（附论）
夫江东岭南之地卑湿。春夏之间。毒瓦斯弥盛。又山水湿蒸。多致瘴毒。风湿之疾。从地
而起。易伤于人。所以此病多从下上。脚先屈弱。然后痹弱。头痛心烦。痰滞吐逆。两胫微
肿。小腹不仁。壮热憎寒。四肢缓弱。精神昏愦。大小便不通。毒瓦斯攻心。死不旋踵。此皆
瘴毒香港脚之类也。
方
金牙酒（一名大金牙酒方出圣济总录） 治瘴毒瓦斯中人。口 面戾。半身不遂。手
足拘挛。历节肿痛。甚者小腹不仁。名曰香港脚。及治风冷湿痹。
金牙（一斤） 侧子（炮裂去皮脐） 附子（炮裂去皮脐） 天雄（炮裂去皮脐各二两）
人参（二两半） 肉苁蓉（切焙二两） 独活（去芦头八两） 白茯苓（去皮用二两） 当
归（切焙） 白术 防风（去叉）黄 山芋 细辛（去苗叶） 桂（去粗皮） 茵芋（炙）
石南（微炙） 芎 地骨皮 五加皮〔汤浸炙各二（三）两〕 丹参（五两半） 杜仲（去
粗皮炙七两） 萆 （三两） 磁石（ 醋洗七次别研十两） 浓朴（去粗皮姜汁炙） 薏
苡仁（一斤） 白芷〔二（三）两〕麦门冬（去心焙五两） 石斛（去根八两） 葳蕤（二
两） 枳壳（去瓤麸炒一作枳实） 桔梗（各三两） 牛膝（去苗切五两半） 狗脊（去毛
三两） 生地黄（二升） 蒴 （四两）黄芩（去黑心） 远志（去心） 蔓荆实（各三两
一作牡荆子） 上锉如麻豆大。每半料以绢袋盛。入瓷瓮中。用好酒八斗浸。密封经七日后。
每服取一合。温服之。渐加至二合三合。常令有酒气相续。以效为度。药力和平。主治极多。
凡是风虚。四肢小觉有风 者。皆须服之。服者根据方修合。不得浪有加减。
大鳖甲汤（出圣惠方）专治江东岭南。瘴毒香港脚。或其中脚膝肿满。心神闷乱
。寒热痰逆。头痛口干。肩背拘急。肢节烦闷。不欲饮食。
鳖甲（二两涂醋炙黄去裙） 杏仁（半两去皮尖双仁炒） 吴茱萸（半两汤浸焙干） 陈
橘皮（汤浸去白穣半两） 防己（一两去芦头） 麻黄（半两去根节） 白术（半两） 知
母（半两） 川升麻（半两） 贝齿（四枚烧通赤） 赤茯苓 芎 （焙） 犀角屑（各半
两） 麦门冬（一两焙去心） 川大黄（一两碎微炒） 乌梅（七枚去核炒） 石膏（一两）
当归 葳蕤 赤芍药（各半两） 甘草（半两炙） 半夏（半两汤浸去滑炙） 人参（半两
去芦） 麝香 木香 羚羊角屑（各半两）上为散。每服四钱。以水一中盏。入生姜半分。
薤白二茎。赤小豆三十粒。枣三枚。煎至六分去滓。不计时候温服。
小金牙散 疗南方瘴疠疫气。脚弱风邪鬼注。
金牙（五分） 牛黄（一分） 天雄 萆 黄芩 麝香 蜀椒（汁） 由跋 雄黄 朱
砂乌头（各二分） 犀角（四分） 细辛 葳蕤（各二分） 桂心 莽草（各二分） 干
姜蜈蚣（一枚长
钱。每日三夜二。以
鼻中。晨昏雾亦涂之
五加皮散（出圣惠方）专治江东岭南。春夏不正。暑湿郁蒸。脏腑虚羸。香港脚
发动。两脚枯疼。或即浮热肿满。或即皮肉焦燥。不能久立。筋急抽痛。或气冲心闷乱
。胸膈疼逆。四肢不仁。腹胀壅闷。目眩头旋。并宜服之。
五加皮（一两） 薏苡仁（一两半微炒） 防风（半两去芦头） 牛膝（三分去苗） 赤
茯苓（三分）
两去根节） 羚羊角屑
为散。每服四钱。以水一中盏
茯苓汤（出圣济总录）专治春夏暑湿郁蒸。毒瓦斯攻击。香港脚发动。两脚酸疼。
或浮肿热满。或皮毛焦干。或脚疼不能久立。筋急抽痛。时冲心闷。胸膈痰积。恶心欲
吐。四肢疼痛。十指不仁。腹胀气妨头旋。目眩眼暗。
白茯苓（去黑皮三两） 薏苡仁（炒四两） 丹参 独活（去芦头） 防风（去芦各二
两半） 牛膝
黄（去根节四两） 桂
除石膏外。锉如小豆大。每服
日二。病消不吐不利。如心腹
小腹痛加芍药黄芩各一两。
根白皮一分。小便数。加杜
不睡。加酸枣仁末一钱七分
金牙散（出圣济总录）专治岭南瘴疠、疫气、香港脚等病。
金牙（研一两一分） 牛黄（研一分） 天雄（炮裂去皮脐） 萆 黄芩（去黑心） 麝
香（研） 乌头（炮裂去皮脐各半两） 细辛（去苗叶） 葳蕤 桂（去粗皮） 莽草（炙）
犀角（镑） 干姜（炮各三两） 蜈蚣（炙一枚） 黄连（去须一两） 上捣罗为散。每服
三钱。用温酒调下。日三
赤茯苓散（出圣惠方）专治瘴毒香港脚。胸膈气不通。乍寒乍热。头痛心烦。不
下饮食。宜服此方。
赤茯苓 川升麻（各一两） 甘草（炙微赤锉三分） 知母（一两） 犀角屑 木香（各
三分） 前胡（三分去芦） 石膏（一两） 旋复花（半两） 麦门冬（一两去心） 紫苏
