论曰香港脚有干湿之异者，盖阴阳所自分也。在脏为阴，在腑为阳，然皆由风湿毒瓦斯，乘
虚而入，其证大同小异，故干香港脚之状。血脉痞涩，皮肤 痹，胫细酸疼，食减体瘦，脏腑
秘滞，上冲烦闷。湿香港脚之状，脚先肿满，或下注生疮，肌汗流下，两脚热疼，上攻心腹，
咳嗽喘急，面浮膝肿，见食呕吐。
治干湿香港脚。万应丸方
没药（研） 乳香（研） 木香 白附子（炮） 乌药 蒺藜子（炒去角） 乌头（炮
裂去皮脐各半两） 砂（研一分）
上八味，逐味捣研为细末，用木瓜二枚，去皮瓤剜内空，留盖子，将 砂入木瓜内，盖
了用竹签子签定，以湿纸三五重裹，热灰煨令香熟，取出不令倾侧，别顿一处；次用好酒一
升，银石锅内煎，先下蒺藜乳香末，熬去一二分；次下诸药末，同熬，少时取出，不得令干，
却将煨了木瓜，同捣三五百杵丸，可即丸如豌豆大，空心冷酒下十丸。如人行三五里，吃荆
芥茶半盏，日一服，渐加至十五丸止，以觉药力到脚膝下为效。
治年深一十九种干湿香港脚。四根散方
桑木根节心 松木根节心 柏木根节心 杉木根节心（并细锉炒黑各一两） 肉苁蓉（酒
浸切焙二两） 乳香（研） 没药 五灵脂 石龙芮（炒各一两） 麝香（研半两） 天雄
（炮裂去
上一十四味，除研者外，捣罗为散，再同研匀。每服二钱匕，浸木瓜酒温调下，早晚食
后近夜服。
治干湿香港脚。羚羊角饮方
羚羊角（镑） 羌活（去芦头） 桂（去粗皮） 牛膝（酒浸切焙） 白茯苓（去黑皮）
杏仁（
麻黄（去根
白焙） 白术 防
各半两）
上二十一味，锉如麻豆，分为八服。若高年或脏腑虚冷，即分作十六服，每服用水二碗，
生姜十片，煎至二盏，临熟更磨犀角水二合，投入再煎沸，去滓分作二服，不拘时候温服，
滓两服，重用水一碗，煎至一盏，作一服，更看疾状，每料临时添药，或脚刺痛，添桂附子
牛膝羌活各一分，大便涩，添大黄滑石末各二钱，筋脉拘急，添紫苏牛膝各一分，脚转筋，
添木瓜牛膝各半两，攻作浮热，添麻黄石膏各半两，微得汗立愈，气攻心，加槟榔半两，木
香一分。
治干湿香港脚，冲注四肢。立应汤方
大腹（煨和皮用） 木香 诃黎勒（煨用皮） 防己 紫苏茎 羌活（去芦头） 芍药 干
木
上一十味，粗捣筛。每服五钱匕，水一盏半，煎至八分，去滓空心日午夜卧温服。
治干湿香港脚，瘥后常服，令永不发。四斤丸方
牛膝（去苗） 肉苁蓉（刮去皴皮） 天麻 干木瓜（各一斤）
上四味并细锉。用好酒五升，浸一昼夜，漉出焙干，捣罗为末，用前浸药酒，慢火银石
器熬成膏，和药末，丸如梧桐子大。每服三十丸，温酒下，空心食前。
治干湿香港脚。乌药散方
乌药（一两） 莳萝（炒一分）
上二味，捣罗为散，温酒调下二钱匕。干香港脚用楝实五枚锉碎，浆水一升，煎至五合，
去滓调下。
治干香港脚头痛，腰脚酸疼，心躁渴闷，汗出气喘。杉节汤方
杉木节（锉一升） 橘叶（锉一升北地无以皮代之） 大腹（七枚和皮锉） 童子小便
（三升）
绝，左胁有块如大石且死，因大寒不知人三日，家人皆号哭，荥阳郑洵美传此方服之，半食
时气通立愈。
治干香港脚，两胫渐细疼痛，时发寒热，或脏腑不利，毒瓦斯上攻。独活散方
独活（去芦头） 附子（炮裂去皮脐各一两） 牵牛子（二两微炒捣细取一半粉用）
上三味，捣罗为散。每服二钱匕，炒葱酒调下，蜜汤亦得，或一二服，得利即止，末利
再服。
治湿香港脚，脚膝肿满。防己汤方
防己 猪苓（去黑皮） 郁李仁（去皮炒） 槟榔（锉各三分） 木通（锉） 紫苏叶 枳
壳（
上九味，粗捣筛。每服四钱匕，水一盏半，生姜三片，煎至六分，去滓食前温服。
治湿香港脚，及肾脏风下注，满脚生疮痒痛脓水出。海桐皮散方
海桐皮 草乌头（锉碎盐炒） 地龙（炒去土） 蒺藜子（炒去角各一两）
上四味，捣罗为散。每服二钱匕，冷酒调下，空心夜卧服。
治湿香港脚，膝浮肿，气攻入腹，腹满气急，面如土色，大小肠不通，气欲绝。槟榔汤方
