倍，脾胃乃伤，则胃气不能施化，脾气不能四布，故下流乘其肝肾之位，疰于足胫。加之房事不节，阴盛阳虚，
遂成痼疾。孙真人云∶古人少有此疾，自永嘉南渡，衣缨士人多有之，亦此意也。
当归拈痛汤 治湿热为病，肢节烦疼，肩背沉重，胸膈不利，兼遍身疼痛，流注手足，足胫肿痛不可忍。
羌活 甘草（炙） 黄芩（酒炒） 茵陈（各半两，酒炒） 人参 苦参（酒洗） 升麻 葛根
苍术 归身（各二钱） 知母（酒洗，三钱） 泽泻（三钱） 猪苓（三钱） 白术（一钱半） 防风（三钱）
水煎，不拘时候。
〔《本草十剂》〕云∶宣可去壅，通可去滞。《内经》云∶湿淫所胜，治以苦温。羌活苦辛，透关节胜湿，
防风、甘草温散经络中留湿，故以为君。水性润下，升麻、葛根苦辛平，味之薄者，阴中之阳，引而上行，
以苦发之也；白术苦甘温和平，除湿，苍术体轻浮，气力雄壮，能除肤腠间湿，故以为臣。夫血壅而不流则
为痛，当归身辛温以散之，使血气各有所归，人参、二十草甘温，补脾养正气，使苦药不能伤脾胃。仲景云∶
湿热相合，肢节烦疼。苦参、黄芩、知母、茵陈苦寒，乃苦以泄之者也，凡酒制炒，以为因用。治湿不利小便，
非其治也。猪苓甘温平，泽泻咸平，淡以渗之，又能导其留饮，故以为佐。气味相合，上下分流其湿，使壅滞
之气得宣通也。
上 咀，每服一两，水二盏半，浸药少时，煎至一大盏，去渣温服。空心，待少时，以美膳压之。临卧一
服，不须饭压。
〔罗〕中书粘合公，年四旬有一，体干魁梧，丙辰春从征至扬州，香港脚忽作，遍身肢体微肿，其痛手不能
近，足胫尤甚，履不任穿，跣以骑马，控两蹬而以竹器盛之，以困急来告。予思《内经》有云∶饮发于中，
肿于上。又云∶诸痛为实，血实者宜决之。以三棱针数刺其肿上，血突出，高二尺余，渐渐如线，流于地，约
半升许，其色黑紫。顷时肿消痛减，以当归拈痛汤一两半服之，是夜得睡，明日再服而愈。
〔《肘》〕风毒香港脚，若胫已满，捻之没指，但勤饮乌 牛溺二三升，使小便利，渐渐消。当以铜器取新
者为佳。纯黄者亦可用。
〔垣〕杨大受云∶香港脚之疾，自古皆尚疏下，为疾壅故也。然不可太过，太过则损伤脾胃，使营运之气不
能上行，反下注为香港脚；又不可不及，不及则使壅气不能消散。今立三方于后，详虚实而用之。
羌活导滞汤 治香港脚初发，一身尽痛，或肢节肿痛，便溺阻隔，先以此药导之，后用当归拈痛汤除之。
羌活 独活（各半两） 防己（三钱） 大黄（酒煨，一两） 当归（三钱） 枳实（面炒，二钱）
上 咀，每服五钱或七钱，水二盏，煎至七分，温服。微利则已，量虚实加减。
开结导饮丸 饮食不消，心下痞闷。
陈皮 白术 泽泻 茯苓 曲 麦 半夏（制。各一两） 枳实（炒） 青皮 干姜（各半两）
如有积块者，加巴豆霜一钱半。
上为末，汤浸蒸饼为丸，如桐子大。每服三五十丸至七十丸，温汤下，食远服。
又方 治湿热并诸湿客搏，腰膝重痛，足胫浮肿。
槟榔 甘遂 赤芍 威灵仙 泽泻 葶苈 乳香（研。各二两） 没药（研，一两） 牵牛（半两）
大戟（炒，三两） 陈皮（四两）
上为末，面糊为丸，如桐子大。每服五十丸，加至七八十丸，食前温水送下。得更衣，止后服。前药忌酒
二日，又忌面及甘草三两日。食温淡粥补胃。
乙巳春，廉平章年三十八，身体充肥，香港脚始发，头面浑身肢节微肿，皆赤色，足胫赤肿，痛不可
忍，不敢扶策，手着皮肤，其痛转甚，起而复卧，卧而复起，昼夜苦楚，难以名状，求予治之。平章以北土
高寒，故多饮酒，积久伤脾，不能运化，饮食下流之所致。投以当归拈痛汤一两二钱，其痛减半。再服肿痛
悉除。止有右手指末微赤肿，以三棱针刺于爪甲端，多出黑血，赤肿全去。不数日，因食湿面，肢体觉痛，再以
枳实大黄汤治之。
羌活（一钱半） 当归（一钱） 枳实（五分） 大黄（酒煨，三钱）
夫香港脚之疾，皆水湿之为也。面滋其湿，血壅而不行，故肢节烦疼。《内经》曰∶风能胜湿。羌活辛温，
透关节，去湿，故以为主。血留而不能行则痛，当归之辛温，散壅止痛。枳实之苦寒，治痞消食，故以为臣。
大黄苦寒，以导面之湿热，并治诸老血留结，取其峻快，故以为使也。
上 咀，只作一服，水一盏半，煎至一盏，去渣，温服，空心食前，利下两行，痛止。
〔世〕香港脚。控涎丹加胭脂一钱，槟榔、木瓜各一两，卷柏半两，先以盐水煮半日，次日白水煮半日，同
前药为丸，每三十丸，加至四五十丸，服下恶物，立效。（控涎丹方见走注疼痛。）
〔《衍》〕有人嗜酒，日须五七十杯，后患香港脚甚危。或教以巴戟半两，糯米同炒，米微转色，不用米，
