The Akshan build for Mid is Guinsoo's Rageblade and Press the Attack. This LoL Akshan guide for Mid at Platinum+ on 13.19 includes runes, items, skill order, and counters.
49.4%
(-3.8%)
57.8%
(+2.5%)
2.8%
(+0.1%)
5.2%
(+0.3%)
831
(-1)