治经络受寒，四肢发搐，妇女多有此证。
生黄 （五钱） 当归（四钱） 丹参（四钱） 桂枝尖（二钱） 生杭芍（三钱） 生明乳香（四钱） 生明没
药
（四钱） 生姜（三钱）
寒甚者，加干姜三钱。
证寒在经络，不在脏腑。经络多行于肌肉之间，故用黄 之温补肌肉者为君，俾其形体壮旺，自能胜邪。
又佐以温经络、通经络诸药品，不但能祛寒，且能散风，此所谓血活风自去也。风寒既去，血脉活泼，其搐焉
有不止者乎？
治腿疼、臂疼因气虚者。亦治腰疼。
生黄 （六钱） 野台参（三钱） 当归（三钱） 寸麦冬（三钱，带心） 知母（三钱） 生明乳香（三钱）
生明没药（三钱） 莪术（一钱） 三棱（一钱）
此方减麦冬、知母三分之一，合数剂为一剂，轧细炼蜜为丸，名健运丸，治同前证。
从来治腿疼臂疼者，多责之风寒湿痹，或血瘀、气滞、痰涎凝滞。不知人身之气化壮旺流行，而周身痹者、
瘀者、滞者，不治自愈，即偶有不愈，治之亦易为功也。愚临证体验以来，知元气素盛之人，得此病者极少。
故凡遇腿疼、臂疼，历久调治不愈者，补其元气以流通之，数载沉 ，亦可随手奏效也。
治腿疼、腰疼，饮食减少者。
于白术（六钱，炒） 当归身（二钱） 陈皮（二钱） 浓朴（钱半） 生明乳香（钱半） 生明没药（钱半）
此方重用白术以健补脾胃，脾胃健则气化自能旁达。且白术主风寒湿痹，《神农本草经》原有明文，又辅
以通活气血之药，不惟风寒湿痹开，而气血之痹而作疼者，亦自开也。
一室女腿疼，几不能步，治以拙拟健运汤而愈。次年旧病复发，又兼腰疼，再服前方不效。诊其脉，右关
甚濡弱，询其饮食减少，为制此汤，数剂，饮食加多，二十剂后，腰疼腿疼皆愈。
一媪，年近七旬。陡然腿疼，不能行动，夜间疼不能寐。其家人迎愚调治，谓脉象有力，当是火郁作疼。
及诊其脉，大而且弦，问其心中亦无热意。愚曰∶此脉非有火之象，其大也，乃脾胃过虚，真气外泄也。其弦
也，乃肝胆失和，木盛侮土也。治以振中汤，加人参、白芍、山萸肉（去净核）各数钱，补脾胃之虚，即以抑
肝胆之盛，数剂而愈。
Treats cold invading the meridians, causing spasms in the four limbs; this syndrome is common in women.
Sheng Huangqi (Raw Radix Astragali, 5 qian) Danggui (Radix Angelicae Sinensis, 4 qian) Danshen (Radix Salviae Miltiorrhizae, 4 qian) Guizhi Jian (Tip of Ramulus Cinnamomi, 2 qian) Sheng Baishao (Raw Radix Paeoniae Alba, 3 qian) Sheng Ming Ruxiang (Raw Resina Draconis, 4 qian) Sheng Ming Moyao (Raw Resina Commiphorae, 4 qian) Shengjiang (Fresh Rhizoma Zingiberis, 3 qian)
If the cold pathogen is severe, add Ganjiang (Dried Rhizoma Zingiberis), 3 qian.
The pathology lies in cold invading the meridians, not the zang-fu organs. The meridians mostly run between the muscles; therefore, Huangqi (Radix Astragali) is used as the sovereign drug for its ability to warm and tonify the muscles, so that when the physical form becomes robust and vigorous, it can naturally overcome the pathogenic factors.
Furthermore, drugs that warm and unblock the meridians are added as assistants. Not only can they dispel cold, but also disperse wind; this is what is meant by "when the blood flows freely, the wind departs on its own." Once the wind-cold has been expelled and the blood vessels become active and smooth, how could the spasms fail to cease?
Treats leg pain and arm pain caused by qi deficiency. Also treats lower back pain.
