〔大〕夫妇人体虚，受风邪之气，随血而行，或淫溢皮肤，卒然掣痛，游走无有常
处，故名为走疰也。加减小续命汤主之。
〔薛〕东垣云∶若人身体沉重，走疰疼痛，此湿热相搏，或风热郁而不得伸，附着
于有形也。是证多因饮食起居失节，或因七情劳役失宜，脾胃亏损，腠理不密，外邪所
侵，以致内热晡热，自汗盗汗，或经候不调，饮食不甘。治法∶湿热肿痛者，清燥汤，（杂病
伤暑。）兼痰，佐以二陈汤。（杂病痰饮。）肝火作痛者，加味逍遥散。脾郁作痛者，加味归脾
汤。血虚作痛者，四物汤。气虚作痛者，四君子汤。气血俱虚者，八珍汤。俱加羌活、川
芎。月经先期而痛者，加味逍遥散。头眩倦怠而痛者，补中益气汤。大抵按之痛甚者，病
气实。按之痛缓者，元气虚。劳役而痛者，亦元气虚也。饮食失宜而痛者，脾气虚也。恼
怒而痛者，肝火盛也。若昼轻而夜重者，血分病也。一妇人历节发热作渴，饮食少思，月
经过期，其脉举之洪大，按之微细，用附子八物汤四剂而痛止，用加味逍遥而元气复，用
六味丸而月经调。一妇人体肥胖，素有热，月经先期，患痛风，下体微肿，痛甚则小便
频数，身重脉缓，此风湿血虚有热，用羌活胜湿汤二剂，肿痛渐愈。用清燥汤数剂，小
便渐清。用加味逍遥散，内热渐愈，又为饮食停滞，发热仍痛，面目浮肿，用六君加柴
胡、升麻而愈。又因怒气。小腹痞闷，寒热呕吐，用前药加山栀、木香而安。惟小腹下
坠，似欲去后，此脾气下陷，用补中益气而愈。后因劳役怒气，作呕吐痰，遍身肿痛，经
行寒热，此肝木侮脾土，用六君加柴胡、山栀，肿痛呕吐悉退，后用补中益气而安。
一妇人饮食少思，畏风寒，患痛风呕吐寒热，脉弦紧，用附子八物汤而四肢痛愈，用独活
寄生汤而腰痛渐痊。惟两膝肿痛，用大防风汤而痛渐愈，用归脾、逍遥而元气复。
没药散 治妇人血风走疰，肢节疼痛，发时来往不定。
没药（另研） 乳香（另研） 芎 当归（炒，去芦） 桂心 漏芦（去芦） 木香（各半两）
白芷 琥珀（另研） 地龙（去土，微炒，各七钱半） 安息香（另研） 麝香（另细研，各二钱半）
为细末，入研药拌匀。每服一钱，温酒调下，不拘时。
琥珀散 治妇人血风走疰疼痛，来往疼痛。
琥珀（另研） 当归（去芦） 牛膝（酒浸） 羌活（去芦） 川大黄（锉、微炒，各七钱半）
桂心（一两） 没药（另研） 血竭（另研） 干漆（炒烟尽） 玄胡索 防风（去芦） 羚羊角屑（各半两）
上为细末，每服二钱，温酒调下，不拘时日，进二服。
虎骨散 治妇人血风走疰疼痛，痛不可忍。
虎胫骨（二两，酥炙） 干蝎（炒） 琥珀（另研，各半两） 当归（炒） 威灵仙 牛膝（酒浸）
羌活（去芦） 桂心（各一两） 漏芦（去芦） 芎 没药（另研，各七钱半）
上为细末，每服二钱，温酒调下，不拘时候，日进二服。
雄黄散 治妇人血风走疰疼痛。
雄黄（研，水飞） 血竭（另研） 赤箭 侧子（炮，去皮脐） 桂心 没药（另研） 木香
白芥子 地龙（炒去土） （各半两，生用） 麝香（二钱半，另研） 乌蛇（二两，酒浸去皮骨，
炒微黄）
上为细末，入研药更研令匀，每服二钱，热酒调下，不拘时候，日进二服。
漏芦散 治妇人血风走疰，疼痛无有常处。
漏芦 当归 牛膝（各三分） 桂心 地龙（去土） 防风 羌活 白芷 没药（研）
