论曰内经谓人之肉苛者。虽近衣絮。犹尚苛也。以营气虚。卫气实。夫血为营。气为卫
。气血均得流通。则肌肉无不仁之疾。及荣气虚卫气实。则血脉凝涩。肉虽如故。而其证
重为苛也。
治营虚卫实。肌肉不仁。病名肉苛。白僵蚕丸方
白僵蚕（炒半两） 天南星（炮裂汤洗半两） 附子（炮裂去皮脐一两） 白附子（炮
裂汤洗一两） 干姜（炮裂切一分） 腻粉（半两） 麝香（一分与腻粉同研为细末）
上七味。捣研为细末。炼蜜为丸。如梧桐子大。每服空心温酒下三丸至五丸。
治营虚卫实。肌肉不仁。病名肉苛。苦参丸方
苦参（二两锉捣取粉） 丹参（去土微炙） 沙参（去尘土） 人参（一两） 五加皮
（锉） 防
龟（涂酥炙令黄） 虎
上一十二味。捣罗为末。别以不 皂荚一斤。以水三升。 取汁去滓。于无油铁器内。
煎成膏。炼蜜四两。拌和为丸。如梧桐子大。每食后良久。及夜卧。共三服。各用荆芥薄荷
酒下十五丸。至二十丸。
治营虚卫实。肌肉不仁。遍身 麻。羌活散方
羌活（去芦头） 独活（去芦头） 防风（去叉） 蔓荆实（去白皮） 人参 蒺藜子
（炒去角）
威灵仙（去苗土各半两）
上一十三味。捣罗极细。每服二钱匕。空心豆淋酒调下。温酒亦得。或炼蜜丸如梧桐子
大。豆淋薄荷酒下十五丸。至二十丸。
治营虚卫实。血脉凝涩。肌肉不仁。白花蛇丸方
白花蛇（酒浸去皮骨炙） 干蝎（去土炒） 仙灵脾 天雄（炮裂去皮脐） 天麻 桂
（去粗
头（炮裂去皮脐） 天南星（炮各半两） 雄黄（研） 麝香（研各一分）
上一十五味。为细末外。又用大麻仁三两为细末。入无灰酒浸。火熬成膏。与前末和捣
五百杵。丸如梧桐子大。每服二十丸。薄荷酒下。不拘时。
治营虚卫实。肌肉不仁。遍身 重。牛膝天麻丸方
牛膝（酒浸切焙一两） 天麻（酒浸切焙一两半） 麝香（研） 桂（去粗皮各一分） 干
蝎（炒去土） 白花蛇肉（酒炙各半两） 槟榔（锉） 独活（去芦头各三分） 防风（去
叉一两）
上九味。为末。炼蜜和丸。如梧桐子大。每服十五丸。薄荷酒下。荆芥汤亦得。不拘时
治肉苛肌肉不仁。升麻汤方
升麻 秦艽（去土） 连翘 芍药 防风（去叉） 羚羊角（镑） 木香 枳壳（去瓤
麸炒）
上九味。细锉。分为十服。每服以水二盏。生姜五片。煎取一盏。去滓徐徐温服。
治肉苛肌肉不仁。遍身 重。独活酒方
独活（去芦头一斤） 金牙 细辛（去苗叶） 地肤子 莽草 熟干地黄（切焙） 蒴
根
上一十一味。除金牙外。并细锉。盛以绢囊。清酒五升渍之。密泥器口。夏三宿。冬五
宿酒成。温二合服。日三渐增之。其金牙别捣为末。别以练囊盛。内大囊中。
治营虚卫实。肌肉不仁。病名肉苛。防风酒方
防风（去叉二两） 白术（一两半） 山茱萸（并子用一两半） 山芋（干者一两半） 附
子（
（去芦头一两半） 秦艽（去土一两半） 茵芋（去粗茎一两半） 杏仁（汤浸退去皮尖双
仁炒一两半） 紫巴戟（去心二两） 桂（去粗皮二两） 麻黄（去节先煎去沫焙干用二两）
生姜（切焙二两） 磁石（生捶碎如大豆粒浸去赤汁半斤） 薏苡仁（炒三两） 生地黄（净
洗细切焙二两半）
上一十八味。锉如麻豆。生绢囊盛。以无灰清酒三斗。浸六七日。空心温饮四合至五合
。以知为度。
治营虚卫实。肌肉不仁。病名肉苛。五味子酒方
五味子（一两） 防风（去叉一两） 枸杞子（用根白皮锉一两） 牛膝（一两） 牡
丹（去心一两
苗微炙一两） 当归（切
皮一两） 浓朴（去粗皮涂姜汁炙
一两） 细辛（去须叶轻炒一两） 白芷（
上一十九味。锉如麻豆。生绢囊盛。用好酒二斗。密封浸。经七日。每空心午时夜卧。
各温服五合。久服渐加至七合一升。勿令醉吐。
治荣虚卫实。肌肉不仁。病名肉苛。前胡膏方
前胡（去芦头三两） 白术（生用三两） 白芷（锉三两留一枚不锉以验膏成） 芎
（三两）
两） 当归（细
上一十味。锉捣。别以苦酒三升。匀拌同窨一宿。以炼成猪膏五斤。入药微煎之。候白
芷黄紫色。去滓膏成。病在外摩之。病在内以热酒调化服樱桃大。疥癣疮痍皆疗之。并去诸
风麻疼痛神效。伤折及坠堕损。外摩内服。
Discussion: The *Neijing* (Classic of Internal Medicine) states that individuals suffering from "Rouke" (Muscular Numbness and Heaviness) still feel numbness even when wearing cotton wadding. This is due to deficiency of Ying Qi (Nutritive Qi) and excess of Wei Qi (Defensive Qi). Blood belongs to Ying, and Qi belongs to Wei. If both Ying and Wei Qi flow smoothly and unimpeded, the muscles will not suffer from numbness. However, when Ying Qi is deficient and Wei Qi is excessive, the blood vessels become stagnant and sluggish. Although the muscles may appear normal externally, the symptoms manifest as severe numbness and heaviness.
