病者身重脚弱,关节重疼,发热恶寒,小便秘涩,大便飧泄,自汗,腰脚冷痹,腿膝浮
肿,小便或自利,不渴。皆久坐卑湿,或为雨露所袭,或汗出衣里,受湿渐渍得之,名曰湿痹。
治身重,腰冷痹,如坐水中,形如水状,反不渴,小便自利,食饮如故,病属
下焦,以身劳汗出,衣里冷湿,久而得之,腰以下冷痛,腰重如带五贯钱。
甘草(炙) 白术(各二两) 干姜(炮) 茯苓(各四两)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,食前服。
治坐卧湿地,或为雨露所袭,身重脚弱,关节重疼,发热恶寒;或小便秘涩,
大便飧泄;或汗出衣里,湿渍得之,腿膝或肿,小便利,反不渴。
苍术(米泔浸) 白术 甘草(炙,各二两) 干姜(炮) 茯苓(各四两) 陈皮 丁香(各半两)
上锉散。每服四钱,水盏半,姜三片,枣二枚,煎七分,去滓温服。
治寒湿,身体烦疼,无汗恶寒,发热者。
麻黄(去节,三两) 桂心(二两) 甘草(炙,一两) 杏仁(二十粒,去皮尖) 白术(四两)
上为锉散。每服四钱,水盏半,煎七分,去滓,食前温服。
The patient experiences heaviness of the body and weakness of the feet, heavy pain in the joints, fever with aversion to cold, scanty and difficult urination, undigested stool in diarrhea (Sun Xie), spontaneous sweating, cold numbness in the lower back and legs, edema of the thighs and knees, sometimes free urination, and absence of thirst. These conditions are caused by prolonged sitting in damp and low places, exposure to rain and dew, or sweat moistening the inner clothing leading to gradual infiltration of dampness; this is named Damp Bi Syndrome (Wet Bi).
To treat body heaviness, cold numbness in the waist, a sensation as if sitting in water, the form resembling water retention, yet without thirst, with free urination and normal appetite, the disease belongs to the Lower Jiao (Lower Burner). This results from labor-induced sweating followed by cold and damp clothing over a long period, causing cold pain below the waist and a sensation of heaviness in the waist as if bound by five strings of coins.
Formula: Zhi Gancao (Prepared Licorice Root) 2 liang, Baizhu (Atractylodes Macrocephala Rhizome) 2 liang, Pao Ganjiang (Prepared Dried Ginger) 2 liang, Fuling (Poria) 4 liang.
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct to 0.7 portion, remove dregs, and take before meals.
To treat conditions caused by sitting or lying on wet ground, or exposure to rain and dew, resulting in body heaviness, foot weakness, heavy joint pain, fever with aversion to cold; or scanty difficult urination, undigested stool in diarrhea; or sweat moistening clothing leading to damp infiltration, causing edema of the legs and knees, free urination, and absence of thirst.
Formula: Cangzhu (Coix Seed-processed Atractylodes Lancea Rhizome), Baizhu, Zhi Gancao (Prepared Licorice Root, each 2 liang); Pao Ganjiang (Prepared Dried Ginger), Fuling (Poria, each 4 liang); Chenpi (Tangerine Peel), Dingxiang (Clove Bud, each 0.5 liang).
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 3 slices of Shengjiang (Fresh Ginger), 2 dates, decoct to 0.7 portion, remove dregs, and take warm.
The patient suffers from vexing body pain, absence of sweating, aversion to cold, and fever, with a floating, moderate, and fine pulse. These are caused by the combination of Cold and Damp pathogens.
To treat Cold-Damp causing vexing body pain, absence of sweating, aversion to cold, and fever.
Formula: Qumai Huang (De-nodeled Ephedra Herb) 3 liang, Guixin (Cinnamon Twig Heart) 2 liang, Zhi Gancao (Prepared Licorice Root) 1 liang, Xingren (Apricot Seed, 20 grains, skin and tip removed), Baizhu (Atractylodes Macrocephala Rhizome) 4 liang.
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct to 0.7 portion, remove dregs, and take warm before meals.
The patient experiences body pain, fever at Shen hour (late afternoon, 3-5 PM), inability to turn or change position, shortness of breath, sweating with aversion to wind, reluctance to remove clothes, or slight body swelling, with a floating, string-taut, and fine pulse. This is caused by the binding of Wind and Damp pathogens, or exposure to wind after sweating.