论曰∶血性得温则宣流，得寒则凝涩，凝涩不行，则皮毛萎悴，肌肉 痹。《内经》谓
风寒湿三气杂至，合而为痹。又曰∶夏遇此者为脉痹。痹则血凝不流可知也。
治脉痹血道壅涩。导痹汤方。
黄 （锉四两） 当归（切，焙）人参 白茯苓（去黑皮） 龙齿 远志（去心） 甘
草（炙各
三两） 桂（去粗皮） 半夏（汤浸洗七遍，焙各五两） 枳实（去瓤，麸炒） 桔梗（去
芦头，
锉，炒） 茯神（去木各二两）
上一十二味，粗捣筛。每服先以水二盏，煮粳米半合，米熟去米，即入药五钱匕，生姜
五片，大枣二枚（劈破），同煎数沸，去滓，取一盏温服，不计时候。
治脉痹。通行血脉。人参丸方。
人参 麦门冬（去心焙） 茯神（去木） 龙齿 远志（去心） 黄 （锉） 菖蒲 赤
石脂
（各
上九味，捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大。每服食后良久，以清粥饮下三
十丸。
治脉痹，身体不仁。黄 汤方。
黄 （锉） 芍药 桂（去粗皮各三两） 当归（切，焙） 白茯苓（去黑皮） 菖蒲 人
参（各
二两）
上七味，粗捣筛。每服五钱匕，水一盏半，生姜五片，大枣二枚劈破，同煎，去滓，
取一盏温服，不计时。
治脉痹面颜脱色，脉空虚，口唇色赤干燥。消痹蠲热，润悦颜色。
升麻汤方。
升麻 射干 芎 人参（各三两） 赤小豆（五合） 生姜（二两半） 麦门冬（去
心，焙） 葳蕤（
上一十一味，锉如麻豆。每服五钱匕，水一盏半，煎至一盏，去滓温服，不计时，日三
治风湿脉痹，皮肤不仁。防风汤方。
防风（去叉） 当归（切，焙） 秦艽（去苗土） 赤茯苓（去黑皮） 茵芋（去粗茎）
甘（
炙）
杏仁（去皮尖、双仁，麸炒） 桂（去粗皮） 独活（去芦头各一两）
上九味，粗捣筛。每服五钱匕，以酒水各半盏，入生姜半分（切），煎取八分，去滓温
服
，不拘时候。
治脉痹营卫不通，四肢疼痹。芍药汤方。
芍药 熟干地黄（焙） 当归（切，焙各二两） 防风（去叉） 秦艽（去苗土） 羌
活（去芦
头） 防己 芎 白术（各一两） 桂（去粗皮） 甘草（炙各三分）
上一十一味，粗捣筛。每服五钱匕，以水一盏半，煎至八分，去滓温服，日二服。
It is stated: The nature of blood is to flow freely when warmed, and to coagulate and become stagnant when chilled. If it becomes stagnant and fails to circulate, the skin and hair will wither and deteriorate, and the muscles will suffer from Bi syndrome (obstruction syndrome). The *Neijing* (Inner Canon) states that wind, cold, and dampness pathogenic factors mix and invade together, combining to form Bi syndrome. It also says: When these are encountered in summer, it is called Mai Bi (Vessel Bi). Since it is a Bi syndrome, it can be deduced that blood coagulation and lack of flow are present.
Treatment for Mai Bi (Vessel Bi) causing obstruction and stagnation in the blood vessels. Dao Bi Tang (Guide Out Bi Decoction) Formula:
Huangqi (Astragali Radix, crushed, 4 liang), Danggui (Angelicae Sinensis Radix, sliced, dried), Renshen (Ginseng Radix), Baifuling (Poria, black skin removed), Longchi (Dragon Bone), Yuanzhi (Polygalae Radix, heart removed), Gancao (Licorice Root, honey-fried, each 3 liang), Guizhi (Cinnamon Twig, coarse bark removed), Banxia (Pinelliae Rhizoma, soaked in water, washed seven times, dried, each 5 liang), Zhishi (Immature Bitter Orange Fruit, pulp removed, bran-fried), Jiegeng (Platycodonis Radix, radix end removed, crushed, fried), Fushen (Poria with Hostwood, wood removed, each 2 liang).