**Bai Jiangcan Wan Formula** for treating Ying deficiency with Wei excess, resulting in muscular numbness, a condition named Rouke:
*Bombyx Batryticatus* (Stir-fried, 0.5 liang), *Arisaema Cum Bile* (Pao-processed, washed with decoction, 0.5 liang), *Aconitum Carmichaelii Lateralis Radix Praeparata* (Pao-processed, peel off skin and umbilicus, 1 liang), *Fuzi* (Pao-processed, wash with decoction, 1 liang), *Zingiberis Rhizoma* (Pao-processed, sliced, 1 fen), *Calomel* (0.5 liang), *Moschus* (1 fen, ground into fine powder together with Calomel).
The above seven ingredients are pounded and ground into a fine powder. Honey is refined and used to form pills, sized like sophora seeds. Take 3 to 5 pills per dose with warm wine on an empty stomach.
**Kushen Wan Formula** for treating Ying deficiency with Wei excess, resulting in muscular numbness, a condition named Rouke:
*Sophorae Flavescentis Radix* (2 liang, sliced and pounded to extract powder), *Salviae Miltiorrhizae Radix* (remove soil, slightly roasted), *Glehniae Radix* (remove dust), *Ginseng Radix* (1 liang), *Acanthopanacis Senticosi Cortex* (sliced), *Saposhnikoviae Radix* [Text fragment "Fang"], *Testudinis et Chelydrae Carapax et Plastrum* [Text fragment "Gui", coated with butter, roasted until yellow], *Pantherae Os* [Text fragment "Hu"].
The above twelve ingredients are pounded and sifted into powder. Separately, take 1 jin of *Gleditsiae Sinensis Fructus*, add 3 sheng of water, decoct to extract juice, remove dregs. Decoct in an oil-free iron vessel until it becomes a paste. Add 4 liang of refined honey, mix well, and form pills sized like sophora seeds. Take 15 to 20 pills per dose with Jingjie (Schizonepeta) and Bohe (Mentha) wine, taken long after meals and before bedtime, three times a day.
