夫伤寒毒攻手足者。热胜则肿也。热毒之气。客于腑脏。邪结在里。循经而出。注于四
肢。故令人手足烦热赤肿疼痛也。病源热毒瓦斯从脏腑中出。攻于手足。手足则 热赤肿疼痛
也。人五脏六腑井荣 。皆出于手足指。故此毒从内而出。攻于手足也。
方
连翘散（出圣惠方）
连翘 当归 麦门冬（去心） 黄芩 犀角屑（各一两） 川大黄（锉碎微炒） 木香 防
风
（去芦头） 羌活 枳壳（麸炒微黄去瓤） 牛蒡子（微炒半两） 麝香（一钱细研） 上
捣筛为
散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治伤寒毒瓦斯。攻四肢虚肿。宜服此方。（出圣惠方）
泽泻 柴胡（去苗） 甜葶苈（隔纸炒令紫色各三分） 半夏（汤洗七次去滑） 甘草
（炙微
赤锉各半两） 上捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去
滓。不计时候。温服。
细辛散（出圣惠方）治伤寒发渴。寒热。唇口干焦。毒瓦斯攻四肢浮肿。
细辛 芎 郁李仁（各一两汤浸去皮尖微炒） 赤茯苓 麦门冬（去心各一两半） 桑
根
白皮（二两锉） 甘草（三分炙微赤锉） 上捣筛为散。每服五钱。以水一大盏。煎至五分。
去
滓。不计时候。温服。
治伤寒毒瓦斯攻手足虚肿。宜贴膏方。（一名铅丹膏出圣惠方）
黄丹（半两） 蜡（三两） 松脂 麻油（各一两） 乳香 麝香（各一两） 上各别
研为末。
以瓷器内先炼松脂并油。次下蜡及黄丹、乳香等。慢火煎少时。候冷。摊于绢上。贴肿处。
一切肿毒并用之。一方无麻油。
又方（出圣惠方）
清油（一合） 蜡（半两） 盐花（一合） 上以瓷器中炼油熟。次下蜡并盐花。用文
武火煎
成膏。贴于肿处。
治伤寒毒瓦斯。攻手足虚肿疼痛。宜服此方。（出千金方）
用赤马通一升。水一斗五升。煮取一斗。绞取汁。看冷热。以渍手足。
又方（出千金方）
羊粪末（一两） 炼成猪脂（二两） 上相和令均。用涂肿处。
又方（出千金方）治时疫伤寒。毒攻手足肿。疼痛欲断方。
用虎杖半斤细锉。以水一斗五升。煎至一斗。去滓。看冷热。以渍手足。一方。令踝上
有水尺许。止之。
又方（出圣惠方）
用苦参半斤。以水一斗。煎至五七沸。去滓。看冷热。渍手足。至踝上一尺止。
豉酒方 治伤寒毒瓦斯攻手足。及身体虚肿。宜服此方。（出圣惠方）
用豉五合。微炒。以酒一升半。煎五七沸。去滓。随性稍热饮之。
治伤寒毒瓦斯攻手足肿方（出圣惠方）
猪蹄（一具） 葱白（兼须十茎） 上以水五升。煮令猪蹄熟。去滓。入盐二钱。看冷
热。
渍肿处。
治伤寒毒瓦斯攻手足虚肿。及疼痛欲脱方。（出圣惠方）
豉（一斤） 猪肉（一斤） 上以水一斗。煮令猪肉熟。去滓。看冷热。用渍手足。
治伤寒时气瘟病。毒瓦斯攻手足虚肿。及疼痛欲脱。亦治毒攻阴肿。（出圣惠方）
用黄柏二斤。细锉。以水一斗五升。煎至五七沸。去滓。看冷热。渍手足。
又方（出圣惠方）
猪肉（一斤） 桃叶（一斤） 上以水一斗五升。煮令肉熟。去滓。看冷热。渍手足。
又方（出圣惠方）
用苍耳苗。绞取汁。以渍手足。
又方（出千金方）
以稻穣烧灰。淋汁渍之。
治伤寒毒攻手足痛。
上煮羊桃汁。渍之。佳。入盐豉尤好。
疗伤寒手足疼欲脱。（出千金方）
上取羊屎煮汁。以灌之。一方渍之。瘥。止疥。疗时疫。阴囊及茎热肿。亦可煮黄柏等
洗之。并除伤寒之疾。
防己丸（出圣济总录）治伤寒毒瓦斯。攻四肢虚肿。及喘息促急。
防己 葶苈子（炒） 郁李仁（炒） 赤茯苓（去黑皮） 百合（各半两） 桑根白皮
（锉） 木
通（锉各三分） 泽漆（炒一分） 上捣罗为末。炼蜜和。更捣三五百杵。丸如梧桐子大。
每服
二
五香汤（出圣济总录）治伤寒毒瓦斯。攻四肢两背虚肿。
沉香 木香 薰陆香 鸡舌香（别研各三分） 麝香（研一钱） 白薇（三分） 枳实
（麸炒）
麻黄（去根节） 防风（去） 葳蕤 秦艽（去苗） 独活（去芦头） 甘草（炙各半两） 上
除五香
别捣外。粗捣筛。每服三钱。用水一盏。煎至七分。去滓。下五香末一钱。再煎令沸。温服。
食前临卧。日三服。
For cases where the pathogenic factor of Cold Damage (Shanghan) attacks the hands and feet, excessive heat leads to swelling. The qi of heat-toxin lodges in the zang-fu organs, with evil pathogens knotting internally and following the meridians outward to pour into the four limbs. Consequently, this causes irritability, heat, redness, swelling, and pain in the hands and feet. The *Pathogenesis* states that the qi of heat-toxin emerges from the zang-fu organs and attacks the hands and feet, resulting in heat, redness, swelling, and pain. The Jing-River points (Jing-River acupoints) of the five zang and six fu organs all emerge from the tips of the fingers and toes; thus, this toxin emerges from within and attacks the hands and feet.
