（附腿痛 环跳疽 香港脚 脚跟疽 腿痈）
痛。尺脉紧而无力者。托之。
肿硬痛甚者。隔蒜灸之。更以托里。
不作脓而痛者。解毒为主。
不作脓者。托里为主。
不溃或溃而不敛者。托里为主。
一人臀痈。肿硬作痛。尺脉浮紧。按之无力。以内托羌活汤一剂痛止。再以金银花散四
剂。脓溃而愈。
一人臀痈。肿硬痛甚。隔蒜灸之。更服仙方活命饮二剂。痛止肿消。以托里消毒散。加
黄柏、苍术、羌活。疮头溃而愈。
一人臀痈。作脓而痛。以仙方活命饮二剂痛止。更以托里消毒散。脓溃而瘥。（此条无
一人臀痈不作脓。饮食少思。先以六君子加芎、归黄 。饮食渐进。更以托里散。脓溃
一人溃而脓清不敛。灸以豆豉饼。更饮十全大补汤。两月余而痊。
凡疮不作脓。或不溃。或溃而不敛。皆气血虚也。若脓清稀。尤虚甚也。
一人臀痈。脓水不止。肌渐瘦。食少思。胃脉微弦。以六君子加藿香、当归数剂。食遂
进。以十全大补汤。灸以豆豉饼。两月余而痊。
一弱人臀痈。脓成不溃。以十全大补汤数剂始托起。乃针之。又二十余剂而愈。夫臀居
僻位。气血罕到。老弱患之。尤宜补其气血。庶可保痊。
一人腿内侧患痈。未作脓而肿痛。以内托黄 柴胡汤二剂少愈。又二剂而消。
一人臀漫肿。色不变。脉活数无力。脓将成尚在内。欲治以托里药。待发出而用针。彼
欲内消。服攻伐药愈虚。复求治。仍投前药。托出针之。以大补药而愈。
凡疮毒瓦斯已结不起者。但可补其气血。使脓速成而针去。不可论内消之法。脓成。又当
生熟浅深而针之。若大按乃痛者。脓深也。小按便痛者。脓浅也。按不甚痛。未成脓也。按
之即复起者。脓也。按之不复起者。无脓也。若肿高而软者。发于血脉也。肿下而坚者。发
于筋骨也。肉色不变者。发于骨髓也。
一人腿外侧患痈。漫肿大痛。以内托黄 汤酒煎二剂少可。更以托里数剂溃之而愈。
一妇腿痈。久而不愈。疮口紫陷。脓水清稀，予以为虚。彼不信。乃服攻毒之剂。虚症
蜂起。复求治。灸以附子饼。服十全大补汤百余帖而愈。
凡疮脓清及不敛者。或陷下。皆气血虚极也。最宜大补。痞成败症。若更患他症。卒难
一人腿痈内溃。针之脓出四五碗许。恶寒畏食。脉诊如丝。此阳气微也。以四君子加炮
。畏寒少止。又四剂而止。以六君子加桂数剂。饮食颇进。乃以十全大补。乃灸附子饼两
月而愈。
一老腿痈脓自溃。忽发昏瞀。脉细而微。此气血虚极也。以大补之剂而苏。
一弱人流注内溃。出败脓五六碗。口服歪斜。脉亦虚极。乃虚甚也。非真中风。以独参
汤加附子一钱二剂。更以大补药。月余而痊。
大抵脓血大泄。当大补气血为先。虽有他症。以末治之。凡痈大溃。发热恶寒。皆属气
甚。若左脉不足者。补血药多于补气药。右脉不足者。补气药多于补血药。切不可发表。
一妇腰痛。脚弱弛长。不能动履。以人参败毒散。加苍术、黄柏、泽泄、而愈。
此条脚弱弛长。属湿热也。故凭症而治。
一妇环跳穴痛。肉色不变。脉紧数。此附骨疽也。脓未成。用内托黄 酒煎汤。加青皮
、龙胆草、山栀。数剂而止。
一人腿痈兼筋挛痛。脉弦紧。用五积散。加黄柏、柴胡、苍术而痊。（此凭脉凭症而作
湿热治也。）
一妇附骨疽久不愈。脓水不绝。皮肤瘙痒四肢痿软。予以为虚。欲补之。彼惑为风疾。
遂服祛风药。竟至不救。
陈无择云。人身有皮毛、血脉、筋膜、肌肉、骨髓以成其形。内则有心、肝、脾、肺、
主之。若随情妄用喜、怒、劳、佚。致五内精血虚耗。使皮血筋骨肉痿弱无力以运动。故致
痿。状与柔风香港脚相类。柔风香港脚皆外所因。痿则五内不足也。
一人附骨疽。肿硬发热骨痛筋挛。脉数而沉。用当归拈痛汤而愈。
一人腿根近环跳穴痛彻骨。外皮如故。脉数带滑。此附骨疽脓将成。用托里药六剂。肿
起作痛。脉滑数。脓已成。针之出碗许。更加补剂。月余而瘳。
一人腿内患痈。漫肿作痛。四肢厥。咽咙塞。发寒热。诸治不应。乃邪郁经络而然也。
香连翘汤一剂。诸症少退。又服。大便行二次。诸症悉退而愈。（此因诸治不效。故作郁结
而用五香也。）
一妇左腿痛不能伸。脉弦紧。按则涩。以五积散二剂痛少止。又二剂而止。以神应养真
而愈。（脉弦紧涩属寒。故用五积散辛热以散之。）
