(主痹。出《素问·痹论》)
风寒湿三气,合而为痹。风气胜者,行痹,上下左右无留,随所至作。
防风汤 主之∶治行痹,行走无定,痹麻不快。
防风 甘草 当归 赤茯苓(去皮) 杏仁(去皮,炒熟) 桂枝(各一两) 黄芩 秦艽
葛根(各三钱) 麻黄(半两,去节)
上为末,每服五钱,酒水合二盏,枣三枚,姜五片,煎至一盏,去滓,温服。
(主痹。出《素问·痹论》)
寒胜者,为痛痹,大宜宣通。阴寒为痛,宜通气温经而愈。
加减茯苓汤 主之∶治痛痹,四肢疼痛,拘倦浮肿。
赤茯苓(去皮) 桑白皮(各二两) 防风 官桂 川芎 芍药 麻黄(去节。各一两半)
上为末,每服五钱,水一盏,枣一枚,煎至八分,去滓,温服。
以姜粥投之,汗泄为度,效矣。
(主痹。出《素问·痹论》)
湿气胜者,为着痹,湿地水气甚,重着而不去,多汗而濡者。
茯苓川芎汤 主之∶治着痹,留注不去,四肢麻,拘挛,浮肿。
赤茯苓 桑白皮 防风 官桂 川芎 麻黄 芍药 当归 甘草(炙。各等分)
上为末,每服二钱,水二盏,枣三枚,同煎至一盏,去滓,空心,温服。
如欲出汗,以粥投之。
(主痹。出《灵枢·周痹》)
《黄帝针经》云∶在血脉之中,随上下,本痹不痛今能上下周身,故以名之。
大豆 散 主之∶治周痹,注五脏留滞,胃中结聚。益气出毒,润皮毛,补肾气。
大豆 (一斤,炒香熟)
上为末,每服半钱,温酒调下,空心,加至一钱,日三服。
(Indicated for Bi syndrome. From *Suwen: Bilun* [Treatise on Bi Syndrome in the Yellow Emperor's Inner Canon])
The combination of Wind, Cold, and Dampness pathogens leads to Bi syndrome (obstruction syndrome). When Wind is predominant, it is called Xingbi (Wandering Bi), characterized by pain that wanders up and down, left and right without staying in one place, occurring wherever the pathogen moves.
Fangfeng Tang (Saposhnikovia Decoction) is indicated: It treats Wandering Bi, where pain wanders without a fixed location, accompanied by numbness and discomfort.
Ingredients: Fangfeng (Radix Saposhnikoviae), Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis), Chi Fuling (Poria with Red Host, peeled), Xingren (Seed Armeniacae Amarum, peeled and stir-fried), Guizhi (Ramulus Cinnamomi, each 1 liang), Huangqin (Radix Scutellariae), Qinjiao (Rhizoma Gentianae Macrophyllae), Gegen (Radix Puerariae, each 3 qian), Mahuang (Herba Ephedrae, 0.5 liang, nodes removed).
Preparation: Grind the above herbs into powder. Take 5 qian per dose, combined with wine and water totaling 2 zhan, 3 Jujubes (Fructus Ziziphi Jujubae), and 5 slices of Ginger (Rhizoma Zingiberis Recens). Decoct until reduced to 1 zhan, filter out the dregs, and take warm.
(Indicated for Bi syndrome. From *Suwen: Bilun* [Treatise on Bi Syndrome in the Yellow Emperor's Inner Canon])
When Cold is predominant, it is called Tongbi (Painful Bi), which requires vigorous unblocking and circulation. Pain caused by Yin-Cold should be treated by warming and unblocking the meridians to achieve recovery.
Jiajian Fuling Tang (Modified Poria Decoction) is indicated: It treats Painful Bi, characterized by pain in the four limbs, stiffness and fatigue, and edema.
Ingredients: Chi Fuling (Poria with Red Host, peeled), Sangbaipi (Cortex Mori Radicis, each 2 liang), Fangfeng (Radix Saposhnikoviae), Guigui (Cortex Cinnamomi Cassiae), Chuanxiong (Rhizoma Chuanxiong), Shaoyao (Radix Paeoniae Alba), Mahuang (Herba Ephedrae, nodes removed, each 1.5 liang).
Preparation: Grind the above herbs into powder. Take 5 qian per dose, with 1 zhan of water and 1 Jujube. Decoct until reduced to 8 fen, filter out the dregs, and take warm.
After taking the medicine, consume ginger congee to induce sweating; when sweating occurs as the target, the effect is achieved.
(Indicated for Bi syndrome. From *Suwen: Bilun* [Treatise on Bi Syndrome in the Yellow Emperor's Inner Canon])
When Dampness is predominant, it is called Zhuobi (Fixed Bi). Due to excessive dampness and water qi from wet environments, the body feels heavy and fixed, not moving away, often accompanied by profuse sweating and moisture.
Fuling Chuanxiong Tang (Poria and Chuanxiong Decoction) is indicated: It treats Fixed Bi, where pathogens remain lodged and do not depart, causing numbness in the four limbs, spasms, and edema.
Ingredients: Chi Fuling (Poria with Red Host), Sangbaipi (Cortex Mori Radicis), Fangfeng (Radix Saposhnikoviae), Guigui (Cortex Cinnamomi Cassiae), Chuanxiong (Rhizoma Chuanxiong), Mahuang (Herba Ephedrae), Shaoyao (Radix Paeoniae Alba), Danggui (Radix Angelicae Sinensis), Gancao (Radix Glycyrrhizae, honey-fried, equal parts).
Preparation: Grind the above herbs into powder. Take 2 qian per dose, with 2 zhan of water and 3 Jujubes. Decoct together until reduced to 1 zhan, filter out the dregs, and take warm on an empty stomach.
If sweating is desired, consume congee to assist.
(Indicated for Bi syndrome. From *Lingshu: Zhoubi* [Weekly Bi in the Spiritual Pivot])
The *Huangdi Zhenjing* (Yellow Emperor's Acupuncture Classic) states: The pathogen resides within the blood vessels, moving up and down. Originally fixed Bi pain now spreads throughout the whole body, hence the name "Zhoubi" (General/Weekly Bi).
Dadou San (Soja Seed Powder) is indicated: It treats Zhoubi, where pathogens lodge in the five Zang organs causing stagnation, and accumulate in the Stomach. It benefits Qi, expels toxins, moistens skin and hair, and tonifies Kidney Qi.
Ingredients: Dadou (Soja Seed, 1 jin, stir-fried until fragrant and cooked).
Preparation: Grind the above herb into powder. Take half a qian per dose, mixed with warm wine, taken on an empty stomach. The dose can be gradually increased to 1 qian, taken three times daily.