论曰香港脚大小便不通者，由风湿之气，搏于脚膝，上攻胸腹，胁肋填满，营卫痞隔，三
焦之气，升而不降，所以传导变化，皆不能出而大小便不通，盖肾气化，则二阴通，而脚膝
者肾之候。今香港脚上攻，则肾气不得化，肾气不化，此大小便所以不通也。
治风毒香港脚，大小便不通。槟榔丸方
槟榔（锉） 牵牛子（炒各五两） 木香 肉豆蔻（去壳） 桂（去粗皮） 柏子仁（炒）
羌活
（去芦头） 芎 当归（切炒） 青橘皮（去白炒） 人参 赤茯苓（去黑皮各半两） 陈
曲（炒
三分）
上一十三味，捣罗为末，炼蜜丸如梧桐子大。每服二十五丸，空心临卧生姜汤下，以利
为度，更量虚实加减牵牛子。
治男子妇人风毒香港脚，及遍身拘急刺痛，大小便赤涩，不思饮食，呕逆或寒热。桑白皮
汤方
桑根白皮（锉） 紫苏茎叶 木通（锉） 青橘皮（去白各一两） 荆芥穗 羌活（去
芦头）
香子根（锉） 干木瓜 独活（各半两） 枳壳（麸炒去瓤二两） 大腹（大者二十枚并
子用）
上一十一味，粗捣筛。每服三钱匕，水一盏，生姜一枣大切，葱白二寸并根，煎至七分，
去滓空心日午夜卧，各一服。
治脚弱浮肿，大小便赤涩。 砂煎丸方
砂（半两研如粉入后皂荚汁中同煎至一升下酒五升再煎至一升下童子小便三升不住手
搅煎至半升住火） 皂荚（十挺内五挺以水五升浸一宿去皮每挺为三截用生姜五两取自然汁
蘸
炙姜汁尽为度去子捣内五挺灰火煨熟去皮椎碎于前浸皂荚水中揉洗生绢滤去滓入铛内煎）
槟榔（生用） 附子（炮裂去皮脐） 白附子（生用） 地龙（去土炒各一两） 天麻（半
两生用）
半夏（二两汤洗七遍焙干生用）
上八味。将七味捣罗为末，入 砂煎中，于火上搅匀，硬软得所，取出捣三五百杵。丸
如梧桐子大，稍硬更入熟蜜和丸焙干，用瓷器盛，勿令透气，每服十五丸，至二十丸，男子
忽脚膝软，头旋恶心，不思饮食，心间胀满，行履不得，用豆淋酒并童子小便下，男子忽脚
膝风痛，行履不得，口干舌涩，只豆淋酒下，并空心日午两服，男子干香港脚发动，脚膝烦疼
，腰脚酸，心躁闷干渴，见粥药皆呕逆，及汗出气喘，此是干香港脚冲心，人多不辨，乃为伤
寒候。若见此疾，先取牵牛子一两生用，陈橘皮一钱，同为末，取黑豆二合炒半熟，以童子
小便八合浸后，滤去豆，入生姜自然汁二合搅匀，分为三盏，调牵牛橘皮末一钱匕，当日进
三服，共六十丸立瘥，男子手脚拘急，背 烦疼，身心躁闷，此是风毒欲发，温酒下。男子
鼻塞耳聋，腰脚重滞，此是肾脏风毒瓦斯，葱酒下，妇人血气闷乱，刺心欲绝者，煎当归酒下
，产后手脚挛急，口干不食，烂研芥子酒下，妇人血海不通，煎红花酒去滓下，妇人血气诸
疾，荆芥酒下，妇人血风诸疾，薄荷酒下，有娠妇人不得服，常服通百脉，暖下元，解风结
，润身体，畅四肢，坠痰涎，明耳目，更加麝香龙脑为丸，亦妙。
治香港脚肿满，坐卧不得，气上冲心，大小便秘涩。槟榔汤方
槟榔（七枚锉） 木香 郁李仁（汤浸去皮尖炒研各二两） 木通（锉） 桑根白皮（炙
锉各
上五味，粗捣筛。每服三钱匕，水一盏，煎至七分，去滓入牵牛子末一钱匕，搅匀空心
服之，大小便通利气快为度。
治香港脚、两胫疼痛肿满，时发寒热，或大便不利，毒瓦斯上攻。独活散方
独活（去芦头） 附子（炮裂去皮脐各一两） 牵牛子（二两微炒）
上三味，捣罗为散。每服二钱匕，炒葱酒调下，温蜜汤亦得，日三，不拘时，以利为度
治香港脚，两胫疼痛肿满，时发寒热，或大小便不利，毒瓦斯上攻。青橘皮丸方
青橘皮（汤浸去白焙） 木香（各一两） 牵牛子（四两生）
上三味，捣罗为末，炼蜜丸如梧桐子大。每服二十丸，至三十丸。温盐汤下，不拘时。
治香港脚，大肠结涩不通。麻仁汤方
麻子仁（二合半炒） 升麻（三两） 豉（二两） 射干 大黄（锉炒） 甘草（炙锉
各一分半）
上七味，粗捣筛。每服五钱匕，水一盏半，生姜一枣大拍破，煎至八分，去滓下芒硝末
半钱匕，更煎一两沸，空腹温服。
治香港脚大便坚硬结涩而不渴。麻仁丸方
麻子仁（炒） 芍药（各二两） 枳实（去瓤麸炒） 杏仁（汤浸去皮尖双仁炒各一两）
大黄
