健忘，精神短少者多，亦有痰者。
戴云∶健忘者为事有始无终，言谈不知首尾，此以为病之名，非比生成之愚顽不知人事
〔附录〕健忘者，此证皆由忧思过度，损其心胞，以致神舍不清，遇事多忘。乃思虑过度
，病在心脾。又云∶思伤脾，亦令朝暗遗忘，治之以归脾汤，须兼理心脾，神宁意定，其证
附方
归脾汤 治思虑过度，劳伤心脾，健忘怔忡。
白术 茯神 黄 圆眼肉 酸枣仁（炒，各一两） 人参 木香（各半两） 甘草（炙，二钱半
上每服四钱，姜三片，枣一枚，水煎服。
定志丸 治心气不定，恍惚多忘。
远志（二两） 人参（一两） 菖蒲（一两） 白茯苓（三两）
上为末，炼蜜丸如梧子大，朱砂为衣。服二十丸，米汤下。
（附肢节痛）
四肢百节走痛是也。他方谓之白虎历节风证。大率有痰、风热、风湿、血虚。因于
续命汤；因于湿者，苍术、白术之类，佐以竹沥；因于痰者，二陈汤加酒炒黄芩、羌活、
术；因于血虚者，用芎、归之类，佐以红花、桃仁。大法之方，苍术、川芎、白芷、南星
、当归、酒黄芩。在上者，加羌活、威灵仙、桂枝；
在下者，加牛膝、防己、木通、黄柏。血虚，《格致余论》详言，多用川芎、当归，佐以桃
红花、薄桂、威灵仙。治痛风，取薄桂味淡者，独此能横行手臂，领南星、苍术等药至痛
又方 治上中下疼痛
南星（姜制） 苍术（泔浸） 黄柏（酒炒，各二两） 川芎（一两） 白芷（半两） 神曲（炒，一两）
桃仁（半两）
行臂） 红花（酒洗，一钱半） 草龙胆（半钱，下行）
上为末，曲糊丸梧子大。每服一百丸，空心白汤下。
张子元，血气虚有痰，白浊，阴火痛风。
人参（一两） 白术 熟地黄 黄柏（炒黑，各二两） 山药 海石 南星（各一两） 锁阳（半两）
干姜（烧灰，半两，取其不走） 败龟板（酒炙，二两）
上为末，粥丸。一云酒糊丸。
臂痛方
苍术（一钱半）半夏 南星 白术 酒芩（炒） 香附（各一钱） 陈皮 茯苓（各半钱） 威灵仙
（三钱） 甘草（少许，别本加羌活一钱）
上 咀。作一服，入生姜二三片。
二妙散 治筋骨疼痛因湿热者，有气加气药，血虚者加补药，痛甚者加生姜汁，热辣服
黄柏（炒） 苍术（米泔浸炒）
上二味为末，沸汤，入姜汁调服。二物皆有雄壮之气，表实气实者，加酒少许佐之。若
痰带热者，先以舟车丸，或导水丸、神芎丸下伐，后以趁痛散服之。
趁痛散
乳香 没药 桃仁 红花 当归 地龙（酒炒） 牛膝（酒浸） 羌活 甘草 五灵脂（酒
淘） 香附（童便浸） 或加酒芩 炒酒柏
上为末。酒调二钱服。
八珍丸 治痛风走注，脚疾。
乳香 没药 代赭石 穿山甲（生用，各三钱） 羌活 草乌（生用，各五钱） 全蝎（二十一个
炒） 川乌（生用，一两，不去皮尖）
上为末，醋糊丸如梧子大。每二十一丸，温酒送下。
四妙散 痛风走注。
威灵仙（酒浸，五钱） 羊角灰（三钱） 白芥子（一钱） 苍耳（一钱半，一云苍术）
上为末。每服一钱，生姜一大片，擂汁，入汤调服，及二妙散同调服。
又方 治酒湿痰痛风。
黄柏（酒炒） 威灵仙（酒炒，各五钱） 苍术 羌活 甘草（三钱） 陈皮（一钱） 芍药（一钱）
上为末。每服一钱或二钱，沸汤入姜汁调下。
治气实表实，骨节痛方。
滑石（六钱） 甘草（一钱） 香附 片芩（各三钱）
上为末，姜汁糊丸，如梧子大。每服五七十丸，白汤吞下。
又方
糯米（一盏） 黄踯躅根（一握） 黑豆（半合）
上用酒水和一碗煎，徐徐服之。大吐大泻，一服便能行动。
治食积肩腿痛。
龟板（酒浸，一两） 酒柏叶 香附（半两） 辣芥子 凌霄花
上为末，酒糊丸如梧子大。煎四物汤加陈皮、甘草汤下。
附方
控涎丹 治一身及两胁走痛，痰挟死血者。
甘遂（面裹煨） 大戟（制） 真白芥菜子（炒，各等分）
上为末，加桃仁泥糊丸，如梧子大。每服五七丸，渐加至十丸，临卧姜汤下。
龙虎丹 治走注疼痛，或麻木不遂，或半身痛。
草乌 苍术 白芷（各一两，碾粗末拌发酵， 过入后药） 乳香 没药（各二钱，另研） 当
