夫伤寒后骨节烦疼者。由津液不足。血脉皆虚。余毒客于经络。荣卫涩滞于骨节之间。
故令骨节烦疼也。诊三部脉细而迟涩者。乃其候也。
方
葛根汤 治伤寒后毒瓦斯未解。四肢少力。骨节烦疼。心腹胀满。
葛根（锉） 生干地黄（焙） 羌活（去芦头） 桂（去粗皮） 芍药 芎 麻黄（去
根节汤
煮掠去沫） 陈橘皮（汤浸去白焙） 木香（各半两） 甘草（炙锉一分） 上粗捣筛。每
服五钱。
水
柴胡汤 治伤寒后百节疼痛。壮热头疼。
柴胡（去苗） 芍药 知母（焙） 桃仁（汤浸去皮尖双仁炒黄） 木香 栀子仁 升
麻大
青白芷 黄芩（去黑心各半两） 甘草（炙锉各一两） 上粗捣筛。每服五钱。水一盏半。
入
生姜半分。拍碎。同煎至七分。去滓。食前温服。日三。
柴胡饮 治伤寒后骨节疼痛。咳嗽。不能食。口舌干燥。乍寒乍热。唇口生疮。
柴胡（去苗） 升麻 茯神（去木） 芍药 犀角（镑） 百合 地骨皮 麦门冬（去
心焙）
黄芩（去黑心） 人参（各半两） 鳖甲（去裙 醋炙） 石膏（各一两） 甘草（炙锉一
分） 上粗
捣筛。每服五钱。水一盏半。入生姜半分。拍碎。竹叶三七片。同煎至七分。去滓。食前温
服。日再。
芍药汤 治伤寒后壮热。骨肉疼痛。头重呕哕。
芍药 柴胡（去苗） 赤茯苓（去黑心） 人参 麦门冬（去心焙） 藿香叶 白芷（各
半两）
生芦根（一两） 甘草（炙一分） 上锉如麻豆大。每服五钱。水一盏半。入生姜半分。拍
碎。
同煎至七分。去滓。空心温服。晚食前再服。
百合汤 治伤寒后四肢烦热。骨节疼痛。
百合 知母（焙） 鳖甲（去裙 醋炙） 柴胡（去苗） 葛根（锉） 桑根白皮（锉
各一两）
上粗捣筛。每服五钱。水一盏半。煎至八分。去滓。入生地黄汁一合。搅匀。食后温服。日
再。
茯苓汤 治伤寒后骨节烦疼。乍起眼暗。气冲胸背。上气满急。
白茯苓（去黑皮） 柴胡（去苗） 桔梗（炒） 细辛（去苗叶） 芍药 大腹皮（各
半两） 枳
壳（去瓤麸炒） 陈橘皮（汤浸去白瓤焙各一两） 杏仁（汤浸去皮尖双仁炒三分） 甘草
（炙一
分） 上粗捣筛。每服五钱。水一盏半。入生姜半分。拍碎。同煎至八分。去滓。食后温服。
日
黄 汤 治伤寒后骨节烦疼。不欲饮食。及气胀汗出。补气。
黄 （锉） 芍药 桂（去粗皮） 麦门冬（去心焙） 五味子 前胡（去芦头） 白
茯苓（去
黑皮） 当归（切焙） 人参（各半两） 甘草（炙一分） 上粗捣筛。每服五钱。水一盏
半。入
生姜半分。拍碎。枣三枚。擘破同煎至七分。去滓。温服。日三。
防风汤 治伤寒后遍身骨节疼痛。脚膝无力。
防风（去芦） 白术 附子（炮裂去皮脐） 白藓皮 黄 桂（去粗皮） 薏苡仁（各
一两）
上锉如麻豆。每服三钱。以水一盏。入生姜半分。拍碎。同煎至半盏。去滓。温服。日三。
羌活汤 治伤寒后下焦风虚。骨髓酸痛。腰脚顽痹。不能久立。日渐消瘦。
羌活（去芦头） 防风（去芦） 五加皮 牛膝（去苗酒浸切焙） 酸枣仁（微炒） 丹
参芍
药麻黄（去根节汤煮掠去沫焙） 当归（切焙） 独活 槟榔 玄参（坚者） 木通（锉
各半两）
桂（去粗皮） 黄 （锉各三分） 上粗捣筛。每服五钱。水一盏半。煎至七分。去滓。空
心温
服。日晚再服。
续断汤（出护命方）治伤寒热毒瓦斯。攻肾。腰背疼痛。脊膂强急。头痛。左手
尺脉浮。微数
续断 杜仲（去粗皮炙锉） 羌活（去芦头） 麻黄（去根节汤煮掠去沫焙） 芎 （各
一两）
牵牛（一分炒熟） 上粗捣筛。每服三钱。以水一盏。煎至二沸。去滓。空心服。
桂枝芍药知母汤（出金匮方）治诸肢节疼痛。身体 羸。脚肿如脱。头眩短
气。温温欲吐。
桂枝（四两） 芍药（三两） 甘草（二两） 麻黄（二两） 生姜（五两） 白术（五
两） 知母
（四两） 防风（四两） 附子（二两炮） 上以水七升。煮取二升。温服七合。日三服。
柴胡散 治伤寒壮热。肢节疼痛。大小便涩。
柴胡（去苗） 黄芩（去黑心） 栝蒌根 山栀子仁（各一两） 大黄（锉醋炒） 芒
硝（各一
两半） 木香 白藓皮（各三分） 茵陈蒿（半两） 上捣罗为细散。每服二钱。以食前。
新汲
水调下。
神解丸（出御药院）治内外所伤。骨节疼痛。壮热憎寒。头疼。身体拘急。
朱砂（研） 砂（研） 黄蜡（各等分） 上熔蜡和成剂。旋丸如绿豆大。每服一丸。
冷水
