一身尽痛,凡伤寒、伤暑、伤湿、霍乱、阴毒,及一切寒湿、湿热、内伤、寒热、气血经脉不和诸症,
皆有之。如伤寒发热,身痛拘急,脉浮紧。麻黄汤,或九味羌活汤。汗后身仍痛,脉沉迟。桂枝加人参汤。
中暑伤气,自汗身痛,神倦脉虚。清暑益气汤。中湿身痛,身重不能转侧,脉细缓。在表,除湿汤。里,五
苓散。霍乱吐泻身痛,口渴溺少,脉伏。五苓散。阴毒身痛如被杖,面青咽痛,脉沉细而疾。升麻鳖甲汤。
寒湿相搏,但头汗出,背强身痛,脉沉涩。甘草附子汤。风湿相搏,一身尽痛,脉虚浮而涩。除湿蠲痹汤。
湿热相搏,遍身烦痛,脉滑而疾。当归拈痛汤。内伤劳倦,兼风湿身痛,补中益气汤加羌活、防风。寒热身
痛,胸胁不舒,肝血虚而火郁,加味逍遥散。浑身走注作痛,或经脉牵引,但行气活血。三痹汤。凡肢节痹痛
属火,身体沉重属湿,拘急属寒,肿属湿,游走不定属风,痛在一处,如冰冷属痰,下体痛而溺少,宜分利。
五苓散。下体肿痛,脉浮,自汗恶风,宜泄湿,兼实表。防风黄 汤。尤宜察其兼症而审治之。
伤寒六脉俱紧,为太阳表症。身如被杖,脉沉紧,为阴毒。发汗后,脉弦迟,身痛,为气血不和。
一身关节尽痛,而脉沉弦,为中湿。肢体重痛,微肿,汗出恶风,关节不利,不可转侧,脉缓为风湿。遍身痛,
脉弦小,或滑大,为气血虚损。
Pain throughout the whole body occurs in conditions such as Shanghan (Cold Damage), Shangshu (Summerheat Injury), Shangshi (Dampness Injury), Huoluan (Colic with Vomiting and Diarrhea), Yindu (Yin Toxin), and all disorders involving Cold-Damp, Damp-Heat, Internal Injury, alternating Chills and Fever, and Disharmony of Qi, Blood, and Channels. For instance, in Shanghan with fever, body pain, and stiffness, accompanied by a Floating-Tight pulse, Ma Huang Tang (Ephedra Decoction) or Jiu Wei Qiang Huo Tang (Nine-Ingredient Notopterygium Decoction) may be used. If body pain persists after sweating, with a Deep-Slow pulse, Gui Zhi Jia Ren Shen Tang (Cinnamon Twig Decoction with Added Ginseng) is indicated. In cases of Summerheat injuring Qi, presenting with spontaneous sweating, body pain, mental fatigue, and a Deficient pulse, Qing Shu Yi Qi Tang (Clear Summerheat and Benefit Qi Decoction) is appropriate. For Dampness causing body pain, heaviness preventing turning over, and a Fine-Slow pulse, Chu Shi Tang (Dampness-Expelling Decoction) is used if the pathogen is in the Exterior, while Wu Ling San (Five-Ingredient Poria Powder) is used if it is in the Interior. In Huoluan with vomiting, diarrhea, body pain, thirst, scanty urine, and a Hidden pulse, Wu Ling San is indicated. In Yindu, body pain feels like being beaten with a club, with a blueish complexion, sore throat, and a Deep-Fine-Rapid pulse, Sheng Ma Bie Jia Tang (Marsh Swallow Turtle Shell Decoction) is prescribed. When Cold and Damp contend, with only head sweating, back stiffness, body pain, and a Deep-Choppy pulse, Gan Cao Fu Zi Tang (Licorice and Aconite Decoction) is used. When Wind and Damp contend, causing pain throughout the body with a Vacuous-Floating-Choppy pulse, Chu Shi Juan Bi Tang (Dampness-Expelling and Bi-Syndrome-Relieving Decoction) is indicated. When Damp-Heat contends, causing vexing pain throughout the body with a Slippery-Rapid pulse, Dang Gui Nian Tong Tang (Angelica Ligustaci Pain-Relieving Decoction) is used. In Internal Injury from overwork, combined with Wind-Damp causing body pain, Bu Zhong Yi Qi Tang (Tonify the Middle and Benefit Qi Decoction) with added Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix) is employed. For alternating chills and fever with body pain and chest/hypochondriac discomfort due to Liver Blood Deficiency with Fire Stagnation, Jia Wei Xiao Yao San (Modified Free Wanderer Powder) is indicated. For wandering pain throughout the body or channel traction pain, regulating Qi and invigorating Blood is the method; San Bi Tang (Three-Bi Decoction) is used. Generally, joint Bi pain belongs to Fire, body heaviness to Damp, stiffness to Cold, swelling to Damp, wandering nature to Wind, fixed cold-like pain to Phlegm, and lower body pain with scanty urine requires separating and draining dampness via Wu Ling San. For lower body swelling and pain with a Floating pulse, spontaneous sweating, and aversion to wind, expelling Damp and consolidating the Exterior is suitable, using Fang Feng Huang Qi Tang (Saposhnikovia and Astragalus Decoction). One must especially examine accompanying symptoms for precise treatment.
In Shanghan, if all six pulses are Tight, it indicates a Taiyang Exterior Syndrome. Body pain like being beaten with a club, with a Deep-Tight pulse, indicates Yin Toxin. After sweating, if the pulse is Wiry-Slow and there is body pain, it indicates Disharmony of Qi and Blood. Pain throughout all joints with a Deep-Wiry pulse indicates Middle Dampness. Heavy painful limbs, slight swelling, sweating, aversion to wind, joint stiffness, inability to turn, and a Slow pulse indicate Wind-Damp. Pain throughout the body with a Wiry-Small or Slippery-Large pulse indicates Deficiency and Damage of Qi and Blood.