夫湿者。天之阴雨宿雾。地之山泽蒸气。人或中之必溢于血脉。而流于关节也。其或久
处卑湿。常住水泾。或冒雨露而行。劳伤汗出。衣里冷湿。皆能为病。经云。湿为停着。左
传曰湿淫腹疾。是以受湿之人一身痛重。百节酸痛。四肢肿满。筋脉弛长。发热恶寒。小便
秘涩。大便飧泄也。若气不和平。湿中稍重。亦令人半身不遂。口眼 斜。涎潮昏塞。有类
风证。治之之法。宜利小便。治湿不利其小便。非其治也。宜于渗湿汤方中求之。切不得以
火劫发汗。并妄转泻。湿家误汗必作 。令人角弓反张如中风状。下之则额上汗出微喘。小
便不利者死。下利不止者亦死。夫寒热风湿皆能并合为病。故有风湿湿温。证各不同。为治
亦别。不可不明辨也。风湿者。风气与湿气相搏也。其证肢体烦重。不可转侧。筋脉掣痛。
不得屈伸。额上微汗。不欲去被。或身微肿。欲发其汗。但 身润则风湿俱去。若大发其
汗。则风气去而湿气相并也。其证身体烦疼无汗。恶寒发热。脉浮缓而细。宜与麻黄白术汤。
以发散实表。除湿去寒也。中湿者。脉沉而细微缓。以湿溢入肌肤。脉则沉细。夫湿者。在
天为雨。在地为土。在人为脏为脾。故湿喜归脾。脾虚喜中湿。故曰湿流关节。中之使人
胀。四肢关节疼痛而烦。久则浮肿喘满。昏不知人。着肾者。腰痛身重如坐水中。着脾者。
四肢浮肿不能屈伸。挟风则眩晕呕哕。兼寒则拳拳掣痛。或泄泻发黄。身热鼻塞。直视郑声。
虚汗香港脚。腹中胀。脐下坚次之。
夫风湿者。是风气与湿气共伤于人也。风者八方之虚。风湿者水湿之蒸气。若地下湿复
少霜雪。其山水气蒸。兼值暖猥。暖猥人腠理开。便受风湿。其状令人懈惰。精神昏愦。若
经久亦令四肢缓纵不随。入脏则 。口舌不收。或脚痹弱。变为香港脚。真诰云。栉头理发
欲得多过。通流血脉。散风湿。数易更栉器用之。
夫湿温者。其人常伤于湿。因而中暑。或汗未干即浴。湿热相搏则发湿温。病苦两胫逆
冷。及胸多汗。头目痛苦妄言。恶寒反热。关节尽疼。手足倦怠不自胜持。其脉阳濡而弱。
阴小而急。治在太阴。宜与茯苓白术汤。不可发汗。汗出必不能言。耳聋不知所在。身青而
色变。名曰重 。如此者。医杀之耳。
凡男子妇人小儿手足麻痹。肌肉不仁者。风寒湿三气相杂至合为痹。先用黄芩芍药汤吐
之。吐讫次用通解丸。通而泻之。泻讫更用辛甘之剂汗之。汗泻之后。可用当归清凉饮子兼
乌荆丸、除湿丹、和血行经之药则愈矣。
凡男子妇人病水湿泻注不止。因服豆蔻、乌梅、姜、附酸热之剂。经曰。阳气耗减于内。
阴
陷而不起。内经曰。诸湿肿满皆属脾土。可用独圣散吐之。如时月寒凉。宜于燠室不透风处
。用火一盆。藉火力出汗。次以导水、禹功。量病患虚实泻十余行。湿去肿减则愈矣。是汗
下吐三法俱行。三法行毕脏腑空虚。先宜以淡浆粥养肠胃三两日。次服五苓、益元同煎。或
灯心汤调下亦可。如大势未尽。更服神功散。可以流湿润燥。分阴阳利水道。既平之后。宜
大将息。慎忌油、盐、酒、果、房室等事三年。则不复作矣。
方
金砂流湿丸 治男子妇人杂证。及风湿酒湿。
木通（一两去皮） 泽泻（一两半） 木香（一两） 白茯苓（去皮） 大黄（去皮各
一两半） 滑石（五两） 海金砂（五钱） 牵牛头末（五两） 郁李仁（一两） 上为细
末。滴水丸如梧桐子
大。每服五十丸至八十丸。生姜汤下。忌湿面。如小便不通。灯草汤下。如伤酒。生姜汤下。
酒疸。食黄萝卜汤下。痢疾。高良姜汤下。妇人血气不调。当归汤下。肢节疼痛。温酒下。
心痛者。韭根汤下。膈气。枳实汤下。中风。槐角汤下。
除湿丹（出宣明论）治湿客腰膝。重痛。足胫浮肿。
槟榔 甘遂 赤芍药 威灵仙 葶苈（各二两） 乳香（一两研） 没药（一两别研） 牵
牛（半两） 大戟（炒三两） 陈皮（四两去白） 泽泻（二两） 上为细末。面糊为丸如
梧桐子大。
每服五十丸。加至八十丸。食前温水送下。得更衣止后服。前服忌酒二日。药后忌湿面、甘
草三两日。食温淡粥补胃。一方无泽泻。
桂苓白术丸（出御药院方）治消痰逆。止咳嗽。散痞满壅塞。开坚结痛闷。
增
进饮食。调和脏腑。无问寒暑湿热。吐泻利皆能开发。以令遍身流湿润燥。气液宣平而
愈。解酒毒。疗肺痿劳嗽。水肿腹胀。泄泻不能止者。服之利止为度。随证调之。
官桂 茯苓（去皮） 半夏（以上各一两） 干生姜（一分） 白术 红皮（去白） 泽
泻（各半两） 黄连（半两） 黄柏（二两） 上为末。面糊为丸如小豆大。每服三、五十
丸。生姜汤下。食后服。
桂苓白术散（刘先生直格方）治伤寒中风。冒暑饮食。内外一切所伤。传受
湿
热内甚。或头痛口干。或吐泻烦渴。或小便赤涩。大便急痛。或泻痢间作。并一切湿热
霍乱。吐泻转筋。急痛腹满。或中外诸邪所伤而兼吐泻者。湿热之时尤用之。（方见
桂苓甘露饮）
舟车丸 治积聚潮热。有时胃气不和。遍身肿满。或水湿蛊气。足肿腹胀。气凑不
得。腹肠间结聚。大便不通。并皆治之。
甘遂（煨） 陈皮 青皮（各一两） 木香（半两） 芫花（醋炒） 大戟（浆水浸一
宿各一两） 大黄（二两） 牵牛（头末四两） 取蛊加芜荑（半两） 上为细末。水丸梧
子大。每服六十丸。量虚实加减。食前温水送下。以利为度。
苍术复煎散 治寒湿相合。脑痛恶寒。项筋脊骨髀腿痛。膝膑痛。脉沉而无力。行
步身沉重。
苍术（四两水二碗煎至二大盏去滓入下项药味） 羌活（一钱） 升麻 泽泻 柴胡
本白术（各半钱） 黄柏（三钱） 红花（少许） 上煎。去滓稍热服之。空心取微汗为
效。忌酒、湿面。
渗湿汤 治寒湿所伤。身重腰冷。如坐水中。小便或涩或利。大便溏泄。皆因坐卧
湿处。或因雨露所袭。或因汗出衣里冷湿。久久得之。腰下重疼。两脚酸痛。腿膝或肿
或不肿。小便利反不渴。悉能主之。
苍术 白术 甘草〔各三钱（两）〕 干姜 茯苓（各二两） 橘红 丁香（各一两） 上
咀。每服四钱。水一盏半。生姜三片。枣三枚。去滓。食前温服。煎至六分。此药治脾胃不
和。呕逆恶心。大便时时溏泄。尤得其宜。一方减橘红、丁香。名肾着汤。腰重而冷痛者。
