小续命汤（见中风。）
乌药顺气散 治风气攻注四肢，骨节疼痛，遍身顽麻。及疗瘫痪，步履艰难，脚膝痿弱。
麻黄（去根节） 陈皮 乌药（各二钱） 白僵蚕（去丝嘴，炒） 干姜（炮。各五分） 川芎 枳壳
桔梗 白芷 甘草（炒，各一钱）
水二盅，姜三片，枣一枚，煎八分，食远服。
除湿蠲痛汤
苍术（米泔浸炒，二钱） 羌活 茯苓 泽泻 白术（各一钱半） 陈皮（一钱） 甘草（四分）
水二盅，煎八分，入姜汁、竹沥各三二匙服。在上痛者，加桂枝、威灵仙、桔梗；在
下痛者，加防己、木通、黄柏、牛膝。
防己黄 汤（见身重。） 五痹汤（见痹。）
豁痰汤（《养生》） 治一切痰疾。余制此剂，为滚痰丸相副。盖以小柴胡为主，合前胡半
夏汤，以南星、紫苏、橘皮、浓朴之类出入加减。素抱痰及肺气壅塞者，以柴胡为主，余
者并去柴胡，用前胡为主。
柴胡（洗去土并苗，四两） 半夏（洗去滑，四两） 黄芩（去内外腐，三两） 人参（去芦，风壅者不用）
赤甘草（各二两） 带梗紫苏 陈皮（去白） 浓朴（去粗皮，姜汁制） 南星（去脐。各二两） 薄荷叶
（一两半） 羌活（去芦，一两，无怒气者不用） 枳壳（去瓤，一两，麸炒）
上方，中风者去陈皮，入独活。胸膈不利者去陈皮，加枳实去瓤麸炒，更加赤茯苓
去皮。内外无热者去黄芩，虚弱有内热者勿去黄芩，加南木香。一切滚痰气之药，无有
出其右者。气无补法之说，正恐药味窒塞之故，是以选用前件品味，并是清疏温利，性
平有效者也。
二陈汤（见痰饮。） 控涎丹（见行痹。）
潜行散（丹溪） 治痛风。
黄柏（不以多少，酒浸，焙干为末）
生姜汁和酒调服，必兼四物等汤相间服妙。
二妙散（丹溪） 治筋骨疼痛因湿热者。如有气加气药，如血虚加补血药，如痛甚以姜汁热辣服之。
黄柏（炒） 苍术（炒制，去皮）
上为末，生姜研，入汤煎沸调服。此二物皆有雄壮之气，如表实气实者，少酒佐之。
一法，二妙为君，加甘草、羌活各二钱，陈皮、芍药各一钱，酒炒威灵仙半钱，为末服之佳。
四物苍术各半汤 活血丹（俱见身体痛。） 五积散（见中寒。） 五苓散（见伤寒渴。） 八正散（见
淋。） 大橘皮汤（见胀满。） 大柴胡汤（见伤寒潮热。） 防风通圣散（见眩晕。）
苍术复煎散（东垣）
苍术（四两，水二碗，煎至二大盏，去渣，入下药） 羌活（一钱） 升麻 柴胡 本 泽泻
白术（各五分） 黄柏（三分） 红花（少许）
上为粗末，用苍术汤二盏，煎至一盏，去渣，空心温服。微汗为效。忌酒面。
缓筋汤（东垣）
羌活 独活（各二钱） 本 麻黄 柴胡 升麻 草豆蔻 生地黄 当归身 黄芩
黄柏（各三分） 炙甘草 生甘草根 熟地黄（各二分） 苍术（五分） 苏木（一分）
上粗末，水二盏，煎至一盏，去渣，食远热服。
活血应痛丸（《宝鉴》）
狗脊（去毛，六两） 苍术（米泔浸一宿，十两） 香附（炒，十二两） 陈皮（九两） 没药（一两二钱）
草乌（炮，二两半） 威灵仙（三两）
上为细末，酒煮面糊为丸，如桐子大。每服十五丸，温酒或热汤送下，不拘时候。常
服和血脉，壮筋骨，使气脉宣通。忌桃、李、雀、鸽诸血物。
大羌活汤（《宝鉴》） 真定府张大，素嗜酒，五月间病手指节肿痛，屈伸不利，膝膑亦然，
心下痞闷，身体沉重，不欲饮食，食即欲吐，面色痿黄，精神短少。至六月间，求予治之。
诊其脉沉而缓，缓者脾也。《难经》云∶俞主体重节痛。俞者，脾之所主，四肢属脾，盖
其人素饮酒，加之时助，湿气大胜，流于四肢，故为肿痛。《内经》云∶诸湿肿满，皆属
脾土。仲景云∶湿流关节，肢体烦痛，此之谓也。《内经》云∶湿淫于内，治以苦温，以
苦发之，以淡渗之。又云∶风胜湿。羌活、独活苦温，透关节而胜湿，故以为君。升麻苦
平，威灵仙、苍术防风苦辛温，发之者也，故以为臣。血壅而不流则痛，当归辛温以散之，
甘草甘温益气，泽泻咸平，茯苓甘平，导湿而利小便，以淡渗之，使气味相合，上下分散其湿也。
羌活 升麻（各一钱） 独活（七分） 苍术 防风（去芦杈） 甘草 威灵仙（去芦） 茯苓（去皮）
当归 泽泻（各半钱）
上锉作一服，水二盏，煎至一盏，温服，食前一服，食后一服。忌酒、面、生冷、硬物。
桂枝芍药知母汤（仲景）
桂枝 知母 防风（各四两） 芍药（三两） 附子（炮） 甘草 麻黄（各二两） 白术 生姜（各五两）
水七升，煮取二升，温服七合，日三服。
乌头汤（仲景） 治病历节，不可屈伸疼痛。
麻黄 芍药 黄 （各三两） 甘草（炙） 川乌（五枚， 咀，以蜜二升，煎取一升，即去乌头）