The above twelve ingredients are coarsely pounded and sifted. For each dose, first boil half he of japonica rice in two zhan of water. Once the rice is cooked, remove the rice grains. Then add five qianbi of the herbal powder, five slices of fresh ginger, and two dates (split open). Boil together for a few moments, strain, and take one zhan warm at any time.
Treatment for Mai Bi (Vessel Bi). To promote the circulation of blood vessels. Renshen Wan (Ginseng Pill) Formula:
Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix, heart removed, dried), Fushen (Poria with Hostwood, wood removed), Longchi (Dragon Bone), Yuanzhi (Polygalae Radix, heart removed), Huangqi (Astragali Radix, crushed), Shichangpu (Acori Tatarinowii Rhizoma), Chishizhi (Halloysit Rubrum, equal parts).
The above nine ingredients are pounded and sieved into fine powder. Mix with refined honey, pound three or two hundred times, and form pills the size of paulownia seeds. Take thirty pills after meals, swallowed with clear millet gruel broth, some time after eating.
Treatment for Mai Bi (Vessel Bi) presenting with numbness and insensitivity of the body. Huangqi Tang (Astragalus Decoction) Formula:
Huangqi (Astragali Radix, crushed), Shaoyao (Peony Root), Guizhi (Cinnamon Twig, coarse bark removed, each 3 liang), Danggui (Angelicae Sinensis Radix, sliced, dried), Baifuling (Poria, black skin removed), Shichangpu (Acori Tatarinowii Rhizoma), Renshen (Ginseng Radix, each 2 liang).
The above seven ingredients are coarsely pounded and sifted. For each dose, use five qianbi of the powder, one and a half zhan of water, five slices of fresh ginger, and two split dates. Boil together, strain, and take one zhan warm at any time.
Treatment for Mai Bi (Vessel Bi) causing pallor of the face, empty pulse, and red, dry lips. Action: Eliminate Bi obstruction, clear heat, and nourish the complexion.
Shengma Tang (Cimicifugae Decoction) Formula:
Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Xiongqiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix, each 3 liang), Chixiaodou (Adzuki Bean, five he), Shengjiang (Fresh Ginger, two and a half liang), Maidong (Ophiopogonis Radix, heart removed, dried), Weirui (Polygonati Odorati Rhizoma, equal parts).
The above eleven ingredients are crushed like hemp seeds. For each dose, use five qianbi of the powder, one and a half zhan of water. Boil down to one zhan, strain, and take warm at any time, three times daily.
Treatment for Wind-Dampness causing Mai Bi (Vessel Bi) and numbness of the skin. Fangfeng Tang (Saposhnikoviae Decoction) Formula:
Fangfeng (Saposhnikoviae Radix, forked parts removed), Danggui (Angelicae Sinensis Radix, sliced, dried), Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed), Chifuling (Red Poria, black skin removed), Yinyu (Ilicis Cornei Cortex, coarse stems removed), Gancao (Licorice Root, honey-fried), Xingren (Prunus Armeniaca Seed, skin and tip removed, double-kernel removed, bran-fried), Guizhi (Cinnamon Twig, coarse bark removed), Duhuo (Angelicae Pubescentis Radix, radix end removed, each 1 liang).
The above nine ingredients are coarsely pounded and sifted. For each dose, use five qianbi of the powder, half a zhan of wine and half a zhan of water. Add half a fen of sliced fresh ginger. Boil down to eight-tenths, strain, and take warm at any time.
Treatment for Mai Bi (Vessel Bi) causing obstruction of Ying and Wei (Nutritive and Defensive Qi) and painful Bi in the four limbs. Shaoyao Tang (Peony Decoction) Formula:
Shaoyao (Peony Root), Shudihuang (Prepared Rehmanniae Radix, dried), Danggui (Angelicae Sinensis Radix, sliced, dried, each 2 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed), Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed), Qianghuo (Notopterygii Rhizoma et Radix, radix end removed), Fangji (Stephaniae Tetrandrae Radix), Xiongqiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Guizhi (Cinnamon Twig, coarse bark removed), Gancao (Licorice Root, honey-fried, each 3 qian).
The above eleven ingredients are coarsely pounded and sifted. For each dose, use five qianbi of the powder, one and a half zhan of water. Boil down to eight-tenths, strain, and take warm. Take twice daily.