归牛膝（各五钱）
上为末，酒糊丸如弹大。每服一丸，温酒化下。
〔附录〕遍身骨节疼痛，昼静夜剧，如虎啮之状，名曰白虎历节风，并宜加减地仙丹，或
青龙丸、乳香丸等服之。
又有痛风而痛有常处，其痛处赤肿灼热，或浑身壮热，此欲成风毒，宜败毒散。凡治臂
痛以二陈汤加酒炒黄芩、苍术、羌活。
如肢节痛，须用羌活，去风湿亦宜用之。如肥人肢节痛，多是风湿与痰饮，流注经络而
宜南星、半夏；如瘦人肢节痛，是血虚，宜四物加防风、羌活；如瘦人性急燥而肢节痛发
，是血热，宜四物汤加黄芩、酒炒黄柏；如肢节肿痛脉滑者，当用燥湿，宜苍术、南星，
行气药木香、枳壳、槟榔，在下者加汉防己；若肢节肿痛脉涩数者，此是瘀血，宜桃仁、
花、当归、川芎及大黄微利之；如倦怠无力而肢节痛，此是气虚，兼有痰饮流注，宜参、
术、星、半。丹溪无肢节痛条，此文又纯似丹溪语，姑书以俟知者。
小续命汤 地仙丹 并见中风类。
舟车丸 见中湿类。
导水丸 见痢类。
神芎丸 见发热类。
败毒散 见瘟疫类。
乳香丸
白附子（炮） 南星 白芷 没药 赤小豆 荆芥 藿香（去土） 骨碎补（去毛） 乳香（
，各一两） 五灵脂 川乌（炮，去皮脐尖） 糯米（炒，各二两） 草乌头（炮，去皮尖） 京墨（
，各五两） 松脂（半两，研）
上为末，酒糊丸梧子大。每服十丸至十五丸，冷酒吞下，茶亦得，不拘时。忌热物。
Amnesia is mostly caused by a deficiency of spirit and vital energy, but it can also be due to phlegm.
Dai Yuanli stated: People with amnesia start things without finishing them and speak without coherence between the beginning and end. This is considered a disease name, distinct from congenital stupidity or ignorance of human affairs.
[Appendix] The syndrome of amnesia is all caused by excessive worry and overthinking, which damages the Pericardium (Pericardium Meridian of Hand-Jueyin), leading to an unclear dwelling place for the Spirit (Shen). Consequently, one tends to forget things easily. This results from excessive mental exertion, with pathology located in the Heart and Spleen. It is also said that overthinking injures the Spleen, causing dimness during the day and memory loss. Treatment involves Gui Pi Tang (Restore the Spleen Decoction), requiring simultaneous regulation of the Heart and Spleen so that the Spirit becomes tranquil and intentions stable, thereby resolving the syndrome.
