人有一身上下，由背而至腰膝两胫，无不作痛，饮食知味，然不能起床，即起
床席，而痛不可耐，仍复睡卧，必须捶敲按摩，否则其痛走来走去，在骨节空隙之
处作楚，而不可忍。人以为此症乃痛风也。然痛风之症，多感于风湿，而风湿之感，
多入于骨髓。风湿入于经络则易去，风湿入于骨髓则难祛，以骨髓属肾，肾可补而
不可泻，祛风湿则伤肾，肾伤则邪欺正弱，将深居久住，而不肯遽出矣。虽然肾不
可泻，而胃与大肠未尝不可泻也。泻胃与大肠之风湿，而肾之风湿自去。盖胃为肾
之关，而大肠为肾之户也。方用并祛丹∶
黄 （一两） 白术（五钱） 茯苓（五钱） 甘菊花（三钱） 炙甘草（一钱） 羌活（五分）
防风（五分） 水
煎服。一剂而痛减，二剂而痛除，三剂而痛全愈矣。愈后，用八味地黄丸调理，永无再犯之患。
论理，不治肾而治胃与大肠之风湿，去风宜用干葛也，去湿宜用猪苓也。有风
有湿，必化为火，去火亦宜用石膏、知母也。然邪在骨髓，必须用气分之剂提出，
在气分，使微寒之品，与轻散之味以和解之，则邪易于速化。然后用补肾之药补其
肾中之水火，真水足而邪水不敢再入，真火足而邪火不能再侵也。
此症亦可用 术两活汤∶
人参 肉桂（各三钱） 白术 黄 （各一两） 茯苓（五钱） 甘草（一钱） 羌活 独活（各五分）
水煎服。四剂愈。
人有遍身疼痛，至腰以下不痛者，人亦以为痛风也，谁知乃火郁于上中二焦，
不能散而成者也。若作风湿治之，全不能效，然而仅治其火，亦正徒然。盖火生于
郁。则肝胆之气不宣，木必下克脾胃之土，而土气不升，则火亦难发，以致气血耗
损，不能灌注于经络而作痛矣。方用逍遥散加味治之。
柴胡（二钱） 白芍（五钱） 当归（一两） 甘草（一钱） 炒栀子（三钱） 陈皮（一钱） 茯苓（三钱）
白术（二钱） 羌活（一钱） 水煎服。一剂而痛如失矣。
逍遥散专解肝胆之郁，栀子尤善于解郁中之火，肝胆之火既盛，则胆中之汁必
干，肝中之血必燥，多加当归、芍药，更于平肝平胆之内而济之滋胆滋肝之味也。
血足而气自流通，复加羌活以疏经络，自然火散而痛除耳。
此症用和肝消火散。
柴胡 栀子 丹皮 苍术 天花粉（各二钱） 白芍（五钱） 茯苓 生地（各三钱） 甘草（一钱）
陈皮（五分） 川芎（一钱） 水煎服。四剂全愈。
人有遍身生块而痛者，此虽是痛风，然因湿气不入脏腑而外走经络、皮肤以生
此块，乃湿痰结成者也。消痰于肠胃之内者易为力，而消痰于经络、皮肤者难为功。
虽然经络皮肤固难治，而肠胃可易治也，吾治其肠胃而经络皮肤之痛块自消。方用
消块止痛丹∶
人参（三钱） 黄 （五钱） 防风（一钱） 半夏（三钱） 羌活（一钱） 白术（三钱） 桂枝（五分）
茯苓（五钱） 薏仁（五钱）水煎服。二剂而痛轻，四剂而痛止，十剂而块消，二十剂而块尽消也。
夫块结不散，正气虚也。气虚则痰结，吾用人参、 、术以补其气，而痰之势
衰矣。况益之茯苓、薏仁以利湿，半夏以消痰，防风、羌活以去风，桂枝以逐邪，
则痰之党羽既孤，而不能留其块垒矣。倘徒治经络皮肤，反耗损肠胃之气，而气不
能行于经络皮肤，则块且益大，何以消之哉。
此症用防 分湿汤甚效。
黄 白术 茯苓（各五钱） 薏仁（五钱） 防风 柴胡 天花粉（各一钱） 桂枝（三分）
麻黄（五分） 水煎服。四剂愈。
人有遍身疼痛，殆不可忍，然有时止而不疼，人以为风湿相搏，谁知是气血亏
损，凝滞而不通乎。夫风寒束于肌骨，雨湿入于肢节，皆能作痛，然其痛必一定不
迁，非时而痛，时而不痛也。惟气血既虚，不能流行于肢节肌骨之中，每视盛衰以
分轻重，气到之时则痛轻，气散之后则痛重，血聚之时则痛轻，血滞之时则痛重也。
倘认作风寒雨湿之邪，而用祛除扫荡之药，则气血愈虚，而疼痛更甚。治法必大补
其气血，而佐以温热之味，则正旺而邪不敢侵，不必止痛而痛自止也。方用忘痛汤∶
当归（一两） 黄 （二两） 肉桂（二钱） 延胡索（一钱） 天花粉（三钱） 秦艽（一钱）
水煎服。一剂必出大汗，听其自干，一服即愈，二服不再发。
此方即补血汤之变方也。补血汤名为补血，实气血双补之神剂，今益以肉桂之
祛寒，延胡索之活血化气，天花粉之消痰去湿，秦艽之散风，即有外邪，无不兼治，
何痛之不愈乎。
此症用化凝汤亦妙。
当归（五钱） 黄 （一两） 肉桂（五分） 茯苓（五钱） 柴胡 甘草 羌活 半夏（各一钱）
水煎服。四剂愈。
