（即白虎历节风）
历节痛，或因饮食起居失节，或因七情六淫失宜，以致脾胃亏损，腠理不密，外邪所侵；或
为肝火内动，肝血耗损；或为肢体疼痛；或为肢节难伸；或为卒然制痛；或为走痛无常；或
内热晡热，自汗盗汗；或经候不调，饮食不甘。其治法，属风邪者，小续命汤。走注疼痛者
，漏芦散。骨节疼痛者，四生丸。湿热痛者，清燥汤，兼痰佐以二陈。肝火者，加味逍遥散
加羌活、川芎。脾郁者，加味归脾加羌活、川芎。血虚者，四物加羌活、川芎。气虚者，四君加羌活、
川芎。气血俱虚者
，八珍加羌活、川芎。月经先期而痛者，加味逍遥散为主。月经过期而痛者，补中益气为主
。大抵痛而不敢按者，属病气元气俱实也；手按而痛缓者，病气元气俱虚也。若劳役而作痛
者，元气虚也；饮食失宜而作痛者，脾胃虚也；怒恼而作痛者，肝火也；经行而作痛，血虚
也。凡此皆固元气为主，而佐以治病之药。
治验
一妇人自汗盗汗，发热晡热，体倦少食，月经不调，吐痰甚多，二年矣。遍身作痛，天阴风
雨益甚。用小续命汤而痛止，用补中益气、加味归脾二汤，三十余剂而愈。自汗等症，皆郁
结伤损脾气，不能输养诸脏所致。故用前二汤，专主脾胃。若用寒凉降火，理气化痰，复伤
生气，多致不起。
一妇人因怒，月经去多，发热作渴，左目紧小，头项动掉，四肢抽搐，遍身疼痛，此怒动肝
火，肝血虚而内生风，用加味逍遥加钩藤数剂，诸症渐愈，又用八珍汤，调理而痊。
一妇人月经先期，素有痛症，每劳必作，用众手重按，痛稍止，此气血虚而有火，用十全大
补加独活治之而痛痊，用六味丸、逍遥散而经调。
一妇人历节作痛，发热作渴，饮食少思，月经过期，诸药不应，脉洪大，按之微细，用附子
八物四剂而痛止，用加味逍遥而元气复，六味丸而月经调。
一妇人体肥胖，素内热，月经先期，患痛风，下体微肿痛甚，小便频数，身重脉缓，症属风
湿，而血虚有热。先用羌活胜湿汤四剂，肿痛渐愈；用清燥汤数剂，小便渐清；用加味逍遥
十余剂，内热渐愈。为饮食停滞，发热仍痛，面目浮肿，用六君加柴胡、升麻而愈。又因怒
气，小腹痞闷，寒热呕吐，此木侮脾土。用前药加山栀、木香而安。惟小腹下坠，似欲去后
，此脾气下陷，用补中益气而愈。后因劳役、怒气，作呕，吐痰，遍身肿痛，月经忽来寒热
。用六君加柴胡、山栀以扶元气清肝火，肿痛呕吐悉退，用补中益气以升阳气健营气，月经寒热悉瘥。
一妇人饮食少思，畏见风寒，患痛风，呕吐寒热，脉弦紧，用附子八物，四肢痛愈，用独活
寄生，腰痛亦痊，惟两膝肿痛，用大防风而消，用加味归脾、逍遥而元气复。
(Also known as Baihu Lijie Feng [White Tiger Joint Bi Syndrome])
Lijie pain (pain in the joints) may be caused by irregular diet and lifestyle, or by improper regulation of the Seven Emotions (Qing) and Six Exogenous Pathogens (Yin), leading to Spleen-Stomach deficiency, loose Cou Li (pores and interstitial spaces), and invasion of external pathogens; or due to internal stirring of Liver Fire and consumption of Liver Blood; or manifesting as limb pain; or difficulty in extending the joints; or sudden severe pain; or wandering pain without fixed location; or internal heat and afternoon tidal fever, spontaneous sweating and night sweats; or irregular menstruation and poor appetite. Its treatment methods are as follows: for those belonging to Wind pathogen, use Xiao Xuming Tang (Minor Continuation Life Decoction). For wandering and migrating pain, use Loulu San (Radix Euphorbiae Humifusae Powder). For bone and joint pain, use Sisheng Wan (Four Living Pill). For Damp-Heat pain, use Qingzao Tang (Clear Dryness Decoction); if accompanied by Phlegm, assist with Erchen Tang (Two Aged Substances Decoction). For Liver Fire, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) plus Qianghuo (Notopterygii Rhizoma et Radix) and Chuanxiong (Chuanxiong Rhizoma). For Spleen Qi Stagnation, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) plus Qianghuo and Chuanxiong. For Blood deficiency, use Siwu Tang (Four Substances Decoction) plus Qianghuo and Chuanxiong. For Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction) plus Qianghuo and Chuanxiong. For combined Qi and Blood deficiency, use Bazhen Tang (Eight Treasures Decoction) plus Qianghuo and Chuanxiong. For menstrual period preceding schedule with pain, take Jiawei Xiaoyao San as the main formula. For menstrual period delayed with pain, take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) as the main formula. Generally speaking, pain that cannot bear pressure belongs to excess of both Pathogenic Qi and Healthy Qi; pain that relieves upon manual pressure belongs to deficiency of both Pathogenic Qi and Healthy Qi. If pain occurs after overwork, it is Healthy Qi deficiency; if pain occurs due to improper diet, it is Spleen-Stomach deficiency; if pain occurs due to anger and irritation, it is Liver Fire; if pain occurs during menstruation, it is Blood deficiency. All these cases prioritize consolidating Healthy Qi, assisted by herbs treating the disease.
