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Treats limb twitching and pulling pain caused by wind-stroke (Zhong Feng), as well as twitching and pulling pain resulting from wind invasion after traumatic wounds.

Sheng Huangqi (Raw Astragali Radix, 6 qian) Danggui (Angelicae Sinensis Radix, 4 qian) Qianghuo (Notopterygii Rhizoma et Radix, 2 qian) Duohuo (Angelicae Pubescentis Radix, 2 qian)
Quanxie (Scorpio, 2 qian) Quan Wugong (Scolopendra, two large individuals)

Wugong (Scolopendra) is most adept at searching out and eliminating wind pathogens; it penetrates the meridians and viscera without exception, and possesses special efficacy in calming the nervous system. Its nature is extremely mild, and there has never been a case of Mingxuan reaction (a temporary aggravation or intense reaction after taking medicine) upon its use.

I once treated an elderly woman in her sixties. Her leg had been bitten by a dog, leading to wind infection and subsequent whole-body twitching. An old physician was consulted for treatment; after taking medicine for more than ten days, the twitching worsened. The prescribed medicines contained several qian of Quanxie per dose, supplemented with herbs that dispel wind, invigorate blood, and boost qi. The formula resembled this one but lacked Wugong. I then prescribed this decoction. After one dose, the twitching ceased immediately.
After another dose, there was no recurrence.

I also treated a man in his thirties who suddenly developed facial paralysis (mouth and eye deviation), with the affected side unable to blink. I instructed him to take two Wugongs ground into powder, combined with five qian of Fangfeng, decocted in water and taken orally. He was completely cured after three doses. This demonstrates that the power of Wugong in expelling wind is fundamentally different from other herbs. Moreover, its efficacy is not limited to treating wind disorders. In cases of severe sores and abscesses in their early stages, I often add Wugong to formulas that promote pus discharge, achieving immediate results. Although the *Shennong Bencao Jing* states that it may cause abortion, it can be used when other herbs fail to treat wind-stroke twitching. As stated in the *Neijing*: "If there is a pathogen, there will be no injury" (Yougu wuyun). Furthermore, since this decoction contains Huangqi and Danggui to protect qi and blood, what harm could come from using a small amount of Wugong?

Treats Lijie Wind syndrome (painful joint syndrome), characterized by pain in all joints of the body, or pain only in the four limbs, inability to walk, and inability to hold objects.

Sheng Huangqi (Raw Astragali Radix, 1 liang) Yuzhu (Atractylodis Macrocephalae Rhizoma, 5 qian) Danggui (Angelicae Sinensis Radix, 5 qian) Guizhi Jian (Cinnamomi Ramulus apical part, 3 qian) Qinjiao (Gentianae Macrophyllae Radix, 3 qian) Guang Chenpi (Citri Reticulatae Pericarpium, 3 qian)
Sheng Baishao (Paeoniae Radix Alba, 5 qian) Shengjiang (Zingiberis Rhizoma Recens, 5 slices)

Add Zhimu if heat signs are present; add Fuzi if cold signs are present; add Banxia if the pulse is slippery indicating phlegm.

The Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) from the *Jingui Yaolue* is an excellent formula for treating Lijie Wind. However, for patients with weak constitution, it may still be ineffective because they cannot tolerate the diaphoretic effects of Mahuang and Fangfeng. Here, we select the Huangqi Wuwu Tang (Astragalus Five-Ingredient Decoction) from the *Jingui Yaolue*, which treats wind-bi, adding Baizhu to strengthen the spleen and tonify qi, thereby dispelling bi obstruction (as recorded in the *Shennong Bencao Jing*, Baizhu expels cold-dampness bi).
Danggui generates blood; when blood circulation is active, wind naturally disperses (as medical texts state: "When blood flows, wind leaves"). Qinjiao is a moistening herb for dispersing wind; its nature is very mild, dispelling wind without damaging blood. Chenpi serves as an assistant and guide for Huangqi, guiding wind from the muscles and meridians to the skin surface to exit through the pores. Guang Juhong (Exocarpium Citri Grandis) comes from large pomelos, not oranges. The *Shennong Bencao Jing* originally grouped Ju (orange peel) and You (pomelo peel) together; thus, in medicinal use, there seems to be no need to distinguish between them (pomelo peel is generally not used in other contexts). Moreover, although named Juhong, the white pith is typically not removed, precisely because it should not be removed.

Appendix:
Letter from Zhang XX of Qing County, Zhili Province:
Mr. Zhang from Hubei suffered from Lijie Wind syndrome, known in Western medicine as Rheumatism. He took Western medicine for over a year with no effect. His gait was difficult, and he wore leather pants even before the weather cooled. His pulse was floating, rapid, and forceful, indicating deficiency in the meridians with internal heat. I therefore used the Modified Huangqi Wuwu Tang, following the note to add Zhimu for heat, and additionally added Sheng Yimi (Coicis Semen), Xian Sangzhi (Mori Ramulus), Niuxi (Achyranthis Bidentatae Radix), and Mutong (Akebiae Caulis). After one dose, he felt relief; after three doses, he could walk without a cane; after five doses, he was fully recovered. In recent years, I have used this formula to treat gout and Lijie syndrome, with many cures. If there are no heat signs, the original formula from the book is also highly effective.

Letter from Wang XX of Pingtai, Jiangsu Province:
Mr. Gu suffered from flaccidity and paralysis of the limbs. It was during the humid summer heat, and both Chinese and Western physicians failed to cure him. Using the Modified Huangqi Wuwu Tang, he was completely cured after taking several doses consecutively.