一法∶以右踵拘左足拇指，除风痹；以左踵拘右足拇指，除厥痹，以两手更引足趺
至膝上，除体痹。
一法∶踞坐伸腰，两手引两踵，鼻纳气，自极七息，布两膝头，除痹。
一法∶凡人常觉腰脊拘急，手足举动不遂，以左右手朝拱，迎面呵气三口，足立直，
蹬七数踞坐，左右手抱膝摇二七遍，纳气七息，愈周身之痹。
《病源》云∶历节风是气血虚，由饮酒腠理开，汗出当风所致。或因调护之不谨，以致
风寒湿之邪气偏历关节，与气血相搏而痛非常。或如虎之啮，故有白虎之名。
历节风因风寒湿袭于关节者多，亦或有湿痰流注，痛楚惟夜甚而昼稍轻者，为风
寒胜也。痛楚无分昼夜皆剧者，为湿痰也。痰湿胜者，则恶饮食，而时作呕吐者是也。
风寒搏于筋则不能屈伸，手指挛曲，关节疼痛不可忍。或肿如瓠，或痛如掣，或遍身
走痒，四肢不举，此皆风寒湿之邪。宜辛温解表，以逐风寒，羌活汤、应效酒之属是也。湿
痰壅滞、日夜不已者，宜胜湿导痰，
如二陈汤、羌活胜湿汤、愈风化痰丸之属是也。
羌活续断汤 治一切白虎历节风，手足肢节肿痛如锥。
羌活 川续断 牛膝（酒洗） 防风 当归（酒洗） 川芎（各一钱） 薄桂（三分）
秦艽 川乌（各五分） 苍术（米泔浸，炒） 麻黄 甘草节 枳壳（麸炒） 穿山甲（各
七分）
上水二盏、姜三片、葱一根，煎一盏，不拘时服，取汗。
海桐皮散 治历节走注，骨节疼痛。
海桐皮 独活 萆 （盐水浸焙） 虎胫骨（酥油炙） 当归 川芎 天麻 防风
麻黄 枳壳 芍药 甘草 川乌（炮去皮脐） 薄桂 桃仁（泡去皮尖） 杜仲（姜汁，炒）
松节 麝香（炒许，另研） 牛膝（酒洗）
上咀，每剂五钱，水二盏、姜三片、枣二枚煎服。
虎骨散 治白虎，肢节痛不可忍。
虎骨（酥炙，一两） 白花蛇（酒浸，取肉） 天麻 防风 当归 牛膝（酒洗） 桂心（
各一两） 全蝎（去足，五钱） 甘草（炙，五分） 白僵蚕（炒去丝嘴） 乳香（另研。二
钱） 麝香（另研，五分）
上为细末，每服二钱，酒调下，豆淋酒尤妙。
没药散 治白虎历节流注，筋骨疼痛。
没药（五钱） 独活 防风 蔓荆子 当归 川芎 桂心 晚蚕砂 赤芍药（各七
钱） 虎胫骨（一两，酥炙）
上为末，每服二钱，食前温酒调下。
蠲痛丸（一名麝香丸）治诸风历节痛，手足不测，疼痛肿满。无贵贱苦之，此是风
之毒害者也。
川乌（一个，生用） 黑豆（十七粒，去皮，生） 全蝎（十四枚，去毒） 地龙（去
土，五钱） 麝香（五分，另研）
上为末，酒糊丸，梧桐子大。每服十五丸，临睡空心冷酒下，微汗。
摄风酒 治白虎历节风，诸风湿流注，鹤膝腿风，一切风痰证。
乌药 寻风藤（五钱） 五加皮（一两） 虎胫骨 石楠藤 三角枫 青木香 骨碎补
当归 苍术 川续断 威灵仙 羌活 北细辛（各二钱） 青藤根（一根） 清乳香（二钱）
川牛膝 防风 甘草节 苏木（五钱） 南木香（二钱） 石薜荔（五钱） 川乌头（一个，
只用一分） 生姜（一两）
上咀以绢袋盛之，以无灰酒一坛入药于内，固封坛口。入滚水慢火煮一时，取起放地
上，三日开服。日三次，随量饮。夏月只煮半料，酒一小坛。
金刀如圣散 治三十六种一切口眼 斜，半身不遂，遍体游风，白虎历节疼痛，立效。
川乌（炮） 草乌（炮。各二两） 防风 荆芥 麻黄 天麻 苍术 何首乌 当归
川芎 细辛 石斛 人参 甘草 （各三钱） 全蝎 朱砂 雄黄（各二钱）
上为细末，每服五分，卧时温茶下。如久病者，初服三分，随加至五分，看虚实加减。
青龙妙应丸 治诸风拘急，遍体游走疼痛无时，百药不效。
穿山甲（十五片，锻石炒） 全蝎（三十枚，去毒） 地龙（去土，一两） 蜈蚣（
十条，生用） 草乌（一两，生） 僵蚕（炒，五钱） 五灵脂（五钱） 没药（五钱，
另研） 乳香（五钱，另研）
上为末，酒糊丸，绿豆大，青黛为衣。每服二十丸，空心盐汤下。
一粒金丹 治腰膝走注，痛如虎啮。
草乌 五灵脂（各一两） 白胶香（半斤） 木鳖子（去壳） 地龙（去土。各二两）
好墨 当归（各一两） 乳香 没药（各五钱） 麝香（五分）
上为末，再同研匀，米粉糊丸，梧桐子大。每服三十丸，温酒下，微汗。与铁弹丸大同
小异，无白芷、防风。
独活寄生汤 治白虎历节风，并治香港脚最效。（方见腰痛门）
First method: Hook the big toe of the left foot with the right heel to dispel Wind-Bi (Wind obstruction syndrome); hook the big toe of the right foot with the left heel to dispuel Jue-Bi (obstruction syndrome of the extremities); then use both hands to alternately pull the dorsum of the feet up to the knees to dispel general body Bi.
Second method: Sit in a squatting position and straighten the waist, use both hands to pull the two heels, inhale through the nose until reaching the limit, for seven breaths, then extend the knees to dispel Bi.