Formula: Liaoqiao San (Quercetin Powder) (from *Shenghui Fang*)
Ingredients: Qiaoliao (Forsythiae Fructus), Danggui (Angelicae Sinensis Radix), Maidong (Ophiopogonis Radix, heart removed), Huangqin (Scutellariae Radix), Xijiao (Rhinocerotis Cornu, shaved) (each 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and slightly stir-fried), Muxiang (Aucklandiae Radix), Fangfeng (Saposhnikoviae Radix, radix head removed), Qianghuo (Notopterygii Rhizoma et Radix), Zhike (Aurantii Fructus, bran-stir-fried until slightly yellow and pith removed), Niubangzi (Arctii Fructus, slightly stir-fried, 0.5 liang), Shexiang (Moschus, 1 qian, finely ground). The above ingredients are pounded, sifted, and made into a powder. Each dose is 4 qian. Boil with one zhongzhan (approx. 200ml) of water until reduced to 0.6 zhongzhan. Strain the dregs. Take warm at any time.
Indications: Treats deficiency swelling of the four limbs caused by the attack of cold-damage toxic qi. Suitable for taking this formula. (From *Shenghui Fang*)
Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix, sprouts removed), Tiantingli (Lepidii Semen, paper-cooked until purple, each 3 fen), Banxia (Pinelliae Rhizoma, washed seven times in boiling water to remove slipperiness), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and crushed, each 0.5 liang). The above ingredients are pounded, sifted, and made into a powder. Each dose is 4 qian. Boil with one zhongzhan of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) and three Zao (Jujubae Fructus). Reduce to 0.6 zhongzhan. Strain the dregs. Take warm at any time.
Xixin San (Asari Radix Powder) (from *Shenghui Fang*), treats thirst, alternating chills and fever, dry and cracked lips and mouth, and edema of the four limbs caused by the attack of toxic qi in Cold Damage.
