治白虎历节，诸风疼痛，游走不定，状如虫啮，昼静夜剧，及一切手足不测疼痛。
大八角川乌头（三个，去皮尖，生） 生全蝎（二十一个） 生黑豆（二十一粒） 生
地龙（去皮，净，半两）
上为细末，入麝香一字，同研停，糯米糊为丸如绿豆大。每服七丸，甚者十丸，夜卧
令鬲空，温酒吞下，微出冷汗一身，便瘥。（许学士云∶余得此方，凡是历节及不测疼痛，
一、二服便瘥。在歙川日，有一贵家妇人，遍身走疰疼痛，至夜则发，如虫啮其肌。多作鬼
邪治。余曰∶此正历节病也。三服愈。）
治诸肢节疼痛，身体 羸，脚肿如脱，头眩短气，温温欲吐。（《三因方》）
桂心 知母 防风（各四两） 芍药 甘草 麻黄（去根节，各三两，炮） 附子（三两，
炮）
上 咀。每服四钱，水一盏半，生姜五片，煎七分，去滓，空心服。一法有白术、川芎
、杏仁、半夏。
治风历节，四肢疼痛如锤锻，不可忍。
附子 干姜 芍药 茯苓 人参 甘草 桂心（各三两） 白术（四两）
上 咀，每服四大钱。水二盏，煎七分，去滓，食前服。一方去桂，用干地黄二两。
最治历节风，近人用之甚效。（见本卷第七论。）
小续命汤 大治白虎历节，痛不可忍。（方见第三卷）
有一妇人，先自两足踝骨痛不可忍，次日流上于膝，一、二日流于髀骨，甚流至于肩，
肩流于肘，肘流于后溪。或如锤锻，或如虫啮，痛不可忍，昼静夜剧，服诸药无效。召仆诊
之，六脉紧。余曰∶此真历节证也，非解散之药不能愈。但用小续命汤，一剂而愈。
又邓安人，夏月亦病历节，痛不可忍，诸药无效。召仆诊之，人迎与心脉虚，此因中暑
而得之，合先服酒蒸黄连丸，众医莫不笑，用此药服一帖即愈。自后与人良验。
Treats Baihu Lijie (White Tiger Arthralgia), various pains caused by wind pathogens, wandering and unsteady, feeling as if bitten by insects, quiet during the day and severe at night, as well as all sudden unexplained pains in the hands and feet.
Daba Jiao Chuan Wutou (Three large star-shaped Sichuan Aconite roots, peeled and tips removed, raw) Quanxie (Twenty-one whole Scorpions, raw) Sheng Heidou (Twenty-one black soybeans, raw) Dilong (Earthworm, skin removed, cleaned, half tael).
The above ingredients are ground into a fine powder. Add Moxiang (Musk) in an amount of "one character" (approx. 0.5g or a pinch), grind together uniformly, and form pills using glutinous rice paste, sized like mung beans. Take seven pills per dose; for severe cases, take ten pills. Ensure the stomach is empty before sleep, swallow with warm wine. A slight general cold sweat will occur, after which the illness will subside. (Scholar Xu stated: I obtained this prescription. For any Lijie or unexplained pain, one or two doses result in recovery. While in Shechuan, a noblewoman suffered from widespread wandering pain that flared up at night, feeling as if insects were biting her muscles. Many treated it as a ghostly affliction. I said: This is precisely Lijie disease. After three doses, she was cured.)
Treats various limb and joint pains, emaciated body, swollen feet as if detached, dizziness, shortness of breath, and a sensation of nausea wanting to vomit. (From *San Yin Fang*)
Guixin (Cinnamon Twig Heart) Zhimu (Anemarrhena Rhizome) Fangfeng (Saposhnikovia Root) Shaoyao (Peony Root) Gancao (Licorice Root) Mahuang (Ephedra Stem, roots and joints removed, each 4 liang, processed) Fuzi (Aconite Lateral Root, 3 liang, processed).
The above ingredients are chopped. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until reduced to 0.7 zhan, strain, and take on an empty stomach. Another method includes Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Ligusticum Chuanxiong Rhizome), Xingren (Apricot Seed), and Banxia (Pinellia Tuber).
Treats wind-induced Lijie, where limb pains feel like hammering on iron, unbearable.
Fuzi (Aconite Lateral Root) Ganjiang (Dried Ginger) Shaoyao (Peony Root) Fuling (Poria) Renshen (Ginseng Root) Gancao (Licorice Root) Guixin (Cinnamon Twig Heart) (each 3 liang) Baizhu (Atractylodes Macrocephala Rhizome, 4 liang).
The above ingredients are chopped. Take 4 da qian per dose. Add 2 zhan of water, decoct until reduced to 0.7 zhan, strain, and take before meals. Another version removes Guixin and uses Dihuang (Rehmannia Root), 2 liang.
Most effective for Lijie Feng (Wind Lijie); modern people use it with great efficacy. (See Chapter 7 of this volume.)
Xiao Xuming Tang (Minor Continuation of Life Decoction) Primarily treats Baihu Lijie, where pain is unbearable. (Prescription found in Volume 3)
There was a woman who initially suffered unbearable pain in both ankle bones. The next day, the pain flowed upward to the knees. Within one or two days, it flowed to the thigh bones. In severe cases, it flowed to the shoulders, then from shoulders to elbows, and from elbows to Houxi (SI3, Posterior Stream acupoint). The pain felt either like hammering or like insect bites, unbearable. Daytime quietness with nighttime exacerbation occurred. Various medicines failed. Upon my diagnosis, the six pulses were tight. I said: This is true Lijie syndrome. Only dispersing and releasing exterior herbs can cure it. Using only Xiao Xuming Tang, one dose resulted in a cure.
Another case: Lady Deng also suffered from Lijie in summer, with unbearable pain, unresponsive to various medicines. Upon my diagnosis, the Renying (ST9, Neck Artery pulse point) and Xinmai (Heart pulse) were deficient. This was caused by Summerheat. It was appropriate to first administer Jiuzheng Huanglian Wan (Wine-steamed Coptis Pill). Other doctors laughed at this approach. However, after taking one packet, she was cured. Subsequent use on others proved highly effective.