上 咀五味，以水三升，煮取一升，去渣，纳蜜再煎，服七合，不时尽服之。
牛蒡子散（《本事》）
牛蒡子 新豆豉（炒） 羌活（各三两） 生地黄（二两半） 黄 （一两半）
上为细末，汤调二钱，空心食前，日三服。
犀角汤（《千金》） 治热毒流入四肢，历节肿痛。
犀角（二两） 羚羊角（一两） 前胡 黄芩 栀子仁 射干 大黄 升麻（各四两） 豉（一升）
上 咀，每服五钱，水二盏煎服。
茵芋丸（《本事》） 治历节肿满疼痛。
茵芋 朱砂 薏苡仁（各一两） 牵牛（一两半） 郁李仁（半两）
上为细末，炼蜜杵丸，如桐子大，轻粉滚为衣。每服十丸至十五丸，五更温水下，到
晚未利可二三服，快利为度，白粥将息。
趁痛散
乳香 没药 桃仁 红花 当归 羌活 地龙（酒炒） 牛膝（酒洗） 甘草 五灵脂（酒炒）
香附（童便浸）
上为末，每服二钱，酒调。或加酒炒芩、柏。
治酒湿痰痛风
黄柏（酒炒） 威灵仙（酒炒，各五钱） 苍术 羌活 甘草（三钱） 陈皮 芍药（各一钱）
上为末，每服一钱或二钱，沸汤入姜汁调服。
治气实表实骨节痛方
滑石（飞，六钱） 甘草（一钱） 香附 片芩（各三钱）
上为末，姜汁糊丸，梧子大。每服五七十丸，白汤送下。
治食积肩腿痛
龟板（酒浸，炙，一两） 酒柏叶 香附（五钱） 辣芥子 凌霄花（一钱半）
上为末，酒糊为丸，桐子大。煎四物，加陈皮、甘草汤下。
丹溪治一男子，家贫多劳，秋凉忽浑身发热，两臂膊及腕、两足并胯皆疼痛如 ，昼
轻夜剧，医与风药则增痛，与血药则不效，惟待毙而已。脉之，两手俱涩而数，右甚于左，
饮食则如平时，形瘦削，盖大痛而瘦，非病也。用苍术、酒黄柏各一钱，生附子一片，生
甘草三分，麻黄五分，研桃仁五粒，作一帖煎，入姜汁些少令辣。服至四帖后，去附子，
加牛膝一钱。至八帖后，来告急云∶气上喘促，不得睡，痛似微减，意其血虚，因服麻
黄过剂，阳虚被发动而上奔，当与补血镇坠及酸剂收之。遂以四物汤加川芎、芍药、人
参二钱，五味子十二粒，与二帖服之，喘随定，是夜遂安。三日脉之，数减大半，涩脉
如旧，问其痛，则曰不减，然呻吟之声却无。察其起居，则疲弱无力，病患却自谓不弱，遂
以四物汤加牛膝、白术、人参、桃仁、陈皮、甘草、槟榔，入姜三片煎服，如此药与五十
帖而安。一月后，因负重担复痛作，饮食亦减，再与此药，加黄 三分，又二十帖全愈。
一人年逾六十，性急，作劳患两腿痛，动作则痛甚。视之曰∶此兼虚证，当补血则病
自安。遂与四物加桃仁、陈皮、牛膝、生甘草煎，入姜研潜行散，热饮，三四十帖而安。
何县长年四十余，形瘦性急，因作劳背痛、臂疼、骨节疼，足心发热，可与四物汤
带热下大补丸、保和丸，共六十粒，食前服。
一妇人脚疼怕冷，夜剧日轻。
生地黄 白芍药 归尾（各五钱） 黄柏（炒） 黄芩 白术 苍术 陈皮（各三钱） 牛膝（二
钱） 甘草梢（二钱）
上分四帖，水煎，带热服。
朱阃内年三十，味浓性急，患痛风挛缩，数月医不应。予视之曰∶此挟痰与气证，当
和血疏痰导气，病自安。遂以潜行散入生甘草、牛膝、枳壳、通草、陈皮、桃仁、姜汁
煎饮，半年而安。
陆郎左腿叉骨臼痛，小便赤涩，此积忧痰涎所为。
白术 枳壳 赤芍药（各一钱） 条芩 连翘 通草 甘草梢（各三分）
上锉，水煎服。
一妇脚叉骨痛
苍术 白术 陈皮 芍药（各三分） 木通（二钱） 甘草（五分）
作二服，水煎，下大补丸五十粒。
经验九藤酒 治远年痛风，及中风左瘫右痪，筋脉拘急，日夜作痛，叫呼不已等证，其功甚速。
青藤 钓钩藤 红藤（即理省藤） 丁公藤（又名风藤） 桑络藤 兔丝藤（即无根藤） 天仙藤
（即青木香） 阴地蕨（名地茶，取根。各四两） 五味子藤（俗名红内消） 忍冬藤（各二两）
上细切，以无灰老酒一大斗，用瓷罐一个盛酒，其药用真绵包裹，放酒中浸之，密
封罐口，不可泄气，春秋七日，冬十日，夏五日。每服一盏，日三服，病在上食后及卧
后服，病在下空心食前服。
加味二妙丸 治两足湿痹疼痛，或如火疗，从足跗热起，渐至腰胯，或麻痹痿软，皆
是湿为病，此药主之。
苍术（四两，米泔浸） 黄柏（二两，酒浸，日干） 川牛膝（去芦） 当归尾（酒洗） 川萆 防己
龟板（酥炙。各一两）
上为细末，酒煮面糊为丸，如梧桐子大。每服一百丸，空心姜、盐汤下。
熏洗痛风法 治手足冷痛如虎咬者。
上用樟木屑一斗，以急流水一担熬沸，以
樟木屑置于大桶内，桶边放一兀凳，用前沸汤泡之，桶内安一矮凳子，令人坐桶边，放
脚在内，外以草荐一领围之，勿令汤气入眼，恐坏眼，其功甚捷。
