治中风口 不正方。
取空青如枣者,着口中含咽之,即愈。(《医心方》卷三)
治卒不得语方。
煮大豆取汁,稍含咽之。(《医心方》卷三)
又方
取桂一尺,水三升,煮取一升,顿服之。(《医心方》卷三)
治卒暴风,口面僻,半身不随不转,竹沥汤方。
竹沥(三升) 防风 防己 升麻 桂心 芎 羚羊角(屑 各二两) 麻黄(四
两去节)
上八味,切,以水四升,合竹沥,煮取二升半,分为三服,三日服一剂,常用。忌生葱。
(《
西州续命汤,治中风痱,身体不自收,口不能语,冒昧不识人,不知痛处,但拘急,中
外
麻黄(六两,去节) 石膏(四两,碎,绵裹) 桂心 当归 甘草(炙 各二两)
芎 干姜 黄芩(各一两) 杏仁(四十枚去皮尖两仁)
上九味,切,以水一斗九升,先煮麻黄再沸,吹去沫,后下诸药,煮取四升,初服一升,
稍能自觉者,勿熟眠也,可卧浓覆,小小汗出已,渐渐减衣,勿复大覆,不可复服,瘥。
前服不汗者,更服一升,汗出即愈。汗后稍稍五合一服,饮食如常,唯忌生葱、海藻、菘
菜。(
治与前大续命汤同,兼治产妇大去血者,及老人小儿方。
甘草(炙) 桂心 当归 人参 石膏(碎,绵裹) 干姜(各二两) 麻黄(三两,
去节) 芎 (一两) 杏仁(四十枚,去皮尖两仁)
上九味, 咀,以水一斗,煮取四升,服一升。当小汗,薄覆脊,凭几坐,汗出则愈。
不更服,无所禁,勿当风。并治但伏不得卧,咳逆上气,面目洪肿。忌海藻、菘菜、生葱。
范汪方主病及用水升数煮取多少并同。汪云∶是仲景方,本欠两味。(《外台》卷十四)
小黄 洒,大治风虚痰 ,四肢偏枯,两脚弱,手不能上头,或小腹缩痛,胁下挛急,
心下有伏水,胁下有积饮,夜喜梦,悲愁不乐,恍惚善忘,此由风虚,五脏受邪所致。或久
坐腰痛,耳聋卒起,眼眩头重,或举体流肿疼痹,饮食恶冷,涩涩恶寒,胸中痰满,心下寒
疝,药皆主之。及妇人产后余疾,风虚积冷不除者方。
黄 附子 蜀椒 防风 牛膝 细辛 桂心 独活 白术 芎 甘草 薯蓣(各三
两)秦艽 大黄 葛根 干姜 山茱萸(各二两) 当归(二两半)
上十八味, 咀,少壮人无所熬炼,虚老人微熬之,以绢袋中盛,清酒二斗渍之,春夏
五日,秋冬七日,可先食服一合,不知可至四、五合,日三服,此药攻痹甚佳,亦不令人
吐闷,小热宜冷冻饮料食也。大虚加苁蓉二两;下痢加女葳三两;多志加石斛、菖蒲、紫石各二
两;心下多水者,加茯苓、人参各二两,薯蓣三两。酒尽可更以酒二斗重渍滓,服之不尔,
可曝滓捣,下酒服方寸匕,不知稍增之,服一剂得力,令人耐寒冷,补虚,治诸风冷神良。
(《千金方》卷七)
风癫论曰∶风癫病发则仆地,吐涎沫无知,若强掠如狂及遗粪者难治,无方。(《外台》
卷
治风热心躁,口干狂言,浑身壮热,及中诸毒,龙脑甘露丸。
寒水石半斤,烧半日,净地坑内盆合,四面湿土拥起,候经宿取出,入甘草末,天竺黄
各
治疗中风导致口眼歪斜的方剂。
取像枣子大小的空青,放在口中含化并咽下,病即可痊愈。(出自《医心方》卷三)
治疗突然失语的方剂。
煮大豆取汁液,慢慢含在口中并咽下。(出自《医心方》卷三)
又一方
取桂一尺长,加水三升,煮取一升药液,一次性服下。(出自《医心方》卷三)
治疗突发中风,口眼歪斜,半身不遂无法转动,竹沥汤方。
