大气，不息之真气也。不转则息矣。故不特气厥类中，即真中风邪，亦以转气为先。经
云∶大气一转，邪气乃散。此之谓也。
八味顺气散（严氏） 凡患中风者，先服此顺养真气，次进治风药。
人参 白术 茯苓 陈皮 青皮 台州 乌药 香白芷（各一两） 甘草（
上 咀，每服三钱，水一盏，煎七分，温服。
匀气散（《良方》） 即顺风匀气散。
白术 乌药 人参 天麻（各一钱） 沉香 青皮 白芷 木瓜 紫苏
上锉作一帖，姜三片，水煎服。
或因风而动痰，或因痰而致风，或邪风多附顽痰，或痰病有如风病。是以掉摇眩晕、倒
仆昏
涤痰汤 治中风痰迷心窍，舌强不能言。
南星（制） 半夏（泡七次） 枳实（麸炒） 茯苓（各二钱） 橘红（一钱半） 石菖蒲
人参（各一钱） 竹茹（七分）
水一盅半，生姜五片，煎八分，食后服。
清心散 治风痰不开。
薄荷 青黛 硼砂（各二钱） 牛黄 冰片（各三分）
上为细末，先以蜜水洗舌，后以姜汁擦舌，将药末蜜水调稀，搽舌本上。
内风之气，多从热化，昔人所谓风从火出者是也。是证不可治风。惟宜治热。《内经》
云∶风淫于内，治以甘凉。《外台》云∶中风多从热
起。宜先服竹沥汤。河间云∶热盛而生风。或热微风甚，即兼治风也。或风微热甚，但治其
热，即风亦自消也。
竹沥汤 治热风，心中烦闷，言语蹇涩。
竹沥 荆沥（各五合） 生姜汁（三合）
上三味相和，温服三合，以酒调服良。一方∶竹沥、荆沥、梨汁各二合，陈酱汁半合，
相合，微煎一二沸，滤清，细细灌入口中。治中风不语，昏沉不识人。一方∶竹沥五合，人乳汁
二合，三年陈酱汁半合，三味相和，分三服。治热风，舌强不得语，心神烦闷。一方∶竹沥
二升，生葛汁一升，生姜汁三合，三味相和，温分三服，日夜各一服。
地黄煎（《千金》） 治热风，心烦闷，及脾胃间热，不下食。
生地汁 枸杞根汁（各二升） 生姜汁（一升） 酥（三升） 荆沥 竹沥（各五升）
栀子仁 大黄（各四两） 茯苓（六两） 天冬 人参（各八两）
上先煎地黄等汁成膏，余五物为散，内搅调，每服一匕，日再，渐加至三匕，觉利减之
。
大气，即运行不息的真气。如果气机不运转，气息就会停滞。因此，不仅气厥类中风证，即使是真正的外感风邪，也应以调理气机为首要任务。《内经》说：“大气一转，邪气乃散。”说的就是这个道理。
八味顺气散（出自严氏）：凡是患中风的人，先服用此方以顺养真气，然后再进用治疗风邪的药物。
人参、白术、茯苓、陈皮、青皮、台州乌药、香白芷（各一两）、甘草（未注明剂量，依惯例通常为等量或适量）。
上药切碎，每次服用三钱，加水一盏，煎至七分，温服。
匀气散（出自《良方》）：即顺风匀气散。
白术、乌药、人参、天麻（各一钱）、沉香、青皮、白芷、木瓜、紫苏。
上药锉碎为一帖，加生姜三片，水煎服。
有时因风邪引动痰浊，有时因痰浊导致风象，或者外邪风多依附于顽固的痰浊，或者痰病的表现类似于风病。因此出现肢体抖动摇晃、眩晕、突然跌倒昏迷等症状时……
涤痰汤：治疗中风痰迷心窍，舌体僵硬不能言语。
南星（制）、半夏（泡七次）、枳实（麸炒）、茯苓（各二钱）、橘红（一钱半）、石菖蒲、人参（各一钱）、竹茹（七分）。
加水一盅半，生姜五片，煎至八分，饭后服用。
清心散：治疗风痰闭阻不开。
薄荷、青黛、硼砂（各二钱）、牛黄、冰片（各三分）。
上药研为细末，先用蜜水清洗舌头，然后用姜汁擦拭舌头，将药末用蜜水调稀，涂抹在舌根部位。
内风之气，多从热化，就是古人所说的“风从火出”的情况。这种证候不可单纯治风，只宜清热。《内经》说：“风淫于内，治以甘凉。”《外台秘要》说：“中风多从热起。”适宜先服用竹沥汤。刘河间说：“热盛而生风。”如果热轻风重，就兼治风；如果风轻热重，只治其热，风也会自然消除。
竹沥汤：治疗热风，心中烦闷，言语蹇涩不利。
竹沥、荆沥（各五合）、生姜汁（三合）。
以上三味混合，温服三合，用酒调服效果更佳。另一方案：竹沥、荆沥、梨汁各二合，陈酱汁半合，混合后微煎一二沸，滤去渣滓，细细灌入口中。治疗中风不语，昏沉不识人。又一方案：竹沥五合，人乳汁二合，三年陈酱汁半合，三味混合，分三次服用。治疗热风，舌强不能言语，心神烦闷。又一方案：竹沥二升，生葛汁一升，生姜汁三合，三味混合，分三次温服，日夜各一次。
地黄煎（出自《千金方》）：治疗热风，心烦闷，以及脾胃间有热，食欲不振。
生地汁、枸杞根汁（各二升）、生姜汁（一升）、酥（三升）、荆沥、竹沥（各五升）、栀子仁、大黄（各四两）、茯苓（六两）、天冬、人参（各八两）。
先将地黄等汁液煎成膏状，其余五味药研为散剂，加入膏中搅拌调和，每次服用一匕，每日两次，逐渐增加至三匕，若感觉腹泻则减量。
The Great Qi (Daqi) is the true qi that moves without ceasing. If it does not circulate, respiration stagnates. Therefore, in cases of Qi Jue (Qi Syncope) resembling stroke, as well as in genuine wind-stroke caused by external pathogenic factors, regulating qi must be the primary priority. The Classics state: "When the Great Qi turns, the pathogenic factor dissipates." This refers to this principle.
