夫风湿寒三气合而成痹，其气来时，亦有偏多偏少，而风湿之气偏多者，名为风湿痹也。
凡
故其肌肤尽痛，或皮肤瘾疹。然诸阳之经，宣行阳气，通于身体。风湿客于肌肤，合而为
伤诸阳之经，则阳气之行迟缓。而机关弛纵，筋脉不收。若风湿痹而遍于身体，故手足
遂也。
方
仙灵脾丸（出《圣济总录》）治风湿痹，肢节疼痛，身体手足不遂。
仙灵脾（三分） 防风（去皮半两） 羌活（去芦） 白附子（炮） 犀角屑 羚羊角
屑乳香（细
鹿茸（酥炙去毛）
浸去皮骨炙二两） 麝香（
麻（一两） 天南星（炮半两） 白
丸如梧桐子大，每服三十丸，食前温
当归散（出《圣惠方》）治风湿痹 曳，或手足不遂，或风入五脏，恍恍惚
惚，多语喜忘。
当归（一两炒） 升麻（半两） 川乌头（半两炮去皮） 五味子（半两） 天门冬（一
两去心焙）
风（半两去芦） 芎
豆一合炒熟） 石斛（半两
紫菀（半两去苗土） 石膏（一两
锉为散，每服四钱，水一盏，煎至
萆 丸（出《圣惠方》）治风湿痹，身体手足，收摄不遂，肢节疼痛，言语
謇涩。
萆 薏苡仁 天雄（炮去皮脐） 牛膝（去苗各一两） 当归（锉微炒） 莽草（炙）
天麻 天
躅花（各三分醋
如桐子大，每食前，豆
防风汤（出《圣惠方》）治风寒湿痹，筋脉挛急，及偏风身体手足不遂。
防风（去皮） 薏苡仁（三两） 麻黄（去根节煮焙干四两） 白术 芎 细辛（去
苗叶） 羌活
去皮脐） 杏仁（去皮
水一盏，生姜三片，同煎
木瓜虎骨丸（出《瑞竹堂方》）治风寒湿客于营卫，合而成痹，脚重不仁，
疼痛少力，足下
蝉鸣，头旋目眩，及香港脚
木瓜 麒麟竭（研） 没药（研） 虎胫骨（涂酒炙） 木香 自然铜（醋淬七次） 枫
香脂 骨碎
息香（一两汤酒入
酒面糊为丸，如梧桐子大
物湿面诸血等物。
换腿丸（出《直指方》）治足三阴经虚，为风寒暑湿进袭，挛痹缓弱，上攻
胸胁背，下注脚
薏苡仁（炒） 石南叶 石斛 牛膝（去苗酒浸） 萆 （炒） 天南星（炒） 羌活
（去芦） 防风
一两半） 槟榔（二两半）
十丸，温酒汤下，一方加苍术
天麻散（出《圣惠方》）治诸痹、身体痛麻，或多搔痒筋脉拘急，言语謇
涩，手足不遂。
天麻 白附子（炮） 羌活（去芦） 防风（去皮） 芎 独活（去芦） 当归（切
炮） 桂（去粗
根节各一两） 萆 （三
乌头汤（出《本事方》）治风冷湿痹，留于筋脉，拘挛不得转侧，亦治脚
气。
大乌头 细辛 川椒 甘草 秦艽 附子 官桂 白芍药（各七分） 干姜 白茯苓 防
风
同煎至八
精丹、茵
取效。唐
五盏，求
防风饮（出《圣济总录》）治风寒湿痹，半身不遂，不能言语，四肢麻木，
或不知痛痒。
防风（去皮一两） 麻黄（去节汤煮焙一两半） 石膏 黄芩（去黑心） 芎 当归
（炒焙各半
半两） 上捣筛，每服
巴戟天汤 治风寒湿痹，脚膝疼痛，行履不得。
羌活汤（出《圣济总录》）治风湿、身体手足不遂，疼痛。
羌活（去芦三分） 防风（去皮一两） 五加皮（锉半两） 薏苡仁（炒半两） 赤芍
药（一两） 羚
钱，水二盏，入生姜五
菖蒲散（一名六生散）治风寒湿痹，手足不遂。
五痹汤（出《和剂方》）治风寒湿邪，客留肌体，手足缓弱，麻痹不仁，或
气血湿郁，痹滞
片子姜黄（洗去灰土） 羌活 白术 防己（各一两） 甘草（炒半两） 上 咀，每
服四钱，水
防风，不用
牛膝散（出《圣济总录》）治风寒湿痹，肢体腰膝，冷痛疼痹，滞不相通。
牛膝（去苗酒浸焙半两） 桂（去皮一分） 山茱萸（半两） 上为散，每服二钱，温
酒调下，空
《海上方》（一名木瓜丸）治风湿客搏，手足腰膝，不能举动。
治风湿痹、身体手足，收摄不遂，肢节疼痛，言语謇涩。（出《圣惠方》）
上用踯躅花，不限多少，以酒拌蒸一炊久，取出晾干为末，牛乳一合，酒二合令热，调
下一
排风汤（出治《风经验方》）治风疾，身体拘挛、麻痹，精神错乱，心多怔
忡。
独活 白茯苓 麻黄（去节各一两半） 白藓皮 川芎 当归（切焙） 桂（去皮不见
火） 甘草
片，煎至一盏，
治腰脚不随，（出《本草》）
取虎腰脊一具，细锉讫，以斧于石上更捶碎。又取前两脚如前细捶之，两件并于铁床上，
以大炭火翻转炙匀。候待脂出，投浓美无灰酒中，密封。春夏一七，秋冬三七，空腹随性饮
，多则多饮，少则少饮，未饭前三度温饮之，大户以酒六七斗止，小户二斗止。患十年以上
者，不过三剂。七年以下者，一剂必瘥。又一方、虎胫骨五六寸以来，尽刮去肉膜等，涂酥
炙令极黄熟，细捣绢袋子盛，以酒一斗置绢袋子于瓷瓶中，用糠火微煎。至七日后，任情吃
之，当微利便瘥。
治贼风手枯足痹，四肢拘挛，茵芋酒主之。
Wind-Damp-Cold Bi Syndrome: When the three pathogens of Wind, Dampness, and Cold combine to form Bi syndrome (Obstruction Syndrome), their invasion may vary in intensity. When Wind-Dampness is predominant, it is named Wind-Damp Bi.