送下。如人行一二里。以熟葱醋粥投。汗出解。
正元散（出拔萃方）治伤寒始觉吹冻。着四肢头目百节疼痛。急煎此服。如人
行五里再服。
麻黄 陈皮 甘草 干姜 肉桂 白芍药 大黄 附子 吴茱萸 半夏（各等分皆可
制）
上麻黄加一半。茱萸减一半。同为末。每服一大钱。水一盏。生姜五片。枣一枚。煎七分。
热呷。出汗以被盖覆。汗出愈。阴毒不可用麻黄出汗。
天麻散（出王氏博济方）解伤寒浑身壮热。百节疼痛。头昏重。面赤气粗。脉
息洪大。大效
天麻（三两） 乌头（一两半） 天南星（二两） 防风 白附子（一两） 雄黄（半
两） 麝香
（少
橘皮汤（永类钤方）治动气在下。不可发汗。发之反无汗。心中大烦。骨节疼
痛。目瞑恶寒
净陈皮（一两半） 甘草（半两炙） 人参（一分） 竹茹（半两） 上 咀。每服四
钱。水一
盏。姜三片。枣一个。煎。空心服。活人书。加生姜一两。枣子八个。作六服。
After the contraction of Cold Damage (Shanghan), if there is distressing pain in the bone and joints, it is due to insufficient body fluids and deficiency of blood vessels. The residual pathogenic factors lodge in the meridians, causing stagnation of Ying (Nutritive) and Wei (Defensive) Qi between the bone and joints. Consequently, this leads to distressing pain in the bone and joints. Upon palpating the Cun, Guan, and Chi positions of the radial pulse, if the pulse is thin, slow, and choppy, this is the corresponding sign.
Formulas:
Ge Gen Tang (Kudzu Decoction): Treats residual toxic heat after Cold Damage, weakness in the four limbs, distressing pain in bone and joints, and fullness/distension in the heart and abdomen.
Ingredients: Ge Gen (Puerariae Lobatae Radix, sliced), Sheng Gan Di Huang (Rehmanniae Radix, dried and roasted), Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Bai Shao (Paeoniae Radix Alba), Xiong Diao (Ligustici Chuanxiong Rhizoma), Ma Huang (Ephedrae Herba, roots and nodes removed, boiled and scum skimmed), Chen Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, roasted), Mu Xiang (Aucklandiae Radix) — each half liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced) — one qian. Coarsely crush and sieve. Take five qian per dose.
Chai Hu Tang (Bupleuri Decoction): Treats pain in all joints after Cold Damage, high fever, and headache.
