夫风寒湿三气合为痹病也。在于阴则其人筋骨痿枯。身体急痛。此为痿痹之病。皆愁思
所致
治虚劳痿痹。四肢不收。不能俯仰。两肩中疼痛。身重筋急。体如刀刺。身不能自
任。此皆
消弱。令人不
斛散方。
石斛（一两半去根） 萆 （一两锉） 柏子仁（三分） 石龙芮（三分） 泽泻（三
分） 附子
（一
云
母粉
三宿曝干
别捣
上件药。捣细罗为散。每于食前。以暖酒调下二钱。忌生冷油腻牛肉。
治虚劳痿痹不遂。筋脉急痛。宜服抽风独活散方。
独活（一两） 人参（一两去芦头） 附子〔二（一）两半炮裂去皮脐〕 薏苡仁（一
两） 桂
心
山茱萸（三
分）
（一两去苗） 芎
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治虚劳痿痹。肢节疼痛或偏枯。或腰痛。挛急。宜服桑寄生散方。
桑寄生（一两） 白芍药（三分） 独活（三分） 熟干地黄（一两） 杜仲（一两去
粗皮炙微
黄锉）
茯苓
（一两）
归（三
分） 桂
上件药。捣粗罗为散。每服四钱。以水酒各半中盏。煎至六分。去滓。每于食前温服。
治虚劳痿痹。肢节疼痛。宜服羌活散方。
羌活（一两） 甘菊花（半两） 白茯苓（三分） 白蒺藜（半两微炒去刺） 当归（三
分） 牛
膝（
头） 枳
壳
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治虚劳痿痹少气。筋挛。关节疼痛。难以屈伸。不能行。精寒目瞑。阳气恒弱。腹
中不调。
子（一两） 酸枣仁（一两微炒） 大豆卷（一两微炒） 薏苡仁（一两） 甘菊
花（半两）
秦
两） 阿
胶
上件药。捣细罗为散。每服。食前以温酒调下二钱。
治虚劳痿痹。手足厥冷。精气虚乏。骨节疼痛。头眩。吐逆。腰脊强直。服之令人
体骨丰盛
白茯苓（一两） 牡荆子（半两） 天雄（一两炮裂去皮脐） 黄 （一两锉） 肉苁
蓉（一两
酒浸
丝子
（一两
茱萸
（一两）
皮脐）
天门冬（一
归（三分）
甘草（半
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以温酒下三十丸。
治虚劳痿痹。百节沉重。四肢不举。食饮渐少。羸瘦乏力。宜服补肾丸方。
熟干地黄（一两） 巴戟（三分） 黄 （三分锉） 石斛（一两去根锉） 人参（三
分去芦头）
白
菟丝子
（一
子
（一两
分）
麦门
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
忌生
治虚劳痿痹。四肢挛急。肌体枯瘦。宜服石斛丸方。
石斛（一两去根锉） 熟干地黄（三分） 麦门冬（一两半去心焙） 五味子（半两） 牛
膝
（一两
芎
（三分
草（半两炙
微赤锉）
芍药（半
两） 白
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
忌生
治虚劳痿痹。四肢不举。头目昏重。不能饮食。身体乏力。疼痛。宜服牛膝丸方。
牛膝（一两去苗） 黄 （三分锉） 侧子（一两炮裂去皮脐） 羌活（一两） 人参
（一两去
芦头）
芦头）
芎
加皮（一
两）
两锉）
茵芋（
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以暖酒下三十丸。
治虚劳痿痹。腰脚不遂。头昏目暗。心烦健忘。身体沉重。羌活丸方。
羌活（一两） 茯神（一两） 五加皮（一两） 鹿茸（一两半去毛涂酥炙微黄） 防
风（三分
去芦
心（一
两）
茱萸
（一两
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以暖酒下三十丸。
治虚劳痿痹。腰脚不遂。骨节酸疼。筋脉拘急。宜服萆 丸方。
萆 （一两锉） 牛膝（一两去苗） 杜仲（一两去粗皮炙微黄锉） 酸枣仁（一两微
炒） 当
归（
两） 丹
参
（一两） 石
斛
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以暖酒下三十丸。
Bi syndrome (Bi Syndrome) is formed by the combination of Wind-Cold-Dampness pathogenic factors. When these pathogens invade the Yin aspect, the patient experiences flaccidity and withering of the sinews and bones, along with stiffness and pain in the body. This condition is referred to as Wei-Bi syndrome (Flaccidity and Bi Syndrome), often caused by excessive worry and overthinking.