槟榔（二两锉） 诃黎勒（七枚取皮） 大腹皮（二七枚） 牵牛子（二两炒）
上四味，各捣罗为末。以童子小便一升，生姜一分劈碎，先下大腹皮及诃黎勒末，各二
钱匕，煎至七合，次下槟榔牵牛末各二钱匕，更煎令沸，不限早晚，旋旋服之，快利三五行
为效。
治香港脚肿满生疮，积年不瘥，或饮酒壅滞，散在腠理，及风痒疥癣，毒瓦斯下注，轻腰脚，
通肠胃，去肺中热毒。漏芦丸方
漏芦 葳蕤（切焙） 乌蛇（酒浸去皮骨炙各三两） 苦参（四两） 枳壳（去瓤麸炒
二两）
秦艽（去苗土） 麦门冬（去心焙各一两半） 防己（一两） 玄参（三两） 白术 黄
（锉各一
两半） 大黄（锉炒三两） 黄芩（去黑心一两）
上一十三味，捣罗为末，炼蜜为丸，如梧桐子大。每服三十丸，至四十丸，以后恶实根
酒下。
恶实酒方
恶实根（细切半斤） 枳壳（去瓤四两） 磁石（生捣末半斤） 薏苡仁（半升） 玄
参（三两）
上八味，粗捣筛。以绢袋盛，无灰酒二斗浸三日，然后任性多少下前漏芦丸，更以后白
蔹汤洗之。
白蔹汤洗方
白蔹（三两半） 漏芦（切） 槐白皮（切） 蒺藜子（炒去角） 五加皮（切各半斤）
甘草（
锉一两）
上六味，粗捣筛。以水一斗，煮取六升，内芒硝半升，如疮痒不拘时洗，其汤旋暖温用
治风湿香港脚肿痛恶疮。郁金散敷方
郁金 大黄 白芨 天南星 龙骨 白蔹 黄蜀葵花（各一两并生锉）
上七味，捣罗为细散，水调敷肿痛处。
治干湿香港脚，木瓜汤方
干木瓜（焙） 诃黎勒皮（各一两） 大腹子（锉二两半） 吴茱萸（汤洗焙干炒） 陈
橘皮（
上五味细锉。每服五钱匕，以水一盏半，煎取七分，去滓温服。
Discourse states: Hong Kong foot (Gouty Arthritis) differs in dry and wet types, which stems from the differentiation of Yin and Yang. Disease in the Zang organs belongs to Yin, while disease in the Fu organs belongs to Yang. However, both are caused by Wind-Dampness-Toxic Qi invading due to deficiency. The symptoms are largely similar with minor differences. Thus, the presentation of Dry Hong Kong Foot includes: blood vessels being obstructed and sluggish, skin numbness and bi-syndrome (obstruction syndrome), thin and sore calves, decreased appetite and emaciation, stagnation of the Zang-Fu organs, and upward rushing causing irritability and oppression. The presentation of Wet Hong Kong Foot includes: initial swelling of the feet, or downward flow leading to sores, muscle sweating, hot and painful feet, upward attack on the heart and abdomen, coughing and wheezing, facial edema and knee swelling, and vomiting upon seeing food.