Third method: Whenever one feels stiffness and tension in the lower back and spine, and difficulty moving the limbs, make a拱手 gesture (hands clasped) with both left and right hands, exhale forcefully three times towards the front, stand with legs straight, count to seven while squatting, hug the knees with both hands and shake fourteen times, inhale for seven breaths, which will cure general body Bi.
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Lijie Feng (Joint Pain Syndrome resembling Tiger Bite) is caused by deficiency of Qi and Blood. It occurs when alcohol consumption opens the Couli (skin pores), and sweat is exposed to Wind. Alternatively, it results from improper care, allowing pathogenic factors of Cold, Wind, and Dampness to invade the joints, where they contend with Qi and Blood causing severe pain. The pain may feel like being bitten by a tiger, hence the name "White Tiger."
Lijie Feng is mostly caused by the invasion of Cold, Wind, and Dampness into the joints. However, it can also be caused by the flow and accumulation of Damp-Phlegm, characterized by pain that is worse at night and lighter during the day, indicating an excess of Cold-Wind. If pain is severe regardless of day or night, it indicates Damp-Phlegm. Those with excessive Phlegm-Dampness will have poor appetite and frequent vomiting.
When Cold-Wind contends with the sinews, flexion and extension become impossible, fingers curl, and joint pain is unbearable. Swelling may resemble a gourd, or pain may feel like pulling/twitching, or there may be generalized wandering itching, and inability to lift the limbs; these are all due to pathogenic factors of Cold, Wind, and Dampness. Treatment should employ Acrid-Warm methods to release the exterior and expel Cold-Wind, such as Qianghuo Tang (Notopterygium Decoction) or Yingxiao Jiu (Effective Wine). For cases of Damp-Phlegm stagnation with ceaseless day-and-night pain, treatment should focus on resolving Dampness and guiding out Phlegm, such as Erchen Tang (Two-Aged Decoction), Qianghuo Shengshi Tang (Notopterygium Decoction for Resolving Dampness), or Yufeng Huatan Wan (Wind-Dispelling Phlegm-Resolving Pill).
A floating and large pulse indicates excess of Cold-Wind pathogens; a string-taut and fine pulse indicates excess of Dampness; a slippery and abundant pulse indicates Phlegm.