竹沥(三升) 防风 防己 升麻 桂心 川芎 羚羊角(锉屑,各二两) 麻黄(四两,去节)
以上八味药,切碎,加入水四升和竹沥,煮取二升半药液,分三次服用,三天服完一剂,作为常规用法。忌食生葱。
西州续命汤,治疗中风痱证,身体不能自主控制,口不能说话,神志昏迷不认识人,不知疼痛部位,只是拘急痉挛,内外……
麻黄(六两,去节) 石膏(四两,捣碎,用绵布包裹) 桂心 当归 甘草(炙,各二两)
川芎 干姜 黄芩(各一两) 杏仁(四十枚,去皮尖,双仁者)
以上九味药,切碎,用水一斗九升,先煮麻黄,待再次沸腾时,撇去浮沫,然后放入其他药物,煮取四升药液。初次服用一升,如果稍能清醒自觉,不要熟睡,可以盖上厚被子,微微出汗后,逐渐减少衣物,不要再盖得太厚,不可再服药,病就好了。
之前服药未出汗的,再服一升,出汗即愈。出汗后稍微将五份合为一份服用,饮食如常,只忌食生葱、海藻、菘菜。
此方与前文的大续命汤相同,兼治产妇大量失血者,以及老人小儿适用的方剂。
甘草(炙) 桂心 当归 人参 石膏(捣碎,用绵布包裹) 干姜(各二两) 麻黄(三两,去节)
川芎(一两) 杏仁(四十枚,去皮尖,双仁者)
以上九味药,切碎,用水一斗,煮取四升,服用一升。应当微微出汗,薄盖脊背,靠着几案坐立,汗出则病愈。
不再服药,没有禁忌,但不要受风。同时治疗只能俯卧不能仰卧,咳嗽气逆,面目浮肿的症状。忌食海藻、菘菜、生葱。
范汪方的主治病症及用水量、煎煮取量均与此相同。范汪说:这是张仲景的方子,原本缺少两味药。(出自《外台秘要》卷十四)
小黄散酒剂,主要治疗风虚痰证,四肢偏枯,两脚无力,手不能举过头顶,或小腹收缩疼痛,胁下拘挛紧急,心下有停聚的水饮,胁下有积饮,夜间多梦,悲伤忧愁不快乐,恍惚健忘,这是由于风虚,五脏受邪所致。或者久坐腰痛,耳聋突然发作,眼花头晕头重,或者全身浮肿疼痛痹阻,饮食厌恶寒冷,瑟瑟怕冷,胸中痰满,心下寒疝,此药都能主治。以及妇人产后余疾,风虚积冷久治不愈的方剂。
黄芪 附子 蜀椒 防风 牛膝 细辛 桂心 独活 白术 川芎 甘草 薯蓣(各三两) 秦艽 大黄 葛根 干姜 山茱萸(各二两) 当归(二两半)
以上十八味药,切碎,年轻力壮的人不需要熬炼,体虚的老人轻微熬炼一下,装在绢袋中,用清酒二斗浸泡,春夏五天,秋冬七天。可以在饭前服用一合,如果不觉得有效,可以增加到四、五合,每天服用三次。此药治疗痹症效果很好,也不会让人呕吐胸闷,微热时宜冷饮。大虚者加肉苁蓉二两;腹泻加玉竹三两;多梦惊悸加石斛、石菖蒲、紫石英各二两;心下水多者,加茯苓、人参各二两,薯蓣三两。酒喝完后可再用酒二斗重新浸泡药渣,服用它,否则,可以将药渣晒干捣碎,加酒送服一方寸匕,如果不适应可稍增加剂量,服用一剂见效,使人耐寒,补虚,治疗各种风冷症非常灵验。
(出自《备急千金要方》卷七)
风癫论说:风癫病发作时仆倒在地,吐涎沫无知觉,如果强行拉扯像发狂一样以及遗屎尿的难治,无方。(出自《外台秘要》卷……)
治疗风热心躁,口干狂言,浑身高热,以及中各种毒邪,龙脑甘露丸。
寒水石半斤,烧半天,在干净的地上挖坑,用盆扣住,四面用湿土堆起,等到过夜取出,加入甘草末、天竺黄各……
Treatment for facial paralysis due to wind-stroke.
