治诸痿,法当在阳明与冲脉。阳明在胃,乃五脏六腑之海,主润宗筋束骨之利机关;冲
脉者,诸经之海,主渗灌溪谷。与阳明合养于宗筋,会于气冲,属于带脉,络于督脉。故阳
明虚则宗筋纵,带脉不引,故足痿不用也治之各补其荣,而通其输,调其虚实,和其逆顺,
至筋脉骨肉,各得其时,病乃已矣。肾经虚惫,遂成骨痿,腰脚难举,日加困乏。
附子(炮,去皮脐) 沉香(不见火) 朱砂(别研) 枸杞子(去枝梗) 母丁香 木
香(不见火) 阳起石( ) 肉苁蓉(酒浸,焙) 熟地黄 麝香(别研) 天雄(炮,
去皮脐,或用鹿茸亦可) 官桂(去粗皮) 硫黄(以上各一两) 腻粉(半两) 白丁香
(少许)
上为细末,炼蜜为丸,如弹子大,每用一丸,以姜汁火上入药熔化,却用手点药于腰眼
上,磨擦至药尽,用至二十丸,大有神效。若有他处瘫痪风疾,加皂角一片,去筋捶烂,姜
汁浸一宿,瓦上焙干为末,入前药内,根据前法用。
又方 治筋痿,两手握固无力,两腿行动无力,急饥食少,此名筋痿。其证候口舌生疮
,忽生痰涎,忽然睡中涎溢,身上躁热,忽时增寒,项颈强急,小便赤白不定,大腑忽冷忽
热不调。
连翘 防风 荆芥穗 蔓荆子 羌活 独活 牡丹皮 山栀仁 秦艽 麻黄(去根) 木
香(各等分)
上为细末,每服一钱,食后用白汤调下。
For the treatment of various Wei syndromes (flaccidity syndromes), the therapeutic approach should focus on the Yangming Meridian and the Chong Mai (Penetrating Vessel). The Yangming Meridian is located in the Stomach, which serves as the "Sea of the Five Zang and Six Fu Organs," primarily responsible for moistening the Zong Jin (Major Sinew) to ensure the flexibility of bones and the smoothness of joints. The Chong Mai is the "Sea of the Twelve Meridians," primarily responsible for permeating and irrigating the muscle valleys (Xi Gu). Together with the Yangming Meridian, it nourishes the Zong Jin, converges at the Qichong acupoint (ST30), connects with the Dai Mai (Girdle Vessel), and links with the Du Mai (Governor Vessel). Therefore, when the Yangming Meridian is deficient, the Zong Jin becomes lax, and the Dai Mai fails to exert its restraining influence, resulting in flaccidity and inability to use the lower limbs. Treatment involves tonifying the Ying-Spring points and unblocking the Shu-Stream points of the respective meridians, regulating deficiency and excess, and harmonizing the reversal and smooth flow of Qi and Blood. When the sinews, vessels, bones, and flesh each receive their appropriate nourishment in due time, the disease will cease.
If the Kidney Meridian is severely deficient and exhausted, it leads to Gu Wei (Bone Flaccidity), characterized by difficulty in lifting the waist and legs, and increasing fatigue day by day.
[Prescription Composition] Fuzi (Prepared Aconite Root, processed, skin and umbilicus removed), Chenxiang (Aquilaria Wood), Zhusha (Cinnabar, separately ground), Gouqizi (Goji Berry, branches and stems removed), Mudingxiang (Mother Clove), Muxiang (Aucklandia Root, not exposed to fire), Yangqishi (Leiolite), Roushoucong (Cistanche Stem), Shudihuang (Prepared Rehmannia Root), Shexiang (Musk), Tianxiong (Prepared Aconite Lateral Root, processed, skin and umbilicus removed; or Deer Antler may be used instead), Guanzi Gui (Cinnamon Bark, coarse bark removed), Liuhuang (Sulfur) [each of the above: 1 liang]; Nifen (Calomel); Baidingxiang (White Civet Musk) [a small amount].
Grind the above ingredients into a fine powder. Use refined honey to form pills the size of a bullet. Take one pill per dose. Melt the pill using ginger juice over heat, then apply the liquid medicine to the "waist eyes" (lower back area) with the hand, rubbing until the medicine is fully absorbed. Use up to twenty pills in total; this yields great miraculous efficacy. For paralysis or wind-diseases affecting other parts of the body, add one piece of Zaojiao (Tamarisk Seed Pod), remove the tendons, pound it into a paste, soak it in ginger juice overnight, dry it on a tile, grind it into powder, and mix it into the aforementioned medicine. Apply according to the previous method.
Another Prescription: Treats Jin Wei (Sinew Flaccidity), characterized by the inability to grip firmly with both hands, weakness in walking with both legs, excessive hunger but reduced food intake. This condition is named Jin Wei. Its symptoms include sores in the mouth and tongue, sudden production of phlegm-saliva, involuntary salivation during sleep, restlessness and heat in the body, alternating sensations of increased cold, stiffness and tension in the neck, urine that is either red or white without regularity, and bowel movements that are alternately cold and hot without regulation.
[Prescription Composition] Lianqiao (Forsythia Fruit), Fangfeng (Saposhnikovia Root), Jingjie Sui (Schizonepeta Flower Spike), Manjingzi (Vitex Fruit), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Mudanpi (Tree Peony Bark), Shanzhiren (Gardenia Seed), Qinjiao (Gentiana Macrophylla Root), Mahuang (Ephedra Herb, roots removed), Muxiang (Aucklandia Root) [all in equal proportions].
Grind the above ingredients into a fine powder. Take one qian per dose, mixed with plain warm water after meals.