（附足跟痛）
香港脚，须用升提之药，提起其湿，随气血用药，有香港脚冲心者，宜四物汤加炒黄柏，
再宜涌泉穴用附子末津唾调敷上，以艾炙，泄引热下。
入方
防己饮
白术 木通 防己 槟榔 川芎 甘草梢 犀角 苍术（盐炒） 黄柏（酒炒） 生地黄（
大便实，加桃仁；小便涩，加杜牛膝；有热，加黄芩、黄连；大热及时令热，加石膏；
有痰，加竹沥、姜汁。如常肿者，专主乎湿热，先生别有方。
又方 治湿热食积痰流注。
苍术 黄柏 防己 南星 川芎 白芷 犀角 槟榔
血虚，加牛膝、龟板。
上为末，酒糊丸服。肥人，加痰药。
健步丸
生地黄（半两）
归尾 芍药 陈皮 苍术（各一两） 吴茱萸 条芩（各半两） 牛膝（一两） 桂枝（二钱） 大腹子
上为末，蒸饼丸如梧子大。每服一百丸，空心，煎白术、木通汤下。
又方 一妇人足胫肿。
红花 牛膝（俱酒洗） 生地黄 黄柏 苍术 南星 草龙胆 川芎
有筋动于足大指上，至大腿近腰结了，乃因奉养浓，遇风寒，宜四物汤加酒芩、红花、
苍术、南星、生姜煎服。
湿痰香港脚，大便滑泄。
苍术（二两） 防风（一两） 槟榔（六钱） 香附（八钱） 川芎（六钱） 条芩（四钱） 滑
石（一两，二钱） 甘
上为末，或丸或散，皆可服。
脚软筋痛
牛膝（二两） 白芍（一两半） 龟板（酒炙） 黄柏（酒炒，一两） 知母（炒） 甘草（半两）
上为末。酒糊为丸。
应痛丸 治香港脚痛不可忍，此药为劫剂。
赤芍药（半两，煨，去皮） 草乌（半两，煨，去皮尖）
上为末，酒糊丸。空心服十丸，白汤下。
又方 治香港脚肿痛。
芥子 白芷（等分）
上为末，姜汁和敷贴。或用仙术、羌活、独活、白芷、细辛为末，入帛内作袜用。
又方 炸洗香港脚。
威灵仙 防风 荆芥 地骨皮 当归 升麻 蒴
上煎汤炸洗。
〔附录〕香港脚，有湿热，有食积流注，有风湿，有寒湿。胜湿以仙术、白术、防己、川芎
为主，或六物附子汤，或当归拈痛汤。香港脚气郁甚者，舟车丸、除湿丹；有饮者，东垣开结导
饮丸。香港脚解表，用麻黄左经汤等药，随经选用。有兼痰气寒湿者，五积散加木瓜。若双解，以
大黄左经汤、东垣羌活导滞汤；若理血，以八味丸，或四物加羌活、天麻，又或四物加黄
柏、南星，或健步丸；若疏风养血，用独活寄生汤最效。
附方
六物附子汤
附子 桂 防己（各四钱） 甘草（炙，二钱） 白术 茯苓（各三钱）
上 咀。每服半两，入姜煎。
当归拈痛汤
羌活（半两） 人参 苦参（酒制） 升麻 葛根 苍术（各二钱） 炙甘草 黄芩（酒制） 茵陈
（酒炒，各半两） 防风 归身 知母（酒炒） 泽泻 猪苓 白术（一钱半）
上 咀。每服一两，水煎，空心服，临睡再服。
舟车丸 见水气类。
除湿丹
槟榔 甘遂 威灵仙 赤芍 泽泻 葶苈（各二两） 乳香 没药（各一两） 牵牛（半两） 大戟
（炒，三两） 陈皮（四两）
上为末，糊丸如梧子大。每服五十丸至七十丸，温水下。
东垣开结导饮丸
白术 陈皮 泽泻 茯苓 神曲（炒） 麦 曲 半夏（各半两） 枳实（炒） 巴豆霜（各一钱
半） 青皮 干生姜（各半两）
上为末，汤浸蒸饼丸如梧子大。每四五十丸，或七十丸，温水下。
麻黄左经汤
麻黄 干葛 细辛 白术 茯苓 防己 桂 羌活 甘草 防风
上 咀。每半两，入姜枣煎服。
五积散
白芷（一两半） 陈皮（三两） 浓朴（姜制，二两） 桔梗（六两） 枳壳（三两） 川芎 甘草（炙） 茯
苓（各一两半） 桂 芍药 半夏（泡，各两半） 当归（一两半） 麻黄（三两，去节） 干姜
（三两） 苍术（
上 咀。每服四钱，水一盏，姜三片，葱白三茎，煎
至七分，热服。冒寒用煨姜，挟气加茱萸，妇人调经催产入艾醋。
大黄左经汤
细辛 茯苓 羌活 大黄（煨） 甘草（炙） 前胡 枳壳 浓朴（制） 黄芩 杏仁（等分）
上 咀。每服半两，入姜枣煎。
东垣羌活导滞汤
羌活 独活（各半两） 防己 当归（各二钱） 大黄（酒浸，煨，一两） 枳实（炒，二钱）
上 咀。每服五钱或七钱，水煎服。
八味丸 见诸虚类。
独活寄生汤 见腰痛类。
足跟痛，有痰，有血热。血热，四物加黄柏、知母、牛膝之类。
(Attached: Heel Pain)
For Hongjiao (a disease characterized by swelling and heaviness of the lower legs and weakness), drugs with ascending and lifting properties must be used to raise and expel dampness. Medication should be prescribed according to the condition of Qi and Blood. In cases where Hongjiao attacks the Heart (pathogenic factors attacking the chest and heart), Siwu Tang (Four Substances Decoction) added with stir-fried Huangbai (Phellodendron Bark) is suitable. Subsequently, it is advisable to apply a paste made from Fuzi (Aconite Root) powder mixed with saliva to the Yongquan acupoint (KI1, "Gushing Spring"), followed by moxibustion, to guide heat downward.