Treatment for deficiency exhaustion leading to Wei-Bi syndrome, characterized by inability to control the four limbs, difficulty in bending and stretching the body, pain in the middle of both shoulders, heaviness of the body, stiffness of the sinews, a sensation of knife-like stabbing pain, and inability to support one's own body weight. These symptoms are all due to the depletion and weakening of Qi and Blood.
**Shihu San Powder:**
* *Dendrobii Caulis* (Shihu, 石斛) - 1 liang 1/2, roots removed
* *Smilacis Glabrae Rhizoma* (Bixie, 萆薢) - 1 liang, crushed
* *Platyclapi Semen* (Baiziren, 柏子仁) - 3 fen
* *Verbenae Fructus* (Shilongrui, 石龙芮) - 3 fen
* *Alismatis Rhizoma* (Zexie, 泽泻) - 3 fen
* *Aconiti Lateralis Radix Praeparata* (Fuzi, 附子) - 1 piece, processed, skin and lateral roots removed
* *Lapis Molybdaenitis* (Yunmufen, 云母粉) - 3 qian, sun-dried for three nights, separately pounded
The above ingredients are finely pounded and passed through a fine sieve to make a powder. Before meals, take 2 qian mixed with warm wine. Avoid cold, raw, greasy foods, and beef.
**Choufeng Duhuo San Powder:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome with non-movement of limbs, stiffness and pain in sinews and vessels.
* *Angelicae Pubescentis Radix* (Duhuo, 独活) - 1 liang
* *Ginseng Radix* (Renshen, 人参) - 1 liang, radix abortus removed
* *Aconiti Lateralis Radix Praeparata* (Fuzi, 附子) - 2 liang 1/2, processed, skin and lateral roots removed
* *Coicis Semen* (Yiyiren, 薏苡仁) - 1 liang
* *Cinnamomi Ramulus* (Guixin, 桂心) - 1 liang, buds removed
* *Corni Fructus* (Shanzhuyu, 山茱萸) - 3 fen
* *Chuanxiong Rhizoma* (Chuanxiong, 川芎) - 1 liang
The above ingredients are coarsely pounded and sieved. Take 3 qian per dose. Add 1 zhong of water and 1/2 ban of fresh ginger, decoct until 6 fen remains, filter dregs. Take at any time.
**Sangjisheng San Powder:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, pain in joints or hemiplegia, lower back pain, and tendon spasms.
* *Taxilli Herba* (Sangjisheng, 桑寄生) - 1 liang
* *Paeoniae Radix Alba* (Baishaoyao, 白芍药) - 3 fen
* *Angelicae Pubescentis Radix* (Duhuo, 独活) - 3 fen
* *Rehmanniae Radix Praeparata* (Shudihuang, 熟干地黄) - 1 liang
* *Eucommiae Cortex* (Duzhong, 杜仲) - 1 liang, coarse bark removed, stir-fried until slightly yellow, crushed
* *Poria* (Fuling, 茯苓) - 1 liang
* *Angelicae Sinensis Radix* (Danggui, 当归) - 3 fen
* *Cinnamomi Ramulus* (Guixin, 桂心) - 1 liang
The above ingredients are coarsely pounded and sieved. Take 4 qian per dose. Decoct with half a zhong of water and half a zhong of wine until 6 fen remains, filter dregs. Take warm before meals.