大黄一两，锉炒，同为末，熟蜜为丸，温水下五七十丸，仍禁酒，遂愈。
〔《本》〕治风气积滞成香港脚，常觉微肿，发则或痛，茵芋丸。
茵芋（炒） 薏苡仁（各半两） 郁李仁（一两） 牵牛子（三两，生取末一两半）
上细末，炼蜜丸，如桐子大。每服二十丸，姜枣汤下。未利加至三十丸，日三，快利为度，白粥补之。
治肾脏风攻注脚膝方。
连珠 甘遂（一两） 木鳖子（一雌一雄，去壳）
上为末， 猪腰子二个，批开，用药末一钱掺匀，湿纸裹数重，火煨熟，放温，五更初细嚼，米饮下。积
水多则利多，少则利少，宜软饭将息。若息一脚，须看左右，如左脚用左边腰子，右脚用右边腰子，药末止
许一钱。
壬子年在毗陵，有姓马人鬻酒，久不见，因问其子，云∶宿患肾脏风，今一足发肿如瓠，自腰以下巨细通
为一律，痛不可忍，欲转侧，两人挟持方可动，或者欲以铍刀决之。予曰∶不可，吾有药当合以赠。如上法
服之，辰巳间下脓水数升，实时痛止肿退。一月后，尚拄拐而行。予再以赤乌散，令涂贴其膝方愈。后十年，
至毗陵，率其子列拜以谢，云∶向脚疾至今不复作，虽积年肾脏风并已失去，今健步自若矣。
〔《草》〕有人重病，足不履地者十年，良医殚技莫能治，所亲置之道傍以求救者。遇一游僧见之，告曰∶
此疾一药可治，但不知此土有否。因为之入山求索，果得，乃威灵仙也，使服之数日，能步履。其后山人邓思
济知之，遂着其法云∶探得阴干月余，捣筛，温清酒和二钱匕，空心服之。加人本性杀药，可加及六钱匕。利
过两行则减之，病除乃停服。其性甚善，不触诸药，但恶茶及面汤，以甘草、栀子代饮可也。
〔《集》〕治肾脏风壅积，腰膝沉重。威灵仙末，蜜和丸，如桐子大，初服酒下八十丸，平明微利恶物如
青脓桃胶，即是风毒积滞也。如未动，夜再服一百丸，取下后，吃粥补之一月，仍当服温补药。
〔子和〕息帅腰股沉痛，行步坐马皆不便。或作香港脚寒湿治之，或作虚损治之，乌、附、乳、没，活血壮
筋骨之药，无不用之。至六十余日，目赤上热，大小便俱涩，腰股之病如故。戴人诊其两手脉皆沉迟，沉者在
里也，宜泄之。以舟车丸、浚川散各一服，去积水二十余行。至早辰，服齑白粥一二顿，与之上马，已能矍铄矣。
棠溪李十八郎，病腰脚大不伸，偃偻跛 而行，已数年矣，服药无功，止药却愈。因秋暮涉水病复作，医
氏使服四斤丸，其父李仲安乃乞药于戴人。戴人曰∶近日服何药？仲安曰∶四斤丸。曰∶目昏赤未？其父惊曰∶
目正暴发。戴人曰∶宜速来，不来则丧明矣。始来策杖而行，目肿无所见。戴人先令涌之，药下忽走二十行，
两目顿明，策已弃去。比再涌泄，能读宫历日，调一月，令服当归丸，健步而归矣。
〔仲〕味酸则伤筋，筋伤则缓，名曰泄。咸则伤骨，骨伤则痿，名曰枯。枯泄相搏，名曰断泄。荣气不通，
卫不得独行，荣卫俱微，三焦无所禀，四续断绝，身体羸瘦，独足肿大，黄汗出，胫冷，假令发，便为历节。
（桂枝加黄 汤之类治之。）
〔丹〕恂 脚底如锥刺痛，或 肿，手腕亦痛而肿，大便泄滑，里急。此血少又下焦血分受湿气为病，健步丸
主之。（手腕恐是足腕。）
生地（一两半） 苍术 芍药 陈皮（各一两） 大腹子（三钱） 牛膝（半两） 归尾 茱萸 黄芩（各一两）
桂枝（三钱）
上为丸，每服百丸，白术通草煎汤，食前下之。
〔《三因》〕十全丹 治香港脚上攻，心肾相击，足心隐痛，小腹不仁，烦渴，小便秘或利，关节挛，皮疼痛，
神效不可具述。
肉苁蓉（酒浸） 石斛（酒浸） 狗脊（去毛） 萆 茯苓 牛膝（酒浸） 地仙子 远志（去心，炒。
各一两） 熟地（三两） 杜仲（去皮，炒，三两）
上为末，蜜丸，如桐子大。每服五十丸，温酒盐汤任下。
〔《本》〕治肝肾风虚气弱，脚不可践地，腰脊疼痛，风毒流注下经，行止艰难，小便余沥。此药补五
脏内伤，调中益气，凉血，强筋骨，益智轻身耐老，续断丸。
思仙木（五两，即杜仲） 五加皮 防风 薏苡仁 羌活 川续断（各三两） 萆 （四两） 生地（五两）
牛膝（酒浸，三两）
上为末，好酒三升，化青盐三两，用木瓜半斤，去皮子，以盐酒煮木瓜成膏，和杵丸，如桐子大。每服三
五十丸，空心食前，温酒盐汤下。
〔《本》〕疗丈夫腰脚痹，缓急，行履不稳者。以萆 二十四分，合杜仲八分，捣筛，每日温酒和服三钱
匕，增至五钱。忌食牛肉。
〔《活》〕薏苡仁酒 治脚痹。
薏苡仁 牛膝（各二两） 海桐皮 五加皮 独活 防风 杜仲（各一两） 熟地（一两半） 白术（半两）
