夫风湿痹病之状。或皮肤顽浓。或肌肉酸痛。风寒湿三气杂至。聚合而成痹。其风湿气
多而
治风湿痹。面如针刺。身体不仁。汗出短气。不能饮食。宜服麻黄散方。
麻黄（三两去根节） 芎 （一两） 莽草（一两微炒） 当归（一两锉微炒） 天雄
（一两炮
裂去
麸炒微
黄）上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治风湿痹。皮肤不仁。手足无力。宜服侧子散方。
侧子（一两炮裂去皮脐） 五加皮（一两） 磁石（二两烧醋淬七遍细研） 甘菊花（半
两）
汉防
汤浸去皮
尖双
黄（一
两去
分。
去滓。不计时候。温服。
治风湿痹。四肢不仁。肌肉 动。举体无力。宜服狗脊散方。
狗脊（半两去毛） 附子（三分炮裂去皮脐） 薯蓣（三分） 熟干地黄（三分） 天
雄（三分
炮裂
（三分）上
件药。捣粗罗为散。每服四钱。以水酒各一中盏。煎至一盏。去滓。不计时候。分温二服
治风湿痹。肌肤不仁。宜服麻黄散方。
麻黄（二两去根节） 天门冬（三两去心焙） 汉防己（一两） 海桐皮（一两锉） 丹
参（一
两）
散。每
服四钱。以水一大盏。入生姜半分。煎至七分。去滓。不计时候。
治风湿痹。脚弱拘挛。疼痛不能行。趺肿上膝。小腹坚。不能食。宜服石斛散方。
石斛（二两锉去根节） 附子（三分炮裂去皮脐） 独活（三分） 天门冬（一两半去
心焙） 桂心
（半两） 麻黄（三分
芷（半两） 秦艽（三分去苗
（半两炮裂去皮脐） 当归（三分锉微
术（半两） 杜仲（三分去粗皮炙令微黄锉）
每服。不计时候。以温酒调下一钱。未效时。稍加之。
治气血虚。风邪湿痹。皮肤不仁。宜服侧子散方。
侧子（一两以酒浸过炮裂去皮脐） 牛膝（一两去苗） 白僵蚕（一两生用） 天南星
（一两
生用）
捣细
罗为散。入麝香。都研令匀。每服。不计时候。以热豆淋酒调下二钱。
治风湿痹。身体四肢不仁。宜服 散方。
（一两微炒） 侧子（一两炮裂去皮脐） 独活（一两） 桑螵蛸（一两微炒） 踯
躅花
（半两
上件
药。捣细罗为散。每服。不计时候。以温酒调下一钱。
治风湿痹。皮肤不仁。肢节疼痛。宜服白花蛇丸方。
白花蛇（一两酒浸炙微黄去皮骨） 干蝎（一两微炒） 仙灵脾（一两） 茵芋（半两）
川乌
头（
心（一
两）
两微炒）
雄
末。
以无灰酒一大盏。慢火熬成膏。用
用薄荷酒下二十丸。
治风湿痹。手足挛急。皮肤不仁。宜服天雄丸方。
天雄（一两炮裂去皮脐） 麻黄（一两去根节） 天麻（一两） 桂心（一两） 天南
星（三分
炮裂）
香（一分细
研）
上件
药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。
淋酒下十丸。
治风湿痹。精神昏沉。四肢缓弱。皮肤不仁。宜服附子丸方。
附子（一两炮裂去皮脐） 莽草〔半两微炒（炙）〕 白花蛇（二两酒浸炙令黄去皮骨）
天南
星（
分） 防
风
（三分） 仙
灵
以
荆芥汤下十
治风湿痹。脚膝缓弱。宜服天蓼木丸方。
天蓼木（一两） 天麻（半两） 芎 （半两） 独活（半两） 细辛（半两） 防风
（半两去芦
头）
（半两）
石斛
蛾（半两
微炒）
二十丸
治风冷湿痹。五缓六急。宜服坚骨益筋。养血固发。萆 丸方。
萆 （八两锉） 牛膝（三两去苗） 丹参（二两） 附子（二两炮裂去皮脐） 白术
（二两）
枳壳
候。
以温酒下三十丸。
The manifestations of wind-dampness bi syndrome include rough and thickened skin or soreness and pain in the muscles. When pathogenic factors of wind, cold, and dampness mix and aggregate to form bi syndrome, if wind-dampness is predominant, treating wind-dampness bi with facial sensation like needle pricks, numbness of the body, sweating with shortness of breath, and inability to eat, one should take Mahuang San (Ephedra Powder).
