（附论）
夫妇人香港脚与丈夫不同。男子则肾脏虚弱。为风湿所乘。女子以胞络气虚。为毒所搏。
是以胞络属于肾也。肾主于腰脚。又肝脾肾三脏经络起于十足指。若脏腑虚损。则风邪先客
于脚
或患
五
精神昏愦。肢筋烦疼。小便赤黄。大便秘涩。并皆其证也。其妇人香港脚。治之与丈夫不同者
。以其气血不调。怀胎难产崩伤之异。是以褚澄疗寡妇师尼与妻外家殊别。即其义也。凡妇人
有香港脚疾者。必无生育。
凡头痛身热。肢节疼。大便秘。或呕逆而脚屈弱者。香港脚也。轻者可与香苏散加木瓜、
槟榔
或两胫
食呕逆
缓风。
中三
薄荷
汤淋
取凉
其候
气固
上。
调之
方
紫苏散 治妇人风毒香港脚。腹内壅塞。痰饮。不思饮食。脚肿一切皆治之。
紫苏（茎叶） 木通 桑白皮 茴香根（各一两） 枳壳（二两） 羌活 独活 荆芥
穗木瓜
姜三片。葱白一
薏苡仁散 治妇人香港脚缓弱及顽痹。肿满。心下急。大便涩。
薏苡仁 防风 猪苓 川芎 防己 槟榔 郁李仁 大麻仁（各一两） 桑白皮（三两）
枳实
去滓。放
牛膝散 治妇人香港脚浮肿。心神烦闷。月候不通。
川牛膝 羚羊角 槟榔 大黄（炒） 芒硝（各一两） 防己 桂心 牡丹皮 赤芍药 甘
草（
煎至七分
防风散 治妇人香港脚肿满。疼痛。筋脉拘急。
防风（一两去芦头） 五加皮（二两） 薏苡仁（二两） 羌活（一两） 附子（一两
炮去皮脐） 酸
（一两） 川大黄（三两
每服四钱。水一中盏。煎至七分。去滓
大腹皮散（一名大腹子散）治妇人风毒香港脚。肢节烦疼。心神壅闷。
大腹皮（一作大腹子） 紫苏 木通 桑白皮 羌活 荆芥 赤芍药 青皮 木瓜 独
活（各
去滓。空心温服。
赤茯苓散 治妇人香港脚肿满。腹内妨闷。月水不通。四肢疼痛服之。
赤茯苓（一两） 木通（一两） 紫苏（茎叶一两） 牛膝（一两去苗） 木香（半两）
防己（半两）
两） 川大黄（二两锉
去滓。食前温服。
桑白皮散（出圣惠方）治妇人香港脚盛发。两脚浮肿。小便赤涩。腹胁胀满。
气
满。坐卧不得
桑白皮 郁李仁（各一两） 木香 防己 大腹皮（各半两） 紫苏子 木通 槟榔 青
皮（各
温服。羚羊角丸（出圣惠方） 治妇人香港脚上冲。喘急烦闷。两脚不仁。小腹顽痹。头面浮
肿。时复
羚羊角屑（一两） 汉防己（半两） 薏苡仁（一两） 牛膝（一两去苗） 芎 （一
两） 川大
黄（
去皮微炒）
枳实（一两麸炒微黄） 上为末。炼蜜和捣五七百杵。丸如梧桐子大。每服三十丸。温酒下。
食前。
木香散（出圣惠方）治妇人香港脚卒发。冲心闷乱。
木香（半两） 郁李仁 赤芍药 大腹皮 紫雪（各一两） 桑白皮 桂心 槟榔 茯
苓（各三
红蓝花散（出圣惠方）治妇人香港脚。心神烦乱。
红蓝花（一两） 柴胡（一两半去苗） 羚羊角屑 赤芍药（各一两） 桑根白皮（二
两锉） 槟榔
四钱。水一中盏。入
牛膝散（出圣惠方）治妇人香港脚缓弱无力。兼软风。
牛膝（一两去苗） 附子（炮裂去皮脐） 仙灵脾 萆 羌活 防风（去芦头） 大
腹皮
（锉各
水一
中盏。
木瓜丸（出圣惠方）治妇人香港脚冲心。闷乱。腹胁胀满。不能下食。
木瓜（二枚蒸熟去皮子） 木香（一两） 槟榔（二两） 草豆蔻（一两去皮） 青橘
皮（汤浸
去白
两汤浸
去皮
半夏散（出圣惠方）治女人香港脚发动。心腹胀满。饮食不下。呕逆不止。
半夏 陈皮 人参 大腹皮 桂心（各三分） 槟榔（一两） 赤茯苓 紫苏（各一两
半） 上
犀牛散（出圣惠方）治女人香港脚忽发。冲心闷乱。四肢烦疼有热者。
犀牛角 木香（各半两） 紫苏（茎叶） 白茯苓 槟榔（各一两） 赤芍药 红花（各
三分） 红
坐拿散（出圣惠方）治妇人香港脚厥冷。血气不调。
坐拿（一两） 野狼毒（一两旋旋炙令酥） 沉香 紫苏子 羌活 萝卜子（微炒） 杉
木节（各三
每于食前服
苍术丸（出永类钤方）治诸证退后。只有脚挛痛不能行。以苍术丸治之效。
此
药大治干湿脚
乳香 没药（各二钱别研） 川牛膝 青盐（各半两研） 熟艾（四钱） 川乌（三钱）
全蝎
（一
件药
苍术
忌血
大便秘者。可与七宣丸。神功丸。七圣槟榔丸。三和散服效。昔有妇人病发热自汗。心
烦。
劳实
皆
愈
治妇人香港脚冲心。闷乱不识人。宜服此药。（出圣惠方）
紫苏（茎叶） 松节（各二两） 吴茱萸（半两） 槟榔 干木瓜（各一两） 陈皮（三
分） 上 咀
红雪散（出圣惠方）治女人香港脚。脏腑气壅。胸膈满闷。脚膝烦痛。
红雪（一两半） 赤芍药（半两） 茜根（半两锉） 桂心（一两） 生干地黄（一两）
红蓝花（三
治妇人香港脚卒发。冲心烦闷。气急。大便苦难。小便赤涩。心神热躁宜服。（出
圣惠方）
红蓝花（三分） 生黑豆皮（二合） 川大黄（三分锉碎微炒） 上以水一盏半。煎至
一盏。
去滓
治脚赤肿。（出圣惠方）
荆芥 石膏 地龙（炒） 薄荷（各等分） 上锉散。生姜三片。蜜少许煎服。
(Attached Treatise)
Women's Hong Kong Jiao (Gouty Arthritis/Foot Qi) differs from men's. In men, it is due to Kidney deficiency, invaded by Wind-Dampness. In women, it is due to emptiness of the Bao Luo (uterine collaterals), combated by Toxic factors.
