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Dry the herbs in the sun, grind them into powder, take 5 qian each time, mix with half a bowl of unfermented wine, heat and drink. After about one hour, decoct the following medicine, pour the soup into a bucket, sit on top of the bucket covered with thick clothing, do not let the medicinal vapor escape, fumigate the legs and feet with the heat. Sweat should emerge from bottom to top, reaching until the crown of the head, flowing like water, stop when the sweat is exhausted. For fumigation and washing use: Perilla Fructus (Ban Jin), Honeysuckle Flower (Si Liang), Ficus hirta (Qi Ge), Sappan Wood (Er Liang). Grind the above into coarse powder, fill a medium-sized bucket with water, decoct until the medicinal odor emerges, add water three times for use. Using it once can permanently eradicate the root cause.

[Li Dongyuan] Washing method for Hongxiangjiao (Gout/Charley-horse). The *Huoren Shu* states: Taking tonifying medicines and using hot water washing for Hongxiangjiao are major taboos in medicine. This refers to southern external dampness invading the body due to deficiency causing swelling and pain, not to northern internal dampness sinking down causing swelling and pain. Since dampness cannot reach the exterior, it is suitable to open and guide through washing, draining and venting the pathogen, named Daoqi Chushi Tang (Qi-Guiding Dampness-Draining Decoction). Clematis Root (Weilingxian), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie Sui), Angelica Sinensis Root (Danggui), Bark of Ground Tree Broomroot (Digupi), Cimicifuga Rhizome (Shengma), White Peony Root (Baishao), Dioscorea Hypoglauca Stem (Shuodie Ye). Equal parts of the above herbs, finely chopped, boil two dou of water to obtain one dan five sheng, remove dregs, wash hot at any time.

[Worldly Transmission] Treat red and swollen feet. Wash several times with concentrated decoction of fir bark, immediate cure. (*Bencao* records: Using fir joints is particularly effective.)

*[Qianjin Fang]* Treat Hongxiangjiao in Lingnan region where swelling and bone pain extend from foot to knee and shin. Use Ricinus Communis Leaf, cut, steam thinly, wrap, change two or three times, swelling subsides. Treat Hongxiangjiao in Lingnan region where swelling and bone pain extend from foot to knee and shin. Chop Dioscorea Hypoglauca Root, mix with wine and vinegar three parts, root one part, steam together, seal and wrap on swelling, subside in two or three days. Also treats numbness.

*[Jianyao Jizhong Fang]* Formula for Hongxiangjiao with leg swelling persisting for a long time. Black Aconite Root (Hei Fuzi) 1 liang, peel navel, use raw, crush into powder, mix with ginger juice into paste, apply on swelling, reapply when dry, until swelling subsides.

*[Shanju Fang]* Treat Hongxiangjiao. Dissolve Wumingyi (Hematite?) with cowhide glue, mix evenly, apply to affected area.

[Worldly Transmission] Treat foot swelling from long walking; using this allows walking a thousand miles, very light and wonderful. Saposhnikovia Root (Fangfeng), Asarum Root (Xixin), Aconitum Carmichaelii Root (Caowu). Equal parts into powder, sprinkle inside shoe soles. If wearing previous shoes, moisten slightly with water, then sprinkle medicine.

*[Shiliao Bencao]* Treat Hongxiangjiao wind-bi numbness, five slacknesses and tendon tension. Bear meat 0.5 jin, mix with soybean paste juice, ginger, pepper, scallion white, salt, sauce to make cured meat, eat on empty stomach.

*[Yuji Wei Yi]* Acupuncture for Hongxiangjiao swelling and pain: Zusanli (3.5 cun deep), Jiexu (3.5 cun deep), Qiuxu (insert 1 cun, reducing method), Xingjian (0.5 cun deep, retain needle for eight breaths then reduce), JieXi (retain needle for ten breaths then reduce, insert 0.5 cun), Shangqiu (insert 0.5 cun, reduce ten breaths).

*[Cuoyao]* Acupoints for Hongxiangjiao, select according to meridian: Xiagu (0.3 cun deep, reducing), Xinggu (0.5 cun deep, reducing, moxa), Zhongfeng (reduce, moxa), Xiaxi (first reduce then tonify, moxa), Yangfu, Jiexu (each 3.5 cun deep, reduce, moxa), Tonggu (0.1 cun deep, reduce, moxa).

[Dongyang] Major acupuncture method for Hongxiangjiao: (This method is same as *Qianjin*, combined with medication.) Fengshi (100 moxa cones. Sanbao point, stand straight, hang hand, large tendon at tip of finger is the point.) Fumian (Patient sits upright, 7 cun above knee, press with left/right fingers, fleshy rise like rabbit shape is the point, 50 moxa cones, Sanbao point.) Dubi (50 moxa cones, Sanbao point.) Xiyan (20 moxa cones.) Zusanli, Shanglian, Xialian, Jiexu (each 50 moxa cones. Do not burn all cones at once, report and moxa daily, best to finish in three days. One foot disease moxa one foot, both feet disease moxa both feet, weak patients adjust according to severity, do not be rigid, efficacy is indescribable.)