一人腿痛。膝微肿。轻诊则浮。按之弦紧。此鹤膝风也。与大防风汤二剂。已退。二三
谓附子有毒。乃服败毒药。日渐消瘦。复求治。予谓今饮食不为肌肤。水谷不能运化精微。
溉脏腑周身百脉。神将何根据。兹故气短而促。其气损也。怠惰嗜卧。脾气虚也。小便不禁。
膀胱不藏也。时有躁热。心下虚痞。胃气不能上荣也。恍惚健忘。神明乱也。不治。后果殁
。此症多患于不足之人。故以加减小续命、大防风二汤有效。若用攻毒药必误。
一妇患香港脚。或时腿肿。筋挛腹痛。诸药不应。渐危笃。诸书云。八味丸治足少阴。脚
腹疼痛。上气喘促欲死。遂投一服顿退。又服而愈。肾经虚尽之人。多有此患。乃肾水乘心
克火。死不旋踵。宜急服。
一人腿痛。兼筋挛骨痛。脉弦紧。以大防风汤六剂。筋挛少愈。又二剂而肿消。但内一
作痛。脉不弦紧。此寒邪已去。乃所滞瘀浊之物欲作脓。故痛不止。用托里药数剂。肿发起
。脉滑数。乃脓已成。针之。用十全大补汤。月余而安。（按以前数条。皆筋挛骨痛而脉弦
紧。可见弦紧多主寒邪。）
一妇膝肿痛。遇寒痛益甚。月余不愈。诸药不应。脉弦紧。此寒邪深伏于内也。用大防
风汤。与火龙丹治之而消。
大抵此症。虽云肿有浅深。感有轻重。其所受皆因真气虚弱。而邪得以深袭。故附骨痈
疽及鹤膝风症。
肾虚者多有之。前人用附子者。以温补肾气。而又能行药势散寒邪也。亦有体虚之人。
露卧。为冷气所袭。寒热伏结。多成此症。不能转动。乍热而无汗。按之痛应骨者是也。若
经久不消。极阴生阳。寒化为热而溃也。若被贼风所甚伤。患处不甚热而洒淅恶寒。不时汗
出。熨之痛少止。须大防风汤、火龙膏治之。又有挛曲偏枯。坚硬如石。谓之石疽。若热缓
。积不溃。肉色赤紫。皮肉俱烂。名缓疽。其始末皆宜服前汤。欲其驱散寒邪。以补虚托里
一人右腿赤肿 痛。脉沉数。用当归拈痛汤。四肢反痛。乃湿毒壅遏。又况下部药力难
达。非药不对症。遂砭患处。去毒血。仍用前药。一剂顿减。又四剂而消。
一人先腿痛。后又四肢皆痛。游走不定。至夜益甚。服除湿败毒之剂不应。脉滑而涩。
浊血为患。以二陈汤加苍术、羌活、桃仁、红花、牛膝、草乌治之而愈。（活与涩相反，此
云何谓也。）
凡湿痰湿热。或死血流注关节。非辛温之剂。开发腠理。流通隧道。使气行血和。安能
一人腿痛。每痛则痰盛。或作嘈杂。脉滑而数。以二陈汤加升麻、二术、泽泻、羌活、
南星。治之而安。（此凭脉也。）
一人素有香港脚。胁下作痛。发热。头晕。呕吐。腿痹不仁。服消毒护心等药不应。左关
脉紧。右关脉弦。此亦香港脚也。以半夏左经汤治之而愈。
一人脚软肿痛。发热饮冷。大小便秘。右关脉数。乃足阳明经湿热下注也。以大黄左经
汤服而愈。
一人 胫兼膝脚皆 痛。治以加味败毒而愈。
一人两腿痛。脉活而迟。此湿痰所致。以二陈汤加术、黄柏、羌活、泽泻而愈。（此凭
一人两腿肿痛。脉滑而缓。此湿痰所致。先以五苓散加苍术、黄柏二剂少愈。再以二陈
、二术、槟榔、紫苏、羌活、独活、牛膝、黄柏而瘥。（此凭脉也。）
夫湿痰之症。必先以行气利湿健中为主。若中气和。则痰消而湿亦无所容矣。
一妇两腿痛。脉涩而数。此血虚兼湿热。先以苍术、黄柏、知母、龙胆草、茯苓、防风
己、羌活数剂。肿痛渐愈。又以四物加二术、黄柏、牛膝、木瓜、月余而愈。（此凭脉也。）
一人肢节肿痛。脉迟而数。此湿热之症。以荆防败毒散加麻黄二剂。痛减半。以槟榔败
四剂。肿亦除。更以四物汤加二术、牛膝、木瓜数剂而愈。（按脉迟与数相反。迟恐作细。）
一妇人脚胫肿痛。发寒热。脉浮数。此三阳经湿热下注。为患尚在表。用加味败毒散不
乃瘀血凝结。药不能及于患处。砭去瘀血。乃用前药二剂顿退。以当归拈痛汤四剂而愈。
古云香港脚是为壅疾。治当宣通。使气不能成壅也。壅既成而甚者。砭去恶血而去重势。
经云蓄则肿热。砭射之后。以药治之。
一妇两腿痛。遇寒则筋挛。脉弦紧。此寒邪之症。以五积散对四物汤数剂痛止。更以四
物汤加木瓜、牛膝、枳壳。月余而安。
一人腿肿筋挛。不能动履。以交加散二剂而愈。
一妇患腿不能伸屈。遇风寒。痛益甚。诸药不应。甚苦。先以活络丹一丸。顿退。又服