Xiaoxuting Decoction (see Stroke).
Wuyao Shunqi San: Treats wind-pathogen attacking the four limbs, causing pain in bone joints and generalized numbness. It is also used for paralysis, difficulty walking, and weakness of the feet and knees.
Herbs: Ephedrae Herba (Mahuang, 麻黄) [removed roots and nodes] 2 qian, Citri Reticulatae Pericarpium (Chenpi, 陈皮) 2 qian, Linderae Radix (Wuyao, 乌药) [each 2 qian], Baijiangcan (Bombyx Batryticatus, 白僵蚕) [removed silk mouth, stir-fried], Zingiberis Rhizoma Recens (Ganjiang, 干姜) [processed, 5 fen], Chuanxiong Rhizoma (Chuanxiong, 川芎), Aurantii Fructus Immaturus (Zhike, 枳壳), Platycodonis Radix (Jiegeng, 桔梗), Angelicae Dahuricae Radix (Baizhi, 白芷), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fried, 1 qian].
Decoction method: Add two cups of water, three slices of fresh ginger, and one jujube. Decoct to eight-tenths volume. Take after meals.
Chushi Juan Tong Tang:
Herbs: Atractylodis Rhizoma (Cangzhu, 苍术) [soaked in rice wash water and stir-fried, 2 qian], Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Poria (Fuling, 茯苓), Alismatis Rhizoma (Zexie, 泽泻), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [each 1.5 qian], Citri Reticulatae Pericarpium (Chenpi, 陈皮) [1 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [4 fen].
Decoction method: Add two cups of water, decoct to eight-tenths volume. Add three to two spoons each of fresh ginger juice and bamboo sap. If pain is located in the upper body, add Cinnamon Twig (Guizhi, 桂枝), Clematidis Radix et Rhizoma (Weilingxian, 威灵仙), and Platycodonis Radix (Jiegeng, 桔梗); if pain is in the lower body, add Stephaniae Tetrandrae Radix (Fangji, 防己), Akebiae Caulis (Mutong, 木通), Phellodendri Cortex (Huangbai, 黄柏), and Achyranthis Bidentatae Radix (Niuxi, 牛膝).
Fangji Huangqi Tang (see Heavy Body). Wubi Tang (see Bi Syndrome).