Ingredients: Xixin (Asari Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Yuliren (Prunus Armeniacae Semen, soaked in water, skin and tip removed, slightly stir-fried, each 1 liang), Chi Fuling (Poria cum Ramo Pini, red variety), Maidong (Ophiopogonis Radix, heart removed, each 1.5 liang), Sangbaipipi (Mori Cortex, 2 liang, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and crushed). The above ingredients are pounded, sifted, and made into a powder. Each dose is 5 qian. Boil with one dazhan (approx. 300ml) of water until reduced to 0.5 dazhan. Strain the dregs. Take warm at any time.
Treats deficiency swelling of the hands and feet caused by the attack of cold-damage toxic qi; suitable for applying the ointment formula. (Also known as Qiandan Gao [Lead Tetroxide Ointment], from *Shenghui Fang*)
Ingredients: Huangdan (Lithargyri Massica, 0.5 liang), La (Cera Flava, 3 liang), Songzhi (Rosin), Mayou (Sesami Oleum, each 1 liang), Ruxiang (Olibanum), Shexiang (Moschus, each 1 liang). The above ingredients are separately ground into powder. First, refine the Songzhi and Mayou in a porcelain vessel. Then add La, Huangdan, Ruxiang, etc. Simmer over low heat for a short while. Wait for it to cool, spread onto silk cloth, and apply to the swollen area. Use for all types of swelling and toxicity. Another version does not include Mayou.
Another Formula (from *Shenghui Fang*)
Qingyou (Sesame Oleum, 1 he), La (Cera Flava, 0.5 liang), Yanhua (Salt Flower, 1 he). Refine the oil in a porcelain vessel until cooked. Then add La and Yanhua. Cook into an ointment using moderate fire. Apply to the swollen area.
Treats deficiency swelling and pain of the hands and feet caused by the attack of cold-damage toxic qi; suitable for taking this formula. (From *Qianjin Fang*)
Use Chima Tong (Fresh Horse Dung, 1 sheng). Boil with 1.5 dou of water until reduced to 1 dou. Squeeze out the juice. Check the temperature (hot or cold) and soak the hands and feet.
Another Formula (from *Qianjin Fang*)
Yangfen Mo (Sheep Excrement Powder, 1 liang), Lian Cheng Zhuzhi (Refined Pig Fat, 2 liang). Mix evenly. Apply to the swollen area.
Another Formula (from *Qianjin Fang*), treats epidemic Cold Damage where toxic qi attacks the hands and feet causing swelling and severe pain.
Use Zhangzhi (Polygoni Cuspidati Rhizoma et Radix, 0.5 jin), finely crushed. Boil with 1.5 dou of water until reduced to 1 dou. Strain. Check the temperature and soak the hands and feet. Another method: let the water reach up to one chi above the ankle, then stop.
Another Formula (from *Shenghui Fang*)
Use Kushen (Sophorae Flavescentis Radix, 0.5 jin). Boil with 1 dou of water until it boils five or six times. Strain. Check the temperature and soak the hands and feet. Stop when the water reaches one chi above the ankle.
Shijiu Fang (Fermented Soybean Wine Formula), treats cold-damage toxic qi attacking the hands and feet, as well as body deficiency swelling. Suitable for taking this formula. (From *Shenghui Fang*)
Use Chi Dou (Fermented Soybeans, 5 he), slightly stir-fried. Boil with 1.5 sheng of wine until it boils five or six times. Strain. Drink slightly warm according to preference.
Formula for treating cold-damage toxic qi attacking the hands and feet causing swelling (from *Shenghui Fang*)
Zhuti (Pig's Trotter, one piece), Congbai (Scallion White, including roots, ten stalks). Boil with 5 sheng of water until the trotter is cooked. Strain. Add 2 qian of salt. Check the temperature and soak the swollen area.
