论曰∶痹虽异状，然皆本于三气。寒气多者，谓之冷痹。其证令人脚膝酸疼，行履艰难
，四肢 麻，身体俱痛，甚则有一身不随者。
治冷痹脚膝疼痛，行履艰难。巴戟天汤方。
巴戟天（去心三两） 五加皮（二两） 萆 牛膝（酒浸，切，焙） 石斛（去根） 甘
草
（炙
上九味， 咀如麻豆。每服五钱匕，生姜三片，水一盏半，煎至一盏，去滓，空心温服
治冷痹脚膝疼痛无力。牛膝散方。
牛膝（酒浸，切，焙一两） 桂（去粗皮半两） 山茱萸（一两）
上三味，捣罗为散。每服空心温酒调下二钱匕，日再服。
治中诸风毒，冷痹偏枯不随，骨节疼痛，手足挛 。虎骨散方。
虎骨（酥炙黄） 败龟（酥炙黄各一两） 何首乌（酒蘸，去黑皮） 羌活（去芦头各
半两）
当归（细切，焙干） 芎 牛膝（去苗，酒浸，切，焙） 秦艽（去苗土各三分） 附子
（炮裂
，去皮脐半两） 威灵仙（洗，焙） 原蚕砂（炒各三分） 延胡索（与糯米同炒米赤为度
半两）
上一十五味，捣罗为散。每服温酒调下三钱匕，不拘时。
治风冷痹，身体俱痛。菖蒲散方。
菖蒲（锉） 生地黄（去土，切） 枸杞根（去心各四两） 乌头（炮裂，去皮脐二两
锉）
生商陆根（去土，切四两） 生姜（薄片切八两）
上六味，以清酒三升，渍一宿曝干，复纳酒中，以酒尽干为度，曝干，捣筛为细散。每
服空心温酒调一钱匕，日再服。
治风冷痹，游走无定处，亦名血痹。萆 丸方。
萆 山芋 牛膝（去苗，酒浸，焙） 泽泻各一两 熟干地黄（焙二两半） 地肤子 干
漆（炒烟出） 狗脊（去毛各三分） 白术（半两） 茵芋（一分）
上一十味，捣罗为细末，炼蜜和丸，如梧桐子大。每服空心温酒下二十丸，日再。
治风冷痹，身体不随。四肢 麻，不觉痛痒，不能言语。防风汤方。
防风（去叉） 麻黄（去节，先煎，掠去沫，焙各三两） 石膏 黄芩（去黑心） 芎
当
归（切，焙各一两） 杏仁（去双仁、皮尖，熬四十枚） 桂（去粗皮） 熟干地黄（焙） 甘
草（
炙，锉各一两）
上一十味，粗捣筛。每服五钱匕，水一盏半，煎至一盏，去滓，空心温服，日再。
治风冷痹肿筋急，展转移易不常。白蔹散方。
白蔹（二两） 附子（炮裂，去皮脐一两）
上二味，捣罗为散。每服空心温酒调下二钱匕。
治风冷痹，膝冷疼，颇觉无力。羌活饮方。
羌活（去芦头一两半） 防风（去叉二两） 五加皮（锉一两） 赤芍药（二两） 薏
苡仁（一
两）
上八味，粗捣筛。每服五钱匕，水一盏半，入生姜五片，煎至一盏，去滓，空心温服。
治风冷痹，下焦虚寒，腰脚不随。楮实丸方。
楮实（微炒三两） 桂（去粗皮二分） 枳壳（去瓤，麸炒三分） 牛膝（去苗，酒浸，
切，
焙） 槟榔（煨，锉） 干姜（炮各一两半）
上六味，捣罗为末，炼蜜丸如梧桐子大。空心晚食前温酒下三十丸。
It is discussed that although Bi syndrome (Bi Syndrome) presents with various manifestations, it fundamentally stems from the three pathogenic factors: wind, cold, and dampness. When cold qi predominates, it is termed Cold Bi (Cold Bi). Its symptoms include soreness and pain in the feet and knees, difficulty in walking, numbness in the four limbs, generalized body pain, and in severe cases, paralysis of the entire body with loss of voluntary movement.
For treating Cold Bi characterized by pain in the feet and knees and difficulty in walking, Bajitian Decoction (Bajitian Tang) is prescribed.
Morinda officinalis Radix (Bajitian, *Morindae Officinalis Radix*) (devoid of heartwood, 3 liang), Acanthopanacis Senticosi Cortex (Wujia Pi, *Acanthopanacis Senticosi Cortex*) (2 liang), Dioscoreae Hypoglaucae Rhizoma (Bixie, *Dioscoreae Hypoglaucae Rhizoma*), Achyranthis Bidentatae Radix (Niuxi, *Achyranthis Bidentatae Radix*) (soaked in wine, sliced, dried), Dendrobii Caulis (Shihu, *Dendrobii Caulis*) (devoid of roots), Glycyrrhizae Radix et Rhizoma (Gancao, *Glycyrrhizae Radix et Rhizoma*) (prepared with honey).