而瘳。次年复痛。仍服一丸。亦退大半。更以独活寄生汤四剂而愈。
一人素有香港脚。又患附骨痈作痛。服活络丹一丸。二症并瘥。
一人素有疝不能愈。因患腿痛。亦用一丸。不惟治腿有效。而疝亦愈矣。
一太安人臂痛数年。二丸而瘥。
一女患惊风甚危。诸医莫救。自用一丸即愈。且不再作。
夫病深伏在内。非此药莫能通达。但近代始云此药引风入骨。如油入面。故后人多不肯
服。大抵有是病。宜用是药。岂可泥于此言。以致难瘥。
一妇两腿作痛。时或走痛。气短自汗。诸药不应。诊其尺脉弦数。此寒湿流注于肾经也
。治以附子六物汤愈。
但人谓附子有毒。多不肯服。若用童便炮制。何患之有。况不常服。何足为虑予中气不
足。以补中益气汤加附子服三年。何常见其有毒。经云有是病用是药。
一妇肢节肿痛。胫足尤甚。时或自汗。或头痛。此大阳经湿热所致。用麻黄左经汤二剂
而愈。（前条脉弦数而病寒湿。恐湿生热故也。）
一妇。血痔。兼腿酸痛似痹。此阴血虚不能养于筋而然。宜先养血为主。遂以加味四斤
丸治之而愈。
一老筋挛骨痛。两腿无力。不能步履。以局方换腿丸治之。
一妇筋挛痹痛。两腿无力。不能步履。以三因胜酸丸治之并愈。
河间云。香港脚由肾虚而生。然妇人亦病香港脚者。乃因血海虚而七情所感。遂成斯疾。血
海虚与男子肾虚类也。男女用药固无异。更当兼治七情。无不效也。
一妇腿痛。兼足胫挛痛。服发散药愈甚。脉弦紧。此肾肝虚弱。风湿内侵也。治以独活
寄生汤痛止。更以神应养真丹而不挛矣。
一人素有腿痛。饮食过伤。痛益甚。倦怠。脉弱。以六君子加山楂、神曲、苍术、芎归
、升麻、柴胡而愈。
一老素善饮。腿常肿痛。脉洪而缓。先以当归拈痛汤。湿热少退。后用六君子加苍术、
黄柏、泽泻而痊。
一人饮食少过。胸满痞闷。或吞酸。两腿作痛。用导引丸二服顿愈。更以六君子汤加神
曲、麦芽、苍术二十余剂。遂不复作而愈。
经云。饮食自倍。肠胃乃伤。是胃气不能施行。脾气不能四布。故下流乘其肝肾之虚。
足肿。加之房事不节。阳虚阴盛。遂成香港脚。亦有内伤饮食。脾胃之气有亏。不能上升。则
下注为香港脚者。宜用东垣开结导引丸。开导引水。运化脾气。如脾气湿气壅遏不通。致面
目发肿或痛者。宜用导滞通经汤以疏导之。
以上十九条乃香港脚症。虽非疮毒。因治有验。故录之。
臀居少腹之后。此阴中之阴。其处下。其道远。其位僻。太阳虽多血。其气少也。气少
行不到。血亦因而少来。中年以后生疽。须预补之。若无积补之功。其祸多在疮成痂后。或
半年乃发。故人多忽略。
一人腿痈。脉症俱弱。亦危症也。治以托里。急使针刺。彼因不从。后脓开泻。淋漓不
能收敛而死。
一人年逾五十。冬患腿痈。脉数。烦躁。饮冷。便秘。肿痛 甚。此热淫于内也。宜用
苦寒之药。投清凉饮。（二六）倍加黄芩。其势顿退。更以四物汤加黄芩而愈。
此条因症因脉而药之也。
一人年三十。连得忧患。作劳好色。左腿外侧廉红肿如粟。医以大府实。与承气两贴下
之。又一医与大黄、朱砂、血竭三贴而脉大实。后果死。此厥阴多气少血经也。
一侍御患臀肿痛。小便不利。彼谓关格。
以艾蒸脐。大便亦不利。治以降火分利药不应。予诊其脉。脓已成。此患痈也。针之出脓数
碗。大便即利。
五日后阴囊肿胀。小便不行。针之尿脓大泄。气息
、归、术大剂犹缓。俾服独参汤至二斤。气稍复
大抵疮疡。脓血大泄。先补气血为主。虽有他病。当从末治。
一人腿痈。脓成。针之出脓二碗许。饮托里药一剂大发热。更用圣愈汤（十七）二剂而止
。翌
汤而平。
一人腿肿。发热恶寒。以补中益气汤治之。彼以为缓。乃服芩、连等药。热愈盛。复请
予治
(Attached: Leg Pain, Huantiao Abscess, Hong Kong Foot [Gouty Arthritis], Heel Abscess, Leg Carbuncle)
If the pulse at the cun position is tight and powerless accompanied by pain, employ the supporting method (Tuo Fa).
