论曰∶风寒湿三气杂至，合而为痹，以秋遇此者为皮痹。盖肺主皮毛，于五行为金，于
四时为秋。当秋之时，感于三气则为皮痹，盖正言其时之所感者尔。固有非秋时而得之者，
皮肤不营而为不仁，则其证然也。
治肺中风寒湿，项强头昏，胸满短气，嘘吸颤掉，言语声嘶，四肢缓弱，皮肤 痹。防
风汤方。
防风（去叉） 芎 麻黄（去根节各一两） 独活（去芦头） 桂（去粗皮） 前胡
（去芦头）
神（去木，炙
三分） 细辛（去苗叶） 甘菊花 黄 山茱萸 甘草（炙，锉各半两）
上一十六味，锉如麻豆。每服四钱匕，水一盏半，生姜五片，煎至八分，去滓，稍热服
，不拘时。
治肺感外邪，皮肤 痹，项强背痛，四肢缓弱，冒昧昏塞，心胸短气。赤箭丸方。
赤箭 羌活（去芦头） 细辛（去苗叶） 桂（去粗皮） 当归（锉，炒） 甘菊花 防
风（去
叉） 天雄（炮裂，去皮脐） 麻黄（去根节） 蔓荆实 白术 杏仁（汤浸去皮尖、双仁，
炒，
研） 萆 （锉） 茯神（去木） 山茱萸 羚羊角（镑） 芎 犀角（镑） 五加皮（锉）
五味
子阿胶（炙令燥） 人参 枫香脂（研） 天南星（炮） 白附子（炮各半两） 龙脑（研）
麝香
（研） 牛黄（研各一钱）
上二十八味，捣罗二十三味极细，与研者五味拌匀，炼蜜和捣三二百杵，丸如梧桐子大
。每服十五丸，荆芥汤下，不拘时。
治皮痹皮中如虫行，腹胁胀满，大肠不利，语声不出。羌活汤方。
羌活（去芦头） 蒺藜子（炒去角） 沙参 丹参 麻黄（去根节） 白术 羚羊角（镑）
细
辛（去苗叶） 萆 五加皮 五味子 生干地黄（焙） 赤茯苓（去黑皮） 杏仁（汤浸
去皮尖
、双仁，炒） 菖蒲（去毛） 枳壳（去瓤，麸炒） 郁李仁（汤浸，去皮尖，炒） 附子
（炮裂，
去皮脐） 桂（去粗皮各三分） 木通 槟榔（各半两）
上二十一味，锉如麻豆。每服四钱匕，水一盏半，生姜五片，煎至七分。去滓温服，不
拘时。
治皮痹肌肉不仁，心胸气促，项背硬强。天麻散方。
天麻 附子（炮裂，去皮脐） 麻黄（去根节） 白花蛇肉（酥拌，炒） 防风（去叉）
细辛
（去苗叶） 芎 菖蒲 荆芥穗 黄 （锉） 桑根白皮（锉） 蒺藜子（炒去角） 杏
仁（汤浸
去皮尖、双仁，炒，研各三分） 牛黄（研） 麝香（研各一分）
上一十五味，捣罗十二味为散，与研者三味，拌匀再罗。每服一钱匕，薄荷酒调下，不
拘时。
治皮痹。蒴 蒸汤方。
蒴 根（并叶） 桃皮（并叶） 菖蒲叶（各锉三升） 细糠（一斗） 秫米（五升）
上五味，以水一石五斗，煮取米熟为度，以大盆盛，作小竹床子罩盆，人坐床上，四面
将席荐障风，别以被衣盖覆身上，觉气急，即旋开孔取气，如两食久，通身汗出，凡经三蒸
。非惟治风寒湿痹，但是皮肤中一切冷气，皆能治之。
治风寒湿之气，感于肺经，皮肤 痹不仁。麻黄汤方。
麻黄（去根节） 桂（去粗皮） 人参 芎 附子（炮裂，去皮脐） 防风（去叉） 芍
药
黄芩（去黑心） 白术 甘草（炙，锉各一两） 赤茯苓（去黑皮三分）
上一十一味，锉如麻豆。每服五钱匕，水一盏半，入生姜五片，煎至一盏，去滓稍热服
。盖覆出汗，愈。
治皮痹不仁。蔓荆实丸方。
蔓荆实（去浮皮三分） 防风（去叉） 羌活（去芦头） 桔梗（炒） 白附子（炮） 枳
壳（去
瓤，麸炒） 蒺藜子（炒去角各半两） 皂荚（半斤不 者，新水浸一宿，揉熟，绢滤去滓，
入面少许，同煎成膏）
上八味，捣罗七味为末，入膏中和捣，丸如梧桐子大。每服二十丸，食后熟水下。
治皮肤 痹。天麻丸方。
天麻（酒浸，切，焙三两） 玄参 没药（研） 地榆 乌头（炮裂，去皮脐各一两） 麝
香
（研一分）
上六味，捣罗四味为末，与二味研者和匀，炼蜜丸如梧桐子大。每服二十丸，空心食前
温酒下。
Commentary states: The Qi of wind, cold, and dampness mix together to invade the body, combining to form Bi syndrome (obstruction syndrome). When these three pathogens are encountered in autumn, it is called Pi Bi (Skin Bi). This is because the Lung governs the skin and hair, corresponds to Metal in the Five Elements, and to Autumn in the Four Seasons. During autumn, contracting these three pathogens results in Pi Bi, which accurately describes the pathogenic factors contracted during that specific season. However, there are cases where this condition arises not in autumn; the manifestation involves the skin lacking nourishment, leading to numbness and insensitivity, which constitutes its clinical presentation.
