历节风者,风寒湿之邪,伤于筋骨者也。其证支节疼痛,足肿头眩,短气欲吐,身羸发热,黄汗沾
衣,色如柏汁。此缘饮酒,汗出当风取凉,酒气在经,为风所闭,湿邪淫 ,伤于筋骨。其经络之
中,则是湿热。其骨髓之中,则是湿寒。以桂枝芍药知母汤主之。
桂枝芍药知母汤
桂枝(四钱) 芍药(三钱) 甘草(二钱) 白术(二钱) 附子(二钱) 知母
(四钱) 防风(四钱) 麻黄(二钱) 生姜(五钱) 水煎大半杯,温服。如病剧不能捷效,加黄 以
行经络,乌头以驱寒湿,无有不愈。
痹证者,风寒湿三气合而为病也。其病有定处,或痛中带麻,仍以桂枝芍药知母汤主之。
如血痹,并一切痹证之属虚者,以黄 五物汤主之。
桂枝芍药知母汤(见上)
黄 五物汤
黄 (三钱) 桂枝(三钱) 白芍(三钱) 大枣(四枚) 生姜(四钱)
水煎大半杯,温服。
鹤膝风者,胫细而膝肿是也。为风、寒、湿三气合痹于膝,而成此证,仍以桂枝芍药知母汤
主之。如气血两虚者,以十全大补汤加味主之。如初起用白芥子研末,以姜葱汁调涂之,敷
时患处起泡,泡干脱皮自愈。
桂枝芍药知母汤(见上)
十全大补汤
人参 白术 茯苓 甘草(炙) 熟地 当归 黄 肉桂 白芍(各二钱)
川芎(一钱) 加姜枣,水煎大半杯,温服。防风、附子、牛膝、杜仲、独活、可随便加之。
白芥子敷法
以白芥子研细末,照法敷之。
Li Jie Feng (Joint-Striking Wind) is a disease caused by the pathogenic factors of Wind, Cold, and Dampness injuring the sinews and bones. Its manifestations include pain in the limbs and joints, swelling of the feet, dizziness, shortness of breath with a desire to vomit, emaciation with fever, and yellow sweat that stains clothing with a color resembling cypress juice. This condition arises from drinking alcohol, then exposing oneself to wind while sweating to cool down; the qi of alcohol remains in the meridians, being closed off by Wind, leading to the infiltration of Dampness which injures the sinews and bones. Within its meridians, there is Damp-Heat, whereas within the bone marrow, there is Damp-Cold. The principal formula for treatment is Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction).
Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction)
Guizhi (Ramulus Cinnamomi, four qian), Shaoyao (Radix Paeoniae Alba, three qian), Gancao (Radix Glycyrrhizae, two qian), Baizhu (Rhizoma Atractylodis Macrocephalae, two qian), Fuzi (Radix Aconiti Lateralis Preparata, two qian), Zhimu (Rhizoma Anemarrhenae, four qian), Fangfeng (Radix Saposhnikoviae, four qian), Mahuang (Herba Ephedrae, two qian), Shengjiang (Rhizoma Zingiberis Recens, five qian). Decoct in water until half a cup remains, take warm. If the condition is severe and does not respond quickly, add Huangqi (Radix Astragali) to promote circulation in the meridians, and Wutou (Radix Aconiti) to dispel Cold-Dampness; recovery is assured.
Bi Syndrome (Obstruction Syndrome) is a disease caused by the combination of Wind, Cold, and Dampness pathogens. The lesions are located in fixed areas, sometimes accompanied by numbness within the pain. It is primarily treated with Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction). For Blood Bi (Blood Obstruction) and all types of Bi Syndrome belonging to Deficiency patterns, Huangqi Wuwu Tang (Astragalus Five-Ingredient Decoction) is the principal formula.
Guizhi Shaoyao Zhimu Tang (See above)
Huangqi Wuwu Tang (Astragalus Five-Ingredient Decoction)
Huangqi (Radix Astragali, three qian), Guizhi (Ramulus Cinnamomi, three qian), Baishao (Radix Paeoniae Alba, three qian), Dazao (Fructus Jujubae, four pieces), Shengjiang (Rhizoma Zingiberis Recens, four qian). Decoct in water until half a cup remains, take warm.
He Xi Feng (Crane-Knee Wind) refers to a condition characterized by thin calves and swollen knees. This syndrome results from the combined obstruction of Wind, Cold, and Dampness at the knee joint. It is primarily treated with Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction). In cases of simultaneous Qi and Blood Deficiency, Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) with modifications is used. In the early stages, Baijiezi (Semen Sinapis Albi) can be ground into powder, mixed with ginger juice and scallion juice, and applied topically to the affected area. Blisters will form during application; once the blisters dry and the skin peels off, the condition will heal spontaneously.
Guizhi Shaoyao Zhimu Tang (See above)
Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction)
Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae, honey-fried), Shudi (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Huangqi (Radix Astragali), Rougui (Cortex Cinnamomi), Baishao (Radix Paeoniae Alba) (each two qian), Chuanxiong (Rhizoma Chuanxiong, one qian). Add Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae), decoct in water until half a cup remains, take warm. Fangfeng (Radix Saposhnikoviae), Fuzi (Radix Aconiti Lateralis Preparata), Niuxi (Radix Achyranthis Bidentatae), Duzhong (Cortex Eucommiae), Duhuo (Radix Angelicae Pubescentis) may be added as needed.
Baijiezi Topical Application Method
Grind Semen Sinapis Albi into a fine powder and apply according to the method described above.