This is because the Bao Luo belongs to the Kidney. The Kidney governs the waist and feet. Furthermore, the meridians of the Liver, Spleen, and Kidney originate from the ten toes of the feet. If the Zang-Fu organs are deficient and damaged, Wind pathogenic factors will first lodge in the feet.
Or there may be symptoms such as mental confusion and drowsiness, irritability and pain in the limb tendons, dark yellow urine, and constipation with difficulty in defecation; all these are its manifestations.
The reason why the treatment for women's Hong Kong Jiao differs from men's is that their Qi and Blood are unregulated, and they have differences regarding pregnancy, difficult labor, metrorrhagia, and trauma. Therefore, Chu Cheng treated widows and nuns differently from ordinary wives, which illustrates this principle. Any woman suffering from Hong Kong Jiao disease will definitely be unable to bear children.
Any case involving headache, fever, pain in the limbs and joints, constipation, or vomiting with weakness and flexion inability of the feet is classified as Hong Kong Jiao. For mild cases, Xiang Su San (Perilla Powder) can be administered with added Mu Gua (Chaenomeles Fruit) and Bing Lang (Areca Seed).
Or for swelling in both shins, dietary indigestion, and vomiting, use Huan Feng Decoction for washing, cooling it before application.
Its presentation involves Qi stagnation fixed upwards; regulation requires the following formulas:
Zi Su San (Perilla Powder): Treats Wind-Toxic Hong Kong Jiao in women. It resolves abdominal fullness and blockage, phlegm-fluid retention, loss of appetite, and foot swelling, treating all related conditions.
Ingredients: Zi Su (Perilla Stem and Leaf), Mu Tong (Akebia Caulis), Sang Bai Pi (Morus Cortex), Hui Xiang Gen (Fennel Root) (each 1 liang), Zhi Qiao (Bitter Orange Fruit) (2 liang), Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens Radix), Jing Jie Sui (Schizonepeta Spike), Mu Gua (Chaenomeles Fruit), Sheng Jiang (Fresh Ginger, 3 slices), Cong Bai (Scallion White, 1 piece).