Huotan Tang (from *Yangsheng*): Treats various phlegm diseases. I formulated this to complement Guntan Wan. Essentially, it uses Xiaochaihu Tang as the main base, combined with Qianhu Banxia Tang, with modifications based on Arisaema Cum Bile (Nanxing, 南星), Perilla Leaf (Zisu, 紫苏), Citri Reticulatae Pericarpium (Jupi, 橘皮), and Magnoliae Officinalis Cortex (Houpo, 厚朴). For those with chronic phlegm and lung qi stagnation, use Bupleuri Radix (Chaihu, 柴胡) as the chief herb; for others, remove Chaihu and use Peucedani Radix (Qianhu, 前胡) as the chief herb.
Herbs: Bupleuri Radix (Chaihu, 柴胡) [washed to remove soil and sprouts, 4 liang], Pinelliae Rhizoma Preparatum (Banxia, 半夏) [washed to remove slipperiness, 4 liang], Scutellariae Radix (Huangqin, 黄芩) [removed internal and external decay, 3 liang], Ginseng Radix (Renshen, 人参) [removed rhizome, avoid in qi stagnation], Red Licorice Root (Hong Gancao, 赤甘草) [each 2 liang], Perillae Fructus with Stem (Daigeng Zisu, 带梗紫苏), Citri Reticulatae Pericarpium (Chenpi, 陈皮) [peel removed], Magnoliae Officinalis Cortex (Houpo, 厚朴) [rough bark removed, processed with ginger juice], Arisaema Cum Bile (Nanxing, 南星) [navel removed, each 2 liang], Menthae Haplocalycis Herba (Boheye, 薄荷叶) [1.5 liang], Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed, 1 liang, avoid if no anger/stress], Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, bran-fried, 1 liang].
For stroke patients, remove Chenpi and add Angelicae Pubescentis Radix (Duhuo, 独活). For chest/diaphragm discomfort, remove Chenpi, add bran-fried Aurantii Fructus Immaturus without pulp, and add peeled Red Poria (Chi Fuling, 赤茯苓). For those without internal or external heat, remove Scutellariae Radix (Huangqin, 黄芩); for the weak with internal heat, do not remove Huangqin, but add Costi Rhizoma (Nanmuxiang, 南木香). No other qi-regulating and phlegm-resolving formula surpasses this. The saying "qi disorders should not be tonified" stems from fear of cloying herbs blocking the flow; thus, these selected herbs are clearing, dispersing, warming, and draining, with neutral properties and effective results.
Erchen Tang (see Phlegm-Fluid Retention). Kongyan Dan (see Moving Bi).
Qianxing San (Zhu Danxi's Formula): Treats gout.
Herb: Phellodendri Cortex (Huangbai, 黄柏) [amount unspecified, soaked in wine, dried and powdered].
Usage: Mix with fresh ginger juice and wine to take. It is best taken alternately with Siwu Tang.
Ermiao San (Zhu Danxi's Formula): Treats bone and tendon pain due to damp-heat. Add qi-regulating herbs if there is qi stagnation; add blood-tonifying herbs if there is blood deficiency. If pain is severe, take hot with spicy ginger juice.
Herbs: Phellodendri Cortex (Huangbai, 黄柏) [stir-fried], Atractylodis Rhizoma (Cangzhu, 苍术) [stir-fried, peel removed].
Usage: Powder the herbs. Crush fresh ginger, boil in water, and mix with the powder. These two herbs have strong aromatic properties. For exterior-excess and qi-excess constitutions, a small amount of wine may be added as an assistant.
Alternative method: Use Ermiao San as the chief herb, add Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) and Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [each 2 qian], Citri Reticulatae Pericarpium (Chenpi, 陈皮) and Paeoniae Radix Alba (Shaoyao, 芍药) [each 1 qian], and Wine-stir-fried Clematidis Radix et Rhizoma (Weilingxian, 威灵仙) [0.5 qian]. Powder and take.
Siwu Cangzhu Gehalf Tang, Huoxue Dan (both see Body Pain), Wuji San (see Middle Cold), Wuling San (see Shaoyang Thirst), Bazheng San (see Lin Syndrome), Daju Pi Tang (see Distension), Dachaihu Tang (see Shaoyang Tide Fever), Fangfeng Tongsheng San (see Vertigo).
Cangzhu Fujian San (Li Dongyuan's Formula):
Herbs: Atractylodis Rhizoma (Cangzhu, 苍术) [4 liang, decoct in two bowls of water until reduced to two large cups, discard dregs, then add following herbs], Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [1 qian], Cimicifugae Rhizoma (Shengma, 升麻), Bupleuri Radix (Chaihu, 柴胡), Ligustici Rhizoma (Ben, 藁本), Alismatis Rhizoma (Zexie, 泽泻), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [each 5 fen], Phellodendri Cortex (Huangbai, 黄柏) [3 fen], Carthami Flos (Honghua, 红花) [a small amount].
