夫伤寒毒瓦斯攻手足者。由热毒从内出。循经络攻于手足故也。人五脏六腑并荣俞。皆出
于手足指。故毒从脏腑而出也。
治伤寒。毒瓦斯攻手足。肿满疼痛。心神烦闷。宜服连翘散方。
连翘（一两） 川大黄（半两锉碎微炒） 当归（一两） 木香（半两） 麦门冬（一
两去心）
防风
壳（半
两麸
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒。毒瓦斯攻四肢虚肿。宜服此方。
泽泻（三分） 半夏（半两汤洗七遍去滑） 柴胡（三分去苗） 甜葶苈（三分隔纸炒
令紫色）
甘草（半两炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治伤寒。发歇寒热。唇口干焦。毒瓦斯攻四肢浮肿。宜服细辛散方。
细辛（一两） 芎 （一两） 赤茯苓（一两半） 桑根白皮（二两锉） 麦门冬（一
两半去心）
甘草（三分炙微赤锉） 郁李仁（一两汤浸去皮尖微炒）
上件药。捣筛为散。每服五钱。以水一中（大）盏。煎至五分。去滓。不计时候温服。
治伤寒。毒瓦斯攻手足虚肿。宜贴膏方。
黄丹（半两） 蜡（三两） 松脂（一两） 乳香（一分） 麝香（一分） 麻油（一
两）
上件药。各别研为末。以瓷器内。先炼松脂并油。次下蜡及黄丹香等。慢火煎。少时候
冷。摊于绢上。贴肿处。一切肿毒并宜用之。
又方。
清油（一合） 蜡（半两） 盐花（一合）
上件药。以瓷器中。先炼油熟。次下蜡并盐花。用文武火煎成膏。贴于肿处。
治伤寒。毒瓦斯攻手足。虚肿疼痛。宜用此方。
赤马通（一升）
上以水一斗五升。煮取一斗。绞取汁。看冷热。以渍手足。
又方。
羊粪末（一两） 炼成猪脂（二两）
上件药。相和令匀。用涂肿处。
又方。
虎杖（半斤）
上药细锉。以水一斗五升。煎至一斗。去滓。看冷热。以渍手足。
又方。
苦参（半斤）
上药细锉。以水一斗。煎五七沸。去滓。看冷热。渍手足。
治伤寒毒瓦斯攻手足。及身体虚肿。宜服此方。
豉（五合）
治伤寒。毒瓦斯攻手足肿方。
猪蹄（一具） 葱白兼须（十茎）
上件药。以水五升。煮令猪蹄熟。去滓。入盐二钱。看冷热渍肿处。
治伤寒毒瓦斯攻手足虚肿。及疼痛欲脱方。
豉（一升） 猪肉（一斤）
上以水一斗。煮令肉熟。去滓。看冷热。用渍手足。
又方。
黄柏〔一（二）斤细锉〕
上以水一斗五升。煎五七沸。去滓。看冷热。用渍手足。
又方。
猪肉（一斤） 桃叶（一斤）
上以水一斗五升。煮令肉熟。去滓。看冷热。用渍手足。
又方。
苍耳苗绞取汁。以渍手足。
又方。
稻穣烧灰淋汁渍。
Conditions where the toxic qi of Cold Damage (Shanghan) attacks the hands and feet are caused by heat-toxin emerging from within and following the meridians to attack the extremities. The five zang organs, six fu organs, as well as Ying (Nutrient) and Shu (Transporting) acupoints all connect to the fingers and toes; thus, the toxin originates from the internal organs.
For treating Cold Damage where toxic qi attacks the hands and feet, causing swelling, fullness, pain, and mental restlessness, Lianqiao San (Forsythia Powder) is indicated.
Lianqiao (Forsythiae Fructus, 连翘) (1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 川大黄) (0.5 liang, sliced and lightly stir-fried), Danggui (Angelicae Sinensis Radix, 当归) (1 liang), Muxiang (Aucklandiae Radix, 木香) (0.5 liang), Maimendong (Ophiopogonis Radix, 麦门冬) (1 liang, heart removed).
Fangfeng (Saposhnikoviae Radix, 防风) [Note: Text fragment "Ke" likely refers to processing or part, standard is root].
Qufu (Half liang, bran-fried).
Crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhen (medium cup) of water until reduced to 6 fen. Strain and take warm at any time.
For treating Cold Damage where toxic qi attacks the four limbs causing deficiency-type swelling, this formula is indicated.