Yi Yi Ren San (Coix Seed Powder): Treats weak and powerless Hong Kong Jiao in women, as well as stubborn Bi syndrome. It addresses swelling and fullness, urgency under the heart, and constipation with difficulty.
Ingredients: Yi Yi Ren (Coix Seed), Fang Feng (Saposhnikovia Root), Zhu Ling (Polyporus), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Fang Ji (Stephania Tetrandra Root), Bing Lang (Areca Seed), Yu Li Ren (Prunus Mume Seed), Da Ma Ren (Cannabis Seed) (each 1 liang), Sang Bai Pi (Morus Cortex) (3 liang), Zhi Shi (Immature Bitter Orange Fruit). Strain the decoction and take warm.
Niu Xi San (Achyranthes Powder): Treats foot edema in women with Hong Kong Jiao, mental restlessness, and amenorrhea.
Ingredients: Chuan Niu Xi (Cyathulae Root or Achyranthis Bidentatae Radix), Ling Yang Jiao (Saiga Tatarica Cornu), Bing Lang (Areca Seed), Da Huang (Rhubarb Radix, stir-fried), Mang Xiao (Mirabilite) (each 1 liang), Fang Ji (Stephania Tetrandra Root), Gui Xin (Cinnamon Twig Heart), Mu Dan Pi (Moutan Cortex), Chi Shao Yao (Red Peony Root), Gan Cao (Licorice Root) (appropriate amount). Decoct until three-tenths remains.
Fang Feng San (Saposhnikovia Powder): Treats swollen and full Hong Kong Jiao in women, pain, and tendon-meridian spasm and tension.
Ingredients: Fang Feng (Saposhnikovia Root, 1 liang, remove radicle), Wu Jia Pi (Acanthopanacis Cortex) (2 liang), Yi Yi Ren (Coix Seed) (2 liang), Qiang Huo (Notopterygium Rhizome) (1 liang), Fu Zi (Prepared Aconite Lateral Root, 1 liang, processed, remove skin and bud), Suan Zao Ren (Ziziphus Jujuba Seed) (1 liang), Chuan Da Huang (Rhubarb Radix) (3 liang). Take 4 qian per dose, with one zhong zhan of water, decoct until three-tenths remains, strain.
Da Fu Pi San (also known as Da Fu Zi San): Treats Wind-Toxic Hong Kong Jiao in women, irritability and pain in limbs and joints, and mental fullness and oppression.
Ingredients: Da Fu Pi (Areca Pericarpium, alternatively Da Fu Zi Areca Seed), Zi Su (Perilla), Mu Tong (Akebia Caulis), Sang Bai Pi (Morus Cortex), Qiang Huo (Notopterygium Rhizome), Jing Jie (Schizonepeta), Chi Shao Yao (Red Peony Root), Qing Pi (Citrus Reticulata Green Peel), Mu Gua (Chaenomeles Fruit), Du Huo (Angelica Pubescens Radix) (equal parts). Strain and take warm on an empty stomach.
Chi Fu Ling San (Red Poria Powder): Treats swollen and full Hong Kong Jiao in women, abdominal obstruction and oppression, amenorrhea, and limb pain. Effective when taken.
Ingredients: Chi Fu Ling (Poria with Red Host) (1 liang), Mu Tong (Akebia Caulis) (1 liang), Zi Su (Perilla Stem and Leaf) (1 liang), Niu Xi (Cyathulae Root or Achyranthis Bidentatae Radix, 1 liang, remove seedlings), Mu Xiang (Costus Root) (0.5 liang), Fang Ji (Stephania Tetrandra Root) (0.5 liang), Chuan Da Huang (Rhubarb Radix) (2 liang, cut into pieces). Strain and take warm before meals.
Sang Bai Pi San (from *Sheng Hui Fang*): Treats severe onset of Hong Kong Jiao in women, bilateral foot edema, dark and scanty urine, abdominal and hypochondriac fullness, inability to sit or lie down comfortably.
Ingredients: Sang Bai Pi (Morus Cortex), Yu Li Ren (Prunus Mume Seed) (each 1 liang), Mu Xiang (Costus Root), Fang Ji (Stephania Tetrandra Root), Da Fu Pi (Areca Pericarpium) (each 0.5 liang), Zi Su Zi (Perilla Fruit), Mu Tong (Akebia Caulis), Bing Lang (Areca Seed), Qing Pi (Citrus Reticulata Green Peel) (equal parts). Take warm.