Mahuang (Caulis Ephedrae) [3 liang, remove roots and joints], Xiong (Rhizoma Chuanxiong) [1 liang], Mangcao (Herba Siegesbeckiae) [1 liang, slightly stir-fried], Danggui (Radix Angelicae Sinensis) [1 liang, sliced and slightly stir-fried], Tianxiong (Lateral Radix Aconiti Preparata) [1 liang, processed until cracked, remove... stir-fried with bran until slightly yellow]. The above ingredients are coarsely ground into a powder. Take 4 qian per dose, decoct with 1 zhong zhan of water and 0.5 ban of fresh ginger until reduced to 0.6 zhong zhan, strain, and take at any time.
For wind-dampness bi presenting with numbness of the skin and weakness in hands and feet, take Cizi San (Cizi Powder).
Cizi (Lateral Radix Aconiti Preparata) [1 liang, processed until cracked, remove peel and navel], Wujia Pi (Cortex Acanthopanacis) [1 liang], Cishi (Magnetitum) [2 liang, calcined and quenched in vinegar seven times, finely ground], Gan Juhua (Flos Chrysanthemi Indici) [0.5 liang], Hanfangji (Radix Stephaniae Tetrandrae) [1 liang, soaked in decoction, remove peel and tips... Shuanghuang (Roots and Rhizomes of Bupleuri et Scutellariae? *Note: Text fragment unclear, likely referring to specific processing or herb*) [1 liang, remove... fen]. Strain and take warm at any time.
For wind-dampness bi presenting with numbness of the four limbs, muscle twitching, and general weakness, take Gouji San (Gouji Powder).
Gouji (Cibotii Rhizoma) [0.5 liang, remove hair], Fuzi (Radix Aconiti Lateralis Preparata) [3 fen, processed until cracked, remove peel and navel], Shuyu (Rhizoma Dioscoreae) [3 fen], Shu Dihuang (Radix Rehmanniae Preparata) [3 fen], Tianxiong (Lateral Radix Aconiti Preparata) [3 fen, processed until cracked... (3 fen)]. The above ingredients are coarsely ground into a powder. Take 4 qian per dose, decoct with 1 zhong zhan of water and 1 zhong zhan of wine until reduced to 1 zhong zhan, strain, and take warm in two divided doses at any time.
For wind-dampness bi presenting with numbness of skin and muscles, take Mahuang San (Ephedra Powder).
Mahuang (Caulis Ephedrae) [2 liang, remove roots and joints], Tianmendong (Tuber Asparagi) [3 liang, remove heart and bake], Hanfangji (Radix Stephaniae Tetrandrae) [1 liang], Haitongpi (Cortex Phellodendri) [1 liang, sliced], Danshen (Radix Salviae Miltiorrhizae) [1 liang]. Take 4 qian per dose of the powder, decoct with 1 da zhan of water and 0.5 ban of fresh ginger until reduced to 0.7 zhan, strain, and take at any time.
For wind-dampness bi presenting with weak and spasmodic legs, pain preventing walking, swelling on the dorsum of foot extending to the knee, hardness of the lower abdomen, and inability to eat, take Shihu San (Shihu Powder).
Shihu (Caulis Dendrobii) [2 liang, sliced, remove roots and joints], Fuzi (Radix Aconiti Lateralis Preparata) [3 fen, processed until cracked, remove peel and navel], Duohuo (Radix Angelicae Pubescentis) [3 fen], Tianmendong (Tuber Asparagi) [1.5 liang, remove heart and bake], Guixin (Cinnamomi Cortex) [0.5 liang], Mahuang (Caulis Ephedrae) [3 fen], Zhi (Radix Saposhnikoviae? *Text fragment 'Zhi' usually implies Fangfeng or similar, but context suggests root*), Qinjiao (Radix Gentianae Macrophyllae) [3 fen, remove seedlings... (0.5 liang, processed until cracked, remove peel and navel)], Danggui (Radix Angelicae Sinensis) [3 fen, sliced and slightly stir-fried], Zhu (Rhizoma Atractylodis Macrocephalae) [0.5 liang], Duzhong (Cortex Eucommiae) [3 fen, remove coarse bark, heat-treated until slightly yellow and sliced]. Take 1 qian mixed with warm wine at any time; increase dosage slightly if ineffective.
For deficiency of qi and blood with wind-pathogen and damp-bi, presenting with numbness of the skin, take Cizi San (Cizi Powder).
Cizi (Lateral Radix Aconiti Preparata) [1 liang, soaked in wine then processed until cracked, remove peel and navel], Niuxi (Radix Achyranthis Bidentatae) [1 liang, remove seedlings], Bai Jiangcan (Bombyx Batryticatus) [1 liang, raw use], Tiannanxing (Rhizoma Arisaematis) [1 liang, raw use]. Grind into fine powder, add Shexiang (Moschus), and grind uniformly. Take 2 qian mixed with hot Doulin Jiu (Soybean-leavened Wine) at any time.
