治肾脏中风寒湿成骨痹,腰脊疼痛,不得俯仰,两脚冷 痹,缓弱不遂,头昏耳聋,语
音混浊,四肢沉重。
附子(炮,去皮脐) 独活 当归(切焙) 官桂(去粗皮) 天麻(以上各一两) 丹
参防风(去叉) 石菖蒲 枳壳(麸炒) 白术 细辛(去苗) 山茱萸(去核) 牛膝
(酒浸) 黄 萆 甘菊花 川芎 甘草(炙,以上各半两)。
上锉如麻豆大,每服三钱,水一盏,生姜三片,煎至七分,去滓,不拘时温服。
治血痹及诸痹,甚者四肢不遂,风湿寒痹,举体肿满,疼痛不仁。兼治风虚痰癖,四肢
偏枯,两脚软弱,手不能上头。或小腹缩痛,胁下挛急,心下有伏水,胁下有积饮,夜梦悲
愁不乐,恍惚善忘。由风虚五脏受邪所致。或久坐腰痛,耳聋卒起,眼眩头重,或举体肿疼,
饮食恶冷,啬啬恶寒,胸中痰满,心下寒疝。及治妇人产后余疾,风虚积冷不除者。
黄 独活 防风(去叉) 细辛(去苗) 牛膝 川芎 附子(炮,去皮脐) 甘草
(炙) 蜀椒(去目并合口者,炒出汗,以上各三两) 川乌(炮,去皮脐) 山茱萸(去
核) 秦艽(去苗土) 葛根(以上各二两) 官桂(去粗皮) 当归(切焙,各二两半) 大
黄(生锉,一两) 白术 干姜(炮,各三两半)
上锉如麻豆大,用夹绢囊盛贮,以清酒一斗浸之,春夏五日,秋冬七日,初服一合,日
二夜一,渐增之,以知为度。虚弱者加苁蓉二两,下利者加女萎三两,多忘加石斛菖蒲紫石
英各二两,心下多水加茯苓人参各二两,山药三两。酒尽可更以酒二斗重渍服之,不尔,可
曝滓捣下筛,酒服方寸匕,不知稍增之,服一剂得力,令人耐寒冷,补虚,治诸风冷神妙,
少壮人服勿熬炼,老弱人微熬之。
To treat *Gu Bi* (Bone Bi, a type of bi-syndrome affecting bones) caused by the Kidney channel being invaded by Wind, Cold, and Dampness. Symptoms include pain in the lower back and spine, inability to bend or extend the body, coldness and numbness in both legs, flaccidity and weakness with motor impairment, dizziness, tinnitus, hoarse voice, and heaviness in the four limbs.
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), 1 liang; Du Huo (Angelicae Pubescentis Radix), 1 liang; Dang Gui (Angelicae Sinensis Radix), sliced and roasted, 1 liang; Guan Gui (Cinnamomi Cortex), coarse bark removed, 1 liang; Tian Ma (Gastrodiae Rhizoma), 1 liang; Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), 1 liang; Fang Feng (Saposhnikoviae Radix), forked parts removed, 1 liang; Shi Chang Pu (Acori Tatarinowii Rhizoma), 1 liang; Zhi Ke (Aurantii Fructus), bran-fried, 1 liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma), 1 liang; Xi Xin (Asari Radix et Rhizoma), seedlings removed, 1 liang; Shan Zhu Yu (Corni Fructus), pits removed, 1 liang; Niu Xi (Achyranthis Bidentatae Radix), soaked in wine, 1 liang; Huang Qi (Astragali Membranacei Radix), 1 liang; Bi Xie (Dioscoreae Hypoglaucae Rhizoma), 1 liang; Gan Ju Hua (Chrysanthemi Indici Flos), 1 liang; Chuan Xiong (Ligustici Chuanxiong Rhizoma), 1 liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), roasted, 0.5 liang.
Crush the above herbs to the size of hemp seeds. For each dose, take 3 qian, add 1 zhan of water and 3 slices of fresh ginger. Decoct until the volume reduces to 7/10. Strain and remove the dregs. Take warm at any time.