Wan Ying Wan (Myriad Response Pill) for treating dry and wet Hong Kong Foot:
* Moyao (Myrrha, 没药) (ground)
* Ruxiang (Olibanum, 乳香) (ground)
* Muxiang (Aucklandiae Radix, 木香)
* Baifuzi (Typhonii Rhizoma Praeparatum, 白附子) (processed)
* Wuyao (Linderae Radix, 乌药)
* Jilizi (Tribuli Fructus, 蒺藜子) (stir-fried, thorns removed)
* Wutou (Aconiti Lateralis Radix Praeparata, 乌头) (processed until cracked, skin and umbilical scar removed, half liang each)
* Nansha (Sal Ammoniac, 硇砂) (ground, one fen)
The above eight herbs are individually crushed and ground into fine powder. Take two Papayas (Chaenomeles Fruit, 木瓜), remove the peel and core, hollow out the inside, keeping the lid. Place the Nansha into the Papaya, cover with the lid, secure with bamboo skewers, wrap in three to five layers of wet paper, and roast in hot ashes until fragrant and cooked. Remove without tilting and set aside. Next, take one sheng of good wine and boil in a silver-stone pot. First add the Jilizi and Ruxiang powders, boil down by one or two fen. Then add the remaining herb powders, boil together briefly, remove before completely drying. Combine with the roasted Papaya and pound 300-500 times to form pills. Immediately shape into pea-sized pills. Take ten pills on an empty stomach with cold wine. After walking three to five li, drink half a cup of Schizonepeta Tea (Jingjie Cha). Take once daily, gradually increasing to fifteen pills. Effectiveness is indicated when the medicinal power is felt reaching the knees and feet.
Si Gen San (Four Roots Powder) for treating nineteen chronic types of dry and wet Hong Kong Foot:
* Sangmuzhen Jiexin (Mulbi Branch Node Heart, 桑木根节心)
* Songmuzhen Jiexin (Pini Branch Node Heart, 松木根节心)
* Baimuzhen Jiexin (Cupressi Branch Node Heart, 柏木根节心)
* Shanmuzhen Jiexin (Thujae Branch Node Heart, 杉木根节心) (all finely cut, stir-fried black, one liang each)
* Rongcongrou (Cistanches Herba, 肉苁蓉) (soaked in wine, sliced, dried, two liang)
* Ruxiang (Olibanum, 乳香) (ground)
* Moyao (Myrrha, 没药)
* Wulingzhi (Trogopterori Faeces, 五灵脂)
* Shilongrui (Ranuncelli Ternati Herba, 石龙芮) (stir-fried, one liang each)
* Shexiang (Moschus, 麝香) (ground, half liang)
* Tianxiong (Aconiti Kusnezoffii Radix, 天雄) (processed...)
The above fourteen herbs, except those to be ground, are crushed and sieved into powder, then mixed thoroughly. Take two qian bi per dose, mix with Papaya Wine and take warm. Take after morning and evening meals, near night.
Lingyangjiao Yin (Antelope Horn Drink) for treating dry and wet Hong Kong Foot:
* Lingyangjiao (Saigae Tataricae Cornu, 羚羊角) (shaved)
* Qianghuo (Notopterygii Rhizoma et Radix, 羌活) (rhizome removed)
* Guizhi (Cinnamomi Ramulus, 桂枝) (bark removed)
* Niuxi (Achyranthis Bidentatae Radix, 牛膝) (soaked in wine, sliced, dried)
* Baifuling (Poria, 白茯苓) (black skin removed)
* Xingren (Armeniacae Semen Amarum, 杏仁) ...
