心。〕白术 甘草〔木盛则土衰，用以扶其所不胜。〕丹皮 黑山栀〔用以泻火。各一钱。〕
此泻肝安脾之治法，当再加人参、橘红，以合异功散补脾，则食自如常矣。若肝经风热血燥等症，去
归、术，加滋阴之品，用桑枝煎药。
地黄饮子 治舌喑不能言，足痱不能行。
熟地 萸肉 五味〔壮水之主。〕巴戟天 肉苁蓉 附子 官桂〔益火之源。〕远志〔水
火并补。〕石菖蒲〔芳香能通利关窍。〕石斛〔强肾，疗脚膝痹弱。〕茯苓〔肾气厥
逆，痰如潮壅。苓则下行伐肾，降水泛之痰。况浊阴既上逆，下窍必不通。苓则引浊阴仍走下窍，亦因
桂、附雄入之势，驱浊阴而利以导之者也。〕麦冬〔等分。〕薄荷〔减半。阴火上炎，胸膈正燎
原之地，故以二味凉膈清心，又加梨汁、人乳、竹沥，亦热因寒用之法也。〕引用姜、枣，加
人乳、梨汁、竹沥。
此方补肾以益火之原。按经曰∶内夺而厥，则为喑痱，此肾虚也。内夺者，夺其精也，精夺则
气夺而厥。厥者逆也。气逆则乱，故声喑于上，体痱于下，元阳大亏，病本在肾。以肾脉上挟舌本，下
走足心也。果系肾中之火衰者，方可议用。然世之火衰成病者，千百难逢一、二，故喑痱之症，属肾
中之水虚者为多。当用六味加牛膝、杜仲、石斛、龟甲、人乳、梨汁、竹沥之属，大忌辛热。又经曰∶
痱之为病也，身无痛者，四肢不收，志乱不甚，言微可治，甚则不能言，不可治也。故知喑痱并见，原
为危险之症。
十全大补汤 治类中风，气血两虚，不能荣养筋骨，以致遍身疼痛。
人参 黄 白术 茯苓 甘草〔用四君子，加黄 以补气。〕熟地 当归 白芍 川芎〔
用四物汤以补血，四君、四物即八珍汤也。〕肉桂〔气虚者多挟寒，寒者热之，故用肉桂。且气药
得之可以益卫，血药得之可以调荣。〕加秦艽〔活络舒筋。〕续断〔通关利节。〕杜仲〔除腰膝之疼
痛，利遍体之机关。〕虎骨〔治肢体挛痛。〕鹿角胶〔疗肢体酸疼〕
此方治气血俱衰，阴阳并弱之症，诚足贵也。但世人患阴虚者多，类中，亦多由阴衰而致。方中肉桂
辛热，川芎辛香上窜，皆能伤阴。此方果属虚寒者，方可投之，否则忌用。若身体疼痛，属经脉不
和者，宜调气和血之品，治之自效。若病后肢体酸痛，宜多饮牛乳，补血益阴除热，功效甚捷。
凡大指次指麻木，或不用者，三年内有中风之患，须预防之。节饮食，戒七情，远房事，此至
要者也。如肾水虚者，六味、左归，真火衰者，八味、四圣之属。脾虚弱者，归脾、六君之属，才有裨
益，若用风药，适所以招风取中也。
中风之脉，迟浮者吉，坚大急疾者凶。
口开心绝，手撒脾绝，眼合肝绝，遗尿肾绝，声如鼾肺绝。〔五症不全见者，急用大剂独参汤，亦
有得生者。若用牛黄、苏合等丸，入口即毙〕。吐沫直视，肉脱筋痛，头发劲直，摇头上窜，面赤如
妆，汗出如珠，喘而不休，皆属不治。诸中或苏或未苏，忽吐红紫血者，后必不治。
心。〕白术、甘草〔木气过盛则导致土气衰弱，使用这两味药是为了扶持被克制的一方。〕丹皮、黑山栀〔用来清泻肝火。各用一钱。〕
这是泻肝安脾的治疗方法，应当再加入人参、橘红，以配合异功散来补益脾气，那么饮食消化就能恢复正常了。如果是肝经风热、血燥等症状，去掉当归、白术，加入滋阴的药物，用药引桑枝煎煮。
地黄饮子 治疗舌强不能言语，足废不能行走。
熟地、山茱萸、五味子〔壮水之主，以制阳光。〕巴戟天、肉苁蓉、附子、官桂〔益火之源，以消阴翳。〕远志〔水火并补。〕石菖蒲〔气味芳香，能通利心窍。〕石斛〔强健肾脏，治疗脚膝痹痛软弱。〕茯苓〔肾气厥逆时，痰液如潮水般壅盛。茯苓能下行伐肾，降下泛滥的痰湿。况且浊阴之气既然上逆，下窍必然不通。茯苓能引导浊阴之气仍从下窍排出，这也是借助桂、附雄烈入里的势头，驱除浊阴而加以疏导的方法。〕麦冬〔与上述药物等分。〕薄荷〔用量减半。阴火上炎，胸膈正是烈火燎原之地，所以用这两味药凉膈清心，另外加入梨汁、人乳、竹沥，也是热病用寒药的治疗方法。〕引用生姜、大枣，加入人乳、梨汁、竹沥。