Formulas follow:
Fangji Yin (Stephania Decoction)
Baizhu (Atractylodes Macrocephala Rhizome), Mutong (Akebia Caulis), Fangji (Stephania Tetrandra), Binglang (Areca Seed), Chuanxiong (Ligusticum Chuanxiong Rhizome), Gancao Shao (Licorice Root Tip), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Cangzhu (Atractylodes Lancea Rhizome, salt-stir-fried), Huangbai (Phellodendron Bark, wine-stir-fried), Shengdihuang (Rehmannia Root).
(Modifications: If stool is dry, add Taoren (Peach Kernel); if urination is difficult, add Duniuqi (Dipsacus Root); if there is heat, add Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome); if there is severe heat coinciding with hot seasons, add Shigao (Gypsum Fibrosum); if there is phlegm, add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). For general swelling, the primary cause is damp-heat; the author has other specific formulas for this.)
Another formula, treating damp-heat, food stagnation, and phlegm flowing into collaterals.
Cangzhu (Atractylodes Lancea Rhizome), Huangbai (Phellodendron Bark), Fangji (Stephania Tetrandra), Nanxing (Arisaema Cum Bile), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baizhi (Angelica Dahurica Root), Xijiao (Rhinoceros Horn), Binglang (Areca Seed).
If there is Blood deficiency, add Niuxi (Achyranthes Root) and Guiban (Tortoise Shell).
Grind the above ingredients into powder, make pills using wine paste, and take orally. For obese individuals, add phlegm-resolving drugs.
Jianbu Wan (Striding Pill)
Shengdihuang (Rehmannia Root, 0.5 liang)
Guiwei (Angelica Sinensis Tail), Shaoyao (Peony Root), Chenpi (Citrus Reticulata Peel), Cangzhu (Atractylodes Lancea Rhizome) (each 1 liang), Wuzhuyu (Evodia Fruit), Tiaoqin (Scutellaria Root) (each 0.5 liang), Niuxi (Achyranthes Root, 1 liang), Guizhi (Cinnamon Twig, 2 qian), Dafuzi (Betel Nut).