If swelling is hard and pain is severe, apply garlic-separated moxibustion, and further administer internal supporting formulas.
If pus does not form but there is pain, prioritize detoxification.
If pus does not form, prioritize internal supporting methods.
If it does not ulcerate or ulcerates but fails to heal, prioritize internal supporting methods.
A patient suffered from a gluteal carbuncle with swelling, hardness, and pain. The chi pulse was floating and tight, but powerless upon deep pressure. After one dose of Neituo Qianghuo Tang (Internal Supporting Notopterygium Decoction), the pain ceased. Four doses of Jinyinhua San (Honeysuckle Powder) were then administered, leading to suppuration and recovery.
Another patient presented with a gluteal carbuncle characterized by severe swelling, hardness, and pain. Garlic-separated moxibustion was applied, followed by two doses of Xianfang Huoming Yin (Immortal Recipe for Life-Saving Decoction), which stopped the pain and reduced the swelling. Subsequently, Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) was administered with added Huangbai (Phellodendron Bark), Cangzhu (Atractylodes Rhizome), and Qianghuo (Notopterygium Rhizome). The abscess head ulcerated, and the patient recovered.
A third patient had a gluteal carbuncle with forming pus and pain. Two doses of Xianfang Huoming Yin stopped the pain. This was followed by Tuoli Xiaodu San, resulting in suppuration and recovery.
One patient suffered from a gluteal carbuncle without suppuration, decreased appetite, and poor desire for food. Liu Junzi Tang (Six Gentlemen Decoction) plus Chuanxiong (Sichuan Lovage Rhizome) and Danggui (Angelica Sinensis) was given first. As diet gradually improved, Tuoli San (Supporting Interior Powder) was administered, leading to suppuration.
Another patient’s gluteal carbuncle ulcerated with clear, thin pus that failed to heal. Douchi Bing Moxibustion (Moxibustion with Fermented Soybean Cake) was applied, and Shiquan Dabu Tang (Complete Great Tonifying Decoction) was drunk. Recovery took over two months.
Generally, when sores fail to suppurate, fail to ulcerate, or fail to heal after ulceration, it is due to deficiency of Qi and Blood. If the pus is clear and thin, the deficiency is even more severe.
A patient with a gluteal carbuncle had continuous pus discharge, gradual muscle emaciation, decreased appetite, and a faintly wiry stomach pulse. Several doses of Liu Junzi Tang added with Huoxiang (Pogostemon Herb) and Danggui improved dietary intake. Shiquan Dabu Tang was then used along with Douchi Bing Moxibustion, leading to recovery after over two months.
A frail patient had a gluteal carbuncle where pus formed but did not ulcerate. Several doses of Shiquan Dabu Tang supported the interior sufficiently to allow needle drainage. Over twenty additional doses led to recovery. The buttocks are located in a remote area where Qi and Blood rarely reach. For elderly or weak patients, tonifying Qi and Blood is essential for recovery.
A patient developed a carbuncle on the medial aspect of the leg. Before suppuration, there was swelling and pain. Two doses of Neituo Huangqi Chaihu Tang (Internal Supporting Astragalus and Bupleurum Decoction) brought slight improvement, and two more doses resolved the swelling.
A patient presented with diffuse gluteal swelling, unchanged skin color, and an active, rapid, yet powerless pulse. Pus was forming internally. The intention was to use interior-supporting medicine to bring it to the surface before needling. The patient desired internal resolution and took attacking/clearing drugs, worsening the deficiency. Upon seeking treatment again, the previous formula was used to support the interior and bring out the pus, followed by needling, and recovery was achieved with great tonification.