* Mahuang (Ephedrae Herba, 麻黄) ...
* Baizhu (Atractylodis Macrocephalae Rhizoma, 白术)
* Fangfeng (Saposhnikoviae Radix, 防风) ... (half liang each)
The above twenty-one herbs are cut like hemp seeds and divided into eight doses. For elderly patients or those with deficient-cold Zang-Fu, divide into sixteen doses. Each dose uses two bowls of water and ten slices of fresh ginger, decocted to two bowls. Near completion, grind Rhinoceros Horn (Xijiao, 犀角) water (two he) and add, boil again. Strain and divide into two doses. Take warm at any time. Retain the dregs, add one bowl of water, decoct to one bowl, take as one dose. Adjust herbs based on symptoms: if feet sting/pain, add Guizhi, Fuzi, Niuxi, Qianghuo (one fen each); if constipation, add Dahuang, Huashi (two qian each); if tendon spasm, add Zisu, Niuxi (one fen each); if foot cramping, add Mugua, Niuxi (half liang each); if floating heat attacks, add Mahuang, Shigao (half liang each); slight sweating leads to immediate cure; if Qi attacks the heart, add Binglang (half liang), Muxiang (one fen).
Li Ying Tang (Immediate Response Decoction) for treating dry and wet Hong Kong Foot with Qi rushing to four limbs:
* Dafupi (Mature Citrus Fruit Peel, 大腹皮) (roasted, with peel)
* Muxiang (Aucklandiae Radix, 木香)
* Helile (Chebulae Fructus, 诃黎勒) (roasted, use peel)
* Fangji (Stephaniae Tetrandrae Radix, 防己)
* Zisujing (Perillae Caulis, 紫苏茎)
* Qianghuo (Notopterygii Rhizoma et Radix, 羌活) (rhizome removed)
* Shaoyao (Paeoniae Radix Alba/Rubra, 芍药)
* Ganjiang (Zingiberis Rhizoma, 干姜) ...
The above ten herbs are coarsely crushed and sieved. Take five qian bi per dose, one and a half bowls of water, decoct to 80%. Strain and take warm on an empty stomach, at noon, midnight, and before sleep.
Si Jin Wan (Four-Jin Pill) for post-recovery maintenance of dry and wet Hong Kong Foot to prevent recurrence:
* Niuxi (Achyranthis Bidentatae Radix, 牛膝) (sprouts removed)
* Rongcongrou (Cistanches Herba, 肉苁蓉) (wrinkled skin scraped off)
* Tianma (Gastrodiae Rhizoma, 天麻)
* Gan Mugua (Chaenomeles Fruit, 干木瓜) (one jin each)
Finely cut the above four herbs. Soak in five sheng of good wine for one day and night. Strain and dry. Crush and sieve into powder. Use the soaking wine to slowly boil into a paste in a silver-stone vessel. Mix with powder and form pills like wutong seeds. Take thirty pills with warm wine on an empty stomach before meals.
Wuyao San (Lindera Powder) for treating dry and wet Hong Kong Foot:
* Wuyao (Linderae Radix, 乌药) (one liang)
* Shiluo (Anethi Fructus, 莳萝) (stir-fried, one fen)
Crush and sieve the above two herbs. Take two qian bi mixed with warm wine. For Dry Hong Kong Foot, use five Litsea fruits (Lianshi, 楝实), finely cut, decoct in Jiangshui (fermented rice water) one sheng to five he. Strain and mix.
Shanjie Tang (Thuja Node Decoction) for treating Dry Hong Kong Foot with headache, sore waist/feet, restlessness/thirst/oppression, sweating, and panting:
* Shanmujie (Thujae Cacumen, 杉木节) (cut, one sheng)
* Jiuye (Citri Reticulatae Folium, 橘叶) (cut, one sheng; in the north, peel may substitute)
* Dafupi (Mature Citrus Fruit Peel, 大腹皮) (seven pieces, cut with peel)
* Tongzi Xiaonian (Child's Urine, 童子小便) (three sheng) ... [Text describes a case where breath stopped, left hypochondrium had a mass like a large stone, patient was dying, unconscious for three days due to severe cold, family weeping. Zheng Xunmei of Yingyang transmitted this formula. After half a meal time, Qi flowed and patient recovered immediately.]