Fangfeng Tang (Saposhnikovia Decoction): Indicated for Lung involvement by wind-cold-dampness, presenting with stiffness of the neck, dizziness, chest fullness, shortness of breath, tremulous breathing, hoarseness, flaccidity and weakness of the four limbs, and skin Bi.
Ingredients: Fangfeng (Saposhnikoviae Radix, remove forked branches), Xiong (Ligustici Chuanxiong Rhizoma), Mahuang (Ephedrae Herba, remove roots and nodes, each 1 liang), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Gui (Cinnamomi Ramulus, remove coarse bark), Qianhu (Peucedani Radix, remove rhizome head), Shenqu (Massa Medicata Fermentata, remove wood, roasted, 3 fen), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Gan Juhua (Chrysanthemi Flos), Huangqi (Astragali Membranacei Radix), Shanzhuyu (Corni Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, cut into small pieces, each 0.5 liang).
Preparation and Administration: The above sixteen herbs are cut into pieces resembling hemp seeds. Each dose consists of 4 qianbi (approx. 4-6 grams), boiled with 1.5 sheng (approx. 300 ml) of water and 5 slices of fresh ginger until reduced to 0.8 sheng. Strain the decoction and take it while slightly warm, at any time.
Chijian Wan (Atractylodis Lanceae Pill / Gastrodia Pill): Indicated for Lung affected by external pathogens, presenting with skin Bi and numbness, stiff neck and back pain, flaccidity and weakness of the four limbs, mental cloudiness and obstruction, and shortness of breath from the heart and chest.
Ingredients: Chijian (Gastrodiae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Gui (Cinnamomi Ramulus, remove coarse bark), Danggui (Angelicae Sinensis Radix, cut, roasted), Gan Juhua (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix, remove forked branches), Tianxiong (Aconiti Kusnezoffii Radix Praeparata, cracked, remove peel and navel), Mahuang (Ephedrae Herba, remove roots and nodes), Manjingzi (Viticis Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Xingren (Armeniacae Semen Amarum, soaked in hot water, remove peel and tip, remove twin kernels, roasted, ground), Bibo (Dioscoreae Hypoglaucae Rhizoma, cut), Fushen (Poria with Hostwood, remove wood), Shanzhuyu (Corni Fructus), Lingyangjiao (Saigae Tataricae Cornu, shaved), Xiong (Ligustici Chuanxiong Rhizoma), Xijiao (Rhinocerotis Cornu, shaved), Wujiaopi (Acanthopanacis Cortex, cut), Wuweizi (Schisandrae Chinensis Fructus), Ejiao (Asini Corii Colla, roasted until dry), Renshen (Ginseng Radix et Rhizoma), Fengxiangzhi (Liquidambaris Resina, ground), Tiannanxing (Arisomatis Tuber, prepared), Baifuzi (Typhonii Rhizoma, prepared, each 0.5 liang), Longnao (Borneolum Syntheticum, ground), Shexiang (Moschus, ground), Niuhuang (Calculus Bovis, ground, each 1 qian).
Preparation and Administration: The above twenty-eight herbs: grind twenty-three herbs into an extremely fine powder. Mix evenly with the five herbs already ground. Combine with refined honey, pound 200-300 times, and shape into pills the size of paulownia seeds. Take 15 pills per dose, washed down with Jingjie (Perillae Folium) decoction, at any time.
Qianghuo Tang (Notopterygii Decoction): Indicated for Pi Bi, sensation of insects crawling in the skin, abdominal and hypochondriac distension, dysfunction of the Large Intestine, and inability to speak.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Jilizi (Tribuli Fructus, roasted, remove spines), Shashen (Adenophorae Radix or Glehniae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba, remove roots and nodes), Baizhu (Atractylodis Macrocephalae Rhizoma), Lingyangjiao (Saigae Tataricae Cornu, shaved), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Bibo (Dioscoreae Hypoglaucae Rhizoma), Wujiaopi (Acanthopanacis Cortex, cut), Wuweizi (Schisandrae Chinensis Fructus), Sheng Ganshengdi (Rehmanniae Radix, dried and baked), Chi Fuling (Poria, remove black skin), Xingren (Armeniacae Semen Amarum, soaked in hot water, remove peel and tip, remove twin kernels, roasted), Changpu (Acori Tatarinowii Rhizoma, remove hairs), Zhiqiao (Aurantii Fructus, remove pulp, bran-roasted), Yuliren (Pruni Semen, soaked in hot water, remove peel and tip, roasted), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, remove peel and navel), Gui (Cinnamomi Ramulus, remove coarse bark, each 3 fen), Mutong (Akebiae Caulis), Binglang (Arecae Semen, each 0.5 liang).
