（附论）
夫妇人风痹者。由风寒湿三气合而为痹。风多者为风痹。其状肌肤尽痛。诸阳之经皆起
于手
气相
夫妇人臂痛。筋脉挛急。不得屈伸。遇寒则剧。由肝虚为风寒邪气流于血脉。客于经络。
搏
时复转移一臂。由中脘伏痰。脾气滞而不行。上与气相搏。四肢皆属于脾。脾气滞而气不下
。上攻于臂。故痛。其脉沉细。宜服茯苓丸、控涎丹。
方
萆 散（出圣惠方）治妇人风痹。手足不仁。腰膝疼痛。筋脉挛急。
萆 天麻 乌蛇肉（酒拌炒黄） 虎胫骨（涂酥炙令黄各一两） 防风（去芦头） 当
归（锉微炒） 独活 芎 麻黄（去根节） 天雄（炮裂去皮脐） 牛膝（去苗） 苍耳
子杜仲（去粗皮
半两） 仙灵脾（三分）
乌蛇散（出圣惠方）治妇人风痹。手足顽麻。筋脉抽搐。口眼不正。言语謇
涩。
乌蛇肉（酒拌炒黄） 天南星（炮裂） 天雄（炮裂去皮脐） 土蜂儿（微炒） 赤箭 麻
黄（去根节） 薏苡仁 芎 （各一两） 干蝎（微炒） 桑螵蛸（微炒） 羚羊角屑 桂
心朱砂（细研水
研） 上为散。入研了
三痹汤（出大全良方）治血气凝滞。手足拘挛。风痹气痹等病皆疗。
川续断 杜仲（去皮切姜汁炒） 防风 桂心 华阴细辛 人参 白茯苓 当归 白芍
药甘
咀。每
之。有人
独活散（出圣惠方）治妇人风痹。手足不遂。身体疼痛。言语謇涩。筋脉挛
急。
独活 桑寄生 牛膝（去苗） 秦艽（去苗） 赤茯苓 桂心 防风（去芦头） 附子
（炮裂去皮
赤芍药（各
去滓。不拘时温
牛膝丸（出圣惠方）治妇人中风。手足顽痹不遂。骨节酸疼。筋脉拘急。行
履
稍难。
牛膝（去苗） 威灵仙 虎胫骨（涂酥炙令黄各一两半） 当归（锉微炒） 防风（去
芦头）
赤箭
乌头
渐
加至
乌头丸（出圣惠方）治妇人风痹。手足不遂。关节沉重。行立无力。
川乌头（炮裂去皮脐） 防风（去芦头） 天南星（炮裂） 天雄（炮裂去皮脐） 白
僵蚕（炒
微）
丹
参石
食
前以豆
独活汤（出大全良方）治风虚昏愦。不自觉知。手足螈 。坐卧不能。或发
寒
热。血虚不能
川独活 羌活 人参 防风 当归 北细辛 茯神（去木） 半夏 桂心 白薇 远志
（去心）
五片。煎七分。
川乌头散（出圣惠方）治妇人风痹。疼痛四肢不遂。
川乌头（炮裂去皮脐） 甘草（炙微赤锉） 细辛 川椒（去目及闭口者微炒去汗） 赤
茯苓（各
附子（炮裂去皮
服三钱。水一中盏。
狗脊浸酒（出圣惠方）治妇人风痹。手足不遂。肢节急强。
狗脊（去毛） 当归（锉微炒） 芎 桂心 防风（去芦头） 萆 仙灵脾（各二
两） 牛膝（
去汗） 上以细
锉。
添酒
羌活散（出圣惠方）治妇人风痹。手足不遂。筋脉拘急。不能行动。
羌活 牛膝（去苗） 当归（锉微炒） 防风（去芦头） 赤芍药（各一两半） 附子
（炮裂去皮脐）
服四钱。水一中盏。
五加皮散（出圣惠方）治妇人风痹。手足不遂。行立无力。
五加皮 萆 海桐皮（各一两） 虎胫骨（涂酥炙黄用一两半） 牛膝（去苗） 防
风（去芦头）
仲（去粗皮微炙
防风散（出圣惠方）治妇人风痹。手足不遂。言语謇涩。
防风（去芦头） 五加皮 羌活 赤芍药 羚羊角屑 附子（炮裂去皮脐） 牛膝（去
苗各一两）
生姜半分。煎至
舒经汤（出大全良方）治臂痛。又名五痹汤。亦治腰下疾。
片子姜黄（四两） 甘草 羌活（各一两） 白术 海桐皮 当归 赤芍药（各二两） 上
为粗末
后服。
附子丸（出圣惠方）治妇人风痹。手足不遂。
附子（炮裂去皮脐） 天麻 牛膝（去苗） 仙灵脾 川乌头（炮裂去皮脐） 防风（去
芦头各一
丸。温酒送
仙灵脾浸酒（出圣惠方）治妇人风痹。手足不遂。
仙灵脾 牛膝（去苗） 附子（炮裂去皮脐） 石南叶 杜仲（去粗皮微炙各二两） 上
以细锉。
通灵丸（出大全良方）治妇人男子手足痛风不可忍者。
白附子 僵蚕（炒去丝各一两） 全蝎（半两炒） 麝香（一字） 上为细末。炼蜜丸
如梧桐子大
天麻酒（出十便良方）治妇人风痹。手足不遂。\x
天麻（二两切） 牛膝（二两） 附子（二两） 杜仲（二两） 上件药细锉。以生绢
袋盛。用好酒
(Attached Discussion)
As for women suffering from wind-bi (Wind Obstruction Syndrome), it arises from the combination of wind, cold, and dampness pathogenic factors leading to bi syndrome. When wind pathogen predominates, it is termed wind-bi. The clinical manifestation involves pain throughout the skin and muscles.
All yang meridians originate from the hands.
Women experiencing arm pain, with tendons and vessels becoming spasmodic and tight, unable to flex or extend, and symptoms worsening upon exposure to cold, are caused by liver blood deficiency allowing wind-cold pathogenic factors to invade the blood vessels and lodge in the collaterals, clashing with healthy qi.
