《内经》谓风寒湿三气杂至，合而为痹。又曰。以冬遇此者为骨痹，骨痹不已，复感于
邪，
行。
方
远志丸（出《圣济总录》）治肾脏虚乏，久感寒湿，因而成痹，补损益气。
远志（去心） 山芋 牛膝（酒浸切焙各一两） 肉苁蓉（去皮须浸切焙一两） 石斛
（去根） 天
捣） 茯神（去木）
草（炙锉） 附子（炮去皮脐）
两） 蛇床子 楮实（微炒） 黄 （各
每服空心温酒，下二十丸至三十丸。
茵芋散（出《圣济总录》）治肾脏中风，腰痛两脚膝偏枯，皮肤痹，语声謇
涩，两耳虚鸣，
茵芋（去茎） 杜仲（去粗皮炙锉） 石南 石龙芮 羊踯躅（炒） 麝香（研） 狗
脊（去毛） 当
子（炮去皮脐） 天雄（
黄（去根节末焙） 芎 （各三分） 萆 （
日再服。
白附子丸（出《圣济总录》）治肾脏中风，膝脚麻痹，腰背强直疼痛，言语
不利，面色萎黑
白附子（炮裂） 干蝎（炒） 防风（去皮） 天麻（炮去皮脐） 黄 （锉） 萆 独
活（去芦
三分） 补骨脂（
苗酒浸切焙各一两） 雄
丸如桐子大，每服三十丸，
防风丸（一名茯苓丸出《卫生宝鉴》）治肾脏虚冷，邪气乘虚，身体冷痹不
仁，手足牵强，举动艰难，或肌骨 动，引及腰脊左右偏急，不能饮食，或因房室发
动。
防风（去皮） 白茯苓（去皮一用赤） 细辛（去苗叶） 附子（炮去皮脐） 白术 桂
（去皮） 泽
栝蒌根（各三分）
芋（各一分） 黄 （三
丸数，此药宜久服。
石龙芮汤（一名天雄散出《杨氏家藏方》）治肾脏气虚，外邪杂至，脚膝缓
弱，腰脊不可转
石龙芮 独活（去芦） 防风（去梢） 五味子 细辛（去苗叶） 杜仲（去粗皮炙锉）
茯神 草 丹参 羌活（去芦） 牛膝（酒浸切焙） 桂（去皮各一两） 当归（炒） 人
参（各三分） 麻
每服四钱，水一盏，生姜
牛膝汤（出《圣济总录》）治肾气虚冷，复感寒湿为痹。
牛膝 秦艽（去苗叶） 芎 防风 桂（去皮） 独活（去芦） 丹参 白茯苓（去
皮各三两）
骨皮 干姜（炮各两半
麻豆，以生绢盛，酒一斗浸。
用侧子。
麻黄汤（出《圣济总录》）治肾虚中风湿，腰脚缓弱，顽痹不仁，颜色苍
黑，语音混浊，志
麻黄（去根节煎掠去沫焙） 羌活（去芦） 附子（炮去皮脐） 桂（去粗皮） 侧子
（炮去皮脐各
加皮（炙锉半两）
两） 上锉如麻豆，每服四
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that wind, cold, and dampness pathogenic factors mix and invade together, combining to form Bi syndrome (obstruction syndrome). It further states that encountering these pathogens in winter results in Bone Bi (bone obstruction); if Bone Bi is not cured and the body is re-exposed to pathogens, the condition will spread.
Yuanzhi Wan (Polygala Pill), sourced from *Shengji Zonglu* (Compendium of Holy Relief), treats kidney deficiency and exhaustion, long-term exposure to cold and dampness leading to Bi syndrome, with effects of tonifying loss and benefiting Qi.
Ingredients include: Yuanzhi (*Polygalae Radix*, remove heart), Shanyu (*Dioscoreae Rhizoma*), Niuxi (*Achyranthis Bidentatae Radix*, soaked in wine, sliced, and baked, each 1 liang), Roushoucong (*Cistanche Deserticolae Caulis*, remove skin and roots, soak, slice, and bake, 1 liang), Shihu (*Dendrobii Caulis*, remove roots), Tianma (*Gastrodiae Rhizoma*, pound), Fushen (*Poria Cum Radix Xylomi*, remove wood), Cao (Licorice, likely Gancao *Glycyrrhizae Radix et Rhizoma*, roasted and chopped), Fuzi (*Aconiti Lateralis Radix Praeparata*, processed, remove skin and umbilicus), Shechuangzi (*Cnidii Fructus*), Chushi (*Broussonetiae Fructus*, slightly stir-fried), Huangqi (*Astragali Radix*, each [text missing]).
Dosage: Take 20 to 30 pills on an empty stomach with warm wine.
Yinyu San (Ilex Powder), sourced from *Shengji Zonglu*, treats kidney affected by wind-stroke, lower back pain with hemiplegia or atrophy of both knees and legs, skin Bi, hoarse speech, tinnitus due to emptiness in both ears, [text missing].
Ingredients include: Yinyu (*Ilicis Cornutae Folium*, remove stems), Duzhong (*Eucommiae Cortex*, remove rough bark, roast and chop), Shinan (*Rhododendri Daurici Folium*), Shilongrui (*Batrachii Venenum* or related herb), Yangzhizhu (*Azaleae Indicae Flos*, stir-fried), Shexiang (*Musk*, ground), Gouji (*Polystichii Rhizoma*, remove hair), Danggui [text missing], Tianxiong [text missing], Huangqi (*Astragali Radix*, remove root nodes and ends, bake), Xiongnu [likely Xionggu *Ligustici Chuanxiong Rhizoma*, each 3 fen], Bibi [likely Biba *Dioscoreae Hypoglaucae Rhizoma* [text missing]].