Usage: Coarsely powder the herbs. Use two cups of Cangzhu decoction, decoct to one cup, discard dregs, and take warm on an empty stomach. Slight sweating indicates efficacy. Avoid alcohol and wheat products.
Huanjin Tang (Li Dongyuan's Formula):
Herbs: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duhuo, 独活) [each 2 qian], Ligustici Rhizoma (Ben, 藁本), Ephedrae Herba (Mahuang, 麻黄), Bupleuri Radix (Chaihu, 柴胡), Cimicifugae Rhizoma (Shengma, 升麻), Cardamomi Fructus (Caodoukou, 草豆蔻), Rehmanniae Radix Recens (Shengdihuang, 生地黄), Angelicae Sinensis Radix (Dangguishen, 当归身), Scutellariae Radix (Huangqin, 黄芩), Phellodendri Cortex (Huangbai, 黄柏) [each 3 fen], Roasted Licorice Root (Zhigancao, 炙甘草), Raw Licorice Root (Shenggancaogen, 生甘草根), Rehmanniae Radix Preparata (Shudihuang, 熟地黄) [each 2 fen], Atractylodis Rhizoma (Cangzhu, 苍术) [5 fen], Sappan Lignum (Sumu, 苏木) [1 fen].
Usage: Coarsely powder. Add two cups of water, decoct to one cup, discard dregs, and take hot after meals.
Huoxue Ying Tong Wan (*Baojian* Formula):
Herbs: Drynariae Rhizoma (Gouji, 狗脊) [hair removed, 6 liang], Atractylodis Rhizoma (Cangzhu, 苍术) [soaked in rice wash overnight, 10 liang], Cyperi Rhizoma (Xiangfu, 香附) [stir-fried, 12 liang], Citri Reticulatae Pericarpium (Chenpi, 陈皮) [9 liang], Myrrha (Moyao, 没药) [1.2 qian], Aconiti Kusnezoffii Radix (Caowu, 草乌) [processed, 2.5 liang], Clematidis Radix et Rhizoma (Weilingxian, 威灵仙) [3 liang].
Usage: Fine powder. Make pills using wine-boiled wheat paste, size of paulownia seeds. Take 15 pills per dose with warm wine or hot water, at any time. Regular use harmonizes blood vessels, strengthens bones and tendons, and promotes qi and vessel circulation. Avoid peach, plum, sparrow, pigeon, and other blood-meat foods.
Da Qianghuo Tang (*Baojian* Formula): Mr. Zhang from Zhending Prefecture, who loved alcohol, fell ill in May with swelling and pain in finger joints, limited flexion and extension, similar symptoms in knees, epigastric fullness, heavy body, loss of appetite, nausea after eating, sallow complexion, and low spirit. In June, he sought my treatment.
His pulse was deep and slow; a slow pulse indicates Spleen involvement. *Nan Jing* states: "Shu points treat heaviness and joint pain." Shu points are governed by the Spleen, and the four limbs belong to the Spleen. Likely, his chronic alcohol consumption combined with seasonal dampness caused excessive dampness flowing into the limbs, resulting in swelling and pain. *Nei Jing* states: "All dampness-induced swelling and fullness belong to Spleen Earth." Zhang Zhongjing said: "Dampness flowing into joints causes limb irritation and pain." *Nei Jing* also states: "For dampness invading internally, treat with bitter-warm methods, disperse with bitter flavors, and drain with bland flavors." Furthermore, "Wind overcomes dampness." Notopterygii Rhizoma et Radix (Qianghuo, 羌活) and Angelicae Pubescentis Radix (Duhuo, 独活) are bitter-warm, penetrating joints to overcome dampness, so they are the Chief herbs. Cimicifugae Rhizoma (Shengma, 升麻) is bitter-neutral; Clematidis Radix et Rhizoma (Weilingxian, 威灵仙), Atractylodis Rhizoma (Cangzhu, 苍术), and Saposhnikoviae Radix (Fangfeng, 防风) are bitter-pungent-warm, dispersing pathogens, so they are the Deputy herbs. Blood stasis causes pain; Angelicae Sinensis Radix (Danggui, 当归) is pungent-warm to disperse; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) is sweet-warm to boost qi; Alismatis Rhizoma (Zexie, 泽泻) is salty-neutral; Poria (Fuling, 茯苓) is sweet-neutral, guiding dampness and promoting urination via bland-draining methods, allowing flavors to combine and disperse dampness上下.
Herbs: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Cimicifugae Rhizoma (Shengma, 升麻) [each 1 qian], Angelicae Pubescentis Radix (Duhuo, 独活) [7 fen], Atractylodis Rhizoma (Cangzhu, 苍术), Saposhnikoviae Radix (Fangfeng, 防风) [rhizome and branches removed], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Clematidis Radix et Rhizoma (Weilingxian, 威灵仙) [rhizome removed], Poria (Fuling, 茯苓) [peel removed], Angelicae Sinensis Radix (Danggui, 当归), Alismatis Rhizoma (Zexie, 泽泻) [each 0.5 qian].