上锉为粗末，散入生绢袋内，用好酒五升浸，春秋冬二七日，夏月盛热，分作数帖，逐帖浸酒。每日空心
温服一盏或半盏，日三四服，常令酒气醺醺不绝。久服觉皮肤下如数百条虫行，即风湿气散。
〔《本》〕去风补血，益气，壮筋骨，强脚力，虎骨酒。
虎胫骨（真者） 萆 仙灵脾 薏苡仁 牛膝 熟地（各二两）
上细锉，绢袋盛，浸酒二斗，饮了一盏入一盏，可得百日。妇人去牛膝。
〔丹〕六七叔婆，血少气多，大便后脚痛而麻。
当归（二钱半） 芍药 白术（二钱） 陈皮 青皮（一钱） 地黄（一钱半） 川芎（五分） 甘草（少些）
桃仁（十八个） 分二帖煎。
香港脚壅肿，便溺阻隔，心下痞满，饮食不消，宜微利之。（方见内伤湿热条。）
香港脚多属肺气实。经云∶肺病者汗出，尻阴股膝髀 足皆痛，故戴人治香港脚用涌法者，良由此
也。又《千金方》多汗之者，亦泻肺之法也。今集疏肺气之方于左。
〔子和〕魏德新因赴冬选，犯寒而行，真元气衰，加之坐卧冷湿，饮食失节，以冬遇此，遂作骨痹。骨属
肾也，腰之高骨，坏而不用，两胯似折，面黑如炭，前后 痛，痿厥嗜卧。遍问诸医，皆作肾虚治之。予
先以玲珑灶熨蒸数日，次以苦剂上涌寒痰三二升，上实下虚，明可见矣。次以淡剂使白术除脾湿，茯苓养肾
水，又刺肾 、太溪二穴，二日一刺。前后一月，平复如故。
孙少府监韩彦正暴得疾，手足不举。诸医皆以为风，针手足，亦不知痛。遂召孙诊之。孙曰∶此香港脚耳。
用槟榔末三钱，生姜三片，干紫苏七叶，陈皮三钱，水一大盏，煎至七分，去渣热服，数次而愈。
治脚肿者，槟榔散主之。
陈皮（一大握） 苍术（炒，一握） 酒半盏（同以上药煎）
上煎数沸，调槟榔末二钱，食后服。
〔《圣》〕治香港脚及风寒湿，四肢挛急，脚疼不可践地。用紫苏二两，捣碎，水三升，研取汁，以苏子汁
煮粳米粥二合，和葱、豉、椒、姜食之，即止。
上槟榔、紫苏例。
〔世〕治一切香港脚奇方。用穿山甲前两足者，烧存性，研细，入麝香当门子少许，多少随人斟酌。要服此
药，须去他事，至晚不可进饮食，候至夜深腹空时调服，坐卧随意。及鸡鸣，又一服，痛立止，过一二日便能
步履如常，极妙如神。
〔《千》〕治香港脚十二风痹不能行，松叶酒。用松叶六十斤，细锉 咀，以水四石，煮取四斗九升，以酿五斗米，如
常法。另煮松叶汁以渍米，并 饭，泥酿封头，七日后澄饮之，取醉。得此酒力者甚众。
〔《本》〕虎骨酒 治腰脚痛疼挛急，不得屈伸，及腿膝冷麻。
用虎骨一具，及胫骨二茎，酥炙黄，捶碎，无灰酒三斗，密封七日，空心晚食，酒随意饮。
〔崔〕治腰脚蒸法。取黄荆叶不限多少，蒸熟热置于瓮中，其下着火温之，以病患置于叶中。须臾，汗出
叶中，旋旋吃饭，稍倦即止，以绵衣盖避风，仍进葱豉酒，以瘥为度。
〔世〕治诸般香港脚，一服除根。
防风（三钱，去芦） 羌活 蝉蜕（各三分） 薄荷（五分） 紫苏（四分）
If food intake is excessive, the Spleen and Stomach will be damaged. Consequently, Stomach Qi cannot perform its transformation and transportation functions, and Spleen Qi cannot distribute to all parts of the body. Therefore, dampness flows downward, invading the positions of the Liver and Kidney, and stagnating in the lower legs (tibia). Added to this, if sexual activity is not regulated, it leads to an excess of Yin and deficiency of Yang, eventually forming a chronic disease. Sun Simiao said: In ancient times, few people suffered from this disease. Since the southward migration during the Yongjia era, many scholars and officials have suffered from it; this is also the reason.