上六味，捣罗为末。炼蜜丸如梧桐子大。每服五丸，空心米饮下，日三，渐加至十丸。
治香港脚大便秘涩。麻仁大黄丸方
大麻子仁（二两研） 大黄（五两锉炒）
上二味。先将大黄捣罗为末，入麻子仁研匀，炼蜜丸如梧桐子大。每服十丸，食前温酒
下，姜汤亦得，日再，以大肠溏滑为度，未瘥加至二十丸，兼消肿下气，破宿癖，疏风壅。
治香港脚心腹妨痛，坐卧不安，大肠涩滞。吴茱萸汤方
吴茱萸（汤洗炒干三分） 鳖甲（去裙 醋炙） 芍药 木香 桂（去粗皮） 桔梗（各
一两
上七味，粗捣筛。每服三钱匕，水一盏，煎至七分，去滓温服，日再。
治香港脚虚肿，小便少。桑楮汤方
桑根白皮 楮白皮（各细锉净洗取一升）
上二味，粗捣筛。每服三钱匕，水一盏半，煎至八分，去滓空腹温服，日二。
治香港脚喘急咳嗽，浮肿小肠涩。硝石汤方
硝石（研三分） 葶苈（纸上炒二两）
上二味，捣研为末，炼蜜丸如梧桐子大，每服十丸，至十五丸，食前桑楮枝煎汤下。
治香港脚小便少，四肢肿。黑豆汤方
黑豆（一升半淘洗） 槟榔（锉五枚） 桑根白皮（锉炒一升）
上三味，粗捣筛。每服五钱匕，水一盏半，生姜一枣大连皮切，煎至八分，去滓空腹日
午近晚各一服，当利小便，即肿气消。
治香港脚臌胀，大小便不通，气急浮肿。鳖甲丸方
鳖甲（去裙 醋炙三分） 食茱萸（锉半两） 槟榔（锉一两半） 牵牛子（炒熟三两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大。食前以郁李仁五十颗，水一小盏，研取汁，
煎汤下三十丸，以大便通心神快为度，未效加至四十丸。
治香港脚，大小便秘涩不通。牵牛子丸方
黑牵牛（淘洗令净炊令气透便取出摊令微冷便杵取末三两） 青橘皮（焙和白用） 陈
橘皮
（焙和白用） 木通（锉） 桑根白皮（锉炒） 芍药（焙各一两） 栝蒌根（二两）
上七味，捣罗为末，炼蜜搜和。杵约三五千下，丸如梧桐子大。每服十五丸，加至二十
丸，茶酒任下。
Discourse states: Hongxiangjiao (a disease characterized by swelling and heaviness of the lower legs and weakness) causing obstruction of urination and defecation results from wind-dampness qi clashing in the feet and knees, attacking upwards to the chest and abdomen, filling the hypochondriac region. Ying and Wei qi become obstructed, and Sanjiao qi rises but does not descend. Consequently, the functions of transmission and transformation fail, leading to the inability to pass stool and urine. Generally, when Kidney qi undergoes Qi Hua (Qi transformation), the two yin openings (urethra and anus) become unobstructed, and the feet and knees are the external manifestations of the Kidney. Now, with Hongxiangjiao attacking upwards, Kidney qi cannot transform; since Kidney qi fails to transform, this is why urination and defecation are obstructed.
