治白虎历节,诸风疼痛,游走无定,状如虫啮,昼静夜剧,及一切手足不测疼痛。
川乌(大八角者三个,生) 全蝎(二十一个,生) 黑豆(二十一粒,生) 地龙(半
两,
生)
上为细末,入麝香半字,同研匀,糯米糊为丸,如绿豆大。每服七丸,甚者十丸,夜卧
令膈空,温酒下,微出冷汗一身,便瘥。
予得此方,凡是历节及不测疼痛,一二服便瘥。在歙川日,有一贵家妇人,遍身走注疼
痛,至夜则发,如虫啮其肌,多作鬼邪治。予曰∶此正历节病也,三服愈。
历节宜发汗。
麻黄(一两一分,去根节) 羌活(一两,去芦) 黄芩(三分,去皮) 细辛(真华
阴者去
叶) 黄 (各半两,蜜炙)
上为粗末。每服五钱,水二盏,煎至八分,去滓温服,接续三四服,有汗畏风。
治历节肿满疼痛。
茵芋(去梗,锉用) 朱砂(水飞) 薏苡仁(各一分) 牵牛子(一两半) 郁李仁
(半两,
去皮尖,微炒)
上为细末,炼蜜杵,丸如梧子大,轻粉衮为衣。每服十丸至十五丸至二十丸,五更初温
水下,到晚未利,可再一二服,快利为度,白粥将息。
治风热成历节,攻手指,作赤肿麻木,甚则攻肩背两膝,遇暑热或大便秘即作。
牛蒡子(三两,隔纸炒) 新豆豉(炒) 羌活(各一两,去芦) 干生地黄(二两半)
黄
(一两半,蜜炙)
上为细末。汤调二钱服,空心食前,日三服。此病多胸膈生痰,久则赤肿,附着肢节,
久而不退,遂成厉风,此孙真人所预戒也,宜早治之。(厉风,即怒厉贼风伤于五脏也。《
千金方》第八卷贼风第三篇中载皆云五脏虚寒,厉风所损,随其病状,各有灸治甚详)
Treats Baihu Lijie (White Tiger Intermittent Joint Pain), various wind-induced pains that wander without a fixed location, feeling as if bitten by insects, quiet during the day and severe at night, as well as all sudden unexplained pains in the hands and feet.
Chuanwu (Radix Aconiti Lateralis Preparata) - three large octagonal ones, raw; Quanxie (Scorpio) - twenty-one pieces, raw; Heidou (Semen Sojae Nigrum) - twenty-one grains, raw; Dilong (Pheretima) - half tael, raw.
Grind the above into a fine powder, add Shexiang (Moschus) half zi, grind together until uniform, use glutinous rice paste to form pills the size of mung beans. Take seven pills per dose, ten pills for severe cases. Ensure the epigastrium is empty before sleep at night, take with warm wine. When a slight cold sweat covers the whole body, the illness will resolve.
I obtained this prescription, and for any Lijie or unexplained pain, it resolves after one or two doses. While in Shechuan, there was a noblewoman who suffered from wandering pain throughout her body, which flared up at night, feeling as if insects were biting her muscles. Many treated it as a ghostly affliction. I said, "This is precisely Lijie disease," and she recovered after three doses.
Lijie is suitable for treatment via diaphoresis (sweating method).
Mahuang (Herba Ephedrae) - one tael and one fen, remove roots and nodes; Qianghuo (Rhizoma et Radix Notopterygii) - one tael, remove rhizome; Huangqin (Radix Scutellariae) - three fen, remove peel; Xixin (Herba Asari) - genuine Huayin variety, remove leaves; Huangqi (Radix Astragali) - half tael each, honey-fried.
Grind the above into a coarse powder. Take five qian per dose, add two zhan of water, decoct until eight fen remains, remove dregs, and take warm. Continue for three to four doses, aiming for sweating and aversion to wind.
Treats Lijie swelling, fullness, and pain.
Yinyu (Caulis Epimedii) - remove stems, cut for use; Zhusha (Cinnabaris) - processed by water flotation; Yiyiren (Semen Coicis) - one fen each; Qianniuzi (Semen Phyllanthi) - one tael and half; Yuliren (Semen Pruni) - half tael, remove peel and tips, lightly stir-fried.
Grind the above into a fine powder, pound with refined honey, form pills the size of mulberry seeds, coat with Qingfen (Calomelas). Take ten to fifteen, up to twenty pills per dose. Take with warm water at the beginning of the fifth watch (early morning). If no bowel movement occurs by evening, take one or two more doses. The goal is rapid purgation, followed by recuperation with white rice porridge.
Treats wind-heat transforming into Lijie, attacking the fingers, causing redness, swelling, numbness, and even attacking the shoulders, back, and both knees. It flares up with summer heat or constipation.
Niubangzi (Fructus Arctii) - three taels, stir-fried between papers; Xin Douchi (Faba Fermentata) - stir-fried; Qianghuo (Rhizoma et Radix Notopterygii) - one tael each, remove rhizome; Gan Shengdihuang (Radix Rehmanniae Preparata) - two taels and half; Huangqi (Radix Astragali) - one tael and half, honey-fried.
Grind the above into a fine powder. Mix with liquid and take two qian per dose. Take on an empty stomach before meals, three times daily. This disease often involves phlegm accumulation in the chest and diaphragm; over time, it causes redness and swelling, attaching to the joints, lingering indefinitely, eventually becoming Lifeng (Severe Wind). This was forewarned by Sun Simiao. (Lifeng refers to violent thief-wind injuring the five zang organs. Volume VIII, Chapter 3 'Thief-Wind' of *Qianjin Fang* states that all such conditions involve deficiency-cold of the five zang organs damaged by Lifeng, with detailed moxibustion treatments corresponding to each symptom.)