〔大〕妇人血风身体骨节疼痛者，由体虚气血不调，为风所侵故也。其状风邪在于
皮肤肌肉，历于骨节，邪气与正气交击，故令疼痛也。
〔薛〕东垣先生云∶饮食失节，脾胃虚弱，乃血所生病，故口中津液不行，若火热来
乘土位，故肢体发热作渴。若肝经血热，用四物、（杂病虚劳。）羌活、黄芩、黄柏。肝经血
虚，用逍遥散、（调经。）山栀、川芎。风湿兼痰，用四物、南星、半夏、羌活、苍术。风湿伤
脾，用羌活胜湿汤。（杂病腰痛。）暑湿伤气，用清燥汤。（杂病伤暑。）气郁肝脾，用四君、木香、
枳壳、槟榔。胃气受伤，用补只益气汤。（杂病伤劳倦。）瘀血流注，用四物、桃仁、红花。骨
痛筋挛，用当归没药丸。（木条。）倦怠无力，用补中益气、羌活、川芎。一妇人自汗盗汗，发
热晡热，体倦少食，月经不调，吐痰甚多，二年后遍身作痛，阴雨益甚。此气虚而风寒所
乘，用小续命汤疼痛顿止，又用补中益气、加味归脾三十余剂，诸证悉愈。一妇人月经
不调，且素有痛风，遇劳必作，用众手重按痛稍止。此气血俱虚，用十全大补（杂病虚劳。）加
独活而痛痊，用六味丸、（杂病虚劳。）逍遥散而经调。一妇人肢体作痛，面色痿黄，时或
赤白，发热恶寒，吐泻食少，腹痛胁胀，月经不时，或如崩漏，或痰盛喘嗽，头目眩痛，
或五心烦热，口渴饮汤，或健忘惊悸，盗汗无寐等证，卧床年许，悉属肝脾亏损，气血
不足所致，用十全大补、加味归脾兼服月余，诸证悉痊。
芎 散 治妇人血风身体骨节疼痛，心膈壅滞，少思饮食。
川芎（一两） 赤茯苓（去皮） 赤芍药 酸枣仁（炒） 桂心 当归（去芦） 木香
牛膝（酒浸，各七钱半） 羌活（去芦） 枳壳（去幅，麸炒） 甘草（各半两，炙）
上为 咀，每服三钱，水一大盏半，姜五片，煎至一大盏，去滓热服，不拘时候。
海桐皮散 治妇人血风身体骨节疼痛。
海桐皮 桂心 白芷 当归（去芦） 漏芦 川芎 羚羊角屑（各一两） 赤芍药 没药（另
研） 川大黄（炒） 木香 槟榔（各半两）
上为细末，每服二钱，温酒调下，不拘时。
虎骨散 治妇人血风攻疰，身体疼痛。
虎胫骨（一两半，酥炙） 麝香（二钱半，另研） 桂心 川芎 海桐皮 当归（去芦）
牛膝（酒浸） 天麻 附子（炮，去皮脐） 骨碎补 没药（另研） 琥珀（另研，各一两） 羌活（去芦）
木香（各半两）
上为细末，入研药令匀，每服二钱，温酒调下，不拘时候，日进二服。
何首乌散 治妇人血风身体骨节疼痛，或手足麻痹，腰 沉重，牵拽不随，并皆治之。
何首乌 羌活（去芦） 当归（炒，去芦） 赤箭 附子（炮，去皮脐） 桂心
赤芍药 芎 羚羊角屑（各七钱半） 威灵仙 牛膝（酒浸，各一两） 防风（半两，去芦）
上为细末，每服二钱，豆淋酒调下，不拘时。
通灵丸 治男子妇人手足疼痛，风走注痛不可忍。
白附子（炮） 僵蚕（炒，各一两） 全蝎（半两，炒） 麝香（另研，一字）
上为细末，炼蜜和丸，如梧子大。每服二三十丸，温酒送下，日进三服，不拘时。
当归没药丸 治妇人血风血气，腹胁刺痛，筋挛骨痹，手足麻木，皮肤瘙痒，并宜
服之。
当归（去芦） 五灵脂（炒，各一两） 没药（半两，另研）
上为细末，醋糊和丸如梧子大。每服三十丸，空心温酒送下，生姜汤亦可，日进二服。
四生丸 治血风骨节疼痛，举臂不起，行履艰难，遍身麻痹。
白僵蚕（炒） 地龙（去土） 白附子（生） 五灵脂（炒） 草乌头（去皮尖，生，各等分）
上为细末，以米糊和丸，梧子大。每服二十丸，温酒送下。或作末，酒调半钱亦可。
日进二服，不拘时候。
羚羊角散 治血风身体疼痛，手足无力，心神壅闷。
羚羊角屑 酸枣仁（炒） 生干地黄 槟榔（各一两） 五加皮 防风 赤芍药 当归
骨碎补（炒去毛） 海桐皮 川芎（各七钱半） 甘草（半两）
上为末，每服二钱，温酒调下。
羌活胜湿汤 治头痛，脊痛腰似折，项似拔。
羌活 独活（各一钱） 本 防风 甘草（炙，各半钱） 蔓荆子 川芎（各二分）
上水煎服。如身重腰沉沉然，是湿热也，加黄柏（一钱） 附子（半钱） 苍术（二钱。）
[Da] In women suffering from blood wind (Xue Feng) causing pain in the body and joints, the etiology is due to constitutional deficiency and disharmony of Qi and Blood, allowing Wind pathogen to invade. The manifestation involves Wind pathogen residing in the skin and muscles, traversing the joints, where the pathogenic factor clashes with healthy Qi, resulting in pain.