To treat Wind-Toxin Hongxiangjiao with obstruction of urination and defecation. Binglang Wan (Areca Nut Pill) Formula:
Binglang (Arecae Semen, crushed) Qian Niu Zi (Pharbitidis Semen, stir-fried, 5 liang each) Muxiang (Aucklandiae Radix) Roudoukou (Myristicae Semen, shell removed) Guizhi (Cinnamomi Ramulus, coarse bark removed) Baiziren (Biotae Semen, stir-fried) Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed) Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, sliced and stir-fried) Qingju Pi (Citri Reticulatae Pericarpium Viride, albedo removed and stir-fried) Renshen (Ginseng Radix et Rhizoma) Chi Fuling (Poria cum Radio, black skin removed, 0.5 liang each) Chen Qu (Fermented Wheat Mass, stir-fried, 3 fen)
The above thirteen ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 25 pills per dose, administered on an empty stomach and before sleep with Ginger Decoction. The dosage should be adjusted until bowel movement becomes free. Adjust the amount of Qian Niu Zi according to the patient's deficiency or excess condition.
To treat Wind-Toxin Hongxiangjiao in men and women, accompanied by generalized stiffness and stabbing pain, red and scanty urination and difficult defecation, loss of appetite, vomiting, nausea, or alternating chills and fever. Sangbaipi Tang (Mulberry Root Bark Decoction) Formula:
Sang Gen Bai Pi (Mori Cortex, crushed) Zisu Jing Ye (Perillae Caulis et Folium) Mutong (Akebiae Caulis, crushed) Qingju Pi (Citri Reticulatae Pericarpium Viride, albedo removed, 1 liang each) Jingjie Sui (Schizonepetae Spica) Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed) Xiangzi Gen (Radix unknown, crushed) Gan Mugua (Dried Fructus Chaenomelis) Duhuo (Angelicae Pubescentis Radix, 0.5 liang each) Zhike (Aurantii Fructus, bran-stir-fried and pith removed, 2 liang) Dafupi (Arecae Pericarpium, large ones, 20 pieces including seeds)
The above eleven ingredients are coarsely pounded and sieved. Take 3 qianbi (approx. 4.5g) per dose, add one zhan (approx. 200ml) of water, one jujube-sized piece of fresh ginger cut thickly, and two cun (approx. 6cm) of scallion white including roots. Decoct until reduced to seven parts, strain, and take one dose at empty stomach, midday, midnight, and before sleep.
To treat weak legs with edema, red and scanty urination and difficult defecation. Naoshan Jian Wan (Sal Ammoniac Decoction Pill) Formula:
Naoshan (Sal Ammoniac, 0.5 liang, ground into powder, added to Zaojia Juice for decoction until one sheng, then add five sheng of wine, decoct again until one sheng, add three sheng of child's urine, stir continuously until half a sheng remains, stop fire) Zaojia (Gleditsiae Fructus, ten tings; soak five tings in five sheng of water overnight, remove skin, cut each ting into three sections, roast with natural juice of five liang of fresh ginger until juice is exhausted, remove seeds and pound; roast remaining five tings in ash fire until cooked, remove skin and pound, mix with the soaked Zaojia water, rub and wash, filter through raw silk, remove dregs, and decoct in a cauldron) Binglang (Arecae Semen, raw) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed) Baifuzi (Fuzi unknown, raw) Dilong (Pheretima, earth removed and stir-fried, 1 liang each) Tianma (Gastrodiae Rhizoma, 0.5 liang, raw) Banxia (Pinelliae Tuber, washed seven times in hot water, dried, raw)
The above eight ingredients. Pound the first seven ingredients into powder, mix with the Naoshan decoction, stir over fire until consistency is appropriate. Remove, pound 300-500 times. Form pills the size of Sophora japonica seeds. If slightly hard, mix with more refined honey, dry, store in porcelain vessels without letting air in. Take 15-20 pills per dose. For sudden leg weakness, dizziness, nausea, loss of appetite, epigastric fullness, and inability to walk in men, administer with Doulin Jiu (Bean-Dripping Wine) and child's urine. For sudden wind-pain in legs and knees, inability to walk, dry mouth, and rough tongue in men, administer only with Doulin Jiu. Take twice daily on an empty stomach and at midday. For Dry Hongxiangjiao attack with painful legs and knees, soreness in waist and legs, mental restlessness, thirst, vomiting upon seeing food/medicine, sweating, panting—this is Dry Hongxiangjiao attacking the Heart. People often misidentify this as Shanghan (Cold Damage). If this condition appears, first take 1 liang of raw Qian Niu Zi and 1 qian of aged Chenpi, grind into powder. Take 2 he of black beans, stir-fry until half-cooked, soak in 8 he of child's urine, filter out beans, add 2 he of fresh ginger juice, mix well. Divide into three cups. Mix with 1 qianbi of Qian Niu Zi and Chenpi powder. Take three doses on the same day. Total 60 pills will cure immediately. For men with limb stiffness, back pain, and mental restlessness, this indicates impending Wind-Toxin; administer with warm wine. For men with nasal congestion, deafness, heavy and stagnant waist and legs, this is Kidney Wind-Toxin Qi; administer with Scallion-Wine. For women with chaotic Blood-Qi and stabbing heart pain nearing death, administer with Danggui Decoction-Wine. For postpartum limb spasms, dry mouth, and anorexia, administer with crushed Mustard Seed-Wine. For women with blocked Blood Sea, administer with Honghua Decoction-Wine (strained). For women's various Blood-Qi disorders, administer with Jingjie-Wine. For women's various Blood-Wind disorders, administer with Bohe-Wine. Pregnant women must not take this. Regular use opens all meridians, warms the Lower Yuan, resolves Wind knots, moistens the body, unblocks limbs, descends phlegm-saliva, and clarifies ears and eyes. Adding Shexiang (Musk) and Longnao (Borneolum Syntheticum) to make pills is also excellent.
