病者身重脚弱,关节重疼,发热恶寒,小便秘涩,大便飧泄,自汗,腰脚冷痹,腿膝浮
肿,小便或自利,不渴。皆久坐卑湿,或为雨露所袭,或汗出衣里,受湿渐渍得之,名曰湿痹。
治身重,腰冷痹,如坐水中,形如水状,反不渴,小便自利,食饮如故,病属
下焦,以身劳汗出,衣里冷湿,久而得之,腰以下冷痛,腰重如带五贯钱。
甘草(炙) 白术(各二两) 干姜(炮) 茯苓(各四两)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,食前服。
治坐卧湿地,或为雨露所袭,身重脚弱,关节重疼,发热恶寒;或小便秘涩,
大便飧泄;或汗出衣里,湿渍得之,腿膝或肿,小便利,反不渴。
苍术(米泔浸) 白术 甘草(炙,各二两) 干姜(炮) 茯苓(各四两) 陈皮 丁香(各半两)
上锉散。每服四钱,水盏半,姜三片,枣二枚,煎七分,去滓温服。
治寒湿,身体烦疼,无汗恶寒,发热者。
麻黄(去节,三两) 桂心(二两) 甘草(炙,一两) 杏仁(二十粒,去皮尖) 白术(四两)
上为锉散。每服四钱,水盏半,煎七分,去滓,食前温服。
患者身体沉重,双脚软弱无力,关节沉重疼痛,伴有发热和恶寒,小便短少涩滞,大便完谷不化(飧泄),自汗出,腰部和脚部寒冷麻木,腿部和膝盖浮肿,小便有时通畅自如,口不渴。这些症状多因长时间坐在低洼潮湿之处,或被雨露侵袭,或出汗后衣物内里受湿逐渐浸渍所致,这种病称为湿痹。
治疗身体沉重、腰部寒冷麻木,感觉像坐在水中,形体如同水状,反而口不渴,小便通畅自如,饮食如常,病位属下焦,这是由于身体劳累出汗后,衣物冷湿,日久导致的,表现为腰部以下冷痛,腰部沉重得像束着五枚铜钱。
处方:甘草(炙)二两,白术二两,干姜(炮制)二两,茯苓四两。
将上述药材切碎成散剂。每次服用四大钱,加水一盏半,煎至七分,滤去药渣,饭前服用。
治疗因坐卧湿地,或被雨露侵袭,导致身体沉重、双脚软弱无力、关节沉重疼痛、发热恶寒;或小便短少涩滞、大便完谷不化;或出汗后衣物受湿浸渍,导致腿膝浮肿,小便通畅,反而口不渴。
处方:苍术(米泔水浸泡)、白术、甘草(炙,各二两),干姜(炮制)、茯苓(各四两),陈皮、丁香(各半两)。
将上述药材切碎成散剂。每次服用四钱,加水一盏半,生姜三片,大枣二枚,煎至七分,滤去药渣,温服。
患者身体烦扰疼痛,无汗、恶寒、发热,脉象浮缓细,这都是寒湿邪气相兼致病所致。
治疗寒湿引起的身体烦扰疼痛、无汗、恶寒、发热的情况。
处方:麻黄(去节)三两,桂心二两,甘草(炙)一两,杏仁二十粒(去皮尖),白术四两。
将上述药材切碎成散剂。每次服用四钱,加水一盏半,煎至七分,滤去药渣,饭前温服。
患者身体疼痛,下午申时(日晡)发热,身体不能转动侧身,呼吸短促,出汗且怕风,不想脱衣,或者身体轻微浮肿,脉象浮弦细,这是风湿邪气相互搏结,或因出汗后当风所致。
The patient experiences heaviness of the body and weakness of the feet, heavy pain in the joints, fever with aversion to cold, scanty and difficult urination, undigested stool in diarrhea (Sun Xie), spontaneous sweating, cold numbness in the lower back and legs, edema of the thighs and knees, sometimes free urination, and absence of thirst. These conditions are caused by prolonged sitting in damp and low places, exposure to rain and dew, or sweat moistening the inner clothing leading to gradual infiltration of dampness; this is named Damp Bi Syndrome (Wet Bi).
To treat body heaviness, cold numbness in the waist, a sensation as if sitting in water, the form resembling water retention, yet without thirst, with free urination and normal appetite, the disease belongs to the Lower Jiao (Lower Burner). This results from labor-induced sweating followed by cold and damp clothing over a long period, causing cold pain below the waist and a sensation of heaviness in the waist as if bound by five strings of coins.
Formula: Zhi Gancao (Prepared Licorice Root) 2 liang, Baizhu (Atractylodes Macrocephala Rhizome) 2 liang, Pao Ganjiang (Prepared Dried Ginger) 2 liang, Fuling (Poria) 4 liang.
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct to 0.7 portion, remove dregs, and take before meals.
To treat conditions caused by sitting or lying on wet ground, or exposure to rain and dew, resulting in body heaviness, foot weakness, heavy joint pain, fever with aversion to cold; or scanty difficult urination, undigested stool in diarrhea; or sweat moistening clothing leading to damp infiltration, causing edema of the legs and knees, free urination, and absence of thirst.
Formula: Cangzhu (Coix Seed-processed Atractylodes Lancea Rhizome), Baizhu, Zhi Gancao (Prepared Licorice Root, each 2 liang); Pao Ganjiang (Prepared Dried Ginger), Fuling (Poria, each 4 liang); Chenpi (Tangerine Peel), Dingxiang (Clove Bud, each 0.5 liang).
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 3 slices of Shengjiang (Fresh Ginger), 2 dates, decoct to 0.7 portion, remove dregs, and take warm.
The patient suffers from vexing body pain, absence of sweating, aversion to cold, and fever, with a floating, moderate, and fine pulse. These are caused by the combination of Cold and Damp pathogens.
To treat Cold-Damp causing vexing body pain, absence of sweating, aversion to cold, and fever.
Formula: Qumai Huang (De-nodeled Ephedra Herb) 3 liang, Guixin (Cinnamon Twig Heart) 2 liang, Zhi Gancao (Prepared Licorice Root) 1 liang, Xingren (Apricot Seed, 20 grains, skin and tip removed), Baizhu (Atractylodes Macrocephala Rhizome) 4 liang.
Grind into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct to 0.7 portion, remove dregs, and take warm before meals.
The patient experiences body pain, fever at Shen hour (late afternoon, 3-5 PM), inability to turn or change position, shortness of breath, sweating with aversion to wind, reluctance to remove clothes, or slight body swelling, with a floating, string-taut, and fine pulse. This is caused by the binding of Wind and Damp pathogens, or exposure to wind after sweating.