茎叶 槟榔（各一两）上为散。每服四钱。以水一中盏。入生姜半分。煎至六分去滓。不计
时候温服。
治脚膝疼痛。不欲饮食。
猪苓（一两去黑皮） 赤茯苓（一两） 柴胡（一两去苗） 吴茱萸（一分汤洗焙干炒）
甘草（锉
一中盏。入生
知母散（出圣惠方）专治瘴毒香港脚发。寒热头痛。脚膝烦疼。腹中妨闷。不能
饮食。食则无味。口干多渴。宜服之。
知母 川升麻（各三两） 木香（半两） 赤茯苓（三分） 鳖甲（一两涂醋炙去裙 ）
黄芩（三
服四钱。以水一
木香散（出圣惠方）专治瘴毒香港脚。初觉呕逆烦闷。头昏不食。宜服此方。
木香（半两） 槟榔（一两） 半夏（半两汤浸去滑） 犀角屑（半两） 旋复花（半
两） 赤茯苓（
锉） 上为散。每服四
温服。
羚羊角汤（出圣济总录）专治江东香港脚盛发。上冲脾胃。胸膈妨闷。噫气不
畅。烦热口渴。眼暗不识人。
羚羊角（镑） 犀角（镑各一两半） 升麻 旋复花 木香（各一两） 大腹皮（五颗
连皮子锉）
筛。每服五钱。以水
大腹汤 服前羚羊汤。得快利后。浮热未除。气复呕逆。不下饮食。胸膈有痰。腹
常如空虚
大腹（七颗连皮子锉） 犀角（镑） 木香（各二两） 前胡（去芦头一两半） 旋复
花（一两） 半
水一盏半。生姜一分
升麻汤 服前二方气退。客热未定。干渴不止。胸膈尚烦。脚疼痛。
升麻 白茯苓（去黑皮各二两） 青竹茹（一两） 木香（一两） 黄芩（去黑心一两
半） 石膏（
钱。水一盏半。生
犀角散 治香港脚瘴毒。心神闷乱。
犀角（一两） 木香（半两） 射干（一两） 川升麻（一两） 麦门冬（一两去心） 柴
胡（一两去
以水一中盏。入
浓朴汤 治岭南香港脚上攻。心痛闷乱。
浓朴（去粗皮生姜汁制） 木香 槟榔（各一两） 上各捣为末。先以水三盏。入生姜
一分。浓
当快利一两行为效。
疗冷胀毒闷方
上用金牙散。以汤少许。和散如枣核大。服之。猝患吐者。一服四分用之。神良。
茯苓汤 治江东香港脚盛发。两脚浮肿。小便赤涩。心腹妨闷气急。坐卧不得。
赤茯苓（去皮） 桑根白皮（锉） 防己 木香 黄芩（去黑心各三两） 木通（细锉
二两） 大腹
盏半。生姜一分拍
犀角汤 治香港脚之疾。先起岭南。稍来江东。皆由卑湿得之。或微觉疼痹。或两胫
肿满。行走痹弱。或上入腹不仁。或时冷热。皆其候也。若先觉此证。食呕不下。气上
逆者。宜服此
半夏汤 治江东初患香港脚。不识其候。始脚胫酸重。恶心头旋。呕吐腹中刺痛。胸
中闷塞
半夏（汤洗去滑姜汁制） 黄芩（去黑心各二两） 旋复花（三分） 赤茯苓（去黑皮）
麦门冬（
一盏半。入枣
木香汤 治岭南香港脚卒发。冲心闷乱。
木香 郁李仁（汤浸去皮炒各四两） 防己（一两半） 紫苏茎叶（一两细锉） 桑根
白皮（锉）
半。入生姜一分。
煎至七分。服之亦
独活浸酒 治岭南热毒风盛。湿气郁蒸。香港脚发动。脾肺常有虚热。心神烦闷。脚
膝酸疼。
独活（去芦头） 生干地黄（焙各三两） 海桐皮（二两） 生黑豆皮（一大升） 桂
（去粗皮一两）
用无灰酒三斗。同纳
有酒气。酒尽更添。
大麻子汤 治香港脚瘴气。乍寒乍热。状如疟疾。香港脚上攻。心闷咳嗽瘫缓。及治脚
弱风毒面
大麻子仁（微炒） 升麻 射干 菖蒲 甘草（炙） 麻黄（去根节） 大黄（锉碎醋
炒各一两）
更煎一两沸。
一剂佳。
犀角汤（出圣济总录）专治江东香港脚。小欲动作。渐觉心闷。脚胫酸疼。烦
热不止。
犀角（镑） 木香 前胡（去芦头各一两） 青竹茹（三分） 麦门冬（去心一两半） 大
腹（二颗
旋复花汤（出圣济总录）专治江东香港脚发动。吐痰心闷气隔。见食恶心。心下
拘急。
旋复花（一两） 赤茯苓（去黑皮） 桑根白皮（锉） 半夏（汤洗七次去滑各二两） 紫
苏茎叶（
二枚劈。煎
吴茱萸汤（出圣济总录）专治江东香港脚已发。兼宿冷气。冲心烦痛。大便秘。
腹胀如鼓。渐
吴茱萸（汤浸焙炒一两一分） 木香 浓朴（去粗皮姜汁炙各二两） 大腹（连皮子锉
五枚） 牵
生姜一分拍碎
香豉汤（出圣惠方）疗岭南瘴气烦热。香港脚冲心。闷气欲绝方。
香豉（一升） 栀子（十四枚擘） 升麻（二两） 上切以水四升。煮取一升半。分为
三服。即定
槟榔汤（出圣济总录）专治岭南香港脚猝发。冲心闷乱。
槟榔末 大腹皮末 陈橘皮末（各为粗末三钱） 上先以童子小便并水各一盏。煎大腹
皮、陈
若能
香犀酒
香豉（三升） 犀角（八两锉末） 上香豉如前。不能九蒸九曝。三蒸三曝亦得。用一
生绢袋贮
三合。量
姜、葱细