Consequently, the skin and muscles suffer from widespread pain, or skin rashes (Urticaria) may appear. The Yang meridians distribute Yang Qi throughout the body. If Wind-Dampness invades the skin and muscles, it damages these Yang meridians, causing the flow of Yang Qi to slow down. This leads to flaccidity of joints and laxity of sinews and vessels. If Wind-Damp Bi pervades the entire body, it results in impairment of movement in the hands and feet.
Formulas:
Xianlingpi Wan (Cibotium Pill) [from *Shengji Zonglu*]: Treats Wind-Damp Bi, pain in limbs and joints, and impairment of movement in the body, hands, and feet.
Ingredients: Cibotium barometz (Sanfen), Saposhnikovia root (Banliang, peeled), Notopterygium root (deprived of rhizome), White Aconite Root (processed), Rhinoceros Horn (shavings), Antelope Horn (shavings), Frankincense (fine powder, Deer Antler with glue processed, two liang), Musk (one liang), Ephedrae Herba (one liang), Pinelliae Tuber (processed, half liang), Angelicae Radix (Danggui)...
Danggui San (Angelica Powder) [from *Shenghui Fang*]: Treats Wind-Damp Bi, dragging sensation in limbs, impairment of movement in hands and feet, or wind invading the five zang organs, causing mental confusion, excessive talking, and forgetfulness.
Ingredients: Angelicae Radix (one liang, stir-fried), Cimicifugae Rhizoma (half liang), Aconiti Lateralis Radix Preparata (half liang, processed and peeled), Schisandrae Fructus (half liang), Asparagi Radix (one liang, heart removed and baked), Saposhnikovia root (half liang, deprived of rhizome), Ligusticum Chuanxiong Rhizoma, Soybean (one he, stir-fried), Dendrobii Caulis (half liang), Aster Tataricus Root (half liang, buds and soil removed), Gypsum Fibrosum (one liang).
Preparation: Crush into powder. Take four qian per dose, decoct with one sheng of water...
Bixie Wan (Dioscorea Hypoglauca Pill) [from *Shenghui Fang*]: Treats Wind-Damp Bi, loss of motor control in the body and limbs, pain in joints, and dysarthria.
