脉∶脉浮而濡,属气血虚;关前得之,麻在上体;关后得之,麻在下也。
麻是浑身气虚也。
加味益气汤
黄 (蜜炒) 人参 白术(去芦) 陈皮 当归(各一钱) 升麻 柴胡 木香(各五分) 香附
青皮(去穣) 川芎(各八分) 桂枝(少许) 甘草(三分)
上锉一剂。姜、枣煎服。
治十指尽麻,并面目皆麻,此亦气虚也。以补中益气汤加木香、麦门冬、香附、羌活、
防风、乌药,立愈。
加味八仙汤 治手足麻木。
当归(酒浸) 川芎(七分) 白芍(八分) 熟地(酒浸,七分) 人参(六分) 白术(酒浸,四钱) 茯
苓(去皮,一钱) 陈皮(八分) 半夏(姜制,七分) 桂枝(三分) 柴胡(四分) 羌活(五分) 防风(五分)
秦艽(六分) 牛膝(六分) 甘草(炙,四分)
上锉一剂。姜、枣煎,食远服。
木是湿痰死血也。
双合汤
当归 川芎 白芍 生地黄 陈皮 半夏(姜汁炒) 茯苓(去皮,各一钱) 桃仁(去皮,八
分) 红花(三分) 白芥子(一钱) 甘草(三分)
上锉一剂。生姜三片,水煎熟,入竹沥、姜汁同服。
凡人遍身麻痹,谓之不仁,皆因气虚受风湿所致也。
祛风散
生川乌 白术 白芷(各三钱) 甘草(三钱)
上为末。酒调吞下五补丸。
五补丸
黄 (一两,蜜炒) 人参 白芍(酒炒,各五钱) 当归(二钱) 大附子(一个,面包裹煨,去皮
脐)
上为末,炼蜜为丸。用祛风散送下。
妇人手足麻痹者,七情六郁滞经络也。
开结舒经汤
紫苏 陈皮 香附 乌药 川芎 苍术(米泔制) 羌活 南星(姜制) 半夏 当归(各八
分) 桂枝 甘草(各四分)
上锉一剂。生姜三片,水煎,临服入竹沥、姜汁少许,同服。
麻骨方 自头麻至心窝而死者,或自足心麻至膝盖而死者。用人粪烧灰,用豆腐浆调饮
,即止。
又方 治症同前。用楝子烧灰研细末,每服三五钱,黄酒调下即止。
加减天麻汤 治头目四肢麻木,饮食少用,不时眼黑。
半夏(姜汤泡七次,八分) 白术(用腿白色不油者,微炒,七分) 天麻(用坚实者,纸包,
水湿煨熟,五分) 神曲(炒,五分) 南川芎(七分,西芎不用) 泽泻(五分) 陈皮(一钱) 防风(一分
茯苓(五分) 苍术(米泔制,三分) 白芷(二分) 黄 (三分) 人参(去芦,三分) 甘草(炙,三分)
上锉一剂。生姜三片,黑枣二枚,煎至八分,食远服。
Pulse: A pulse that is floating and soggy indicates deficiency of Qi and Blood. If this pulse is found at the front of the guan position (cun position), numbness occurs in the upper body; if found at the back of the guan position (chi position), numbness occurs in the lower body.
Numbness is a manifestation of systemic Qi deficiency.
Modified Yiqi Decoction (Jiawei Yiqi Tang)
Huangqi (Astragali Radix, honey-fried) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, de-radicle) Chenpi (Citri Reticulatae Pericarpium) Danggui (Angelicae Sinensis Radix) [each 1 qian] Shengma (Cimicifugae Rhizoma) Chaihu (Bupleuri Radix) Muxiang (Aucklandiae Radix) [each 5 fen] Xiangfu (Cyperi Rhizoma) Qingpi (Citri Reticulatae Pericarpium Viride, de-albedo) Chuanxiong (Ligustici Chuanxiong Rhizoma) [each 8 fen] Guizhi (Cinnamomi Ramulus) [a small amount] Gancao (Glycyrrhizae Radix et Rhizoma) [3 fen]
Crush these ingredients for one dose. Decoct with fresh ginger and jujube, and take orally.
To treat numbness in all ten fingers, as well as numbness of the face and eyes, which is also due to Qi deficiency. Use Buzhong Yiqi Decoction (Tonifying the Middle and Augmenting Qi Decoction) added with Muxiang, Maidong (Ophiopogonis Radix), Xiangfu, Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Wuyao (Linderae Radix). Recovery will be immediate.
Modified Baxian Decoction (Jiawei Baxian Tang) To treat numbness of the hands and feet.