Danggui Niantong Decoction (Angelica Sinensis Decoction for Painful Dampness): Treats diseases caused by damp-heat, characterized by annoying pain in limbs and joints, heaviness in the shoulders and back, obstruction in the chest and diaphragm, accompanied by whole-body pain, with dampness flowing into the hands and feet, causing unbearable swelling and pain in the lower legs.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root, honey-fried), Huangqin (Scutellariae Radix, wine-fried), Yichen (Artemisiae Scopariae Herba, each half tael, wine-fried); Renshen (Ginseng Radix), Kushen (Sophorae Flavescentis Radix, wine-washed), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix); Cangzhu (Atractylodis Rhizoma), Dangguishen (Angelicae Sinensis Radix, each two qian); Zhimu (Anemarrhenae Rhizoma, wine-washed, three qian); Zexie (Alismatis Rhizoma, three qian), Zhuling (Polypori Porria, three qian), Baizhu (Atractylodis Macrocephalae Rhizoma, one and a half qian), Fangfeng (Saposhnikoviae Radix, three qian).
Usage: Decoct in water, take at any time.
The *Bencao Shiji* (Ten Categories of Materia Medica) states: "Xuan" (dispersing) can remove obstruction, "Tong" (unblocking) can remove stagnation. The *Neijing* states: "When dampness prevails excessively, treat it with bitter-warm herbs." Qianghuo is bitter and acrid, penetrating the joints and overcoming dampness; Fangfeng and Gancao are warm and dispersing, clearing dampness retained in the meridians; thus, they serve as the Sovereign (Jun) herbs. Water nature is moist and tends to flow downward. Shengma and Gegen are bitter, acrid, and neutral, with thin flavors, representing Yang within Yin, guiding the medicinal action upward through bitter dispersion. Baizhu is bitter, sweet, and warm, harmonious and peaceful, removing dampness; Cangzhu is light and floating in texture, vigorous in qi, removing dampness between the skin and pores; thus, they serve as the Minister (Chen) herbs. When blood is obstructed and does not flow, pain occurs. Dangguishen is acrid and warm, dispersing stasis, ensuring that blood and qi return to their proper places. Renshen and Gancao are sweet and warm, tonifying the Spleen and nourishing righteous Qi, preventing bitter-cold herbs from damaging the Spleen and Stomach. Zhang Zhongjing stated: "When damp-heat combines, it causes annoying pain in limbs and joints." Kushen, Huangqin, Zhimu, and Yichen are bitter and cold, using bitterness to drain heat. All are processed with wine or fried to utilize their specific properties. Treating dampness without promoting urination is incorrect treatment. Zhuling is sweet, warm, and neutral; Zexie is salty and neutral; using bland flavors to渗 (percolate/drain) dampness, they also guide retained fluid; thus, they serve as the Assistant (Zuo) herbs. The combination of flavors allows the upper and lower diversion of dampness, enabling the stagnant Qi to be dispersed and unblocked.
Crush the above herbs. Take one tael per dose, add two and a half cups of water, soak briefly, decoct until one cup remains, strain, and take warm. Take on an empty stomach, wait a while, then eat a good meal to settle the medicine. Take one dose before bed, no need for food to settle it.
He Zhanyou, Secretary of the Secretariat, was forty-one years old, with a robust physique. In the spring of Bingchen year, he campaigned to Yangzhou. Suddenly, Hongjiaojiao (podagra/gout-like condition) attacked. His whole body and limbs were slightly swollen. The pain was so severe that he could not bear touch, especially in the lower legs. He could not wear shoes, rode barefoot, controlled the stirrups with his hands, and placed his feet in a bamboo container due to the urgency. He sought treatment. I recalled the *Neijing*: "Fluid retention inside causes swelling above." It also says: "All pain is excess; where blood is excess, one should puncture to bleed." I used a Sanleng needle (Triangular needle) to prick the swollen area several times. Dark blood gushed out, rising more than two chi high, then flowing like a thread onto the ground, about half a sheng in volume, black-purple in color. Soon after, the swelling subsided and pain decreased. I administered Danggui Niantong Decoction, one and a half taels. He slept that night and was cured after taking another dose the next day.
The *Zhouhou Beiji Fang* states: For Fengdu Hongjiaojiao (Wind-Toxin Podagra), if the lower legs are full and pressing leaves an indentation, simply drink two to three sheng of black bull urine frequently to promote urination, and the swelling will gradually subside. It is best to use fresh urine collected in a copper vessel. Pure yellow urine can also be used.
