夫风寒湿三气杂至,合而为痹,以至阴遇此者,则为肌痹,其状皮肤弗荣,肌肉 痹而
不仁是也。
方
天麻丸(出《圣济总录》)治肌肉 痹,肢体怠惰缓弱,恶风头疼,舌本
强,言语謇涩。
天麻 独活(去芦各一两) 人参 防风(去皮各三分) 桂(去皮) 附子(去皮脐)
麻黄(去
苡仁 干蝎(去
僵蚕(炒各三分) 牛黄(研)
砂
(另研半两) 龙脑(别另一分) 上除
丸如梧桐子大,每服温酒下一丸,至十
石南散 治内热极,则体上如鼠走。或如风痹,唇口干。皮肤色变,主诸风大病。
石南(三十铢) 薯蓣 芍药(一本作甘草) 天雄 桃花(一作桃仁) 甘菊花(各
一两) 黄 (
蕤(各一两半) 上 咀,治下筛,酒服方寸匕,日再,食前服。
麻黄汤(出《圣济总录》)治肌肤淫淫,如鼠走四肢,津液脱,腠理开,汗
大泄,此为脾风
麻黄(去根节煎去沫焙干) 枳实(去瓤面炒微黄) 细辛(去苗叶) 白术 防风(去
皮各三两)
当归(切焙) 芍药
去滓温服,不计时候
细辛汤(出《圣济总录》)治肌痹淫淫如虫行,或腠理开疏,汗出皮肤,肉
色不泽,唇、鼻
细辛(去苗叶) 防风(去皮) 白术(炮去皮) 桂(去皮) 石膏(研) 麻黄(去
根节炮焙各二
锉如黄豆,每服五
麻黄(去根节煎去末焙干) 当归(切焙) 石膏(研各二两) 芎 桂(去皮) 甘
草(炙) 防
四钱,水一盏,姜一
Wind, cold, and dampness pathogenic factors mix and invade the body, combining to form Bi syndrome (obstruction syndrome). If this occurs in the area governed by Zhi Yin (Spleen), it is called Ji Bi (Muscle Bi). Its manifestations include skin lacking nourishment and luster, muscle numbness, and loss of sensation.
Prescription:
Tianma Wan (Cinnamon Twig Pill) [Source: *Shengji Zonglu*]. Treats muscle obstruction, limb fatigue and weakness, aversion to wind, headache, stiffness of the tongue root, and slurred speech.
Ingredients: Gastrodiae Rhizoma (Tianma), Angelicae Pubescentis Radix (Duhuo, de-radicle, each 1 liang), Ginseng Radix et Rhizoma (Renshen), Saposhnikoviae Radix (Fangfeng, de-cortex, each 3 fen), Cinnamomi Ramulus (Guizhi, de-cortex), Aconiti Lateralis Radix Praeparata (Fuzi, de-cortex and umbilicus), Ephedrae Herba (Mahuang, de-joints), Coicis Semen (Yiyiren), Scorpio (Quanxie, detoxified), Bombyx Batryticatus (Jiangcan, stir-fried, each 3 fen), Calculus Bovis (Niuhuang, ground), Moschus (Shexiang, separately ground, 0.5 liang), Borneolum Syntheticum (Longnao, separately ground, 1 fen). Except for Borneolum Syntheticum, grind the remaining herbs into powder, mix with Borneolum Syntheticum, and make pills the size of Sophora japonica seeds. Take one pill per dose with warm wine, up to ten pills.
Shinan San. Treats extreme internal heat causing a sensation like mice running under the skin. Or symptoms resembling Wind-Bi, with dry lips and mouth. Changes in skin color. Mainly treats severe wind diseases.
Ingredients: Pyrolae Folium (Shinan), Dioscoreae Rhizoma (Shuyu), Paeoniae Radix Alba (Shaoyao, another version uses Glycyrrhizae Radix et Rhizoma), Aconiti Radix (Tianxiong), Persicae Flos (Taohua, another version uses Persicae Semen), Chrysanthemi Flos (Gan Juhua, each 1 liang), Astragali Radix (Huangqi), Pruni Armeniacae Semen (Ruiren, each 1.5 liang). Cut the herbs, grind and sieve them. Take one Fangcunbi with wine, twice daily, before meals.
Mahuang Tang (Ephedra Decoction) [Source: *Shengji Zonglu*]. Treats skin itching and discomfort, sensation like mice running on limbs, depletion of body fluids, open pores, and profuse sweating. This belongs to Pi Feng (Spleen Wind).
Ingredients: Ephedrae Herba (Mahuang, de-roots and joints, decoct to remove foam, bake dry), Aurantii Fructus Immaturus (Zhishi, de-albedo, stir-fried with flour until slightly yellow), Asari Radix et Rhizoma (Xixin, de-seeds and leaves), Atractylodis Macrocephalae Rhizoma (Baizhu), Saposhnikoviae Radix (Fangfeng, de-cortex, each 3 liang), Angelicae Sinensis Radix (Danggui, cut and bake), Paeoniae Radix Alba (Shaoyao). Decoct in water, strain, take warm, at any time.
Xixin Tang (Asari Decoction) [Source: *Shengji Zonglu*]. Treats Ji Bi with skin itching like insects crawling, or loose pores, sweating, dull skin luster, and dry lips and nose.
Ingredients: Asari Radix et Rhizoma (Xixin, de-seeds and leaves), Saposhnikoviae Radix (Fangfeng, de-cortex), Atractylodis Macrocephalae Rhizoma (Baizhu, processed, de-cortex), Cinnamomi Ramulus (Guizhi, de-cortex), Gypsum Fibrosum (Shigao, ground), Ephedrae Herba (Mahuang, de-roots and joints, processed and baked, each 2 liang). Cut into pieces the size of soybeans. Take 5 qian per dose with one cup of water and one slice of ginger, decoct to 7/10 volume, strain, take warm, without restriction on time.
[Fragment]
Ingredients: Ephedrae Herba (Mahuang, de-roots and joints, decoct to remove foam, bake dry), Angelicae Sinensis Radix (Danggui, cut and bake), Gypsum Fibrosum (Shigao, ground, each 2 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Cinnamomi Ramulus (Guizhi, de-cortex), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried). Add one cup of water and one slice of ginger, decoct...