一方（出肘后方）先煎牛乳三升。令减半。以五合服硫黄末一两。服毕覆取
汗。勿令得风。中间更一服。至暮又一服。若已得汗。不更服。但好好将息护之。若未
瘥愈。后数日中。亦可更作。若长服。亦可煎为丸。北人服此疗脚多效。但须极好硫黄
取预备之。
旋复花饮（出圣济总录）专治乍处江岭。未服水土。食饮不下。卑湿香港脚
发动。时复心闷。面目脚膝浮肿。气乏唇口青黑。胸膈烦热。见食吐呕。心腹妨痛。冷
气结聚。如有此症。急
旋复花（一两） 赤茯苓（去黑皮二两） 吴茱萸（汤浸焙炒三分） 前胡（去芦头一
两一分） 木
腹（五颗连皮子锉）
食前服。或要疏利。
一方（出肘后方）专治岭南瘴香港脚。
用白矾石二斤。亦可用钟乳末。附子三两。豉三升。酒三斗渍四五日。稍饮之。若有气。
加
一方（出肘后方） 专治瘴香港脚。
用山柏根捣碎。酒饮之。又酒若水煮大豆汁。饮之愈。
又方（出圣惠方）专治瘴香港脚。
食小豆亦佳。又研胡麻。酒和服之瘥。
治瘴毒所侵。才觉香港脚。急疗方。（出广南四时摄生论）
黑豆（二合） 杉木节（半两炒） 生姜（半两炒） 童子小便（半大盏） 上各炒后。
便入小便浸
橘皮 半夏 枳壳（去瓤） 麻黄 茱萸 野狼毒 上等分为散。空心热水调下三（二）
钱。
治瘴毒及香港脚心狂者。（出广南四时摄生论）
黄芩 铁华粉（各一两） 牡蛎（烧二两） 黄丹（半两炒令黑色入地炕内三日） 上
为散。每服
治忽中瘴毒。及风毒香港脚。冲心闷绝方。（出广南四时摄生论）
硫黄 乌药 杉木节 诃子皮 青橘皮（各半两） 肉豆蔻 槟榔 上为散。每服一钱。
小便
等物
治瘴毒。心间痞闷。元藏气虚方。（出广南四时摄生论）
乌药 蓬莪术 白术 青橘皮 白蔹 高良姜 枳壳（去瓤麸炒等分） 上捣罗为散。
每服更
升麻散（出圣惠方）专治瘴毒。香港脚发动。心胸燥热。闷乱气急。口干舌焦烦
渴。大小肠不
川升麻（一两） 黄芩（一两） 赤茯苓（一两） 木香（半两） 犀角屑（半两） 川
朴硝（一两）
钱。以水一中盏。入
香港脚之病。先起岭南。稍来江东。得之无渐。或微觉疼痹。或两胫小满。或行起忽
弱。或小腹不仁。或时冷时热。此其候也。不即治。转上入腹。便发则杀人。治之多用
汤酒摩膏。种
取好豉一升。三蒸三曝干。以好酒三斗。渍之三宿。可饮。随人多少。欲预防。不必待
时。
独活酒方（出肘后方）
独活（五两） 附子（五两生用） 上切。以酒一斗。渍浸三宿。服从一合始。以微痹
为度。
[Attached Discussion]
The regions of Jiangdong and Lingnan are low-lying and damp. During spring and summer, toxic vapors are abundant. Combined with the steaming moisture from mountains and rivers, miasma toxins easily arise. Wind-dampness diseases rise from the ground and easily afflict humans. Therefore, this disease often develops from the lower body upwards; the feet first become weak and stiff, followed by numbness and weakness, accompanied by headache, irritability, phlegm stagnation, vomiting, slight swelling of the shins, insensitivity of the lower abdomen, high fever with aversion to cold, flaccidity of the four limbs, mental confusion, and obstruction of urination and defecation. When the toxin attacks the heart, death occurs rapidly. These are all types of Miasma Hong Kong Foot (Zhang Du Xiang Gang Jiao).