Li Gao recorded: Yang Dashou said: Since ancient times, the treatment for Hongjiaojiao has favored purgative methods because the disease is caused by obstruction. However, one must not overdo it; excessive purging damages the Spleen and Stomach, preventing the transporting Qi from ascending, which instead sinks downward causing Hongjiaojiao. Nor should one under-treat it; insufficient treatment fails to dissipate the obstructive Qi. Hereafter, I present three formulas to be used after detailed differentiation of deficiency and excess.
Qianghuo Daozhi Decoction (Notopterygium Decoction to Guide Stagnation): Treats early-stage Hongjiaojiao with whole-body pain or swelling and pain in limbs and joints, and obstruction of urination and defecation. Use this formula first to guide the pathogen, then use Danggui Niantong Decoction to eliminate it.
Ingredients: Qianghuo, Duohuo (Angelicae Pubescentis Radix, each half tael); Fangji (Stephaniae Tetrandrae Radix, three qian); Dahuang (Rhei Radix et Rhizoma, wine-baked, one tael); Danggui (Angelicae Sinensis Radix, three qian); Zhishi (Aurantii Fructus Immaturus, flour-fried, two qian).
Usage: Crush. Take five or seven qian per dose, add two cups of water, decoct until seventy percent remains, take warm. Stop when slight diarrhea occurs; adjust dosage according to deficiency or excess.
Kaijie Daoyin Pills (Unbinding and Guiding Fluid Pills): Treats indigestion and epigastric fullness/stuffiness.
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Baizhu, Zexie, Fuling (Poria), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Banxia (Pinelliae Rhizoma, prepared, each one tael); Zhishi, Qingpi (Citri Reticulatae Pericarpium Viride), Ganjiang (Zingiberis Rhizoma, each half tael).
If there are accumulations, add Badoushuang (Crotonis Semen Pulvis, one and a half qian).
Usage: Grind into powder. Make pills using rice dough steamed cakes, size of paulownia seeds. Take thirty to fifty or up to seventy pills per dose, with warm water, well after meals.
Another Formula: Treats damp-heat and various damp pathogens attacking, causing heavy and painful waist and knees, and swollen lower legs.
Ingredients: Binglang (Arecae Semen), Gansui (Kansui Radix), Chishao (Paeoniae Radix Rubra), Weilingxian (Sinomenii Caulis), Zexie, Tingli (Lepidii Semen), Xurong (Frankincense, ground, each two liang); Moyao (Myrrha, ground, one liang); Qianniu (Pharbitidis Semen, half liang); Daji (Euphorbiae Pekinensis Radix, fried, three liang); Chenpi (four liang).
Usage: Grind into powder. Make pills using wheat paste, size of paulownia seeds. Take fifty pills per dose, increasing to seventy or eighty, with warm water before meals. Change clothes after taking, then stop further doses. Avoid alcohol for two days prior to medication, and avoid noodles and Gancao for three days. Eat warm, bland congee to nourish the Stomach.
In the spring of Yisi year, Lian Pingzhang was thirty-eight years old, obese. Hongjiaojiao began to attack. His head, face, and whole body limbs were slightly swollen, all red. His lower legs were red and swollen, pain unbearable. He dared not lean on a cane; touching the skin increased the pain. He rose and lay down repeatedly, suffering day and night indescribably. He sought my treatment. Pingzhang lived in the cold north and drank much wine, damaging the Spleen over time, failing to transform and transport, leading to dietary fluids sinking downward. I prescribed Danggui Niantong Decoction, one tael and two qian. The pain halved. After another dose, swelling and pain completely disappeared. Only the tip of his right finger remained slightly red and swollen. I pricked the nail end with a Sanleng needle, releasing much dark blood, and the redness and swelling vanished. Not long after, eating wet noodles caused limb pain again. I treated him with Zhishi Dahuang Tang (Aurantium and Rhubarb Decoction).
Ingredients: Qianghuo (one and a half qian), Danggui (one qian), Zhishi (five fen), Dahuang (wine-baked, three qian).
Hongjiaojiao is caused by water and dampness. Noodles generate dampness, blood becomes obstructed and does not flow, causing annoying pain in limbs and joints. The *Neijing* says: "Wind overcomes dampness." Qianghuo is acrid and warm, penetrating joints and removing dampness, so it serves as the Principal herb. Blood stagnation causes pain; Danggui is acrid and warm, dispersing obstruction and stopping pain. Zhishi is bitter and cold, treating fullness and digesting food, so it serves as the Minister herb. Dahuang is bitter and cold, guiding the damp-heat from noodles and treating old blood stasis; taken for its swift and powerful action, it serves as the Envoy herb.
Crush. Prepare one dose only. Add one and a half cups of water, decoct until one cup remains, strain, and take warm. Take on an empty stomach before meals. After two bowel movements, the pain stops.
Worldly physicians record: Hongjiaojiao. Kongxian Dan (Controling Phlegm Pill) plus Yanzhi (Vermilion Powder, one qian), Binglang (Arecae Semen, one liang), Mugua (Chaenomelis Fructus, one liang), Juanbai (Selaginella Tamariscina, half liang). First boil in salt water for half a day, then in plain water for half a day the next day. Mix with the above herbs to make pills. Take thirty pills initially, increasing to forty or fifty. Expelling foul matter brings immediate effect. (See Kongxian Dan formula under Wandering Pain.)