Grind the above ingredients into powder, make pills using steamed bread dough, sized like wu zi (wisteria seeds). Take 100 pills per dose, on an empty stomach, washed down with a decoction of Baizhu (Atractylodes Macrocephala Rhizome) and Mutong (Akebia Caulis).
Another formula, treating a woman's swollen lower legs.
Honghua (Safflower), Niuxi (Achyranthes Root) (both washed with wine), Shengdihuang (Rehmannia Root), Huangbai (Phellodendron Bark), Cangzhu (Atractylodes Lancea Rhizome), Nanxing (Arisaema Cum Bile), Caolongdan (Gentiana Scabra Root), Chuanxiong (Ligusticum Chuanxiong Rhizome).
If tendons twitch at the big toe, extending up to the thigh near the waist causing knotting, this is due to rich nourishment combined with exposure to wind-cold. Siwu Tang (Four Substances Decoction) added with wine-fried Huangqin (Scutellaria Root), Honghua (Safflower), Cangzhu (Atractylodes Lancea Rhizome), Nanxing (Arisaema Cum Bile), and Shengjiang (Fresh Ginger) should be decocted and taken.
Damp-phlegm type Hongjiao, accompanied by loose stools.
Cangzhu (Atractylodes Lancea Rhizome, 2 liang), Fangfeng (Saposhnikovia Root, 1 liang), Binglang (Areca Seed, 6 qian), Xiangfu (Cyperus Rhizome, 8 qian), Chuanxiong (Ligusticum Chuanxiong Rhizome, 6 qian), Tiaoqin (Scutellaria Root, 4 qian), Huashi (Talcum, 1 liang 2 qian).
Grind the above ingredients into powder; they can be taken as pills or powder.
Soft feet and painful tendons
Niuxi (Achyranthes Root, 2 liang), Baishao (White Peony Root, 1.5 liang), Guiban (Tortoise Shell, wine-fried), Huangbai (Phellodendron Bark, wine-stir-fried, 1 liang), Zhimu (Anemarrhena Rhizome, stir-fried), Gancao (Licorice Root, 0.5 liang).
Grind the above ingredients into powder. Make pills using wine paste.
Yingtong Wan (Pain-Relieving Pill), treating unbearable pain from Hongjiao. This medicine is a drastic agent.
Chishaoyao (Red Peony Root, 0.5 liang, roasted, skin removed), Caowu (Aconitum Kusnezoffii Root, 0.5 liang, roasted, skin and tip removed).
Grind the above ingredients into powder, make pills using wine paste. Take 10 pills on an empty stomach, washed down with warm water.
Another formula, treating Hongjiao swelling and pain.
Jiezi (Mustard Seed), Baizhi (Angelica Dahurica Root) (equal parts).
Grind the above ingredients into powder, mix with ginger juice, and apply externally as a plaster. Alternatively, grind Xianshu (Atractylodes Macrocephala Rhizome), Qianghuo (Notopterygium Root), Duhuo (Angelica Pubescens Root), Baizhi (Angelica Dahurica Root), and Xixin (Asarum Root) into powder, put them inside cloth socks, and wear them.
Another formula, fumigation and washing for Hongjiao.
Weilingxian (Clematis Root), Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta Spike), Digupi (Phellodendron Root Bark), Danggui (Angelica Sinensis Root), Shengma (Cimicifuga Rhizome), Shuodi (Polygonatum Odoratum Rhizome - *Note: Text says 'Shu', likely referring to Shudi or similar herb, context suggests warming/blood-moving*).
Decoct these ingredients in water for fumigation and washing.
