寸口脉浮濡，属气虚，麻在上体。尺浮而濡，麻在下体。
脉浮而缓，属湿为麻痹。脉浮而紧，属寒为痛痹。
脉涩而芤，属死血，为麻木不知痛痒。
凡坐卧及倚靠之久，而致经络气血不通，即麻而木，可见其郁滞也。凡麻木多属四肢及
手足之指者，此则四末气血充荣不到，故多麻木也。丹溪谓∶此当用附子行经，则此意也。
十指麻木者，胃中多有湿痰死血，宜二陈汤加苍白术、桃仁、红花之类。
桂枝五物汤 薏苡仁汤（并见痹证门）治气血郁滞，四肢麻木不仁。
（东垣）麻黄桂枝升麻汤 治饮食减少，身体沉重，浑身麻木，腹中气闷，不能转运。
麻黄 桂枝 升麻（各三分） 人参 黄 白术 陈皮 半夏（姜制） 茯苓 炙甘草（各五分）
木香 草豆蔻 黑附子（炮，去皮脐） 浓朴 生姜（各三分） 黄柏 泽泻（各四分）
上咀作一服，水二盏，煎八分，食远服。
人参益气汤 治两千指麻木，四肢困倦，怠惰嗜卧，热伤元气。
人参 生甘草（各一钱二分） 黄 （二钱） 炙甘草 升麻（各五分） 五味子（三十粒）
柴胡 白芍药（各七分）
上水二盏，姜一片、枣一枚，煎八分，热服。
天麻黄 汤 治表有风证，因连日醉饮，其证复来，右口角并眼牵引侧视，及左手足脚腿
麻木疼痛。
天麻 芍药 神曲 羌活（肢节疼加，不疼减去） 茯苓（各三分） 人参 黄连（各四分）
当归（各五分） 黄 甘草 升麻 葛
根黄柏 苍术（各六分） 泽泻 柴胡（各七分）
上水二盏，煎八分，温服。
冲和补气汤 治合眼则麻木，开则不麻，四肢无力，痿厥醋心，目昏头眩，服此神效。
羌活 独活 川归 黄柏（各三分） 柴胡 神曲 木香 草豆蔻（各一分） 人参 白术
泽泻 猪苓（各一钱） 甘草 升麻（各五分） 芍药 黄 （二钱） 苍术 陈皮（各一钱）
黄连 麻黄（二分）
上作二服，每服水二盏，煎一盏，温服。
神效黄 汤 治遍身麻木不仁，或头面、手足、 背、腿脚麻木并治，及两目怕日羞明，
隐涩难开，视物昏花，睛痛亦治。
黄 （一钱） 陈皮（五分） 人参（八分） 炙甘草（四分） 白芍药（一钱） 蔓荆子（二分）
上作一服，水盏半，煎八分，临卧稍热服。如麻木不仁，虽有热，宜加黄柏。只加黄 一
钱，通作三钱。如麻木甚者，加芍药一钱。小便淋涩，加泽泻五分。如有大热，加酒黄柏三分。
补气汤 治皮肤麻木。
黄 陈皮 甘草（各一钱二分） 泽泻（六分） 芍药（八分）
上一服，水盏半，煎八分，温服。
导气汤 治腿麻木沉重。
黄 （二钱） 甘草（钱半） 青皮（一钱） 升麻 柴胡 当归梢 泽泻（各五分） 陈皮
红花（少许） 五味子（三十粒）
上水二盏，煎八分，温服。
（虞氏）三妙丸 治湿热下流，两脚麻木，如火烙之热。
黄柏（酒炒四两） 苍术（制，四两） 川牛膝（酒洗二两）
上为细末，面糊丸，如梧桐子大。每服五七十丸，空心盐姜汤下。忌鱼腥、荞麦、热面、煎炒等物。
The pulse at the Cun Kou (radial artery) is floating and soft, indicating Qi deficiency, manifesting as numbness in the upper body. The pulse at the Chi position is floating and soft, indicating numbness in the lower body.
