论曰∶《内经》谓湿气胜者为着痹。地之湿气感则害人皮肉筋脉。盖湿土也，土性缓，
营卫之气，与湿俱留，所以湿胜则着而不移也。其证多汗而濡者，以阴气盛也。治宜除寒湿
，通行经络则瘥。
治寒湿痹，着而不散，四肢不仁，脚弱拘挛，或疼痛不能行，趺肿上膝，少腹坚不欲食
。石斛散方。
石斛（去根二两） 天门冬（去心一两半焙，锉） 附子（炮裂，去皮脐三分） 独活
（去
芦头三分） 桂（去粗皮半两） 桔梗（炒） 蜀椒（去目及闭口，炒出汗） 细辛（去苗
叶各半
两） 麻黄（去根节三分） 山茱萸 五味子 白芷（各半两） 前胡（去芦头） 秦艽（去
土
各三分） 乌头（炮裂，去皮脐） 人参 天雄（炮裂，去皮脐各半两） 当归（切，焙） 防
风
（去叉） 莽草（微炙各三分） 白术（半两） 杜仲（去粗皮，炙，锉三分） 干姜（炮
半两）
上二十三味，捣罗为散。每服二钱匕，温酒调下，未知稍稍加之，不拘时。
治寒湿痹留着不去，皮肤不仁，手足无力。侧子汤方。
侧子（炮裂，去皮脐） 五加皮（各一两） 磁石（ ，醋淬七遍） 羚羊角（镑） 防
风（去
叉） 薏苡仁 麻黄（去根节） 杏仁（汤浸，去皮尖、双仁，麸炒各一两） 甘菊花 防
己葛
根
上一十五味，锉如麻豆。每服三钱匕，水一盏，煎七分，去滓温服，不拘时。
治寒湿痹留着不去，四肢缓弱，皮肤不仁，精神昏塞。附子丸方。
附子（炮裂，去皮脐一两） 莽草（微炙半两） 白花蛇（酒浸，去皮、骨，炙二两） 天
南
星（炮三分） 乌头（炮裂，去皮脐半两） 天麻（三分） 干蝎（炒半两） 桂（去粗皮
三分） 防
风（去叉半两） 薏苡仁 枫香脂（各一两） 芎 （三分） 萆 （一两） 羌活（去芦
头
三分） 仙灵脾（一两
上一十五味，捣罗为末，以糯米粥和捣数百杵，丸绿豆大。每服十丸，荆芥汤或温酒吞
下，不拘时。
治寒湿着痹，皮肉不仁，甚至骨髓疼痛者。天雄浸酒方。
天雄（炮裂，去皮脐） 附子（炮裂，去皮脐各一两） 防风（去叉） 独活（去芦头）
当归
（切，焙） 白术（各二两） 五加皮 芎 桂（去粗皮） 干姜（炮各一两半）
上一十味，锉如麻豆，以夹绢囊盛，用无灰清酒一斗浸，春夏五日，秋冬七日。每温饮
一盏，任性加减，以知为度。
治寒湿着痹，皮肤不仁，或肢节疼痛。白花蛇丸方。
白花蛇（酒浸，去皮、骨，炙） 仙灵脾 干蝎（炒各一两） 茵芋 乌头（炮裂，去
皮脐）
节） 鹿角（镑）
上一十五味，捣研为末，拌和令匀，别用天麻末三两，以无灰酒一大碗，慢火熬成膏，
和前药末，更捣五七百杵，丸梧桐子大。每服薄荷酒下二十丸，不拘时。
治风湿痹留着不去，四肢 麻，拘挛浮肿。茯苓汤方。
赤茯苓（去黑皮） 桑根白皮（各二两） 防己 桂（去粗皮） 芎 （各一两半） 甘
草
（炙三两）
上九味，粗捣筛。每服六钱匕，以水二盏，枣三枚劈破，同煎去滓，取一盏温服，空
心临卧时。如欲出汗，服药了以生姜热粥投之，汗出慎外风。
治寒湿痹留着不去，四肢不仁。干蝎散方。
干蝎（炒） 侧子（炮裂，去皮脐） 独活（去芦头） 桑螵蛸（炒各一两） 踯躅花
（醋拌，
炒） 天南星（炮各半两） 萆 （锉） 天麻 桂（去粗皮一两）
上九味，捣罗为散。每服一钱匕，温酒调下，不拘时。
治寒湿着痹，四肢皮肤不仁，以至脚弱不能行。侧子浸酒方。
侧子（炮裂，去皮脐） 牛膝（去苗） 丹参（去苗土） 山茱萸 杜仲（去粗皮） 石
斛（去
根） 蒴 根（各二两） 防风（去叉） 蜀椒（去合口并目，炒出汗） 细辛（去苗叶） 独
活（去
芦头） 秦艽（去苗土） 桂（去粗皮） 芎 当归（切，焙） 白术 茵芋（去粗茎各
一两半）
干姜（炮一两） 五加皮（二两半） 薏苡仁（炒半升）
上二十味，细锉如麻豆，以夹生绢囊盛贮，清酒二斗，春夏浸三日，秋冬五日。初服温
半盏，日再。未知稍加服。
治风湿着痹，服药虽多，肌肉犹 痹。摩风膏摩之方。
防风（去叉） 羌活（去芦头） 芎 细辛（去苗叶） 蜀椒（去目并闭口者，炒出
汗） 当
归踯躅花（各半两） 白蔹 白芨 丹参 苦参 黑参 桂（去粗皮） 附子（去皮脐） 乌
头（
上一十八味，细锉如麻豆，以米醋二升拌匀，浸三宿，熬干，同腊月猪脂二斤，以文武
火煎一日，绵滤去滓，瓷瓶贮，每用少许，点摩 痹处。兼治一切风毒。其膏年岁深久者尤
佳。
治风湿着痹，肌肉 浓，不知痛痒。龙虎膏方。
龙骨（二两） 虎骨（三两酥涂，焙） 当归（切，焙） 桂（去粗皮各一两） 皂荚
（半
斤肥者
上五味，捣罗为末，先别用好肥皂荚十挺，以苦酒三升， 取汁，去滓入铛中，煎减半
，即入前药同煎如稀饧，入瓷合盛。每用少许，揩摩 痹处。
Commentary states: The *Huangdi Neijing* (Yellow Emperor's Inner Canon) asserts that Bi syndrome caused by excessive dampness is termed Zhuo Bi (Fixed Bi). Dampness from the earth, when it invades and harms the skin, flesh, sinews, and vessels, belongs to the Earth element. The nature of Earth is slow and sluggish; Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) remain stagnant along with the dampness. Therefore, when dampness is excessive, the pathogenic factor adheres firmly and does not shift. Its manifestations often include profuse sweating and moist skin, which indicates an excess of Yin Qi. Treatment should focus on dispelling cold-dampness and unblocking the meridians, after which the disease will resolve.