[Appendix] Hongjiao includes damp-heat patterns, food stagnation flowing into collaterals patterns, wind-damp patterns, and cold-damp patterns. To overcome dampness, use Xianshu (Atractylodes Macrocephala Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Fangji (Stephania Tetrandra), and Chuanxiong (Ligusticum Chuanxiong Rhizome) as main ingredients, or use Liuwu Fuzi Tang (Six-Ingredient Aconite Decoction) or Danggui Niantong Tang (Angelica Analgesic Decoction). For severe Qi stagnation in Hongjiao Qi, use Zhouche Wan (Boat Cart Pill) or Chushi Dan (Dampness-Removing Pill); if there is fluid retention, use Dongyuan Kaiejie Daoyin Wan (Dongyuan's Knot-Opening and Fluid-Guiding Pill). For releasing the exterior in Hongjiao, use Mahuang Zuojing Tang (Ephedra Left Meridian Decoction) and other medicines, selected according to the affected meridian. For cases complicated by phlegm, Qi stagnation, cold, and dampness, use Wuji San (Five Accumulations Powder) added with Mugua (Chaenomeles Fruit). For simultaneous release of exterior and interior, use Dahuang Zuojing Tang (Rhubarb Left Meridian Decoction) or Dongyuan Qianghuo Daozhi Tang (Dongyuan's Notopterygium Stagnation-Guiding Decoction); for regulating blood, use Bawei Wan (Eight-Ingredient Pill), or Siwu Tang (Four Substances Decoction) added with Qianghuo (Notopterygium Root) and Tianma (Gastrodia Rhizome), or Siwu Tang (Four Substances Decoction) added with Huangbai (Phellodendron Bark) and Nanxing (Arisaema Cum Bile), or Jianbu Wan (Striding Pill); for dispelling wind and nourishing blood, Duohuo Jisheng Tang (Angelica Pubescens and Ginseng Decoction) is most effective.
Attached Formulas:
Liuwu Fuzi Tang (Six-Ingredient Aconite Decoction)
Fuzi (Prepared Aconite Lateral Root), Guizhi (Cinnamon Twig), Fangji (Stephania Tetrandra) (each 4 qian), Gancao (Licorice Root, honey-fried, 2 qian), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria) (each 3 qian).
Crush the ingredients. Take 0.5 liang per dose, decoct with ginger.
Danggui Niantong Tang (Angelica Analgesic Decoction)
Qianghuo (Notopterygium Root, 0.5 liang), Renshen (Ginseng Root), Kushen (Sophora Root, wine-treated), Shengma (Cimicifuga Rhizome), Gegen (Kudzu Root), Cangzhu (Atractylodes Lancea Rhizome) (each 2 qian), Zhi Gancao (Honey-fried Licorice Root), Huangqin (Scutellaria Root, wine-treated), Yichen (Artemisia Capillaris Spore), Fangfeng (Saposhnikovia Root), Guishen (Angelica Sinensis Root Body), Zhimu (Anemarrhena Rhizome, wine-stir-fried), Zexie (Alisma Rhizome), Zhuling (Polyporus), Baizhu (Atractylodes Macrocephala Rhizome, 1.5 qian) (Yichen and others listed as half liang each in source structure, adjusted for clarity: Yichen 0.5 liang).
Crush the ingredients. Take 1 liang per dose, decoct in water. Take on an empty stomach, and again before sleep.
Zhouche Wan (Boat Cart Pill) See Water Swelling category.
Chushi Dan (Dampness-Removing Pill)
Binglang (Areca Seed), Gansui (Kansui Root), Weilingxian (Clematis Root), Chishao (Red Peony Root), Zexie (Alisma Rhizome), Tingli (Descurainia Seed) (each 2 liang), Ruxiang (Frankincense), Moyao (Myrrh) (each 1 liang), Qianniu (Morning Glory Seed, 0.5 liang), Daji (Euphorbia Root, stir-fried, 3 liang), Chenpi (Citrus Reticulata Peel, 4 liang).
Grind into powder, make pills with paste, sized like wu zi (wisteria seeds). Take 50-70 pills per dose, washed down with warm water.
