【Source】

Collected Formulas of the Yang Family, Vol. 1.

 【Composition】

Radix Aconiti (prepared), Bombyx Batryticatus, Scutellaria lateriflora
(3)

 【Classification】

<Warming the Interior>: Radix Aconiti (prepared)

<Calming the Liver and Extinguishing Wind>: Bombyx Batryticatus, Scutellaria lateriflora

【Prescription Analysis】

“Medical Formulas”: This formula contains herbs for the Stomach and Liver meridians. (1) Wu He-gao stated: Herbs like Jiāo and Fáng can expel external wind, but they cannot treat internal wind. Herbs like Xīng and Xià can treat damp phlegm, but not phlegm due to wind deficiency. (2) The three herbs treat internal wind and heat due to deficiency, and when taken with wine, they can enter the meridians and correct facial paralysis. (3) He also stated: Radix Aconiti (prepared) is pungent and can dispel wind. (4) Silkworm and Scorpion: Their salty nature can soften phlegm. (5) Their pungent and hot nature can promote wind movement, and the toxicity of silkworm and scorpion can break up stagnation. (6) Some herbs use heat to attack heat, and toxicity to attack toxicity, as Da Yi said, “like attracts like,” and the Inner Canon said, “diminish by its category.” “Commentary on Formulas” stated: Scutellaria lateriflora, being green and able to move, specifically enters the Liver meridian. Wind energy corresponds to the Liver, making it the primary herb for searching out wind. Radix Aconiti (prepared) is pungent and disperses, capable of treating wind in the head and face. Bombyx Batryticatus is clear and hollow, capable of resolving wind in the collateral vessels. These three are all specialized herbs for treating wind. Taking them with wine helps them travel through the meridians.

 【Functions】

Expels wind-phlegm, stops spasms.

 【Indications】

Stroke with facial paralysis, drooping mouth and eyes, or even facial muscle twitching. “Medical Formulas”: Treats drooping mouth and eyes due to stroke, when no other symptoms are present.

 【Clinical Applications】

Stroke with facial paralysis, hemiplegia, drooping mouth and eyes, facial nerve palsy, migraine, etc.

 【Contraindications】

(1) This formula is not suitable for use alone in cases of drooping mouth and eyes or hemiplegia caused by qi deficiency and blood stasis. (2) Contraindicated for pregnant women. (3) The herbs in this formula, such as Radix Aconiti (prepared) and Scutellaria lateriflora, are toxic. Their dosage should not be excessive.

 【Mnemonic】

Quan Fu Jiang — Quan fu jiang ying dou neng qian zheng le. (All are stiff and can be straightened.)

 【Modifications】

(1) If the onset is sudden with symptoms of external wind, add Notopterygium Root, Saposhnikovia Root, and Angelica Dahurica to disperse external wind, allowing the pathogen to be expelled from the exterior. (2) If the condition has persisted for a long time without improvement, add Astragalus Root, Rehmannia Root, Ligusticum Chuanxiong, Red Peony Root, and Angelica Sinensis to tonify qi, activate blood, and unblock collaterals. (3) If the symptoms are severe with spasms, add Centipede to expel wind and stop spasms. (4) Removing Radix Aconiti (prepared) from this formula results in Stop Spasm Powder, which is indicated for convulsions, limb twitching, and can also be used for intractable headaches and joint pain.

 【Pharmacological Effects】

Has sedative, hypnotic, anticonvulsant, and hypotensive effects.