Take Kongqing (Azurite) the size of a jujube, hold it in the mouth to dissolve and swallow; the disease will be cured immediately. (From *Yi Xin Fang*, Vol. 3)
Treatment for sudden aphasia.
Boil soybeans to extract the juice, hold it in the mouth slightly and swallow. (From *Yi Xin Fang*, Vol. 3)
Another prescription
Take one chi length of Guixin (Cinnamon Twig), add three sheng of water, boil to obtain one sheng of decoction, and take it all at once. (From *Yi Xin Fang*, Vol. 3)
Treatment for sudden wind-stroke with facial deviation, hemiplegia and immobility, Zhuli Tang (Bamboo Juice Decoction).
Zhuli (Bamboo Juice) (three sheng) Fangfeng (Saposhnikovia Root) Fangji (Stephania Root) Shengma (Cimicifuga Rhizome) Guixin (Cinnamon Twig) Xiong (Ligusticum Chuanxiong Rhizome) Lingyangjiao (Antelope Horn) (cut into pieces, two liang each) Mahuang (Ephedra Stem) (four liang, remove joints)
The above eight herbs are cut, combined with four sheng of water and bamboo juice, boiled to obtain two and a half sheng of liquid. Divide into three doses; take one dose over three days as a routine regimen. Avoid raw green onions.
Xizhou Xuming Tang (West Prefecture Life-Prolonging Decoction), treating wind-stroke fei syndrome where the body cannot control itself, inability to speak, confusion and failure to recognize people, unawareness of pain locations, only experiencing spasms and stiffness...
Mahuang (Ephedra Stem) (six liang, remove joints) Shigao (Gypsum Fibrosum) (four liang, crushed, wrapped in cotton cloth) Guixin (Cinnamon Twig) Danggui (Angelica Sinensis Radix) Gancao (Licorice Root) (stir-baked, two liang each)
Xiong (Ligusticum Chuanxiong Rhizome) Ganjiang (Dried Ginger) Huangqin (Scutellaria Root) (one liang each) Xingren (Apricot Seed) (forty seeds, remove skin and sharp ends, use those with two kernels)
The above nine herbs are cut. Add nine dou nine sheng of water. First boil Mahuang until boiling again, skim off the foam, then add the remaining herbs. Boil to obtain four sheng. Take one sheng initially. If the patient regains some consciousness, do not sleep deeply; cover thickly to induce slight sweating, then gradually reduce clothing. Do not cover too heavily afterwards. Do not take more medicine; the disease is considered cured if symptoms resolve.
If previous administration did not induce sweating, administer another one sheng; recovery occurs upon sweating. After sweating, dilute the dosage by combining five parts into one. Diet remains normal. Avoid raw green onions, seaweed, and Songcai (Chinese cabbage).
This formula is identical to the previously mentioned Da Xuming Tang, also suitable for postpartum women who have lost significant blood, as well as for the elderly and children.
Gancao (Licorice Root) (stir-baked) Guixin (Cinnamon Twig) Danggui (Angelica Sinensis Radix) Renshen (Ginseng Radix) Shigao (Gypsum Fibrosum) (crushed, wrapped in cotton) Ganjiang (Dried Ginger) (two liang each) Mahuang (Ephedra Stem) (three liang, remove joints)
Xiong (Ligusticum Chuanxiong Rhizome) (one liang) Xingren (Apricot Seed) (forty seeds, remove skin and sharp ends, use those with two kernels)
The above nine herbs are cut. Add one dou of water, boil to obtain four sheng. Take one sheng. The goal is slight sweating. Cover the back lightly, sit leaning against a table. Recovery occurs when sweat appears.