Duhuo San (Angelica Pubescens Powder) for treating Dry Hong Kong Foot with thinning/painful calves, alternating chills/fever, Zang-Fu dysfunction, and toxic Qi attacking upward:
* Duhuo (Angelicae Pubescentis Radix, 独活) (rhizome removed)
* Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (processed until cracked, skin and umbilical scar removed, one liang each)
* Qianniuzi (Pharbitidis Semen, 牵牛子) (two liang, lightly stir-fried, pounded fine, take half as powder)
Crush and sieve the above three herbs. Take two qian bi per dose, mix with stir-fried scallion wine. Honey water is also acceptable. Stop after one or two doses if bowel movement occurs; if not, repeat.
Fangji Tang (Stephania Decoction) for treating Wet Hong Kong Foot with swollen/painful feet and knees:
* Fangji (Stephaniae Tetrandrae Radix, 防己)
* Zhuling (Polyporus, 猪苓) (black skin removed)
* Yuliren (Pruni Armeniacae Semen, 郁李仁) (skin removed, stir-fried)
* Binglang (Arecae Semen, 槟榔) (cut, three fen each)
* Mutong (Akebiae Caulis, 木通) (cut)
* Zisuye (Perillae Folium, 紫苏叶)
* Zhiqiao (Aurantii Fructus, 枳壳) ...
Coarsely crush and sieve the above nine herbs. Take four qian bi per dose, one and a half bowls of water, three slices of fresh ginger, decoct to 60%. Strain and take warm before meals.
Haitongpi San (Tinosporae Cortex Powder) for treating Wet Hong Kong Foot, Kidney Wind flowing downward, sores on feet with itching/pain/pus:
* Haitongpi (Tinosporae Cortex, 海桐皮)
* Caowutou (Aconiti Kusnezoffii Radix, 草乌头) (cut, salt stir-fried)
* Dilong (Pheretima, 地龙) (stir-fried, soil removed)
* Jilizi (Tribuli Fructus, 蒺藜子) (stir-fried, thorns removed, one liang each)
Crush and sieve the above four herbs. Take two qian bi mixed with cold wine. Take on an empty stomach before sleep.
Binglang Tang (Areca Decoction) for treating Wet Hong Kong Foot with knee swelling, Qi attacking abdomen, abdominal fullness/dyspnea, sallow complexion, intestinal blockage, and impending death:
* Binglang (Arecae Semen, 槟榔) (two liang, cut)
* Helile (Chebulae Fructus, 诃黎勒) (seven pieces, use peel)
* Dafupi (Mature Citrus Fruit Peel, 大腹皮) (fourteen pieces)
* Qianniuzi (Pharbitidis Semen, 牵牛子) (two liang, stir-fried)
Pound each into powder separately. Use one sheng of child's urine and one fen of chopped fresh ginger. First decoct Dafupi and Helile powder (two qian bi each) in urine to seven he. Then add Binglang and Qianniuzi powder (two qian bi each), boil again. Take slowly at any time. Effectiveness is indicated by three to five loose stools.