Formulas:
Jinya Jiu (Golden Tooth Wine) (also known as Da Jin Ya Jiu, from *Shengji Zonglu*): Treats invasion of the human body by miasma toxins. Manifestations include deviation of the mouth and eyes, hemiplegia, contracture of hands and feet, and painful swelling of the joints. Severe cases present with insensitivity of the lower abdomen, termed Hong Kong Foot. It also treats wind-cold-damp bi-syndrome.
Ingredients: Jinya (1 jin), Cizǐ (processed until cracked, skin and umbilicus removed), Fuzi (processed until cracked, skin and umbilicus removed), Tianxiong (processed until cracked, skin and umbilicus removed, each 2 liang), Renshen (2.5 liang), Roucongrong (sliced and baked, 2 liang), Duhuo (radicle removed, 8 liang), Baifuling (skin removed, 2 liang), Danggui (sliced and baked), Baizhu, Fangfeng (forked parts removed), Huangqi, Shanyu, Xixin (seedlings and leaves removed), Gui (bark removed), Yinyu (roasted), Shinan (lightly roasted), Xiongqiong, Digupi, Wujia Pi [soaked in decoction and roasted, each 2 or 3 liang], Danshen (5.5 liang), Duzhong (bark removed and roasted, 7 liang), Bibo (3 liang), Cishi (washed in vinegar seven times, separately ground, 10 liang), Houpo (bark removed, roasted with ginger juice), Yiyiren (1 jin), Baizhi [2 or 3 liang], Maidong (heart removed and baked, 5 liang), Shihu (roots removed, 8 liang), Weirui (2 liang), Zhike (pulp removed, stir-fried with bran, alternatively Zhishi), Jiegeng (each 3 liang), Niuxi (seedlings removed, sliced, 5.5 liang), Gouji (hair removed, 3 liang), Shengdihuang (2 sheng), Shuolie (4 liang), Huangqin (black heart removed), Yuanzhi (heart removed), Manjingzi (each 3 liang, alternatively Mujingzi). The above are crushed like hemp seeds. Take half the dosage per bag made of silk, place in a porcelain jar, soak in 8 dou of good wine. Seal tightly for seven days. Each dose is one ge, taken warm. Gradually increase to two ge or three ge. Maintain a continuous sensation of alcohol in the body until efficacy is achieved. The medicinal power is mild and it treats many conditions. For any deficiency-wind syndrome where the four limbs feel slight wind invasion, it must be taken. Preparers must follow the formula strictly without arbitrary modifications.
Da Biejia Tang (Large Softshell Turtle Shell Decoction) (from *Shenghui Fang*): Specifically treats Miasma Hong Kong Foot in Jiangdong and Lingnan. Or when there is swelling and fullness of the feet and knees, mental restlessness, alternating chills and fever, phlegm reversal, headache, dry mouth, stiffness of shoulders and back, limb joint discomfort, and anorexia.
Ingredients: Biejia (2 liang, coated with vinegar, roasted yellow, skirt removed), Xingren (0.5 liang, skin and pointed ends removed, double-kernel, fried), Wuzhuyu (0.5 liang, soaked in water, baked dry), Chenjupi (soaked in water, white pith removed, 0.5 liang), Fangji (1 liang, radicle removed), Mahuang (0.5 liang, roots and nodes removed), Baizhu (0.5 liang), Zhimu (0.5 liang), Chuan Shengma (0.5 liang), Beichi (4 pieces, burned until red-hot), Chi Fuling, Xiongqiong (baked), Xijiao Xie (each 0.5 liang), Maidong (1 liang, baked, heart removed), Chuan Dahuang (1 liang, crushed, lightly fried), Wumei (7 pieces, pits removed, fried), Shigao (1 liang), Danggui, Weirui, Chishao Yao (each 0.5 liang), Gancao (0.5 liang, roasted), Banxia (0.5 liang, soaked in water to remove slipperiness, roasted), Renshen (0.5 liang, radicle removed), Shexiang, Muxiang, Lingyangjiao Xie (each 0.5 liang). The above are processed into a powder. Each dose is 4 qian, decocted with one zhong zhan of water, adding 0.5 fen of fresh ginger, 2 stalks of Xiebai, 30 grains of Chixiaodou, and 3 jujubes. Decoct to 6 fen, strain, and take warm at any time.
Xiao Jinya San (Small Golden Tooth Powder): Treats southern miasma epidemic qi, foot weakness, wind evil, and ghost fixation.