When toxin qi has condensed but cannot emerge, only tonifying Qi and Blood should be done to hasten suppuration for drainage. Internal resolution methods should not be discussed. Once pus forms, needling should depend on maturity and depth. Deep pressure causing pain indicates deep pus; light pressure causing pain indicates shallow pus; slight pain indicates no pus yet; immediate rebound indicates pus; lack of rebound indicates no pus. High, soft swelling indicates involvement of blood vessels; low, hard swelling indicates involvement of sinews and bones; unchanged flesh color indicates involvement of bone marrow.
A patient had a carbuncle on the lateral aspect of the leg with diffuse swelling and severe pain. Neituo Huangqi Tang decocted in wine was taken for two doses, bringing slight relief. Several doses of interior-supporting medicine caused ulceration and recovery.
A woman suffered from a chronic leg carbuncle with purple, sunken wound edges and clear, thin pus. I diagnosed this as deficiency. She disbelieved and took toxic-clearing drugs, causing numerous deficiency symptoms to arise. Seeking treatment again, I applied Fuzi Bing Moxibustion (Moxibustion with Aconite Cake) and administered over a hundred doses of Shiquan Dabu Tang, leading to recovery.
Generally, clear pus, failure to heal, or sunken wounds indicate extreme deficiency of Qi and Blood. Great tonification is most appropriate; otherwise, it becomes a defeat syndrome. If other diseases occur simultaneously, cure is difficult.
A patient had an internal rupture of a leg carbuncle. Needling yielded four to five bowls of pus. Symptoms included aversion to cold, fear of eating, and a thread-like pulse, indicating minute Yang Qi. Si Junzi Tang with fried Shengjiang (Dried Ginger) was taken; aversion to cold subsided slightly. After four more doses, it stopped. Liujunzi Tang with Rougui (Cinnamon Bark) was taken for several doses, improving diet. Finally, Shiquan Dabu Tang and Fuzi Bing Moxibustion were used for two months until recovery.
An elderly patient with a leg carbuncle had spontaneous rupture followed by sudden coma and a fine, minute pulse, indicating extreme deficiency of Qi and Blood. Great tonification restored consciousness.
A frail patient with internal rupture of a flowing abscess (Liuzhu) expelled five to six bowls of foul pus and exhibited facial deviation. The pulse was extremely deficient, indicating severe deficiency rather than true stroke. Dushen Tang (Single Ginseng Decoction) with one qian of Fuzi (Aconite Lateral Root) was taken for two doses, followed by great tonifying medicines, leading to recovery in over a month.
Generally, after massive loss of pus and blood, tonifying Qi and Blood must be prioritized. Even if other symptoms exist, they should be treated secondarily. After large ulceration of carbuncles, fever and aversion to cold belong to Qi deficiency. If the left pulse is insufficient, blood-tonifying herbs should exceed Qi-tonifying ones; if the right pulse is insufficient, Qi-tonifying herbs should exceed blood-tonifying ones. Surface-releasing methods must strictly be avoided.
A woman suffered from lower back pain, weak and flaccid legs unable to walk. Renshen Baidu San (Ginseng Resolving Toxins Powder) added with Cangzhu, Huangbai, and Zexie cured her. (This case of leg weakness and flaccidity belongs to Damp-Heat, so treatment was based on symptoms.)
A woman had pain at the Huantiao acupoint with unchanged skin color and a tight, rapid pulse, diagnosed as Agut Ju (Bone-Adhering Abscess). With pus not yet formed, Neituo Huangqi Tang decocted in wine was used, adding Qingpi (Green Tangerine Peel), Longdancao (Gentiana Root), and Shanzhi (Gardenia Fruit). Several doses stopped the pain.
A patient had a leg carbuncle with tendon spasm and pain, and a wiry-tight pulse. Wuji San (Five Accumulations Powder) added with Huangbai, Chaihu, and Cangzhu led to recovery. (Treatment was based on pulse and symptoms for Damp-Heat.)
A woman suffered from chronic Agut Ju with continuous pus, itchy skin, and flaccid limbs. I considered it deficiency and proposed tonification. Confused by wind-disease theories, she took wind-dispelling drugs and died.
Chen Wuyue stated: The human body consists of skin/hair, blood vessels, fascia, muscles, and bone marrow, governed internally by the Heart, Liver, Spleen, Lung, and Kidney. Reckless use of emotions (joy, anger) and labor/rest leads to depletion of essence and blood in the five zang organs, causing weakness in skin, blood, sinews, bones, and muscles, resulting in Wei Syndrome (Flaccidity). Its appearance resembles Roufeng (Soft Wind) and Hong Kong Foot. These latter two are external causes, whereas Wei Syndrome is due to internal insufficiency of the five zang organs.
