《内经》谓湿气胜者，为着痹，地之湿气，感则害人皮肉筋脉。盖湿，土也。土性重缓，
营
湿
方
摩风膏（出《圣济总录》）治风湿着痹，服药虽多，肌肉犹 痹。
防风（去皮） 羌活（去芦） 芎 细辛（去苗叶） 当归 蜀椒（去目合口者出汗）
踯躅花（
头（去皮脐）
豆，以米醋二升拌匀，
每用一点敷 痹
石斛汤（一名石斛秦艽散）治寒湿痹，着而不散，四肢不仁。脚弱拘挛，或
疼痛不能行。趺
侧子浸酒方 治寒湿着痹，四肢皮肤不仁，以致弱不能行。
侧子汤（出《圣济总录》）治寒湿痹，留着不去，皮肤不仁，手足无力。
侧子（炮裂去皮脐） 五加皮（各一两） 羚羊角（镑） 防风（去皮） 薏苡仁 麻
黄（去根节）
（去苗土） 甘草（
时。
附子丸（一名白花蛇丸）治寒湿痹，留着不去，四肢缓弱，皮肤不仁，精神
昏懵。
白花蛇丸（出《圣济总录》）治寒湿着痹，皮肤不仁，或肢节疼痛。
白花蛇（酒浸去皮骨炙） 仙灵脾 干蝎（炒各一两） 茵芋 乌头（炮裂去皮脐） 天
南星（炮
萆（各一两
别用天麻三两，以无
每服薄荷酒下二十丸
天雄浸酒方（出《圣济总录》）治寒湿着痹，皮肉不仁，及骨髓疼痛者。
天雄（炮裂去皮脐） 附子（炮裂去皮脐各一两） 防风（去皮） 独活（去芦） 当
归（切焙） 白
麻豆，以夹绢袋盛，用
以知为度。
茯苓汤（一名茯苓川芎汤出《医方大成》）治风湿痹留住，四肢 麻，拘挛
不仁，浮肿。
赤茯苓（去黑皮） 桑根白皮（各二两） 防己（一方用防风） 桂（去粗皮） 芎
（各一两半）
粗捣筛，每服六钱
服药了，以生姜
干蝎散（一名 散出《圣惠方》）治寒湿着痹，留住不去，身体四肢不
仁。
干蝎（炒） 螵蛸（炒） 独活（去芦各一两） 踯躅（醋拌炒） 天南星（炮各半两）
萆 天麻
龙虎膏（出《圣济总录》）治风湿着痹，肌肉 浓，不知痛痒。\x
龙骨（三两） 虎骨（三两涂酥炙） 当归（切焙） 桂（去粗皮各一两） 皂荚（半
两） 上为末，
入瓷合，每用
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that Bi syndrome caused by an excess of dampness is called Zhuo Bi (Fixed Bi). The dampness of the earth, when pathogenic, damages the skin, flesh, sinews, and vessels. Dampness corresponds to the Earth element. The nature of Earth is heavy and sluggish.
Formula: Mofeng Gao (Wind-Moving Ointment, from *Shengji Zonglu*) treats Wind-Damp Zhuo Bi. Despite taking numerous medications, the muscles remain numb and insensible.
Ingredients: Fangfeng (Saposhnikovia Root, peeled), Qianghuo (Notopterygium Rhizome, removed rhizome base), Xiong (Ligusticum Chuanxiong Rhizome), Xixin (Asarum Root, removed seedlings and leaves), Danggui (Angelica Sinensis Radix), Shujiao (Zanthoxylum Bungeanum Pericarp, removed eyes and closed mouths, stir-fried until sweating), Zhizhuhua (Rhododendron Molle Flower), Fuzi Tou (Aconite Lateral Root Head, removed peel and navel). Mix with fermented soybeans, blend with two sheng of rice vinegar, apply a small amount externally to the affected area to alleviate Bi.
Shihu Tang (Dendrobium Decoction, also known as Shihu Qinjiao San) treats Cold-Damp Bi where the pathogen lingers without dispersing, leading to insensibility in the four limbs. Symptoms include weak and spasmodic legs, or pain preventing walking, and swelling on the dorsum of the foot.
Cezi Jinjiu Fang (Cesi Wine Infusion Formula) treats Cold-Damp Zhuo Bi, characterized by insensibility of the skin on the four limbs, resulting in weakness and inability to walk.
Cezi Tang (Cesi Decoction, from *Shengji Zonglu*) treats Cold-Damp Bi where the pathogen lingers and does not depart, causing insensibility of the skin and weakness in the hands and feet.