For Cold-Damp Bi syndrome where the pathogen adheres and does not disperse, causing numbness in the four limbs, weakness and spasms in the legs, or pain preventing walking, swelling of the dorsum pedis extending up to the knees, hardness in the lower abdomen, and loss of appetite: Shihu San (Dendrobium Powder).
Shihu (Dendrobii Caulis, remove roots, 2 liang); Tianmendong (Asparagi Radix, remove heart, 1.5 liang, baked and crushed); Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, remove peel and navel, 3 qian); Duhuo (Angelicae Pubescentis Radix, remove rhizome, 3 qian); Guizhi (Cinnamomi Ramulus, remove coarse bark, 0.5 liang); Jiegeng (Platycodonis Radix, stir-fried); Shujiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until oil appears); Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, 0.5 liang each); Mahuang (Ephedrae Herba, remove roots and joints, 3 qian); Shanzhuyu (Corni Fructus); Wuweizi (Schisandrae Fructus); Baizhi (Angelicae Dahuricae Radix, 0.5 liang each); Qianhu (Peucedani Radix, remove rhizome); Qinjiao (Gentianae Macrophyllae Radix, remove soil, 3 qian each); Wutou (Aconiti Radix, roasted until cracked, remove peel and navel); Renshen (Ginseng Radix); Tianxiong (Aconiti Radix Lateralis Praeparata, roasted until cracked, remove peel and navel, 0.5 liang each); Danggui (Angelicae Sinensis Radix, slice and bake); Fangfeng (Saposhnikoviae Radix, remove forked branches); Mangcao (Herba Siegesbeckiae, slightly roasted, 3 qian each); Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang); Duzhong (Eucommiae Cortex, remove coarse bark, roast, crush, 3 qian); Ganjiang (Zingiberis Rhizoma, roasted, 0.5 liang).
The above twenty-three ingredients are pounded and sieved into a powder. Take 2 qianbi per dose, mixed with warm wine. If ineffective, gradually increase the dose. No fixed time for administration.
For Cold-Damp Bi syndrome lingering without dispersal, causing numbness of the skin and weakness of hands and feet: Cezi Tang (Lateral Aconite Decoction).
Cezi (Aconiti Lateralis Radix, roasted until cracked, remove peel and navel); Wujiapi (Acanthopanacis Cortex, 1 liang each); Cishi (Magnetitum, calcined, quenched in vinegar seven times); Lingyangjiao (Saigae Tataricae Cornu, shaved); Fangfeng (Saposhnikoviae Radix, remove forked branches); Yiyiren (Coicis Semen); Mahuang (Ephedrae Herba, remove roots and joints); Xingren (Armeniacae Semen Amarum, soaked in water, remove peel and tips, double-kernel removed, bran-roasted, 1 liang each); Ganjuhua (Chrysanthemi Flos); Fangji (Stephaniae Tetrandrae Radix); Gegen (Puerariae Lobatae Radix).
