鹿角丸,治五痿,皮缓毛悴,血脉枯槁,肌肉薄着,筋骨羸弱,饮食不滋,庶事不兴,四肢无
力,爪枯发落,眼昏唇燥,疲惫不能支持。
麋角(镑一斤酒浸一宿) 熟地黄(四两) 大附子(生去皮脐一两半)
上用大麦米二升,以一半借底,一半在上,以二布巾隔覆,炊一日,取出药与麦,别焙干为末,以浸药
酒,添清酒煮麦粉为糊,搜和得所,杵三千下,丸如梧子大,每服五十丸,温酒、米汤任下,食前
服。(《三因》)
一文学有奇疾,两足不酸不痛,每行动绝不听其所用,或扭于左而又坠于右,或扭于右而又坠于左,之玄而
行,不能一步步正走。此亦目之稀觏,竟不识为何疾,书无所考。予臆度之,由筋软不能束骨所致,故行动则
偏斜扭坠也。夫筋者肝之所主,肝属木,木纵不收,宜益金以制之。用人参、黄 、白芍药以补肺金,薏苡
仁、虎骨、龟板、杜仲以壮筋骨,以铁华粉专制肝木,炼蜜为丸,早晚服之愈。(《赤水》)
五加皮酒,治筋痿,拘挛疼痛,不便屈伸。
五加皮(半斤) 苍耳子(六两) 枸杞子 苡仁(各四两) 生地黄(二两) 木香(五钱)
以好酒一大埕,将药用囊盛,悬埕中,浸七日,取出焙干为末,炼蜜丸梧子大,空心酒吞八九十丸。
其酒听饮,但常使酒气频相接为妙。(同上)(按∶《六要》等重载治痿酒
剂,概难适用,姑存此方。)
调摄法 天产作阳,浓味发热,先哲格言。但是患痿之人,若不淡薄食味,吾知其必
不能安全也。(《局方发挥》)
Lujiao Wan (Deer Horn Pill) is used to treat the five types of Wei syndrome (a category of diseases characterized by flaccidity and weakness of the limbs), with symptoms including loose skin, withered hair, dry blood vessels, emaciated muscles adhering closely to bones, weak sinews and bones, inability of diet to nourish the body, lack of interest in various affairs, weakness in the four limbs, withered nails, falling hair, blurred vision, dry lips, extreme fatigue making it impossible to support oneself.
Milu Jiao (Elk Horn, pounded into powder, one jin, soaked in wine overnight) Shu Dihuang (Prepared Rehmannia Root, four liang) Da Fuzi (Raw Aconite Root, peeled and de-navelled, one and a half liang).
Take two sheng of barley rice, place half at the bottom of the pot and half on top, cover with two cloth towels to separate, and steam for one day. Remove the herbs and barley, dry them separately by baking, and grind into fine powder. Use the wine in which the herbs were soaked, add clear wine, and cook the barley flour into a paste. Mix thoroughly, pound three thousand times, and form pills the size of a Chinese quince seed. Take fifty pills per dose, administered with warm wine or rice gruel as desired, taken before meals. (From *San Yin Fang*)
A scholar suffered from a peculiar disease: his feet were neither sore nor painful, but every time he moved, they did not obey his will. Sometimes they twisted to the left yet fell to the right; sometimes they twisted to the right yet fell to the left. He walked crookedly and could not walk straight step by step. This is also a rarely seen condition, and its nature was unknown, with no records in books. I speculated that it was caused by soft sinews unable to bind the bones, hence the deviation, twisting, and falling during movement. Sinews are governed by the Liver, which belongs to Wood. When Wood energy is lax and uncontrolled, one should benefit Metal (Lung) to restrain it. Use Renshen (Ginseng Root), Huangqin (Scutellaria Root), and Baishao Yao (White Peony Root) to tonify Lung Metal; Yiyiren (Coix Seed), Hugu (Tiger Bone), Guiban (Tortoise Shell), and Duzhong (Eucommia Bark) to strengthen sinews and bones; and Tiehua Fen (Iron Powder) to specifically control Liver Wood. Form pills with refined honey, take morning and evening, and the disease will be cured. (From *Chishui Xuanzhu*)
Wujiapi Jiu (Acanthopanax Wine) is used to treat Jin Wei (Sinew Flaccidity, a type of Wei syndrome characterized mainly by sinew tension or relaxation), with symptoms including spasms and pain, difficulty in flexion and extension.
Wujiapi (Acanthopanacis Cortex, half a jin) Can'er Zi (Xanthii Fruit, six liang) Gouqizi (Goji Berry) Yiyiren (Coix Seed, four liang each) Sheng Dihuang (Rehmannia Root, two liang) Muxiang (Costus Root, five qian).
Place the herbs in a bag and suspend them in a large jar of good wine. Soak for seven days, remove, dry by baking, and grind into powder. Form pills the size of a Chinese quince seed with refined honey. Swallow eighty to ninety pills with wine on an empty stomach. The remaining wine can be drunk freely; it is best to maintain a continuous presence of alcohol in the body. (Ibid.) (Note: *Liuyao* and other texts extensively record wine preparations for treating Wei syndrome, most of which are difficult to apply practically. This formula is preserved tentatively.)
Regulation Method: Naturally produced foods tend to be Yang, and rich flavors tend to generate heat; this is a maxim of the sages. However, for patients suffering from Wei syndrome, if they do not adhere to a bland diet, I know they cannot remain safe and sound. (From *Jufang Fahui*)