Ingredients: Cesi (Prepared Aconite Lateral Root, processed until cracked, peel and navel removed), Wujia Pi (Eucommia Bark, 1 liang each), Lingyang Jiao (Saiga Antelope Horn, shaved), Fangfeng (Saposhnikovia Root, peeled), Yiyiren (Coix Seed), Mahuang (Ephedra Stem, removed root and joints), [Missing Herb] (removed seedlings and soil), Gancao (Licorice Root, [missing dosage/process]). Boil for an appropriate duration.
Fuzi Wan (Aconite Pill, also known as Baihua She Wan) treats Cold-Damp Bi where the pathogen lingers and does not depart, causing flaccidity and weakness in the four limbs, insensibility of the skin, and mental confusion/drowsiness.
Baihua She Wan (White-Flower Snake Pill, from *Shengji Zonglu*) treats Cold-Damp Zhuo Bi, characterized by insensibility of the skin or pain in the joints.
Ingredients: Baihua She (Deinagkistrodon Acutus, soaked in wine, skin and bones removed, roasted), Xianlingpi (Epimedium Leaf, 1 liang each), Ganxie (Scorpio, stir-fried), Yinyu (Ilex Rotunda Leaf), Wutou (Aconitum Carmichaelii Lateral Root, processed until cracked, peel and navel removed), Tiannanxing (Arisaema Rhizome, processed), Bibo (Dioscorea Hypoglauca Rhizome, 1 liang each). Alternatively, use Santie (Gastrodia Rhizome) 3 liang; if unavailable, [omit]. Take 20 pills per dose, washed down with Mint Wine.
Tianxiong Jinjiu Fang (Tianxiong Wine Infusion Formula, from *Shengji Zonglu*) treats Cold-Damp Zhuo Bi, characterized by insensibility of the skin and flesh, and bone marrow pain.
Ingredients: Tianxiong (Prepared Aconitum Carmichaelii Lateral Root, processed until cracked, peel and navel removed), Fuzi (Prepared Aconitum Carmichaelii Lateral Root, processed until cracked, peel and navel removed, 1 liang each), Fangfeng (Saposhnikovia Root, peeled), Duohuo (Angelica Pubescens Radix, removed rhizome base), Danggui (Angelica Sinensis Radix, sliced and baked), Bai [Shao?] (White Peony Root). Place herbs in a silk bag, soak in [wine], stop when effective.
Fuling Tang (Poria Decoction, also known as Fuling Chuanxiong Tang, from *Yifang Dacheng*) treats Wind-Damp Bi lingering in place, causing numbness in the four limbs, spasms and insensibility, and edema.
Ingredients: Chi Fuling (Red Poria, removed black skin), Sanggen Baipi (Mulberry Root Bark, 2 liang each), Fangji (Stephania Tetrandra Root, one variant uses Fangfeng), Guizhi (Cinnamon Twig, removed coarse bark), Xiong (Ligusticum Chuanxiong Rhizome, 1.5 liang each). Coarsely crush and sieve, take 6 qian per dose. After taking the medicine, use fresh ginger [to decoct for washing or swallowing].
Ganxie San (Dry Scorpion Powder, also known as [Missing Name] San, from *Shenghui Fang*) treats Cold-Damp Zhuo Bi lingering in place, causing insensibility of the body and four limbs.
Ingredients: Ganxie (Scorpio, stir-fried), Piaoxiao (Cuttlefish Bone, stir-fried), Duohuo (Angelica Pubescens Radix, removed rhizome base, 1 liang each), Zhizhu (Rhododendron Molle, mixed with vinegar and stir-fried), Tiannanxing (Arisaema Rhizome, processed, half liang each), Bibo (Dioscorea Hypoglauca Rhizome), Santie (Gastrodia Rhizome).
Longhu Gao (Dragon-Tiger Ointment, from *Shengji Zonglu*) treats Wind-Damp Zhuo Bi, characterized by thick/heavy muscles and insensibility to pain and itch.
Ingredients: Longgu (Fossilized Bones, 3 liang), Hugu (Tiger Bone, 3 liang, coated with butter and roasted), Danggui (Angelica Sinensis Radix, sliced and baked), Guizhi (Cinnamon Twig, removed coarse bark, 1 liang each), Zaojiao (Gleditsia Sinensis Fruit, half liang). Grind all into powder, store in a porcelain jar, use [externally] as needed.