夫诊候者。当察四时之脉。兼明三部九候七诊虚实。然始知尔。若非洞晓微妙。无以别
其生
续命汤
经言
脉。
心脉急
问曰。风毒中人。随处皆得作病。何为偏着于脚。答曰。夫人有五脏。心肺二脏。经络
所起
湿。
凡
方
夫四时之中。皆不得久坐久立湿冷之地。亦不得因酒醉汗出。脱衣靴帽。当风取凉。皆
成脚
立湿
肉顽
于寒
立湿
膝以下
夫香港脚或兼诸病者。则依证以余药对之。若乳石发动。则以利大小便药疗之。若皮肤虚
肿或水病。则以治水之药疗之。余皆仿此也。
夫香港脚之病。皆因风湿毒瓦斯所致。亦云肾虚受之。为疗之法。如须察其虚实。或庸医但
见病
泻夏
发动
若
药
夫香港脚。病者虽虚羸。不可多服补药。补药令人心腹胀。气实便死。非泻不瘥。又不可
见虚
亦
冷
能制。若
勿恣睡
如此。
凡得香港脚。便速灸之。并服诸汤散。无不瘥者。唯宜急治之。若人但灸而不服药。服药
而不
而兼
人。
则顽
必要
散
白
夫香港脚缓弱者。皆感于风毒所致。初得此病多不即觉。或先无他病而忽得之。或因众病
后所
或淫
或
指。
腹内
便上
宜速
治香港脚缓弱。烦疼闷乱。不遂行李。宜服羚羊角散方。
羚羊角屑(三分) 石斛(一两去根锉) 白术(半两) 防风(半两去芦头) 赤茯
苓(一两)
白
(半两炮裂
去
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
治香港脚缓弱。顽痹少力。语涩心烦。宜服麻黄散方。
麻黄(三分去根节) 防风(三分去芦头) 桂心(半两) 当归(半两锉碎微炒) 槟
榔(半
两)
分) 赤
茯苓(
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治香港脚。皮肉顽痹。筋骨疼痛。脚膝缓弱。行李不得。独活散方。
独活(一两) 丹参(半两) 附子(半两炮裂去皮脐) 细辛(半两) 五加皮(半
两) 牛膝
(半
去根锉)
杏
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。
治香港脚。缓弱顽痹。行立无力。天雄散方。
天雄(半两炮裂去皮脐) 羌活(半两) 木香(半两) 川大黄(三分锉碎微炒) 大
麻仁
(三分)
汤浸去白
瓤焙)
分) 桑
根白皮(
浸去皮微
炒)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治香港脚。缓弱顽痹。心神烦闷。言语謇涩。不欲饮食。宜服汉防己散方。
汉防己(一两) 麻黄(一两去根节) 赤茯苓(一两) 丹参(一两) 牛膝(一两
去苗) 独
活(
羚羊角
屑
榔(一
两)
锉)
附子
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治香港脚。缓弱顽痹。痰壅气满。心胸闷乱。不欲饮食。宜服此方。
独活(一两) 枳壳(一两麸炒微黄去瓤) 天门冬(一两去心) 黄 (一两锉) 甘
菊花
(一两)
赤茯苓
(一两)
分汤洗
七遍
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治香港脚。缓弱无力。不能行步。宜服此方。
黑豆(三升) 附子〔一(二)两生用去皮脐〕 天雄(二两生用去皮脐)
以上三味。用水一斗。同煮。候豆烂熟。即出。薄切焙干。去豆用汁。
天麻〔一(二)两〕 五加皮(二两) 牛膝(二两去苗) 威灵仙(二两)
上件药。都捣。细罗为散。入豆汁中。煎如稀饧。每于食前。以温酒调下半匙。
治香港脚。缓弱顽痹。胀满上气。不下食。宜服此方。
枳实(一两麸炒微黄) 桂心(一两) 白术(三分) 赤茯苓(三分)
上件药。捣细罗为散。每服。不计时候。以温酒调下一钱。
治香港脚缓弱。皮肉顽痹。关节抽痛。骨热烦疼。头旋目眩。眼暗漠漠。肾连膀胱
相应。时复
牛膝〔二(一)两去苗〕 丹参(一两) 独活(一两) 白蒺藜(一两微炒去刺) 萆
(一
两锉)
分)
羚羊角屑
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。
治香港脚。缓弱无力。心腹满闷。石斛丸方。\x
石斛(一两去根锉) 牛膝(一两去苗) 桂心(三分) 丹参(三分) 独活(三分)
赤茯苓
(一
微黄去瓤)
槟榔(二两) 白蒺藜(一两微炒去刺) 麻黄(一两去根节) 楮实(三分水淘去浮者晒
干微炒
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。
When diagnosing pulse conditions, one should observe the pulses corresponding to the four seasons, and simultaneously understand the three positions (Cun, Guan, Chi) and nine depths (Floating, Middle, Deep) of pulse diagnosis, as well as the excess and deficiency patterns identified through the seven diagnostic methods. Only in this way can one ascertain the condition. Unless one thoroughly comprehends the subtle and profound principles of medicine, it is impossible to distinguish between life and death prognoses.
