(附脊痛)
股居一身之下。众阴之所归。而其所以作痛者。三经受病也。足太阴脾经主肉。足厥阴
肝经
主筋。足少阴肾经主骨。脾经受湿。下流于股。则肉酸疼。肝经受寒。下及于股。则筋挛急
痛。肾经受寒下注于股。则骨髓冷痛。其痛各有所属也。而可以一概治之乎。设使筋挛急痛
。
误以为湿而用燥剂治之。则燥尽其血。而筋失所养。其痛愈甚。必投以养血之剂。则筋自舒
而不挛急矣。使骨髓冷痛。误以为湿。而用燥药治之。则燥尽其髓。而骨空虚。其空愈加于
痛。必投之以补髓之剂则骨气充而无所苦矣。使肉内酸痛。单用热药。而不用燥剂。肉得热
而融活。固有微效。而湿留于中。何时而去。必以热药为向导。而以燥剂君之。以血药佐之
。则湿可去而血亦不枯。此万全之法也。若妇人产后或患股痛。乃恶血流于经络也。要当以
热药为向导。而以活血之剂君之。以行气之药佐之则愈。若误以为湿。而投燥剂。则不惟股
中之血易干。而一身之血亦病矣。若误以为寒。而投热药。则血得热而行。犹为庶几然。大
热之剂。亦未可轻用。慎之慎之。
舒筋调荣汤 治一切股痛神效。
当归 肉苁蓉 川芎(各三钱) 牛膝 人参 威灵仙 红花(各一钱) 生地(二钱) 丹
皮沉香(各八分) 黑枣二枚。食前服。
蠲痛神异膏 治一切股痛立效。
松脂(三斤。入锅化开。泸入水中取起。再入锅慢火炼至紫黑色。然后入姜葱汁各二碗
再炼。不住手搅待干为度。入猪油半斤。再炼少顷。入乳香。没药。各三两麝香。一两。
摊贴患处神效。)
洗法 股痛洗三四次即住。
凤仙草(一大束捣烂) 苍术(半斤) 防风 荆芥(各五两) 葱(一束捣烂) 水煎以旧衣
服浸汤内。搭其痛处。立效。
和荣汤 治两股上连腰胯疼痛。
牛膝 杜仲 天门冬 麦门冬 黄柏 人参(各一钱) 乌药 当归 白芍 沉香 青盐
(各八分) 水煎温服。
(Attached: Spinal Pain)
The thighs are located at the lower part of the body and are the convergence point of numerous Yin meridians. The cause of pain in this region is pathogenic invasion of three meridians. The Foot-Taiyin Spleen Meridian governs the flesh (muscles), the Foot-Jueyin Liver Meridian governs the sinews (tendons/ligaments), and the Foot-Shaoyin Kidney Meridian governs the bones. When the Spleen Meridian is invaded by Dampness, the dampness flows downward to the thighs, causing soreness and pain in the muscles. When the Liver Meridian is invaded by Cold, the cold descends to the thighs, causing spasmodic and urgent pain in the sinews. When the Kidney Meridian is invaded by Cold, the cold pours downward into the thighs, causing cold pain in the bone marrow. These pains have their specific affiliations; how can they be treated uniformly?
If there is spasmodic and urgent pain in the sinews, mistaking it for Dampness and using drying agents would exhaust the blood, causing the sinews to lose nourishment, thereby exacerbating the pain. In such cases, blood-nourishing agents must be administered so that the sinews naturally relax without spasm. If there is cold pain in the bone marrow, mistaking it for Dampness and using drying agents would exhaust the marrow, leading to emptiness in the bones, which intensifies the pain due to this emptiness. Here, marrow-supplementing agents must be used to fill the Qi of the bones, alleviating the suffering. If there is soreness and pain in the flesh, using only hot herbs without drying agents may provide slight relief as the heat melts and activates the flesh, but the Dampness remains inside, delaying its removal. Therefore, hot herbs should serve as guides, drying agents as the sovereign drugs, and blood-nourishing herbs as assistants. This way, Dampness can be eliminated without depleting the blood. This is a comprehensive method.
In women postpartum, thigh pain arises from lochia flowing into the meridians. Treatment should use hot herbs as guides, blood-activating agents as sovereign drugs, and Qi-moving herbs as assistants for a cure. Mistaking this for Dampness and using drying agents would not only dry the blood in the thighs but also affect the blood throughout the body. Mistaking it for Cold and using hot herbs allows blood to move with heat, which is acceptable; however, strongly heating agents should never be used lightly. Exercise extreme caution.
The pulse in thigh pain is often deep and slow (Chen Chi). A floating and large pulse indicates Wind-Heat.
Shu Jin Tiao Rong Tang (Relax Sinews and Regulate Ying Decoction): Highly effective for all types of thigh pain.
Danggui (Angelicae Radix), Roucongrong (Cistanche Herba), Chuanxiong (Ligusticum Rhizome) (each 3 qian); Niuxi (Achyranthes Root), Renshen (Ginseng Root), Weilingxian (Swallowwort Root), Honghua (Carthamus Flower) (each 1 qian); Shengdi (Rehmannia Root) (2 qian); Danpi (Moutan Cortex), Chenxiang (Aquilaria Wood) (each 8 fen); Heizao (Black Jujube) 2 pieces. Take before meals.
Juan Tong Shen Yi Gao (Pain-Relieving Divine Ointment): Immediate effect for all types of thigh pain.
Songzhi (Pinus Resin) 3 jin: Melt in a pot, filter into water, retrieve, then return to the pot and refine over slow fire until purple-black. Add ginger juice and scallion juice (2 bowls each), continue refining while stirring constantly until dry. Add pig fat (banjin), refine briefly. Add Rushiang (Frankincense), Moyao (Myrrh) (each 3 liang), and Shexiang (Musk) (1 liang). Apply to the affected area for miraculous results.
Washing Method: Wash the thigh pain area three or four times to stop the pain.
Fengxiancao (Impatiens Herb) (one large bundle, pounded); Cangzhu (Atractylodes Rhizome) (0.5 jin); Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta Spike) (each 5 liang); Cong (Scallion) (one bundle, pounded). Decoct in water. Soak old cloth in the decoction and apply to the painful area for immediate relief.
He Rong Tang (Harmonize Ying Decoction): Treats pain connecting both thighs to the waist and hips.
Niuxi (Achyranthes Root), Duzhong (Eucommia Bark), Tianmendong (Asparagus Tuber), Maimendong (Ophiopogon Tuber), Huangbai (Phellodendron Bark), Renshen (Ginseng Root) (each 1 qian); Wuyao (Litsea Fruit), Danggui (Angelicae Radix), Baishao (White Peony Root), Chenxiang (Aquilaria Wood), Qingyan (Green Salt) (each 8 fen). Decoct in water and take warm.