甜瓜子（各半两） 虎胫骨（酥炙） 败龟板（醋炙，各一两）
上为细末，每服二钱，热酒调下，无时。
四生丸（见前。）
麝香丸 治白虎历节，诸风疼痛，游走不定，状如虫啮，昼静夜剧，及一切手足不
测疼痛。
大八角川乌头（三枚，去皮尖，生用） 生全蝎（二十个） 生黑豆（二十粒） 生地龙（去土，
半两）
为细末，入麝香一字，同研停，糯米糊为丸，如绿豆大。每服七丸，甚者十丸，夜
卧令膈空，温酒吞下，微出冷汗一身便瘥。许学士云∶予得此方，凡是历节及不测疼痛，一
二服便瘥。在歙州日，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，三服效。
芍药知母汤 （《三因》）治诸肢节疼痛，身体 羸，脚肿如脱，头眩短气，温温欲吐。
桂心 知母 防风（各四两） 芍药 麻黄（去根节） 甘草（各三两） 附子（二两，炮）
上 咀，每服四钱，水一盏半，生姜五片，煎七分，去滓空心服。一方有白术、川
芎、杏仁、半夏。
附子八物汤 治风历节疼痛，四肢如锤锻不可忍。
附子 干姜 芍药 茯苓 人参 甘草 桂心（各三两） 白术（四两）
上 咀，每服四大钱，水二盏，煎七分，去滓食前服。一方去桂，用干地黄二两。
独活寄生汤（方见杂病腰痛。）
小续命汤 治白虎历节，痛不可忍。（方见杂病中风。）
〔陈〕一妇人先自两足踝骨痛不可忍，次日流上于膝，三日流于髀骨，甚疼，至于
肩，肩流于肘，肘流于后溪。或如锤锻，或如虫窜，痛不可忍，昼静夜剧，服诸药无效。
召仆诊之，六脉紧。予曰∶此真历节证也，非解散之药不能愈，但用小续命汤，一剂而痊。
又邓安人夏月亦病历节，痛不可忍，诸药无效。召仆诊之，人迎与心脉虚，此因中暑
而得，合先服酒蒸黄连丸，众医莫不笑。用此药服一帖即愈，自后与人良验。
治妇人血风走疰，腰膝骨节疼痛不可忍。
附子（生） 薰陆香 杏仁（研） 桂心 当归 芸苔子 芫花 巴豆（去皮，各一两）
松脂（一两半）
上为细末，熔黄蜡五两，搅和诸药，捏作片子，包裹痛处，立效。
又方
芫花 桂心（各一两） 汉椒（二两） 桑根白皮（三两） 芸苔子 柳 屑（各五两）
上为细末，用醋一升拌和，蒸令热，用青布裹熨痛处，冷即更入醋蒸用之。
治妇人血风走疰，腰胯脚膝疼痛。
天仙子 川乌头（生） 附子（生，各一两）
上为细末，以酒煎成膏，摊于帛上，敷贴痛处，多年者不过三上效。
[Da Lun] Women with a deficient constitution may contract wind-pathogenic qi, which travels with the blood or overflows into the skin. This causes sudden pulling pain that migrates without a fixed location, hence the name "Zou Zhu" (Migrating Numbness/Pain). It is treated with Jia Jian Xiao Xu Ming Tang (Modified Minor Continuation Life Decoction).
