凡麻木是湿痰死血也,用四物汤加陈皮、半夏、茯苓、白芥子、桃仁、红花、甘草,水煎服,入竹沥、姜汁服。
此乃气虚而寒湿中之,如其不治,三年后必中大风。方用∶
人参(二钱) 白术(五钱) 黄 (五钱) 防风(五分) 陈皮(五分)
桂枝(五分) 甘草(一钱)
水煎服。
〔方中黄 、人参、白术,俱补气去湿之药;防风乃去风之品,必得桂枝始能入于手经也。经络既清,自能奏
功也。〕
十指皆麻,面目失色,此亦气虚也。治以补中益气汤加木香、麦冬、香附、羌活、乌药,防风,水煎服,三剂可愈。
〔双足麻木,不能履地;双手麻木,不能执物是
也。〕方用四物汤加∶
人参、白术、茯苓、陈皮、半夏、桂枝、柴胡、羌活、防风、秦艽、牛膝、炙草、姜枣引,水煎服,四剂愈。
凡腿麻木沉重,方用导气汤∶
黄 (二钱) 甘草(钱半) 青皮(一钱) 升麻(五分) 柴胡(五分) 归尾(五分) 泽泻(五分)
陈皮(八分) 红花(少许) 五味子(三十粒)
水煎温服,甚效。
两手麻木,四肢困倦,怠惰嗜卧,此乃热作元气也。方
用人参益气汤∶
人参(一钱) 黄 (二钱) 甘草(一钱) 炙草(五分) 柴胡(七分) 白芍(七分) 升麻(五分)
五味子(卅粒) 生姜(三片) 大枣(二枚)
水煎温服。
Whenever numbness occurs, it is caused by damp-phlegm and dead blood (stasis). Use Siwu Tang (Four Substances Decoction) added with Chenpi (Tangerine Peel), Banxia (Pinellia Rhizome), Fuling (Poria), Baijiezi (White Mustard Seed), Taoren (Peach Kernel), Honghua (Safflower), and Gancao (Licorice Root). Decoct in water and take orally, adding Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice) when taking the medicine.
This is due to Qi deficiency allowing cold-dampness to invade. If left untreated, severe wind-stroke (Zhong Dafeng) will inevitably occur after three years. The prescription is as follows:
Renshen (Ginseng Radix et Rhizoma, 2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian) Huangqi (Astragali Radix, 5 qian) Fangfeng (Saposhnikoviae Radix, 5 fen) Chenpi (Citri Reticulatae Pericarpium, 5 fen)
Guizhi (Cinnamomi Ramulus, 5 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Decoct in water and take orally.
[In this formula, Huangqi, Renshen, and Baizhu are all herbs that tonify Qi and dispel dampness; Fangfeng is an herb that expels wind, but it must be combined with Guizhi to enter the hand meridians. Once the collaterals are cleared, efficacy will naturally be achieved.]
Numbness in all ten fingers, with a loss of luster in the face and eyes, is also due to Qi deficiency. Treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Muxiang (Aucklandiae Radix), Maidong (Ophiopogonis Tuber), Xiangfu (Cyperi Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Wuyao (Linderae Radix), and Fangfeng. Decoct in water and take orally; three doses can cure it.
[Numbness in both feet, unable to walk on the ground; numbness in both hands, unable to hold objects, refers to this condition.] The prescription uses Siwu Tang (Four Substances Decoction) added with:
Renshen, Baizhu, Fuling, Chenpi, Banxia, Guizhi, Chaihu (Bupleuri Radix), Qianghuo, Fangfeng, Qinjiao (Gentianae Macrophyllae Radix), Niuxi (Achyranthis Bidentatae Radix), Zhi Cao (Honey-fried Licorice Root), and Jiang (Ginger) and Zao (Jujube) as guides. Decoct in water and take orally; four doses will cure it.
Whenever the legs are numb and heavy, use Daoqi Tang (Guide Qi Decoction):
Huangqi (2 qian) Gancao (1.5 qian) Qingpi (Green Tangerine Peel, 1 qian) Shengma (Cimicifugae Rhizoma, 5 fen) Chaihu (0.5 qian) Guiwei (Angelicae Sinensis Radix Tail, 0.5 qian) Zexie (Alismatis Rhizoma, 0.5 qian)
Chenpi (0.8 fen) Honghua (a little) Wuweizi (Schisandrae Fructus, 30 grains)
Decoct in water and take warm; it is very effective.
Numbness in both hands, fatigue and heaviness in the four limbs, lethargy, and a desire to lie down are caused by heat damaging Yuan Qi (Original Qi). The prescription uses Renshen Yiqi Tang (Ginseng Qi-Augmenting Decoction):
Renshen (1 qian) Huangqi (2 qian) Gancao (1 qian) Zhi Cao (0.5 qian) Chaihu (0.7 fen) Baishao (Paeoniae Radix Alba, 0.7 fen) Shengma (0.5 fen)
Wuweizi (30 grains) Shengjiang (Fresh Ginger, 3 slices) Dazao (Jujubae Fructus, 2 pieces)
Decoct in water and take warm.