The above nine ingredients are coarsely chopped like hemp seeds. Each dose consists of 5 qianbi (approx. 15-20g depending on era/standard, here kept as unit), added with 3 slices of Zingiberis Rhizoma Recens (Shengjiang, Fresh Ginger), and 1.5 zhan of water. Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach.
For treating Cold Bi characterized by pain and weakness in the feet and knees, Niuxi Powder (Niuxi San) is prescribed.
Achyranthis Bidentatae Radix (Niuxi, *Achyranthis Bidentatae Radix*) (soaked in wine, sliced, dried, 1 liang), Cinnamomi Ramulus (Guizhi, *Cinnamomi Ramulus*) (devoid of rough bark, 0.5 liang), Corni Fructus (Shanzhuyu, *Corni Fructus*) (1 liang).
The above three ingredients are crushed, sifted, and made into a powder. Each dose is taken with warm wine on an empty stomach, 2 qianbi per dose, twice daily.
For treating various wind-toxins, Cold Bi leading to hemiplegia (partial paralysis), joint pain, and spasms of hands and feet, Hubone Powder (Hubu San) is prescribed.
Tigris Ossis (Hubu, *Tigris Os*) (roasted with butter until yellow), Testudinis Carapax et Plastrum (Baigui, *Testudinis Carapax et Plastrum*) (roasted with butter until yellow, each 1 liang), Polygoni Multiflori Radix (Heshouwu, *Polygoni Multiflori Radix*) (moistened with wine, devoid of black skin), Notopterygii Rhizoma et Radix (Qianghuo, *Notopterygii Rhizoma et Radix*) (devoid of rhizome head, each 0.5 liang), Angelicae Sinensis Radix (Danggui, *Angelicae Sinensis Radix*) (finely sliced, dried), Ligustici Chuanxiong Rhizoma (Chuanxiong, *Ligustici Chuanxiong Rhizoma*), Achyranthis Bidentatae Radix (Niuxi, *Achyranthis Bidentatae Radix*) (devoid of sprouts, soaked in wine, sliced, dried), Gentianae Macrophyllae Radix (Qinjiao, *Gentianae Macrophyllae Radix*) (devoid of sprouts and soil, each 3 fen), Aconiti Lateralis Radix Praeparata (Fuzi, *Aconiti Lateralis Radix Praeparata*) (processed until cracked, devoid of skin and navel, 0.5 liang), Clematidis Radix et Rhizoma (Weilingxian, *Clematidis Radix et Rhizoma*) (washed, dried), Bombyx Batryticatus (Yuancansha, *Bombyx Batryticatus*) (stir-fried, each 3 fen), Corydalis Rhizoma (Yanhusuo, *Corydalis Rhizoma*) (stir-fried together with Oryzae Semen Glutinosum until rice turns red, 0.5 liang).
The above fifteen ingredients are crushed, sifted, and made into a powder. Each dose is taken with warm wine, 3 qianbi per dose, at any time.
For treating Wind-Cold Bi with generalized body pain, Changpu Powder (Changpu San) is prescribed.
Acori Tatarinowii Rhizoma (Changpu, *Acori Tatarinowii Rhizoma*) (chopped), Rehmanniae Radix Recens (Shengdihuang, *Rehmanniae Radix Recens*) (devoid of dirt, sliced), Lycii Radicis Cortex (Gouqigen, *Lycii Radicis Cortex*) (devoid of heartwood, each 4 liang), Aconiti Radix (Wutou, *Aconiti Radix*) (processed until cracked, devoid of skin and navel, 2 liang, chopped), Phytolaccae Radix (Shanglugen, *Phytolaccae Radix*) (devoid of dirt, sliced, 4 liang), Zingiberis Rhizoma Recens (Shengjiang, Fresh Ginger) (sliced thinly, 8 liang).
The above six ingredients are soaked in 3 sheng of clear wine overnight, then sun-dried. This process is repeated until the wine is exhausted and the herbs are dry. They are then crushed, sifted, and made into a fine powder. Each dose is taken with warm wine on an empty stomach, 1 qianbi per dose, twice daily.
For treating Wind-Cold Bi with wandering pain without fixed location, also known as Blood Bi (Blood Bi), Bixie Pill (Bixie Wan) is prescribed.