Sometimes the pain may shift to the other arm. This is due to latent phlegm at the Zhongwan (CV12) acupoint, where spleen qi stagnation prevents smooth flow. The stagnant qi clashes upward with pathological qi. Since the four limbs are governed by the spleen, spleen qi stagnation causes qi to fail to descend and instead attack upwards into the arms, resulting in pain. The pulse is deep and fine. It is appropriate to take Fuling Wan (Poria Pill) and Kongyan Dan (Controlling Phlegm Elixir).
Formulas:
Bixie San (Dioscorea Hypoglauca Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as numbness and insensitivity of the hands and feet, pain in the waist and knees, and spasmodic tendons and vessels.
Ingredients: Bixie (Rhizoma Dioscoreae Hypoglaucae), Tianma (Rhizoma Gastrodiae), Wushe Rou (Serpent Meat, stir-fried with wine until yellow), Hu Jing Gu (Tiger Tibia Bone, coated with butter and roasted until yellow, 1 liang each), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Danggui (Radix Angelicae Sinensis, chopped and lightly stir-fried), Duhuo (Radix Angelicae Pubescentis), Xiong (Radix Chuanxiong), Mahuang (Herba Ephedrae, remove root and joints), Tianxiong (Radix Aconiti Kusnezoffii, processed, remove skin and umbilicus), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Cang Er Zi (Fructus Xanthii), Duzhong (Cortex Eucommiae, remove rough bark, 0.5 liang), Xianlingpi (Herba Epimedii, 3 fen).
Wushe San (Serpent Meat Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as stubborn numbness of the hands and feet, tendon spasms, facial paralysis (crooked mouth and eyes), and dysarthria.
Ingredients: Wushe Rou (Serpent Meat, stir-fried with wine until yellow), Tiannanxing (Rhizoma Arisaematis, processed), Tianxiong (Radix Aconiti Kusnezoffii, processed, remove skin and umbilicus), Tu Feng'er (Earth Bee Larva, lightly stir-fried), Chijian (Rhizoma Gastrodiae, also known as Tianma), Mahuang (Herba Ephedrae, remove root and joints), Yiyiren (Semen Coicis), Xiong (Radix Chuanxiong, 1 liang each), Ganxie (Dry Scorpion, lightly stir-fried), Sangpiaoxiao (Ootheca Mantidis, lightly stir-fried), Lingyangjiao Xie (Hornis Antelopis Cornu, shaved), Guixin (Cortex Cinnamomi), Zhusha (Cinnabar, finely ground and levigated with water). Grind the above ingredients into a powder. Mix with the already ground ingredients.
Sanbi Tang (Three Bi Decoction) [from *Daquan Liangfang*]: Treats stagnation of qi and blood, spasticity of the hands and feet, and various conditions including wind-bi and qi-bi.
