Library

Semen Sophorae (Huaihuazi), Juglans regia (Hutao, Walnut), Sesamum indicum (Zhimaxi, Sesame Seed), and fine tea leaves, each 5 qian. Use 5 bowls of water, decoct until half remains.

If the pain is unbearable as if struck by a stone, or if bending and extension are impossible, immediately apply hot glutinous rice mixed with a little salt and scallion heads to the affected area. When it cools, reheat with steam and apply again. Apply overnight for relief; continuous application for two days leads to complete recovery. Wash the used glutinous rice and feed it to rats or fish; do not discard it wastefully.

These conditions can be found in the previous "Wind-Stroke Chapter".

Take Bawei Dihuang Tang (see Formulas for Reference), which is very effective. Take again if symptoms recur. If there is no effect, add Zuogui Wan and Yougui Wan (see above).

Facial edema that is not painful but hurts upon pressure, or pain triggered by coughing. This is usually due to internal injury from Qi and Blood stagnation caused by previous sprains, falls, or injuries from carrying heavy loads on the shoulders. Initially painless, it manifests only after a long time. Treat according to the Second Formula for Waist Injury from Sprain/Fall/Blow in the Waist section.

This condition is named Zhuzhu (Chronic Infectious Disease). Apply mud made from Swallow's Nest (Yanwo) mixed with vinegar externally; it is very effective.
Another formula: Stir-fry Almond (Xingren) until black, grind into a paste, and apply externally; it will heal immediately.

This condition is named Hanbi Tong (Cold Bi Pain), caused by sudden cold invading the skin and muscles. Use 4 qian of Piper nigrum (Hujiao, Black Pepper) (ground), and 4 liang of good distilled liquor. Boil, dip a cloth in the wine, and apply while hot.

Radix Sophorae Flavescentis (Kushen, Sophora Root) 2 qian, decoct with wine for oral administration. Externally, grind Kushen into powder, mix with wine, and apply. Prolonged application leads to self-healing; extremely effective.

For elderly patients with bone marrow deficiency, use genuine Styrax Resin (Suhe Xiang) fried/cooked, taken orally with one cup of hot wine on an empty stomach. It heals within half a month.

The rhyme states:
Shidagonglao (Mahonia Bealei) weighs three taels,
Balengmagen (Polygonum multiflorum root variant) weighs five qian lightly.
Epimedium (Yinyanghuo) together with Panax notoginseng relative? (Note: Qiannianjian is typically Drynaria or similar),
Honghua (Carthamus tinctorius), Danggui (Angelica sinensis), Wujiapi (Acanthopanax senticosus).
Chenpi (Citrus reticulata peel, white part removed) six taels suffice, plus ten jin of unadulterated wine.
Seal the jar for seven months, drink as desired, and see miraculous results after one month.

The transmission of Shanghan (Cold Damage) presents numerous symptoms. Generally, contracted between Frost Descent (Shuangjiang) and Spring Equinox (Chunfen), it is called Zheng Shanghan (True Cold Damage). Contracted in Spring and Summer is called Sishi Shanghan (Four Seasons Cold Damage), often complicated by other syndromes. Only at the onset should one carefully differentiate, so that management is not mistaken. The symptoms of Shanghan are largely similar to Shoshu (Summerheat Injury), but Shanghan involves aversion to cold and cold body, whereas Shoshu involves aversion to heat and hot body. Tight pulse with aversion to cold is Shanghan; slow pulse with aversion to wind is Shangfeng (Wind Strike); surging pulse with high fever is Rebing (Heat Disease); deficient pulse with body heat is Shoshu; Shoshu presents with floating, large, and scattered pulse, or wiry and slow pulse, because heat injures Qi causing dispersion and deficiency. External symptoms include Wind Headache, body heat, irritability and thirst, dry mouth, facial grime, spontaneous sweating, fatigue, shortness of breath, or back cold/aversion to cold. Severe cases may involve coma/unconsciousness, convulsions of hands and feet, vomiting/diarrhea, abdominal pain, bloody stool, jaundice, or macules. Contracted while walking is Zhongre (Heat Stroke); contracted in a quiet room is Shoshu. Chest and diaphragm fullness, headache, and intermittent fever indicate physical exhaustion combined with food retention. However, headache, aversion to cold, fever, soreness/pain of body and limbs, unceasing day and night, indicates Shanghan. Based on this observation, if it is indeed Shanghan, and there is no qualified physician, fortunately do not use medicine. For this syndrome, few die from the disease itself, but many die from medical error. One should stay in a sealed room avoiding wind, avoid eating porridge or rice grains, maintain strict quietude and self-cultivation, and only drink ginger juice, hot wine, or ginger tea. Wait for seven days for the pathogen to traverse the meridians; even without medication, natural recovery will occur. The ancients said: "Treating Shanghan without medicine achieves the level of a middle-tier physician," which is exactly what this means. As for Guojing Chuan (Transmission beyond the meridian), Gejing Chuan (Skipping meridian transmission), and Lianggan Chuan (Simultaneous contraction of Interior and Exterior meridians), the pathology is critically dangerous and requires a qualified physician. If medication is administered incorrectly, it merely accelerates death. How can one not be cautious!