Treats deficiency swelling of the hands and feet caused by cold-damage toxic qi, and pain so severe it feels like detachment. (From *Shenghui Fang*)
Chi Dou (Fermented Soybeans, 1 jin), Zhu Rou (Pork Meat, 1 jin). Boil with 1 dou of water until the pork is cooked. Strain. Check the temperature and soak the hands and feet.
Treats epidemic Cold Damage and pestilence diseases, where toxic qi attacks the hands and feet causing deficiency swelling and pain so severe it feels like detachment. Also treats toxic qi attacking the genital swelling. (From *Shenghui Fang*)
Use Huangbai (Phellodendri Cortex, 2 jin), finely crushed. Boil with 1.5 dou of water until it boils five or six times. Strain. Check the temperature and soak the hands and feet.
Another Formula (from *Shenghui Fang*)
Zhu Rou (Pork Meat, 1 jin), Tao Ye (Peach Leaf, 1 jin). Boil with 1.5 dou of water until the meat is cooked. Strain. Check the temperature and soak the hands and feet.
Another Formula (from *Shenghui Fang*)
Use Cang'er Miao (Xanthii Herba), squeeze out the juice, and use to soak the hands and feet.
Another Formula (from *Qianjin Fang*)
Burn Dao Rang (Rice Straw) to ash, leach the juice, and use to soak.
Treats pain in the hands and feet caused by cold-damage toxic qi.
Boil Yangtao Zhi (Juice of *Actinidia* or similar plant, likely referring to a specific local herb or typo for another plant, literally "Goat Peach Juice") and soak. It is better if added with Yan Chi (Salted Fermented Soybeans).
Treats painful hands and feet in Cold Damage so severe it feels like detachment. (From *Qianjin Fang*)
Take Yang Shi (Sheep Excrement), boil to make juice, and irrigate/wash. Another method is to soak. It cures the condition. It also treats scabies. It treats epidemic diseases, hot swelling of the scrotum and penis. One can also boil Huangbai (Phellodendri Cortex) etc. to wash. It removes all Cold Damage diseases.
Fangji Wan (Stephania Tetrandra Pill) (from *Shengji Zonglu*), treats deficiency swelling of the four limbs and rapid panting caused by the attack of cold-damage toxic qi.
Ingredients: Fangji (Stephaniae Tetrandrae Radix), Tinglizi (Lepidii Semen, stir-fried), Yuliren (Prunus Armeniacae Semen, stir-fried), Chi Fuling (Poria cum Ramo Pini, red variety, black skin removed), Baihe (Lilii Bulbus, each 0.5 liang), Sangbaipipi (Mori Cortex, crushed), Mutong (Akebiae Caulis, crushed, each 3 fen), Zeqi (Euphorbiae Pekinensis Herba, stir-fried, 1 fen). The above ingredients are pounded into fine powder. Mix with refined honey, pound again 300-500 times. Make pills the size of tung tree seeds. Each dose is two pills (Note: Original text says "Each dose two", unit implied as pills based on context).
Wuxiang Tang (Five Fragrances Decoction) (from *Shengji Zonglu*), treats deficiency swelling of the four limbs and back caused by the attack of cold-damage toxic qi.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Xunluxiang (Olibanum), Jiti Xiang (Caryophylli Flos, separately ground, each 3 fen), Shexiang (Moschus, ground, 1 qian), Baiwei (Clematidis Radix, 3 fen), Zhishi (Aurantii Fructus Immaturus, bran-stir-fried), Mahuang (Ephedrae Herba, root and joints removed), Fangfeng (Saposhnikoviae Radix, [part missing]), Weirui (Polygonati Odorati Rhizoma), Qinjiao (Gentianae Macrophyllae Radix, sprouts removed), Duhuo (Angelicae Pubescentis Radix, radix head removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang). Except for the five fragrances, coarsely crush and sift the rest. Each dose is 3 qian. Boil with one zhan of water until reduced to 0.7 zhan. Strain. Add 1 qian of the five fragrance powders. Boil again until bubbling. Take warm. Take before meals and before bed, three times a day.