Ingredients: Chuan Xuduan (Radix Dipsaci), Duzhong (Cortex Eucommiae, remove bark, cut, stir-fry with ginger juice), Fangfeng (Radix Saposhnikoviae), Guixin (Cortex Cinnamomi), Huayin Xixin (Radix Asari, from Huayin), Renshen (Radix Ginseng), Bai Fuling (Poria, white), Danggui (Radix Angelicae Sinensis), Baishao Yao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae). Chop coarsely. Take a certain amount per dose, decoct with water and consume. (Text fragment missing here: ...zhi. You ren...)
Duhuo San (Angelicae Pubescentis Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as hemiplegia/paralysis of the hands and feet, body pain, dysarthria, and spasmodic tendons and vessels.
Ingredients: Duhuo (Radix Angelicae Pubescentis), Sangjisheng (Ramulus Taxilli), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Qinjiao (Radix Gentiana Macrophyllae, remove seedlings), Chi Fuling (Poria, red), Guixin (Cortex Cinnamomi), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus), Chishaoyao (Radix Paeoniae Rubra, ...). Strain the decoction. Drink warm at any time. (Text fragment missing here: Qu zha. Bu ju shi wen...)
Niuxi Wan (Achyranthes Pill) [from *Shenghui Fang*]: Treats stroke in women, manifesting as stubborn numbness and paralysis of the hands and feet, soreness and pain in bone joints, spastic tendons and vessels, and difficulty walking.
Ingredients: Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Weilingxian (Herba Clematidis), Hu Jing Gu (Tiger Tibia Bone, coated with butter and roasted until yellow, 1.5 liang each), Danggui (Radix Angelicae Sinensis, chopped and lightly stir-fried), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Chijian (Rhizoma Gastrodiae), Wutou (Radix Aconiti Carminativi). (Text fragment missing here: Jian... jia zhi...)
Wutou Wan (Aconite Pill) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet, heaviness in joints, and weakness in standing and walking.
Ingredients: Chuan Wutou (Radix Aconiti Carminativi, processed, remove skin and umbilicus), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Tiannanxing (Rhizoma Arisaematis, processed), Tianxiong (Radix Aconiti Kusnezoffii, processed, remove skin and umbilicus), Bai Jiangcan (Bombyx Batryticatus, stir-fried...). (Text fragment missing here: Danshen Shi shiqian yi dou...)
Duhuo Tang (Angelicae Pubescentis Decoction) [from *Daquan Liangfang*]: Treats dizziness and confusion due to wind-deficiency, loss of consciousness, convulsions of the hands and feet. Inability to sit or lie comfortably, or alternating chills and fever. Caused by blood deficiency failing to nourish.
Ingredients: Chuan Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma et Radix Notopterygii), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Bei Xixin (Radix Asari, Northern variety), Fushen (Poria with Pinus Root, remove wood), Banxia (Rhizoma Pinelliae), Guixin (Cortex Cinnamomi), Baiwei (Radix Cynanchi Atrati), Yuanzhi (Radix Polygalae, remove heart). Slice five pieces, decoct until reduced to 70%. (Text fragment missing here: Wu pian. Jian qi fen...)
Chuan Wutou San (Chuan Aconite Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as pain and paralysis of the four limbs.
Ingredients: Chuan Wutou (Radix Aconiti Carminativi, processed, remove skin and umbilicus), Gancao (Radix Glycyrrhizae, honey-fried until slightly red, chopped), Xixin (Radix Asari), Chuanjiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, lightly stir-fried to remove moisture), Chi Fuling (Poria, red, ...), Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus...). Take 3 qian per dose, with one zhong of water. (Text fragment missing here: Fu san qian. Shui yi zhong zhan...)
Gouji Infused Wine (Dogspine Infused Wine) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet, and stiffness/tightness of limb joints.
Ingredients: Gouji (Rhizoma Cibotii, remove hair), Danggui (Radix Angelicae Sinensis, chopped and lightly stir-fried), Xiong (Radix Chuanxiong), Guixin (Cortex Cinnamomi), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Bixie (Rhizoma Dioscoreae Hypoglaucae), Xianlingpi (Herba Epimedii, 2 liang each), Niuxi (Radix Achyranthis Bidentatae, remove moisture). The above ingredients should be finely chopped. (Text fragment missing here: Shang yi xi cuo. Tian jiu...)
Qianghuo San (Notopterygium Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet, spastic tendons and vessels, and inability to move.