A person suffers from pain throughout the entire body, extending from the back down to the waist, knees, and calves, with no area spared. Although their sense of taste for food remains intact, they are unable to rise from bed; even if they force themselves to sit on a mat, the pain is unbearable, compelling them to lie down again. They require beating, knocking, or massage to alleviate the discomfort; otherwise, the pain wanders, causing severe soreness in the gaps between bone joints that is intolerable. People assume this condition is gout (Tongfeng). However, gout is mostly caused by contracting wind-dampness (Fengshi), which tends to penetrate into the bone marrow. If wind-dampness remains in the meridians and collaterals (Jingluo), it is easy to dispel; but if it enters the bone marrow, it is difficult to eradicate because the bone marrow belongs to the Kidney (Shen). The Kidney can be tonified but not purged. Purging wind-dampness damages the Kidney; once the Kidney is damaged, the pathogen overwhelms the weakened righteous qi, settling deeply and refusing to leave easily. Nevertheless, although the Kidney cannot be purged, the Stomach (Wei) and Large Intestine (Dachang) can be. By purging the wind-dampness from the Stomach and Large Intestine, the wind-dampness in the Kidney will naturally dissipate. This is because the Stomach serves as the gate for the Kidney, and the Large Intestine serves as its door. Use the Formula Binqu Dan (Simultaneous Dispelling Decoction):
Huangqi (Astragali Radix, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Fuling (Poria, 5 qian), Ganjuhua (Chrysanthemi Flos, 3 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian), Qianghuo (Notopterygii Rhizoma et Radix, 5 fen), Fangfeng (Saposhnikoviae Radix, 5 fen).
Decoct in water and take orally. After one dose, pain decreases; after two doses, pain disappears; after three doses, pain is completely cured. Post-recovery, regulate with Bajia Dihuang Wan (Eight-Ingredient Rehmannia Pill) to prevent recurrence permanently.