*Yanyi* records: Someone addicted to wine, drinking fifty to seventy cups daily, later suffered severely from Hongjiaojiao. Someone taught him to use Bajitian (Morinda Officinalis Radix, half liang) stir-fried with glutinous rice until the rice changes color slightly. Discard the rice. Use Dahuang (Rhei Radix et Rhizoma, one liang), chopped and stir-fried. Grind together into powder. Make pills with mature honey. Take fifty to seventy pills with warm water. Continue abstaining from wine, and he was cured.
*Bencao Gangmu* records: Treating wind-damp accumulation forming Hongjiaojiao, often feeling slight swelling, sometimes painful upon onset. Use Yinyu Wan (Ilex Rotunda Pill).
Ingredients: Yinyu (Ilicis Rotundae Folium, fried), Yiyiren (Coicis Semen, each half liang); Yuliren (Pruni Semen, one liang); Qianniu Zi (Pharbitidis Semen, three liang, raw powder one and a half liang).
Usage: Grind finely. Make pills with refined honey, size of paulownia seeds. Take twenty pills with Ginger-Jujube Decoction. If no bowel movement, increase to thirty pills. Three times daily, stop when bowel movement is smooth. Supplement with white congee.
Formula for Kidney Wind attacking the feet and knees.
Lianzhu (Pearl Cinnabar? Text implies specific mineral/herb form), Gansui (one liang), Miebzi (Momordicae Semen, one male, one female, shell removed).
Usage: Grind into powder. Take two pig kidneys, slice open. Sprinkle one qian of medicine evenly inside. Wrap in wet paper multiple layers. Roast over fire until cooked. Let cool to warm. Chew thoroughly at dawn (Wu-geng time) and swallow with rice drink. More water retention leads to more diarrhea; less retention leads to less diarrhea. Consume soft rice for recovery. If only one foot is affected, check left/right: use left kidney for left foot, right kidney for right foot. Medicine amount limited to one qian.
In the Renzi year in Piling, a surnamed Ma sold wine. We hadn't seen each other for a long time. I asked his son, who said: "He has a chronic Kidney Wind condition. Now one leg is swollen like a gourd. From waist down, thickness is uniform. Pain is unbearable. To turn or shift position, two people must hold him. Some suggested using a Pi Dao (scalpel) to cut and drain." I said: "No. I have medicine to prepare and give you." Follow the above method. Between Chen and Si hours (7-11 AM), he excreted several sheng of pus/water. Pain stopped instantly, swelling receded. One month later, he still walked with a cane. I gave him Chiwu San (Red Bird Powder) to apply to his knee. Only then was he cured. Ten years later, I went to Piling. He led his sons to bow in gratitude, saying: "The previous foot ailment has never returned. Although accumulated years of Kidney Wind have disappeared, I now walk vigorously as usual."
*Cao* records: Someone critically ill, unable to put feet on the ground for ten years. Good doctors exhausted their skills but could not cure him. Relatives placed him by the road seeking help. A wandering monk saw him and said: "This disease can be cured with one herb, but I don't know if it exists here." He went into the mountains to search and found it: Weilingxian (Sinomenii Caulis). Having him take it for a few days allowed him to walk. Later, Deng Siji, a mountain dweller, learned of this method and recorded it: Find Weilingxian, dry in shade for over a month, grind and sieve. Mix two qian bi with warm clear wine, take on an empty stomach. Due to its strong nature, dosage can be increased to six qian bi. If diarrhea exceeds twice, reduce dosage. Stop when disease is cured. Its nature is very mild, does not conflict with other herbs, but dislikes tea and noodle soup. Gancao and Zhizi can replace drinks.
*Jiyan Fang* records: Treating Kidney Wind obstruction and accumulation, heavy waist and knees. Weilingxian powder, mixed with honey into pills, size of paulownia seeds. Initial dose: eighty pills with wine. At dawn, slight diarrhea expels foul matter like green pus or peach gum; this is wind-toxin accumulation. If no movement, take one hundred pills again at night. After expulsion, eat congee to supplement for one month. Continue taking warm-tonifying medicines.
Dairen (Zhang Congzheng) records: Xi Shuai had heavy and painful waist and thighs, inconvenient walking and riding. Some treated as Hongjiaojiao cold-damp, some as deficiency. Wu Tou (Aconiti Radix), Fu Zi (Aconiti Lateralis Radix Praeparata), Xurong (Frankincense), Moyao (Myrrha)—blood-invigorating and tendon-strengthening drugs—were all used. After sixty-plus days, eyes turned red, upper body felt hot, urination and defecation became difficult, waist/thigh condition unchanged. Dairen palpated both wrists: pulse deep and slow. Deep indicates interior; should purge. One dose of Zhouche Wan (Boat Cart Pill) and Junchuan San (Clear River Powder) expelled over twenty loads of accumulated water. By morning, ate one or two bowls of pickled vegetable white congee. Put him on horseback; he was already vigorous.