Clinical Cases
A woman suffered from spontaneous sweating and night sweats, fever and afternoon tidal fever, fatigue, reduced appetite, irregular menstruation, and excessive expectoration for two years. Her whole body ached, worsening on cloudy and rainy days. Pain ceased after using Xiao Xuming Tang. She was cured after taking thirty-plus doses of Buzhong Yiqi Tang and Jiawei Guipi Tang. The symptoms of spontaneous sweating etc. were all caused by emotional constraint damaging Spleen Qi, preventing it from nourishing the Zang-Fu organs. Therefore, the aforementioned two formulas were used to specifically target the Spleen and Stomach. If cold and bitter herbs were used to clear fire, or herbs regulating Qi and resolving Phlegm were employed, they would further damage the generating Qi, often leading to untreatable conditions.
A woman, due to anger, experienced heavy menstruation, fever, thirst, contraction of the left eye, trembling of the head and neck, convulsions of the four limbs, and whole-body pain. This was anger stirring Liver Fire, with Liver Blood deficiency generating internal Wind. After several doses of Jiawei Xiaoyao San plus Gouteng (Uncariae Ramulus cum Uncis), her symptoms gradually improved. She recovered after conditioning with Bazhen Tang.
A woman had early menstruation and chronic pain that always occurred after labor, relieved slightly only by heavy pressing with multiple hands. This indicated Qi and Blood deficiency with Fire. The pain was cured using Shiquan Dabu Tang (Ten Thousand Complete Great Tonifying Decoction) plus Duhuo (Angelicae Pubescentis Radix), and menstruation was regulated using Liuwei Wan (Six-Ingredient Pill) and Xiaoyao San.
A woman suffered from Lijie pain, fever, thirst, poor appetite, and delayed menstruation. Various medicines failed. Her pulse was large and forceful but fine and weak upon deep pressure. Pain ceased after four doses of Fuzi Bawu Tang (Aconite Eight Ingredients Decoction). Healthy Qi recovered using Jiawei Xiaoyao San, and menstruation was regulated using Liuwei Wan.
A woman was obese, had inherent internal heat, early menstruation, and suffered from gouty arthritis. Her lower body was mildly swollen and painful, with frequent urination, heavy body, and slow pulse. The syndrome belonged to Wind-Dampness, with Blood deficiency and Heat. First, she took four doses of Qianghuo Shengshi Tang (Notopterygium Overcoming Dampness Decoction), and swelling and pain gradually subsided. After several doses of Qingzao Tang, urination became clear. After more than ten doses of Jiawei Xiaoyao San, internal heat gradually resolved. Due to food stagnation, fever and pain persisted, with facial edema. She was cured using Liujun Zi Tang (Six Gentlemen Decoction) plus Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma). Later, due to anger, she experienced abdominal distension, aversion to cold, fever, and vomiting, indicating Wood insulting Earth (Spleen). She stabilized using the previous prescription plus Zhizi (Gardeniae Fructus) and Muxiang (Aucklandiae Radix). Only the sensation of lower abdominal heaviness and urgency to defecate remained, indicating Spleen Qi sinking. She was cured using Buzhong Yiqi Tang. Later, due to overwork and anger, she experienced vomiting, expectoration, whole-body swelling and pain, and sudden onset of menstruation with chills and fever. She used Liujun Zi Tang plus Chaihu and Zhizi to support Healthy Qi and clear Liver Fire, eliminating swelling, pain, and vomiting. She then used Buzhong Yiqi Tang to raise Yang Qi and strengthen Ying Qi, curing the menstrual chills and fever.
A woman had poor appetite, fear of wind and cold, suffered from gouty arthritis, vomiting, chills and fever, with a wiry and tight pulse. Limb pain healed using Fuzi Bawu Tang. Lower back pain healed using Duhuo Jisheng Tang (Duhuo and Sangjisheng Decoction). Only knee swelling and pain remained, which subsided using Dafangfeng Tang (Great Wind-Expelling Decoction). Healthy Qi recovered using Jiawei Guipi Tang and Xiaoyao San.