1.柔肝熄风汤
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枸杞果12克、杭菊花12克、夏枯草12克、桑寄生15克、刺蒺藜12克、何首乌12克、全当归9克、大元参12克、怀牛膝12克、净钩藤9克、广地龙9克、珍珠母24克、赤白芍各12克。
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柔肝熄风,清热降压解痉。
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肝肾阴虚,水不涵木,肝阳偏亢所致之眩晕(高血压、中风先兆),口干舌燥,腰膝无力,头重脚轻之症。
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语涩,加石菖蒲;有痰或舌苔微*而腻,加鲜竹沥50毫升,兑入药液中,分两次服下;大便干,加炒决明子15克,也可浸开水当茶饮。
2.活血通脉汤
当归9克、赤芍9克、丹皮9克、丹参15克、桃仁9克、红花6克、柴胡6克、桔梗6克、枳壳9克、乌药6克、鸡血藤30克、甘草4.5克。
活血行气通脉。
瘀血阻滞所致之脑梗塞,脑栓塞或脑血栓后遗症,半身不遂,或舌强语謇,头晕乏力之症。
气虚去乌药,加*芪,量可由30~120克;舌强语謇加菖蒲6克、牛膝9克;血压偏高加地龙9克;血压偏低加*参9克,川芎6克。
3.凉血清脑汤
生地15克、丹皮9克、白芍9克、羚羊角粉(分冲)3克、钩藤9克、蝉衣6克、僵蚕9克、桑叶9克、菊花12克、枳实9克、菖蒲6克、竹沥膏30克(分冲)。
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凉血清脑。
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脑溢血,半身上下肢瘫痪或四肢瘫痪,神昏舌强,或身热、舌卷、呼声如鼾者。
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血压高、项背强痛加葛根9克;热邪内闭,痰声如锯,加服至宝丹一粒。
4.桑钩温胆汤
制半夏12克、陈皮9克、茯苓12克、炙甘草3克、竹茹9克、枳实9克、大枣5枚、桑寄生15克、钩藤9克(后下)。
化痰熄风,兼补肝肾。
风痰内阻、肝肾不足、上盛下虚之中风,亦可用于风痰所致的偏头痛。
运用时,根据具体情况加减化裁。常加竹沥水,以加重化痰浊之力。若痰迷心窍,阻于廉泉,神昏,舌强语謇者,加石菖蒲以化痰开窍。痰浊化热,痰热交阻,舌苔*腻者,则以全瓜蒌或胆星易半夏,或少加*芩以助清热。眩晕则加菊花、白蒺藜以清头目。心烦不寐,则加莲子心、生龙牡。风痰内阻,气机不行,府气不通者,合以《活法机要》的三化汤,釜底抽薪,待大便通后,可减去方中大*。羌活在中风初起少量短时运用,有助于熄风,之后在去大*的同时可一并除去。大便通后,大*可换用火麻仁以辅助大肠之传导职能。若大便秘结而血压高者,则加决明子,或将决明子研为末,与适量的蜂蜜调匀为膏,每次1匙,日服2次。一般中风先兆、中风发作、复中风均用煎剂,中风后遗症用膏剂。俾府气通,则风痰可去矣。肢体麻木、偏瘫、舌质暗红,甚则夹瘀斑者,加地龙、丹参、丝瓜络以活血化瘀通络。*芪切不可用,误用则有腹胀、烦躁之弊。肝肾不足明显者,则加女贞子、旱莲草平和之品,滋而不腻;而六味、左归皆属禁忌之例。
5.健神汤
*参12克、云苓9克、甘草6克、当归9克、川芎5克、丹参12克、枣仁15克、菖蒲6克、桂枝6克、白芍9克、桔梗6克、枳壳9克、莲子心5克。
双补气血,安神养心,宣通气机。
气血两虚之神经衰弱、心神经官能症,表现为头晕耳鸣、视物不清、眠差多梦,怔忡心悸、遇事烦躁、有恐怖感,时而善饥、时而汗出欲脱,心情舒畅则症轻、心情不舒则症重,与精神因素关系很大,纳食时好时差,大便时干时稀,小便时*,舌体胖有齿痕,脉细弦。
自汗多加*芪12克,浮小麦20克;纳差加焦三仙30克。
6.凉血清肝汤
生地15克、丹皮9克、赤白芍各9克、元参12克、胆草6克、决明子30克、柴胡6克、菊花9克、酒*6克、枳实9克、甘草4.5克。
凉血清肝熄风。
血热上壅、热极内风欲动之血管神经性头痛,表现为头胀痛或痛如裂,痛时两太阳穴静脉怒张,头部皮肤发热,面红眼赤,口干舌燥,烦躁易怒,欲冷饮,口臭,大便干,小便赤,或失眠多梦,或嗜睡,舌经少苔少津,脉弦数有力者。
后脑痛加葛根15克;前额痛加白芷9克、蔓荆子10克,头痛日久加僵蚕6克,夜寐不安加夜交藤20克,目珠痛加夏枯草10克。
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