Li Shibalang from Tangxi suffered from inability to extend waist and legs, stooping and limping for years. Medicines failed; stopping them helped. Relapse occurred after wading in water in late autumn. Doctor prescribed Sijin Wan (Four Jin Pill). His father, Li Zhongan, begged medicine from Dairen. Dairen asked: "What did you take recently?" Zhongan: "Sijin Wan." Dairen: "Are your eyes dim and red?" Father shocked: "Eyes suddenly flared up." Dairen: "Come quickly, or you will go blind." Initially came leaning on a cane, eyes swollen and blind. Dairen first induced vomiting/sweating (Yong Fa). Medicine caused twenty bowel movements. Eyes cleared instantly; cane discarded. After repeated purging, he could read calendars. Regulated for one month, took Danggui Wan, returned walking vigorously.
*Shanghan Lun* records: Sour taste injures tendons; tendon injury causes flaccidity, named Xie (Leakage). Salty taste injures bones; bone injury causes weakness, named Ku (Wither). Wither and Leakage combine, named Duanxie (Severance). Ying Qi (Nutritive Qi) blocked, Wei Qi (Defensive Qi) cannot move alone. Ying and Wei both weak, Sanjiao (Triple Burner) lacks nourishment, four extremities severed, body emaciated, only feet swollen, yellow sweat, cold calves. If fever attacks, it becomes Lijie (Wandering Joint) Bi syndrome. (Treat with Guizhi Jia Huangqi Tang [Cinnamon Twig Decoction plus Astragalus] etc.)
Zhu Danxi records: Xun's soles felt like cone stabbing, sometimes swollen. Wrists also painful and swollen. Diarrhea slippery, tenesmus. This is blood deficiency combined with dampness affecting the Lower Jiao Blood aspect. Treat with Jianbu Wan (Walking Strongly Pill). (Note: "Wrists" likely refers to ankles).
Ingredients: Shengdi (Rehmanniae Radix, one and a half liang), Cangzhu, Shaoyao (Paeoniae Radix), Chenpi (each one liang); Dafuzi (Arecae Pericarpium, three qian); Niuxi (Achyranthis Bidentatae Radix, half liang); Guiwei (Angelicae Sinensis Radix tail), Zhuyu (Corni Fructus), Huangqin (each one liang); Guizhi (Cinnamomi Ramulus, three qian).
Usage: Make pills. Take one hundred pills per dose, with Baizhu and Tongcao decoction, before meals.
*Sanyin Fang* records: Shiquan Dan (Ten Complete Pills): Treats Hongjiaojiao attacking upward, Heart-Kidney conflict, dull pain in soles, insensitivity in lower abdomen, thirst, urinary retention or incontinence, joint spasms, skin pain. Effect is miraculous.
Ingredients: Rongrong (Cistanche Deserticola, wine-soaked), Shihu (Dendrobii Caulis, wine-soaked), Gouji (Cibotii Rhizoma, hair removed), Bibai (Dioscoreae Hypoglaucae Rhizoma), Fuling, Niuxi (wine-soaked), Dixiansi (Plantaginis Seed), Yuanzhi (Polygalae Radix, heart removed, fried, each one liang); Shudi (Prepared Rehmanniae Radix, three liang); Duzhong (Eucommiae Cortex, bark removed, fried, three liang).
Usage: Powder. Honey pills, paulownia seed size. Take fifty pills, with warm wine and salt water.
*Bencao Gangmu* records: Treating Liver-Kidney wind-deficiency and weak Qi, feet unable to touch ground, waist/spine pain, wind-toxin flowing down meridians, difficulty walking/standing, dribbling urine. This medicine tonifies internal injuries of Five Zang organs, regulates middle, boosts Qi, cools blood, strengthens bones/tendons, benefits intelligence, lightens body, delays aging. Use Xuduan Wan (Teasel Pill).
Ingredients: Sixianmu (Eucommia/Duzhong, five liang), Wujiaopi (Acanthopanacis Cortex), Fangfeng, Yiyiren, Qianghuo, Chuanduan (Dipsaci Radix, each three liang); Bibai (four liang), Shengdi (five liang), Niuxi (wine-soaked, three liang).
Usage: Powder. Use three sheng good wine, dissolve three liang green salt. Use half jin papaya (Mugua), peel/remove seeds, boil in salt-wine to paste. Mix and pound into pills, paulownia seed size. Take thirty to fifty pills, empty stomach before meals, with warm wine-salt water.
*Bencao Gangmu* records: Treating men's waist-leg Bi syndrome, stiffness/looseness, unstable walking. Use Bibai twenty-four parts, Duzhong eight parts. Grind/sieve. Take three qian bi daily with warm wine, increase to five qian. Avoid beef.
*Huangdi Bashiyi Nan Jing* (Huoren Shu) records: Yiyiren Wine (Coix Seed Wine): Treats foot Bi.
Ingredients: Yiyiren, Niuxi (each two liang); Haitongpi (Sargentodoxae Caulis), Wujiaopi, Duohuo, Fangfeng, Duzhong (each one liang); Shudi (one and a half liang), Baizhu (half liang).
Usage: Coarsely chop. Put in raw silk bag. Soak in five sheng good wine. Spring/Autumn/Winter: two seven-day periods. Summer: split into batches. Drink one or half cup warm on empty stomach daily, three to four times. Keep a slight buzz. Long-term use feels like hundreds of insects crawling under skin; this indicates wind-damp dispersing.