A pulse that is floating and slow indicates dampness causing paralysis/numbness. A pulse that is floating and tight indicates cold causing painful Bi syndrome (painful obstruction).
A pulse that is choppy and hollow indicates stagnant blood (blood stasis), manifesting as numbness with loss of pain and itch sensation.
Prolonged sitting, lying down, or leaning against supports can cause stagnation of Qi and blood in the meridians, resulting in numbness and insensibility, which demonstrates Qi stagnation. Numbness occurring mostly in the four limbs and fingers/toes is due to insufficient Qi and blood nourishment reaching the extremities. Zhu Danxi stated: In such cases, Fuzi (Prepared Aconite Root) should be used to unblock the meridians; this is the meaning behind it. For those with numbness in all ten fingers, there is often damp-phlegm and stagnant blood in the Stomach; Er Chen Tang (Two-Cured Decoction) added with Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tao Ren (Persicae Semen), and Hong Hua (Carthami Flos) is appropriate.
Guizhi Wuwu Tang (Cinnamon Twig Five-Ingredient Decoction) and Yiyiren Tang (Coix Seed Decoction) (both seen in the Bi Syndrome chapter): Treat numbness and insensibility of the four limbs due to Qi and blood stagnation.
(Li Dongyuan) Mahuang Guizhi Shengma Tang (Ephedra, Cinnamon Twig, and Cimicifuga Decoction): Treats decreased appetite, heavy body, general numbness, abdominal Qi oppression, and inability to move Qi.
Ingredients: Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Shengma (Cimicifugae Rhizoma) (each 3 fen); Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma prepared with ginger), Fuling (Poria), Zhigancao (Prepared Licorice Root) (each 5 fen); Muxiang (Aucklandiae Radix), Caodoukou (Cardamomi Fructus), Hei Fuzi (Prepared Aconiti Lateralis Radix, peeled and de-seeded), Houpo (Magnoliae Officinalis Cortex), Shengjiang (Zingiberis Rhizoma Recens) (each 3 fen); Huangbai (Phellodendri Cortex), Zexie (Alismatis Rhizoma) (each 4 fen).
Usage: Coarsely crush into one dose, add two cups of water, decoct to eight-tenths, take after meals.
Renshen Yiqi Tang (Ginseng Qi-Nourishing Decoction): Treats numbness in the ten fingers, fatigue and heaviness in the four limbs, lethargy and desire to lie down, and Yuan Qi damaged by heat.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Sheng Gancao (Raw Licorice Root) (each 1 qian 2 fen); Huangqi (Astragali Radix) (2 qian); Zhigancao (Prepared Licorice Root), Shengma (Cimicifugae Rhizoma) (each 5 fen); Wuweizi (Schisandrae Chinensis Fructus) (30 berries); Chaihu (Bupleuri Radix), Shaoyao (Paeoniae Radix Alba) (each 7 fen).
Usage: Add two cups of water, one slice of ginger, one jujube, decoct to eight-tenths, take hot.
Tianma Huang [Qun?] Tang (Gastrodia and Ephedra Decoction - *Note: Text likely implies a specific formula name, translated literally*): Treats exterior wind syndrome; symptoms recur due to consecutive days of drunken drinking. Symptoms include traction and lateral deviation of the right corner of the mouth and eye, and numbness and pain in the left hand, foot, and leg.
Ingredients: Tianma (Gastrodiae Rhizoma), Shaoyao (Paeoniae Radix), Shenqu (Massa Medicata Fermentata), Qianghuo (Notopterygii Rhizoma et Radix) (add if joint pain exists, subtract if not), Fuling (Poria) (each 3 fen); Renshen (Ginseng Radix et Rhizoma), Huanglian (Coptidis Rhizoma) (each 4 fen); Danggui (Angelicae Sinensis Radix) (each 5 fen); Huangqi (Astragali Radix), Gancao (Licorice Root), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Huangbai (Phellodendri Cortex), Cangzhu (Atractylodis Rhizoma) (each 6 fen); Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix) (each 7 fen).