Attached Formula:
Gui Pi Tang (Restore the Spleen Decoction): Treats amnesia and palpitations (restlessness and fear of being startled) caused by excessive mental exertion damaging the Heart and Spleen.
Herbs: Atractylodis Rhizoma (Baizhu), Poria (Fushen), Astragali Radix (Huangqi), Dimocarpus Longan Aril (Yuanyuanrou), Ziziphi Spinosae Semen (Suanzaoren, stir-fried, each 1 liang), Ginseng Radix et Rhizoma (Renshen), Aucklandiae Radix (Muxiang, each half liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 2 qian 5 fen).
Usage: Take 4 qian per dose, add 3 slices of Zingiberis Rhizoma Recens (Fresh Ginger) and 1 Jujubae Fructus (Jujube), decoct in water and take orally.
Ding Zhi Wan (Stabilize Mind Pill): Treats instability of Heart Qi, resulting in trance-like states and forgetfulness.
Herbs: Polygalae Radix (Yuanzhi, 2 liang), Ginseng Radix et Rhizoma (Renshen, 1 liang), Pogostemonis Herba (Shichangpu, 1 liang), Poria (Baifuling, 3 liang).
Usage: Grind into fine powder, mix with refined honey to form pills the size of Chinese quince seeds (Wu Zi), coat with Cinnabar (Zhusha). Take 20 pills per dose, washed down with Rice Decoction (Mitang).
(Attached: Limb Joint Pain)
Wandering pain in the four limbs and hundred joints is this syndrome. In other texts, it is called "White Tiger Periarticular Wind" syndrome. Generally, it is categorized into Phlegm, Wind-Heat, Damp-Wind, and Blood Deficiency. If caused by Wind, use Xiao Xu Ming Tang (Minor Continuation of Life Decoction); if caused by Dampness, use Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), assisted by Zhuli (Bamboo Juice); if caused by Phlegm, use Er Chen Tang (Two-Cured Decoction) added with Jiuhuang Huangqin (Scutellariae Radix fried with wine) and Qianghuo (Notopterygii Rhizoma et Radix), Nanxing (Arisaematis Rhizoma); if caused by Blood Deficiency, use Chuanxiong Rhizome (Chuanxiong) and Angelicae Sinensis Radix (Danggui), assisted by Honghua (Carthami Flos) and Taoren (Persicae Semen). The general foundational formula includes Cang Zhu (Atractylodis Rhizoma), Chuanxiong Rhizome (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Arisaematis Rhizoma (Nanxing), Angelicae Sinensis Radix (Danggui), and Jiuhuang Huangqin (Scutellariae Radix fried with wine). For pain in the upper body, add Qianghuo (Notopterygii Rhizoma et Radix), Sparaxis (Weilingxian), and Guizhi (Cinnamomi Ramulus); for pain in the lower body, add Achyranthis Bidentatae Radix (Niuxi), Podophylli Emodi Rhizoma et Radix (Fangji), Akebiae Caulis (Mutong), and Phellodendri Cortex (Huangbai). Regarding Blood Deficiency, Ge Zhi Yu Lun has detailed discussions, mainly using Chuanxiong Rhizome (Chuanxiong) and Angelicae Sinensis Radix (Danggui), assisted by Taoren (Persicae Semen), Honghua (Carthami Flos), Bo Gui (Thin Cinnamon Twig), and Weilingxian (Sparaxis). To treat Gout (Tongfeng), select thin cinnamon twigs with a mild flavor; only these can travel horizontally through the arms, guiding Nanxing (Arisaematis Rhizoma) and Cang Zhu (Atractylodis Rhizoma) to the painful areas.
Another Prescription: Treats pain in the upper, middle, and lower parts of the body.
Herbs: Arisaematis Rhizoma Praeparatum (Nanxing, ginger-processed), Atractylodis Rhizoma (Cangzhu, soaked in rice wash), Phellodendri Cortex (Huangbai, wine-fried, each 2 liang), Chuanxiong Rhizome (Chuanxiong, 1 liang), Angelicae Dahuricae Radix (Baizhi, half liang), Massae Fermentatae Medicinalis (Shenqu, stir-fried, 1 liang), Persicae Semen (Taoren, half liang), Carthami Flos (Honghua, wine-washed, 1 qian 5 fen), Gentiana Scabra Radix et Rhizoma (Caolongdan, half qian, directs downward).