这个方剂通过补肾来益火之源。按照经典记载：内部精气亏损而发生厥逆，就会表现为舌喑（失语）和足痱（瘫痪），这是肾虚所致。内夺，是指耗夺其精，精气耗夺则元气随之衰竭而发生厥逆。厥，就是逆乱的意思。气机逆乱则紊乱，所以上部声音嘶哑或失语，下部肢体痿废不用，根本原因在于元阳大亏，病本在肾。因为肾脉上行挟持舌根，下行走向足心。只有确实是肾中阳气衰微的情况，才可以考虑使用此方。然而世间因火衰成病的，千百人中难遇一二，所以喑痱之症，属于肾中阴精虚损的更多。应当使用六味地黄丸加牛膝、杜仲、石斛、龟甲、人乳、梨汁、竹沥之类的药物，严禁使用辛热之品。又经典记载：痱病的特点是身体没有疼痛感，四肢弛缓不收，神志尚清但有些混乱，如果言语微弱尚可治疗，严重到不能言语，就无法治疗了。因此知道喑痱同时出现，原本就是危险的病症。
十全大补汤 治疗类中风，气血两虚，不能荣养筋骨，以致全身疼痛。
人参、黄芪、白术、茯苓、甘草〔使用四君子汤，加上黄芪以补气。〕熟地、当归、白芍、川芎〔使用四物汤以补血，四君子和四物汤合起来就是八珍汤。〕肉桂〔气虚的人多夹杂寒气，寒者热之，所以使用肉桂。而且气药得到它可以益卫气，血药得到它可以调营血。〕加秦艽〔活血通络，舒筋活络。〕续断〔通关利节。〕杜仲〔消除腰膝疼痛，通畅全身关节。〕虎骨〔治疗肢体拘挛疼痛。〕鹿角胶〔治疗肢体酸痛。〕
这个方剂治疗气血俱衰、阴阳并弱的病症，确实值得珍视。但是世人患阴虚的多，类中风也多由阴衰所致。方中的肉桂辛热，川芎辛香上窜，都能损伤阴液。这个方剂如果确实属于虚寒证，才可以服用，否则禁止使用。如果身体疼痛，属于经脉不和的，适宜用调和气血的药物，治疗自然有效。如果病后肢体酸痛，适宜多喝牛奶，补血益阴除热，功效非常迅速。
凡是拇指、食指麻木，或者不能活动的，三年内会有中风的祸患，必须预防。节制饮食，戒除七情（喜、怒、忧、思、悲、恐、惊），远离房事，这是最重要的。如果是肾水虚的，用六味地黄丸、左归丸；真火衰的，用八味地黄丸、四圣散之类的。脾虚弱的，用归脾汤、六君子汤之类的，才有益处，如果使用祛风药，恰恰是招致风邪、引发中风的举动。
口开是心气绝，手撒（手掌松开无力）是脾气绝，眼合（眼睑闭合不睁）是肝气绝，遗尿是肾气绝，声如鼾睡是肺气绝。〔这五种症状不全见的，紧急使用大剂量独参汤，也有救活的。如果使用牛黄、苏合香丸等，入口即死。〕吐沫、直视、肌肉脱陷、筋脉疼痛、头发僵硬直立、摇头上窜、面色红润如化妆、汗出如珠、喘促不停，都属于不治之症。各种中风患者，无论苏醒与否，突然吐出紫红色血的，后来必定不治。
Heart.〕 Baizhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) [When Wood Qi is excessive, Earth Qi becomes deficient; these are used to support the element that is overcome.] Danpi (Moutan Cortex), Heishanzhi (Gardeniae Fructus nigrococtus) [Used to clear and drain fire. Each used in a dosage of one qian.]