Usage: Add two cups of water, decoct to eight-tenths, take warm.
Chonghe Buzhi Tang (Harmonizing and Qi-Supplementing Decoction): Treats numbness when eyes are closed, no numbness when open; weakness in four limbs, Wei Jue (flaccidity/cold extremities) with acid regurgitation, blurred vision, and dizziness. This formula is highly effective.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuan Gui (Angelicae Sinensis Radix), Huangbai (Phellodendri Cortex) (each 3 fen); Chaihu (Bupleuri Radix), Shenqu (Massa Medicata Fermentata), Muxiang (Aucklandiae Radix), Caodoukou (Cardamomi Fructus) (each 1 fen); Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Zexie (Alismatis Rhizoma), Zhuling (Polyporus) (each 1 qian); Gancao (Licorice Root), Shengma (Cimicifugae Rhizoma) (each 5 fen); Shaoyao (Paeoniae Radix), Huangqi (Astragali Radix) (2 qian); Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Huanglian (Coptidis Rhizoma), Mahuang (Ephedrae Herba) (2 fen).
Usage: Divide into two doses. Each dose uses two cups of water, decoct to one cup, take warm.
Shenxiao Huangqi Tang (Miraculous Astragalus Decoction): Treats general numbness and insensibility, or numbness of the head, face, hands, feet, back, and legs simultaneously; also treats photophobia, gritty difficulty in opening eyes, blurred vision, and eye pain.
Ingredients: Huangqi (Astragali Radix) (1 qian); Chenpi (Citri Reticulatae Pericarpium) (5 fen); Renshen (Ginseng Radix et Rhizoma) (8 fen); Zhigancao (Prepared Licorice Root) (4 fen); Baishao Yao (White Peony Root) (1 qian); Manjingzi (Viticis Mume Fructus) (2 fen).
Usage: One dose, add one and a half cups of water, decoct to eight-tenths, take slightly warm before bed. If numb and insensible, even with heat signs, add Huangbai (Phellodendri Cortex). Increase Huangqi by 1 qian, total 3 qian. If numbness is severe, add Shaoyao (Paeoniae Radix) 1 qian. If urinary dribbling and涩 (astringency/difficulty), add Zexie (Alismatis Rhizoma) 5 fen. If there is intense heat, add Jiu Huangbai (Wine-processed Phellodendri Cortex) 3 fen.
Buzhi Tang (Qi-Supplementing Decoction): Treats skin numbness.
Ingredients: Huangqi (Astragali Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Licorice Root) (each 1 qian 2 fen); Zexie (Alismatis Rhizoma) (6 fen); Shaoyao (Paeoniae Radix) (8 fen).
Usage: One dose, add one and a half cups of water, decoct to eight-tenths, take warm.
Daoqi Tang (Qi-Guiding Decoction): Treats numbness and heaviness in the legs.
Ingredients: Huangqi (Astragali Radix) (2 qian); Gancao (Licorice Root) (1.5 qian); Qingpi (Aurantii Fructus Immaturus) (1 qian); Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Danggui Shao (Tip of Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma) (each 5 fen); Chenpi (Citri Reticulatae Pericarpium), Honghua (Carthami Flos) (a small amount); Wuweizi (Schisandrae Chinensis Fructus) (30 berries).
Usage: Add two cups of water, decoct to eight-tenths, take warm.
(Yu's) Sanmiao Wan (Three-Awesome Pill): Treats downward flow of damp-heat, causing numbness in both feet with burning heat like iron branding.
Ingredients: Huangbai (Phellodendri Cortex, wine-fried) (4 liang); Cangzhu (Atractylodis Rhizoma, processed) (4 liang); Chuan Niuxi (Cyathulae Radix, wine-rinsed) (2 liang).
Usage: Grind into fine powder, make pills with wheat paste, size of Sophora seeds. Take 50-70 pills per dose on an empty stomach with salt and ginger water. Avoid fish, shellfish, buckwheat, hot noodles, fried, and roasted foods.