Danggui (Angelicae Sinensis Radix, wine-soaked) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shudihuang (Rehmanniae Radix Praeparata, wine-soaked) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, wine-soaked) Fuling (Poria) [de-cortex] Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, ginger-processed) Guizhi (Cinnamomi Ramulus) Chaihu (Bupleuri Radix) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Qinjiao (Gentianae Macrophyllae Radix) Niuxi (Achyranthis Bidentatae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) [4 fen]
Crush these ingredients for one dose. Decoct with fresh ginger and jujube, and take long after meals.
Stiffness (Mu) is caused by damp-phlegm and dead blood (stasis).
Shuanghe Decoction (Double Combination Decoction)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, fried with ginger juice) Fuling (Poria) [de-cortex] [each 1 qian] Taoren (Persicae Semen) [de-skin, 8 fen] Honghua (Carthami Flos) [3 fen] Baijiezi (Sinapis Semen) [1 qian] Gancao (Glycyrrhizae Radix et Rhizoma) [3 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger, decoct with water until cooked, add Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Recens Juice), and take together.
Generalized paralysis of the whole body is called "Bu Ren" (lack of sensation). It is caused by Qi deficiency leading to susceptibility to wind-damp pathogenic factors.
Qufeng Powder (Wind-Dispersing Powder)
Sheng Chuanwu (Aconiti Radix lateralis Preparata, raw) Baizhu (Atractylodis Macrocephalae Rhizoma) Baizhi (Angelicae Dahuricae Radix) [each 3 qian] Gancao (Glycyrrhizae Radix et Rhizoma) [3 qian]
Grind into powder. Mix with wine and swallow, accompanied by Wubu Wan (Five-Tonifying Pill).
Wubu Pill (Five-Tonifying Pill)
Huangqi (Astragali Radix) [1 liang, honey-fried] Renshen (Ginseng Radix) Baishao (Paeoniae Radix Alba, wine-fried) [each 5 qian] Danggui (Angelicae Sinensis Radix) [2 qian] Da Fuzi (Aconiti Lateralis Radix Praeparata, large) [one piece, wrapped in dough and baked, skin and navel removed]
Grind into powder, make pills with refined honey. Take with Qufeng Powder.
In women, numbness of the hands and feet is caused by stagnation of the meridians due to the seven emotions and six depressions.
Kaijie Shujing Decoction (Unbinding and Meridian-Relaxing Decoction)
Zisu (Perillae Folium) Chenpi (Citri Reticulatae Pericarpium) Xiangfu (Cyperi Rhizoma) Wuyao (Linderae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Cangzhu (Atractylodis Rhizoma, rice-water processed) Qianghuo (Notopterygii Rhizoma et Radix) Nanxing (Arisaematis Rhizoma cum Bile, ginger-processed) Banxia (Pinelliae Rhizoma) Danggui (Angelicae Sinensis Radix) [each 8 fen] Guizhi (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma) [each 4 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger, decoct with water. Before taking, add a small amount of Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Recens Juice), and take together.
Magu Formula (Bone-Numbing Formula) For cases where numbness starts from the head and spreads to the heart pit leading to death, or starts from the sole of the foot and spreads to the knee leading to death. Burn human feces to ash, mix with tofu whey, and drink to stop the condition.
Another Prescription Treats the same symptoms. Burn Fructus Meliae Toosendan to ash, grind into fine powder. Take 3-5 qian per dose, mixed with yellow wine to stop the condition.
Modified Tianma Decoction (Jiajian Tianma Tang) To treat numbness of the head, eyes, and four limbs, reduced appetite, and frequent blackouts.
Banxia (Pinelliae Rhizoma, soaked seven times in ginger water) [8 fen] Baizhu (Atractylodis Macrocephalae Rhizoma, select white, non-greasy rhizomes, lightly fried) [7 fen] Tianma (Gastrodiae Rhizoma, select firm ones, wrap in paper, steam-wet until ripe) [5 fen] Shenqu (Massa Medicata Fermentata, fried) [5 fen] Nan Chuanxiong (Ligustici Chuanxiong Rhizoma) [7 fen, do not use Xi Chuanxiong] Zexie (Alismatis Rhizoma) [5 fen] Chenpi (Citri Reticulatae Pericarpium) [1 qian] Fangfeng (Saposhnikoviae Radix) [1 fen] Fuling (Poria) [5 fen] Cangzhu (Atractylodis Rhizoma, rice-water processed) [3 fen] Baizhi (Angelicae Dahuricae Radix) [2 fen] Huangqi (Astragali Radix) [3 fen] Renshen (Ginseng Radix) [de-radicle, 3 fen] Gancao (Glycyrrhizae Radix et Rhizoma, roasted) [3 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger and two black jujubes. Decoct until 8/10 remains. Take long after meals.