Dioscoreae Hypoglaucae Rhizoma (Bixie, *Dioscoreae Hypoglaucae Rhizoma*), Dioscoreae Rhizoma (Shanyu, *Dioscoreae Rhizoma*), Achyranthis Bidentatae Radix (Niuxi, *Achyranthis Bidentatae Radix*) (devoid of sprouts, soaked in wine, dried), Alismatis Rhizoma (Zexie, *Alismatis Rhizoma*) each 1 liang, Rehmanniae Radix Preparata (Shudihuang, *Rehmanniae Radix Preparata*) (dried, 2.5 liang), Kochiae Fructus (Difuzi, *Kochiae Fructus*), Drynariae Rhizoma (Gouji, *Drynariae Rhizoma*) (devoid of hairs, each 3 fen), Atractylodis Macrocephalae Rhizoma (Baizhu, *Atractylodis Macrocephalae Rhizoma*) (0.5 liang), Ilicis Cornei Fructus (Yinyu, *Ilicis Cornei Fructus*) (1 fen).
The above ten ingredients are crushed, sifted into a fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Each dose is taken with warm wine on an empty stomach, 20 pills per dose, twice daily.
For treating Wind-Cold Bi resulting in paralysis of the body, numbness of the four limbs, loss of sensation to pain and itch, and inability to speak, Fangfeng Decoction (Fangfeng Tang) is prescribed.
Saposhnikoviae Radix (Fangfeng, *Saposhnikoviae Radix*) (devoid of forks), Ephedrae Herba (Mahuang, *Ephedrae Herba*) (devoid of nodes, decocted first, scum skimmed off, dried, each 3 liang), Gypsum Fibrosum (Shigao, *Gypsum Fibrosum*), Scutellariae Radix (Huangqin, *Scutellariae Radix*) (devoid of black heart), Ligustici Chuanxiong Rhizoma (Chuanxiong, *Ligustici Chuanxiong Rhizoma*), Angelicae Sinensis Radix (Danggui, *Angelicae Sinensis Radix*) (sliced, dried, each 1 liang), Armeniacae Semium Amarum (Xingren, *Armeniacae Semium Amarum*) (devoid of double kernels and skins, roasted, 40 units), Cinnamomi Ramulus (Guizhi, *Cinnamomi Ramulus*) (devoid of rough bark), Rehmanniae Radix Preparata (Shudihuang, *Rehmanniae Radix Preparata*) (dried), Glycyrrhizae Radix et Rhizoma (Gancao, *Glycyrrhizae Radix et Rhizoma*) (prepared with honey, chopped, each 1 liang).
The above ten ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, added with 1.5 zhan of water. Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach, twice daily.
For treating Wind-Cold Bi characterized by swelling, tendon tension, and restricted or variable mobility, Bailian Powder (Bailian San) is prescribed.
Ampelopsis Radix (Bailian, *Ampelopsis Radix*) (2 liang), Aconiti Lateralis Radix Praeparata (Fuzi, *Aconiti Lateralis Radix Praeparata*) (processed until cracked, devoid of skin and navel, 1 liang).
The above two ingredients are crushed, sifted, and made into a powder. Each dose is taken with warm wine on an empty stomach, 2 qianbi per dose.
For treating Wind-Cold Bi with cold and painful knees, accompanied by significant weakness, Qianghuo Infusion (Qianghuo Yin) is prescribed.
Notopterygii Rhizoma et Radix (Qianghuo, *Notopterygii Rhizoma et Radix*) (devoid of rhizome head, 1.5 liang), Saposhnikoviae Radix (Fangfeng, *Saposhnikoviae Radix*) (devoid of forks, 2 liang), Acanthopanacis Senticosi Cortex (Wujia Pi, *Acanthopanacis Senticosi Cortex*) (chopped, 1 liang), Paeoniae Radix Rubra (Chishaoyao, *Paeoniae Radix Rubra*) (2 liang), Coicis Semen (Yiyiren, *Coicis Semen*) (1 liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, added with 1.5 zhan of water and 5 slices of Zingiberis Rhizoma Recens (Shengjiang, Fresh Ginger). Decoct until 1 zhan remains, filter dregs, and take warm on an empty stomach.
For treating Wind-Cold Bi with deficiency-cold of the Lower Jiao (Lower Burner), and paralysis of the waist and legs, Chushi Pill (Chushi Wan) is prescribed.
Eucommiae Fructus (Chushi, *Eucommiae Fructus*) (lightly stir-fried, 3 liang), Cinnamomi Ramulus (Guizhi, *Cinnamomi Ramulus*) (devoid of rough bark, 2 fen), Aurantii Fructus (Zhike, *Aurantii Fructus*) (devoid of pith, stir-fried with bran, 3 fen), Achyranthis Bidentatae Radix (Niuxi, *Achyranthis Bidentatae Radix*) (devoid of sprouts, soaked in wine, sliced, dried), Arecae Semen (Binglang, *Arecae Semen*) (baked, chopped), Zingiberis Rhizoma (Ganjiang, *Zingiberis Rhizoma*) (processed, each 1.5 liang).
The above six ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills with warm wine on an empty stomach and before evening meal.