Ingredients: Dioscoreae Hypoglaucae Rhizoma, Coicis Semen, Aconiti Kusnezoffii Radix (processed, peel and navel removed), Achyranthis Bidentatae Radix (buds removed, each one liang), Angelicae Sinensis Radix (crushed and lightly stir-fried), Polygoni Cuspidati Rhizoma (roasted), Gastrodiae Rhizoma, Rhododendri Mollis Flos (each Sanfen, soaked in vinegar).
Preparation: Make pills the size of paulownia seeds. Take thirty pills before meals with Doulin Jiu (Soybean Wine)...
Fangfeng Tang (Saposhnikovia Decoction) [from *Shenghui Fang*]: Treats Wind-Cold-Damp Bi, spasm and contraction of sinews and vessels, and hemiplegia causing impairment of movement in the body and limbs.
Ingredients: Saposhnikovia root (peeled), Coicis Semen (three liang), Ephedrae Herba (roots and nodes removed, boiled, baked, and dried, four liang), Atractylodis Macrocephalae Rhizoma, Ligusticum Chuanxiong Rhizoma, Asari Radix et Rhizoma (buds and leaves removed), Notopterygii Rhizoma (peel and navel removed), Armeniacae Semen Amarum (skin and tips removed).
Decoct with one sheng of water and three slices of fresh ginger...
Mugua Hugu Wan (Papaya and Tiger Bone Pill) [from *Ruizhutang Fang*]: Treats Bi syndrome caused by Wind-Cold-Dampness invading Ying and Wei levels, characterized by heavy and numb legs, pain and weakness, sensation of insect crawling underfoot, dizziness, vertigo, and Hongxiangjiao (Gout/Jiaji).
Ingredients: Chaenomelis Fructus, Dragon's Blood (powdered), Myrrha (powdered), Tiger Tibia Bone (anointed with wine and roasted), Costi Rhizoma, Pyritum (quenched in vinegar seven times), Liquidambaris Resina, Drynariae Rhizoma, Boswelliae Carterii Resina (one liang, dissolved in soup or wine).
Preparation: Mix with wine and wheat paste to make pills the size of paulownia seeds...
Huantui Wan (Leg-Exchange Pill) [from *Zhizhi Fang*]: Treats deficiency of the three Yin meridians of the foot, invaded by Wind, Cold, Summerheat, and Dampness, leading to spasmodic Bi or flaccid weakness, attacking upwards to the chest, hypochondrium, and back, and sinking downwards to the legs.
Ingredients: Coicis Semen (stir-fried), Pteridis Capillaris Folium, Dendrobii Caulis, Achyranthis Bidentatae Radix (buds removed, soaked in wine), Dioscoreae Hypoglaucae Rhizoma (stir-fried), Pinelliae Tuber (stir-fried), Notopterygii Rhizoma (deprived of rhizome), Saposhnikovia root (one liang half), Arecae Semen (two liang half).
Take ten pills with warm wine or water. Another formula adds Cangzhu and Tianma.
Tianma San (Gastrodia Powder) [from *Shenghui Fang*]: Treats various Bi syndromes, body pain and numbness, frequent itching, spasm of sinews and vessels, dysarthria, and impairment of movement in hands and feet.
Ingredients: Gastrodiae Rhizoma, White Aconite Root (processed), Notopterygii Rhizoma (deprived of rhizome), Saposhnikovia root (peeled), Ligusticum Chuanxiong Rhizoma, Angelicae Pubescentis Radix (deprived of rhizome), Angelicae Sinensis Radix (sliced and processed), Cinnamomi Ramulus (bark removed), Aconiti Radix (roots and nodes, each one liang), Dioscoreae Hypoglaucae Rhizoma (three...)
Wutou Tang (Aconite Decoction) [from *Ben Shi Fang*]: Treats Wind-Cold-Damp Bi lingering in sinews and vessels, causing spasm and inability to turn or side; also treats Jiaqi (Gout/Lower limb swelling).
Ingredients: Magna Aconiti Radix, Asari Radix et Rhizoma, Zanthoxyli Pericarpium, Glycyrrhizae Radix et Rhizoma, Gentianae Macrophyllae Radix, Prepared Aconitum Lateralis Radix, Cinnamomi Cortex (Official), Paeoniae Radix Alba (each seven fen), Zingiberis Rhizoma Recens, Poria, Saposhnikovia root.
Decoct together until eight...
Fangfeng Yin (Saposhnikovia Drink) [from *Shengji Zonglu*]: Treats Wind-Cold-Damp Bi, hemiplegia, aphasia, numbness of four limbs, or insensitivity to pain and itch.
