金刚丸 治肾损骨痿,不能起床,宜服此益精。
萆 杜仲(姜汁炒) 肉苁蓉(酒浸) 菟丝子(制)
上为细末,酒煮猪腰子,捣烂,和丸,梧桐子大。每服五七十丸,空心温酒送下。
补肝丸 治前证。阴如冰冷,并阴汗,两脚痿弱无力。
黄 (一钱,炙) 人参 葛根 白茯苓 猪苓 升麻(各一钱) 柴胡 当归身
羌活 连翘 黄柏 泽泻 陈皮 神曲 知母 防风 苍术 甘草(炙。各五分)
上水二盏,煎一盏,空心热服,忌酒湿面。
温肾汤 治面色萎黄,脚软弱无力,阴汗出。
苍术 白术(各一钱) 柴胡 升麻 麻黄 猪苓 泽泻(各五分) 酒黄柏 防风 白茯苓(各一钱)
上水二盏,煎一盏,食前温服。一时久,方可饮食。
(兼风痹门,治世俗谓之麻痹是也。麻木者,即痹证中之不仁者也。)
《内经》以风寒湿三气杂至,合而为痹。其风气胜者为行痹,寒气胜者为痛痹,湿气胜者为
着痹,其不痛不仁者为麻痹是也。今夫麻木之证,正经谓其不痛不仁,病久入深,荣卫之行涩,
经络时疏,故不痛。皮肤不荣,故不仁,如绳扎缚,初解之状。
河间云∶留着不去,即四肢麻木拘挛也。
丹溪曰∶麻是气虚,木是湿痰死血。或有气血俱虚,但麻而不木者;有虚感湿,麻木兼作者,
有因虚风寒湿三气乘之,故周身掣痛,兼麻木并作者,若此其甚,宜先汗而后补;有痰滞四肢,
或一指麻木,逾年而中风之病作,此皆气血先虚之兆也。若此者,须预调之。
Jingang Wan (Golden Pill): Treats bone atrophy due to kidney essence deficiency, where the patient cannot get out of bed. It is suitable to take this formula to tonify essence.
Bixie (Dioscorea Hypoglauca Rhizome), Duzhong (Eucommia Bark, stir-fried with ginger juice), Rongshou (Cistanche Stem), Tusizi (Cuscuta Seed, processed).
Grind the above herbs into fine powder. Boil pig kidneys in wine until soft, mash them, and mix with the powder to make pills, sized like Chinese honeylocust seeds. Take 50-70 pills per dose, swallowed with warm wine on an empty stomach.
Bugan Wan (Liver-Tonifying Pill): Treats the aforementioned syndrome. Symptoms include coldness in the genital area as if ice-cold, sweating in the genital region, and weakness/atrophy in both legs.
Huangqi (Astragalus Root, one qian, roasted), Renshen (Ginseng Root), Gegen (Pueraria Root), Baifuling (Poria, one qian each), Zhuling (Polyporus, one qian each), Shengma (Cimicifuga Rhizome, one qian each), Chaihu (Bupleurum Root), Dangguishen (Angelica Sinensis Root body), Qianghuo (Notopterygium Rhizome), Lianqiao (Forsythia Fruit), Huangbai (Phellodendron Bark), Zexie (Alisma Rhizome), Chenpi (Citrus Reticulata Peel), Shenqu (Medicated Leaven), Zhimu (Anemarrhena Rhizome), Fangfeng (Saposhnikovia Root), Cangzhu (Atractylodes Rhizome), Gancao (Licorice Root, roasted, five fen each).
Add two cups of water, decoct to one cup. Take hot on an empty stomach. Avoid alcohol, damp-producing foods, and wheat products.
Wenshen Tang (Kidney-Warming Decoction): Treats sallow complexion, weakness in the feet, and sweating in the genital region.
Cangzhu (Atractylodes Rhizome, one qian), Baizhu (Atractylodes Macrocephala Rhizome, one qian), Chaihu (Bupleurum Root, five fen each), Shengma (Cimicifuga Rhizome, five fen each), Mahuang (Ephedra Herb, five fen each), Zhuling (Polyporus, five fen each), Zexie (Alisma Rhizome, five fen each), Jiu Huangbai (Phellodendron Bark, wine-processed, one qian each), Fangfeng (Saposhnikovia Root, one qian each), Baifuling (Poria, one qian each).
Add two cups of water, decoct to one cup. Take warm before meals. Wait for a period of time before eating food.
(Section on Wind-Bi: Treats what secular people call numbness and paralysis. Numbness refers to the type of Bi syndrome characterized by loss of sensation.)
The *Neijing* (Inner Canon) states that when wind, cold, and dampness pathogenic factors mix and invade together, they combine to form Bi syndrome. When wind predominates, it is called Xingbi (Wandering Bi); when cold predominates, it is called Tongbi (Painful Bi); when dampness predominates, it is called Zhuobi (Fixed Bi). Those that are neither painful nor insensible are referred to as Mabu (numbness and anesthesia). In current cases of numbness and anesthesia, the classics describe them as painless and insensible. When the disease lingers and penetrates deeply, the flow of Ying (Nutrient Qi) and Wei (Defensive Qi) becomes sluggish, and the meridians become temporarily sparse or deficient, hence there is no pain. The skin lacks nourishment, hence there is insensibility, resembling the feeling after tight ropes have just been untied.
He Jian (Liu Wansu) stated: When pathogens remain lodged and do not depart, it leads to numbness and spasms in the four limbs.
Danxi (Zhu Zhenheng) said: "Ma" (tingling) is caused by Qi deficiency; "Mu" (woodiness/anesthesia) is caused by damp-phlegm and dead blood. Some cases involve both Qi and Blood deficiency, presenting only with tingling but no anesthesia; some involve deficiency compounded by dampness, presenting with both tingling and anesthesia; some involve deficiency allowing wind-cold-dampness to invade, causing whole-body pulling pain accompanied by numbness. If the condition is severe, one should first induce sweating to release the exterior, then tonify. Some cases involve phlegm stagnation in the four limbs, or numbness in a single finger, which may precede stroke by a year; these are all omens of prior Qi and Blood deficiency. In such cases, preventive regulation is necessary.