Loulu Wan (Rhapontici Radix Pill) for treating Hong Kong Foot swelling/sores, chronic non-healing, alcohol stagnation in collaterals, wind-itch/scabies/tinea, toxic Qi flowing downward, lightening body/feet, unblocking intestines/stomach, clearing lung heat-toxin:
* Loulu (Rhapontici Radix, 漏芦)
* Weirui (Polygonati Odorati Rhizoma, 葳蕤) (cut, dried)
* Wushe (Agkistrodon, 乌蛇) (soaked in wine, skin/bones removed, roasted, three liang each)
* Kushen (Sophorae Flavescentis Radix, 苦参) (four liang)
* Zhiqiao (Aurantii Fructus, 枳壳) (pulp removed, bran stir-fried, two liang)
* Qinjiao (Gentianae Macrophyllae Radix, 秦艽) (sprouts/soil removed)
* Maimendong (Ophiopogonis Radix, 麦门冬) (heart removed, dried, one and a half liang each)
* Fangji (Stephaniae Tetrandrae Radix, 防己) (one liang)
* Xuanshen (Scrophulariae Radix, 玄参) (three liang)
* Baizhu (Atractylodis Macrocephalae Rhizoma, 白术)
* Huangqi (Astragali Radix, 黄芪) (cut, one and a half liang each)
* Dahuang (Rhei Radix et Rhizoma, 大黄) (cut, stir-fried, three liang)
* Huangqin (Scutellariae Radix, 黄芩) (black center removed, one liang)
Crush and sieve the above thirteen herbs. Form pills with refined honey, size of wutong seeds. Take thirty to forty pills, later administered with Ekeshi Gen Jiu (Arctii Root Wine).
Ekeshi Jiu (Arctii Root Wine):
* Ekeshigen (Arctii Radix, 恶实根) (finely cut, half jin)
* Zhiqiao (Aurantii Fructus, 枳壳) (pulp removed, four liang)
* Cishi (Magnetitum, 磁石) (raw, pounded to powder, half jin)
* Yiyiren (Coicis Semen, 薏苡仁) (half sheng)
* Xuanshen (Scrophulariae Radix, 玄参) (three liang)
Coarsely crush and sieve the above eight herbs. Place in a silk bag, soak in two dou of unadulterated wine for three days. Take appropriate amount of Loulu Wan with this wine. Wash sores with Bai Lian Tang.
Bai Lian Tang (Ampelopsis Decoction for Washing):
* Bailian (Ampelopsis Radix, 白蔹) (three and a half liang)
* Loulu (Rhapontici Radix, 漏芦) (cut)
* Huaibaipí (Mori Cortex, 槐白皮) (cut)
* Jilizi (Tribuli Fructus, 蒺藜子) (stir-fried, thorns removed)
* Wujiaopi (Acanthopanacis Cortex, 五加皮) (cut, half jin each)
* Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) ... (cut, one liang)
Coarsely crush and sieve the above six herbs. Boil in one dou of water to obtain six sheng. Add Mangxiao (Natrii Sulfas, 芒硝) half sheng. Wash itchy sores at any time, keeping the decoction warm.
Yujin San (Curcuma Powder for Application) for treating Wind-Damp Hong Kong Foot swelling/pain/malignant sores:
* Yujin (Curcumae Radix, 郁金)
* Dahuang (Rhei Radix et Rhizoma, 大黄)
* Baiji (Bletillae Rhizoma, 白芨)
* Tiannanxing (Arisaematis Rhizoma, 天南星)
* Longgu (Fossilia Mastodi, 龙骨)
* Bailian (Ampelopsis Radix, 白蔹)
* Huangshukuihua (Abutili Indici Flos, 黄蜀葵花) (one liang each, raw, cut)
Crush and sieve the above seven herbs into fine powder. Mix with water and apply to swollen/painful areas.
Mugua Tang (Papaya Decoction) for treating dry and wet Hong Kong Foot:
* Gan Mugua (Chaenomeles Fruit, 干木瓜) (dried)
* Helile Pi (Chebulae Fructus Pericarpium, 诃黎勒皮) (one liang each)
* Dafuzi (Citri Maximi Pericarpium Viride, 大腹子) (cut, two and a half liang)
* Wuzhuyu (Evodiae Fructus, 吴茱萸) (washed with water, dried, stir-fried)
* Chenpi (Citri Reticulatae Pericarpium, 陈皮) ...
Finely cut the above five herbs. Take five qian bi per dose, one and a half bowls of water, decoct to 70%. Strain and take warm.