Usage: Cut into one dose. Add two cups of water, decoct to one cup, take warm. One dose before meals, one dose after meals. Avoid alcohol, wheat products, raw/cold, and hard foods.
Guizhi Shaoyao Zhimu Tang (Zhang Zhongjing's Formula):
Herbs: Ramulus Cinnamomi (Guizhi, 桂枝), Anemarrhenae Rhizoma (Zhimu, 知母), Saposhnikoviae Radix (Fangfeng, 防风) [each 4 liang], Paeoniae Radix Alba (Shaoyao, 芍药) [3 liang], Prepared Aconite Root (Fuzi, 附子), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Ephedrae Herba (Mahuang, 麻黄) [each 2 liang], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Zingiberis Rhizoma Recens (Shengjiang, 生姜) [each 5 liang].
Usage: Add seven sheng of water, boil to two sheng. Take seven ge warm, three times daily.
Wutou Tang (Zhang Zhongjing's Formula): Treats Lijie disease (joint pain with inability to flex/extend).
Herbs: Ephedrae Herba (Mahuang, 麻黄), Paeoniae Radix Alba (Shaoyao, 芍药), Astragali Radix (Huangqi, 黄芪) [each 3 liang], Roasted Licorice Root (Zhigancao, 炙甘草), Sichuan Aconite Root (Chuanwu, 川乌) [five pieces, crushed, boiled with two sheng of honey to yield one sheng, then remove Chuanwu].
Usage: Crush the five ingredients. Add three sheng of water, boil to one sheng, discard dregs, add honey, and re-decoct. Take seven ge, finish all at once when needed.
Niubangzi San (*Benshi Fang* Formula):
Herbs: Arctii Fructus (Niubangzi, 牛蒡子), Fresh Fermented Soybean (Xindouchi, 新豆豉) [stir-fried], Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [each 3 liang], Rehmanniae Radix Recens (Shengdihuang, 生地黄) [2.5 liang], Astragali Radix (Huangqi, 黄芪) [1.5 liang].
Usage: Fine powder. Take two qian mixed with water, on an empty stomach before meals, three times daily.
Xijiao Tang (*Qianjin Fang* Formula): Treats heat-toxin flowing into four limbs, causing Lijie swelling and pain.
Herbs: Rhinoceros Horn (Xijiao, 犀角) [2 liang], Saiga Tataricae Cornu (Lingyangjiao, 羚羊角) [1 liang], Peucedani Radix (Qianhu, 前胡), Scutellariae Radix (Huangqin, 黄芩), Gardeniae Fructus (Zhizi Ren, 栀子仁), Belamcandae Rhizoma (Shegan, 射干), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄), Cimicifugae Rhizoma (Shengma, 升麻) [each 4 liang], Fermented Soybean (Chidouchi, 豉) [1 sheng].
Usage: Crush. Take five qian per dose, decoct in two cups of water.
Yinyu Wan (*Benshi Fang* Formula): Treats Lijie swelling, fullness, and pain.
Herbs: Ilicis Cornei Fructus (Yinyu, 茵芋), Cinnabar (Zhusha, 朱砂), Coicis Semen (Yiyiren, 薏苡仁) [each 1 liang], Pharbitidis Semen (Qianniu, 牵牛) [1.5 liang], Pruni Semen (Yuliren, 郁李仁) [0.5 liang].
Usage: Fine powder. Make pills with refined honey, size of paulownia seeds, coated with Calomelas (Qingfen, 轻粉). Take 10–15 pills at dawn with warm water. If no bowel movement by evening, take 2–3 more doses until purged. Maintain diet with white rice porridge.
Chentong San:
Herbs: Frankincense (Ruxiang, 乳香), Myrrh (Moyao, 没药), Peach Kernel (Taoren, 桃仁), Safflower (Honghua, 红花), Angelicae Sinensis Radix (Danggui, 当归), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Pheretima (Dilong, 地龙) [wine-fried], Achyranthis Bidentatae Radix (Niuxi, 牛膝) [wine-washed], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Trogopterori Faeces (Wulingzhi, 五灵脂) [wine-fried], Cyperi Rhizoma (Xiangfu, 香附) [soaked in child's urine].
Usage: Powder. Take two qian mixed with wine. Can add wine-fried Scutellariae Radix (Huangqin, 黄芩) and Phellodendri Cortex (Huangbai, 黄柏).