Dosage: Take twice daily.
Baifuzi Wan (White Aconite Pill), sourced from *Shengji Zonglu*, treats kidney affected by wind-stroke, numbness of knees and feet, stiffness and pain in the lower back, difficulty in speech, sallow and dark complexion [text missing].
Ingredients include: Baifuzi (*Typhonii Rhizoma*, processed until cracked), Ganxie (*Scorpio*, stir-fried), Fangfeng (*Saposhnikoviae Radix*, remove skin), Tianma (*Gastrodiae Rhizoma*, processed, remove skin and umbilicus), Huangqi (*Astragali Radix*, chopped), Bibi [text missing], Duhuo (*Angelicae Pubescentis Radix*, remove rhizome head, [text missing]), Buguzhi [text missing], [text missing].
Preparation and Dosage: Make pills the size of tung tree seeds. Take 30 pills per dose, [text missing].
Fangfeng Wan (also known as Fuling Wan, sourced from *Weisheng Baojian*), treats kidney deficiency and cold, where pathogenic factors invade due to deficiency, causing cold Bi with insensitivity, pulling and stiffness of hands and feet, difficulty in movement, or twitching of muscles and bones extending to the left and right sides of the waist and spine, inability to eat, or triggered by sexual activity.
Ingredients include: Fangfeng (*Saposhnikoviae Radix*, remove skin), Baifuling (*Poria*, remove skin, or use red Poria), Xixin (*Asari Radix et Rhizoma*, remove leaves and stems), Fuzi (*Aconiti Lateralis Radix Praeparata*, processed, remove skin and umbilicus), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Guizhi (*Cinnamomi Ramulus*, remove bark), Zexie [text missing], Gualougen (*Trichosanthis Radix*, each 3 fen), [text missing].
Dosage: [text missing]. This medicine is suitable for long-term consumption.
Shilongrui Tang (Shilongrui Decoction, also known as Tianxiong San, sourced from *Yangshi Jiacangfang*), treats kidney Qi deficiency, mixed invasion of external pathogens, flaccidity and weakness of feet and knees, immobility of the waist and spine [text missing].
Ingredients include: Shilongrui, Duhuo (*Angelicae Pubescentis Radix*, remove rhizome head), Fangfeng (*Saposhnikoviae Radix*, remove tips), Wuweizi (*Schisandrae Chinensis Fructus*), Xixin (*Asari Radix et Rhizoma*, remove leaves and stems), Duzhong (*Eucommiae Cortex*, remove rough bark, roast and chop), Fushen (*Poria Cum Radix Xylomi*), [text missing], Danshen (*Salviae Miltiorrhizae Radix et Rhizoma*), Qianghuo (*Notopterygii Rhizoma et Radix*, remove rhizome head), Niuxi (*Achyranthis Bidentatae Radix*, soaked in wine, sliced, and baked), Guizhi (*Cinnamomi Ramulus*, remove bark, each 1 liang), Danggui (*Angelicae Sinensis Radix*, stir-fried), Renshen (*Ginseng Radix*, each 3 fen), Ma [text missing].
Dosage: Take 4 qian per dose, with one cup of water, ginger [text missing].
Niuxi Tang (Achyranthes Decoction), sourced from *Shengji Zonglu*, treats kidney Qi deficiency and cold, compounded by cold-dampness causing Bi syndrome.
Ingredients include: Niuxi (*Achyranthis Bidentatae Radix*), Qinjiao (*Gentianae Macrophyllae Radix*, remove leaves and stems), Xiongnu [likely Xionggu *Ligustici Chuanxiong Rhizoma*], Fangfeng (*Saposhnikoviae Radix*), Guizhi (*Cinnamomi Ramulus*, remove bark), Duhuo (*Angelicae Pubescentis Radix*, remove rhizome head), Danshen (*Salviae Miltiorrhizae Radix et Rhizoma*), Baifuling (*Poria*, remove skin, each 3 liang) [text missing], Ganjiang (*Zingiberis Rhizoma*, processed, each half liang) [text missing].
Preparation and Dosage: Chop into sizes like hemp seeds, place in a raw silk bag, and soak in one dou of wine [text missing].
Note: Cezi (*Aconiti Kusnezoffii Radix*) may be used.
Mahuang Tang (Ephedra Decoction), sourced from *Shengji Zonglu*, treats kidney deficiency with wind-damp invasion, flaccidity and weakness of waist and feet, stubborn Bi with insensitivity, dark and bluish complexion, turbid voice, and [mental state] [text missing].
Ingredients include: Mahuang (*Ephedrae Herba*, remove root nodes, boil and skim foam, then bake), Qianghuo (*Notopterygii Rhizoma et Radix*, remove rhizome head), Fuzi (*Aconiti Lateralis Radix Praeparata*, processed, remove skin and umbilicus), Guizhi (*Cinnamomi Ramulus*, remove rough bark), Cezi (*Aconiti Kusnezoffii Radix*, processed, remove skin and umbilicus, each [text missing]), Jiapi [likely Guipi *Phellodendri Cortex* or similar, roasted and chopped, half liang] [text missing].
Preparation and Dosage: Chop into sizes like hemp seeds. Take four [text missing]