Do not take further doses. No dietary restrictions, but avoid exposure to wind. Also treats conditions where one can only lie prone and cannot lie supine, coughing with rebellious qi, and edema of the face and eyes. Avoid seaweed, Songcai (Chinese cabbage), and raw green onions.
Fan Wang's prescription covers the same indications, water volume, and yield. Fan Wang stated: This is a formula from Zhang Zhongjing, originally lacking two ingredients. (From *Waitai Miyao*, Vol. 14)
Xiao Huang San Jiu (Minor Yellow Powder Wine), primarily treating wind-deficiency phlegm syndromes, hemiplegia of limbs, weakness in both legs, inability to raise hands above the head, or contraction and pain in the lower abdomen, cramping under the ribs, accumulation of fluid in the epigastrium, fluid retention under the ribs, frequent dreams at night, sadness and depression, mental fogginess and forgetfulness. These are caused by wind-deficiency and pathogenic invasion of the five zang organs. It also treats chronic lower back pain from prolonged sitting, sudden deafness, dizziness and heavy head, generalized edema and painful bi syndrome, aversion to cold food, chills, fullness of phlegm in the chest, cold hernia in the epigastrium. This medicine addresses all these conditions. It is also a prescription for postpartum residual diseases in women, where wind-deficiency and accumulated cold persist.
Huangqi (Astragalus Root) Fuzi (Aconite Lateralis Radix Praeparata) Shujiao (Sichuan Pepper) Fangfeng (Saposhnikovia Root) Niuxi (Achyranthes Root) Xixin (Asarum Root) Guixin (Cinnamon Twig) Duhuo (Angelica Pubescens Radix) Baizhu (Atractylodes Macrocephala Rhizome) Xiong (Ligusticum Chuanxiong Rhizome) Gancao (Licorice Root) Shuyu (Dioscorea Rhizome) (three liang each) Qinjiao (Gentiana Macrophylla Radix) Dahuang (Rhubarb Root and Rhizome) Gegen (Pueraria Lobata Root) Ganjiang (Dried Ginger) Shanzhuyu (Cornus Fruit) (two liang each) Danggui (Angelica Sinensis Radix) (two and a half liang)
The above eighteen herbs are cut. Young and strong individuals need no processing; the frail elderly should process them slightly. Place in a silk bag and soak in two dou of clear wine. Soak for five days in spring/summer, seven days in autumn/winter. Take one ge before meals. If ineffective, increase to four or five ge, three times daily. This medicine is excellent for treating bi syndrome and does not cause vomiting or stifling sensation. If there is slight heat, it should be taken cold. For severe deficiency, add Congrong (Cistanche Deserticola) two liang; for dysentery, add Yuwang (Polygonatum Odoratum Rhizoma) three liang; for excessive dreaming, add Shihu (Dendrobium Stem), Changpu (Acorus Tatarinowii Rhizome), and Zhisshi (Pyritum) two liang each; for excess fluid in the epigastrium, add Fuling (Poria) and Renshen (Ginseng Radix) two liang each, and Shuyu three liang. When the wine is consumed, soak the dregs again in two dou of wine. Alternatively, dry the dregs, crush them, and take one cunbi with wine, increasing the dose if necessary. One course of treatment is effective, enhancing cold tolerance, tonifying deficiency, and treating various wind-cold conditions with divine efficacy.
(From *Beiji Qianjin Yaofang*, Vol. 7)
Lun Fengdian states: In Fengdian (wind-epilepsy) attacks, the patient falls to the ground, foams at the mouth, and loses consciousness. If forced restraint resembles mania or incontinence of feces/urine occurs, it is difficult to treat; no prescription is provided. (From *Waitai Miyao*, Vol...)
Longnaogan Lu Wan (Dragon Brain Sweet Dew Pill) for treating wind-heat causing restlessness, dry mouth, delirious speech, high fever throughout the body, and poisoning from various toxins.
Hanshuishi (Halloysitum Rubrum) half jin, roasted for half a day, placed in a pit on clean ground, covered with a basin, surrounded by wet soil. Wait until overnight, then remove. Add Gancao powder (Licorice Root) and Tianzhuhuang (Calamus Tectorum Resina) [amounts unspecified]...