Treating Alcohol-Dampness-Phlegm Gout:
Herbs: Phellodendri Cortex (Huangbai, 黄柏) [wine-fried], Clematidis Radix et Rhizoma (Weilingxian, 威灵仙) [wine-fried, each 5 qian], Atractylodis Rhizoma (Cangzhu, 苍术), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [3 qian], Citri Reticulatae Pericarpium (Chenpi, 陈皮), Paeoniae Radix Alba (Shaoyao, 芍药) [each 1 qian].
Usage: Powder. Take 1–2 qian mixed with boiling water and ginger juice.
Treating Qi-Excess and Exterior-Excess Joint Pain:
Herbs: Calcined Gypsum (Huashi, 滑石) [refined, 6 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [1 qian], Cyperi Rhizoma (Xiangfu, 香附), Scutellariae Radix (Pianqin, 片芩) [each 3 qian].
Usage: Powder. Make pills with ginger juice paste, size of paulownia seeds. Take 50–70 pills with plain water.
Treating Food-Stagnation Shoulder/Leg Pain:
Herbs: Testudinis Carapax et Plastrum (Guiban, 龟板) [wine-soaked, roasted, 1 liang], Wine-processed Phellodendri Cortex (Jiubaiye, 酒柏叶), Cyperi Rhizoma (Xiangfu, 香附) [5 qian], Spicy Mustard Seed (Lajiezi, 辣芥子), Tecoma Stans Flower (Lingxiaohua, 凌霄花) [1.5 qian].
Usage: Powder. Make pills with wine paste, size of paulownia seeds. Take with Siwu Tang decoction plus Citri Reticulatae Pericarpium (Chenpi, 陈皮) and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
Zhu Danxi treated a man, poor and overworked, who suddenly developed whole-body fever upon autumn cooling. His arms, wrists, legs, and hips were painful like needle pricks, worse at night than day. Wind-dispersing herbs increased pain; blood-invigorating herbs were ineffective. He seemed destined to die. Pulse was choppy and rapid in both hands, right stronger than left. Diet was normal, but he was emaciated. This emaciation resulted from severe pain, not the disease itself. I used Atractylodis Rhizoma (Cangzhu, 苍术) and Wine-Phellodendri Cortex (Jiu Huangbai, 酒黄柏) [each 1 qian], Raw Aconite Root (Sheng Fuzi, 生附子) [one slice], Raw Licorice Root (Sheng Gancao, 生甘草) [3 fen], Ephedrae Herba (Mahuang, 麻黄) [5 fen], and five crushed Peach Kernels (Taoren, 桃仁). Decocted as one dose with a little ginger juice for spice. After four doses, remove Aconite, add Achyranthis Bidentatae Radix (Niuxi, 牛膝) [1 qian]. After eight doses, he reported urgent shortness of breath, insomnia, and slight pain relief. I suspected blood deficiency caused by excessive Mahuang, leading to Yang floating upward. I prescribed blood-tonifying, anchoring, and sour-astringent herbs. Siwu Tang plus Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix Alba (Shaoyao, 芍药), Ginseng Radix (Renshen, 人参) [2 qian], Schisandrae Fructus (Wuweizi, 五味子) [12 berries] for two doses. Breathing stabilized, and he slept peacefully that night. Three days later, pulse rapidity decreased significantly, choppy pulse remained. Pain persisted but moaning stopped. He appeared weak but claimed otherwise. I prescribed Siwu Tang plus Achyranthis Bidentatae Radix (Niuxi, 牛膝), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Ginseng Radix (Renshen, 人参), Peach Kernel (Taoren, 桃仁), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Arecae Semen (Binglang, 槟榔), and three ginger slices. After fifty doses, he recovered. One month later, pain recurred after carrying heavy loads, with reduced appetite. I repeated the formula adding Astragali Radix (Huangqi, 黄芪) [3 fen]. After twenty doses, he fully recovered.
A man over sixty, impatient, suffered leg pain worsened by labor. I diagnosed deficiency alongside excess and prescribed blood tonification. Siwu Tang plus Peach Kernel (Taoren, 桃仁), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Raw Licorice Root (Sheng Gancao, 生甘草) decocted, mixed with ginger-crushed Qianxing San, taken hot. After 30–40 doses, he recovered.
Magistrate He, over forty, thin and impatient, suffered back, arm, and joint pain from labor, with hot soles. He took Siwu Tang hot, followed by Dadu Wan and Baohe Wan (60 pills total) before meals.
A woman had foot pain, cold intolerance, worse at night.
Herbs: Rehmanniae Radix Recens (Shengdihuang, 生地黄), Paeoniae Radix Alba (Baishaoyao, 白芍药), Angelicae Sinensis Radix Tail (Guiwei, 归尾) [each 5 qian], Phellodendri Cortex (Huangbai, 黄柏) [stir-fried], Scutellariae Radix (Huangqin, 黄芩), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Atractylodis Rhizoma (Cangzhu, 苍术), Citri Reticulatae Pericarpium (Chenpi, 陈皮) [each 3 qian], Achyranthis Bidentatae Radix (Niuxi, 牛膝) [2 qian], Glycyrrhizae Radix et Rhizoma Tip (Gancaoshao, 甘草梢) [2 qian].