Ingredients: Saposhnikovia root (peeled, one liang), Ephedrae Herba (nodes removed, boiled, baked, one liang half), Gypsum Fibrosum, Scutellariae Radix (black heart removed), Ligusticum Chuanxiong Rhizoma, Angelicae Sinensis Radix (stir-fried and baked, half liang each).
Pulverize and sieve. Take...
Bajitian Tang (Morinda Decoction): Treats Wind-Cold-Damp Bi, pain in feet and knees, difficulty walking.
Qianghuo Tang (Notopterygium Decoction) [from *Shengji Zonglu*]: Treats Wind-Damp Bi, impairment of movement in body and limbs, and pain.
Ingredients: Notopterygii Rhizoma (deprived of rhizome, Sanfen), Saposhnikovia root (peeled, one liang), Acanthopanacis Cortex (crushed, half liang), Coicis Semen (stir-fried, half liang), Paeoniae Radix Rubra (one liang), Antelope Horn (qian, two sheng of water, add five slices of fresh ginger, decoct to one sheng).
Changpu San (Acorus Powder, aka Liusheng San): Treats Wind-Cold-Damp Bi, impairment of movement in hands and feet.
Wubi Tang (Five Bi Decoction) [from *Heji Fang*]: Treats Wind-Cold-Damp pathogens lodging in the musculature, causing flaccidity and numbness of hands and feet, or stagnation of Qi, Blood, and Dampness.
Ingredients: Curcumae Longae Rhizoma (washed clean), Notopterygii Rhizoma, Atractylodis Macrocephalae Rhizoma, Stephaniae Tetrandrae Radix (each one liang), Glycyrrhizae Radix et Rhizoma (stir-fried, half liang).
Cut into pieces. Take four qian per dose, with water...
Niuxi San (Achyranthes Powder) [from *Shengji Zonglu*]: Treats Wind-Cold-Damp Bi, cold pain and obstruction in limbs, waist, and knees.
Ingredients: Achyranthis Bidentatae Radix (buds removed, soaked in wine, baked, half liang), Cinnamomi Ramulus (bark removed, one fen), Corni Fructus (half liang).
Make into powder. Take two qian per dose, mixed with warm wine, on an empty stomach.
Hai Shang Fang (Sea Above Formula, aka Mugua Wan): Treats Wind-Damp pathogens striking the body, causing immobility of hands, feet, waist, and knees.
Treatment for Wind-Damp Bi, loss of motor control in body and limbs, joint pain, and dysarthria. [From *Shenghui Fang*]
Usage: Take Rhododendri Mollis Flos, any amount, steam with wine for the duration of a meal, dry, and powder. Mix with one he of cow milk and two he of hot wine, and take...
Paifeng Tang (Expel Wind Decoction) [From *Zhi Feng Jingyan Fang*]: Treats Wind diseases, body spasm and numbness, mental confusion, and palpitations.
Ingredients: Angelicae Pubescentis Radix, Poria, Ephedrae Herba (nodes removed, each one liang half), Dictamni Cortex, Ligusticum Chuanxiong Rhizoma, Angelicae Sinensis Radix (sliced and baked), Cinnamomi Ramulus (bark removed, not exposed to direct fire), Glycyrrhizae Radix et Rhizoma.
Decoct to one sheng...
Treatment for Waist and Leg Paralysis. [From *Bencao*]
Take one tiger spine, chop finely, then crush further with an axe on stone. Do the same for the front two legs. Place both on an iron bed and roast evenly over charcoal fire until oil oozes out. Seal in strong, unadulterated wine. Soak for seven days in spring/summer, twenty-one days in autumn/winter. Drink freely on an empty stomach. Large consumers limit to six or seven dou; small consumers to two dou. For cases over ten years, no more than three doses are needed. For cases under seven years, one dose is curative.
Another method: Take tiger tibia bones 5-6 cun long, scrape off meat and membrane, coat with butter, roast until golden brown, grind finely, place in a silk bag. Put the bag in a porcelain jar with one dou of wine, simmer gently over chaff fire for seven days. Consume as desired; mild diarrhea indicates cure.
For Zefeng (Robbing Wind) causing withered hands and bi in feet, with spasm of four limbs, Yinyu Jiu (Caulis Aristolochiae Yunnanensis Wine) is indicated.