[Xue] Master Dongyuan stated: Irregular diet leads to Spleen and Stomach deficiency, which is a disease originating in the Blood level; thus, mouth fluids fail to circulate. If Fire-Heat attacks the Earth position (Spleen/Stomach), it causes limb fever and thirst. For Liver channel Blood Heat, use Siwu Tang (Four Substance Decoction) [from Miscellaneous Diseases: Deficiency and Emaciation], Qianghuo, Huangqin, and Huangbai. For Liver channel Blood Deficiency, use Xiaoyao San (Free and Easy Wanderer Powder) [from Menstrual Regulation], Zhizi, and Chuanxiong. For Wind-Dampness combined with Phlegm, use Siwu Tang, Nanxing, Banxia, Qianghuo, and Cangzhu. For Wind-Dampness injuring the Spleen, use Qianghuo Shengshi Tang (Qianghuo Decoction for Overcoming Dampness) [from Miscellaneous Diseases: Lower Back Pain]. For Summerheat-Dampness injuring Qi, use Qingzao Tang (Clear Dryness Decoction) [from Miscellaneous Diseases: Summerheat Injury]. For Qi Stagnation affecting Liver and Spleen, use Sijunzi Tang (Four Gentlemen Decoction), Muxiang, Zhiqiao, and Binglang. For injured Stomach Qi, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) [from Miscellaneous Diseases: Fatigue and Exhaustion]. For Blood stasis flowing and accumulating, use Siwu Tang, Taoren, and Honghua. For bone pain and tendon spasms, use Danggui Moyao Wan (Angelica Sinensis and Myrrh Pill) [from Wood Section]. For fatigue and weakness, use Buzhong Yiqi Tang added with Qianghuo and Chuanxiong.
Case 1: A woman suffered spontaneous sweating and night sweats, fever with afternoon tidal fever, body fatigue, poor appetite, irregular menstruation, and excessive expectoration. Two years later, she experienced generalized pain, worsening on rainy days. This was Qi deficiency with invasion of Wind-Cold. After taking Xiao Xuming Tang (Minor Xu Ming Decoction), the pain ceased immediately. Subsequently, taking Buzhong Yiqi Tang and Jiawei Guipi Tang (Modified Restore the Spleen Decoction) for over thirty doses cured all symptoms.
Case 2: A woman had irregular menstruation and a history of gout (Tongfeng). Pain occurred upon exertion and was relieved by firm pressure. This indicated dual deficiency of Qi and Blood. Taking Shiquan Dabu Tang (Ten Complete Tonifying Decoction) [from Miscellaneous Diseases: Deficiency and Emaciation] added with Duhuo cured the pain. Taking Liuwei Wan (Six-Ingredient Pill) [from Miscellaneous Diseases: Deficiency and Emaciation] and Xiaoyao San regulated the menses.
Case 3: A woman suffered limb pain, sallow complexion, occasional redness or pallor, fever with aversion to cold, vomiting, diarrhea, poor intake, abdominal pain, hypochondriac distension, irregular menstruation (sometimes resembling metrorrhagia), profuse phlegm with wheezing and cough, dizziness and headache, five-palm heat, thirst for hot drinks, forgetfulness, palpitations, night sweats, and insomnia. Bedridden for over a year, all these signs were attributed to Liver and Spleen depletion and insufficiency of Qi and Blood. Taking Shiquan Dabu Tang and Jiawei Guipi Tang concurrently for over a month cured all symptoms.
Xiong San (Ligusticum Powder) treats women's blood wind causing body and joint pain, chest and diaphragm stagnation, and poor appetite.
Chuanxiong (1 liang), Chifuling (peeled), Chishao, Suanzaoren (stir-fried), Guixin, Danggui (deprived of radicle), Muxiang, Niuxi (wine-soaked, each 7 qian 5 fen), Qianghuo (deprived of radicle), Zhiqiao (deprived of pith, stir-fried with bran), Gancao (each half liang, honey-fried).