Usage: Divide into four doses, decoct in water, take hot.
Madam Zhu, thirty years old, rich diet, impatient, suffered gout with contracture for months without effect from other doctors. I diagnosed phlegm and qi obstruction. Prescribed Qianxing San plus Raw Licorice Root (Sheng Gancao, 生甘草), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Aurantii Fructus Immaturus (Zhike, 枳壳), Akebiae Caulis (Tongcao, 通草), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Peach Kernel (Taoren, 桃仁), and ginger juice. Decocted and drunk. Recovered after half a year.
Son Lu had pain in the left fibular head joint, red and scanty urination, caused by accumulated worry and phlegm-fluid.
Herbs: Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Aurantii Fructus Immaturus (Zhike, 枳壳), Paeoniae Radix Rubra (Chishaoyao, 赤芍药) [each 1 qian], Scutellariae Radix (Tiaoqin, 条芩), Forsythiae Fructus (Lianqiao, 连翘), Akebiae Caulis (Tongcao, 通草), Glycyrrhizae Radix et Rhizoma Tip (Gancaoshao, 甘草梢) [each 3 fen].
Usage: Cut, decoct in water, take.
A woman had fibular head pain.
Herbs: Atractylodis Rhizoma (Cangzhu, 苍术), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Paeoniae Radix (Shaoyao, 芍药) [each 3 fen], Akebiae Caulis (Mutong, 木通) [2 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [5 fen].
Usage: Two doses, decoct in water, take with 50 Dadu Wan pills.
Experience Nine-Vine Wine: Treats chronic gout, hemiplegia from stroke, tendon spasms, day-and-night pain, and screaming agony. Its effect is very fast.
Herbs: Sinomeni Caulis (Qingteng, 青藤), Uncariae Ramulus cum Uncis (Diaogouteng, 钓钩藤), Spatholobi Caulis (Hongteng, 红藤 - i.e., Spatholobus suberectus), Dingsengguli Vine (Dinggongteng, 丁公藤 - i.e., Erycibe obtusifolia), Mulberry Twig (Sangluoteng, 桑络藤), Cuscutae Caulis (Tusiteng, 兔丝藤 - i.e., Cuscuta chinensis), Aristolochiae Caulis (Tianxianteng, 天仙藤 - i.e., Aristolochia debilis), Polypodiaceae Root (Yindi Jue, 阴地蕨 - i.e., Polypodium nipponicum, root only) [each 4 liang], Schisandrae Caulis (Wuweizi Teng, 五味子藤 - common name Hongneixiao, 红内消), Lonicerae Japonicae Caulis (Ren dongteng, 忍冬藤) [each 2 liang].
Usage: Finely cut. Place in a porcelain jar with one dan of unadulterated aged wine. Wrap herbs in real silk, immerse in wine, seal tightly to prevent gas escape. Soak for 7 days in spring/autumn, 10 days in winter, 5 days in summer. Take one cup per dose, three times daily. For upper body ailments, take after meals and before bed; for lower body, take on an empty stomach before meals.
Jiawei Ermiao Wan: Treats damp-bi pain in both feet, feeling like burning therapy, starting from the dorsum of the foot and spreading to waist/hips, or numbness and weakness. All are dampness diseases.
Herbs: Atractylodis Rhizoma (Cangzhu, 苍术) [4 liang, soaked in rice wash], Phellodendri Cortex (Huangbai, 黄柏) [2 liang, wine-soaked, sun-dried], Cyathulae Radix (Chuanniuxi, 川牛膝) [rhizome removed], Angelicae Sinensis Radix Tail (Dangguiwei, 当归尾) [wine-washed], Dioscoreae Hypoglaucae Rhizoma (Chuanbi, 川萆薢), Stephaniae Tetrandrae Radix (Fangji, 防己), Testudinis Carapax et Plastrum (Guiban, 龟板) [fried with butter, each 1 liang].
Usage: Fine powder. Make pills with wine-boiled wheat paste, size of paulownia seeds. Take 100 pills per dose on an empty stomach with ginger-salt water.
Fumigation and Washing Method for Gout: Treats cold pain in hands/feet like tiger bites.
Usage: Use one dou of camphor wood chips. Boil one dan of running water. Place camphor wood chips in a large barrel. Place a stool beside the barrel. Pour boiling water over the chips. Place a low stool inside the barrel. Sit on the edge of the barrel, put feet inside. Surround the barrel with straw mats to retain heat. Do not let steam enter eyes to avoid damage. Effect is very swift.