The above fifteen ingredients are crushed like hemp seeds. Take 3 qianbi per dose, decoct with one cup of water until reduced to 0.7 cups, strain, and take warm. No fixed time for administration.
For Cold-Damp Bi syndrome lingering without dispersal, causing flaccidity of the four limbs, numbness of the skin, and mental confusion or obstruction: Fuzi Wan (Aconite Pill).
Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, remove peel and navel, 1 liang); Mangcao (Herba Siegesbeckiae, slightly roasted, 0.5 liang); Baihuashe (Bungarus multicinctus, soaked in wine, remove skin and bones, roasted, 2 liang); Tiannanxing (Arisaematis Rhizoma, roasted, 3 qian); Wutou (Aconiti Radix, roasted until cracked, remove peel and navel, 0.5 liang); Tianma (Gastrodiae Rhizoma, 3 qian); Ganxie (Scorpio, roasted, 0.5 liang); Guizhi (Cinnamomi Ramulus, remove coarse bark, 3 qian); Fangfeng (Saposhnikoviae Radix, remove forked branches, 0.5 liang); Yiyiren (Coicis Semen); Fengxiangzhi (Liquidambaris Resina, 1 liang each); Xiongnu (Ligustici Chuanxiong Rhizoma, 3 qian); Bixie (Dioscoreae Hypoglaucae Rhizoma, 1 liang); Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome, 3 qian); Xianlingpi (Epimedii Folium, 1 liang).
The above fifteen ingredients are pounded and sieved into powder. Mix with rice porridge paste and pound hundreds of times to form pills the size of mung beans. Take 10 pills per dose, swallowed with Jingjie Decoction or warm wine. No fixed time for administration.
For Cold-Damp Zhuo Bi causing numbness of skin and flesh, even bone marrow pain: Tianxiong Infused Wine.
Tianxiong (Aconiti Radix Lateralis Praeparata, roasted until cracked, remove peel and navel); Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, remove peel and navel, 1 liang each); Fangfeng (Saposhnikoviae Radix, remove forked branches); Duhuo (Angelicae Pubescentis Radix, remove rhizome); Danggui (Angelicae Sinensis Radix, slice and bake); Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang each); Wujiapi (Acanthopanacis Cortex); Xiongnu (Ligustici Chuanxiong Rhizoma); Guizhi (Cinnamomi Ramulus, remove coarse bark); Ganjiang (Zingiberis Rhizoma, roasted, 1.5 liang each).
The above ten ingredients are crushed like hemp seeds, placed in a double-layer silk bag, and infused in one dou of clear wine without ash. Infuse for five days in spring/summer, seven days in autumn/winter. Drink one cup warm per dose, adjusting as needed until effective.
For Cold-Damp Zhuo Bi causing numbness of the skin or pain in joints: Baihuashe Wan (White-Headed Snake Pill).
Baihuashe (Bungarus multicinctus, soaked in wine, remove skin and bones, roasted); Xianlingpi (Epimedii Folium); Ganxie (Scorpio, roasted, 1 liang each); Yinyu (Pyrethri Cormus); Wutou (Aconiti Radix, roasted until cracked, remove peel and navel); [Text missing]; Lu jiaojiao (Cervi Cornu Colla, shaved).
The above fifteen ingredients are pounded and ground into powder, mixed evenly. Separately, take 3 liang of Tianma powder, boil in one large bowl of clear wine over low heat until it becomes a paste. Mix with the herbal powder and pound 500-700 times more to form pills the size of paulownia seeds. Take 20 pills per dose with Bohe Wine. No fixed time for administration.
For Wind-Damp Bi syndrome lingering without dispersal, causing numbness, spasms, and edema of the four limbs: Fuling Tang (Poria Decoction).
Chifuling (Poria, remove black skin); Sanggenbaipi (Mori Cortex, 2 liang each); Fangji (Stephaniae Tetrandrae Radix); Guizhi (Cinnamomi Ramulus, remove coarse bark); Xiongnu (Ligustici Chuanxiong Rhizoma, 1.5 liang each); Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 3 liang).
The above nine ingredients are coarsely crushed and sifted. Take 6 qianbi per dose, decoct with two cups of water and three broken red dates until reduced to one cup. Strain and take warm, on an empty stomach or before bed. To induce sweating, consume hot ginger porridge after taking the medicine. Avoid external wind after sweating.