Dongyuan Kaiejie Daoyin Wan (Dongyuan's Knot-Opening and Fluid-Guiding Pill)
Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Citrus Reticulata Peel), Zexie (Alisma Rhizome), Fuling (Poria), Shenqu (Medicated Leaven, stir-fried), Maiqu (Malt), Banxia (Pinellia Tuber) (each 0.5 liang), Zhishi (Bitter Orange Fruit, stir-fried), Badoushuang (Croton Seed Frost) (each 1.5 qian), Qingpi (Green Citrus Peel), Ganjiang (Dried Ginger) (each 0.5 liang).
Grind into powder, soak in water, make pills with steamed bread dough, sized like wu zi (wisteria seeds). Take 40-50 pills, or 70 pills, washed down with warm water.
Mahuang Zuojing Tang (Ephedra Left Meridian Decoction)
Mahuang (Ephedra Herb), Gange (Kudzu Root), Xixin (Asarum Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Fangji (Stephania Tetrandra), Guizhi (Cinnamon Twig), Qianghuo (Notopterygium Root), Gancao (Licorice Root), Fangfeng (Saposhnikovia Root).
Crush the ingredients. Take 0.5 liang per dose, decoct with ginger and jujube.
Wuji San (Five Accumulations Powder)
Baizhi (Angelica Dahurica Root, 1.5 liang), Chenpi (Citrus Reticulata Peel, 3 liang), Houpo (Magnolia Bark, ginger-treated, 2 liang), Jiegeng (Platycodon Root, 6 liang), Zhike (Bitter Orange Fruit, 3 liang), Chuanxiong (Ligusticum Chuanxiong Rhizome), Gancao (Licorice Root, honey-fried), Fuling (Poria) (each 1.5 liang), Guizhi (Cinnamon Twig), Shaoyao (Peony Root), Banxia (Pinellia Tuber, soaked) (each 1.5 liang), Danggui (Angelica Sinensis Root, 1.5 liang), Mahuang (Ephedra Herb, de-jointed, 3 liang), Ganjiang (Dried Ginger, 3 liang), Cangzhu (Atractylodes Lancea Rhizome).
Crush the ingredients. Take 4 qian per dose, with one cup of water, 3 slices of ginger, and 3 stalks of scallion white. Decoct until three-tenths remains, and take hot. For cold invasion, use roasted ginger; for Qi constraint, add Evodia Fruit; for women regulating menstruation or inducing labor, add Mugwort Vinegar.
Dahuang Zuojing Tang (Rhubarb Left Meridian Decoction)
Xixin (Asarum Root), Fuling (Poria), Qianghuo (Notopterygium Root), Dahuang (Rhubarb Root, roasted), Gancao (Licorice Root, honey-fried), Qianhu (Peucedanum Root), Zhike (Bitter Orange Fruit), Houpo (Magnolia Bark, treated), Huangqin (Scutellaria Root), Xingren (Apricot Seed) (equal parts).
Crush the ingredients. Take 0.5 liang per dose, decoct with ginger and jujube.
Dongyuan Qianghuo Daozhi Tang (Dongyuan's Notopterygium Stagnation-Guiding Decoction)
Qianghuo (Notopterygium Root), Duhuo (Angelica Pubescens Root) (each 0.5 liang), Fangji (Stephania Tetrandra), Danggui (Angelica Sinensis Root) (each 2 qian), Dahuang (Rhubarb Root, wine-soaked, roasted, 1 liang), Zhishi (Bitter Orange Fruit, stir-fried, 2 qian).
Crush the ingredients. Take 5 qian or 7 qian per dose, decoct in water and take.
Bawei Wan (Eight-Ingredient Pill) See Deficiency Patterns category.
Duohuo Jisheng Tang (Angelica Pubescens and Ginseng Decoction) See Lower Back Pain category.
Heel pain involves Phlegm patterns and Blood Heat patterns. For Blood Heat patterns, use Siwu Tang (Four Substances Decoction) added with Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome), Niuxi (Achyranthes Root), etc.