[Xue Ji's Commentary] Li Dongyuan stated: If a person feels heavy in the body and experiences Zou Zhu pain, this is due to the struggle between damp-heat, or wind-heat stagnation failing to extend, adhering to the physical form. This syndrome often results from irregular diet and lifestyle, or improper management of the Seven Emotions and labor, leading to Spleen-Stomach deficiency. The interstices (Cou Li) become loose, allowing external pathogens to invade, resulting in internal heat, afternoon fever, spontaneous sweating, night sweats, irregular menstruation, and poor appetite. Treatment methods: For swelling and pain caused by damp-heat, use Qing Zao Tang (Clear Dryness Decoction; see Miscellaneous Diseases - Heatstroke). If phlegm is present, assist with Er Chen Tang (Two Aged Decoction; see Miscellaneous Diseases - Phlegm-Rheum). For pain caused by Liver Fire, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). For pain caused by Spleen Stagnation, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction). For pain caused by Blood Deficiency, use Si Wu Tang (Four Substance Decoction). For pain caused by Qi Deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction). For combined Qi and Blood Deficiency, use Ba Zhen Tang (Eight Treasures Decoction). Add Qiang Huo (Notopterygii Rhizoma et Radix) and Chuan Xiong (Ligustici Chuanxiong Rhizoma) to all these formulas. For early menstruation with pain, use Jia Wei Xiao Yao San. For dizziness, fatigue, and pain, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). Generally, if pressing aggravates the pain, it indicates Excess of Pathogenic Qi; if pressing relieves the pain, it indicates Deficiency of Yuan Qi (Primal Qi). Pain after labor also indicates Yuan Qi Deficiency. Pain due to improper diet indicates Spleen Qi Deficiency. Pain after anger indicates Exuberant Liver Fire. If symptoms are lighter during the day and heavier at night, it is a disease of the Blood aspect.
Case 1: A woman suffered from Li Jie (Joint Ankylosis) with fever and thirst, reduced appetite, and delayed menstruation. Her pulse was洪大 (Huge and Large) when lifted and微细 (Fine and Thin) when pressed. After four doses of Fu Zi Ba Wu Tang (Aconite Eight-Ingredient Decoction), the pain ceased. After Jia Wei Xiao Yao San, her Yuan Qi recovered. After Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), her menstruation regulated.
Case 2: A obese woman with prior heat and early menstruation developed Tong Feng (Gout-like pain). She had slight lower limb swelling, frequent urination during severe pain, heaviness, and a slow pulse. This was Wind-Dampness with Blood Deficiency and Heat. Two doses of Qiang Huo Sheng Shi Tang (Notopterygium Overcoming Dampness Decoction) gradually healed the swelling and pain. Several doses of Qing Zao Tang cleared the urine. Jia Wei Xiao Yao San resolved the internal heat. Later, food stagnation caused recurrent fever and pain with facial edema; Liu Jun Zi Tang (Six Gentlemen Decoction) added Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) cured her. Anger caused lower abdominal fullness, chills, fever, and vomiting; adding Shan Zhi (Gardeniae Fructus) and Mu Xiang (Aucklandiae Radix) to the previous formula settled her. Only lower abdominal bearing-down sensation remained, indicating Spleen Qi Sinking, cured by Bu Zhong Yi Qi Tang. Later, labor and anger caused vomiting of phlegm, whole-body swelling/pain, and menstrual chills/fever, indicating Liver Wood insulting Spleen Earth. Liu Jun Zi Tang added Chai Hu and Shan Zhi resolved the symptoms, followed by Bu Zhong Yi Qi Tang for stability.
Case 3: A woman with poor appetite, aversion to wind/cold, Tong Feng, vomiting, chills/fever, and a string-tight pulse. Fu Zi Ba Wu Tang cured the limb pain; Du Huo Ji Sheng Tang (Radix Saposhnikoviae and Taxillus Decoction) cured the back pain. Knee swelling/pain was cured by Da Fang Feng Tang (Major Saposhnikovia Decoction); Gui Pi Tang and Xiao Yao San restored her Yuan Qi.
Mei Yao San (Myrrh Powder): Treats women's Blood-Wind Zou Zhu, joint pain, coming and going unpredictably.
Ingredients: Mei Yao (Myrrha), Ru Xiang (Olibanum), Xiong (Ligusticum), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Cortex), Lou Lu (Euphorbiae Humifusae Radix), Mu Xiang (Aucklandiae Radix) [each half liang]; Bai Zhi (Angelicae Dahuricae Radix), Hu Po (Succinum), Di Long (Pheretima) [each seven qian half]; An Xi Xiang (Styrax), She Xiang (Moschus) [each two qian half].
Preparation: Grind finely, mix ground ingredients. Take one qian, mixed with warm wine, anytime.
Hu Po San (Succinum Powder): Treats women's Blood-Wind Zou Zhu pain, migrating pain.