Ba Wei Shun Qi San (Eight-Ingredient Powder to Smooth Qi, from Yan Shi): For patients suffering from wind-stroke, administer this formula first to smooth and nourish the true qi, followed by medications treating wind.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Tai Zhou Wu Yao (Linderae Radix), Xiang Bai Zhi (Angelicae Dahuricae Radix) (each 1 liang), Gan Cao (Licorice Root).
Crush the herbs. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 zhan remains, and take warm.
Yun Qi San (Powder to Harmonize Qi, from *Liang Fang*): Also known as Shun Feng Yun Qi San.
Bai Zhu, Wu Yao, Ren Shen, Tian Ma (Gastrodiae Rhizoma) (each 1 qian), Chen Xiang (Aquilariae Lignum Resinatum), Qing Pi, Bai Zhi, Mu Gua (Chaenomelis Fructus), Zi Su (Perillae Folium).
Crush into one packet. Add 3 slices of fresh ginger, decoct with water, and take orally.
Sometimes, wind activates phlegm; sometimes, phlegm generates wind-like symptoms. External wind often adheres to stubborn phlegm, or phlegm diseases may present similarly to wind diseases. Consequently, symptoms such as tremors, dizziness, sudden collapse, and coma occur...
Di Tan Tang (Phlegm-Clearing Decoction): Treats wind-stroke where phlegm confounds the heart orifices, resulting in a stiff tongue and inability to speak.
Nan Xing (Arisaematis Rhizoma Preparatum), Ban Xia (Pinelliae Rhizoma Preparatum, soaked seven times), Zhi Shi (Aurantii Fructus Immaturus Preparatum, stir-fried with bran), Fu Ling (each 2 qian), Ju Hong (Citri Reticulatae Pericarpium, 1.5 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (each 1 qian), Zhu Ru (Bambusae Caulis in Taeniam, 0.7 qian).
Add 1.5 zhong of water and 5 slices of fresh ginger. Decoct until 0.8 zhong remains. Take after meals.
Qing Xin San (Heart-Clearing Powder): Treats obstruction due to wind-phlegm.
Bo He (Menthae Haplocalycis Herba), Qing Dai (Azuritum), Peng Sha (Borax) (each 2 qian), Niu Huang (Bovis Calculus), Bing Pian (Borneolum Syntheticum) (each 0.3 fen).
Grind into fine powder. First wash the tongue with honey water, then wipe the tongue with ginger juice. Dilute the powder with honey water and apply it to the root of the tongue.
Internal wind qi tends to transform into heat, which is what ancient physicians referred to as "wind arising from fire." Such conditions should not be treated merely for wind; instead, clearing heat is appropriate. The *Neijing* states: "For wind rampant within, treat with sweet and cool substances." The *Waitai Miyao* states: "Wind-stroke often originates from heat." It is advisable to first administer Zhu Li Tang (Bamboo Juice Decoction). Liu Hejian stated: "Excessive heat generates wind." If heat is mild but wind is severe, treat both wind and heat. If wind is mild but heat is severe, treat only the heat, and the wind will subside naturally.
Zhu Li Tang (Bamboo Juice Decoction): Treats wind-heat causing mental restlessness and slurred speech.
Zhu Li (Bambusae Sap), Jing Li (Phyllostachys Niruri Sap) (each 5 he), Sheng Jiang Zhi (Fresh Ginger Juice) (3 he).
Mix the three ingredients. Take 3 he warm. Taking it mixed with wine is beneficial. Another prescription: Zhu Li, Jing Li, and Li Zhi (Pear Juice) (each 2 he), combined with 0.5 he of aged soy sauce. Simmer slightly for one or two boils, filter, and drip slowly into the mouth. Treats wind-stroke with mutism, lethargy, and loss of recognition. Another prescription: Zhu Li (5 he), Ren Ru Zhi (Human Milk Juice) (2 he), and 0.5 he of three-year-aged soy sauce. Mix and divide into three doses. Treats wind-heat, stiff tongue preventing speech, and mental restlessness. Another prescription: Zhu Li (2 sheng), Sheng Ge Zhi (Puerariae Radix Juice) (1 sheng), Sheng Jiang Zhi (3 he). Mix and divide into three warm doses, taken once day and night.
Di Huang Jian (Rehmannia Paste, from *Qian Jin Fang*): Treats wind-heat causing mental restlessness, as well as heat in the spleen and stomach leading to anorexia.
Sheng Di Zhi (Rehmanniae Radix Juice), Gou Qi Gen Zhi (Lycii Radicis Cortex Juice) (each 2 sheng), Sheng Jiang Zhi (1 sheng), Su (Butyrum/Ghee) (3 sheng), Jing Li, Zhu Li (each 5 sheng), Zhi Zi Ren (Gardeniae Semen), Da Huang (Rhei Radix et Rhizoma) (each 4 liang), Fu Ling (6 liang), Tian Dong (Asparagi Radix), Ren Shen (each 8 liang).
First decoct the juices of Di Huang etc. into a paste. Grind the remaining five herbs into powder, mix into the paste. Take one bi per dose, twice daily. Gradually increase to three bi. Reduce dosage if diarrhea occurs.