*Bencao Gangmu* records: Dispelling wind, tonifying blood, boosting Qi, strengthening bones/tendons, strengthening legs. Use Hugu Jiu (Tiger Bone Wine).
Ingredients: Hujingggu (Tiger Tibia Bone, authentic), Bibai, Xianlingpi (Epimedii Folium), Yiyiren, Niuxi, Shudi (each two liang).
Usage: Finely chop. Silk bag. Soak in two dou wine. Drink one cup, refill one cup. Lasts for one hundred days. Women remove Niuxi.
Zhu Danxi records: Seventh Aunt, blood deficient, Qi excessive. Foot pain and numbness after defecation.
Ingredients: Danggui (two and a half qian), Shaoyao, Baizhu (two qian), Chenpi, Qingpi (one qian), Dihuang (one and a half qian), Chuanxiong (five fen), Gancao (little), Taoren (eighteen kernels).
Usage: Divide into two decoctions.
Hongjiaojiao obstruction/swelling, urinary/fecal blockage, epigastric fullness, indigestion. Should mildly purge. (See Internal Injury Damp-Heat section for formula.)
Hongjiaojiao mostly belongs to Lung Qi Excess. Classics say: "Lung disease causes sweating; pain in buttocks, yin, thighs, knees, hips, and feet." Thus, Dairen uses Yong Fa (Inducing Vomiting/Sweating) for Hongjiaojiao, rightly so. Also, *Qianjin Fang* uses sweating methods, which is also draining Lung method. Below are formulas to vent Lung Qi.
Dairen records: Wei Dexin, traveling for winter selection, caught cold. True Yuan Qi declined. Sat/laid in cold damp. Irregular diet. Winter exposure caused Gu Bi (Bone Bi). Bones belong to Kidney. High bones of waist destroyed/useless. Hips feel broken. Face black as charcoal. Front/back pain. Wei Jue (flaccidity/cold limbs) and drowsiness. Asked many doctors, all treated as Kidney Deficiency. I first used Linglong Zao (Spirit Furnace) moxibustion/steaming for days. Then used bitter agent to vomit two to three sheng of cold phlegm. Upper excess, lower deficiency clearly visible. Then used bland agent: Baizhu removes Spleen damp, Fuling nourishes Kidney water. Also pierced Shenshu (BL23) and Taixi (KI3) points, once every two days. Within one month, recovered fully.
Sun Shaofu Han Yanzheng suddenly fell ill, hands/feet unable to lift. Doctors thought it was Wind, needled hands/feet, patient felt no pain. Summoned Sun Simiao. Sun said: "This is Hongjiaojiao." Used Binglang powder (three qian), Ginger (three slices), Dry Perilla (seven leaves), Chenpi (three qian). One cup water, decoct to seventy percent, strain, take hot. Cured after several doses.
For foot swelling, use Binglang San (Arecae Powder).
Ingredients: Chenpi (large handful), Cangzhu (fried, large handful). Add half cup wine (decoct with herbs).
Usage: Boil briefly. Mix in two qian Binglang powder. Take after meals.
*Shengji Zonglu* records: Treating Hongjiaojiao and wind-cold-damp, limb spasms, feet too painful to touch ground. Use Perilla (two liang), crush. Three sheng water, extract juice. Cook two he of japonica rice porridge with Perilla juice. Eat with scallion, fermented soybean, pepper, ginger. Stops immediately.
Above are examples of Binglang and Perilla.
Worldly physicians record: Miracle formula for all Hongjiaojiao. Use front two feet of Pangolin (Chuan Shan Jia), burn to retain nature, grind fine. Add little Moshe Xiangdangzi (Musk). Dosage varies. To take, drop other matters. Do not eat dinner. Take at late night when empty. Sit/lie as desired. At cockcrow, take another dose. Pain stops immediately. Walk normally in one or two days. Extremely effective.
*Qianjin Fang* records: Treating Hongjiaojiao Twelve Winds Bi unable to walk. Use Pine Needle Wine. Sixty jin pine needles, finely chop. Four shi water, boil to four dou nine sheng. Brew five dou rice normally. Separate pine juice to soak rice and mix with rice. Seal with mud. Seven days later, clarify and drink. Get drunk. Many benefit from this wine power.
*Bencao Gangmu* records: Hugu Jiu (Tiger Bone Wine): Treats waist/leg pain, spasms, inability to bend/extend, cold/numb legs/knees.
One tiger skeleton, two tibias. Fry in butter until yellow, crush. Three dou non-fermented wine. Seal seven days. Empty stomach/evening meal. Drink wine as desired.
Cui Shi records: Steaming method for waist/legs. Take Huangjing leaves (Vitex Negundo) unlimited amount. Steam hot. Place in urn. Fire underneath to warm. Place patient among leaves. Soon, sweat emerges in leaves. Eat slowly. Stop when tired. Cover with cotton clothes to avoid wind. Drink Scallion-Ginger-Wine. Continue until cured.
Worldly physicians record: Treat all kinds of Hongjiaojiao, one dose cures root.
Ingredients: Fangfeng (three qian, remove radix), Qianghuo, Chantui (Cicada Slough, each three fen); Bohe (Menthae Haplocalycis Herba, five fen), Zisu (Perillae Folium, four fen).