Usage: Grind into fine powder, bind with Shenqu paste to form pills the size of Chinese quince seeds. Take 100 pills per dose on an empty stomach, washed down with plain boiled water.
Zhang Ziyuan had deficient Qi and Blood with Phlegm, presenting with white turbid discharge and Yin-Fire Gout.
Herbs: Ginseng Radix et Rhizoma (Renshen, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix Praeparata (Shudihuang), Phellodendri Cortex (Huangbai, black-roasted, each 2 liang), Dioscoreae Rhizoma (Shanyao), Filicinae Rhizoma (Haishi), Arisaematis Rhizoma (Nanxing, each 1 liang), Cynomorii Herba (Suoyang, half liang), Zingiberis Rhizoma (Ganjiang, burnt to ash, half liang, to prevent dispersion of action), Testudinis Carapax et Plastrum (Baiguiban, wine-roasted, 2 liang).
Usage: Grind into fine powder, bind with congee paste or wine paste to form pills. One version says wine paste.
Arm Pain Formula:
Herbs: Atractylodis Rhizoma (Cangzhu, 1 qian 5 fen), Pinelliae Rhizoma Preparatum (Banxia), Arisaematis Rhizoma (Nanxing), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Jiuqin, fried), Cyperi Rhizoma (Xiangfu, each 1 qian), Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling, each half qian), Sparaxis (Weilingxian, 3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, a small amount; another edition adds Notopterygii Rhizoma et Radix/Qianghuo 1 qian).
Usage: Cut into pieces. Prepare as one dose, adding 2-3 slices of Fresh Ginger.
Er Miao San (Two Marvels Powder): Treats bone and tendon pain caused by Damp-Heat. Add Qi-regulating herbs for Qi stagnation, tonifying herbs for Blood deficiency, and Fresh Ginger Juice for severe pain; take hot and spicy.
Herbs: Phellodendri Cortex (Huangbai, fried), Atractylodis Rhizoma (Cangzhu, soaked in rice wash and fried).
Usage: Grind these two herbs into fine powder, mix with boiling water, add Ginger Juice, and take orally. Both herbs possess strong aromatic properties; for exterior-excess and Qi-excess patterns, add a little wine to assist. If Phlegm carries Heat, first purge with Zhou Che Wan (Boat Cart Pill), Dao Shui Wan (Water-Guiding Pill), or Shen Xiong Wan (Divine Ligusticum Pill), then take Chen Tong San (Follow-Pain Powder).
Chen Tong San (Follow-Pain Powder):
Herbs: Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao), Persicae Semen (Taoren), Carthami Flos (Honghua), Angelicae Sinensis Radix (Danggui), Pheretima (Dilong, wine-fried), Achyranthis Bidentatae Radix (Niuxi, wine-soaked), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Trogopterori Faeces (Wulingzhi, wine-rinsed), Cyperi Rhizoma (Xiangfu, soaked in child's urine), optionally add Scutellariae Radix (Jiuqin) and Phellodendri Cortex (Jiuhuangbai).
Usage: Grind into fine powder. Mix with wine and take 2 qian per dose.
Ba Zhen Wan (Eight Treasures Pill): Treats wandering Gout and foot diseases.
Herbs: Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao), Haematitum (Daizheshi), Manis Squama (Chuanshanjia, raw, each 3 qian), Notopterygii Rhizoma et Radix (Qianghuo), Aconiti Lateralis Radix Praeparata (Caowu, raw, each 5 qian), Scorpio (Quanxie, 21 pieces, fried), Aconiti Radix (Chuanwu, raw, 1 liang, do not remove skin and tip).
Usage: Grind into fine powder, bind with vinegar paste to form pills the size of Chinese quince seeds. Take 21 pills per dose, washed down with warm wine.
Si Miao San (Four Marvels Powder): Treats wandering Gout.