Qianghuo Xuduan Tang (Notopterygium and Teasel Root Decoction): Treats all forms of White Tiger Lijie Feng, with swelling and pain in the hands, feet, and joints as if pierced by awls.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Chuan Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix, wine-washed), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix, wine-washed), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Bo Gui (Cinnamomi Cortex, thin slice) (3 fen), Qinjiao (Gentianae Macrophyllae Radix), Chuan Wu (Aconiti Radix) (each 5 fen), Cangzhu (Atractylodis Rhizoma, soaked in rice water, stir-fried), Mahuang (Ephedrae Herba), Gancao Jie (Glycyrrhizae Radix et Rhizoma nodes), Zhike (Aurantii Fructus Immaturus, bran-fried), Chuanshanjia (Manis Squama) (each 7 fen).
Preparation: Add two cups of water, three slices of ginger, and one stalk of scallion. Decoct until one cup remains. Take at any time to induce sweating.
Haitongpi San (Sea Pine Bark Powder): Treats Lijie Zouzhu (wandering joint pain) and bone-joint pain.
Ingredients: Haitongpi (Pavoniae Ramulus), Duhuo (Angelicae Pubescentis Radix), Biba (Smilacis Glabrae Rhizoma, soaked in salt water and baked), Hu Jinggu (Pantheris Os, roasted with lard oil), Danggui, Chuanxiong, Tianma (Gastrodiae Rhizoma), Fangfeng, Mahuang, Zhike, Shaoyao (Paeoniae Radix), Gancao, Chuan Wu (prepared, skin and rootlets removed), Bo Gui, Taoren (Pruni Semen, peeled and blanched), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Songjie (Pinus Massoniana Node), Shexiang (Moscus, lightly roasted and separately ground), Niuxi (wine-washed).
Preparation: Coarsely crush the herbs. For each dose, take five qian, add two cups of water, three slices of ginger, and two dates. Decoct and take orally.
Hugu San (Tiger Bone Powder): Treats White Tiger Lijie Feng, with unbearable pain in limbs and joints.
Ingredients: Hugu (Pantheris Os, roasted with lard oil, 1 liang), Baihua She (Bungarus multicinctus, soaked in wine, meat taken), Tianma, Fangfeng, Danggui, Niuxi (wine-washed), Guixin (Cinnamomi Ramulus) (each 1 liang), Quanxie (Scorpio, feet removed, 5 qian), Gancao (roasted, 5 fen), Bai Jiangcan (Bombyx Batryticatus, roasted, silk mouth removed), Ruxiang (Olibanum, separately ground, 2 qian), Shexiang (separately ground, 5 fen).
Preparation: Grind into fine powder. Take 2 qian per dose, mixed with wine. Doulin Jiu (Bean-dripping wine) is especially effective.
Moyao San (Myrrh Powder): Treats White Tiger Lijie Liuzhu (flowing accumulation), with pain in sinews and bones.
Ingredients: Moyao (Myrrha, 5 qian), Duhuo, Fangfeng, Manjingzi (Viticis Fructus), Danggui, Chuanxiong, Guixin, Wancansha (Bombyx Batryticatus), Chishao (Paeoniae Radix Rubra) (each 7 qian), Hu Jinggu (Pantheris Os, 1 liang, roasted with lard oil).
Preparation: Grind into powder. Take 2 qian per dose before meals, mixed with warm wine.
Juan Tong Wan (Pain-Relieving Pill, also known as Shexiang Wan): Treats various Wind-induced Lijie pain, unpredictable movement of hands and feet, pain, swelling, and fullness. Suitable for all regardless of status, as this is the harm caused by Wind toxicity.
Ingredients: Chuan Wu (one piece, raw), Heidou (Black Soybean, 17 grains, peeled, raw), Quanxie (fourteen pieces, detoxified), Dilong (Pheretima, earth removed, 5 qian), Shexiang (5 fen, separately ground).
Preparation: Grind into powder, mix with wine paste to form pills the size of paulownia seeds. Take fifteen pills before sleep on an empty stomach with cold wine, aiming for slight sweating.
Shefeng Jiu (Wind-Capturing Wine): Treats White Tiger Lijie Feng, various Wind-Damp flowing accumulations, Crane-Knee Leg Wind, and all Wind-Phlegm syndromes.