Ingredients: Jinya (5 fen), Niuhuang (1 fen), Tianxiong, Bibo, Huangqin, Shexiang, Shujiao (juice), Youba, Xionghuang, Zhusha, Wutou (each 2 fen), Xijiao (4 fen), Xixin, Weirui (each 2 fen), Guixin, Mangcao (each 2 fen), Ganjiang, Wugong (one piece, 1 cun long). Blow the powder into the nose three times daily and twice at night. Also apply during morning and evening fog.
Wujia Pi San (Acanthopanax Bark Powder) (from *Shenghui Fang*): Specifically treats Jiangdong and Lingnan regions, improper qi of spring and summer, stagnation of heat and dampness, deficiency and emaciation of the zang-fu organs, and onset of Hong Kong Foot. Symptoms include withered and painful feet, sudden floating heat and swelling, scorched and dry skin and flesh, inability to stand for long periods, tendon urgency and spasms, qi rushing to the chest causing mental disturbance, chest and diaphragm pain and rebellion, numbness of the four limbs, abdominal distension and oppression, dizziness, and vertigo. This formula is suitable for all such cases.
Ingredients: Wujia Pi (1 liang), Yiyiren (1.5 liang, lightly fried), Fangfeng (0.5 liang, radicle removed), Niuxi (3 qian, seedlings removed), Chi Fuling (3 qian), Fangji (1 liang, roots and nodes removed), Lingyangjiao Xie (each 0.5 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time.
Fuling Tang (Poria Decoction) (from *Shengji Zonglu*): Specifically treats stagnation of heat and dampness in spring and summer, attack by toxic vapors, and onset of Hong Kong Foot. Symptoms include soreness and pain in both feet, edema with heat and fullness, scorched and dry skin and hair, inability to stand due to foot pain, tendon urgency and spasms, occasional qi rushing to the chest causing distress, phlegm accumulation in the chest and diaphragm, nausea and desire to vomit, pain in the four limbs, numbness of the ten fingers, abdominal distension obstructing qi causing vertigo, dizziness, and dim vision.
Ingredients: Baifuling (black skin removed, 3 liang), Yiyiren (stir-fried, 4 liang), Danshen, Duhuo (radicle removed), Fangfeng (radicle removed, each 2.5 liang), Niuxi (seedlings removed, 3 liang), Huangqi (roots and nodes removed, 4 liang), Gui (bark removed, 1 liang). Except for Shigao, crush like small beans. Each dose is 3 qian, decocted with one zhong zhan of water to 6 fen, strain, take twice daily. Stop when symptoms resolve and vomiting/diarrhea cease. If there is heart/abdominal colic, add Shaoyao and Huangqin (1 liang each); if frequent urination, add Sangbaipi (1 fen); if insomnia, add Suanzaoren powder (1.7 qian).
Jinya San (Golden Tooth Powder) (from *Shengji Zonglu*): Specifically treats Lingnan miasma, epidemic qi, and Hong Kong Foot.
Ingredients: Jinya (ground, 1.1 liang), Niuhuang (ground, 1 fen), Tianxiong (processed until cracked, skin and umbilicus removed), Bibo, Huangqin (black heart removed), Shexiang (ground), Wutou (processed until cracked, skin and umbilicus removed, each 0.5 liang), Xixin (seedlings and leaves removed), Weirui, Gui (bark removed), Mangcao (roasted), Xijiao (shaved), Ganjiang (processed, each 3 liang), Wugong (roasted, one piece), Huanglian (whiskers removed, 1 liang). Crush and sieve into a powder. Each dose is 3 qian, taken with warm wine, three times daily.
Chi Fuling San (Red Poria Powder) (from *Shenghui Fang*): Specifically treats Miasma Hong Kong Foot. Obstruction of qi in the chest and diaphragm, alternating chills and fever, headache, irritability, and inability to eat. This formula is suitable.
Ingredients: Chi Fuling, Chuan Shengma (each 1 liang), Gancao (roasted until slightly red, crushed, 3 qian), Zhimu (1 liang), Xijiao Xie, Muxiang (each 3 qian), Qianhu (3 qian, radicle removed), Shigao (1 liang), Xuanfuhua (0.5 liang), Maidong (1 liang, heart removed), Zisujingye, Binglang (each 1 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water and 0.5 fen of fresh ginger to 6 fen, strain, and take warm at any time.
Treats knee and leg pain, anorexia.
Ingredients: Zhuling (1 liang, black skin removed), Chi Fuling (1 liang), Chaihu (1 liang, seedlings removed), Wuzhuyu (1 fen, washed in water, baked dry, fried), Gancao (crushed, 0.5 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water and 0.5 fen of fresh ginger to 6 fen, strain, and take warm at any time.
Zhimu San (Anemarrhena Powder) (from *Shenghui Fang*): Specifically treats onset of Miasma Hong Kong Foot with alternating chills and fever, headache, painful knees and legs, abdominal oppression, inability to eat, tasteless food, dry mouth, and excessive thirst. This formula is suitable.
Ingredients: Zhimu, Chuan Shengma (each 3 liang), Muxiang (0.5 liang), Chi Fuling (3 qian), Biejia (1 liang, coated with vinegar, roasted, skirt removed), Huangqin (3 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time.