Ingredients: Hu Po (Succinum), Dang Gui (Angelicae Sinensis Radix), Niu Xi (Achyranthis Bidentatae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Chu Huang Bo (Rhei Radix et Rhizoma) [each seven qian half]; Gui Xin (Cinnamomi Cortex) [one liang]; Mei Yao (Myrrha), Xue Jie (Dragonii Sanguis), Gan Qi (Drynariae Rhizoma processed), Yan Hu Suo (Corydalis Rhizoma), Fang Feng (Saposhnikoviae Radix), Ling Yang Jiao (Saigae Tataricae Cornu) [each half liang].
Preparation: Grind finely. Take two qian, mixed with warm wine, anytime, twice daily.
Hu Gu San (Tiger Bone Powder): Treats women's Blood-Wind Zou Zhu pain, unbearable pain.
Ingredients: Hu Jing Gu (Tigris Ossis Tibiae) [two liang]; Gan Xie (Scorpio) [fried]; Hu Po (Succinum) [half liang]; Dang Gui (Angelicae Sinensis Radix) [fried]; Wei Ling Xian (Clematidis Radix et Rhizoma), Niu Xi (Achyranthis Bidentatae Radix) [wine-soaked]; Qiang Huo (Notopterygii Rhizoma et Radix), Gui Xin (Cinnamomi Cortex) [each one liang]; Lou Lu (Euphorbiae Humifusae Radix), Xiong (Ligusticum), Mei Yao (Myrrha) [each seven qian half].
Preparation: Grind finely. Take two qian, mixed with warm wine, anytime, twice daily.
Xiong Huang San (Realgar Powder): Treats women's Blood-Wind Zou Zhu pain.
Ingredients: Xiong Huang (Realgar), Xue Jie (Dragonii Sanguis), Chi Jian (Atractylodis Rhizoma? Note: Traditionally Tian Ma/Angelicae Pubescentis Radix context varies, here likely refers to specific root), Ce Zi (Aconiti Lateralis Radix Preparata), Gui Xin (Cinnamomi Cortex), Mei Yao (Myrrha), Mu Xiang (Aucklandiae Radix), Bai Jie Zi (Sinapis Semen), Di Long (Pheretima) [each half liang, raw]; She Xiang (Moschus) [two qian half]; Wu She (Bungarus multicinctus) [two liang, wine-soaked, skin/bone removed, fried].
Preparation: Grind finely, mix ground ingredients. Take two qian, mixed with hot wine, anytime, twice daily.
Lou Lu San (Euphorbiae Humifusae Radix Powder): Treats women's Blood-Wind Zou Zhu, pain without fixed location.
Ingredients: Lou Lu (Euphorbiae Humifusae Radix), Dang Gui (Angelicae Sinensis Radix), Niu Xi (Achyranthis Bidentatae Radix) [each three fen]; Gui Xin (Cinnamomi Cortex), Di Long (Pheretima), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Mei Yao (Myrrha), Tian Gua Zi (Trichosanthis Semen) [each half liang]; Hu Jing Gu (Tigris Ossis Tibiae), Bai Gui Ban (Testudinis Carapax et Plastrum) [each one liang].
Preparation: Grind finely. Take two qian, mixed with hot wine, anytime.
Si Sheng Wan (Four Generations Pill) (See above).
She Xiang Wan (Moschus Pill): Treats Bai Hu Li Jie (White Tiger Joint Ankylosis), various wind pains, migrating, like insect bites, quiet by day, worse by night, and unexplained hand/foot pain.
Ingredients: Da Ba Jiao Chuan Wu Tou (Sichuan Aconite Root) [three pieces, skin/tip removed, raw]; Sheng Quan Xie (Scorpio) [twenty]; Sheng Hei Dou (Sojae Semen Nigrum) [twenty]; Sheng Di Long (Pheretima) [half liang].
Preparation: Grind finely, add She Xiang (Moschus) [one zi], mix well. Form pills with rice paste, size of mung beans. Take seven pills (ten for severe cases) on an empty stomach before bed, swallowed with warm wine. Mild cold sweat indicates cure. Scholar Xu said: I obtained this formula; for Li Jie and unexplained pain, one or two doses cure. In Shenzhou, a noblewoman had whole-body migrating pain, worse at night, like insect bites, treated as ghost evil. I said: This is Li Jie; three doses effective.