**Qianghuo San Powder** for treating Ying deficiency with Wei excess, muscular numbness, and generalized body numbness:
*Notopterygii Rhizoma et Radix* (remove rhizome head), *Angelicae Pubescentis Radix* (remove rhizome head), *Saposhnikoviae Radix* (remove forked roots), *Viticis Fructus* (remove white skin), *Ginseng Radix*, *Tribuli Fructus* (stir-fried, remove spines), *Clematidis Radix et Rhizoma* (remove seedlings and soil, 0.5 liang each).
The above thirteen ingredients are pounded and sifted to an extremely fine powder. Take 2 qianbi per dose, mixed with Doulin Jiu (Bean-leavened Wine) on an empty stomach. Warm wine is also acceptable. Alternatively, form pills with refined honey, sized like sophora seeds. Take 15 to 20 pills with Doulin Bohe Jiu.
**Baihua She Wan Formula** for treating Ying deficiency with Wei excess, stagnant blood vessels, and muscular numbness:
*Daboia Swinhonis* (soaked in wine, skin and bones removed, roasted), *Scorpio* (remove soil, stir-fried), *Epimedii Folium* (Xianlingpi), *Aconiti Kusnezoffii Radix* (Pao-processed, peel off skin and umbilicus), *Gastrodiae Rhizoma*, *Cinnamomi Ramulus* (remove rough bark), *Aconiti Lateralis Radix Praeparata* [Text fragment "Tou", Pao-processed, peel off skin and umbilicus], *Arisaema Cum Bile* (Pao-processed, 0.5 liang each), *Realgar* (ground), *Moschus* (ground, 1 fen each).
Except for separate preparations, use 3 liang of *Cannabis Semen* ground into fine powder, soaked in non-grain alcohol, boiled down to a paste. Mix with the previous powders and pound 500 times. Form pills sized like sophora seeds. Take 20 pills per dose with Bohe (Mentha) wine, at any time.
**Niuxi Tianma Wan Formula** for treating Ying deficiency with Wei excess, muscular numbness, and generalized body heaviness:
*Achyranthis Bidentatae Radix* (soaked in wine, sliced, dried, 1 liang), *Gastrodiae Rhizoma* (soaked in wine, sliced, dried, 1.5 liang), *Moschus* (ground), *Cinnamomi Ramulus* (remove rough bark, 1 fen each), *Scorpio* (stir-fried, remove soil), *Daboia Swinhonis Meat* (wine-roasted, 0.5 liang each), *Arecae Semen* (sliced), *Angelicae Pubescentis Radix* (remove rhizome head, 0.3 fen each), *Saposhnikoviae Radix* (remove forked roots, 1 liang).
The above nine ingredients are ground into powder, mixed with refined honey, and formed into pills sized like sophora seeds. Take 15 pills per dose with Bohe (Mentha) wine. Jingjie (Schizonepeta) decoction is also acceptable. At any time.
**Shengma Tang Decoction** for treating Rouke and muscular numbness:
*Cimicifugae Rhizoma*, *Koelsiae Herba* (remove soil), *Forsythiae Fructus*, *Paeoniae Radix Alba*, *Saposhnikoviae Radix* (remove forked roots), *Saigae Tataricae Cornu* (shaved), *Costi Radix*, *Aurantii Fructus* (remove pulp, bran-roasted).
The above nine ingredients are finely sliced, divided into ten doses. For each dose, add 2 zhan of water and 5 slices of *Zingiberis Recens Rhizoma*, decoct to obtain 1 zhan. Remove dregs and drink slowly while warm.
**Duhuo Jiu Medicinal Wine** for treating Rouke, muscular numbness, and generalized body heaviness:
*Angelicae Pubescentis Radix* (remove rhizome head, 1 jin), *Chalcostyrum* (Jinya), *Asari Radix et Rhizoma* (remove seedlings and leaves), *Kochiae Spica*, *Matteuccii Filix*, *Rehmanniae Radix Praeparata* (sliced, dried), *Polygoni Multiflori Caulis* [Text fragment "Shuo Gen"].