Muxiang San (Costus Root Powder) (from *Shenghui Fang*): Specifically treats Miasma Hong Kong Foot. Initial symptoms include nausea, vomiting, mental distress, dizziness, and anorexia. This formula is suitable.
Ingredients: Muxiang (0.5 liang), Binglang (1 liang), Banxia (0.5 liang, soaked in water to remove slipperiness), Xijiao Xie (0.5 liang), Xuanfuhua (0.5 liang), Chi Fuling (1 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time.
Lingyangjiao Tang (Antelope Horn Decoction) (from *Shengji Zonglu*): Specifically treats severe onset of Jiangdong Hong Kong Foot, qi rushing up to the spleen and stomach, chest and diaphragm oppression, belching with poor flow, irritability, thirst, dim vision, and inability to recognize people.
Ingredients: Lingyangjiao (shaved), Xijiao (shaved, each 1.5 liang), Shengma, Xuanfuhua, Muxiang (each 1 liang), Dafupi (5 pods, crushed with skin). Process into a powder. Each dose is 5 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time.
Dafu Tang: After taking the previous Lingyangjiao Tang, if loose stools occur but floating heat remains, qi rebels with vomiting, anorexia persists, phlegm exists in the chest and diaphragm, and the abdomen feels empty.
Ingredients: Dafu (7 pods, crushed with skin), Xijiao (shaved), Muxiang (each 2 liang), Qianhu (radicle removed, 1.5 liang), Xuanfuhua (1 liang), Banxia (1 liang, washed seven times in water to remove slipperiness). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water and 1 fen of fresh ginger to 7 fen, strain, and take warm at any time.
Shengma Tang: After taking the previous two formulas, if pathogenic qi recedes but residual heat remains, dry thirst persists, chest and diaphragm remain irritable, and foot pain continues.
Ingredients: Shengma, Baifuling (black skin removed, each 2 liang), Qingzhuru (1 liang), Muxiang (1 liang), Huangqin (black heart removed, 1.5 liang), Shigao (1 liang). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water to 6 fen, strain, and take warm at any time.
Xijiao San (Rhino Horn Powder): Treats Hong Kong Foot miasma toxins, mental distress and confusion.
Ingredients: Xijiao (1 liang), Muxiang (0.5 liang), Shegan (1 liang), Chuan Shengma (1 liang), Maidong (1 liang, heart removed), Chaihu (1 liang, seedlings removed). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water and 0.5 fen of fresh ginger to 6 fen, strain, and take warm at any time.
Houpo Tang (Magnolia Bark Decoction): Treats Lingnan Hong Kong Foot attacking upwards, causing heart pain and mental distress.
Ingredients: Houpo (bark removed, prepared with ginger juice), Muxiang, Binglang (each 1 liang). Each ingredient is crushed into powder. First decoct 3 zhong zhan of water with 1 fen of fresh ginger to 1 zhong zhan, strain, and take warm at any time. Efficacy is indicated by one or two loose stools.
Formula for Cold Distension and Toxic Oppression:
Use the above Jinya San. Mix a small amount of decoction with the powder to form pills the size of a jujube pit. Take orally. For sudden vomiting, take 4 fen per dose. Highly effective.
Fuling Tang (Poria Decoction): Treats severe onset of Jiangdong Hong Kong Foot, edema of both feet, dark and scanty urination, chest and abdominal oppression with shortness of breath, inability to sit or lie down comfortably.
Ingredients: Chi Fuling (skin removed), Sangbaipi (crushed), Fangji, Muxiang, Huangqin (black heart removed, each 3 liang), Mutong (finely crushed, 2 liang), Dafupi (5 pods, crushed with skin). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water and 1 fen of crushed fresh ginger to 6 fen, strain, and take warm at any time.
Xijiao Tang (Rhino Horn Decoction): Treats Hong Kong Foot disease. Originating in Lingnan and spreading to Jiangdong, caused by low and damp environments. Symptoms may include slight pain and numbness, swelling of both shins, walking difficulty with weakness, insensitivity of the lower abdomen, or alternating cold and heat. If these symptoms are perceived early, with anorexia, vomiting, and rebellious qi, this formula is suitable.
Ingredients: Xijiao (1 liang), Muxiang (0.5 liang), Shegan (1 liang), Chuan Shengma (1 liang), Maidong (1 liang, heart removed), Chaihu (1 liang, seedlings removed), Banxia (1 liang, washed in water to remove slipperiness), Huangqin (black heart removed, each 2 liang), Xuanfuhua (3 qian), Chi Fuling (black skin removed), Maidong (1 liang, heart removed). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water and 3 jujubes to 6 fen, strain, and take warm at any time.
Banxia Tang (Pinellia Decoction): Treats initial Hong Kong Foot in Jiangdong, unrecognized symptoms. Begins with soreness and heaviness of shins, aversion to head spinning, vomiting, stabbing abdominal pain, and chest oppression.
