四肢百节走痛∶风热,风湿,血虚,有痰。
大法主方∶苍术、南星、川芎、白芷、当归、酒黄芩。
在上者加羌活、桂枝、桔梗、威灵仙。
在下者加牛膝、防己、木通、黄柏。
血虚者,多用川芎、当归,佐以桃仁、红花。
薄桂治痛风。无味而薄者,独此能横行手臂。领南星、苍术等治之。
上中下痛风方∶
威灵仙(三钱) 南星(二两) 苔芎(二两) 桃仁(五钱) 白芷(五钱) 桂枝(三钱) 防己
(半钱) 苍术(二两) 黄柏(二两,酒浸炒) 红花(一钱半) 羌活(三钱) 神曲(一两,炒)
草龙胆(五分)
张子元气血虚有痰浊阴火痛风
人参(一两) 白术(二两) 黄柏(二两,炒黑色) 山药(一两) 海石(一两) 锁阳(五钱)
干姜(五钱,烧灰) 南星(一两) 败龟板(二两,酒炙) 熟地黄(二两) 粥为丸。
治臂痛
半夏(一钱) 陈皮(五分) 茯苓(五分) 苍术(一钱半) 酒芩(一钱) 威灵仙(三分) 白术
(一钱) 甘草(少许,炒) 南星(一钱) 香附(一钱)
(其主在乎阴虚,痰与血病。)
青蒿(一斗五升) 童便(三斗) 文武火熬,约童便减二斗,去蒿,熬至一斗,入猪胆汁七个,再熬数
沸,甘草末收之。
虚劳身瘦属火。因火烧烁。
劳病,四物汤加人尿、姜汁。
Wandering pain in the four limbs and all joints: Caused by wind-heat, wind-dampness, blood deficiency, or phlegm.
General principle and main formula: Rhizoma Atractylodis Macrocephalae (Cangzhu), Rhizoma Arisaematis (Nanxing), Radix Chuanxiong (Chuanxiong), Radix Angelicae Dahuricae (Baizhi), Radix Angelicae Sinensis (Danggui), Scutellariae Radix processed with wine (Jiu Huangqin).
For lesions in the upper part, add Notopterygii Rhizoma et Radix (Qianghuo), Ramulus Cinnamomi (Guizhi), Fructus Platycodonis (Jiegeng), and Herba Clematidis (Weilingxian).
For lesions in the lower part, add Achyranthis Bidentatae Radix (Niuxi), Stephaniae Tetrandrae Radix (Fangji), and Stemona Root? No, Tong Cao (Mutong), Phellodendri Cortex (Huangbai).
For blood deficiency, use more Chuanxiong and Danggui, assisted by Persicae Semen (Taoren) and Carthami Flos (Honghua).
Thin Cinnamon Twig (Bo Gui) treats gout. Among those that are odorless and thin, only this one can traverse the arms. It is treated with Nanxing, Cangzhu, etc.
Formula for Gout affecting Upper, Middle, and Lower Jiao:
Herba Clematidis (Weilingxian, 3 qian), Rhizoma Arisaematis (Nanxing, 2 liang), Radix Chuanxiong (Chuanxiong, 2 liang), Persicae Semen (Taoren, 5 qian), Radix Angelicae Dahuricae (Baizhi, 5 qian), Ramulus Cinnamomi (Guizhi, 3 qian), Stephaniae Tetrandrae Radix (Fangji, half qian), Rhizoma Atractylodis Macrocephalae (Cangzhu, 2 liang), Phellodendri Cortex (Huangbai, 2 liang, soaked in wine and stir-fried), Carthami Flos (Honghua, 1.5 qian), Notopterygii Rhizoma et Radix (Qianghuo, 3 qian), Massa Medicata Fermentata Chinensis (Shenqu, 1 liang, stir-fried), Radix Gentianae (Caolongdan, 5 fen).
Zhang Ziyuan's case of gout due to Qi and Blood deficiency with turbid phlegm and Yin fire:
Ginseng Radix et Rhizoma (Renshen, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 2 liang), Phellodendri Cortex (Huangbai, 2 liang, stir-fried until black), Dioscoreae Rhizoma (Shanyao, 1 liang), Lapis Calcitae (Haishi), Curculiginis Rhizoma (Suoyang, 5 qian), Zingiberis Rhizoma (Ganjiang, 5 qian, burnt to ash), Rhizoma Arisaematis (Nanxing, 1 liang), Testudinis et Plastrum (Baiguiban, 2 liang, wine-roasted), Rehmanniae Radix Praeparata (Shu Dihuang). Made into pills using rice congee as a binder.
Treatment for Arm Pain:
Pinelliae Rhizoma Preparatum (Banxia, 1 qian), Citri Reticulatae Pericarpium (Chenpi, 5 fen), Poria (Fuling, 5 fen), Rhizoma Atractylodis Macrocephalae (Cangzhu, 1.5 qian), Scutellariae Radix processed with wine (Jiu Huangqin, 1 qian), Herba Clematidis (Weilingxian, 3 fen), Atractylodis Rhizoma (Baizhu, 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, a little, stir-fried), Rhizoma Arisaematis (Nanxing, 1 qian), Cyperi Rhizoma (Xiangfu, 1 qian).
(The key pathology lies in Yin deficiency, with complications of phlegm and blood disorders.)
Artemisiae Annuae Herba (Qinghao, 1 dou 5 sheng), Ur pueri (Tongbian). Decoct over mild and strong heat until the urine reduces by 2 dou, remove the Qinghao dregs, continue decocting until 1 dou remains, add seven pig gallbladders, boil a few times more, and collect with powder of Glycyrrhizae Radix et Rhizoma (Gancao).
Consumptive disease with emaciation belongs to Fire syndrome. Caused by the scorching effect of fire.
For consumptive diseases, use Siwu Tang added with Ur pueri and Ginger juice.