Herbars: Sparaxis (Weilingxian, wine-soaked, 5 qian), Ash of Sheep Horn (Yangjiao Hui, 3 qian), Brassicae Albae Semen (Baijiezi, 1 qian), Xanthii Fructus (Cangerzi, 1 qian 5 fen; one source says Cangzhu/Atractylodis Rhizoma).
Usage: Grind into fine powder. Take 1 qian per dose, grind one large slice of Fresh Ginger to extract juice, mix with herbal decoction to take orally, or mix with Er Miao San.
Another Prescription: Treats Gout caused by Wine-Dampness and Phlegm.
Herbs: Phellodendri Cortex (Huangbai, wine-fried), Sparaxis (Weilingxian, wine-fried, each 5 qian), Atractylodis Rhizoma (Cangzhu), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian), Citri Reticulatae Pericarpium (Chenpi, 1 qian), Paeoniae Radix Alba (Shaoyao, 1 qian).
Usage: Grind into fine powder. Take 1 or 2 qian per dose, mixed with boiling water and Ginger Juice.
Formula for Bone and Joint Pain due to Excess Qi and Excess Exterior:
Herbs: Talcum (Huashi, 6 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian), Cyperi Rhizoma (Xiangfu), Scutellariae Radix (Pianqin, each 3 qian).
Usage: Grind into fine powder, bind with Ginger Juice paste to form pills the size of Chinese quince seeds. Take 50-70 pills per dose, swallowed with plain boiled water.
Another Prescription:
Herbs: Oryzae Fructus Glutinosa (Nuomi, 1 zhan), Rhododendri Daurici Flos (Huangzhizhu Gen, one handful), Sojae Semen Nigrum (Heidou, half he).
Usage: Decoct in a mixture of wine and water until one bowl remains, drink slowly. Severe vomiting and diarrhea will occur after one dose, enabling movement immediately.
Formula for Shoulder and Leg Pain due to Food Stagnation:
Herbs: Testudinis Carapax et Plastrum (Guiban, wine-soaked, 1 liang), Phellodendri Cortex Folium (Jiu Baiye), Cyperi Rhizoma (Xiangfu, half liang), Sinapis Semen (Lajiezi), Campsis Grandiflora Flos (Lingxiaohua).
Usage: Grind into fine powder, bind with wine paste to form pills the size of Chinese quince seeds. Take with decoction of Si Wu Tang (Four Substances Decoction) added with Citri Reticulatae Pericarpium (Chenpi) and Glycyrrhizae Radix et Rhizoma (Gancao).
Attached Formula:
Kong Xian Dan (Control Phlegm Pill): Treats wandering pain throughout the body and hypochondrium, where Phlegm clots with dead Blood.
Herbs: Kansui Radix (Gansui, baked in flour wrapper), Mirabilite (Daji, processed), Sinapis Albae Semen (Zhen Baijiecaizi, fried, equal parts).
Usage: Grind into fine powder, mix with Persicae Semen paste to form pills the size of Chinese quince seeds. Take 5-7 pills initially, gradually increasing to 10 pills, taken before bed with Ginger Decoction.
Long Hu Dan (Dragon-Tiger Pill): Treats wandering pain, numbness and paralysis, or hemibody pain.
Herbs: Aconiti Lateralis Radix Praeparata (Caowu), Atractylodis Rhizoma (Cangzhu), Angelicae Dahuricae Radix (Baizhi, each 1 liang, ground into coarse powder, mixed with fermentation starter, sieved, then added to following herbs), Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao, each 2 qian, separately ground), Angelicae Sinensis Radix (Danggui), Achyranthis Bidentatae Radix (Niuxi, each 5 qian).
Usage: Grind into fine powder, bind with wine paste to form pills the size of a bullet. Take one pill per dose, dissolved in warm wine.
[Appendix] Wandering pain in all bone joints, quiet during the day but severe at night, resembling bites from a tiger, is named "White Tiger Periarticular Wind." All cases should be treated with Ji Jian Di Xian Dan (Modified Immortal Earth Pill), Qing Long Wan (Green Dragon Pill), or Ruxiang Wan (Boswellia Pill).