[Bian Que] Another treatment for Hongxiangjiao: Shenqi (4 cun lateral to umbilicus), Jianjing, Zusanli, Qihai, Jiaolong.

*[Cuoyao]* Cold-damp Hongxiangjiao, red swelling and sores: Zhongfeng (0.5 cun deep, reduce), Yangfu, Jiexu (each 3.5 cun deep, reduce, moxa).

*[Jiyan]* Another method: Xingjian, Zusanli, Zhaohai, Kunlun, Jiexu, Jinggu, Weizhong, Sanyinjiao.

*[Yuji Wei Yi]* Numbness in both feet, weakness in legs and knees: Fengshi (Lateral thigh, point where middle finger touches when hanging hand, insert 0.5 cun, tonify more than reduce, retain five breaths, first reduce then tonify.)

*[Jiyan]* Another treat for inability to walk: Qiuxu, Xingjian, Kunlun, Taichong, Yangfu, Sanyinjiao, Fuliou, Zusanli (Greatly treats inability to walk).

*[Benjing]* There are 124 types of wind, 80 types of qi, only Hongxiangjiao, Head Wind, and Ascending Qi require continuous medication, others depend on onset and adjust temporarily. Those with wind qi, late spring early summer and late autumn, if allowed to drain and unblock, will not be severe. What is called draining and unblocking includes Ephedra Herb (Mahuang), Morning Glory Seed (Qianniu), Prunus Armeniaca Kernel (Yuliren), etc., no need for bitter cold purgatives.

[Li Dongyuan] *Waitai Miyao* says: First taboo is anger, anger causes heart vexation, vexation triggers Hongxiangjiao. Second taboo is loud talking, loud talking damages Lung, Lung damage also triggers it. Do not expose feet to wind or enter water, do not wash feet with cold water, calves especially should not be cold, even in summer wear cotton pants, in winter keep calves warm, slight sweating is excellent. Rest according to this, qi gradually thins, every Yin-Chou day cut toe/nail slightly to release qi. In summer pores open, do not sleep facing wind, have someone massage after sleep, do not let pathogenic qi linger, frequently move joints, keep them smooth, these are key to health preservation and rejecting wind pathogen. Normally strong, walk 300-500 steps after meals, stop when tired, evil qi in feet disperses downward, even if swollen qi cannot ascend.

[Luo Tianyi] To treat this disease, breakfast freely full, lunch less, dinner none, better still. Fear damaging Spleen-Stomach transport and transformation qi, losing heavenly rhythm. Moreover, night eating causes blood and qi stagnation, increasing swelling and pain via yin pathways.

[Li Dongyuan] First, do not overconsume alcohol and dairy, overconsumption damages Spleen-Stomach, sinking to calf and instep swelling, becoming foot disease. Second, desires must not be indulged, excessive desires trigger Hongxiangjiao. After eating, walk slowly 200-300 steps, do not sweat, stop when tired, thus preventing stagnation. Classic says: Move those who are idle. Also says: With damp-bi, avoid warm food, full meals, damp ground, wet clothes.

*[Qianjin Fang]* Hongxiangjiao disease strictly forbids sexual intercourse, beef, mutton, fish, meat, garlic, Chinese cabbage, turnip, gourd, wine, flour, butter, porridge, pork, chicken, goose, duck, and forbid great anger. Only allow rice, millet, soy sauce, fermented beans, scallion, pepper, ginger, tangerine peel. Do not eat raw fruits or sour foods, offenders will not heal.

Hongxiangjiao disease starts very subtly, often unrecognized. Eating, drinking, playing, strength remains normal, only sudden foot flexion, weakness unable to move, this is abnormal. Signs of Hongxiangjiao: vomiting upon seeing food, aversion to food smell, abdominal pain and diarrhea, constipation or difficult urination, chest palpitations, fear of light, mental confusion, forgetfulness, disordered speech, high fever headache, extreme body cold pain and vexation, muscle twitching, swelling or no swelling, leg numbness/bi, occasional flaccidity, joint spasms, lower abdomen numbness, these are all appearances of Hongxiangjiao. Some have swelling, some do not, those with lower abdomen numbness usually do not swell. Lower abdomen numbness followed by vomiting within 3-5 days is named Hongxiangjiao entering Heart. Such cases die soon. Dark thin people are easy to treat, fat thick red-white people are hard to cure. Dark people tolerate wind-damp, red-white do not tolerate, thin people have hard flesh, fat people have soft flesh, soft flesh makes disease hard to cure. Whenever Hongxiangjiao signs appear abnormal, must be greatly fearful, decide to treat urgently. Slight delay causes qi to enter chest and hypochondrium, reverse fullness, shoulder breathing, urgent death follows quickly, slow death occurs in days, must treat urgently. Seeing epigastric urgency, continuous panting, spontaneous sweating, alternating chills and fever, rapid short frequent pulse, continuous vomiting indicates death.