Ingredients: Banxia (washed in water to remove slipperiness, prepared with ginger juice), Huangqin (black heart removed, each 2 liang), Xuanfuhua (3 qian), Chi Fuling (black skin removed), Maidong (1 liang, heart removed). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water and 3 jujubes to 6 fen, strain, and take warm at any time.
Muxiang Tang (Costus Root Decoction): Treats sudden onset of Lingnan Hong Kong Foot, qi rushing to the chest causing distress.
Ingredients: Muxiang, Yuliren (soaked in water, skin removed, fried, each 4 liang), Fangji (1.5 liang), Zisujingye (1 liang, finely crushed), Sangbaipi (crushed). Process into a powder. Each dose is 4 qian, decocted with 1.5 zhong zhan of water and 1 fen of fresh ginger to 7 fen. Take orally; also effective.
Duhuo Infused Wine (Angelica Pubescens Infused Wine): Treats severe heat-toxic wind in Lingnan, stagnation of dampness, onset of Hong Kong Foot, chronic deficiency-heat in spleen and lungs, mental restlessness, and soreness/pain of knees and legs.
Ingredients: Duhuo (radicle removed), Sheng Gan Dihuang (baked, each 3 liang), Haitongpi (2 liang), Sheng Heidou Pi (1 da sheng), Gui (bark removed, 1 liang). Crush and infuse in 3 dou of non-grain alcohol. Once alcoholic scent appears, replace wine when finished.
Dazimaizi Tang (Hemp Seed Decoction): Treats Hong Kong Foot miasma, alternating chills and fever resembling malaria, upward attack of Hong Kong Foot, chest distress, cough, paralysis, and foot weakness with wind-toxin.
Ingredients: Dazimaizi Ren (lightly fried), Shengma, Shegan, Changpu, Gancao (roasted), Mahuang (roots and nodes removed), Dahuang (crushed, stir-fried with vinegar, each 1 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time. Boil for another one minute. One dose is optimal.
Xijiao Tang (Rhino Horn Decoction) (from *Shengji Zonglu*): Specifically treats Jiangdong Hong Kong Foot. Desire to move slightly leads to gradual chest distress, soreness/pain of shins, and persistent irritability/heat.
Ingredients: Xijiao (shaved), Muxiang, Qianhu (radicle removed, each 1 liang), Qingzhuru (3 qian), Maidong (heart removed, 1.5 liang), Dafu (2 pods, crushed with skin), Xuanfuhua (1 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take warm at any time.
Xuanfuhua Tang (Inula Flower Decoction) (from *Shengji Zonglu*): Specifically treats onset of Jiangdong Hong Kong Foot, vomiting phlegm, chest distress, qi obstruction, nausea upon seeing food, and epigastric tension.
Ingredients: Xuanfuhua (1 liang), Chi Fuling (black skin removed), Sangbaipi (crushed), Banxia (washed seven times in water to remove slipperiness, each 2 liang), Zisujingye (1 liang). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water and 2 split jujubes to 6 fen, strain, and take warm at any time.
Wuzhuyu Tang (Evodia Decoction) (from *Shengji Zonglu*): Specifically treats developed Jiangdong Hong Kong Foot, combined with chronic cold qi, rushing to cause chest/heart pain, constipation, drum-like abdominal distension, and gradual onset.
Ingredients: Wuzhuyu (soaked in water, baked, fried, 1.1 liang), Muxiang, Houpo (bark removed, roasted with ginger juice, each 2 liang), Dafu (crushed with skin, 5 pods), Qianniu Zi (0.5 liang, fried). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water and 1 fen of crushed fresh ginger to 6 fen, strain, and take warm at any time.
Xiangchi Tang (Fermented Soybean Decoction) (from *Shenghui Fang*): Treats Lingnan miasma irritability/heat, Hong Kong Foot attacking the heart, suffocating qi nearing extinction.
Ingredients: Xiangchi (1 sheng), Zhizi (14 pods, broken), Shengma (2 liang). Chop and decoct in 4 sheng of water to obtain 1.5 sheng. Divide into three doses. Symptoms will stabilize immediately.
Binglang Tang (Areca Nut Decoction) (from *Shengji Zonglu*): Specifically treats sudden onset of Lingnan Hong Kong Foot, qi rushing to the chest causing distress.
Ingredients: Binglang Mo, Dafupi Mo, Chenjupi Mo (each coarsely powdered, 3 qian). First decoct 1 zhong zhan of child's urine and 1 zhong zhan of water with Dafupi and Chenjupi to 6 fen, strain, mix in Binglang powder, and take warm at any time. Better if able to eat.
Xiangxi Jiu (Incense and Rhino Horn Wine):
Ingredients: Xiangchi (3 sheng), Xijiao (8 liang, crushed powder). Prepare Xiangchi as before; if nine steamings and nine sun-dryings are not possible, three steamings and three sun-dryings suffice. Store in a raw silk bag. Each dose is 3 he, adjusted to individual capacity. Add finely chopped ginger and scallion, decoct to 7 fen, strain, and take warm.