There is also Gout where pain is fixed in one location, with redness, swelling, and burning heat at the painful site, or high fever throughout the body; this indicates impending Wind-Toxin, and Bai Du San (Eliminate Toxin Powder) is suitable. For treating arm pain generally, use Er Chen Tang (Two-Cured Decoction) added with Jiuhuang Huangqin (Scutellariae Radix fried with wine), Cangzhu (Atractylodis Rhizoma), and Qianghuo (Notopterygii Rhizoma et Radix).
For limb joint pain, Qianghuo (Notopterygii Rhizoma et Radix) must be used; it is also suitable for dispelling Wind-Damp. For obese individuals with limb joint pain, it is mostly Wind-Damp combined with Phlegm-Fluid flowing into collaterals, so Nanxing (Arisaematis Rhizoma) and Banxia (Pinelliae Rhizoma) are appropriate. For thin individuals with limb joint pain, it is due to Blood Deficiency, so Si Wu Tang (Four Substances Decoction) added with Fangfeng (Saposhnikoviae Radix) and Qianghuo (Notopterygii Rhizoma et Radix) is suitable. For thin individuals with irritable temper who suffer from limb joint pain attacks, it is due to Blood-Heat, so Si Wu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix) and Jiuhuang Huangbai (Phellodendri Cortex fried with wine) is suitable. For swollen and painful joints with a slippery pulse, dryness-promoting herbs are needed, such as Cangzhu (Atractylodis Rhizoma) and Nanxing (Arisaematis Rhizoma), combined with Qi-moving herbs like Muxiang (Aucklandiae Radix), Zhike (Aurantii Fructus), and Binglang (Arecae Semen); for lower body involvement, add Hanfangji (Podophylli Emodi Rhizoma et Radix). If joints are swollen and painful with a choppy and rapid pulse, this is Blood Stasis, so Taoren (Persicae Semen), Honghua (Carthami Flos), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizome), and Dahuang (Rhei Radix et Rhizoma) to induce mild purgation are suitable. For fatigue and weakness accompanied by limb joint pain, this is Qi Deficiency with Phlegm-Fluid flowing into collaterals, so Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Nanxing (Arisaematis Rhizoma), and Banxia (Pinelliae Rhizoma) are appropriate. Zhu Danxi did not have a section on limb joint pain in his original work; this text reads purely like Zhu Danxi's language, so it is recorded provisionally for experts to verify.
Xiao Xu Ming Tang (Minor Continuation of Life Decoction) and Di Xian Dan (Immortal Earth Pill) are both found in the Stroke category.
Zhou Che Wan (Boat Cart Pill) is found in the Dampness category.
Dao Shui Wan (Water-Guiding Pill) is found in the Dysentery category.
Shen Xiong Wan (Divine Ligusticum Pill) is found in the Fever category.
Bai Du San (Eliminate Toxin Powder) is found in the Plague category.
Ruxiang Wan (Boswellia Pill):
Herbs: Bai Fu Zi (Typhonii Rhizoma, prepared), Nanxing (Arisaematis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Moyao (Myrrhae Resina), Chi Xiaodou (Vigna Angularis Semen), Jingjie (Schizonepetae Spica), Huoxiang (Agastaches Herba, cleaned), Gusuibu (Drynariae Rhizoma, hair removed), Ruxiang (Boswelliae Resina, each 1 liang), Wulingzhi (Trogopterori Faeces), Chuanwu (Aconiti Radix, prepared, skin and tip removed), Nuomi (Oryzae Fructus Glutinosa, fried, each 2 liang), Caowutou (Aconiti Radix, prepared, skin and tip removed), Jingmo (Beijing Inkstone Ink, calcined, each 5 liang), Songzhi (Pini Resin, half liang, ground).
Usage: Grind into fine powder, bind with wine paste to form pills the size of Chinese quince seeds. Take 10-15 pills per dose, swallowed with cold wine; tea is also acceptable, time不限. Avoid hot foods.