Ling Yang Jiao Wan (Saiga Horn Pill) (from *Sheng Hui Fang*): Treats Hong Kong Jiao rushing upward in women, panting and urgency, mental restlessness, numbness in both feet, stubborn Bi in the lower abdomen, facial edema, and recurrent episodes.
Ingredients: Ling Yang Jiao Xie (Saiga Tatarica Cornu Shavings) (1 liang), Han Fang Ji (Stephania Tetrandra Root) (0.5 liang), Yi Yi Ren (Coix Seed) (1 liang), Niu Xi (Cyathulae Root or Achyranthis Bidentatae Radix, 1 liang, remove seedlings), Xiong (Ligusticum Chuanxiong Rhizome) (1 liang), Chuan Da Huang (Rhubarb Radix, peel and lightly stir-fry), Zhi Shi (Immature Bitter Orange Fruit, 1 liang, bran-stir-fried until slightly yellow). Grind into powder, mix with refined honey, pound 500-700 times, form pills like wutong seeds. Take 30 pills per dose with warm wine, before meals.
Mu Xiang San (Costus Powder) (from *Sheng Hui Fang*): Treats sudden onset of Hong Kong Jiao in women, rushing to the heart causing mental confusion and disorder.
Ingredients: Mu Xiang (Costus Root) (0.5 liang), Yu Li Ren (Prunus Mume Seed), Chi Shao Yao (Red Peony Root), Da Fu Pi (Areca Pericarpium), Zi Xue (Purple Snow) (each 1 liang), Sang Bai Pi (Morus Cortex), Gui Xin (Cinnamon Twig Heart), Bing Lang (Areca Seed), Fu Ling (Poria) (each 3 liang).
Hong Lan Hua San (Carthamus Powder) (from *Sheng Hui Fang*): Treats Hong Kong Jiao in women with mental restlessness and confusion.
Ingredients: Hong Lan Hua (Carthamus Flower) (1 liang), Chai Hu (Bupleurum Root, 1.5 liang, remove seedlings), Ling Yang Jiao Xie (Saiga Tatarica Cornu Shavings), Chi Shao Yao (Red Peony Root) (each 1 liang), Sang Gen Bai Pi (Mulberry Root Bark) (2 liang, cut), Bing Lang (Areca Seed) (4 qian). One zhong zhan of water, add herbs and decoct.
Niu Xi San (Achyranthes Powder) (from *Sheng Hui Fang*): Treats weak and powerless Hong Kong Jiao in women, combined with soft Wind syndrome.
Ingredients: Niu Xi (Cyathulae Root or Achyranthis Bidentatae Radix, 1 liang, remove seedlings), Fu Zi (Prepared Aconite Lateral Root, processed until cracked, remove skin and bud), Xian Ling Pi (Epimedii Folium), Bi Xie (Dioscorea Hypoglauca Rhizome), Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root, remove radicle), Da Fu Pi (Areca Pericarpium) (cut, equal parts). One zhong zhan of water, decoct.
Mu Gua Wan (Chaenomeles Pill) (from *Sheng Hui Fang*): Treats Hong Kong Jiao rushing to the heart in women, mental confusion, abdominal and hypochondriac fullness, inability to eat.
Ingredients: Mu Gua (Chaenomeles Fruit, 2 pieces, steamed ripe, peeled and seeded), Mu Xiang (Costus Root) (1 liang), Bing Lang (Areca Seed) (2 liang), Cao Dou Kou (Cardamom Fruit) (1 liang, peeled), Qing Ju Pi (Green Tangerina Peel, soaked in water, remove white pith).
Ban Xia San (Pinellia Powder) (from *Sheng Hui Fang*): Treats onset of Hong Kong Jiao in women, epigastric and abdominal fullness, inability to swallow food, persistent vomiting.
Ingredients: Ban Xia (Pinellia Tuber), Chen Pi (Tangerina Peel), Ren Shen (Ginseng Radix), Da Fu Pi (Areca Pericarpium), Gui Xin (Cinnamon Twig Heart) (each 3 fen), Bing Lang (Areca Seed) (1 liang), Chi Fu Ling (Poria with Red Host), Zi Su (Perilla) (each 1.5 liang). Cut above ingredients.