Ingredients: Qianghuo (Rhizoma et Radix Notopterygii), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Danggui (Radix Angelicae Sinensis, chopped and lightly stir-fried), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Chishaoyao (Radix Paeoniae Rubra, 1.5 liang each), Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus). Take 4 qian per dose, with one zhong of water. (Text fragment missing here: Fu si qian. Shui yi zhong zhan...)
Wujiapi San (Eucommia Bark Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet, and weakness in standing and walking.
Ingredients: Wujiapi (Cortex Acanthopanacis Senticosi), Bixie (Rhizoma Dioscoreae Hypoglaucae), Haitongpi (Cortex Turpiniae, 1 liang each), Hu Jing Gu (Tiger Tibia Bone, coated with butter and roasted yellow, use 1.5 liang), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Fangfeng (Radix Saposhnikoviae, remove rhizome head), Duzhong (Cortex Eucommiae, remove rough bark and lightly roast...). (Text fragment missing here: Zhong (qu cu pi wei zhi...)
Fangfeng San (Saposhnikovia Powder) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet and dysarthria.
Ingredients: Fangfeng (Radix Saposhnikoviae, remove rhizome head), Wujiapi (Cortex Acanthopanacis Senticosi), Qianghuo (Rhizoma et Radix Notopterygii), Chishaoyao (Radix Paeoniae Rubra), Lingyangjiao Xie (Hornis Antelopis Cornu, shaved), Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus), Niuxi (Radix Achyranthis Bidentatae, remove seedlings, 1 liang each). Half a piece of fresh ginger, decoct until... (Text fragment missing here: Shengjiang ban fen. Jian zhi...)
Shujing Tang (Meridian-Relaxing Decoction) [from *Daquan Liangfang*]: Treats arm pain. Also known as Wubi Tang. Also treats diseases below the waist.
Ingredients: Pianzi Jianghuang (Rhizoma Curcumae Longae, sliced, 4 liang), Gancao (Radix Glycyrrhizae), Qianghuo (Rhizoma et Radix Notopterygii, 1 liang each), Baizhu (Rhizoma Atractylodis Macrocephalae), Haitongpi (Cortex Turpiniae), Danggui (Radix Angelicae Sinensis), Chishaoyao (Radix Paeoniae Rubra, 2 liang each). Grind the above into coarse powder. (Text fragment missing here: Shang wei cu mo... hou fu.)
Fuzi Wan (Aconite Pill) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet.
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus), Tianma (Rhizoma Gastrodiae), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Xianlingpi (Herba Epimedii), Chuan Wutou (Radix Aconiti Carminativi, processed, remove skin and umbilicus), Fangfeng (Radix Saposhnikoviae, remove rhizome head, 1 ... each). Form into pills, swallow with warm wine. (Text fragment missing here: Wan. Wen jiu song...)
Xianlingpi Infused Wine (Epimedium Infused Wine) [from *Shenghui Fang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet.
Ingredients: Xianlingpi (Herba Epimedii), Niuxi (Radix Achyranthis Bidentatae, remove seedlings), Fuzi (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus), Shinanye (Folium Nandinae), Duzhong (Cortex Eucommiae, remove rough bark and lightly roast, 2 liang each). The above ingredients should be finely chopped. (Text fragment missing here: Shang yi xi cuo...)
Tongling Wan (Spirit-Passing Pill) [from *Daquan Liangfang*]: Treats unbearable gout/pain in the hands and feet of both men and women.
Ingredients: Baifuzi (Rhizoma Typhonii, prepared), Jiangcan (Bombyx Batryticatus, stir-fried to remove silk threads, 1 liang each), Quanxie (Scorpio, half liang, stir-fried), Shexiang (Moschus, one zi). Grind the above into fine powder. Use refined honey to form pills the size of paulownia seeds. (Text fragment missing here: Ru wutong zi da...)
Tianma Jiu (Gastrodia Wine) [from *Shibian Liangfang*]: Treats wind-bi in women, manifesting as paralysis of the hands and feet.
Ingredients: Tianma (Rhizoma Gastrodiae, 2 liang, sliced), Niuxi (Radix Achyranthis Bidentatae, 2 liang), Fuzi (Radix Aconiti Lateralis Preparata, 2 liang), Duzhong (Cortex Eucommiae, 2 liang). Finely chop the above ingredients, place in a raw silk bag, and use good wine... (Text fragment missing here: Yi sheng juan dai sheng. Yong hao jiu...)