Ingredients: Chai Hu (Bupleuri Radix, sprouts removed), Bai Shao (Paeoniae Radix Alba), Zhi Mu (Anemarrhenae Rhizoma, roasted), Tao Ren (Persicae Semen, soaked in water, skin and tips removed, double kernels discarded, stir-fried until yellow), Mu Xiang (Aucklandiae Radix), Zhi Zi Ren (Gardeniae Fructus seed), Sheng Ma ( Cimicifugae Rhizoma), Da Qing (Isatidis Folium or Radix), Bai Zhi (Angelicae Dahuricae Radix), Huang Qin (Scutellariae Radix, blackened parts removed) — each half liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced) — one liang. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water and half ban of fresh ginger (smashed). Decoct until seven fen remains, strain, and take warm before meals, three times daily.
Chai Hu Yin (Bupleuri Drink): Treats pain in bone and joints after Cold Damage, cough, inability to eat, dryness of mouth and tongue, alternating chills and fever, and sores on lips and tongue.
Ingredients: Chai Hu (Bupleuri Radix, sprouts removed), Sheng Ma (Cimicifugae Rhizoma), Fu Shen (Poria with Hostwood, wood removed), Bai Shao (Paeoniae Radix Alba), Xi Jiao (Rhinocerotis Cornu, shaved), Bai He (Lilii Bulbus), Di Gu Pi (Lycii Cortex), Mai Men Dong (Ophiopogonis Radix, heart removed, roasted), Huang Qin (Scutellariae Radix, blackened parts removed), Ren Shen (Ginseng Radix et Rhizoma) — each half liang; Bie Jia (Testudinis et Chelonis Carapax et Plastrum, apron removed, vinegar-fried), Shi Gao (Gypsum Fibrosum) — each one liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced) — one qian. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water, half ban of fresh ginger (smashed), and thirty-seven leaves of Zhu Ye (Bambusae Folium). Decoct until seven fen remains, strain, and take warm before meals, twice daily.
Bai Shao Tang (Paeoniae Decoction): Treats high fever after Cold Damage, pain in muscles and bones, heavy head, vomiting, and hiccups.
Ingredients: Bai Shao (Paeoniae Radix Alba), Chai Hu (Bupleuri Radix, sprouts removed), Chi Fu Ling (Poria with Hostwood, blackened parts removed), Ren Shen (Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Radix, heart removed, roasted), Huo Xiang Ye (Agastaches Folium), Bai Zhi (Angelicae Dahuricae Radix) — each half liang; Sheng Lu Gen (Phragmitis Rhizoma, fresh) — one liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) — one qian. Slice like hemp seeds. Take five qian per dose. Add one dan and a half sheng of water and half ban of fresh ginger (smashed). Decoct until seven fen remains, strain, and take warm on an empty stomach. Take again before evening meal.
Bai He Tang (Lilii Decoction): Treats vexatious heat in the four limbs and pain in bone and joints after Cold Damage.
Ingredients: Bai He (Lilii Bulbus), Zhi Mu (Anemarrhenae Rhizoma, roasted), Bie Jia (Testudinis et Chelonis Carapax et Plastrum, apron removed, vinegar-fried), Chai Hu (Bupleuri Radix, sprouts removed), Ge Gen (Puerariae Lobatae Radix, sliced), Sang Bai Pi (Mori Cortex, sliced) — each one liang. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water. Decoct until eight fen remains, strain, add Yi He of Sheng Di Huang Jiang (Jujubae Fructus juice? Note: Text says Sheng Di Huang Zhi - Rehmanniae Radix juice), mix well, and take warm after meals, twice daily.
Fu Ling Tang (Poria Decoction): Treats distressing pain in bone and joints after Cold Damage, sudden dimness of vision upon rising, qi rushing to chest and back, and urgent fullness in the upper jiao.
Ingredients: Bai Fu Ling (Poria, black skin removed), Chai Hu (Bupleuri Radix, sprouts removed), Jie Geng (Platycodonis Radix, stir-fried), Xi Xin (Asari Radix et Rhizoma, sprouts and leaves removed), Bai Shao (Paeoniae Radix Alba), Da Fu Pi (Arecae Pericarpium) — each half liang; Zhi Ke (Aurantii Fructus Immaturus, pulp and bran removed, stir-fried), Chen Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, roasted) — each one liang; Xing Ren (Armeniacae Semen Amarum, soaked in water, skin and tips removed, double kernels discarded, stir-fried) — three qian; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) — one qian. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water and half ban of fresh ginger (smashed). Decoct until eight fen remains, strain, and take warm after meals, once daily.