Crush into coarse pieces. Take 3 qian per dose, decoct with 1.5 large cups of water and 5 slices of ginger until 1 large cup remains. Strain and take hot, at any time.
Haitongpi San (Tinospora Powder) treats women's blood wind causing body and joint pain.
Haitongpi, Guixin, Baizhi, Danggui (deprived of radicle), Loulu, Chuanxiong, Lingyangjiaoxie (each 1 liang), Chishao, Moyao (separately ground), Chuan Dahuang (stir-fried), Muxiang, Binglang (each half liang).
Grind into fine powder. Take 2 qian per dose, mix with warm wine, at any time.
Hugu San (Tiger Bone Powder) treats women's blood wind attacking and spreading, causing body pain.
Hu Jinggu (1.5 liang, fried with butter), Shexiang (2 qian 5 fen, separately ground), Guixin, Chuanxiong, Haitongpi, Danggui (deprived of radicle), Niuxi (wine-soaked), Tianma, Fuzi (processed, deprived of skin and navel), Gusuibu, Moyao (separately ground), Hupo (separately ground, each 1 liang), Qianghuo (deprived of radicle), Muxiang (each half liang).
Grind into fine powder, mix evenly with the separately ground drugs. Take 2 qian per dose, mix with warm wine, at any time, twice daily.
Heshouwu San (Polygonum Multiflorum Powder) treats women's blood wind causing body and joint pain, numbness of hands and feet, heavy sensation in the waist, pulling sensations and limited mobility. All are treated by this formula.
Heshouwu, Qianghuo (deprived of radicle), Danggui (stir-fried, deprived of radicle), Chijian (Gastrodiae Rhizoma), Fuzi (processed, deprived of skin and navel), Guixin, Chishao, Chuanxiong, Lingyangjiaoxie (each 7 qian 5 fen), Weilingxian, Niuxi (wine-soaked, each 1 liang), Fangfeng (half liang, deprived of radicle).
Grind into fine powder. Take 2 qian per dose, mix with Doulin Jiu (bean-leavened wine), at any time.
Tongling Wan (Penetrating Spirit Pill) treats men and women with hand and foot pain, unbearable wandering pain caused by Wind.
Baifuzi (processed), Jiangcan (stir-fried, each 1 liang), Quanxie (half liang, stir-fried), Shexiang (separately ground, 1 zi amount).
Grind into fine powder, blend with refined honey to make pills the size of wutong seeds. Take 20-30 pills per dose, swallow with warm wine, three times daily, at any time.
Danggui Moyao Wan (Angelica Sinensis and Myrrh Pill) treats women's blood wind and blood qi disorders, stabbing pain in abdomen and hypochondrium, tendon spasms and bone bi, numbness of hands and feet, and skin itching. Suitable for all these conditions.
Danggui (deprived of radicle), Wulingzhi (stir-fried, each 1 liang), Moyao (half liang, separately ground).
Grind into fine powder, blend with vinegar paste to make pills the size of wutong seeds. Take 30 pills per dose, swallow with warm wine on an empty stomach. Ginger tea is also acceptable. Twice daily.
Sisheng Wan (Four Generations Pill) treats blood wind causing joint pain, inability to raise arms, difficulty walking, and generalized numbness.
Baijiangcan (stir-fried), Dilong (deprived of soil), Baifuzi (raw), Wulingzhi (stir-fried), Caowutou (deprived of skin and tip, raw, equal parts).
Grind into fine powder, blend with rice paste to make pills the size of wutong seeds. Take 20 pills per dose, swallow with warm wine. Alternatively, take as powder mixed with wine, half qian per dose. Twice daily, at any time.
Lingyangjiao San (Antelope Horn Powder) treats blood wind causing body pain, weakness of hands and feet, and mental oppression.
Lingyangjiaoxie, Suanzaoren (stir-fried), Sheng Gan Dihuang, Binglang (each 1 liang), Wujiapi, Fangfeng, Chishao, Danggui, Gusuibu (stir-fried, de-haired), Haitongpi, Chuanxiong (each 7 qian 5 fen), Gancao (half liang).
Grind into powder. Take 2 qian per dose, mix with warm wine.
Qianghuo Shengshi Tang (Qianghuo Decoction for Overcoming Dampness) treats headache, spinal pain with sensation of lumbar fracture, and neck stiffness as if being pulled.
Qianghuo, Duhuo (each 1 qian), Ben (Ligustici Wallichii Rhizoma), Fangfeng, Gancao (honey-fried, each half qian), Manjingzi, Chuanxiong (each 2 fen).
Decoct in water and take. If the body feels heavy and the waist feels sinking, it indicates Damp-Heat; add Huangbai (1 qian), Fuzi (half qian), and Cangzhu (2 qian).