The above eleven ingredients, except for Chalcostyrum, are finely sliced and placed in a silk bag. Soak in 5 sheng of clear wine. Seal the vessel mouth tightly with mud. Soak for three nights in summer and five nights in winter. Drink 2 ge of the warm wine per dose, three times a day, gradually increasing the dosage. Process the Chalcostyrum separately by grinding it into powder, place it in a separate linen bag, and put it inside the large bag.
**Fangfeng Jiu Medicinal Wine** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Saposhnikoviae Radix* (remove forked roots, 2 liang), *Atractylodis Macrocephalae Rhizoma* (1.5 liang), *Corni Fructus* (with seeds, 1.5 liang), *Dioscoreae Rhizoma* (dried, 1.5 liang), *Aconitum Carmichaelii Lateralis Radix Praeparata* [Text fragment missing], [Text fragment missing], *Koelsiae Herba* (remove soil, 1.5 liang), *Dryopteridis Crassirhizoma* (remove coarse stems, 1.5 liang), *Pruni Semen* (soaked in water, peel off skin and tips, double-kernel, stir-fried, 1.5 liang), *Morinda Officinalis Radix* (remove heart, 2 liang), *Cinnamomi Ramulus* (remove rough bark, 2 liang), *Ephedrae Herba* (remove joints, boil first to remove foam, dry, 2 liang), *Zingiberis Recens Rhizoma* (sliced, dried, 2 liang), *Magnetitum* (raw, crushed to soybean size, soak to remove red liquid, 0.5 jin), *Coicis Semen* (stir-fried, 3 liang), *Rehmanniae Radix* (cleanly washed, finely sliced, dried, 2.5 liang).
The above eighteen ingredients are sliced like hemp seeds, placed in a raw silk bag. Soak in 3 dou of non-grain clear wine for six to seven days. Drink 4 to 5 ge of warm wine on an empty stomach, adjusting until efficacy is achieved.
**Wuweizi Jiu Medicinal Wine** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Schisandrae Chinensis Fructus* (1 liang), *Saposhnikoviae Radix* (remove forked roots, 1 liang), *Lycii Cortex Radicis* (use root bark, sliced, 1 liang), *Achyranthis Bidentatae Radix* (1 liang), *Moutan Cortex* (remove heart, 1 liang), [Text fragment likely Qianhu or similar herb based on context "Miao wei zhi"], *Angelicae Sinensis Radix* (sliced [skin?], 1 liang), *Magnoliae Officinalis Cortex* (remove rough bark, coat with ginger juice, roast, 1 liang), *Asari Radix et Rhizoma* (remove whiskers and leaves, light stir-fry, 1 liang), *Angelicae Dahuricae Radix* [Text fragment incomplete].
The above nineteen ingredients are sliced like hemp seeds, placed in a raw silk bag. Soak in 2 dou of good wine, sealed tightly. After seven days, take 5 ge of warm wine per dose on an empty stomach, at noon, and before bed. Long-term use can gradually increase to 7 ge to 1 sheng. Do not drink to the point of drunkenness and vomiting.
**Qianhu Gao Ointment** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Peucedani Radix* (remove rhizome head, 3 liang), *Atractylodis Macrocephalae Rhizoma* (raw use, 3 liang), *Angelicae Dahuricae Radix* (sliced 3 liang, leave one unsliced to test ointment completion), *Ligustici Chuanxiong Rhizoma* (3 liang), [Text fragment missing], *Angelicae Sinensis Radix* (finely [sliced]).
The above ten ingredients are sliced and pounded. Separately, mix with 3 sheng of vinegar, blend evenly, and ferment overnight. Add 5 jin of refined lard, cook gently over fire. When the Angelicae Dahuricae Radix turns yellow-purple, remove dregs to complete the ointment. Apply externally for external diseases; for internal diseases, dissolve in hot wine and take, sized like a cherry. It treats sores, tinea, ulcers, and is highly effective for various wind-induced numbness and pain. For fractures and falls, use both externally and internally.