Sheng Huangqi (Raw Radix Astragali, 6 qian) Yetaishen (Wild Radix Panacis Quinquefolii, 3 qian) Danggui (Radix Angelicae Sinensis, 3 qian) Cun Maidong (Stem Bulbus Ophiopogonis, 3 qian, with heart) Zhimu (Rhizoma Anemarrhenae, 3 qian) Sheng Ming Ruxiang (Raw Resina Draconis, 3 qian) Sheng Ming Moyao (Raw Resina Commiphorae, 3 qian) Ezhu (Rhizoma Curcumae, 1 qian) Sanleng (Rhizoma Sparganii, 1 qian)
For this formula, reduce the dosage of Maidong (Bulbus Ophiopogonis) and Zhimu (Rhizoma Anemarrhenae) by one-third. Combine several doses into one, grind into fine powder, and make pills with refined honey. This is named Jianyun Wan (Jianyun Pill), which treats the same syndromes as mentioned above.
Historically, treatments for leg pain and arm pain have mostly blamed wind-cold-dampness bi-syndrome, or blood stasis, qi stagnation, and phlegm-fluid retention. They do not realize that if the body's qi transformation function is robust, vigorous, and circulating throughout the body, then conditions of bi-obstruction, stasis, and stagnation throughout the body will heal spontaneously without treatment. Even if they occasionally do not heal spontaneously, treatment will be easy to achieve success. From my clinical experience, I know that people whose primordial qi is inherently strong rarely suffer from this disease.
Therefore, whenever encountering persistent leg pain or arm pain that does not respond to long-term regulation and treatment, tonifying the primordial qi to promote circulation can yield immediate results even for chronic ailments lasting several years.
Treats leg pain and lower back pain accompanied by decreased appetite.
Chao Baizhu (Fried Rhizoma Atractylodis Macrocephalae, 6 qian) Danggui Shen (Body of Radix Angelicae Sinensis, 2 qian) Chenpi (Pericarpium Citri Reticulatae, 2 qian) Houpo (Cortex Magnoliae Officinalis, 1.5 qian) Sheng Ming Ruxiang (Raw Resina Draconis, 1.5 qian) Sheng Ming Moyao (Raw Resina Commiphorae, 1.5 qian)
This formula heavily uses Baizhu (Rhizoma Atractylodis Macrocephalae) to strengthen and tonify the spleen and stomach. When the spleen and stomach are healthy, qi transformation can naturally spread laterally to the rest of the body. Moreover, Baizhu (Rhizoma Atractylodis Macrocephalae) is indicated for wind-cold-dampness bi-syndrome, as explicitly stated in the *Shennong Bencao Jing* (Divine Farmer's Materia Medica). Assisted by drugs that unblock and activate qi and blood, not only is the wind-cold-dampness bi-syndrome resolved, but pain caused by qi and blood obstruction is also naturally relieved.
A young unmarried woman suffered from leg pain so severe she could barely walk. She was cured using my formulated Jianyun Tang (Jianyun Decoction). The following year, the old illness recurred, accompanied by lower back pain. Taking the previous formula again was ineffective. Upon examining her pulse, the right guan position was very soggy and weak. Inquiring about her diet revealed decreased intake. Thus, I prepared this decoction for her. After a few doses, her food intake increased. After twenty doses, both her lower back pain and leg pain were completely cured.
An elderly woman, nearly seventy years old, suddenly developed leg pain, unable to move. At night, the pain prevented sleep. Her family invited me to treat her, stating that her pulse seemed forceful and suggesting the pain was due to constrained fire.
However, upon examining her pulse, it was large and wiry. Asking her, she reported no sensation of heat in her heart. I said: This pulse is not indicative of fire. The largeness is due to excessive deficiency of the spleen and stomach, causing true qi to leak outward. The wiriness is due to disharmony between the liver and gallbladder, where wood qi is excessive and overacts on earth. Treat with Zhenzhong Tang (Zhenzhong Decoction), adding Renshen (Radix Ginseng), Baishao (Radix Paeoniae Alba), and Shanzhuyu (Fructus Corni, seeds removed) each in amounts of several qian. Tonify the deficiency of the spleen and stomach, thereby suppressing the excess of the liver and gallbladder. After a few doses, she recovered.