One Formula (from *Zhouhou Fang*): First decoct 3 sheng of cow's milk until reduced by half. Take 5 he with 1 liang of Liuhuang powder. Cover to induce sweating after ingestion; avoid wind. Administer another dose midway, and one more at dusk. If sweat has occurred, do not administer further. Rest carefully. If not cured, repeat after several days. For long-term use, can be decocted into pills. Northern people find this effective for foot ailments. Must use excellent Liuhuang prepared in advance.
Xuanfuhua Yin (Inula Flower Drink) (from *Shengji Zonglu*): Specifically treats recent arrival in Jiangling, failure to adapt to local water and soil, inability to eat/drink, onset of low-damp Hong Kong Foot, recurrent chest distress, edema of face/eyes/feet/knees, qi deficiency with cyanotic lips/mouth, chest/diaphragm irritability/heat, vomiting upon seeing food, chest/abdominal pain, and cold qi aggregation. If these symptoms appear, take urgently.
Ingredients: Xuanfuhua (1 liang), Chi Fuling (black skin removed, 2 liang), Wuzhuyu (soaked in water, baked, fried, 3 qian), Qianhu (radicle removed, 1.1 liang), Muxiang (0.5 liang), Dafu (5 pods, crushed with skin). Process into a powder. Each dose is 4 qian, decocted with one zhong zhan of water to 6 fen, strain, and take before meals. To promote purgation, add Dahuang.
One Formula (from *Zhouhou Fang*): Specifically treats Lingnan Miasma Hong Kong Foot.
Use 2 jin of Baifanshi, or alternatively Zhongru Mo, Fuzi (3 liang), Chi (3 sheng), and Jiu (3 dou). Soak for 4-5 days, drink sparingly. If there is qi stagnation, add Chenxiang.
One Formula (from *Zhouhou Fang*): Specifically treats Miasma Hong Kong Foot.
Crush Shanbai Gen, drink with wine. Alternatively, boil soybeans in wine/water and drink; it cures.
Another Formula (from *Shenghui Fang*): Specifically treats Miasma Hong Kong Foot.
Eating Xiaodou is also good. Alternatively, grind Humaren and take with wine; it heals.
Urgent Treatment Formula for Miasma Toxin Invasion, Early Stage Hong Kong Foot (from *Guangnan Sishi Shesheng Lun*).
Ingredients: Heidou (2 he), Shanmu Jie (0.5 liang, fried), Shengjiang (0.5 liang, fried), Tongzi Xiaobian (half large zhong zhan). Fry each ingredient separately, then soak in the urine.
Chenpi, Banxia, Zhike (pulp removed), Mahuang, Zhuyu, Yelangdu, etc., divided equally into powder. Take 2-3 qian with hot water on an empty stomach.
Treatment for Miasma Toxin and Hong Kong Foot Causing Mental Madness (from *Guangnan Sishi Shesheng Lun*).
Ingredients: Huangqin, Tiehua Fen (each 1 liang), Muli (burned, 2 liang), Huangdan (0.5 liang, fried until black, buried in earth kiln for 3 days). Process into powder. Each dose is 1 qian, taken with warm water.
Formula for Sudden Miasma Toxin and Wind-Toxin Hong Kong Foot Attacking the Heart Causing Coma (from *Guangnan Sishi Shesheng Lun*).
Ingredients: Liuhuang, Wuyao, Shanmu Jie, Hezipi, Qingjupi (each 0.5 liang), Roudoukou, Binglang. Process into powder. Each dose is 1 qian, taken with urine.
Formula for Miasma Toxin, Chest Epigastric Fullness, and Original Visceral Qi Deficiency (from *Guangnan Sishi Shesheng Lun*).
Ingredients: Wuyao, Peng'ezhu, Baizhu, Qingjupi, Bailian, Gaoliangjiang, Zhike (pulp removed, stir-fried with bran, equal parts). Crush and sieve into powder. Each dose...
Shengma San (Cimicifuga Powder) (from *Shenghui Fang*): Specifically treats Miasma Toxin, onset of Hong Kong Foot, dry heat in chest/heart, mental distress, shortness of breath, dry mouth, scorched tongue, irritability/thirst, and intestinal obstruction.
Ingredients: Chuan Shengma (1 liang), Huangqin (1 liang), Chi Fuling (1 liang), Muxiang (0.5 liang), Xijiao Xie (0.5 liang), Chuan Puxiao (1 liang). Process into powder. Each dose is 1 qian, decocted with one zhong zhan of water...
Hong Kong Foot disease originates in Lingnan, spreads to Jiangdong, arises gradually. Symptoms may include slight pain/numbness, slight fullness of shins, sudden weakness upon walking, insensitivity of lower abdomen, or alternating cold/heat. These are its signs. If not treated immediately, it moves upward into the abdomen, and once developed, it is fatal. Treatment mostly uses decoctions, wines, and massage pastes.
Take 1 sheng of good Chi, steam and sun-dry three times until dry. Soak in 3 dou of good wine for three nights. Drink according to capacity. For prevention, do not wait for symptoms.
Duhuo Jiu Fang (Angelica Pubescens Wine Formula) (from *Zhouhou Fang*)
Ingredients: Duhuo (5 liang), Fuzi (5 liang, raw). Chop and infuse in 1 dou of wine for three nights. Start taking from 1 ge, stop when slight numbness is achieved.