Theoretically, instead of treating the Kidney directly, we treat the wind-dampness in the Stomach and Large Intestine. To expel wind, Ge Gen (Puerariae Lobatae Radix) is suitable; to drain dampness, Zhuling (Polyporus) is suitable. When both wind and dampness are present, they must transform into fire; Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) are suitable for clearing heat. However, since the pathogen resides deep in the bone marrow, agents acting on the Qi level (Qi Fen) must be used to draw it out. At the Qi level, using slightly cold and lightly dispersing herbs to harmonize allows the pathogen to resolve quickly. Subsequently, tonify the Kidney's true Yin (Water) and true Yang (Fire). When true Yin is sufficient, evil water dare not re-enter; when true Yang is sufficient, evil fire dare not invade again.
This condition can also be treated with Shu Lianghuo Tang (Two Huos with Atractylodes Decoction):
Renshen (Ginseng Radix), Rougui (Cinnamomi Cortex), each 3 qian; Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), each 1 liang; Fuling (Poria), 5 qian; Gancao (Glycyrrhizae Radix et Rhizoma), 1 qian; Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), each 5 fen.
Decoct in water and take orally. Cured after four doses.
Some people experience pain throughout the body, but not below the waist. People also mistake this for gout, unaware that it is actually fire stagnating in the Upper and Middle Jiao (Sanjiao), unable to disperse. Treating it as wind-dampness yields no effect, yet merely clearing fire is also futile. Fire arises from stagnation, causing the Qi of the Liver and Gallbladder (Gan dan) to fail to circulate freely. Wood (Liver) overacts upon Earth (Spleen/Stomach), preventing Earth Qi from ascending, making it difficult for fire to vent. This leads to consumption of Qi and Blood, which fail to irrigate the meridians, causing pain. Treat with Xiaoyao San (Free and Easy Wanderer Powder) modified:
Chaihu (Bupleuri Radix), 2 qian; Shaoyao (Paeoniae Radix Alba), 5 qian; Danggui (Angelicae Sinensis Radix), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma), 1 qian; Chao Zhizi (Gardeniae Fructus, stir-fried), 3 qian; Chenpi (Citri Reticulatae Pericarpium), 1 qian; Fuling (Poria), 3 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 2 qian; Qianghuo (Notopterygii Rhizoma et Radix), 1 qian.
Decoct in water and take orally. Pain vanishes after one dose.
Xiaoyao San specifically resolves Liver-Gallbladder stagnation, while Zhizi excels at clearing fire within stagnation. Since Liver-Gallbladder fire is excessive, gallbladder juice dries up, and Liver blood becomes dry. Adding more Danggui and Shaoyao nourishes the Liver and Gallbladder while soothing them. When blood is sufficient, Qi flows freely. Adding Qianghuo unblocks the meridians, naturally dispersing fire and relieving pain.
He Gan Xiao Huo San (Harmonizing Liver and Eliminating Fire Powder) is also effective for this condition:
Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), Danpi (Moutan Cortex), Cangzhu (Atractylodis Rhizoma), Tianhuafen (Trichosanthis Radix), each 2 qian; Shaoyao (Paeoniae Radix Alba), 5 qian; Fuling (Poria), Shengdi (Rehmanniae Radix), each 3 qian; Gancao (Glycyrrhizae Radix et Rhizoma), 1 qian; Chenpi (Citri Reticulatae Pericarpium), 5 fen; Chuanxiong (Ligustici Chuanxiong Rhizoma), 1 qian.
Decoct in water and take orally. Cured after four doses.
Some people have lumps all over their bodies accompanied by pain. Although this resembles gout, it occurs because dampness does not enter the Zang-Fu organs but moves outward to the meridians and skin, forming lumps composed of condensed damp-phlegm. Resolving phlegm within the intestines and stomach is easy, but resolving it in the meridians and skin is difficult. Although meridians and skin are hard to treat, the intestines and stomach are accessible. By treating the intestines and stomach, the painful lumps in the meridians and skin will naturally disappear. Use Xiaokuai Zhitong Dan (Eliminating Lumps and Relieving Pain Elixir):
Renshen (Ginseng Radix), 3 qian; Huangqi (Astragali Radix), 5 qian; Fangfeng (Saposhnikoviae Radix), 1 qian; Banxia (Pinelliae Rhizoma), 3 qian; Qianghuo (Notopterygii Rhizoma et Radix), 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 3 qian; Guizhi (Cinnamomi Ramulus), 5 fen; Fuling (Poria), Yiren (Coicis Semen), each 5 qian.