大宜服之。或不因湿气所伤。乃是风寒相搏以致腰疼。宜服生料五积散。仍加桃仁数个煎服。
若
栝蒌根汤 治风湿加渴甚者。
石膏（二两） 栝蒌根（三分） 人参 防风 甘草（炙各半两） 葛根（一两半生用
干者只三钱） 上锉如麻豆大。每服五钱。水一盏半。煎至一中盏。去滓服。
寻痛丸 治走注流湿。袭经络。宜用除疼痛。
棕榈皮（烧存性一两半） 皂荚子仁（二两炒） 当归（去芦头炒） 乳香（别研） 没
药（别研各一两） 穿山甲（酥炙一两） 木香（半两） 麝香（二钱别研） 上同为细末。
酒煮面糊和丸如梧桐子大。每服五十丸。不拘时候。温酒下。或木瓜汤送下。
渗湿汤 治坐卧湿地。或为雨露所袭。身重脚弱。关节重疼。发热恶寒。或多汗恶
风。或小便不利。大便溏泄。项背强急。手足时厥。周身麻痹。肢体微肿。
白术（二两） 人参（半两） 干姜（炮） 白芍药 附子（炮去皮脐） 白茯苓（去
皮） 桂枝（不
枣三枚。煎至八
三花神 丸 治中满腹胀。喘嗽淋闭。一切水湿肿满湿热。肠垢沉积变生疾病。久
病不已。黄瘦困倦。气血壅滞不得宣通。或风湿燥郁。肢体麻痹。走注疼痛。风痰涎嗽
。头目眩晕。疟疾不已。症瘕积聚。坚满痞闷。酒积。一切痰饮呕逆。及妇人经病不快
。带下淋沥。无问赤白。并男子妇人伤寒湿热。腹满疼痛。久新瘦弱。俗不能别辨。或
泛常只为转动之药。兼
之。
甘遂 大戟 芫花（醋拌湿炒各半两） 牵牛（二两） 大黄（一两以上为末） 轻粉
（一钱
一方无轻粉） 上为细末。滴水为丸如小豆大。初服五丸。每服加五丸。温水下。每日三服。
加至快利。利后常服保养宣通气血。稍进酒食。病痞闷极甚者。便多服。则顿攻不开。转加
痛闷。则初服两丸。每加两丸。至快利为度。以意消息。小儿丸如麻子大。随强弱增损。三
四岁者三五丸。根据前法。一方崔宣武神 丸加黄柏。
人参紫菀散 治湿热流注。足胫浮肿。痰咳等证。
人参 川芎 木香 防己 白术（各一两） 紫菀（去土皮） 苦葶苈（炒紫色各二两）
上
为粗散。每服三钱。水一大盏。生姜四片。乌梅一个。煎至八分去滓。温服。食前。日进三
服。慎湿面、温酒、等物。
接骨丹 逐湿气。定疼痛。肿疾并皆治之。
骨碎补（去毛一斤） 败酱 生地黄〔去土净洗各一两（斤）〕 蒲黄（半斤） 白面
（二升）
上为细末。一处拌匀。用隔年好米醋熬滚热。调药放温于痛处。如药冷再用热醋调敷。如此
七次。用绵包之。大有神效。一料分作七处。七日用之。
除湿汤 治寒湿所伤身体重着。腰脚酸痛。大便溏泄。小便涩闭。
平胃散加半夏曲（炒） 藿香 白茯苓 白术 上各等分。用水二盏。姜枣煎服。一方
去白术。用赤茯苓。
黄 建中汤 治伤湿。鼻塞身痛。
黄 （微炙） 辣桂 甘草 白芍药（各二两） 上为粗散。每服三钱。水一盏半。姜
四片。枣三枚。煎至八分去滓。食前服。一方入饧糖少许。再煎令溶。稍热服。
赤茯苓丸 治脾湿太过。四肢肿满。腹胀喘逆。气不宣通。小便赤涩。
葶苈（四两） 防己（二两） 赤茯苓（一两） 木香（半两） 上为细末。枣肉为丸
如梧桐子大。每服三十丸。煎桑白皮汤下。食前服。
牛黄白术丸 治腰脚湿气。
黑牵牛（头末二两） 大黄（二两） 白术（一两） 上为细末。滴水丸梧桐子大。每
服三十丸。食前生姜汤下。如要快利。加至百丸。
五加酒方
五加根茎（细锉五斗） 六月六日曲末（三斗） 黍米（一石糯米亦得） 上三味以水
五斗。
共五加同下于大釜中。以木度深浅。与水准刻之。即更添水一石五斗。并前计两石。即下火
煎。旋旋急火。取药汁减下至水刻处即得。以大盆安净筐。筐中安净布单。兼滓漉着筐中。
其汁在盆中唯有五斗。且别盛密封盖之。又重取所漉者五加滓。以水煮之。如别有五加添和
同煮更佳。取此汁用淘米。拌饭炊之。如常炊法。用前五加浓汁渍曲。且炊米五斗酿之。余
五
末之。下酿中。益炒玄参及蛇皮肉亦得。其糟与以下食之尤佳。
补骨脂丸 治湿伤内外众疾俱作。阳气衰绝。补益之药百端不应。唐郑相公为海南
节度。七十有五。越地卑湿。服诸药不应。元和七年。有诃陵国船主李摩诃献此方。经
七八日而觉应验。自尔常服。其功神验。十年二月罢郡归京。录方传之。
破故纸（半两拣洗为末） 胡桃肉（去皮二十两研如泥） 上胡桃肉泥入破故纸末。更
以好
炼蜜和匀如饴。盛瓷器中。旦日以温酒化药一匙服之。不饮酒者。以温熟水化下。弥久则延
年益气。悦心明目。补添筋骨。但禁食芸苔、羊血。
牵牛汤 治腹中湿气。足胫微肿。中满气急。咳嗽喘息。小便不利。
黑牵牛（头末一两） 浓朴（姜制半两） 上研末。每服二钱。煎姜枣汤调下。或临时
水丸梧
茯苓白术汤 治冒雨湿着肌肤。或因汗出浸渍。或因燥热得病。觉腰重脚弱。身体
烦痛。头
白术（二两炒） 附子（一两生熟临时消息） 茯苓（去皮半两） 官桂（去粗皮半两）
甘草（半两） 上 咀。每服四钱。水二盏。生姜七片。煎至六分去滓。食前服。
加味术附汤 治中湿脉沉而微缓。湿喜归脾。流于关节。中之多使人腹 胀倦怠。
四肢关节疼痛而烦。或一身重着。久则浮肿喘满。昏不知人。挟风眩晕呕哕。兼寒则挛
拳掣痛。治之不得猛发汗。灼艾通泄。惟利小便为佳。此方主之。及治大小便皆自利。
白术（去芦） 甘草（炒一两） 附子（炮一两半） 赤茯苓（一两） 上锉散。每服
五钱。水
一盏半。姜七片。枣三枚。煎七分。日三服。才见身痹。又三服。当如冒状勿怪。盖术附并
行皮中逐水气故尔。法合加桂一两。大便坚小便利则勿加。
术附汤 治风湿相搏。身体疼烦。不能转侧。不呕不渴。大便坚硬。小便自利。及
风虚头目眩重。甚者。不知食味。此药暖肌补中。助阳气。止自汗。
白术（二两） 甘草（炒一两） 附子（熟七钱半） 上锉细。每服三钱。姜七片。水
一盏半。煎
白术酒 治中湿。口噤不知人。
用白术半两去芦。以酒三盏。煎一盏。顿服。不能饮酒以水代。日三服。夜一服。鲍氏