Xuming Tang (Revival Decoction)
The Classics state:
The Heart pulse is tense (The pulse at the Heart position is tight and constrained)...
Question: Wind-toxin invading the human body can cause illness anywhere; why does it specifically tend to settle in the feet?
Answer: Humans possess five Zang organs. The meridians of the Heart and Lung originate from the Upper Jiao. If affected by Dampness, it often leads to standing in dampness, causing muscles to become stiff and numb, cold affecting the area below the knees, long-term standing in dampness, resulting in pathology below the knees.
Throughout the four seasons, one should not sit or stand for long periods in damp and cold places. Nor should one remove clothes, shoes, or hats to cool off in the wind after becoming drunk and sweating. These actions all lead to... (the original text is incomplete here, implying leading to Hongxiangjiao/Foot Qi).
Whenever... (original text incomplete)... standing in dampness... muscle stiffness... cold invasion... standing in dampness... below the knees...
If Hongxiangjiao (Foot Qi/Gout) is accompanied by other diseases, treat according to the syndrome with additional medicines. If the onset is triggered by Stone Drugs (mineral drugs such as Five-Stone Powder), treat with medicines that promote urination and defecation. If there is skin edema or water disease, treat with medicines for water retention. Other cases follow this pattern.
Hongxiangjiao is caused by Wind-Damp-Toxin Qi, or it can be said that Kidney Deficiency allows the pathogen to invade. The treatment method requires examining excess and deficiency. If a mediocre physician only sees... (original text incomplete)... Xiaxia (Summer purging/specific therapy)... onset... if... medicine...
Patients with Hongxiangjiao, although emaciated and weak, should not take excessive tonifying medicines. Tonics cause chest and abdominal distension, leading to Qi stagnation and death. Without purgation, the disease will not heal. One must not... see deficiency... also... cold... can control. If... do not sleep excessively... like this.
Once Hongxiangjiao is contracted, moxibustion should be performed immediately, along with taking various decoctions and powders; none will fail to heal. Urgent treatment is essential. If one only performs moxibustion without taking medicine, or takes medicine... but not... and combined... person... then stiffness... necessary... powder... Bai...
For Hongxiangjiao characterized by weakness and flaccidity, it is caused by Wind-Toxin. Initially, the disease may not be immediately perceived, or it may occur suddenly without prior illness, or following multiple illnesses... or licentiousness... or... finger... inside the abdomen... stool moves upward... should treat quickly...
To treat Hongxiangjiao with weakness,烦疼 (vexing pain), mental confusion, and inability to travel/move freely, Lingyangjiao San (Antelope Horn Powder) is suitable.
Lingyangjiao Xie (Antelope Horn Shavings) (3 fen) Shihu (Dendrobium Stem) (1 liang, remove roots, chop) Baizhu (Atractylodes Macrocephala Rhizome) (0.5 liang) Fangfeng (Saposhnikovia Root) (0.5 liang, remove radicle head) Chifuling (Red Poria) (1 liang)
Bai... (text incomplete)... (0.5 liang, processed, remove...)
Process the above ingredients: crush them, sift coarsely into a powder. Take 4 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time...
To treat Hongxiangjiao with weakness, numbness and paralysis, lack of strength, slurred speech, and heart vexation, Mahuang San (Ephedra Powder) is suitable.
Mahuang (Ephedra Herb) (3 fen, remove root joints) Fangfeng (Saposhnikovia Root) (3 fen, remove radicle head) Guixin (Cinnamon Twig) (0.5 liang) Danggui (Angelica Sinensis Root) (0.5 liang, chop, lightly stir-fry) Binglang (Areca Seed) (0.5 liang)
Fen) Chi... Fuling (Red Poria)...
Process the above ingredients: crush and sift into a powder. Take 4 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time. Warm...
To treat Hongxiangjiao with skin and muscle numbness, bone and tendon pain, foot and knee weakness, and inability to move, Duhuo San (Angelica Pubescens Powder) is suitable.
Duhuo (Angelica Pubescens Root) (1 liang) Danshen (Salvia Miltiorrhiza Root) (0.5 liang) Fuzi (Prepared Aconite Lateralis Radix) (0.5 liang, processed, remove skin and umbilicus) Xixin (Asarum Root) (0.5 liang) Wujia Pi (Acanthopanax Bark) (0.5 liang) Niuxi (Achyranthes Bidentata Root)... (half... remove roots, chop)
Xing...
Process the above ingredients: crush and sift into a powder. Take 4 qian per dose. Add 1 zhuan of water. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time. Warm drink.
To treat Hongxiangjiao with weakness and numbness, and inability to walk or stand, Tianxiong San (Aconitum Kusnezoffii Root Powder) is suitable.