Shao Yao Zhi Mu Tang (Peony and Anemarrhena Decoction) (From *San Yin Fang*): Treats various joint pains, emaciation, swollen feet feeling detached, dizziness, shortness of breath, nausea.
Ingredients: Gui Xin (Cinnamomi Cortex), Zhi Mu (Anemarrhenae Rhizoma), Fang Feng (Saposhnikoviae Radix) [each four liang]; Shao Yao (Paeoniae Radix), Ma Huang (Ephedrae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each three liang]; Fu Zi (Aconiti Lateralis Radix Preparata) [two liang].
Preparation: Cut. Take four qian, water 1.5 cups, Ginger five slices. Decoct to 0.7 cup, strain, take on empty stomach. Another version includes Bai Zhu, Chuan Xiong, Xing Ren, Ban Xia.
Fu Zi Ba Wu Tang (Aconite Eight-Ingredient Decoction): Treats Wind-Li Jie pain, limbs feeling like hammering, unbearable.
Ingredients: Fu Zi (Aconiti Lateralis Radix Preparata), Gan Jiang (Zingiberis Rhizoma), Shao Yao (Paeoniae Radix), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gui Xin (Cinnamomi Cortex) [each three liang]; Bai Zhu (Atractylodis Macrocephalae Rhizoma) [four liang].
Preparation: Cut. Take four large qian, water two cups. Decoct to 0.7 cup, strain, take before meals. Another version removes Gui Xin, uses Gan Di Huang (Rehmanniae Radix) two liang.
Du Huo Ji Sheng Tang (See Miscellaneous Diseases - Low Back Pain).
Xiao Xu Ming Tang (Minor Continuation Life Decoction): Treats Bai Hu Li Jie, unbearable pain. (See Miscellaneous Diseases - Stroke).
[Chen's Commentary] A woman initially had unbearable ankle pain, spreading to knees next day, thighs third day, then shoulders, elbows, and Hou Xi point. Pain felt like hammering or insect crawling, worse at night. Various medicines failed. Pulse was tight. I said: This is true Li Jie. Only dispersing formulas work. One dose of Xiao Xu Ming Tang cured her.
Another case: Lady Deng in summer had Li Jie, unbearable pain, medicines failed. Pulse at Ren Ying and Heart positions was deficient. Caused by Summerheat. Should first drink Jiu Zheng Huang Lian Wan (Wine-Processed Coptis Pill). Doctors laughed. One dose cured her; later proved effective.
External Application for Women's Blood-Wind Zou Zhu, unbearable waist/knee/joint pain.
Ingredients: Fu Zi (Raw), Xun Lu Xiang (Olibanum), Xing Ren (Armeniacae Semen Amarum), Gui Xin (Cinnamomi Cortex), Dang Gui (Angelicae Sinensis Radix), Yun Tai Zi (Brassicae Napus Semen), Yuan Hua (Genkwa Flos), Ba Dou (Crotonis Fructus) [each one liang]; Song Zhi (Pinicola Resina) [one and a half liang].
Preparation: Grind finely, melt Huang La (Beeswax) five liang, mix, form patches, apply to pain site. Immediate effect.
Another Formula:
Yuan Hua (Genkwa Flos), Gui Xin (Cinnamomi Cortex) [each one liang]; Han Jiao (Zanthoxyli Pericarpium) [two liang]; Sang Gen Bai Pi (Mori Cortex) [three liang]; Yun Tai Zi (Brassicae Napus Semen), Liu Xi (Salix Bark shavings) [each five liang].
Preparation: Grind finely, mix with one sheng vinegar, steam hot. Wrap in green cloth, apply to pain site. Re-steam with vinegar when cool.
For Women's Blood-Wind Zou Zhu, waist/hip/leg/knee pain.
Ingredients: Tian Xian Zi (Hyoscyami Semen), Chuan Wu Tou (Aconiti Radix) [raw], Fu Zi (Aconiti Lateralis Radix) [raw] [each one liang].
Preparation: Grind finely, decoct with wine to make paste, spread on silk, apply to pain site. Chronic cases resolve within three applications.