To treat Hongxiangjiao with swelling and fullness, inability to sit or lie down, Qi rushing to the Heart, and constipation/dysuria. Binglang Tang (Areca Nut Decoction) Formula:
Binglang (Arecae Semen, 7 pieces, crushed) Muxiang (Aucklandiae Radix) Yuliren (Pruni Semen, soaked in hot water, skin and tip removed, stir-fried and pounded, 2 liang each) Mutong (Akebiae Caulis, crushed) Sang Gen Bai Pi (Mori Cortex, roasted and crushed, 2 liang each)
The above five ingredients are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to seven parts, strain, add 1 qianbi of Qian Niu Zi powder, mix well, and take on an empty stomach. Continue until urination and defecation are free and Qi feels smooth.
To treat Hongxiangjiao with pain and swelling in both calves, intermittent chills and fever, or difficulty in defecation, with Toxin Qi attacking upwards. Duhuo San (Angelicae Pubescentis Powder) Formula:
Duhuo (Angelicae Pubescentis Radix, rhizome head removed) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed, 1 liang each) Qian Niu Zi (Pharbitidis Semen, 2 liang, lightly stir-fried)
The above three ingredients are pounded into powder. Take 2 qianbi per dose, mix with stir-fried Scallion-Wine. Warm Honey-Decoction is also acceptable. Take three times daily, at any time, until bowel movement is free.
To treat Hongxiangjiao with pain and swelling in both calves, intermittent chills and fever, or difficulty in urination and defecation, with Toxin Qi attacking upwards. Qingju Pi Wan (Green Tangerine Peel Pill) Formula:
Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, albedo removed, dried) Muxiang (Aucklandiae Radix, 1 liang each) Qian Niu Zi (Pharbitidis Semen, 4 liang, raw)
The above three ingredients are pounded into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 20-30 pills per dose. Administer with warm Salt-Decoction, at any time.
To treat Hongxiangjiao with intestinal binding and obstruction. Mahuang Tang (Hemp Seed Decoction) Formula:
Mazi Ren (Cannabis Semen, 2.5 he, stir-fried) Shengma (Cimicifugae Rhizoma, 3 liang) Chi (Soja Semen Nigrum Preparatum, 2 liang) Shegan (Belamcandae Rhizoma) Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed, 1.5 fen each)
The above seven ingredients are coarsely pounded and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, one jujube-sized piece of smashed fresh ginger. Decoct until reduced to eight parts, strain, add 0.5 qianbi of Mangxiao (Natrii Sulfas) powder, boil for one or two boils, and take warm on an empty stomach.
To treat Hongxiangjiao with hard, bound stool and no thirst. Mahuang Wan (Hemp Seed Pill) Formula:
Mazi Ren (Cannabis Semen, stir-fried) Shaoyao (Paeoniae Radix Alba, 2 liang each) Zhishi (Aurantii Fructus Immaturus, pith removed, bran-stir-fried) Xingren (Armeniacae Semen Amarum, soaked in hot water, skin and tip removed, double-kernel, stir-fried, 1 liang each) Dahuang (Rhei Radix et Rhizoma)
The above six ingredients are pounded into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 5 pills per dose, administered with Rice Drink on an empty stomach. Take three times daily, gradually increasing to 10 pills.
