Treatise of Prescriptions and Therapies

Author: Li Yongcui (Qing Dynasty)
Publisher:
Publish Date: 2006-06-01
Features: Beneficial for those with yang deficiency, spontaneous sweating, and loss of body fluids, leading to shortness of urination. If indiscriminately using diuretic drugs, it may deplete the body fluids and fail to control the fire, exacerbating restlessness and fever. It is necessary to wait until the fever subsides and sweating stops, allowing urination to return naturally.
Annotations
On Conduction and Regulation
Conduction and regulation should be used cautiously for conditions caused by wind-phlegm obstruction of the viscera, as it often leads to blockage of the urinary and defecatory passages. It is indeed appropriate to use methods for opening and draining. However, if the condition is due to qi and blood deficiency, leading to dryness, nourishing blood should be prioritized.
Summary of Treatment for Stroke
When someone collapses unconscious, with clenched jaws and excessive saliva obstructing the airway, quickly press the center of the nose (renzhong) with the thumb until they regain consciousness. Then, blow the Tongding Powder into the nose and lift the head. If sneezing occurs, the condition may be treatable; if not, it is likely incurable. If the mouth remains clenched, rub it with salted plums dipped in dried silkworms. If wind-phlegm is stubbornly lodged, and no medicine can be taken, use the Xixian Powder to induce vomiting. If wind pathogens are trapped, making medication ineffective, use the Fangqi Decoction for fumigation. For those with weak pulses and spontaneous sweating, along with symptoms of qi collapse, use the Shenjutang or Shenqi Paste with bamboo juice and ginger juice for oral administration. Additionally, moxibustion on the Dantian and Qihai points for 20-30 may also save lives.
General Principles of Medication
Ancient Methods
- For meridian involvement, use the Daqinjiao Decoction.
- For abdominal involvement, use the Xiaoxumинт Decoction.
- For visceral involvement, use the Sanhuatang.
- For closed conditions, use the Sansheng Yin.
- For collapsed conditions, use the Shenfu Decoction.
Generally, regulating qi and resolving phlegm is the primary approach, such as the Erchen Tang with Wuyao, Zhike, bamboo juice, and ginger juice. For conditions involving the six channels, adjustments are made as follows:
- For no sweating and stiffness, add Qianghuo and Fangfeng.
- For sweating and body pain, add Shaoyao and Guizhi.
- For chills and fever, add Chaihu and Huangqin.
- For headache and blurred vision, add Chuanxiong and Manjing.
- For crooked mouth and eyes, add Quansci and Tianma.
- For dizziness and heat, add Ganju and Xitea.
- For severe wind-phlegm, add Nanxing and Beimu.
- For confusion and delirium, add Changpu, Yuanzhi, Fushen, and Zaoren.
- For convulsions, also add Jiangcan and Tianma.
- For muscle tension, add Mugu.
- For muscle cramps, add Gouteng.
- For arm involvement, add Guizhi.
- For leg involvement, add Niuxi.
If wind pathogens gradually subside and phlegm-drainage improves but hemiplegia remains, assess whether it is due to blood deficiency (use Erchen Tang combined with Sifutang) or qi deficiency (use Erchen Tang combined with Erjuntang), both with Qianhuo, Xuduan, bamboo juice, and ginger juice. For limbs that cannot move due to damp-phlegm, use the Sanyi Chengqi Tang for purgation. For weakness, use the Shizhuan Dabutang for nourishment. For constipation due to phlegm-stasis, use the Sanhuatang for diuresis. For dryness due to fluid depletion, use the Sifutang with Mahuan for moistening. If true qi gradually recovers but pathogens remain, use the Qianghuo Yufeng Tang, Shiguo Gong, or Changchun Mijiu for treatment.
If the condition is mild, recovery may occur with consciousness, ability to speak and eat, but with body weakness or spasms of limbs. In such cases, the two Mijiu methods mentioned earlier can be used for long-term treatment.
The above methods prioritize dispersing wind and resolving phlegm, with supporting blood and qi nourishment, and guiding joint mobility. These are remedies for true wind-stroke.
If the condition is due to deficiency of the spleen and kidney meridians, nourish the source of transformation.
- For spleen deficiency with poor appetite and excessive phlegm, use the Liujunzi Tang.
- For qi fatigue and excessive phlegm, use the Buzhongyiqi Tang with Fu Ling and Banxia.
- For heart-spleen qi deficiency with difficulty speaking, use the Guipsi Tang.
- For kidney yin deficiency with difficulty speaking, use the Liuwuwei Tang.
- For kidney deficiency with mutism, use the Dihuang Yin.
- For liver blood dryness with spasms, use the Jiawei Xiaoyao Tang.
If symptoms improve but recovery is incomplete, assess which of the liver, spleen, or kidney meridians has qi or blood deficiency, yin or yang deficiency, and use the Liuwuwei, Qiwei, Bawei Pills, Guipsi Pills, Huanshao Dan, or Huqian Pills. Then, use the Siquan, Liujunzi, Baizhen, Shizhuan Dabutang, Buzhongyiqi, or Guipsi Tangs for daily use. Over time, hidden wind pathogens will gradually dissipate.