陆（钮店桥） 血不荣筋，加以风湿阻络，阳明虚不能束筋骨以利机关，手指麻木不仁，
风淫末疾是也，脉小弦数，治宜和营，以祛风湿。
米仁 西秦艽 带皮苓 嫩桂枝 川萆 全当归 晚蚕沙 片姜黄 宣木瓜 粒
红花或易鸡血藤 野桑枝
邱 风寒湿三气杂至合而为痹，风胜为行痹，寒胜为痛痹，湿胜为着痹，足筋痹由血
不荣筋，寒湿下注阳明经络而成，脉弦数，苔薄白，治宜疏解。
米仁 西蓁艽 带皮苓 怀牛膝 川萆 全当归 晚蚕沙 虎胫骨 宣木瓜 粒
红花 垂下野桑枝 小活络丹（一颗剖开用开水化服）
康左（七月） 寒湿下注，足三里筋络肿痛，不能任地。《内经》云∶伸而不能屈，病在骨
是也，脉弦缓，治宜和营，以逐风湿。
照邱方加熟附片、威灵仙。
李左（二十六岁，馆前，初十） 半身不遂良由筋骨失于荣养，寒湿乘隙入于筋络所致。
前拟进温通筋络法已得小动，脉弦缓，仍步前法出入。
全当归 败龟版 米仁 晚蚕沙 东白芍 琐阳 川萆 制香附 虎胫骨 怀牛膝 宣木瓜 小活络丹一颗。
又半身不遂拟进河间虎潜法已得活动，而胫骨无力，大筋软短，犹是血不荣筋使然，脉弦，仍踵前法。
全当归 虎胫骨 怀牛膝 制香附 东白芍 败龟版 米仁 小活络丹 生地根 琐阳 晚蚕沙。
Lu (Niudian Bridge): Blood fails to nourish the sinews, compounded by wind-dampness obstructing the collaterals. The deficiency of the Yangming channel cannot bind the bones and sinews to facilitate joint movement, resulting in numbness and insensitivity of the fingers. This is what is known as "wind invading the extremities" (Feng Yin Mo Ji). The pulse is small, wiry, and rapid. Treatment should harmonize the Ying (Nutritive) level to dispel wind-dampness.
Coix Seed (Yiyi Ren), Western Gentian Root (Xiqinjiao), Poria with Skin (Daipiling), Tender Cinnamon Twig (Nengguizhi), Dioscorea Hypoglauca Rhizome (Chuanbi), Whole Angelica Sinensis (Quandanggui), Silkworm Frass (Wancansha), Turmeric Tuber Slice (Pianjiang Huang), Chaenomelas Fruit (Xuanmugua), Safflower Seeds (Honghuali).
If Safflower is unavailable, it may be replaced with Spatholobus Stem (Jixueteng) and Wild Mulberry Branch (Yesangzhi).
Another patient: Wind-dampness has caused Bi syndrome, characterized by wandering pain without a fixed location. Add Frankincense (Ruxiang) 7 fen and half a cup of aged rice wine to the previous prescription for decoction.
Qiu: The mixed invasion of wind, cold, and dampness constitutes Bi syndrome. When wind predominates, it is called Wandering Bi (Xing Bi); when cold predominates, it is called Painful Bi (Tong Bi); when dampness predominates, it is called Fixed Bi (Zhuo Bi). The bi obstruction of the foot sinews arises from blood failing to nourish the sinews, with cold-dampness sinking into the Yangming channels and collaterals. The pulse is wiry and rapid, and the tongue coating is thin and white. Treatment should involve dispersing and resolving.
Coix Seed (Yiyi Ren), Western Gentian Root (Xiqinjiao), Poria with Skin (Daipiling), Achyranthes Bidentata Root (Huainiuxi), Dioscorea Hypoglauca Rhizome (Chuanbi), Whole Angelica Sinensis (Quandanggui), Silkworm Frass (Wancansha), Tiger Tibia Bone (Hu Jing Gu), Chaenomelas Fruit (Xuanmugua), Safflower (Honghua).
Wild Mulberry Branch hanging down (Chuixia Yesangzhi), Xiao Huoluo Dan (Little Live-Lotus Pill) (one pill, split open and dissolved in boiling water for administration).
Mr. Kang Zuo (July): Cold-dampness sinks downward, causing swelling and pain in the sinews and collaterals at Zusanli (ST36), making it impossible to bear weight on the feet. The *Neijing* states: "Extension but not flexion indicates disease in the bone." The pulse is wiry and slow. Treatment should harmonize the Ying (Nutritive) level to drive out wind-dampness.
Referencing Qiu's formula, add Prepared Aconite Root (Shu Fupian) and Clematis Root (Weilingxian).
Mr. Li Zuo (26 years old, Guanqian, 10th day): Hemiplegia is largely due to the loss of nourishment to the bones and sinews, allowing cold-dampness to invade the sinews and collaterals through gaps. The previously proposed method of warming and unblocking the sinews and collaterals has yielded slight improvement. The pulse is wiry and slow; continue with the previous method with modifications.
Whole Angelica Sinensis (Quandanggui), Tortoise Plastron (Baiguiban), Coix Seed (Yiyi Ren), Silkworm Frass (Wancansha), Eastern White Peony Root (Dongbaishao), Cynomorium (Suoyang), Dioscorea Hypoglauca Rhizome (Chuanbi), Processed Cyperus Rhizome (Zhixiangfu), Tiger Tibia Bone (Hu Jing Gu), Achyranthes Bidentata Root (Huainiuxi), Chaenomelas Fruit (Xuanmugua), one pill of Xiao Huoluo Dan (Little Live-Lotus Pill).
Furthermore, regarding hemiplegia, the Hejian Tiger-Hiding Method (Hejian Hujian Fa) was proposed. Movement has been achieved, but there is weakness in the tibia, and the large sinews are soft and short. This is still due to blood failing to nourish the sinews. The pulse is wiry; continue following the previous method.
Whole Angelica Sinensis (Quandanggui), Tiger Tibia Bone (Hu Jing Gu), Achyranthes Bidentata Root (Huainiuxi), Processed Cyperus Rhizome (Zhixiangfu), Eastern White Peony Root (Dongbaishao), Tortoise Plastron (Baiguiban), Coix Seed (Yiyi Ren), Xiao Huoluo Dan (Little Live-Lotus Pill), Rehmannia Root (Shengdigen), Cynomorium (Suoyang), Silkworm Frass (Wancansha).