Dampness is the rainy clouds and lingering fog of the sky, and the steaming vapor from mountains and marshes on the ground. If a person is invaded by dampness, it will inevitably overflow into the blood vessels and flow into the joints. Those who dwell for long periods in low-lying and damp places, reside frequently near water channels, walk in rain and dew, or suffer fatigue with sweating where clothes become cold and wet inside, can all develop diseases. The classics state: "Dampness tends to stagnate and adhere." *Zuo Zhuan* says: "Excessive dampness causes abdominal disorders." Therefore, those affected by dampness experience whole-body pain and heaviness, soreness and aching in all joints, swelling and fullness in the four limbs, laxity and elongation of tendons and vessels, fever with aversion to cold, constipation of urine, and diarrhea with undigested food (Sun Xie). If Qi mechanism is not harmonious and dampness is slightly severe, it may also lead to hemiplegia, deviation of the mouth and eye, flooding of saliva, and stupor with obstruction, resembling wind patterns. The treatment method should be to promote urination. Treating dampness without promoting urination is incorrect. One should seek methods in formulas such as Shen Shi Tang (Damp-Draining Decoction). One must strictly avoid using fire to force sweating and reckless purgation. Mistakenly inducing sweating in damp patients will inevitably cause spasms (Jing), leading to opisthotonos resembling stroke. Mistaken purgation leads to sweating on the forehead, slight panting, and inability to urinate, which is a death sign; if diarrhea persists, it is also fatal. Cold, heat, wind, and dampness can combine to cause disease, hence there are Wind-Damp and Damp-Warm patterns, each with different manifestations and treatments, which must be clearly distinguished.
Wind-Damp refers to the struggle between wind pathogen and damp pathogen. Symptoms include heavy and uncomfortable limbs, inability to turn over, pulling pain in tendons and vessels, inability to flex and extend, slight sweating on the forehead, reluctance to remove blankets, or slight body swelling. To induce sweating, if the body becomes slightly moist, both wind and damp will be expelled. If excessive sweating is induced, wind may leave but damp will merge with it. Symptoms include painful body, no sweat, aversion to cold and fever, floating, moderate, and fine pulse. Mahuang Baizhu Tang (Ephedra and Atractylodes Macrocephala Decoction) is suitable to release the exterior, dispel dampness, and remove cold.