To treat Hongxiangjiao with constipation and dysuria. Mahuang Dahuang Wan (Hemp Seed and Rhubarb Pill) Formula:
Damaizi Ren (Cannabis Semen, 2 liang, pounded) Dahuang (Rhei Radix et Rhizoma, 5 liang, crushed and stir-fried)
The above two ingredients. First, pound Dahuang into powder, mix evenly with pounded Mazi Ren, and form pills with refined honey the size of Sophora japonica seeds. Take 10 pills per dose, before meals with warm Wine. Ginger-Decoction is also acceptable. Take twice daily, until stools become loose and slippery. If not cured, increase to 20 pills. This formula also reduces swelling, directs Qi downward, breaks old accumulations, and disperses Wind stagnation.
To treat Hongxiangjiao with abdominal pain and discomfort, inability to sit or lie down, and intestinal sluggishness. Wuzhuyu Tang (Evodiae Fructus Decoction) Formula:
Wuzhuyu (Evodiae Fructus, washed in hot water, stir-fried dry, 3 fen) Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted) Shaoyao (Paeoniae Radix Alba) Muxiang (Aucklandiae Radix) Guizhi (Cinnamomi Ramulus, coarse bark removed) Jiegeng (Platycodonis Radix, 1 liang each)
The above seven ingredients are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to seven parts, strain, and take warm. Take twice daily.
To treat Hongxiangjiao with deficient edema and scanty urination. Sangzhu Tang (Mulberry and Paper Mulberry Bark Decoction) Formula:
Sang Gen Bai Pi (Mori Cortex) Zhu Bai Pi (Broussonetiae Cortex, finely crushed, cleaned, taken together to yield one sheng)
The above two ingredients are coarsely pounded and sieved. Take 3 qianbi per dose, add 1.5 zhan of water, decoct until reduced to eight parts, strain, and take warm on an empty stomach. Take twice daily.
To treat Hongxiangjiao with panting, cough, edema, and Small Intestine sluggishness. Xiaoshi Tang (Niter Decoction) Formula:
Xiaoshi (Natrii Nitras, pounded, 3 fen) Tingli (Descurainiae Semen seu Lepidii Semen, stir-fried on paper, 2 liang)
The above two ingredients are pounded and ground into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 10-15 pills per dose, before meals with Sangzhu Branch Decoction.
To treat Hongxiangjiao with scanty urination and limb edema. Heidou Tang (Black Soybean Decoction) Formula:
Heidou (Sojae Semen Nigrum, 1.5 sheng, rinsed) Binglang (Arecae Semen, 5 pieces, crushed) Sang Gen Bai Pi (Mori Cortex, crushed and stir-fried, 1 sheng)
The above three ingredients are coarsely pounded and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, one jujube-sized piece of fresh ginger with skin cut, decoct until reduced to eight parts, strain. Take one dose each on an empty stomach, at midday, and near evening. This promotes diuresis, eliminating edema.
To treat Hongxiangjiao with abdominal distension, obstruction of urination and defecation, shortness of breath, and edema. Biejia Wan (Turtle Shell Pill) Formula:
Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted, 3 fen) Shi Zhuyu (Zanthoxyli Fructus, crushed, 0.5 liang) Binglang (Arecae Semen, 1.5 liang, crushed) Qian Niu Zi (Pharbitidis Semen, stir-fried ripe, 3 liang)
The above four ingredients are pounded into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 50 Yuliren, one small zhan of water, pound to extract juice, decoct to make soup, and take 30 pills. Continue until bowel movement is free and mind feels refreshed. If ineffective, increase to 40 pills.
To treat Hongxiangjiao with constipation and dysuria. Qian Niu Zi Wan (Pharbitis Seed Pill) Formula:
Hei Qian Niu (Pharbitidis Semen, black, washed clean, steamed until vapor penetrates, taken out, spread to cool slightly, pounded to take powder, 3 liang) Qingju Pi (Citri Reticulatae Pericarpium Viride, baked and used with white) Chen Pi (Citri Reticulatae Pericarpium, baked and used with white) Mutong (Akebiae Caulis, crushed) Sang Gen Bai Pi (Mori Cortex, crushed and stir-fried) Shaoyao (Paeoniae Radix Alba, baked, 1 liang each) Gualou Gen (Trichosanthis Radix, 2 liang)
The above seven ingredients are pounded into powder, searched and mixed with refined honey. Pounded about 3,000-5,000 times. Form pills the size of Sophora japonica seeds. Take 15 pills per dose, increasing to 20 pills. Administer with Tea or Wine as preferred.