鹤膝风,风湿热结于膝也。热胜则肿,肿甚则肌肉消削而膝如鹤也。痛甚因风,宜用后方,或独活寄生汤。
主方
麻黄 甘草 半夏 粟壳(去筋各二钱) 桂枝(五分) 白芍 防风 荆芥(各一钱)
生姜四两,酒二碗煎,露一宿再煎,温服,出汗为度。上痛加羌活,下痛加牛膝、苡仁。
独活寄生汤(并主痛风)
白芍 杜仲 归身 防风 白芷 人参 细辛 桂心 熟地 牛膝 川芎 寄生 甘草(各一两) 独活(三两)
姜水煎。
紫白癜风,疠风中别一种也。风、湿、燥、火皆有之。胡麻汤、四圣丸、苍耳酒皆可选
用,外用浮萍四两,汉防己五钱,煎浓汤洗。
胡麻汤(并治诸瘾疹、风毒、疥)
胡麻(一两二钱) 荆芥 苦参(各八钱) 炙甘草 威灵仙(各一钱)
共为细末,每服二钱,薄荷汤调下。服药后频浴出汗效。
四圣丸(并主肾风)
白附子 白蒺藜 黄 羌活(等分)
生用为末,每服二钱,空心盐汤送下。
苍耳酒
苍耳子(蒸) 晚蚕砂(炒) 五加皮(蒸) 大茄根(蒸,各四两) 归身 虎骨(炙) 羌活
枸杞子 荆芥 油松节 杜仲(姜汁炒) 牛膝 萆 防风 秦艽(各二两) 白术 黄柏
苍术(各一两) 木香(五钱)
用酒二坛,小袋盛药,浸七日服。(按∶此方与史国公药酒相似,多荆芥、黄柏、苍术
、木香、五加皮五味。少鳖甲一味。)
附∶流注风方
甘草节 赤芍药 白芷 当归身(各一两) 蜈蚣(五条) 共为末,每服二钱,酒下。
冬瓜风方(足细疮流水附)
苍术(二两) 黄柏(一两) 羌活(一两) 肉桂(五钱)
共末,糊丸,不拘时服。外用百草霜、枯矾末醋调茶。
He Xi Feng (Crane's Knee Wind) is caused by the accumulation of Wind, Dampness, and Heat pathogens in the knee joint. When Heat is predominant, swelling occurs; severe swelling leads to muscle atrophy and wasting, making the knee resemble a crane's knee. Severe pain is often due to Wind pathogen, for which the following formula or Du Huo Ji Sheng Tang (Saposhnikovia and Dangshen Decoction) is suitable.
Main Formula
Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma Preparatum), Suké (Papaveris Pericarpium, with fibers removed, each 2 qian), Guizhi (Cinnamomi Ramulus, 0.5 qian), Baishao (Paeoniae Radix Alba), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica, each 1 qian).
Decoct with 4 liang of fresh ginger and 2 bowls of wine, leave exposed overnight, then decoct again. Take warm, stopping when sweating occurs. For pain in the upper body, add Qianghuo (Notopterygii Rhizoma et Radix); for pain in the lower body, add Niuxi (Achyranthis Bidentatae Radix) and Yiren (Coicis Semen).
Du Huo Ji Sheng Tang (Also treats Tong Feng/Gout)
Baishao (Paeoniae Radix Alba), Duzhong (Eucommiae Cortex), Guishen (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex), Shudi (Rehmanniae Radix Preparata), Niuxi (Achyranthis Bidentatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jisheng (Taxilli Caulis), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 liang), Duhuo (Angelicae Pubescentis Radix, 3 liang).
Decoct with water containing ginger.
Zi Bai Dian Feng (Purple and White Vitiligo/Maculopathy) is a distinct type within Li Zhong (Leprosy-like diseases). It can be caused by Wind, Dampness, Dryness, or Fire pathogens. Humatang (Sesamum Decoction), Sisheng Wan (Four Sages Pill), and Cang'er Jiu (Xanthium Wine) are all selectable options. Externally, use 4 liang of Fuping (Mentha Haplocalycis Herba) and 5 qian of Hanfangji (Stephaniae Tetrandrae Radix), decoct into a strong solution, and wash the affected area.
Humatang (Also treats various Yin Zhen/Urticaria, Feng Du/Wind Toxin, and Jie/Scabies)
Huma (Sesami Semen, 1.2 liang), Jingjie (Schizonepetae Spica), Kushen (Sophorae Flavescentis Radix, each 8 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Weilingxian (Syneilesis Rhizoma, each 1 qian).
Grind together into fine powder. Take 2 qian per dose, mixed with Bohe Tang (Mint Decoction). Frequent bathing to induce sweating after taking the medicine enhances efficacy.
Sisheng Wan (Also treats Shen Feng/Kidney Wind)
Baifuzi (Arisaematis Cum Bile), Bajili (Tribuli Fructus), Huangqi (Astragali Radix), Qianghuo (Notopterygii Rhizoma et Radix) in equal proportions.
Use raw materials, grind into powder. Take 2 qian per dose, swallowed with salt water on an empty stomach.
Cang'er Jiu (Xanthium Wine)
Cangerzi (Xanthii Fructus, steamed), Wancansha (Bombyx Batryticatus, stir-fried), Wujiapi (Acanthopanacis Cortex, steamed), Daqiegen (Solanum Melongena Root, steamed, each 4 liang), Guishen (Angelicae Sinensis Radix), Hugujia (Pantheris Os, roasted), Qianghuo (Notopterygii Rhizoma et Radix), Gouqizi (Lycii Fructus), Jingjie (Schizonepetae Spica), Yousongjie (Pinus Massoniana Joint), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Niuxi (Achyranthis Bidentatae Radix), Bixie (Dioscoreae Hypoglaucae Rhizoma), Fangfeng (Saposhnikoviae Radix), Qinjiao (Gentianae Macrophyllae Radix, each 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangbai (Phellodendri Cortex), Cangzhu (Atractylodis Rhizoma, each 1 liang), Muxiang (Vladimiriae Radix, 5 qian).
Place the herbs in small bags and soak in two jars of wine for seven days before consumption. (Note: This formula is similar to Shi Guogong Yao Jiu, containing five additional herbs: Jingjie, Huangbai, Cangzhu, Muxiang, and Wujiapi, but lacks one herb: Biejia.)
Appendix: Liu Zhu Feng Formula
Gancao Jie (Glycyrrhizae Radix et Rhizoma Node), Chishaoyao (Paeoniae Radix Rubra), Baizhi (Angelicae Dahuricae Radix), Dangguishen (Angelicae Sinensis Radix, each 1 liang), Wugong (Scolopendra, 5 pieces).
Grind into powder. Take 2 qian per dose, washed down with wine.
Donggua Feng Formula (With attachment for small sores on feet oozing fluid)
Cangzhu (Atractylodis Rhizoma, 2 liang), Huangbai (Phellodendri Cortex, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Rougui (Cinnamomi Cortex, 5 qian).
Grind into powder, make pills with paste. Take at any time. Externally, apply a mixture of Baicaoshuang (Fuliginis Pulvis) and Kufan (Alumen Extricatum) prepared with vinegar and tea.