To treat Blood Bi and various other Bi syndromes. Severe cases present with motor impairment of the four limbs. Rheumatic, wind-cold Bi presents with generalized swelling and fullness, pain, and anesthesia (numbness). It also treats Phlegm-Pi caused by Wind-Deficiency, hemiplegia of the four limbs, weakness in both legs, and inability to raise hands above the head. Or it treats contraction pain in the lower abdomen, spasms in the hypochondrium, accumulation of hidden fluid under the heart, accumulation of drinking-fluid in the hypochondrium, dreams of sadness and unhappiness, mental confusion, and forgetfulness. These are caused by Wind-Deficiency leading to pathogenic invasion of the five Zang organs. It also treats lower back pain from prolonged sitting, sudden deafness upon rising, dizziness with heavy head, generalized swelling and pain, aversion to cold food, aversion to cold (Shen-Shen E Han), phlegm-fullness in the chest, and Cold-Colic under the heart. Furthermore, it treats residual diseases after childbirth in women, specifically those involving persistent Wind-Deficiency and accumulated Cold.
Huang Qi (Astragali Membranacei Radix), 3 liang; Du Huo (Angelicae Pubescentis Radix), 3 liang; Fang Feng (Saposhnikoviae Radix), forked parts removed, 3 liang; Xi Xin (Asari Radix et Rhizoma), seedlings removed, 3 liang; Niu Xi (Achyranthis Bidentatae Radix), 3 liang; Chuan Xiong (Ligustici Chuanxiong Rhizoma), 3 liang; Prepared Fuzi (Aconiti Lateralis Radix Praeparata), skin and navel removed, 3 liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), roasted, 3 liang; Shu Jiao (Zanthoxyli Pericarpium), eyes and closed-mouth ones removed, stir-fried until sweat appears, 3 liang; Chuan Wu (Aconiti Kusnezoffii Radix), prepared, skin and navel removed, 2 liang; Shan Zhu Yu (Corni Fructus), pits removed, 2 liang; Qin Jiao (Gentianae Macrophyllae Radix), seedlings and soil removed, 2 liang; Ge Gen (Puerariae Lobatae Radix), 2 liang; Guan Gui (Cinnamomi Cortex), coarse bark removed, 2.5 liang; Dang Gui (Angelicae Sinensis Radix), sliced and roasted, 2.5 liang; Da Huang (Rhei Radix et Rhizoma), raw and crushed, 1 liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma), 3 liang; Gan Jiang (Zingiberis Rhizoma Praeparatum), prepared, 3.5 liang.
Crush the above herbs to the size of hemp seeds. Place them in a double-layer silk bag for storage. Soak in 1 dou of clear wine. In spring and summer, soak for 5 days; in autumn and winter, soak for 7 days. Initially take 1 ge. Administer twice daily and once at night, gradually increasing the dosage until therapeutic effects are observed. For those with deficiency, add Cong Rong (Cynomorii Herba), 2 liang. For diarrhea, add Nu Wei (Anemarrhenae Rhizoma), 3 liang. For excessive forgetfulness, add Shi Hu (Dendrobii Caulis), Shi Chang Pu (Acori Tatarinowii Rhizoma), and Zi Shi Ying (Quartzum Rubrum), each 2 liang. For excess fluid under the heart, add Fu Ling (Polyporus), Ren Shen (Ginseng Radix et Rhizoma), each 2 liang, and Shan Yao (Dioscoreae Rhizoma), 3 liang. When the wine is consumed, it may be re-soaked in 2 dou of new wine and taken again. Otherwise, dry the dregs, crush and sieve them, and take one fang cun bi (a square-inch measure) with wine. If ineffective, slightly increase the dose. After one course proves effective, it enables tolerance to cold, tonifies deficiency, and miraculously treats various Wind-Cold conditions. Young and strong individuals need not roast the dregs; elderly and weak individuals should lightly roast them before use.