A patient with Agut Ju had swelling, hardness, fever, bone pain, and tendon spasms with a rapid, deep pulse. Danggui Niangong Tang (Angelica Joint-Pain Relieving Decoction) cured him.
A patient had pain penetrating to the bone near the Huantiao acupoint at the root of the leg, with normal outer skin and a rapid, slippery pulse. This indicated forming pus in Agut Ju. Six doses of interior-supporting medicine caused swelling and pain, with a rapid-slippery pulse indicating mature pus. Needling released about one bowl of pus. Additional tonics led to recovery in over a month.
A patient had a leg carbuncle with diffuse swelling and pain, cold limbs, throat obstruction, and alternating chills and fever. Previous treatments failed because pathogenic factors were depressed in the meridians. Xianglianqiao Tang was taken for one dose, slightly relieving symptoms. Continued administration resulted in two bowel movements, complete resolution of symptoms, and recovery. (Since previous treatments failed, it was treated as depression using aromatic/wood-based herbs.)
A woman had left leg pain preventing extension, with a wiry-tight pulse becoming choppy upon pressure. Wuji San for two doses slightly stopped the pain, and another two doses stopped it completely. Shenyang Yangzhen Dan restored health. (Wiry-tight-choppy pulses indicate Cold, so the pungent-warm nature of Wuji San disperses it.)
A patient had leg pain with slight knee swelling. Superficial pulse was floating; deep pulse was wiry-tight. This was Hexi Feng (Crane Knee Wind). Dafangfeng Tang for two doses relieved it. Some claimed Fuzi is toxic and advised against it, suggesting toxic-resolving drugs instead. The patient wasted away. Upon return, I explained that diet fails to nourish flesh, fluids fail to transform essences, and spirit lacks foundation. Shortness of breath indicates Qi damage; lethargy indicates Spleen Qi deficiency; urinary incontinence indicates Bladder failure to store; occasional heat/epigastric fullness indicates Stomach Qi failing to rise; forgetfulness indicates chaotic Spirit. Without treatment, death would follow. This condition often affects those with deficiency. Xiaoxuming Tang modified and Dafangfeng Tang are effective. Toxic-resolving drugs would be erroneous.
A woman suffered from Hong Kong Foot with intermittent leg swelling, tendon spasms, and abdominal pain. Medications failed, and condition worsened. Texts state Bawei Wan treats Shaoyin Kidney channel, leg/abdominal pain, and asthma. One dose relieved it immediately; subsequent doses cured it. Those with extreme Kidney Jing deficiency often suffer this, where Water overacts on Fire. Urgent administration is required.
A patient had leg pain with tendon spasms and bone pain, wiry-tight pulse. Dafangfeng Tang for six doses improved spasms; two more doses reduced swelling. Occasional internal pain remained, but pulse was no longer wiry-tight, indicating Cold pathogen had left and stagnant turbid matter was preparing to suppurate. Interior-supporting medicine for several doses raised swelling; rapid-slippery pulse confirmed pus. Needling was performed. Shiquan Dabu Tang ensured stability in over a month. (Previous cases showed wiry-tight pulses with tendon/bone pain, indicating Wiry-Tight often governs Cold Pathogens.)
A woman had knee swelling/pain worsening with cold, lasting over a month despite medications. Pulse was wiry-tight, indicating deep-seated Cold. Dafangfeng Tang and Huolong Dan cured it.
Generally, although swelling depth and pathogen severity vary, all result from True Qi deficiency allowing deep invasion. Thus, Agut Ju and Hexi Feng are common in Kidney Deficiency. Ancients used Fuzi to warm and tonify Kidney Qi and promote herb action to dispel Cold. Weak individuals exposed to cold air may develop this condition with immobility, intermittent heat without sweat, and bone-pain upon pressure. If unresolved, Extreme Yin generates Yang, transforming Cold into Heat and ulcerating. If severely injured by thief-wind, local heat is mild with aversion to cold and sweating; moxibustion relieves pain. Dafangfeng Tang and Huolong Gao are required. Contracture, hemiplegia, and stone-hard lumps are called Shi Ju (Stone Abscess). Slow-healing, non-ulcerating red-purple rotting flesh is called Huan Ju (Slow Abscess). All stages benefit from the aforementioned decoctions to dispel Cold and tonify deficiency/support interior.
A patient had red, swollen, painful right leg with a deep-rapid pulse. Danggui Niangong Tang was used, but limb pain increased. This indicated Damp-Toxin stagnation, exacerbated by difficulty reaching lower body parts. It was not incorrect prescription. Phlebotomy removed toxic blood. The previous medicine was resumed, reducing symptoms significantly in one dose and resolving them in four.
A patient initially had leg pain, then generalized wandering pain worsening at night. Damp-resolving/toxic-clearing drugs failed. Pulse was slippery and choppy, indicating turbid blood pathology. Erchen Tang added with Cangzhu, Qianghuo, Taoren, Honghua, Niuxi, and Caowu cured him. (Slipperiness and choppy nature seem contradictory; why?)