Zhong Shi (Central Dampness) presents with a deep, fine, and slow pulse because dampness overflows into the skin and muscles, making the pulse deep and fine. Dampness, in the sky, is rain; on earth, it is soil; in humans, it corresponds to the Spleen organ. Thus, dampness tends to affect the Spleen, and Spleen deficiency makes one susceptible to dampness. Hence, dampness flows into joints; invading the body causes distension, pain and irritability in limbs and joints, and over time edema, panting, fullness, and coma. If dampness settles in the Kidney, there is lower back pain and body heaviness as if sitting in water; if it settles in the Spleen, limbs swell and cannot move; if combined with wind, there is vertigo, vomiting, and hiccups; if combined with cold, there is cramping and pulling pain, or diarrhea with yellowing, fever, nasal congestion, staring gaze, confused speech, spontaneous sweating, beriberi, abdominal distension, and hardness below the umbilicus.
Wind-Damp is when wind and damp pathogens jointly injure humans. Wind is the empty evil from eight directions; Wind-Damp is the vapor of water dampness. If underground dampness is heavy and frost/snow is scarce, mountain stream vapors rise. Combined with warm and muggy weather, pores open, making one susceptible to Wind-Damp. This causes lethargy, mental confusion, and if chronic, flaccidity of limbs. If entering organs, it causes inability to control mouth/tongue, foot numbness, becoming beriberi. *Zhengao* states: Combing hair frequently unblocks blood vessels and disperses wind-damp; changing combs often is advisable.
Damp-Warm occurs when a person is previously injured by dampness, then suffers summerheat, or bathes before sweat dries. Heat and dampness struggle, causing Damp-Warm. Patients suffer from reverse coldness in calves, excessive chest sweating, head/eye pain, delirium, aversion to cold with fever, joint pain, and weak hands/feet unable to support weight. Pulse is superficial and soggy/weak, deep and small/rapid. The disease location is Taiyin. Lingjun Baizhu Tang (Poria and Atractylodes Macrocephala Decoction) is suitable. Sweating must not be induced. If sweated, the patient loses voice, becomes deaf and disoriented, body turns blue/purple, named "Chong E" (Heavy Miasma). Such cases result in medical error.
