用四物汤加∶
人参 白术 茯苓 陈皮 半夏 桂枝 柴胡 羌活 防风 秦艽 牛膝 炙草 姜
枣
凡麻木是湿痰死血也，用四物汤加∶陈皮、半夏、茯苓、桃仁、红花、白芥子、甘草，
水煎
用导气汤∶
黄 （二钱） 甘草（一钱半） 青皮（一钱） 升麻（五分） 柴胡（五分） 五味
子（三十粒） 归
甚效。
治两手麻木，四肢困倦，怠惰嗜卧。〔此〕乃热伤元气也，宜用人参益气汤∶
人参（一钱） 黄 （二钱） 甘草（一钱） 炙草（五分） 五味子（三十粒） 柴
胡（七分） 白芍（七分） 升 麻（五分） 姜（三片） 枣（二枚） 水煎热服。
治浑身麻木不仁，及两目羞明怕日，眼涩难开，视化昏花；睛痛亦治。方名神效黄 汤∶
黄 （一钱） 陈皮（五分） 人参（八分） 白芍（一钱） 蔓荆子（二分） 炙甘
草（四
如有热，加黄柏（三分）。
左胁痛，肝经受邪也。方用∶
黄连（三钱，吴茱萸炒） 柴胡（一钱） 当归（一钱） 青皮（一钱） 桃仁（一钱，
研） 枳壳（
有痰加陈皮、半夏。
右胁痛，邪入肺经也。方用；
片姜黄（二钱） 枳壳（二钱） 桂心（少许） 陈皮（五分） 半夏（五分） 炙草
（五分） 水煎服
Use Siwu Tang (Four Substances Decoction) with the following additions:
Renshen (Ginseng Radix), Baizhu (Atractylodis Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Guizhi (Cinnamomi Ramulus), Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Qinjiao (Gentianae Macrophyllae Radix), Niuxi (Achyranthis Bidentatae Radix), Zhigancao (Prepared Licorice Root), Shengjiang (Zingiberis Rhizoma Recens), Zao (Jujubae Fructus).
Numbness is generally caused by damp-phlegm and dead blood (stasis). Use Siwu Tang (Four Substances Decoction) with the following additions: Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Taoren (Persicae Semen), Honghua (Carthami Flos), Baijiezi (Sinapis Semen), Gancao (Licorice Root). Decoct in water.
Use Daoqi Tang (Guiding Qi Decoction):
Huangqi (Astragali Radix) (2 qian), Gancao (Licorice Root) (1.5 qian), Qingpi (Aurantii Fructus Immaturus Pericarpium) (1 qian), Shengma (Cimicifugae Rhizoma) (0.5 qian), Chaihu (Bupleuri Radix) (0.5 qian), Wuweizi (Schisandrae Chinensis Fructus) (30 grains), Danggui (Angelicae Sinensis Radix).
Highly effective.
Treat numbness in both hands, fatigue and heaviness in the four limbs, lethargy, and a desire to sleep. [This] is due to heat damaging the Yuan Qi (Original Qi). It is appropriate to use Renshen Yiqi Tang (Ginseng Qi-Boosting Decoction):
Renshen (Ginseng Radix) (1 qian), Huangqi (Astragali Radix) (2 qian), Gancao (Licorice Root) (1 qian), Zhigancao (Prepared Licorice Root) (0.5 qian), Wuweizi (Schisandrae Chinensis Fructus) (30 grains), Chaihu (Bupleuri Radix) (0.7 qian), Baishao (Paeoniae Radix Alba) (0.7 qian), Shengma (Cimicifugae Rhizoma) (0.5 qian), Shengjiang (Zingiberis Rhizoma Recens) (3 slices), Zao (Jujubae Fructus) (2 pieces). Decoct in water and take hot.
Treat whole-body numbness and loss of sensation, as well as photophobia (aversion to light) in both eyes, dry and difficult-to-open eyes, and blurred vision; it also treats eye pain. The formula is named Shenxiao Huangqi Tang (Miraculous Efficacy Astragalus Decoction):
Huangqi (Astragali Radix) (1 qian), Chenpi (Citri Reticulatae Pericarpium) (0.5 qian), Renshen (Ginseng Radix) (0.8 qian), Baishao (Paeoniae Radix Alba) (1 qian), Manjingzi (Viticis Mume Fructus) (0.2 qian), Zhigancao (Prepared Licorice Root) (0.4 qian).
If there is heat, add Huangbai (Phellodendri Cortex) (0.3 qian).
Left hypochondriac pain indicates pathogenic invasion of the Liver Meridian. Use the following formula:
Huanglian (Coptidis Rhizoma) (3 qian, stir-fried with Evodiae Fructus), Chaihu (Bupleuri Radix) (1 qian), Danggui (Angelicae Sinensis Radix) (1 qian), Qingpi (Aurantii Fructus Immaturus Pericarpium) (1 qian), Taoren (Persicae Semen) (1 qian, crushed), Zhike (Aurantii Fructus) (dosage missing in original text).
Add Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma) if there is phlegm.
Right hypochondriac pain indicates pathogenic invasion of the Lung Meridian. Use the following formula:
Pian Jianghuang (Curcumae Longae Rhizoma) (2 qian), Zhike (Aurantii Fructus) (2 qian), Guixin (Cinnamomi Cortex) (a small amount), Chenpi (Citri Reticulatae Pericarpium) (0.5 qian), Banxia (Pinelliae Rhizoma) (0.5 qian), Zhigancao (Prepared Licorice Root) (0.5 qian). Decoct in water and take.