Preparation and Administration: The above twenty-one herbs are cut into pieces resembling hemp seeds. Each dose consists of 4 qianbi, boiled with 1.5 sheng of water and 5 slices of fresh ginger until reduced to 0.7 sheng. Strain and take warm, at any time.
Tianma San (Gastrodia Powder): Indicated for Pi Bi, muscle numbness and insensitivity, shortness of breath from the heart and chest, and stiffness and rigidity of the neck and back.
Ingredients: Tianma (Gastrodiae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, remove peel and navel), Mahuang (Ephedrae Herba, remove roots and nodes), Baihua She Rou (Bungarus multicinctus meat, mixed with butter and roasted), Fangfeng (Saposhnikoviae Radix, remove forked branches), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Xiong (Ligustici Chuanxiong Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Jingjie Sui (Perillae Folium flower spike), Huangqi (Astragali Membranacei Radix, cut), Sanggen Baipi (Mori Cortex, cut), Jilizi (Tribuli Fructus, roasted, remove spines), Xingren (Armeniacae Semen Amarum, soaked in hot water, remove peel and tip, remove twin kernels, roasted, ground, each 3 fen), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground, each 1 fen).
Preparation and Administration: The above fifteen herbs: crush twelve herbs into a powder using a mortar and sieve. Mix evenly with the three herbs already ground, then sieve again. Take 1 qianbi per dose, mixed with Bohe (Menthae Haplocalycis Herba) wine, at any time.
Shuodi Zheng Tang (Dioscorea Hypoglauca Steam Bath Decoction): Indicated for Pi Bi.
Ingredients: Shuodi Gen (Dioscoreae Hypoglaucae Radix, including leaves), Tao Pi (Pruni Persicae Cortex, including leaves, each cut into pieces, 3 sheng), Xi Kang (Fine Bran, 1 dou), Shumi (Sorghum Vulgare, 5 sheng).
Preparation and Administration: The above five ingredients are boiled in 15 dan (approx. 150 liters) of water until the grain is cooked. Place in a large basin. Position a small bamboo bed over the basin. Sit on the bamboo bed, shield the surroundings with mats to block wind, and cover the body with quilts. If feeling short of breath, open the hole to breathe freely. After approximately two meal durations, profuse sweating occurs throughout the body. Perform this steaming treatment three times. This not only treats wind-cold-damp Bi but also addresses all types of cold Qi within the skin.
Mahuang Tang (Ephedra Decoction): Indicated for wind-cold-damp Qi invading the Lung Meridian, causing skin Bi and numbness.
Ingredients: Mahuang (Ephedrae Herba, remove roots and nodes), Gui (Cinnamomi Ramulus, remove coarse bark), Renshen (Ginseng Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, remove peel and navel), Fangfeng (Saposhnikoviae Radix, remove forked branches), Shaoyao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix, remove black heart), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, cut into small pieces, each 1 liang), Chi Fuling (Poria, remove black skin, 3 fen).
Preparation and Administration: The above eleven herbs are cut into pieces resembling hemp seeds. Each dose consists of 5 qianbi, boiled with 1.5 sheng of water and 5 slices of fresh ginger until reduced to 1 sheng. Strain and take while slightly warm. Cover with blankets to induce sweating for cure.
Manjingzi Wan (Vitex Fruit Pill): Indicated for Pi Bi with numbness and insensitivity.
Ingredients: Manjingzi (Viticis Fructus, remove floating skin, 3 fen), Fangfeng (Saposhnikoviae Radix, remove forked branches), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Jiegeng (Platycodonis Radix, roasted), Baifuzi (Typhonii Rhizoma, prepared), Zhiqiao (Aurantii Fructus, remove pulp, bran-roasted), Jilizi (Tribuli Fructus, roasted, remove spines, each 0.5 liang), Zaojiao (Gleditsiae Fructus, half jin of non-borer quality, soak in fresh water overnight, knead until soft, filter through silk cloth to remove dregs, add a little flour, boil into a paste).
Preparation and Administration: The above eight herbs: grind seven herbs into powder. Mix with the paste and pound evenly. Shape into pills the size of paulownia seeds. Take 20 pills per dose after meals with warm water.
Tianma Wan (Gastrodia Pill): Indicated for skin Bi.
Ingredients: Tianma (Gastrodiae Rhizoma, soaked in wine, sliced, dried, 3 liang), Xuanshen (Scrophulariae Radix), Moyao (Myrrha, ground), Diyü (Sanguisorbae Radix), Wutou (Aconiti Radix, cracked, remove peel and navel, each 1 liang), Shexiang (Moschus, ground, 1 fen).
Preparation and Administration: The above six herbs: grind four herbs into powder. Mix evenly with the two ground herbs. Combine with refined honey and shape into pills the size of paulownia seeds. Take 20 pills per dose before meals on an empty stomach with warm wine.