Xi Niu San (Rhino Horn Powder) (from *Sheng Hui Fang*): Treats sudden onset of Hong Kong Jiao in women, rushing to the heart causing confusion, irritability and pain in limbs with heat.
Ingredients: Xi Niu Jiao (Rhino Horn), Mu Xiang (Costus Root) (each 0.5 liang), Zi Su (Perilla Stem and Leaf), Bai Fu Ling (White Poria), Bing Lang (Areca Seed) (each 1 liang), Chi Shao Yao (Red Peony Root), Hong Hua (Carthamus Flower) (each 3 fen).
Zuo Na San (Sit-and-Take Powder) (from *Sheng Hui Fang*): Treats cold extremities in Hong Kong Jiao in women, irregular Qi and Blood.
Ingredients: Zuo Na (Herba Siegesbeckiae), Ye Lang Du (Radix Daphnes Genkwa) (1 liang, slowly roasted with ghee), Chen Xiang (Aquilaria Wood), Zi Su Zi (Perilla Fruit), Qiang Huo (Notopterygium Rhizome), Luo Bo Zi (Radish Seed, lightly stir-fried), Shan Mu Jie (Camphor Tree Node) (each 3 liang). Take before meals.
Cang Zhu Wan (Atractylodes Macrocephala Pill) (from *Yong Lei Qian Fang*): Treats cases where other symptoms have subsided, leaving only foot cramping pain and inability to walk; treating with Cang Zhu Wan is effective. This medicine greatly treats Wet and Dry Foot Qi.
Ingredients: Ru Xiang (Olibanum), Mo Yao (Myrrha) (each 2 qian, separately ground), Chuan Niu Xi (Cyathulae Root or Achyranthis Bidentatae Radix), Qing Yan (Blue Salt) (each 0.5 liang, ground), Shu Ai (Processed Mugwort Leaf) (4 qian), Chuan Wu (Aconitum Carmichaelii Lateral Root) (3 qian), Quan Xie (Scorpion) (1 piece). Medicinal items. Cang Zhu. Avoid blood.
For constipation, taking Qi Xuan Wan, Shen Gong Wan, Qi Sheng Bing Lang Wan, or San He San is effective. Once, a woman suffered from fever and spontaneous sweating, mental distress; after treating excess and deficiency, she recovered completely.
To treat Hong Kong Jiao rushing to the heart in women, causing confusion and unconsciousness, this medicine should be taken. (From *Sheng Hui Fang*)
Ingredients: Zi Su (Perilla Stem and Leaf), Song Jie (Pinus Node) (each 2 liang), Wu Zhu Yu (Evodia Fruit) (0.5 liang), Bing Lang (Areca Seed), Gan Mu Gua (Dried Chaenomeles Fruit) (each 1 liang), Chen Pi (Tangerina Peel) (3 fen). Cut above ingredients.
Hong Xue San (Red Snow Powder) (from *Sheng Hui Fang*): Treats Hong Kong Jiao in women, visceral Qi congestion, chest and diaphragm fullness and oppression, irritability and pain in feet and knees.
Ingredients: Hong Xue (Red Snow), Chi Shao Yao (Red Peony Root) (0.5 liang), Qian Gen (Rubia Root) (0.5 liang, cut), Gui Xin (Cinnamon Twig Heart) (1 liang), Sheng Gan Di Huang (Rehmannia Root, raw and dried) (1 liang), Hong Lan Hua (Carthamus Flower) (3 liang).
To treat sudden onset of Hong Kong Jiao in women, rushing to cause mental distress and oppression, rapid breathing, difficult defecation, dark and scanty urine, and mental heat and agitation. (From *Sheng Hui Fang*)
Ingredients: Hong Lan Hua (Carthamus Flower) (3 fen), Sheng Hei Dou Pi (Raw Black Soybean Skin) (2 he), Chuan Da Huang (Rhubarb Radix) (3 fen, cut into pieces and lightly stir-fried). Add one and a half zhan of water, decoct until one zhan remains, strain.
To treat red and swollen feet. (From *Sheng Hui Fang*)
Ingredients: Jing Jie (Schizonepeta), Shi Gao (Gypsum Fibrosum), Di Long (Pheretima, stir-fried), Bo He (Mentha Haplocalyx) (equal parts). Cut into pieces, add 3 slices of Fresh Ginger and a little honey, decoct and take.