing "body ache, waist pain, bone joint pain." Also, "feet swollen as if detached" and the next clause "only one foot enlarged" describe cold-dampness sinking downward, causing specific edema in the lower body. Chronic cases often develop into Crane Knee Wind (genu varum/valgum with wasting), caused by dampness stagnation. Additionally, "shortness of breath" shares the same mechanism as the shortness of breath in the Gan Cao Fu Zi Tang syndrome.
Chen Cangqi's *Additional Remarks* in the *Mineral Section of Materia Medica* records: "White Lion treats White Tiger disease. People in the east call it Li Gu Feng (Bone Tripping Wind)." (*Zheng He Ben Cao* reads: "People in Jiangdong call it Li Jie Feng.")
Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction)
Note: Zhao Shi said: "The dosage is large relative to the water volume, suggesting it is divided into multiple doses rather than taken as one decoction." *San Yin Fang* states: "Take 4 qian per dose." This reasoning is sound. This formula contains nine herbs totaling 31 liang. Converting to modern weights, this is approx. 12.58 qian. Water is 7 sheng, approx. 7.7 chi. Thus, it should be corrected to follow the usage of *Fang Feng Tang*.
Wu Tou Tang (Aconite Decoction) (Original text has "Qu Jie" [flex joints], should be corrected to "Qu Shen" [flex and extend].)
Note: Compared to Gui Zhi Shao Yao Zhi Mu Tang, this formula is more potent, treating acute initial stages of Li Jie, with effects beyond words. Huang Qi (Astragalus Root) also expels dampness, as explained previously.
Fan Shi Tang (Alum Stone Decoction)
Note: This formula can be effective for Hong Kong Foot (Beriberi/Foot Qi) if the condition involves chronic flaccidity. However, for symptoms of pathogen rushing to the heart, it is contraindicated. *Huo Ren Shu* claims washing with decoctions treats Foot Qi, which is a major medical taboo. *Jing Yue Quan Shu* details the distinctions between prohibited and permissible uses; reference is advised.
Attached Formulas
Gu Jin Lu Yan Xu Ming Tang (Ancient and Modern Verified Continuation of Life Decoction) (Ji Yi edition cites *Wai Tai Mi Yao* Wind-Stroke Flaccidity Section recording Xi Zhou Xu Ming Tang. Re-examining *Wai Tai*, the characters "Xi Zhou" should be deleted. "Bu Shi Ren" [not recognize people] should be "Bu Zhi Ren" [not know people].)
Note: This formula is a variation of Da Qing Long Tang (Major Green Dragon Decoction), which You Shi describes as combining attack and tonification. The wind pathogen in wind-stroke is initially mild, but severe deficiency of blood and qi allows the pathogen to invade. Generally, exterior symptoms are masked by interior syndromes, making diagnosis difficult. Xu Ming Tang releases the exterior and tonifies deficiency, serving as a standard treatment for wind-stroke. Analyzing its formulation principles clarifies the etiology of wind-stroke. Scholars must ponder this deeply. Many modifications by Jin and Tang physicians exist, but are not listed here for brevity.
Qian Jin San Huang Tang (Thousand Gold Three Yellows Decoction) (In *Qian Jin Fang*, the unit characters in this formula are all written as 'Zhu' [ancient weight unit], reflecting ancient style. Also, '6 sheng' is written as '5 sheng', '3 doses' as '2 doses', 'Fu' [abdomen] as 'Zhang' [distension], 'Zhi Shi 1 piece' as '6 Zhu', 'Ji' [palpitations] has the character 'Xin' [heart] above it, and 'Fu Zi' [aconite] has the character 'Ba Jiao' [eight-cornered] above it.)
Jin Xiao Fang Zhu Fu Tang (Near-Efficacy Atractylodes and Aconite Decoction) (Lei Ju edition reads Zhu Fu Zi Tang.)
Note: Previously, Tou Feng Mo San [Head Wind Massage Powder] was listed. Later editors attached this formula, but it is unrelated to wind-stroke.
Cui Shi Ba Wei Wan (Cui's Eight-Ingredient Pill)
Note: Following Fan Shi Tang etc., later editors attached this formula. This formula addresses conditions where pathogens linger and obstruct the lower abdomen, thus requiring slow treatment. However, for numbness in the lower abdomen indicating impending heart-rushing pathology, this formula is not indicated.
Qian Jin Fang Yue Bi Jia Zhu Tang (Thousand Gold Formula: Minor Green Dragon plus Atractylodes Macrocephala Decoction) (Sheng Jiang / Fresh Ginger is 2 liang; should be corrected to 3 liang per other editions.)
Note: This is also attached because it treats leg weakness.