For Damp-Phlegm, Damp-Heat, or dead blood flowing into joints, only pungent-warm agents can open pores, unblock tunnels, move Qi, and harmonize Blood.
A patient with leg pain experienced increased phlegm and gastric discomfort during attacks. Pulse was slippery-rapid. Erchen Tang added with Shengma, Er Zhu, Zexie, Qianghuo, and Nanxing brought peace. (Diagnosis based on pulse.)
A patient with chronic Hong Kong Foot had hypochondriac pain, fever, dizziness, vomiting, and leg numbness. Detoxifying/heart-protecting drugs failed. Left Guan pulse was tight; Right Guan pulse was wiry. This was also Hong Kong Foot. Banxia Zuojing Tang cured him.
A patient had soft, swollen, painful feet, fever, craving cold drinks, and constipation. Right Guan pulse was rapid, indicating Damp-Heat pouring down the Foot-Yangming Channel. Dahuang Zuojing Tang cured him.
A patient had shin, knee, and foot pain. Jiawei Baidu San cured him.
A patient had bilateral leg pain with active-slow pulse, indicating Damp-Phlegm. Erchen Tang added with Zhu, Huangbai, Qianghuo, and Zexie cured him. (Based on pulse.)
A patient had bilateral leg swelling/pain with slippery-slow pulse, indicating Damp-Phlegm. Wuling San added with Cangzhu and Huangbai for two doses brought slight improvement. Erchen Tang added with Er Zhu, Binglang, Zisu, Qianghuo, Duhuo, Niuxi, and Huangbai cured him. (Based on pulse.)
For Damp-Phlegm syndromes, moving Qi, promoting diuresis, and strengthening the Middle must come first. If Middle Qi harmonizes, Phlegm dissipates and Dampness has no place to reside.
A woman had bilateral leg pain with choppy-rapid pulse, indicating Blood Deficiency combined with Damp-Heat. Cangzhu, Huangbai, Zhimu, Longdancao, Fuling, Fangfeng, Jiangcan, and Qianghuo for several doses reduced swelling/pain. Siwu Tang added with Er Zhu, Huangbai, Niuxi, and Mugua cured her in over a month. (Based on pulse.)
A patient had joint swelling/pain with slow-rapid pulse, indicating Damp-Heat. Jingfang Baidu San added with Mahuang for two doses halved pain. Binglang Baidu San for four doses removed swelling. Siwu Tang added with Er Zhu, Niuxi, and Mugua cured him. (Slow and rapid pulses are contradictory; 'slow' might be a typo for 'fine'.)
A woman had calf swelling/pain, chills/fever, and floating-rapid pulse, indicating Damp-Heat pouring down the Three Yang channels. Pathogen was still in the exterior. Jiawei Baidu San failed because of blood stasis condensation preventing drug efficacy. Phlebotomy removed stasis. Previous medicine for two doses relieved symptoms rapidly. Danggui Niangong Tang for four doses cured her.
Ancient texts state Hong Kong Foot is a stagnation disease; treatment must promote circulation to prevent stagnation. Severe stagnation requires phlebotomy to remove bad blood and reduce severity. Classics say accumulation causes swelling/heat; after phlebotomy, medicinal treatment follows.
A woman had bilateral leg pain with tendon spasms upon cold exposure and wiry-tight pulse, indicating Cold Pathogen. Wuji San combined with Siwu Tang for several doses stopped pain. Siwu Tang added with Mugua, Niuxi, and Zhike cured her in over a month.
A patient had leg swelling and tendon spasms preventing movement. Jiajiao San for two doses cured him.
A woman had leg inability to flex/extend, worsening pain with wind-cold. Medications failed. Huoluo Dan one pill provided immediate relief. Recurrence next year responded to one pill. Duohuo Jisheng Tang for four doses cured her.
A patient with chronic Hong Kong Foot and Agut Ju pain recovered both conditions with one pill of Huoluo Dan.
A patient with chronic hernia and leg pain recovered both with one pill.
A Tai Anren suffered arm pain for years; two pills cured her.
A girl with critical convulsions, untreatable by others, recovered immediately with one pill and did not relapse.
Diseases deeply embedded internally require this medicine for penetration. Recently, some claim it draws wind into bones like oil into flour, causing reluctance. However, if the disease exists, the corresponding medicine should be used. Clinging to such words hinders cure.
A woman had wandering leg pain, shortness of breath, and spontaneous sweating. Chi pulse was wiry-rapid, indicating Cold-Damp flowing into the Kidney channel. Fuzi Liuwu Tang cured her.
People fear Fuzi toxicity. However, processed with child's urine, what harm is there? Infrequent use poses little risk. I took Buzhong Yiqi Tang with Fuzi for three years for Middle Qi deficiency without toxicity issues. Classics state: treat the disease with the appropriate medicine.