For men, women, and children with numbness/paralysis of limbs and insensibility of muscles, this is Bi syndrome caused by mixing of wind, cold, and damp. First use Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) to induce vomiting. After vomiting, use Tongjie Wan (Unblocking Pill) to purge. After purging, use acrid-sweet agents to induce sweating. After sweating and purging, use Danggui Qingliang Yinzi (Angelica Cooling Drink), Wu Jing Wan, Chushi Dan, and blood-nourishing/moving herbs to cure.
For men, women with persistent watery diarrhea due to consuming cardamom, smoked plum, ginger, aconite, etc., causing internal Yang depletion and Yin sinking. *Neijing* states: "All dampness-related swelling and fullness belong to Spleen Earth." Use Dusheng San (Single Miracle Powder) to vomit. In cold seasons, use a warm room with fire to induce sweating. Then use Daoshui and Yugong formulas to purge 10+ times based on deficiency/excess. When damp leaves and swelling reduces, cure is achieved. This uses sweating, purging, and vomiting together. After these three methods, Zang-Fu are empty; nourish stomach/intestines with thin porridge for 2-3 days. Then take Wuling San (Five-Ling Powder) and Yiyuan San decocted together, or taken with Juncus effusus tea. If major symptoms persist, take Shengong San to moisten dryness, separate Yin/Yang, and benefit water passages. After recovery, rest carefully for 3 years, avoiding oil, salt, alcohol, fruit, and sexual activity to prevent recurrence.
Formulas:
Jinsha Liushi Wan (Golden Sand Damp-Flowing Pill): Treats miscellaneous conditions, wind-damp, and wine-damp.
Tong Xu (Akebia Caulis, 1 liang peeled), Ze Xie (Alisma Rhizome, 1.5 liang), Mu Xiang (Vladimiria Root, 1 liang), Bai Fu Ling (Poria, peeled), Da Huang (Rhubarb Rhizome, 1.5 liang peeled), Hua Shi (Talcum, 5 liang), Hai Jin Sha (Lygodium Spore, 5 qian), Qian Niu Tou Mo (Pharbitis Seed Head Powder, 5 liang), Yu Li Ren (Prunus Seed, 1 liang). Grind to fine powder, mix with water to make pills like paulownia seeds. Take 50-80 pills with Ginger Decoction. Avoid damp noodles. For urinary retention, use Juncus tea; for wine injury, Ginger Decoction; for wine jaundice, Yellow Radish soup; for dysentery, Galangal Decoction; for female blood/qi disharmony, Angelica Decoction; for limb/joint pain, warm wine; for heart pain, Leek Root Decoction; for diaphragm qi stagnation, Immature Bitter Orange Decoction; for stroke, Sophora Fruit Decoction.
Chushi Dan (Damp-Removing Pill, from *Xuanming Lun*): Treats dampness lodging in waist/knees, heavy pain, calf swelling.
Bing Lang (Areca Seed), Gan Sui (Kansui Root), Chi Shao Yao (Red Peony Root), Wei Ling Xian (Clematis Root), Ting Li (Lepidium Seed, 2 liang each), Ru Xiang (Frankincense, 1 liang ground), Mo Yao (Myrrh, 1 liang ground separately), Qian Niu (Pharbitis Seed, 0.5 liang), Da Ji (Euphorbia Root, stir-fried 3 liang), Chen Pi (Tangerine Peel, 4 liang peeled white), Ze Xie (Alisma, 2 liang). Grind to powder, bind with flour paste into paulownia seed-sized pills. Take 50-80 pills before meals with warm water. Stop after changing clothes. Avoid alcohol for 2 days post-medication, avoid damp noodles/licorice for 3 days. Eat warm bland porridge. Alternative formula lacks Ze Xie.
Guiling Baizhu Wan (Cinnamon Twig, Poria, and Atractylodes Macrocephala Pill, from *Yuyao Yuan Fang*): Treats phlegm reversal, cough, distension/blockage, hard knots, poor appetite, harmonizes Zang-Fu. Effective for cold/heat/damp-heat, vomiting/diarrhea/dysentery. Moistens dryness, promotes Qi/fluid circulation. Resolves wine toxicity, treats lung abscess/cough, edema/abdominal distension, intractable diarrhea. Take until diarrhea stops, adjust per syndrome.
Guan Gui (Cinnamon Bark), Fu Ling (Poria, peeled), Ban Xia (Pinellia Tuber, 1 liang each), Gan Sheng Jiang (Dried Ginger, 1 fen), Bai Zhu (Atractylodes Macrocephala), Hong Pi (Red Peel, peeled white), Ze Xie (Alisma, 0.5 liang each), Huang Lian (Coptis Rhizome, 0.5 liang), Huang Bo (Phellodendron Bark, 2 liang). Grind to powder, bind with flour paste into soybean-sized pills. Take 30-50 pills with Ginger Decoction after meals.