**Qianghuo San Powder:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome and joint pain.
* *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活) - 1 liang
* *Chrysanthemi Flos* (Ganjuhua, 甘菊花) - 1/2 liang
* *Poria* (Baifuling, 白茯苓) - 3 fen
* *Tribuli Fructus* (Bajili, 白蒺藜) - 1/2 liang, lightly stir-fried, spines removed
* *Angelicae Sinensis Radix* (Danggui, 当归) - 3 fen
* *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) - 1 liang, buds removed
* *Aurantii Fructus Immaturus* (Zhike, 枳壳) - 1 liang, bran-fried, placenta removed
The above ingredients are coarsely pounded and sieved. Take 3 qian per dose. Decoct with 1 zhong of water until 6 fen remains, filter dregs. Take warm before meals.
[Formula Name Missing in Source]:
Indicated for deficiency exhaustion leading to Wei-Bi syndrome with shortness of breath, tendon spasms, joint pain, difficulty in flexion and extension, inability to walk, cold essence, blurred vision, constant weakness of Yang Qi, and abdominal irregularity.
* *Dodder Seed* (Tusizi, 菟丝子) - 1 liang
* *Zizyphi Semen* (Suanzao Ren, 酸枣仁) - 1 liang, lightly stir-fried
* *Sojae Preparata* (Dadoujuan, 大豆卷) - 1 liang, lightly stir-fried
* *Coicis Semen* (Yiyiren, 薏苡仁) - 1 liang
* *Chrysanthemi Flos* (Ganjuhua, 甘菊花) - 1/2 liang
* *Gentianae Macrophyllae Radix* (Qinjiao, 秦艽) - 1 liang
* *Colla Corii Asini* (Ejiao, 阿胶) - 1 liang, crushed, stir-fried until yellow and dry
The above ingredients are finely pounded and sieved. Take 2 qian mixed with warm wine before meals.
[Formula Name Missing in Source]:
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, cold extremities, deficiency of essence and Qi, bone and joint pain, vertigo, vomiting, and stiffness of the waist and spine. Taking this will enrich the body's bones and muscles.
* *Poria* (Baifuling, 白茯苓) - 1 liang
* *Vitexis Fructus* (Mojingzi, 牡荆子) - 1/2 liang
* *Aconiti Kusnezoffii Radix* (Tianxiong, 天雄) - 1 liang, processed, skin and lateral roots removed
* *Astragali Radix* (Huangqi, 黄芪) - 1 liang, crushed
* *Cynomorii Herba* (Roucongrong, 肉苁蓉) - 1 liang, soaked in wine, scraped clean, dried
* *Dodder Seed* (Tusizi, 菟丝子) - 1 liang, soaked in wine, separately pounded
* *Corni Fructus* (Shanzhuyu, 山茱萸) - 1 liang
* *Asparagi Radix* (Tianmendong, 天门冬) - 1 liang, heart removed, baked
* *Angelicae Sinensis Radix* (Danggui, 当归) - 3 fen
* *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) - 1/2 liang, stir-fried until slightly red, crushed
The above ingredients are pounded into powder, mixed with refined honey, and made into pills the size of paulownia seeds. Take 30 pills with warm wine before meals.
**Bushen Wan Pill:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, heaviness in all joints, inability to lift limbs, gradual decrease in food intake, emaciation, and fatigue.
* *Rehmanniae Radix Praeparata* (Shudihuang, 熟干地黄) - 1 liang
* *Morinda Officinalis Radix* (Baji, 巴戟) - 3 fen
* *Astragali Radix* (Huangqi, 黄芪) - 3 fen, crushed
* *Dendrobii Caulis* (Shihu, 石斛) - 1 liang, roots removed, crushed
* *Ginseng Radix* (Renshen, 人参) - 3 fen, radix abortus removed
* *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) - 1 liang
* *Dodder Seed* (Tusizi, 菟丝子) - 1 liang, soaked in wine, separately pounded
* *Schisandrae Fructus* (Wuweizi, 五味子) - 1 liang
* *Ophiopogonis Radix* (Maimendong, 麦门冬) - 1 liang, heart removed, baked
The above ingredients are pounded into powder, mixed with refined honey, and pounded 500-700 times to make pills the size of paulownia seeds. Take 30 pills with warm wine before meals. Avoid raw onions and garlic.