A woman had joint swelling/pain, worse in calves/feet, with sweating/headache, indicating Damp-Heat in the Taiyang channel. Mahuang Zuojing Tang for two doses cured her. (Previous case had wiry-rapid pulse with Cold-Damp; perhaps Damp generated Heat.)
A woman with hemorrhoids and leg soreness resembling bi-syndrome suffered from Yin Blood Deficiency failing to nourish sinews. Blood tonification was primary. Jiawei Sijin Wan cured her.
An elderly man with tendon spasms, bone pain, and leg weakness used Jufang Huantuan Wan.
A woman with tendon spasms, bi-pain, and leg weakness used Sanyin Shengsuan Wan.
Hejian stated Hong Kong Foot arises from Kidney Deficiency. Women also suffer it due to Blood Sea Deficiency and Seven Emotions. Blood Sea Deficiency parallels Male Kidney Deficiency. Medication is similar, but treating Seven Emotions is also necessary for efficacy.
A woman with leg pain and calf spasms worsened by releasing drugs had a wiry-tight pulse, indicating Kidney/Liver weakness with internal Wind-Damp invasion. Duohuo Jisheng Tang stopped pain; Shenyang Yangzhen Dan prevented spasms.
A patient with chronic leg pain worsened by overeating, fatigue, and weak pulse recovered with Liujunzi Tang added with Shanzha, Shenqu, Cangzhu, Xiong Gui, Shengma, and Chaihu.
An elderly drinker with frequent leg swelling/pain and surging-slow pulse improved with Danggui Niangong Tang. Later, Liujunzi Tang added with Cangzhu, Huangbai, and Zexie cured him.
A patient with slight dietary excess had chest fullness, acid regurgitation, and leg pain. Daoyin Wan cured him quickly. Liujunzi Tang added with Shenqu, Maiya, and Cangzhu for over twenty doses prevented recurrence.
Classics state: Doubling food intake injures intestines/stomach. Stomach Qi fails to circulate; Spleen Qi fails to distribute. Downward flow exploits Liver/Kidney deficiency, causing leg swelling. Irregular sexual activity leads to Yang Deficiency and Yin Excess, causing Hong Kong Foot. Internal injury from diet causing Spleen/Stomach Qi deficiency prevents upward movement, leading to downward pouring. Dongyuan's Kaijie Daoyin Wan opens knots and guides water, transforming Spleen Qi. If Spleen Dampness blocks causing facial swelling/pain, Daozhi Tongjing Tang guides and unblocks.
The above nineteen cases concern Hong Kong Foot. Though not sores/toxins, they are recorded due to successful treatment.
The buttocks are posterior to the lower abdomen, Yin within Yin, low, distant, and remote. Taiyang has much blood but little Qi. Little Qi reaches there, so Blood also arrives sparingly. Abscesses appearing after middle age require preventive tonification. Without accumulated tonification, disaster often occurs after scabbing or half a year later, leading to neglect.
A patient with leg carbuncle had weak pulse/symptoms, a critical sign. Treatment focused on supporting interior and urgent needling. Patient refused. Pus drained continuously, failed to heal, and patient died.
A patient over fifty suffered winter leg carbuncle with rapid pulse, irritability, craving cold, constipation, and severe swelling/pain. Heat rampant internally required bitter-cold medicine. Qingliang Yin with doubled Huangqin rapidly reduced severity. Siwu Tang added with Huangqin cured him.
Medication was based on symptoms and pulse.
A thirty-year-old patient suffering worry, labor, and lust developed millet-grain-sized red swelling on the lateral left leg. A physician diagnosed Fu Organ Excess and used Chengqi Tang twice to purge. Another physician gave Dahuang, Zhusha, and Xuemei for three doses, making pulse excessively excess. Patient died. This is the Jueyin channel, abundant in Qi but scarce in Blood.
A official suffered gluteal swelling/pain and dysuria, suspecting Guange (Obstruction/Reversal). Moxibustion on navel did not help bowels. Fire-clearing/diuretic drugs failed. Pulse indicated mature pus. Needling released several bowls of pus; bowels opened immediately.
Five days later, scrotal swelling and urinary retention occurred. Needling released urine and pus. Breath was weak. Large doses of Renshen, Danggui, Baizhu were too slow. Dushen Tang up to two jin restored Qi slightly.
Generally, for sores with massive pus/blood loss, tonifying Qi/Blood is primary. Other diseases are secondary.
A patient with leg carbuncle had mature pus drained (two bowls). One dose of interior-supporting medicine caused high fever. Shengyu Tang for two doses stopped fever. Next day... [text incomplete] ...ping (peaceful).
A patient with leg swelling, fever, and aversion to cold was treated with Buzhong Yiqi Tang. Patient thought it too slow, took Huangqin/Huanglian, worsening heat. Sought treatment again.