Guiling Baizhu San (Cinnamon Twig, Poria, and Atractylodes Macrocephala Powder, Liu Shengren's Zhige Formula): Treats cold/flu, summerheat/dietary injury, internal/external injuries transmitting to severe internal damp-heat. Headache/dry mouth, vomiting/thirst, red/scanty urine, urgent/painful stool, alternating diarrhea/dysentery, damp-heat cholera, vomiting/diarrhea with muscle cramps, acute abdominal fullness/pain, or external/internal evils causing vomiting/diarrhea. Especially for damp-heat times. (See Guiling Ganlu Yin).
Zhouche Wan (Boat Cart Pill): Treats accumulations with tidal fever, stomach disharmony, generalized edema, water-damp/gu qi, leg swelling/abdominal distension, air stagnation, intestinal knotting, constipation.
Gan Sui (Kansui Root, baked), Chen Pi (Tangerine Peel), Qing Pi (Green Tangerine Peel, 1 liang each), Mu Xiang (Vladimiria Root, 0.5 liang), Yuan Hua (Genkwa Flower, vinegar-fried), Da Ji (Euphorbia Root, soaked in bean water overnight, 1 liang each), Da Huang (Rhubarb, 2 liang), Qian Niu (Pharbitis Seed Head Powder, 4 liang). Add Wu Yi (Chaulmoogra Seed, 0.5 liang) for gu qi. Grind to powder, water-pellet into paulownia seed-sized pills. Take 60 pills before meals with warm water, adjust based on excess/deficiency. Stop when purged.
Cangzhu Fujian San (Atractylodes Decoction): Treats cold-damp combination, headache/aversion to cold, neck/spine/thigh pain, knee pain, deep/weak pulse, heavy gait.
Cang Zhu (Coix Seed/Atractylodes Lancea, 4 liang boiled in 2 bowls water to 2 large cups, strained), add: Qiang Huo (Notopterygium Rhizome, 1 qian), Sheng Ma (Cimicifuga Rhizome), Ze Xie (Alisma), Chai Hu (Bupleurum Root), Ben Cao (Ligusticum Root), Bai Zhu (Atractylodes Macrocephala, 0.5 qian each), Huang Bo (Phellodendron, 3 qian), Hong Hua (Safflower,少许). Boil, strain, drink warm. Empty stomach, aim for slight sweat. Avoid alcohol/damp noodles.
Shen Shi Tang (Damp-Draining Decoction): Treats cold-damp injury, heavy body/cold waist as if in water, urinary difficulty/frequency, loose stool. Caused by sitting/sleeping in dampness, rain/dew exposure, or sweaty cold clothes. Chronic lower back heaviness/pain, foot soreness, leg/knee swelling or not, clear urine without thirst.
Cang Zhu (Atractylodes Lancea), Bai Zhu (Atractylodes Macrocephala), Gan Cao (Licorice Root) [3 qian each], Gan Jiang (Dried Ginger), Fu Ling (Poria) [2 liang each], Ju Hong (Tangerine Red Peel), Ding Xiang (Clove) [1 liang each]. Chop, take 4 qian, boil in 1.5 cups water with 3 slices ginger, 3 dates. Strain, drink warm before meals, reduce to 0.6 volume. Treats Spleen/Stomach disharmony, nausea, loose stool. Alternative name: Shen Zhuo Tang (Kidney Fixation Decoction) if removing Ju Hong/Ding Xiang, for heavy/cold painful waist. If waist pain is from wind-cold, use Shengliao Wuji San plus Tao Ren (Peach Kernel).
Gualou Gen Tang (Trichosanthes Root Decoction): Treats wind-damp with severe thirst.
Shi Gao (Gypsum Fibrosum, 2 liang), Gualou Gen (Trichosanthes Root, 3 fen), Ren Shen (Ginseng Root), Fang Feng (Saposhnikovia Root), Zhi Gan Cao (Honey-fried Licorice, 0.5 liang each), Ge Gen (Pueraria Root, 1.5 liang raw, 3 qian dried). Chop like hemp seeds, take 5 qian, boil in 1.5 cups water to 1 cup. Strain and drink.
Xuntong Wan (Seek-Pain Pill): Treats migrating dampness attacking meridians, removes pain.
Zong Lu Pi (Date Palm Stem Bark, charred 1.5 liang), Zao Jia Zi Ren (Gleditsia Seed Kernel, fried 2 liang), Dang Gui (Angelica Sinensis, de-radicle fried), Ru Xiang (Frankincense, ground separately), Mo Yao (Myrrh, ground separately, 1 liang each), Chuan Shan Jia (Pangolin Scale, butter-fried 1 liang), Mu Xiang (Vladimiria Root, 0.5 liang), She Xiang (Musk, 2 qian ground separately). Mix to powder, boil in wine with flour paste into paulownia seed-sized pills. Take 50 pills anytime with warm wine or Papaya Decoction.