Decoct in water and take orally. Pain lightens after two doses, stops after four doses, lumps vanish after ten doses, and are completely gone after twenty doses.
Lumps that do not disperse indicate deficiency of Righteous Qi (Zheng Qi). Qi deficiency leads to phlegm condensation. Using Renshen, Huangqi, and Baizhu tonifies Qi, weakening the momentum of phlegm. Furthermore, adding Fuling and Yiren promotes diuresis to drain dampness, Banxia resolves phlegm, Fangfeng and Qianghuo expel wind, and Guizhi drives out pathogens. With the phlegm's allies isolated, the lump formations cannot persist. If one only treats the meridians and skin, it depletes the Qi of the intestines and stomach; without Qi circulating in the meridians and skin, the lumps would grow larger, making elimination impossible.
Fang Feng Fen Shi Tang (Wind-Expelling and Damp-Draining Decoction) is very effective for this condition:
Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), each 5 qian; Yiren (Coicis Semen), 5 qian; Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Tianhuafen (Trichosanthis Radix), each 1 qian; Guizhi (Cinnamomi Ramulus), 3 fen; Mahuang (Ephedrae Herba), 5 fen.
Decoct in water and take orally. Cured after four doses.
Some people suffer from unbearable pain throughout the body, which sometimes ceases. People attribute this to the struggle between wind-cold and dampness, but it is actually due to Qi and Blood deficiency causing stagnation and blockage. Wind-cold binding the muscles and bones, and rain-dampness entering the joints, can cause pain, but such pain is fixed and does not migrate or come and go intermittently. Only when Qi and Blood are deficient and fail to circulate freely in the limbs and bones does the pain vary in severity based on their abundance: pain is mild when Qi arrives and heavy when it disperses; pain is mild when Blood gathers and heavy when it stagnates. Mistaking this for wind-cold-rain-dampness and using harsh expelling drugs will further deplete Qi and Blood, worsening the pain. The treatment must heavily tonify Qi and Blood, assisted by warm-natured herbs. When Righteous Qi is robust, pathogens dare not invade; pain will cease spontaneously without direct analgesics. Use Wangtong Tang (Forget-Pain Decoction):
Danggui (Angelicae Sinensis Radix), 1 liang; Huangqi (Astragali Radix), 2 liang; Rougui (Cinnamomi Cortex), 2 qian; Yanhusuo (Corydalis Rhizoma), 1 qian; Tianhuafen (Trichosanthis Radix), 3 qian; Qinjiao (Gentianae Macrophyllae Radix), 1 qian.
Decoct in water and take orally. Profuse sweating occurs after one dose; let it dry naturally. Cured after one dose, no recurrence after two doses.
This formula is a variation of Buxue Tang (Tonify Blood Decoction). Named "Tonify Blood," it is actually a divine agent for dual tonification of Qi and Blood. Adding Rougui to dispel cold, Yanhusuo to invigorate Blood and move Qi, Tianhuafen to resolve phlegm and drain dampness, and Qinjiao to scatter wind, it treats external pathogens simultaneously. How could any pain remain uncured?
Huaning Tang (Transforming Stagnation Decoction) is also excellent for this condition:
Danggui (Angelicae Sinensis Radix), 5 qian; Huangqi (Astragali Radix), 1 liang; Rougui (Cinnamomi Cortex), 5 fen; Fuling (Poria), 5 qian; Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Banxia (Pinelliae Rhizoma), each 1 qian.
Decoct in water and take orally. Cured after four doses.