For wind-dampness bi presenting with numbness of the body and four limbs, take [Missing Name] San ([Missing Name] Powder).
[Missing] (0.1 liang, slightly stir-fried), Cizi (Lateral Radix Aconiti Preparata) [1 liang, processed until cracked, remove peel and navel], Duohuo (Radix Angelicae Pubescentis) [1 liang], Sangpiaoxiao (Ootheca Mantidis) [1 liang, slightly stir-fried], Zhizhuhua (Flos Daphnes Genkwa) [0.5 liang...]. The above ingredients are finely ground into a powder. Take 1 qian mixed with warm wine at any time.
For wind-dampness bi presenting with numbness of the skin and pain in joints, take Baihua She Wan (White-Flower Snake Pills).
Baihua She (Agkistrodon) [1 liang, soaked in wine and roasted until slightly yellow, remove skin and bones], Ganxie (Scorpio) [1 liang, slightly stir-fried], Xianlingpi (Herba Epimedii) [1 liang], Yinyu (Fructus Corni? *Note: Yinyu is often Chimonobambusa or related, text implies herb*), Chuan Wutou (Radix Aconiti Kusnezoffii) [Heart (1 liang)... 2 liang slightly stir-fried] Xiong... powder. Slowly boil with 1 da zhan of non-fermented wine to form a paste. Take 20 pills with Bohe Jiu (Mint Wine).
For wind-dampness bi presenting with spasms and stiffness of hands and feet, and numbness of the skin, take Tianxiong Wan (Tianxiong Pills).
Tianxiong (Lateral Radix Aconiti Preparata) [1 liang, processed until cracked, remove peel and navel], Mahuang (Caulis Ephedrae) [1 liang, remove roots and joints], Tianma (Rhizoma Gastrodiae) [1 liang], Guixin (Cinnamomi Cortex) [1 liang], Tiannanxing (Rhizoma Arisaematis) [3 fen, processed until cracked], Xiang (Moschus?) [1 fen, finely ground]. The above ingredients are ground into powder, mixed with the pre-ground medicine, kneaded with refined honey by pounding 300-200 times, and formed into pills the size of paulownia seeds. Take 10 pills with Dilin Jiu (Bean-leavened Wine) at any time.
For wind-dampness bi presenting with mental lethargy, weakness of the four limbs, and numbness of the skin, take Fuzi Wan (Fuzi Pills).
Fuzi (Radix Aconiti Lateralis Preparata) [1 liang, processed until cracked, remove peel and navel], Mangcao (Herba Siegesbeckiae) [0.5 liang, slightly stir-fried (roasted)], Baihua She (Agkistrodon) [2 liang, soaked in wine and roasted until yellow, remove skin and bones], Tiannanxing (Rhizoma Arisaematis) [... fen], Fangfeng (Radix Saposhnikoviae) [3 fen], Xianlingpi (Herba Epimedii)... Take 10 pills with Jingjie Tang (Schizonepeta Decoction).
For wind-dampness bi presenting with weakness of legs and knees, take Tianliaomu Wan (Tianliaomu Pills).
Tianliaomu (Radix Polygoni Multiflori? *Note: Tianliaomu is often distinct, possibly Aristolochia or similar local herb*), Tianma (Rhizoma Gastrodiae) [0.5 liang], Xiong (Rhizoma Chuanxiong) [0.5 liang], Duohuo (Radix Angelicae Pubescentis) [0.5 liang], Xixin (Herba Asari) [0.5 liang], Fangfeng (Radix Saposhnikoviae) [0.5 liang, remove rhizome head]... (0.5 liang), Shihu (Caulis Dendrobii)... E (Butterfly/Moth?) [0.5 liang, slightly stir-fried]... 20 pills.
For wind-cold-damp bi presenting with five slackness and six urgency conditions, aiming to strengthen bones, benefit sinews, nourish blood, and consolidate hair, take Bibi Wan (Bibi Pills).
Bibi (Radix Dioscoreae Hypoglaucae) [8 liang, sliced], Niuxi (Radix Achyranthis Bidentatae) [3 liang, remove seedlings], Danshen (Radix Salviae Miltiorrhizae) [2 liang], Fuzi (Radix Aconiti Lateralis Preparata) [2 liang, processed until cracked, remove peel and navel], Baizhu (Rhizoma Atractylodis Macrocephalae) [2 liang], Zhiqiao (Fructus Aurantii) ... at any time. Take 30 pills with warm wine.