**Shihu Wan Pill:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, spasms of the four limbs, and withered body.
* *Dendrobii Caulis* (Shihu, 石斛) - 1 liang, roots removed, crushed
* *Rehmanniae Radix Praeparata* (Shudihuang, 熟干地黄) - 3 fen
* *Ophiopogonis Radix* (Maimendong, 麦门冬) - 1 liang 1/2, heart removed, baked
* *Schisandrae Fructus* (Wuweizi, 五味子) - 1/2 liang
* *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) - 1 liang, buds removed
* *Chuanxiong Rhizoma* (Chuanxiong, 川芎) - 3 fen
* *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) - 1/2 liang, stir-fried until slightly red, crushed
* *Paeoniae Radix Alba* (Baishaoyao, 白芍药) - 1/2 liang
* *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) - 1 liang
The above ingredients are pounded into powder, mixed with refined honey, and pounded 300-500 times to make pills the size of paulownia seeds. Take 30 pills with warm wine before meals. Avoid raw onions and garlic.
**Niuxi Wan Pill:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, inability to lift limbs, heavy head and eyes, inability to eat, body fatigue, and pain.
* *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) - 1 liang, buds removed
* *Astragali Radix* (Huangqi, 黄芪) - 3 fen, crushed
* *Aconiti Radix Lateralis* (Cezi, 侧子) - 1 liang, processed, skin and lateral roots removed
* *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活) - 1 liang
* *Ginseng Radix* (Renshen, 人参) - 1 liang, radix abortus removed
* *Chuanxiong Rhizoma* (Chuanxiong, 川芎) - 1 liang
* *Acanthopanacis Cortex* (Wujiapi, 五加皮) - 1 liang
* *Ilicis Cornuti Herba* (Yinyu, 茵芋) - 1 liang, crushed
The above ingredients are pounded into powder, mixed with refined honey, and pounded 300-500 times to make pills the size of paulownia seeds. Take 30 pills with warm wine before meals.
**Qianghuo Wan Pill:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, inability to move waist and legs, dizziness and dim vision, restlessness and forgetfulness, and body heaviness.
* *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活) - 1 liang
* *Poria Cum Radice Xyli* (Fushen, 茯神) - 1 liang
* *Acanthopanacis Cortex* (Wujiapi, 五加皮) - 1 liang
* *Cervi Cornu Pantotrichum* (Lurong, 鹿茸) - 1 liang 1/2, hair removed, coated with butter, stir-fried until slightly yellow
* *Saposhnikoviae Radix* (Fangfeng, 防风) - 3 fen, radix abortus removed
* *Polygalae Radix* (Yuanzhi, 远志) - 1 liang, heart removed
* *Corni Fructus* (Shanzhuyu, 山茱萸) - 1 liang
The above ingredients are pounded into powder, mixed with refined honey, and pounded 300-500 times to make pills the size of paulownia seeds. Take 30 pills with warm wine before meals.
**Bixie Wan Pill:**
Indicated for deficiency exhaustion leading to Wei-Bi syndrome, inability to move waist and legs, soreness and pain in bone joints, and stiffness of sinews and vessels.
* *Smilacis Glabrae Rhizoma* (Bixie, 萆薢) - 1 liang, crushed
* *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) - 1 liang, buds removed
* *Eucommiae Cortex* (Duzhong, 杜仲) - 1 liang, coarse bark removed, stir-fried until slightly yellow, crushed
* *Zizyphi Semen* (Suanzao Ren, 酸枣仁) - 1 liang, lightly stir-fried
* *Angelicae Sinensis Radix* (Danggui, 当归) - 1 liang
* *Salviae Miltiorrhizae Radix* (Danshen, 丹参) - 1 liang
* *Dendrobii Caulis* (Shihu, 石斛) - 1 liang, roots removed
The above ingredients are pounded into powder, mixed with refined honey, and pounded 200-300 times to make pills the size of paulownia seeds. Take 30 pills with warm wine before meals.