Shen Shi Tang (Damp-Draining Decoction - Variation): Treats sleeping in dampness/rain exposure, heavy body/weak feet, joint pain, fever/aversion to cold, sweating/aversion to wind, urinary difficulty, loose stool, stiff neck/back, intermittent cold extremities, general numbness, slight limb swelling.
Bai Zhu (Atractylodes Macrocephala, 2 liang), Ren Shen (Ginseng, 0.5 liang), Gan Jiang (Dried Ginger, fried), Bai Shao Yao (White Peony Root), Fu Zi (Prepared Aconite, peeled/core removed), Bai Fu Ling (Poria, peeled), Gui Zhi (Cinnamon Twig, unpeeled). Add 3 dates. Boil to 0.8 volume.
Sanhua Shen Wan (Three-Flower Divine Pill): Treats middle-fullness/distension, panting/cough/stranguria, all water-damp/swelling/heat-damp, intestinal filth accumulation, chronic illness with yellow/emaciation/fatigue, Qi/blood stagnation, wind-damp/dryness oppression, limb numbness, migrating pain, wind-phlegm cough, vertigo, malaria, masses, alcohol accumulation, phlegm-fluid vomiting, female menstrual issues, leukorrhea, cold/heat-damp abdominal pain, weakness.
Gan Sui (Kansui Root), Da Ji (Euphorbia Root), Yuan Hua (Genkwa Flower, vinegar-moistened fried, 0.5 liang each), Qian Niu (Pharbitis Seed, 2 liang), Da Huang (Rhubarb, 1 liang above-ground parts powdered), Qing Fen (Calomel, 1 qian, optional). Grind to powder, water-pellet into soybean-sized pills. Start with 5 pills, increase by 5 per dose, take with warm water, 3 times daily, until brisk purging. After purging, maintain with Qi/blood tonics, gradually resume diet. For severe stagnation, start with 2 pills, increase by 2 until brisk purging. Adjust mentally. Children: sesame-sized pills, 3-5 pills for 3-4 years old. Alternative adds Huang Bo.
Renshen Ziwan San (Ginseng and Aster Powder): Treats heat-damp flowing downward, calf swelling, phlegm-cough.
Ren Shen (Ginseng), Chuan Xiong (Ligusticum Chuanxiong), Mu Xiang (Vladimiria Root), Fang Ji (Stephania Root), Bai Zhu (Atractylodes Macrocephala, 1 liang each), Zi Wan (Aster Root, cleaned), Ku Ting Li (Lepidium Seed, fried purple, 2 liang each). Coarse powder, take 3 qian, boil in 1 large cup water with 4 slices ginger, 1 smoked plum, to 0.8 volume. Strain, drink warm before meals, 3 times daily. Avoid damp noodles/warm wine.
Jiegu Dan (Bone-Knitting Golden Pill): Expels dampness, stops pain, treats swelling.
Gu Sui Bu (Drynaria Rhizome, de-hair 1 jin), Bai Jiang Cao (Patrinia Herb), Sheng Di Huang (Rehmannia Root, cleaned 1 jin), Pu Huang (Typha Pollen, 0.5 jin), Bai Mian (Wheat Flour, 2 sheng). Mix powder, boil aged rice vinegar, mix medicine warm, apply to pain site. Reheat vinegar if cool. Repeat 7 times, wrap in cotton. Highly effective. Divide into 7 portions for 7 days.
Chushi Tang (Damp-Removing Decoction): Treats cold-damp heavy body, waist/foot soreness, loose stool, urinary obstruction.
Pingwei San (Calm the Stomach Powder) plus Ban Xia Qu (Pinellia Fermented Paste, fried), Huo Xiang (Patchoula Leaf), Bai Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala). Equal parts, boil 2 cups water with ginger/dates. Alternative: replace Bai Zhu with Chi Fu Ling (Red Poria).
Huangqi Jianzhong Tang (Astragalus Middle-Nourishing Decoction): Treats damp injury, nasal congestion/body pain.
Huang Qi (Astragalus Root, lightly roasted), La Gui (Cinnamon Twig), Gan Cao (Licorice Root), Bai Shao Yao (White Peony Root, 2 liang each). Coarse powder, take 3 qian, boil 1.5 cups water with 4 slices ginger, 3 dates, to 0.8 volume. Strain, drink before meals. Alternative: add maltose, melt, drink warm.
Chi Fu Ling Wan (Red Poria Pill): Treats excessive Spleen dampness, limb swelling/fullness, abdominal distension/panting/reversal, Qi stagnation, red/scanty urine.
Ting Li (Lepidium Seed, 4 liang), Fang Ji (Stephania Root, 2 liang), Chi Fu Ling (Red Poria, 1 liang), Mu Xiang (Vladimiria Root, 0.5 liang). Powder, bind with jujube paste into paulownia seed-sized pills. Take 30 pills with Mulberry Bark Decoction before meals.