Ingredients: Wuyao (Linderae Radix), Xunfeng Teng (Caulis Tiliaphylli), Wujapi (Acanthopanacis Cortex, 1 liang), Hu Jinggu, Shinanteng (Acanthopanacis Senticosi Caulis), Sanjiaofeng (Alangi Radix), Qingmuxiang (Aquilariae Lignum Resinatum), Gusuibu (Drynariae Rhizoma), Danggui, Cangzhu, Chuan Xuduan, Weilingxian (Salviae Miltiorrhizae Radix? Note: Usually Saposhnikoviae Radix in this context, but text says Weilingxian - likely Glehniae Radix or similar local herb, standard is usually Saposhnikoviae but here distinct from Fangfeng/Qianghuo, assuming Glehniae Radix or similar), Qianghuo, Beixixin (Asari Radix et Rhizoma) (each 2 qian), Qingtenggen (Sinomenii Caulis, one piece), Qing Ruxiang (Frankincense, 2 qian), Chuan Niuxi, Fangfeng, Gancao Jie, Sumu (Sappan Lignum, 5 qian), Nanmuxiang (Agarwood, 2 qian), Shibili (Ficus pumila, 5 qian), Chuan Wutou (Aconiti Kusnezoffii Radix, one piece, use only 1 fen), Shengjiang (Fresh Ginger, 1 liang).
Preparation: Coarsely crush and place in a silk bag. Put into a jar of unfermented wine (Wuhui Jiu), seal tightly. Place in boiling water and simmer slowly for one shichen (two hours). Remove and let sit on the ground for three days before opening. Drink three times daily according to tolerance. In summer, use half the dosage and one small jar of wine.
Jindao Rusheng San (Golden Knife Like Saint Powder): Treats thirty-six types of facial paralysis (mouth and eye deviation), hemiplegia, generalized wandering Wind, and White Tiger Lijie pain, with immediate effect.
Ingredients: Chuan Wu (prepared), Caowu (Aconiti Kusnezoffii Radix, prepared, each 2 liang), Fangfeng, Jingjie (Perillae Folium), Mahuang, Tianma, Cangzhu, Heshouwu (Polygoni Multiflori Radix), Danggui, Chuanxiong, Xixin (Asari Radix et Rhizoma), Shihu (Dendrobii Caulis), Renshen (Ginseng Radix et Rhizoma), Gancao (each 3 qian), Quanxie, Zhusha (Cinnabar), Xionghuang (Realgar) (each 2 qian).
Preparation: Grind into fine powder. Take 5 fen per dose at bedtime with warm tea. For chronic cases, start with 3 fen and gradually increase to 5 fen, adjusting based on deficiency or excess.
Qinglong Miaoying Wan (Azure Dragon Miraculous Efficacy Pill): Treats various Wind-induced spasms and wandering pain throughout the body without fixed timing, ineffective against other medicines.
Ingredients: Chuanshanjia (fifteen slices, fried with lime), Quanxie (thirty pieces, detoxified), Dilong (earth removed, 1 liang), Wugong (Scolopendra, ten pieces, raw), Caowu (1 liang, raw), Jiangcan (Bombyx Batryticatus, roasted, 5 qian), Wulingzhi (Trogopteri Excrement, 5 qian), Moyao (Myrrha, 5 qian, separately ground), Ruxiang (Frankincense, 5 qian, separately ground).
Preparation: Grind into powder, mix with wine paste to form pills the size of mung beans, coated with Qingdai (Indigo Naturalis). Take twenty pills on an empty stomach with salt water.
Yili Jin Dan (One Grain Golden Pill): Treats wandering pain in waist and knees, pain like tiger bites.
Ingredients: Caowu, Wulingzhi (each 1 liang), Bai Jiaoxiang (Elemi Resin, 8 liang), Mugubeizi (Momordicae Semen, shell removed), Dilong (earth removed, each 2 liang), Hao Mo (Good Ink), Danggui (each 1 liang), Ruxiang, Moyao (each 5 qian), Shexiang (5 fen).
Preparation: Grind into powder, mix thoroughly again. Form pills using rice flour paste, size of paulownia seeds. Take thirty pills with warm wine to induce slight sweating. This formula is largely similar to Tie Dan Wan, except it lacks Baizhi and Fangfeng.
Duhuo Jisheng Tang (Angelica Pubescens and Drynaria Decoction): Treats White Tiger Lijie Feng and is most effective for Hongxiangjiao (Foot Qi / Beriberi). (See Formula in Lower Back Pain Section).