Huang Qi Tang (Astragali Decoction): Treats distressing pain in bone and joints after Cold Damage, loss of appetite, abdominal distension with sweating; tonifies qi.
Ingredients: Huang Qi (Astragali Radix, sliced), Bai Shao (Paeoniae Radix Alba), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Mai Men Dong (Ophiopogonis Radix, heart removed, roasted), Wu Wei Zi (Schisandrae Fructus), Qian Hu (Peucedani Radix, rhizome removed), Bai Fu Ling (Poria, black skin removed), Dang Gui (Angelicae Sinensis Radix, sliced and roasted), Ren Shen (Ginseng Radix et Rhizoma) — each half liang; Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) — one qian. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water, half ban of fresh ginger (smashed), and three dates (split). Decoct until seven fen remains, strain, and take warm, three times daily.
Fang Feng Tang (Saposhnikoviae Decoction): Treats pain in all bone and joints over the whole body and weakness in legs and knees after Cold Damage.
Ingredients: Fang Feng (Saposhnikoviae Radix, rhizome removed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Bai Xian Pi (Dictamni Cortex), Huang Qi (Astragali Radix), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Yi Yi Ren (Coicis Semen) — each one liang. Slice like hemp seeds. Take three qian per dose. Add one sheng of water and half ban of fresh ginger (smashed). Decoct until half a sheng remains, strain, and take warm, three times daily.
Qiang Huo Tang (Notopterygii Decoction): Treats wind-deficiency in the lower jiao after Cold Damage, soreness and pain in bone marrow, numbness and paralysis of waist and legs, inability to stand for long periods, and gradual emaciation.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed), Fang Feng (Saposhnikoviae Radix, rhizome removed), Wu Jia Pi (Acanthopanacis Cortex), Niu Xi (Achyranthis Bidentatae Radix, sprouts removed, wine-soaked, sliced, and roasted), Suan Zao Ren (Ziziphi Spinosae Semen, lightly stir-fried), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Bai Shao (Paeoniae Radix Alba), Ma Huang (Ephedrae Herba, roots and nodes removed, boiled, scum skimmed, and roasted), Dang Gui (Angelicae Sinensis Radix, sliced and roasted), Du Huo (Angelicae Pubescentis Radix), Bing Lang (Areca Semen), Xuan Shen (Scrophulariae Radix, hard ones selected), Mu Tong (Akebiae Caulis, sliced) — each half liang; Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Huang Qi (Astragali Radix, sliced) — each three qian. Coarsely crush and sieve. Take five qian per dose. Add one dan and a half sheng of water. Decoct until seven fen remains, strain, and take warm on an empty stomach. Take again in the evening.
Xu Duan Tang (Dipsaci Decoction, from *Hu Ming Fang*): Treats heat-toxic qi attacking the kidneys after Cold Damage, causing pain in waist and back, stiffness and spasm of the spine, headache, and floating, slightly rapid pulse at the Chi position of the left hand.
Ingredients: Xu Duan (Dipsaci Radix), Du Zhong (Eucommiae Cortex, coarse bark removed, fried and sliced), Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed), Ma Huang (Ephedrae Herba, roots and nodes removed, boiled, scum skimmed, and roasted), Xiong Diao (Ligustici Chuanxiong Rhizoma) — each one liang; Qian Niu Zi (Pharbitidis Semen, one qian, stir-fried until ripe). Coarsely crush and sieve. Take three qian per dose. Add one sheng of water. Boil twice, strain, and take on an empty stomach.
Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Paeonia, and Anemarrhena Decoction, from *Jin Gui Yao Lue*): Treats pain in various joints, emaciation of the body, swelling of feet as if detached, dizziness, shortness of breath, and a sensation of warmth in the chest with desire to vomit.