Tianxiong (Aconitum Kusnezoffii Root) (0.5 liang, processed, remove skin and umbilicus) Qianghuo (Notopterygium Rhizome and Root) (0.5 liang) Muxiang (Vladimiria Root) (0.5 liang) Chuan Dahuang (Rhubarb Root) (3 fen, chop, lightly stir-fry) Dama Ren (Hemp Seed)... (3 fen)... soaked in soup, remove white skin, bake)... Fen) Sang... Genbaipi (Mulberry Root Bark)... soak, remove skin, lightly stir-fry)
Process the above ingredients: crush and sift into a powder. Take 4 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time. Warm...
To treat Hongxiangjiao with weakness and numbness, heart and mind vexation, slurred speech, and anorexia, Hanfangji San (Stephania Tetrandra Powder) is suitable.
Hanfangji (Stephania Tetrandra Root) (1 liang) Mahuang (Ephedra Herb) (1 liang, remove root joints) Chifuling (Red Poria) (1 liang) Danshen (Salvia Miltiorrhiza Root) (1 liang) Niuxi (Achyranthes Bidentata Root) (1 liang, remove sprouts) Du... Huo (Angelica Pubescens)... Lingyangjiao... Xie (Antelope Horn Shavings)... Lang (Areca Seed) (1... liang)... Chop)... Fuzi (Prepared Aconite Lateralis Radix)...
Process the above ingredients: crush and sift into a powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time. Warm...
To treat Hongxiangjiao with weakness and numbness, phlegm obstruction and fullness, chest and heart vexation and confusion, and anorexia, use this formula.
Duhuo (Angelica Pubescens Root) (1 liang) Zhike (Immature Bitter Orange) (1 liang, bran-fried until slightly yellow, remove pulp) Tiandong (Asparagus Tuber) (1 liang, remove heart) Huang... (1 liang, chop) Ganhua Ju... (Chrysanthemum Flower) (1 liang)... Chifuling (Red Poria)... (1 liang)... Fen tang wash... seven times
Process the above ingredients: crush and sift into a powder. Take 4 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhuan. Strain out the dregs. Take at any time. Warm...
To treat Hongxiangjiao with weakness and inability to walk, use this formula.
Heidou (Black Soybean) (3 sheng) Fuzi (Prepared Aconite Lateralis Radix) [1 (2) liang, raw, remove skin and umbilicus] Tianxiong (Aconitum Kusnezoffii Root) (2 liang, raw, remove skin and umbilicus)
Boil the above three ingredients together in 1 dou of water. When the beans are soft and cooked, remove them. Slice thinly and bake dry. Discard the beans and use only the liquid.
Tianma (Gastrodia Rhizome) [1 (2) liang] Wujia Pi (Acanthopanax Bark) (2 liang) Niuxi (Achyranthes Bidentata Root) (2 liang, remove sprouts) Weilingxian (Clematis Root) (2 liang)
Process the above ingredients: crush them all, sift finely into a powder. Mix into the bean liquid and decoct until thick like thin syrup. Before meals, mix half a spoonful with warm wine and take.
To treat Hongxiangjiao with weakness and numbness, distension and qi rebellion, and inability to eat, use this formula.
Zhishi (Immature Bitter Orange) (1 liang, bran-fried until slightly yellow) Guixin (Cinnamon Twig) (1 liang) Baizhu (Atractylodes Macrocephala Rhizome) (3 fen) Chifuling (Red Poria) (3 fen)
Process the above ingredients: crush and sieve finely into a powder. Take at any time, mixing 1 qian with warm wine.
To treat Hongxiangjiao with weakness, skin and muscle numbness, joint spasms and pain, bone heat and vexing pain, dizziness and vertigo, dim vision, and corresponding symptoms of Kidney and Bladder, frequently...
Niuxi (Achyranthes Bidentata Root) [2 (1) liang, remove sprouts] Danshen (Salvia Miltiorrhiza Root) (1 liang) Duhuo (Angelica Pubescens Root) (1 liang) Baijili (Tribulus Fruit) (1 liang, lightly stir-fry, remove spines) Bi... (1... Chop)... Fen)... Lingyangjiao Xie (Antelope Horn Shavings)
Process the above ingredients: crush into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Before meals, take 30 pills with warm wine.
To treat Hongxiangjiao with weakness and inability to move, chest and abdominal fullness, Shihu Wan (Dendrobium Pill).
Shihu (Dendrobium Stem) (1 liang, remove roots, chop) Niuxi (Achyranthes Bidentata Root) (1 liang, remove sprouts) Guixin (Cinnamon Twig) (3 fen) Danshen (Salvia Miltiorrhiza Root) (3 fen) Duhuo (Angelica Pubescens Root) (3 fen)... Chifuling (Red Poria)... (1... Slightly yellow, remove pulp)... Binglang (Areca Seed) (2 liang) Baijili (Tribulus Fruit) (1 liang, lightly stir-fry, remove spines) Mahuang (Ephedra Herb) (1 liang, remove root joints) Chushi (Chinese Mulberry Fruit) (3 fen, rinse in water to remove floating impurities, sun-dry, lightly stir-fry...)
Process the above ingredients: crush into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Before meals, take 30 pills with warm wine.