Niuhuang Baizhu Wan (Black Pharbitis and Atractylodes Macrocephala Pill): Treats waist/foot dampness.
Hei Qian Niu (Black Pharbitis Seed Head Powder, 2 liang), Da Huang (Rhubarb, 2 liang), Bai Zhu (Atractylodes Macrocephala, 1 liang). Powder, water-pellet into paulownia seed-sized pills. Take 30 pills before meals with Ginger Decoction. Increase to 100 for brisk purging.
Wujia Jiu (Eleutherococcus Wine):
Wujia Genjing (Eleutherococcus Root/Stem, finely chopped 5 dou), June 6th Qu End (Fermentation Starter, 3 dou), Shumi (Millet/Glutinous Rice, 1 shi). Mix 3 ingredients with 5 dou water in large pot, mark water level, add 1.5 shi water (total 2 shi). Boil rapidly until liquid reduces to mark. Filter through clean cloth into basin (yield 5 dou). Seal. Boil residues again with fresh Eleutherococcus if available. Use this liquid to wash rice, cook rice normally. Soak Qu in concentrated Eleutherococcus juice, ferment 5 dou rice. Add fermented rice powder, stir-fried Scrophularia, or snake skin/meat. Distillers' grains are good to eat.
Buguzhi Wan (Psoralea Pill): Treats internal/external diseases from damp injury, extreme Yang deficiency unresponsive to tonics. Tang Chancellor Zheng (75 years old) in Hainan used this successfully.
Pogu Zhi (Psoralea Fruit, washed/powdered 0.5 liang), Hutao Rou (Walnut Kernel, peeled/grinded 20 liang). Mix walnut paste with Psoralea powder and refined honey into syrup. Store in ceramic jar. Morning: dissolve 1 spoon in warm wine (or warm water if non-drinker). Long-term use extends life, benefits Qi, brightens eyes, strengthens bones/tendons. Avoid Rapeseed and sheep blood.
Qianniu Tang (Pharbitis Decoction): Treats abdominal dampness, slight calf swelling, middle-fullness/shortness of breath, cough/wheezing, urinary difficulty.
Hei Qian Niu (Black Pharbitis Head Powder, 1 liang), Hou Po (Magnolia Bark, ginger-processed 0.5 liang). Grind, take 2 qian with Ginger/Jujube Decoction. Or form water-pills.
Fuling Baizhu Tang (Poria and Atractylodes Macrocephala Decoction): Treats rain/damp skin contact, sweat immersion, or dry-heat illness. Heavy waist/weak feet, body pain/head...
Bai Zhu (Atractylodes Macrocephala, stir-fried 2 liang), Fu Zi (Prepared Aconite, 1 liang raw/cooked adjusted), Fu Ling (Poria, peeled 0.5 liang), Guan Gui (Cinnamon Bark, peeled 0.5 liang), Gan Cao (Licorice, 0.5 liang). Chop, take 4 qian, boil 2 cups water with 7 slices ginger, to 0.6 volume. Strain, drink before meals.
Jiawei Shufu Tang (Modified Atractylodes-Aconite Decoction): Treats central dampness with deep/moderate pulse, damp affecting Spleen/joints, abdominal distension/fatigue, limb pain, heaviness, edema/panting/coma, wind-cold complications. Do not sweat strongly or moxa/purge; promote urination is best. Also treats spontaneous bowel/bladder movement.
Bai Zhu (de-radicle), Zhi Gan Cao (Honey-fried Licorice, 1 liang), Pao Fu Zi (Prepared Aconite, 1.5 liang), Chi Fu Ling (Red Poria, 1 liang). Chop, take 5 qian, boil 1.5 cups water with 7 slices ginger, 3 dates, to 0.7 volume, 3 times daily. If numbness appears, continue 3 doses; mild dizziness is normal as Atractylodes/Aconite expel water Qi in skin. Standard adds 1 liang Cinnamon; omit if stool is hard/urine clear.
Shufu Tang (Atractylodes-Aconite Decoction): Treats wind-damp struggle, body pain/inability to turn, no vomiting/thirst, hard stool, clear urine, wind-deficiency vertigo/heavy head, loss of taste. Warms muscles, tonifies middle, aids Yang, stops sweating.
Bai Zhu (Atractylodes Macrocephala, 2 liang), Zhi Gan Cao (Honey-fried Licorice, 1 liang), Shu Fu Zi (Cooked Aconite, 0.75 liang). Chop fine, take 3 qian, boil 1.5 cups water with 7 slices ginger...
Baizhu Jiu (Atractylodes Wine): Treats central dampness, locked jaw/coma.
Bai Zhu (de-radicle 0.5 liang), boil in 3 cups wine to 1 cup, drink at once. Substitute water if unable to drink alcohol. 3 times daily, 1 at night. Bao Shi...