Ingredients: Gui Zhi (Cinnamomi Ramulus) — four liang, Bai Shao (Paeoniae Radix Alba) — three liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) — two liang, Ma Huang (Ephedrae Herba) — two liang, Sheng Jiang (Zingiberis Rhizoma Recens) — five liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) — five liang, Zhi Mu (Anemarrhenae Rhizoma) — four liang, Fang Feng (Saposhnikoviae Radix) — four liang, Fu Zi (Aconiti Lateralis Radix Praeparata, processed) — two liang. Add seven sheng of water, decoct to obtain two sheng. Take seven he of the warm liquid, three times daily.
Chai Hu San (Bupleuri Powder): Treats high fever after Cold Damage, pain in limbs and joints, and difficult urination and defecation.
Ingredients: Chai Hu (Bupleuri Radix, sprouts removed), Huang Qin (Scutellariae Radix, blackened parts removed), Gua Lou Gen (Trichosanthis Radix), Shan Zhi Zi Ren (Gardeniae Fructus seed) — each one liang; Da Huang (Rhei Radix et Rhizoma, sliced and vinegar-fried), Mang Xiao (Natrii Sulfas) — each one and a half liang; Mu Xiang (Aucklandiae Radix), Bai Xian Pi (Dictamni Cortex) — each three qian; Yin Chen Hao (Artemisiae Scopariae Herba) — half liang. Pound and sift into a fine powder. Take two qian per dose before meals, mixed with newly drawn cold water.
Shen Jie Wan (Divine Release Pill, from *Yu Yao Yuan Fang*): Treats injuries from internal and external causes, pain in bone and joints, high fever with aversion to cold, headache, and muscle rigidity.
Ingredients: Zhu Sha (Cinnabaris, ground), Pi (Arsenicum, ground), Huang La (Beeswax) — equal parts. Melt the beeswax and mix with the powders to form pills the size of mung beans. Take one pill per dose with cold water. After walking for one or two li, consume cooked scallion and vinegar porridge to induce sweating; the condition resolves when sweat appears.
Zheng Yuan San (Origin-Regulating Powder, from *Ba Cui Fang*): Treats early stage of Cold Damage where one feels chilled, leading to pain in the four limbs, head, eyes, and all joints. Decoct and take urgently. Take another dose after walking five li.
Ingredients: Ma Huang (Ephedrae Herba), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Rou Gui (Cinnamomi Cortex), Bai Shao Yao (Paeoniae Radix Alba), Da Huang (Rhei Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata), Wu Zhu Yu (Evodiae Fructus), Ban Xia (Pinelliae Rhizoma) — equal parts (prepared according to standard methods). Increase Ma Huang by half portion, decrease Wu Zhu Yu by half portion. Grind together into powder. Take one large qian per dose. Add one sheng of water, five slices of fresh ginger, and one date. Decoct until seven fen remains. Drink hot. Cover with blankets to induce sweating; recovery occurs when sweat appears. Yin Toxin patterns should not use Ma Huang to induce sweating.
Tian Ma San (Gastrodia Powder, from *Wang Shi Bo Ji Fang*): Resolves high fever over the whole body, pain in all joints, heavy dizziness, red face, rough breathing, and surging-large pulse after Cold Damage. Highly effective.
Ingredients: Tian Ma (Gastrodiae Rhizoma) — three liang, Wu Tou (Aconiti Radix) — one and a half liang, Tian Nan Xing (Arisaematis Rhizoma) — two liang, Fang Feng (Saposhnikoviae Radix), Bai Fu Zi (Typhonii Rhizoma) — one liang, Xiong Huang (Realgar) — half liang, She Xiang (Moschus) — small amount, Ju Pi (Citri Reticulatae Pericarpium).
Ju Pi Tang (Citri Reticulatae Pericarpium Decoction, from *Yong Lei Qian Fang*): Treats "Moving Qi" located in the lower jiao. Sweating is contraindicated; if forced, it results in lack of sweat, severe mental restlessness, pain in bone and joints, closing of eyes, and aversion to cold.
Ingredients: Jing Chen Pi (Pure Citri Reticulatae Pericarpium) — one and a half liang, Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) — half liang, Ren Shen (Ginseng Radix et Rhizoma) — one qian, Zhu Ru (Bambusae Caulis in Taeniae) — half liang. Cut into pieces. Take four qian per dose. Add one sheng of water, three slices of ginger, and one date. Decoct. Take on an empty stomach. According to *Huo Ren Shu*, add one liang of fresh ginger and eight dates, divided into six doses.