For Cold-Damp Bi syndrome lingering without dispersal, causing numbness of the four limbs: Ganxie San (Dry Scorpion Powder).
Ganxie (Scorpio, roasted); Cezi (Aconiti Lateralis Radix, roasted until cracked, remove peel and navel); Duhuo (Angelicae Pubescentis Radix, remove rhizome); Sangpiaoxiao (Bombyx Batryticatus, roasted, 1 liang each); Zhizhuhua (Daphnes Genkwa Flower, mixed with vinegar, roasted); Tiannanxing (Arisaematis Rhizoma, roasted, 0.5 liang each); Bixie (Dioscoreae Hypoglaucae Rhizoma, crushed); Tianma (Gastrodiae Rhizoma); Guizhi (Cinnamomi Ramulus, remove coarse bark, 1 liang).
The above nine ingredients are pounded and sieved into powder. Take 1 qianbi per dose, mixed with warm wine. No fixed time for administration.
For Cold-Damp Zhuo Bi causing numbness of the skin of the four limbs, leading to leg weakness and inability to walk: Cesi Infused Wine.
Cesi (Aconiti Lateralis Radix, roasted until cracked, remove peel and navel); Niuxi (Achyranthis Bidentatae Radix, remove seedlings); Danshen (Salviae Miltiorrhizae Radix, remove seedlings and soil); Shanzhuyu (Corni Fructus); Duzhong (Eucommiae Cortex, remove coarse bark); Shihu (Dendrobii Caulis, remove roots); Duoluogen (Commelinae Radix, 2 liang each); Fangfeng (Saposhnikoviae Radix, remove forked branches); Shujiao (Zanthoxyli Pericarpium, remove closed ones and eyes, stir-fried until oil appears); Xixin (Asari Radix et Rhizoma, remove seedlings and leaves); Duhuo (Angelicae Pubescentis Radix, remove rhizome); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Guizhi (Cinnamomi Ramulus, remove coarse bark); Xiongnu (Ligustici Chuanxiong Rhizoma); Danggui (Angelicae Sinensis Radix, slice and bake); Baizhu (Atractylodis Macrocephalae Rhizoma); Yinyu (Pyrethri Cormus, remove coarse stems, 1.5 liang each); Ganjiang (Zingiberis Rhizoma, roasted, 1 liang); Wujiapi (Acanthopanacis Cortex, 2.5 liang); Yiyiren (Coicis Semen, roasted, half sheng).
The above twenty ingredients are finely crushed like hemp seeds, stored in a raw silk bag, and infused in two dou of clear wine. Infuse for three days in spring/summer, five days in autumn/winter. Initially take half a cup warm, twice daily. Increase dosage slightly if ineffective.
For Wind-Damp Zhuo Bi where muscles remain numb despite medication: Mofeng Gao (Wind-Moving Ointment) for massage.
Fangfeng (Saposhnikoviae Radix, remove forked branches); Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome); Xiongnu (Ligustici Chuanxiong Rhizoma); Xixin (Asari Radix et Rhizoma, remove seedlings and leaves); Shujiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until oil appears); Danggui (Angelicae Sinensis Radix); Zhizhuhua (Daphnes Genkwa Flower, 0.5 liang each); Bailian (Paeoniae Albifoliae Radix); Baiji (Bletillae Rhizoma); Danshen (Salviae Miltiorrhizae Radix); Kushen (Sophorae Flavescentis Radix); Heishen [Unclear, likely another root]; Guizhi (Cinnamomi Ramulus, remove coarse bark); Fuzi (Aconiti Lateralis Radix Praeparata, remove peel and navel); Wutou (Aconiti Radix [text missing]).
The above eighteen ingredients are finely crushed like hemp seeds, mixed with two sheng of rice vinegar, soaked for three nights, and boiled dry. Combine with two jin of lard from the twelfth lunar month, and decoct over mild fire for one day. Filter through silk, remove dregs, store in porcelain jars. Apply a small amount to massage the numb areas. Also treats all wind-toxins. Older ointment is superior.
For Wind-Damp Zhuo Bi causing heavy, dense muscles and insensitivity to pain and itch: Longhu Gao (Dragon-Tiger Ointment).
Longgu (Fossilized Bones, 2 liang); Hugu (Tigris Ossis, coated with butter, baked); Danggui (Angelicae Sinensis Radix, slice and bake); Guizhi (Cinnamomi Ramulus, remove coarse bark, 1 liang each); Zaojiao (Gleditsiae Fructus, half jin of plump pods).
The above five ingredients are pounded and sieved into powder. Separately, take ten good soap pods, extract juice with three sheng of vinegar, strain, and boil in a pan until reduced by half. Add the herbal powder and continue boiling until it resembles thin syrup. Store in porcelain boxes. Apply a small amount to rub the numb areas.