Zexie (Alismatis Rhizoma, 泽泻) (3 fen), Banxia (Pinelliae Rhizoma, 半夏) (0.5 liang, washed seven times in hot water to remove slipperiness), Chaihu (Bupleuri Radix, 柴胡) (3 fen, radix removed), Tiantingli (Descurainiae Semen, 甜葶苈) (3 fen, fried between papers until purple).
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (0.5 liang, honey-fried until slightly red and sliced).
Crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhen of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens, 生姜) and three Zao (Jujubae Fructus, 枣). Reduce to 6 fen, strain, and take warm at any time.
For treating Cold Damage with alternating chills and fever, dry and cracked lips, and toxic qi attacking the four limbs causing edema, Xixin San (Asari Powder) is indicated.
Xixin (Asari Radix et Rhizoma, 细辛) (1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 川芎) (1 liang), Chi Fuling (Poria Cocos with Red Host, 赤茯苓) (1.5 liang), Sangbaipí (Mori Cortex, 桑根白皮) (2 liang, sliced), Maimendong (Ophiopogonis Radix, 麦门冬) (1.5 liang, heart removed).
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (3 fen, honey-fried until slightly red and sliced), Yuliren (Prunus japonica seed, 郁李仁) (1 liang, soaked in water, skin and tip removed, lightly stir-fried).
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one large zhongzhen of water until reduced to 5 fen. Strain and take warm at any time.
For treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling, an external plaster is indicated.
Huandan (Lithargyrum, 黄丹) (0.5 liang), La (Beeswax, 蜡) (3 liang), Songzhi (Pini Resin, 松脂) (1 liang), Ruxiang (Boswelliae Resin, 乳香) (1 fen), Muxiang (Moschus, 麝香) (1 fen), Mayou (Semen Cannabis Oil, 麻油) (1 liang).
Grind each herb separately into powder. In a porcelain vessel, first melt the Songzhi and oil. Then add La, Huandan, and the aromatic powders. Simmer over low heat. When slightly cool, spread onto silk cloth and apply to the swollen area. This is suitable for all types of swelling and toxicity.
Another prescription.
Qingyou (Clarified Sesame Oil, 清油) (1 he), La (Beeswax, 蜡) (0.5 liang), Yanhua (Salt Flower, 盐花) (1 he).
In a porcelain vessel, first refine the oil until cooked. Then add La and Yanhua. Fry using moderate fire until it becomes a paste. Apply to the swollen area.
For treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling and pain, use this method.
Chima Tong (Horse Dung, 赤马通) (1 sheng).
Decoct with 15 dou of water until reduced to 10 dou. Strain to obtain the juice. Check the temperature and soak the hands and feet.
Another prescription.
Yangfen Mo (Goat Manure Powder, 羊粪末) (1 liang), Lian Cheng Zhuzhi (Refined Pig Fat, 炼成猪脂) (2 liang).
Mix evenly and apply to the swollen area.
Another prescription.
Huzhang (Polygoni Cuspidati Rhizoma et Radix, 虎杖) (0.5 jin).
Slice finely, decoct with 15 dou of water until reduced to 10 dou. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Kushen (Sophorae Flavescentis Radix, 苦参) (0.5 jin).
Slice finely, decoct with 10 dou of water for five to seven boils. Strain. Check the temperature and soak the hands and feet.
For treating Cold Damage where toxic qi attacks the hands and feet, as well as body-wide deficiency-type swelling, this formula is indicated.
Chi Dou (Prepared Soybean, 豉) (5 he).
Formula for treating Cold Damage where toxic qi attacks the hands and feet causing swelling.
Zhuti (Porcinis Pes, 猪蹄) (one piece), Congbai Jian Xu (Scallion White including roots, 葱白兼须) (ten stalks).
Decoct with 5 sheng of water until the pig trotter is cooked. Strain. Add 2 qian of salt. Check the temperature and soak the swollen area.
Formula for treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling and severe pain threatening detachment.
Chi Dou (Prepared Soybean, 豉) (1 sheng), Zhu Rou (Porcine Meat, 猪肉) (1 jin).
Decoct with 10 dou of water until the meat is cooked. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Huangbai (Phellodendri Cortex, 黄柏) [1 or 2 jin, sliced finely].
Decoct with 15 dou of water for five to seven boils. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Zhu Rou (Porcine Meat, 猪肉) (1 jin), Tao Ye (Peach Leaf, 桃叶) (1 jin).
Decoct with 15 dou of water until the meat is cooked. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Canger Miao (Xanthii Herba, 苍耳苗) - extract juice and soak the hands and feet.
Another prescription.
Dao Rang (Rice Straw, 稻穣) - burn to ash, leach with water, and soak.