This is a treatment method for draining Liver and calming Spleen. It should be further supplemented with Renshen (Ginseng Radix) and Juhong (Citri Reticulatae Pericarpium Rubrum) to combine with Yigong San (Yi Gong Powder) to tonify Spleen Qi, so that digestion will return to normal. If there are symptoms such as Wind-Heat and Blood Dryness in the Liver Meridian, remove Danggui (Angelicae Sinensis Radix) and Baizhu, add Yin-nourishing herbs, and use Sangzhi (Mori Ramulus) decoction as the vehicle.
Dihuang Yinzi (Rehmannia Decoction for the Kidney) Treats tongue aphasia (inability to speak due to tongue stiffness) and foot febi (paralysis/inability to walk).
Shudi (Rehmanniae Radix Praeparata), Yurou (Corni Fructus), Wuweizi (Schisandrae Fructus) [To strengthen the source of Water.] Bajitian (Morinda Officinalis Radix), Roucongrong (Cistanches Herba), Fuzi (Aconiti Lateralis Radix Praeparata), Guangui (Cinnamomi Cortex) [To benefit the source of Fire.] Yuanzhi (Polygalae Radix) [Tonifies both Water and Fire.] Shichangpu (Acori Tatarinowii Rhizoma) [Its aromatic nature can unblock and open the orifices.] Shihu (Dendrobii Caulis) [Strengthens the Kidney, treats bi-syndrome and weakness of the legs and knees.] Fuling (Poria) [When Kidney Qi rebels, phlegm accumulates like surging tides. Poria descends to subdue the Kidney and drain overflowing phlegm. Moreover, since turbid Yin has rebelled upward, the lower orifices must be blocked. Poria guides the turbid Yin back down through the lower orifices, also utilizing the penetrating momentum of Gui and Fu to drive out turbid Yin and guide it out.] Maidong (Ophiopogonis Radix) [Equal parts.] Bohe (Menthae Haplocalycis Herba) [Half dose. When Yin-Fire flares upward, the chest and diaphragm become a land of raging fire; thus, these two herbs cool the diaphragm and clear the Heart. Additionally, adding Lizhi (Pyri Fructus Juice), Renru (Human Milk), and Zhuli (Bambusae Caulis in Taenia Succus) follows the method of treating heat with cold.] The reference includes Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus), plus Renru, Lizhi, and Zhuli.
This formula tonifies the Kidney to benefit the source of Fire. According to the classics: "Internal depletion leading to Jue (reversal/collapse) results in Yin (aphasia) and Fei (paralysis); this is Kidney deficiency." Internal depletion refers to the loss of Essence. Loss of Essence leads to loss of Qi and subsequent Jue. Jue means rebellion/reversal. Qi rebellion causes chaos, hence aphasia above and paralysis below. The root cause is a great deficiency of Primordial Yang, located in the Kidney. This is because the Kidney meridian ascends to flank the base of the tongue and descends to the sole of the foot. Only when there is indeed a decline of Fire within the Kidney should this formula be considered. However, cases of disease caused by Fire deficiency in the world are rare, one or two in a thousand. Therefore, most cases of Yin and Fei belong to deficiency of Water (Yin/Essence) in the Kidney. One should use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Shihu, Guijia (Testudinis Carapax et Plastrum), Renru, Lizhi, and Zhuli. Harsh acrid-hot herbs are strictly contraindicated. Furthermore, the classics state: "The disease of Fei is characterized by no pain in the body, inability to control the four limbs, slight confusion of mind but not severe. If speech is faint, it is treatable; if speech is lost entirely, it is untreatable." Thus, knowing that Yin and Fei appearing together is originally a dangerous condition.
Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) Treats pseudo-stroke (Lei Zhongfeng), where Qi and Blood are both deficient, failing to nourish sinews and bones, resulting in generalized body pain.
Renshen, Huangqi (Astragali Radix), Baizhu, Fuling, Gancao [Using Sijunzi Tang (Four Gentlemen Decoction), adding Huangqi to tonify Qi.] Shudi, Danggui, Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma) [Using Siwu Tang (Four Substance Decoction) to tonify Blood. Sijunzi Tang combined with Siwu Tang constitutes Bazhen Tang (Eight Treasure Decoction).] Rougui (Cinnamomi Cortex) [Those with Qi deficiency often have accompanying Cold; Cold is treated with Heat, hence Rougui is used. Moreover, Qi-tonifying herbs gain Wei-Qi benefits from it, and Blood-tonifying herbs gain Ying-Blood regulation from it.] Add Qinjiao (Gentianae Macrophyllae Radix) [Activates collaterals and relaxes sinews.] Xuduan (Dipsaci Radix) [Opens passages and benefits joints.] Duzhong [Eliminates waist and knee pain, benefits whole-body joints.] Hubone (Pantheris Os) [Treats limb spasms and pain.] Lujiaojiao (Colla Cornus Cervi) [Treats limb soreness and pain.]
This formula treats conditions of dual deficiency of Qi and Blood, and dual weakness of Yin and Yang, which is indeed valuable. However, many people suffer from Yin deficiency, and pseudo-stroke is often caused by Yin decline. The Rougui in this formula is acrid and hot, and Chuanxiong is acrid, aromatic, and ascending; both can damage Yin. This formula should only be administered if the condition truly belongs to Deficiency-Cold; otherwise, it is contraindicated. If body pain is due to disharmony of meridians, using herbs to harmonize Qi and Blood will be effective. If limb soreness and pain occur after illness, drinking cow's milk is recommended to tonify Blood, benefit Yin, and clear heat, with rapid efficacy.
Whenever the thumb and index finger are numb or immobile, there is a risk of stroke within three years, and prevention is necessary. Regulate diet, restrain the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright), and avoid sexual activity; these are of utmost importance. For Kidney Water deficiency, use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) or Zuogui Wan (Left Restoring Pill); for True Fire deficiency, use Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) or Six-Saint Powder (Sisheng San). For Spleen deficiency, use Guipi Tang (Restore the Spleen Decoction) or Liujunzi Tang (Six-Gentlemen Decoction); these provide benefit. Using Wind-dispelling herbs would merely attract Wind and invite Stroke.
In stroke, a slow and floating pulse indicates a favorable prognosis, while a firm, large, rapid, and urgent pulse indicates an unfavorable prognosis.
Mouth opening indicates Heart Qi exhaustion; hand relaxation (open palm) indicates Spleen Qi exhaustion; eye closing indicates Liver Qi exhaustion; urinary incontinence indicates Kidney Qi exhaustion; snoring sound indicates Lung Qi exhaustion. [If these five signs do not all appear, urgently administer a large dose of Dushen Tang (Single Ginseng Decoction); survival is possible. If Niu Huang Wan (Calculus Bovis Pill) or Suhexiang Wan (Styrax Pill) etc. are used, death occurs immediately upon ingestion.] Saliva spitting, fixed gaze, muscle wasting, tendon pain, stiff upright hair, head shaking and jerking upward, ruddy complexion like makeup, sweating like pearls, continuous panting—all indicate untreatable conditions. In any stroke case, whether conscious or unconscious, sudden vomiting of purple-red blood indicates inevitable death subsequently.